AU2003289757B2 - Surgical screw dispenser - Google Patents

Description

WO 2004/058082 PCTiAU20031001718 SURGICAL SCREW DISPENSER Field of the Invention This invention relates to a container for screws. It relates, more particularly, to a device for the storage and dispensing of surgical screws.

Background of the Invention Surgical screws are widely used in the field of surgery; the most common uses include plastic and reconstructive surgery, dentistry, and orthopaedic surgery.

The diameter of the heads of surgical screws vary but can be in the range of 0.8 mm to 3 mm and possibly upto 10 mm. Problems relating to storage and dispensing of surgical screws can arise due to this relatively small diameter.

A conventional container for the storage of surgical screws has a shell of plastic containing a series of elongated recesses into which screws may be placed. A lid can be hinged to the shell for covering the shell in a closed position. The lid is movable to an open position to allow access to the screw. While such a container provides for individual storage locations for each screw, once the lid is open screws can fall out of the container. As a consequence, the screws become contaminated and can no longer be used unless re-sterilised.

Summary of the Invention The present invention resides in a surgical screw container including at least one recess which is adapted to receive therein a screw having a head and a threaded shank, said recess having an opening at one end to allow said screw to pass into and out of said recess, said recess being such that said screw lies within said recess with said head of said screw facing said opening, WO 2004/058082 PCT/AU20031001718 2 retaining means for retaining said screw within said container, said retaining means being disposed within said recess and being releasable by insertion of a screwdriver shaft into said recess through said opening to allow withdrawal of said screw through said opening after said screwdriver engages said screw.

Preferably said recess includes means to receive said shank of said screw.

Preferably said recess includes a sleeve portion for imposing a radial constraint on said screw.

In a preferred embodiment the sleeve portion has an opening which is smaller than the diameter of the head of the screw but larger than the diameter of the shank of the screw, the longitudinal axis of said opening being aligned with a longitudinal axis of the recess; and an abutting surface upon which the head of the screw rests.

Preferably said retaining means includes at least one elastically flexible finger extending longitudinally within said recess.

Preferably said finger has a free end provided with a lip and a contacting portion for contacting a screwdriver shaft, said lip being oriented so as to engage a portion of said screw.

In one preferred embodiment, the lip is adapted to engage the head of said screw to impose axial constraint on said screw.

In another preferred embodiment, the lip is adapted to engage a thread on said threaded shank.

WO 2004/058082 PCT/AU20031001718 3 Preferably the finger is movable away from the longitudinal axis of said recess upon said screwdriver being urged toward said screw.

Preferably, the container further includes means for locking said finger in spaced relation away from said screw.

In a preferred embodiment the finger is moveable between a locked position in which a screw is retained within said recess and an open position in which the screw may be removed from said recess.

Preferably, the means for locking includes a detent arrangement including at least one projection formed on the finger to interact with a complementary retaining recess formed on the wall of said screw-receiving recess, said complementary recess being spaced from said projection a distance such that said screw is free from interference with the finger when said finger is in its locked position.

The finger may be biased. Preferably the finger is biased to move into the locked position.

The finger may be frangible or breakable.

Preferably, said finger is formed in one piece with said recess.

Preferably, said sleeve is formed in one piece with said recess.

WO 2004/058082 PCT/AU20031001718 4 Preferably the container includes a plurality of fingers, said fingers being substantially equi-spaced around the screw-receiving recess.

Preferably said surgical screw container includes a body shell having an open box configuration for providing access for a sterilising medium.

Preferably said body shell includes an upper surface, two opposite side surfaces, a front surface, a back surface, and an open bottom, and said screw-receiving recess terminates at said upper surface.

Preferably an outer periphery of said screw-receiving recess is provided with a frustoconical region terminating to said upper surface of said surgical screw container.

In a preferred embodiment said finger includes a front surface, a back surface, and two side surfaces, a longitudinal portion of each said side surface of said finger being separated from a surface of said container at which said finger terminates.

In one preferred embodiment said screw-receiving recess and said retaining means are manufactured separately from said body shell as a stand alone screw-holding unit and then subsequently attached to said body shell in a succeeding manufacturing step.

Preferably said surgical screw container includes a plurality of said screw-holding units, said screw-holding units being arranged such as to reduce the size of said container.

The present invention also provides a surgical screw container including a screw receiving recess for receiving a screw, and WO 2004/058082 PCT/AU20031001718 orientation means for orientation of said screw relative to said recess.

In a further form, the present invention provides a surgical screw container including a screw receiving recess, said recess being adapted to receive a shank of a screwdriver, said screwdriver having a screw engaging tip, and orientation means for orientation of said screw engaging tip relative to said recess.

The present invention also provides a surgical screw container including a screw receiving recess for receiving a screw, said recess being adapted to receive a shank of a screwdriver, said screwdriver having a screw engaging tip, and means for relatively aligning said screw engaging tip with respect to the head of said screw.

Preferably said orientation means for orientation of said screw engaging tip of said screwdriver relative to said recess includes at least one axially extending groove formed on a wall of said screw receiving recess and matched with a guiding projection formed on the outer periphery of the shank of the screwdriver.

Preferably said orientation means for orientation of said screw relative to said recess includes means for engagement the screw-driver receiving portion of said screw.

Preferably said container includes at least one label identifying the screws in the container.

Preferably said container includes means for marking the position of said label on said container.

WO 2004/058082 PCT/AU20031001718 6 Preferably said means for marking the position of said label includes a notch provided on said container.

Brief description of the drawings Embodiments of the invention will be described below, by way of example only, with reference to accompanying drawings in which: Figure 1 is a schematic view of a surgical screw container according to a first embodiment of the present invention, Figure 2 shows the container of Figure 1 in a dispensing position, Figure 3 a schematic view of a surgical screw container according to a second embodiment of the present invention, Figure 4 shows the container of Figure 3 in a dispensing position, Figure 5 shows a modified form of the finger of Figures 1 to 4, Figure 6 shows a detail front view of the lip of the finger of Figures 1 to Figure 7 shows a detail side view of the lip of Figure 6, Figure 8 shows guiding grooves provided on the wall of the container of Figures 1 to 5 for orientation of the screwdriver relative to the screw-receiving recess, Figure 9 shows a device for loading the container of Figure 1, Figure 10 shows a marking notch for positioning an identifying label on the container of Figure 1, Figure 11 illustrates a perspective view of a screw driver shank and tip, Figure 12 illustrates a label for use with the container of figure Figure 13 illustrates a container similar to that of Figure 1, with means to hold the fingers in the open condition, Figure 14 is a top view of a surgical screw container according to a third embodiment of the present invention, WO 2004/058082 PCT/AU20031001718 7Figure 15 is a cross-sectional view taken along line E-E of Figure 14, Figure 16 is a cross-sectional view taken along line A-A of Figure Figure 17 is a cross-sectional view taken along line B-B of Figure Figure 18 is a cross-sectional view taken along line C-C of Figure Figure 19 is a cross-sectional view taken along line D-D of Figure Figure 19 is a cross-sectional view taken along line D-D of Figure Figure 20 is a close-up top view of an opening of a screw-receiving recess of a container of Figure 14, Figure 21 is a bottom view of the container of Figure 14, Figure 22 is a perspective view of a body shell of a surgical screw container according to a fourth embodiment of the present invention, and Figure 23 is a partial cross-sectional view taken of the surgical screw container of Figure 22.

Detailed description of the embodiments Figures 1 and 2 depict a schematic view of a container 10 suitable for the storage of surgical screws 16. Figure 1 illustrates the container 10 in a locked condition. The container 10 has a one-piece body shell 12 with a screw-receiving recess 14 adapted to receive a surgical screw 16, which has a threaded shank 18 and a head 20. The recess 14 includes an opening 22 through which the screw 16 passes into and out of the recess 14.

The screw 16 is received within a sleeve 24 having a substantially cylindrical opening 26 which is smaller than the diameter of the head 20 of the screw 16 but larger that the diameter of the shank 18. The central longitudinal axis 25 of the opening 26 is aligned with the longitudinal axis of the recess 14. The sleeve 24 has an abutting surface 28 upon which the head 20 of the screw 16 rests.

WO 2004/058082 PCT/AU20031001718 8 The sleeve 24 and the opening 22 are arranged such that the screw 16 lies within the recess 14 with the head 20 of the screw facing the opening 22.

Extending longitudinally within the recess 14 are elastically flexible fingers 30a and 30b. Although two fingers are illustrated in Figures 1 to 4, it will be appreciated by those skilled in the art that any numbers of fingers can be employed in the present invention.

In a preferred embodiment the container includes at least two fingers, and the fingers are substantially equi-spaced around the recess.

Each finger has a free end 32 provided with a lip 34 oriented towards the longitudinal axis of the recess 14 to engage the head 20 of the screw 16 to impose an axial constraint on the screw and thus maintain the screw 16 in the sleeve 24, until it is desired to remove the screw 16.

As can be seen from Figure 2, the free end of the finger 30 is movable away from the central longitudinal axis 25 of the recess 14 when a screwdriver 40 is urged towards the screw 16 through the opening 22. To this end, the finger 30 is provided with a contacting portion 36 adapted to guide a screwdriver shaft 42 towards the screw 16, and a tapered or converging surface 37 which will allow the finger 30 to be pushed radially away from the central longitudinal axis 25 of the recess 14.

As shown in Figure 8, the container 10 includes a pair of axially extending guiding grooves 80a, 80b formed on a wall 54 of the screw-receiving recess 14 and matched with a pair of guiding projections 82a, 82b, see Figure 11, which protrude from the outer periphery of the screwdriver shaft 42. The grooves 80 are adapted to slidably receive the projections 82 formed on the screwdriver shaft 42 so that the screwdriver is capable of sliding within the recess by travelling the projections 82a, 82b along the WO 2004/058082 PCT/AU20031001718 9 grooves 80a, 80b respectively. As a result, the screw-engaging tip 44 of the screwdriver 40 is orientated relative to the screw-receiving recess 14 such that the screwdriver 40 can engage the head 20 of the screw 16.

As can be seen from Figures 6 and 7, the lip 34 of the finger 30 is provided with a recess 90 adapted to engage the screwdriver receiving portion of the head 20 of the screw 16 thereby providing means for orientation of the head 20 of the screw 16 relative to the screw-receiving recess 14.

Figure 9 shows ajig 99 for loading the container 10 with surgical screws 16. The jig 99 includes a plurality of screw-carrying projections 100. In a preferred embodiment the number and position of the screw-carrying projections 100 correspond to the number and position of the screw-receiving recesses 14. If the recesses are in an inline relationship the tool of Figure 9 can be used. If another relationship, such as for example that four recesses are provided at the four apexes of a square, then the four prongs on the jig 99 can also be located in the same spaced relationship.

The jig 99 is adapted to allow the projection 100 to be inserted into the screwreceiving recess 14 through the opening 22 while preventing said projection from interfering with the fingers Each projection 100 includes a screw engaging tip 102 onto which a screw can be loaded. The screw-engaging tip 102 is orientated relative to the screw-receiving recess 14 such that the head 20 of the screw 16 can pass through the opening formed by recess 90 provided on the lip of the finger 30. As a result, the head 20 of the screw 16 is orientated relative to the guiding grooves 80 such that the screw engaging tip 44 of the screwdriver 40 is aligned with respect to the head 20 of the screw 16.

WO 2004/058082 PCT/AU20031001718 In use, a plurality of screws 16 are loaded onto the screw-engaging tips 102 of the projections 100. The projections 100, with the screws 16 protruding therefrom, are then inserted into the screw-receiving recesses 14 through the openings 22 of the container 10. Once the screw 16 has been loaded into the screw-receiving recess 14, the screw-engaging tip 102 is released, and the projections 100 are lifted from the container When it is desired to use a surgical screw, a screwdriver 40 is inserted into the opening 22 with projections fitting into the grooves 80 of the screw-receiving recess 14 and urged towards the head 20 of the screw 16. As a result of the pressure exerted by the shaft 42 of the screwdriver 40 against the converging surface 37 of the finger the finger 30 flexes outward, and the lip 34 moves away from the longitudinal axis of the recess 14 thereby releasing the screw 16.

If desired, as is illustrated in Figure 13, the fingers 30a and 30b can be locked in their open condition away from the screw 16 by means of a detent arrangement 51 which includes a projection 50 formed on the finger 30 and a complementary recess 52 formed on a wall 54 of the recess 14. The recess 52 is spaced from the projection 50 a distance such that the screw 16 is free from interference from the finger 30 when the finger is in its open condition. For ease of illustration in Figure 13, only the left side finger 30a is depicted as having moved. Finger 30b would also move simultaneously with finger As can be seen from Figure 5, alternative arrangements for preventing the finger from moving back into the locked position can include providing the fingers 30 with a frangible portion 70, above the converging surface 37, whereby the fingers partially or wholly fracture so that the fingers 30 will lose their elasticity once a screw driver shaft 42 has been inserted. If it is important to ensure the fingers 30 remain attached to the container, then only partial fracture would be required. If remaining connected is unimportant, then a complete dismemberment can be utilised. By partial WO 2004/058082 PCT/AU20031001718 11 or whole fracturing of the fingers 30, there will result a single use cartridge, dispenser or container which will ensure that re-use will be minimised.

The screwdriver 40 is inserted into the opening 22 until a tip 44 of the screwdriver engages the head 20 of the screw 16. The screwdriver 40 is then lifted out of the recess 14 through the opening 22 with the screw 16 affixed to the tip 44 of the screwdriver. The screwdriver is then ready for use to insert the screw into a desired location.

Figures 3 and 4 show a surgical screw container according to a second embodiment of the present invention. The embodiment of Figures 3 and 4 is similar to that of Figures 1 and 2, and like part have been like numbered.

In common with the first embodiment, the container of Figures 3 and 4 also has a screw-receiving recess 14, a sleeve 24, and a pair of fingers 30a and 30b. Each finger is provided with a tooth 60 adapted to engage the threaded shank of the screw 16. The fingers 30a and 30b can engage the threaded shank either by a frictional contact, or by having a soft tip protrude between adjacent threads, or a thin formation to protrude between adjacent threads.

As can be seen from Figure 4, the insertion of the shaft 42 of the screwdriver 40 into the opening 22 causes the tooth 60 to move away from the threaded shank of the screw 16 thereby releasing the screw 16. The released screw 16 is then received within the sleeve 24 with the head 20 of the screw 16 finally resting on the abutting surface 28 of the sleeve 24. For ease of illustration in Figure 4, only the left side finger is depicted as having moved. Finger 30b would also move simultaneously with finger WO 2004/058082 PCT/AU20031001718 12 Similarly to the first embodiment, the downward movement of the screwdriver 40 is continued until the tip 44 of the screwdriver engages the head 20 of the screw 16.

Once the screw 16 is loaded onto the tip 44 of the screwdriver, the screw 16 can be removed from the container 10 through the opening 22.

The container 10 preferably includes a plurality of screw-receiving recesses to accommodate a plurality of screws respectively therein. Alternatively the container can have only a single recess to hold only a single screw.

The recesses may be marked with identifying labels such as the label 400 illustrated in Figure 12, describing the size of the screws, etc. In a preferred embodiment shown in Figure 10 the upper surface 110 of the container 10 is provided with a pair of marking triangular shoulders 112a, 112b for positioning label 400 which has corresponding notches 401 to match the shape of the shoulders 112a and 112b. The label 400 can be colour coded to correspond to predetermined sizes of screws and have a coloured region 402 which will overlie the recesses 14, so that a nurse or surgeon knows exactly where the recess 14 is located.

As can be seen in Figure 8 the top rim of the recess 14 has a larger diameter portion 81, which is sized so that when a label overlies the top opening 22, and is then pierced when a screw driver 40 is inserted into the recess 14 so as to retrieve a screw, then the fragments of the label formed when the screw driver is inserted will be located within the larger diameter portion 81 so that the fragments will not obstruct the path of a screw being withdrawn from the recess 14.

Figures 14-21 illustrate a surgical screw container 500 according to a third embodiment of the present invention.

WO 2004/058082 PCT/AU20031001718 13 As best seen in Figures 14 and 15, the container 510 has a body shell 512 with five screw-receiving recesses 514a, 514b, 514c, 514d, and 514e, the details of which are illustrated in Figures 16-19. In common with the first and second embodiments, each screw-receiving recess is provided with a sleeve 511, and a pair of fingers 600a and 600b.

The body shell 512 has an open box configuration and includes an upper surface 513, two side surfaces 515a and 515b, a front surface 517a and a back surface 518a. The front and back surfaces 517a and 517b are provided with two pairs of opposite ribs 516a, 516b and 518a, 518b (not shown). The bottom portion 520 of the container 510 is left open to provide access for a sterilising medium.

As best seen in Figure 15, to prevent breakage of the fingers 600a, 600b, the outer surfaces of the screw-receiving recesses 514a, 514b, 514c, 514d, and 514e are provided with frusto-conical portions 530a, 530b, 530c, 530d, and 530e terminating to the top surface 513.

Referring now to Figures 14 and 21, to facilitate the release of the screws from the screw-receiving recesses, longitudinal portions of side surfaces 610a, 612a and 610b, 612b of each of the fingers 600a, 600b are separated from the top surface 513 by two pairs of cuts 614a, 614b, and 614c, 614d provided on the upper surface 513 of the body shell 512.

As shown in Figures 22 and 23, a screw-receiving recess 514a, sleeve 51 la, and fingers 600a and 600b can be manufactured as a stand-alone screw-holding unit 700a, 700b, separate from the body shell 712, and then attached to the body shell 712 during a succeeding manufacturing step. Although the embodiment illustrated in Figures 22 and 23 shows the screw-holding units arranged in-line, it will be appreciated by those WO 2004/058082 PCT/AU20031001718 14 skilled in the art that the orientation of the fingers in adjacent screw-holding units can be varied to achieve a more compact construction of the surgical screw container.

The container can be made of any appropriate polymeric material such as Polycarbonate, although other materials can be used.

It will be understood that the invention disclosed herein extends to alternative combinations of two or more of the individual features mentioned or evident from the text. All of these combinations constitute various alternative aspects of the invention.

While particular embodiments of this invention have been described, it will be evident to those skilled in the art that the present invention may be embodied in other specific forms without departing from the essential characteristics thereof. The present embodiments and examples are therefore to be considered in all respects as illustrative and not restrictive, and all modifications which would be obvious to those skilled in the art are therefore intended to be embraced therein.

It will further be understood that any reference herein to known prior art does not, unless the contrary indication appears, constitute an admission that such prior art is commonly known by those skilled in the art to which the invention relates.

Claims (22)

1. A surgical screw container including at least one recess which is adapted to receive therein a screw having a head and a threaded shank, said recess having an opening at N one end to allow said screw to pass into or out of said recess, said recess being such that said screw lies within said recess with said head of said screw facing said opening, retaining S means for retaining said screw within said container, said retaining means being disposed V) within said recess and being releasable by insertion of a screwdriver shaft into said recess 00 through said opening to allow withdrawal of said screw through said opening after said screw c engages said screwdriver. C

2. A surgical screw container according to claim 1 wherein said recess includes means to receive said shank.

3. A surgical screw container according to claim 1 or 2, wherein said recess includes a sleeve portion for imposing a radial constraint on said screw.

4. A surgical screw container according to claim 3 wherein said sleeve portion has an opening which is smaller than the diameter of the head of the screw but larger than the diameter of the shank of the screw, said opening having a longitudinal axis, said longitudinal axis being aligned with a longitudinal axis of said recess, and an abutting surface upon which the head of the screw rests.

A surgical screw container according to claim 1 wherein said retaining means includes at least one elastically flexible finger extending longitudinally within said recess.

6. A surgical screw container according to claim 5 wherein said finger has a free end provided with a lip and a contacting portion, said lip being oriented so as to engage a portion of said screw.

7. A surgical screw container according to claim 6 wherein said lip is adapted to engage the head of said screw to impose axial constraint on said screw.

8. A surgical screw container according to claim 6 wherein said lip is adapted to engage a thread on said threaded shank.

9. A surgical screw container according to claim 5 wherein said finger is movable away from the longitudinal axis of said recess upon said screwdriver being urged toward said screw. C03251 16 00 S

10. A surgical screw container according to claim 5 wherein said finger is C moveable between: an opening position in which the screwdriver may engage said screw S and allow withdrawal of said screw from said opening; and (ii) a lock-out position in which the screwdriver may not engage said screw and allow withdrawal of said screw from said opening.

11. A surgical screw container according to claim 10 wherein said finger is biased.

12. A surgical screw container according to claim 11 wherein said finger is biased 00 to move into the locked position.

13. A surgical screw container according to claim 5 wherein said finger is frangible.

14. A surgical screw container according to claim 5 wherein said at least one finger extends parallel to the longitudinal axis of the recess.

A surgical screw container according to any one of the preceding claims wherein there are two fingers.

16. A surgical screw container according to any one of the preceding claims wherein there is a plurality of fingers.

17. A surgical screw container according to claim 13 wherein said fingers are substantially equi-spaced around said recess.

18. A surgical screw container as claimed in any one of the preceding claims wherein said recess includes guide means to orient a screw driver relative to said recess.

19. A surgical screw container as claimed in claim 18 wherein said guide means includes an elongated groove to receive a mating projection on a screw driver.

A surgical screw container according to any one of claims 1 to 19 wherein said container includes a body shell having an open box configuration for providing access for a sterilising medium.

21. A surgical screw container according to claim 5 wherein said finger includes a front surface, a back surface, and two side surfaces, a portion of said finger terminating to a surface of said container, and wherein a longitudinal portion of each said side surface of said finger is separated from said surface of said container. C03251 17 00 0

22. A surgical screw container according to any one of claims 1 to 21 wherein said recess 0 CN and said retaining means are manufactured separately from said body shell as a stand alone Ct screw-holding unit and then subsequently attached to said body shell in a succeeding manufacturing step. Dated this 9 th day of May 2008 John Nielsen, by its patent attorneys in HALFORD CO oO