The present invention relates to screwdrivers for surgical procedures, and more particularly to self-retaining screwdrivers
In many instances, it may be desirable to securely hold a fastener to a tool while the fastener is placed and fastened. For example, in a surgical environment it may be desirable to hold a fastener such as a surgical screw to a fastening tool such as a screwdriver while the fastener is secured (e.g., screwed) at the surgical site, such as into bone. Depending on the surgical site and the type of procedure, such as a minimally invasive procedure, temporary securing of the fastener to the tool may ensure that the fastener is not lost within the surgical site.
Several existing methods have been used to secure fasteners such as screws to tools such as screwdrivers. In one example, the tool or fastener may be magnetized. This method is not generally used in surgical environments as both the tool and the fastener must be ferrous, and while some surgical screws are formed of stainless steel, the magnetic response of stainless steel is generally insufficient for reliable use to secure fastener to tool. Additionally, magnetic tools are prone to accumulation of ferrous debris that may be incompatible with sterilization procedures and/or the surgical site. Accordingly, magnetic tools are not typically used as systems for securing tool to fastener in surgical applications.
Another mechanism that can be used to secure tool to fastener (screwdriver to screw) is an external securing feature that surrounds all or a portion of the tool end of the fastener. For example, elastic sleeves may be affixed to the end of the tool, and the fastener is inserted into the elastic sleeve until respective driving features engage. Other external securing features can include movable clips that grab or otherwise releasably secure the fastener (e.g., by a screw head) to the tool. External features generally have an effect of obscuring the view of the fastener, which in the surgical field can lead to non-optimal placement of the surgical fastener (e.g., surgical screw) in the bone. Accordingly, while external securing features are sometimes used in the surgical environment, their use is not ideal.
An alternate mechanism for securing tool to fastener is an internal polymeric feature that is compressed between the tool and the fastener when a driving portion of the tool is inserted into a driving feature of the fastener. Most typically, the polymeric feature is located on a driving surface of the tool. While polymeric features are internal to the tool-fastener interface and avoid the problem of obscuring the surgeon's view of the fastener, the polymeric features tend to wear quickly and often do not pass through sterilization procedures effectively. Such features may also lack sufficient retention force for some applications such that the fastener may not be effectively retained on the tool in all situations, especially as the polymeric feature wears.
Accordingly, existing fastener retention mechanisms fail to adequately address all fastener retention needs. The need for improved fastener retention is especially felt in the surgical field, particularly with respect to minimally invasive surgery.
Implementation of the invention provides self-retaining screwdrivers and methods for using the self-retaining screwdrivers. An exemplary self-retaining screwdriver includes an elongate inner driver rod and an outer sleeve adapted to be disposed about the inner driver rod and including a distal end, the distal end of the outer sleeve including a plurality of fingers separated by longitudinal slots in the outer sleeve.
Each of the fingers may include a retention feature. The retention feature may be formed as an area of thickening of the finger, whereby an effective diameter of the outer sleeve at the retention features of the fingers is increased. When the inner driver rod is disposed within the outer sleeve with a distal portion of the inner driver rod extended as far as the retention feature, the presence of the inner driver rod prevents the fingers from being radially displaced inwardly. When the inner driver rod is at least partially withdrawn proximally within the outer sleeve such that the distal portion of the inner driver rod does not extend to a distal end of the fingers, the fingers can be radially displaced inwardly, effectively decreasing the diameter of the outer sleeve at the retention features of the fingers.
The inner driver rod may include a distal end having a driver feature adapted to engage a screw and to transfer rotational torque from the inner driver rod to the screw. The outer sleeve may include a longitudinal alignment slot, and the inner driver rod may include a protrusion adapted to be received within the longitudinal alignment slot of the outer sleeve. The protrusion and the alignment slot may permit transmission of rotational torque from the inner driver rod to the outer sleeve or from the outer sleeve to the inner driver rod. The self-retaining screwdriver may include a detent that limits unintentional retraction of the inner driver rod from the outer sleeve. The elongate inner driver rod may be hollow to permit passage of a guide wire therethrough.
Another exemplary self-retaining screwdriver includes an elongate inner driver rod and an outer sleeve adapted to be disposed about the inner driver rod and having a distal end, the distal end of the outer sleeve having a plurality of fingers separated by longitudinal slots in the outer sleeve, and wherein each of the fingers includes a retention feature.
The retention feature may be formed as an area of thickening of the finger, whereby an effective diameter of the outer sleeve at the retention features of the fingers is increased. When the inner driver rod is disposed within the outer sleeve with a distal portion of the inner driver rod extended as far as the retention feature, the presence of the inner driver rod prevents the fingers from being radially displaced inwardly. When the inner driver rod is at least partially withdrawn proximally within the outer sleeve such that the distal portion of the inner driver rod does not extend to a distal end of the fingers, the fingers can be radially displaced inwardly, effectively decreasing the diameter of the outer sleeve at the retention features of the fingers.
The inner driver rod may include a distal end having a driver feature adapted to engage a screw and to transfer rotational torque from the inner driver rod to the screw. The outer sleeve may include a longitudinal alignment slot, and the inner driver rod may include a protrusion adapted to be received within the longitudinal alignment slot of the outer sleeve. The protrusion and the alignment slot may permit transmission of rotational torque from the inner driver rod to the outer sleeve or from the outer sleeve to the inner driver rod. The self-retaining screwdriver may include a detent that limits unintentional retraction of the inner driver rod from the outer sleeve. The elongate inner driver rod may be hollow to permit passage of a guide wire therethrough.
A method for preparing a self-retaining screw driver with a surgical screw retained thereon ready for use in a surgical procedure includes steps of providing an outer sleeve having a distal end having a plurality of fingers separated by longitudinal slots in the outer sleeve, advancing the outer sleeve into a partially spherical receptacle of a surgical screw, whereby the fingers are temporarily and elastically forced radially inward as the surgical screw is received on the outer sleeve, and advancing an inner sleeve into the outer sleeve until a distal end of the inner sleeve is disposed within the fingers, thereby forcing the fingers radially outwardly and preventing the fingers from being displaced radially inwardly, thereby retaining the surgical screw on the outer sleeve. The inner sleeve may be advanced further within the outer sleeve until a tip of the distal end of the inner sleeve protrudes beyond the outer sleeve and mates with and engages a driving feature of the surgical screw located more distal than the partially spherical receptacle.
The objects and features of the present invention will become more fully apparent from the following description and appended claims, taken in conjunction with the accompanying drawings. Understanding that these drawings depict only typical embodiments of the invention and are, therefore, not to be considered limiting of its scope, the invention will be described and explained with additional specificity and detail through the use of the accompanying drawings in which:
A description of embodiments of the present invention will now be given with reference to the Figures. It is expected that the present invention may take many other forms and shapes, hence the following disclosure is intended to be illustrative and not limiting, and the scope of the invention should be determined by reference to the appended claims.
Embodiments of the invention provide self-retaining screwdrivers and methods for using the self-retaining screwdrivers. An exemplary self-retaining screwdriver includes an elongate inner driver rod and an outer sleeve adapted to be disposed about the inner driver rod and including a distal end, the distal end of the outer sleeve having a plurality of fingers separated by longitudinal slots in the outer sleeve.
Each of the fingers may include a retention feature. The retention feature may be formed as an area of thickening of the finger, whereby an effective diameter of the outer sleeve at the retention features of the fingers is increased. When the inner driver rod is disposed within the outer sleeve with a distal portion of the inner driver rod extended as far as the retention feature, the presence of the inner driver rod prevents the fingers from being radially displaced inwardly. When the inner driver rod is at least partially withdrawn proximally within the outer sleeve such that the distal portion of the inner driver rod does not extend to a distal end of the fingers, the fingers can be radially displaced inwardly, effectively decreasing the diameter of the outer sleeve at the retention features of the fingers.
The inner driver rod may include a distal end having a driver feature adapted to engage a screw and to transfer rotational torque from the inner driver rod to the screw. The outer sleeve may include a longitudinal alignment slot, and the inner driver rod may include a protrusion adapted to be received within the longitudinal alignment slot of the outer sleeve. The protrusion and the alignment slot may permit transmission of rotational torque from the inner driver rod to the outer sleeve or from the outer sleeve to the inner driver rod. The self-retaining screwdriver may include a detent that limits unintentional retraction of the inner driver rod from the outer sleeve. The elongate inner driver rod may be hollow to permit passage of a guide wire therethrough.
Another exemplary self-retaining screwdriver includes an elongate inner driver rod and an outer sleeve adapted to be disposed about the inner driver rod and having a distal end, the distal end of the outer sleeve having a plurality of fingers separated by longitudinal slots in the outer sleeve, and wherein each of the fingers includes a retention feature.
The retention feature may be formed as an area of thickening of the finger, whereby an effective diameter of the outer sleeve at the retention features of the fingers is increased. When the inner driver rod is disposed within the outer sleeve with a distal portion of the inner driver rod extended as far as the retention feature, the presence of the inner driver rod prevents the fingers from being radially displaced inwardly. When the inner driver rod is at least partially withdrawn proximally within the outer sleeve such that the distal portion of the inner driver rod does not extend to a distal end of the fingers, the fingers can be radially displaced inwardly, effectively decreasing the diameter of the outer sleeve at the retention features of the fingers.
The inner driver rod may include a distal end having a driver feature adapted to engage a screw and to transfer rotational torque from the inner driver rod to the screw. The outer sleeve may include a longitudinal alignment slot, and the inner driver rod may include a protrusion adapted to be received within the longitudinal alignment slot of the outer sleeve. The protrusion and the alignment slot may permit transmission of rotational torque from the inner driver rod to the outer sleeve or from the outer sleeve to the inner driver rod. The self-retaining screwdriver may include a detent that limits unintentional retraction of the inner driver rod from the outer sleeve. The elongate inner driver rod may be hollow to permit passage of a guide wire therethrough.
A method for preparing a self-retaining screw driver with a surgical screw retained thereon ready for use in a surgical procedure includes steps of providing an outer sleeve having a distal end including a plurality of fingers separated by longitudinal slots in the outer sleeve, advancing the outer sleeve into a partially spherical receptacle of a surgical screw, whereby the fingers are temporarily and elastically forced radially inward as the surgical screw is received on the outer sleeve, and advancing an inner sleeve into the outer sleeve until a distal end of the inner sleeve is disposed within the fingers, thereby forcing the fingers radially outwardly and preventing the fingers from being displaced radially inwardly, thereby retaining the surgical screw on the outer sleeve. The inner sleeve may be advanced further within the outer sleeve until a tip of the distal end of the inner sleeve protrudes beyond the outer sleeve and mates with and engages a driving feature of the surgical screw located more distal than the partially spherical receptacle.
The inner sleeve 12 includes a proximal end 16 and a distal end 18. The proximal end 16 in this embodiment is adapted to be mated to a manual or powered handle, and includes features adapted to permit transfer of rotational torque from the handle to the inner sleeve 12, such as a hexagonal shank shape, a square shank shape, a star shank shape, one or more slots in the distal end 18, or the like. The distal end 18 in this embodiment is adapted to mate with a driving feature of a surgical screw such as a pedicle screw. Accordingly, a tip of the distal end 18 may have any desirable shape to mate with the driving feature of the surgical screw, such as a hexagonal shape, a square shape, a cross shape, a star shape, or any desired shape. The shape of the distal end 18 mates with a similar shape of the driving feature of the surgical screw, permitting transfer of rotational torque from the inner sleeve 12 to the surgical screw.
The outer sleeve 14 includes features adapted to engage with an secure the surgical screw to the screwdriver 10. The outer sleeve 14 includes a proximal end 20 and a distal end 22. The proximal end 20 receives the inner sleeve 12 therein, and the inner sleeve 12 may be advanced until the distal end 18 of the inner sleeve 12 protrudes beyond the distal end 22 of the outer sleeve 14, as shown in
The detent 24 and protrusion 26 are merely one example of a feature to minimize the possibility of unwanted retraction of the inner sleeve 12 from the outer sleeve 14. In another example, friction or interference between the inner sleeve 12 and the outer sleeve 14 may serve to minimize unwanted withdrawal of the inner sleeve 12 after insertion into the outer sleeve 14.
The distal end 22 of the outer sleeve 14 may be divided into a plurality of elastically deformable fingers 34 separated by longitudinal slots. At the most distal extent of the distal end 22, each finger 34 may be enlarged somewhat or protrude outward such that the most distal extent of the distal end 22 assumes a partially spherical shape. This shape may be sized and shaped to mate with a corresponding partially spherical receptacle in the surgical screw. The enlarged portion of each finger 34 serves as a retention feature. The flexibility of the fingers 34 permits the fingers 34 to flex, thereby effectively reducing the diameter of the partially spherical shape of most distal extent of the distal end 18 such that the ends of the fingers 34 can pass into the partially spherical receptacle of the surgical screw.
This passage of the ends of the fingers 34 into the receptacle of the surgical screw occurs when the inner sleeve 12 is at least partially withdrawn from the outer sleeve 14. This is illustrated in
As shown in
Once the outer sleeve 14 is mated with the partially spherical receptacle 40 of the surgical screw 36 such that the enlarged portion of each of the fingers 34 is within the partially spherical receptacle 40, the inner sleeve 12 may be advanced within the outer sleeve 14 until the distal end 18 of the inner sleeve is positioned within the partially spherical receptacle 40 of the surgical screw 36, as illustrated in
In some embodiments, the outward force supplied to the fingers 34 by the advancing inner sleeve 12 may be sufficiently strong to permit driving the surgical screw 36 solely by the press or interference fit between the head 38 of the surgical screw and the fingers 34 of the outer sleeve 16. Alternatively, the partially spherical receptacle 40 may be formed with one or more ridges adapted to engage with the grooves between the fingers 34, such as to facilitate transfer of rotational torque between the outer sleeve 16 and the surgical screw 36. As still another alternative, the partially spherical receptacle 40 of the surgical screw 36 may instead be formed in a non-spherical shape having one or more surfaces capable of receiving thrust, and the fingers 34 may be correspondingly shaped to create a driving tip of the outer sleeve 14 adapted to transfer rotational torque from the driving tip to the surfaces capable of receiving thrust of the receptacle of the surgical screw 36.
As another example, the inner sleeve 12 may be advanced still further within the outer sleeve 14, until the tip of the distal end 18 of the inner sleeve 12 enters into and mates with the driving feature 42 of the surgical screw 36, as illustrated in
When the screwdriver 10 is to be used as a retaining screwdriver, the inner sleeve 12 is withdrawn from the outer sleeve 14 until the fingers 34 are free to flex sufficiently to permit entry of the fingers into the head 38 of the surgical screw 36. The surgical screw 36 is placed on the distal end 22 of the outer sleeve 14, which forces the fingers inward as the head 38 pushes over the enlarged portion of the fingers 34. Then the inner sleeve 12 is advanced within the outer sleeve 14 until the tip of the distal end 18 engages the driving feature 42 of the surgical screw 36. If necessary, the surgical screw 36 may be rotated on the fingers 34 as this occurs to ensure a proper rotational orientation of the surgical screw 36 relative to the inner sleeve 12 for mating of the tip of the distal end 18 with the driving feature 42. At this point, the surgical screw 36 is retained on the screw driver 10, and is prepared for delivery to the surgical site, either by visual placement or using a guide wire that extends through the surgical screw 36 and the hollow inner sleeve 12.
The interaction between the protrusion 26 and the detent 24 ensures that the inner sleeve 12 does not withdraw from the outer sleeve 14 except when desired by the surgeon. The screwdriver 10 is then used to advance the surgical screw 36 into the surgical site (e.g. bone such as a pedicle of a vertebrae) a desired amount. As the surgical screw 36 is retained on the screwdriver 10 using a purely internal securement, the surgeon's view is relatively unobstructed, which may assist in proper placement of the surgical screw 36. Once the surgical screw 36 is fully placed, the inner sleeve 12 is withdrawn from the outer sleeve 14 an amount sufficient to permit the fingers 34 to again flex inward as the screwdriver 10 is withdrawn from the surgical screw 36.
If necessary, the surgical screw 36 can be readily re-engaged by the screwdriver 10 in situ, simply by repeating the processes discussed above. Accordingly, the surgeon can readily disengage the screwdriver 10 to check placement, and can readily re-engage the screwdriver 10 to further advance the surgical screw 36, to remove the surgical screw 36, or to otherwise adjust placement of the surgical screw 36, without worrying about losing the surgical screw 36 at the surgical site.
All components of the screwdriver 10 may be manufactured of readily sterilizable materials such as steel, titanium, and various alloys of these materials or other metal materials. Accordingly, the screwdriver 10 may be easily sterilized without concerns of reducing the effectiveness of the engagement between the screwdriver 10 and the surgical screw 36. Because the deformation of the fingers 34 is elastic, and because the inner sleeve 12 serves to physically prevent inward motion of the fingers 34 once the inner sleeve 12 is advanced within the outer sleeve 14, the retaining features of the screwdriver 10 are highly durable and any wear effects are minimal at most.
While embodiments of the screwdriver 10 are anticipated to be of particular use in the surgical field, the embodiments of the invention are not limited to such field. Accordingly, embodiments of the screwdriver 10 may be used in any situation where a screw that can have a head adapted to include a partially spherical receptacle can be used.
The present invention may be embodied in other specific forms without departing from its spirit or essential characteristics. The described embodiments are to be considered in all respects only as illustrative and not restrictive. The scope of the invention is, therefore, indicated by the appended claims, rather than by the foregoing description. All changes which come within the meaning and range of equivalency of the claims are to be embraced within their scope.
This application claims the benefit of U.S. Provisional Application No. 62/413,406, filed Oct. 26, 2016.
Number | Date | Country | |
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62413406 | Oct 2016 | US |