WO2014016011A1 - Halter für ein medizinisches, insbesondere chirurgisches instrument - Google Patents

Halter für ein medizinisches, insbesondere chirurgisches instrument Download PDF

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Publication number
WO2014016011A1
WO2014016011A1 PCT/EP2013/060736 EP2013060736W WO2014016011A1 WO 2014016011 A1 WO2014016011 A1 WO 2014016011A1 EP 2013060736 W EP2013060736 W EP 2013060736W WO 2014016011 A1 WO2014016011 A1 WO 2014016011A1
Authority
WO
WIPO (PCT)
Prior art keywords
holder
instrument
coupling
coupling element
instrument shaft
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/EP2013/060736
Other languages
German (de)
English (en)
French (fr)
Inventor
Klaus Dmuschewsky
Amos Balzarini
Dörte Freisberg
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Waldemar Link GmbH and Co KG
Original Assignee
Waldemar Link GmbH and Co KG
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 Waldemar Link GmbH and Co KG filed Critical Waldemar Link GmbH and Co KG
Priority to IN2992KON2014 priority Critical patent/IN2014KN02992A/en
Priority to ES13724600.5T priority patent/ES2602905T3/es
Priority to EP13724600.5A priority patent/EP2877098B1/de
Priority to JP2015523455A priority patent/JP6074503B2/ja
Priority to US14/413,720 priority patent/US9855059B2/en
Priority to KR1020147031740A priority patent/KR101932314B1/ko
Priority to BR112014028001-0A priority patent/BR112014028001B1/pt
Priority to CN201380032014.5A priority patent/CN104379067B/zh
Publication of WO2014016011A1 publication Critical patent/WO2014016011A1/de
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/162—Chucks or tool parts which are to be held in a chuck
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00862—Material properties elastic or resilient

Definitions

  • the present invention relates to a holder for a medical, in particular surgical instrument with a quick coupling for receiving an undercut connection end of an instrument shaft of the medical instrument, wherein the quick coupling has a first coupling element with a first axial passage opening for the connection end.
  • Such a holder is used to hold at least an axial definition of a medical instrument for its use and use.
  • the axial fixation can be one which allows axial play between the holder and the instrument, but securely fixes the instrument to the holder without it becoming unintentionally detached from the holder in the axial direction.
  • the holder with the holder - be it generated by a motor drive or manually applied - forces are transmitted not only in the axial direction, but also for a rotary drive of the medical instrument.
  • additional means for a rotationally fixed recording of the medical instrument and connection of the same with the holder are provided with appropriate holders.
  • a medical instrument in the sense of the present description and invention may in particular be a medically used tool such as a drill, a milling cutter, a rasp, an awl, a saw or the like.
  • a surgical instrument here also means components of implants or complete implants, whether implants as components of prostheses, in particular endoprostheses, or other implants to be connected to a holder for their handling during setting, removal or displacement or other steps.
  • FIG. 1 A generic holder is disclosed for example in DE 60 2004 001 063 T2.
  • a reamer which at a terminal end of their instrument shaft, denoted by the reference numeral 78, a Hudson connector or Trinkl adapter designated connection configuration, which in a quick coupling of a holder for there determining is introduced, which holder is fixed in the manner of a chuck with clamping claws, which engage by screwing a clamping sleeve in an undercut of the connecting end of the instrument shaft.
  • Fig. 4 of this document an alternative embodiment is shown in which the locking of the terminal end of the instrument shaft by means of locking balls.
  • a holder for a medical, in particular surgical instrument having the features of claim 1.
  • Advantageous developments of such a holder are specified in the dependent claims 2 to 8.
  • a further aspect of a solution of the object according to the invention then consists in a combination of a novel holder as described and at least one medical instrument detachably fixable in the holder with the features of claim 9 and corresponding advantageous further developments according to claims 10 and 11.
  • a novel holder for a medical, in particular surgical, instrument has a quick coupling for receiving a connection end of an instrument shaft of the medical instrument which has an undercut.
  • the quick coupling has a first coupling element with a first axial passage opening for the connection end. It also has a second coupling element with a second axial passage opening for the connection end.
  • First and second coupling elements are movable relative to each other in a direction transverse to the axial direction of the through hole from a locking position in which the first and the second passage opening are offset from each other such that an edge of the second passage opening engages behind an undercut at the terminal end of the instrument shaft locking in a release position in which the first and the second axial passage opening are at least so far in alignment that the connection end can be passed freely through both passage openings.
  • the first and the second coupling element are integrally connected to one another via a spring bridge, and the spring bridge biases the first and the second coupling element relative to one another into the locking position.
  • the holder in its quick coupling initially eliminates the need small-scale and separate locking elements, such as locking balls to provide.
  • the locking effect is effected solely by the offset of the two passage openings in the first and the second coupling element, which they have in the position assumed by the bias as a normal position locking position to each other in a direction transverse to the axial extent.
  • a medical instrument guided through the first passage opening with the connection end of its instrument shaft is first of all set in the radial direction through this passage opening.
  • An axial fixation or locking takes place in that the connecting end also protrudes through the second passage opening, wherein the second passage opening is displaced transversely to the axial direction relative to the first passage opening so that it rests with its edge on an undercut of the connection end, this engages behind and thus the instrument shaft locked in the axial direction.
  • a certain axial play can still be present in this locking position. Often, such axial play, at least for hand-operated holders, is even desired by users because there is additional tactile help.
  • the continued advantage of the holder according to the invention is that it is integrally formed in its connection between the first and second coupling element. This also eliminates a possible disassembly into individual parts and small parts that would be required when cleaning and sterilizing the holder.
  • corresponding gaps between the elements integrally connected to each other can be created, which can be easily reached, cleaned and then sterilized with a corresponding cleaning instruments.
  • extremely narrow interstices can be avoided, as they are given for example on ball bearing surfaces of locking balls and the cleaning and sterilization are hardly complete and sufficiently accessible for thorough cleaning and sterilization.
  • the quick coupling may advantageously be formed in one piece as a whole and preferably consists of an easily sterilizable and sufficiently biocompatible material for operative use, in particular a medically compatible stainless steel.
  • a metal there would be other medically usable metals such as titanium or titanium alloys into consideration
  • the holder according to the invention can also advantageously have locking structures in its quick-action coupling for interacting with counter-structures at the connection end of the instrument shaft for a rotationally fixed arrangement of the instrument in the holder.
  • Such a configuration is particularly relevant when with the holder rotational forces or torques on the medical instrument, e.g. a drill or a reamer, are to be transferred.
  • One possible embodiment of forming such blocking structures is to arrange on the quick coupling on an outer end face of the first coupling element on opposite sides of the through opening on the front side through opening side jaws, which protrude from the surface on the front side to the outside and the Having the locking structures forming, parallel to each other and facing each other planar contact surfaces. In this case, these abutment surfaces are provided for abutment with mating surfaces formed at the connection end of the instrument shaft and forming counter-structures.
  • This embodiment is a particularly simply constructed, easy-to-form in its structure design variant, which also meets the requirements of easy cleanability and sterilizability of the holder, especially in the field of quick release.
  • the recess when the recess is dimensioned sufficiently large, the gap between the wall of the base body and the spring bridge for the introduction of cleaning equipment is sufficiently far dimensioned, this section can be easily cleaned and sterilized. It may, but not necessarily, the recess also be angular, in particular follow in its course the angular shape of the course of the spring bridge and the angled extending to this second coupling element.
  • the recess has a recess and the second coupling element has a projection (of course also in the reverse configuration, ie a projection on the recess and a recess on the coupling element), which together form a projection form a stop above the locking position relative movement of the coupling elements preventing stop.
  • a stop prevents incorrect operation and increases the overall stability and reliability of the holder according to the invention.
  • the spring bridge may lie on a lateral outer side of the holder and thereby be designed so that a force acting transversely to its longitudinal extent and against the spring action of the spring bridge force, in particular a compressive force can be applied to this manually, for Relocating the second coupling element from the latch position to the release position.
  • the spring bridge is at the same time a "pressure switch", by the operation of the relative position of the first and the second coupling element to each other from the latch position can be transferred to the release position to in this position in particular a connected to the holder instrument from the holder If necessary, also insert an instrument with the connecting end of the instrument shaft into the quick coupling of the holder and fix it.
  • the holder may in particular be a manually operable holder with a rotary shaft on which at a free end of the quick coupling is arranged and which also at an opposite end of the free end T-shaped a handle part is arranged.
  • an inventive holder can be realized in other shaped manually operated designs, as it is also part of a motor-driven instrument drive, be it an actuated in the axial direction drive, be it a rotationally operated Drive, can be realized.
  • this consists of a combination of a holder as described in more detail above and at least one medical, in particular surgical, instrument detachably fixable on the holder, which contains an instrument shaft having a connection end and in which an undercut is formed at the connection end of the instrument shaft is.
  • the combination is not limited to a holder and a single instrument, it may at the same time also include a set consisting of one or more holders and one or more medical instruments.
  • the instrument at the terminal end of its instrument shaft a thickening tapering away from the free end of the instrument shaft further, pointing away from the free end has, which falls back at its end remote from the free end to form the undercut, to a lesser extent of the instrument shaft.
  • This conical thickening is used for easier insertion of the connecting end of the instrument shaft in the quick coupling, as displaced by the conical portion when applying an axially directed pressure force on the instrument shaft, the second coupling element of the quick coupling from the locking position and moved to the release position until the rear the cone lying undercut is achieved, the diameter of the instrument shaft falls back and the second coupling element snaps into the locking position.
  • the instrument of such a combination at its connection end of the instrument shaft has the mating surfaces forming parallel flats.
  • FIG. 1 shows an embodiment of a holder according to the invention for a medical, in particular surgical instrument in a perspective view obliquely from a quick coupling having side;
  • Figure 2 shows the holder of Figure 1 in a side view with a view of a side surface of the quick coupling.
  • FIG. 3 shows the holder from FIG. 1 in a side view with a view of a first narrow side
  • FIG. 4 shows the holder from FIG. 1 in a side view with a view of a further narrow side opposite the narrow side shown in FIG. 3;
  • Fig. 5 is a front view of the holder of Figure 1 from the coupling side of the quick coupling forth in an enlarged view.
  • Fig. 6 is a longitudinal sectional view through the holder of FIG. 1;
  • FIG. 7 shows the holder according to FIG. 1 with a connection end of a medical instrument accommodated therein, in a partially cutaway view
  • Fig. 8 in three illustrations A to C increases the portion of the holder of FIG. 1 with the quick coupling during insertion of a terminal end of a medical instrument for fixing the same to the holder.
  • An inventive holder for a medical, in particular surgical instrument is shown in the figures in various (partial) views and generally designated by the reference numeral 1.
  • the holder 1 in this embodiment is elongated formed with a shank portion 2.
  • a quick coupling 3 is formed, which serves to receive an undercut having a connecting end of an instrument shaft of the medical instrument, with which the holder is to be connected ,
  • the quick coupling 3 has a main body 26 and on whose end face 4 a receiving opening 5, which has the shape of a guided along a longitudinal axis 6 of the holder 1 bore.
  • the quick coupling 3 is in particular formed in one piece and has two flattened side surfaces 7 and 8 and extending between these narrow sides 9 and 10, which extend wedge-shaped opening to one of the front side 4 nearby section, from where the narrow side 9, 10 rejuvenate , There go the narrow sides 9, 10 in two on the front side 4 protruding projections 11 and 12, respectively.
  • a coupling plate 13 is formed by corresponding cutouts of the integral material of the quick coupling 3 and connected on one side with a separated by a slot 14 of the main body 26 of the quick coupling 3 spring bridge 15.
  • the spring bridge 15 is integrally connected to the main body 26 of the quick coupling 3.
  • the spring bridge 15 has a flattening 16 on its surface located on the narrow side 9, which flattening is formed as an ergonomic or haptic element for the plant of the thumb of a hand.
  • recessed grips 17, 18, 19 are formed on the opposite narrow side 10 recessed grips 17, 18, 19 are formed. These serve the plant of fingers, in particular index fingers, middle fingers and ring fingers of the hand, whose thumb rests in the flat 16.
  • the spring tongue 14 can be deflected in the direction of the opposite narrow side 10 with one hand in order to effect a longitudinal displacement of the coupling plate 13 in the same direction.
  • Clutch plate 13 and spring bridge 15 are, as already mentioned, integrally connected to each other and enclose an angle, so that the coupling plate 13 substantially perpendicular to the longitudinal axis 6 and thus the direction of the guided along this axis bore of the receiving opening 5.
  • the coupling plate 13 is located in a receiving slot 27, which is in the quick coupling 3, more precisely in the main body 26, is formed, and at an angle to the slot 14 extends. In the receiving slot 27, the clutch plate 13 can move in a longitudinal direction.
  • the receiving slot 27 and the slot 14 are at an angle to each other and together form an approximately L-shaped slot.
  • a passage opening 20 is formed in the coupling plate 13, as can be seen in particular in FIG. 6, a passage opening 20 is formed.
  • This passage opening 20 also extends in the axial direction in its orientation, i. with an extension direction parallel to the longitudinal axis 6, but in the position shown in Fig. 6, in which the spring bridge 15 can be seen in an initial or rest position, with its central axis 21 relative to the longitudinal axis 6, which at the same time the central axis the receiving opening 5 forms, offset.
  • the receiving opening 5 extends beyond the portion in which the coupling plate 13 traverses them, up to an end portion 22.
  • This can also be seen again in the front view of FIG. 5, in which the offset axes central axis 21 and longitudinal axis 6 shown are as well as a view of the receiving opening 5 through this to be recognized section of the coupling plate thirteenth
  • Fig. 6 can also be seen that in the shaft portion 2 of the holder 1 formed as a blind hole receptacle 23 is formed for connecting the holder 1 of the invention with other structures, such as the drive shaft of a motorized instrument drive with a rotary drive or with one, for example, as transverse to the longitudinal extent of the holder 1, that is transverse to the longitudinal axis 6, in particular perpendicular to this, T-handle is used.
  • other structures such as the drive shaft of a motorized instrument drive with a rotary drive or with one, for example, as transverse to the longitudinal extent of the holder 1, that is transverse to the longitudinal axis 6, in particular perpendicular to this, T-handle is used.
  • the quick-action coupling 3 of the holder 1 according to the invention is set up for connection to a connection end A (see Fig. 7) of an instrument shaft.
  • the quick coupling 3 or the connection end A is formed in particular as a so-called Hudson connection or a corresponding connection coupling.
  • connection end A to the quick-action coupling 3 of the holder 1
  • connection end A to the quick-action coupling 3 of the holder 1
  • the quick coupling 3 of the holder is shown with the spring bridge 15 in a relaxed home or rest position.
  • the receiving opening 5 and the passage opening 20 are not aligned in the coupling plate 13 in exact alignment.
  • a section 24 of the coupling plate 13 which delimits the passage opening 20 protrudes into the region of the receiving opening 5 and thus covers in particular its end section 22.
  • the coupling plate 13 has one of the front side 4 facing run-on slope 25 provided.
  • connection end A of the instrument shaft has at its free end a region B of tapered diameter and a cover that covers this C. An undercut D is formed on this. If now, as shown in Fig. 8b, the terminal end A is inserted into the receiving opening 5, so the termination C abuts the run-on slope 25 of the clutch plate 13. As a result, this is pressed in the figurative representation upwards, ie in the direction of the narrow side 10. Due to the elasticity and flexibility of the spring bridge 15, the coupling plate 13 deviates in this direction, so that the passage opening 20 can be passed from the termination C.
  • the coupling plate 13 driven by the spring force of the spring bridge 15, can snap back into its rest or initial position.
  • the portion 24 which lies above the undercut D at the terminal end A locks the terminal end A in the axial direction, i. in the direction of the longitudinal axis 6 of the holder.
  • the spring bridge 15 has pressed in the direction of the opposite narrow side 10, thereby the coupling plate 13 are moved so that the passage opening 20 is exposed for a passage of the conclusion C and the terminal end A can be removed.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Dentistry (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)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Surgical Instruments (AREA)
PCT/EP2013/060736 2012-07-24 2013-05-24 Halter für ein medizinisches, insbesondere chirurgisches instrument Ceased WO2014016011A1 (de)

Priority Applications (8)

Application Number Priority Date Filing Date Title
IN2992KON2014 IN2014KN02992A (enExample) 2012-07-24 2013-05-24
ES13724600.5T ES2602905T3 (es) 2012-07-24 2013-05-24 Soporte para un instrumento médico, especialmente para un instrumento quirúrgico
EP13724600.5A EP2877098B1 (de) 2012-07-24 2013-05-24 Halter für ein medizinisches, insbesondere chirurgisches instrument
JP2015523455A JP6074503B2 (ja) 2012-07-24 2013-05-24 ホルダおよび医療用器具
US14/413,720 US9855059B2 (en) 2012-07-24 2013-05-24 Holder for a medical, in particular a surgical instrument
KR1020147031740A KR101932314B1 (ko) 2012-07-24 2013-05-24 의료 기구, 특히 수술 기구용 홀더
BR112014028001-0A BR112014028001B1 (pt) 2012-07-24 2013-05-24 Suporte para um instrumento médico, especialmente instrumento cirúrgico
CN201380032014.5A CN104379067B (zh) 2012-07-24 2013-05-24 在医疗上尤其是外科手术器械的夹具

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP12177714.8 2012-07-24
EP12177714.8A EP2689730A1 (de) 2012-07-24 2012-07-24 Halter für ein medizinisches, insbesondere chirurgisches Instrument

Publications (1)

Publication Number Publication Date
WO2014016011A1 true WO2014016011A1 (de) 2014-01-30

Family

ID=48483090

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2013/060736 Ceased WO2014016011A1 (de) 2012-07-24 2013-05-24 Halter für ein medizinisches, insbesondere chirurgisches instrument

Country Status (9)

Country Link
US (1) US9855059B2 (enExample)
EP (2) EP2689730A1 (enExample)
JP (1) JP6074503B2 (enExample)
KR (1) KR101932314B1 (enExample)
CN (1) CN104379067B (enExample)
BR (1) BR112014028001B1 (enExample)
ES (1) ES2602905T3 (enExample)
IN (1) IN2014KN02992A (enExample)
WO (1) WO2014016011A1 (enExample)

Cited By (1)

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EP3299036A1 (de) * 2016-09-27 2018-03-28 XYLEM Analytics Germany GmbH Validierungsset sowie verfahren zum überprüfen der reinigungsleistung eines reinigungsapparats

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KR101719214B1 (ko) * 2016-01-20 2017-04-04 김영재 외과용 핸드드릴
CN107157543A (zh) * 2017-05-20 2017-09-15 禹州市银星专用磨料有限公司 一种在骨外科手术中用棕刚玉骨刀
WO2019157404A1 (en) * 2018-02-09 2019-08-15 Eca Medical Instruments Ergonomic quick release plastic disposable base for medical instruments
WO2019157402A1 (en) * 2018-02-09 2019-08-15 Eca Medical Instruments Cannulated ergonomic disposable plastic base for medical instruments
DE102019100016A1 (de) * 2019-01-02 2020-07-02 Aesculap Ag Fügeverfahren für eine medizintechnische Vorrichtung
AU2024227340A1 (en) * 2023-10-24 2025-05-08 Howmedica Osteonics Corp. Modular instrument and methods of using and manufacturing the modular instrument

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EP0893097A2 (de) 1997-07-23 1999-01-27 ESKA Implants GmbH & Co. Halter für ein chirurgisches Instrument
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DE10357104A1 (de) * 2003-12-06 2005-07-14 Richard Wolf Gmbh Medizinisches Instrument
EP1943966A1 (de) * 2007-01-09 2008-07-16 REINHARD Feinmechanik GmbH Werkzeug für das Einbringen von Bohrungen in Knochen oder das Entnehmen von zylindrischen Bohrkernen aus Knochen des menschlichen Körpers

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3299036A1 (de) * 2016-09-27 2018-03-28 XYLEM Analytics Germany GmbH Validierungsset sowie verfahren zum überprüfen der reinigungsleistung eines reinigungsapparats
EP3613443A1 (de) * 2016-09-27 2020-02-26 XYLEM Analytics Germany GmbH Validierungsset zum überprüfen der reinigungsleistung eines reinigungsapparats

Also Published As

Publication number Publication date
CN104379067B (zh) 2016-12-21
BR112014028001A2 (pt) 2017-06-27
ES2602905T3 (es) 2017-02-22
JP6074503B2 (ja) 2017-02-01
IN2014KN02992A (enExample) 2015-05-08
KR101932314B1 (ko) 2019-03-20
CN104379067A (zh) 2015-02-25
US9855059B2 (en) 2018-01-02
EP2689730A1 (de) 2014-01-29
EP2877098B1 (de) 2016-08-31
KR20150037740A (ko) 2015-04-08
EP2877098A1 (de) 2015-06-03
JP2015523164A (ja) 2015-08-13
US20150141160A1 (en) 2015-05-21
BR112014028001B1 (pt) 2021-04-13

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