Surgical adhesives mixing and dispensing implement

An apparatus for mixing and dispensing a surgical adhesive having at least two components has a barrel with a central longitudinal axis extending from a first to a second end thereof. The second end includes a nozzle with a discharge port. A rotatable screw conveyor shaft extends through the barrel position along the longitudinal axis. A dispensing element is mounted within the barrel and has a threaded bore for operative engagement with the screw shaft. The dispensing element has a keyway and may freely rotate at the first end of the barrel. A snap element is included to move the dispensing element into engagement with a key on the inner surface of the barrel which prevents the rotation of the dispensing element and causes the dispensing element to move from the first end of the barrel to the second end dispensing the adhesive.

BACKGROUND OF THE INVENTION 
1. Field of the Invention 
The present invention relates to the preparation, mixing and application of 
multi-component surgical adhesives. More particularly, the present 
invention relates to an implement for mixing and applying adhesives or 
bone cements used in orthopedic surgery to seat and secure metal or 
plastic prostheses into living bone. Typically, such bone cement is 
prepared just prior to use as a mixture of a liquid monomer such as 
methylmethacrylate and a powdered copolymer. The mixture is then injected 
as a viscous fluid into the surgical sight and is then polymerized insitu 
and in vivo to provide a solid implantation. 
2. Description of the Prior Art 
Various implements have been designed and utilized to mix and dispense 
surgical adhesives, such as bone cements, during surgery. For example, 
U.S. Pat. No. 4,277,184 which issued to Solomon on July 7, 1981, relates 
to a disposable orthopaedic implement in which two adhesive components are 
mixed in a closed system, under vacuum, with the aid of a mixing element. 
The mixing element can be extended during mixing and retracted during the 
dispensing operation. 
U.S. Pat. No. 4,671,263, which issued on June 9, 1987 to Klaus Draenert, 
discloses a device for mixing and applying a polymethylmethacrylate bone 
cement under a constant pressure. 
Various other United States patents disclose devices for storing and 
dispensing multi-component compositions. Such devices are shown in U.S. 
Pat. Nos. 3,028,052, 3,153,531, 3,013,697, 3,140,078 and 3,164,303. For 
example, U.S. Pat. No. 3,013,697, which issued on Dec. 19, 1961 to W. 
Gill, discloses a mixing and dispensing device for mixing liquid and 
powdered products and thereupon immediately dispensing the same. This 
device contains first and second tubes, each adapted to contain one part 
of a two-component system. The device, however, does not disclose any 
means to mix the two components once they are combined. 
A disadvantage with all the devices disclosed above is that when mixing a 
multi-component adhesive which includes both liquid and powdered 
components, quick and adequate mixing is very difficult when done by hand. 
To alleviate this problem, electrically or pneumatically powdered mixers 
have been employed so that quick and thorough mixing of the multi-part 
components can be accomplished. This is especially important when, as is 
the case with polymethylmethacrylate bone cements, the adhesive must be 
used quickly prior to polymerization of the mixture. 
In an operating room setting it is undesirable to first mix the 
multi-component surgical adhesives and then transfer these components into 
a separate device for application. Not only is such a process time 
consuming, but it also increases the risk of contaminating the mixing area 
and application area with particles of adhesives. 
Consequently, there has been a long-felt need to provide a mixing and 
dispensing apparatus which can be electrically or pneumatically powered, 
which can quickly mix a multi-component adhesive, and which can quickly 
dispense the mixed adhesive without requiring disassembly and reassembly 
of parts and without requiring the surgeon to leave the immediate area of 
the operation. The mixing and dispensing apparatus of the present 
invention allows for the quick, powered mixing of a multi-component 
adhesive and the powered dispensing of the same with the surgeon having 
only to do minor manipulations of the device. 
SUMMARY OF THE INVENTION 
It is an object of the invention to provide an apparatus into which the 
components of a multi-component adhesive can be placed and quickly mixed 
and dispensed with a minimum of assembly and disassembly of the apparatus. 
It is yet another object of the invention to provide an apparatus for 
mixing and dispensing surgical adhesives which is easily adaptable to 
powered mixing and dispensing. 
It is still yet a further object of the invention to provide a mixing and 
dispensing apparatus in which the transition from a mixing mode to a 
dispensing mode can be accomplished with only minor manipulations of the 
apparatus by the user. 
These and related objects are achieved in the present invention by an 
apparatus for mixing and dispensing surgical adhesives having at least two 
components. The apparatus includes a first barrel portion of predetermined 
cross-section having a central longitudinal axis extending therethrough 
from a first to a second end thereof. The barrel includes a second barrel 
portion fixedly attached to the first end of the first barrel portion and 
coaxial therewith. 
A rotatable screw-shaped mixing element extends through the first and 
second barrel portions along the longitudinal axis. A rotatable drive 
element adapted to be driven by either an electric or pneumatic power 
device is operatively coupled to the mixing element adjacent the second 
barrel portion. A dispensing element is located in the second barrel 
portion and is engagable with and is rotatable with the drive element. The 
dispensing element has a cross-section substantially identical to the 
predetermined cross-section of the first barrel portion. 
The dispensing element has a threaded central opening therein for receiving 
and operatively engaging the screw-shaped mixing element. The dispensing 
element rotates along with the screw-shaped mixing element when disposed 
within the second portion of the barrel. The apparatus includes a snap 
element mounted adjacent to the end of the second barrel portion opposite 
the end attached to the first end of the first barrel portion and is 
operatively connected to the dispensing element. The snap element 
operatively engages the dispensing element to move it from a first 
position wherein the dispensing element is in the second barrel portion 
and is engaging said driver element to a second position wherein the 
dispensing element is moved from the second barrel portion into the first 
barrel portion. 
Complimentary keys and keyways are provided on the outer surface of the 
dispensing element and the inner surface of the first barrel portion. The 
interaction of the key, either on the dispensing element or the inside 
circumference of the first barrel portion, in a complimentary keyway, on 
either the respective dispensing element or the inner circumference of the 
first barrel portion, prevents the relative rotation of the dispensing 
element within the first barrel portion. Because the threaded central 
opening in the dispensing element includes threads corresponding to the 
threads on the screw shaft, rotation of the screw shaft causes the 
dispensing element to move axially along the screw shaft from the first 
end to a second end of the first barrel portion. This movement forces the 
mixed surgical adhesive out a discharge port in the second end of the 
first barrel portion. 
The apparatus further includes a removable cap for selectively opening and 
closing the discharge port at the second end of the first barrel portion. 
The second end of the first barrel portion may be in the form of a nozzle 
with the discharge port located at the converging end thereof. The nozzle 
area may be configured to help force the adhesive back from the second 
barrel end toward the first barrel end along the periphery of the barrel 
circumference during the mixing operation. The removable cap which 
sealingly engages the end of the nozzle is closed during the mixing 
operation and then opened or removed during the dispensing operation. A 
sealing element, such as an O-ring, may be used to further seal the 
interface between the rotatable drive element and the second barrel 
portion. 
These and other objects and advantages of the present invention will become 
apparent from the following description of the accompanying drawings, 
which disclose one embodiment of the invention. It is to be understood 
that the drawings are to be used for the purposes of illustration only, 
and not as a definition of the invention.

DESCRIPTION OF THE PREFERRED EMBODIMENT 
Referring to FIGS. 1-7, there is shown the mixing and dispensing apparatus 
of the present invention generally denoted as 10. Apparatus 10 includes a 
cylindrical barrel portion 12, a cylindrical dispensing element 14, a 
rotatable screw shaft 16 and a snap element 18. 
Barrel 12 has two portions 20 and 22. First barrel portion 20 extends for 
almost the entire length of barrel 12 with second barrel portion 22 
adjacent to a first end 23 of the barrel opposite a second or discharge 
end 24. Second barrel portion 22 has an axial length sufficient to 
accommodate the axial length of dispensing element 14. Discharge end 24 of 
barrel 12 is preferably in the shape of a nozzle 46 leading to a 
dispensing tube 48. Tube 48 may be selectively sealed or opened via the 
insertion or removal of a cap 50. (Nozzle 46 may be shaped to force the 
adhesive from dispensing end 24 back towards end 23 of barrel 12 during 
the mixing operation when cap 50 seals tube 48.) This insures complete 
mixing of the components of the adhesive. 
Both second barrel portion 22 and discharge end 24 are sized to allow 
dispensing element 14 to rotate freely therein. A key 26 extends along the 
inner circumference of first barrel portion 20 and may be located at any 
convenient circumferential position therearound. As described below, key 
26 is designed to prevent dispensing element 14 from freely rotating when 
in first barrel portion 20. 
Screw shaft 16 is axially aligned within barrel portions 20 and 22 for 
rotation therein. At the end of screw shaft 16, adjacent to first end 23 
of barrel 12, there is formed a rotatable drive element 27 which is 
operatively coupled to screw shaft 16 or formed integrally therewith and 
has at its end disposed adjacent barrel portion 22, a cylindrical plug 29 
for sealing end 23 of barrel 12. Rotatable drive element 27 also includes 
a coupling shaft 28, which preferably can be either square or in the form 
of a hex and is designed for coupling to a pneumatically or electrically 
powered drive device partially shown as 30. Drive element 27 also includes 
cap portion 32 which is integrally formed with and caps plug 29. The end 
of plug 29 opposite cap 32 includes pins 34 which loosely engage 
corresponding bores 35 in dispensing element 14. Pins and bores 34, 35 
keep dispensing element 34 rotating with shaft 16 and drive element 27 
when in barrel portion 22. 
In the preferred embodiment, screw shaft 16 is in the form of a screw 
conveyor capable of moving the multi-component adhesive from the first end 
23 of barrel 12 to dispensing end 24. The screw conveyor is designed to 
both transport the adhesive and to cause movement of dispensing element 14 
therealong. The diameter and the pitch of the threads 40 on screw shaft 16 
is adapted to be received within a threaded central bore 38 inside 
dispensing element 14 having an identical diameter and pitch. The diameter 
and pitch are chosen to efficiently mix the adhesive and move dispensing 
element 14 along screw shaft 16 in the dispensing mode. In order to 
facilitate mixing, the diameter of the screw can be sized at 75% of the 
diameter of barrel 12. For liquid/liquid systems, this relative dimension 
can be adjusted depending on relative viscosity of the components. This 
allows recirculation of the adhesive during mixing. 
Dispensing element 14 includes a complimentary keyway 36 for receiving key 
element 26 upon movement of dispensing element 14 from second barrel 
portion 22 into first barrel portion 20. Since dispensing element 14 has a 
threaded bore 38 corresponding to the threads or flights 40 on screw shaft 
16, dispensing element 14 may be threaded up and down screw shaft 16. 
Snap element 18 is designed to snap over and engage a flange portion 42 of 
barrel 12 at end 23 thereof. Flange portion 42 includes a shallow bore 44 
concentric with the longitudinal axis of barrel 12. Bore 44 is adapted to 
receive cap portion 32 of drive element 27. 
In the preferred embodiment, snap element 18 is in the form of a hollow cap 
comprised of a multiplicity of individual deflecting elements 52, each 
joined at the top to end piece 54. Each deflecting element 52 includes two 
inwardly extending ledges 56 and 58 respectively. All the ledges 56, 58 
are adapted to slide over the top surface 60 of flange portion 42 and 
engage the bottom surface 62 thereof. As can be seen in FIGS. 2 and 4, 
ledge 56 is engaging step portion 42 when apparatus 10 is in the mixing 
mode, with ledge 58 engaging step portion 42 when apparatus 10 is in the 
dispensing mode. 
An alignment system is provided so that key 36 may be aligned with keyway 
26 so that dispensing element 14 may be moved from second barrel portion 
22 to first barrel portion 20. This system may simply consist of an 
alignment guide or marking 64 on cap 32 of drive element 27. Guide 64 is 
aligned with keyway 36 on dispensing element 14 when bores 35 are placed 
onto pins 34. Obviously, the pins and bores 34, 35 are originally oriented 
so that this may occur. The outside of barrel 12 also has an alignment 
guide or marking 66 aligned with key 26 formed within barrel portion 20. 
Thus guides 64, 66 may be aligned so that dispensing element 14 may be 
moved from barrel portion 22 into barrel portion 20 with the mating of key 
26 and keyway 36. 
Referring again to FIGS. 1-7, the operation of the mixing and dispensing 
apparatus will now be described. Initially, the user takes empty barrel 
portion 12 and ensures that cap 50 seals the opening of nozzle tube 48. He 
then adds the components of the multi-component adhesive to be mixed into 
the barrel 12 and then inserts into end 23 of barrel 12 an assembly 
comprising screw shaft 16, drive element 27, dispensing element 14 mounted 
to drive element 27, with pins 34 engaging corresponding bores 35. Snap 
element 18 is then placed over step portion 42 of barrel portion 12, such 
that ledges 56 are engaging underside 62 of step portion 42 as shown in 
FIG. 2. At this point, dispensing element 14 is situated within second 
barrel portion 22 which permits the free rotation of dispensing element 
14. 
Driver 30 is then coupled to drive shaft 28 and screw shaft 16 is rotated. 
It has been found that rotational speeds of between 10-20 revolutions per 
minute produces adequate mixing of typical solid/liquid multi-component 
systems, whereas higher speeds may be suitable for liquid/liquid systems. 
After mixing for an adequate time, usually several minutes, the alignment 
guide 64 on cap 32 must be aligned with the alignment marker 66 on the 
outside of barrel 12 to ensure that keyway 36 on dispensing element 14 is 
aligned with key 26 on the inner circumference of barrel 12 along first 
portion 20 thereof. This operation, of course, must be done with drive 30 
stopped. 
Once the complimentary keyways are aligned, the user grasps snap element 18 
and moves it axially downwardly such that ledge element 58 snaps over step 
element 42 and engages bottom surface 62 thereof. Dispensing element 14 is 
then prevented from rotating by the interaction of key 26 and keyway 36. 
It is then able to be pulled off of pins 34 of drive element 27 upon the 
rotation of screw shaft 16. The drive 30 is again turned on and is rotated 
at a slow speed so that dispensing element 14 is moved axially in the 
downward direction as shown in FIGS. 5 and 7 until it disengages key 26 
and resides in discharge end 24 of barrel 12. 
Referring to FIG. 7, it can be seen that when dispensing element 14 is at 
its lower most point within end 24 of barrel 12, keyway 22 is again 
disengaged from key 20 so that the dispensing element is again free to 
rotate along with screw shaft 16 and therefore without producing any 
further downward force which could damage the device. This is accomplished 
by simply stopping the key 26 a sufficient distance prior to nozzle 
portion 46 to accommodate the axial length of dispensing element 14. 
It can also be seen that, if desired, the key portion may be placed on 
dispensing element 14 and the keyway may be formed within first barrel 
portion 20. Then in both discharge area 24 and in second barrel portion 22 
there must be an enlarged diameter to accommodate the free rotation of 
dispensing element 14 inside barrel 12 with a key extending outwardly 
therefrom. 
In addition, while loosely engaging pins 34 and bore 35 are used to ensure 
that dispensing element 14 rotates along with screw shaft 16 when located 
in the second barrel portion 22, the dispensing element may be held in a 
fixed position relative to drive element 27 in any other suitable manner. 
This can be accomplished in any manner so long as the dispensing element 
rotates freely as the screw shaft rotates. It should also be noted that 
the diameter and pitch of the screws or flights 40 of screw conveyor shaft 
16 may be designed to facilitate mixing of the specific components 
contemplated. These dimensions would be optimized depending on the various 
viscosities of adhesive mixtures. 
While one example of the present invention has been described, it is 
obvious that many changes and modifications may be made thereunto, without 
departing from the spirit and scope of the invention.