System for inserting a pin into a screw

1. A pin insertion system comprising:

a plurality of augmentation polymer pins,

an augmentation screw comprising a proximal connection feature and an axial bore extending through the augmentation screw for receiving an augmentation pin, said augmentation in is sized and shaped to be fit into said axial bore, said axial bore includes a first step between a first section with a first diameter and a second section with a second diameter, a second step between the second section and a third section with a third diameter, wherein the third diameter is greater than the second diameter which in turn is greater than the first diameter, a first lateral bore located adjacent the first step and in the second section, and a second lateral bore located adjacent the second step and in the third section, such that, when the augmentation pin is inserted into the axial bore of the augmentation screw, the augmentation pin rests on the first step or the second step, depending on the diameter of the augmentation pin,

a tissue protection sleeve having a distal end including a first connection portion and a proximal end including a second connection portion, and a through bore extending axially through the proximal and distal ends; said first connection portion is shaped for engaging with said proximal connection feature of said augmentation screw,

a pin-inserter for inserting the augmentation pin into the axial bore of the augmentation screw, comprising an elongated housing with an axial through-bore and a lateral opening, wherein the axial through-bore of the elongated housing and the lateral opening are connected to each other, and an elongated pusher which is movably and at least partially accommodated in the axial through-bore of the elongated housing and the augmentation screw, such that when the augmentation pin is placed in the lateral opening and is aligned with the axial through-bore of the elongated housing, then the augmentation pin moves by means of the pusher through at least a portion of the axial through-bore of the elongated housing, out of the housing and into the augmentation screw axial bore, said pin-inserter further comprises a third connection portion for engaging said second connection portion of said tissue protection sleeve for fastening the augmentation screw, and such that the axial through bore of the pin-inserter is aligned with the axial through bore of the augmentation screw and the axial through bore of the tissue protection sleeve when assembled,

a pin-magazine including a plurality of pin-retainers for retaining the plurality of augmentation pins therein, wherein the pin-magazine is designed corresponding to and is placeable in the lateral opening of the elongated housing of the pin-inserter and is adapted to align the pin-retainer with the axial through-bore of the elongated housing for inserting the augmentation pin into the augmentation screw, when the augmentation pin is located in the pin-retainer, and

an ultrasonic applicator comprising a connection portion for engaging said second connection portion of said tissue protection sleeve after removing the pin-inserter, said ultrasonic applicator further comprises a sonotrode extending axially through the through bore of the tissue protection sleeve and partially through the augmentation screw for fluidizing the augmentation pin within the augmentation screw and pressing the material of the augmentation pin through at least one of the lateral bores out of the augmentation screw.

2. The system of claim 1 , wherein a length of the pusher of the pin-inserter is greater than a length of the axial through-bore of the pin-inserter.

3. The system of claim 1 , wherein the connection portion of the pin-inserter includes a quick-fastener.

4. The system of claim 1 , wherein the pin-inserter further comprises a locking element for blocking a lateral movement of the augmentation pin when the augmentation pin is placed in the lateral opening and is aligned with the axial through-bore of the pin-inserter.

5. The system of claim 1 , wherein the lateral opening of the pin-inserter is a through-opening and wherein the housing of the pin-inserter further comprises a projection projecting into the lateral opening, so that the augmentation pin is automatically aligned with the axial through-bore, when the augmentation pin is placed in the lateral opening and abuts the projection.

6. The system of claim 1 , wherein the pin-magazine further comprises a recess at the pin-retainer, so that, when the pin-magazine is placed in the lateral opening of the housing of the pin-inserter, a projection at the housing of the pin-inserter protrudes into the recess of the pin-magazine, and, when the augmentation pin is located in the pin-retainer, a portion of the augmentation pin is laterally exposed for an abutment at the projection.

7. The system of claim 1 , wherein the pin-magazine further comprises a notch adapted for an engagement with a locking element of the pin-inserter.

8. The system of claim 1 , wherein the augmentation screw further comprises a portion with an outer thread, wherein the first lateral bore and the second lateral bore are located in the portion with the outer thread.