Conventional medical and surgical procedures routinely involve the use of surgical tools and instruments which allow surgeons to approach and manipulate surgical sites. By way of non-limiting example, rotary instruments such as handheld drills are commonly utilized in connection with orthopedic procedures to address various musculoskeletal conditions, such as trauma, sports injuries, degenerative diseases, joint reconstruction, and the like. In procedures where handheld drills or similar surgical instruments are employed, rotational torque selectively generated by an actuator (e.g., an electric motor) is used to rotate a releasably-attachable drill bit or other surgical attachments at different speeds.
A surgical handpiece assembly drills bores in the tissue against which the drill bit is applied. One type of surgical procedure in which it is necessary to drill a bore is a trauma procedure to repair a broken bone. In this type of procedure, an elongated rod, sometimes called a nail, is used to hold the fractured sections of the bone together. To hold the nail in place, one or more bores are driven into the bone. These bores are positioned to align with complementary holes formed in the nail. A screw is inserted in each aligned bore and nail hole. The screws hold the nail in the proper position relative to the bone.
In another type of procedure, an implant known as a plate is secured to the outer surfaces of the fractured sections of a bone to hold the sections together. Screws hold the plate to the separate sections of bone. To fit a screw that holds a plate to bone it is necessary to first drill a bore to receive the screw.
As part of a procedure used to drill a screw-receiving bore in a bone, it is desirable to know the end-to-end depth of the bore. This information allows the surgeon to select size of screw that is fitted in the bore hole. If the screw is too short, the screw may not securely hold the nail into which the screw is inserted in place. If the screw is too long, the screw can extend an excessive distance out beyond the bone. If the screw extends an excessive distance beyond the bone, the exposed end of the screw can rub against the surrounding tissue. If this event occurs, the tissue against which the screw rubs is affected.
While surgical drills are routinely utilized to assist in the performance of a variety of different types of medical and/or surgical procedures, there is a need in the art to continuously improve such surgical drills.
The present disclosure provides a surgical handpiece system. The surgical handpiece system comprises a drill bit having a shank portion and a cutting portion. The surgical handpiece system further comprises a surgical handpiece assembly. The surgical handpiece assembly comprises a handpiece housing and a motor disposed within the handpiece housing. The motor is configured to generate a torque. The surgical handpiece assembly further comprises a drive element disposed within the handpiece housing and configured to be coupled to the drill bit. The drive element is configured to receive the torque from the motor and rotate the drill bit in response to the torque when the drill bit is coupled to the drive element. The surgical handpiece system further comprises a depth measurement member being moveable relative to the handpiece housing along an axis that is parallel to an axis of the drill bit. The surgical handpiece system further comprises a displacement sensor for generating displacement signals responsive to movement of the depth measurement member relative to the handpiece housing. The surgical handpiece system further comprises a depth measurement extension configured to be coupled to the depth measurement member. The depth measurement extension comprises an elongated body having an inner surface defining a bore extending between proximal and distal ends for receiving the drill bit. The elongated body comprises a proximal portion sized to accommodate passage of the shank portion of the drill bit through the bore. The proximal portion is sized to prevent passage of the cutting portion of the drill bit through the bore. The elongated body comprises a distal portion sized to accommodate passage of the shank portion and the cutting portion of the drill bit through the bore.
The present disclosure also provides a surgical handpiece system. The surgical handpiece system comprises a first drill bit having a first shank portion and a first cutting portion. The first cutting portion has a first outer diameter. The surgical handpiece system comprises a second drill bit having a second shank portion and a second cutting portion. The second cutting portion has a second outer diameter greater than the first outer diameter. The surgical handpiece system comprises a surgical handpiece assembly. The surgical handpiece assembly comprises a handpiece housing and a motor disposed within the handpiece housing. The motor is configured to generate a torque. The surgical handpiece assembly comprises a drive element disposed within the handpiece housing. The drive element is configured to be coupled separately to each of the first and second drill bits. The drive element is configured to receive the torque from the motor and rotate one of the first and second drill bits in response to the torque when one of the first and second drill bits is coupled to the drive element. The surgical handpiece system comprises a depth cannula being moveable relative to the handpiece housing. The depth cannula defines a lumen extending along a length of the depth cannula. The depth cannula is sized to separately receive at least the first and second shank portions of the first and second drill bits. The depth cannula has a first inner diameter greater than the first outer diameter of the first cutting portion of the first drill bit. The first inner diameter is less than the second outer diameter of the second cutting portion of the second drill bit.
The surgical handpiece system comprises a displacement sensor for generating displacement signals responsive to movement of the depth cannula relative to the handpiece housing. The surgical handpiece system comprises a depth measurement extension configured to be coupled to the depth cannula. The depth measurement extension comprises an elongated body. The elongated body has a distal portion having a second inner diameter greater than the first and second outer diameters of the first and second cutting portions of the first and second drill bits.
The present disclosure also provides a depth measurement extension for coupling to a depth measurement member of a surgical drilling system that includes a drill bit having a shank portion and a cutting portion. The depth measurement extension comprises an elongated body having an inner surface that defines a bore extending between proximal and distal ends for receiving the drill bit and the depth measurement member. The elongated body comprises a proximal portion having a first internal cross-sectional area for accommodating the shank portion of the drill bit. The elongated body comprises a distal portion having a second internal cross-sectional area for accommodating the cutting portion of the drill bit. The second internal cross-sectional area is greater than the first internal cross-sectional area. The elongated body comprises a coupling portion disposed proximal of the proximal portion. The coupling portion has a third internal cross-sectional area for accommodating the depth measurement member. The third internal cross-sectional area is greater than the first internal cross-sectional area.
the depth measurement extension.
With reference to the drawings, where like numerals are used to designate like structure throughout the several views, a surgical system, or surgical drill system, is shown at 60 in
As also shown in
Referring now to
In the illustrated configuration, the battery 76 or other power source provides power to a controller 78, which is disposed in communication with an input control 80 and an actuator assembly 82 (see also
Referring As also shown in
Further details of one configuration of a gearset 86 are described, for example, in U.S. patent application Ser. No. 15/887,507, filed on Feb. 2, 2018 and entitled “Drill Bit for Handheld Surgical Instrument, the contents of which are herein incorporated by reference in their entirety, and describe wherein the rotation of the drive gear via actuation of the motor 84 effects concurrent rotation of the output hub 96, and wherein the output hub 96 rotates concurrently with the drill bit 66. The actuator assembly 82 could be configured in other ways without departing from the scope of the present disclosure. By way of non-limiting example, while the illustrated actuator assembly 82 employs a compound planetary arrangement to adjust rotational speed and torque between the drive gear of the motor 84 and the output hub 96, other types of gearsets 86 could be utilized in some configurations. Moreover, while the illustrated actuator assembly 82 employs an electrically-powered brushless DC motor to generate rotational torque, other types of prime movers could be utilized. Other configurations are contemplated.
As noted above, rotational torque generated by the motor 84 effects rotation of the output hub 96 which, in turn, rotates concurrently with the coupled drill bit 66. To this end, and as is best shown in
Further details of the drive assembly 114 are also described, for example, in U.S. patent application Ser. No. 15/887,507, the contents of which are also herein incorporated by reference in their entirety. In the illustrated configuration, the driving head 118 of the drive assembly 114 comprises a coupling, generally indicated at 126, which is provided to facilitate transmitting rotational torque when the handpiece 62 is utilized in connection with other applications besides rotating the drill bit 66 of the present disclosure. More specifically, the illustrated drive assembly 114 is configured such that the handpiece 62 can rotate, drive, or otherwise actuate a number of different types of surgical instruments, tools, modules, end effectors, and the like, which can be configured to engage and rotate concurrently with either the bore 122 of the drive element 116, or the coupling 126 of the driving head 118. It will be appreciated that this configuration allows the same handpiece 62 to be utilized in a broad number of medical and/or surgical procedures. However, it is contemplated that the drive assembly 114 could be configured differently in some configurations, such as to omit a driving head 118 with a coupling 126 in configurations where the handpiece 62 configured for dedicated use with the drill bit 66 of the present disclosure.
Referring back to
As noted above, the drill bit 66 generally extends along the axis AX between the cutting tip portion 70 and the insertion portion 72, and is configured for releasable attachment to the handpiece 62 described herein and illustrated throughout the drawings via engagement between the interface 124 of the drill bit 66 and the bore 122 of the drive element 116 of the drive assembly 114. The drive element 116, in turn, cooperates with the output hub 96 of the gearset 86 of the actuator assembly 82 to facilitate rotating the drill bit 66 about the axis AX.
The illustrated configuration of the surgical drill system 60 further comprises the measurement module (alternatively referred to sometimes as a measurement head), generally indicated at 128, which may be configured to releasably attach to the handpiece 62 to provide the surgeon with measurement functionality during use. To this end, and as is best shown in
In the illustrated configuration, the housing components 138 and the guide bushing 132 comprise correspondingly-shaped features arranged to prevent relative axial and rotational movement therebetween, such as via notches formed in the guide bushing 132 which fit into webs or ribs formed in the housing components (not shown in detail). The guide bushing 132 may further comprises a window 142 as described in detail below.
The depth cannula 134 may be disposed within the guide bushing 132 and is supported for translational movement along the axis AX relative to the handpiece 62. An elongated recessed slot 143 (partially depicted in
As illustrated, the depth cannula 134 further comprises rack teeth 144 which are disposed in meshed engagement with a gear 146 of a transducer assembly 136. In some configurations, the transducer assembly 136 may be considered a displacement sensor. As shown in
The transducer assembly 136 is responsive to rotation of the gear 146 resulting from axial movement of the measurement probe 134 in order to generate electrical signals (i.e., a transducer signal) representing changes in the position of the measurement probe 134 relative to the housing 130 along the axis AX, which correspond to the relative positioning of the distal end 134A of the depth cannula 134 relative to the housing 130 when the surgical drill 61 is placed against the workpiece. Thus, it will be appreciated that the transducer assembly 136 is able to provide the surgical handpiece assembly 62 with enhanced functionality. By way of example, in some configurations, the transducer assembly 136 may be disposed in communication with the controller 78, which may be configured to interrupt or adjust how the motor 84 is driven based on movement of the measurement probe 134, such as to slow rotation of the drill bit 66 at a specific drilling depth into the workpiece. The transducer assembly 136 may also be disposed in communication with an output device 148, such as a display screen, one or more light-emitting diodes (LEDs), and the like, to provide the surgeon with information relating to movement of the measurement probe 134, such as to display a real-time drilling depth, a recorded historical maximum drilling depth, and the like. Other configurations are contemplated. The output device 148 may be part of the measurement module that is removable. Further, while the transducer assembly 136 and the depth cannula 134 illustrated in
In many configurations, drill bits of varying sizes may be used to penetrate tissue for different procedures, e.g., a surgical procedure may require larger screws than screws for another surgical procedure. In such surgical procedures it may be necessary to use drill bits having different outer diameters of the cutting portion 70 of the drill bit 66 to establish larger holes to accommodate the larger screws. In such configurations requiring large cutting portions 70 of drill bits 66, the cannulated arrangement of the drive cannula 116, the depth cannula 134, the guide bushing 132, and the drill bit 66 may complicate the operation of depth measurement with drill bits 66 having large cutting portions 70. In some configurations, the outer diameter of the cutting portion 70 of the drill bit 66 may be larger than the inner diameter of the depth cannula 134. Employing a larger depth cannula 134 with an inner diameter sized to accommodate a larger cutting portion 70 may resolve dimensional concerns between the drill bit 66 and the depth cannula 134, however, the larger depth cannula 134 may create new sizing issues relating to the depth cannula 134 being received in the guide bushing 132 and the drive cannula 116. In other configurations, the outer diameter of the cutting portion 70 of the drill bit 66 may be larger than the inner diameter of the drive cannula 116. To address these concerns, a depth measurement extension 200 may be coupled to a distal portion of the depth cannula 134 to accommodate drill bits 66 having larger cutting portions 70 without compromising the cannulated arrangement of the surgical handpiece system 60.
As shown in
One advantage of having the proximal portion 206 sized to prevent passage of the cutting portion 70 of the drill bit 66 through the bore is to prevent the depth measurement extension 200 from unintentionally sliding distally relative to and away from the end of the drill bit 66 if the depth cannula 134 and the depth measurement extension 200 become detached. In other words, the relative sizing may capture the depth measurement extension 200 between the cutting portion 70 of the drill bit 66 and the depth cannula 134 in the occurrence of inadvertent detachment of the depth measurement extension 200 from the depth cannula 134.
The shank portion 176 of the drill bit 66 has a first outer diameter 210. The cutting portion 70 of the drill bit 66 has a second outer diameter 212. In configurations of drill bits 66 having second outer diameters 212 larger than an inner diameter 214 of the depth cannula 134, the second outer diameter 212 is larger than the first outer diameter 210. The proximal portion 206 of the elongated body 202 may have a first internal diameter 216 greater than the first outer diameter 210 and less than the second outer diameter 212 such that the cutting portion 70 of the drill bit 66 is prevented from passing through the bore of the elongated body 202. The distal portion 208 of the elongated body 202 may have a second internal diameter 218 greater than the first and second outer diameters 210, 212 to accommodate axial movement of the depth measurement extension 200 along the cutting portion 70 of the drill bit 66.
The depth cannula 134 may comprise a first coupler 220 and a coupling portion 222 of the depth measurement extension 200 may comprise a second coupler 224. The coupling portion 222 may be disposed proximal of the proximal portion 206. The first coupler 220 is configured to engage the second coupler 224 to facilitate removable coupling between the depth cannula 134 and the depth measurement member 200.
In one configuration illustrated in
The depth measurement extension 200 may include a bushing 234 disposed at least partially in the bore of the distal portion 208 of the elongated body 202. The bushing 234 may prevent the cutting portion 70 of the drill bit 66 from contacting the elongated body 202. The bushing 234 has an inner diameter 236 that is larger than the second outer diameter 212 of the cutting portion 70 of the drill bit 66.
In the configuration illustrated in
In another configuration, the proximal portion 206 of the elongated body 202 may have a first internal cross-sectional area for accommodating the shank portion 176 of the drill bit 66. The distal portion 208 of the elongated body 202 may have a second internal cross-sectional area for accommodating the cutting portion 70 of the drill bit 66. The second internal cross- sectional area may be greater than the first internal cross-sectional area. The coupling portion 222 of the elongated body 202 may have a third internal cross-sectional area for accommodating the depth cannula 134. The third internal cross-sectional area may be greater than the first internal cross-sectional area. The third internal cross-sectional area may be less than the second internal cross-sectional area. In configurations where the depth measurement extension 200 includes a bushing 234, the bushing 234 may have an internal diameter that is greater than the first internal cross-sectional area.
In an exemplary configuration, a caregiver can use the surgical handpiece system 60 for drill bits of different sizes such that attachment of the depth measurement extension 200 may be necessary for the drill bits 66 illustrated in
Several configurations have been discussed in the foregoing description. However, the configurations discussed herein are not intended to be exhaustive or limit the invention to any particular form. The terminology which has been used is intended to be in the nature of words of description rather than of limitation. Many modifications and variations are possible in light of the above teachings and the invention may be practiced otherwise than as specifically described.
It will be further appreciated that the terms “include,” “includes,” and “including” have the same meaning as the terms “comprise,” “comprises,” and “comprising.” Moreover, it will be appreciated that terms such as “first,” “second,” “third,” and the like are used herein to differentiate certain structural features and components for the non-limiting, illustrative purposes of clarity and consistency.
This application claims priority to and all the advantages of U.S. Provisional Patent Application No. 63/257,248, filed on Oct. 19, 2021, the entire contents of which are hereby incorporated by reference.
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/US2022/047132 | 10/19/2022 | WO |
| Number | Date | Country | |
|---|---|---|---|
| 63257248 | Oct 2021 | US |