US493730A - Trephine - Google Patents

Trephine Download PDF

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Publication number
US493730A
US493730A US493730DA US493730A US 493730 A US493730 A US 493730A US 493730D A US493730D A US 493730DA US 493730 A US493730 A US 493730A
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disk
shaft
pinion
trephine
ring
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/32053Punch like cutting instruments, e.g. using a cylindrical or oval knife

Description

N0 Model.)

J. A. MACKENZIE. TEEPHINE.

No. 493,730. 7 Patented Mar. 21, 1893.

' UNITED STATES PATENT Orrron.

JOSEPH ALEXANDER MAO KENZIE, OF WELDON, TEXAS.

TREPHINE.

SPECIFICATION forming part of Letters Patent No. 493,730, dated March 21, 1893. Application filed November 10,1892. Serial lie-451,568. (No model.)

To all whom it may concern.-

Be it known that I, JOSEPH ALEXANDER .MAC KENZIE, a citizen of the United States,

marked thereon, which forma part of this specification.

This invention relates to certain new and useful improvements in trephines, and it has for its objects among others to providea new and simple yet durable and efficient, though cheap, form of instrument of this character, by which better results can be obtained than by the means and methods heretofore employed.

I provide a simple hand device, easily operated and composed of few parts and those compactly arranged and easily assembled so as to occupy but small space thus enabling a physician to carry the samewith him and this without any danger of breakage thereof.

The device is of novel construction and embodies in its construction certain features which render it superior in its make-up as well as in operation.

Other objects and advantages of the invention will hereinafter appear and the novel features thereof will be specifically defined by the appended claims.

In order that the desired ends, embracing those above outlined, may be successfully acplished,the invention consists in the peculiar combinations, and the construction, arrange ment and adaptation of parts, all as more fully hereinafter described, shown in the drawings and then particularly pointed out in the claims.

The invention is clearly. illustrated in the accompanying drawings, which, with theletters of reference marked thereon, form a part of this specification and in which Figure 1 is a perspective view of a trephine constructed in accordance with my invention. Fig. 2 is a central longitudinal section through the same, and Fig. 3 is a perspective view upon an enlarged scale of the central shaft and its attachments,removed from the 1nstrument in order to better show such parts.

Like letters of reference indicate like parts throughout the several views in which they appear.

Referring now to the details of the drawings by letter, A designates the blade or cutting portion of the implement, which blade consists of a hollow body portion having its acting or lower edge provided with serratlons or teeth a. At the upper edge of this body portion is an annular enlargement or collar to within which are seated and held in any suitable manner the lower ends of the rods B which may be of any desired number and the upper ends of these rods are attached to a disk 0 the upper face of which is tapered or beveled from toward its center toward the edge or periphery as shown for a purpose which Will soon be made apparent. The rods B pass through a collarD near its periphery as shown and these rods may be arranged in a vertical or a slightly inclined plane as may be desired and according to the diameters of the disk and collar compared with that of the cutting blade.

E is a shaft centrally arranged within the device and its upper end is provided with a handle E and this shaft is loosely journaled at its upper portion below the handle in a central opening in the disk 0 as shown, while below the portion which is thus loosely journaled the shaft is square or polygonal in shape and passed through a correspondinglyshaped hole 6 in a wheel or disk E which has a peripheral groove 6 into which the inner edge of the collar D loosely fits so as to guide the said disk and yet permit free movement thereof. This shaft at its lower end is provided with a screw threaded point F to form a center-and ata point Within the cutting cylinder there are arranged the spring arms G which are secured attheir upper ends to the sides of the central shaft and the free ends of these spring arms bear against the inner walls of the body portion of the cutter and serve to hold the screw pointed end of the shaft at the center of the lower or cutting edge of thecutter while the cylinderis being rotated, as will presently appear.

Secured to the center of the upper face of the disk 0 is a bevel pinion H which is designed to be engaged by a bevel pinion I carried by a horizontal shaft J which is provided with a crank handle J by which it is turned and this shaft and its pinion are not mounted upon the device but held in operative position by a ring or eye gin the end of the shaft and projecting through the center of the pinion thereon as shown in Fig. 1. The operating pinion I can thus be moved up out ofcontact with the pinion H when desired to throw the parts out of operative position.

K is a ring secured to the beveled upper face of the disk 0 as shown, the ring being held in a horizontal position so as to leave a space under its outer edge and in this space under the ring is engaged the bent ends of the wire L loosely sleeved on the crank shaft carrying the pinion I as seen. The object of this being to hold the pinion I down to its work. The wire is loosely sleeved on the shaft so as to be moved into and out of operative position.

The operation will be readily understood when taken in connection with the above description and annexed drawings. The device is centered by means of the screw pointed end of the centralshaft and the cutting tool forced against the skull and the said cutter is then given the necessary rotary movement by means of the pinion's above described and the crank shaft. The parts are kept in their proper relative positions by this centering point and the spring arms, the bevel pinion being fast with the disk 0 when the shaft is turned and the other bevel pinion in engage.

ment with the pinion on the disk the said disk and all its attached parts must revolve therewith. I11 practice this device has proved most efficient for the purposes for which it is intended.

Modifications in detail may be resorted to without departing from the spirit of the invention or sacrificing any of its advantages.

What I claim as new is 1. In a trephine of the character described, the combination with the stationary centering device, of a rotatable cutter mounted to revolve around the same, as set forth.

2. In a trephine of the character described, the combination with a stationary centering device comprising a screw threaded shaft and spring arms thereon, of a rotary cutter and means for revolving the same, as set forth.

3. In a trephine of the character described the combination with the disk and the ring thereon, of the shaft carrying a pinion for rotating the disk, and a device on the said shaft for engaging the ring as and for the purpose specified.

4. In a trephine of the character described, the combination with the disk and the cutter and collar, of the rods connecting the same, the spring arms on the shaft, the shaft, the

pinion on the disk and the shaft carrying a.

pinion meshing with the pinion on the disk, as set forth.

5. The trephine described consistingof the disk with ring, the cutter, the rods connecting the disk and cutter, the collar and the grooved disk within the same, the bevel pinion on the disk, the horizontal shaft with its pinion, and the wire with arms on the horizontal shaft for engagingthe ring on the disk all substantially as specified.

In testimony whereof I affix my signature in presence of two witnesses.

JOSEPH ALEXANDER MAC KENZIE.

\Vitnesses:

W. D. GIMQN, JOHN ROSEMOND.

US493730A Trephine Expired - Lifetime US493730A (en)

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Cited By (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2482439A (en) * 1946-05-16 1949-09-20 Luther A Smith Adjustable hole saw
US3487728A (en) * 1966-04-15 1970-01-06 Martin Marietta Corp Apparatus for hole cutting
DE2811869A1 (en) * 1978-03-17 1979-09-27 Volker Geuder Trepan for keratoplasty
US4236519A (en) * 1978-04-06 1980-12-02 Russa Joseph A Corneal punch
US4409973A (en) * 1981-01-29 1983-10-18 Neufeld John A Method and apparatus for corrective osteotomy
US4596243A (en) * 1983-05-25 1986-06-24 Bray Robert S Surgical methods and apparatus for bone removal
US5092875A (en) * 1990-04-30 1992-03-03 Mclees Donald J Bone saw for tendon transplant surgery
US5324300A (en) * 1991-10-25 1994-06-28 Elias Elias G Device for the controlled excision of tissue from a living body
US5423823A (en) * 1993-02-18 1995-06-13 Arthrex Inc. Coring reamer
US5603716A (en) * 1995-02-16 1997-02-18 Arthrex Inc. Method of ligament reconstruction using double socket graft placement and fixation
US5700264A (en) * 1996-07-01 1997-12-23 Zucherman; James F. Apparatus and method for preparing a site for an interbody fusion implant
US5728118A (en) * 1995-03-29 1998-03-17 Linvatec Corporation Apparatus and method for harvesting a bone-tendon-bone ligament graft
US5797917A (en) * 1995-06-07 1998-08-25 Sdgi Holdings, Inc. Anterior spinal instrumentation and method for implantation and revision
US5919196A (en) * 1995-02-16 1999-07-06 Arthrex, Inc. Method and apparatus for osteochondral autograft transplantation
DE19803439A1 (en) * 1998-01-29 1999-08-05 Sachse Hans E Bone removal appliance of hollow cylinder with inner dia. deviating from circular cross section
US20020198532A1 (en) * 1993-06-10 2002-12-26 Sofamor Danek Holdings, Inc. Apparatus and method of inserting spinal implants
US6592588B1 (en) 1995-02-16 2003-07-15 Arthrex, Inc. Apparatus for osteochondral autograft transplantation
US20040030343A1 (en) * 2000-11-23 2004-02-12 Michel Kurc Drilling device comprising a bone recuperating trephine
US20070135918A1 (en) * 2005-10-26 2007-06-14 Malinin Theodore I Instrumentation for the preparation and transplantation of osteochondral allografts
US20070276506A1 (en) * 2006-05-25 2007-11-29 Biomet Manufacturing Corp. Demineralized osteochondral plug
US20090093853A1 (en) * 2007-10-05 2009-04-09 Biomet Manufacturing Corp. System For Forming A Tendon-Bone Graft
US20090222052A1 (en) * 2007-10-05 2009-09-03 Biomet Manufacturing Corp. System For Forming A Tendon-Bone Graft
US20090228031A1 (en) * 2008-03-10 2009-09-10 Zimmer Orthobiologics, Inc. Instruments and methods used when repairing a defect on a tissue surface
US20110082425A1 (en) * 2009-10-02 2011-04-07 Howmedica Osteonics Corp. Bone Marrow Aspirator And Methods Therefor
US8162967B1 (en) 2003-10-16 2012-04-24 Biomet Sports Medicine Llc Method and apparatus for coring and reaming of bone
US8641718B2 (en) 2010-10-19 2014-02-04 Biomet Manufacturing, Llc Method and apparatus for harvesting cartilage for treatment of a cartilage defect
US8753406B2 (en) 2010-08-31 2014-06-17 Zimmer Inc. Osteochondral graft delivery device and uses thereof

Cited By (58)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2482439A (en) * 1946-05-16 1949-09-20 Luther A Smith Adjustable hole saw
US3487728A (en) * 1966-04-15 1970-01-06 Martin Marietta Corp Apparatus for hole cutting
DE2811869A1 (en) * 1978-03-17 1979-09-27 Volker Geuder Trepan for keratoplasty
US4236519A (en) * 1978-04-06 1980-12-02 Russa Joseph A Corneal punch
US4409973A (en) * 1981-01-29 1983-10-18 Neufeld John A Method and apparatus for corrective osteotomy
US4596243A (en) * 1983-05-25 1986-06-24 Bray Robert S Surgical methods and apparatus for bone removal
US5092875A (en) * 1990-04-30 1992-03-03 Mclees Donald J Bone saw for tendon transplant surgery
US5324300A (en) * 1991-10-25 1994-06-28 Elias Elias G Device for the controlled excision of tissue from a living body
US5423823A (en) * 1993-02-18 1995-06-13 Arthrex Inc. Coring reamer
US20040073217A1 (en) * 1993-06-10 2004-04-15 Karlin Technology, Inc. Osteogenic packing device and method
US7887565B2 (en) 1993-06-10 2011-02-15 Warsaw Orthopedic, Inc. Apparatus and method for sequential distraction
US20080287955A1 (en) * 1993-06-10 2008-11-20 Karlin Technology, Inc. Distractor for use in spinal surgery and method of use thereof
US7399303B2 (en) 1993-06-10 2008-07-15 Warsaw Orthopedic, Inc. Bone cutting device and method for use thereof
US7326214B2 (en) 1993-06-10 2008-02-05 Warsaw Orthopedic, Inc. Bone cutting device having a cutting edge with a non-extending center
US20060058793A1 (en) * 1993-06-10 2006-03-16 Karlin Technology, Inc. Distractor for use in spinal surgery
US20060036247A1 (en) * 1993-06-10 2006-02-16 Karlin Technology, Inc. Distractor for use in spinal surgery
US6875213B2 (en) 1993-06-10 2005-04-05 Sdgi Holdings, Inc. Method of inserting spinal implants with the use of imaging
US7993347B1 (en) * 1993-06-10 2011-08-09 Warsaw Orthopedic, Inc. Guard for use in performing human interbody spinal surgery
US20040068259A1 (en) * 1993-06-10 2004-04-08 Karlin Technology, Inc. Distractor for use in spinal surgery
US20040034358A1 (en) * 1993-06-10 2004-02-19 Sofamor Danek Holdings, Inc. Bone cutting device and method for use thereof
US20030153916A1 (en) * 1993-06-10 2003-08-14 Sofamor Danek Holdings, Inc. Method of inserting spinal implants with the use of imaging
US20020198532A1 (en) * 1993-06-10 2002-12-26 Sofamor Danek Holdings, Inc. Apparatus and method of inserting spinal implants
US7264622B2 (en) 1993-06-10 2007-09-04 Warsaw Orthopedic, Inc. System for radial bone displacement
US5603716A (en) * 1995-02-16 1997-02-18 Arthrex Inc. Method of ligament reconstruction using double socket graft placement and fixation
US6592588B1 (en) 1995-02-16 2003-07-15 Arthrex, Inc. Apparatus for osteochondral autograft transplantation
US5919196A (en) * 1995-02-16 1999-07-06 Arthrex, Inc. Method and apparatus for osteochondral autograft transplantation
US5785714A (en) * 1995-02-16 1998-07-28 Arthrex, Inc. Method of ACL reconstruction using double socket graft placement and fixation
US6106535A (en) * 1995-03-29 2000-08-22 Linvatec Corporation Apparatus and method for harvesting a bone-tendon-bone ligament graft
US5728118A (en) * 1995-03-29 1998-03-17 Linvatec Corporation Apparatus and method for harvesting a bone-tendon-bone ligament graft
US5897570A (en) * 1995-03-29 1999-04-27 Linvatec Corporation Apparatus and method for harvesting a bone-tendon-bone ligament graft
US5843110A (en) * 1995-03-29 1998-12-01 Linvatec Corporation Apparatus and method for harvesting a bone-tendon-bone ligament graft
US6139551A (en) * 1995-06-07 2000-10-31 Sdgi Holdings, Inc. Anterior spinal instrumentation and method for implantation and revision
USRE37005E (en) * 1995-06-07 2000-12-26 Sdgi Holdings, Inc. Anterior spinal instrumentation and method for implantation and revision
US5797917A (en) * 1995-06-07 1998-08-25 Sdgi Holdings, Inc. Anterior spinal instrumentation and method for implantation and revision
US6190388B1 (en) 1995-06-07 2001-02-20 Gary K. Michelson Anterior spinal instrumentation and method for implantation and revision
US5700264A (en) * 1996-07-01 1997-12-23 Zucherman; James F. Apparatus and method for preparing a site for an interbody fusion implant
WO1998000067A1 (en) * 1996-07-01 1998-01-08 Zucherman James F Apparatus and method for preparing a site for an interbody fusion implant
DE19803439A1 (en) * 1998-01-29 1999-08-05 Sachse Hans E Bone removal appliance of hollow cylinder with inner dia. deviating from circular cross section
US20040030343A1 (en) * 2000-11-23 2004-02-12 Michel Kurc Drilling device comprising a bone recuperating trephine
US6942669B2 (en) * 2000-11-23 2005-09-13 Michel Kurc Drilling device comprising a bone recuperating trephine
US8162967B1 (en) 2003-10-16 2012-04-24 Biomet Sports Medicine Llc Method and apparatus for coring and reaming of bone
US8882774B2 (en) 2005-10-26 2014-11-11 Biomet Sports Medicine, Llc Instrumentation for the preparation and transplantation of osteochondral allografts
US7550007B2 (en) 2005-10-26 2009-06-23 Biomet Sports Medicine, Llc Osteochondral allografts
US8523864B2 (en) * 2005-10-26 2013-09-03 Biomet Sports Medicine, Llc Instrumentation for the preparation and transplantation of osteochondral allografts
US20070135917A1 (en) * 2005-10-26 2007-06-14 Malinin Theodore I Instrumentation for the preparation and transplantation of osteochondral allografts
US20070135918A1 (en) * 2005-10-26 2007-06-14 Malinin Theodore I Instrumentation for the preparation and transplantation of osteochondral allografts
US20070276506A1 (en) * 2006-05-25 2007-11-29 Biomet Manufacturing Corp. Demineralized osteochondral plug
US8303592B2 (en) 2007-10-05 2012-11-06 Biomet Manufacturing Corp. System for forming a tendon-bone graft
US8322256B2 (en) 2007-10-05 2012-12-04 Biomet Manufacturing Corp. System for forming a tendon-bone graft
US20090222052A1 (en) * 2007-10-05 2009-09-03 Biomet Manufacturing Corp. System For Forming A Tendon-Bone Graft
US20090093853A1 (en) * 2007-10-05 2009-04-09 Biomet Manufacturing Corp. System For Forming A Tendon-Bone Graft
US20090228031A1 (en) * 2008-03-10 2009-09-10 Zimmer Orthobiologics, Inc. Instruments and methods used when repairing a defect on a tissue surface
US8801725B2 (en) * 2008-03-10 2014-08-12 Zimmer Orthobiologics, Inc. Instruments and methods used when repairing a defect on a tissue surface
US20110082425A1 (en) * 2009-10-02 2011-04-07 Howmedica Osteonics Corp. Bone Marrow Aspirator And Methods Therefor
US9078638B2 (en) 2009-10-02 2015-07-14 Howmedica Osteonics Corp. Bone marrow aspirator and methods therefor
US8753406B2 (en) 2010-08-31 2014-06-17 Zimmer Inc. Osteochondral graft delivery device and uses thereof
US8641718B2 (en) 2010-10-19 2014-02-04 Biomet Manufacturing, Llc Method and apparatus for harvesting cartilage for treatment of a cartilage defect
US9456900B2 (en) 2010-10-19 2016-10-04 Biomet Manufacturing, Llc Method and apparatus for harvesting cartilage for treatment of a cartilage defect

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