Cavity creation device and methods of use

• US 8,480,673 B2
• Filed: 04/20/2007
• Issued: 07/09/2013
• Est. Priority Date: 06/01/2006
• Status: Active Grant

• Current Assignee: OSTO Innovations LLC
• Original Assignee: OSTO Innovations LLC
• Inventors: Yedlicka, Joseph W., Till, Robert A. Jr., Yedlicka, Nancy S., Till, Patricia M.
• Primary Examiner(s): HOFFMAN, MARY C
• Application Number:
  US11/788,415
• Publication Number:
  US 20070282345A1
• Time in Patent Office: 2,272 Days
• Field of Search: 606 79- 81, 433/118, 433/119, 433/165, 433/166, 433/124, 433/133, 408/36, 408/141
• US Class Current: 606/80
• 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 17/1624 Drive mechanisms therefor
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

A cavity drill is provided, which is configured for use with a bone drill. The cavity drill includes a body. The bone drill has a first portion movably connected to a second portion. A third portion is movably connected to the second portion. The body is mounted with the third portion of the bone drill. A sheath extends from the third portion to a distal end. A curette is connected with the distal end of the bone drill. The curette is composed of retractable cutting tines/blades which are turned/powered by the bone drill motor. The curette tines can be used in a partially or fully deployed state and at low or high speed. The curette is designed to create cavities of varying size in a bone. The cavity drill and the bone drill may include a radiation protection guard and radiolucent portions. Methods of use are also provided.

Claims

1. A cavity drill configured for use with a bone drill comprising:

a body configured for releasable coupling to a portion of a bone drill;

an elongate sheath extending from the body; and

a cutting tool coupled to a distal portion of the elongate sheath and comprising a plurality of elongate blades adapted for deployment between a retracted position and plurality of extended positions, the retracted position comprising a configuration that is axially disposed within the elongate sheath, each of the plurality of extended positions comprising a radial configuration whereby the plurality of blades are forced to slide through an end cap coupled to a distal portion of the elongate sheath, the end cap comprising a plurality of openings disposed around a circumference of the end cap through which the plurality of blades are individually extended, each of the plurality of openings defining an angle for deflecting the plurality of blades during extension through the plurality openings;

the plurality of elongate blades being deflectable in at least one direction along their entire length for continuous adjustment of the plurality of blades between the retracted position and the plurality of extended positions.

2. A cavity drill as recited in claim 1, wherein at least a portion of the cavity drill is radiolucent.

3. A cavity drill as recited in claim 1, further comprising radio opaque markers configured for determination of size and length of a cavity being created during a fluoroscopy procedure.

4. A cavity drill as recited in claim 1, wherein the body is formed of the radiolucent material and the sheath and the cutting tool are formed of a radio opaque material.

5. A cavity drill as recited in claim 1, further comprising a handle extending from the body, the handle being connected with the cutting tool wherein the handle is manipulable in a configuration that causes deployment of the plurality of blades between the retracted position and one or more of the plurality of extended positions.

6. A cavity drill as recited in claim 5, wherein the handle is operatively connected to the cutting tool via gearing disposed within the body.

7. A cavity drill as recited in claim 1, wherein the sheath is configured to rotate in an oscillating configuration such that the distal end rotates in a clockwise direction and a counterclockwise direction.

8. The cavity drill as recited in claim 6, wherein;

the gearing disposed within the body is operatively coupled to an external motor for rotating the elongate sheath relative to the body.

9. A cavity drill configured for use with a bone drill as recited in claim 1, wherein the plurality of blades extend from a distal portion of the elongate sheath and are configured to rotate in an oscillating configuration such that the plurality of blades rotate in a clockwise direction and a counterclockwise direction.

10. A cavity drill configured for use with a bone drill as recited in claim 1, wherein the cutting tool is configured for axial movement relative to the elongate sheath.

11. A cavity drill configured for use with a bone drill as recited in claim 10, wherein the axial movement is spring driven to facilitate impact engagement of the cutting tool with bone of vertebral body.

12. A cavity drill configured for use with a bone drill as recited in claim 8, wherein the gearing is configured to convert a rotation of the external motor to oscillation of the plurality of blades.

13. A cavity drill configured for use with a bone drill as recited in claim 12, wherein the plurality of blades excises a defined arc in bone.

14. A cavity drill configured for use with a bone drill as recited in claim 13, wherein the defined arc is approximately 60 degrees.

15. A cavity drill configured for use with a bone drill as recited in claim 1, wherein the body includes a handle comprising snapping features for releasable coupling to a bone drill.

16. A cavity drill configured for use with a bone drill as recited in claim 10, wherein the plurality of blades are deployed from the retracted position within the elongate sheath to one or more of the extended positions by a pusher axially disposed within the elongate sheath.

17. A cavity drill configured for use with a bone drill as recited in claim 1, wherein the plurality of blades have radio opaque markers to increase conspicuity.

18. A cavity drill configured for use with a bone drill as recited in claim 9, wherein the plurality of blades are configured to resist deflection in the direction of rotation.

19. A cavity drill configured for use with a bone drill as recited in claim 1, wherein the plurality of blades are driven at variable speeds.

20. A cavity drill configured for use with a bone drill as recited in claim 1, wherein the end cap further comprises distal ball top coupled to a conical body, the plurality of openings disposed around the circumference of the distal ball top, the conical body being axially disposed within the elongate body and comprising a plurality of guides for directing the plurality of blades through the plurality of openings within the ball top.

21. A cavity drill configured for use with a bone drill as recited in claim 16, wherein the pusher comprises a tube whereby a distal portion of the tube is cut to create the plurality of elongate blades.