CA2358478C - Surgical chisel and method of using same - Google Patents
Surgical chisel and method of using same Download PDFInfo
- Publication number
- CA2358478C CA2358478C CA002358478A CA2358478A CA2358478C CA 2358478 C CA2358478 C CA 2358478C CA 002358478 A CA002358478 A CA 002358478A CA 2358478 A CA2358478 A CA 2358478A CA 2358478 C CA2358478 C CA 2358478C
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- CA
- Canada
- Prior art keywords
- bone
- chisel
- cannulation
- blade
- guide wire
- 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 - Fee Related
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1604—Chisels; Rongeurs; Punches; Stamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1735—Guides or aligning means for drills, mills, pins or wires for rasps or chisels
Abstract
The present invention relates to a surgical chisel for removing a section of bone. The surgical chisel includes a body (12) having a cannulation (24) which extends from the distal end (16) of the body (12) through at least a portion of the body (12) and is configured and dimensioned to receive a guide wire (G); and a blade (18) attached to the distal end (16) of the body (12) and having at least one sharp edge (25) for impacting bone. Introducing the guide wire (G) into the cannulation (24) guides the chisel (10; 110) to the section of bone to be removed. The present invention also relates to a method of removing a section of bone with a chisel (10; 110). The method includes the steps of inserting a portion of a guide wire (G) into a bone; guiding the chisel blade (18) to the section of bone along the guide wire (G); and impacting the chisel blade (18) into the bone to remove a section thereof.
Description
~~48lPCT CA 02358478 2001-07-17 ~,7-11-2000 .11.2000 C H 009900556 Surgical chisel The present invention is directed to a surgical tool, and in particular to a surgical chisel defined in the preamble of claim 1.
A guide wire is a flexible wire, usually metallic, used to ensure the proper positioning and placement of a surgical instrument andlor implant. The use of guide wires for orthopaedic applications is well known. For example, cannulated bone screws are widely available. In use, a guide wire is inserted in the desired location, the location of the guide wire is radiographically confirmed, and the guide wire is inserted in the cannulation of the bone screw to guide the bone screw to the implantation site.
Cannulated drill bits and hole taps are also available as related instrumentation to facilitate the implantation of the bone screw.
Cannulated blade plates are also widely available. A blade plate, an implant used in various surgical procedures including osteotomies and internal fracture fixation, has a blade extending at an angle from a bone plate. The blade is inserted into the bone while the plate is secured to the bone surface with screws. In some clinical situations, a chisel having a cutting member corresponding in size and shape to the blade is used to create a pathway in the bone for the blade. Although blade plates are available with blades having a wide variety of configurations, the blade (or at least the individual elements that form the blade) are flat elongated members. As a result, it is difficult and costly to manufacture a blade or a chisel with a cannulation. More importantly, forming a cannulation in the blade increases the blade size. The increased size necessitated by the cannulation and the resuking adverse consequences (e.g. stress shielding, excessive removal of bone, etc.) can be particularly problematic in the small sized blade plates which are typically used for infants, children, and adults of modest stature.
Unfortunately, chisels are ordinarily used in these patient populations.
In an effort to capitaf~ze on the benefits of guide wires yet eliminate the complications associated with cannulations, alternative implant designs have been developed.
U.S.
Patent Nos. 2,222,517 and 2,239,088 and Soviet Union No. 571,255 disclose a fracture fixation nail having a groove for a guide wire. U.S. Patent No. 2,496,126 discloses a AMENDED SHEET
A guide wire is a flexible wire, usually metallic, used to ensure the proper positioning and placement of a surgical instrument andlor implant. The use of guide wires for orthopaedic applications is well known. For example, cannulated bone screws are widely available. In use, a guide wire is inserted in the desired location, the location of the guide wire is radiographically confirmed, and the guide wire is inserted in the cannulation of the bone screw to guide the bone screw to the implantation site.
Cannulated drill bits and hole taps are also available as related instrumentation to facilitate the implantation of the bone screw.
Cannulated blade plates are also widely available. A blade plate, an implant used in various surgical procedures including osteotomies and internal fracture fixation, has a blade extending at an angle from a bone plate. The blade is inserted into the bone while the plate is secured to the bone surface with screws. In some clinical situations, a chisel having a cutting member corresponding in size and shape to the blade is used to create a pathway in the bone for the blade. Although blade plates are available with blades having a wide variety of configurations, the blade (or at least the individual elements that form the blade) are flat elongated members. As a result, it is difficult and costly to manufacture a blade or a chisel with a cannulation. More importantly, forming a cannulation in the blade increases the blade size. The increased size necessitated by the cannulation and the resuking adverse consequences (e.g. stress shielding, excessive removal of bone, etc.) can be particularly problematic in the small sized blade plates which are typically used for infants, children, and adults of modest stature.
Unfortunately, chisels are ordinarily used in these patient populations.
In an effort to capitaf~ze on the benefits of guide wires yet eliminate the complications associated with cannulations, alternative implant designs have been developed.
U.S.
Patent Nos. 2,222,517 and 2,239,088 and Soviet Union No. 571,255 disclose a fracture fixation nail having a groove for a guide wire. U.S. Patent No. 2,496,126 discloses a AMENDED SHEET
naillplate fixation device with webs forming a channel for a guide wire. U.S.
Patent Nos. 3,025,853 and 3,486,500 both disclose an implant that has an aperture for an introducer in which the aperture is located on a bone plate and does not extend through the portion of the implant driven into bone. U.S. Patent No. 4,978,349 discloses a plate with a guide wire groove.
From FR-A-2 758 712 a surgical chisel is known having the features according to the preamble of claim 1. The profile of its blade has three prominences defining an E-shape.
From US-A-4 881 537 another surgical chisel is known having the features according to the preamble of claim 1. Its cutting end includes a pair of grooves to provide a structure having a pair of opposed flanges.
In spite of these advancements in implant design, very little has been done to improve on chisels that can be used with guide wires. Thus, there exists a need for an improved surgical chisel.
The present invention is directed to a surgical chisel for removing a section of bone.
The surgical chisel includes a body having a first end, a second end, and a cannulation which extends from the second end through at feast a portion of the body and is confgured and dimensioned to receive a guide wire; and a blade attached to the second end of the body and having top and bottom surfaces and a sharp edge for impacting bone. Introducing the guide wire into the cannulation guides the chisel to the section of bone to be removed.
The invention solves this problem using a surgical chisel with the features of claim 1.
Further advantageous designs of the invention are stated in the dependent claims.
In one embodiment, the cannulation extends completely through the body from the second end to the first end. In an alternative embodiment, the body has a rectangular cutout defined by a front edge, a back edge, and two side edges and the cannulation extends from the second end of the body to the front edge of the cutout. In order to assess bone impaction, the body can have markings located along at least one of the cutout side edges. The blade can also have markings for assessing bone impaction.
AMENDED SHEET
Patent Nos. 3,025,853 and 3,486,500 both disclose an implant that has an aperture for an introducer in which the aperture is located on a bone plate and does not extend through the portion of the implant driven into bone. U.S. Patent No. 4,978,349 discloses a plate with a guide wire groove.
From FR-A-2 758 712 a surgical chisel is known having the features according to the preamble of claim 1. The profile of its blade has three prominences defining an E-shape.
From US-A-4 881 537 another surgical chisel is known having the features according to the preamble of claim 1. Its cutting end includes a pair of grooves to provide a structure having a pair of opposed flanges.
In spite of these advancements in implant design, very little has been done to improve on chisels that can be used with guide wires. Thus, there exists a need for an improved surgical chisel.
The present invention is directed to a surgical chisel for removing a section of bone.
The surgical chisel includes a body having a first end, a second end, and a cannulation which extends from the second end through at feast a portion of the body and is confgured and dimensioned to receive a guide wire; and a blade attached to the second end of the body and having top and bottom surfaces and a sharp edge for impacting bone. Introducing the guide wire into the cannulation guides the chisel to the section of bone to be removed.
The invention solves this problem using a surgical chisel with the features of claim 1.
Further advantageous designs of the invention are stated in the dependent claims.
In one embodiment, the cannulation extends completely through the body from the second end to the first end. In an alternative embodiment, the body has a rectangular cutout defined by a front edge, a back edge, and two side edges and the cannulation extends from the second end of the body to the front edge of the cutout. In order to assess bone impaction, the body can have markings located along at least one of the cutout side edges. The blade can also have markings for assessing bone impaction.
AMENDED SHEET
In a preferred embodiment, the surgical chisel includes a channel extending along the bottom surface of the blade. The channel is contiguous with the cannulation so that a guide wire introduced into the channel slides along the channel and cannulation as the blade impacts the bone.
The body of the surgical chisel may also include a pin located adjacent the first end of the body. The pin is configured and dimensioned to receive a slotted hammer to remove the chisel from the bone.
The blade of the surgical chisel is substantially T-shaped. If the surgical chisel is to be used in conjunction with an implant insertable into the bone, the blade cross section should substantially conform in shape and size to that of the implant.
The surgical method used in conjunction with the surgical chisel includes the steps of inserting a portion of a guide wire into a bone; guiding the chisel blade to the section of bone along the guide wire; and impacting the chisel blade into the bone to remove a section thereof.
The method can also involve inserting a plate into the void created by the removal of the section of bone and removing the guide wire from the bone. In one embodiment, the step of removing the guide wire from the bone precedes the step of inserting the blade plate into the void. In a preferred embodiment, the chisel body includes a cannulation for receiving and guiding the guide wire to the bone.
FIG. 1 shows a top view of a first embodiment of the surgical chisel according to the present invention;
FIG. 2 shows a side view of the surgical chisel of FIG. 1;
FIG. 3 shows a perspective view of a portion of the surgical chisel of FIG. 1;
FIG. 4 shows a top view of a second embodiment of the surgical chisel according to the present invention;
AMENDED SHEET
?7-11-2000 CA 02358478 2001-07-17 CH 009900556 FIG. 5 shows a side view of an alternative embodiment of the surgical chisel according to the present invention;
FIG. fi shows a perspective view of a portion of the surgical chisel of FIG.
The body of the surgical chisel may also include a pin located adjacent the first end of the body. The pin is configured and dimensioned to receive a slotted hammer to remove the chisel from the bone.
The blade of the surgical chisel is substantially T-shaped. If the surgical chisel is to be used in conjunction with an implant insertable into the bone, the blade cross section should substantially conform in shape and size to that of the implant.
The surgical method used in conjunction with the surgical chisel includes the steps of inserting a portion of a guide wire into a bone; guiding the chisel blade to the section of bone along the guide wire; and impacting the chisel blade into the bone to remove a section thereof.
The method can also involve inserting a plate into the void created by the removal of the section of bone and removing the guide wire from the bone. In one embodiment, the step of removing the guide wire from the bone precedes the step of inserting the blade plate into the void. In a preferred embodiment, the chisel body includes a cannulation for receiving and guiding the guide wire to the bone.
FIG. 1 shows a top view of a first embodiment of the surgical chisel according to the present invention;
FIG. 2 shows a side view of the surgical chisel of FIG. 1;
FIG. 3 shows a perspective view of a portion of the surgical chisel of FIG. 1;
FIG. 4 shows a top view of a second embodiment of the surgical chisel according to the present invention;
AMENDED SHEET
?7-11-2000 CA 02358478 2001-07-17 CH 009900556 FIG. 5 shows a side view of an alternative embodiment of the surgical chisel according to the present invention;
FIG. fi shows a perspective view of a portion of the surgical chisel of FIG.
5;
FIG. 7 shows an osteotomy plate that can be used with the surgical chisel according to the present invention;
FIG. 8 shows another osteotomy plate that can be used with the surgical chisel according to the present invention; and FIG. 9 shows a perspective view of a surgical chisel according to the present invention in use.
FIG. 1 shows a top view of a first embodiment of a surgical chisel 10 according to the present invention. Chisel 10 has a body 12 with a longitudinal axis 23, proximal 14 and distal 16 ends, and a chisel blade 18 attached to distal end 16 of body 12. In order to facilitate impaction into bone, the tip 29 of chisel blade 18 has at least one sharpened edge 25. Chisel blade 18 has a bottom surface 26, a top surface 27 and can also have markings 20 on the top surface 27 for measuring the impaction into bone. A pin 22 is located near proximal end 14 of body 12 for receiving a slap or slotted hammer or other instrument to assist in driving and removal of chisel 10. A cannulation 24 extends parallel to the longitudinal axis 23 from distal end 16 through at least a portion of body 12 so that a guide wire G introduced into cannulation 24 guides chisel 10 to the section of bone B to be removed (FIG. 9). It should be noted that because body 12 has a block-like shape, manufacturing or machining cannulation 24 in body 12 is much simpler and more inexpensive than providing the flat elongated chisel blade 18 with a cannulation.
As seen best in FIG. 2 and FIG. 3, a bottom surface 26 of chisel blade 18 is provided with a channel 28 extending parallel to the longitudinal axis 23. Channel 28 is contiguous with cannutation 24 so that guide wire G introduced into channel 28 slides along channel 28 and into cannulation 24 as chisel blade 18 is impacted into bone B
(FIG. 9). As long as channel 28 is sized to receive guide wire G, channel 28 can have AMENDED SHEET
' 27-11-2000 CA 02358478 2001-07-17 CH 009900556 any suitable cross-section, e.g. semicircular, U-shaped, or V-shaped. Running guide wire G through channel 28 and cannulation 24 helps prevent lateral (left to right) movement of guide wire G. Using channel 28 on chisel blade 18 instead of providing chisel blade 18 with a cannulation has several advantages. First, the difficulties and expense of manufacturing a chisel blade with a cannulation are avoided. It is much cheaper and easier to manufacture a chisel blade with a channel. Additionally, the mechanical strength of a blade with a groove is greater than a blade with a cannulation.
Also, the chisel blade does not have to be oversized to accommodate the cannulation.
As a result, the blade of the associated blade plate aiso does not have to be oversized.
FIG. 4 shows a top view of a second embodiment of a surgical chisel 110 according to the present invention. In general, most of the structure of chisel 110 is like or comparable to the structure of chisel 10. Accordingly, the same reference numeral is used for like components and discussion of these components is not believed necessary. Chisel 110 has cannulation 24 for receiving guide wire G to guide chisel 110 to the section of bone B to be removed. Unlike chisel 10, chisel 110 does not have channel 26 on chisel blade 18 (seen best in FIG. 5 and FIG. fi). Experimental studies have indicated that even without a channel on the chisel blade, a guide wire through cannulation 24 of chisel 110 can still effectively direct chisel 110 to the desired location.
FIG. 1 and FIG. 4 illustrate another important difference between chisel 10 and chisel 110. In chisel 110, cannuiation 24 extends completely through body 12. In chisel 10, cannulation 24 extends through only a portion of body 12. Body 12 of chisel 10 has a cutout 30 defined by a front edge 32, a back edge 34, and two side edges 36 so that cannulation 24 extends from distal end 16 of body 12 to front edge 32 of cutout 30.
Providing chisel 10 with cutout 30 further simplifies the manufacturing and reduces the production cost of the chisel. Furthermore, as the free end of the guide wire can be visualized, cutout 30 provides an additional means for determining the depth of impaction of chisel blade 18 into bone. In this regard, body 12 has indicia 38 located near side edges 36 of cutout 30 for assessing impaction into bone. It should be noted that chisel 110 can be provided with a cutout identical to cutout 30. Stated differently, the use of a cutout does not depend on the presence or absence of a channel on the blade.
AMENDED SHEET
~ 27-11-2000 CA 02358478 2001-07-17 CH 009900556 Chisel 10, 110 can be used in various clinical applications, including those in which bone is being r~moved without the subsequent implantation of an implant such as a blade plate. In situations in which chisel 10, 110 is to be used in conjunction with a blade plate, the cross section of chisel blade 18 substantially conforms in shape and size to the cross section of the blade of the blade plate. For example, FIG. 7 shows a blade plate 40 having a blade 42 that has a T-shaped cross section. As seen best in FIG. 3 and FIG. 6, the cross sections of chisel 10, 110 are T-shaped and substantially conform to the cross section of blade 42. Blade 42 has a groove 44 and an aperture 46 for a guide wire. As it is expected that after chisel 10, 100 has removed the desired amount of bone there will be a tight press fit between the blade of the blade plate and the remaining bone, the blade plate can only be implanted at the desired location and in the desired orientation. Therefore, chisel 10, 110 can be used with an appropriately sized and shaped conventional blade plate that does not have either a cannulation, channel, groove, or any other feature for accommodating a guide wire (as long as the guide wire is removed from the bone before the blade plate is implanted). FIG.
8 shows such a blade plate 48.
A method of using chisel 10, 110 is now described referring primarily to FIG.
9. In use, the surgeon inserts guide wire G under fluoroscopy or other image intensification to monitor the positioning of the guide wire. Once satisfied with the location of guide wire G, the surgeon runs the free end of guide wire G through cannulation 24 so that chisel 10, 110 will be properly positioned. A chisel guide (not shown) can be placed on the exterior of chisel 10, 110 so that the surgeon can align the chisel blade 18 with the longitudinal axis L of bone B. Using a hammer or other driving instrument, the surgeon then impacts chisel blade 18 into bone B. In this regard, markings 20 andlor indicia 38 can be used to determine the depth of penetration of chisel blade 18. After the desired depth of penetration has been achieved, the chisel blade is removed from bone B. As previously noted, pin 22 can be used to facilitate removal of chisel blade. If a blade plate such as blade plate 40 (i.e. having some structural feature to accommodate guide wire G) is to be used, then the surgeon runs the flee end of guide wire G
through aperture 46. Alternatively, guide wire G can be removed before the blade plate is implanted.
AMENDED SHEET
FIG. 7 shows an osteotomy plate that can be used with the surgical chisel according to the present invention;
FIG. 8 shows another osteotomy plate that can be used with the surgical chisel according to the present invention; and FIG. 9 shows a perspective view of a surgical chisel according to the present invention in use.
FIG. 1 shows a top view of a first embodiment of a surgical chisel 10 according to the present invention. Chisel 10 has a body 12 with a longitudinal axis 23, proximal 14 and distal 16 ends, and a chisel blade 18 attached to distal end 16 of body 12. In order to facilitate impaction into bone, the tip 29 of chisel blade 18 has at least one sharpened edge 25. Chisel blade 18 has a bottom surface 26, a top surface 27 and can also have markings 20 on the top surface 27 for measuring the impaction into bone. A pin 22 is located near proximal end 14 of body 12 for receiving a slap or slotted hammer or other instrument to assist in driving and removal of chisel 10. A cannulation 24 extends parallel to the longitudinal axis 23 from distal end 16 through at least a portion of body 12 so that a guide wire G introduced into cannulation 24 guides chisel 10 to the section of bone B to be removed (FIG. 9). It should be noted that because body 12 has a block-like shape, manufacturing or machining cannulation 24 in body 12 is much simpler and more inexpensive than providing the flat elongated chisel blade 18 with a cannulation.
As seen best in FIG. 2 and FIG. 3, a bottom surface 26 of chisel blade 18 is provided with a channel 28 extending parallel to the longitudinal axis 23. Channel 28 is contiguous with cannutation 24 so that guide wire G introduced into channel 28 slides along channel 28 and into cannulation 24 as chisel blade 18 is impacted into bone B
(FIG. 9). As long as channel 28 is sized to receive guide wire G, channel 28 can have AMENDED SHEET
' 27-11-2000 CA 02358478 2001-07-17 CH 009900556 any suitable cross-section, e.g. semicircular, U-shaped, or V-shaped. Running guide wire G through channel 28 and cannulation 24 helps prevent lateral (left to right) movement of guide wire G. Using channel 28 on chisel blade 18 instead of providing chisel blade 18 with a cannulation has several advantages. First, the difficulties and expense of manufacturing a chisel blade with a cannulation are avoided. It is much cheaper and easier to manufacture a chisel blade with a channel. Additionally, the mechanical strength of a blade with a groove is greater than a blade with a cannulation.
Also, the chisel blade does not have to be oversized to accommodate the cannulation.
As a result, the blade of the associated blade plate aiso does not have to be oversized.
FIG. 4 shows a top view of a second embodiment of a surgical chisel 110 according to the present invention. In general, most of the structure of chisel 110 is like or comparable to the structure of chisel 10. Accordingly, the same reference numeral is used for like components and discussion of these components is not believed necessary. Chisel 110 has cannulation 24 for receiving guide wire G to guide chisel 110 to the section of bone B to be removed. Unlike chisel 10, chisel 110 does not have channel 26 on chisel blade 18 (seen best in FIG. 5 and FIG. fi). Experimental studies have indicated that even without a channel on the chisel blade, a guide wire through cannulation 24 of chisel 110 can still effectively direct chisel 110 to the desired location.
FIG. 1 and FIG. 4 illustrate another important difference between chisel 10 and chisel 110. In chisel 110, cannuiation 24 extends completely through body 12. In chisel 10, cannulation 24 extends through only a portion of body 12. Body 12 of chisel 10 has a cutout 30 defined by a front edge 32, a back edge 34, and two side edges 36 so that cannulation 24 extends from distal end 16 of body 12 to front edge 32 of cutout 30.
Providing chisel 10 with cutout 30 further simplifies the manufacturing and reduces the production cost of the chisel. Furthermore, as the free end of the guide wire can be visualized, cutout 30 provides an additional means for determining the depth of impaction of chisel blade 18 into bone. In this regard, body 12 has indicia 38 located near side edges 36 of cutout 30 for assessing impaction into bone. It should be noted that chisel 110 can be provided with a cutout identical to cutout 30. Stated differently, the use of a cutout does not depend on the presence or absence of a channel on the blade.
AMENDED SHEET
~ 27-11-2000 CA 02358478 2001-07-17 CH 009900556 Chisel 10, 110 can be used in various clinical applications, including those in which bone is being r~moved without the subsequent implantation of an implant such as a blade plate. In situations in which chisel 10, 110 is to be used in conjunction with a blade plate, the cross section of chisel blade 18 substantially conforms in shape and size to the cross section of the blade of the blade plate. For example, FIG. 7 shows a blade plate 40 having a blade 42 that has a T-shaped cross section. As seen best in FIG. 3 and FIG. 6, the cross sections of chisel 10, 110 are T-shaped and substantially conform to the cross section of blade 42. Blade 42 has a groove 44 and an aperture 46 for a guide wire. As it is expected that after chisel 10, 100 has removed the desired amount of bone there will be a tight press fit between the blade of the blade plate and the remaining bone, the blade plate can only be implanted at the desired location and in the desired orientation. Therefore, chisel 10, 110 can be used with an appropriately sized and shaped conventional blade plate that does not have either a cannulation, channel, groove, or any other feature for accommodating a guide wire (as long as the guide wire is removed from the bone before the blade plate is implanted). FIG.
8 shows such a blade plate 48.
A method of using chisel 10, 110 is now described referring primarily to FIG.
9. In use, the surgeon inserts guide wire G under fluoroscopy or other image intensification to monitor the positioning of the guide wire. Once satisfied with the location of guide wire G, the surgeon runs the free end of guide wire G through cannulation 24 so that chisel 10, 110 will be properly positioned. A chisel guide (not shown) can be placed on the exterior of chisel 10, 110 so that the surgeon can align the chisel blade 18 with the longitudinal axis L of bone B. Using a hammer or other driving instrument, the surgeon then impacts chisel blade 18 into bone B. In this regard, markings 20 andlor indicia 38 can be used to determine the depth of penetration of chisel blade 18. After the desired depth of penetration has been achieved, the chisel blade is removed from bone B. As previously noted, pin 22 can be used to facilitate removal of chisel blade. If a blade plate such as blade plate 40 (i.e. having some structural feature to accommodate guide wire G) is to be used, then the surgeon runs the flee end of guide wire G
through aperture 46. Alternatively, guide wire G can be removed before the blade plate is implanted.
AMENDED SHEET
Claims (15)
1. ~A surgical chisel for removing a section of bone comprising:
a body having a first end, a second end, and a cannulation which extends from the second end through at least a portion of the body and is configured and dimensioned to receive a guide wire; and a blade attached to the second end of the body and having top and bottom surfaces and a sharp edge for impacting bone, wherein introduction of a guide wire into the cannulation guides the chisel to the section of bone to be removed and the blade has a cross section that is substantially T-shaped.
a body having a first end, a second end, and a cannulation which extends from the second end through at least a portion of the body and is configured and dimensioned to receive a guide wire; and a blade attached to the second end of the body and having top and bottom surfaces and a sharp edge for impacting bone, wherein introduction of a guide wire into the cannulation guides the chisel to the section of bone to be removed and the blade has a cross section that is substantially T-shaped.
2. ~The surgical chisel of claim 1 further comprising a channel extending along the bottom surface of the blade and being contiguous with the cannulation so that a guide wire introduced into the channel slides along the channel and cannulation as the blade impacts the bone.
3. ~The surgical chisel of claim 1 wherein the body includes a pin located adjacent the first end of the body, the pin being configured arid dimensioned to receive a slotted hammer to remove the chisel from the bone.
4. ~The surgical chisel of claim 1 wherein the blade has markings for assessing bone impaction.
5. ~Use of a surgical chisel according to any one of claims 1 to 4 for removing a section of bone.
6. ~A surgical chisel for removing a section of bone comprising:
a body having a first end, a second end, and a cannulation which extends from the second end through at least a portion of the body and is configured and dimensioned to receive a guide wire; and a non-cannulated blade attached to the second end of the body and having top and bottom surfaces and a sharp edge for impacting bone, wherein introduction of a guide wire into the cannulation guides the chisel to the section of bone to be removed and the cannulation extends completely through the body from the second end to the first end.
a body having a first end, a second end, and a cannulation which extends from the second end through at least a portion of the body and is configured and dimensioned to receive a guide wire; and a non-cannulated blade attached to the second end of the body and having top and bottom surfaces and a sharp edge for impacting bone, wherein introduction of a guide wire into the cannulation guides the chisel to the section of bone to be removed and the cannulation extends completely through the body from the second end to the first end.
7. A surgical chisel for removing a section of bone comprising:
a body having a first end, a second end, and a cannulation which extends from the second end through at least a portion of the body and is configured and dimensioned to receive a guide wire; and a blade attached to the second end of the body and having top and bottom surfaces and a sharp edge for impacting bone, wherein introduction of a guide wire into the cannulation guides the chisel to the section of bone to be removed and the body has a rectangular cutout defined by a front edge, a back edge, and two side edges, the cannulation extending from the second end of the body to the front edge of the cutout.
a body having a first end, a second end, and a cannulation which extends from the second end through at least a portion of the body and is configured and dimensioned to receive a guide wire; and a blade attached to the second end of the body and having top and bottom surfaces and a sharp edge for impacting bone, wherein introduction of a guide wire into the cannulation guides the chisel to the section of bone to be removed and the body has a rectangular cutout defined by a front edge, a back edge, and two side edges, the cannulation extending from the second end of the body to the front edge of the cutout.
8. The surgical chisel of claim 7 wherein the body has markings located along at least one of the cutout side edges for assessing bone impaction.
9. A surgical chisel for preparing a bone to receive an implant insertable into the bone the chisel comprising:
a body having a first end, a second end, and a cannulation which extends from the second end through at least a portion of the body and is configured and dimensioned to receive a guide wire; and a blade attached to the second end of the body and having top and bottom surfaces, a sharp edge for impaction into the bone and a cross section substantially conforming in shape and size to that of the implant;
wherein introduction of a guide wire into the cannulation guides the chisel as the blade impacts the bone and the blade cross section is substantially T-shaped.
a body having a first end, a second end, and a cannulation which extends from the second end through at least a portion of the body and is configured and dimensioned to receive a guide wire; and a blade attached to the second end of the body and having top and bottom surfaces, a sharp edge for impaction into the bone and a cross section substantially conforming in shape and size to that of the implant;
wherein introduction of a guide wire into the cannulation guides the chisel as the blade impacts the bone and the blade cross section is substantially T-shaped.
10. A surgical chisel for preparing a bone to receive an implant insertable into the bone, the chisel comprising:
a body having a first end, a second end, and a cannulation which extends from the second end through at least a portion of the body and is configured and dimensioned to receive a guide wire; and a non-cannulated blade attached to the second end of the body and having top and bottom surfaces a sharp edge for impaction into the bone and a cross section substantially conforming in shape and size to that of the implant;
wherein introduction of a guide wire into the cannulation guides the chisel as the blade impacts the bone and the cannulation extends completely through the body from the second end to the first end.
a body having a first end, a second end, and a cannulation which extends from the second end through at least a portion of the body and is configured and dimensioned to receive a guide wire; and a non-cannulated blade attached to the second end of the body and having top and bottom surfaces a sharp edge for impaction into the bone and a cross section substantially conforming in shape and size to that of the implant;
wherein introduction of a guide wire into the cannulation guides the chisel as the blade impacts the bone and the cannulation extends completely through the body from the second end to the first end.
11. A surgical chisel for preparing a bone to receive an implant insertable into the bone the chisel comprising:
a body having a first end, a second end, and a cannulation which extends from the second end through at least a portion of the body and is configured and dimensioned to receive a guide wire; and a blade attached to the second end of the body and having top and bottom surfaces a sharp edge for impaction into the bone and a cross section substantially conforming in shape and size to that of the implant;
wherein introduction of a guide wire into the cannulation guides the chisel as the blade impacts the bone and the body has a rectangular cutout defined by a front edge, a back edge, and two side edges, the cannulation extending from the second end of the body to the front edge of the cutout.
a body having a first end, a second end, and a cannulation which extends from the second end through at least a portion of the body and is configured and dimensioned to receive a guide wire; and a blade attached to the second end of the body and having top and bottom surfaces a sharp edge for impaction into the bone and a cross section substantially conforming in shape and size to that of the implant;
wherein introduction of a guide wire into the cannulation guides the chisel as the blade impacts the bone and the body has a rectangular cutout defined by a front edge, a back edge, and two side edges, the cannulation extending from the second end of the body to the front edge of the cutout.
12. The surgical chisel of claim 11 further comprising a channel extending along the bottom surface of the blade and being contiguous with the cannulation so that a guide wire introduced into the channel slides along the channel and cannulation as the blade impacts the bone.
13. The surgical chisel of claim 11 wherein the body includes a pin located adjacent the first end of the body, the pin being configured and dimensioned to receive a slotted hammer to remove the chisel from the bone.
14. The surgical chisel of claim 11 wherein the blade has markings for assessing bone impaction.
15. The surgical chisel of claim 11 wherein the body has markings located along at least one of the cutout side edges for assessing bone impaction.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US09/233,060 | 1999-01-20 | ||
| US09/233,060 US6110175A (en) | 1999-01-20 | 1999-01-20 | Surgical chisel and method of using same |
| PCT/CH1999/000556 WO2000042925A1 (en) | 1999-01-20 | 1999-11-22 | Surgical chisel and method of using same |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2358478A1 CA2358478A1 (en) | 2000-07-27 |
| CA2358478C true CA2358478C (en) | 2007-03-13 |
Family
ID=22875721
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002358478A Expired - Fee Related CA2358478C (en) | 1999-01-20 | 1999-11-22 | Surgical chisel and method of using same |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US6110175A (en) |
| EP (1) | EP1143863B1 (en) |
| AT (1) | ATE285197T1 (en) |
| CA (1) | CA2358478C (en) |
| DE (1) | DE69922842T2 (en) |
| ES (1) | ES2233108T3 (en) |
| WO (1) | WO2000042925A1 (en) |
Families Citing this family (31)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6764491B2 (en) | 1999-10-21 | 2004-07-20 | Sdgi Holdings, Inc. | Devices and techniques for a posterior lateral disc space approach |
| WO2001028469A2 (en) * | 1999-10-21 | 2001-04-26 | Sdgi Holdings, Inc. | Devices and techniques for a posterior lateral disc space approach |
| US6830570B1 (en) * | 1999-10-21 | 2004-12-14 | Sdgi Holdings, Inc. | Devices and techniques for a posterior lateral disc space approach |
| WO2002003867A2 (en) * | 2000-07-06 | 2002-01-17 | Sulzer Spine-Tech Inc. | Bone preparation instruments |
| US7316687B2 (en) * | 2001-08-24 | 2008-01-08 | Zimmer Technology, Inc. | Blade plate and instruments |
| US6761723B2 (en) | 2002-01-14 | 2004-07-13 | Dynamic Spine, Inc. | Apparatus and method for performing spinal surgery |
| US6659769B2 (en) * | 2002-01-25 | 2003-12-09 | Dennis Flanagan | Cortical bone spreader for implants |
| US7988693B2 (en) * | 2002-07-19 | 2011-08-02 | Warsaw Orthopedic, Inc. | Chisels and procedure for insertion of spinal implant in a spinal disc space |
| US20040172022A1 (en) | 2002-10-30 | 2004-09-02 | Landry Michael E. | Bone fastener assembly for a spinal stabilization system |
| US9539012B2 (en) | 2002-10-30 | 2017-01-10 | Zimmer Spine, Inc. | Spinal stabilization systems with quick-connect sleeve assemblies for use in surgical procedures |
| US20040147928A1 (en) * | 2002-10-30 | 2004-07-29 | Landry Michael E. | Spinal stabilization system using flexible members |
| DE20300988U1 (en) | 2003-01-23 | 2003-04-03 | Stryker Trauma Gmbh | Drilling tool for bone, especially the proximal femur |
| EP1651150B1 (en) * | 2003-08-07 | 2021-03-24 | Dynamic Spine, Inc. | Intervertebral prosthetic device and associated devices and methods for implanting the intervertebral prosthetic device |
| US7338496B1 (en) * | 2003-08-29 | 2008-03-04 | Biomet Manufacturing Corp. | Method and apparatus for positioning an implant |
| US20050090829A1 (en) * | 2003-10-23 | 2005-04-28 | Osteotech, Inc. | Spinal bone chisels |
| US8070750B2 (en) * | 2004-03-05 | 2011-12-06 | Depuy Mitek, Inc. | Tunnel notcher and guidewire delivery device |
| US7488327B2 (en) | 2004-04-12 | 2009-02-10 | Synthes (U.S.A.) | Free hand drill guide |
| DE102005016380B4 (en) * | 2005-04-06 | 2009-10-08 | Aesculap Ag | Surgical instrument |
| US20070161962A1 (en) * | 2006-01-09 | 2007-07-12 | Edie Jason A | Device and method for moving fill material to an implant |
| US7935148B2 (en) * | 2006-01-09 | 2011-05-03 | Warsaw Orthopedic, Inc. | Adjustable insertion device for a vertebral implant |
| US10034674B2 (en) * | 2006-02-02 | 2018-07-31 | Steven C Chudik | Universal anterior cruciate ligament repair and reconstruction system |
| US20080161810A1 (en) * | 2006-10-18 | 2008-07-03 | Warsaw Orthopedic, Inc. | Guide and Cutter for Contouring Facet Joints and Methods of Use |
| US8454610B2 (en) * | 2009-07-01 | 2013-06-04 | Ebi, Llc | Orthopedic surgical device |
| US20120035727A1 (en) * | 2009-09-03 | 2012-02-09 | Lins Robert E | Surgical implant device for the translation and fusion of a facet joint of the spine |
| US9814494B2 (en) | 2009-09-03 | 2017-11-14 | Minsurg International, Inc. | Surgical implant device and surgical implant insertion assembly for the translation and fusion of a facet joint of the spine |
| CA2688903C (en) * | 2009-12-18 | 2017-08-29 | Shahryar Ahmadi | Bone fixation system |
| US9326777B2 (en) * | 2013-03-14 | 2016-05-03 | Amendia, Inc. | Decorticating surgical instruments and guidance systems with tactile feedback |
| WO2014200984A1 (en) * | 2013-06-12 | 2014-12-18 | Zimmer, Inc. | Femoral explant device |
| US10080583B2 (en) | 2014-12-12 | 2018-09-25 | Depuy Mitel, Llc | Dilator for accessing a joint space |
| US10595879B1 (en) * | 2016-12-05 | 2020-03-24 | Palix Medical LLC | Blade for osteotome |
| US11364038B1 (en) * | 2016-12-05 | 2022-06-21 | Palix Medical LLC | Blades for osteotome |
Family Cites Families (33)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US1951278A (en) * | 1932-02-13 | 1934-03-13 | Ericsson Ernst Axel Johan | Fracture nail |
| US2187852A (en) * | 1936-08-18 | 1940-01-23 | William D Friddle | Fracture nail and fracture nail driver |
| US2222517A (en) * | 1938-12-08 | 1940-11-19 | James W Price | Fracture nail and machine for making same |
| US2239088A (en) * | 1940-03-30 | 1941-04-22 | Joe J Ettinger | Fracture nail |
| US2327434A (en) * | 1943-05-07 | 1943-08-24 | Herbert A Johnston | Fracture securing apparatus |
| US2441765A (en) * | 1945-04-28 | 1948-05-18 | Surgical Specialties Corp | Surgical device |
| FR948690A (en) * | 1947-07-01 | 1949-08-08 | Nail enhancements used for healing fractures of the femoral neck and for blocking the coxofemoral joint | |
| US2496126A (en) * | 1947-10-28 | 1950-01-31 | Edward J Haboush | Fracture nail and bone plate |
| US2536964A (en) * | 1949-05-26 | 1951-01-02 | Guidoscope Corp | Surgical or fracture nail |
| US2716406A (en) * | 1953-09-16 | 1955-08-30 | Austenal Lab Inc | Hip-nail driver for angular hip nails |
| US2834342A (en) * | 1956-08-29 | 1958-05-13 | Clyde E Yost | Surgical device for the fixation of fractured bones |
| US2874691A (en) * | 1957-02-08 | 1959-02-24 | Christopher A Mason | Femoral nail |
| US3002514A (en) * | 1958-01-24 | 1961-10-03 | Deyerle William Minor | Hip setting pin |
| US3025853A (en) * | 1958-07-07 | 1962-03-20 | Christopher A Mason | Fixation device for fractured femur |
| US3216414A (en) * | 1961-09-29 | 1965-11-09 | Dana M Street | Plate and split nail assembly for use in orthopedic surgery |
| GB1161312A (en) * | 1965-09-17 | 1969-08-13 | Nat Res Dev | Fixation Implants for use in Hip Surgery |
| SU571255A1 (en) * | 1971-04-10 | 1977-09-05 | Киевский Ордена Трудового Красного Знамени Медицинский Институт Им. А.А. Богомольца | Nail for osteosynthesis of hip bone neck |
| US4239045A (en) * | 1979-04-04 | 1980-12-16 | Schlein Allen P | Surgical knife |
| SU1326260A1 (en) * | 1985-03-15 | 1987-07-30 | Ленинградский научно-исследовательский детский ортопедический институт им.Г.И.Турнера | Fixative for thighbone |
| US4787378A (en) * | 1986-09-08 | 1988-11-29 | Sodhi Jitendra S | Self-retaining nail for fracture of neck of femur |
| US4969887A (en) * | 1986-09-08 | 1990-11-13 | Sodhi Jitendra S | Self-retaining nail kit for repairing a fractured neck of femur |
| SU1574213A1 (en) * | 1988-05-05 | 1990-06-30 | Кубанский медицинский институт им.Красной Армии | Chisel |
| US4881537A (en) * | 1988-08-10 | 1989-11-21 | Charles Henning | Surgical instrument, and methods for forming a channel in a femoral condyle including reconstructing an anterior cruciate ligament |
| US4881534A (en) * | 1988-10-03 | 1989-11-21 | Uhl Richard L | Corticotomo osteotome with T-shaped cutting end |
| US4978349A (en) * | 1989-08-03 | 1990-12-18 | Synthes (U.S.A.) | Fixation plate |
| FR2676353A1 (en) * | 1991-05-15 | 1992-11-20 | Biomecanique Integree | Tibial osteotomy plate or the like |
| US5409489A (en) * | 1993-01-12 | 1995-04-25 | Sioufi; Georges | Surgical instrument for cone-shaped sub-trochanteric rotational osteotomy |
| US5437675A (en) * | 1993-06-11 | 1995-08-01 | Wilson; Franklin D. | Polygonal bone punch |
| US5499985A (en) * | 1993-11-24 | 1996-03-19 | Orthopaedic Innovations, Inc. | Detachable coupling system for surgical instruments |
| WO1995014433A1 (en) * | 1993-11-24 | 1995-06-01 | Orthopaedic Innovations, Inc. | Cannulated instrumentation for total joint arthroplasty and method of use |
| US5800437A (en) * | 1993-11-24 | 1998-09-01 | Orthopaedic Innovations, Inc. | Cannulated tamp and centering rod for total joint arthroplasty |
| US5632745A (en) * | 1995-02-07 | 1997-05-27 | R&D Biologicals, Inc. | Surgical implantation of cartilage repair unit |
| FR2758712B1 (en) * | 1997-01-27 | 1999-03-05 | Tornier Sa | TIBIAL OSTEOTOMY PLATE AND ANCILLARY MATERIAL FOR LAYING SUCH A PLATE |
-
1999
- 1999-01-20 US US09/233,060 patent/US6110175A/en not_active Expired - Lifetime
- 1999-11-22 WO PCT/CH1999/000556 patent/WO2000042925A1/en active IP Right Grant
- 1999-11-22 ES ES99973625T patent/ES2233108T3/en not_active Expired - Lifetime
- 1999-11-22 DE DE69922842T patent/DE69922842T2/en not_active Expired - Lifetime
- 1999-11-22 CA CA002358478A patent/CA2358478C/en not_active Expired - Fee Related
- 1999-11-22 EP EP99973625A patent/EP1143863B1/en not_active Expired - Lifetime
- 1999-11-22 AT AT99973625T patent/ATE285197T1/en not_active IP Right Cessation
Also Published As
| Publication number | Publication date |
|---|---|
| WO2000042925A1 (en) | 2000-07-27 |
| DE69922842D1 (en) | 2005-01-27 |
| US6110175A (en) | 2000-08-29 |
| EP1143863A1 (en) | 2001-10-17 |
| CA2358478A1 (en) | 2000-07-27 |
| ATE285197T1 (en) | 2005-01-15 |
| EP1143863B1 (en) | 2004-12-22 |
| DE69922842T2 (en) | 2005-12-08 |
| ES2233108T3 (en) | 2005-06-01 |
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| EEER | Examination request | ||
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