Retrograde reamer depth tube gage

Patent metadata

Field	Value
Publication number	US-10219872-B2
Application number	US-201816014043-A
Country	US
Kind code	B2
Filing date	Jun 21, 2018
Priority date	May 29, 2014
Publication date	Mar 5, 2019
Grant date	Mar 5, 2019

Abstract

A thickness gage including a transparent measurement tube configured to receive and be slidingly engaged over a tubular shaft of a retrograde reamer. The tubular shaft has linear graduation marks on its surface for identifying linear measures for use in measuring a thickness of a bridge bone gap. The linear graduation marks are located on the tubular shaft surface such that at least some of the linear graduation marks can be observed through the transparent measurement tube. Each linear graduation mark, when aligned with a proximal end of the measurement tube, provides a linear measure of the distance between a distal end of the measurement tube and a cutting member of the retrograde reamer positioned so that its central axis is disposed at a non-zero angle relative to a longitudinal axis of the tubular shaft. Such a distance corresponds to the thickness of the bridge bone gap.

First claim

What is claimed is:

1. A device for measuring a depth of a bore, the device configured for use with a retrograde drill including a tubular shaft, a drill bit disposed at a distal end of the shaft, and at least one cutting member moveably disposed adjacent the distal end of the shaft for drilling the bore, the device comprising:
a substantially transparent tubular housing having a proximal end and a distal end, the housing configured to receive the shaft of the drill;
a substantially transparent measurement tube slidingly engaged over the housing, the measurement tube having a plurality of linear graduation marks on a surface thereof for identifying a plurality of linear measures, respectively; and
a docking element having a proximal end and a distal end, distal end of the docking element configured for attachment to the shaft of the drill within the housing, the distal end of the docking element being observable through the measurement tube and the housing;
wherein each of the plurality of linear graduation marks aligned with the distal end of the docking element provides a respective linear measure of a distance between a distal end of the bore and a proximal end of the bore.

2. The device of claim 1 , further comprising an elongated tip portion extending from the distal end of the housing.

3. The device of claim 2 , wherein the tip portion is made of a material selected from the group consisting of stainless steel and surgical grade steel.

4. The device of claim 1 , wherein at least one of the housing, the measurement tube and the docking element is made of a material selected from the group consisting of plastic and surgical grade plastic.

5. The device of claim 1 , wherein the proximal end of the docking element is configured to engage a bushing member adjacent a proximal end of the shaft of the drill.

6. The device of claim 1 , wherein each of the housing, the measurement tube and the distal end of the docking element comprise a longitudinal slot and wherein, when the slots are in registration, the slots are configured to pass over the shaft of the drill to snappingly engage the shaft of the drill with at least the housing and the distal end of the docking element.

7. A system for measuring a depth of a bore, the system comprising:
a retrograde drill including a tubular shaft, a drill bit disposed at a distal end of the shaft, and at least one cutting member moveably disposed adjacent the distal end of the shaft for drilling the bore; and
a measuring device comprising:
a substantially transparent tubular housing having a proximal end and a distal end, the housing configured to receive the shaft of the drill;
a substantially transparent measurement tube slidingly engaged over the housing, the measurement tube having a plurality of linear graduation marks on a surface thereof for identifying a plurality of linear measures, respectively; and
a docking element having a proximal end and a distal end, distal end of the docking element attached to the shaft of the drill within the housing, the distal end of the docking element being observable through the measurement tube and the housing;

wherein each of the plurality of linear graduation marks aligned with the distal end of the docking element provides a respective linear measure of a distance between a distal end of the bore and a proximal end of the bore.

8. The system of claim 7 , further comprising an elongated tip portion extending from the distal end of the housing along the shaft of the drill.

9. The system of claim 8 , wherein the tip portion is made of a material selected from the group consisting of stainless steel and surgical grade steel.

10. The system of claim 7 , wherein at least one of the housing, the measurement tube and the docking element is made of a material selected from the group consisting of plastic and surgical grade plastic.

11. The system of claim 7 , wherein the proximal end of the docking element is engaged with a bushing member adjacent a proximal end of the shaft of the drill.

12. The system of claim 7 , wherein each of the housing, the measurement tube and the distal end of the docking element comprise a longitudinal slot and wherein, when the slots are in registration, the slots are configured to pass over the shaft of the drill to snappingly engage the shaft of the drill with at least the housing and the distal end of the docking element.

13. The system of claim 7 , wherein the drill is configured to spin freely independent of the measuring tube.

14. A method of measuring a depth of a bore in bone, comprising:
introducing a retrograde drill into a repair site including a bone, the drill including a tubular shaft, a drill bit disposed at a distal end of the shaft, and at least one cutting member moveably disposed adjacent the distal end of the shaft;
moving the cutting member from a first position, in which a central axis of the cutting member is coincident with a longitudinal axis of the shaft, to a second position, in which the central axis of the cutting member is disposed at a non-zero angle relative to the longitudinal axis of the shaft;
drilling, in a retrograde fashion, at least one bore through the bone with the cutting member;
engaging a substantially transparent tubular housing of a measuring device over the shaft of the drill, the measuring device further comprising:
a substantially transparent measurement tube slidingly engaged over the housing, the measurement tube having a plurality of linear graduation marks on a surface thereof for identifying a plurality of linear measures, respectively; and
a docking element having a proximal end and a distal end, distal end of the docking element attached to the shaft of the drill within the housing, the distal end of the docking element being observable through the measurement tube and the housing; and

aligning a respective one of the plurality of linear graduation marks with the distal end of the docking element to provide a respective linear measure of a distance between a distal end of the bore and a proximal end of the bore, the respective linear measure corresponding to a desired depth of the bore.

15. The method of claim 14 further comprising:
drilling, using the drill bit in an antegrade fashion, at least another bore through the bone with the cutting member of the drill in the first position.

16. The method of claim 14 , further comprising moving an elongated tip portion extending from the distal end of the housing along the shaft of the drill to a stable position within the repair site.

17. The method of claim 14 , further comprising engaging a bushing member adjacent a proximal end of the shaft of the drill to a proximal end of the docking element.

18. The method of claim 14 , wherein each of the housing, the measurement tube and the distal end of the docking element comprise a longitudinal slot, and wherein engaging the housing of the measuring device over the shaft of the drill comprises:
aligning the slots in registration; and
passing the shaft of the drill through the slots to snappingly engage the shaft with at least the housing and the distal end of the docking element.

19. The method of claim 14 , further comprising inserting a guide wire through the bone and placing the shaft of the drill over the guide wire.

20. The method of claim 19 , further comprising at least partially retracting the guide wire from the tubular shaft to allow the cutting member to move between the first position and the second position.

Assignees

• Smith & Nephew Inc

Inventors

• Bourque Bernard J
• Callaghan David J

Classifications

• A61B17/1675

  for the knee · CPC title

• G01B5/06 Primary

  for measuring thickness · CPC title

• A61B2090/062

  penetration depth · CPC title

• A61B90/06 Primary

  Measuring instruments not otherwise provided for · CPC title

• A61B2017/00902

  transparent or translucent · CPC title