Surgical bone cutting assembly and method of using same

• US 20090299371A1
• Filed: 05/28/2009
• Published: 12/03/2009
• Est. Priority Date: 05/30/2008
• Status: Active Grant

• Current Assignee: Musculoskeletal Transplant Foundation
• Original Assignee: Musculoskeletal Transplant Foundation
• Inventors: Steiner, Anton J., Cosenza, Richard J., Knight, David I., Mulhauser, Paul J., Kirk, Karl D. III, Fanelli, Gregory C.
• Granted Patent: US 8,152,808 B2
• Time in Patent Office: Days
• US Class Current: 606/79
• CPC Class Codes: A61B 17/1604 Chisels; Rongeurs; Punches; Stamps
• CPC Class Codes: A61B 17/1675 for the knee
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length

Abstract

The invention is directed toward a surgical kit having component parts capable of use in excising a cartilage defect site on a patient to prepare the same for receipt of an implant plug, the kit comprising a cylindrical gauge with a central bore used to measure the defect area, a guide rod adapted to be driven through the gauge tube into the center of said defect area and a cartilage cutting assembly adapted to be mounted over the guide rod and used for excising the defect area and cutting a cylindrical bore into the defect area. The method for use of the kit comprises the steps of: marking the defect area to be cut; placing a guide rod into the center defect area and driving the same to a predetermined distance to secure the same in the defect area and placing a drill bit over the guide rod and rotating the drill bit to cut a cylindrical blind bore removing the cartilage defect.

Claims

1. A surgical kit having component parts capable of use in excising a cartilage defect area of a patient to prepare the area for receipt of an implant plug, said kit comprising;

a gauge apparatus used to measure the extent of the cartilage defect area and guide a guide rod, said gauge apparatus having a body defining a central throughgoing bore;

a guide rod adapted to be driven through said gauge apparatus bore into said defect area;

cartilage cutting means adapted to be mounted over said guide rod, said cartilage cutting means comprising a reamer bit defining a cannula adapted to be mounted over said guide rod for excising the defect area and cutting a blind cylindrical bore into a patient'"'"'s condyle.

2. A surgical kit as claimed in claim 1 wherein said gauge apparatus comprises a substantially cylindrically shaped body, a plurality of legs formed on said body extending away from the distal end of said tube body, a longitudinal marking line formed in at least one of said legs and an exterior surface of said gauge body, a central throughgoing bore is formed in said gauge body of a diameter sufficient to receive a guide rod.

3. A surgical kit as claimed in claim 2 wherein said gauge body defines a plurality of longitudinal grooves formed on its exterior surface intersecting the midpoint of each of said legs, said longitudinal grooves forming sight lines for the person determining an area of the defect site.

4. A surgical kit as claimed in claim 2 wherein a distal end of said gauge body forms a conical recess leading into said central throughgoing bore.

5. A surgical kit as claimed in claim 1 wherein said gauge apparatus comprises a plurality of gauge members having different diameters.

6. A surgical kit as claimed in claim 5 wherein said gauge members diameters range from 10 mm to 35 mm.

7. A surgical kit as claimed in claim 5 wherein said gauge members are of different colors corresponding to the diameter of the gauge member.

8. A surgical kit as claimed in claim 2 wherein said central throughgoing bore is flared outward at its proximal end.

9. A surgical kit as claimed in claim 2 wherein said legs form a tripod on said body.

10. A surgical kit having component parts capable of use in excising a cartilage defect area of a patient to prepare the area for receipt of an implant plug, said kit comprising;

a plurality of gauge guide members used to measure the defect area, each of said gauge guide members being provided with a throughgoing central bore adapted to receive a guide rod;

a guide rod adapted to be driven through said bore of a selected gauge guide member into the center of said defect area;

cartilage cutting means comprising a plurality of reamer bits adapted to be mounted over said guide rod, each reamer bit defining a central cannula adapted to be mounted over said guide rod, a distal cutting surface for cutting a cylindrical blind bore into a patients cartilage and bone to excise the cartilage defect area and quick disconnect means on its proximal end.

11. A surgical kit as claimed in claim 10 including a guide rod centering tube is inserted into a gauge guide member comprising a sizing tube, said guide rod centering tube comprising a tubular body with a cap mounted over its proximal end, the cap defining a centrally positioned aperture which is sized to receive said guide rod and an end piece secured to the distal end of said tubular body, said end piece defining a centrally positioned aperture which is axially aligned with said cap aperture.

12. A surgical kit as claimed in claim 11 including a punch cutter, said punch cuter comprising a cylindrical cutting tube, a distal end of said cutting tube forming a cutting edge and a proximal end of said cutting tube being formed with connection means, insert means mounted inside said cylindrical cutting tube, said insert means comprising a hub defining a central throughgoing bore, a plurality of arms extending outward from said hub and a cylindrical rim member mounted on the distal ends of said arms, and an outer surface of said rim member engaging an inner surface of said cylindrical cutting tube.

13. A surgical kit as claimed in claim 10 including a handle assembly, said handle assembly comprising an impact member with a throughgoing bore, opposing arms extending from said impact member, a cylindrical tubular section secured to said impact member and axially aligned with said throughgoing bore, a shaft defining a cannula removably mounted at its proximal end to said tubular section and collar mounted to a distal end of said shaft.

14. A surgical kit as claimed in claim 13 wherein said collar is stepped and threaded and the proximal end of said shaft is provided with a quick disconnect socket.

15. A surgical kit as claimed in claim 13 wherein said impact member is circular and said arms have curved ends and curved bottom and upper surfaces.

16. A surgical kit as claimed in claim 10 wherein said drill bit has a shaft and a cutting head at its distal end, said cutting head being marked with depth markings.

17. A surgical kit having component parts capable of use in excising a cartilage defect site of a patient to prepare the same for receipt of an implant plug, said kit comprising;

a gauge member used to measure the defect area and guide a guide rod;

said gauge member comprising a body defining a central throughgoing bore, a plurality of legs secured to said body extending away from the distal end of said body, and a marking sight line formed on an exterior surface of at least one leg;

a guide rod adapted to be mounted in said gauge member body through going bore and driven into the center of said defect area;

cartilage cutting means adapted to be mounted over said guide rod, said cartilage cutting means comprising a cannular reamer bit adapted to be mounted over said guide rod for excising the defect area and cutting a blind cylindrical bore into a patients defect area, said reamer bit being constructed to score the outer diameter of the cartilage area before cutting into the defect area.

18. A surgical kit as claimed in claim 17 wherein said cartilage cutting means includes a cylindrical punch cutter member with insert means mounted inside said cylindrical punch cutter member, said insert means comprising a hub defining a central throughgoing bore, a plurality of arms extending outward from said hub and a cylindrical rim member mounted on the distal ends of said arms, said cylindrical rim member engaging an inner surface of said cylindrical punch cutter member.

19. A surgical kit as claimed in claim 17 wherein said gauge member is a sizing tube with a drill centering tube is inserted into said sizing tube, said drill centering tube comprising a tubular body with a threaded cap mounted over its proximal end, the cap defining a centrally positioned aperture which is sized to receive said drill rod and a planar end piece secured to the distal end of the cylindrical body, said end piece also defining a centrally positioned aperture which is axially aligned with the cap aperture.

20. A surgical kit as claimed in claim 17 wherein said reamer bit has a shaft and a cutting head at its distal end, said cutting head being marked with depth markings and having a cutting edge with a sharp angled leading edge, said cutting head defining angled channels running the length of the cutting head.

21. A surgical kit as claimed in claim 17 wherein said gauge member body has a first proximal cylindrical section, a tapered section leading to a smaller diameter cylindrical section and tripod legs extending from said smaller diameter cylindrical section.

22. A method of excising a cartilage defect area in a patient comprising the steps of:

a) marking the defect area to be cut with a cylindrical gauge defining a central throughgoing bore;

b) placing a guide rod through said central bore into the center of said defect area and driving the guide rod a predetermined distance in the defect area to secure the guide rod in the defect area; and

c) placing a reamer bit over the guide rod and rotating the reamer bit cut to cut a cylindrical blind bore removing the cartilage defect area.