Anti-skid surgical instrument for use in preparing holes in bone tissue

• US 10,765,438 B2
• Filed: 01/13/2017
• Issued: 09/08/2020
• Est. Priority Date: 07/14/2014
• Status: Active Grant

• Current Assignee: KB Medical SA (Globus Medical, Inc.)
• Original Assignee: KB Medical SA (Globus Medical, Inc.)
• Inventors: Kostrzewski, Szymon
• Primary Examiner(s): Ramana, Anu
• Application Number:
  US15/405,743
• Publication Number:
  US 20170224358A1
• Time in Patent Office: 1,334 Days
• CPC Class Codes: A61B 17/1615 Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
• CPC Class Codes: A61B 17/162 Chucks or tool parts which are to be held in a chuck
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 2017/1602 Mills
• CPC Class Codes: A61B 2090/035 preventing further rotation
• CPC Class Codes: A61B 2090/062 penetration depth
• 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 34/30 Surgical robots
• CPC Class Codes: A61C 3/02 Tooth drilling or cutting instruments; Instruments acting like a sandblast machine

Abstract

Described herein is an anti-skid surgical instrument for use in preparing holes in bone tissue. The disclosed surgical instrument provides the ability to prepare a precise hole in bone tissue during surgery (e.g., spinal surgeries and pedicle screw placement, intramedullary screw placement). The disclosed surgical instrument accomplishes precise hole placement regardless of whether the angle between the drill axis and surface of the bone tissue is perpendicular. The disclosed technology includes a flat drilling surface which is perpendicular to the surface of the body of the surgical instrument. This reduces the likelihood of the surgical instrument skidding on the surface of the bone tissue and thereby increases the precision of the hole.

Claims

1. An anti-skid surgical instrument for preparing a hole in bone tissue of a patient during surgery, the anti-skid surgical instrument having an elongate structure comprising:

a mill head at the end of the elongate structure for removing bone tissue with reduced skidding of the surgical instrument upon contact of the anti-skid surgical instrument with the bone tissue, wherein the mill head is configured to be a concave face with a spike centered in the concave face and extending therefrom, and one or more side-cutting flutes about the longitudinal axis of the elongate structure for cutting into bone tissue;

a shank configured to be inserted into a drill;

a drilling portion between the mill head and the shank, the drilling portion having one or more drill flutes for evacuating removed bone tissue and a guiding part configured to be held by an end effector of a robotic arm; and

a depth control.

2. The anti-skid surgical instrument of claim 1, wherein the drilling portion comprises one or more markings to indicate a depth penetration in the bone tissue.

3. The anti-skid surgical instrument of claim 1, wherein the drilling portion comprises one or more colors to indicate a depth penetration in the bone tissue.

4. The anti-skid surgical instrument of claim 1, wherein the depth control comprises a first portion indicating when to start rotation of the anti-skid surgical instrument and a second portion indicating when to at least one of stop rotation and stop depth penetration of the anti-ski surgical instrument.

5. The anti-skid surgical instrument of claim 1, wherein the depth control comprises a depth stop that adjustably attached to the anti-skid surgical instrument such that the depth of penetration of the anti-skid surgical instrument changes as a position of the depth stop is changed.

6. The anti-skid surgical instrument of claim 1, wherein the shank comprises one or more notches and the depth control engages at least one of the one or more notches when attached to the anti-skid surgical instrument.

7. The anti-skid surgical instrument of claim 1, comprising:

a cannulation in the surgical instrument.

8. The anti-skid surgical instrument of claim 7, wherein the cannulation extends through the end of the elongate structure.

9. The anti-skid surgical instrument of claim 1, comprising:

a compliant part that absorbs energy from the mill head.

10. The anti-skid surgical instrument of claim 1,

wherein a diameter of the guiding part is greater than a diameter of the shank.

11. The anti-skid surgical instrument of claim 1, wherein the one or more drill flutes comprise at least two, three, four, six, eight, ten, or twenty flutes.

12. The anti-skid surgical instrument of claim 1, wherein one or more side cutting flutes comprise at least two, three, four, six, eight, ten, or twenty flutes.

13. The anti-skid surgical instrument of claim 1, wherein a longitudinal length of the drilling portion is greater than a longitudinal length of the mill head.

14. The anti-skid surgical instrument of claim 1, wherein a longitudinal length of the drilling portion is greater than a longitudinal length of the shank.

15. The anti-skid surgical instrument of claim 1, wherein the one or more drill flutes have a higher twist rate than the one or more side cutting flutes or the one or more drill flutes have a lower twist rate than the one or more side cutting flutes.

16. The anti-skid surgical instrument of claim 1, wherein the one or more drill flutes have a different twist rate than the one or more side cutting flutes.

17. The anti-skid surgical instrument of claim 1, wherein the surgery is spinal, orthopedic, dental, ear, nose, or throat surgery.