Interference screw driver assembly and method of use
Embodiments of the present invention provide a cannulated screw driver assembly which includes a rigid guide pin such that the assembly can be used to assist the surgeon in inserting and positioning the rigid guide pin and an interference screw within a bone graft tunnel. Once the screw is properly placed, screw driver assembly components to include the rigid guide pin, the driver and the handle can be removed while the screw remains in the tunnel to secure the graft. In one embodiment, the interference screw can be removed from the distal end of the driver and the driver and handle can be removed from the screw's proximal end. Embodiments of the inventions also include an interchangeable driver to mate with different size and types of interference screws.
1. An interference screw driver assembly for securing an interference screw in surgery, the screw driver assembly comprising:
a rigid guide pin having a proximal end, a distal end and a cylindrical exterior shape;
a driver having a proximal end and a distal end;
a pin connection means to directly connect the rigid guide pin to the driver;
an interference screw having a longitudinal bore whereby at least a portion of the rigid guide pin and the driver can be received in the screw longitudinal bore;
a handle having a longitudinal axis, a fore handle and a rear handle;
the rear handle configured to receive a forward force from a proximal end of the interference screw driver assembly and provide the forward force to the rigid guide pin and the interference screw;
the forward force directed from the proximal end of the interference screw driver assembly toward the rigid guide pin;
the rear handle positioned between the proximal end of the interference screw driver assembly and the fore handle;
the rear handle connected to the fore handle whereby the rear handle rotates about the longitudinal axis without rotating the driver;
the fore handle configured to receive a rotational force and provide the rotational force to the guide pin and the interference screw;
the fore handle having a handle connection means to connect the driver to the handle whereby the rigid guide pin and the interference screw can be guided by manipulation of the handle;
the interference screw further comprising a proximal end and a distal end;
the interference screw distal end having a size of the longitudinal bore slightly larger than the outside diameter of the rigid guide pin whereby the proximal end of the rigid guide pin can be received in the longitudinal bore of the interference screw distal end; and
the interference screw proximal end having a size of the longitudinal bore slightly larger than an outside profile of the driver whereby the distal end of the driver can be received in the longitudinal bore of the interference screw proximal end.
2. The interference screw driver assembly of claim 1 wherein the pin connection means comprises:
the driver distal end having a threaded recess; and
the rigid guide pin proximal end having threads whereby the threads of the rigid guide pin proximal end are received and mate with the threaded recess of the driver distal end to connect the rigid guide pin with the driver.
3. The interference screw driver assembly of claim 1 wherein the handle connection means comprises:
the handle having a proximal end, a distal end and a longitudinal axis;
the distal end of the handle having a recess shaped to receive the proximal end of the driver;
the handle, the driver and the guide pin being rotationally fixed whereby a rotation of the handle about the longitudinal axis with an engaging force turns the rigid guide pin and the driver about the longitudinal axis and the interference screw can engage a tissue.
4. The interference screw driver assembly of claim 1 wherein:
the interference screw driver assembly further comprises a shaft; and
the handle connection means comprises:
the handle having a proximal end, a distal end and a longitudinal axis,
the distal end of the handle having a recess shaped to receive a proximal end of the shaft, and
the shaft further having a distal end shaped to receive the proximal end of the driver whereby a rotation of the handle about the longitudinal axis turns the shaft, the rigid guide pin and the driver about the longitudinal axis.
5. The interference screw driver assembly of claim 1 wherein:
the rigid guide pin is connected to the driver;
the driver is connected to the handle; and
the longitudinal axis of the handle rigidly aligns with a longitudinal axis of the driver and a longitudinal axis of the rigid guide pin.
6. The interference screw driver assembly of claim 1 wherein the assembly is capable of anchoring the interference screw and a ligament in bone.
7. The interference screw driver assembly of claim 1 wherein the screw driver assembly further comprises an additional driver, the additional driver having a different shaped distal end from the driver distal end whereby the driver distal end removably mates to the interference screw and the different shaped distal end removably mates to a second interference screw.
8. The interference screw driver assembly of claim 1 wherein the distal end of the rigid guide pin is configured to extend outside of the longitudinal bore of the interference screw when the rigid guide pin is directly connected to the driver and a portion of the rigid guide pin is inside of the longitudinal bore.
9. The interference screw driver assembly of claim 1 wherein the handle connection means removably connects the driver to the handle.
10. A method of deploying an interference screw comprising the steps of:
providing an interference screw driver assembly comprising:
a. a rigid guide pin having a proximal end and a distal end,
b. the rigid guide pin terminating at the proximal end of the rigid guide pin,
c. a driver having a proximal end and a distal end,
d. the distal end of the driver shaped to mate with the interference screw;
e. a pin connection means to directly connect the proximal end of the rigid guide pin to the driver,
f. the distal end of the rigid guide pin configured to extend outside of a longitudinal bore in the interference screw when the rigid guide pin is directly connected to the driver and a portion of the rigid guide pin is inside of the bore,
g. a handle having a handle connection means to connect the driver to the handle whereby the rigid guide pin can be guided into a position by positioning the rigid guide pin through manipulation of the handle,
h. the interference screw comprising:
1. a proximal end and a distal end and the longitudinal bore,
2. the interference screw distal end having a size of the longitudinal bore slightly larger than the outside diameter of the rigid guide pin whereby the proximal end of the rigid guide pin can be received in the longitudinal bore of the interference screw distal end, and
3. the interference screw proximal end having a size of the longitudinal bore slightly larger than an outside profile of the driver whereby the distal end of the driver can be received in the longitudinal bore of the interference screw proximal end;
connecting the proximal end of the driver to a distal end of the handle;
connecting the proximal end of the rigid guide pin to the distal end of the driver;
inserting the driver and the rigid guide pin into the longitudinal bore in the interference screw;
driving the rigid guide pin and the interference screw between a graft and a tissue of a patient by manipulating the handle;
anchoring the graft to the tissue with the interference screw; and
removing the driver and the rigid guide pin from the screw.
11. The method of claim 10 wherein the graft is a previously cut bone block and the tissue is a bone mass having a graft tunnel.
12. The method of claim 10 wherein:
the proximal end of the rigid guide pin is threaded, wherein the step of connecting the rigid guide pin to the driver comprises threading the threaded proximal end of the rigid guide pin into a threaded recess in the driver distal end; and
the step of removing the driver and the rigid guide pin further comprises rotating the rigid guide pin out of the threaded recess in the driver distal end and removing the driver from the interference screw by applying a retrograde force to the driver.
13. The method of claim 10 wherein the step of connecting the proximal end of the driver to the handle further comprises:
selecting a selected driver from a plurality of drivers; and
the plurality of drivers each having a different shape distal end whereby the distal end of the selected driver removably mates to one of a plurality of interference screws.
14. The method of claim 10 wherein the interference screw anchors a ligament in bone.
15. The method of claim 10 wherein the handle connection means removably connects the driver to the handle.
16. A combination of an interference screw driver assembly and an interference screw, wherein the interference screw driver assembly is for securing the interference screw in surgery, wherein:
the screw driver assembly comprises:
a rigid guide pin having a proximal end and a distal end;
a driver having a proximal end and a distal end;
a pin connection means to directly connect the rigid guide pin to the driver;
a handle having a longitudinal axis, a fore handle and a rear handle;
the rear handle configured to receive a forward force and provide the forward force to the guide pin and the interference screw;
the rear handle connected to the fore handle whereby the rear handle rotates about the longitudinal axis without rotating the driver;
the fore handle configured to receive a rotational force and provide the rotational force to the guide pin and the interference screw;
the fore handle having a handle connection means to connect the driver to the handle whereby the rigid guide pin and the interference screw can be guided by manipulation of the handle;
the rigid guide pin having an outside diameter;
the driver having an outside profile;
the pin connection means connects the rigid guide pin to the driver; and
the interference screw comprises:
a longitudinal bore whereby at least a portion of the rigid guide pin and the driver can be received in the screw longitudinal bore;
the interference screw having a proximal end and a distal end;
the interference screw distal end having a size of the longitudinal bore slightly larger than the outside diameter of the rigid guide pin; and
the interference screw proximal end having a size of the longitudinal bore slightly larger than the driver outside profile whereby the proximal end of the rigid guide pin can be received in the longitudinal bore of the interference screw distal end and the distal end of the driver can be received in the longitudinal bore of the interference screw proximal end.
17. A combination of an interference screw driver assembly and an interference screw, wherein the interference screw driver assembly is for securing the interference screw in surgery, wherein:
the screw driver assembly comprises:
a rigid guide pin having a proximal end and a distal end;
the rigid guide pin terminating at the proximal end of the rigid guide pin;
a driver having a proximal end and a distal end;
the distal end of the driver shaped to mate with the interference screw;
a pin connection means to directly connect the proximal end of the rigid guide pin to the driver;
the distal end of the rigid guide pin configured to extend outside of a longitudinal bore in the interference screw when the rigid guide pin is directly connected to the driver;
a handle having a handle connection means to connect the driver to the handle whereby the rigid guide pin can be guided into a position by positioning the rigid guide pin through manipulation of the handle; and
the interference screw comprises:
a proximal end, a distal end and the longitudinal bore;
the interference screw distal end having a size of the longitudinal bore slightly larger than an outside diameter of the rigid guide pin whereby the proximal end of the rigid guide pin can be received in the longitudinal bore of the interference screw distal end; and
the interference screw proximal end having a size of the longitudinal bore slightly larger than an outside profile of the driver whereby the distal end of the driver can be received in the longitudinal bore of the interference screw proximal end.
18. The interference screw driver assembly of claim 17 wherein the handle connection means removably connects the driver to the handle.
19. The interference screw driver assembly of claim 17 wherein the assembly is capable of anchoring the interference screw and a ligament in bone.
20. The interference screw driver assembly of claim 17 further comprising an additional driver, the additional driver having a different shaped distal end from the driver distal end whereby the driver and the additional driver can be interchanged and the driver distal end can mate to the interference screw and the different shaped distal end can mate to a second interference screw.
21. The interference screw driver assembly of claim 17 wherein the pin connection means comprises:
the driver distal end having a threaded recess; and
the rigid guide pin proximal end having threads whereby the threads of the rigid guide pin proximal end are received and mate with the threaded recess of the driver distal end to connect the rigid guide pin with the driver.