The present disclosure relates generally to surgical tools. More specifically, the present disclosure relates to surgical tools used to install surgical screws.
In human anatomy, the spine is a generally flexible column that can take tensile and compressive loads. The spine also allows bending motion and provides a place of attachment for keels, muscles and ligaments. Generally, the spine is divided into three sections: the cervical spine, the thoracic spine and the lumbar spine. The sections of the spine are made up of individual bones (vertebrae) that are separated from each other by intervertebral discs.
The intervertebral discs function as shock absorbers and as joints. Further, the intervertebral discs can absorb the compressive and tensile loads to which the spinal column may be subjected. At the same time, the intervertebral discs can allow adjacent vertebral bodies to move relative to each other a limited amount, particularly during bending, or flexure, of the spine. Thus, the intervertebral discs are under constant muscular and/or gravitational pressure and generally, the intervertebral discs are the first parts of the lumbar spine to show signs of deterioration.
Facet joint degeneration is also common because the facet joints are in almost constant motion with the spine. In fact, facet joint degeneration and disc degeneration frequently occur together. Generally, although one may be the primary problem while the other is a secondary problem resulting from the altered mechanics of the spine, by the time surgical options are considered, both facet joint degeneration and disc degeneration typically have occurred. For example, the altered mechanics of the facet joints and/or intervertebral disc may cause spinal stenosis, degenerative spondylolisthesis, and degenerative scoliosis.
In order to correct certain spinal disorders, it may be necessary to install one or more implants along the spine. For example, scoliosis can be treated using a spinal fixation system. Further, a damaged disc can be replaced using a fusion device, a motion preserving implant, or a similar device. The installation of certain spinal devices may require the use of one or more bone screws to properly position the device and maintain the device in the proper position. Installing bone screws can require great care and improperly installing a bone screw can cause nerve damage and permanent disability to a patient.
Accordingly, there is a need for an improved surgical screwdriver.
A surgical screwdriver is disclosed and can include a motor, a microprocessor coupled to the motor, and a sensor coupled to the microprocessor. The key sensor can be configured to sense a key tag.
In another embodiment, a surgical screwdriver is disclosed and can include a housing, a motor within the housing, and a controller within the housing. The controller can be coupled to the motor. The surgical screwdriver can also include a key sensor incorporated in the housing and coupled to the controller.
In yet another embodiment, a method of installing a surgical screw is disclosed and can include retrieving a surgical screw having a key tag and passing the surgical screw near a key sensor incorporated in a surgical screwdriver. The key tag can transmit a maximum number of installation revolutions associated with the surgical screw to a microprocessor within the surgical screwdriver.
In still another embodiment, a kit is disclosed and can include a surgical screwdriver that can have a key sensor and a surgical screw having a key tag.
In another embodiment, a surgical screw is disclosed and can include a shaft and a head coupled to the shaft. The surgical screw can also include a key tag incorporated into the shaft, the head, or a combination thereof. The key tag can be configured to transmit a signal indicating a maximum number of installation revolutions associated with the surgical screw.
Referring initially to
As shown in
As depicted in
In a particular embodiment, if one of the intervertebral lumbar discs 122, 124, 126, 128, 130 is diseased, degenerated, damaged, or otherwise in need of repair, augmentation or treatment, that intervertebral lumbar disc 122, 124, 126, 128, 130 can be treated in accordance with one or more of the embodiments described herein.
Referring to
As illustrated in
It is well known in the art that the vertebrae that make up the vertebral column have slightly different appearances as they range from the cervical region to the lumbar region of the vertebral column. However, all of the vertebrae, except the first and second cervical vertebrae, have the same basic structures, e.g., those structures described above in conjunction with
In order to correct certain spinal disorders, it may be necessary to install one or more implants along the spine. For example, scoliosis can be treated using a spinal fixation system. Further, a damaged disc can be replaced using a fusion device, a motion preserving implant, or a similar device. The installation of certain spinal devices may require the use of one or more bone screws to properly position the device and maintain the device in the proper position. The surgical screwdriver described herein may be used to install one or more surgical screws along the spinal column.
Referring to
As depicted in
In a particular embodiment, the key sensor 422 can be an optical sensor that is configured to sense an optical tag, e.g., a bar code tag, a dot code tag, or a combination thereof. For example, the key sensor 422 can be a bar code sensor. Also, the key sensor 422 can be a dot code sensor. In another embodiment, the key tag can be a signal sensor that is configured to sense a signal generating tag, e.g., a passive RFID tag, an active RFID tag, or a combination thereof. For example, the key sensor 422 can be a Key sensor.
As shown in
In a particular embodiment, a surgical screw having a key tag incorporated therein can be placed in proximity to the key sensor 422. The key sensor 422 can sense the key tag within the surgical screw and transmit a signal to a microprocessor within the surgical screwdriver 400 indicating a maximum number of installation revolutions associated with the surgical screw. The microprocessor can selectively disengaged a clutch within the surgical screwdriver 400 or selectively de-energize a motor within the surgical screwdriver 400 when the maximum number of installations revolutions is reached. It can be appreciated that based on a thread pitch of the surgical screw, the maximum number of installation revolutions can prevent the surgical screw from being advanced too far into the patient. Accordingly, potential damage to the patient is substantially minimized. During use, the indicator lights 424, 426 can indicate to the user whether the surgical screw is properly sensed and identified by the key sensor 422.
As shown in
In a particular embodiment, as depicted in
In a particular embodiment, the key tag 512 can indicate a maximum number of installation revolutions associated with the surgical screw 500. For example, to prevent the surgical screw 500 from penetrating too far into the tissue of a patient, the key tag 512 may indicate that the surgical screw 500 has a maximum number of installation revolutions equal to eight. Accordingly, the surgical screw 500 should not be rotated more than eight revolutions. This can substantially prevent the surgical screw 500 from being advanced too far into the patient.
Referring now to
A key sensor 606 and a motor 608 can be coupled to the controller 604. Further, the system 600 can include a chuck 610 that can be coupled to the motor 608 directly or via a clutch 612. The clutch 612 can also be connected to the controller 604.
In a particular embodiment, the key tag 616 can indicate a maximum number of installation revolutions associated with the surgical screw 614. Further, during use, the surgical screw 614 can be placed in proximity to the key sensor 606. The key sensor 606 can sense the key tag 616 and transmit a signal to a controller 604 to indicate the maximum number of installation revolutions associated with the surgical screw 614. Thereafter, the surgical screw 614 can be engaged with the chuck 610. As the surgical screw 614 is rotated and advanced into a patient, the microprocessor can monitor the revolutions of the motor 608. When the maximum number of installation revolutions is reached, the controller 604 can de-energize the motor 608 to prevent over-rotation of the surgical screw 614. Alternatively, the controller 604 can send a signal to actuate the clutch 612 in order to disengage the chuck 610 from the motor 608 and prevent over-rotation of the surgical screw 614.
Referring to
Moving to block 702, the target tissue is exposed. Further, at block 704, a surgical retractor system can be installed to keep the surgical field open. For example, the surgical retractor system can be a surgical retractor system configured for posterior access to a spinal column. Alternatively, the surgical retractor system can be a surgical retractor system configured for anterior access to a spinal column. Also, the surgical retractor system can be a surgical retractor system configured for lateral access to a spinal column.
Moving to block 706, the surgical screwdriver can be energized. At block 708, a surgical screw can be retrieved. Thereafter, at block 710, surgical screw can be passed, or placed, near a sensor on the screwdriver, e.g., a key sensor on the screwdriver. Proceeding to decision step 712, the user can determine whether the surgical screwdriver recognized the surgical screw, e.g., by lighting one or more indicator lights on the surgical screwdriver. If the surgical screwdriver does not recognize, or sense, the surgical screw, e.g., a key tag on the surgical screw, the method can return to block 710 and continue as described herein. On the other hand if the surgical screwdriver recognizes the surgical screw, the method can proceed to block 714.
At block 714, the surgical screw can be engaged with a chuck on the surgical screwdriver. Thereafter, at block 716, the tip, or leading end, of the surgical screw can be engaged with tissue of the patient. At block 718, a trigger on the screwdriver can be pressed and held until the chuck on the screwdriver stops turning. Continuing to decision step 720, a user can determine whether to install another surgical screw. If so, the method can return to block 708 and continue as described herein. If another surgical screw is not necessary, the method can proceed to block 722 and the surgical screwdriver can be disengaged from the surgical screw.
Moving to block 724, the surgical space can be irrigated. Further, at block 726, the retractor system can be removed. At block 728, the surgical wound can be closed. The surgical wound can be closed using sutures, surgical staples, or any other surgical technique well known in the art. Moving to block 730, postoperative care can be initiated. The method can end at state 732.
With the configuration of structure described above, the surgical screwdriver provides a device that can be used to install surgical screws within a patient. The surgical screwdriver can substantially prevent a surgical screw from being over-rotated within the patient. Further, the surgical screwdriver can substantially prevent a surgical screw from being over-advanced into the patient. Also, the surgical screwdriver can substantially prevent a surgical screw from being over-tightened within a patient. The surgical screwdriver can be used to place surgical screws within any bony tissue, e.g., along a spinal column, long bones, skull plates, or other bones within a patient.
The above-disclosed subject matter is to be considered illustrative, and not restrictive, and the appended claims are intended to cover all such modifications, enhancements, and other embodiments that fall within the true spirit and scope of the present invention. Thus, to the maximum extent allowed by law, the scope of the present invention is to be determined by the broadest permissible interpretation of the following claims and their equivalents, and shall not be restricted or limited by the foregoing detailed description.