US2187852A - Fracture nail and fracture nail driver - Google Patents

Fracture nail and fracture nail driver Download PDF

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Publication number
US2187852A
US2187852A US96657A US9665736A US2187852A US 2187852 A US2187852 A US 2187852A US 96657 A US96657 A US 96657A US 9665736 A US9665736 A US 9665736A US 2187852 A US2187852 A US 2187852A
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nail
head
driver
fracture
screw
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US96657A
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William D Friddle
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74Devices for the head or neck or trochanter of the femur
    • A61B17/742Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92Impactors or extractors, e.g. for removing intramedullary devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92Impactors or extractors, e.g. for removing intramedullary devices
    • A61B17/921Impactors or extractors, e.g. for removing intramedullary devices for intramedullary devices

Definitions

  • Each of these sections I4, 22, and 26 is procortex of the femoral shaft about an inch bevided with a drilled hole 28, through which suitlow' the lower margin of the trochanter and in a able rods so may be pl so that he ections plane parallel to the surface of the supporting may be screwed tight, to be securely fastened surface together at the time that they are to be used. 10
  • the nail which is thus used is directly mesially At the end of the sections remote from the and proximally toward a point midway between surgical nail 2, I provide an enlarged head port spineof th pubis and the anterior-superior tion 32, the smaller end of which is provided spine.
  • the accurate and careful driving of these with male screw-threads 34, so that the head surgical nails is done by the repeated use of 32 may be securely attached to the last driver X-ray pictures which are utilized so that the section (the section 26 as illustrated in the drawpath of the nail may be very carefully followed ing).
  • This head 32 is also provided with a drilled as it is driven into the bone. e 28, so that the head portion may be se-
  • the object of my invention is to provide an curely'fastened to one of the driver sections.
  • a further object of my invention is to pro- Often it is found desirable to place an impacvide a surgical nail driver about which is positor hammer 36 over the driver sections.
  • This 25 tioned an impactor, which impactor may be used hammer is a relatively heavy tube provided with not Only as an impactor but also as an extractan end 38 which is cut at an angle to the longihammer tudinal axis of the hammer 36 so that the end In the accompanying drawing: 38 will approximately fit the normal obliquity
  • Fig. 1 is a perspective view showing a convenof the femoral shaft at the base of the trochanter.
  • the end 40 of the impactor hammer 36 is cut of a femur (shown in dotted'lines) with my nail at approximately right angles to the longitudidriver attached; nal axis of the hammer.
  • This impactor hammer Fig. 2 is a longitudinal cross-section through 36 fits relatively loosely around the driver, so
  • FIG. 3 is an end view of a conventional surof the hammer to hit against the head 32 for gical nail. purposes of extracting a surgical nail 2.
  • the surgical nail 2 is conventional in its form, It is often found that even when a greatdeal 40 having three flanges 4 extending out from the of care has been used in driving a surgical nail, 40 center of the nail. Each of these'ilanges 4 are it is necessary to either withdraw the nail co provided with sharpened edges 6, as is the end p at least P y, i Order to correct 8 of the nail. the course which it will follow as it is again The head In is drilled and provided with screwven into the fractured neck of a femur.
  • the male threads 20 of the section 22 may bemy. driver as being'made in three sections, it 55 may well be made in either more or less than three sections. Also the sections may or may not be of the same length and the section l5 need not be provided us short section, although it has gentrally been found advisable to make the section 54 short. so that it may properly position the irnngctor hammer 35 around the head if! of the studied!
  • a fracture-nail driver including afracturenail having screw-thre: as at its head end. rod having screw-threads on one end thereof to engage he scren -threP.ds on said nail head, a herd screw-threaded to the other end of said rod. and an irnpactor tube partitlly encasing said rod and sliduhlolongitudinall: reroof.
  • a fracture-nul drive including a iracturc nail having a drilled and tapped head, a rod, 3 screw-threaded end on said rod, :1 head on the ther and of said rod, and a tube :lidable lonf1itudinally on said rod.
  • a fracture-nail driver including a fracture nail having a drilled and tapped head, a rod screw-threaded at one end thereof to said fracture-nail head, and an enlarged head screwthreadcd o the opposite end of said rod.
  • a fracture-nail driver including a fracturenail having screw-threads in its head end. a. rod having screw-threads on one end thereof to engage the screw-threads in said nail head, a head screw-threaded to the other end of said rod, and an impactor tubc slidablc longitudinally of said rod. said rod having a plurality of sections.

Description

Jan. 23, 1940- w. D. FRIDDLE FRACTURE NAIL AND FRACTURE NAIL DRIVER Filed Aug. 18. 1936 311mm Mug. .4. $1M.
MSNo AM /I Patented .lan. 23, 1940 i I v UNITED STATES PATENTOFFI CE FRACTURE NAIL AND FRACTURE NAIL DRIVER William D. Frlddle, Greenville, S. 0.
Application August 18, 1936, Serial No. 96,657
Claims. (01. 128-92) In the past few years, the treatment of a fracsecured. The other end of the section 22 is proture of the neck of the femur has been satisfacvided with female screw-threads 24. torily accomplished by the use of what is known The section 26 is provided at one end thereof as a surgical nail. with male screw-threads, so that the section 26 5 It is generally known that these surgical nails may be added onto the section 22, if desired. 5 are drivenwith great care through the lateral Each of these sections I4, 22, and 26 is procortex of the femoral shaft about an inch bevided with a drilled hole 28, through which suitlow' the lower margin of the trochanter and in a able rods so may be pl so that he ections plane parallel to the surface of the supporting may be screwed tight, to be securely fastened surface together at the time that they are to be used. 10
The nail which is thus used is directly mesially At the end of the sections remote from the and proximally toward a point midway between surgical nail 2, I provide an enlarged head port spineof th pubis and the anterior-superior tion 32, the smaller end of which is provided spine. The accurate and careful driving of these with male screw-threads 34, so that the head surgical nails is done by the repeated use of 32 may be securely attached to the last driver X-ray pictures which are utilized so that the section (the section 26 as illustrated in the drawpath of the nail may be very carefully followed ing). This head 32 is also provided with a drilled as it is driven into the bone. e 28, so that the head portion may be se- The object of my invention is to provide an curely'fastened to one of the driver sections.
extended driver which may be attached to the When the driver ,is assembled as shown in Figs. 20 head end of a surgical nail, so that the direcl and 2, it is ready for use and may be readily tion of the nail may be more readily controlled utilized to properly position the nail 2, as it is as it is being driven into a fractured bone. driven into the fractured neck of a femur.
A further object of my invention is to pro- Often it is found desirable to place an impacvide a surgical nail driver about which is positor hammer 36 over the driver sections. This 25 tioned an impactor, which impactor may be used hammer is a relatively heavy tube provided with not Only as an impactor but also as an extractan end 38 which is cut at an angle to the longihammer tudinal axis of the hammer 36 so that the end In the accompanying drawing: 38 will approximately fit the normal obliquity Fig. 1 is a perspective view showing a convenof the femoral shaft at the base of the trochanter. tional surgical nail positioned within the neck The end 40 of the impactor hammer 36 is cut of a femur (shown in dotted'lines) with my nail at approximately right angles to the longitudidriver attached; nal axis of the hammer. This impactor hammer Fig. 2 is a longitudinal cross-section through 36 fits relatively loosely around the driver, so
5 the driver and the head of a conventional surthat it may be readily slid along the dn t gical nail; and such times as it is desirable to use the end 40 Fig. 3 is an end view of a conventional surof the hammer to hit against the head 32 for gical nail. purposes of extracting a surgical nail 2.
The surgical nail 2 is conventional in its form, It is often found that even when a greatdeal 40 having three flanges 4 extending out from the of care has been used in driving a surgical nail, 40 center of the nail. Each of these'ilanges 4 are it is necessary to either withdraw the nail co provided with sharpened edges 6, as is the end p at least P y, i Order to correct 8 of the nail. the course which it will follow as it is again The head In is drilled and provided with screwven into the fractured neck of a femur. th d l2, After the surgical nail-has been completely 45 The driver is made in three independent secdriven into the fractured bone, this p r tions which may or may not be secured together hammer 6 ay b s fo the purpose of b in by their screw-threaded portions, as shown in placed around the head ID of the nail and the Figs. 1 and 2. I provide a relatively short section Short extension" h t end 38 abu t M, which has at one end thereof, screw-threads against the femoral shaft, at which time the end 50 v I6 which are adapted to fit and be screwed into 40 of the impactor 36' may be gently hammered,
the screw-threads l2 in the head of the nail to closely approximate the fragments of the frac- -2. The-other end of the short section I4 is ured neck of the femur.
provided with female screw-threads l8, into which It will be understood that while I have shown the male threads 20 of the section 22 may bemy. driver as being'made in three sections, it 55 may well be made in either more or less than three sections. Also the sections may or may not be of the same length and the section l5 need not be provided us short section, although it has gentrally been found advisable to make the section 54 short. so that it may properly position the irnngctor hammer 35 around the head if! of the studied! nail, so that the impactor may be utilized to closely approximate the fragments of the fractured bone after the nail has been driven into its final position It W111 be understood while I have shown my fracture nail as having the head thereof drilled and tapped, yet it is entirely possible the frac tux-e nail may be made halving the threads secured to the head by in some other manner rather than by drilling and tapping. At present it is believed that it will be much more satisfac tory to have the threads of the fracture nail internal threads, but it will be understood that the same result may be obtained by providing threads on the head end of the fracture nail in some other form.
I claim:
1. The combination of a, fracture-nail and driver, including a. nail having a drilled and tapped head, a rod, and a. screw-threaded projection on said rod.
mamas 2. A fracture-nail driver including afracturenail having screw-thre: as at its head end. rod having screw-threads on one end thereof to engage he scren -threP.ds on said nail head, a herd screw-threaded to the other end of said rod. and an irnpactor tube partitlly encasing said rod and sliduhlolongitudinall: reroof.
3. A fracture-nul drive including a iracturc nail having a drilled and tapped head, a rod, 3 screw-threaded end on said rod, :1 head on the ther and of said rod, and a tube :lidable lonf1itudinally on said rod.
4. A fracture-nail driver including a fracture nail having a drilled and tapped head, a rod screw-threaded at one end thereof to said fracture-nail head, and an enlarged head screwthreadcd o the opposite end of said rod.
5. A fracture-nail driver including a fracturenail having screw-threads in its head end. a. rod having screw-threads on one end thereof to engage the screw-threads in said nail head, a head screw-threaded to the other end of said rod, and an impactor tubc slidablc longitudinally of said rod. said rod having a plurality of sections.
WILLIAM D. FRIDDLE.
US96657A 1936-08-18 1936-08-18 Fracture nail and fracture nail driver Expired - Lifetime US2187852A (en)

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Cited By (44)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2441765A (en) * 1945-04-28 1948-05-18 Surgical Specialties Corp Surgical device
US2557669A (en) * 1950-07-27 1951-06-19 Allen S Lloyd Adapter for a "smith-peterson" nail
US2631584A (en) * 1948-07-22 1953-03-17 Alfred T Purificato Fracture securing instrument
DE885910C (en) * 1944-07-26 1953-08-10 Hans Dr Med Sachse Device for driving a wire into bone in the treatment of fractures
DE761910C (en) * 1941-11-02 1954-01-18 Ernst Dr Med H C Pohl Device for removing bone pins
US2776490A (en) * 1955-06-03 1957-01-08 Arthur B Carfagni Multi-purpose dental tool
US3002514A (en) * 1958-01-24 1961-10-03 Deyerle William Minor Hip setting pin
US3026870A (en) * 1958-04-21 1962-03-27 Charles W Buckingham Surgical bone pin driver
US3334624A (en) * 1963-09-26 1967-08-08 Synthes Ag Intramedullary nail
US3364575A (en) * 1965-07-12 1968-01-23 West Virginia F M Co Method of securing a retention pin to a tooth
US4095591A (en) * 1977-01-27 1978-06-20 Richards Manufacturing Co., Inc. Compression screw system
US4927425A (en) * 1988-12-21 1990-05-22 Zimmer, Inc. Surgical rod pusher instrument
US5484443A (en) * 1992-01-03 1996-01-16 Wright Medical Technology, Inc. Instrument for inserting a protective sleeve into the medullary canal of a bone
US6110175A (en) * 1999-01-20 2000-08-29 Synthes (Usa) Surgical chisel and method of using same
US20020045902A1 (en) * 1999-08-09 2002-04-18 Bonutti Peter M. Method of securing tissue
US6409730B1 (en) 2000-05-31 2002-06-25 Synthes (Usa) Humeral spiral blade
US20060015108A1 (en) * 1996-08-19 2006-01-19 Bonutti Peter M Tissue fixation device
US20060089646A1 (en) * 2004-10-26 2006-04-27 Bonutti Peter M Devices and methods for stabilizing tissue and implants
US20060241695A1 (en) 2000-03-13 2006-10-26 Bonutti Peter M Method of using ultrasonic vibration to secure body tissue with fastening element
US20080027458A1 (en) * 2001-08-24 2008-01-31 Zimmer Technology, Inc. Blade plate and instruments
US20080109006A1 (en) * 2006-10-17 2008-05-08 Smith & Nephew, Inc. Adjustable impactor handle
US20080195145A1 (en) * 2007-02-13 2008-08-14 Bonutti Peter M Tissue fixation system and method
US20090024161A1 (en) * 2006-02-07 2009-01-22 Bonutti Peter M Methods and devices for utilizing thermal energy to bond, stake and/or remove implants
US8808329B2 (en) 1998-02-06 2014-08-19 Bonutti Skeletal Innovations Llc Apparatus and method for securing a portion of a body
US8814902B2 (en) 2000-05-03 2014-08-26 Bonutti Skeletal Innovations Llc Method of securing body tissue
US9060767B2 (en) 2003-04-30 2015-06-23 P Tech, Llc Tissue fastener and methods for using same
US9089323B2 (en) 2005-02-22 2015-07-28 P Tech, Llc Device and method for securing body tissue
US9138222B2 (en) 2000-03-13 2015-09-22 P Tech, Llc Method and device for securing body tissue
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US9173650B2 (en) 2006-02-07 2015-11-03 P Tech, Llc Methods and devices for trauma welding
US9173647B2 (en) 2004-10-26 2015-11-03 P Tech, Llc Tissue fixation system
US9271766B2 (en) 2004-10-26 2016-03-01 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9439642B2 (en) 2006-02-07 2016-09-13 P Tech, Llc Methods and devices for utilizing bondable materials
US9463012B2 (en) 2004-10-26 2016-10-11 P Tech, Llc Apparatus for guiding and positioning an implant
US20170056205A1 (en) * 2015-09-02 2017-03-02 Xnov Ip Said impacting device for imparting an impact to a stem
US9750496B2 (en) 2002-08-27 2017-09-05 P Tech, Llc System for securing a portion of a body
US9770238B2 (en) 2001-12-03 2017-09-26 P Tech, Llc Magnetic positioning apparatus
US9888916B2 (en) 2004-03-09 2018-02-13 P Tech, Llc Method and device for securing body tissue
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization
US10076377B2 (en) 2013-01-05 2018-09-18 P Tech, Llc Fixation systems and methods
US20200222098A1 (en) * 2019-01-15 2020-07-16 Shukla Medical Cannulated nail extractor
US11246638B2 (en) 2006-05-03 2022-02-15 P Tech, Llc Methods and devices for utilizing bondable materials
US11253296B2 (en) 2006-02-07 2022-02-22 P Tech, Llc Methods and devices for intracorporeal bonding of implants with thermal energy
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Cited By (105)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE761910C (en) * 1941-11-02 1954-01-18 Ernst Dr Med H C Pohl Device for removing bone pins
DE885910C (en) * 1944-07-26 1953-08-10 Hans Dr Med Sachse Device for driving a wire into bone in the treatment of fractures
US2441765A (en) * 1945-04-28 1948-05-18 Surgical Specialties Corp Surgical device
US2631584A (en) * 1948-07-22 1953-03-17 Alfred T Purificato Fracture securing instrument
US2557669A (en) * 1950-07-27 1951-06-19 Allen S Lloyd Adapter for a "smith-peterson" nail
US2776490A (en) * 1955-06-03 1957-01-08 Arthur B Carfagni Multi-purpose dental tool
US3002514A (en) * 1958-01-24 1961-10-03 Deyerle William Minor Hip setting pin
US3026870A (en) * 1958-04-21 1962-03-27 Charles W Buckingham Surgical bone pin driver
US3334624A (en) * 1963-09-26 1967-08-08 Synthes Ag Intramedullary nail
US3364575A (en) * 1965-07-12 1968-01-23 West Virginia F M Co Method of securing a retention pin to a tooth
US4095591A (en) * 1977-01-27 1978-06-20 Richards Manufacturing Co., Inc. Compression screw system
US4927425A (en) * 1988-12-21 1990-05-22 Zimmer, Inc. Surgical rod pusher instrument
US5484443A (en) * 1992-01-03 1996-01-16 Wright Medical Technology, Inc. Instrument for inserting a protective sleeve into the medullary canal of a bone
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US20060015108A1 (en) * 1996-08-19 2006-01-19 Bonutti Peter M Tissue fixation device
US8808329B2 (en) 1998-02-06 2014-08-19 Bonutti Skeletal Innovations Llc Apparatus and method for securing a portion of a body
US6110175A (en) * 1999-01-20 2000-08-29 Synthes (Usa) Surgical chisel and method of using same
US20020045902A1 (en) * 1999-08-09 2002-04-18 Bonutti Peter M. Method of securing tissue
US6860885B2 (en) * 1999-08-09 2005-03-01 Bonutti Ip, Llc Method of securing tissue
US20050149029A1 (en) * 1999-08-09 2005-07-07 Bonutti Peter M. Method of securing tissue
US20050203521A1 (en) * 1999-08-09 2005-09-15 Bonutti Peter M. Method of securing tissue
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
US7481831B2 (en) 1999-08-09 2009-01-27 Marctec, Llc. Method of securing tissue
US8128669B2 (en) 1999-08-09 2012-03-06 P Tech, Llc. Method of securing tissue
US9138222B2 (en) 2000-03-13 2015-09-22 P Tech, Llc Method and device for securing body tissue
US9884451B2 (en) 2000-03-13 2018-02-06 P Tech, Llc Method of using ultrasonic vibration to secure body tissue
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US20060241695A1 (en) 2000-03-13 2006-10-26 Bonutti Peter M Method of using ultrasonic vibration to secure body tissue with fastening element
US8814902B2 (en) 2000-05-03 2014-08-26 Bonutti Skeletal Innovations Llc Method of securing body tissue
US6409730B1 (en) 2000-05-31 2002-06-25 Synthes (Usa) Humeral spiral blade
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