Methods and systems for preparing bone for a surgical procedure

Patent metadata

Field	Value
Publication number	US-11344323-B2
Application number	US-201916432027-A
Country	US
Kind code	B2
Filing date	Jun 5, 2019
Priority date	Dec 29, 2015
Publication date	May 31, 2022
Grant date	May 31, 2022

Abstract

Systems and methods for preparing a bone for a surgical procedure are provided. In general, the described techniques use a surgical guide device including a cannula having first and second parallel elongate channels adjacent to one another, and first and second elongate sleeves configured to be removably and replaceably received in the first and second channels, respectively. The first sleeve has a plurality of openings formed therein, each being in communication with a respective wire-receiving lumen extending through the first sleeve. Each of the openings defines a different offset distance between the wire-receiving lumen in communication with that opening and a wire-receiving lumen extending through the second sleeve. The surgical device can be manipulated so as to define positions of first and second openings in a bone, such as a glenoid or other bone, to receive bone screws or other elements for attaching a bone graft to the bone.

First claim

What is claimed is:

1. A surgical guide device, comprising:
a cannula comprising first and second parallel elongate channels positioned adjacent to one another;
a first elongate sleeve configured to be removably and replaceably received in the first channel, the first sleeve having a proximal housing configured to protrude from a proximal end of the cannula, the proximal housing of the first sleeve having a plurality of openings formed therein, each opening being in communication with a respective wire-receiving lumen that extends through the first elongate sleeve to a distal end thereof; and
a second elongate sleeve configured to be removably and replaceably received in the second channel, the second sleeve having a proximal end configured to protrude from the proximal end of the cannula when the second sleeve is positioned therein, the second sleeve having a wire-receiving lumen extending therethrough.

2. The surgical guide device of claim 1 , wherein each of the openings defines a different offset distance between the wire-receiving lumen in communication with the opening and the wire-receiving lumen extending through the second elongate sleeve.

3. The surgical guide device of claim 1 , wherein the cannula extends from a proximal handle, the handle defining a first longitudinal axis that is at a non-zero angle to a second longitudinal axis defined by the first elongate channel and a third longitudinal axis defined by the second elongate channel.

4. The surgical guide device of claim 1 , wherein the first and second parallel elongate channels are discrete and separate channels.

5. The surgical guide device of claim 1 , wherein the first and second elongate sleeves are removably and replaceably disposed in the first and second elongate channels via a clearance fit.

6. The surgical guide device of claim 1 , wherein with the first elongate sleeve received in the first channel and with the second elongate sleeve received in the second channel, the second elongate sleeve is configured to extend more proximally beyond a proximal end of the cannula than the first elongate sleeve.

7. The surgical guide device of claim 1 , wherein the housing of the first elongate sleeve is an elongate tubular housing having a diameter that is larger than a diameter of an opening leading to the first channel of the cannula.

8. The surgical guide device of claim 1 , wherein a distal end of the second elongate sleeve has a threaded portion.

9. The surgical guide device of claim 1 , wherein the distal end of the first elongate sleeve is configured to extend beyond a distal end of the cannula when the first elongate sleeve is positioned therein.

10. The surgical guide device of claim 1 , wherein a distal end of the second elongate sleeve is configured to extend beyond a distal end of the cannula when the second elongate sleeve is positioned therein.

11. The surgical guide device of claim 1 , further comprising a coupling element configured to couple the first elongate sleeve to the second elongate sleeve so as to prevent rotation of the first and second elongate sleeves with respect to one another.

12. A surgical guide device, comprising:
an elongate body with first and second elongate channels extending therethrough;
a handle coupled to the elongate body, the handle defining a first longitudinal axis that is at a non-zero angle to a second longitudinal axis defined by elongate body;
a first elongate sleeve configured to be removably and replaceably received in the first channel, wherein
a plurality of lumens extend longitudinally along the first elongate sleeve, and
with the first elongate sleeve removably and replaceably received in the first channel, each of the lumens is configured to have an elongate fixation element advanced therethrough such that a distal end of the elongate fixation element exits and is positioned distal to a distal opening of the first elongate channel; and

a second elongate sleeve configured to be removably and replaceably received in the second channel, wherein
only one lumen extends longitudinally along the second elongate sleeve, and
with the second elongate sleeve removably and replaceably received in the second channel, the one lumen is configured to have a second elongate fixation element advanced therethrough such that a distal end of the second elongate fixation element exits and is positioned distal to a distal opening of the second elongate channel.

13. The surgical guide device of claim 12 , wherein the first and second elongate channels are parallel to one another and are discrete and separate from one another.

14. The surgical guide device of claim 12 , wherein at least one of the plurality of lumens of the first elongate sleeve is a completely enclosed lumen, and at least one other of the plurality of lumens of the first elongate sleeve has a longitudinal portion of its wall open.

15. The surgical guide device of claim 12 , further comprising the elongate fixation element and the second elongate fixation element.

16. The surgical guide device of claim 15 , wherein each of the elongate fixation element and the second elongate fixation element comprises a wire.

17. The surgical guide device of claim 15 , wherein the elongate body is configured to be rotated about the second elongate fixation element with the second elongate fixation element positioned within the one lumen with the distal end thereof having exited the distal opening of the second elongate channel.

18. The surgical guide device of claim 15 , wherein the one lumen of the second elongate sleeve is configured to have the second elongate fixation element advanced therethrough such that the distal end of the second elongate fixation element exits and is positioned distal to the distal opening of the second elongate channel with the distal end of the elongate fixation element positioned distal to the distal opening of the first elongate channel.

19. A surgical method, comprising:
positioning a distal end of a cannula relative to a bone;
advancing a first elongate sleeve through a first elongate channel extending through the cannula and then advancing a first elongate fixation element along one of a plurality of lumens extending along the first elongate sleeve such that a distal end of the first elongate fixation element exits the first elongate channel and contacts the bone;
advancing a second elongate sleeve through a second elongate channel extending through the cannula and then advancing a second elongate fixation element along a lumen extending along the second elongate sleeve such that a distal end of the second elongate fixation element exits the second elongate channel and enters into the bone; and
with the second elongate fixation element in the bone, rotating the cannula relative to the second elongate fixation element and the bone.

20. The method of claim 19 , wherein the first elongate fixation element is advanced along the one of the plurality of lumens before the cannula is rotated, and the method further comprises:
retracting the first elongate fixation element in the one of the plurality of lumens before rotating the cannula; and
after rotating the cannula, again advancing the first elongate fixation element along the one of the plurality of lumens such that the distal end of the first elongate fixation element exits the first elongate channel and enters the bone.

21. The surgical guide device of claim 1 , wherein the proximal housing of the first elongate sleeve has a slot formed therein; and
with t

Assignees

• Bouduban Nicolas
• Burki Patrick
• Lafosse Laurent
• Medos Int Sarl

Inventors

• Bouduban Nicolas
• Burki Patrick
• Lafosse Laurent

Classifications

• A61B2017/3447

  Linked multiple cannulas · CPC title

• A61B17/1796

  for holes for sutures or flexible wires · CPC title

• A61B17/1739

  specially adapted for particular parts of the body · CPC title

• A61B17/1684

  for the shoulder · CPC title

• A61B17/1714 Primary

  for applying tendons or ligaments (implements for applying tendons or ligaments A61F2/0805) · CPC title