Search Images Maps Play YouTube News Gmail Drive More »
Sign in
Screen reader users: click this link for accessible mode. Accessible mode has the same essential features but works better with your reader.

Patents

  1. Advanced Patent Search
Publication numberUS20010004694 A1
Publication typeApplication
Application numberUS 09/290,433
Publication dateJun 21, 2001
Filing dateApr 13, 1999
Priority dateApr 14, 1998
Also published asUS6398785
Publication number09290433, 290433, US 2001/0004694 A1, US 2001/004694 A1, US 20010004694 A1, US 20010004694A1, US 2001004694 A1, US 2001004694A1, US-A1-20010004694, US-A1-2001004694, US2001/0004694A1, US2001/004694A1, US20010004694 A1, US20010004694A1, US2001004694 A1, US2001004694A1
InventorsJoseph Edward Carchidi, Alan R. Balfour
Original AssigneeJoseph Edward Carchidi, Alan R. Balfour
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Apparatus for rigidly fixing craniomaxillofacial tissue grafts and bone plates
US 20010004694 A1
Abstract
A self-drilling and tapping multi-drive bone screw (10) for rigid fixation of craniomaxillofacial tissue grafts and bone plates has a tip (12a) which incorporates a defined twist drill shaft with a sharp cutting point tip (12b) to easily pierce and drill a pilot hole and prepare for the insertion of self-tapping screw threads (12c). A cylindrical dome shaped head (14) for rigid fixation of craniomaxillofacial tissue grafts and geometrically sized bone plates is formed on the screw distal to the drilling and tapping features. A spline feature (14e) is incorporated into the cylindrically dome shaped head for easy pickup, assembly and insertion of the bone screw with a corresponding spline driver tool (20). The spline driver feature also allows the bone screw (10) to be driven with either a standard square or cross blade driver tool.
Images(2)
Previous page
Next page
Claims(7)
What is claimed:
1. Apparatus for retention of tissue grafts and bone plates to a bone site comprising an elongated body member having a generally cylindrical shaft having a longitudinal axis and a selected diameter and first and second opposite end portions, a relatively sharp point formed at the first end portion aligned with the longitudinal axis, helical drill flutes formed on the shaft along a first axial length of the shaft having an outer diameter generally equal to the selected diameter, self-tapping screw threads formed on the shaft along a second axial length of the shaft, the self-tapping screw threads having a second outer diameter greater than the selected diameter, the helical drill flutes aligned with and forming a continuation of the self-tapping threads along a first portion of the second axial length forming cutting flutes and a driving head formed at the second end of the shaft, the driving head extending radially outwardly beyond the shaft forming an outer periphery and being formed with a frusto-conical surface extending from the outer periphery to the shaft and a female driving spline formed at the second end of the member aligned with the longitudinal axis of the body member.
2. Apparatus according to
claim 1
in which the female driving spline comprises a polygonal central recess and a radially extending slot communicating with the central recess.
3. Apparatus according to
claim 2
further comprising a circular bore extending along the longitudinal axis in communication with the central recess.
4. A driving tool for use with a threaded member having a female driving spline formed at an end thereof having a central recess having polygonal sides of a selected number and a radially extending slot communicating with the central recess and intersecting at least one of the sides comprising a polygonal shaped portion having the selected number of sides and having a size chosen to closely fit within the polygonal recess of the central recess and a blade portion extending from the polygonal shaped portion having a configuration chosen to be closely received in the at least one radially extending slot.
5. A driving tool according to
claim 4
in which the female spline has a cylindrical bore extending along the longitudinal axis in communication with the central recess and further comprising a generally cylindrical male holding portion extending along the longitudinal axis beyond the polygonal shaped portion, the generally cylindrical male holding portion formed with a friction holding taper configured to closely fit within the cylindrical bore of the spline.
6. Apparatus for retention of tissue grafts and bone plates to a bone site comprising an elongated body member having a generally cylindrical shaft having a longitudinal axis and a selected diameter and first and second opposite end portions, a relatively sharp point formed at the first end portion aligned with the longitudinal axis, helical drill flutes formed on the shaft along a first axial length of the shaft having an outer diameter generally equal to the selected diameter, self-tapping screw threads formed on the shaft along a second axial length of the shaft, the self-tapping screw threads having a second outer diameter greater than the selected diameter, the helical drill flutes aligned with and forming a continuation of the self-tapping threads along a first portion of the second axial length forming cutting flutes and a driving head formed at the second end of the shaft, the driving head extending radially outwardly beyond the shaft forming an outer periphery and being formed with a frusto-conical surface extending from the outer periphery to the shaft and a female driving spline formed at the second end of the member aligned with the longitudinal axis of the body member, the female driving spline having side surfaces forming a polygonally shaped recess, at least one radially extending blade shaped slot communicating with the recess, an elongated tool member having a polygonal shaped portion having the selected number of sides and having a size chosen to closely fit within the polygonal recess of the central recess and a blade portion extending from the polygonal shaped portion having a configuration chosen to be closely received in the at least one radially extending slot.
7. Apparatus according to
claim 6
in which the female spline has a cylindrical bore extending along the longitudinal axis in communication with the central recess and the elongated tool member has a generally cylindrical male holding portion extending along the longitudinal axis beyond the polygonal shaped portion, the generally cylindrical male holding portion formed with a friction holding taper configured to closely fit within the cylindrical bore of the spline.
Description
FIELD OF THE INVENTION

[0001] This invention relates generally to surgical apparatus and more particularly to bone screws for the retention of tissue grafts and bone plates.

BACKGROUND OF THE INVENTION

[0002] Presently, a variety of bone screws and surgical procedures are used for the retention of craniomaxillofacial tissue grafts and bone plates with a primary objective being to minimize the surgical steps and to maximize fixation. These procedures generally fall into one of two categories: a self-threading screw that incorporates a self-cutting flute to minimize the need to surgically prepare a pilot hole or a self-threading screw without a self-starting cutting flute which always requires a surgically prepared pilot hole.

[0003] For the latter type, the physician must perform multiple operations which involves first locating and drilling a pre-sized hole. Once the pilot hole is prepared, the physician must relocate the hole to insert the self-threading bone screw. Since most of the craniomaxillofacial procedures require small diameter bone screws, relocating the pilot hole prior to insertion of the bone screw can be difficult. However, the advantage to this procedure, if performed correctly, is that the pre-drilled pilot hole will act as a guide to insert the self-threading bone screw and minimize the risk of screw and/or bone fractures due to excessive applied seating torque.

[0004] To overcome the surgical requirements of drilling a pilot hole into a surgical site prior to inserting a bone screw, a variety of bone screw systems have incorporated a self-starting cutting flute into the apex of the screw. This self-starting cutting flute is designed to initially penetrate and cut into the bone site and then to lead the self-threading features of the screw into place. Although, conceptually, these screws eliminate the pitfalls of a pre-drilled hole and maximize the bone screw fixation, locating and inserting these screws become difficult. Since a pilot hole is not drilled, these screws are difficult to locate and start in the denser cortical bone and effectively become challenging to insert. In addition, these screws require substantially higher seating torque which lead to greater risk of screw or bone fracturing during insertion.

SUMMARY OF THE INVENTION

[0005] An object of the present invention is the provision of apparatus to overcome the above noted prior art limitations. Another object is the provision of apparatus for rigidly fixing craniomaxillofacial tissue grafts and bone plates in a single surgical procedure. These and other objects and features of the invention will be apparent from the following description taken with reference to the accompanying drawings.

[0006] Briefly stated, a bone screw made in accordance with the present invention incorporates a sharp piercing twist drill point tip in series with a self-tapping threaded body. A cylindrical dome shaped head is formed distal to the tip and body of the bone screw that drives the screw in or out of the surgical site using a unique spline driver tool. The invention solves the problems of locating and self-starting a self-tapping bone screw into place while minimizing the surgical steps and maximizing the fixation. This invention allows the physician to take advantage of a pre-drilled hole without compromising the surgical results common to the standard multiple step procedure. Finally, the component provides the physician with a cost effective, easy to use, functional equivalent to rigidly fix craniomazillofacial tissue grafts and bone plates in a desired surgical site.

BRIEF DESCRIPTION OF THE DRAWINGS

[0007]FIG. 1 is a front elevational view, partly in cross section, of a self-drilling and self-tapping bone screw made in accordance with the invention,

[0008]FIG. 2 is left side elevational view of the FIG. 1 screw,

[0009]FIG. 3 is a right side elevational view of the FIG. 1 screw,

[0010]FIG. 4 is a front elevational view of a delivery and drive tool for use with the FIG. 1 screw,

[0011]FIG. 5 is a view, similar to FIG. 4 but exploded to show the separate components of the tool,

[0012]FIG. 6 is an enlarged view of an end portion of the FIGS. 4 and 5 tool, and

[0013]FIG. 7 is a left side elevational view of FIG. 6.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT

[0014] With reference to FIGS. 1-3, self-drilling and self-tapping bone screw 10 comprises a self-drilling and self-tapping bone screw cylindrical body 12 and cylindrical dome shaped driving head 14. The self-drilling and self-tapping bone screw cylindrical body 12 locates, drills and threads the screw body into the graft site with minimal effort while achieving maximum fixation. To achieve this, the self-drilling and self-tapping bone screw cylindrical body 12 incorporates a sharp twist drill point tip 12 a with a highly effective piercing and cutting tip 12 b at one end of a longitudinal axis 12 f to easily pierce and drill a pilot hole in preparation for the self-tapping thread 12 c. The twist drill point tip 12 a is selected to exactly match the diameter size of the shaft having the self-tapping thread 12 c to further assist in the bone screw's insertion. The helical flutes 20 of the twist drill point tip 12 a are extended along the drill shaft and into the first couple of threads of the larger diameter self-tapping screw threads 12 c forming radially projecting flat surfaces to provide cutting flutes 12 d for the bone screw's thread. These cutting flutes 12 d aid in driving the self-tapping screw thread 12 c down until the beveled seating neck 14 a, to be discussed below, is completely seated.

[0015] The coronal end of the self-drilling and self-tapping bone screw 10 incorporates a cylindrical dome shaped head 14 for retention of the craniomaxillofacial tissue grafts and bone plates to the surgical site. On the inner side of the bone screw head 14 is a bevelled, or frusto-conical seating neck 14 a that matches the standard mating bevel angle on bone screw plates (not shown). Opposite the beveled seating neck 14 a is a smooth cylindrical dome shaped driving head 14 b having an outer periphery which extends radially outwardly of the shaft portion of body 12. In the center of the driving head is a square recess 14 c and a cross-slot recess 14 d that, when combined, forms a unique female spline 14 e along with a circular bore 14 f formed inwardly of the square recess.

[0016] To deliver self-drilling and self-tapping screw 10 to the graft site, FIGS. 4-7 depict a press-fit, pick up and delivery spline driver tool 20. The body of the press-fit, pick-up and delivery spline driver tool 20 is made up of a detachable insert driver 24 and an oversized handle 22. The detachable insert driver 24 is connected and driven by the oversized handle 22 utilizing a coronal insert annular groove 24 a and central milled polygonal feature 24 b, such as hexagonal, at one end. Bone screw spline driver head 24 c is formed at the opposite end from the connecting and driving features 24 a and 24 b of detachable insert driver 24. This male spline driver head is made up of a combined cylindrical shaft tip 24 f having a frictional locking taper that frictionally locks into bore 14 c having an appropriately sized diamter in bone screw 10. The friction lock allows bone screw 10 to be easily picked up and delivered by the physician to the surgical site to prevent any risk of contamination.

[0017] Placing the twist drill tip in series with the self-tapping threads allows the physician to insert the bone screw in a single surgical procedure. As the bone screw is driven into the surgical site, bone chips will fill the space left by the helical cutting flutes that extend along the drill shaft and into the first couple of threads of the self-tapping screw. Once inserted in the bore formed by the drill shaft body, the self-tapping threads of the bone screw are engaged to rigidly fix and drive the screw into place.

[0018] It should be understood that this invention includes all modifications and equivalents of the described embodiment falling within the scope of the appended claims.

Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US7322978Jun 22, 2004Jan 29, 2008Hs West Investments, LlcBone anchors for use in attaching soft tissue to a bone
US7485148 *Apr 20, 2005Feb 3, 2009Finsbury (Development) LimitedProsthesis
US7637929 *Dec 9, 2004Dec 29, 2009Stryker Leibinger Gmbh & Co. KgSelf-drilling bone screw
US7670362Jun 14, 2004Mar 2, 2010Tyco Healthcare Group LpMultiple member interconnect for surgical instrument and absorbable screw fastener
US7758612Apr 27, 2004Jul 20, 2010Tyco Healthcare Group LpSurgery delivery device and mesh anchor
US7867252Jun 11, 2003Jan 11, 2011Tyco Healthcare Group LpHernia mesh tacks
US8034076Mar 20, 2008Oct 11, 2011Tyco Healthcare Group LpAbsorbable fastener and applying apparatus
US8083769Nov 1, 2006Dec 27, 2011Depuy Mitek, Inc.Wired sutures
US8114099Apr 18, 2005Feb 14, 2012Tyco Healthcare Group LpAbsorbable anchor for hernia mesh fixation
US8114101Mar 20, 2008Feb 14, 2012Tyco Healthcare Group LpAbsorbable fastener and applying apparatus
US8114127Dec 22, 2005Feb 14, 2012Hs West Investments, LlcBone anchors for use in attaching soft tissue to bone
US8114128Nov 1, 2006Feb 14, 2012Depuy Mitek, Inc.Cannulated suture anchor
US8216272Dec 3, 2010Jul 10, 2012Tyco Healthcare Group LpAbsorbable anchor for hernia mesh fixation
US8282670Jul 21, 2010Oct 9, 2012Tyco Healthcare Group LpSurgery delivery device and mesh anchor
US8292933Feb 16, 2010Oct 23, 2012Tyco Healthcare Group LpMultiple member interconnect for surgical instrument and absorbable screw fastener
US8343176 *Nov 23, 2010Jan 1, 2013Covidien LpHernia mesh tacks
US8382778Jun 18, 2010Feb 26, 2013Covidien LpHernia mesh tacks
US8414628Oct 26, 2006Apr 9, 2013Warsaw Orthopedic, Inc.Bone screw
US8597311Sep 13, 2011Dec 3, 2013Covidien LpAbsorbable fastener and applying apparatus
US8617225Dec 23, 2009Dec 31, 2013DePuy Synthes Products, LLCSpline drive for threaded post-type bone anchors
US8728102Dec 6, 2011May 20, 2014Covidien LpAbsorbable fastener and applying apparatus
US8821522Jan 18, 2013Sep 2, 2014Covidien LpHernia mesh tacks
US8852215Jan 6, 2014Oct 7, 2014Covidien LpHernia mesh tacks
US20110071538 *Nov 23, 2010Mar 24, 2011Tyco Healthcare Group LpHernia mesh tacks
DE102012112150A1Dec 12, 2012Jun 26, 2014Aesculap AgSelf-tapping bone screw for connecting bone cover with remaining cranial bone after craniotomy for neurosurgery in head of patient, has shaft middle region including core diameter lower than diameter in shaft region that is adjacent to end
EP1547535A1 *Oct 20, 2004Jun 29, 2005Stryker Leibinger GmbH & Co. KGSelf-drilling bone screw
EP1579817A2 *Mar 22, 2005Sep 28, 2005Richard Martin Medizintechnik GmbHSystem comprising screwdriver and bone screw
EP1635723A2 *Jun 14, 2004Mar 22, 2006Tyco Healthcare Group LpMultiple member interconnect for surgical instrument and absorbable screw fastener
WO2006045950A1 *Oct 25, 2005May 4, 2006Depuy Ireland LtdImprovement of surgical implant screws
WO2008051737A1 *Oct 12, 2007May 2, 2008Warsaw Orthopedic IncBone screw
WO2010075505A1 *Dec 23, 2009Jul 1, 2010Synthes Usa, LlcSpline drive for threaded post-type bone anchors
WO2014035764A1 *Aug 21, 2013Mar 6, 2014Warsaw Orthopedic, Inc.Surgical implant system and method
Classifications
U.S. Classification606/312, 606/104
International ClassificationA61B17/86, A61F2/28, A61B17/88
Cooperative ClassificationA61B17/8635, A61B17/888, A61B17/8615, A61F2/2846
European ClassificationA61B17/86A2C, A61B17/88S2C, A61B17/86B4
Legal Events
DateCodeEventDescription
Jul 22, 2014FPExpired due to failure to pay maintenance fee
Effective date: 20140604
Jun 4, 2014LAPSLapse for failure to pay maintenance fees
Jan 10, 2014REMIMaintenance fee reminder mailed
Jun 8, 2009FPAYFee payment
Year of fee payment: 8
Jun 2, 2006FPAYFee payment
Year of fee payment: 4
Jun 2, 2006SULPSurcharge for late payment
Dec 21, 2005REMIMaintenance fee reminder mailed
Feb 19, 2002ASAssignment
Owner name: ACE SURGICAL SUPPLY COMPANY, INC., MASSACHUSETTS
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:CARCHIDI, JOSEPH EDWARD;BALFOUR, ALAN R.;REEL/FRAME:012611/0670
Effective date: 20020116
Owner name: ACE SURGICAL SUPPLY COMPANY, INC. 1034 PEARL STREE
Owner name: ACE SURGICAL SUPPLY COMPANY, INC. 1034 PEARL STREE
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:CARCHIDI, JOSEPH EDWARD /AR;REEL/FRAME:012611/0670
Owner name: ACE SURGICAL SUPPLY COMPANY, INC. 1034 PEARL STREE
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:CARCHIDI, JOSEPH EDWARD /AR;REEL/FRAME:012611/0670
Effective date: 20020116
Owner name: ACE SURGICAL SUPPLY COMPANY, INC. 1034 PEARL STREE
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:CARCHIDI, JOSEPH EDWARD;BALFOUR, ALAN R.;REEL/FRAME:012611/0670
Effective date: 20020116