Gage for limiting distal travel of drill pin
Devices, systems, and methods are provided for ligament repair procedures, and can be used to establish a location and trajectory for forming a bone tunnel in bone. One exemplary embodiment of a surgical guide for using in a ligament repair procedure includes a guide arm and a carriage that can be selectively locked along the guide arm to define an angle of the bone tunnel. The guide arm also defines a location of a distal end of the bone tunnel. In some embodiments the carriage is configured to have a bullet side-loaded into it, and the bullet can be used to define a location of a proximal end of the bone tunnel. The present disclosure also provides for a gage that limits the distance a drill pin that drills the bone tunnel can travel. A variety of other, devices, systems, and methods are also provided.
1. A method for drilling a bore in bone, comprising:
setting a drill pin depth limit on a drill pin depth gage based on a bone stock measurement determined prior to drilling an initial bore in bone; and
attaching a drill pin to a chuck of a drill based on the set drill pin depth limit such that, in use, a distal tip of the drill pin is prevented from extending distally beyond the drill pin depth limit when a distal portion of the drill engages a proximal terminal end of a bullet in which the drill pin is disposed.
2. The method of claim 1 , further comprising:
determining the bone stock measurement,
wherein setting the drill pin depth limit is based on the determined bone stock measurement.
3. The method of claim 2 , wherein determining the bone stock measurement further comprises:
placing a distal tip of an arm of a ligament drill guide on a bone to be drilled at a location at which a second end of a bore is to be formed in the bone;
placing a distal tip of a bullet coupled to the ligament drill guide on the bone to be drilled at a location at which a first end of the bore is to be formed in the bone; and
reading indicia formed on the bullet, the indicia being indicative of the bone stock measurement.
4. The method of claim 1 , wherein the drill pin depth gage further comprises an elongate shaft and a depth indicator, and setting the drill pin depth limit on the drill pin depth gage further comprises locking a location of the depth indicator with respect to the elongate shaft to set the drill pin depth limit.
5. The method of claim 4 , wherein attaching a drill pin to a chuck of a drill based on the set drill pin depth limit further comprises:
contacting a proximal face of the depth indicator with a distal tip of the drill pin; and
engaging a proximal portion of the drill pin with the chuck such that a distal portion of the drill engages a proximal terminal end of the elongate shaft of the drill pin depth gage.
6. The method of claim 4 , wherein setting the drill pin depth limit on a drill pin depth gage further comprises:
sliding the depth indicator along the elongate shaft; and
selectively deploying a protrusion of the depth indicator to engage a groove of a plurality of grooves formed in the elongate shaft to lock the location of the depth indicator with respect to the elongate shaft to set a desired drill pin depth limit.
7. The method of claim 1 , further comprising:
drilling the bore in bone until a distal portion of the drill engages a proximal terminal end of a bullet in which the drill pin is disposed,
wherein when the distal portion of the drill is engaged with the proximal terminal end of the bullet, the distal tip of the drill pin is disposed at a distal end of the bore drilled through the bone.
8. The method of claim 1 , further comprising removing the drill pin from the drill pin depth gage prior to drilling a bore in bone.
9. A method for attaching a surgical drill pin to a surgical drill used in conjunction with a ligament drill guide and a bullet, comprising:
determining a bone stock measurement prior to forming an initial bore in bone;
determining a length of a bullet used in conjunction with a ligament drill guide;
coupling a drill pin to a chuck of a surgical drill, wherein a length of the exposed portion of the drill pin distal of the chuck is equal to the bone stock measurement and the length of the bullet.
10. The method of claim 9 , wherein determining a bone stock measurement, further comprises:
placing a distal tip of an arm of a ligament drill guide on a bone to be drilled at a location at which a second end of a bore is to be formed in the bone;
placing a distal tip of the bullet coupled to the ligament drill guide on the bone to be drilled at a location at which a first end of the bore is to be formed in the bone; and
reading indicia formed on the bullet, the indicia being indicative of the bone stock measurement.
11. The method of claim 9 , further comprising:
disposing the drill pin in a drill pin depth gage, the drill pin depth gage being configured to be set such that a length of the drill pin disposed in the drill pin depth gage is equal to the length of the exposed portion of the drill pin distal of the chuck.
12. The method of claim 9 , further comprising:
disposing the drill pin in a drill pin depth gage, the drill pin depth gage having indicia formed thereon to indicate the bone stock measurement,
wherein when a distal portion of the drill engages a proximal terminal end of the drill pin depth gage, a distal tip of the drill pin is located at indicia indicative of the determined bone stock.
13. The method of claim 9 , further comprising:
disposing the drill pin in a drill pin depth gage, the drill pin depth gage having a movable depth indicator configured to be set at a plurality of desired locations along a length of the drill pin depth gage, a desired location of the plurality of desired locations being based on the determined bone stock measurement,
wherein coupling a drill pin to a chuck of a surgical drill further comprises:
engaging a distal tip of the drill pin with a proximal face of the depth indicator; and
engaging a distal portion of the drill with a proximal terminal end of the drill pin depth gage.
14. A method for drilling a bore in bone, comprising:
setting a drill pin depth limit on a drill pin depth gage; and
attaching a drill pin to a chuck of a drill based on the set drill pin depth limit such that, in use, a distal tip of the drill pin is prevented from extending distally beyond the drill pin depth limit when a distal portion of the drill engages a proximal terminal end of a bullet in which the drill pin is disposed,
wherein the proximal terminal end of the bullet remains substantially stationary with respect to the bone in a direction substantially parallel to or in line with a longitudinal axis of the bullet when the bore in bone is being drilled.
15. The method of claim 14 , further comprising:
determining a bone stock measurement,
wherein setting the drill pin depth limit is based on the determined bone stock measurement.
16. The method of claim 15 , wherein determining the bone stock measurement further comprises:
placing a distal tip of an arm of a ligament drill guide on a bone to be drilled at a location at which a second end of a bore is to be formed in the bone;
placing a distal tip of the bullet coupled to the ligament drill guide on the bone to be drilled at a location at which a first end of the bore is to be formed in the bone; and
reading indicia formed on the bullet, the indicia being indicative of the bone stock measurement.
17. The method of claim 14 , wherein the drill pin depth gage further comprises an elongate shaft and a depth indicator, and setting the drill pin depth limit on the drill pin depth gage further comprises locking a location of the depth indicator with respect to the elongate shaft to set the drill pin depth limit.
18. The method of claim 17 , wherein attaching a drill pin to a chuck of a drill based on the set drill pin depth limit further comprises:
contacting a proximal face of the depth indicator with a distal tip of the drill pin; and
engaging a proximal portion of the drill pin with the chuck such that a distal portion of the drill engages a proximal terminal end of the elongate shaft of the drill pin depth gage.
19. The method of claim 14 , further comprising:
drilling the bore in bone until a distal portion of the drill engages a proximal terminal end of the bullet in which the drill pin is disposed,
wherein when the distal portion of the drill is engaged with the proximal terminal end of the bullet, the distal tip of the drill pin is disposed at a distal end of the bore drilled through the bone.
20. A method for drilling a bore in bone, comprising:
setting a drill pin depth limit on a bullet;
setting a drill pin depth limit on a drill pin depth gage based on the drill pin depth limit of the bullet; and
attaching a drill pin to a chuck of a drill based on the set drill pin depth limit of the drill pin depth gauge such that, in use, a distal tip of the drill pin does not extend distally beyond the drill pin depth limit on the drill pin depth gauge when a distal portion of the drill engages a proximal terminal end of a bullet in which the drill pin is disposed,
wherein the drill pin depth limit on the bullet and the drill pin depth limit on the drill pin depth gage set prior to disposing the drill pin in the bullet.
21. The method of claim 20 , further comprising:
determining a bone stock measurement,
wherein setting the drill pin depth limit is based on the determined bone stock measurement.
22. The method of claim 21 , wherein determining the bone stock measurement further comprises:
placing a distal tip of an arm of a ligament drill guide on a bone to be drilled at a location at which a second end of a bore is to be formed in the bone;
placing a distal tip of the bullet coupled to the ligament drill guide on the bone to be drilled at a location at which a first end of the bore is to be formed in the bone; and
reading indicia formed on the bullet, the indicia being indicative of the bone stock measurement.
23. The method of claim 20 , wherein the drill pin depth gage further comprises an elongate shaft and a depth indicator, and setting the drill pin depth limit on the drill pin depth gage further comprises locking a location of the depth indicator with respect to the elongate shaft to set the drill pin depth limit.
24. The method of claim 23 , wherein attaching a drill pin to a chuck of a drill based on the set drill pin depth limit further comprises:
contacting a proximal face of the depth indicator with a distal tip of the drill pin; and
engaging a proximal portion of the drill pin with the chuck such that a distal portion of the drill engages a proximal terminal end of the elongate shaft of the drill pin depth gage.
25. The method of claim 20 , further comprising:
drilling the bore in bone until a distal portion of the drill engages a proximal terminal end of a bullet in which the drill pin is disposed,
wherein when the distal portion of the drill is engaged with the proximal terminal end of the bullet, the distal tip of the drill pin is disposed at a distal end of the bore drilled through the bone.