U.S. patent application number 14/562613 was filed with the patent office on 2015-06-11 for targeting device for use with systems, methods, and apparatuses for fusion, stabilization, and/or fixation of bones.
The applicant listed for this patent is Jonathan Feibel, Robert Gorsline. Invention is credited to Christopher Brown, Jonathan Feibel, Robert Gorsline, Christopher Hawker, Christos Ragais, Jeffrey J. Root, Nicholas Joseph Vallo.
Application Number | 20150157338 14/562613 |
Document ID | / |
Family ID | 53269963 |
Filed Date | 2015-06-11 |
United States Patent
Application |
20150157338 |
Kind Code |
A1 |
Feibel; Jonathan ; et
al. |
June 11, 2015 |
TARGETING DEVICE FOR USE WITH SYSTEMS, METHODS, AND APPARATUSES FOR
FUSION, STABILIZATION, AND/OR FIXATION OF BONES
Abstract
Various embodiments of a targeting device for use with systems,
methods, and apparatuses for fusion, stabilization, and/or fixation
of bones are disclosed. In one embodiment, a targeting device is
provided, the targeting device comprising: a targeting arm
including a targeting portion, a radial portion, and at least one
aperture oriented in the targeting portion; a target lock; and a
rotation arrestor including an arresting engagement portion, an
elongated shaft, and a button operatively connected to the
arresting engagement portion.
Inventors: |
Feibel; Jonathan; (Columbus,
OH) ; Gorsline; Robert; (Columbus, OH) ;
Vallo; Nicholas Joseph; (New Albany, OH) ; Ragais;
Christos; (New Albany, OH) ; Brown; Christopher;
(Columbus, OH) ; Hawker; Christopher; (Columbus,
OH) ; Root; Jeffrey J.; (Columbus, OH) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Feibel; Jonathan
Gorsline; Robert |
Columbus
Columbus |
OH
OH |
US
US |
|
|
Family ID: |
53269963 |
Appl. No.: |
14/562613 |
Filed: |
December 5, 2014 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
|
61912512 |
Dec 5, 2013 |
|
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Current U.S.
Class: |
606/96 |
Current CPC
Class: |
A61B 17/1725 20130101;
A61B 17/1775 20161101 |
International
Class: |
A61B 17/17 20060101
A61B017/17; A61B 17/00 20060101 A61B017/00 |
Claims
1. A targeting device, comprising: a targeting arm including a
targeting portion, a radial portion, and at least one aperture
oriented in the targeting portion; a target lock; and a rotation
arrestor including an arresting engagement portion, an elongated
shaft, and a button operatively connected to the arresting
engagement portion.
2. The targeting device of claim 1, wherein the at least one
aperture includes an aperture for targeting a transverse hole in an
orthopedic implanted device.
3. The targeting device of claim 1, wherein the targeting arm
further includes a hub including a central bore.
4. The targeting device of claim 1, wherein the radial portion
includes a radial bore.
5. The targeting device of claim 4, wherein at least a portion of
the elongated shaft is operatively connected to a biasing member
that biases the rotation arrestor into the radial bore.
6. The targeting device of claim 1, wherein the target lock
includes at least one indentation.
7. The targeting device of claim 6, wherein the at least one
indentation is engaged by the arresting engagement portion and
selectively rotationally restrains the target lock relative to the
targeting arm.
8. The targeting device of claim 1, wherein the target lock
includes at least two indentations oriented about 90 degrees
relative to one another.
9. The targeting device of claim 1, wherein the targeting arm
includes a hub having a central bore, and wherein the target lock
is oriented within the central bore.
10. The targeting device of claim 1, wherein the radial portion
includes a radial bore, and wherein the elongated shaft extends
through the radial bore.
11. The targeting device of claim 1, wherein the targeting arm
includes a hub having a central bore, and wherein the arresting
engagement portion selectively extends into the central bore.
12. A targeting device, comprising: a targeting arm including a
targeting portion, a radial portion, at least one aperture oriented
in the targeting portion, and a hub including a central bore,
wherein the radial portion includes a radial bore; a target lock
oriented within the central bore; and a rotation arrestor including
an arresting engagement portion, an elongated shaft, and a button
operatively connected to the arresting engagement portion, wherein
the elongated shaft extends through the radial bore.
13. The targeting device of claim 12, wherein the at least one
aperture includes an aperture for targeting a transverse hole in an
orthopedic implanted device.
14. The targeting device of claim 12, wherein at least a portion of
the elongated shaft is operatively connected to a biasing member
that biases the rotation arrestor into the radial bore.
15. The targeting device of claim 12, wherein the target lock
includes at least one indentation.
16. The targeting device of claim 15, wherein the at least one
indentation is engaged by the arresting engagement portion and
selectively rotationally restrains the target lock relative to the
targeting arm.
17. The targeting device of claim 12, wherein the target lock
includes at least two indentations oriented about 90 degrees
relative to one another.
18. The targeting device of claim 12, wherein the arresting
engagement portion selectively extends into the central bore.
19. A method for using a targeting device, comprising: providing a
targeting arm including at least one aperture for targeting at
least one transverse hole in an orthopedic implanted device;
providing a target lock including at least one indentation;
providing a rotation arrestor including an arresting engagement
portion and a button operatively connected to the arresting
engagement portion; aligning the targeting arm wherein the at least
one aperture is aligned with a first transverse hole in the
orthopedic implanted device; extending a ream through the at least
one aperture and reaming through a bone and the first transverse
hole in the orthopedic implanted device; removing the ream from the
bone and the first transverse hole in the orthopedic implanted
device; depressing the button and disengaging the arresting
engagement portion from the at least one indentation; rotating the
targeting arm relative to the target lock to a desired position;
releasing the button and engaging the arresting engagement portion
with the at least one indentation; aligning the targeting arm
wherein the at least one aperture is aligned with a second
transverse hole in the orthopedic implanted device; and extending a
ream through the at least one aperture and reaming through a bone
and the second transverse hole in the orthopedic implanted
device.
20. The method of claim 19, wherein the target lock includes at
least two indentations oriented about 90 degrees relative to one
another.
Description
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application claims priority from U.S. Provisional
Patent Application No. 61/912,512, filed on Dec. 5, 2013, which is
incorporated by reference herein in its entirety.
BACKGROUND
[0002] The implantation, use, and tensioning of orthopedic
implanted devices for fusion, stabilization, and fixation of
joints, fractures, and other fusions may involve various
complicated processes and components.
[0003] When implanting an orthopedic device that is internally
oriented in the human body, such as a nail, a rod, or the like, it
may be difficult to properly and accurately target the desired
site(s), e.g., at which to ream holes to accept transverse bolts,
or the like, from outside the human body. The present application
appreciates that targeting associated with use of systems, methods,
and apparatuses for fusion, stabilization, and/or fixation of bones
may be a challenging endeavor.
SUMMARY
[0004] In one embodiment, a targeting device is disclosed. The
targeting device may include a targeting arm. The targeting arm may
include a targeting portion. The targeting arm may include a radial
portion. The targeting arm may include at least one lower aperture
for targeting transverse holes in an orthopedic implanted device.
The targeting arm may include at least one upper aperture for
targeting transverse holes in the orthopedic implanted device. The
targeting arm may include a hub including a central bore. The
targeting arm may include a radial bore. The targeting device may
also include a target lock. The target lock may include at least
one indentation. The target lock may include a target lock bore.
The target lock may include a locking lever. The targeting device
may further include a rotation arrestor. The rotation arrestor may
include an arresting engagement portion. The rotation arrestor may
include an elongated shaft. The rotation arrestor may include a
button operatively connected to the arresting engagement portion.
The target lock may be operatively connected to the orthopedic
implanted device. The locking lever may at least one of selectively
rotationally restrain and selectively axially restrain the target
lock relative to a support device. The at least one indentation may
be engaged by the arresting engagement portion. The at least one
indentation may selectively rotationally restrain the target lock
relative to the hub and the central bore.
[0005] In another embodiment, a targeting device is provided, the
targeting device comprising: a targeting arm including a targeting
portion, a radial portion, and at least one aperture oriented in
the targeting portion; a target lock; and a rotation arrestor
including an arresting engagement portion, an elongated shaft, and
a button operatively connected to the arresting engagement
portion.
[0006] In another embodiment, a targeting device is provided, the
targeting device comprising: a targeting arm including a targeting
portion, a radial portion, at least one aperture oriented in the
targeting portion, and a hub including a central bore, wherein the
radial portion includes a radial bore; a target lock oriented
within the central bore; and a rotation arrestor including an
arresting engagement portion, an elongated shaft, and a button
operatively connected to the arresting engagement portion, wherein
the elongated shaft extends through the radial bore.
[0007] In one embodiment, a method for using a targeting device is
disclosed, the method comprising: providing a targeting arm. The
targeting arm may include at least one lower aperture for targeting
a transverse hole in an orthopedic implanted device. The targeting
arm may include at least one upper aperture for targeting a
transverse hole in the orthopedic implanted device. The method may
further comprise providing a target lock. The target lock may
comprise at least one indentation. The method may further comprise
providing a rotation arrestor. The rotation arrestor may include an
arresting engagement portion. The rotation arrestor may include a
button operatively connected to the arresting engagement portion.
The method may further include aligning the targeting arm wherein
the at least one lower aperture is aligned with a first transverse
hole in the orthopedic implanted device. The method may further
include extending a ream through the at least one lower aperture
and reaming through a bone and the first transverse hole in the
orthopedic implanted device. The method may further include
removing the ream from the bone and the first transverse hole in
the orthopedic implanted device. The method may further include
depressing the button and disengaging the arresting engagement
portion from the at least one indentation. The method may further
include rotating the targeting arm relative to the target lock to a
desired position. The method may further include releasing the
button and engaging the arresting engagement portion with the at
least one indentation. The method may further include aligning the
targeting arm wherein the at least one upper aperture is aligned
with a second transverse hole in the orthopedic implanted device.
The method may further include extending a ream through the at
least one upper aperture and reaming through a bone and the second
transverse hole in the orthopedic implanted device.
[0008] In another embodiment, a method for using a targeting device
is provided, the method comprising: providing a targeting arm
including at least one aperture for targeting at least one
transverse hole in an orthopedic implanted device; providing a
target lock including at least one indentation; providing a
rotation arrestor including an arresting engagement portion and a
button operatively connected to the arresting engagement portion;
aligning the targeting arm wherein the at least one aperture is
aligned with a first transverse hole in the orthopedic implanted
device; extending a ream through the at least one aperture and
reaming through a bone and the first transverse hole in the
orthopedic implanted device; removing the ream from the bone and
the first transverse hole in the orthopedic implanted device;
depressing the button and disengaging the arresting engagement
portion from the at least one indentation; rotating the targeting
arm relative to the target lock to a desired position; releasing
the button and engaging the arresting engagement portion with the
at least one indentation; aligning the targeting arm wherein the at
least one aperture is aligned with a second transverse hole in the
orthopedic implanted device; and extending a ream through the at
least one aperture and reaming through a bone and the second
transverse hole in the orthopedic implanted device.
BRIEF DESCRIPTION OF THE DRAWINGS
[0009] The accompanying figures, which are incorporated in and
constitute a part of the specification, illustrate various example
configurations and systems, and are used merely to illustrate
various example embodiments. In the figures, like elements bear
like reference numerals.
[0010] FIG. 1 is an exploded view of an example embodiment of a
targeting device for use with systems, methods, and apparatuses for
fusion, stabilization, and/or fixation of bones.
[0011] FIG. 2 is a perspective view of an example embodiment of a
targeting device for use with systems, methods, and apparatuses for
fusion, stabilization, and/or fixation of bones.
[0012] FIG. 3 is a perspective view of an example embodiment of a
targeting device for use with systems, methods, and apparatuses for
fusion, stabilization, and/or fixation of bones.
[0013] FIG. 4 is a perspective view of an example embodiment of a
targeting device for use with systems, methods, and apparatuses for
fusion, stabilization, and/or fixation of bones.
[0014] FIG. 5 is a side view of an example embodiment of a
targeting device for use with systems, methods, and apparatuses for
fusion, stabilization, and/or fixation of bones.
DETAILED DESCRIPTION
[0015] When installing an orthopedic implanted device, such as a
nail through a patient's ankle (e.g., through the calcaneus and
talus, and into the tibia), a surgeon may install the nail from the
patient's heel. The nail may include at least one transverse,
circular or oblong hole for accepting transverse bolts, for
example, to attach the calcaneus, talus, and/or tibia to the nail.
To effect the installation of these transverse bolts, a surgeon may
ream holes through a patient's calcaneus, talus, and/or tibia, for
example, at very specific points in order to allow the transverse
bolt to pass through the circular or oblong holes in the nail.
These holes may be reamed from outside the patient's body after the
nail is installed, and as such, a surgeon may be unable to actually
view the circular or oblong holes in the nail while reaming the
transverse holes. It is understood that the holes to be reamed may
require extremely precise placement, size, angle, and the like, so
as to minimize movement between a transverse bolt and the reamed
hole. It is understood that installing an orthopedic implanted
device, including for example a nail, rod, or the like, in any
portion of a patient's body, may require similar targeting.
[0016] The disclosed targeting devices may be used to allow a
surgeon to accurately determine a desired location, e.g., to ream
the transverse holes in order to properly align the reamed holes
with the circular or oblong holes in the nail, rod, or the
like.
[0017] FIG. 1 is an exploded view of an example embodiment of a
targeting device 100. Targeting device 100 may include a targeting
arm 102 including a targeting portion 104 and a radial portion
106.
[0018] Targeting portion 104 and radial portion 106 may be oriented
relative to one another in any of a variety of manners, including
for example at an angle of about 90 degrees. Targeting portion 104
and radial portion 106 may be oriented relative to one another at
an angle greater than about 90 degrees. Targeting portion 104 and
radial portion 106 may be oriented relative to one another at an
angle less than about 90 degrees. Orientation of targeting portion
104 relative to radial portion 106 may be dictated by any of a
variety of factors, including for example the geometry of a
patient's body, the device to be installed, the manner of reaming
to be employed, and the like.
[0019] Targeting device 100 may include any of a variety of
materials, including for example, a metal, an alloy, a polymer, a
composite, and the like. Targeting device 100 may include materials
capable of being sterilized, such as stainless steel (for example,
surgical stainless steel). Targeting device 100 may include a
titanium alloy. At least a portion of targeting device 100 may
include a coating. Targeting device 100 may include a composite,
such as a carbon fiber, fiberglass, and the like. Targeting arm 102
may include at least one of a radiolucent material and a radiopaque
material. Targeting arm 102 may include a composite, such as a
carbon fiber, fiberglass, and the like. Targeting portion 104 may
include at least one of a radiolucent material and a radiopaque
material. Targeting portion 104 may include a radiolucent material.
Targeting portion 104 may include a composite, such as a carbon
fiber, fiberglass, and the like.
[0020] Targeting portion 104 may include at least one transverse
aperture. Targeting portion 104 may include at least one lower
aperture 108. Targeting portion 104 may include at least one upper
aperture 110. Targeting portion 104 may include at least one lower
aperture 108 and at least one upper aperture 110.
[0021] At least one lower aperture 108 may be configured to target
transverse holes in a nail (not shown). A nail (not shown) may
include at least one transverse hole configured to accept a
transverse bolt through at least one of the calcaneus and the
talus. At least one lower aperture 108 may be configured to target
at least one transverse hole in a nail (not shown) configured to
accept a transverse bolt through at least one of the calcaneus and
the talus. A nail (not shown) may include at least one transverse
hole configured to accept a transverse bolt through at least one of
the calcaneus the talus, and the tibia. At least one lower aperture
108 may be configured to target at least one transverse hole in a
nail (not shown) configured to accept a transverse bolt through at
least one of the calcaneus, the talus, and the tibia.
[0022] At least one lower aperture 108 may be configured to target
transverse holes in a rod (not shown). A rod (not shown) may
include at least one transverse hole configured to accept a
transverse bolt through at least one of a patient's bones. At least
one lower aperture 108 may be configured to target at least one
transverse hole in a rod (not shown) configured to accept a
transverse bolt through at least one of a patient's bones.
[0023] At least one upper aperture 110 may be configured to target
transverse holes in a nail (not shown). A nail (not shown) may
include at least one transverse hole configured to accept a
transverse bolt through a patient's tibia. At least one upper
aperture 110 may be configured to target at least one transverse
hole in a nail (not shown) configured to accept a transverse bolt
through the tibia. A nail (not shown) may include at least one
transverse hole configured to accept a transverse bolt through at
least one of the calcaneus the talus, and the tibia. At least one
upper aperture 110 may be configured to target at least one
transverse hole in a nail (not shown) configured to accept a
transverse bolt through at least one of the calcaneus, the talus,
and the tibia.
[0024] At least one upper aperture 110 may be configured to target
transverse holes in a rod (not shown). A rod (not shown) may
include at least one transverse hole configured to accept a
transverse bolt through at least one of a patient's bones. At least
one upper aperture 110 may be configured to target at least one
transverse hole in a rod (not shown) configured to accept a
transverse bolt through at least one of a patient's bones.
[0025] A nail (not shown) may include at least one transverse hole
configured to accept a transverse bolt through at least one of the
calcaneus, the talus, and the tibia. The at least one transverse
hole may be oriented in a substantially medial-lateral direction,
anterior-posterior direction, or both. For example, a nail (not
shown) may include a series of transverse holes. The transverse
holes may include at least one of: a hole configured to extend
through a patient's calcaneus, a hole configured to extend through
a patient's talus, and a hole configured to extend through a
patient's tibia. In one example, the hole(s) in the nail configured
to extend through a patient's calcaneus may extend in a
substantially anterior-posterior direction. The hole(s) in the nail
configured to extend through a patient's talus and/or tibia may
extend in a substantially medial-lateral direction. In various
embodiments, any of the at least one transverse hole(s) in a nail
(not shown) may extend in a substantially medial-lateral direction,
a substantially anterior-posterior direction, or at any angle from
both a substantially medial-lateral direction and a substantially
anterior-posterior direction.
[0026] The hole(s) in the nail may be configured to extend through
any of a patient's bones. In another example, the nail may be
replaced with any orthopedic implanted device, including for
example a rod.
[0027] Targeting device 100 may include a hub 112. Hub 112 may
include a central bore 114 substantially parallel to at least a
portion of targeting portion 104. Central bore 114 may extend
completely through hub 112. Central bore 114 may include a
substantially constant diameter as it extends through hub 112.
Central bore 114 may include a plurality of diameters as it extends
through hub 112.
[0028] Targeting device 100 may include a target lock 116. Target
lock 116 may be configured to be inserted into central bore 114. A
locking ring 117 may be employed to engage target lock 116 in such
a manner that target lock 116 may be axially restrained within hub
112 and central bore 114. A locking ring 117 may be employed to
engage target lock 116 in such a manner that target lock 116 may be
at least partially axially restrained within hub 112 and central
bore 114.
[0029] Target lock 116 may include at least one indentation 118
configured to selectively rotationally restrain target lock
relative to hub 112 and central bore 114. Target lock 116 may
include at least one indentation 118 configured to at least
partially selectively rotationally restrain target lock relative to
hub 112 and central bore 114.
[0030] Target lock 116 may include at least one tab 120 configured
to at least partially engage target lock 116 to a support device
(not shown). At least one tab 120 may at least one of rotationally
restrain, axially restrain, or both rotationally and axially
restrain target lock 116 relative to a support device (not shown).
A support device may include any device configured to support
targeting device 100 while it is in use.
[0031] Target lock 116 may include a target lock bore 122 extending
partially or completely through target lock 116 in a longitudinal
direction. Target lock bore 122 may be configured to accept at
least a portion of a support device (not shown).
[0032] Target lock 116 may include a locking lever 124 configured
to at least one of selectively rotationally restrain and
selectively axially restrain target lock 116 relative to a support
device (not shown). Target lock 116 may include a locking lever 124
configured to at least one of partially selectively rotationally
restrain and partially selectively axially restrain target lock 116
relative to a support device (not shown).
[0033] At least a portion of targeting arm 102 may include radial
bore 126 configured to accept an elongated shaft 128 of a rotation
arrestor 130. Radial bore 126 may extend through radial portion
106. Radial bore 126 may extend at least partially through radial
portion 106. Elongated shaft 128 may extend through at least a
portion of radial bore 126, and may be attached at one end to a
button 134. Button 134 and elongated shaft 128 may be attached via
any of a variety of fastening mechanisms, e.g., a screw 136.
Elongated shaft 128 may be attached at another end to rotation
arrestor 130. Rotation arrestor 130 may include an arresting
engagement portion 132. Elongated shaft 128 may be attached to
rotation arrestor 130 via any of a variety of fastening mechanism.
Elongated shaft 128 may be integrally attached to rotation arrestor
130.
[0034] At least a portion of elongated shaft 128 and radial bore
126 may be operatively connected to a biasing member, such as a
spring. The biasing member may be configured to bias elongated
shaft 128, rotation arrestor 130, and arresting engagement portion
132 into radial bore 126. As illustrated in FIG. 1, the biasing
member may bias elongated shaft 128, rotation arrestor 130, and
arresting engagement portion 132 toward targeting portion 104.
Arresting engagement portion 132 may selectively extend into
central bore 114.
[0035] Target lock 116 may be inserted into central bore 114. At
least one indentation 118 may be biased into engagement with
arresting engagement portion 132. At least one indentation 118 may
include a beveled edge configured to aid in engagement between
indentation 118 and arresting engagement portion 132.
[0036] Indentation 118 may be substantially circular, and arresting
engagement portion 132 may include a substantially circular
profile. Indentation 118 may be any of a variety of shapes,
including a groove, and engagement portion 132 may be any of a
variety of shapes configured to substantially fit into indentation
118.
[0037] In practice, target lock 116 may be selectively attached to
a nail (not shown), such that target lock 116 may be oriented in a
desired rotational alignment with the nail. Targeting arm 102 may
be rotated and selectively locked relative to the nail as a result
of the selective engagement between arresting engagement portion
132 and at least one indentation 118. At least one indentation 118
may include four indentations oriented about 90 degrees relative to
one another about the periphery of target lock 116. At least one
indentation 118 may include two indentations oriented about 90
degrees relative to one another about the periphery of target lock
116. At least one indentation 118 may include any number of
indentations oriented in any desired manner about the periphery of
target lock 116.
[0038] Arresting engagement portion 132 and at least one
indentation 118 may be selectively engaged and disengaged by a user
depressing button 134. Button 134 may be attached to elongated
shaft 128, which in turn may be attached to arresting engagement
portion 132. Rotation arrestor 130 may be shaped like an oblong
oval, or the like. Rotation arrestor 130 may permit linear travel
while oriented about target lock 116. Rotation arrestor 130 may
permit linear travel of rotation arrestor 130, substantially
parallel to elongated shaft 128, while oriented about target lock
116. Central bore 114 may include a cutout portion configured to
accept rotation arrestor 130 and permit movement of the same.
[0039] FIG. 2 is a perspective view of an example embodiment of a
targeting device 200. Targeting device 200 may include a targeting
arm 202, a targeting portion 204, and a radial portion 206.
[0040] Targeting portion 204 may include at least one lower
aperture 208A and 208B and at least one upper aperture 210. Lower
aperture 208A, 208B may be configured to target transverse holes
242A, 242B in a nail 240. Lower aperture 208A may be configured to
target transverse holes 242A corresponding to a patient's
calcaneus, such that holes drilled in this region may be used to
attach the patient's calcaneus to the nail. Lower aperture 208B may
be configured to target transverse holes 242B corresponding to a
patient's talus, such that holes drilled in this region may be used
to attach the patient's talus to the nail.
[0041] Upper aperture 210 may be configured to target transverse
holes 244 in nail 240. Upper aperture 210 may be configured to
target transverse holes 244 corresponding to a patient's tibia,
such that holes drilled in this region may be used to attach the
patient's tibia to the nail.
[0042] Targeting arm 202 may further include a hub 212, a central
bore 214, a locking ring 217, and a rotation arrestor 230
operatively connected to a button 234.
[0043] In practice, targeting arm 202 may be oriented such that at
least one lower aperture, such as lower aperture 208A, may be
oriented substantially aligned with transverse holes 242A
corresponding to a patient's calcaneus. Targeting arm 202 may be
locked into place via engagement between an arresting engagement
portion (not shown) and at least one indentation (not shown) in a
target lock (not shown). A reamer may be inserted through at least
one lower aperture 208A and extended to contact the patient's bone
and ream through transverse hole 242A. Where multiple transverse
holes 242A are present, the step described in this paragraph may be
repeated for each such transverse hole 242A. Transverse holes 242A
may be oriented in a substantially anterior-posterior direction.
Transverse holes 242A may be oriented in a substantially
medial-transverse direction.
[0044] Following reaming of transverse hole 242A, a user may
depress button 234 causing disengagement of an arresting engagement
portion from at least one indentation, at which point targeting arm
202 may be rotated by a desired amount, e.g., about 90 degrees. The
arresting engagement portion may be reengaged to the at least one
indentation found at the desired position by a user's release of
button 234. At this point, for example, lower aperture 208B may be
substantially aligned with transverse hole 242B. A reamer may be
inserted through at least one lower aperture 208B, extended to
contact the patient's bone, and ream through transverse hole 242B.
Additionally, a user may ream transverse holes 244 in the same
manner, but by extending a reamer through at least one upper
aperture 210. Transverse hole 242B and 244 may be oriented in a
substantially medial-transverse direction. Transverse hole 242B and
244 may be oriented in a substantially anterior-posterior
direction.
[0045] It is contemplated that any of various holes may be reamed
in any order. The example method of using targeting arm 202 recited
herein is simply one of various possibilities. It is also
contemplated that a user may orient targeting arm 202 on any one or
more of a medial side, transverse side, anterior side, and
posterior side, or at an angle between any of such sides, in order
to perform the reaming function. Preference, position of arteries,
veins, ligaments, and the like may influence the desired direction
of entry for reaming. It is further contemplated that targeting
device 200 may be used with any of a variety of bones, joints, and
the like, and should not be interpreted as being limited to use
with a calcaneus, talus, and tibia. It is further contemplated that
targeting device 200 may be used with any of a variety of
orthopedic implanted devices, and should not be interpreted as
being limited to use with a nail.
[0046] FIG. 3 is a perspective view of an example embodiment of a
targeting device 300. Targeting device 300 may include a targeting
arm 302, a targeting portion 304, and a radial portion 306.
Targeting device 300 may include a hub 312, a central bore 314, a
rotation arrestor 330, an arresting engagement portion 332, and a
button 334 operatively connected to rotation arrestor 330 and
arresting engagement portion 332.
[0047] FIG. 4 is a perspective view of an example embodiment of a
targeting device 400. Targeting device 400 may include a targeting
arm 402, a targeting portion 404, and a radial portion 406.
Targeting device 400 may include a hub 412, a locking ring 417, and
a button 434.
[0048] Targeting portion 404 may include at least one lower
aperture 408A, 408B and at least one upper aperture 410. The at
least one lower apertures 408A, 408B may be configured to
substantially align with transverse holes 442A, 442B of a nail 440.
At least one upper aperture 410 may be configured to substantially
align with transverse holes 444.
[0049] FIG. 5 is a side view of an example embodiment of a
targeting device 500. Targeting device 500 may include a targeting
arm 502, a targeting portion 504, and a radial portion 506.
Targeting device 500 may include a hub 512, a target lock 516, a
locking ring 517, a rotation arrestor 530, and a button 534
operatively connected to rotation arrestor 530.
[0050] At least a portion of targeting portion 504 may include a
radiolucent material. In another embodiment, at least a portion of
radial portion 506 may include a stainless steel. At least a
portion of targeting device 500 may include a coating.
[0051] To the extent that the term "includes" or "including" is
used in the specification or the claims, it is intended to be
inclusive in a manner similar to the term "comprising" as that term
is interpreted when employed as a transitional word in a claim.
Furthermore, to the extent that the term "or" is employed (e.g., A
or B) it is intended to mean "A or B or both." When the applicants
intend to indicate "only A or B but not both" then the term "only A
or B but not both" will be employed. Thus, use of the term "or"
herein is the inclusive, and not the exclusive use. See Bryan A.
Garner, A Dictionary of Modern Legal Usage 624 (2d. Ed. 1995).
Also, to the extent that the terms "in" or "into" are used in the
specification or the claims, it is intended to additionally mean
"on" or "onto." To the extent that the term "substantially" is used
in the specification or the claims, it is intended to take into
consideration the degree of precision available or prudent in
manufacturing. To the extent that the term "selectively" is used in
the specification or the claims, it is intended to refer to a
condition of a component wherein a user of the apparatus may
activate or deactivate the feature or function of the component as
is necessary or desired in use of the apparatus. To the extent that
the term "operatively connected" is used in the specification or
the claims, it is intended to mean that the identified components
are connected in a way to perform a designated function. As used in
the specification and the claims, the singular forms "a," "an," and
"the" include the plural. Finally, where the term "about" is used
in conjunction with a number, it is intended to include .+-.10% of
the number. In other words, "about 10" may mean from 9 to 11.
[0052] As stated above, while the present application has been
illustrated by the description of embodiments thereof, and while
the embodiments have been described in considerable detail, it is
not the intention of the applicants to restrict or in any way limit
the scope of the appended claims to such detail. Additional
advantages and modifications will readily appear to those skilled
in the art, having the benefit of the present application.
Therefore, the application, in its broader aspects, is not limited
to the specific details, illustrative examples shown, or any
apparatus referred to. Departures may be made from such details,
examples, and apparatuses without departing from the spirit or
scope of the general inventive concept.
* * * * *