Surgical guide device

• US 8,979,850 B2
• Filed: 06/03/2011
• Issued: 03/17/2015
• Est. Priority Date: 06/03/2010
• Status: Active Grant

• Current Assignee: Clear Surgical Limited
• Original Assignee: Clear Surgical Limited
• Inventors: Johnstone, Alan
• Primary Examiner(s): BOLES, SAMEH RAAFAT
• Application Number:
  US13/701,246
• Publication Number:
  US 20130144351A1
• Time in Patent Office: 1,383 Days
• Field of Search: 606205-209, 606/324, 606 96- 98, 606/86.R, 606 87- 89, 606/102, 606104-105
• US Class Current: 606/86.R
• CPC Class Codes: A61B 17/17 Guides or aligning means for drills , mills, pins or wires
• CPC Class Codes: A61B 17/848 Kirschner wires, i.e. thin, long nails
• CPC Class Codes: A61B 17/8866 for gripping or pushing bones, e.g. approximators joint distractors A61B17/025
• CPC Class Codes: A61B 17/8897 Guide wires or guide pins
• CPC Class Codes: A61B 17/90 Guides therefor

Abstract

A surgical guide device comprises first and second limbs pivotally connected together, with a respective guide sleeve pivotally attached to each limb. Each guide sleeve has a bore through the sleeve that can guide a drill bit or bone fixing for insertion into a fragmented bone portion. The device has an orientation mechanism adapted to change the orientation of the guide sleeves relative to the limbs as the limbs move relative to one another, so as to maintain the orientation of the guide sleeves relative to one another during pivotal movement of the limbs.

Claims

1. A surgical guide device comprising first and second limbs pivotally connected together, at least one guide sleeve attached to one limb, the guide sleeve having a bore through the sleeve, wherein the guide sleeve is pivotally attached to the limb, and wherein the apparatus has an orientation mechanism adapted to change the orientation of the guide sleeve relative to the limb as the limbs move relative to one another;

wherein the bore of the at least one guide sleeve is held in a defined orientation by the orientation mechanism, and the axis of the bore of the guide sleeve intersects with the same point on the opposite limb of the device during pivotal movements of the limbs relative to one another;

wherein the first limb comprises two limb portions that are moveable relative to one another; and

wherein the two limb portions are pivotally coupled to the guide sleeve at the distal end of the first limb and to a yoke device at the proximal end of the first limb.

2. A surgical guide device as claimed in claim 1, wherein the guide device is adapted to close around a body portion, and optionally to apply a clamping force to the body portion to clamp the body portion between the limbs as they pivot around their connection to close around the body portion.

3. A surgical guide device as claimed in claim 1, wherein the orientation mechanism maintains the orientation of the guide sleeve relative to the body portion during pivotal movement of the limbs relative to one another.

4. A surgical guide device as claimed in claim 1, wherein a single guide sleeve is provided on one of the limbs, and the other limb can optionally include a tissue engaging device.

5. A surgical guide device as claimed in claim 4, wherein the tissue engaging device or the guide sleeve is configured to retain a bone and includes a gripping formation adapted to resist sliding off or along the surface of a bone.

6. A surgical guide device as claimed in claim 1, wherein the device has a respective guide sleeve pivotally attached to each of the first and second limbs.

7. A surgical guide device as claimed in claim 1, wherein the at least one guide sleeve is adapted receive and optionally retain sleeves of smaller dimensions adapted to fit within the guide sleeves.

8. A surgical guide device as claimed in claim 1, wherein the at least one guide sleeve incorporates a locking mechanism to lock one or more component(s) within the sleeve(s).

9. A surgical guide device as claimed in claim 1, wherein the at least one guide sleeve is pivotally connected to a distal end of the one limb at two points that are spaced apart on the guide sleeve.

10. A surgical guide device as claimed in claim 1, wherein a handle is provided on at least one limb, optionally on both limbs, allowing operation of the device with a single hand.

11. A surgical guide device as claimed in claim 1, wherein the first and second limbs have a locking device adapted to limit the maximum separation of the limbs relative to one another, or to lock the separation at a fixed distance.

12. A surgical guide device as claimed in claim 1, wherein a force mechanism is provided between the first and second limbs to apply force between the limbs to open and close them.

13. A surgical guide device as claimed in claim 1, wherein at least one of the first and second limbs is at least partially curved to accommodate one or more body portions between them.

14. A surgical guide device as claimed in claim 13, wherein at least one of the first and second limbs comprises a curved portion that lies in the same plane as the limb(s).

15. A surgical guide device comprising first and second limbs pivotally connected together, a respective guide sleeve pivotally attached to each limb, each guide sleeve having a bore through the sleeve, and wherein the apparatus has an orientation mechanism adapted to change the orientation of the guide sleeves relative to the limbs as the limbs move relative to one another, so as to maintain the orientation of the guide sleeves relative to one another during pivotal movement of the limbs;

wherein the bore of each guide sleeve is held in a defined orientation by the orientation mechanism such that the axis of the bore of one guide sleeve is always aligned with the axis of the bore of the other guide sleeve on the opposite limb of the device during pivotal movement of the limbs relative to one another;

wherein the first limb comprises two limb portions that are moveable relative to one another; and

wherein the two limb portions are pivotally coupled to the guide sleeve at the distal end of the first limb and to a yoke device at the proximal end of the first limb.

16. A method of guiding the insertion of a fixing device into a body portion, comprising providing a guide device comprising first and second limbs pivotally connected together to close around the body portion, having at least one guide sleeve attached to one limb, the guide sleeve having a bore through the sleeve, wherein the guide sleeve is pivotally attached to the limb, and wherein the apparatus has an orientation mechanism adapted to change the orientation of the guide sleeve relative to the limb as the limbs move relative to one another,

wherein the bore of the at least one guide sleeve is held in a defined orientation by the orientation mechanism, and the axis of the bore of the guide sleeve intersects with the same point on the opposite limb of the device during pivotal movements of the limbs relative to one another;

wherein the first limb comprises two limb portions that are moveable relative to one another; and

wherein the two limb portions are pivotally coupled to the guide sleeve at the distal end of the first limb and to a yoke device at the proximal end of the first limb;

the method comprising closing the limbs of the clamp device around the body portion until the guide sleeve engages the body portion, and controlling the orientation of the guide sleeve relative to the body by means of the orientation mechanism, and inserting a fixing device into the body portion through the bore in the guide sleeve.

17. A surgical guide device comprising:

first and second limbs pivotally connected together, a guide sleeve attached to the first limb, the guide sleeve having a bore through the sleeve, wherein the guide sleeve is pivotally attached to the first limb, and wherein the guide device has an orientation mechanism adapted to change the orientation of the guide sleeve relative to the first limb as the limbs move relative to one another;

wherein the bore of the guide sleeve is held in a defined orientation by the orientation mechanism, and the axis of the bore of the guide sleeve intersects with the same point on the opposite limb of the device during pivotal movement of the limbs relative to one another;

wherein the first limb comprises two limb portions that are movable relative to one another; and

said guide device further comprising a yoke device;

wherein the two limb portions are pivotally coupled to the guide sleeve at the distal end of the first limb, at two points that are spaced apart on the guide sleeve; and

wherein pivot points between the two limb portions, the guide sleeve and the yoke device together form an expanding and collapsing parallelogram.

18. A surgical guide device as claimed in claim 17, wherein the second limb comprises a tissue engaging device.

19. A surgical guide device as claimed in claim 17, further comprising a second guide sleeve or a solid pin, wherein the second guide sleeve or solid pin is pivotally attached to the second limb.

20. A surgical guide device as claimed in claim 19 wherein the bore of the guide sleeve on the first limb is always aligned with the bore of the second guide sleeve on the second limb or remains in the same orientation as the solid pin on the second limb.

21. A surgical guide device as claimed in claim 19 wherein the separation of the first and second limbs from a central axis between the first and second limbs is equal to the separation of the first guide sleeve and the second guide sleeve or solid pin from the central axis.

22. A surgical guide device as claimed in claim 17, wherein the second limb comprises two limb portions, that are movable relative to one another, wherein the two limb portions are pivotally coupled to the second guide sleeve or solid pin at the distal end of the second limb, at two points that are spaced apart on second guide sleeve or solid pin;

and wherein pivot points between the two limb portions, the second guide sleeve or solid pin and the yoke device together form a second expanding and collapsing parallelogram.

23. A surgical guide as claimed in claim 17, wherein the or each guide sleeve is configured to retain a bone and includes a gripping formation adapted to resist sliding off or along the surface of a bone.

24. A surgical guide device as claimed in claim 17, wherein the orientation mechanism comprises a toothed mechanism having two or more toothed members that mesh together to control the movement of the limbs.

25. A surgical guide device as claimed in claim 17, wherein the orientation mechanism comprises a linkage incorporating a constraint mechanism which controls movement of the limbs relative to one another.

26. A surgical guide device as claimed in claim 25, wherein the constraint mechanism comprises a pin or bar movable within a slot or bore which controls movement of the limbs relative to one another so that different relative positions of the pin or bar and the slot or bore correspond to different positions of the limbs with different lateral separations.

27. A surgical guide device as claimed in claim 17, wherein the or each guide sleeve is adapted to receive and optionally retain sleeves of smaller dimensions adapted to fit within the guide sleeves.

28. A surgical guide device as claimed in claim 17, wherein the or each guide sleeve incorporates a locking mechanism to lock one or more component(s) within the sleeve(s).

29. A surgical guide device as claimed in claim 17 wherein the bore of the or each guide sleeve is at least partially threaded so that a threaded insert received in the bore can be locked in position within the bore of the sleeve.

30. A surgical guide device as claimed in claim 17, wherein the limbs have a locking device adapted to limit the maximum separation of the limbs relative to one another.

31. A surgical guide device as claimed in claim 17, wherein at least one of the first and second limbs is at least partially curved to accommodate one or more body portions between them.

32. A surgical guide device as claimed in claim 17, wherein at least one of the first and second limbs comprises a curved portion that lies in the same plane as the limb(s) and/or lies in more than one plane.

33. A surgical guide device as claimed in claim 17, wherein the first and second limbs are configured to rotate in opposite directions, at the same speed and at mirror angles relative to the yoke.

34. A surgical guide device as claimed in claim 17, wherein the orientation mechanism maintains the guide sleeve parallel to the yoke.

35. A surgical guide device as claimed in claim 17 wherein the pivot points are defined at the corners of the parallelogram and the limb portions incorporate arcuate portions to curve around body parts being supported.

36. A method of guiding the insertion of a fixing device into a body portion with a guide device including first and second limbs pivotally connected together to close around the body portion, having at least one guide sleeve attached to one limb, the guide sleeve having a bore through the sleeve, wherein the guide sleeve is pivotally attached to the limb, wherein the guide device has an orientation mechanism adapted to change the orientation of the guide sleeve relative to the limb as the limbs move relative to one another, wherein the bore of the guide sleeve is held in a defined orientation by the orientation mechanism, and the axis of the bore of the guide sleeve intersects with the same point on the opposite limb of the device during pivotal movement of the limbs relative to one another, and wherein the first limb comprises two limb portions that are movable relative to one another, said guide device further including a yoke device, wherein the two limb portions are pivotally coupled to the guide sleeve at the distal end of the first limb, at two points that are spaced apart on the guide sleeve, and wherein pivot points between the two limb portions, the guide sleeve and the yoke device together form an expanding and collapsing parallelogram, the method comprising:

closing the limbs of the clamp device around the body portion until the guide sleeve engages the body portion;

controlling the orientation of the guide sleeve relative to the body by means of the orientation mechanism; and

inserting a fixing device into the body portion through the bore in the guide sleeve.