CA2206764C - Implant inserting device - Google Patents

Implant inserting device

Info

Publication number
CA2206764C
CA2206764C CA002206764A CA2206764A CA2206764C CA 2206764 C CA2206764 C CA 2206764C CA 002206764 A CA002206764 A CA 002206764A CA 2206764 A CA2206764 A CA 2206764A CA 2206764 C CA2206764 C CA 2206764C
Authority
CA
Canada
Prior art keywords
proximal
implant
sleeve
driver
threaded shank
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
CA002206764A
Other languages
French (fr)
Other versions
CA2206764A1 (en
Inventor
Stanley E. Asnis
John S. Crombie
Lewis B. Lane
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Howmedica Osteonics Corp
Original Assignee
Stryker Technologies Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Stryker Technologies Corp filed Critical Stryker Technologies Corp
Publication of CA2206764A1 publication Critical patent/CA2206764A1/en
Application granted granted Critical
Publication of CA2206764C publication Critical patent/CA2206764C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04N—PICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N3/00—Scanning details of television systems; Combination thereof with generation of supply voltages
    • H04N3/10—Scanning details of television systems; Combination thereof with generation of supply voltages by means not exclusively optical-mechanical
    • H04N3/16—Scanning details of television systems; Combination thereof with generation of supply voltages by means not exclusively optical-mechanical by deflecting electron beam in cathode-ray tube, e.g. scanning corrections
    • H04N3/22—Circuits for controlling dimensions, shape or centering of picture on screen
    • H04N3/23—Distortion correction, e.g. for pincushion distortion correction, S-correction
    • H04N3/233—Distortion correction, e.g. for pincushion distortion correction, S-correction using active elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74—Devices for the head or neck or trochanter of the femur
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8605—Heads, i.e. proximal ends projecting from bone
    • A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
    • A61B17/8615—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the central region of the screw head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A61B17/8877—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit
    • A61B17/888—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit the driver bit acting on the central region of the screw head
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25B—TOOLS OR BENCH DEVICES NOT OTHERWISE PROVIDED FOR, FOR FASTENING, CONNECTING, DISENGAGING OR HOLDING
    • B25B13/00—Spanners; Wrenches
    • B25B13/48—Spanners; Wrenches for special purposes
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25B—TOOLS OR BENCH DEVICES NOT OTHERWISE PROVIDED FOR, FOR FASTENING, CONNECTING, DISENGAGING OR HOLDING
    • B25B13/00—Spanners; Wrenches
    • B25B13/48—Spanners; Wrenches for special purposes
    • B25B13/488—Spanners; Wrenches for special purposes for connections where two parts must be turned in opposite directions by one tool
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25B—TOOLS OR BENCH DEVICES NOT OTHERWISE PROVIDED FOR, FOR FASTENING, CONNECTING, DISENGAGING OR HOLDING
    • B25B23/00—Details of, or accessories for, spanners, wrenches, screwdrivers
    • B25B23/0085—Counterholding devices
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04N—PICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N3/00—Scanning details of television systems; Combination thereof with generation of supply voltages
    • H04N3/10—Scanning details of television systems; Combination thereof with generation of supply voltages by means not exclusively optical-mechanical
    • H04N3/16—Scanning details of television systems; Combination thereof with generation of supply voltages by means not exclusively optical-mechanical by deflecting electron beam in cathode-ray tube, e.g. scanning corrections
    • H04N3/27—Circuits special to multi-standard receivers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches

Abstract

An implant comprised a specially adapted bone screw having a threaded shank portion and a sleeve which mates with and operates in cooperation with the threaded shank portion is used with a driver specially adapted for inserting and removing the implant. The implant (20) generates bone compression by itself and can be used either alone or with plates and washers. It is easily inserted into a fracture and also is easily removed from the fracture. The driver comprises an inner rod (64) having a first driver means (82) positioned at the distal rod end. An outer cylindrical portion has a further cylindrical portion (72) integrally attached to its proximal cylindrical end and has a second driver means (78) positioned at its distal cylindrical end (76); locking means (66, 68, 70) lock the proximal rod end and proximal cylindrical end with respect to each other in a fixed position as desired but allow the outer cylindrical portion (74) to move with respect to the inner rod (64) when locking means (66, 68, 70) is not locked.

Description

This is a division of our co-pending Canadian Patent Application No. 2,104,680.
This invention relates generally to screws and drivers for those screws and relates more particularly to bone screws and specially adapted drivers therefore.
In the prior art, many types of screws have been known. More recently in the field of orthopedics, various developments have taken place. A number of these are described in an article by Raymond G. Tronzo, M. D., entitled "Hip Nails for All Occasions", Orthopedic Clinics of North America - Vol. 5, No. 3, July 1974. However, despite these developments a continuing need exists for improvements in bone screws and for drivers for inserting those screws, in particular for bone screws that are useful for fractures in small bones.
In U. S. Patent 2,121,193, a device is shown which appears to be perhaps the closest prior art. However, that device does not have a threaded shank and a sleeve non-removably connect~ad together.
SUMMARY OF THE INVENTION
The invention provides a driver for a two part variable length screw, said screw having a first part with a first threaded portion of diameter D and a second threaded portion with a smaller diameter dl, and the second part being in the form of a :sleeve with an internal thread for engaging the second threaded portion of said screw and an outer diameter Dl larger than dl, the driver comprising: (a) an inner rod portion having a distal rod end and a proximal rod end and having a first drive element positioned at said distal rod end fo:r engaging the first part of said screw and a first handle portion integral with said proximal rod end;
(b) an outer portion hawing a distal end and a proximal end and a second hand:Le portion integral with said proximal end and having a second drive element positioned at said distal end for engaging said second part of said screw; and (c) releasable locking means for rotatably locking said inner rod portion to said outer portion for the simultaneous rotation of each of said portions but allowing said outer portion to move with respect to said inner rod portion when said locking means is released.
The invention also provides a driver and implant combination comprising: 1) a variable length implant compris-ing in a connected relationship: (a) a threaded shank having:
(i) a distal threaded shank portion having a distal end and (ii) a proximal threaded shank portion having a proximal end having threading with a diameter dl; (b) a sleeve having a head with a diame~~er D (larger than dl) and having a distal end and a proxima:L end .and having an inner threading engageable with said proximal threaded shaft portion, resulting in an implant having a maximum implant length and a minimum implant length; and (c) a conne~~tor means which acts between said sleeve near said distal end of said sleeve with said proximal threaded shank poo=tion :near said proximal end of said proximal threaded shank portion to prevent withdrawal of said sleeve from said proximal threaded shank portion but which permits said sleeve to move longitudinally with respect to said distal threaded shank portion :in a direction to shorten the length of said implant, in combination with 2) a driver for inserting and removing the _Lmplan-t in the said driver comprising a handle.
The invention will further be described by way of example only, with reference to the accompanying drawings, wherein:
Fig. 1 is an <=xploded view of an embodiment of the implant of the invention, showing the threaded shaft portion separated from the slee~Je before it is non-removably connected to the sleeve, with the sleeve shown partially in cross-section.
Fig. 2 9_s a pictorial representation of the device of Fig. l, with the sle<we and the threaded shaft portion non-removably connected together.
Fig. 3 9.s a magnified view of the device shown in Fig. 2, but with the sleeve portion of the device shown partially in cross-section.
Fig. 4 is a cross-sectional view taken along the lines 4-4 in Fig. 2.
Fig. 5 is a ~>ictorial representation of an embodi-ment of the driver of the invention, showing the locking means located on the handle of the device which locks into a preferably knurled portion of the outer cylindrical portion, the outer cylindrical portion having a special driver means at its distal end, and showing the inner rod portion having another special driver means at its distal end. When the knob is 2a moved toward the tip of the screw driver, the driver goes from its unlocked to its locked position.
Fig. 6 is a view partially in cross-section of the driver shown in Fig. 5 (with the driver in its locked position).
Fig. 7 is a pictorial representation showing (with use of inner phantom lines) the driver means located at the distal end of the inner rod of the driver just prior to its contacting the proximal end of the threaded shank portion of the implant of the invention, at a point in time when the IO implant of the invention has its maximum length.
Fig. 8 is an end view of Fig. 3 (viewed along lines 8-8 in Fig. 3).
Fig. 9 is a pictorial representation in cross-section illust rat ing the first step in the method of insert ing the implant of the invention into a fractured bone, a drill bit shown drilling a hole into and through the proximal portion of the fracture and into the distal portion of the fracture.
Fig. 10 is a pictorial representation in cross-section illustrating the second step in the method of inserting the 20 implant of the invention, a second drill bit having a larger diameter than that shown in Fig. 9 being used to "overdrill"
(i.e., to accommodate the shaft of the sleeve) the proximal port ion of the f racture .
Fig. 11 is a pictorial representation in cross-section showing the distal portion of the threaded shank portion of the implant being inserted into the distal portion of the fracture by means of the driver means on the distal end of the inner rod of the driver (preferably together with the driver means on the distal end of the cylinder), these two driver means being mated with recesses in the implant, prior to the sleeve being threaded down onto the proximal portion of the threaded shank portion of the implant of the invention (the fracture being at this time not compressed). The driver of the invention at this time is in its locked position.
Fig. 12 is a pictorial representation (partially in cross-section) showing the driver in its unlocked position with the driver means located at the distal end of the inner rod positioned adjacent to and engaged with the proximal end of the threaded shank portion and with the driver means located at the distal end of the outer cylindrical portion being located ad~acent to and engaged with the recess in the head of the sleeve portion of the implant of the device of the invention. An arrow indicates the clockwise direction in which the driver will be turned so as to insert the implant of the invention.
Fig. 13 is a pictorial representation of the implant of the invention after it has been fully inserted into a fracture and after the fracture has been compressed by the implant and after the driver has been removed.
In Figure 1, showing a preferred embodiment of the implant 20 of the invention prior to the time when the parts of the implant 20 are assebled together, a threaded shank portion 22 comprises a proximal threaded shank portion 24 and a distal threaded shank portion 26. In the embodiment shown in Figure 1, the threads of proximal threaded shank portion 24 and distal threaded shank portion 26 are not identical, but rather are of different diameters, pitches, and profiles.
this is preferred but is not required. The directions of the threads in this embodiment are the same (both preferably are the same and both preferably are right-handed). In the embodiment shown in Figure 1, the length of the proximal threaded shank portion 24 (preferably machine thread) is slightly shorter than the length of the distal threaded shank portion 26 (preferably bone thread). These relative lengths can be modified as desired, depending upon the intended use.
The diameter 32 of the proximal threaded shank portion 24 is slightly smaller than the diameter 34 of the distal threaded shank portion 26. At the proximal end 36 of proximal threaded shank portion 24 a cutout 38 is present and in a preferred embodiment is half-cylindrical. The cutout 38 can (if desired) have a rounded boundary 40. For clarity, sleeve 42 is shown separated from threaded shank portion 22, but this is at a time prior to the assembly of the implant of the invention. Sleeve 42 has an outer diameter 44 and an inner diameter 46. Sleeve 42 has internal threading 48 which mates with and threads with threading 25 of proximal threaded shank portion 24. Sleeve 42 has an outer surface 50 which is substantially smooth. At the proximal end of sleeve 42 is a head 52 which is integral with sleeve 42. Head 52 has an outer diameter 54 and has a recess 56 therein. Recess 56 is preferably in the shape of a slot but can be, if desired, of other shapes, for example, hexagonal. Outer diameter 54 will be larger than the diameter drilled in the proximal portion of the bone fracture during "overdrilling".
The length 28 of proximal threaded shaft 24 should be no longer that the length of the sleeve 42 without including the length of head 52. The number of threads in internal threading 48 should be the minimum number of threads to function properly as a machine thread. And the hole 58 should be located just proximal to the last thread in internal threading 48.
In Figure 2, sleeve 42 is shown partially threaded down onto proximal threaded shank portion 24. Proximal threaded shank portion 24 and distal threaded shank portion 26 are integral with each other. In Figure 2, a hole 58 in sleeve 42 is shown. Prior to assembly of the implant 20, a hole 58 is drilled into sleeve 42. After the sleeve 42 is assembled together with the threaded shank portion 22, the threaded shank portion 22 and the sleeve 42 are non-removably connected together when manufactured by any suitable means, for example, by deforming some of the threads 25 through hole 58 so that sleeve 42 cannot become disengaged from threaded shank portion 22. Another alternative is to deform proximal end 36 so as to prevent disengagement of sleeve 42 from threaded shank portion 22.
In Figure 3, shown is a magnified view of the device of Figure 2, with a portion of sleeve 52 shown in cross-section. Cutout 38 is located at the proximal end 36 of proximal thread shaft portion 24, and hole 58 is located in sleeve 42. Proximal threaded shaft portion 24 is threaded within and engaged with internal threading 48 of sleeve 42.
In Figure 4, taken along the lines 4-4 in Figure 2, proximal threaded shank portion 24 is threadably engaged within internal threading 48 of sleeve 42. Areas 59 are multiple areas of deformed threads which prevent future disengagement of the device.
In Figure 5 is shown a driver which is especially suitable for inserting and removing the implant of the invention.
Driver 60 has a handle 62, which is fixedly attached to an inner rod 64. Handle 62 has a slidable portion 66, which can be in the shape of any of a variety of structures, for example (as shown) a knurled portion of a cylinder or a knob. When slidable portion 66 is slid to its distal-most position within handle 62, a small rod 68 fixed thereto can be positioned so that it fits into one of a multiplicity of holes 70 in (preferably) knurled cylindrical portion 72. Knurled cylindrical portion 72 is integral with outer cylindrical portion 74, which fits over inner rod 64 and which has located at its distal-most end 76 a tab 78 for mating with the recess 56 in the head 52 of the sleeve 42. Outer cylindrical portion 74 can be in a locked position, wherein small rod 68 is locked within a hole 70. Outer cylindrical portion 74 can alternatively be in an unlocked position, wherein slidable portion 66 is retracted in a proximal direction so that small rod 68 is not engaged within a hole 70.
Tab 78 is integral with distal-most end 76 of outer cylindrical portion 74. Locking mechanism 78 is shaped so that it can mate with recess 56 in head 52.
The distal-most end 82 of inner rod 64 is shaped so that it can mate <~nd engage with cutout 38 at proximal end 36 of proximal threaded shank portion 24.
Outer cylindrical portion 74 can have at least two integrally attached portions having different diameters 84, 86, if desired, o=r alternatively, it can have one diameter throughout, which is integrally attached to preferably knurled cylindrical portion 72. Preferably, also, knurled cylindrical portion 72 has a multiplicity of holes 70 therein, into any one of which rod 68 can be engaged.
In Figure 8, an end view taken along the lines 8-8 in Figure 3 shows head 52 of sleeve 42 with recess 56 therein and shows also proximal threaded shank portion 24 having proximal end 36 and cutout 38 (which is preferably in the shape of a half-cylinder) therein.
In Figu~__°e 9, a proximal portion 88 of a fractured bone and a distal portion 90 of that bone are shown separated from each other. A hole is drilled into and through the proximal portion of the fractured bone and into the distal portion of the bone by a drill bit 92.
In Figu~_-e 10, a larger diameter drill bit 94 is illustrated within that same bone so as to enlarge the hole in the proximal portion of that fractured bone thereby "overdrilling" thE: proximal portion of that bone to accommodate the shaft 42 of the sleeve.
As illu;~trated in Figure 11, with the implant 20 in its fully extended posii~ion so that it has its longest possible length, t:he di:;tal threaded shank portion 26 of the implant 20 is insE:rted .into the distal portion 90 of the facture and into its optimal position in the bone. The distal-most end 82 of inner rod 64 is shown engaged with the end 36 and cutout 38 of proximal thread shank portion 24. Tab 78 meshes with and engages with recess 56 within head 52.
In Figure 12, slidable portion 66 is retracted so that it is at its proximal-most position, small rod 68 (attached thereto) is retracted from hole 70, and knurled cylindrical portion 72 is now free to rotate. when knurled cylindrical portion 72 is rotated in a clockwise direction as indicated, the sleeve 42 of the implant 20 advances so as to shorten the overall length of the implant 30 and so as thereby to compress the fracture as force is exerted by head 54 down onto bone where head 54 contacts the bone.
As shown in Figure 13, with the driver 60 removed, the implant 20 can be allowed to remain within the bone as desired. If its removal is desired, the driver 60 especially suitable for inserting the implant can be profitably used for removing the implant. In this event, the reverse of the procedure just described is used, with the distal-most end 82 of inner rod 64 being positioned to abut against and engage with proximal end 36 of proximal threaded shank portion 24 and with cutout 38 and (at the same time) such that locking mechanism 78 abuts against and engages with recess 56 in head 52 of sleeve 42 of implant 20. The driver 60 is at this time in its unlocked position and knurled cylindrical portion 72 is rotated in a clockwise or counter-clockwise direction to line up the nearest hole 70 with the rod 68. The screwdriver is then locked and turned as a unit counter-clockwise to remove the screw.
Because the implant of the invention comprises a special threaded shank portion and a special internally threaded sleeve portion, which parts are connected together in a non-removable relationship, an implant having many advantages results. The implant can be easily inserted as a one-piece device, without the need for assembling any parts together during surgery. Likewise, the device can be easily unscrewed and removed. The slot (or other suitable shape) in the head of the sleeve, together with the feature of the specially shaped proximal end of the threaded shank portion of the implant which fits within the sleeve, results in the advantages that the threaded shaft portion can be held stationary while the screw is being shortened, causing bone compression. The device can be made in a variety of sizes so that it can be used to repair fractures of the small bones of the hand and foot (including diaphaseal, metaphysal, epiphyseal and articular). The device can be used for arthrodesis of small bones, for repair of avulsion fractures of the knee, elbow, shoulder, or any joint with tendenous attachment injury, or for lagging fracture fragments of long bones. The device is especially suitable for use as a small lag screw and reduction device.
The implant can be used either alone or with plates and washers, and the implant generates bone compression by itself .
The driver of the invention which is especially suitable for inserting and removing the implant of the invention has also several advantages. The first driver means located on the inner rod fits securely within the sleeve of the implant and mates with the proximal end of the threaded shank portion of the implant, so as to enable the threaded shank portion of the implant to be inserted into and through the proximal side of the fracture and into the distal side of the fracture and also enables the driver to prevent slippage of the driver while the outer cylindrical portion of the driver having a second driver means is used to thread the sleeve onto the implant so as to compress the fracture. That is, both the functions of inserting the screw and then lagging the fracture are accomplished by the same implant.

Claims (4)

CLAIMS:
1. A driver for a two part variable length screw, said screw having a first part with a first threaded portion of diameter D and a second threaded portion with a smaller diameter d1, and the second part being in the form of a sleeve with an internal threads for engaging the second threaded portion of said screw and an outer diameter D1 larger than d1, the driver comprising:
(a) an inner rod portion having a distal rod end and a proximal rod end and having a first drive element positioned at said distal rod end for engaging the first part of said screw and a first handle portion integral with said proximal rod end;
(b) an outer portion having a distal end and a proximal end and a second handle portion integral with said proximal end and having a second drive element positioned at said distal end for engaging said second part of said screw; and (c) releasable locking means for rotatably locking said inner rod portion to said outer portion for the simultaneous rotation of each of said portions but allowing said outer portion to move with respect to said inner rod portion when said locking means is released.
2. A driver according to claim 1, wherein said first drive element comprises a D-shaped structure adapted to engage with the proximal end of the threaded shank portion of said screw.
3. A driver according to claim 1 or claim 2, wherein said second drive element comprises an end portion of a cylinder which is adapted to engage with a slot in a proximal end of said sleeve of said screw and wherein said rod fits within said outer cylindrical portion.
4. A driver and implant combination comprising:

1) a variable length implant comprising in a connected relationship:
(a) a threaded shank having:
(i) a distal threaded shank portion having a distal end and (ii) a proximal threaded shank portion having a proximal end having threading with a diameter d l;
(b) a sleeve having a head with a diameter D (larger than d l) and having a distal end and a proximal end and having an inner threading engageable with said proximal threaded shaft portion, resulting in an implant having a maximum implant length and a minimum implant length; and (c) a connector means which acts between said sleeve near said distal end of said sleeve with said proximal threaded shank portion near said proximal end of said proximal threaded shank portion to prevent withdrawal of said sleeve from said proximal threaded shank portion but which permits said sleeve to move longitudinally with respect to said distal threaded shank portion in a direction to shorten the length of said implant, :in combination with 2) a driver for inserting and removing the implant in the said driver comprising a handle.
CA002206764A 1991-03-05 1992-02-07 Implant inserting device Expired - Lifetime CA2206764C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US07/664,905 US5217462A (en) 1991-03-05 1991-03-05 Screw and driver
US664,905 1991-03-05
CA002104680A CA2104680C (en) 1991-03-05 1992-02-07 Screw and driver

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CA002104680A Division CA2104680C (en) 1991-03-05 1992-02-07 Screw and driver

Publications (2)

Publication Number Publication Date
CA2206764A1 CA2206764A1 (en) 1992-09-06
CA2206764C true CA2206764C (en) 2001-01-23

Family

ID=24667936

Family Applications (2)

Application Number Title Priority Date Filing Date
CA002206764A Expired - Lifetime CA2206764C (en) 1991-03-05 1992-02-07 Implant inserting device
CA002104680A Expired - Lifetime CA2104680C (en) 1991-03-05 1992-02-07 Screw and driver

Family Applications After (1)

Application Number Title Priority Date Filing Date
CA002104680A Expired - Lifetime CA2104680C (en) 1991-03-05 1992-02-07 Screw and driver

Country Status (11)

Country Link
US (1) US5217462A (en)
EP (2) EP0574517B1 (en)
JP (1) JPH0773586B2 (en)
KR (1) KR0145340B1 (en)
AT (2) ATE139102T1 (en)
AU (1) AU648723B2 (en)
CA (2) CA2206764C (en)
DE (3) DE69202337T2 (en)
ES (2) ES2072146T3 (en)
IE (1) IE67167B1 (en)
WO (1) WO1992015257A1 (en)

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FR2699065B1 (en) * 1992-12-10 1995-03-10 Hardy Jean Marie Self-compressing screw for the treatment of epiphyseal and / or osteochondral fractures.
US8070786B2 (en) * 1993-01-21 2011-12-06 Acumed Llc System for fusing joints
US9161793B2 (en) * 1993-01-21 2015-10-20 Acumed Llc Axial tension screw
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EP0611018A2 (en) 1994-08-17
ATE139102T1 (en) 1996-06-15
EP0574517B1 (en) 1995-05-03
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CA2206764A1 (en) 1992-09-06
JPH06500039A (en) 1994-01-06
DE69202337T2 (en) 1995-08-31
IE920693A1 (en) 1992-09-09
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KR0145340B1 (en) 1998-07-01
AU648723B2 (en) 1994-04-28
ATE121922T1 (en) 1995-05-15
CA2104680C (en) 1992-09-06
US5217462A (en) 1993-06-08
DE69202337D1 (en) 1995-06-08
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EP0611018A3 (en) 1994-11-02
DE69211561D1 (en) 1996-07-18
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CA2104680A1 (en) 1992-09-06
JPH0773586B2 (en) 1995-08-09
AU1582492A (en) 1992-10-06
EP0611018B1 (en) 1996-06-12
ES2088310T3 (en) 1996-08-01

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