Instrument for locking orthopedic screws

Patent metadata

Field	Value
Publication number	US-2021298794-A1
Application number	US-202117167258-A
Country	US
Kind code	A1
Filing date	Feb 4, 2021
Priority date	Mar 26, 2020
Publication date	Sep 30, 2021
Grant date	—

Abstract

Systems, instruments, and methods for operating a surgical instrument are disclosed. The instrument may include a drive shaft axially aligned with a central axis of the surgical instrument. The drive shaft may include a first mating end and be rotatably supported within a drive housing having a contoured interior supporting the first mating end. The instrument may include an outer shaft having an outer receiver interface configured to selectively couple and uncouple to a connecting portion of a receiver. The instrument may also include a plunger that is axially aligned with the central axis and having a second mating end disposed within the contoured interior of the drive housing. In various embodiments, the second mating end may be axially aligned with and in contact with the first mating end. In various embodiments, the plunger may be configured to linearly translate along the central axis upon rotation of the drive shaft.

First claim

What is claimed is:

1 . A surgical instrument, comprising:
a drive shaft axially aligned with a central axis of the surgical instrument, the drive shaft including a first mating end and being rotatably supported within a drive housing, the drive housing supporting the first mating end; an outer shaft including an outer receiver interface configured to selectively couple and uncouple to a connecting portion of a receiver; and a plunger, the plunger being axially aligned with the central axis of the surgical instrument and including a second mating end disposed within the drive housing, the second mating end being axially aligned with and in contact with the first mating end, wherein the plunger is configured to linearly translate forward and backward along the central axis upon rotation of the drive shaft around the central axis.

2 . The surgical instrument according to claim 1 , wherein the outer shaft comprises at least one flexible arm, the at least one flexible arm being configured to bow laterally outward with respect to the central axis to facilitate selectively coupling and uncoupling with the connecting portion of the receiver.

3 . The surgical instrument according to claim 2 , comprising:
an inner shaft disposed within the outer shaft, at least partly, the inner shaft including an inner receiver interface configured to selectively couple and uncouple from the outer receiver interface, and wherein when the inner receiver interface is coupled with the outer receiver interface the outer receiver interface is prevented from bowing laterally outward with respect to the central axis.

4 . The surgical instrument according to claim 1 , wherein:
a distal end of the outer shaft comprises a first flexible arm and a second flexible arm disposed opposite the first flexible arm, the first flexible arm including a first platform and the second flexible arm including a second platform, the first flexible arm and the second flexible arm defining a recess between the first flexible arm and the second flexible arm, the first flexible arm and the second flexible arm each being configured to bow laterally outward with respect to the central axis to thereby widen the recess and facilitate selectively coupling and uncoupling with the connecting portion of the receiver, the connecting portion of the receiver comprises a first detent and a second detent, and the first platform and the second platform being configured to mate with the first detent and the second detent, respectively.

5 . The surgical instrument according to claim 4 , comprising:
an inner shaft disposed at least in part within the outer shaft, a distal end of the inner shaft including an inner receiver interface including a first hook and a second hook, the first hook being configured to couple to the first flexible arm and the second hook being configured to couple to the second flexible arm in a locked position, and wherein, in the locked position, the first flexible arm and the second flexible arm are prevented from bowing laterally outward with respect to the central axis.

6 . The surgical instrument according to claim 5 , wherein:
a tip of the inner receiver interface includes a first sloped surface and a second sloped surface, the first sloped surface and the second sloped surface each extending away from and being angled with respect to the central axis, the outer shaft is movable forward and backward along the central axis with respect to the inner shaft, and the outer shaft is configured to slide forward along the central axis such that the first flexible arm contacts the first sloped surface and the second flexible arm contacts the second sloped surface thereby causing the first flexible arm and the second flexible arm to bow outward with respect to the central axis.

7 . The surgical instrument according to claim 1 , comprising:
a biasing member configured to urge the second mating end of the plunger into contact with the first mating end of the drive shaft.

8 . The surgical instrument according to claim 7 , wherein:
the drive housing comprises a contoured interior supporting the first mating end, the second mating end being disposed within the contoured interior, the contoured interior comprises a plurality of grooves extending in a direction parallel with the central axis, the first mating end comprises a first plurality of ramps having a first plurality of peaks and a first plurality of valleys and the second mating end comprises a second plurality of ramps having a second plurality of peaks and a second plurality of valleys, the first mating end comprises a positioning ball extending laterally from a side surface of the first mating end in a direction perpendicular to the central axis, the positioning ball being selectively seated within one groove of the plurality of grooves, and the positioning ball is configured to align the first plurality of ramps with the second plurality of ramps such that the first plurality of peaks is aligned with the second plurality of valleys and the first plurality of valleys is aligned with the second plurality of peaks.

9 . A method for operating a surgical instrument, comprising:
receiving at least a portion of a receiver in a corresponding receiver interface of a surgical instrument; rotating a drive shaft having a first mating end against a second mating end of a plunger; linearly translating the plunger in a first direction towards the receiver; applying a pushing force on the receiver via the plunger; and biasing the plunger in a second direction towards the drive shaft.

10 . The method according to claim 9 , comprising:
bending at least one flexible arm of the corresponding receiver interface laterally outward with respect to a central axis of the surgical instrument such that the at least one flexible arm surrounds the receiver, at least partly.

11 . The method according to claim 10 , comprising:
mating an inwardly extending platform of the at least one flexible arm within a connecting portion of the receiver, the connecting portion having a size and shape generally corresponding to the inwardly extending platform.

12 . The method according to claim 11 , comprising:
securing the at least one flexible arm with a hook portion of an inner shaft thereby preventing the at least one flexible arm from bending laterally outward.

13 . The method according to claim 11 , comprising:
securing the at least one flexible arm to the receiver after the mating the inwardly extending platform step.

14 . The method according to claim 11 , comprising:
biasing the mating end of the plunger against the mating end of the rotatable drive shaft.

15 . The method according to claim 14 , comprising:
biasing the drive shaft such that the mating end of the drive shaft is properly aligned with the mating end of the plunger.

16 . The method according to claim 14 , comprising:
uncoupling the receiver from the surgical instrument by pushing down on an outer shaft of the surgical instrument such that the at least one flexible arm contacts a sloped surface of an inner shaft of the surgical instrument, the sloped surface urging the at least one flexible arm outward and away from the receiver.

17 . The method according to claim 9 , wherein the linearly translating the plunger in a first direction step is caused by a sliding engagement between ramped surfaces of the mating end of the plunger and ramped surfaces of the mating end of the drive shaft.

18 . The method according to claim 9 , comprising:
seating a

Assignees

• Warsaw Orthopedic Inc

Inventors

• Butler Brian A
• Mills Aubrey R
• Italiaie Christel
• Wilfong Bret M
• Wilson Madeline G

Classifications

• A61B17/7032

  Screws or hooks with U-shaped head or back through which longitudinal rods pass · CPC title

• A61B17/7082 Primary

  for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws · CPC title

• A61B17/8886

  holding the screw head · CPC title

• A61B17/7088

  wherein the rod is moved transverse to the axis of the bone anchor · CPC title

• A61B17/7086

  Rod reducers, i.e. devices providing a mechanical advantage to allow a user to force a rod into or onto an anchor head other than by means of a rod-to-bone anchor locking element; rod removers · CPC title