CA2004940A1 - Surgical rod pusher instrument - Google Patents

Surgical rod pusher instrument

Info

Publication number
CA2004940A1
CA2004940A1 CA002004940A CA2004940A CA2004940A1 CA 2004940 A1 CA2004940 A1 CA 2004940A1 CA 002004940 A CA002004940 A CA 002004940A CA 2004940 A CA2004940 A CA 2004940A CA 2004940 A1 CA2004940 A1 CA 2004940A1
Authority
CA
Canada
Prior art keywords
rod
recess
instrument
locator
force
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
CA002004940A
Other languages
French (fr)
Inventor
Antony J. Lozier
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Bristol Myers Squibb Co
Original Assignee
Bristol Myers Squibb Co
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Bristol Myers Squibb Co filed Critical Bristol Myers Squibb Co
Publication of CA2004940A1 publication Critical patent/CA2004940A1/en
Abandoned legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7074Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7083Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements

Abstract

ABSTRACT

A surgical rod pusher instrument for application of a force against a rod. The instrument has a distal tip which includes a plurality of rod locator recesses, each having a different directional orientation. The rod can be located in the desired recess for application of force against the rod. The plurality of recesses enables the user to apply force to the rod in multiple, selectable directions.

Description

~ 2C~349~0 ~:, ZM0130 A SURGIC~L ROD PUSHER INSTRUMENT

BACKGROUND OF THE TNVENTION

The present invention relates to a surgical instrument having a plurality of rod locator recesses. The instrument is used to aid in manually manipulating a rod ~y pushing or pulling or generally applying force to that rod. The instrument has ~he ability to be used to apply such force in multiple planes or multiple directions by selecting the desired rod locator recess, so that force can accordingl~ be applied in the desired direction. The instrument is particularly suitable for use with spinal implants and instrumentation, although it is not limited thereto.

Heretofore, it is known to use a rod driver or pusher sucb as the instrument 90l shown in Fig. l which includes distal tip s0s having a single rod locator recess 9lO. By locating a rod in the reces6, a force can be applied against the rod in only a direction which is generally axially aligned with the longitudinal axis of the handle and directed toward the tip end. If a lateral or sideways force is applied to the rod, there is a likelihood that the instrument will slip off~ the rod. This is not desirable when applying such force on a rod at a surgical site.

OBJECTS OF THE INVENTION

A principal object of the invention is to provide a ( . ~0~940 ( ~

surgical rod pusher instrument which is capable of apply;ng force to a rod in multiple planes or directions, thus pro~iding controlled manual manipulation of the rod via the rod pusher insl:~ument.

A further object of the invention is to provide a surgical rod pusher instrument which includes a plurality of rod locator recesses to enable the user to apply force to the rod in multiple, selectable directions.

A still further object of the invention is to provide an instrument which can be used to selectively apply forces to a rod in downward as well as in lateral (or sideways) and upwards directions.

An additional object of the invention is to provide an instrument which can be used to selectively apply ~orces to a rod in all 360 about the rod, as desired.

SUMMARY OF THE INVENTION

The present invention provides a surgical rod pusher instrument for application of force against a rod. The instrument includes a distal tip with a handle extending therefrom. The tip includes a rod receiving opening leading into an enlarged cavity. The cavity include6 a plurality of rod locator recesses. Each recess has a different directional orientation. The user selects the desired recess and locates the rod in the chosen recess and l:hen applies a force again~t the rod in the desired direction. Preferably, the plurality Oe recesses are oriented such that the instrument has the abi]ity to apply force against the rod in a downward direction, as well (- 20q~ 40 ~ b~th ~la~w~y~ (~r lateral) directions, depending upon which rod locator recess is selected by the user. Also, by proper manipulation of the instrument, it is possible to direct an upwards force on the rod, if desirable. With a small change in manual o~ientation of the handle, this instrument can selectively apply force against a rod in all 360 about the rod.

BRIEF DESCRIPTION OF TH~! RAWINGS

These features and objects of the invention, as well as others, will become apparent to those skilled in the art by referring to the accompanying drawings:

Fig. l is a perspective view of a prior art instrument;

Fig. 2 is a perspective view of the surgical instrument according to the present invention;

Fig. 3 is a side view of the instrument of Fig. 2;

Fig. 4 is a top view of the instrument of Fig. 2;

Fig. 5 i6 a partial enlarged view of the distal tip of the instrument circled at "5" in Fig. 3; and Figs. 6-9 are perspective views illustrating the surgical instrument of Fig. 2 being utilized to apply force to a rod in variou~ directions.

DETAILED DES RIPTION OF THE INVENTION

Figs. 2-5 illustrate a particularly advantageous embodime~lt 20~ O

of the surgical rod pusher instrument 601 of the present invention. Figs. 6-9 illustrate the use of this instrument 601 in conjunction with a rod 801, and illustrate the ~pplication of force to the rod 801 in various directions as represented by the arrows. It is noted that this instrument is particularly suitable for use as a spinal instrument, in particular for use with spinal implant6 which utilize a spinal rod (such as 801) for manipulating the rod during spinal surgery. The spinal rod 801 may be utilized in conjunction with the spinal implant system described in co-pending patent application serial number _, filed _ to Cozad et al. which is incorporated herein by reference. However, it is noted that the features of this surgical rod pusher instrument may be utilized with any suitable rod memher, and is not limited to this particular spinal implant system, nor is it limited solely to spinal applications. Thus, this instrument could be utili~ed in conjunction with any suitable surgical rod or elongaled member.

The instrument 601 includes a distal tip 605 or working end portion and an elongated handle 620 extending therefrom. The handle, as shown, may suitably include a gripping portion 622 which blends into a narrower portion 624 which attaches to the distal tip 605. The handle may also include an enlarged proximal portion 623.

The tip 605 includes a rod receiving opening 610 leading into enlarged cavity 612. The cavity includes a plurali~y of rod locator reces~es 614, 615, and 616. The embodiment shown includes three distinct rod locator recesses, first, second, and third recesses 61~, 615, and 616, respectively. Al~o, in the embodiment shown, the enlarged cavity 612 and the rod receiving f .
2~ 0 opening 610 form a substantially cloverleaf-shaped opening, as shown in Fig. 5. Alternatively, the enlarged cavity 612 could be 6ubstantially triangular in shape (not shown) with each angle of the triangle forming a respective rod locator recess and with the rod receiving opening 610 which leads into the cavity 512 being located along one leg of the triangle. In addition, it is noted that embodiments utilizing two, four or more distinct recesse6 (not shown) could also be utilized in keeping with ~he present invention. Each recess 6l4, 615, and 616 has a different directional orientation.

The rod locator recesses 614, 615, and 616 each preferably have a shape which corresponds to the mating portion of the rod 801 which will be in contact or engagement with the selected recess. In the embodiment shown, the rod 801 is cylindrical and the corresponding rod locator recesses 614, 615, and 616 are each substantially semi cylindrical and sized to accept the rod 801 as shown in Figs. 6-9. The recesses could be formed as a suitable portion or segment of a curve as long as the recess~s are adapted to receive the corresponding rod or elongated member 801. A semi-circular recess is preerred over a smaller segmen~
of a curve to help ensure secure location of the rod in the selected recess, and to lessen the likelihood of the rod slipping out of the recess when a force is applied to the instrument 601 against rod 801. Any suitable shapes for the recesses 614, 615, and 616 and for the corresponding mating rod 801 could be utilized. Also, the instrument 601 could utilize recesse6 having different sizes (not shown) if it was desirable to utilize the instrument with varying sized rods 801.

The width "w" of the rod receiving opening 610 is suitably 20~ 9~0 sized to allow the rod 801 having diameter "d" to pass through the opening 610 and into cavity 612.

The first locator recess 614 is located adjacent the second recess 615. Recess 615 is also adjacent the third recess 616.
An extended portion 630 is formed in the instrument 601 between the first and second recesses 614, 615 and between the second and third reees6es 615, 616, as shown in Fig. 5. These extended portions 630 extend from the instrument 601 in toward cavity 61Z, and assi6t in prev~nting the rod 801 from slipping from one recess to an adjacent recess.

The first recess 614 is adapted for application of a first generally sideways or lateral force to the rod 801 when the rod is located therein, as shown in Fig. 7. (The direction of force being applied is shown by arrow.) The second recess 615 is adapted for application of a generally downward force on the rod 801 when the rod is located therein, as shown in Fig. 6. (The direction of fsrce being applied is shown by arrow.) The third recess 616 is adapted for application of a second generally sideway6 or lateral force to the rod 801 (as shown in ~ig. 8) that is substantially opposite in direction to the firs~
sideways force. It is noted that although the arrows in Figs.
6, 7, and 8 indicate a force that is straight down vertically (Fig. 6) or directly horizontal or sideway6 (Figs. 7 and a)~ it is understood that the force could also be applied at any suitable angle, yet toward the general direction shown. The instrument can also be sliqhtly tilted with respect to the horizontal plane, as shown in Fig. 9, which illustrates a slight upwards force being applied to the rod 801. With a small change in manual orientation of the handle 620, instrument 601 can 201~ 0 selectively apply force against a rod in all 360 about the rod ~01.

As s~own in Fig. ~3, the handle 620 may angle in relation to the distal tip 605 at an angle of about 150. This providas for better visualization of the surgical site by the user of Lhe instrument 601. The tip 605 may include a tip extension 608 interconnecting the tip 605 to the handle 620. Thus. ~he angle between the tip extension 608 and handle 620, as shown, is about 150.

In utilizing the instrument 601, the user passes the rod 801 through the rod receiving opening 610 into the enlarged cavity 612. The user then selects one of the plurality of rod locator reces6es 614, 615, and 616 and locates the rod 801 therein. Force is then applied against the rod in the appropriate desired direction.

It is noted that any suitable materials may be utilized for instrument 601. One such material ;s stainless steel.
Regarding manufacturing methods, any suitable methods may be utilized.

While this invention has been described and exemplified in terms of a particularly advantageous embodiment, those skilled in the art can appreciate that modifications can be made without departing from the spirit and scope of this invention.

Claims (12)

1. A surgical rod pusher instrument for application of force against a rod, the instrument comprising a distal tip and an elongated handle extending therefrom, the tip including a rod receiving opening leading into an enlarged cavity, the cavity including a plurality of rod locator recesses.
2. The surgical instrument of Claim 1 wherein the enlarged cavity includes at least three distinct rod locator recesses, each recess having a different directional orientation.
3. The instrument of Claim 1 wherein the rod locator recesses are each formed as a segment of a curve adapted to receive a cylindrical-shaped rod.
4. The instrument of Claim 1 wherein the rod locator recesses are each substantially semi-cylindrical and are adapted to receive a cylindrical-shaped rod.
5. The instrument of Claim 1 wherein the rod locator recesses each have a shape which corresponds to the mating portion of the rod for engagement therewith.
6. The instrument of Claim 1 wherein the cavity includes at least a first, a second, and a third rod locator recess, with the first locator recess located adjacent the second recess and the second locator recess also located adjacent the third recess, wherein an extended portion is formed in the instrument between the first and second recesses and between the second and third recess, the extended portions extending from the instrument in toward the cavity, assisting in preventing the rod from slipping from one recess to an adjacent recess.
7. The instrument of Claim 1 wherein the cavity includes at least a first, a second, and a third rod locator recess, each recess having a different directional orientation, with the first recess adapted for application of force in a first generally sideways direction, the second recess adapted for application of force in a generally downward direction, and the third recess adapted for application of force in a second generally sideways direction substantially opposite to the first sideways direction.
8. The instrument of Claim 1 wherein the handle angles in relation to the distal tip at about a 150° angle.
9. A surgical rod pusher instrument comprising a distal tip and an elongated handle extending therefrom, the tip including a rod receiving opening leading into an enlarged cavity, the enlarged cavity and rod receiving opening forming a substantially cloverleaf-shaped opening.
10. A surgical rod pusher instrument comprising a distal tip and an elongated handle extending therefrom, the tip including a rod receiving opening leading into an enlarged cavity, the cavity including a plurality of selectable rod locator recesses for selectively locating the rod in the desired recess for application of force to the rod in the desired direction.
11. A method of utilizing a surgical rod pusher instrument which provides for application of force to a rod in multiple, selectable directions, in which the instrument comprises a distal tip and an elongated handle extending therefrom, the tip including a rod receiving opening leading into an enlarged cavity, the cavity including a plurality of rod locator recesses, wherein the method includes the following steps:

a) passing the rod through the rod receiving opening into the enlarged cavity;
b) selecting one of the plurality of rod locator recesses and locating the rod therein; and c) applying force against the rod in the desired direction.
12. A method of utilizing a surgical rod pusher instrument for application of force to a rod in multiple, selectable directions in which the instrument comprises a distal tip and an elongated handle extending therefrom, the tip including a rod receiving opening leading into an enlarged cavity, the cavity including at least a first, a second, and a third rod locator recess, each recess having a different directional orientation, wherein the method includes the following steps:

a) passing the rod through the rod receiving opening into the enlarged cavity;
b) selecting from one of the following rod locator recesses: the first recess for application of force against the rod in a first generally sideways direction, the second recess for application of force against the rod in a generally downward direction, and the third recess for application of force against the rod in a second generally sideways direction substantially opposite to the first sideways direction;
c) locating the rod in the selected recess; and d) applying force to the rod in the desired direction.
CA002004940A 1988-12-21 1989-12-08 Surgical rod pusher instrument Abandoned CA2004940A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/287,243 US4927425A (en) 1988-12-21 1988-12-21 Surgical rod pusher instrument
US287,243 1988-12-21

Publications (1)

Publication Number Publication Date
CA2004940A1 true CA2004940A1 (en) 1990-06-21

Family

ID=23102052

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002004940A Abandoned CA2004940A1 (en) 1988-12-21 1989-12-08 Surgical rod pusher instrument

Country Status (7)

Country Link
US (1) US4927425A (en)
JP (1) JPH02213344A (en)
AU (1) AU621700B2 (en)
CA (1) CA2004940A1 (en)
DE (1) DE3941522A1 (en)
FR (1) FR2640491A1 (en)
GB (1) GB2227670A (en)

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US20080039859A1 (en) * 1997-01-02 2008-02-14 Zucherman James F Spine distraction implant and method
US5810878A (en) * 1997-02-12 1998-09-22 Sdgi Holdings, Inc. Rod introducer forceps
US6929646B2 (en) * 2001-04-04 2005-08-16 Integra Signature Technologies, Inc. Implantable bone fracture reduction apparatus having a polymeric applicator
US6428544B1 (en) * 2001-07-16 2002-08-06 Third Millennium Engineering, Llc Insertion tool for use with trial intervertebral distraction spacers
US7153310B2 (en) * 2001-07-16 2006-12-26 Spinecore, Inc. Vertebral bone distraction instruments
US6478801B1 (en) * 2001-07-16 2002-11-12 Third Millennium Engineering, Llc Insertion tool for use with tapered trial intervertebral distraction spacers
US6471725B1 (en) * 2001-07-16 2002-10-29 Third Millenium Engineering, Llc Porous intervertebral distraction spacers
US6562047B2 (en) * 2001-07-16 2003-05-13 Spine Core, Inc. Vertebral bone distraction instruments
US7967826B2 (en) 2003-10-21 2011-06-28 Theken Spine, Llc Connector transfer tool for internal structure stabilization systems
US20060089651A1 (en) * 2004-10-26 2006-04-27 Trudeau Jeffrey L Apparatus and method for anchoring a surgical rod
US20080154277A1 (en) * 2004-10-26 2008-06-26 Scott Machalk Tool apparatus for locking a spinal rod in an anchoring device therefor
US20060264959A1 (en) * 2005-05-23 2006-11-23 Custom Spine, Inc. Rod pusher
US20080015601A1 (en) * 2006-06-14 2008-01-17 Michael Castro Reduction device and method of use
US8454621B2 (en) * 2006-09-19 2013-06-04 Warsaw Orthopedic, Inc. Instruments and methods for spinal implant revision
US7686809B2 (en) 2006-09-25 2010-03-30 Stryker Spine Rod inserter and rod with reduced diameter end
EP2073734A1 (en) * 2006-09-25 2009-07-01 Stryker Spine Force limiting persuader-reducer
US20080195155A1 (en) * 2007-02-12 2008-08-14 Jeffrey Hoffman Locking instrument for implantable fixation device
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US8308774B2 (en) * 2007-02-14 2012-11-13 Pioneer Surgical Technology, Inc. Spinal rod reducer and cap insertion apparatus
US8235997B2 (en) * 2008-01-29 2012-08-07 Pioneer Surgical Technology, Inc. Rod locking instrument
US20110093014A1 (en) * 2009-10-19 2011-04-21 Zimmer Spine, Inc. Rod with Removable End and Inserter Therefor
US9028553B2 (en) * 2009-11-05 2015-05-12 DePuy Synthes Products, Inc. Self-pivoting spinal implant and associated instrumentation
US8900240B2 (en) * 2010-02-12 2014-12-02 Pioneer Surgical Technology, Inc. Spinal rod and screw securing apparatus and method
US8147526B2 (en) 2010-02-26 2012-04-03 Kyphon Sarl Interspinous process spacer diagnostic parallel balloon catheter and methods of use
FR2993449B1 (en) * 2012-07-19 2014-07-11 Safe Orthopaedics DEVICE FOR GUIDING A SURGICAL INSTRUMENT IN POSITION ON A BONE ANCHORING ELEMENT COMPRISING MEANS FOR REALIGNING A BINDING ROD WITH THE ANCHORING ELEMENT
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Also Published As

Publication number Publication date
AU621700B2 (en) 1992-03-19
JPH02213344A (en) 1990-08-24
GB2227670A (en) 1990-08-08
AU4716389A (en) 1990-06-28
DE3941522A1 (en) 1990-06-28
FR2640491A1 (en) 1990-06-22
GB8928800D0 (en) 1990-02-28
US4927425A (en) 1990-05-22

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Legal Events

Date Code Title Description
FZDE Discontinued