Instruments and method for use in disassembling implants

• US 10,307,198 B2
• Filed: 03/28/2017
• Issued: 06/04/2019
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Depuy Ireland Unlimited Company (Johnson & Johnson)
• Original Assignee: Depuy Ireland Unlimited Company (Johnson & Johnson)
• Inventors: Matyas, Aaron J., Steffe, Kyle D., Chaney, Rebecca L., Hathaway, Tyler S., Cook, Michael A.
• Primary Examiner(s): Lawson, Matthew J
• Application Number:
  US15/471,110
• Publication Number:
  US 20170196709A1
• Time in Patent Office: 798 Days
• Field of Search: 606104
• CPC Class Codes: A61B 17/921 for intramedullary devices
• CPC Class Codes: A61F 2/3859 Femoral components
• CPC Class Codes: A61F 2/389 Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2/461 of knees
• CPC Class Codes: A61F 2/4637 for connecting or disconnecting two parts of a prosthesis
• CPC Class Codes: A61F 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/4619 for extraction
• 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 2002/4629 connected to the endoprosthesis or implant via a threaded connection
• CPC Class Codes: A61F 2002/4641 for disconnecting

Abstract

An orthopaedic surgical instrument for use in disassembling an orthopaedic prosthesis includes a main component, a rod, and a spindle. The main component has a housing and an elongated body extending from the housing with a passageway is defined in the elongated body. The rod has an elongated shaft, with a greater length than the elongated body, extending from the head of the rod and configured to pass through the main component. The spindle threads into the housing to move the rod along a longitudinal axis.

Claims

1. A method for disassembling a femoral component assembly, the method comprising:

securing an end of a main component to a femoral component,

advancing a rod in a first direction through the main component and into contact with a stem component secured to the femoral component and positioned in a bone of a patient,

threading a spindle component into the main component to apply a force in the first direction to the rod,

continuing to thread the spindle component into the main component to increase the force applied in the first direction to disengage the femoral component from the stem component,

wherein securing the end of the main component to the femoral component comprises threading an elongated body of the main component into a threaded passageway defined in the femoral component.

2. The method of claim 1, further comprising removing a fastener securing the femoral component to the stem component from the femoral component assembly.

3. The method of claim 1, further comprising:

engaging a fastener with a driver positioned along a joint line,

unthreading the fastener from the stem component using the driver, and

removing the fastener from the femoral component assembly.

4. The method of claim 3, further comprising removing a retention device from a threaded passageway of a stem post of a femoral component, the retention device configured to prevent an end of the fastener from reentering the threaded passageway after being secured to the stem component.

5. The method of claim 4, wherein removing the retention device comprises driving a removal screw into the retention device.

6. The method of claim 1, wherein continuing to thread the spindle component comprises continuing to thread the spindle component into the main component to increase the force applied in the first direction to move the femoral component in a second direction opposite the first direction.

7. A method for disassembling an orthopaedic prosthesis assembly, the method comprising:

securing an end of a first surgical instrument to a first prosthetic component, the first surgical instrument being arranged along an axis,

advancing a rod along the axis in a first direction through the first prosthetic component and into contact with a second prosthetic component secured to the first prosthetic component,

threading a second surgical instrument into the first surgical instrument along the axis to apply a force in the first direction to the rod,

continuing to thread the second surgical instrument into the first surgical instrument along the axis to increase the force applied in the first direction to the rod to disengage the first prosthetic component from the second prosthetic component.

8. The method of claim 7, further comprising:

removing a fastener securing the first prosthetic component to the second prosthetic component, and

removing a retention device from a threaded passageway of the first prosthetic component, the retention device configured to prevent an end of the fastener from reentering the threaded passageway after being secured to the second prosthetic component.

9. The method of claim 7, wherein securing the end of the first surgical instrument to the first prosthetic component comprises threading an elongated body of the first surgical instrument into a threaded passageway defined in the first prosthetic component.

10. The method of claim 7, wherein continuing to thread the second surgical instrument comprises continuing to thread the second surgical instrument into the first surgical instrument to increase the force applied in the first direction to move the first prosthetic component in a second direction opposite the first direction.

11. A method for disassembling a femoral component assembly, the method comprising:

securing an end of a main component to a femoral component,

advancing a rod in a first direction through the main component and into contact with a stem component secured to the femoral component and positioned in a bone of a patient,

threading a spindle component into the main component to apply a force in the first direction to the rod,

continuing to thread the spindle component into the main component to increase the force applied in the first direction to disengage the femoral component from the stem component, and

removing a retention device from a threaded passageway of the stem post, the retention device configured to prevent an end of the fastener from reentering the threaded passageway after being secured to the stem component,

wherein removing the retention device comprises driving a removal screw into the retention device.

12. The method of claim 11, further comprising removing a fastener securing the femoral component to the stem component from the femoral component assembly.

13. The method of claim 11, further comprising:

engaging a fastener with a driver positioned along a joint line,

unthreading the fastener from the stem component using the driver, and

removing the fastener from the femoral component assembly.

14. The method of claim 11, wherein continuing to thread the spindle component comprises continuing to thread the spindle component into the main component to increase the force applied in the first direction to move the femoral component in a second direction opposite the first direction.