Anti-skive bone drill
An anti-skive bone drill assembly is provided, and may be used for spinal surgical procedures. The anti-skive assembly can include a sheath, a drill bit disposed within the sheath, and a mechanism for maneuvering the drill bit within the sheath. The anti-skive assembly, and particularly the sheath, may be mounted in a surgical robot. The anti-skive assembly may be used to side cut a bone to create a flattened surface in an otherwise non-perpendicular bone surface.
1. A bone drill assembly comprising: a sheath having a proximal end and a distal end comprising a distal tip, and defining an interior channel elongated along a longitudinal sheath axis, wherein a first side of the sheath is disposed laterally of the sheath axis in a first direction and a second side of the sheath is disposed laterally of the sheath axis in a second direction, the sheath configured to receive a drill bit having a cutting burr; and a manipulation mechanism configured to be operably coupled with the drill bit received by the sheath and configured to manipulate the drill bit within the sheath to move the cutting burr relative to the first and second sides of the sheath, the manipulation mechanism providing lateral displacement of a distal end of the drill bit with respect to the longitudinal sheath axis, wherein the distal tip of the sheath comprises an end shape that is non-perpendicular to the sheath axis, wherein the manipulation mechanism comprises a ball and socket joint including a ball configured to be connected with the drill bit received by the sheath and a socket connected with the sheath and which at least partially surrounds and receives the ball, the ball having multiple degrees of motion within the socket, and wherein position of the ball relative to the cutting burr is calibrated with a distance between the socket and the distal tip of the sheath, such that when the ball is in register with the socket, the cutting burr is located at the distal tip of the sheath.
2. The bone drill assembly of claim 1 further comprising:
the drill bit configured to be inserted within the sheath, the drill bit comprising a proximal end configured for coupling with a motorized drive unit, a distal end, a drill shaft defining an axis of rotation for the drill bit, and the cutting burr at the distal end of the drill bit.
3. The bone drill assembly of claim 2 , wherein the manipulation mechanism is configured to manipulate the drill bit within the sheath to move the cutting burr between:
a first position in which a geometric center of the cutting burr is disposed between the sheath axis and the first side of the sheath; and
a second position in which the geometric center of the cutting burr is disposed between the sheath axis and the second side of the sheath.
4. The bone drill assembly of claim 2 , wherein the manipulation mechanism is configured to manipulate the drill bit within the sheath to move the cutting burr between:
a first position in which substantially the entire cutting burr is disposed between the sheath axis and the first side of the sheath; and
a second position in which substantially the entire cutting burr is disposed between the sheath axis and the second side of the sheath.
5. The bone drill assembly of claim 2 , wherein an inner diameter of the sheath is greater than a width of the cutting burr.
6. The bone drill assembly of claim 2 , wherein the manipulation mechanism is coupled to the drill bit at a location proximal to the distal end of the drill bit, and is configured to suspend the distal end of the drill bit within the interior channel of the sheath.
7. The bone drill assembly of claim 1 , wherein a portion of the end shape on the first side of the sheath is distal of a portion of the end shape on the second side of the sheath in a direction along the sheath axis.
8. The bone drill assembly of claim 1 , wherein the end shape is angled.
9. The bone drill assembly of claim 1 , wherein the end shape comprises a tip distal edge on the first side of the sheath and a tip proximal edge on the second side of the sheath, the tip distal edge being disposed distally of the tip proximal edge in a direction along the sheath axis.
10. The bone drill assembly of claim 1 , wherein the socket is formed by an open proximal end of the sheath, with the ball having a diameter larger than an inner diameter of the sheath.
11. The bone drill assembly of claim 1 , wherein the manipulation mechanism is configured to move the distal end of the drill bit in at least one of:
a straight-line path within the sheath to translate the cutting burr from the first side of the sheath to the second side of the sheath; and
a conical path within the sheath to orbit the cutting burr from the first side of the sheath to the second side of the sheath.