FLEXIBLE SHAFT

Abstract: An improved flexible shaft used in reaming of the medullary space in bones is described. The shaft (10) is comprised of a solid element with a longitudinal bore (20) the entire length, and an appropriately formed slot which extends spirally around the shaft either continuously or segmentally. Attached to the shaft's opposite ends respectively, are a cutting head an a means (84) of connecting the shaft to a driving mechanism.

Description: FLEXIBLE SHAFT Cross Reference to related applications This application is a continuation in part of copending provisional patent application, serial number 60/006,064 filed October 23, 1995 and copending provisional application serial number, 60/001,475 filed July 18, 1995, the subject matters of which are incorporated herein, by reference, as though recited in full. BACKGROUND OF THE INVENTION Field ofthe Invention This invention relates to flexible shafts and couplings; specifically to an improved flexible shaft for the transmission of rotary motion and power around, over or under obstacles. The invention specifically includes an improved flexible shaft for the purpose of reaming the medullary canal of bones. Brief Description of he Prior Art Flexible shafts and couplings are used to transmit rotary power between a power source and a driven part when a straight, unobstructed path is unavailable. A flexible shaft generally consists of rotating shaft with end fittings for attachment to mating parts, typically a power source and the driven part,, as depicted in Figure 3 of U.S. Patent 4,646,738, Suhner cata¬ log at page 6, and the S.S. White Technologies Inc. catalog, page 4, (1994). A protective outer casing may be used to protect the shaft when necessary. Flexible shafts are used in numerous applications anywhere the transmission of rotary power is necessary and a straight unobstructed path is unavailable, as depicted in the S.S. White Technologies Inc. catalog, page 5 and Suhner at page 6. Flexible shafts have been used in children's toys to aerospace applications. Examples ofthe usage of flexible shafts have been presented in the articles "New Twists for Flexible Shafts" (Machine Design, 9/7/89), in particular pages as illustrated on pages 145 and 146, and "Flexible Shafts Make Obstacles Disappear" (Power Transmission Design, July, 1993), in particular Figure 1. One example cited was a safety valve, located 30 ft. off the ground and not readily accessible, that had to be operated on a daily basis to remain operable, but was not exercised as regularly as required due to the difficulty in reaching it. With the installation ofa flexible shaft from the valve to floor level, personnel were able to operate the valve regularly and verify its proper function. Flexible shafts are used on aircraft to raise and lower wing flaps, slats, and leading and trailing edges. Stainless steel flexible shafts allow surgeons greater maneuverability with bone cutting and shaping tools. Flexible shafts are also used extensively to compensate for less than perfect alignment between a driver and a driven component. The limitation for the use of flexible shafts are limitless and is only limited by the torque capabilities ofthe shaft. The principle application ofa flexible shaft is to transmit rotary motion and power in a curvilinear manner. Flexible shafts are used when there is little or no accurate alignment between the power source and the driven part; when the path between the power source and the driven part is blocked or is in an environment or position which would not allow the power source; for the connection or driving of components which have relative motions; and to dampen and absorb vibration both from the drive unit and the driven tool. Heretofore, flexible shafts and couplings available for power transmission consisted of single or multiple wires wound over a central drive core or a hollow core, as illustrated in U.S. Patent 5,108,411, Figure 2, and as depicted in the Suhner pubhcation, pages 15 and 16. The number of wires per layer and the number of layers will vary according to the application and requirements for either umdirectional or bidirectional torque power transmission. Typically wire wound flexible shafts are designed and manufactured to be operated in only one direction of rotation; either clockwise or counter clockwise, when viewed from the driving end. They are designed to maximize the torque carrying capabilities for the direction of rotation for which they were designed. The performance ofa unidirec¬ tional shaft operated in the reverse direction is significantly less than the intended performance levels. A specific application of flexible shafts is with flexible medullary canal reamers. Medullary canal reamers are used to enlarge the medullary canal of bones in preparation for the insertion of prosthetic components, such as a total hip prosthesis, the insertion of fracture reduction and fixation devices, such as intramedullary nails, performing an intramedullary osteotomy, the insertion ofa plug to preclude bone cement from migrating while in its viscous state, stimulating bone growth, and for other purposes. Since the medullary canal is irregular in internal diameter and configuration from end to end it is preferred by the surgeon to enlarge the medullary canal to a more uniform diameter or to a diameter that will allow passage or insertion ofthe intended device. Because the shafts of long bones are bent or curved along their longitudinal axes, flexible shafts that can bend to follow this naturally curved path while transmitting the necessary torque required to cut the bone are necessary. Should a straight, rigid, or inflexible shaft be used in the reaming process to enlarge the canal, there is considerable likelihood that the reamer will not follow the natural curvature ofthe bone, will not remove the desired amount of bone and will not produce a uniform internal diameter. In addition, should a straight, rigid reamer be used, there is a high degree of likelihood that the reamer will jam, cause excessive bone removal or penetrate the outer integrity ofthe bone. For this reason, medullary canals are almost always prepared witii reamers having a flexible shaft. Flexible medullary reamers are of such design that utilizes a central bore intended to receive a long, small diameter guide rod or wire which is initially inserted into the medullary canal. The guide wire or rod establishes a track for the advancing reamer. However, the use ofa flexible reamer does not preclude the problem of jamming or reamer stoppage when the cutting head ofthe reamer gets caught by the bony structure and does not turn. A jammed cutting head may be extremely difficult, if not impossible to dislodge or remove without further violation ofthe involved bone or breakage ofthe reaming device. The preferred method to dislodge the reamer would be to reverse the reamer. However, the design ofthe most widely used devices prevent the reversal ofthe reamer without destruction ofthe flexible shaft. Heretofore, the flexible medullary shaft reamers available to the orthopedic surgeon are ofthree types: (i) a shaft with a plurality of parallel flexible elements or rods joined together at opposite ends by means ofa welded of soldered connection, (ii) a shaft comprised ofa spiral or helically wound metal wire(s) or strip(s), and (Hi) a shaft comprised ofa series of inter-engaged links, assembled over a guide rod. The first distinct type of flexible medullary reamer (i) embodies a plurahty of parallel, flexible elements joined together at opposite ends. A disadvantage of this shaft occurs during usage as the reamer rotates causing the elements to become twisted and thereby to become more rigid and reduce the shaft's flexibility. Another disadvantage of said reamer is the shaft's tendency, as it rotates but is not yet fiilly within the confines ofthe medullary canal, to tear tissue from underlying structures as the individual elements are torsionally loaded and unloaded, thereby enlarging and contracting the spaces between the individual wires to trap uninvolved tissue and tearing them free. Another disadvantage of said flexible reamer occurs during insertion ofthe reamer over the guide rod. The central bore is intended to receive the small diameter guide rod. Except at its respective ends, this reamer lacks a well defined and bordered central bore. Therefore it is difficult to prevent the guide rod from exiting the reamer in the area of the free standing elements during the insertion ofthe guide wire. A further disadvantage of this flexible shaft is the inefficient transfer of energy from the power source to the cutting head which is caused by the twisting and wrapping together ofthe individual elements as the reamer is rotated. Page 5 Another disadvantage of this type of reeamer is that it is extremely noisy during operation due to the multiple elements hitting one another during the rotation. The second distinct type of flexible medullary reamer (ii) consists of spiral or helically wound metal wires or strips. This is the most widely used flexible shaft for intramedullary reaming. The major disadvantage of this reamer design is that it can only be operated in the forward mode of operation. If the cutter becomes jammed and the surgeon reverses the reamer to dislodge the cutter or to facilitate removal, the shaft unwinds, thus rendering the reamer permanently deformed, unusable, and unrepairable. A fiirther disadvantage of this medullary reamer is that the torsional load to which it is subjected when in use results in poor power transfer and varying degrees of distortion of said shaft. If the power source providing the rotational energy to the reamer is great enough, said coils may tighten sufficiently to adversely affect the structural integrity ofthe shaft and cause the shaft to permanently deform into a helical shape. A further disadvantage of this type of reamer is the inability to clean the shaft and the cavities within the helically wound strips of surgical debris after the operation for the prevention of cross contamination between patients. If infectious blood or body fluids infiltrates the mechanism ofthe device, it is extremely difficult to remove and clean. The third distinct type of flexible shaft (iii) consists ofa series of inter-engaged links assembled over a guide wire. A distinct disadvantage of this design is during usage and interchanging the cutting head. The current usage of this design dictates that the links are held together by a longitudinal guide wire over which the linkages are assembled. In order to change the cutting head, a flexible tube must be inserted through the central bore ofthe linkages, and the assembled links must be taken off the centralizing guide wire. In the process linkages frequently become unassembled and require the surgeon to reassemble the linkages. U.S. Patent 5,488,761 to Leone, shows prior art spiral wound flexi- ble shafts using a single shaft and a pair of reverse wound shafts. The patent also discloses materials of construction for the shaft and a mecha¬ nism for cleaning the slot, after it is cutting. Alternate cutting technologies are also disclosed. The prior art is depicted in Matthews, U.S. Patent No. 4,706,659 which show two modifications of prior art devices, in Figures 1 and 2. The device of Matthews is loosely related to the present invention in that it is a mechanism for providing a flexible connecting shaft for an intramedullary reamer. While the proposed solution to the problem is different from that of the present invention, the patent discloses the importance ofa flexible connection and discloses reamer structures. The disclosure of Matthews 4,706,659 is incorporated by reference herein, as though recited in full. U.S. Patent No. 4,751,922 (DiPietropolo) also shows the importance of flexible medullary reamers and explains some ofthe prior art problems. The patent also discloses the use ofa hollow core 2, for receiving a guide pin. U.S. Patent No. 5,122,134 (Borzone et al) is incorporated by reference as though recited in full and is noted to disclose in Figure 5, the use ofa guide pin 55. Figure 1 of Zublin, 2,515,365 illustrates a flexible drill pipe for use in the drilling of well bores. Additional Zublin patents include U.S. Patent No. 2,515,366, 2,382,933, 2,336,338 and 2,344,277. The drill pipe is a helically slotted flexible drill pipe having a slot varying from 3/32 of an inch (0.0938") to 5/32 of an inch (0.1563") in width and having a pitch ofthe spiral of about nine inches for a four and one- half inch diameter drill pipe (helix angle of 32.48 deg). Zublin indicates that the described flexible resilient drill pipe has the capacity to bend into a curve of an eighteen foot diameter utilizing a repeating "dovetail" pattern of over six cycles per revolution, for use with four and one half inch diameter drill pipe. In the instant invention, it has been found that shafts of one inch or less require the use ofa helix angle of approximately one half that described by Zublin and that the number of repeating cycles ofthe interlocking pattern is less than the shown six cycles per revolution. For the smallest of flexible shafts describe, the use of about two pattern repetitions (cycles) per spiral revolution is more appropriate. Accordingly it is an object of this invention to provide a flexible shaft which will flex, bend or curve to follow the natural intramedullary canal of the bone while transmitting reaming torque. It is a fiirther object of this invention to provide a flexible shaft which may be operated both in the forward and reverse directions therefore with equal effectiveness. It is a further object of this invention to provide a flexible shaft which will have considerable rotational or torsional stiffness so that it will not store and then irregularly release rotational energy. It is a further object ofthe invention to provide a flexible shaft which will be ofa single one unit which does not have to be assembled from multiple units. It is another object of this invention to provide a flexible shaft which will flex, bend or curve while transmitting torque. It is a further object of this invention to provide a flexible shaft which may be operated both in the clockwise and counter clockwise directions therefore with equal effectiveness. It is a further object of this invention to provide a flexible shaft which will have considerable rotational or torsional stiffness so that it will not store and then irregularly release rotational energy. It is a fiirther object ofthe invention to provide a flexible shaft which will be ofa single unit which does not have to be assembled from multiple units. It is a further object ofthe invention to provide a flexible coupling which will flex, bend or curve while transmitting torque. These and other objects, features, advantages and aspects ofthe present invention will be better understood with reference to the following detailed description ofthe preferred embodiments when read in conjunction with the appended drawing figures. SUMMARY OF THE INVENTION The present invention overcomes the deficiencies and problems evident in the prior art as described herein above by combining the following features into an integral, longitudinally flexible and torsionally inflexible shaft. A flexible shaft is provided for the transmission of rotary power from a drive power unit to a driven unit. The driven unit can be a drill bit, a surgical reamer, a pump, or any similar device. The flexible shaft is an elongated tubular member of substantial wall thickness. The diameter of the shaft is preferably in the range from about 0.15 inch to about 4.00 inch. The ratio ofthe diameter ofthe inside diameter ofthe shaft to the outside diameter ofthe shaft is advantageously in the range from about 1:1.2 to about 1:3, and preferably is in the range from about 1:1.3 to about 1:4. The thinner the wall ofthe shaft, the more critical is the configuration ofthe slot. Advantageously, the slot is cut at an angle normal to the shaft using a computer controlled cutting technique such as laser cutting, water jet cut¬ ting, milling or other means. Additionally, this slot may be cut at an agle to to the normal so as to provide an undercut slot, preferabley the angle is in the range from about 30 to about 45 degress from the normal. A slot of substantial length and width extends in a generally helical path, either continuously or intermittently, around and along the tubular member. The slot follows a serpentine path along the helical path generally around and along the tubular member, corresponding generally to the form ofa signal wave on a carrier wave, that is, an amplitude modulated carrier wave. A plurality of slots, can be employed thereby increasing the flexibility ofthe shaft, relative to a shaft having a single slot of identical pattern. The seφentine path forms a plurahty of teeth and complimentary recesses on opposite sides ofthe slot. The slot has sufficient width to form an unbound joint permitting limited movement in any direction between the teeth and the recesses, thereby providing limited flexibility in all directions upon application of tensile, compressive, and/or torsion forces to said shaft. The flexible shaft can have different degrees of flexibility along the length of said shaft. The varied flexibility can be achieved by having the pitch ofthe helical slot vary along the length ofthe shaft. The varied flexibility corresponds to the variation in the pitch ofthe helical slot. The helical path can have a helix angle in the range of about 10 degrees to about 45 degrees, and the helix angle can be varied along the length ofthe shaft to produce correspondingly varied flexibility. Alternatively, the width ofthe hehcal slot can vary along the length ofthe shaft to provide the varied flexibility. Advantageously, the width ofthe slot is preferably in the range from about 0.005 inch to 0.075 inch. Preferably the width ofthe slot is in the range from about 0.01 to about 0.05 inch. The rigidity ofthe flexible shaft can be achieved through the design ofthe slot pattern, thereby enabling the use of thinner walls than would otherwise be require to produce equivalent rigidity. In a preferred embodiment, the ratio ofthe amplitude ofthe seφentine path to the pitch ofthe slot is in the range from greater than .1 to about .5. The slot can be filled with a resilient material, partially or entirely along the path ofthe slot. The resilient material can be an elastomer compound which can be of sufficient thickness to fill the slot and to encapsulate the entire shaft thus forming an elastomer enclosed member. The elastomer can be a resilient material such as a urethane or a silicone compound. In a preferred embodiment the driven unit is a medullary canal reamer, for use in reaming the medullary canal of bones. In this application, the foregoing slot patterns and shaft dimensions, are particularly critical. Preferably, the flexible shaft, is formed by laser cutting an elongated tubular member of substantial wall thickness, to form the slot around and along the tubular member. The seφentine path can form ofa generally si¬ nusoidal wave superimposed on a helical wave. Preferably, the sinusoidal wave forms dovetail-like teeth, which have a narrow base region and an anterior region which is wider than the base region. Thus, adjacent teeth interlock. The teeth can have a configuration as illustrated in U.S. Patent No. 4,328,839, the disclosure of which is incoφorated herein by reference, as though recited in detail. BRIEF DESCRIPTION OF THE DRAWINGS These and other objects, features, advantages and aspects ofthe present invention will be better understood with reference to the following detailed description ofthe preferred embodiments when read in conjunction with the appended drawing figures. Figure 1 is a schematic representation ofa flexible shaft ofthe present in¬ vention; Figure 2 is a schematic representation ofthe spiral slit of Figure 1, showing coated and uncoated regions; Figures 3 and 4 are schematic illustrations showing the angle ofthe slot; Figure 5 is a schematic representation ofa flexible cable with a resilient filler in a portion ofthe slot; Figure 6 shows schematic representations of additional spiral slit patterns; Figure 7 is a schematic side view showing spiral slits having various num¬ bers of cycles per revolution, that is, differents pitches; Figure 8 is a fragmentary side view ofthe embodiment of Figure 7, showing the gap formed by the slit; Figure 9 is a fragmentary side view ofthe embodiment of Figure 8, showing a section ofthe device ofthe present invention after being torqued in the clockwise direction; Figure 10 is a fragmentary side view ofthe embodiment of Figure 8, showing a section ofthe device ofthe present invention after being torqued in the counterclockwise direction; Figure 11 is a perspective view ofa flexible coupling using the spiral slit of the present inventio and showing a plurality of spirals slots; and Figure 12 is a schematic and cut away view ofthe shaft employed in ream- ering a medullary canal ofa femur. DEFINITIONS AND TERMS The term slot as used herein, is defined in the American Heritage Dictionary, 3rd Edition, Copyright 1994, as follows: The terms slit and slot are used interchangeably, consistent with their definitions, as follows: slot n. 1. A narrow opening; a groove or slit: a slot for coins in a vending machine; a mail slot. 2. A gap between a main and an auxiliary airfoil to provide space for airflow and facilitate the smooth passage of air over the wing. The term pitch as used herein, is defined in the American Heritage Dictionary, 3rd Edition, Copyright 1994, as follows: pitch - n. 1. The distance traveled by a machine screw in one revolution. 2. The distance between two corresponding points on adjacent screw threads or gear teeth. The term helix angle, angle in Figure 5, as used herein, shall define the angle formed between the plane peφendicular to the longitudinal axis of the shaft and the helical path ofthe spiral along the shaft. The term helix angle can also be defined mathematically as the arc tangent ofthe pitch of the helix divided by the circumference ofthe shaft. The terms used herein are intended to have their customary meanings as set forth in the American Heritage Dictionary, 3rd Edition, Copyright 1994. Cycle - 1. An interval of time during which a characteristic, often regularly repeated event or sequence of events occurs: Sunspots increase and decrease in intensity in an 11-year cycle. 2. a. A single complete execution ofa periodically repeated phenomenon: A year constitutes a cycle ofthe seasons. 2b. A periodically repeated sequence of events: cycle includes two halves ofthe sine-wave like undulation ofthe slot path. Spiral la. A curve on a plane that winds around a fixed center point at a continuously increasing or decreasing distance from the point. lb. A three-dimensional curve that turns around an axis at a constant or continuously varying distance while moving parallel to the axis; a helix. 1 c. Something having the form of such a curve: a spiral of black smoke. 2. Printing. A spiral binding. 3. Course or flight path of an object rotating on its longitudinal axis. 4. A continuously accelerating increase or decrease: the wage- price spiral. Spiral (adj.) 1. Of or resembling a spiral. 2. Circling around a center at a continuously increasing or decreasing distance. 3. Coiling around an axis in a constantly changing series of planes; helical. The term amplitude, as used herein the maximum absolute value of the periodically varying quantity ofthe slot 30. The spiral is more explicitly a helix-like, in that it is a three- dimensional curve that lies on a cylinder, so that its angle to a plane peφendicular to the axis is constant. However, along the length ofthe shaft, the helix angle may vary so as to impart changes in flexibility to the overall shaft. Using an electronics analogy, the helix can be viewed as a carrier wave with the slot following the path ofthe modulation ofthe carrier wave. The teeth or interlocking regions ofthe cycle, form a ratchet-like structure, in that one set of teeth engage the other set of sloping teeth, permitting motion in one direction only. The term frequency, the number of times a specified phenomenon occurs within a specified interval, as stated in the American Heritage Page Dictionary, 3rd Edition, Copyright 1994: Frequency. 1 a. Number of repetitions of a complete sequence of values of a periodic function per unit variation of an independent variable. 1 b. Number of complete cycles ofa periodic process occurring per unit time. lc. Number of repetitions per unit time ofa complete waveform, as of an electric current. The number of times the cycles form a repetitive pattern in one unit of length is the frequency ofthe slot pattern. The number of cycles "C" ofthe slot undulations superimposed upon the hehcal path which are present in one revolution around the shaft, is referred to as the cycles per revolution. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The shaft ofthe device ofthe present invention, indicated generally as 10 as illustrated in Figure 1 includes an end 14 provided for attachment to a drive means such as an electric or gas driven motor. At the other end 13, ofthe device 10 includes a connection member 11 providing for attachment to a driven part 15 such as a tool, gearbox, or connecting shaft. The device 10 includes a longitudinal bore 20 spanning from the end 13 to the end 14 thus providing a channel for passage of wires and other instrumentation, as well known in the art and discussed above. The device 10 includes a slot 32 cut through the wall 22 ofthe shaft 10, so as to form a seφentine path which extends generally along the path ofa spiral around the shaft 10, as shown in Zublin, 2,515,365, as dotted line 20, Figure 1. When employing the flexible shaft 10 for the transmission of power from the driven end 14 to the driven part 15, the seφentine slot 32 along the spiral path permits the device 10 to bend along the longitudinal axis ofthe device 10. The dovetail configuration ofthe seφentine slot 32 is composed of teeth 36 and 38. Teeth 36 and 38 will effectively interlock the sections of the dovetail 34 above and below the teeth 36 and 38 and will thereby Page transmit torque. Where the device is to be used as a flexible shaft for power transmission, the shaft typically has a diameter less than an inch but may be larger depending upon the specific application. The slot characteristics shown in U.S. Patent No. 2,515,365 cannot be applied to this application. A one inch or less shaft must have a lower helix angle ofthe helical path, a higher spiral frequency and fewer cycles of slot undulations about the helical path to provide the required combination of structural strength and flexibility. Advantageously, the slot is cut peφendicularl to a plane tangent to the outer surface ofthe shaft as shown in Figure 2a. Alternatively, the slot can be cut at some angle to the longitudinal axis ofthe shaft and/or the plane tangent to the outer surface, as shown in Figure 2b. The angle can be in the range from zero (peφendicular) to about 75 degrees thereby forming an undercut. Preferably the angle if not peφendicular, is in the range from about 30 to 45 degrees from the peφendicular. The undercut can be formed by cutting offset from the radius, or offsetting from a plane tangen¬ tial to the surface ofthe shaft at the slot. Additionally, in a preferred embodiment, the body ofthe shaft has a high level of flexibility to facilitate movement around, over or under an obstacle. The preferred embodiment can be constructed in such a manner to provided varying degrees or segments of customized flexibility. Variations in flexibility can most readily be achieved by varying the length of region which is provided with the spiral slots and varying the angle ofthe slot relative to the long axis ofthe shaft. Thus, where high flexibility is required a longer length of spiral slot can be used and conversely, where less flexibility is required, a short slot length can be used. Customization enhances the ability to drive the shaft in a straight line where required, to negotiate around, over or under obstacles and/ or to be driven by a rotary power source whose axis is substantially out of line with the axis ofthe driven part. Whereas Figure 1 of Zublin, 2,515,365 illustrates over six cycles per revolution, for use with four and one half inch diameter drill pipe, in the instant invention, it has been found that shafts of one inch or less requires the use of one to four cycles per revolution depending upon the shaft diameter . Thus, the change in shaft diameter does not result in a proportional change in size ofthe slot pattern. It has been found that the lower number of helical cycles per revolution produces greater resistance to fracture under torque while providing a less flexible shaft. Most preferably, flexible shafts have a helix angle of less than twenty degrees, in order to produce the required balance between flexibihty and structural strength. The range is preferably from about 15 to 20 degrees resulting in a pitch equal to the diameter ofthe shaft. While the use ofa small helix angle, resulting in a higher number of revolutions per unit shaft length, is not preferred unless a very flexible shaft is desired, fewer revolutions per unit length can be used where less flexibility is required. For example, in the varying flexibihty flexible shaft, the number of revolutions can be reduced in the relatively rigid regions, as compared to the higher flexibility regions. As shown in Figure 2, the flexible shaft indicated generally as 80 has the advantage of providing an ability to be routed around, over or under an obstacle, connect to a moving obstacle, provide connection with an unaligned component or to a part in a harsh environment requiring power. The use ofa highly flexible shaft 86 permits for ease of guiding the required power to be transmitted to the required part. The advantage of such a variable flexible shaft, is for a control shaft that must be snaked around different sized obstacles. In sections requiring a smaller radius of curvature, that shaft can be manufactured for highest flexibihty. In areas requiring a straight portion, the shaft can remain uncut and in areas, with a very large radius of curvature, that shaft can be less flexible. Figure 5 shows the helix angle, ψ, ofthe spiral, ofthe spiral. The smaller the angle, the larger is the number of revolutions "R" ofthe helical path, per inch and the greater the flexibility ofthe shaft. A variety of slot patterns are illustrated in Figure 6. The patterns are representative of patterns which can be used and are not intended to be all inclusive. As illustrated in Figure 6A, the pattem has a cycle length C, which includes a neck region NA. The wider the neck region the greater the strength ofthe connector, that is, the greater the torsional forces which the flexible shaft can transmit. The ability ofthe device to interlock is dependent in part upon the amount of overlap or dovetailing, indicated as DTA for Figure 6A and DTB for Figure 6B. The pattern of 6C, does not provide dovetailing, and requires a hehx angle which is relatively small. The pattern of Figure 6G is an interrupted spiral in which the slot follows the helical path, deviates from the original angle for a given distance, and then resumes the original or another helix angle. As show in Figure 7C, rotation in the direction of arrow 110 can open the spiral. The steeper angles of Figures 7B and 7C provide progressively greater resistance to opening, even without the dovetailing effect being present. It should be noted that in certain patterns, it is preferred to provide an odd number of cycles per revolution, as shown in Figures 7 A, 7B and 7C. In this manner the peak point ofthe cycle 41, is out of phase with the peak point 42 ofthe next revolution. Where the two points are in phase, the amount of material between the two point is so small as to provide an adequate structural strength. Obviously, the use ofa steep helix angle, that is, a very low number of cycles per revolution can be used to provide adequate space between the peak points 41 and 42. The flexible shaft can be produced by any convenient means. Computer controlled milling or cutting, wire electrical discharge machining, water jet machining, spark erosion machining, and most preferably laser cutting is most conveniently used to produce the desired pattern. The advantages of computer controlled laser cutting are the infinite variety of slot patterns which can be produced, the ability to change the helix angle at any point along the shaft, the variations with respect to slot width, and the overall precision afforded, as compared to conventional cutting mechanisms. The combination of laser cutting with the slot patterns of this inventions, can produce customized shafts having not only a predetermined flexibility, but also predetermined variations in flexibility, while providing substantially uniform characteristics with counterclockwise and clockwise rotation. The effect ofthe rotational forces on the flexible shaft is fiirther shown in Figures 8, 9 and 10. Rotation in the direction of arrow 62 applies a force in the direction of arrow 62, at the neck region. Conversely, rotation in the direction of arrow 70 applies a force in the direction of arrow 70 at the neck region. Figure 11 shows the design ofa flexible connector 90 which can be inserted between, for example, between a rotary power supply and an inflexible or moderately flexible shaft. The flexible connector can be used to provide power transmission between misaligned parts as previously described. In this embodiment, advantageously, a plurality of slots 92, 94 and 96 can be used, as shown in Figure 11. Figure 2 shows the design ofa flexible shaft or connector 100 in which an elastomer or otherwise flexible material is inteφosed within the slot 102 to fiirther enhance the flexibility ofthe shaft and to alter the torsional response or stiffness ofthe member. The elastomer can be used as a shock absorbing or cushioning member. To facilitate manufacture, to provide protection ofthe tubular member, to provide a fluid conduit or for other reasons, the elastomer can encapsulate the entire shaft or coupler, thus forming a tubular construction 104. In a preferred embodiment ofthe invention the flexible shaft is to be used as a flexible shaft for reaming the medullary canal of bones, the shaft must have a diameter less than that ofthe reamer which typically has a cutting diameter of about two tenths of an inch up to less than three quarters of an inch. The spiral pattem shown in U.S. Patent No. 2,515,365 cannot be applied to this application. The three quarter inch or less shaft must have a higher spiral frequency (lower helix angle) and fewer superimposed slot cycles to provide the required combination of stmctural strength and flexibihty. As show in Figure 12, during the reaming ofthe medullary canal ofthe femur it is preferred that the shaft be able to flex, up to about 45 degrees. The flexible shaft indicated generally as 80 has the advantage of providing an ability to ream teh medullary canal of teh femur 82 with the driven end 84 ofthe shaft at roooughly a right angle to the axis ofthe femur The use ofa highly flexible reamer end 86 permits for ease of guiding the reamer through the bone fragments 85, 87 and 89. \ \ \ \ \

Claims: What is claimed is: 1. A flexible shaft for the transmission of rotary power comprising an elongated tubular member of substantial wall thickness, said tubular member having: (i) a section for connecting to a drive power unit; (ii) a section for connecting to a driven unit; and (iiϊ) a center section means for connecting the first section with said second section, said center section having a slot of substantial length and width extending in a generally helical path around and along the tubular member. 2. The flexible shaft of claim 1, wherein said center section slot follows a seφentine path along said hehcal path generally around and along the tubular member. 3. The flexible shaft of claim 1, wherein said center section slot is a plurality of slots, wherein at least two of said plurality of slots follow a seφentine path around and along the tubular member. 4. The flexible shaft of claim 2, wherein said seφentine path forms a plurality of teeth and complimentary recesses on opposite sides of said slot, said slot having sufficient width to form an unbound joint permitting limited movement in any direction between the teeth and the recesses, thereby providing limited flexibility in all directions upon application of tensile, compressive, or torsion forces to said shaft. 5. The flexible shaft of claim 2, wherein said flexible shaft has different degrees of flexibility along the length of said shaft. 6. The flexible shaft of claim 5, wherein the pitch of said helical slot varies along the length of said shaft thereby providing varied flexibility 2t corresponding to the variation in said pitch of said hehcal slot. 7. The flexible shaft of claim 4, wherein the width of said helical slot varies along the length of said shaft thereby providing varied flexibility corresponding to the variation in said width of said helical slot. 8. The flexible shaft of claim 4, wherein the width of said slot is in the range from about 0.005 inch to 0.075 inch. 9. The flexible shaft of claim 8, wherein the width of said slot is in the range from about 0.01 to about 0.05 inch. 10. The flexible shaft of claim 4, wherein the ratio ofthe amplitude of said seφentine path to the pitch of said slot is in the range from greater than 0.1 to about 0.5. 11. The flexible shaft of claim 4, wherein said slot is at least partially filled with a resilient material. 12. The flexible shaft of claim 11, wherein said elastomer compound is of sufficient thickness to encapsulate the entire shaft thus forming an enclosed member. 13. The flexible shaft of claim 11 , wherein said elastomer is urethane. 14. The flexible shaft of claim 11, wherein said elastomer is a silicone compound. 15. The flexible shaft of claim 4, wherein said helical path has a helix angle in the range of about 10 degrees to about 45 degrees. 16. The flexible shaft of claim 4, wherein said shaft has a diameter in the range from about 0.15 inch to about 4.00 inch. 17. The flexible shaft of claim 4, wherein the ratio ofthe diameter ofthe innerside diameter of said shaft to the outside diameter of said shaft is in the range from about 1:1.2 to about 1:3. 18. The flexible shaft of claim 17, wherein the ratio ofthe diameter ofthe inside diameter of said shaft to the outside diameter of said shaft is in the range from about 1:1.3 to about 1:2. 19. The flexible shaft of claim 4, wherein the ratio ofthe diameter ofthe inside diameter of said shaft to the outside diameter of said shaft is in the range from about 1:1.2 to about 1:3, the slot width is in the range from about 0.005 inch to 0.075 inch, in the ratio ofthe amplitude of said seφentine path to the pitch of said slot is in the range from greater than 0.1 to about 0.5, said helical path has a helix angle in the range of about 10 degrees to about 45 degrees, said shaft has a diameter in the range from about 0.15 inch to about 4.00 inch. 20. The flexible shaft of claim 1, wherein said driven unit is a medullary canal reamer, for use in reaming the medullary canal of bones. 21. A metiiod of reaming the medullary canal of bones, comprising transmitting rotational motion from a power source to a medullary bone canal reamer by means ofa flexible shaft, said flexible shaft comprising an elongated tubular member of substantial wall thickness subdivided into: (i). a section for connecting to a drive power unit; (ii) a section for connecting to a driven unit, and (iii) a center section means for connecting the first section with said second section, said center section having a slot of substantial length and width extending in a generally helical path around and along the tubular member, rotating said reamer in the clockwise and counterclockwise direction, and reaming said medullary bone canal. 22. The method of claim 21 , wherein said slot is in the form of a seφentine path and forms a plurality of teeth and complimentary recesses on opposite sides of said slot, with sufficient slot clearance to form an unbound joint pemiitting limited movement in any direction between the teeth ofthe recesses thereby providing limited flexibility in all directions upon application of tensile, compressive, and/or torsion forces to said shaft, and whereby rotational forces are transmitted substantially equivalently in the clockwise and counter-clockwise directions. 23. A method of producing a flexible shaft, for the transmission of rotary power comprising the steps of laser cutting an elongated tubular member of substantial wall thickness, to form a slot of substantial length and width, said slot extending in a generally helical path around and along the tubular member. 24. The method of claim 17, wherein said slot follows a seφentine path around and along the tubular member, forming teeth and complementary recesses. 25. The flexible shaft of claim 3, wherein said seφentine path is in the form ofa repeating waveform. 26. The flexible shaft of claim 3, wherein said seφentine path is generally a sinusoidal wave superimposed on a helical wave. 27. The flexible shaft of claim 3, wherein said sinusoidal wave forms teeth, and wherein said teeth have a narrow base region and an anterior region wliich is wider than said base region, whereby adjacent teeth interlock. 28. The flexible shaft of claim 4, wherein said slot is undercut at an angle to a radial line or a plane trangential to the surface ofthe shaft at the slot, said angle being at least about 15 degrees from the peφendicular.

Inventors: KRAUSE WILLIAM R, KRAUSE, WILLIAM, R.
Applicants: EDWARDS GARLAND U, KRAUSE WILLIAM R, EDWARDS, GARLAND, U., KRAUSE, WILLIAM, R.
Application year: 1996
Main classification: A61B17
IPC codes: A61B17, F16C1