The present invention relates to a bone grinding apparatus and, more particularly, to a portable bone mill for use in autologous and/or autograft bone grafts.
Bone grinders or bone mills have been developed in the recent past to allow surgeons, particularly when dealing with oral/maxillofacial, orthopedic, periodontal, and implant applications, to perform autologous bone grafts using autogenous bone from local reservoirs. Such bone mills allow the patient to have his or her own bone particles implanted when there is a preference to using autograft to address concerns over the possibility of rejection or infection. For instance, in an oral/maxillofacial intervention, the surgeon can use bone from the patient's mandibular symphsis or ramus, then grind the bone with the bone mill, and then utilize the bone particles to repair small bone defects and to achieve bone augmentation. Such procedures reduce the costs of surgery compared where other products, such as HA granules, processed coral, or freeze-dried bone are used.
U.S. Pat. No. 5,769,853 (Quetin) issued Jun. 23, 1998, U.S. Pat. No. 5,918,821 (Grooms et al.), issued Jul. 6, 1999, and U.S. Pat. No. 6,287,312 (Clokie et al.) issued Sep. 11, 2001 are representative of bone grinders or mills which can produce small bone particles for the purpose of autologous bone grafts.
In light of the existing bone mills as represented by these patents and others available in the marketplace, there is a need for a simple, power-driven bone mill which can be easily utilized in a surgical environment, using the power tools that are within the current repertory of surgeons in the field.
The present invention seeks to meet this and related needs.
It is an aim of the present invention to provide a bone mill having a simple construction and adapted to be operated by available power tools in hospital operating rooms.
It is a further aim of the present invention to provide a hygienic bone mill that has a simple design and that can be used with a one-use milling or cutting blade which can be easily replaced.
It is a further aim of the present invention to provide a portable bone mill which can be hand-held or clamped on a flat surface during operation.
An orthopedic/spine bone mill in accordance with the present invention comprises a vessel and a rotatable grinding tool to produce ground autologous and/or autograft bone particles for surgical bone reconstruction use, wherein the vessel includes a wall-defining a circular cylindrical chamber having a concentric axis, the vessel further includes a cup shaped bottom wall which corresponds to the shape of the cutting blade, a lid adapted to be removably connected to the vessel, the lid including an opening coincident with the axis, the grinding tool including an elongated shaft extending through the opening in the lid along the axis, a cutting blade mounted to an end of the shaft within the chamber whereby the cutting blade can be rotated by motive means engaging the shaft, exterior of the vessel, to cut bone, placed in the vessel, into said bone particles.
In a representative embodiment of the present invention, a bone mill comprises a vessel and a rotatable grinding tool to produce ground autologous and/or autograft bone particles for surgical bone reconstruction use, wherein the vessel includes a wall defining a generally circular cylindrical chamber having a concentric axis, the vessel further includes a cup shaped bottom wall which corresponds to the shape of the cutting blade, a lid adapted to be removably connected to the vessel, the lid including an opening coincident with the axis, the grinding tool including an elongated shaft extending through the opening in the lid along the axis, the lid including bearing means for the shaft of the grinding tool to permit the shaft to rotate on the axis, a cutting blade mounted to an end of the shaft within the chamber and a bone gripping plate on the bottom wall whereby the cutting blade can be rotated by motive means engaging the shaft, exterior of the vessel, to cut bone, placed in the vessel against the bone gripping plate, into said bone particles.
A suitable blade design is one in the form of a thin plate having rasp openings defined by rasp cutting edges for cutting the bone against the gripping plate and passing bone particles through the rasp openings in the cutting blade within the chamber opposite to the gripping plate.
Optionally and advantageously, the bone mill may be utilized with single use cutting blades which are removably mounted to a blade support mounted to the end of the shaft within the vessel, and a blade retention member extends through a central opening in the blade and engages the support means. It is contemplated that the cutting blade may also be fixed to the shaft. The entire grinding tool may be manufactured so as to be sold as a disposable, single use tool.
Other objects, advantages and features of the present invention will become apparent upon reading of the following non-restrictive description of embodiments thereof, given by way of example only with reference to the accompanying drawings.
Having thus generally described the nature of the invention, reference will now be made to the accompanying drawings, showing by way of illustration, a representative embodiment thereof, and in which:
As used herein, the term the term “concave” means curved inward, like the inside of a circle or sphere.
As used herein, the “motive means” refers to a device that imparts a circular motion and that is suitable for use with the present invention. An example would be a hand drill.
Referring to
A shown in
As shown in
The cutting blade 6 is a generally concave or cup shaped thin blade having rasp openings similar to a cheese grater. The removable blade retainer 5 is a fastener having a head and a shank, whereby the shank is adapted to engage the shaft 20, and the head has an axial dimension which corresponds to the minimum spacing between the cutting blade 6 and the bowl gripping plate 9B during the operation of the bone mill 100. The cutting blade 6 may be made of stainless steel or any other suitable metal or alloy, as known in the art. The cutting blade 6 is a single-use blade and is easily removed from the blade support and is held there by the blade retainer 5.
The end opposite the blade end of shaft 20 is adapted to be engaged by any drill that is commonly used in operating rooms. The shaft 20 preferably would be rotated between approximately 500 and 3,000 rpm with a torque of up to 100 newton/m.
In the embodiment illustrated, the generally concave or cup shaped surface 9A, made of hard metal such as stainless steel, is irremovably inserted in a recess formed at the bottom of the chamber 7 wall. The bowl gripping plate 9B includes radially extending, uninterrupted ridges which are ramp-shaped so that the leading edge of the ramp counters the rotational direction of the grinding tool 10. The ridges help to retain the bone pieces while the grinding tool 10 is rotated.
In operation, pieces of freshly removed bone or allografts are placed within the vessel 2, in the chamber 7 on the cup shaped surface 9A. The lid 3, including the grinding tool 10 is then placed on the vessel 2 with the grinding tool 10 in the chamber 7. The lid 3 is rotated so that it engages the vessel 2. The shaft 20 is then connected to a power source, such as a drill commonly used in operating rooms, and the shaft 20 is rotated, thereby rotating the blade support 5A and the cutting blade 6. The cutting blade 6 rotates as the grinding tool 10 is advanced axially against the bone pieces on the bowl gripping plate 9B. As the bone pieces are ground or cut up, the particles pass through the rasp openings in the cutting blade 6 and are stored between the cutting blade 6 and the lid 3 within the chamber 7.
When axial resistance is felt from the grinding tool 10 coming into contact with the cup shaped surface 9A and bowl gripping plate 9B, the drill is disconnected from the shaft 20, and the lid 3 is removed from the vessel 2. The blade retainer 5 is then disconnected from the shaft 20 and the cutting blade 6 removed and discarded after the bone particles have been retrieved. The bone particles with blood and some tissue will remain in a glob and can be easily removed from the vessel 2.
The bone mill is then cleaned and after sterilization, a new cutting blade 6 is placed on the blade support 5A.
The above-described embodiments of the invention are intended to be examples only. Variations, alterations and modifications can be made to the particular embodiments described herein by those of skill in the art without departing from the scope of the invention, as defined in the appended claims.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/CA2009/001417 | 10/9/2009 | WO | 00 | 3/18/2011 |
Number | Date | Country | |
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61104112 | Oct 2008 | US |