SELF-RETAINING SCREWDRIVER TIP AND MATING DRIVE FEATURE
20170303981 · 2017-10-26
Assignee
Inventors
Cpc classification
International classification
A61B17/88
HUMAN NECESSITIES
Abstract
A surgical self-retaining screwdriver for the temporary securing of a bone fastener, wherein the tip of the screwdriver includes at least one deflection member which provides a frictional fit when the fastener is coupled to the screwdriver. A bone fastener is also provided which includes an undercut that is capable of temporarily retaining the at least one deflection member of the screwdriver. The invention provides a reliable means for securely holding a fastener to a screwdriver during insertion or extraction, and for easy removal of the screwdriver from the fastener after insertion.
Claims
1. A surgical screwdriver comprising: a shaft with a proximal end, a distal end, and a longitudinal axis; and a fastener-engaging tip attached to the distal end of the shaft; the fastener-engaging tip including: a driving portion with a proximal end, a distal end, at least one driving face, and a cross-sectional geometry; and a retaining portion attached to the distal end of the driving portion, the retaining portion including at least one deflection member, the at least one deflection member including a protrusion, the protrusion of the at least one deflection member capable of movement toward the longitudinal axis, the retaining portion having a cross-sectional diameter which is larger than a cross-sectional diameter of the driving portion.
2. The surgical screwdriver of claim 1, wherein the cross-sectional geometry of the driving portion defines a hexagon.
4. The surgical screwdriver of claim 1, wherein the at least one deflection member, includes an undercut which, when viewed in a cross-section parallel to the longitudinal axis, defines a radius.
5. The surgical screwdriver of claim 1, wherein the at least one deflection member is a plurality of deflection members.
6. The surgical screwdriver of claim 1, wherein the at least one deflection member includes at least one radiused notch at the distal end of the driving portion.
7. The surgical screwdriver of claim 5, wherein the plurality of deflection members includes an opening between any two of the plurality of deflection members, the opening including at least one radiused notch at the distal end of the driving portion.
8. The surgical screwdriver of claim 1, wherein the retaining portion is removably attached.
9. A bone fastener comprising: a shaft with a proximal end, a distal end, and a longitudinal axis; and a head with an instrument-receiving portion attached to the proximal end of the shaft; the instrument-receiving portion including: a female opening in the head with a cross-sectional geometry and an inner surface for receivable engagement of a fastener-engaging tip of a surgical screwdriver; and an undercut extending at least partially circumferentially around the inner surface of the instrument-receiving portion.
10. The bone fastener of claim 9, wherein at least one of bone- and plate-engaging threads are at least one of completely or partially disposed along the shaft.
11. The bone fastener of claim 9, wherein the head includes at least one of bone- and plate-engaging threads.
12. The bone fastener of claim 9, wherein the cross-sectional geometry of the female opening defines a hexagon.
13. The bone fastener of claim 9, wherein the undercut, when viewed in a cross-section parallel to the longitudinal axis, defines a radius.
14. A method of temporarily securing a bone fastener to a surgical screwdriver, the method comprising: providing a surgical screwdriver including: a shaft with a proximal end, a distal end, and a longitudinal axis; and a fastener-engaging tip attached to the distal end of the shaft; the fastener-engaging tip including: a driving portion with a proximal end, a distal end, at least one driving face, and a cross-sectional geometry; and a retaining portion attached to the distal end of the driving portion, the retaining portion including at least one deflection member, the at least one deflection member including a protrusion, the protrusion of the at least one deflection member capable of movement toward the longitudinal axis, the retaining portion having a cross-sectional diameter which is larger than a cross-sectional diameter of the driving portion; providing a bone fastener including: a shaft with a proximal end, a distal end, and a longitudinal axis; and a head with an instrument-receiving portion attached to the proximal end of the shaft, the instrument-receiving portion including a female opening with a cross-sectional geometry and an inner surface, the inner surface including an undercut extending at least partially circumferentially for the receivable engagement of the fastener-engaging tip of the surgical screwdriver; and placing the bone fastener onto the surgical screwdriver where it is temporarily held as a result of the protrusion of the at least one deflection member residing within the undercut.
15. The method of claim 14, wherein the cross-sectional geometry of the driving portion defines a hexagon.
16. The method of claim 14, wherein the at least one deflection member, includes an undercut which, when viewed in a cross-section parallel to the longitudinal axis, defines a radius.
17. The method of claim 14, wherein the at least one deflection member is a plurality of deflection members.
18. The method of claim 14, wherein the at least one deflection member includes at least one radiused notch at the distal end of the driving portion.
19. The method of claim 17, wherein the plurality of deflection members includes an opening between any two of the plurality of deflection members, the opening including at least one radiused notch at the distal end of the driving portion.
20. The method of claim 14, wherein the retaining portion is removably attached.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0020] The above-mentioned and other features and advantages of this invention, and the manner of attaining them, will become more apparent and the invention will be better understood by reference to the following description of an embodiment of the invention taken in conjunction with the accompanying drawings, wherein:
[0021]
[0022]
[0023]
[0024]
[0025]
[0026] Corresponding reference characters indicate corresponding parts throughout the several views. The exemplification set out herein illustrates an embodiment of the invention, in one form, and such exemplification is not to be construed as limiting the scope of the invention in any manner.
DETAILED DESCRIPTION OF THE INVENTION
[0027] The terms “proximal” and “distal” are used principally throughout this specification for convenience; but it is to be understood that these terms are not intended to be limiting. Thus “proximal” in this specification refers to the feature of the apparatus closest to the operator during use, and “distal” refers to the end of the apparatus farthest from the operator during use.
[0028] Referring now to
[0029] Distal end 16 of shaft 12 includes a fastener-engaging tip 18. Fastener-engaging tip 18 can be any length necessary for secure engagement with a fastening device, and includes a driving portion 20 with proximal end 22, distal end 24, and at least one driving face 25. Driving portion 20, in the exemplary embodiment, has a cross-sectional geometry defining a hexagon. However, the cross-sectional geometry is not limited to hexagonal and can be any geometry suitable for use as a screwdriver; including but not limited to octagonal, square, star-shaped, etc. Therefore, in the exemplary embodiment, driving portion 20 has six driving faces 25: one for each side of the cross-sectional geometry.
[0030] Distal end 24 of driving portion 20 includes retaining portion 26. Retaining portion 26 includes at least one deflection member 28 attached to the at least one driving face 25. In the exemplary embodiment, retaining portion 20 includes six deflection members 28, one for each driving face 25. However, as the cross-sectional geometry of the driving portion 20 is not limited to hexagonal and can be any geometry suitable for use as a screwdriver; including but not limited to octagonal, square, star-shaped, etc.; there can be a corresponding number of driving faces 25 with deflection members 28. In other embodiments not shown with a plurality of driving faces 25, there may only be one deflection member 28 attached to one of the plurality of driving faces 25, the other driving faces 25 having no deflection members 28 attached to them. Any combination of driving faces 25 and attached deflection members 28 is therefore possible. Retaining portion 26 can be fixedly or removably attached to fastener-engaging tip 18.
[0031] As best seen in
[0032] By virtue of its design, especially considering undercut 30, the at least one deflection member 28 is capable of elastic deformation when subjected to external loads; that is, it can be bent at its attachment to driving face 25 a limited amount and return to its original position. The amount of elastic deformation possible is a function of the material properties, the design, and the forces applied.
[0033] Advantageously, the purpose for which being detailed further in this specification, a cross-sectional diameter circumscribing the surgical screwdriver 10 which includes the at least one deflection member 28 is larger (has a greater diameter) than a cross-sectional diameter circumscribing the surgical screwdriver 10 which includes the driving portion 20 but does not include the at least one deflection member 28.
[0034] In the exemplary embodiment shown in
[0035] It is to be understood that in the event of an embodiment with a single deflection member 28 and the absence of an opening 32 (not shown), a radiused notch 34 is included on each side of the deflection member 28 in the location described above.
[0036] It is also to be understood that retaining portion 26 can be fixedly or removably attached to fastener-engaging tip 18.
[0037] Now referring to
[0038] Bone- or plate-engaging threads 56 may be disposed completely or partially on the shaft 42 of bone fastener 40; therefore, they may also be disposed completely or partially on the head 50 (not shown). The bone- or plate-engaging threads 56 may be of any type known in the art.
[0039] Instrument-receiving portion 48 includes female opening 52, which includes driven faces 53 and undercut 54. In the exemplary embodiment show, there are twelve driven faces 53, which corresponds to the driving tip of a screwdriver with six or twelve driving faces. The cross-section of the head 50 through the driven faces 53, then, defines a dodecagon. However, the cross-sectional geometry is not limited to a dodecagon and can be any geometry suitable for use; including but not limited to octagonal, hexagonal, square, star-shaped, etc.
[0040] Undercut 54, when viewed in a cross-section parallel to longitudinal axis BFA, defines a radius in the exemplary embodiment. However, undercut 54 can have any configuration; in the exemplary embodiment it is radiused for ease of insertion and temporary coupling with the inventive surgical screwdriver as described below. Undercut 54 may be disposed completely or partially around the inside of the female opening 52; and may be located distal to, proximal to, or anywhere along driven faces 53.
[0041] Now referring to
[0042] In the embodiment shown, a cross-sectional diameter circumscribing the surgical screwdriver 10 which includes the at least one deflection member 28 is larger (has a greater diameter) than a cross-sectional diameter circumscribing the instrument-receiving portion 48 of the bone fastener 40 with accompanying driven faces 53. Therefore, as the fastener-engaging tip 18 is inserted into instrument-receiving portion 48, the at least one deflection member 28 is forced inward toward the longitudinal axes SSA and BFA under conditions of elastic deformation; in other words, protrusion 27 on at least one deflection member 28 intimately contacts a surface of the at least one of the driven faces 53.
[0043] In the embodiment shown, when the fastener-engaging tip 18 of surgical screwdriver 10 is completely inserted into the instrument-receiving portion 48 of bone fastener 40, the protrusion 27 of the at least one deflection member 28 is free to return to or near to its pre-insertion position by virtue of its ability to move into and within undercut 54, since protrusion 27 is no longer contacting one of the driven faces 53. As described above, the undercut 54 and protrusion 27 may be complementary (have substantially the same geometries), or may differ from one another in geometry.
[0044] The bone fastener 40 may then be transported to the desired site and screwed into place, after which surgical screwdriver 10 can be disassociated with bone fastener 40 by simply pulling back from it. Alternatively, in the event of screw removal, the bone fastener 40 may then be unscrewed and transported away from its original location to outside the wound, where it can then be disassociated from surgical screwdriver 10 by pulling them in opposite directions.
[0045] While self-retaining screwdrivers and bone fasteners have been described with respect to at least one embodiment, the present invention can be further modified within the spirit and scope of this disclosure. This application is therefore intended to cover any variations, uses, or adaptations of the invention using its general principles. Further, this application is intended to cover such departures from the present disclosure as come within known or customary practice in the art to which this invention pertains and which fall within the limits of the appended claims.