U.S. patent number 3,604,487 [Application Number 04/805,572] was granted by the patent office on 1971-09-14 for orthopedic screw driving means.
Invention is credited to Richard S. Gilbert.
United States Patent |
3,604,487 |
Gilbert |
September 14, 1971 |
ORTHOPEDIC SCREW DRIVING MEANS
Abstract
A combination of an orthopedic screw and driving means which
enables the screw to be started and driven in a single continuous
operation with one hand. The screwhead has multiple slots, and the
driving means has multiple pinching blades for engaging the slots
to provide a rigid grip of the screw.
Inventors: |
Gilbert; Richard S. (Santa
Rosa, CA) |
Family
ID: |
25191943 |
Appl.
No.: |
04/805,572 |
Filed: |
March 10, 1969 |
Current U.S.
Class: |
81/443; 411/919;
411/403; 606/104 |
Current CPC
Class: |
F16B
23/0007 (20130101); B25B 23/106 (20130101); B25B
23/10 (20130101); A61B 17/8886 (20130101); A61B
17/8877 (20130101); A61B 17/861 (20130101); Y10S
411/919 (20130101) |
Current International
Class: |
A61B
17/88 (20060101); B25B 23/10 (20060101); B25B
23/02 (20060101); F16B 23/00 (20060101); B25b
015/02 (); F16b 023/00 () |
Field of
Search: |
;128/92,92B,92BB,92D,92E,83,303 ;145/50,52 ;85/45 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Frinks; Ronald L.
Claims
I claim:
1. In a screwdriver for starting and driving a screw having an
axially elongate threaded stem with a head at one end thereof and a
pair of spaced-apart axially inclined slots opening through the
upper surface of said head, a pair of axially extending blades
having generally planar axially inclined tip portions at the lower
end thereof and a conically tapered portion extending radially
outward intermediate said tip portions and the upper end of said
blades, an axially extending sleeve surrounding a portion of said
blades intermediate the conical portion and said upper end, the
lower portion of said sleeve slidably engaging the tapered surface
of said conical portion, an axially extending handle member
surrounding a portion of said blades toward their upper end, said
handle member being constrained against axial and rotational
movement relative to said blades, and an axially extending
resilient member disposed within said handle member, the upper end
of said resilient member being constrained against axial movement
and the lower end of said resilient member engaging the upper
portion of said sleeve member, said resilient member tending to
urge the lower portion of said sleeve against the tapered portion
of said conical portion, thereby urging the blades together to
provide interlocking engagement between the tip portions of the
blades and the inclined slots of the screwhead.
2. A screwdriver as in claim 1 further including adjusting means
threadedly mounted on the upper portion of said blades for
adjusting the tension in said resilient member.
3. A screwdriver as in claim 2 wherein said adjusting means
includes an axially threaded member having a generally planar lower
surface and wherein the upper end of said handle member is formed
to include a radially extending shoulder portion, the upper surface
of said shoulder portion engaging the lower surface of the
adjusting member and the lower surface of said shoulder portion
engaging the upper end of said resilient member.
4. A screwdriver as in claim 3 further including a radially
extending lug member carried by one of said blades and an axially
extending slot formed in the shoulder portion of said handle
member, said lug member being slidably disposed in said slot.
Description
BACKGROUND OF THE INVENTION
Screws are used in orthopedic surgery for joining bones together
and for attaching foreign members, such as stainless steelplates,
to bones. The screws are generally threaded into and anchored in
the bones, and it is frequently necessary for the surgeon or person
inserting the screws to perform the driving operation with only one
hand. It is therefore desirable, and in many cases necessary, that
the screws be started and driven by means of a screwdriver which is
capable of holding the screws in a relatively rigid position.
Screws heretofore used in orthopedic surgery have been provided
with heads having conventional slots, such as straight slots,
cross-slots, and phillips heads. Holding screwdrivers which have
been provided for driving the screws generally include both a blade
for engaging the slot in the screwhead and a plurality of claws or
fingers for gripping the screwhead. These claws or fingers extend
over the sides of the screwhead and engage either the side or the
lower portion of the screwhead, making it impossible to complete
the driving of the screw while the holding claws are engaged with
its head. Most holding screwdrivers include means for disengaging
the claws and completing the driving of the screw with the claws in
a retracted position. Such arrangement presents a problem in that
the claws are larger than the head of the screw and obstruct the
surgeon's view of the head as it is seated. Consequently, the
surgeon usually finds it necessary to change to a second
screwdriver to complete the driving of the screw. There is a need
for a solution to these and additional problems in the art.
SUMMARY AND OBJECTS OF THE INVENTION
The present invention provides a combination of an orthopedic screw
and driving means which enables the screw to be started and driven
in a single continuous operation. The head of the screw is provided
with a plurality of slots adapted for receiving the pinching blades
of the driving means in such a manner that the screw and driving
means are locked together without the driving means extending
beyond the lateral extremities of the screwhead.
In general, it is an object of the present invention to provide a
new and improved combination of an orthopedic screw and driving
means.
Another object of the invention is to provide a combination of the
above character which enables the screw to be started and driven in
a single continuous operation.
Another object of the invention is to provide a combination of the
above character wherein no part of the driving means overhangs the
lateral extremities of the screwhead to interfere with the complete
driving of the screw.
Another object of the invention is to provide a combination of the
above character wherein the person using the combination can see
the lateral extremities of the screwhead at all times during the
driving operation.
Additional objects and features of the invention will appear from
the following description in which the preferred embodiment is set
forth in detail in conjunction with the accompanying drawing.
BRIEF DESCRIPTION OF THE DRAWING
FIG. 1 is a partly sectioned frontal elevational view of one
embodiment of a screw and driving means incorporating the present
invention, showing the blades of the driving means in interlocking
engagement with the head of the screw.
FIG. 2 is a partially sectioned frontal elevational view of the
embodiment shown in FIG. 1, with the blades of the driving means
disengaged from the head of the screw.
FIG. 3 is a cross-sectional view taken along line 3--3 in FIG.
1.
FIG. 4 is a side elevational view of the portion of the driving
means indicated by the line 4--4 in FIG. 1.
DESCRIPTION OF THE PREFERRED EMBODIMENT
In the preferred embodiment, the combination of the present
invention consists of an orthopedic screw designated generally by
reference numeral 10 and driving means designated generally by
reference numeral 11. Like reference numerals are used to indicate
corresponding parts in all figures of the drawing.
The orthopedic screw 10 includes an axially extending threaded stem
12 and a head 13 at one end of said threaded stem.
The threaded stem 12 comprises a substantially cylindrical shank 14
having a helical thread 15. The thread 15 is shown as a spaced
thread since this is the type of thread that is commonly used in
bone screws. However, as will be apparent to one skilled in the
art, other types of threads may be used in the present invention.
In some applications, it may be desirable to taper the thread
toward its leading end or to use a conically tapered shank.
The head 13 is illustrated as a conventional oval head having a
rounded upper surface 17 and a conical lower portion 18. Lower
portion 18 is suitable for countersinking and has an included angle
of the order of 82.degree. Neither this angle nor the shape of the
head is critical to the invention.
The screwhead 13 is provided with two slots 19 which are adapted
for receiving the blades of the driving means in a manner
hereinafter described in detail. Slots 19 are formed in the upper
surface 17 of the screwhead. The openings of slots 19 are
substantially parallel to each other and are equally spaced from
the axis of the screw. The remaining portions of slots 19 are
inclined with respect to the axis in such a manner that the lower
portions of the slots are closer to the axis and to each other than
are the upper portions of the slots. While the exact angle of
inclination is not critical, particularly satisfactory results are
obtained when the slots are inclined to the axis at an angle of the
order of 30.degree. In the preferred embodiment, slots 19 do not
extend all the way to the edges of head 20, to assure that the
blades of the driver means cannot slip transversely out of the
slots while the screw is being driven. As illustrated, the slots 19
have a generally rectangular cross section, as can best be seen in
FIG. 2, and a rounded bottom 21. This slot configuration is
conveniently formed with a conventional milling cutter.
Tapping means, not shown, can be provided at the end of threaded
stem 12 opposite head 13. This tapping means can be any
conventional type of self-tapping means which is suitable for
cutting threads in bone.
The screw can be fabricated of any material which is both
biologically inert and otherwise suitably for use with screws.
Suitable materials include stainless steel and monel metal.
In the preferred embodiment, driving means 11 comprises generally a
pair of blades 26, a sleeve 27, a resilient member 28, a handle 29,
and an adjusting capnut 30.
The blades 26 extend axially of driving means 11 and are adapted
for pinching together to engage and hold screwhead 13. The combined
cross section of the blades is generally circular.
The blades 26 have tip portions 31 at the lower ends thereof for
engaging the slots in the head of the screw 10. In the preferred
embodiment, these tip portions 31 are substantially straight
members which are inclined at an angle with respect to the axis of
the driving means. This angle of inclination corresponds to the
inclination of the slots in the screwhead so that when the driver
blades are engaged with the screwhead, the axes of the screw and
driving means are aligned. Tip portions 31 have rounded lower
extremities 33 which conform generally to the contour of the screw
slots. It has been observed that the more closely the contours of
tip portions 21 and slots 19 are matched, the more rigidly the
screw is held by the driving means.
Additional rigidity is provided by shoulder portions 34 which are
located adjacent to tip portions 31 of blades 26. Shoulder portions
34 have a contour corresponding to the contour of the upper surface
17 of the screwhead.
The blades 26 also include conically tapered portions 36. These
conical portions extend radially outward and are located toward the
lower ends of the blades. They cooperate with sleeve 27 and
resilient member 28 to urge blades 26 together in a manner
hereinafter described.
The upper ends of blades 26 are provided with threads 37 for
engaging corresponding threads on adjusting nut 30. A key 26a is
also provided proximate to the upper end of blades 26 for engaging
a keyway 29b in handle 29.
The sleeve 27 is substantially cylindrical in shape and surrounds a
central portion of blades 26. The lower end 41 of sleeve 27 rests
against or slidably engages the surfaces of tapered portions 36,
and the inner surface 42 of end 41 is beveled at an angle
corresponding to the taper of conical portions 36. The upper end 43
of sleeve 27 is provided with an annular recess 44 for receiving
the lower end of resilient member 28, as is more fully discussed
hereinafter. In the preferred embodiment, knurling 46 is provided
on the outer surface of sleeve 27 to provide a better surface for
gripping.
The resilient member 28 surrounds blades 26 near the upper ends
thereof. In the preferred embodiment, resilient member 28 is a
conventional compression spring. The lower end of resilient member
28 engages recess 44 in sleeve 27, and the upper end is constrained
by handle 29 and adjusting nut 30.
Handle 29 is generally cylindrical in shape and surrounds resilient
member 28 and the upper portion of sleeve 27. Handle 29 includes an
annular upper shoulder portion 29a, which engages the upper end of
resilient member 28 and the lower surface of nut 30. Shoulder 29a
includes a keyway 29b which cooperates with key 26a, locking blades
26 to handle 29 for rotation therewith, while permitting handle 29
to move axially with respect to blades 26.
Adjusting nut 30 is threadably mounted on the upper ends of blades
26 by means of threads 47 which engage threads 37 on blades 26. The
lower surface 48 of nut 30 bears against the upper end of resilient
member 28 through shoulder 29a of handle 29. Thus, nut 30 provides
means for adjusting the tension in resilient member 28. As will be
apparent to one skilled in the art, when nut 30 is adjusted to
provide a tension in resilient member 28, sleeve 27 is urged
downward against tapered portions 36 of blades 26, thereby urging
blades 26 together.
Means is provided for causing blades 26 to separate whenever a
force exerted by resilient member 28 is relieved. In the preferred
embodiment, blades 26 are fabricated of a resilient material having
cutaway portions, as indicated at 49. Thus, when the upper ends of
blades 26 are held together by nut 30, the stresses in the blades
urge the lower ends thereof to separate.
The dimensions of blades 26 and screwhead 13 are such that the
person using the screw and driving means can see the lateral
extremities of screwhead 13 throughout the entire driving
operation. The lower portions of blades 26 have a combined
cross-sectional area that is generally circular and smaller than
the area defined by the upper surface 17 of screwhead 13. Further
visibility can be provided by tapering the outer surfaces of blades
26 as indicated at 51. Conical portions 36 are located sufficiently
far from the lower ends of blades 26 that they do not obstruct the
user's view of the screwhead.
The operation of the combination screw and driving means can now be
briefly described as follows: Let it be assumed that nut 30 has
been adjusted to provide sufficient compression of resilient member
28 to force blades 26 together. Blades 26 can be separated by
depressing nut 30 and handle 29 with respect to sleeve 27 to
relieve the force exerted by resilient member 28 on conically
tapered portions 36. This is conveniently cone by holding sleeve 27
with the palm and fingers of the hand and exerting a downward
pressure on nut 30 with the thumb of the same hand. When blades 26
are thus separated, tip portions 31 can be inserted into slots 19
of screwhead 13. Thereafter, when the thumb pressure is removed
from nut 30, resilient member 28 expands, urging blades 26 to pinch
together to provide an interlocking engagement between blades 26
and screwhead 13. As blade tips 31 pinch together against the
inclined inner side surfaces of slots 19, the upper surface 17 of
screwhead 13 is pressed firmly against shoulder portions 34 of
blades 26. With blades 26 thus engaging screwhead 13, screw 10 is
rigidly held by driving means 11 and can be started and driven in a
single operation. Blades 26 are disengaged from screwhead 13 simply
by depressing nut 30 with respect to sleeve 27 and withdrawing the
tip portions from the slots.
The particular driver blade and screw slot configurations described
hereinbefore are those employed in the presently preferred
embodiment of the invention. However, other configurations can be
used. Examples of other suitable slot configurations are described
in my copending application Ser. No. 805,441, filed of even
date.
Although the invention has been described herein with specific
reference to the driving screws in orthopedic surgery, it will be
appreciated that the invention is adaptable for use with other
types of screws, such as machine screws, wood screws and sheet
metal screws. Likewise, while the invention has been illustrated
with reference to oval head screws, it is not limited thereto.
From the foregoing, it will be apparent that there has been
provided a new and improved combination of a screw and driving
means enabling an orthopedic screw to be started and driven in a
single continuous operation .
* * * * *