主权项 |
1. An inserter for a bone-engaging fastener assembly having internal threads and a channel at a proximal portion thereof, said inserter comprising:
a hollow outer shaft defining a passageway from a proximal end to an opposite distal end thereof, said outer shaft having external threads defined at the distal end and configured to engage the internal threads of the fastener assembly, said outer shaft including an enlarged hub at the proximal end; an inner shaft extending through said passageway of said outer shaft separate from said outer shaft to permit relative rotation between said inner shaft and said outer shaft, said inner shaft having a distal end projecting beyond the distal end of said outer shaft and an opposite proximal end, the distal end of said inner shaft configured to be received within the channel of the fastener assembly; a collar concentrically disposed around the proximal end of said inner shaft, said collar having one end of said collar disposed adjacent said enlarged hub of said outer shaft and an opposite end; a handle engaged to the proximal end of said inner shaft adjacent said opposite end of said collar, said handle configured so that manual rotation of said handle rotates said inner shaft; and a rotational interface between said inner shaft and said collar so that rotation of said collar relative to said inner shaft tightens said collar against said enlarged hub and the distal end of said inner shaft against the distal end of said outer shaft, whereby manual rotation of said handle rotates said outer shaft with said inner shaft. |