This invention relates to a surgical device for use in implant extraction such as the extraction of implanted hip stem implants and prostheses.
Surgeons use implant extracting devices as tools to assist with the removal of implanted surgical implants such as hip stems and prostheses. These devices allow a surgeon to use the tool to clamp onto a portion of the implant, such as a trunnion or the like, and then apply forces to the tool to extract the implant.
Despite the existence of conventional implant extracting devices, there remains a need for an implant extracting device that allows for easy removal and replacement of the implant engaging components that can wear after repeated use. Moreover, there remains a need for an implant extracting device that provides a movable implant engaging jaw that remains in a desired commanded position even when no external forces beside gravity is acting on the jaw. In addition, there remains a need for a shorter implant extracting device than those currently offered without compromising the function of the tool. These and other benefits of the invention are described in greater detail herein.
In one exemplary embodiment, an implant extracting tool is disclosed that has an elongate housing with a proximal end configured for connection to an extraction tool, a distal end having an opening for operably engaging the implant, and an elongate recess therein with a slot extending from the elongate recess to the opening. A jaw is slidably received within the slot and operably extending into the opening. A linkage is secured and received within the elongate recess of the housing. The linkage is pivotally secured to the jaw such that operation of the linkage slides the jaw within the slot towards and away from the opening.
Other disclosed embodiments can include an insert with teeth for engaging the implant operably secured to the extracting tool. The insert and jaw can be detachably secured to the implant extracting tool and easily removed and replaced as needed. The jaw is detachably secured within the elongate housing. Also, a lock mechanism can be provided to hold the extracting tool in a locked position when clamped onto an implant.
An implant extractor comprising: an elongate housing having: a proximal end configured for connection to an extraction tool, a distal end for operably engaging an implant, and an elongate recess extending therein; a jaw slidably received within the elongate recess and extending to the distal end of the elongate housing; a linkage assembly within the elongate recess of the housing, the linkage assembly including a linkage pivotally secured to the jaw such that operation of the linkage assembly slides the jaw towards and away from the distal end.
The elongate housing includes an opening at the distal end configured for receiving an implant. The elongate recess is in fluid communication with the opening.
The linkage assembly includes: a rod assembly; a proximal link operatively connected to the rod assembly; a proximal end of the rod assembly pivotably connected to a distal end of the proximal link; an intermediate link operatively connected to the rod assembly; and a bell link operatively connected to the intermediate link and the jaw, wherein placement of the handle in a first position causes the jaw to disengage a trunnion of a hip stem implant, and placement of the handle in a second position causes the jaw to engage the trunnion of the hip stem implant.
The implant extractor further comprising a handle pivotably connected to the housing and operatively engaged with the proximal link. The implant extractor further comprising a handle pivotably connected to the housing and operatively engaged with the linkage assembly. The placement of the handle in a first position causes the jaw to move to a disengagement state, and placement of the handle in a second position causes the jaw to move to an engagement state.
The rod assembly is a telescopic rod assembly. The rod assembly comprises: a proximal link connector operatively connected to the proximal link; an intermediate link connector operatively connected to the intermediate link; and a rotatable shaft rotatable about the proximal link connector and operatively engage with the intermediate link connector.
The implant extractor further comprising a dial operatively connected to the central rotatable shaft, whereby rotation of the dial in a first direction operates to unthread the intermediate link connector from the central rotatable shaft, and whereby rotation of the dial in a second direction opposite the first direction operates to thread the intermediate link connector into the central rotatable shaft.
The implant extractor further comprising a jaw link coupling the bell link to the jaw. The implant extractor further comprising a locking key operatively connected to the proximal link and moveable between an unlocked position and a locked position. The locking key locks the position of the handle in a fixed position. The locking key locks the position of the proximal link in a fixed position.
The jaw is detachably secured within the elongate housing. The implant extractor further including a removable insert detachably secured to the housing at a distal end, the removable insert having a surface for engaging an implant and an opening for receiving the jaw therethrough.
The implant extractor further comprising a cam lock configured to lock the linkage assembly in a fixed position. The implant extractor further comprising a cam lock configured to apply a locking force and lock the linkage assembly in a fixed position.
Other features and advantages of the subject disclosure will be apparent from the following more detailed description of the exemplary embodiments, taken in conjunction with the accompanying drawings which illustrate, by way of example, the principles of the subject disclosure.
The foregoing summary, as well as the following detailed description of the exemplary embodiments of the subject disclosure, will be better understood when read in conjunction with the appended drawings. For the purpose of illustrating the subject disclosure, there are shown in the drawings exemplary embodiments. It should be understood, however, that the invention is not limited to the precise arrangements and instrumentalities shown.
Reference will now be made in detail to the various embodiments of the subject disclosure illustrated in the accompanying drawings. Wherever possible, the same or like reference numbers will be used throughout the drawings to refer to the same or like features. It should be noted that the drawings are in simplified form and are not drawn to precise scale. Certain terminology is used in the following description for convenience only and is not limiting. Directional terms such as top, bottom, left, right, above, below and diagonal, are used with respect to the accompanying drawings. The term “distal” shall mean away from the center of a body. The term “proximal” shall mean closer towards the center of a body and/or away from the “distal” end. The words “inwardly” and “outwardly” refer to directions toward and away from, respectively, the geometric center of the identified element and designated parts thereof. Such directional terms used in conjunction with the following description of the drawings should not be construed to limit the scope of the subject disclosure in any manner not explicitly set forth. Additionally, the term “a,” as used in the specification, means “at least one.” The terminology includes the words above specifically mentioned, derivatives thereof, and words of similar import.
“About” as used herein when referring to a measurable value such as an amount, a temporal duration, and the like, is meant to encompass variations of ±20%, ±10%, ±5%, ±1%, or ±0.1% from the specified value, as such variations are appropriate.
“Substantially” as used herein shall mean considerable in extent, largely but not wholly that which is specified, or an appropriate variation therefrom as is acceptable within the field of art. “Exemplary” as used herein shall mean serving as an example.
Throughout this disclosure, various aspects of the subject disclosure can be presented in a range format. It should be understood that the description in range format is merely for convenience and brevity and should not be construed as an inflexible limitation on the scope of the subject disclosure. Accordingly, the description of a range should be considered to have specifically disclosed all the possible subranges as well as individual numerical values within that range. For example, description of a range such as from 1 to 6 should be considered to have specifically disclosed subranges such as from 1 to 3, from 1 to 4, from 1 to 5, from 2 to 4, from 2 to 6, from 3 to 6 etc., as well as individual numbers within that range, for example, 1, 2, 2.7, 3, 4, 5, 5.3, and 6. This applies regardless of the breadth of the range.
Furthermore, the described features, advantages and characteristics of the exemplary embodiments of the subject disclosure may be combined in any suitable manner in one or more embodiments. One skilled in the relevant art will recognize, in light of the description herein, that the present disclosure can be practiced without one or more of the specific features or advantages of a particular exemplary embodiment. In other instances, additional features and advantages may be recognized in certain embodiments that may not be present in all exemplary embodiments of the subject disclosure.
The subject disclosure provides an implant extractor medical device for use in orthopedic surgeries. In accordance with an exemplary embodiment, the implant extractor is a hip stem implant extractor 100.
The hip stem implant extractor 100 includes a linkage assembly 280 (
The elongate housing 200 has a proximal end 202 and opposite distal end 204. The elongate housing includes a proximal body member 102 joined to a distal body member 108. A continuous recess or elongate continuous recess 206 extends through the proximal body member and the distal body member to operably receive the linkage assembly 280 therein.
The proximal body member 102 includes a tool connector 104 adapted for connection to an extraction tool, e.g., a T-handle or C-frame, and the like. In the present exemplary embodiment, the tool connector is a threaded tool connector.
The distal body member 108 is configured as best shown in
As best shown in
The handle 106 is pivotably connected to the housing 200 and operatively engaged with the linkage assembly 280. The handle 106 is pivotably connected to the housing and operatively engaged with the rod assembly 110. Placement of the handle 106 in a first position causes the jaw 118 to move to a disengagement state, and placement of the handle 106 in a second position causes the jaw 118 to move to an engagement state
The cam lock 320 is configured to lock the linkage assembly in a fixed position. The cam lock 320 is configured to apply a locking force and lock the linkage assembly 280 in a fixed position.
As best shown in
In sum, the linkage assembly 280 includes a rod assembly 110, a proximal link 112 operatively connected to the rod assembly 110, a proximal end of the rod assembly 110 pivotably connected to a distal end of the proximal link 112, an intermediate link 114 operatively connected to the rod assembly 110, and a bell link 116 operatively connected to the intermediate link 114 and the jaw 118. The rod assembly 110 comprises a proximal link connector 111 operatively connected to the proximal link 112, an intermediate link connector 113 operatively connected to the intermediate link 114, and a rotatable shaft 115 rotatable about the proximal link connector 111 and operatively engaged with the intermediate link connector 113.
A manually actuatable dial 132 operably engages the rotating shaft 115 to adjust the position of the intermediate link connector 113 to be infinitely positionable along the path defined by arrows A (
The opposite end of the link connector 113 is pivotally secured to one end of the elongate intermediate link 114. The opposite end or distal end of the intermediate link 114 is pivotally secured to a bell link 116. The jaw 118 is pivotally secured to an opposite side or distal end of the bell link 116 with jaw link 120 at pivot 300 (
As best shown in
In sum, the dial 132 is operatively connected to the central rotatable shaft 115, whereby rotation of the dial 132 in a first direction operates to unthread the intermediate link connector 113 from the central rotatable shaft 115, and whereby rotation of the dial 132 in a second direction opposite the first direction operates to thread the intermediate link connector 113 into the central rotatable shaft.
Additional clamping force (in addition to the force applied via the dial) can then be applied to the jaw 118 and thereon to an implant (e.g., a trunnion) in the opening by moving the handle from its open position 170 (
More specifically, when the handle 106 is in the unlocked or fully opened position 170 (
Rotation of the central rotatable shaft in the first direction moves the intermediate link 114, the bell link 116, the jaw link 120 and the jaw 118 in a distal direction to increase the preload on a subject implant in the opening 220 or adjust the position of the jaw within the continuous recess 206 of the housing. Conversely, rotation of the central rotatable shaft in a second direction opposite the first direction operates to thread the intermediate link connector 113 into the distal internally threaded end of the central rotatable shaft. Simultaneously, the proximal cylindrical socket end of the central rotatable shaft rotates freely about a distal end of the proximal link connector 111. The jaw link 120 links or couples the jaw to the bell link. In other words, rotation of the central rotatable shaft in the second direction moves the intermediate link 114, the bell link 116, the jaw link 120 and the jaw 118 in a proximal direction to decrease the preload on a subject implant within the opening 220 or adjust the position of the jaw within the continuous recess 206.
Once the linkage assembly 280 is properly adjusted to the receive the subject implant to be extracted and the preload to be applied thereto, the handle 106 is moved from the unlocked position 170 (
At the same time and as best shown in
According to an aspect, and as best shown in
The locking key 140 is operatively connected to the proximal link 112 and moveable between an unlocked position and a locked position. The locking key 140 locks the position of the proximal link 112 in a fixed position.
Having described the orientation and assembly of the various components of the hip stem implant extractor 100, its features become apparent. For example, the various links making up the linkage assembly 280 can be optimized to provide optimal clamping force by the jaw while minimizing the overall longitudinal length of the housing 100, thereby allowing a short hip stem implant extractor 100 e.g., a hip stem implant extractor that is shorter compared to conventional hip stem implant extractors.
Moreover, the linkage assembly's pivotal engagement of the jaw holds the jaw in a commanded position even if there is no force beyond gravity acting on the jaw. In contrast, gravity acting on conventional sliding trunnion engaging structures can freely slide the engaging structure into undesirable positions when a commanding force of the device is removed, or the device is in a non-locking state. Also, since the sliding jaw and the insert of the linkage assembly are detachably secured to the housing, they can be easily removed and replaced as needed in case these structures wear, without requiring the replacement of expensive surrounding components.
In other words, the hip stem implant extractor 100 provides a first engaging force or fine engaging force via the linkage assembly to position the jaw in the commanded position. The hip stem extractor also provides a second engaging force or locking force via the cam lock for securely engaging the jaw to the implant to be extracted.
In accordance with another aspect of the subject disclosure,
While the subject disclosure has been described with reference to exemplary embodiments, it will be appreciated by those skilled in the art that various changes may be made, and equivalents may be substituted for elements thereof without departing from the scope of the subject disclosure. In addition, modifications may be made to adapt a particular situation or material to the teachings of the exemplary embodiments without departing from the essential scope thereof. It is to be understood, therefore, that the exemplary embodiments are not limited to the particular aspects disclosed, but it is intended to cover modifications within the spirit and scope of the subject disclosure as defined by the appended claims.
Filing Document | Filing Date | Country | Kind |
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PCT/US2022/036149 | 7/5/2022 | WO |
Number | Date | Country | |
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63217938 | Jul 2021 | US |