Impulsive percussion instruments for endplate preparation
First Claim
1. A powered, hand-held instrument for treating vertebral endplates, comprising:
- a body configured to be held in a surgeon'"'"'s hand;
a camshaft rotatable about a rotational axis in said body and having a cam surface rotatable about said rotational axis;
a cutter shaft having a proximal end and a distal end, said cutter shaft extending along a longitudinal axis and being mounted in said body to reciprocate in forward and reverse directions along said longitudinal axis;
a cutter disposed at said distal end of said cutter shaft and configured to have a preferred performance direction in one of said forward and reverse directions;
said cutter shaft being moveable in said preferred performance direction by said cam surface when said camshaft is rotating;
a cutter drive shaft having a proximal end and a distal end, said cutter drive shaft having a first connector at said distal end and a cam follower surface adjacent said proximal end and facing said cam surface;
said cutter engaged to said cutter shaft and having a reverse preferred performance direction, said cutter shaft having a second connector at said proximal end of said cutter shaft, said second connector connected to the first connector to transmit axial force between said cutter drive shaft and said cutter shaft; and
means for normally disabling movement of said cutter shaft by said camshaft, said means for disabling being a compression spring bearing on said body and on a portion of said cutter drive shaft to urge said cam follower surface in a reverse direction away from said cam surface.
2 Assignments
0 Petitions
Accused Products
Abstract
A hand-held instrument, with a rotary power input to a camshaft, has cam and follower arrangement to provide a reciprocating shaft output. A cutter is provided on the output shaft. In one example, rotating cam percussion is transmitted to the cutter by engaging the cutter with the tissue to be cut, and pushing the instrument forward toward the cutter. In another example, rotating cam percussion is transmitted to the cutter by engaging the cutter with the tissue to be cut, and pulling the instrument back toward the user while maintaining engagement of the cutter with the tissue. In both examples, the cutter remains in idle condition until an axially directed load, forward in the one example, or backward on the other example, is placed on the cutter by moving the instrument forward or backward, respectively, while the camshaft is rotating. A distractor with frame is used to spread and maintain space between vertebral bodies, enabling entrance of the cutter.
360 Citations
41 Claims
-
1. A powered, hand-held instrument for treating vertebral endplates, comprising:
-
a body configured to be held in a surgeon'"'"'s hand; a camshaft rotatable about a rotational axis in said body and having a cam surface rotatable about said rotational axis; a cutter shaft having a proximal end and a distal end, said cutter shaft extending along a longitudinal axis and being mounted in said body to reciprocate in forward and reverse directions along said longitudinal axis; a cutter disposed at said distal end of said cutter shaft and configured to have a preferred performance direction in one of said forward and reverse directions; said cutter shaft being moveable in said preferred performance direction by said cam surface when said camshaft is rotating; a cutter drive shaft having a proximal end and a distal end, said cutter drive shaft having a first connector at said distal end and a cam follower surface adjacent said proximal end and facing said cam surface; said cutter engaged to said cutter shaft and having a reverse preferred performance direction, said cutter shaft having a second connector at said proximal end of said cutter shaft, said second connector connected to the first connector to transmit axial force between said cutter drive shaft and said cutter shaft; and means for normally disabling movement of said cutter shaft by said camshaft, said means for disabling being a compression spring bearing on said body and on a portion of said cutter drive shaft to urge said cam follower surface in a reverse direction away from said cam surface. - View Dependent Claims (2, 3)
-
-
4. A powered, hand-held instrument for treating vertebral endplates, comprising:
-
a body configured to be held in a surgeon'"'"'s hand; a camshaft rotatable about a rotational axis in said body and having a cam surface rotatable about said rotational axis; a cutter shaft having a proximal end and a distal end, said cutter shaft extending along a longitudinal axis and being mounted in said body to reciprocate in forward and reverse directions along said longitudinal axis; a screw secured in said body and oriented transverse to said longitudinal axis; and an elongate hole in said cutter shaft configured to receive said screw therethrough for limiting said travel of said cutter shaft in both of said forward and reverse directions; a cutter disposed at said distal end of said cutter shaft and configured to have a preferred performance direction in one of said forward and reverse directions; said cutter shaft being moveable in said preferred performance direction by said cam surface when said camshaft is rotating; and means on said body for normally disabling movement of said cutter shaft by said camshaft. - View Dependent Claims (5, 6, 7, 8, 9, 10, 11)
-
-
12. An instrument for cutting bodily tissue, comprising:
-
an instrument body; a camshaft mounted to said body and having a rotary power source input adapter for rotation of said camshaft about a rotational axis, said camshaft having a cam surface with locations thereon arranged at different radial distances from said rotational axis; a cutter shaft mounted to said body for reciprocation therein, and having a proximal end and a distal end; a cutter engaged with said cutter shaft adjacent said distal end; and a cam follower having a cam follower surface operable to displace said cutter when engaged with said cam surface during rotation of said camshaft; and a cutter drive shaft having a proximal end and a distal end, said cutter drive shaft having a first connector at said distal end and defining said cam follower surface adjacent said proximal end and facing said cam surface; said cutter engaged to said cutter shaft and having a reverse preferred performance direction, said cutter shaft having a second connector at said proximal end of said cutter shaft, said second connector connected to the first connector to transmit axial force between said cutter drive shaft and said cutter shaft; and wherein said cam surface is normally disengaged from said cam follower surface but is operably engagable with said cam follower surface during rotation of said cam shaft for impact driving said cutter in a first direction. - View Dependent Claims (13, 14, 15, 16, 17)
-
-
18. A powered instrument for surgical use, comprising:
-
a body having a cam housing portion and a shaft housing portion; a camshaft mounted for rotation in said body about a rotational axis and having a cam in said cam housing portion, said cam having a cam surface extending about the rotational axis at non-uniform radial distances from the rotational axis; shafting extending along a longitudinal axis and mounted for reciprocation in said shaft housing portion of said body along said longitudinal axis, said shafting having a proximal end portion having a cam follower surface engageable with said cam, said shafting having a distal end portion including a cutter, said shafting comprising a cutter drive shaft and a cutter shaft; said cutter drive shaft having a proximal end portion defining said cam follower surface and a distal end portion; said cutter shaft having a proximal end portion and a distal end portion including said cutter; and a connector selectively engaged between said distal end portion of said cutter drive shaft and said proximal end portion of said cutter shaft to selectively maintain a connection between said cutter drive shaft and said cutter shaft; and wherein said shaft housing portion includes a wall defining an opening extending transversely therethrough, said opening positioned in general alignment with said connector to provide access to said connector to allow selective disengagement of said connector from between said distal end portion of said cutter drive shaft and said proximal end portion of said cutter shaft and disconnection of said cutter shaft from said cutter drive shaft; and wherein said connector is positioned within aligned openings in said distal end portion of said cutter drive shaft and said proximal end portion of said cutter shaft to maintain said connection between said cutter drive shaft and said cutter shaft. - View Dependent Claims (19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30)
-
-
31. A powered instrument for surgical use, comprising:
-
a body; a camshaft mounted for rotation in said body about a rotational axis and including a cam having a cam surface extending about said rotational axis at non-uniform distances from the rotational axis; shafting extending along a longitudinal axis and mounted for reciprocation in a shaft housing portion of said body along said longitudinal axis, said shafting having a proximal end portion having a cam follower surface engageable with said cam, said shafting having a distal end portion including a cutter, said rotational axis arranged transverse to said longitudinal axis of said shafting, said shafting comprising a cutter drive shaft and a cutter shaft; said cutter drive shaft having a proximal end portion defining said cam follower surface and a distal end portion; said cutter shaft having a proximal end portion and a distal end portion including said cutter; and a connector selectively engaged between said distal end portion of said cutter drive shaft and said proximal end portion of said cutter shaft to selectively maintain a connection between said cutter drive shaft and said cutter shaft; and wherein said shaft housing portion includes a wall defining an opening extending transversely therethrough, said opening positioned in general alignment with said connector to provide access to said connector to allow selective disengagement of said connector from between said distal end portion of said cutter drive shaft and said proximal end portion of said cutter shaft and disconnection of said cutter shaft from said cutter drive shaft; and wherein said connector is positioned within aligned openings in said distal end portion of said cutter drive shaft and said proximal end portion of said cutter shaft to maintain said connection between said cutter drive shaft and said cutter shaft. - View Dependent Claims (32, 33, 34, 35, 36, 37, 38, 39, 40, 41)
-
Specification