1362 results about "Reamer" patented technology

A technique for the arthroscopic delivery and fixation of an articular cartilage repair device or implant is provided. The technique includes the use of a cannula tube that functions as both a cartilage cutter and a guide to pass instruments into the body arthroscopically. One such instrument is an end-cutting reamer that both prepares the subchondral bone by re-surfacing it down to a specified depth and also simultaneously drills a pilot hole in the subchondral bone to accept the cartilage repair device. A delivery device is utilized to hold and deliver the cartilage repair device to the delivery site.

A tool set for preparing a joint, inserting an implant or removing an implant from a joint in an open or less invasive procedure generally comprises a set of nested tools, pin guides, jigs, and/or immobilization elements. The nested tool set comprises at least one pin and at least one cannulated tool. In some embodiments, the cannula can comprise tangs that project from the distal end of the cannula. The tangs can be offset such that drilling would remove different amounts of bone relative to drilling through a centered drill guide. The cannulated tool kit generally can comprise at least one tool guide/cannula, drill bits/reamer, syringe, and/or inserter. With the pin positioned into the joint, at least one cannula is positioned over and around the pin. The channel of the cannula guides the other tools into the joint. A plurality of cannulae in a nested arrangement can be used to afford selectively sized channels for tools and/or implants based on selected cannulae configuration. Jigs can be used to facilitate the procedure. Multiple implants can be placed to immobilize the joint.

An expandable reamer includes, in one exemplary embodiment thereof, a cannulated shaft and a plurality of straight cutting blades having deformable points. The blades are hingably outwardly rotatable at the deformation points between a contracted position and an expanded position. In the contracted position, the blades are substantially parallel to the longitudinal axis of the cannulated shaft and, in the expanded position, the blades have at least a portion oriented radially outward from the longitudinal axis, thereby forming a larger diameter cutting surface in the expanded position and in the contracted position. The blades are formed from a portion of the cannulated shaft by, e.g. milling longitudinally extending slots through the wall of the cannulated shaft, the slots serving as flutes dividing the cutting edge and trailing edge of each adjacent blade. Each blade may also include more than one segment arranged along its length, the segments coupled by deformation points. The expandable reamer may be used for cutting a cavity in a bone or other structure that is larger than the diameter of the entry point into the bone and greater than the diameter of the contracted reamer.

A system for preparing a trochlear region of a resected femur is disclosed. The system includes a reamer guide and a reamer. The reamer guide has a first arcuate portion, a second arcuate portion, a wall, a protrusion connected to the wall, a leg connected to one of the first or second arcuate portion, and a distal tip portion connected to the leg. The reamer is adapted to rotatably connect to the distal tip portion, and the reamer has a first end portion, a second end portion, and one or more flutes.

An expandable reamer apparatus and methods for reaming a borehole, wherein a laterally movable blade carried by a tubular body may be selectively positioned at an inward position and an expanded position. The laterally movable blade, held inwardly by blade-biasing elements, may be forced outwardly by drilling fluid selectively allowed to communicate therewith by way of an actuation sleeve disposed within the tubular body. Alternatively, a separation element may transmit force or pressure from the drilling fluid to the movable blade. Further, a chamber in communication with the movable blade may be pressurized by way of a downhole turbine or pump. A ridged seal wiper, compensator, movable bearing pad, fixed bearing pad preceding the movable blade, or an adjustable spacer element to alter expanded blade position may be included within the expandable reamer. In addition, a drilling fluid pressure response indicating an operational characteristic of the expandable reamer may be generated.

An instrument system for preparing a disc space between adjacent vertebral bodies to receive a repair device includes a series of distractors for distracting the vertebral bodies in a manner that restores natural lordosis of the lumbar and cervical spine, a vertebrae immobilizing template to fix the positions of the bodies, a handle for employing the distractor and the template, and a reamer for cutting tissue from endplates of the vertebral bodies.

This invention relates to methods and instruments for performing disc space preparation and implant insertion from a unilateral approach to the spine through a posterior lateral opening to the disc space. The instruments include spreaders, distractors, reamers, scrapers, cutters, chisels, pushers and implant inserters. A surgical procedure is provided that allows bilateral support of the adjacent vertebrae with at least one interbody fusion device inserted into the disc space via a unilateral approach. Implants for insertion into the disc space are also provided.

A total ankle replacement system, novel surgical method for total ankle replacement, and novel surgical tools for performing the surgical method are described. The total ankle replacement system includes the calcaneus in fixation of a lower prosthesis body, thereby significantly increasing the amount of bone available for fixation of the lower prosthesis body and allowing the lower prosthesis body to be anchored with screws. The total ankle replacement system further includes a long tibial stem which can also be anchored into the tibia with, for example, screws, nails, anchors, or some other means of attachment. The novel surgical arthroscopic method allows introduction of ankle prostheses into the ankle joint through an exposure in the tibial tubercle. Various novel surgical instruments, such as a telescoping articulating reamer and a talo-calcaneal jig, which facilitate the novel surgical method, are also described.

An expandable reamer apparatus for drilling a subterranean formation includes a tubular body, one or more blades, each blade positionally coupled to a sloped track of the tubular body, a push sleeve and a drilling fluid flow path extending through an inner bore of the tubular body for conducting drilling fluid therethrough. Each of the one or more blades includes at least one cutting element configured to remove material from a subterranean formation during reaming. The push sleeve is disposed in the inner bore of the tubular body and coupled to each of the one or more blades so as effect axial movement thereof along the track to an extended position responsive to exposure to a force or pressure of drilling fluid in the flow path of the inner bore. Other embodiments of the expandable reamer apparatus are provided.

An expandable reamer apparatus for drilling a subterranean formation may include a tubular body, one or more blades, each blade positionally coupled to a sloped track of the tubular body, a push sleeve and a drilling fluid flow path extending through an inner bore of the tubular body for conducting drilling fluid therethrough. Each of the one or more blades may be configured to ream a subterranean formation. The push sleeve may be disposed in the inner bore of the tubular body and coupled to each of the one or more blades so as effect axial movement thereof along the track to an extended position responsive to exposure to a force or pressure of drilling fluid in the flow path of the inner bore. Each blade may include one or more roller elements for reaming a wellbore.

A medical instrument and procedure is adapted to mill bone along a curve and with respect to at least two angles of orientation with respect to an input source of rotary motion. Particularly, the medical instrument is a bone milling apparatus that is configured to mill bone along a predetermined curved path or curve. The bone milling apparatus includes a reamer that is rotatable about a curved shaft which is retained by a frame. The shaft has a predetermined curve that corresponds to a desired milling curve. The reamer is comprised of a plurality of interconnected segments, with each segment having cutting surfaces such that each segment is a cutter. The reamer is thus flexible with respect to the interconnection between the individual segments.

In a first embodiment, the present invention includes an instrumentation system for preparing a bone for soft tissue repair, the instrumentation system including a flexible drill pin capable of bending along a curved path; an aimer capable of engaging the flexible pin to bend the flexible pin; and a flexible reamer having a flexible portion along at least a portion of its length, the flexible portion comprising a plurality of laser cuts. In an alternate embodiment, the present invention may also include a method for preparing a bone tunnel in a femur adjacent a knee joint, the method including introducing a flexible drill pin into the knee joint; guiding the flexible drill pin towards a surface of the femur with an instrument introduced into the knee joint; drilling the flexible drill pin into the femur; removing the instrument from the knee joint; introducing a cannulated flexible reamer into the knee joint by placing the flexible pin within the cannulation of the flexible reamer; and reaming the bone tunnel in the femur along the path of the flexible pin.

A borehole may be drilled utilizing the bottom hole assembly 10, 50 with a downhole motor 14, 110, which may offset at a selected bend angle. A bend for directional drilling may be provided by a PDM, or by a RSD. A gauge section 36 secured to the pilot bit 18 has a uniform diameter bearing surface along an axial length of at least 60% of the pilot bit diameter. The bit or reamer 16 has a bit face defining the cutting diameter of the drilled hole. The axial spacing between the bend and the bit face is controlled to less than fifteen times the bit diameter. The downhole motor, pilot bit and bit may be retrieved from the well while leaving the casing string in the well.

A steerable bottom hole assembly may be used for drilling both a curved section and straight section of the borehole, with the bottom hole assembly including a reamer beneath the downhole motor 12. The bottom hole assembly includes a bit 30 having a bit face defining a bit diameter, and a gauge section 32 having a substantially uniform diameter cylindrical surface approximating the bit diameter and having an axially length of at least 75% of the bit diameter. The motor is preferably run slick without stabilizers for engaging the wall of the borehole.

An expandable downhole tool comprises a tubular body, at least one moveable arm disposed within the tubular body and being radially translatable between a retracted position and a wellbore engaging position, and at least one piston operable to mechanically support the at least one moveable arm in the wellbore engaging position when an opposing force is exerted. A method of reaming a formation to form an enlarged borehole in a wellbore comprising disposing an expandable reamer in a retracted position in the wellbore, expanding at least one movable arm of the expandable reamer radially outwardly into engagement with the formation, reaming the formation with the at least one moveable arm to form the enlarged borehole; and mechanically supporting the at least one moveable arm in the radially outward direction during reaming.

Spinal reamer apparatus including a reference base with mounting provisions for mounting in a region of posterior lumbar spinal structure, a non-straight track fixed to the reference base, and at least one reaming cutter element arranged to move along the track.

An expanding reamer for reaming or cutting a concave surface, for example, for reaming an acetabulum in preparation for implanting a prosthetic component during a hip arthroplasty. A rotating shaft cooperates with a surgical drill or other power source at one end and rotates a reamer head at the other end, and an actuation system expands one or more blades on the reamer head. The reamer head comprises one or more cutting blades, which act as segments of a cutting sphere, wherein the blades are expandable in directions non-parallel to the plane of the respective blades in order to enlarge the cutting sphere. Upon rotation of the reamer head, the blade(s) form a portion of an effective cutting sphere that is preferably greater-than-180-degrees; this allows greater flexibility in placement of the shaft of the reamer relative to the surface being reamed, for example, relative to the center of axis of the acetabulum. In one embodiment, two parallel blades move out away from each other and away from the rotational axis of the device, staying parallel to each other to become, in effect, more distanced, but still parallel, segments of a larger cutting sphere. In another embodiment, two blades start generally parallel to each other and to the rotational axis of the device, but pivot out from each other in directions generally perpendicular to their respective blade planes, again becoming more distanced, but not parallel, segments of a larger cutting sphere.

A bone reamer has an ablation device for forming cavities in body tissue, the ablation device is movable with respect to a head of the reamer, and is capable of protruding at least partially beyond a surface of the head. The amount of protrusion the ablation device protrudes beyond the surface of the head has a variable geometry and the geometry is remotely modifiable. More particularly, the amount the ablation device extends beyond the outer surface of a reamer head body can be varied by an actuator located on the reamer outside the body.

Disclosed are a drilling rig for drilling with a following pipe pile and a construction method for the following pipe pile. The drilling rig is provided with a chassis, a platform, a cab, a power system, a hydraulic system, a control system, upright columns, supporting rods, a vertical winch, a power head, a soil discharge box, a spiral drill stem assembly, a reamer bit, a vibration exciter, an adjusting cylinder, a manned hanging basket, a hanging basket winch, a pressurizing winch, an auxiliary winch and a pile controller, wherein the platform, the cab, the power system, the hydraulic system and the control system are located on the chassis, the upright columns and the supporting rods are mounted on the platform, and the auxiliary winch is used for hoisting heavy objects. The construction method for the following pipe pile comprises following steps: leveling the pile controller after the pile controller is aligned with a pile location and adjusting verticality of upright columns of the drilling rig; mounting a prefabricated pipe pile and a drill and leading the reamer bit to penetrate out of the lower end surface of the prefabricated pipe pile; forwards rotating the power head, leading a reamer wing of the reamer bit to be opened to begin to realize reamer drilling and leading the prefabricated pipe pile to be jacked in afterwards; backwards rotating the power head after a preset depth is achieved, withdrawing the reamer wing of the reamer bit to be closed, lifting out the reamer wing of the reamer bit from the inside of the prefabricated pipe pile and starting the vibration exciter to impact the prefabricated pipe pile; and realizing grouting piling for the sides and the bottom of the pile.

A reamer (50) for a citrus juicer (10) is formed from a plurality of ribs (53) including an upper profile and a lower profile. The ribs may be knife like to maximize juice extraction. Fruit may be brought into contact with the reamer by an actuating arm (70). The actuating arm preferably includes a four part linkage with a major pivot arm (80) and a minor pivot arm (85). In a motorized version, a housing (20) supports the reamer (50) and contains a motor and gear box (29). A juice collector (40) lies intermittent the housing (20) and the reamer (50), to collect the juice and optionally includes a filter (45) to remove pulp.

An adjustable reamer spindle is provided to aid the surgeon in controlling the instrument. The reamer spindle is easily disassembled for cleaning. The spindle has a repositionable handle, a locking ring, and an elastic device. The elastic device biases against a handle locking mechanism that locks the repositionable handle at angular positions about an axis of the spindle. The elastic device further biases a locking ring into a locked position. The locking ring aids in holding the reamer spindle together. Removal of the locking ring against an elastic bias of the elastic means unfastens an end of the assembly in order to facilitate disassembly and/or cleaning. Adjustment of the position of the handle about the spindle enables the palm/grip of each hand to be changed in order to provide maximum control in different orientations. The adjustment is desirable in order to accommodate operating on the left or right side of the patient, standing behind or in-front of the patient, or the use of a different surgical approach. Further, adjustment is important to accommodate the differing needs of surgeons who are naturally left or right handed.

A reamer shoe (1) for mounting on a tubing string has a reaming area (5) supporting a plurality of discrete reaming members (6) typically formed as simple geometrical shapes. The reaming members provide complete circumferential coverage of the shoe body (2) but the individual reaming members are non-continuous and do not fully extend either longitudinally along or circumferentially around the reaming area on the shoe body. The invention therefore provides a reamer shoe for reaming a bore in preparation for receiving casing, which is effective on rotation or reciprocation, regardless of direction or speed.

A method for fusing a spinal sacroiliac joint and a surgical kit. The kit includes a bone-void filler, stabilization device or implant, a guide pin, a joint locator, a set of dilation tubes, a reamer, a novel directional cannula, a novel tapping cap, a novel drill guide, a drill bit, and a novel implant positioner. The method includes the steps of locating the sacroiliac joint, retracting the soft tissue exposing the graft site, removing any bone obstructions and preparing a relatively smooth graft site horizontal to the immediate sacroiliac joint, creating a cavity in the ilium and sacrum to a predetermined depth that spans the sacroiliac joint, inserting a novel stabilization implant into the cavity, and seating the implant within the cavity at a predetermined depth.

A disposable acetabular reamer designed to improve tissue removal efficiency is described. The reamer device comprises a reamer cutting shell and a reamer driver interface. The reamer cutting shell has a hemispherical structure with a plurality of spaced apart rib portions that extend from a central region located about an apex of the shell. A tissue cutting surface further extends along a longitudinal leading edge, trailing edge or both leading and trailing rib portions. The tissue cutting surface further comprises a series of alternating cutting teeth and notches which are bent at a rake angle.

A method for constructing pipe piles while drilling for building or bridge foundations. The construction steps are to cover high-strength prestressed concrete pipes or steel pipes with drill pipes on the ground first, and install impactors and reaming retractable drill bits at the front ends of the drill pipes. , Follow the pipe while drilling, follow the pipe retaining wall, drill to the design elevation, stop drilling, withdraw from the reaming to shrink the drill bit, use the mud pump to clean the mud and sediment, pour concrete into the pipe, and simultaneously inject pressure grout to the outside of the pipe wall , stop when concrete and grout reach the ground; the object of the invention is to propose a construction method with fast construction speed, reliable quality, less material consumption, high bearing capacity of piles, mechanized operation, and environmental protection. In the construction method of bored cast-in-place piles, the use of mud retaining walls pollutes the environment, the hole is easy to collapse during the drilling process, the quality of concrete pouring is unstable, and the prestressed pipe piles are easy to cause the soil to rise. The strength of the pile body constructed by the invention is high. , There is no sediment at the bottom of the pile, and the pile end is completely rock-socketed, which can reach more than 2 times the bearing capacity of the same diameter bored pile.

An instrumentation kit for use in preparing a shoulder to receive a glenoid component in one embodiment includes at least one combination device, the combination device including a boring section configured to form a first bore in a glenoid, a drive section operably connected to the boring section, a reaming section positioned proximally from the boring section and operably connected to the drive section, the reaming section configured to ream a portion of the glenoid, and at least one drill guide configured to guide a drill bit and positioned so as to guide the drill bit to form a second bore at a location spaced apart from the first bore, wherein the reaming section and the boring section are positioned with respect to each other such that the boring section forms the first bore and the reaming section simultaneously reams a portion of the glenoid adjacent to the first bore.

A helical reamer for reaming a bone cavity has a longitudinally extending support shaft having a first driven end and a second end having a tip for insertion into the bone cavity. The research for a multiplicity of stamped flat reamer plates each having a plurality of cutting flutes formed on an external surface thereof and a central internal opening to receive the support shaft. The internal opening includes a coupling element in the form of a key and keyway rotationally coupling each reamer plate to the support shaft. The key and keyway allowing each reamer plate to be slightly rotated with respect to the flutes of an adjacent reamer plate. The coupling elements for rotationally coupling the plates to the drive shaft can be mating flattened areas on the internal surface of the stamping and the external surface of the drive shaft. A broach of stamped plates is also shown.

An expandable reaming tool including at least two reamer pads connected to a tool body. The reamer pads are adapted to be displaced between a retracted position and an expanded position. At least one spiral blade is formed on at least one reamer pad. A plurality of cutting elements are disposed on the at least one spiral blade.

An expandable reaming tool including at least two reamer pads connected to a tool body. The reamer pads are adapted to be displaced between a retracted position and an expanded position. At least one blade is formed on the at least two reamer pads. A plurality of cutting elements are disposed on the at least one blade and at least one gage protection element is disposed on a gage surface of the at least one blade. The plurality of cutting elements are arranged so as to enable the expandable reaming tool to backream a formation in a wellbore.

A shoe for guiding a string within a well-bore comprises an annular body of relatively hard material and a nose portion of relatively soft material which are interlocked so that when the nose portion is drilled through, any remaining parts are held against the annular body. Interlocking is achieved by a dovetail thread. Embodiments are described for the shoe as a reamer shoe and as a drill bit to run in casing.

A reamer for reaming a proximal portion of a cavity for use in implanting a joint prosthesis is provided. The reamer is used for cooperation with a proximal portion of an orthopaedic implant component. The reamer includes a body defining a cavity formed therein for receiving at least a portion of the orthopaedic implant component. The reamer also includes a plurality of cutting edges extending outwardly from the body. The edges are adapted for cooperation with bone. The reamer also includes a stem extending from an end of the body.