US20160199069A1 - Quick-connect anti-rotation peg/drill bit component - Google Patents

Abstract

A quick-connect drill bit assembly comprising a drive shank and a drill bit releasably attached to the drive shank, the drill bit being configured to bore a first hole in a bone through a drill guide. A portion of the drill bit is configured to remain within the first hole after the drive shank is detached therefrom, the drill bit being configured to prevent the drill guide from rotating with respect to the bone as a second hole is bored into the bone.

Description

TECHNICAL FIELD
• The present application generally relates to a surgical drill component, and more particularly to a quick-connect anti-rotation peg/drill bit component that can be used as part of a glenoid technique during a shoulder surgery.
BACKGROUND OF THE INVENTION
• The statements in this section merely provide background information related to the present disclosure and should not be construed as constituting prior art.
• A natural shoulder joint may undergo degenerative changes due to a variety of etiologies. When these degenerative changes become so far advanced and irreversible, it may ultimately become necessary to replace a natural shoulder joint with a prosthetic shoulder joint. When implantation of a shoulder joint prosthesis becomes necessary, the natural head portion of the humerus can be resected and a cavity created in the intramedullary canal of the host humerus for accepting a humeral component. Moreover, the glenoid cavity positioned at the lateral edge of the scapula may also be resurfaced and shaped to accept the glenoid component. The humeral component includes a head portion used to replace the natural head of the humerus, while the glenoid component generally includes an articulating surface which is engaged by the head portion of the humeral component.
• It is generally known in the art to provide a total shoulder joint prosthesis having a glenoid component, as discussed above. Current glenoid replacement surgical techniques, however, suffer from some disadvantages, particularly as they require the surgeon to perform numerous bone preparation steps before the glenoid component can be surgically implanted. More particularly, since glenoid components are subject to various types of loading by the head portion of the humeral component, the glenoid component must offer a stable and secure articulating surface. To achieve this, some glenoid components provide peripheral pegs which are inserted and cemented into holes bored into the glenoid cavity. Some of the pegged glenoid components utilize up to five peripheral pegs in order to stabilize and secure the glenoid component to the scapula. Current glenoid replacement procedures require pre-drilled holes to be formed in the bone for each peripheral peg of the glenoid component. To achieve this, typically a guide is placed on the glenoid that provides a path for each peripheral peg hole to be drilled. After each hole is drilled, an anti-rotation peg is inserted into that respective hole of the guide to ensure the next drilled hole is properly aligned. By requiring multiple holes to be separately drilled into the bone and anti-rotation pegs to be individually placed in each drilled hole, not only is the process time-consuming, but it also increases the possibility that a drilling misalignment will occur during the bone preparation process.
• What is needed then is a device that can be incorporated into a glenoid replacement surgical technique that minimizes or eliminates some of the above-mentioned disadvantages. The present application is intended to improve upon and resolve some of these known deficiencies of the art.
SUMMARY OF THE INVENTION
• In accordance with one aspect of the present application, a quick-connect drill bit assembly is provided and comprises a drive shank and a drill bit releasably attached to the drive shank, the drill bit being configured to bore a first hole in a bone through a drill guide. In accordance with this aspect of the present application, a portion of the drill bit is configured to remain within the first hole after the drive shank is detached therefrom. The drill hit is also configured to prevent the drill guide from rotating with respect to the bone as a second hole is bored into the bone.
• According to another aspect of the present application, a quick-connect drill bit assembly comprises a drill bit configured to penetrate bone through an opening of a drill guide and a drive shank having an opening disposed on one end, the opening being configured to receive an attachment post of the drill bit and establish a releasably engageable magnetic connection therebetween. In accordance with this aspect of the application, the drill bit is configured to prevent the drill guide from rotating with respect to the bone after the drill bit is detached from the drive shank and left inserted into the bone through the guide plate.
• In accordance with still another aspect of the present application, a method of preventing a drill guide from rotating with respect to a glenoid cavity during a peripheral peg hole drilling procedure is provided. In accordance with this illustrative aspect of the present application, the method comprises the steps of advancing a drill guide over an alignment pin extending from the glenoid cavity; using a drill to create a first hole in the glenoid cavity through a first guide hole of the drill guide by rotatably activating a first drill bit; disassociating the drill from the first drill bit while the first drill bit is still inserted into the glenoid cavity through the guide plate; and using the drill to create a second hole in the glenoid cavity through a second guide hole of the drill guide by rotatably activating a second drill bit, wherein the first drill bit helps prevent the drill guide from rotating with respect to the glenoid cavity as the second hole is created.
• Still other objects and benefits of the application will become apparent from the following written description along with the accompanying figures.
BRIEF DESCRIPTION OF THE DRAWINGS
• The above-mentioned aspects of the present application and the manner of obtaining them will become more apparent and the teachings of the present application itself will be better understood by reference to the following description of the embodiments of the present application taken in conjunction with the accompanying drawings, wherein:
• FIG. 1 represents a perspective view of an illustrative quick-connect anti-rotation peg/drill bit assembly in accordance with the teachings of the present application;
• FIG. 1A represents a side cross-sectional view of the illustrative quick-connect anti-rotation peg/drill bit assembly taken alongline1A-1A ofFIG. 1;
• FIG. 2 represents a perspective exploded view of the illustrative quick-connect anti-rotation peg/drill bit assembly ofFIG. 1;
• FIG. 3 represents a perspective exploded view of a portion of the illustrative quick-connect anti-rotation peg/drill bit assembly ofFIG. 1;
• FIGS. 4-7 represent perspective views of a peripheral peg hole drilling procedure in which a quick-connect anti-rotation peg/drill bit component is left inserted within the glenoid cavity to serve as an anti-rotation peg in accordance with the teachings of the present application; and
• FIG. 8 represents a perspective view of a glenoid pegged component aligned for insertion into the peripheral peg holes drilled into the glenoid in accordance with the teachings of the present application.
• Corresponding reference characters indicate corresponding parts throughout the several views. Although the exemplification set out herein illustrates embodiments of the present application, in several forms, the embodiments disclosed below are not intended to be exhaustive or to be construed as limiting the scope of the present application to the precise forms disclosed.
DETAILED DESCRIPTION
• The embodiments of the present application described below are not intended to be exhaustive or to limit the teachings of the present application to the precise forms disclosed in the following detailed description. Rather, the embodiments are chosen and described so that others skilled in the art may appreciate and understand the principles and practices of the present application.
• Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this application belongs. Although any method and materials similar or equivalent to those described herein can be used in the practice or testing of the present application, the specific methods and materials are now described. Moreover, the techniques employed or contemplated herein are standard methodologies well known to one of ordinary skill in the art and the materials, methods and examples are illustrative only and not intended to be limiting.
• Before discussing in detail the substantive aspects of the present application, it should be generally understood and appreciated herein that various techniques for preparing a glenoid as part of a shoulder procedure, including techniques for appropriately sizing and reaming the glenoid prior to implantation, are readily known within the art and are therefore not discussed in detail within this application. The present application is intended to encompass any available or known glenoid preparation procedure without straying from the contemplated scope of the present application. Therefore, the present application is not intended to be limited herein.
• After the glenoid cavity has been prepared, conventional surgical procedures typically require that a plurality of fixed glenoid peg accepting holes be individually drilled into the resected glenoid. To accomplish this, a drilling guide is placed on the glenoid and is used as a template to provide a path for each peripheral peg hole to be drilled. After each hole is drilled, an anti-rotation peg is inserted into that respective hole of the guide to ensure that the drill guide doesn't rotate or move, thereby disrupting the drill guide from being properly aligned and placed prior to the next peripheral peg hole being created.
• The present teachings, however, eliminate the need to have separate anti-rotation pegs inserted into the bone after each hole is drilled, and instead provide a means for utilizing the actual drill bits used to create the peripheral peg holes also as anti-rotation pegs. More particularly, when a peripheral peg hole is drilled into the glenoid cavity through the drill guide, the friction from the drill/bone interface allows the drill bit to stay in place. By keeping the drill bit in place through the drill guide, the drill guide is thereby prevented (or at least discouraged) from freely rotating with respect to the glenoid cavity as the subsequent peripheral peg holes are drilled into the glenoid through the drill guide. Additional details regarding this aspect of the present application are now discussed in more detail below.
• Referring generally toFIGS. 1 and 1A, a quick-connect anti-rotation peg/drill bit assembly20 according to the teachings of the present application is shown. The anti-rotation peg/drill bit assembly20 has a distal workingend22 including adrill bit24 for drilling peripheral peg holes into a glenoid cavity during a shoulder procedure. Thedrill bit assembly20 includes adrive shank26 which terminates in adrive attachment28 that is configured to releasably couple with the chuck of a corresponding orthopedic drill that is designed to impart rotating motion to thedrill bit24.
• While thedrive shank26 may be made of one integral piece of material, in accordance with certain aspects of the present application, thedrive shank26 can also be made of two or more components. For instance, in accordance with one aspect of the present application, thedrive shank26 includes first and second sections (30 and31) that are adjoined to form acommon collar portion32. While the first andsecond sections30,31 may be releasably coupled to one another by any known means within the art, in accordance with certain specific aspects of the present teachings, the sections are coupled to one another by a threaded engagement.
• As shown inFIG. 2, in accordance with certain aspects of the present application, thesecond section31 of the drive shank has anopening34 opposite thecollar portion32, which is adapted to receive thedrill bit24 of theassembly20. To create peripheral peg holes in the glenoid cavity when rotated by a drill, thedrill bit24 has afluted portion38 transitioning between acollar40 and acutting edge42. Thecollar40 of thedrill bit24 includes astop surface46 that is designed to provide a means for generating tactile feedback to the surgeon when the stop surface encounters the surface of the glenoid cavity, thereby indicating that the continued penetration of thedrill bit24 into the glenoid cavity should be ceased. In terms of the flutedportion38, it should be understood and appreciated herein that the size, orientation and number of flutes comprising thefluted portion38 of thedrill bit24 can be adjusted as necessary, particularly depending on the intended application and use of thedrill bit assembly20.
• Adjacent thecollar40 of thedrill bit24, and opposite thecutting edge42 of the flutedportion38, is anattachment post44 that is designed to correspondingly mate with theopening34 and achieve a releasable connection between thesecond section31 of thedrive shank26 and thedrill bit24. While this attachment can be achieved through any mechanical means known within the art (e.g., a press-fit engagement, a conventional Hudson connection, a square-drive quick-connection, a conventional drill chuck mechanism, a set screw, a tool clamp, a rivet, a snap ring, or the like), in accordance with certain aspects of the present application, a magnetic attachment is utilized to attach these components. In accordance with one specific embodiment in which a magnetic attachment is utilized, thedrive shank26 can be shaped such that it is able to accommodate a magnet (not shown) housed therein. In accordance with yet other specific embodiments in which a magnetic attachment is utilized, thebottom surface45 of theattachment post44 can be constructed of a material that produces a magnetic field (i.e., a force that pulls on other ferromagnetic materials, such as iron, nickel, cobalt and other such like alloys or metals) between thepost44 and theopening34 of thesecond section31 of thedrive shank26. In accordance with still other specific embodiments, theopening34 of the drive shank'ssecond section31 may alternatively (or additionally) be made of or lined with a material that produces a magnetic field. As such, the present application is not intended to be limited in terms of how the magnetic connection is achieved.
• As mentioned above, unlike conventional glenoid processes, the present teachings eliminate the need to have separate anti-rotation pegs inserted into the bone after each peripheral peg hole is drilled. To accomplish this, thedrill bits24 used to create the peripheral peg holes also function as the anti-rotation pegs. An illustrative procedure demonstrating this unique aspect of the present application is now shown withinFIGS. 4-7. Once theglenoid cavity50 has been reamed to the proper version and inclination as determined by the preoperative plan and intraoperative observation, an appropriately sized peripheralpeg drill guide52 is attached to a quick-connect guide handle54. Thecentral hole56 of the peripheralpeg drill guide52 is then advanced over a guide or alignment pin53 (e.g., Steinman pin) that has been placed intoglenoid cavity50 as part of the glenoid preparation process. Once the peripheralpeg drill guide52 is fully seated against the face of the glenoid cavity50 (FIG. 5), the quick-connect anti-rotation peg/drill bit assembly20 is used to drill the first (superior) peripheral peg hole into theglenoid cavity50 by advancing thefluted portion38 of the drill hit24 into the bone. Once thestop surface46 of the drill bit'scollar40 engages theglenoid cavity50, thedrive shank26 can be disconnected from the drill bit24 (which is still left inserted into theglenoid cavity50 through the drill guide52). While not necessarily required herein, in accordance with certain aspects of the present application, it is recommended that the user wait until thedrill bit24 stops rotating before disconnecting it from thedrive shank26. Moreover, and as mentioned above, any known attachment means may be employed for releasably disconnecting thedrive shank26 from thedrill bit24 in accordance with the teachings of the present application. In accordance with specific embodiments, however, a magnetic attachment means may be used to releasably disassociate thedrive shank26 from thedrill bit24. According to this embodiment, friction created at the interface between thefluted portion38 of thedrill bit24 and the glenoid bone contributes to the disruption of the magnetic connection between the two components such that thedrill bit24 is able to remain inserted within theglenoid cavity50 as thedrive shank26 is removed from the joint.
• Second and third quick-connect anti-rotation peg/drill bit assemblies20 are then used to create the respective second and third peripheral peg holes58 within the glenoid cavity50 (seeFIGS. 6 and 7, respectively). The peripheralpeg drill guide52 is then removed from the joint by backing the guide over thealignment pin53. The action of removing the peripheralpeg drill guide52 also causes the anti-rotation peg/drill bit assemblies20 to disengage from theglenoid cavity50. Thealignment pin53 is then removed from theglenoid cavity50 by using the drill in reverse.
• As shown inFIG. 8, after the peripheral peg holes58 are created, aglenoid component60 can be implanted into the resectedglenoid cavity50 by aligning theperipheral pegs62 of theglenoid component60 with the drilled peripheral peg holes58. It should be understood and appreciated herein that the teachings of the present application can be performed using various different geometrical peg configurations and shapes. For instance, while the present application depicts an illustrative embodiment in which theglenoid component60 has threeperipheral pegs62, it is of course possible to perform the teachings of the present application using less or more than three peripheral pegs if desired, While not shown here, it is also envisioned that bone cement and/or various appropriate biological materials can be injected into the peripheral peg holes58 defined within theglenoid cavity50 before theperipheral pegs62 of theglenoid component60 are implanted to facilitate bonding of the component to the bone if desired. Those of skill in the art will understand how to incorporate such materials into the implantation system if necessary; therefore, a detailed discussion of the bonding process is not discussed in detail herein.
• The material from which the anti-rotation peg/drill bit assemblies are made depends on the intended application of the assembly. For orthopedic uses, however, the drill bits can be manufactured from any surgical quality metallic component including, but not limited to, stainless steel, titanium, aluminum, brass, cobalt chrome molybdenum alloys, nitinol alloys and the like. It should also be understood and appreciated herein that the size, orientation and number of drill bits (and/or their respective flutes) can be adjusted as necessary, particularly depending on the intended application and use of the drill bits.
• While an exemplary embodiment incorporating the principles of the present application has been disclosed hereinabove, the present application is not limited to the disclosed embodiments. Instead, this application is intended to cover any variations, uses, or adaptations of the application 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 present application pertains and which fall within the limits of the appended claims.
• The terminology used herein is for the purpose of describing particular illustrative embodiments only and is not intended to be limiting. As used herein, the singular forms “a”, “an” and “the” may be intended to include the plural forms as well, unless the context clearly indicates otherwise. The terms “comprises,” “comprising,” “including,” and “having,” are inclusive and therefore specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof. The method steps, processes, and operations described herein are not to be construed as necessarily requiring their performance in the particular order discussed or illustrated, unless specifically identified as an order of performance. It is also to be understood that additional or alternative steps may be employed.
• When an element or layer is referred to as being “on”, “engaged to”, “connected to” or “coupled to” another element or layer, it may be directly on, engaged, connected or coupled to the other element or layer, or intervening elements or layers may be present. In contrast, when an element is referred to as being “directly on,” “directly engaged to”, “directly connected to” or “directly coupled to” another element or layer, there may be no intervening elements or layers present. Other words used to describe the relationship between elements should be interpreted in a like fashion. (e.g., “between” versus “directly between,” “adjacent” versus “directly adjacent,” etc.). As used herein, the term “and/or” includes any and all combinations of one or more of the associated listed items.
• Although the terms first, second, third, etc. may be used herein to describe various elements, components, regions, layers and/or sections, these elements, components, regions, layers and/or sections should not be limited by these terms. These terms may be only used to distinguish one element, component, region, layer or section from another region, layer or section. Terms such as “first,” “second,” and other numerical terms when used herein do not imply a sequence or order unless clearly indicated by the context. Thus, a first element, component, region, layer or section discussed below could be termed a second element, component, region, layer or section without departing from the teachings of the example embodiments.
• Spatially relative terms, such as “inner,” “outer,” “beneath”, “below”, “lower”, “above”, “upper” and the like, may be used herein for ease of description to describe one element or feature's relationship to another element(s) or feature(s) as illustrated in the figures. Spatially relative terms may be intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. For example, if the device in the figures is turned over, elements described as “below” or “beneath” other elements or features would then be oriented “above” the other elements or features. Thus, the example term “below” can encompass both an orientation of above and below. The device may be otherwise oriented (rotated90 degrees or at other orientations).

Claims (12)

1. A quick-connect drill bit assembly comprising;

a drive shank; and

a drill bit releasably attached to the drive shank, the drill bit being configured to bore a first hole in a bone through a drill guide;

wherein a portion of the drill bit is configured to remain within the first hole after the drive shank is detached therefrom, the drill bit being configured to prevent the drill guide from rotating with respect to the bone as a second hole is bored into the bone.

2. The quick-connect drill bit assembly ofclaim 1, wherein the drill bit includes a fluted portion configured to penetrate the bone as the drill bit is rotated.

3. The quick-connect drill bit assembly ofclaim 1, wherein the drill bit includes a stop surface configured to engage the bone as the drill bit penetrates the bone to a sufficient depth.

4. The quick-connect drill bit assembly ofclaim 1, wherein the drive shank includes two threaded sections, wherein one of the threaded sections includes an opening configured to receive a portion of the drill bit.

5. The quick-connect drill bit assembly ofclaim 4, wherein one of the threaded sections of the drive shank includes a drive attachment portion that is configured to releasably couple with a chuck of a drill that is designed to impart rotating motion to the drill bit.

6. The quick-connect drill bit assembly ofclaim 1, wherein at least a portion of the drill bit or the drive shank is composed of a magnetized material.

7. A quick-connect drill bit assembly comprising:

a drill bit configured to penetrate bone through an opening of a drill guide; and

a drive shank having an opening disposed on one end, the opening being configured to receive an attachment post of the drill bit and establish a releasably engageable magnetic connection therebetween;

wherein the drill bit is configured to prevent the drill guide from rotating with respect to the bone after the drill bit is detached from the drive shank and left inserted into the bone through the guide plate.

8. The quick-connect drill bit assembly ofclaim 7, wherein the drill bit includes a fluted portion configured to penetrate the bone as the drill bit is rotated.

9. The quick-connect drill bit assembly ofclaim 7, wherein the drill bit includes a stop surface configured to engage the bone as the drill bit penetrates the bone to a sufficient depth.

10. The quick-connect drill bit assembly ofclaim 7, wherein the drive shank includes two threaded sections.

11. The quick-connect drill bit assembly ofclaim 10, wherein one of the threaded sections of the drive shank includes a drive attachment portion that is configured to releasably couple with a chuck of a drill that is designed to impart rotating motion to the drill bit.

12-20. (canceled)

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