Method and apparatus for an orthopedic fixation system

Abstract

An orthopedic fixation system includes a sterile packaged implant kit and a sterile packaged instrument kit. The sterile packaged implant kit includes at least one surgical implant, an insertion device, and an implant package adapted to receive the at least one surgical implant and the insertion device therein. The implant package maintains the at least one surgical implant and the insertion device sterile after sterilization of the sterile packaged implant kit. The sterile packaged instrument kit includes one or more instruments necessary to use the sterile packaged implant kit and an instrument package adapted to receive the one or more instruments therein. The instrument package maintains the one or more instruments sterile after sterilization of the sterile packaged instrument kit.

Claims

1. An orthopedic fixation system, comprising: a first shape memory implant, comprising a first leg and a second leg movable between an implanted position and an insertion position; a first implant insertion device adapted to engage the first shape memory implant and hold the first leg and the second legs in their insertion position; a first drill guide adapted for a drilling of holes into a first bone and a second bone whereby the first drill guide includes a fixed separation distance substantially equal to a distance between the first leg and the second leg of the first shape memory implant in their insertion position; a first package adapted to receive therein the first shape memory implant, the first implant insertion device, and the first drill guide; a second shape memory implant, comprising a first leg and a second leg movable between an implanted position and an insertion position; a second implant insertion device adapted to engage the second shape memory implant and hold the first leg and the second legs in their insertion position; a second drill guide adapted for a drilling of holes into a first bone and a second bone whereby the second drill guide includes a fixed separation distance substantially equal to a distance between the first leg and the second leg of the second implant in their insertion position; a second package adapted to receive therein the second shape memory implant, the second implant insertion device, and the second drill guide; and a sizing device, comprising first projections defining therebetween a first fixed distance and second projections defining therebetween a second fixed distance, wherein: the first fixed distance is different than the second fixed distance, the first fixed distance is substantially equal to the distance between the first leg and the second leg of the first shape memory implant in their insertion position, and the second fixed distance is substantially equal to the distance between the first leg and the second leg of the second shape memory implant in their insertion position.

2. The orthopedic fixation system according to claim 1, wherein the sizing device is adapted for placement of one of the first projections and the second projections across the first bone and the second bone to determine which of the first shape memory implant with its first and second legs in their insertion position and the second shape memory implant with its first and second legs in their insertion position is a proper size for fusion of the first and second bones.

3. The orthopedic fixation system according to claim 1, comprising a drill bit, locating pins, and tamp adapted for use during an insertion of one of the first shape memory implant and the second shape memory implant.

4. An orthopedic fixation system, comprising: a first shape memory implant, comprising a first leg and a second leg movable between an implanted position and an insertion position; a first implant insertion device adapted to engage the first shape memory implant and hold the first leg and the second legs in their insertion position; a first drill guide adapted for a drilling of holes into a first bone and a second bone whereby the first drill guide includes a fixed separation distance substantially equal to a distance between the first leg and the second leg of the first shape memory implant in their insertion position; a first package adapted to receive therein the first shape memory implant, the first implant insertion device, and the first drill guide; a second shape memory implant, comprising a first leg and a second leg movable between an implanted position and an insertion position; a second implant insertion device adapted to engage the second shape memory implant and hold the first leg and the second legs in their insertion position; a second drill guide adapted for a drilling of holes into a first bone and a second bone whereby the second drill guide includes a fixed separation distance substantially equal to a distance between the first leg and the second leg of the second implant in their insertion position; a second package adapted to receive therein the second shape memory implant, the second implant insertion device, and the second drill guide; and a sizing device, comprising first projections defining therebetween a first fixed distance and second projections defining therebetween a second fixed distance, wherein: the first fixed distance is different than the second fixed distance, the first fixed distance is substantially equal to the fixed separation distance of the first drill guide, and the second fixed distance is substantially equal to the fixed separation distance of the second drill guide.

5. The orthopedic fixation system according to claim 4, wherein the sizing device is adapted for placement of one of the first projections and the second projections across the first bone and the second bone to determine which of the first shape memory implant with its first and second legs in their insertion position and the second shape memory implant with its first and second legs in their insertion position is a proper size for fusion of the first and second bones.

6. The orthopedic fixation system according to claim 4, comprising a drill bit, locating pins, and tamp adapted for use during an insertion of one of the first shape memory implant and the second shape memory implant.

7. An orthopedic fixation system, comprising: a first shape memory implant, comprising a first leg and a second leg movable between an implanted position and an insertion position; a first implant insertion device adapted to engage the first shape memory implant and hold the first leg and the second legs in their insertion position; a first drill guide adapted for the drilling of holes into a first bone and a second bone whereby the first drill guide includes a fixed separation distance substantially equal to a distance between the first leg and the second leg of the first shape memory implant in their insertion position; a second shape memory implant, comprising a first leg and a second leg movable between an implanted position and an insertion position; a second implant insertion device adapted to engage the second shape memory implant and hold the first leg and the second legs in their insertion position; a second drill guide adapted for the drilling of holes into a first bone and a second bone whereby the second drill guide includes a fixed separation distance substantially equal to a distance between the first leg and the second leg of the second implant in their insertion position; and a sizing device, comprising first projections defining therebetween a first fixed distance and second projections defining therebetween a second fixed distance, wherein: the first fixed distance is different than the second fixed distance, the first fixed distance is substantially equal to the distance between the first leg and the second leg of the first shape memory implant in their insertion position, and the second fixed distance is substantially equal to the distance between the first leg and the second leg of the second shape memory implant in their insertion position.

8. The orthopedic fixation system according to claim 7, wherein the sizing device is adapted for placement of one of the first projections and the second projections across the first bone and the second bone to determine which of the first shape memory implant with its first and second legs in their insertion position and the second shape memory implant with its first and second legs in their insertion position is a proper size for fusion of the first and second bones.

9. The orthopedic fixation system according to claim 7, wherein: the first fixed distance of the sizing device is substantially equal to the fixed separation distance of the first drill guide; and the second fixed distance of the sizing device is substantially equal to the fixed separation distance of the second drill guide.

10. The orthopedic fixation system according to claim 9, wherein the sizing device is adapted for placement of the first projections and the second projections across the first bone and the second bone to determine which of the first shape memory implant with its first and second legs in their insertion position and the second shape memory implant with its first and second legs in their insertion position is a proper size for fusion of the first and second bones.

11. The orthopedic fixation system according to claim 7, comprising a drill bit, locating pins, and tamp adapted for use during an insertion of one of the first shape memory implant and the second shape memory implant.

12. The orthopedic fixation system according to claim 7, comprising: a first package adapted to receive therein the first shape memory implant, the first implant insertion device, and the first drill guide; a second package adapted to receive therein the second shape memory implant, the second implant insertion device, and the second drill guide.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) FIG. 1A provides an isometric view of an orthopedic fixation system.

(2) FIG. 1B provides a plan view of an orthopedic fixation system.

(3) FIG. 2A provides an isometric view of an insertion device being used to insert an implant into bones.

(4) FIG. 2B provides an isometric view of an implant being released from an insertion stick into bones.

(5) FIG. 3A provides an exploded isometric view of a sterile-packaged implant kit.

(6) FIG. 3B provides an assembled isometric view of a sterile-packaged implant kit.

(7) FIG. 4A provides an exploded isometric view of a sterile-packaged instrument kit.

(8) FIG. 4B provides an assembled isometric view of a sterile-packaged instrument kit.

(9) FIG. 5A provides an exploded view of a drill guide and an instrument handle.

(10) FIG. 5B provides an assembled isometric view of a drill guide system.

(11) FIG. 6 provides an alternative embodiment of an orthopedic fixation system that includes a sizing guide.

(12) FIG. 7 provides a plan view of a sizing guide.

(13) FIGS. 8A-8J provide a sequence of images showing the use of an orthopedic fixation system.

(14) FIG. 9 provides a method for using a sterile orthopedic fixation system.

(15) FIG. 10 provides a method for packaging a sterile orthopedic fixation system.

(16) FIG. 11 provides a method for using an orthopedic sizing guide to select the proper implant.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

(17) As required, detailed embodiments of the present invention are disclosed herein; however, it is to be understood that the disclosed embodiments are merely exemplary of the invention, which may be embodied in various forms. It is further to be understood that the figures are not necessarily to scale, and some features may be exaggerated to show details of particular components or steps.

(18) In this invention, a method and system for a sterile packaged implant and complementary sterile packaged instrument kit are described. As shown in FIGS. 1A and 1B, an orthopedic fixation system 100 consists of one or more sterile packaged implant kits 200, 201, and 202, and a sterile packaged instrument kit 300. Implant kits 200, 201, and 202 are identical, except that the implants may be sized differently as required by the physician.

(19) The orthopedic fixation implant is shown in FIG. 2A. The fixation implant 205 consists of an implant made from a shape-memory or superelastic material such as nitinol. Implant 205 has two legs, 206 and 207, that are designed to swing inward. Implant 205 is mounted on disposable insertion device 220. The insertion device 220 holds the implant 205 such that implants legs 206 and 207 are held mechanically in a parallel position for easier insertion into bone. FIG. 2A shows the implant 205 being inserted into two bones 208 and 209. Insertion device 220 can be twisted off implant 205, as shown in FIG. 2B, releasing the implant to squeeze bones 208 and 209.

(20) The representative sterile packaged implant kit 200 is shown in more detail in exploded view FIG. 3A and assembly FIG. 3B. Implant kit 200 includes the aforementioned implant 205 and insertion device 220. Implant kit 200 also includes a drill guide 230. The purpose of drill guide 230 is to allow a surgeon to drill parallel holes into bone with the proper separation distance to match implant 205 and parallel legs 206 and 207. Drill guide 230 has a universal mating shaft 231 that can be used to attach to a handle. The entire assembly, consisting of implant 205 mounted to insertion device 220 and matching drill guide 230 are placed into an implant package 210 suitable to house implant 205, insertion device 220, and matching drill guide 230 and maintain implant 205, insertion device 220, and matching drill guide 230 sterile. In particular, implant 205, insertion device 220, and matching drill guide 230 are placed into an implant tray 240. Implant tray 240 could be made from thermoformed plastic or a similar material, and is shaped to hold and secure insertion device 220 and drill guide 230. While implant tray 240 in the preferred embodiment is shaped to hold insertion device 220 with implant 205 mounted, one of ordinary skill in the art will recognize that implant tray 240 could hold insertion device 220 and implant 205 separately. Implant tray 240 fits into implant outer cover 245, which protects all of the contents. Both implant tray 240 and implant outer cover 245 can be made from transparent plastic so that implant 205 is visible from outside. An implant seal 250 secures over and encloses implant outer cover 245 using any suitable means such as a heat and pressure activated adhesive. Implant seal 250 is made from a suitable material for insuring sterility while still allowing air passage. After sealing the system with implant seal 250, implant kit 200 can be sterilized by any common sterilization method such as gas, radiation, or another type. All of the components of implant kit 200 can be made from disposable materials such as injection molded plastic, metal, or other suitable materials, with the exception of implant 205 which is made from a superelastic or shape-memory material. It is an objective of implant kit 200 to be packaged and then sterilized to simplify the surgical implantation of implant 205, and then allow all of the other components to be discarded after surgery.

(21) Instrument kit 300 is displayed in exploded view FIG. 4A and assembly FIG. 4B. Instrument kit 300 is sterile-packaged and designed to work in conjunction with one or more implant kits 200, 201, or 202, or any combination of implant kits. In this embodiment, the instrument kit 300 includes multiple instruments needed by the surgeon for the implant kit. Instrument kit 300 consists of a handle 310 that mates with previously mentioned drill guide 230. Instrument kit 300 also consists of one or more locating pins 320, drill bit 330, and tamp 340. Locating pins 320 are used to fit inside drill guide 230. Drill bit 330 also fits inside drill guide 230 and can drill a hole in bone. Tamp 340 is used to press down on implant 205 to push it flush to bone. The handle 310, one or more locating pins 320, drill bit 330, and tamp 340 all fit into instrument package 305 suitable to house handle 310, one or more locating pins 320, drill bit 330, and tamp 340 and maintain handle 310, one or more locating pins 320, drill bit 330, and tamp 340 sterile. In particular, the handle 310, one or more locating pins 320, drill bit 330, and tamp 340 all fit into instrument tray 350. Instrument tray 350 is made from a thermoformed plastic or similar material that is shaped to conform and hold each instrument; namely, handle 310, one or more locating pins 320, drill bit 330, and tamp 340. Instrument tray 350 fits inside instrument outer cover 360. Both instrument tray 350 and instrument outer cover 360 can be made from transparent plastic so that each instrument is visible from outside. An instrument seal 370 secures over and encloses instrument outer cover 360 using any suitable means such as a heat and pressure activated adhesive. Instrument seal 370 is made from a suitable material for insuring sterility while still allowing air passage. Instrument seal 370 adheres to instrument outer tray 360 to allow instruments 310, 320, 330, and 340 to be sterilized and then maintain sterility. Instrument kit 300 is sterilized by any common method of sterilization such as gas or radiation.

(22) FIG. 5A shows handle 310 and drill guide 230 being positioned for assembly. Shaft 235 of drill guide 230 slides into handle 310 to make a connection. FIG. 5B shows assembled drill guide assembly 390, consisting of handle 310 and drill guide 23.

(23) In a second embodiment, shown in FIG. 6, the orthopedic fixation system now includes an additional component. FIG. 6 shows fixation system 500 consisting of one or more implant kits 200, 201, and 202, instrument kit 300, and sizing guide 400. Implant kits 200, 201, and 202 and instrument kit 300 functions the same as in the preferred embodiment. Sizing guide 400 is shown in more detail in FIG. 7. It is a sterile packaged device made from plastic or a similar disposable material, with incremental projections on the perimeter. Representative projections 410 and 411 are shown in FIG. 7, however, any number of projections could be situated on the perimeter. Projections 410 and 411 have a known separation distance corresponds to the previously described separation distance of legs 206 and 207 on implant 205. The measurement 415 between projections 410 and 411 is shown on sizing guide 400.

(24) FIGS. 8A-8J show a sequence of images illustrating the use of a sterile-packaged orthopedic fixation system. FIG. 9 shows a method for using a sterile orthopedic fixation system that corresponds to FIGS. 8A-8J. FIG. 8A and step 600 of FIG. 9 show sizing guide 400 being used to determine the proper size of implant needed for bones 208 and 209. FIG. 8B and step 610 of FIG. 9 show drill guide assembly 390 being created from handle 310 and drill guide 230 by inserting shaft 235 into handle 310. FIG. 8C and step 620 of FIG. 9 show drill guide assembly 390 and drill bit 330 being used to drill a hole into bone 209. FIG. 8D shows locating pin 320 positioned in drill guide assembly 390 and extending into the hole in bone 209. Locating pin 320 secures the drill guide assembly 390 in place while drill bit 330 is used to drill a hole in bone 208. FIG. 8E and step 630 of FIG. 9 show drill guide assembly 390 with two locating pins 320 securing it to bone. FIG. 8F shows that the two locating pins 320 are left in bones 208 and 209. FIG. 8G and step 640 of FIG. 9 show implant 205 mounted to insertion device 220, being positioned over bones 208 and 209. FIG. 8H and step 650 of FIG. 9 show insertion device 220 being twisted off implant 205 to release implant 205 into bones 208 and 209. FIG. 8I and step 660 of FIG. 9 show implant 205 being pressed flush against bones 208 and 209 by tamp 340. Finally, FIG. 8J shows multiple implants 205 in position on bones 208 and 209.

(25) FIG. 10 shows a method for packaging a sterile orthopedic fixation system. Step 700 involves inserting the implant into an insertion device. In step 710, the insertion device with implant and corresponding drill guide is placed into a storage tray. In step 720, the components of an instrument kit, including drill bit, location pins, tamp, and instrument handle are placed into an instrument tray. In step 730 both trays are sealed with lids. Finally, in step 740 both trays are sterilized via gas, radiation or other sterilization method.

(26) FIG. 11 shows a method for using a sizing guide to determine the appropriate implant size for an orthopedic surgical procedure. Step 800 describes exposing bones that require surgery. Step 810 describes using a sizing tool by rotating it's projections over the bones. Step 820 involves selecting the proper implant that best fits the bones.

(27) Although the present invention has been described in terms of the foregoing embodiments, such description has been for exemplary purposes only and, as will be apparent to those of ordinary skill in the art, many alternatives, equivalents, and variations of varying degrees will fall within the scope of the present invention. That scope, accordingly, is not to be limited in any respect by the foregoing detailed description; rather, it is defined only by the claims that follow.