Telescopic guide for hip replacement method

• US 10,238,509 B2
• Filed: 05/27/2015
• Issued: 03/26/2019
• Est. Priority Date: 08/29/2011
• Status: Active Grant

• Current Assignee: Crescent H. Trust
• Original Assignee: Crescent H. Trust
• Inventors: Penenberg, Brad L.
• Primary Examiner(s): Yang, Andrew
• Application Number:
  US14/723,413
• Publication Number:
  US 20150250619A1
• Time in Patent Office: 1,399 Days
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/164 intramedullary
• CPC Class Codes: A61B 17/1659 Surgical rasps, files, planes, or scrapers
• CPC Class Codes: A61B 17/1666 for the acetabulum
• CPC Class Codes: A61B 17/1668 for the upper femur A61B17/164 takes precedence
• CPC Class Codes: A61B 2017/00075 Motion
• CPC Class Codes: A61B 2017/3405 using mechanical guide means
• CPC Class Codes: A61B 2017/922 Devices for impaction, impact element
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/067 for measuring angles
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: A61F 2/34 Acetabular cups
• CPC Class Codes: A61F 2/4603 for insertion or extraction of endoprosthetic joints or of accessories thereof
• CPC Class Codes: A61F 2/4609 of acetabular cups
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• 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 2002/3055 : for adjusting length
• CPC Class Codes: A61F 2002/30553 : for adjusting a position by translation along an axis
• CPC Class Codes: A61F 2002/30601 : telescopic
• CPC Class Codes: A61F 2002/4668 : for measuring angles
• CPC Class Codes: A61F 2002/4681 : by applying mechanical shocks, e.g. by hammering
• CPC Class Codes: A61F 2002/4687 : Mechanical guides for implantation instruments

Abstract

A tool for locating a proper position for a portal incision for hip arthroplasty, the tool having at least one generally elongated body defining an axis, the generally elongated body having a slot at one end, the slot being angled at an approximately 45 degree angle relative to the axis of the generally elongated body, the slot configured to receive a cutting member or guide tool. A second generally elongated body may be connected to the first generally elongated body to form a right angle. If the lengths of the two generally elongated bodies are substantially equivalent, then when the second generally elongated body is inserted into the acetabulum, the first generally elongated body positions the slot in the proper location such that sliding a guide tool or cutting member through the slot allows a portal incision to be created in the proper location. In some embodiments, the generally elongated bodies may have adjustable lengths.

Claims

1. A measuring tool for guiding a cutting member or guide tool to create a portal incision in a hip arthroplasty in communication with a primary incision providing access to an acetabulum, the measuring tool comprising:

a generally L-shaped body comprising

a first elongated body, comprising;

a first end, a second end opposite the first end, the first elongated body defining a first axis through the first and second ends of the first elongated body, the second end of the first elongated body having a slot therethrough, the slot defining a slot axis forming an approximately 45 degree angle with the first axis, the slot configured for use in receiving said cutting member or guide tool therethrough and for guiding location of said cutting member or guide tool to create said portal incision relative to said primary incision; and

a second elongated body, comprising;

a first end, and a second end opposite the first end, the second elongated body defining a second axis through the first and second ends of the second elongated body, wherein the second end of the second elongated body is connected to the first end of the first body so that the first and second elongated bodies form a generally right angle; and

wherein at least one of the first elongated body or the second elongated body has a plurality of markings evenly spaced apart on its respective body along its respective axis; and

wherein the first end of the first elongated body is adjustable relative to the first end of the second elongated body along the second axis.

2. The measuring tool of claim 1, wherein the second elongated body is telescopic.

3. The measuring tool of claim 1, wherein the slot is mounted on a disc that is connected to the second end of the first elongated slot, the disc being rotatable so as to adjust the slot axis relative to the first axis.

4. The measuring tool of claim 3, wherein the disc comprises markings to identify the angle between the slot axis and the first axis.

5. The measuring tool of claim 4, wherein the disc is configured to rotate automatically when the first elongated member is lengthened or shortened.

6. A measuring tool for guiding a cutting member or guide tool to create a portal incision in a hip arthroplasty in communication with a primary incision providing access to an acetabulum, the measuring tool comprising:

a generally L-shaped body comprising

a first elongated body, comprising;

a first end, a second end opposite the first end, the first elongated body defining a first axis through the first and second ends of the first elongated body, the second end of the first elongated body having a slot therethrough, the slot defining a slot axis forming an approximately 45 degree angle with the first axis, the slot configured for use in receiving said cutting member or guide tool therethrough and for guiding location of said cutting member or guide tool to create said portal incision relative to said primary incision; and

a second elongated body, comprising;

a first end, and a second end opposite the first end, the second elongated body defining a second axis through the first and second ends of the second elongated body, wherein the second end of the second elongated body is connected to the first end of the first body so that the first and second elongated bodies form a generally right angle; and

wherein the second end of the first elongated body is adjustable relative to the second axis and along the first axis.

7. The measuring tool of claim 6, wherein the first elongated body is telescopic.

8. A measuring tool for guiding a cutting member or guide tool to create a portal incision in a hip arthroplasty in communication with a primary incision providing access to an acetabulum, the measuring tool comprising:

a generally L-shaped body comprising

a first elongated body, comprising;

a first end, a second end opposite the first end, the first elongated body defining a first axis through the first and second ends of the first elongated body, the second end of the first elongated body having a slot therethrough, the slot defining a slot axis capable of forming an approximately 45 degree angle with the first axis, the slot configured for use in receiving said cutting member or guide tool therethrough and for guiding location of said cutting member or guide tool to create said portal incision relative to said primary incision; and

a second elongated body sized and configured for insertion through said primary incision to said acetabulum, comprising;

a first end, and a second end opposite the first end, the second elongated body defining a second axis through the first and second ends of the second elongated body, wherein the second end of the second elongated body is connected to the first end of the first body so that the first and second elongated bodies form a generally right angle; and

a hinge connecting the first elongated body to the second elongated body in an adjustable manner, wherein at least one of the first elongated body or the second elongated body has a plurality of markings evenly spaced apart on its respective body along its respective axis, wherein the second end of the first elongated body is adjustable relative to the second end of the second elongated body along the first axis, and wherein the first end of the first elongated body is adjustable relative to the first end of the second elongated body along the second axis.

9. The measuring tool of claim 8, wherein the slot is mounted on a disc that is connected to the second end of the first elongated slot, the disc being rotatable so as to adjust the slot axis relative to the first axis.

10. A measuring tool for guiding a cutting member or guide tool to create a portal incision in a hip arthroplasty in communication with a primary incision providing access to an acetabulum, the measuring tool comprising:

a generally L-shaped body comprising

a first elongated body having a first end and a second end opposite the first end, the first elongated body defining a first axis through the first and second ends of the first elongated body;

a plurality of markings evenly spaced apart on the first elongated body along the first axis; and

a second end of the first elongated body having a slot therethrough, the slot defining a slot axis capable of forming an approximately 45 degree angle with the first axis, the slot configured for use in receiving said cutting member or guide tool therethrough and for guiding location of said cutting member or guide tool to create said portal incision relative to said primary incision; and

a second elongated body sized and configured for insertion through said primary incision to said acetabulum, the second elongated body having a first end and a second end opposite the first end, the second elongated body defining a second axis through the first and second ends of the second elongated body, wherein the second elongated body comprises a plurality of markings evenly spaced apart on the second elongated body along the second axis, wherein the second end of the second elongated body is connected to the first end of the first elongated body so that the first and second elongated bodies form a generally right angle.

11. The measuring tool of claim 10, wherein the slot is mounted on a disc that is connected to the second end of the first elongated slot, the disc being rotatable so as to adjust the slot axis relative to the first axis.

12. The measuring tool of claim 11, wherein the disc comprises markings to identify the angle between the slot axis and the first axis.

13. The measuring tool of claim 10, wherein the first elongated body is telescopic.

14. The measuring tool of claim 10, wherein the second elongated body is telescopic.

15. The measuring tool of claim 10, wherein the first elongated body is telescopic.