External fixation strut
11751912 · 2023-09-12
Assignee
- Smith & Nephew, Inc. (Memphis, TN, US)
- SMITH & NEPHEW PTE. LIMITED (Singapore, SG)
- Smith & Nephew Orthopaedics AG (Zug, CH)
Inventors
Cpc classification
A61B17/66
HUMAN NECESSITIES
A61B90/06
HUMAN NECESSITIES
A61B17/62
HUMAN NECESSITIES
A61B17/6416
HUMAN NECESSITIES
International classification
A61B17/64
HUMAN NECESSITIES
A61B17/66
HUMAN NECESSITIES
Abstract
An external fixation strut and corresponding systems and methods of use with a bone alignment device are disclosed. The external fixation strut may provide an enhanced range of adjustable lengths and may be connected to a bone alignment device, thereby enabling the bone alignment device to be used over a larger workable range. As a result, comfort of a patient may be improved as the need to switch out the external fixation strut may be prevented. The external fixation strut may also include a single measurement scale that may be easily viewed and used to adjust the length of the external fixation strut, thereby ensuring more accurate length adjustments.
Claims
1. An external fixation strut for use with an external fixation system, the external fixation strut comprising: a main body including: an interior cavity, a central longitudinal axis, a first body component, and a second body component, the first body component and the second body component extending along a longitudinal length of the main body and spaced apart such that component gaps are formed on either side of the second body component adjacent to the first body component; a threaded rod at least partially positioned within the interior cavity of the main body; an actuator operatively coupled to the threaded rod so that, in use, rotation of the actuator causes the threaded rod to rotate; a first fixed arm immovably coupled to the main body; and a second movable arm threadably coupled to the threaded rod so that, in use, rotation of the threaded rod causes the second movable arm to move relative to the first fixed arm between a maximum length position and a minimum length position; wherein each of the first fixed arm and the second movable arm include: a ring having an opening, a coupling component fixedly arranged within the ring and including a gap, and an arm extending laterally from the ring, the first body component passing through the opening, the second body component passing through the gap, the arm extending laterally from the ring so that the arm is perpendicular to the central longitudinal.
2. The external fixation strut of claim 1, wherein the first fixed arm is immovably coupled adjacent to a first end of the main body and the actuator is positioned adjacent to a second end of the main body.
3. The external fixation strut of claim 1, wherein the threaded rod includes a first end and a second end, the actuator is coupled to the first end of the threaded rod, the threaded rod includes a base portion formed at the second end thereof, the base portion being positioned adjacent to a first end of the main body when the threaded rod is positioned within the interior cavity of the main body.
4. The external fixation strut of claim 3, wherein the first end of the threaded rod opposite to the base portion is arranged and configured to extend beyond a second end of the main body when the base portion is adjacent to the first end of the main body, the actuator being arranged and configured to threadably engage the first end of the threaded rod extending beyond the second end of the main body.
5. The external fixation strut of claim 1, wherein the external fixation strut includes a single measurement scale positioned on an outer surface of the main body along a length of the main body, the measurement scale being arranged and configured to measure a distance between the first fixed arm and the second movable arm.
6. The external fixation strut of claim 5, wherein the second movable arm includes a window arranged and configured to display the measurement scale so that, in use, a user can view the measurement scale when the second movable arm is positioned over the measurement scale.
7. The external fixation strut of claim 1, wherein the opening is positioned between the coupling component and the ring; wherein, when the first fixed arm and the second movable arm are coupled to the main body, the ring is arranged and configured to be positioned about an outer surface of the main body and the coupling component is arranged and configured to be positioned within the interior cavity of the main body.
8. The external fixation strut of claim 1, further comprising a locking mechanism operatively associated with the actuator, the locking mechanism being arranged and configured to prevent rotation of the actuator and hence the threaded rod, thereby preventing movement of the second movable arm relative to the first fixed arm.
9. The external fixation strut of claim 8, wherein the locking mechanism is movably positioned between a first locked position and a second unlocked position, wherein, in the first locked position, the actuator is prohibited from rotating relative to the main body, and, in the second unlocked position, the actuator is freely rotatable relative to the main body.
10. The external fixation strut of claim 9, wherein the locking mechanism includes a pivotable lever arm, the pivotable lever arm being arranged and configured to be positioned within a cavity formed in the actuator, in use, in the first locked position the lever arm is arranged and configured to prevent rotation of the actuator relative to the main body and in the second unlocked position, the lever arm is arranged and configured to enable the actuator to freely rotate.
11. The external fixation strut of claim 1, wherein the gap is positioned between the coupling component and the first fixed arm or the second movable arm.
12. The external fixation strut of claim 1, wherein a threaded opening is arranged in the coupling component of at least one of the first fixed arm or the second movable arm for receiving the threaded rod.
13. The external fixation strut of claim 1, wherein the main body has a cylindrical shape, the first body component shaped to occupy a first portion of an internal perimeter of the main body, the second body component shaped to occupy a second portion of the internal perimeter.
14. An external fixation system comprising: a first ring; a second ring; and a plurality of external fixation struts, each of the plurality of external fixation struts including: a main body including: an interior cavity, a central longitudinal axis, a first body component, and a second body component, the first body component and the second body component extending along a longitudinal length of the main body and spaced apart such that component gaps are formed on either side of the second body component adjacent to the first body component; a threaded rod at least partially positioned within the interior cavity of the main body; an actuator operatively coupled to the threaded rod so that, in use, rotation of the actuator causes the threaded rod to rotate; a first fixed arm immovably coupled to the main body; and a second movable arm threadably coupled to the threaded rod so that, in use, rotation of the threaded rod causes the second movable arm to move relative to the first fixed arm between a maximum length position and a minimum length position; wherein each of the first fixed arm and the second movable arm include: a coupling ring having an opening, a coupling component fixedly arranged within the coupling ring and including a gap, and an arm extending laterally from the coupling ring, the first body component passing through the opening, the second body component passing through the gap, the arm extending laterally from the coupling ring so that the arm is perpendicular to the central longitudinal axis.
15. The external fixation system of claim 14, wherein the opening is positioned between the coupling component and the coupling ring; wherein, when the first fixed arm and the second movable arm are coupled to the main body, the coupling ring is arranged and configured to be positioned about an outer surface of the main body and the coupling component is arranged and configured to be positioned within the interior cavity of the main body.
16. The external fixation system of claim 14, wherein the first fixed arm is immovably coupled adjacent to a first end of the main body and the actuator is positioned adjacent to a second end of the main body.
17. The external fixation system of claim 14, wherein the threaded rod includes a first end and a second end, the actuator is coupled to the first end of the threaded rod, the threaded rod includes a base portion formed at the second end thereof, the base portion being positioned adjacent to a first end of the main body when the threaded rod is positioned within the interior cavity of the main body.
18. The external fixation system of claim 17, wherein the first end of the threaded rod opposite to the base portion is arranged and configured to extend beyond a second end of the main body when the base portion is adjacent to the first end of the main body, the actuator being arranged and configured to threadably engage the first end of the threaded rod extending beyond the second end of the main body.
19. The external fixation system of claim 14, wherein the gap is positioned between the coupling component and the first fixed arm or the second movable arm.
20. The external fixation system of claim 14, wherein a threaded opening is arranged in the coupling component of at least one of the first fixed arm or the second movable arm for receiving the threaded rod.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) By way of example, a specific embodiment of the disclosed device will now be described, with reference to the accompanying drawings, in which:
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(33) The drawings are not necessarily to scale. The drawings are merely representations, not intended to portray specific parameters of the disclosure. The drawings are intended to depict various embodiments of the disclosure, and therefore are not to be considered as limiting in scope. In the drawings, like numbering represents like elements.
DETAILED DESCRIPTION
(34) An external fixation strut is provided along with systems that may include the external fixation strut as well as corresponding methods of use. The external fixation strut may provide an increased or enhanced range of adjustable lengths, thereby enabling a bone alignment device to which it may be connected to be used over a larger workable range. As a result, treatment is simplified for the patient and surgeon as the need to switch out the external fixation strut may be prevented. The external fixation strut may also include a single measurement scale that may be easily viewed and used to adjust the length of the external fixation strut, thereby ensuring more accurate length adjustments.
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(36) In one embodiment, each strut 106 may include an outer body and an inner rod (e.g., a threaded rod). The outer body may be coupled to one of the rings (e.g., the second ring 104 by way of a joint). The inner rod may be coupled to the other ring (e.g., the first ring 102 by way of a joint). To lengthen or shorten one of struts 106, the outer body and the inner rod may be moved or translated relative to one another.
(37) The bone alignment device 100 may be used to treat a variety of skeletal fractures of a patient. Typically, the bone alignment device 100 is positioned around the patient and is used to align two or more bones or pieces of bone. To do so, the length of each strut 106 may be incrementally adjusted (e.g., shortened or lengthened) in accordance with a prescription that specifies adjustments to be made to each strut 106 over time to ensure successful bone alignment. In many instances, the length of each strut 106 should be adjusted daily to comply with the provided prescription. Adjusting the length of each strut 106 adjusts the distance between the first and second rings 102 and 104. Accordingly, the maximum and minimum distances between the first and second rings 102 and 104 are determined by the maximum and minimum lengths of the struts 106, respectively.
(38) Often, the prescription may require the first and second rings 102 and 104 to be spaced very close together and also spaced very far apart for different periods of time. That is, for example, often the prescription may require the first and second rings 102 and 104 to be spaced very close together initially, and then over time, through lengthening of the struts, the first and second rings 102 and 104 may be spaced father apart. Alternatively, for example, the prescription may require the first and second rings 102 and 104 to be spaced very far apart initially, and then over time, through shortening of the struts, the first and second rings 102 and 104 may be spaced closer together. In either event, many struts 106 may not be capable of adjustments to meet the minimum and maximum distance requirements between the first and second rings 102 and 104. As a result, the struts 106 may be required to be replaced or exchanged during the period of time a patient uses the bone alignment device 100. For example, a first set of struts 106 having a first maximum and minimum adjustable length may be attached to the first and second rings 102 and 104 for a first period of time and a second set of struts 106 having a second maximum and minimum adjustable length may be attached to the first and second rings 102 and 104 for a second, subsequent period of time. Replacing the struts 106 while the bone alignment device 100 is coupled to the patient may be complicated and uncomfortable to the patient.
(39) To avoid replacing the struts 106, many different strut designs have been proposed. However, many of the alternative strut designs suffer from one or more drawbacks. For example, one known strut design requires multiple measurement scales to accommodate telescopic components on the strut that introduce usability challenges when length adjustments are made. Another known strut design incorporates threaded rods extending beyond the rings that may cause patient discomfort. Other known strut designs are also plagued by one or more drawbacks.
(40) As will be described herein, the features according to the present disclosure may be used with any suitable bone alignment device now known or hereafter developed. In this regard, the present disclosure should not be limited to the details of the bone alignment device disclosed and illustrated herein unless specifically claimed and that any suitable bone alignment device may be used in connection with the principles of the present disclosure.
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(43) Referring to
(44) The threaded rod 204 may have an extended threaded portion 205 and a base 212. The threaded rod 204 may be positioned within an opening, hole, interior cavity, or the like of the main body 202 such that the base 212 is positioned adjacent to a first end 203 of the main body 202. The fixed arm 208 may include a hole or opening 2012 (see
(45) The threaded portion 205 of the threaded rod 204 may be inserted through the hole formed in the fixed arm 208 and into the interior cavity of the main body 202. The threaded rod portion of the threaded rod 204 may be threaded through the hole formed in the moving arm 210. A portion of the threaded rod 204 may extend out beyond the main body 202 when the base 212 is adjacent to the fixed arm 208. The actuator 206 may be fixedly threaded onto the threaded portion 205 of the threaded rod 204 at a second end 201 of the main body 202 opposite the position of the fixed arm 208.
(46) The actuator 206 may be rotated relative to the main body 202 thereby causing the threaded rod 204 to rotate, which due to the threaded engagement with the moving arm 210 and the non-threaded engagement with the fixed arm 208 causes the moving arm 210 to move along the length of the main body 202. For example, rotating the actuator 206 in a first direction (e.g., clockwise) may cause the moving arm 210 to move toward the fixed arm 208, thereby reducing a working length of the external fixation strut 200. Rotating the actuator in a second direction (e.g., counterclockwise) may cause the moving arm 210 to move toward the actuator 206, thereby increasing a working length of the external fixation strut 200.
(47) Referring to
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(49) In use, and as previously mentioned, the external fixation strut 200 and specifically, the moving and fixed arms 210, 208 may be coupled to a ring or base of a bone alignment device. The fixed arm 208 and the moving arm 210 may each include any type of suitable connector or joint now known or hereafter developed to facilitate coupling to a ring or base of a bone alignment device. The connector of the fixed arm 208 may allow the fixed arm 208 to be coupled to a first ring of a bone alignment device. The connector of the moving arm 210 may allow the moving arm 210 to be coupled to a second ring of a bone alignment device.
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(61) The first body component 1504 may be shaped to occupy a first portion of an internal perimeter of the top component 1502 and the second body component 1506 may be shaped to occupy a second, non-overlapping portion of an internal perimeter of the top component 1502. The first and second body components 1504 and 1506 may be spaced apart such that a gap, an opening, an elongated slot or the like 1508 (interchangeably used herein without the intent to limit) is formed on either side of the second body component 1506 adjacent to the first body component 1504. That is, as illustrated, the main body 202 may be arranged and configured to include first and second elongated slots 1508 extending along a longitudinal length thereof. As described further herein, the arrangement of the first and second body components 1504 and 1506 (e.g., incorporation of elongated slots 1508) facilitates coupling of the fixed arm 208 and the moving arm 210 with the threaded rod 204, which is positioned within the main body 202. That is, the slots, gaps, or openings enable portions of the moving arm 210 and the fixed arm 208 to pass through the main body 202, as will be described in greater detail below.
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(63) In one embodiment, the first opening 1706 may be shaped and configured to receive the first body component 1504 of the main body 202 and the second opening 1710 may be shaped and configured to receive the second body component 1506 of the main body 202. Accordingly, when the moving arm 210 is connected to the main body 202, the first coupling component 1702 may be positioned on an outside of the main body 202 and the second coupling component 1704 may be positioned within an inside of the main body 202.
(64) As further shown in
(65) As shown, the arm component 1708 may extend away from the first and second coupling components 1702 and 1704. The arm component 1708 may include one or more components for connecting the moving arm 210 to a ring or other component of a bone alignment device. The arm component 1708 may include any suitable type of one or more components for connecting the moving arm 210 to a ring or other component of a bone alignment device. For example, the arm component 1708 may include any combination of hinges, ball joints, universal joints, and fixed joints for connecting to a ring or other component of a bone alignment device. In one embodiment, the moving arm 210 may include connector components 214. The connector components 214 may be connected to a joint such as, for example, the universal joint, a ball-joint, or the like.
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(69) In one embodiment, the first opening 2006 may be shaped and configured to receive the first body component 1504 of the main body 202 and the second opening 2010 may be shaped and configured to receive the second body component 1506 of the main body 202. Accordingly, when the fixed arm 208 is connected to the main body 202, the first coupling component 2002 may be positioned on an outside of the main body 202 and the second coupling component 2004 may be positioned within an inside of the main body 202.
(70) As further shown in
(71) As shown, the arm component 2008 may extend away from the first and second coupling components 2002 and 2004. The arm component 2008 may include one or more components for connecting the fixed arm 208 to a ring or other component of a bone alignment device. The arm component 2008 may include any suitable type of one or more components for connecting the fixed arm 208 to a ring or other component of a bone alignment device. For example, the arm component 2008 may include any combination of hinges, ball joints, universal joints, and fixed joints for connecting to a ring or other component of a bone alignment device. In an embodiment, the fixed arm 208 may include connector components 2014. The connector components 2014 may be connected to a joint such as, for example, the universal joint 216. For example, referring to
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(74) As shown in
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(76) As shown in
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(79) The actuator 206 may include any suitable locking component or mechanism now known or hereafter developed. The locking mechanism may prevent unintended rotation of the actuator 206. The locking mechanism may include any type of locking mechanism including, for example, any combination of ball detent, spring plunger, and poker chip.
(80) For example, referring to
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(82) As described herein, the external fixation strut 200, including any variations described herein, may be used with any bone alignment device now known or hereafter developed. In general, any number of external fixation struts 200, including any variations described herein, may be used to connect two rings or bases of any type of bone alignment device as described herein.
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(84) As described herein, the external fixation struts 200 of the bone alignment device 2900 may expand the minimum and maximum working range of the bone alignment device 2900 while providing a user adjusting the spacing of the first and second rings 2902 and 2904 a single measurement scale 302 on each external fixation strut 200 to enhance usability and reliability.
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(86) As described herein, the external fixation struts 200 of the bone alignment device 3000 may expand the minimum and maximum working range of the bone alignment device 3000 while providing a user adjusting the spacing of the first and second rings 3002 and 3004 a single measurement scale 302 on each external fixation strut 200 to enhance usability and reliability.
(87) In an embodiment, the external fixation strut 200 may include an identification (ID) such that each external fixation strut 200 attached to or forming part of a bone alignment device (e.g., the bone alignment devices 2900 and 3000) may be distinguished. In one embodiment, the ID may be a bar code or other scannable code. In one embodiment, the ID may include textual and/or graphical markers. In general, any suitable ID now known or hereafter developed that may be used to distinguish external fixation struts 200 may be used.
(88) While the present disclosure refers to certain embodiments, numerous modifications, alterations, and changes to the described embodiments are possible without departing from the sphere and scope of the present disclosure, as defined in the appended claim(s). Accordingly, it is intended that the present disclosure not be limited to the described embodiments, but that it has the full scope defined by the language of the following claims, and equivalents thereof. The discussion of any embodiment is meant only to be explanatory and is not intended to suggest that the scope of the disclosure, including the claims, is limited to these embodiments. In other words, while illustrative embodiments of the disclosure have been described in detail herein, it is to be understood that the inventive concepts may be otherwise variously embodied and employed, and that the appended claims are intended to be construed to include such variations, except as limited by the prior art.
(89) The foregoing discussion has been presented for purposes of illustration and description and is not intended to limit the disclosure to the form or forms disclosed herein. For example, various features of the disclosure are grouped together in one or more embodiments or configurations for the purpose of streamlining the disclosure. However, it should be understood that various features of the certain embodiments or configurations of the disclosure may be combined in alternate embodiments, or configurations. Moreover, the following claims are hereby incorporated into this Detailed Description by this reference, with each claim standing on its own as a separate embodiment of the present disclosure.
(90) As used herein, an element or step recited in the singular and proceeded with the word “a” or “an” should be understood as not excluding plural elements or steps, unless such exclusion is explicitly recited. Furthermore, references to “one embodiment” of the present disclosure are not intended to be interpreted as excluding the existence of additional embodiments that also incorporate the recited features.
(91) The phrases “at least one”, “one or more”, and “and/or”, as used herein, are open-ended expressions that are both conjunctive and disjunctive in operation. The terms “a” (or “an”), “one or more” and “at least one” can be used interchangeably herein. All directional references (e.g., proximal, distal, upper, lower, upward, downward, left, right, lateral, longitudinal, front, back, top, bottom, above, below, vertical, horizontal, radial, axial, clockwise, and counterclockwise) are only used for identification purposes to aid the reader's understanding of the present disclosure, and do not create limitations, particularly as to the position, orientation, or use of this disclosure. Connection references (e.g., engaged, attached, coupled, connected, and joined) are to be construed broadly and may include intermediate members between a collection of elements and relative to movement between elements unless otherwise indicated. As such, connection references do not necessarily infer that two elements are directly connected and in fixed relation to each other. All rotational references describe relative movement between the various elements. Identification references (e.g., primary, secondary, first, second, third, fourth, etc.) are not intended to connote importance or priority but are used to distinguish one feature from another. The drawings are for purposes of illustration only and the dimensions, positions, order and relative to sizes reflected in the drawings attached hereto may vary.