Meditron Devices, Inc.

Other

B.e.i. Medical

Philip J Ware

Alfred O Bonati

A method for gaining access to and removing mechanical fasteners such as pedicle screws. A small arthroscopic incision is made over the location of the fastener. A guide wire is then placed into the incision and attached to the fastener. A series of progressively enlarging dilator tubes are slipped into the incision to progressively enlarge its diameter. A screw extractor tube is placed into the incision, over the largest dilator tube. The screw extractor tube is advanced until its lower extreme surrounds the head of the fastener. The dilator tubes are then removed. At this point, the screw extractor tube holds open the incision and provides access to the fastener through its hollow interior. A specially designed extractor tool is inserted into the screw extractor tube. An arthroscope is preferably also inserted through the screw extractor tube so that the surgeon can visualize the process. Jaws on the end of the extractor tool are clamped to the fastener's head. The extractor tool is then rotated to back out the fastener. Once the fastener is freed from its installed position, the extractor tool withdraws it through the screw extractor tube. Other conventional processes&#x2014;such as debridement&#x2014;may then be performed through the screw extractor tube. Finally, the surgeon withdraws the screw extractor tube and closes the small incision.

Method for removing orthopaedic hardware

A tool for gripping and removing mechanical fasteners such as pedicle screws. With reference to FIG., the device generally resembles a screwdriver, having a handle on one end, a long shaft in the middle, and fastener engaging means on the other end. The fastener engaging means comprises a set of two or more jaws having inward facing gripping surfaces positioned to grasp the external surfaces of a screw head. The jaws are formed as part of a collet slidably mounted within an outer thread sleeve. The thread sleeve is attached to the shaft. A tapered journal on the collet interacts with a tapered bore in the thread sleeve so that when the collet is pulled into the thread sleeve, the set of two or more jaws are squeezed together. The threaded engagements between the collet and the thread sleeve should be the reverse of the thread on the screw to be removed; i.e., if a right-hand screw is to be removed then the threaded engagement between the collet and the thread sleeve should be made with a left-hand thread. In operation, the jaws are placed over the screw head and the device is rotated in a counterclockwise direction (for removal of a screw with a right-hand thread). The inward facing surfaces on the jaws bear against the bolt head, thereby impeding the rotation of the collet relative to the thread sleeve. The left-hand threaded engagement between the collet and the thread sleeve therefore pulls the collet further into the thread sleeve, whereupon the tapered bore squeezes the jaws more tightly together. Thus, the reader will appreciate, applying torque to the device when it is in position on a screw head simultaneously torques the screw head and squeezes the jaws more tightly together. The inward facing surfaces are also provided with an undercut in order to accommodate axial misalignment between the jaws and the screw head.

Clamping screw extractor

Arthroscopic cervical discectomy instruments include a push knob for a guide wire, a pair of telescopically mounted dilator tubes, one of which includes a water port so that the tube provides the additional function of an irrigation tube, a ligament cutter, a continuous suction punch, a cervical osteotone, a cervical cureet, a nucleus extractor and a cureet nucleus extractor. The dilator tubes, the ligament cutter, and the continuous suction punch are all centrally bored to receive the guide wire. All of the instruments are of arthroscopic proportions and each instrument, exclusive of its handle, is slideably insertable through the bore of the largest in diameter dilator tube. The largest in diameter dilator tube serves as a dilator, an irrigation tube, and as the main sheath through which the other tools are inserted. In a second embodiment, the pair of dilator tubes are replaced with a plurality of telescoping dilator tubes of progressively larger diameters and shorter lengths. The tools enable a novel dilation method and a novel surgical method.

Cervical discectomy instruments

A multi-function arthroscope has a laser channel, an irrigation tube, a suction tube, a rod lens, and optical fibers housed within a tubular casing. The operation site is illuminated by the optical fibers, and the physician views the illuminated site through the rod lens, performs laser surgery with laser radiation propagated by the laser channel, irrigates the site and cleans the rod lens with saline solution through the irrigation tube, and vacuums the debris with the suction tube, all in a single insertion of the arthroscope through a dilator tube. The respective distal ends of the optical fibers, rod lens, laser channel, irrigation tube, and the suction tube are positioned in different planes so that the suction tube extends in a distal direction further than the laser channel, the laser channel extends further than the irrigation tube, and the irrigation tube extends further than the rod lens. Connector members join the laser channel, the irrigation tube, the suction tube, and the optical fibers and rod lens to an external source of coherent light, an external source of saline solution under positive pressure, an external source of negative pressure, and an external source of incoherent light, respectively.

Arthroscopic tool combining five functions in one

Arthroscopic cervical discectomy instruments include a push knob for a guide wire, a pair of telescopically mounted dilator tubes, one of which includes a water port so that the tube provides the additional function of an irrigation tube, a ligament cutter, a continuous suction punch, a cervical osteotone, a cervical cureet, a nucleus extractor and a cureet nucleus extractor. The dilator tubes, the ligament cutter, and the continuous suction punch are all centrally bored to receive the guide wire. All of the instruments are of arthroscopic proportions and each instrument, exclusive of its handle, is slidably insertable through the bore of the largest in diameter dilator tube. The largest in diameter dilator tube serves as a dilator, an irrigation tube, and as the main sheath through which the other tools are inserted.

A tool that is retrofit to a conventional arthroscope to add multiple functions. The tool includes a sheath that receives the elongate tube of the arthroscope, and a lock that detachably secures the tool to the arthroscope. A hollow base member is mounted to the sheath, and a first opening formed in the sheath provides fluid communication between the hollow interior of the base member and the sheath. An irrigation control valve is mounted to the base member and supplies irrigation fluid to the site of the surgical procedure through an elongate flexible needle that extends from the irrigation control valve to the distal end of the sheath. A suction control valve has an inlet in communication with a source of negative pressure and vacuums irrigation fluid and surgical debris from the site. A laser tube intersects the sheath at a second opening at an angle and delivers coherent light to the site. Thus, the tool adds a total of three functions to the arthroscope.

Growing community of inventors

Spring Hill, FL, United States of America

Philip J Ware