Devices and methods for temporary mounting of parts to bone

• US 10,080,615 B2
• Filed: 08/12/2015
• Issued: 09/25/2018
• Est. Priority Date: 08/12/2015
• Status: Active Grant

• Current Assignee: Globus Medical, Inc.
• Original Assignee: Globus Medical, Inc.
• Inventors: Bartelme, Michael, Crawford, Neil R., Foster, Mitchell A., Major, Chris, Theodore, Nicholas
• Primary Examiner(s): Nguyen, Victor
• Application Number:
  US14/824,586
• Publication Number:
  US 20170042620A1
• Time in Patent Office: 1,140 Days
• Field of Search: 606 75, 606219
• CPC Class Codes: A61B 17/56 Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
• CPC Class Codes: A61B 2034/2068 using pointers, e.g. pointers having reference marks for determining coordinates of body points
• CPC Class Codes: A61B 2090/3916 Bone tissue
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• CPC Class Codes: A61B 2090/3991 having specific anchoring means to fixate the marker to the tissue, e.g. hooks
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms

Abstract

Devices and methods for temporarily affixing a surgical apparatus to a bony structure. The temporary mount includes a base member having a top face configured to be impacted by an insertion device and a plurality of elongated prongs extending downwardly from the base member and configured to engage a bony structure. The prongs are separated a distance from one another, and the prongs are configured to move inwardly toward one another when driven downward into the bony structure.

Claims

1. A mount for temporarily affixing a surgical apparatus to a bony structure comprising:

a base member having a top face configured to be impacted by an insertion device; and

a plurality of elongated prongs extending downwardly from the base member and configured to engage a bony structure, wherein each of the plurality of elongated prongs are separated a distance from one another, wherein the plurality of elongated prongs are configured to move inwardly toward one another when driven downward into the bony structure,

wherein each prong comprises a protrusion disposed substantially inwardly toward a central cavity defined by the plurality of prongs;

wherein the plurality of elongated prongs include a first prong, a second prong, a third prong, and a fourth prong, wherein a first arched portion between the first prong and the second prong has a first distance from the top face, and a second arched portion from the second prong to the third prong has a second distance from the top face, the second distance being greater than the first distance;

further comprising an outer sleeve having a hollow interior configured to engage an outer surface of the base member, and the outer sleeve is configured to rotate in order to compress the plurality of elongated prongs inwardly toward one another.

2. The mount of claim 1, wherein the mount has multiple points of fixation with the bony structure.

3. The mount of claim 1, wherein the plurality of elongated prongs includes four or more prongs extending from the base member.

4. The mount of claim 1, wherein each protrusion is configured to act as a stop to prevent over-insertion of the mount in the bony structure.

5. The mount of claim 4, wherein the protrusions are in the form of hill-shaped prominences.

6. The mount of claim 1, wherein the plurality of elongated prongs extend a length greater than a length of the base member.

7. The mount of claim 1, wherein the plurality of elongated prongs include a first prong and a second prong, and a transition from the first prong to the second prong is arched to provide an ultimate stop to prevent over-insertion of the mount in the bony structure.

8. The mount of claim 1, wherein each of the plurality of elongated prongs have a textured inner surface configured to resist extraction from the bone.

9. The mount of claim 1, wherein each of the plurality of elongated prongs have a distal-most tip configured to penetrate the bony structure.

10. The mount of claim 1, wherein when the base member is impacted by the insertion device, the temporary mount provides an audible sound, and as each of the elongated prongs is driven downward, the frequency of the audible sound changes indicating when the mount is fully seated in the bone structure.

11. The mount of claim 1, wherein the mount is configured to hold and engage a portion of a trackable reference array for surgical navigation.

12. The mount of claim 1, wherein the bony structure is a vertebra of a spine.

13. A kit including the mount of claim 1 and a plurality of other temporary mounts of different sizes and different configurations.

14. A system for temporarily affixing a surgical apparatus to a bony structure comprising:

a temporary mount comprising;

a base member having a top face configured to be impacted by an insertion device; and

a plurality of elongated prongs extending downwardly from the base member and configured to engage a bony structure, wherein each of the plurality of elongated prongs are separated a distance from one another, wherein the plurality of elongated prongs are configured to move inwardly toward one another when driven downward into the bony structure, and wherein each prong comprises a protrusion disposed substantially inwardly toward a central cavity defined by the plurality of prongs; and

a trackable reference array for surgical navigation connected to the base member of the temporary mount;

wherein the plurality of elongated prongs include a first prong, a second prong, a third prong, and a fourth prong, wherein a first arched portion between the first prong and the second prong has a first distance from the top face, and a second arched portion from the second prong to the third prong has a second distance from the top face, the second distance being greater than the first distance;

further comprising an outer sleeve having a hollow interior configured to engage an outer surface of the base member, and the outer sleeve is configured to rotate in order to compress the plurality of elongated prongs inwardly toward one another.