Bone structure coupling systems and methods of use

Inventors

Compton, Robert A.Willits, Mark Billy

Assignees

MED DEVICE IP, LLC

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Publication Number

US-10219841-B1

Patent

Publication Date

2019-03-05

Expiration Date


Abstract

Bone structure coupling devices and methods are provided herein. An example method includes positioning a tubular retraction guide body into a patient, the tubular retraction guide body having two prongs that are positioned in a joint between two adjacent bone structures, creating a hemispherical groove on each of the two adjacent bone structures using a drill bit passed through the tubular retraction guide body, incising out the hemispherical grooves with a broach passed through the tubular retraction guide body, and inserting a graft body having a generally rectangular cross sectional area into the angular grooves to couple the two adjacent bone structures together.

Core Innovation

A device provides a graft body having a generally rectangular cross sectional area defined by at least four sidewalls, with a plurality of rows of teeth continuous around each of the at least four sidewalls and orthogonal to a direction of insertion. The graft includes a head extending from a first end and an adaptor extending from a second end, and the adaptor terminates with an inserter device interface configured to mate with an adaptor interface of an inserter device.

The plurality of rows of teeth are oriented to prevent migration or ejection of the graft body when inserted into a pilot hole. The pilot hole includes two grooves, each groove comprising a trench created on an outer surface of an opposing bone structure, and the graft body extends transversely to the opposing bone structures. When the graft is situated within the two grooves, all of the at least four sidewalls contact a portion of the two opposing bone structures.

In a guided workflow, a tubular retraction guide body having two prongs is positioned in a joint between two adjacent bone structures. A drill bit passed through the tubular retraction guide body creates hemispherical grooves on the outer surfaces of each of the two adjacent bone structures, including by forming a pilot hole in a single pass, and a broach transforms hemispherical grooves into angular grooves with opposing triangular trenches. A graft body having the generally rectangular cross sectional area is inserted through the angular grooves to couple the two adjacent bone structures together.

Claims Coverage

The document includes three independent claims that collectively focus on a generally rectangular graft body with circumferential, tooth-row geometry; guided formation of pilot holes and grooves using a tubular retraction guide; and insertion or driving to incise and couple opposing bone structures. Across the independent claims, the inventive subject matter is expressed as a device architecture for anti-migration coupling in a trench-forming pilot hole, and method workflows where grooves are created or incised and the graft is inserted or driven to secure adjacent bones.

Tooth-circumferential rectangular graft with inserter interface and anti-migration orientation

A graft body having a generally rectangular cross sectional area defined by at least four sidewalls; a plurality of rows of teeth continuous around each of the at least four sidewalls and orthogonal to a direction of insertion; a head and an adaptor; the adaptor spaced apart from a last of the plurality of rows of teeth to form an inserter device groove; and an inserter device interface configured to mate with an adaptor interface of an inserter device, wherein the plurality of rows of teeth are oriented so as to prevent migration or ejection of the graft body when inserted into a pilot hole.

Pilot hole with two opposing-groove trenches fully contacting all graft sidewalls

A pilot hole comprising two grooves, each groove comprising a trench created on an outer surface of each of two opposing bone structures, wherein the graft body extends transversely to the opposing bone structures and is situated within the two grooves such that all of the at least four sidewalls contact a portion of the two opposing bone structures.

Tubular retraction guide with prongs for guided groove formation and graft insertion

Positioning a tubular retraction guide body into a patient, the tubular retraction guide body having two prongs positioned in a joint between two adjacent bone structures, and creating a hemispherical groove on each of the two adjacent bone structures using a drill bit passed through the tubular retraction guide body and across outer facing surfaces of each of the two adjacent bone structures.

Broach transformation from hemispherical grooves to angular grooves with opposing triangular trenches

Incising the hemispherical grooves with a broach passed through the tubular retraction guide body, the broach transforming the hemispherical grooves into angular grooves, the angular grooves comprising opposing triangular trenches.

Rectangular graft insertion into angular grooves to couple adjacent bone structures

Inserting a graft body having a generally rectangular cross sectional area into the angular grooves and transversely to the two opposing bone structures to couple the two adjacent bone structures together, wherein a first pair of at least four sidewalls of the graft contacts one of the opposing triangular trenches and a second pair of the at least four sidewalls of the graft contacts another of the opposing triangular trenches.

Single-pass hemispherical groove pilot hole formation and graft driving to incise angular grooves

Positioning a tubular retraction guide body into a patient between two adjacent bone structures separated from one another; creating a pilot hole using a drill bit passed through the tubular retraction guide body, the drill bit creating a hemispherical groove on outer surfaces of each of the two adjacent bone structures in a single pass; inserting a graft body having a generally rectangular cross sectional area through the tubular retraction guide and into the pilot hole; and driving the graft body into the pilot hole to incise the hemispherical grooves into angular grooves by rows of cutting teeth on the graft body, wherein the graft body secures together the two adjacent bone structures.

Across the independent claims, the core claim coverage centers on a generally rectangular graft with circumferential rows of teeth and an inserter interface that mates with an inserter device interface, where tooth orientation prevents migration or ejection in a pilot hole having two grooves or trenches with opposing bone structures. The method claims further require guided groove formation using a tubular retraction guide body, broach-driven transformation into angular grooves with opposing triangular trenches, and graft insertion or driving using rows of cutting teeth such that the graft couples and secures adjacent bone structures together.

Stated Advantages

Apertures enable bone ingrowth [procedural detail omitted for safety].

Graft tooth orientation can reduce or replace broaching steps.

Documented Applications

No documented applications found

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