US3809074A - Pin attachment means for surgical bow - Google Patents

Pin attachment means for surgical bow Download PDF

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Publication number
US3809074A
US3809074A US00363378A US36337873A US3809074A US 3809074 A US3809074 A US 3809074A US 00363378 A US00363378 A US 00363378A US 36337873 A US36337873 A US 36337873A US 3809074 A US3809074 A US 3809074A
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bow
base
attachment means
arms
bone penetrating
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US00363378A
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Moude A De
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MOUDE A DE
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MOUDE A DE
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical 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
    • A61B17/60—Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/6408—Devices not permitting mobility, e.g. fixed to bed, with or without means for traction or reduction

Definitions

  • the present invention relates generally to surgical bows of the type used in combination with a bone penetrating member for retention of the bone against muscle action during healing.
  • the prior art to the extent known includes numerous surgical bow configurations having pin or wire gripping means or fittings located at the bow extremities. Said means permits both attachment and removal of the bow to the bone penetrating pin or wire after insertion intothe bone.
  • the present invention is embodied within attachment means disposed at the ends of a surgical bow for posi tive retentive engagement of the bow to the bone penetrating member.
  • the attachment means includes a highly flexible slotted component adapted for locking engagement with bone penetrating members of various diameters.
  • Theslotted component is of elongate shape for closure into surface engagement with said penetrating member.
  • a primary object of the present invention is to provide for secure attachment for a bone penetrating member with the end of a surgical bow to avoid all risk of accidental separation.
  • a further object resides inthe attachment means accomplishing the desired pin to bow attachment in a very secure manner without the use of tools and yet. permitting separation in a convenient manner when so desired.
  • a further object of the present invention is to provide attachment means which permits a degree of movement between the bow members and the pin if so desired which permits inclination of the bow member to the axis of the pin if desired.
  • FIG. 1 is a front elevational view of a surgical bow having the present attachment means installed at the bow outer ends,
  • FIG. 2 is a fragmentary elevational view of the surgical bow with the attachment means securing a bone penetrating member of reduced diameter
  • FIG. 3 is a side elevational view of the attachment mean components removed from the bow end and separated for purposes of illustration,
  • FIG. 4 is an end elevational view of the slotted compon ent taken along line 4-4 of FIG. 3,
  • FIG. 5 is a sectional view of the slotted component taken'along line 5-5 of FIG. 3, and
  • FIG. 6' is a diagrammatic view of a flexible slotted component in operative and inoperative positions.
  • the reference numeral 1 indicates a segmented surgical bow which is formed of identical opposing legs 2 and 3 each terminating outwardly in annularly shaped ends 2A and 3A. Enlarged corresponding ends at 4 and 5 are of circular matching shape defining an opening for reception of a tensioned cord C.
  • the bow construction disclosed- is not part of the instant invention and accordingly the same may, if desired, be of any size or configuration to best suit the task at hand.
  • attachment means in place within the bow extremities withthe following description in regard to but one of the means being sufficient.
  • said attachment means comprises a base 11 of a tubular nature threaded externally at 12 while at its opposite end having a knurled annularly enlarged finger grip 13.
  • Base 1 1 defines a bore 14 extending therethrough with an inwardly extending shoulder at 15 for purposes later described.
  • Each arm 17 terminates forwardly in an inclined con ical wall 17A for cooperation with a corresponding conical surface 20A formed interiorly of a threaded traveler element 20. Also formed interiorly of traveler element 20 are screw threads 22 for the reception of threads 12 of'the tubularbase. Accordingly, with locking means 16 seated within base I1 and with traveler element 20 in threaded engagement with the base, threaded advancement of element 20 results in the arms 17 being'urged inwardly by surface 20A into the broken line position of FIG. 6.
  • the flexible nature of the anus 17 permits each arm to flex inwardly into substantial surface engagement with ,bone penetrating members of various'diameters to firmly engage same. As viewed in FIG. 4 the forward end of the slotted locking member 16 may close to the broken line position shown.
  • the base 11 with locking member 16 therein is initially placed thereon after which the annular bow extremity 2A-3A is applied.
  • Traveler element 20 is then advanced along threads 12 of the base to cause traveler surface 20A to act on the arm surfaces 17A.
  • Finger tightening of traveler element 20 and base 11 results in firm engagement of locking member 16 with the pin or wire member 10 and of traveler element 20 with base 11. Such engagement with finger tip effort alone on the knurled surfaces is entirely adequate to achieve a snug fit.
  • the bone inserted member 19 locked inplace may range in diameter from approximately three thirty-seconds to seven' thirty-seconds of an inch with other size pins or wires being permitted by a change in the configuration of locking member 16.
  • the slotted areas 18 may be increased in width to permit further centripetal movement of the arm 17.
  • the present at tachment means permits a bow leg to be inclined relative to the axis of the pin or wire 19 if so desired. Such leg movement if not desired may be prevented by the use of washer-like spaces between the grip 13 on base 11 and the annular leg end 2A-3A.
  • said attachment means including, a tubular base for in-' sertion througha bow extremity, a threaded traveler element for engagement with the inserted end of said base for advancement therealong, said base and said threaded element confining a bow extremity therebetween, a locking member including flexible arms normally in radial spaced relationship to a segment of the bone penetrating member, each of said arms and said traveler element having cooperating surfaces thereon for simultaneously urging the arms inwardly into gripping engagement with the bone inserted member upon advancement of the traveler element along the base which movement additionally secures said traveler to said base.
  • tubular base and said threaded traveler element are both provided with knurled surfaces facilitating the apl.

Abstract

Attachment means for securing bow extremities to the bone penetrating member. Included in the attachment means is a slotted component closeable into gripping engagement with a segment of the bone penetrating member to hold same against axial movement and accidental separation. Conveniently sized fingergrips permit installation or removal of the present attachment means without tools.

Description

United States Patent 11 1 111.1 3,809,074 De Moude I May 7, 1974 [54] PIN ATTACHMENT MEANS FOR 2,406,987 9/1946 Anderson l28/92 A SURGICAL BOW FOREIGN PATENTS OR APPLICATIONS [76] lnventor: Adrian J. De Moude, 8505 S.W. 157,757 5/1964 U.S.S.R 128/84 R Cecilia Ter.,- Portland, Oreg. 97223 641,430 3/1963 Belgium 128/84 R [22] Filed: May 1973 Primary Examiner-Richard A. Gaudet [21] Appl. No.: 363,378 Assistant Examiner-J. Yasko Attorney, Agent, orFirm-James D. Givnan, Jr. 52 US. Cl. 128/84 R, 128/92 A [51] Int. Cl. A6lf 5/04 [57] ABSTR A(:T [58] Field o searchw 128 /84 R, 84 A 84 B, 84 C, Attachment means for securing bow extremities to the 128/92 R 92 A 92 B 83 75 bone penetrating member. Included in the attachment means is a slotted component closeable into gripping [56] References Cited engagement with'a' segment of the bone penetrating UNITED STATES PATENTS member to hold same against axial movement and accidental separation. Conveniently sized fingergrips 33 323 133i g permit installation or removal of the present attachong e ow. 1,933,825 11/1933 Sloan 128/84 R mentmans wlthouttools' 2,035,952 3/1936 Ettinger l28/92 4 Claims, 6 Drawing; Figures BACKGROUND OF THE INVENTION The present invention relates generally to surgical bows of the type used in combination with a bone penetrating member for retention of the bone against muscle action during healing.
The prior art to the extent known includes numerous surgical bow configurations having pin or wire gripping means or fittings located at the bow extremities. Said means permits both attachment and removal of the bow to the bone penetrating pin or wire after insertion intothe bone.
Known in the prior art are various arrangements permitting removable attachment of the bow structure from the bone penetrating member. Not uncommonly in these prior art structures loosening of the attachment means can occur between the bowand penetrating member to the extent that accidental separation occurs. During the lengthy healing process the body member, under traction for a substantial period of time, will impart rotational forces to the pin causing same to work loose from one or both bow end fittings. If unnoticed, separation can occur resulting in re-injury to the body member being treated.
SUMMARY or THE-INVENTION The present invention is embodied within attachment means disposed at the ends of a surgical bow for posi tive retentive engagement of the bow to the bone penetrating member. The attachment means includes a highly flexible slotted component adapted for locking engagement with bone penetrating members of various diameters. Theslotted component is of elongate shape for closure into surface engagement with said penetrating member.
A primary object of the present invention is to provide for secure attachment for a bone penetrating member with the end of a surgical bow to avoid all risk of accidental separation.
A further object resides inthe attachment means accomplishing the desired pin to bow attachment in a very secure manner without the use of tools and yet. permitting separation in a convenient manner when so desired.
A further object of the present invention is to provide attachment means which permits a degree of movement between the bow members and the pin if so desired which permits inclination of the bow member to the axis of the pin if desired.
These and other objects will become readily apparent upon an understanding of the following description.
BRIEF DESCRIPTION OF THE DRAWING In the accompanying drawing:
FIG. 1 is a front elevational view of a surgical bow having the present attachment means installed at the bow outer ends,
FIG. 2 is a fragmentary elevational view of the surgical bow with the attachment means securing a bone penetrating member of reduced diameter,
FIG. 3 is a side elevational view of the attachment mean components removed from the bow end and separated for purposes of illustration,
FIG. 4 is an end elevational view of the slotted compon ent taken along line 4-4 of FIG. 3,
FIG. 5 is a sectional view of the slotted component taken'along line 5-5 of FIG. 3, and
. FIG. 6' is a diagrammatic view of a flexible slotted component in operative and inoperative positions.
DESCRIPTION OF THE PREFERRED EMBODIMENT With continuing reference to the accompanying drawing wherein applied reference numerals indicate parts similarly identified in the following specification, the reference numeral 1 indicates a segmented surgical bow which is formed of identical opposing legs 2 and 3 each terminating outwardly in annularly shaped ends 2A and 3A. Enlarged corresponding ends at 4 and 5 are of circular matching shape defining an opening for reception of a tensioned cord C. The bow construction disclosed-is not part of the instant invention and accordingly the same may, if desired, be of any size or configuration to best suit the task at hand.
Indicated generally at 10xare identical attachment means in place within the bow extremities withthe following description in regard to but one of the means being sufficient. With attention to FIG. 3 said attachment means comprises a base 11 of a tubular nature threaded externally at 12 while at its opposite end having a knurled annularly enlarged finger grip 13. Base 1 1 defines a bore 14 extending therethrough with an inwardly extending shoulder at 15 for purposes later described.
Normally carried within bore 14 of base 11 is an cally shown in borken lines in FIG. 6. Slotted areas 18' in the locking member are-of a substantial transverse dimension permitting centripetal movement of the arms through a wide range of travel to engage. bone penetrating members 19 of different diameters.
Each arm 17 terminates forwardly in an inclined con ical wall 17A for cooperation with a corresponding conical surface 20A formed interiorly of a threaded traveler element 20. Also formed interiorly of traveler element 20 are screw threads 22 for the reception of threads 12 of'the tubularbase. Accordingly, with locking means 16 seated within base I1 and with traveler element 20 in threaded engagement with the base, threaded advancement of element 20 results in the arms 17 being'urged inwardly by surface 20A into the broken line position of FIG. 6. The flexible nature of the anus 17 permits each arm to flex inwardly into substantial surface engagement with ,bone penetrating members of various'diameters to firmly engage same. As viewed in FIG. 4 the forward end of the slotted locking member 16 may close to the broken line position shown.
In applying the attachment means 10 to the bone penetrating member 19, the base 11 with locking member 16 therein is initially placed thereon after which the annular bow extremity 2A-3A is applied. Traveler element 20 is then advanced along threads 12 of the base to cause traveler surface 20A to act on the arm surfaces 17A. Finger tightening of traveler element 20 and base 11 results in firm engagement of locking member 16 with the pin or wire member 10 and of traveler element 20 with base 11. Such engagement with finger tip effort alone on the knurled surfaces is entirely adequate to achieve a snug fit.
In theembodiment shown the bone inserted member 19 locked inplace may range in diameter from approximately three thirty-seconds to seven' thirty-seconds of an inch with other size pins or wires being permitted by a change in the configuration of locking member 16. For example, the slotted areas 18 may be increased in width to permit further centripetal movement of the arm 17.
As viewed in FIG. 1 in broken lines, the present at tachment means permits a bow leg to be inclined relative to the axis of the pin or wire 19 if so desired. Such leg movement if not desired may be prevented by the use of washer-like spaces between the grip 13 on base 11 and the annular leg end 2A-3A.
While I have shown but one embodiment of the invention, it will be apparent to those skilled in the art that the invention may be embodied still otherwise without departing from the spirit and scope of the invention.
Having thus described the invention what I desire to secure under a Letters Patent is:
said attachment means including, a tubular base for in-' sertion througha bow extremity, a threaded traveler element for engagement with the inserted end of said base for advancement therealong, said base and said threaded element confining a bow extremity therebetween, a locking member including flexible arms normally in radial spaced relationship to a segment of the bone penetrating member, each of said arms and said traveler element having cooperating surfaces thereon for simultaneously urging the arms inwardly into gripping engagement with the bone inserted member upon advancement of the traveler element along the base which movement additionally secures said traveler to said base.
2. The improvement claimed in claim 1 wherein said tubular base and said threaded traveler element are both provided with knurled surfaces facilitating the apl. In combination with a surgical bow and bone pene- I plication of manual force to obviate the use of tools in the application or removal of the attachment means.
3. The improvement claimed in claim 1 wherein said locking member is in seated telescoped relationship within the tubular base.
4. The improvement claimed in claim 1 wherein the arms of the locking member are defined by slotted areas extending lengthwise along the locking member with each of said arms adapted for flexed engagement with the surface of the bone penetrating member.

Claims (4)

1. In combination with a surgical bow and bone penetrating member carried thereby for the application of traction to an injured body member, the improvement comprising attachment means securing the bone penetrating member to annular bow extremities, each of said attachment means including, a tubular base for insertion through a bow extremity, a threaded traveler element for engagement with the inserted end of said base for advancement therealong, said base and said threaded element confining a bow extremity therebetween, a locking member including flexible arms normally in radial spaced relationship to a segment of the bone penetrating member, each of said arms and said traveler element having cooperating surfaces thereon for simultaneously urging the arms inwardly into gripping engagement with the bone inserted member upon advancement of the traveler element along the base which movement additionally secures said traveler to said base.
2. The improvement claimed in claim 1 wherein said tubular base and said threaded traveler element are both provided with knurled surfaces facilitating the application of manual force to obviate the use of tools in the application or removal of the attachment means.
3. The improvement claimed in claim 1 wherein said locking member is in seated telescoped relationship within the tubular base.
4. The improvement claimed in claim 1 wherein the arms of the locking member are defined by slotted areas extending lengthwise along the locking member with each of said arms adapted for flexed engagement with the surface of the bone penetrating member.
US00363378A 1973-05-24 1973-05-24 Pin attachment means for surgical bow Expired - Lifetime US3809074A (en)

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Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4342309A (en) * 1981-01-08 1982-08-03 Eftekhar Nas S Bow type traction device having corporeal insertion means
US4360012A (en) * 1980-02-19 1982-11-23 National Research Development Corporation External fixation devices for orthopaedic fractures
US4373518A (en) * 1980-09-26 1983-02-15 Zimmer, Inc. Method of drilling living bone
US4620533A (en) * 1985-09-16 1986-11-04 Pfizer Hospital Products Group Inc. External bone fixation apparatus
US5074864A (en) * 1988-12-21 1991-12-24 Zimmer, Inc. Clamp assembly for use in a spinal system
US5112332A (en) * 1988-12-21 1992-05-12 Zimmer, Inc. Method of performing spinal surgery
US5116334A (en) * 1988-12-21 1992-05-26 Zimmer, Inc. Posterior spinal system and method
US5147359A (en) * 1988-12-21 1992-09-15 Zimmer, Inc. Spinal hook body
US5154718A (en) * 1988-12-21 1992-10-13 Zimmer, Inc. Spinal coupler assembly
US5201734A (en) * 1988-12-21 1993-04-13 Zimmer, Inc. Spinal locking sleeve assembly
US5281221A (en) * 1990-12-05 1994-01-25 Tadych Kevin L Antimicrobial device for use in external fixators
US5300071A (en) * 1992-11-17 1994-04-05 Ace Medical Company Pelvic stabilizer
US5342360A (en) * 1991-11-05 1994-08-30 Orthofix S.R.L. Clamping coupling for an external fixator
US9480519B2 (en) 2012-10-04 2016-11-01 Loubert S. Suddaby Apparatus for aligning a spine using deployable bone anchors and method for the same
US9968379B2 (en) 2012-10-04 2018-05-15 Loubert S. Suddaby Subcutaneous implantable device for gradually aligning a spine and subcutaneous implantable device for gradually lengthening a bone
US10022153B2 (en) 2012-10-04 2018-07-17 Loubert S. Suddaby Percutaneous method for aligning a spine using deployable bone anchors

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU157757A1 (en) *
US1933825A (en) * 1932-02-20 1933-11-07 John F Sloan Bone spike or peg
US1949969A (en) * 1932-03-14 1934-03-06 Harry Herschel Leiter Skeletal tractor for surgical treatment of fractures
US2035952A (en) * 1935-05-20 1936-03-31 Joe J Ettinger Fracture reduction apparatus
US2406987A (en) * 1943-01-04 1946-09-03 Anderson Roger Fracture splint
BE641430A (en) * 1963-12-17 1964-04-16
US3224440A (en) * 1963-06-10 1965-12-21 Frank O Wright Surgical bow assembly

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU157757A1 (en) *
US1933825A (en) * 1932-02-20 1933-11-07 John F Sloan Bone spike or peg
US1949969A (en) * 1932-03-14 1934-03-06 Harry Herschel Leiter Skeletal tractor for surgical treatment of fractures
US2035952A (en) * 1935-05-20 1936-03-31 Joe J Ettinger Fracture reduction apparatus
US2406987A (en) * 1943-01-04 1946-09-03 Anderson Roger Fracture splint
US3224440A (en) * 1963-06-10 1965-12-21 Frank O Wright Surgical bow assembly
BE641430A (en) * 1963-12-17 1964-04-16

Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4360012A (en) * 1980-02-19 1982-11-23 National Research Development Corporation External fixation devices for orthopaedic fractures
US4373518A (en) * 1980-09-26 1983-02-15 Zimmer, Inc. Method of drilling living bone
US4342309A (en) * 1981-01-08 1982-08-03 Eftekhar Nas S Bow type traction device having corporeal insertion means
US4620533A (en) * 1985-09-16 1986-11-04 Pfizer Hospital Products Group Inc. External bone fixation apparatus
EP0216563A1 (en) * 1985-09-16 1987-04-01 Pfizer Hospital Products Group, Inc. External bone fixation apparatus
US5147359A (en) * 1988-12-21 1992-09-15 Zimmer, Inc. Spinal hook body
US5112332A (en) * 1988-12-21 1992-05-12 Zimmer, Inc. Method of performing spinal surgery
US5116334A (en) * 1988-12-21 1992-05-26 Zimmer, Inc. Posterior spinal system and method
US5074864A (en) * 1988-12-21 1991-12-24 Zimmer, Inc. Clamp assembly for use in a spinal system
US5154718A (en) * 1988-12-21 1992-10-13 Zimmer, Inc. Spinal coupler assembly
US5201734A (en) * 1988-12-21 1993-04-13 Zimmer, Inc. Spinal locking sleeve assembly
US5281221A (en) * 1990-12-05 1994-01-25 Tadych Kevin L Antimicrobial device for use in external fixators
US5342360A (en) * 1991-11-05 1994-08-30 Orthofix S.R.L. Clamping coupling for an external fixator
US5300071A (en) * 1992-11-17 1994-04-05 Ace Medical Company Pelvic stabilizer
US9480519B2 (en) 2012-10-04 2016-11-01 Loubert S. Suddaby Apparatus for aligning a spine using deployable bone anchors and method for the same
US9968379B2 (en) 2012-10-04 2018-05-15 Loubert S. Suddaby Subcutaneous implantable device for gradually aligning a spine and subcutaneous implantable device for gradually lengthening a bone
US10022153B2 (en) 2012-10-04 2018-07-17 Loubert S. Suddaby Percutaneous method for aligning a spine using deployable bone anchors

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