Drill guide assembly and method
US-11576685-B2 · Feb 14, 2023 · US
US11859649B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-11859649-B2 |
| Application number | US-202117346168-A |
| Country | US |
| Kind code | B2 |
| Filing date | Jun 11, 2021 |
| Priority date | Jun 11, 2021 |
| Publication date | Jan 2, 2024 |
| Grant date | Jan 2, 2024 |
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Bearing assemblies for selectively coupling to surgical instruments A bearing assembly can include a housing with a cavity, a first race in the cavity that translates but does not rotate relative to the housing, bearing elements disposed in the first race that move radially in and out of a central passage of the first race, and a second race that is fixed in the cavity. The first race can be biased toward an opening of the cavity, the second race can surround the first race with an inner surface having a tapered diameter configured to contact the bearing elements as the first race moves distally relative to the second race and urge the plurality of bearing elements radially inward to selectively lock the bearing assembly to a surgical instrument disposed within the central passage of the first race.
Opening claim text (preview).
What is claimed is: 1. An assembly, comprising: a housing defining a cavity with a central axis extending from a proximal end of the housing to a distal end of the housing, as well as an opening to the cavity formed at the distal end of the housing; an inner race disposed in the cavity of the housing and defining an interface between the housing and the inner race, the interface enabling translation of the inner race along the central axis and resisting rotation of the inner race about the central axis, the inner race comprising an inner surface defining a central passage configured to receive a portion of an alignment guide; a biasing element that urges the inner race distally along the central axis toward the opening; an outer race disposed in the cavity and fixed relative to the housing, the outer race including an inner surface surrounding an outer surface of the inner race, at least a portion of the inner surface defining a tapered region having decreasing diameter towards the opening to the cavity; a plurality of clamping elements carried by the inner race such that (i) movement of the inner race distally toward the opening of the cavity engages the plurality of clamping elements against the inner surface of the outer race, the inner surface of the outer race urging the plurality of clamping elements into the central passage of the inner race and towards the central axis, and (ii) movement of the inner race proximally away from the opening of the cavity translates the plurality of clamping elements along the tapered region such that the increasing diameter allows the plurality of clamping elements to move out of the central passage and away from the central axis; wherein, after insertion of an alignment guide sized to contact the plurality of clamping elements into the central passage of the inner race in the proximal direction, engagement of the plurality of clamping elements with the tapered region prevents movement of the inner race and the alignment guide in the distal direction. 2. The assembly of claim 1 , wherein insertion of an alignment guide sized to contact the plurality of clamping elements into the central passage of the inner race in the proximal direction causes the inner race to be translated proximally with the alignment guide until the clamping elements are allowed to move sufficiently out of the central passage to allow the alignment guide to pass further into the central passage and the cavity. 3. The assembly of claim 1 , wherein the inner race is moveable in the proximal direction to an unclamped position where the plurality of clamping elements are allowed to move away from the central axis to permit insertion of an alignment guide sized to contact the plurality of clamping elements into the central passage of the inner race in the proximal direction, and wherein the inner race is moveable in the distal direction to a clamped position wherein the plurality of clamping elements are urged towards the central axis to apply a clamping force to the alignment guide. 4. The assembly of claim 1 , wherein the central passage of the inner race is cylindrical, wherein the plurality of clamping elements are circumferentially fixed with respect to the inner race; and wherein insertion of a cylindrical alignment guide comprising one or more grooves sized to receive and contact the plurality of clamping elements causes the cylindrical alignment guide to be rotationally fixed about the central axis with respect to the housing. 5. The assembly of claim 1 , wherein, when an alignment guide is disposed in the central passage such that the plurality of clamping elements prevent movement of the alignment guide in the distal direction, translation of the inner race in the proximal direction enables removal of the alignment guide in the distal direction. 6. The assembly of claim 5 , further comprising an end cap coupled to the inner race and extending out of the opening in the housing, the end cap defining a flange for applying a force to the inner race in the proximal direction to release an alignment guide. 7. The assembly of claim 1 , wherein the biasing element is a compression spring. 8. The assembly of claim 1 , wherein the housing comprises an insert disposed in an outer cavity of the housing, the insert defining the cavity containing the inner race to be inserted through the opening of the housing, the insert defining an inner cavity. 9. The assembly of claim 8 , wherein the outer cavity defines a non-circular cross section parallel to the central axis, and wherein an exterior of the insert is configured to interface with the outer cavity such that the insert is rotationally fixed in the outer cavity about the central axis. 10. The assembly of claim 1 , wherein the cavity comprises a plurality of grooves extending parallel to the central axis, and wherein the interface of the inner race comprises a plurality of protrusions, each of the plurality of protrusions being translatably disposed in a corresponding one of the plurality of protrusions. 11. The assembly of claim 1 , wherein the housing defines a stop surface in the cavity positioned to be contacted by an end of an alignment guide such that the stop surface defines a position of maximum insertion of the alignment guide in the cavity, and wherein the stop enables an impact force to be directed from the housing to an end of a fully inserted alignment guide via the stop. 12. The assembly of claim 1 , wherein the housing defines a second opening into the cavity formed at the proximal end of the housing, the second opening being arranged such that an inner lumen of an alignment guide disposed in the central cavity of the inner race is accessible through the second opening. 13. The assembly of claim 1 , wherein the outer race is rotationally fixed in the cavity about the central axis. 14. The assembly of claim 1 , wherein the outer race is configured to abut the inner race when the inner race is biased distally to a fully extended position. 15. The assembly of claim 14 , wherein, in the fully extended position, the plurality of clamping members are urged toward a maximally inward position with respect to the central axis. 16. The assembly of claim 14 , wherein the inner race is configured to abut the housing when the inner race is moved proximally to a fully compressed position, and wherein, in the fully compressed position, the plurality of clamping elements are free to move to a maximally outward position with respect to the central axis. 17. The assembly of claim 1 , comprising a handle coupled to the housing, the handle configured to enable a user to apply torque to the housing, the torque being transferred to an alignment guide disposed in the central passage via the interface of the inner race and the plurality of clamping elements. 18. The assembly of claim 1 , further comprising: a second opening to the cavity formed at the proximal end of the housing; a second inner race disposed in the cavity of the housing and translatable in the cavity along the central axis, the second inner race comprising a second inner surface defining a second central passage concentrically aligned with the central passage and configured to receive the portion of an alignment guide after passing through the central passage of the inner race; a second outer race disposed in the cavity and fixed along the central axis, the second outer race comprising a second inner surface surrounding a second outer surface of the second inner race, at least a portion of the second inner surface defining a
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