Impact and drive system for prosthesis deployment device

• US 9,198,704 B2
• Filed: 07/18/2012
• Issued: 12/01/2015
• Est. Priority Date: 07/18/2012
• Status: Active Grant

• Current Assignee: Jmea Corporation
• Original Assignee: Jmea Corporation
• Inventors: Sack, James A., Yeh, Jack Y.
• Primary Examiner(s): HANNA, SAMUEL SALEEB
• Application Number:
  US13/552,072
• Publication Number:
  US 20140025082A1
• Time in Patent Office: 1,231 Days
• Field of Search: None
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0466 Suture bridges
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/844 with expandable anchors or anchors having movable parts
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 17/8625 Shanks, i.e. parts contacting bone tissue
• CPC Class Codes: A61B 17/8875 Screwdrivers, spanners or wrenches
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00535 pneumatically or hydraulically operated A61B2017/22051, A61B2090/401 take precedence
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0412 having anchoring barbs or pins extending outwardly from suture anchor body
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61B 2017/042 : plastically deformed during insertion
• CPC Class Codes: A61B 2017/0424 : the separate member staying in the anchor after placement
• CPC Class Codes: A61B 2017/0427 : having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/0438 : slotted, i.e. having a longitudinal slot for enhancing their elasticity
• CPC Class Codes: A61B 2017/044 : with a threaded shaft, e.g. screws
• CPC Class Codes: A61B 2017/0646 : for insertion into cartillege, e.g. meniscus
• CPC Class Codes: A61B 2090/037 : with a frangible part, e.g. by reduced diameter

Abstract

A deployment device for a prosthesis includes a driving assembly, including a driving tube and a driving pin. The deployment device also includes a driven assembly, including a driven tube and a driven pin. The driven pin and the driven tube may be further associated with the prosthesis. The driving tube, the driving pin, the driven tube and the driven pin may all be located coaxially, with the driving pin configured to translate through a cavity in the driving tube and the driven pin configured to translate through a cavity in the driven tube. This configuration allows for a two-stage implantation process for the prosthesis, as the driving tube and driving pin may move together in one stage and may move relative to one another in a second stage.

Claims

1. A deployment device for a prosthesis, comprising:

a driven assembly configured to apply a force to the prosthesis, wherein the driven assembly comprises a driven tube including a hollow longitudinal cavity and wherein the driven assembly further comprises a driven pin movably disposed in the hollow longitudinal cavity of the driven tube;

a base assembly including a handgrip portion, a trigger portion, and a driving assembly;

the driving assembly having a driving pin and a driving tube that are moved axially relative to the handgrip portion by activation of the trigger portion to drive the driven pin and the driven tube, respectively, in a forward implantation direction away from the base assembly;

wherein the driving pin and the driving tube are separate from the driven pin and the driven tube, respectively, such that the driving assembly may move independently from the driven assembly;

wherein the driven assembly is releasably coupled to the base assembly, and the driving tube and driving pin are axially aligned with the driven tube and driven pin, respectively;

wherein the driving assembly moves in the forward implantation direction relative to the handgrip portion by activating the trigger portion and impacts the driven pin and the driven tube such that the driven assembly applies the force to the prosthesis;

wherein the driving pin and the driving tube are lockably engaged to one another and when activating the trigger portion the driving pin and driving tube move together for a first distance in the forward implantation direction relative to the handgrip portion; and

wherein beyond the first distance, activation of the trigger portion causes the driving pin and the driving tube to unlockably disengage from one another and move relative to each other, such that the driving pin keeps advancing in the forward implantation direction to move the driven pin relative to the driven tube through the hollow longitudinal cavity of the driven tube.

2. The deployment device according to claim 1, wherein the driven pin is coaxial with the driven tube.

3. The deployment device according to claim 1, wherein the driven assembly and the driving assembly are aligned along a common axis.

4. The deployment device according to claim 1, wherein the driving tube defines a longitudinal slot and has a control hook disposed adjacent to the longitudinal slot;

wherein the driving in has a protruding portion that protrudes laterally through the longitudinal slot of the driving tube; and

wherein the control hook is engaged with the protruding portion over the distance in the forward implantation direction and is disengaged with the protruding portion beyond the distance.

5. The deployment device according to claim 4, wherein the base assembly defines a retaining slot in which the protruding portion of the driving in travels;

and

wherein the retaining slot limits travel of the protruding portion to the distance in the forward implantation direction.

6. The deployment device according to claim 4, wherein the control hook is rotatable to engage and disengage the protruding portion;

and

wherein the base assembly has one or more hook biasing members that rotate the control hook to engage and disengage the protruding portion.

7. The deployment device according to claim 1, wherein beyond the distance the driving tube receives a portion of the driven pin within the hollow longitudinal cavity of the driving tube.

8. The deployment device according to claim 1, wherein the deployment device is configured to implant the prosthesis to a predetermined depth by one or more impacts of the driving assembly against the driven assembly.

9. The deployment device according to claim 1, wherein the motion of the driving assembly is substantially independent of a depth that the prosthesis is implanted following an impact.

14. The deployment device according to claim 1, wherein the driving tube is configured to move a third distance and the driving pin is configured to move a fourth distance and wherein the third distance is substantially greater than the fourth distance.

15. The deployment device according to claim 1, wherein a hollow longitudinal cavity of the driving tube is configured to be inserted over the driven pin.

10. A deployment device for a prosthesis, comprising:

a driven assembly configured to apply a force to the prosthesis, wherein the driven assembly comprises a driven tube including a hollow longitudinal cavity and wherein the driven assembly further comprises a driven pin disposed in the hollow longitudinal cavity of the driven tube;

wherein the driven pin moves relative to the driven tube through the hollow longitudinal cavity of the driven tube;

a base assembly including a handgrip portion, a trigger portion and containing a driving assembly;

wherein the driving assembly comprises a driving tube and a driving pin disposed in the driving tube;

wherein the driving tube and the driving pin are axially aligned with and separate from the driven tube and the driven pin and wherein the driven assembly is releasably coupled to the driving assembly;

wherein the driving tube and the driving pin move in a forward implantation direction away from the handgrip portion by activating the trigger portion and impact the driven tube and the driven pin, respectively, such that the driven assembly applies the force to the prosthesis;

wherein by activating the trigger portion the driven tube moves a first distance and wherein the driven pin moves a second distance in the forward implantation direction away from the handgrip portion;

wherein the first distance is substantially greater than the second distance;

wherein the driven pin is configured to push a first portion of the prosthesis the second distance in the forward implantation direction;

wherein the driven tube is configured to push a second portion of the prosthesis in the forward implantation direction after the driven pin has moved the second distance and stopped;

wherein the driving tube and the driving pin are engaged and move together when driving the driven pin the second distance by activating the trigger portion, and are disengaged and move relative to each other by activating the trigger portion after driving the driven pin the second distance;

wherein the driving tube includes a longitudinal slot and wherein the driving pin includes a longitudinally extending portion and a laterally extending protruding portion that is fixed to the longitudinally extending portion and extends laterally through the longitudinal slot;

wherein the deployment device includes a control hook that is fixed to and travels with the driving tube and that is configured to engage the laterally extending protruding portion; and

wherein the control hook is engaged with the laterally extending protruding portion when the driving tube and the driving pin are engaged and moving together over the second distance.

11. The deployment device according to claim 10, wherein the first distance corresponds to the driven tube moving from a first position to a second position, the second position being located distally farther from the deployment device than the first position and wherein the second distance corresponds to the driven pin moving from a third position to a fourth position, the fourth position being disposed distally farther from the deployment device than the third position.

12. The deployment device according to claim 11, wherein the third position is disposed between the second position and the first position.

13. The deployment device according to claim 10, wherein the driving tube and the driving pin are engaged and move together when driving the driven pin the second distance, and are disengaged and move relative to each other after driving the driven pin the second distance.

16. A deployment device for a prosthesis, comprising:

a base assembly housing a driving assembly and having a handgrip portion and a trigger portion;

the driving assembly comprising a driving pin and a driving tube that are moved axially relative to the handgrip portion by activation of the trigger portion;

the driving tube comprising a first hollow longitudinal cavity, wherein the driving pin is configured to move through the first hollow longitudinal cavity;

wherein the driving tube and the driving pin are lockably engaged and move together relative to the handgrip portion in a first stage of implantation, followed by a second stage of implantation in which the driving tube and the driving pin are unlockably disengaged and move relative to one another and relative to the handgrip portion;

wherein in the first stage of implantation activation of the trigger portion causes the movement of the driving tube and the driving in together, and in the second stage of implantation activation of the trigger portion beyond the first stage of implantation causes the disengagement of the driving tube from the driving in and the relative movement;

a driven assembly configured to apply a force to the prosthesis, wherein the driven assembly comprises a driven tube including a second hollow longitudinal cavity and wherein the driven assembly also includes a driven pin;

the driven pin being configured to move relative to the driven tube through the second hollow longitudinal cavity of the driven tube;

wherein the driving tube and the driving pin are axially aligned along a longitudinal axis with the driven tube and driven pin, respectively, when the driven assembly is releasably coupled to the base assembly;

wherein the driving tube and the driving pin are separate from the driven tube and the driven pin; and

wherein a distal end portion of the driving tube impacts a proximal end portion of the driven tube and wherein a distal end portion of the driving pin impacts a proximal end portion of the driven pin due to activation of the trigger portion, such that a distal end of the driven tube and a distal end of the driven pin apply the force to the prosthesis.

17. The deployment device according to claim 16, wherein the driving tube includes a longitudinal slot and wherein the driving pin includes a longitudinally extending portion and a laterally extending protruding portion that is fixed to the longitudinally extending portion and extends laterally through the longitudinal slot.

18. The deployment device according to claim 17, wherein the deployment device includes a control hook that is fixed to and travels with the driving tube and that is configured to engage the laterally extending protruding portion, and wherein in the first stage of implantation the control hook is engaged with the laterally extending protruding portion.

19. The deployment device according to claim 18, wherein in the second stage of implantation the control hook is disengaged from the laterally extending protruding portion and the laterally extending protruding portion travels through the longitudinal slot when the driving tube and the driving pin move relative to one another.

20. The deployment device according to claim 17, further comprising:

a spring that powers the driving assembly,

wherein the base assembly defines a retaining portion; and

wherein the retaining portion of the base assembly impedes movement of the laterally extending portion of the driving in to provide relative movement between the driving pin and the driving tube.

21. The deployment device according to claim 17, wherein the driven assembly is configured to apply forces at multiple locations of the prosthesis.

22. The deployment device according to claim 21, wherein at least one of the locations corresponds to a portion of the driven tube and wherein at least one of the locations corresponds to a portion of the driven pin.