WO2011017066A1 - Ensemble enclume heurtée et procédé de frappe d’éléments de fixation chirurgicaux - Google Patents

Ensemble enclume heurtée et procédé de frappe d’éléments de fixation chirurgicaux Download PDF

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Publication number
WO2011017066A1
WO2011017066A1 PCT/US2010/043297 US2010043297W WO2011017066A1 WO 2011017066 A1 WO2011017066 A1 WO 2011017066A1 US 2010043297 W US2010043297 W US 2010043297W WO 2011017066 A1 WO2011017066 A1 WO 2011017066A1
Authority
WO
WIPO (PCT)
Prior art keywords
anvil
hammer
impacting
surgical fastener
recited
Prior art date
Application number
PCT/US2010/043297
Other languages
English (en)
Inventor
Frank Viola
Original Assignee
Tyco Healthcare Group Lp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Tyco Healthcare Group Lp filed Critical Tyco Healthcare Group Lp
Publication of WO2011017066A1 publication Critical patent/WO2011017066A1/fr

Links

Classifications

    • BPERFORMING OPERATIONS; TRANSPORTING
    • B25HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25BTOOLS OR BENCH DEVICES NOT OTHERWISE PROVIDED FOR, FOR FASTENING, CONNECTING, DISENGAGING OR HOLDING
    • B25B21/00Portable power-driven screw or nut setting or loosening tools; Attachments for drilling apparatus serving the same purpose
    • B25B21/02Portable power-driven screw or nut setting or loosening tools; Attachments for drilling apparatus serving the same purpose with means for imparting impact to screwdriver blade or nut socket
    • B25B21/026Impact clutches
    • 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
    • A61B17/8875Screwdrivers, spanners or wrenches
    • 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
    • A61B2017/922Devices for impaction, impact element
    • A61B2017/924Impact element driving means

Definitions

  • the present disclosure relates to devices and methods for impacting surgical fasteners into tissue. More particularly, the present disclosure relates to devices and methods for rotating surgical fasteners into tissue by rapidly accelerating the surgical fasteners to avoid bunching or twisting of the tissue with the rotating surgical fastener.
  • Various surgical procedures require the use of surgical fasteners to secure tissues together or to secure prosthetic material to tissue.
  • the surgical fasteners used are of the types which require them to be rotated into place through the tissue(s) and/or prosthetic material. In many surgical procedures, it is necessary to drive the threaded surgical fasteners into relatively tough tissue such as, for example, muscle, tendon, ligament, bone, etc.
  • an impacting anvil assembly including an anvil and a hammer.
  • the anvil is rotatably supported on an elongate support shaft disposed in mechanical cooperation with a driving apparatus and is configured and dimensioned to receive a surgical fastener.
  • the anvil includes a bore configured and dimensioned to receive the hammer.
  • the bore of the anvil may include first and second sections. One or more of the rim sections may be at least partially angled.
  • the anvil may include one or more impacted surfaces.
  • the one or more impacted surfaces project from the bore of the anvil.
  • the one or more impacted surfaces may be located at a juncture of the first and second sections.
  • the anvil may include one or more projections projecting from the bore of the anvil.
  • the one or more projections are configured and dimensioned to be engaged by the hammer.
  • the hammer is rotationally and/or axially movable relative to the anvil such that rapid impacts of the hammer with the anvil cause rotation of the anvil which is configured and dimensioned to rotate the surgical fastener.
  • the hammer includes one or more impacting surfaces.
  • the one or more impacting surfaces and the one or more impacted surfaces are configured and dimensioned to engage each other.
  • the hammer may be formed with first and second offset cylindrical halves, wherein the one or more impacting surfaces are located at a juncture between the first and second offset cylindrical halves.
  • the hammer is disposed in mechanical cooperation with a hammer drive shaft having a through bore.
  • the hammer drive shaft is operably associated with the driving apparatus such that the hammer driveshaft is movable about the elongate support shaft.
  • the hammer may include one or more grooves configured and dimensioned to receive the one or rriore projections of the anvil such that axial movement of the hammer relative to the anvil causes rotation of the anvil.
  • the hammer may include one or more angled sections engagable with the one or more rim sections that are partially angled such that the anvil rotates relative to the hammer.
  • an impacting anvil assembly includes an anvil and a hammer.
  • the anvil is configured and dimensioned to receive a surgical fastener, includes a bore, and has one or more projecting impacted faces.
  • the anvil is rotatably supported on an elongate support shaft.
  • the hammer is rotatable within the bore of the anvil.
  • the hammer has one or more impacting faces engagable with the one or more projecting impacted faces of the anvil such that the surgical fastener rapidly rotates in response to rapid impact between the one or more impacting faces and the one or more projecting impacted faces.
  • the hammer includes a hammer driver shaft having a bore for reception of the elongate support shaft.
  • an impacting anvil assembly in another aspect, includes an anvil and a hammer.
  • the anvil is configured and dimensioned to receive a surgical fastener.
  • the anvil has a rim including first and second rim sections. One or more of the rim sections are at least partially angled.
  • the hammer is movable relative to the anvil.
  • the hammer includes one or more angled sections engagable with the one or more rim sections that are at least partially angled such that the anvil rotates relative to the hammer.
  • a method for mounting a surgical fastener includes providing an impacting anvil assembly including an anvil and a hammer; translating the hammer via one or more of axial or rotational motion; causing the hammer to accelerate; affixing a surgical fastener to the anvil; and causing the hammer to impact the anvil such that sufficient energy is transferred from the hammer to the surgical fastener for mounting the surgical fastener to a patient.
  • FIG. 1 is a perspective view of a surgical fastener being driven into tissue utilizing a prior art method
  • FlG. 2 is a perspective view of a surgical fastener and an impacting anvil assembly with a powered driving apparatus shown in phantom;
  • FIG. 3 is an end view of one embodiment of a hammer of the impacting anvil assembly
  • FIG. 4 is an end view of one embodiment of an anvil of the impacting anvil assembly
  • FIG. 5A is an end view of the impacting anvil assembly including the hammer and anvil prior to actuation
  • FIG. 5B is an end view of the impacting anvil assembly including the hammer and anvil during actuation
  • FIG. 6 is a perspective view of the hammer of the impacting anvil assembly
  • FIG. 7 is a perspective view of the hammer and anvil of the impacting anvil assembly including associated drive shafts;
  • FIG. 8 is a perspective view of an alternative embodiment of an anvil for driving a surgical fastener
  • FIG. 9 is a perspective view of an alternative embodiment of a hammer including an associated driveshaft
  • FIG. 1 OA is a perspective view of an alternative embodiment of an impacting anvil assembly including the anvil of FIG. 8 and the hammer of FIG. 9 prior to actuation;
  • FIG. 1 OB is a perspective view of the impacting anvil assembly of FIG. 10 during actuation
  • FIG. 1 1 is an end view of a further alternative embodiment of an anvil for driving a surgical fastener
  • FIG. 12 is a perspective view of the anvil of FIG. 1 1 ;
  • FIG. 13 is a perspective view of an alternative embodiment of a hammer
  • FIG. 14A is a perspective view of an alternative embodiment of an impacting anvil assembly including the anvil of FIG. 12 and the hammer of FIG. 13 and their associated drive shafts prior to actuation;
  • FIG. 14B is a perspective view of be impacting anvil assembly of FIG. 14 during actuation.
  • a surgical fastener 10 having a head 12 and an elongate tapered shaft 14 extending distal Iy from head 12.
  • Tapered shaft 14 includes a helical thread 16 and terminates in a tissue penetrating tip 18 (FIG. 2).
  • Head 12 has a hexagonal configuration for engagement with a driving apparatus. While head 12 is illustrated as being hexagonal, other configurations, such as, for example, slotted, etc. may be used for engagement with the driving apparatus.
  • Driving apparatus 20 generally includes a pistol grip handle 24 connected to a power source “PS” via conduit 26 and a hammer drive shaft “D” extending therefrom.
  • Power source “PS” may provide electricity to power a motor (not shown) within pistol grip handle 24.
  • the power source “PS” may be hydraulic, pneumatic, etc. so as to deliver energy to impacting anvil assembly 100.
  • a trigger 28 is provided on pistol grip handle 24 to actuate driving apparatus 20.
  • Impacting anvil assembly 100 generally includes a socket or anvil 1 10 and a hammer 120 rotationally and/or axially movably mounted relative to anvil 1 10.
  • Anvil 1 10 defines a receptacle 1 12 for engaging head 12 of surgical fastener 10.
  • Hammer 120 is disposed in mechanical cooperation with hammer drive shaft "D" for positioning hammer 120 into engagement with anvil 1 10.
  • hammer 120 which is a rotating mass, is accelerated by hammer drive shaft "D" that is energized by the motor of driving apparatus 20. In this manner, energy is stored over time, allowing a very strong, but short output impulse to be generated from low levels of constant input force.
  • the stored energy is rotationally transferred to anvil 1 10 upon impact from hammer 120, creating a high-torque impact.
  • the resultant impact causes the anvil 1 10 to be rotated through a partial revolution.
  • the hammer 120 and the anvil 1 10 (and thus the surgical fastener 10) may be configured and dimensioned to rotate less than 90 degrees per iteration. After delivering the impact, hammer 120 can be configured and dimensioned to spin freely without locking.
  • hammer 120 includes first and second offset cylindrical halves 122 and 124.
  • First cylindrical half 122 has a first end 122a and a second end 122b.
  • Second cylindrical half 124 has a first end 124a and a second end 124b.
  • Hammer 120 has a planar distal face 126.
  • first cylindrical half 122 of hammer 120 includes a first arcuate portion 121 extending between first end 122a and second end 122b.
  • a first impacting face 125 is defined at the junction of second end 122b of first cylindrical half 122 and first end 124a of second cylindrical half 124.
  • second cylindrical half 124 includes a second arcuate portion 123 extending between first end 124a of second cylindrical half 124 and second end 124b of second cylindrical half 124.
  • a second impacting face 127 is defined at the junction of second end 124b of second cylindrical half 124 and first end 122a of first cylindrical half 122.
  • hammer drive shaft “D” (FIG. 6) and includes a bore 129 for reception of hammer drive shaft “D.”
  • hammer drive shaft “D” may be formed integrally with hammer 120.
  • anvil 1 10 is provided with receptacle 1 12 for engaging head 12 of surgical fastener 10 (FIG. 2). While anvil 1 10 is illustrated with a hexagonal receptacle 1 12, when used with other types of surgical fasteners, receptacle 1 12 may be configured and dimensioned to engage fasteners having slotted heads, star drives, etc.
  • anvil 1 10 defines a bore 1 12b for engagement with hammer 120.
  • the bore 112b is defined on the opposing side of a support shaft wall 1 11 defined within the anvil 1 10.
  • the bore 1 12b is disposed in opposed relation to the receptacle 1 12a, each being on opposite sides of the support shaft wall 1 1 1.
  • Bore 1 12b defines a first section 1 14 and a second section 1 16.
  • First section 114 is configured and dimensioned to accommodate first arcuate portion 121 of hammer 120 and second section 116 is configured and dimensioned to accommodate second arcuate portion 123 of hammer 120.
  • First section 1 14 includes a first end 1 14a and a second end 114b.
  • Second section 1 16 includes a first end 1 16a and a second end 1 16b.
  • a first impacted face 1 17 is defined between first end 1 14a of first section 1 14 and second end 1 16b of second section 1 16.
  • a second impacted face 119 is defined between first end 1 16a of second section 1 16 and second end 1 14b of first section 1 14.
  • First and second impacted faces 1 17 and 1 19 are oriented within bore 1 12b in a position to be engaged by first and second impacting faces 125 and 127 of hammer 120.
  • anvil 1 10 is rotatably supported on a support shaft
  • the support shaft “SS” is also disposed in mechanical cooperation with driving apparatus 20.
  • a bore “'DB” extends through hammer drive shaft “D” for passage of support shaft "SS.”
  • support shaft "SS” is positioned through bore “DB” in hammer drive shaft “D” such that hammer 120 is positioned within bore 129 of anvil 1 10 and the anvil 1 10 is supported by the driving apparatus 20.
  • head 12 of surgical fastener 10 is positioned within receptacle 1 12 of anvil 1 10.
  • Tissue penetrating tip 18 is positioned against the tissue or prosthetic to be fastened (not shown).
  • trigger 28 of driving apparatus 20 may be actuated to cause power source "PS” to cause hammer drive shaft “D” to rotationally and/or axially translate the hammer 120, which upon acceleration, impacts the anvil 1 10 and causes the surgical fastener 10 to rotationally and/or axially translate into tough tissue "TT.”
  • FIGS. 5A and 5B in the initial position (FIG. 5A) impacting faces 125 and 127 of hammer 120 are remote or spaced apart from impacted faces 1 14a and 1 19 of anvil 1 10.
  • driveshaft “D” is energized causing hammer 120 to rapidly accelerate via rotation within bore 129.
  • Impacting faces 125 and 127 of hammer 120 rapidly and suddenly engage impacted faces 1 14a and 1 19 of anvil 1 10, thereby rapidly rotating anvil 1 10, and, thus, surgical fastener 10 relative to the tissue or prosthetic (rotationally and/or axially translates with respect to the tissue or prosthetic).
  • surgical fastener 10 can be fastened with respect to tough tissue "TT" without excessive tissue bunching.
  • driving apparatus 20 may be configured and dimensioned to automatically reverse rotational or axial translation directions, bringing impacting faces 125, 127, and 126 of hammer 120 momentarily out of engagement with impacted faces 1 14a and 1 19 of anvil 1 10 and surgical fastener 10. Thereafter, driving apparatus 20 can then be manually or automatically actuated to again rotationally accelerate hammer 120, to rapidly impact anvil 1 10 for rotational and/or axially translation of surgical fastener 10. As such, a series of continuous impacts may be provided to effect a series of continuous high torque rotations (and/or axial translations) of surgical fastener 10 to drive surgical fastener 10 through the tissue, bone, prosthetic etc.
  • Impacting anvil assembly 200 for use with driving apparatus 20 to impact surgical fastener 10 into tissue, bone, prosthetics, etc.
  • Impacting anvil assembly 200 generally includes an anvil 210 (FIG. 8), a hammer 220 (FIG. 9) and a hammer driveshaft “D" (which may be integrally formed therewith).
  • Hammer 220 may move axially and rotationally into engagement with anvil 210 to effect rotation of anvil 210 and thus of surgical fastener 10.
  • anvil 210 includes a receptacle (not shown) for reception of surgical fastener 10.
  • Anvil 210 defines a bore 212 and includes a support shaft wall 211 disposed in mechanical cooperation with the support shaft "SS" that extends into bore 212.
  • hammer 220 does not enter bore 212 of anvil 210 during impact. Rather, first and second rim sections 214 and 216 are formed around bore 212.
  • First rim section 214 includes a first planner portion 214a and a first angled portion 214b.
  • first angle portion 214b may continue the entire length of first rim section 214 without a planner portion.
  • second rim section 216 includes a second planner portion 216a and a second angled portion 216b.
  • second angle portion 216b may continue the entire length of second rim section 216 without a planner portion.
  • First and second impacted faces 217, 219 are defined between first and second rim sections 214, 216 on opposing sides thereof.
  • First distal face 222 includes a first planner section 222a and a first angled section 222b. However, it is envisioned that first angled section 222b may continue the entire length of first distal face 222 without a planner section.
  • Second distal face 224 includes a second planner section 224a and a second angled section (not shown but substantially similar to first angled section 222b). However, it is envisioned that second angled section 126 may continue the entire length of second distal face 224 without a planner section.
  • a first impacting face 226 and a second impacting face are defined between first and second distal faces 222, 224 on opposing sides thereof.
  • anvil 210 is rotatably mounted upon support shaft "SS” which is disposed in mechanical cooperation with driving apparatus 20 (FIG. 2).
  • Support shaft “SS” extends through hammer driveshaft “D” such that hammer drive shaft “D” and thus hammer 220 are free to move axially along support shaft "SS.”
  • Support shaft “SS” may be disposed in mechanical cooperation with support shaft wall 21 1.
  • support shaft “SS” may be integrally formed with the support shaft wall 21 1.
  • surgical fastener 10 is positioned within a receptacle in anvil 210 and tissue penetrating tip 18 of surgical fastener 10 is positioned against the tissue, bone, prosthetic etc. to be fastened. Thereafter, trigger 28 is actuated allowing power source "PS" to provide the energy to drive hammer driveshaft “D” axially.
  • hammer 220 rapidly accelerates in the direction of arrow A toward anvil 210.
  • anvil 210 Upon engagement of the respective angled sections, for example upon engagement of first angled section 222b of hammer 220 with first angled portion 214b of anvil 210, anvil 210 is caused to rapidly accelerate into rotation about support shaft "SS.” While not specifically shown, it should be understood that simultaneously second angled section 126 of hammer 220 engages second angled portion 216b on anvil 210 to balance the impacting in rotating forces of hammer 220 against anvil 210.
  • the rapidly accelerating rotation of anvil 210 causes surgical fastener 10, positioned within the receptacle in anvil 210, to be rapidly rotated and axially driven into the tissue, etc. Similar to that method described hercinabove, this inertial resistance allows the tissue to provide sufficient counter torque to prevent the tissue from bunching or turning with a surgical fastener 10.
  • the respective faces such as, for example, impacted face 219 of anvil 210 and impacting face 226 of hammer 220, act as stops to the respective motions between axially moving hammer 220 and rotating anvil 210.
  • Hammer 220 may then be retracted along support shaft "SS" and re-accelerated axially into engagement with anvil 210 to continue rotating surgical fastener 10 into tissue.
  • hammer 220 in addition to the high torque rotational impact provided to surgical fastener 10, the axial motion of hammer 220 adds an additional axial impacting force to surgical fastener 10 to further assist in driving surgical fastener 10 into the subject tissue. Accordingly, hammer 220 may be moved axially in addition to being rotated.
  • FIGS. 1 1-14B there is disclosed another embodiment of an impacting anvil assembly 300 for use with driving apparatus 20. Similar to those
  • impacting anvil assembly 300 generally includes an anvil 310 and a hammer 320.
  • Hammer 320 is axially movable within a bore 312 of anvil 310 so as to rotate anvil 310.
  • anvil 310 includes a support shaft wall 31 1 and a distal receptacle, similar to that shown in FIG. 2, for reception of the head 12 of surgical fastener 10.
  • anvil 310 includes a plurality of projections or detents 314a and 314b which may project radially inwardly into bore 312.
  • projections 314a and 314b may project radially outwardly and/or axially therefrom.
  • Projections 314a and 314b are configured and dimensioned to be engaged by hammer 320.
  • projections 314a and 314b may be moving pawls, clutches, latches, pins, keys, etc.
  • hammer 320 is generally cylindrical and includes a first arcuate groove 322 and one or more second arcuate grooves (not shown but substantially identical to arcuate groove 322) disposed about hammer 320 and are configured and dimensioned to engage detents 314a and 314b of anvil 310.
  • Hammer 320 further includes a chamfered leading edge 324 which facilitates entry of hammer 320 into bore 312 of anvil 310.
  • a hammer drive shaft "D" extends through, is affixed to hammer 320, and includes a through bore 'OB.”
  • FIGS. 2, 14A and 14B With reference to FIGS. 2, 14A and 14B, the operation of impacting anvil 310 driver surgical fasteners such as, for example, surgical fastener 10 (FIG. 2) will now be described.
  • Anvil 310 is rotatably supported upon an elongate support shaft "SS" which is connected to driving apparatus 20 (FIG. 2).
  • Support shaft "SS” extends through hammer drivcshaft “D.”
  • hammer 320 is in a remote or proximal position along support shaft 320 relative to anvil 310.
  • anvil 310 is manipulated such that head 12 of surgical fastener 10 is received within the receptacle in anvil 310.
  • Surgical fastener 10 is then positioned against a tissue, bone or prosthetic to be fastened.
  • Trigger 28 is actuated so as to move hammer driveshaft "D" axially in the direction of arrow B (FIG. 14A).
  • detents 314a and 314b engage and ride within first arcuate groove 322 and second arcuate groove formed in hammer 320.
  • detent 314a enters and rides within groove 322 of hammer 320.
  • driving apparatus 20 may additionally provide a rotary motion to hammer 320 to further assist in rotating anvil 310.
  • This axial force applied to surgical fastener 10 is in addition to the sudden rotational translation of fastener 10 setting up sufficient torque to overcome the counter torque of the tissue.
  • axial and/or rotary motion may be provided to the hammer in each of the disclosed embodiments to further assist in driving the surgical fastener into the subject tissue, bone or prosthetic.
  • the disclosed anvil is may be configured and dimensioned to engage various types of surgical fasteners such as, for example, screws, helical coil fasteners, etc.
  • the disclosed driving apparatus may be powered by electrical, hydraulic, pneumatic or other force generating mechanisms so as to drive and rotate the disclosed hammers relative to the disclosed anvils. Therefore, the above description should not be construed as limiting, but merely as exemplifications of particular embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne un ensemble enclume heurtée comprenant une enclume et un marteau. L’enclume est configurée et dimensionnée de façon à recevoir un élément de fixation chirurgical. Le marteau est mobile en rotation et / ou axialement par rapport à l’enclume de telle sorte qu’un impact du marteau sur l’enclume provoque une rotation rapide de l’enclume de façon à faire tourner l’élément de fixation chirurgical. L'invention concerne également un procédé de pose de l’élément de fixation chirurgical.
PCT/US2010/043297 2009-08-04 2010-07-27 Ensemble enclume heurtée et procédé de frappe d’éléments de fixation chirurgicaux WO2011017066A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US23105909P 2009-08-04 2009-08-04
US61/231,059 2009-08-04

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Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2694253A4 (fr) * 2011-04-05 2015-06-24 Ingersoll Rand Co Dispositif d'impact rotatif
US9463557B2 (en) 2014-01-31 2016-10-11 Ingersoll-Rand Company Power socket for an impact tool
US9469017B2 (en) 2014-01-31 2016-10-18 Ingersoll-Rand Company One-piece power socket for an impact tool
CN109793566A (zh) * 2019-01-11 2019-05-24 温月云 一种骨科用防回移的取钉装置
WO2019117985A1 (fr) 2017-12-15 2019-06-20 Corex, Llc Adaptateur orthopédique pour un outil d'impact électrique
US10427277B2 (en) 2011-04-05 2019-10-01 Ingersoll-Rand Company Impact wrench having dynamically tuned drive components and method thereof
US11166754B2 (en) 2019-09-18 2021-11-09 DePuy Synthes Products, Inc. Strike instrument for intramedullary nail
US11806029B2 (en) 2021-01-06 2023-11-07 DePuy Synthes Products, Inc. Locking trocar and method of using the same
US12011199B2 (en) 2020-10-15 2024-06-18 DePuy Synthes Products, Inc. Bone plate, bone plate system, and method of using the same

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4867250A (en) * 1986-08-18 1989-09-19 Ritt Corporation Pneumatic impact imparting tool
US20050230153A1 (en) * 2002-07-29 2005-10-20 Minshull Ronald G Device for simulataneously casing a hole while drilling
US20060225903A1 (en) * 2005-04-07 2006-10-12 Sterling Robert E Rotary impact tool, shock attenuating coupling device for a rotary impact tool, and rotary impact attenuating device
US20090090763A1 (en) * 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4867250A (en) * 1986-08-18 1989-09-19 Ritt Corporation Pneumatic impact imparting tool
US20050230153A1 (en) * 2002-07-29 2005-10-20 Minshull Ronald G Device for simulataneously casing a hole while drilling
US20060225903A1 (en) * 2005-04-07 2006-10-12 Sterling Robert E Rotary impact tool, shock attenuating coupling device for a rotary impact tool, and rotary impact attenuating device
US20090090763A1 (en) * 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10427277B2 (en) 2011-04-05 2019-10-01 Ingersoll-Rand Company Impact wrench having dynamically tuned drive components and method thereof
US9566692B2 (en) 2011-04-05 2017-02-14 Ingersoll-Rand Company Rotary impact device
US10569394B2 (en) 2011-04-05 2020-02-25 Ingersoll-Rand Company Rotary impact device
EP2694253A4 (fr) * 2011-04-05 2015-06-24 Ingersoll Rand Co Dispositif d'impact rotatif
US11992921B2 (en) 2011-04-05 2024-05-28 Ingersoll-Rand Industrial U.S., Inc. Impact wrench having dynamically tuned drive components and method thereof
US9469017B2 (en) 2014-01-31 2016-10-18 Ingersoll-Rand Company One-piece power socket for an impact tool
US9463557B2 (en) 2014-01-31 2016-10-11 Ingersoll-Rand Company Power socket for an impact tool
US11925402B2 (en) 2017-12-15 2024-03-12 Depuy Synthes Products, Inc Orthopedic adapter for an electric impacting tool
WO2019117985A1 (fr) 2017-12-15 2019-06-20 Corex, Llc Adaptateur orthopédique pour un outil d'impact électrique
EP3723644A4 (fr) * 2017-12-15 2021-11-17 DePuy Synthes Products, Inc. Adaptateur orthopédique pour un outil d'impact électrique
CN109793566A (zh) * 2019-01-11 2019-05-24 温月云 一种骨科用防回移的取钉装置
US11166754B2 (en) 2019-09-18 2021-11-09 DePuy Synthes Products, Inc. Strike instrument for intramedullary nail
US12011199B2 (en) 2020-10-15 2024-06-18 DePuy Synthes Products, Inc. Bone plate, bone plate system, and method of using the same
US12016603B2 (en) 2020-10-15 2024-06-25 DePuy Synthes Products, Inc. Bone plate, bone plate system, and method of using the same
US11806029B2 (en) 2021-01-06 2023-11-07 DePuy Synthes Products, Inc. Locking trocar and method of using the same

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