Surgical instrument and method of use for inserting an implant between two bones

• US 8,702,719 B2
• Filed: 12/06/2011
• Issued: 04/22/2014
• Est. Priority Date: 10/16/2008
• Status: Active Grant

• Current Assignee: Aesculap Implant Systems LLC (Sartorius AG)
• Original Assignee: Aesculap Implant Systems LLC (Sartorius AG)
• Inventors: Refai, Daniel, Ebersole, Jeffrey T., Farris, Jeffrey A.
• Primary Examiner(s): STEWART, ALVIN J
• Application Number:
  US13/312,486
• Publication Number:
  US 20120310293A1
• Time in Patent Office: 868 Days
• Field of Search: 623 1711- 1716, 606/63, 606/99, 606/60, 606246-249, 606/279
• US Class Current: 606/99
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2/4637 for connecting or disconnecting two parts of a prosthesis
• CPC Class Codes: A61F 2002/30471 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30523 by means of meshing gear teeth
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/4622 having the shape of a forceps or a clamp
• CPC Class Codes: A61F 2002/4627 with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
• CPC Class Codes: A61F 2002/4628 with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0091 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type

Abstract

The surgical instrument includes a handle assembly and an elongate body that has first and second ends with the first end being located adjacent to the handle assembly and the second end being moveably connected to an implant engagement assembly. The surgical instrument also has a length control mechanism that includes a gripping portion, a drive shaft and a gear assembly. The surgical instrument further has a locking mechanism that includes a gripping portion, a connecting rod and a coupling end. The length control mechanism functions to adjust the overall length of an implant that is held by the implant engagement assembly before being implanted in vivo. The locking mechanism operates to secure the overall length of the implant following final length adjustment and implantation. A surgical method for using the surgical instrument, a method of fabrication and a spinal implant insertion kit is also disclosed.

Claims

1. A surgical instrument for inserting an implant between two bones, the surgical instrument comprising:

a handle assembly; and

an elongate member having a first end and a second end, and a longitudinal axis extending there between, the elongate member being moveably connected to an implant engagement assembly, the implant engagement assembly being at a distal end of the surgical instrument and comprising a holding portion that includes first and second arms, a distal end of each of the first and second arms having an engagement member attached thereto, each engagement member being configured to pivot and rotate about the distal end of their corresponding arm and to hold the implant;

wherein upon movement of the elongate member relative to the implant engagement assembly, the implant engagement assembly adjusts the implant for insertion between the two bones.

2. The surgical instrument of claim 1, wherein the implant engagement assembly further comprises an actuation body operatively coupled to the second end of the elongate member, wherein the first arm and the second arm of the holding portion is operatively coupled to the actuation body and configured to move and engage the implant upon actuation of the actuation body.

3. The surgical instrument of claim 2, wherein the engagement members are configured to operatively engage the implant upon activation of the actuation body.

4. The surgical instrument of claim 3, wherein each engagement member further comprises a distal surface, the distal surface having an engagement element disposed thereon, the engagement element being sized and configured to hold the implant in position after actuation of the actuation body.

5. The surgical instrument of claim 1, wherein the first end of the elongate member is configured as a gripping portion and the second end of the elongate member comprises external threads, the threads being sized and configured to threadingly engage the actuation body of the implant engagement assembly.

6. The surgical instrument of claim 1, wherein the elongate member is a cylindrical body.

7. The surgical instrument of claim 1, further comprising a length control mechanism for adjusting the overall length of the implant when the implant has been placed between the two bones.

8. The surgical instrument of claim 1, further comprising a locking mechanism for fixing the overall length the implant after the implant has been placed between the two bones.

9. The surgical instrument of claim 1, wherein the surgical instrument further comprises a first locking mechanism and a second locking mechanism, wherein the first locking mechanism and second locking mechanism are substantially parallel to each other and to the longitudinal axis of the elongate member.

10. A method of fabricating a surgical instrument for inserting an implant between two bones, the method comprising:

providing a handle assembly; and

providing an elongate member having a first end and a second end, and a longitudinal axis extending there between, the first end being positioned adjacent handle assembly and the second end being moveably connected to an implant engagement assembly, the implant engagement assembly being at a distal end of the surgical instrument and comprising a holding portion that includes first and second arms, a distal end of each of the first and second arms having an engagement member attached thereto, each engagement member being configured to pivot and rotate about the distal end of their corresponding arm and to hold the implant;

wherein upon movement of the elongate member relative to the handle assembly and implant engagement assembly, the implant engagement assembly adjusts the implant for insertion between the two bones.

11. A surgical instrument for inserting an implant between two bones, the surgical instrument comprising:

a handle assembly;

an elongate member having a first end and a second end, and a longitudinal axis extending there between, the elongate member being moveably connected to an implant engagement assembly, the implant engagement assembly being at a distal end of the surgical instrument and being configured to hold the implant; and

a first locking mechanism and a second locking mechanism, wherein the first locking mechanism and second locking mechanism are substantially parallel to each other and to the longitudinal axis of the elongate member;

wherein upon movement of the elongate member relative to the implant engagement assembly, the implant engagement assembly adjusts the implant for insertion between the two bones,

wherein the implant engagement assembly further comprises an actuation body and a holding portion, the actuation body being operatively coupled to the second end of the elongate member, and the holding portion comprising a first arm and a second arm, wherein the first arm and the second arm of the holding portion are operatively coupled to the actuation body and configured to move and engage the implant upon actuation of the actuation body, and

wherein the first arm further comprises an engagement member and the second arm further comprises an engagement member, the engagement members being pivotally coupled to a distal end of the first arm and the second arm and are configured to operatively engage the implant upon activation of the actuation body.

12. The surgical instrument of claim 11, wherein the engagement member further comprises a distal surface, the distal surface having an engagement element disposed thereon, the engagement element being sized and configured to hold the implant in position after actuation of the actuation body.

13. The surgical instrument of claim 11, wherein the first end of the elongate member is configured as a gripping portion and the second end of the elongate member comprises external threads, the threads being sized and configured to threadingly engage the actuation body of the implant engagement assembly.

14. The surgical instrument of claim 11, wherein the elongate member is a cylindrical body.

15. The surgical instrument of claim 11, further comprising a length control mechanism for adjusting the overall length of the implant when the implant has been placed between the two bones.

16. The surgical instrument of claim 11, further comprising a locking mechanism for fixing the overall length the implant after the implant has been placed between the two bones.