The present disclosure relates generally to a driver incorporating a torque indicator and/or torque limiter and more specifically to a torque indicator and/or torque limiter suitable for use in surgical procedures.
It is common for a surgeon or other medical practitioner to insert fasteners into the human body to promote proper healing. For example, orthopedists often treat a variety of different types of bone fractures and other skeletal conditions by installing bone screws, rod and cap screws, or other fasteners in the affected area, to stabilize the bone, to secure implants, or for other therapeutic purposes. Bone screws or other fasteners may require predrilled and tapped holes or may be self-drilling and self-tapping.
When installing a screw or other fastener into bone, it is important that the bone not be subject to excessive torque. Excessive torque may “strip” threads in the bone or may otherwise damage the bone. Further excessive torque may damage screws or other fasteners, for example, by stripping the head of a fastener made from a delicate bioabsorbable material. Thus, applying a limited amount of torque is important in the surgical setting
While existing torque limiters may be acceptable for certain applications, they are poorly suited for use in surgical procedures, such as installing screws or other fasteners into bone. Many existing torque limiters are not resilient to certain sterilization techniques. For example, some existing torque limiters require, or operate best with, lubricating oils that degrade at high temperatures. Thus, such torque limiters are often incompatible with autoclaves, which typically use high-temperature steam to sterilize surgical instruments. Other designs may not be compatible with ethylene oxide (ETO) and/or Gamma sterilization. Many existing torque limiters are also quite complicated. Such complexity may lead to unacceptable size and weight characteristics, increased occurrence of failures and malfunctions, and high costs. Indeed, many existing torque limiters are quite unsuited for single-use applications given their complexity and resultant cost. Finally, many existing torque limiters are not as accurate and precise as desired at the low torque levels commonly used in surgical procedures.
Accordingly, there is a need for an improved torque indicator/limiter suitable for use in surgical procedures that overcomes the shortcomings of prior designs.
The present application discloses a device that serves as a torque indicator that allows a user visualize when a given torque amount is achieved.
The present application discloses a device that serves as a torque limiter which limits the amount of torque that can be imparted into a driven item, e.g., a bone screw; has an automatic release of torque at a certain deflection; has an automatic release of torque at a certain force value; and, resets to reapply torque automatically,
The present application discloses torque indicator and/or limiter devices which rely on a mechanism based on minimizing friction between parts. It is based on torsional deflection of, for example, a tube, cylinder, bar or wire. The device exhibits the same force deflection characteristics over multiple uses.
The present application discloses a torque indicator and/or limiter that incorporates super-elastic materials which provide the user with inherent protection against over-torquing a driven item, e.g., a bone screw. Super elastic materials, e.g., Nitinol provide high recoverable strain which can improve the design window of the angular deflection by providing a plateau, which plateau can be set to match the targeted torque limit.
The present application discloses a torque indicator and/or limiter that is sterilizable with steam temperatures up to 150 degrees C., or through the use of ETO, Gama, Ebeam, etc. sterilization.
The present application discloses a torque indicator and/or limiter that is cost effective to manufacture and suitable for disposable use.
A torque limiter and indicator device according to the invention may include a distal component, a handle, a torsion component connecting the distal component and the handle, the torsion component having a predetermined torque profile, the distal component and the handle being rotatable relative to each other subject to resistance from the predetermined torque profile of the torsion component and wherein the predetermined profile has a plateau.
A torque indicator device according to the invention may include a distal component, a handle, a torque component connecting the distal component and the handle, the torque component being offset from a longitudinal axis of the distal component and the handle, the torque component comprised of a wire having a first lever arm member at one end of the wire and a second lever arm member at an opposite end of the wire and the first wire being at an angle relative to an axis of the second lever arm.
A method to limit torque applied to a driven element according to the invention may include providing a device having a distal component connected to a super elastic torsion mechanism, applying torque to the distal component by applying torque to the super elastic torsion mechanism, and continue applying torque to the distal component until torque plateaus according to a torque profile of the super elastic torsion mechanism.
These and other aspects, features and advantages of which embodiments of the invention are capable of will be apparent and elucidated from the following description of embodiments of the present invention, reference being made to the accompanying drawings, in which
Specific embodiments of the invention will now be described with reference to the accompanying drawings. This invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein; rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art. The terminology used in the detailed description of the embodiments illustrated in the accompanying drawings is not intended to be limiting of the invention. In the drawings, like numbers refer to like elements.
Referring to
The torsion wire 104 is fashioned with 90-degree bends 116A, 116B at opposite ends of the torsion wire 104. The end of these bends 116A, 1166 engage slotted features in the distal component 100 and handle 102, respectively. In other words, one end of the torsion wire 104 is inserted and secured to the distal component 100 and the opposite end of the torsion wire 104 is inserted and secured to the handle 102. Pins 114 inserted through the body of the distal component 100 and the handle 102 serve to secure the torsion wire 104, both axially and rotationally in each of the distal component 100 and the handle 102 so that turning the handle 102 relative to the distal component will impart torsion on the torsion wire 104. Once assembled, in one embodiment, the only component attaching the handle 102 to the distal component 100 is the torsion wire 104.
The distal component 100 and the handle 102 each have a marker (or indicator) 106, 108, respectively, disposed thereon. When the device is at rest, the markers 106 will be unaligned as shown in
In one embodiment rotation 110 is continued till the indication markers 106 and 108 align. In one embodiment a two-finger technique may be used in which the tips of the fingers and thumb of a user rotate the handle 102 approximately 90 degrees to achieve the alignment of the indication markers 106, 108. When the markers 106, 108 are aligned, the torsion wire 104 has been torqued to a predetermined position that exhibits a known force level. In one embodiment there is a stop feature that limits the relative rotation between the distal end and handle component. This stop or limit could correspond to a given deflection amount of the torsion wire 104.
In one embodiment, the torque limiter or torque driver is used to drive an item, e.g., a bone screw, wherein all of the torque applied by the user is transmitted through the torsion wire 104 to the distal component 100 and on to the driver tip, and ultimately, the screw. The torsion wire 104 has elastic properties such that it begins to twist slightly as the applied torque increases. In one embodiment, the range of the applied torque is from 0.1 Nm to 50 Nm and all values in between.
In one embodiment, the amount of deflection of the handle 102 to achieve the desired torque could be set from 1 to 270 degrees of rotation or deflection and all values in between. In one embodiment, it may be desirable to set the amount of rotation or deflection to be 90 degrees or less, which essentially matches the amount a finger and thumb can rotate handle 102 without involving rotation of the wrist. In another embodiment, the rotation or deflection is in the range of 270 degrees to accommodate the rotation of the wrist and fingers.
Referring to
There is a relationship between the length, diameter, angle of deflection, cross-sectional shape and material properties, etc. of the torque wire 104 that are calculatable to achieve the desired, angular deflection, applied torsion and torsion limit. In other words, the characteristics of the torque wire 104 can be chosen or calculated so that the torque wire 104 provides a desired or predetermined torque profile.
There are multiple materials that could be used for the torsion wire 104. In some embodiments, those materials exhibit the following properties: super elastic, pseudo elastic, elastic and shape memory, and that deform reversibly at high strains. Such materials can include but are not limited to, metal alloys, polymers, rubbers, composites, Nitinol, carbon and others.
In one embodiment the torsion wire 104 can be a hollow tube. In some embodiments, the cross-sectional shape of the torsion wire 104 can be round, ellipse, rectangle, square, triangle, hexagon, or combinations thereof.
In embodiment the torsion wire 104 comprises a super elastic material such as Nitinol.
As known to one of ordinary skill in the art, materials used for springs, such as stainless steel, have a torque profile that is demonstrates linear proportional behavior when comparing the amount of strain or deformation exerted on that material to the amount of the resulting force or torsional resistance, provided the amount of exerted strain or deformation is below the yield strength of the material. However, super elastic materials, such as nitinol, exhibit a different stress vs strain curve or torque profile.
Nitinol behaves essentially identically to typical metals up to about 1% strain. However, between about 1% and 8% strain, the slope of the stress strain curve for Nitinol becomes much less than the initial slope. This property is advantageous in one embodiment of the torque indicator or torque limiter device, in that the sensitivity of rotating the handle 102 to increasing torque is much lower. In other words, when the torsion wire comprises a super-elastic material, e.g., Nitinol, the target torque is approached rapidly as one turns the handle 102 but in the torque range of interest, the torque changes much more slowly with increased turning of the handle 102.
Referring to
Another embodiment of the torque limiter or torque driver of the present application includes the following features: cannulation, off-center or offset application of torque thus providing a mechanical advantage, multiple numbers of torsion wires, adjustable torque responses; bidirectional functionality or unidirectional functionality.
This embodiment utilizes the same torsional strategy as previous embodiments. Components include of distal member, proximal handle member, and torsional wire elements. The torsional resistance member is off the center axis. More than one torsional member can be used. The torsional element is deflected in a manner that limits the amount of deflection and then releases the stored energy limiting the applied torque.
With reference to
Referring to
By using multiple torsion wires 304 instead of just one torsion wire, the size (e.g., diameter, shape, etc.) can be reduced for each wire so that collectively the multiple torsion wires 304 produce the torsional characteristics of a single torsion wire design. In addition, since the three torsion wires 304 are offset from the axis of the distal component 300 and handle 302, the device may have a lumen 306 through the center of the device. The lumen 306 allows the device to be cannulated. The lumen 306 enables a user to introduce a guide wire through the device to that the device can be easily moved to a site for inserting a driven member, e.g., a bone screw.
Referring to
Referring to
By using multiple torsion wires 404 instead of just one torsion wire, the size (e.g., diameter, shape, etc.) can be reduced for each wire so that collectively the multiple torsion wires 404 produce the torsional characteristics of a single torsion wire design. In addition, since the three torsion wires 404 are offset from the axis of the distal component 400 and handle 402, the device may have a lumen 406 through the center of the device. The lumen 406 allows the device to be cannulated. The lumen 406 enables a user to introduce a guide wire through the device to that the device can be easily moved to a site for inserting a driven member, e.g., a bone screw.
Referring to
Referring to
Referring to
The amount of torsion is determined by the previously considered variables in addition to the lever arm distance 409 from the axis of the torsion wire 404 to the axis of rotation (centered in lumen 406).
In this embodiment torque is applied to the driven member, e.g., a bone screw not directly from the rotation of the torsion wires 404, but by applying force from the torsion wires 404 at a levered distance which allows for leverage of the applied force.
In one embodiment, rotation of the handle 402 in a direction opposite to direction 417 causes engagement of the lever arm members 410 in a different way and does not transmit any meaningful torque to the driven member, e.g., the screw.
The lever arm members 410 could be designed to engage the pins 408 such so that they would exert torque in either or both directions of rotation.
In one embodiment, if the rotation of the handle 402 relative to the distal component 400 exceeds a predetermined angle, the lever arm members 410 will move beyond the pins 408 and shall spring back to a non-strained state as shown in
In one embodiment the torque required to move the arm members 410 beyond the pins 408 is determined by the equation T=N×(F×R), wherein F is the force required to turn the handle 402, N is the number of torsion wires, and R is the lever arm distance as discussed above.
It is often desired to know the value of torque being applied to a driven member. For example, when a bone screw is used to bring fractured bone segments into intimate contact, it is desirable for a user to understand the torque being applied to the screw.
Referring to
During assembly of the device, the torsional spring 504 is pre-loaded, or wound, to a predetermined torque value T. The device is then permanently fastened together, using a pin or other fastening method as known to those of skill in the art to maintain the torsional spring 504 in the preloaded state.
For example, a slot 506 is incorporated into the distal component 500 to receive one end of the torsional spring 504. The opposite end of the torsional spring is secured or fixed to the handle 502. The slot 506 enables the torsional spring 504 to remain in its pre-loaded state upon assembly and in its resting state. However, upon rotation of the handle 502 with a torque that exceeds the predetermined torque value T, the handle 502 will begin to rotate relative to the distal component 500.
In one embodiment, there are markers 508, 510 on the distal component 500 and the handle 502, respectively. When the device is assembled and the torsional spring 504 is in its pre-loaded state, the markers are not aligned, i.e., they are rotationally offset by an angle relative to each other as shown in
In one embodiment, the rotation limit maintaining the torsional spring 504 at its predetermined torque value T is reflected by the markers 508, 510 being separated by an angle of 45 degrees.
As the user turns the handle to drive the driven member, e.g., driving a bone screw into bone fragments, there is an increasing torque inherent to the tightening of the bone screw. The markers 508, 510 will not move relative to each other until the predetermined torque T exceeded. When the pre-loaded torque T is achieved and exceeded, the markers 508, 510 shall move closer into alignment with each other. This movement communicates to the user that the specified torque has been achieved.
In one embodiment, the marks 508, 510 are aligned, not misaligned. As such when the user tightens the screw beyond the predetermined torque T the markers 508, 510 shall move away from each other not towards each other.
In one embodiment the torsional spring 504 is a steel coil spring and the preload torque T is 3.5N-cm as set forth in
A preloaded torque T in a steel coil spring provides a characteristic to the device or a torque profile that is similar to the behavior of a torque profile that has a plateau function as described above with respect to torsion wires comprised of super-elastic materials, e.g., Nitinol. No movement of the markers 508, 510 occurs so long as the torque does not exceed the preloaded torque T and, as such, the device operates at a plateau of torque until the torque value T is exceed.
In one embodiment, the torsional spring 504 is comprised of Nitinol as described in
Although the invention has been described in terms of particular embodiments and applications, one of ordinary skill in the art, in light of this teaching, can generate additional embodiments and modifications without departing from the spirit of or exceeding the scope of the claimed invention. Accordingly, it is to be understood that the drawings and descriptions herein are proffered by way of example to facilitate comprehension of the invention and should not be construed to limit the scope thereof.
This application claims benefit of and priority to U.S. Provisional Application Ser. No. 63/109,246 filed Nov. 3, 2020 entitled Torque Indicator And Limiter For Compression Screw, which is hereby incorporated herein by reference in its entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/US2021/072192 | 11/2/2021 | WO |
Number | Date | Country | |
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63109246 | Nov 2020 | US |