Trajectory guide

• US 7,736,371 B2
• Filed: 01/26/2007
• Issued: 06/15/2010
• Est. Priority Date: 01/26/2007
• Status: Expired due to Fees

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation)
• Original Assignee: Stryker Leibinger GmbH & Co. KG (Stryker Corporation)
• Inventors: Schoepp, Hans
• Primary Examiner(s): Nguyen; Anhtuan T
• Assistant Examiner(s): NGUYEN, TIN DUC
• Application Number:
  US11/698,445
• Publication Number:
  US 20080183191A1
• Time in Patent Office: 1,236 Days
• Field of Search: 606/130, 606/57, 606/105, 606/246, 606/184, 606/204, 606/99, 606/186, 606/190, 606/90, 606/61, 606/266, 606/129, 606/167, 600/196, 600/201, 600/214, 600/219, 600/225, 600/235, 600/244, 600/417, 600/429, 600/205, 600/433, 600/102, 600/210, 600/407, 813/67, 128/303, 128/92, 623/17.15, 604/104
• US Class Current: 606/130
• CPC Class Codes: A61B 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 17/3462 with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals expandable cannulas A61B17/3417
• CPC Class Codes: A61B 17/3472 for bones, e.g. intraosseus injections
• CPC Class Codes: A61B 2017/3407 including a base for support on the body
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 2017/349 Trocar with thread on outside
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61B 2090/103 Cranial plugs for access to brain
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints

Abstract

A trajectory guide includes a guide body defining a selected trajectory through an entry aperture or opening, engagement surfaces for insertion into the entry aperture, and a fixing mechanism coupling the guide body with the engagement surfaces. The engagement surfaces may be easily fixed within an entry aperture and the guide body positioned in a selected orientation using the fixing mechanism to provide simple mounting of the trajectory guide. In some instances, the engagement surfaces may be fixed within the entry aperture and the guide body fixed in a selected orientation with a single fixation motion.

Claims

1. A trajectory guide comprising:

a first clamp member spaced from a second clamp member;

a guide body pivotably connected to the first and second clamp members and defining a guiding surface and a brake surface, the brake surface disposed between the first clamp member and the second clamp member, wherein at least one of the first clamp member and the brake surface defines a convex surface engaged against the other of the first clamp member and the brake surface, wherein the first clamp member and the brake surface diverge from a first end toward a second end and the first clamp member rolls against the brake surface along the convex surface;

a clamp disposed proximate the second end and configured to urge the first clamp member and the second clamp member together at the second end against the brake surface of the guide body and thereby lock the guide body in a selected position; and

a first engagement surface associated with the first clamp member and a second engagement surface associated with the second clamp member, each engagement surface disposed proximate the first end;

wherein the first engagement surface separates from the second engagement surface and the first clamp member is simultaneously clamped against the brake surface at the convex surface to lock the guide body in response to the clamp urging the first clamp member and the second clamp member together at the second end.

2. The trajectory guide of claim 1, wherein the first engagement surface separates from the second engagement surface when the first clamp member travels toward the second clamp member at the second end.

3. The trajectory guide of claim 1, wherein the guide body is pivotably connected to the clamp surface along a first axis, and wherein the convex surface is convex about a second axis that is orthogonal to the first axis.

4. The trajectory guide of claim 1, further comprising a biasing member positioned to urge the first clamp member and the brake surface toward an unclamped position.

5. The trajectory guide of claim 1, wherein the guide body is angularly adjustable with respect to at least the first clamp member about a pivot point that is fixed in relation to the clamp member.

6. The trajectory guide of claim 5, wherein the first clamp member and the second clamp member restrain the guide body from angular adjustment when the first clamp member travels toward the second clamp member at the second end.

7. The trajectory guide of claim 5, wherein the clamp further comprises a resilient interlocking member that locks the first clamp member against the guide body.

8. The trajectory guide of claim 5, wherein the clamp further comprises a threaded member extending between the first clamp member and the second clamp member, the threaded member urging the first clamp member and the second clamp member together when the threaded member is rotated.

9. The trajectory guide of claim 8, wherein the first clamp member is defined by a first plate and the second clamp member is defined by a second plate.

10. The trajectory guide of claim 9, wherein a guide track is defined by the first and second plates a constant radial distance from the pivot point, the threaded member being slidably disposed in the guide track and interconnected with the guide body.

11. The trajectory guide of claim 8, wherein the guide body pivots independently of the threaded member.

12. The trajectory guide of claim 5, wherein the guide body is pivotable about a first axis, and wherein the first clamp member rocks with respect to the guide body about a second axis defined by the convex surface that is perpendicular to the first axis.

13. The trajectory guide of claim 12, further comprising a retainer maintaining the first clamp member at a maximum spacing from the second clamp member, wherein the retainer is disposed between the second axis and the first end.

14. The trajectory guide of claim 13, wherein the retainer defines a support surface disposed between the first end and the second end.

15. A surgical trajectory guide comprising:

means for adjustably defining a trajectory;

means for releasably locking the defining means; and

means for lockingly engaging a surface that defines an entry aperture;

wherein the locking means comprises a fulcrum defined between two opposed braking surfaces, a setting mechanism for urging the two opposed engaging surfaces together, and a retention means for restraining separation of the engaging means disposed between the fulcrum and the engaging means,

wherein the locking means simultaneously locks the defining means in a selected position and urges the engaging means toward the surface by clamping the two opposed braking surfaces against each other at the fulcrum in coordination with the retention means.

16. The surgical trajectory guide of claim 15, further comprising means for biasing the locking means toward a first locking state.

17. The surgical trajectory guide of claim 15, wherein the locking means and the engaging means comprises at most one fulcrum.

18. The surgical trajectory guide of claim 17, wherein the fulcrum comprises a ball and socket joint.

19. The surgical trajectory guide of claim 15, wherein the locking means and the engaging means comprise two fulcrums.

20. The surgical trajectory guide of claim 15, wherein the setting mechanism comprises a resilient interlocking member.

21. The surgical trajectory guide of claim 20, wherein the setting mechanism further comprises a second resilient interlocking member that interlocks with the first resilient interlocking member.

22. The surgical trajectory guide of claim 15, wherein the setting mechanism comprises a screw clamp.

23. The surgical trajectory guide of claim 15, wherein the locking means comprises a first wall spaced from a second wall, each wall extending between a first end and a second end, respectively, wherein the first wall and the second wall clamp the defining means therebetween.

24. The surgical trajectory guide of claim 23, wherein the first wall and the defining means define a fulcrum region therebetween.

25. The surgical trajectory guide of claim 24, wherein the second wall and the defining means define a second fulcrum region therebetween.

26. The surgical trajectory guide of claim 24, wherein the engaging means comprises at least one flange extending from the first end of one of the walls and a means for gripping the surface.

27. The surgical trajectory guide of claim 26, wherein the defining means is pivotally connected with the locking means.

28. The surgical trajectory guide of claim 27, wherein the defining means pivots about a first axis and the first and second walls rock about a second axis.

29. The surgical trajectory guide of claim 28, wherein the first axis is perpendicular to the second axis.

30. The surgical trajectory guide of claim 29 wherein the setting mechanism comprises a clamp.

31. The surgical trajectory guide of claim 29, wherein the setting mechanism further comprises second means for guiding the defining means about the first axis.

32. The surgical trajectory guide of claim 31, wherein the defining means comprises a body defining a bore that is adapted to guide a surgical tool along a selected trajectory.

33. The surgical trajectory guide of claim 31, wherein the second guiding means comprises an arcuate path.

34. The surgical trajectory guide of claim 15, wherein the defining means comprises a first axis and another axis extending through the entry aperture, whereby two degrees of freedom may be defined by independent rotational adjustment about the first axis and the other axis when the engaging means is disposed in the entry aperture.

35. A method of securing a surgical trajectory guide to a patient in a fixed orientation, the trajectory guide comprising a guide carried by a body and a fixation mechanism, the guide being angularly adjustable with respect to the body and lockable by the fixation mechanism, the method comprising:

inserting a first end of the body into an entry aperture in a skeletal member of the patient;

selecting an angular orientation of the body with respect to the entry aperture;

selecting an angular orientation of the guide with respect to the body; and

simultaneously fixing the body in the selected rotational orientation within the entry aperture and locking the guide in the selected angular orientation with the fixation mechanism by clamping the body against the guide to prevent angular adjustment of the guide with respect to the body and simultaneously urging, the first end of the body apart against an inner periphery of the aperture.

36. The method of claim 35, wherein the step of selecting an angular orientation of the guide further comprises the step of pivoting the guide about an axis that is fixed with respect to the guide and the body.

37. The method of claim 35, wherein the step of clamping further comprises the step of rocking the body about a convex surface against the guide.

38. The method of claim 37, wherein the step of fixing further comprises the step of pivoting the body with respect to the guide about a fulcrum spaced between opposite ends of the body.

39. The method of claim 37, wherein the step of fixing further comprises the step of pivoting the body with respect to the guide about two fulcrums spaced between opposite ends of the body.

40. The method of claim 39, wherein the step of fixing further comprises the step of separating opposing engagement surfaces.

41. A surgical trajectory guide comprising:

a guide body defining a guide surface, wherein the guide surface comprises a bore through the guide body;

a first engagement member and a second engagement member, the engagement members being associated with the guide body and adapted to be received within an entry aperture in a surgical patient, wherein at least one of the engagement members includes gripping projections on an outer surface thereof; and

a fixing mechanism associated with the engagement members, wherein the fixing mechanism comprises a fulcrum defined by the guide body and engaged against the first engagement member;

wherein the fixing mechanism squeezes the first engagement member against the fulcrum of the guide body and moves the first engagement member away from the second engagement member by rolling over the fulcrum, whereby the gripping projections of the engagement members may be forced against an inside periphery of the entry aperture to securely angularly fix the surgical trajectory guide to the surgical patient, and whereby the bore defines a trajectory into the entry aperture from an exterior.

42. The surgical trajectory guide of claim 41, further comprising a fulcrum area associated with at least one of the first engagement member and the second engagement member, wherein the fixing mechanism pivots the respective engagement member about the fulcrum area to move the first engagement member away from the second engagement member.

43. The surgical trajectory guide of claim 42, further comprising a clamp surface associated with at least one of the first engagement member and the second engagement member, wherein the clamp surface lockingly engages the guide body when the first engagement member is moved away from the second engagement member.

44. The surgical trajectory guide of claim 43, wherein the guide body pivots with respect to the clamp surface about an axis other than the fulcrum area.

45. The surgical trajectory guide of claim 44, further comprising a second clamp surface, wherein the first clamp surface is associated with the first engagement member and the second clamp surface is associated with the second engagement surface, and wherein the guide body is disposed between the first clamp surface and the second clamp surface.

46. The surgical trajectory guide of claim 41, wherein the guide body is pivotally associated with at least one of the first and second engagement members by way of a ball and socket connection.