BONE STABILIZATION DEVICE

Abstract

A device and method for stabilizing a broken bone while it heals is disclosed. The device preferably has a (a) first (or proximal) section with a driving head, threads and a first diameter, and (b) second (or distal) section that is threaded and has a second diameter. The first section is preferably greater in diameter than the second section so that greater torque can be applied to tighten the device. The device may include one or more self-tapping structures to lessen the torque required to screw it into a bone.

Claims

1. (canceled)

2.-23. (canceled)

24. A method of implanting a cannulated intramedullary implant within an intramedullary canal of a metacarpal for fixation of a fracture, the method comprising: inserting a guidewire into the intramedullary canal of the metacarpal; drilling an opening into the metacarpal past a location of the fracture guided by the guidewire; rotatably driving the cannulated intramedullary implant into the intramedullary canal guided by the guidewire, the implant comprising a headless shaft having a trailing end and a leading end, the shaft comprising a thread of a constant pitch along an entire length of the shaft, wherein a first portion of the thread has a greater constant major diameter and a second portion of the thread has a smaller constant major diameter, the first portion of the thread being continuous with the second portion of the thread, and wherein the first portion of the thread engages bone material in a larger distal portion of the metacarpal and the second portion of the thread engages bone material in a narrower proximal and mid portion of the metacarpal such that the cannulated intramedullary implant is anchored in the metacarpal; and removing the guidewire.

25. The method of claim 24, wherein the cannulated intramedullary implant is inserted with the leading end entering the opening into the intramedullary canal first, the second portion of the thread being closer to the leading end than to the trailing end.

26. The method of claim 24, wherein the first portion of the thread engages the metacarpal head.

27. The method of claim 24, wherein a first root diameter of the shaft at the first portion of the thread is greater than a second root diameter of the shaft at the second portion of the thread.

28. The method of claim 27, wherein the first portion and the second portion of the thread is of the same thread height.

29. The method of claim 27, wherein the shaft further comprises a transition region, a root diameter of the transition region transitions from the first root diameter to the second root diameter.

30. The method of claim 24, wherein the shaft comprises a driving head at the trailing end, the driving head configured to receive a driver that applies a torque to rotatably drive the cannulated intramedullary implant into the intramedullary canal.

31. The method of claim 24, wherein the shaft comprises at least one cutting structure extending through part of the first portion of the thread and at least another cutting structure extending through part of the second portion of the thread.

32. A intramedullary implant configured to be implanted within an intramedullary canal of a metacarpal for fixation of a fracture: a headless shaft having a trailing end and a leading end, wherein the shaft comprises: a driving recess at the trailing end and configured to receive a driver; a first portion closer to the trailing end, the first portion comprising a first thread and a first root diameter which tapers to a smaller second root diameter; and a second portion closer to the leading end, the second portion comprising a second thread and the smaller second root diameter, wherein the first thread and the second thread have the same pitch, the first and second threads each comprising a cutting flute extending through a portion of the first and second threads respectively, and wherein the shaft is cannulated throughout a length of the shaft.

33. The implant of claim 32, wherein the driving recess is shaped to receive a flat screwdriver, a Phillips screwdriver, a hex head, or an Allen wrench.

34. The implant of claim 32, wherein the first portion has a major diameter so that the first thread is configured to engage a larger distal portion of the metacarpal.

35. The implant of claim 34, wherein the second portion has a major diameter so that the second thread is configured to engage a narrower proximal or mid portion of the metacarpal.

36. The implant of claim 32, wherein the shaft has a wall thickness so that the implant is strong enough to be rotatably driven into bone material of the metacarpal by a torque without being deformed.

37. A method of implanting a cannulated intramedullary implant within an intramedullary canal of a metacarpal for fixation of a fracture, the method comprising: inserting a guidewire into the intramedullary canal of the metacarpal; drilling an opening into the metacarpal past a location of the fracture guided by the guidewire; rotatably driving the cannulated intramedullary implant into the intramedullary canal guided by the guidewire, the implant comprising a headless shaft having a trailing end and a leading end, the shaft comprising a thread of a constant pitch, wherein a first portion of the shaft closer to the trailing end has a greater outer diameter and a second portion of the shaft closer to the leading end has a smaller outer diameter, and wherein threads on the first portion engage bone material in a larger distal portion of the metacarpal and threads on the second portion engage bone material in a narrower proximal or mid portion of the metacarpal such that the cannulated intramedullary implant is anchored in the metacarpal; and removing the guidewire.

38. The method of claim 37, wherein the cannulated intramedullary implant is inserted with the leading end entering the opening on the intramedullary canal first.

39. The method of claim 37, wherein the threads on the first portion engages the metacarpal head.

40. The method of claim 37, wherein the shaft has a wall thickness so that the implant is strong enough to be rotatably driven into the metacarpal by a torque without being deformed.

41. The method of claim 37, wherein the threads on the first portion and the threads on the second portion are of the same thread height.

42. The method of claim 37, wherein rotatably driving the cannulated intramedullary implant is performed using a driving head, the implant comprising a driving head at the trailing end configured to receive the driving head.

43. The method of claim 42, wherein the driving head is a flat screwdriver, a Phillips screwdriver, a hex head, or an Allen wrench.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0015] FIG. 1 is a top view of the head of one embodiment of a device according to the invention.

[0016] FIG. 2 is a cross-sectional side view of the device of FIG. 1.

[0017] FIG. 3 is a perspective, side view of the device of FIGS. 1 and 2.

[0018] FIG. 4 is a partial, cross-sectional side view of the device of FIGS. 1-3.

[0019] FIG. 5 is an end view of the device of FIGS. 1-4.

[0020] FIG. 6 is a partial, cross-sectional side view of the device of FIGS. 1-5.

[0021] FIGS. 7-7B show one method for installing a device according to FIGS. 1-6 into a metacarpal bone.

[0022] FIGS. 7C and 8 illustrate the device of FIGS. 1-6 positioned in a metacarpal bone.

[0023] FIG. 9 illustrates a side view of the device of FIGS. 1-6 with a cutting flute shown without threads for clarity.

[0024] FIG. 10 illustrates a detailed view of a portion of the device of FIG. 9 with a distal cutting flute shown without threads for clarity.

[0025] FIG. 11 illustrates a detailed view of a portion of the device of FIG. 9 with a proximal cutting flute shown without threads for clarity.

DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS

[0026] Turning now to the figures, where the purpose is to describe preferred embodiments of the invention and not to limit same, FIG. 1 shows an exemplary embodiment 10 of the invention. Device 10 may be formed of any suitable material, such as titanium steel, stainless steel or nitinol. Device 10 has a first (or proximal) section 12, a second (or distal) section 14, and a shaft 16 with an outer surface 17. Device 10 may be between 3.5 cm and 8.5 cm or between 6.5 cm and 8 cm in length, or have a length of about 7 cm.

[0027] First section 12 has first threads 10A which preferably have a height of about 0.5 to 1 mm as measured from outer surface 17, and a pitch of about 1 mm per revolution. A driving surface, or head 18 is shown as being the same diameter of first section 12, but head 18 may have a different diameter or be of a different shape, such as triangular. Head 18 may accept any suitable driver configuration, such as a Torx drive, slotted, Pozidriv, Robertson, tri-wing, Torq-Set, SpannerHead, Triple Square, and hex head. A cutting structure 20 is shown in FIGS. 3, 9, and 11 as positioned at the distal end of first section 12, and it preferably has the same height as threads 10A, or is formed in one or more threads 10A, and the portion of section 12 that includes cutting structure 20 as shown preferably has the same diameter as the rest of first section 12. The preferred configuration of cutting structure 20 is self-tapping features in one or more threads 10A, which are preferably indentations that basically make the thread serrated, as shown in FIG. 3. First section 12 preferably has a diameter of 3.0 mm to 5.0 mm, and most preferably about 4.5 mm. First section 12 preferably extends between about 25% to 45% of the length of device 10, and in one preferred embodiment is about 40% of the length.

[0028] Second section 14 has first threads 14A which preferably have a height of about 0.5-1 mm as measured from outer surface 17, and a pitch of about 1 mm/revolution. A cutting structure 28 is shown in FIGS. 3, 9, and 10 at the distal tip 30 of second section 12, which may be any known self-tapping feature. Second section 14 preferably has a diameter of 3.0 mm to 4.5 mm, most preferably about 4.0 mm, and most preferably about 0.5 mm less than the diameter of the first section. Second section 14 preferably extends between about 55% to 75% of the length of device 10, and in one preferred embodiment is about 60% of the length.

[0029] Threads 10A on the first section 10 preferably have the same pitch as the thread 14A, and extend outward from surface 17 of device 10 by the same amount as threads 14A, although any suitable thread configuration is acceptable, including threads with differential pitches threads on either or both of sections 12 and 14.

[0030] Device 10 may be cannulated or non-cannulated. As shown, device 10 has a cannula 32 extending therethrough. A non-cannulated device may be have a smaller diameter than a cannulated device.

[0031] The diameter of the first section is preferably about 4%, or 5%, or 4% to 7%, or 4% to 10%, of the length of device 10.

[0032] FIGS. 7-7B depict a method for installing device 10 into a fractured metacarpal bone. In FIG. 7, the fracture in the bone is first aligned, and then a K-wire is inserted into the bone. A K-wire or pin is known in the art and is a sterilized, smooth steel pin used in orthopedics and other types of medical applications. It is available in different sizes as needed and provides structure, support and in one version has a diameter of about 0.040″.

[0033] In FIG. 7A a cannulated drill, using the K-wire as a guide, drills an opening into the metacarpal bone, wherein the opening extends through the fracture, or partially through the k wired construct, and provides enough space on each side of the fracture to properly position device 10.

[0034] In FIG. 7B, device 10 is rotatingly driven into the opening in the metacarpal bone using cannulated techniques. Second section 14 is first driven in, and then first section 12 is driven in. The width of second section 14 and first section 12 are both greater than the opening formed in the bone, so each section can thread into the opening. This provides bone material for the threads to grasp and retain device 10 in the opening.

[0035] FIGS. 7C and 8 show device 10 in the metacarpal bone after the K-wire has been removed. Since device 10 is anchored in the metacarpal bone, there is no need for a second operation to remove it.

[0036] If a non-cannulated device is used, the K wire may be used to form a pilot hole, and device 10 would be driven into the pilot hole.

[0037] In another aspect of the invention, the device has a single diameter with threads of the same pitch and height. This device may have a head similar to the one described above, but that is about 0.5 mm wider than the rest of the device, or about 7%-15% wider, in order to generate sufficient torque. Such a device may also have multiple self-tapping, or cutting structures, in order to reduce the amount of torque required to screw the device into an opening in a bone. For example, such a device may have one cutting structure at its distal tip, and one or more other cutting structures along its length, and/or a cutting structure juxtaposed the head so the head of the device does not extend beyond the bone.

[0038] Specific exemplary embodiments of the invention are described below:

1. A device for repairing a bone, the device for being received in the bone and comprising: [0039] (a) a shaft having a length and an outer surface; [0040] (b) a first end and a second end; [0041] (c) threads on the outer surface, wherein the threads comprise 85% or more of the shaft length; and [0042] (d) a driving surface at the first end, [0043] wherein the first section has a larger diameter than the second section of the device.
2. The device of example 1 wherein the device is comprised of one or more of nitinol, stainless steel and titanium steel.
3. The device of example 1 or 2, wherein the first section has a self -tapping configuration and the second section has a self-tapping portion.
4. The device of any of examples 1-3 wherein the first end has a diameter at least 7% wider than the diameter of the second end.
5. The device of any of examples 1-4 wherein the first end has a diameter that is 7%-15% wider than the diameter of the second end.
6. The device of any of examples 1-5 that has that has a length of between 3.5 cm and 8.5 cm, or 3.5 to 7.5 cm, or 4.0 to 8.0 cm, or about 7 cm.
7. The device of any of examples 1-6 wherein the first diameter is between 3.5 mm and 5.0 mm.
8. The device of any of examples 1-7 wherein the second diameter is between 3.0 mm and 4.5 mm.
9. The device of any of examples 1-8 that further includes a cutting surface at the second end.
10. The device of any of examples 1-9 that further includes a cutting surface between the first end and the second end.
11. The device of any of examples 1-10 that includes a cannula.
12. The device of any of examples 1-11 wherein the first end is between 0.3 mm and 0.7 mm greater in diameter than the diameter of the second end.
13. The device of any of examples 1-12 wherein the first end is between 7% and 15% greater in diameter than the diameter of the second end.
14. The device of any of examples 1-13 wherein the threads on the first end have the same pitch as a pitch of the threads on the second end.
15. The device of any of examples 1-13 wherein the threads on the first end have a different pitch than a pitch of the threads on the second end.
16. The device of any of examples 1-15 wherein the threads are continuous along the length of the device.
17. The device of any of examples 1-16 wherein the threads on the first section comprise up to 40% of the length of the device.
18. The device of any of examples 1-17 wherein the driving head is selected from the group consisting of designs that can accept one of the following drivers: a flat screwdriver, a Phillips screw driver, a hex head, and an Allen wrench.
19. The device of any of examples 1-8 wherein the driving head has the same diameter as the first end.
20. The device of any of examples 1-19 wherein the threads have the same height.
21. The device of any of examples 1-20 wherein the threads have the same height and pitch.
22. The device of any of examples 1-21 that has a length and the diameter of the first section is at least 4%, or at least 5%, of the length.
23. The device of any of examples 1-21 that has a length and the diameter of the first section is between 4% and 7% of the length.
24. The device of any of examples 1-21 that has a length and the diameter of the first section is between 4% and 10% of the length.

[0044] Having thus described some embodiments of the invention, other variations and embodiments that do not depart from the spirit of the invention will become apparent to those skilled in the art. The scope of the present invention is thus not limited to any particular embodiment, but is instead set forth in the appended claims and the legal equivalents thereof. Unless expressly stated in the written description or claims, the steps of any method recited in the claims may be performed in any order capable of yielding the desired result.