Orthopedic tool for bone fixation

Patent metadata

Field	Value
Publication number	US-2017071649-A1
Application number	US-201515126159-A
Country	US
Kind code	A1
Filing date	Apr 3, 2015
Priority date	Apr 3, 2014
Publication date	Mar 16, 2017
Grant date	—

Abstract

A orthopedic tool ( 10 ) for bone fixation is provided for driving a bone pin into a fractured bone to stabilize the fractured bone by maintaining the fractured bone in a reduced state. The tool may be a handheld device including a magazine ( 56 ) having a plurality of passageways ( 98 ) containing one or more bone pins ( 62 ) positioned within the passageways. The tool may also include a pneumatically—powered piston ( 64 ) having a projection ( 70 ) that is sized for receipt within the plurality of passageways, the projection applying sufficient force to the bone pin to drive the bone pin out of the magazine and into the fractured bone.

First claim

1 . A tool for stabilizing a fractured bone, comprising:
a body portion including a barrel, a handle, and a mode selector ring, the mode selector ring rotatable about the barrel and configured to switch between a ready mode position and an assemble mode position; a magazine having a magazine head, a magazine nose extending from the magazine head, and a plurality of passageways, wherein one or more passageways of the plurality of passageways is configured to receive a bone pin; a magazine holder configured to receive the magazine; a collar defining an opening configured to receive a portion of the magazine holder; a piston having a head, a shaft extending from the head, and a projection coupled to the shaft, the projection configured to be received within a first passageway of the plurality of passageways; and a trigger coupled to the body portion, wherein, when the trigger is activated, the piston is configured to apply sufficient force to the bone pin to drive the bone pin axially from the first passageway.

2 . The tool of claim 1 , wherein, when the mode selector ring is at the assemble mode position, the magazine holder is configured to be releasably coupled to the body portion and when the mode selector ring is at the ready mode position, the trigger is configured to be activated.

3 . The tool of claim 1 , wherein, when the mode selector ring is at the ready mode position, the magazine holder is locked to the body portion.

4 . The tool of claim 1 , wherein, when the mode selector ring is at the assemble mode position, the trigger is locked at an initial position.

5 . The tool of claim 1 , wherein the mode selector ring further includes:
a depth mode position such that the mode selector ring is rotatable about the barrel to switch between the depth mode position, the ready mode position, and the assemble mode position.

6 . The tool of claim 5 , further including:
a depth selector positioned along the barrel, wherein, when the mode selector ring is at the depth mode position, the depth selector is configured to move along a length of the barrel to adjust a length of the bone pin that is driven axially from the first passageway.

7 . The tool of claim 6 , wherein, when the mode selector ring is at the depth mode position, the trigger is locked at an initial position and the magazine holder is locked to the body portion, wherein, when the mode selector ring is at the ready mode position, the depth selector is locked in position along the barrel and the magazine holder is locked to the body portion, and wherein, when the mode selector ring is at the assemble mode position, the depth selector is locked in position along the barrel and the trigger is locked at the initial position.

8 . The tool of claim 1 , further including:
a pressurized gas source for supplying a pneumatic force to the head of the piston to axially translate the piston relative to at least the body portion and the magazine.

9 . A tool for stabilizing a fractured bone, comprising:
a body portion including a barrel, a handle, and a mode selector ring, the mode selector ring rotatable about the barrel and configured to switch between a ready mode position and an assemble mode position; a magazine having a magazine head, a magazine nose extending from the magazine head, and a plurality of passageways, wherein one or more passageways of the plurality of passageways is configured to receive a bone pin; a magazine holder configured to receive the magazine; a collar defining an opening configured to receive a portion of the magazine holder; a piston having a head, a shaft extending from the head, and a projection coupled to the shaft, the projection configured to apply sufficient force to the bone pin, when present within a first passageway of the plurality of passageways, to drive the bone pin from the first passageway; an advancement pawl disposed within the body portion, the advancement pawl including a pawl shaft and a pawl head, wherein the pawl head is configured to interact with the magazine head to rotate the magazine and align a second passageway of the plurality of passageways with the projection.

10 . The tool of claim 9 , wherein the magazine head includes a plurality of fins, each fin of the plurality of fins having an angled surface relative to a longitudinal axis of the magazine, wherein the angled surface is configured to interact with the pawl head to rotate the magazine.

11 . The tool of claim 10 , wherein a first portion of the plurality of fins are arranged in a proximal row of fins circumferentially spaced around the magazine head and a second portion of the plurality of fins are arranged in a distal row of fins circumferentially spaced around the magazine head, the first portion of the plurality of fins circumferentially offset from the second portion of plurality of fins.

12 . The tool of claim 10 , wherein the pawl head has a shape including at least two angled surfaces relative to a longitudinal axis of the advancement pawl, the at least two angled surfaces of the pawl head configured to engage with one or more angled surfaces of the plurality of fins to rotate the magazine.

13 . The tool of claim 9 , further including:
a trigger coupled to the body portion, wherein, when the trigger is activated, the piston is configured to drive the first bone pin axially from the first passageway.

14 . The tool of claim 9 , wherein the trigger has an initial position, an end position, and an intermediate position located between the initial position and end position, wherein, upon activation of the trigger from the initial position to the intermediate position, the piston is configured to drive the bone pin axially from the first passageway, and upon activation of the trigger from the intermediate position to the end position, the pawl head is configured to interact with the magazine head to rotate the magazine and align the second passageway with the projection.

15 . The tool of claim 9 , wherein the magazine holder includes a trimming end defining a trimming bore that is configured to align with the projection of the piston and trim the bone pin when the magazine rotates within the magazine holder.

16 . The tool of claim 15 , wherein the trimming bore includes a breaking edge including a curved surface and a relief edge having a chamfered surface including two straight surfaces forming an edge.

17 . The tool of claim 9 , further including:
a pressurized gas source for supplying a pneumatic force to the head of the piston to axially translate the piston relative to body portion and the magazine.

18 . A system for bone fixation, comprising:
a body portion including a barrel, a handle, and a mode selector ring, the mode selector ring rotatable about the barrel and configured to switch between a ready mode position and an assemble mode position; a magazine including a plurality of passageways, wherein one or more passageways of the plurality of passageways is configured to receive a bone pin; a magazine holder configured to receive the magazine; a collar defining an opening configured to receive a portion of the magazine holder; and a piston having a head, a shaft extending from the head, and a projection coupled to the shaft, the projection sized for receipt within a first passageway of the plurality of passageways, the projection configured to apply sufficient force to the bone pin when present within the first passageway, to drive the bone pin axially from the first passageway.

19 . The system of claim 18 , further includin

Assignees

• Zimmer Inc

Inventors

• Lozier Antony J
• Murphy Daniel P
• Prygoski Matthew
• Giordano Michael
• Yakimicki Donald L
• Bassett Jeffrey
• Collins Michael Scott

Classifications

• A61B17/88 Primary

  Osteosynthesis instruments;} Methods or means for implanting or extracting internal {or external} fixation devices {(A61B17/7074 takes precedence) · CPC title

• A61B2017/00548

  Gas cartridges therefor · CPC title

• A61B2017/922

  Devices for impaction, impact element · CPC title

• A61B17/92 Primary

  Impactors or extractors, e.g. for removing intramedullary devices {(insertion or extraction of artificial joints A61F2/4603)} · CPC title

• A61B2017/00367

  Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like · CPC title