# US 10,245,569 B2 · Telescoping plunger assembly > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,245,569 B2 - Document ID: US10245569B2 - Status: Granted - Kind: B2 - Application number: 15/648,664 - Filed: 2017-07-13 - Published: 2017-10-26 - Granted: 2019-04-02 - Earliest claimed: 2005-06-17 - Assignees: Globus Medical, Inc. - Applicants: Globus Medical, Inc. - Inventors: Roy B. Bogert; James W. Nelson - Web page: https://patentgrep.com/patent/US10245569B2 ## CPC - B01F 33/50112: {of the syringe or cartridge type} - A61B 17/8822: {characterised by means facilitating expulsion of fluid from the introducer, e.g. a screw pump plunger, hydraulic force transmissions, application of vibrations or a vacuum} - B01F 27/1143: screw-shaped, e.g. worms - B01F 33/5011: {portable during use, e.g. hand-held} - B01F 35/3202: {Hand driven} - B01F 35/752: {with arrangements for converting the mechanism from mixing to discharging, e.g. by either guiding a mixture back into a receptacle or discharging it} - B01F 35/75425: {using pistons or plungers} - A61F 2002/30405: {made by screwing complementary threads machined on the parts themselves} - A61F 2002/30601: {telescopic} - A61F 2220/0025: Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements - B01F 27/112: with arms, paddles, vanes or blades - B01F 2101/20: Mixing of ingredients for bone cement - B01F: MIXING, e.g. DISSOLVING, EMULSIFYING OR DISPERSING (mixing paints B44D3/06) - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C) ## Abstract A bone filler mixing and delivery device includes a mixing section adapted to mix components to form bone filler. A syringe barrel is coupled to the mixing section and has an opening through which the bone filler can be dispensed. A controllable portal can be manipulated to open a flow path between the mixing section and the syringe barrel. A plunger assembly is adapted to extend telescopically in an axial direction through the syringe barrel to dispense the bone filler through the opening. ## Claims ### Claim 1 A method of delivering a bone filler, the method comprising: providing a mixing and delivery device comprising: a mixing section; a syringe barrel coupled to the mixing section; a plunger assembly comprising a plunger shaft having a longitudinal slot and a support sleeve positioned over the plunger shaft; a pin member extending radially through at least one hole in the support sleeve toward the plunger shaft and engaging the longitudinal slot, wherein when the plunger shaft moves in a first direction, the pin member translates along the longitudinal slot and drags the support sleeve in the same direction, and wherein the pin member that extends from the support sleeve to engage the longitudinal slot prevents the plunder shaft from rotating about the axis; mixing one or more components in the mixing section to form a bone filler; and dispensing the bone filler from an opening in the syringe barrel by extending the plunger assembly telescopically in an axial direction through the syringe barrel. ### Claim 2 (depends on 1) The method of claim 1, further comprising retracting the plunger assembly telescopically to a position completely contained within the mixing section. ### Claim 3 (depends on 1) The method of claim 1, wherein the plunger assembly comprises: a drive shaft that can be rotated about an axis; a lead screw threaded to the drive shaft; and wherein the plunger shaft is threaded to the lead screw. ### Claim 4 (depends on 3) The method of claim 3, wherein the drive shaft is restricted from moving in an axial direction, and wherein the plunger shaft is restricted from moving in a rotational direction. ### Claim 5 (depends on 3) The method of claim 3, further comprising a cover assembly with a manually actuable crank handle, that is movable to a first position to engage a mixing element in the mixing section and disengage the drive shaft, movable to a second position to engage the drive shaft and disengage the mixing element, and movable to drive the engaged mixing element or the engaged drive shaft. ### Claim 6 (depends on 3) The method of claim 3, further comprising rotating the drive shaft to cause relative rotation between the lead screw and at least one of either the plunger shaft or the drive shaft. ### Claim 7 (depends on 6) The method of claim 6, wherein the relative rotation causes the plunger shaft to move axially through the bone filler mixing and delivery device. ### Claim 8 (depends on 3) The method of claim 3, wherein the lead screw comprises: a first portion threaded to the drive shaft; and a second portion threaded to the plunger shaft. ### Claim 9 (depends on 3) The method of claim 3, further comprising a retaining ring coupled to a forward end of the drive shaft, wherein the retaining ring is adapted to engage the lead screw when the lead screw nears an end of its stroke, and wherein engagement between the retaining ring and the lead screw prevents the lead screw from becoming disengaged from the drive shaft. ### Claim 10 (depends on 1) The method of claim 1, wherein the plunger shaft is coupled to the support sleeve to allow relative motion between the plunger shaft and the support sleeve in an axial direction, but to restrict relative motion between the plunger shaft and the support sleeve in a rotational direction. ### Claim 11 (depends on 1) The method claim 1, wherein the pin member that extends from the support sleeve to engage the longitudinal slot prevents the plunger shaft from rotating about the axis. ### Claim 12 (depends on 1) The method of claim 1, wherein the support sleeve is movable in an axial direction and wherein the pin member is adapted to drag the sleeve in the axial direction with the plunger shaft as the plunger shaft moves beyond an axial position where the pin reaches an end of the longitudinal slot. ### Claim 13 (depends on 1) The method of claim 1, wherein the support sleeve is coupled to a sliding tube to permit relative motion between the sliding tube and the support sleeve in an axial direction but to prevent relative motion between the sliding tube and the support sleeve in a rotational direction. ### Claim 14 (depends on 1) The method of claim 1, wherein the bone filler comprises a bone cement. ### Claim 15 A method of delivering a material, the method comprising: providing a material delivery device comprising: a syringe barrel; an access portal; a plunger assembly comprising a plunger shaft comprising a longitudinal slot and a support sleeve positioned over the plunger shaft; and a pin member that extends radially through at least one hole in the support sleeve toward the plunger shaft and engages the longitudinal slot, wherein when the plunger shaft moves in a first direction, the pin member translates along the longitudinal slot and drags the support sleeve in the same direction, wherein the pin member that extends from the support sleeve to engage the longitudinal slot prevents the plunder shaft from rotating about the axis; loading material into the syringe barrel through the access portal; and dispensing the material from an opening in the syringe barrel by extending the plunger assembly telescopically in an axial direction through the syringe barrel. ### Claim 16 (depends on 15) The method of claim 15, further comprising retracting the plunger assembly telescopically to a position completely withdrawn from the syringe barrel. ### Claim 17 (depends on 15) The method of claim 15, wherein the plunger assembly comprises: a drive shaft that can be rotated about an axis; a lead screw threaded to the drive shaft; and wherein the plunger shaft is threaded to the lead screw. ### Claim 18 (depends on 17) The method of claim 17, wherein the drive shaft is restricted from moving in an axial direction, and wherein the plunger shaft is restricted from moving in a rotational direction. ### Claim 19 (depends on 15) The method of claim 15, wherein the support sleeve is adapted to provide mechanical support to the plunger shaft, and wherein the plunger shaft is coupled to the support sleeve in a manner that allows relative motion between the plunger shaft and the support sleeve in an axial direction, but restricts relative motion between the plunger shaft and the support sleeve in a rotational direction. ### Claim 20 (depends on 15) The method of claim 15, wherein the support sleeve is movable in an axial direction and wherein the pin member is adapted to drag the sleeve in the axial direction with the plunger shaft as the plunger shaft moves beyond an axial position where the pin member reaches an end of the longitudinal slot.