US20050065521A1 - Method and apparatus for bone fracture fixation - Google Patents

Method and apparatus for bone fracture fixation Download PDF

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Publication number
US20050065521A1
US20050065521A1 US10/980,705 US98070504A US2005065521A1 US 20050065521 A1 US20050065521 A1 US 20050065521A1 US 98070504 A US98070504 A US 98070504A US 2005065521 A1 US2005065521 A1 US 2005065521A1
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US
United States
Prior art keywords
bridge region
regions
bridge
bone fixation
bone
Prior art date
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Abandoned
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US10/980,705
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English (en)
Inventor
Shon Steger
Brian Schumacher
Jeffrey Duncan
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Zimmer Biomet CMF and Thoracic LLC
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Individual
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Filing date
Publication date
Priority claimed from US10/081,166 external-priority patent/US7052499B2/en
Priority to US10/980,705 priority Critical patent/US20050065521A1/en
Application filed by Individual filed Critical Individual
Assigned to WALTER LORENZ SURGICAL, INC. reassignment WALTER LORENZ SURGICAL, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: DUNCAN, JEFFREY A., STEGER, SHON D., SCHUMACHER, BRIAN S.
Publication of US20050065521A1 publication Critical patent/US20050065521A1/en
Priority to DE602005005918T priority patent/DE602005005918T2/de
Priority to EP05022829A priority patent/EP1654994B1/en
Priority to ES05022829T priority patent/ES2303173T3/es
Priority to JP2005319509A priority patent/JP2006130317A/ja
Assigned to BIOMET MICROFIXATION, INC. reassignment BIOMET MICROFIXATION, INC. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: WALTER LORENZ SURGICAL, INC.
Assigned to BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT FOR THE SECURED PARTIES reassignment BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT FOR THE SECURED PARTIES SECURITY AGREEMENT Assignors: BIOMET, INC., LVB ACQUISITION, INC.
Assigned to BIOMET MICROFIXATION, LLC reassignment BIOMET MICROFIXATION, LLC CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: BIOMET MICROFIXATION, INC.
Priority to US12/732,009 priority patent/US8460345B2/en
Assigned to LVB ACQUISITION, INC., BIOMET, INC. reassignment LVB ACQUISITION, INC. RELEASE OF SECURITY INTEREST IN PATENTS RECORDED AT REEL 020362/ FRAME 0001 Assignors: BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
Abandoned legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • A61B17/8076—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones for the ribs or the sternum
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
    • A61B17/8047—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers wherein the additional element surrounds the screw head in the plate hole
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8863—Apparatus for shaping or cutting osteosynthesis equipment by medical personnel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00004—(bio)absorbable, (bio)resorbable or resorptive

Definitions

  • the present teachings relate to surgical applications for the repair of bone fractures and deformities. More particularly, the teachings relate to a method and apparatus for securing two severed bone portions in a relatively fixed relationship to each other.
  • the plates are generally secured to the fractured bone portions with fasteners such as screws.
  • the plates and fasteners are used to provide rigid stabilization of sternum fractures.
  • the plates conventionally employed for sternum osteosynthesis generally comprise small, generally flat, sections of metal. The sections contain round and perhaps threaded screw holes at various points along their lengths for fastening the sections to bone.
  • a plate having one or more apertures is positioned proximate to the surface of the sternum so that the plate spans the severed region of the sternum and is held in relative position thereto through a threaded plate/screw interface.
  • the plate is then bent into shape, if necessary, and secured to the sternum using a plurality of fasteners seated within the apertures. Subsequently, the fasteners and plate may be removed to allow surgical access to the sternum (e.g., to treat vital organs within the thoracic cavity). Finally, the same plate or a new plate is again fastened to the sternum through engagement of the fasteners with the sternum.
  • the present teachings relate to an apparatus and method for reapproximating and securing portions of severed bone.
  • Reapproximation of the severed bone portions is carried out using a bone reapproximation device, which is able to laterally hook and reapproximate the separated bone regions.
  • the bone regions are coupled using a plate including at least two bone fixation regions and a bridge region disposed between the bone fixation regions.
  • Each bone fixation region contains at least one receptor used to receive a fastener suitable for securing the plate to the bone portions to be coupled. Both the plate and the fastening devices may be bio-resorbable and/or bio-compatible.
  • the fasteners may include a main body portion with an upper shaft portion and a lower shaft portion. Once secured to the bone surface due to interaction with the fasteners, the plate may be removed from engagement with the bone surface by removing the head member and subsequently removing the plate from the bone surface.
  • the fastener configuration allows for removal of the plate without requiring removal of the main body portion of the fastener from the bone, thus allowing the main body portion and hole within the bone to be used again in the future to secure the plate to the bone surface.
  • the plate may alternatively be secured to the bone surface by a one-piece locking, or non-locking, screw such that removal of the plate from the bone requires severing of the plate or removal of each one-piece screw.
  • the fastener chosen i.e., one-piece versus multiple-piece construction
  • the particular plate will vary depending on the requirements of the particular application.
  • the plate of the present teachings is configured to permit rapid separation of the bone portions previously secured by the plate.
  • the plate may be severed using any suitable cutting device, such as surgical scissors, surgical wire cutters, or surgical plate cutters. Severing of the plate using surgical scissors, wire cutters, or plate cutters is facilitated due to the presence of a bridge region that is specifically configured to allow for such engagement.
  • Optimum bridge severability is accomplished mainly through manipulation of the aspect ratio and area of the cross-section of the bridge region.
  • the aspect ratio of the cross section is generally defined as the height of the bridge region in the cutting device divided by the width of the bridge region in the cutting device.
  • the aspect ratio of the cross-section will change depending on the orientation of the cutting device, unless the cross-section of the bridge includes a generally square or round cross-section.
  • the bridge region may be raised or tapered so as to ease engagement of the bridge region by surgical wire cutters, surgical plate cutters, or surgical scissors.
  • the bridge region may also be weakened or contain a notch to further aid in severing the bridge region.
  • the plate of the present teachings may also have numerous bridge regions and bone fixation regions arranged in a variety of shapes so as to produce a plate with a configuration capable of coupling a large or irregularly shaped region of severed bones, the bones terminating at various different angles to each other.
  • the bridge regions and the bone fixation regions may extend at a variety of different angles.
  • the bone fixation regions and the bridge regions may be in differing planes so as to couple severed bone regions that terminate at differing planes to each other.
  • FIG. 1 is a perspective post-operative anterior illustration of a human thorax. Specifically, FIG. 1 illustrates a previously severed sternum coupled by a plate in one possible placement scheme according to the teachings;
  • FIG. 2 is a perspective view of the plate of FIG. 1 ;
  • FIG. 3 is a cross-sectional view taken along line 3 - 3 of FIG. 2 ;
  • FIG. 4A is a perspective view of a one-piece, self-tapping fastener used to secure the plate of FIG. 1 to a severed bone portion;
  • FIG. 4B is a perspective view of the fastener of FIG. 4A incorporating a self-drilling tip
  • FIG. 4C is a cross-sectional view of the fastener of FIG. 4A , the fastener seated within a threaded aperture of the plate of FIG. 1 ;
  • FIG. 4D is a cross-sectional view of the fastener of FIG. 4A , the fastener seated within an aperture of the plate of FIG. 1 ;
  • FIG. 5A is an exploded perspective view of a two-piece fastener used to secure the plate of FIG. 1 to a severed bone portion;
  • FIG. 5B is a side view of the fastener of FIG. 5A , the fastener seated within an aperture of the plate of FIG. 1 ;
  • FIG. 6 is a partially sectioned side view of the plate of FIG. 1 illustrating the cooperation of the plate with the fasteners of FIG. 4 for securing the plate to the previously severed sternum halves, wherein the previously severed sternum halves have been reapproximated using the illustrated surgical forceps;
  • FIG. 7 is a perspective view of a plate according to the present teachings, the plate having four bone securing regions and a bridge region spanning between each bone securing region;
  • FIG. 8A is a side view of the plate of FIG. 7 showing a bridge design in accordance with the principals of the present teachings
  • FIG. 8B is a side view of the plate of FIG. 7 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 8C is a side view of the plate of FIG. 7 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 9 is a perspective view of a plate according to the present teachings, the plate having four bone securing regions and a bridge region spanning between each bone securing region;
  • FIG. 10A is a side view of the plate of FIG. 9 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 10B is a side view of the plate of FIG. 9 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 10C is a side view of the plate of FIG. 9 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 11 is a perspective view of a plate according to the present teachings, the plate having two bone securing regions and a bridge region;
  • FIG. 12A is a side view of the plate of FIG. 11 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 12B is a side view of the plate of FIG. 11 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 12C is a side view of the plate of FIG. 11 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 13 is a perspective view of a plate according to the present teachings, the plate having two bone securing regions and a bridge region;
  • FIG. 14A is a side view of the plate of FIG. 13 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 14B is a side view of the plate of FIG. 13 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 14C is a side view of the plate of FIG. 13 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 15 is a perspective view of a plate according to the present teachings, the plate having two bone securing regions and a bridge region;
  • FIG. 16A is a side view of the plate of FIG. 15 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 16B is a side view of the plate of FIG. 15 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 16C is a side view of the plate of FIG. 15 showing a bridge design in accordance with the principals of the present teachings;
  • FIG. 17 is a perspective view of the plate of FIG. 7 with a bridge region of the plate engaged by plate cutter, wire cutter, or surgical scissors;
  • FIG. 18 is a perspective view of the plate of FIG. 7 with a bridge region of the plate engaged by another plate cutter, wire cutter, or pair of surgical scissors;
  • FIG. 19 is a perspective view of the plate of FIG. 7 with a bridge region of the plate engaged by another plate cutter, wire cutter, or pair of surgical scissors.
  • a system constructed in accordance with the present teachings is generally identified with reference numeral 10 .
  • the system 10 is shown operatively associated within a human body 12 and specifically a human thorax 14 .
  • a human body 12 and specifically a human thorax 14 .
  • certain aspects of the present teachings have applicability to other surgical applications.
  • the anterior of the thorax 14 is formed by a sternum 16 , xyphoid 18 , manubrium 20 , costal cartilage, and ribs 24 .
  • the clavicle 22 is shown connecting the sternum 16 to the scapula and humerus (neither shown).
  • the sternum 16 has previously undergone a medical procedure known as a median sternotomy. As a result of this procedure, the sternum 16 has been severed, thus permitting physician access to the tissues or organs located in thoracic cavity 26 . However, the sternum 16 has since been reapproximated with previously severed portions A and B now bound together by the system 10 of the present teachings.
  • the system 10 of the present teachings is shown to include a plate 28 .
  • the plate 28 is shown to include an upper surface 30 , a lower surface 32 , and a perimeter surface 34 .
  • the perimeter surface 34 may be specifically defined, as seen in FIG. 2 , or may simply be the point at which the upper surface 30 and the lower surface 32 meet.
  • the plate 28 is divided into varying regions such as at least two bone fixation regions 36 and at least one bridge region 38 .
  • the bridge region 38 joins the bone fixation regions 36 and may be disposed generally flush with either, or both, of the upper or lower surfaces 30 , 32 or may be offset from both of the upper and lower surfaces 30 , 32 , as will be discussed further below.
  • Each bone fixation region 36 defines at least one aperture 40 .
  • the apertures 40 may be threaded or simply formed as non-threaded through holes.
  • the apertures 40 may extend symmetrically from the bridge region 38 or may be arranged asymmetrically. Further, the apertures 40 may optionally include a circular or an oval countersink 42 and may be internally threaded, as best shown in FIGS. 2 and 3 .
  • the apertures 40 are adapted to receive a fastener 44 a - c for interconnecting the plate 28 with a severed bone region, such as severed halves A and B of the sternum 16 . More specifically, the bridge region 38 spans the fracture while bone fixation regions 36 are fastened to the bone regions on either side of the fracture once the severed halves A and B have been reapproximated.
  • the plate 28 described in any of the embodiments of the present teachings may be made of a variety of bio-resorbable materials.
  • One resorbable material of particular interest is marketed by Biomet, Inc. (Warsaw, Ind.) under the tradename LACTOSORB®.
  • LACTOSORB® is an absorbable co-polymer synthesized from all-natural ingredients: 82% L-lactic acid and 18% glycolic acid, and is substantially amorphous (i.e., without crystallinity), meaning that its degradation is uniform, precluding the crystalline release associated with degrading copolymers that have been associated with late inflammatory reactions.
  • the LACTOSORB® copolymer ratio permits the polymer to retain most of its strength for six to eight weeks.
  • Such a time period is appropriate for healing, but not so long as to raise concerns about long-term stress shielding of bone.
  • other resorbable materials such as PLA, PGA, and others including various polymers, ceramics, etc.
  • the plate 28 may also be made from a variety of bio-compatible materials. Examples of bio-compatible materials that may be used are the implantable plastics PEEK or PET. In addition to PEEK or PET, implantable surgical metals may also be used. Alloys that may be implanted are, but not limited to, stainless steel, titanium, or cobalt chrome molybdenum. Specifically, commercially pure titanium, listed as grade 1, 2, 3, or 4 or titanium alloy such as titanium 6-aluminum/4-vanadium may be used.
  • the plate 28 may be inelastically deformable so as to retain its shape once contoured to cooperate with the shape of the bone regions to be secured.
  • a fastener 44 a is provided for use with the plate 28 .
  • the fastener 44 a is a one-piece, locking fastener and is designed so as to matingly engage the threaded apertures 40 of bone fixation regions 36 .
  • the fastener 44 a is considered a locking fastener as the engagement between threads 52 on the fastener 44 a and the threaded aperture 40 prevents relative movement therebetween.
  • preventing relative movement between the plate 28 and the fastener 44 a helps ensure that the plate 28 remains in a desired position relative to the bone halves A, B.
  • a second fastener 44 b is provided for use with the plate 28 .
  • the fastener 44 b is a one-piece, non-locking fastener and is received by apertures 40 b formed through the respective bone fixation regions 36 of the plate 28 .
  • the fastener 44 b is substantially identical to fastener 44 a , but is considered a non-locking fastener due to the relationship between the plate 28 and the fastener 44 b .
  • apertures 40 b are simply bores formed through the respective bone fixation regions 36 of the plate 28 , and as such, do not include threads, the relationship between the fasteners 44 b and the plate 28 is considered “non-locking.” As can be appreciated, such a relationship may provide a cost advantage to the plate 28 as the additional cost associated with forming threads in the apertures 40 b is obviated.
  • a third fastener 44 c of the present teachings is shown to generally include a main body 46 and a head member 48 .
  • the main body 46 includes an upper shaft portion 50 and a lower shaft portion 52 .
  • the lower shaft portion 52 is externally threaded, fluted, and preferably fitted with a pointed end portion 54 so as to permit self-drilling of the sternum 16 by fastener 44 . Insertion of the lower shaft portion 52 into sternum 16 is limited by a flange 56 interdisposed between the upper and lower shaft portions 50 and 52 .
  • the upper shaft portion 50 is also externally threaded and adapted to engage an internally threaded aperture 58 of the head member 48 .
  • the head member 48 is externally threaded for engaging one of the plurality of internally threaded apertures 40 of the plate 28 .
  • the thread pitches of the upper shaft portion 50 , lower shaft portion 52 , and the thread pitch of the external threads of the head member 48 are common.
  • the external threads of the head member 48 and the externally threaded lower shaft portion 52 have a common thread lead.
  • the externally threaded lower shaft portion 52 has a single lead configuration while the external threads of the upper shaft portion 50 and head member 48 have a double lead configuration.
  • the use of faster 44 c is advantageous because it allows the plate 28 to be removed while the lower portion 52 remains in place in the event that the plate 28 must be removed. This retains the integrity of each hole formed in the bone and eliminates the need to remove and re-insert different fastening devices into the bone each time the plate 28 is removed and re-seated.
  • Fasteners 44 a - c may be formed of a suitably rigid biocompatible material. However, if the intent is to insert fasteners 44 a - c into the bone for a temporary period of time, it may be formed from a bio-resorbable material. Fasteners 44 a - c formed from bio-resorbable materials degrade within the body, thus eliminating the need for subsequent removal of the fasteners 44 a - c.
  • any of the foregoing fasteners 44 a - c may include a self-tapping feature and/or a self-drilling feature.
  • a self-tapping tip 55 is used to create a series of threads in the receiving bone, as best shown in FIG. 4A while a self-drilling tip 57 is used to create a bore in the receiving bone, as best shown in FIG. 4B .
  • fasteners 44 a , 44 b may include either tip 55 , 57
  • the self-drilling tip 57 may further incorporate a self-tapping feature such that as the generally sharp tip 57 creates a bore in the receiving bone, the tip 57 concurrently cuts a series of threads therein for engagement with the threads 52 of the respective fastener 44 a , 44 b .
  • each fastener 44 a - c is inserted through an aperture 40 formed in the bone fixation region 36 of the plate in a similar fashion, fastener 44 a will be used herein after when discussing the attachment of the plate 28 to the respective bone halves A, B.
  • a reapproximation device such as surgical forceps 60 .
  • the surgical forceps 60 are comprised of two jaws 61 , 62 that are interconnected at actuation point 63 .
  • the jaws 61 , 62 are able to laterally hook separated bone halves A and B.
  • the plate 28 is positioned on the bone surfaces to be coupled so that certain apertures 40 may be selectively used as a guide for drilling holes (not specifically shown) in the bone surfaces for receiving the fasteners 44 a.
  • a first of the fasteners 44 a is passed through a selected one of the apertures 40 and rotated so that the externally threaded lower portion 52 is driven into the hole (not shown) in one of the halves A or B of the sternum 16 .
  • the external threads 52 simultaneously engage the internally threaded aperture 40 of the plate 28 .
  • the fastener may also self-drill and/or self-tap the bone half A, B, depending on the particular tip 55 , 57 of the fastener 44 a , as previously discussed.
  • Additional fasteners 44 a are used to interconnect the plate 28 with the sternum 16 in a substantially identical manner. However, it will become appreciated by those skilled in the art that any number of fasteners 44 a may be employed depending on a particular application.
  • the plate 28 After the plate 28 has been secured into place, it may be necessary to remove the plate 28 so as to allow a physician to re-separate the sternum 16 and gain access to either the sternum 16 or the thoracic cavity 26 to provide treatment (e.g., emergency or planned secondary cardiac surgery).
  • the fasteners 44 a are unthreaded and removed from the apertures 40 of the respective bone fixation regions 36 . When the plate 28 is removed, it retains its shape due to the inelastic deformation.
  • the separated halves A and B of the sternum 16 are again reapproximated using the surgical forceps 60 in the manner described above.
  • the halves A and B are held into place by replacing plate 28 .
  • the plate 28 is replaced by inserting the fasteners 44 a through the selective apertures 40 of the bone fixation regions 36 and simultaneously threading the internal threads of the aperture 40 with the external threads 52 of the fastener 44 a.
  • plate 28 a according to the present teachings is shown.
  • Plate 28 a is generally similar to plate 28 and thus a detailed description of plate 28 a is not necessary.
  • plate 28 a contains extended bone fixation regions 36 a having a plurality of apertures 40 .
  • plate 28 a also includes bridge regions 38 that connect the respective bone fixation regions 36 a.
  • plate 28 b is generally similar to plate 28 and thus a detailed description of plate 28 b is not necessary. However, unlike plate 28 , plate 28 b includes a single bridge region 38 extending between two bone fixation regions 36 b . Again, the bridge region 38 extends generally over the bone fracture region while the bone fixation regions 36 b are securely attached to respective halves A and B by fasteners 44 .
  • plate 28 c is generally similar to plate 28 and thus a detailed description of plate 28 c is not necessary.
  • plate 28 c includes a single bridge region 38 extending between two bone fixation regions 36 c .
  • the bone fixation regions 36 c are formed at an angle relative to the bridge region 38 , as best shown in FIG. 13 .
  • the bone fixation regions 36 c are formed at an angle relative to the bridge region 38 to better fit onto the sternum 16 and to allow for the fixation of transverse fractures. It should be noted that any of the other embodiments of the present teachings may have an orientation between the bone fixation regions 36 c and bridge region 38 similar to that of plate 28 c.
  • Plate 28 d is illustrated in FIGS. 15 and 16 a - 16 c and is in accordance with the present teachings. Plate 28 d is generally similar to plate 28 and thus a detailed description of plate 28 d is not necessary. Plate 28 d is different from plate 28 in that plate 28 d includes a single bridge region 38 extending generally between two bone fixation regions 36 d .
  • the bone fixation regions 36 d are substantially similar to those of plate 28 , except that the bone fixation regions of plate 28 d are disposed in an opposite relationship relative to one another.
  • a first bone fixation region 36 d ′ runs generally perpendicular to the bridge region 38 while a second bone fixation region 36 d ′′ runs generally parallel with the bridge region 38 , as best shown in FIG. 15 .
  • Bone fixation region 36 d ′′ includes a total of three apertures 40 while bone fixation region 36 d ′ includes two apertures 40 for use in attachment to respective bone halves A, B.
  • the extra aperture 40 provided on fixation region 36 d ′′ allows for an extra fastener to securely fix the fixation region 36 d ′′ to a respective bone halve A, B. Therefore, the extra aperture 40 and corresponding fastener 44 a serves to restrict fastener pull-through and helps to ensure that the plate 28 remains fixed to the bone halves A, B.
  • the bridge region 38 may be offset from the bone fixation regions so as to form a recess 70 either between the upper surface 30 and the bridge region 38 , between the lower surface 32 and the bridge region 38 , or between both surfaces 30 , 32 and the bridge region 38 , as best shown in FIGS. 8 a - c , 10 a - c , 12 a - c , 14 a - c , and 16 a - c .
  • the bridge region 38 could include upper and lower surfaces 76 , 78 that are generally planar with the upper and lower surfaces 30 , 32 of the bone fixation regions 36 , whereby the width W is small enough so as to allow the bridge region 38 to be severed in an emergency, as will be discussed further below.
  • the bridge region 38 provides each plate 28 , 28 a , 28 b , 28 c , and 28 d with the requisite strength between the bone halves A, B while the recess 70 , or with W of the bridge region 38 , concurrently provides a physician or surgeon with the ability to quickly cut the bridge region 38 to quickly remove the plate 28 , 28 a , 28 b , 28 c , and 28 d . Because each plate 28 , 28 a , 28 b , 28 c , and 28 d includes a substantially identical bridge region 38 , reference will be made to plate 28 when describing the bridge region 38 hereinafter.
  • the recess 70 may be easily engaged by a cutting device such as surgical scissors 72 , wire cutters, plate cutters, or a cautery (only applicable for non-metal fixation) so as to permit the scissors 72 , wire cutters, plate cutters, or cautery to sever the bridge region 38 , as best shown in FIG. 17 . Consequently, the plate 28 permits a physician or surgeon access to the thoracic cavity 26 by removing the fasteners 44 a or by severing the bridge region 38 .
  • a cutting device such as surgical scissors 72 , wire cutters, plate cutters, or a cautery (only applicable for non-metal fixation) so as to permit the scissors 72 , wire cutters, plate cutters, or cautery to sever the bridge region 38 , as best shown in FIG. 17 . Consequently, the plate 28 permits a physician or surgeon access to the thoracic cavity 26 by removing the fasteners 44 a or by severing the bridge region 38 .
  • the bridge region 38 may be tapered at its perimeter surface 74 , its upper surface 76 , or its lower surface 78 to allow the bridge region 38 to be severed more easily and to provide a smooth surface for added patient comfort. Tapering of the upper surface 76 and the perimeter surface 74 relatively weakens the bridge region 38 and forms the recess 70 generally between upper surface 30 of the bone fixation regions 36 and the upper surface 76 of the bridge region 38 , as best shown in FIG. 8 a . Tapering of the lower surface 78 results in the formation of the recess 70 generally between the lower surface 32 of the bone fixation regions 36 and the lower surface 78 of the bridge region 38 , as best shown in FIG. 8 b .
  • the recess 70 may be formed proximate to both the upper and lower surfaces 76 , 78 of the bridge region 38 , as best shown in FIG. 8 c .
  • FIG. 17 illustrates plate 28 as having a generally rectangular bridge region 38
  • alternate embodiments may contain a bridge that is elliptical, oval, or of another cross-section shape that will facilitate engagement of the bridge by a suitable cutting device such as surgical scissors 72 or wire cutters.
  • any of the other embodiments of the present teachings may include a bridge region 38 that is cylindrical, elliptical, oval, square, or of another cross-section shape so as to facilitate engagement of the bridge by a suitable cutting device.
  • the bridge region 38 may include a plurality of varying cross-sectional shapes such as elliptical, oval, or rectangular, the bridge region 38 must be designed so as to accommodate the force requirements with respect to holding the bone halves A, B together while concurrently allowing a physician or surgeon to easily and quickly remove the plate 28 under exigent circumstances.
  • the bridge region 38 is designed to accommodate both requirements (i.e., strength and severability), by balancing strength requirements with cutability requirements in designing the cross-sectional shape. The latter design feature maintains requisite strength properties while providing for quick and easy removal.
  • the relationship between the requisite force required to sever the bridge region 38 and the cross-sectional area of the bridge region 38 is substantially linear. Therefore, the larger the cross-sectional area of the bridge region 38 , the greater the force required to sever the bridge region 38 .
  • the cross-sectional area of the bridge region 38 is deigned to both accommodate the strength requirements of the system 10 and to optimize the severability of the bridge region 38 .
  • Optimum bridge severability can be substantially manipulated for a given cross-sectional area, accomplished mainly through manipulation of the aspect ratio of the cross-section of the bridge region 38 .
  • the aspect ratio is generally defined as the height H of the plate 28 in the cutter 72 divided by the width W of the plate 28 in the cutter 72 .
  • the height of the bridge region 38 is generally defined between upper and lower surfaces 76 , 78 of the bridge region 38 , while the width is generally measured perpendicular to the upper and lower surfaces 76 , 78 , as best shown in FIGS. 7 and 8 a - c .
  • the height of the bridge section may or may not correspond to the height of the plate in the cutter depending on the orientation of the cutter on the bridge section.
  • the width of the bridge region 38 is generally measured perpendicular to the height of the region 38 .
  • the width of the bridge region 38 is increased, the height of the bridge region 38 is decreased.
  • the cutting aspect ratio increases (H/W)
  • an Aspect Ratio Factor is calculated for use in determining a desirable aspect ratio (i.e., height and width) of a bridge region 38 .
  • the ARF is determined by dividing the cut force in a tested orientation of a bridge portion by an average of the cut forces measured in both directions.
  • the aspect ratio of the bridge region 38 is defined as the height of the bridge region 38 in a cutter 72 divided by the width of the bridge region 38 in a cutter 72 . Therefore, a given bridge region 38 having an aspect ratio of A would have an aspect ratio of 1 /A when rotated 90 degrees in the cutter 72 .
  • a force required to cut a square cross-section will be the same regardless of the orientation of the section in the cutter 72 as the width of the section is generally equal to the height.
  • the cut force required to sever the bridge is reduced.
  • the natural log of the aspect ratio for a plate having an aspect ratio of 2 is 0.69. From a regression of experimental data relating the aspect ratio to the ARF for cross sections made from Grade IV titanium, the natural logarithm of the ARF corresponding to the aspect ratio of 2 is approximately ⁇ 0.1, which corresponds to an ARF of 0.904. Substituting the ARF value into the above ARFA equation and solving for Cut ForceA yields a cut force that is roughly 83% of the load required to cut the same cross-section having an aspect ratio of 1 ⁇ 2.
  • the cross-section having an aspect ratio of 1 ⁇ 2 has the same cross-sectional area as the section having an aspect ratio of 2 , but the section having an aspect ratio of 1 ⁇ 2 is rotated 90 degrees in the cutting tool 72 (such that the above equation is solved for Cut Force 1/A and the aspect ratio is 1/A), and is thus more difficult to cut.
  • a bridge region 38 having an aspect ratio of 2 is easier to cut than a bridge portion having an aspect ratio of 1 ⁇ 2 (i.e., the bridge region 38 is twice as high as it is wide).
  • the bridge region 38 has an aspect ratio of either 2 or 1 ⁇ 2, that the bridge region 38 will have an identical cross-sectional area. In other words, the relationship between the width and height remains the same.
  • a plate 28 having a bridge region 38 measuring 2 mm in one direction and 1 mm in the other direction will yield a cross-sectional area of 2 mm 2 .
  • the aspect ratio only changes from 2 to 1 ⁇ 2 when the plate 28 is rotated 90 degrees in the cutting tool 72 .
  • the aspect ratio is 2 and the plate 28 is easily severed. Conversely, when the plate 28 is cut along the 1 mm section, the aspect ratio is 1 ⁇ 2 and the plate 28 requires a higher cut force in order to sever the bridge region 38 . Therefore, cut force and aspect ratio are directly related.
  • a cut force i.e., applied to the handles of a cutter
  • a particular cutter of 55.1 lbf is generally considered an acceptable force, allowing most surgeons to easily sever a plate 28 using cutting tools 72 commonly found in a crash cart of an emergency room.
  • the force required to cut or sever a given bridge region 38 of a plate 28 is, in part, dependent on the aspect ratio of the bridge region 38 to be cut.
  • the plate 28 can be easily cut without reducing the cross-sectional area of the bridge region 38 beyond an acceptable limit by optimizing the aspect ratio of the bridge region's cross-section.
  • the first step in designing a plate 28 is to ensure that the bridge region 38 is large enough to carry such loads with an appropriate factor of safety. Once an adequate cross-sectional area is determined, the aspect ratio of the section is adjusted to facilitate severability of the section when quick removal of the plate 28 is required.
  • the following equations (A-H) are useful in determining the maximum cut height for a given bridge region 38 , where h max is the maximum height of the bridge region 38 , w is the width of the bridge region 38 , and a is the area of the cross-section of the bridge region 38 . It should be noted that while the following equations apply for any orientation of the plate 28 in the cutter 72 , the use of the bridge width and maximum bridge section height is dependent on relating it to the cutting orientation as shown in FIG. 18 .
  • the height could be considered the height of the bridge region in the cutter 72 (and likewise the width of the bridge region in the cutter) and then the specific orientation of cutting drops out:
  • a . ⁇ 63.7 ( ( 1.30 ⁇ 10 4 ) ⁇ ( a ) + 8.76 ) ⁇ ( w h max ) - 0.140
  • B . ⁇ 55.1 ( ( 1.30 ⁇ 10 4 ) ⁇ ( a ) + 8.76 ) ⁇ ( w h max ) - 0.140
  • C . ⁇ 22.2 ( ( 1.30 ⁇ 10 4 ) ⁇ ( a ) + 8.76 ) ⁇ ( w h max ) - 0.140 D .
  • the constants on the left-hand side of the equations A-H refer to experimentally determined acceptable cut force values for a given bridge region 38 .
  • the following equation may be used to determine an acceptable cut force where CF refers to a Maximum allowable cut force; S1 refers to a slope of a cut force vs. cross-sectional area (determined experimentally); S2 refers to a slope of Ln(ARF) vs. Ln(aspect ratio) (determined experimentally); and C1 refers to a Y-intercept of the cut force vs.
  • the cut force (applied to the handle of an instrument by a doctor or physician) requirements are 63.7 lbf, 55.1 lbf, 22.2 lbf, and 19.2 lbf, respectively, and generally provide a scale on which a plate designer may choose to set the cut force.
  • the 63.7 lbf and 55.1 lbf cut force refer to the largest clinically relevant cutter.
  • the 22.2 lbf and 19.2 lbf cut force refer to the smallest clinically relevant cutter.
  • the constants S1, C1 and S2 are dependent on the material chosen. The cut force is initially determined for the largest relevant cutter.
  • the appropriate relationship was experimentally determined to determine the 22.2 lbf and 19.2 lbf on the left hand side of the equation for the small clinically relevant cutter. In essence, this modification to the equation shows that a smaller cutter with the same hand force on the cutter requires a section that can be cut more easily.
  • equations A and E are both set to yield a cut force of 63.7 lbf with the area, width, and height as variables. Using this maximum cut force, for a rectangular section and using Grade 4 titanium with the largest clinically relevant cutter, equation A gives the relationship between height and width of the bridge section. If the maximum cut height (which may be the same as the width of the bridge section, as shown in FIG. 18 ) is set at 0.05 inches, the maximum height of the bridge will be determined to be 0.0784 inches. From the assigned width and determined height, the cross-sectional area can be determined to be 0.00392 square inches. Any height of the bridge less than 0.0784 inches will allow for cutting at a cut force.
  • the maximum height of the bridge section would be determined to be 0.0567 inches.
  • the cross-sectional area can be determined to be 0.00445 square inches.
  • the geometry determined in the second example has a cross-sectional area 13.4% larger than the geometry of the first example. This directly translates into the ability of the bridge section of example 2 to transmit a tensile load 13.4% higher than the bridge section of example 1.
  • Example 1 Example 2 Maximum Cut Force 63.7 63.7 Set Width 0.05 0.0784 Determined Height 0.0784 0.0567 Area of Cross Section 0.00392 0.00445 Section Shape
  • the experimentally measured force on the handle can be translated to the actual force seen by the plate using the mechanical advantage of the given cutter.
  • the mechanical advantage was determined to be 6.1 to 7.1 depending on hand position, with the plate positioned so that up to 2 mm of cutter extended beyond the plate. In the tested position, the mechanical advantage was determined to be 6.8. From this, the actual force seen by the plate associated with an applied cut force of 63.7 lbf can be determined in the range of 388 lbf to 452 lbf depending on user hand position, and 433 lbf in the test fixture position. The same determination could be made for the small cutter.
  • ⁇ 452 ( ( 1.30 ⁇ 10 4 ) ⁇ ( a ) + 8.76 ) ⁇ ( w h max ) - 0.140 ⁇ ( 7.1 ) B ′ .
  • ⁇ 391 ( ( 1.30 ⁇ 10 4 ) ⁇ ( a ) + 8.76 ) ⁇ ( w h max ) - 0.140 ⁇ ( 7.1 ) E ′ .
  • ⁇ 452 ( ( 1.224 ⁇ 10 4 ) ⁇ ( a ) + 3.68 ) ⁇ ( w h max ) - 0.124 ⁇ ( 7.1 ) F ′ .
  • ⁇ 391 ( ( 1.224 ⁇ 10 4 ) ⁇ ( a ) + 3.68 ) ⁇ ( w h max ) - 0.124 ⁇ ( 7.1 )
  • this principle could be applied to the small cutter tested or to any other relevant cutter to determine the maximum severing force seen by a given plate.
  • This method could also be applied to model the cut force of materials other than Grade 2 or Grade 4 commercially pure titanium using the same characteristic equation and similar testing.

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US10/980,705 2002-02-22 2004-11-03 Method and apparatus for bone fracture fixation Abandoned US20050065521A1 (en)

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US10/980,705 US20050065521A1 (en) 2002-02-22 2004-11-03 Method and apparatus for bone fracture fixation
DE602005005918T DE602005005918T2 (de) 2004-11-03 2005-10-19 Vorrichtung zum Fixieren von Knochen-Frakturen
EP05022829A EP1654994B1 (en) 2004-11-03 2005-10-19 Apparatus for bone fracture fixation
ES05022829T ES2303173T3 (es) 2004-11-03 2005-10-19 Aparato de fijacion de fracturas de huesos.
JP2005319509A JP2006130317A (ja) 2004-11-03 2005-11-02 骨折を固定するための方法および装置
US12/732,009 US8460345B2 (en) 2002-02-22 2010-03-25 Method and apparatus for bone fracture fixation

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US10/081,166 US7052499B2 (en) 1998-02-18 2002-02-22 Method and apparatus for bone fracture fixation
US10/980,705 US20050065521A1 (en) 2002-02-22 2004-11-03 Method and apparatus for bone fracture fixation

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Cited By (98)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050096657A1 (en) * 2002-02-26 2005-05-05 Alex Autericque Osteosynthesis or arthrodesis material comprising a bony plate
EP1654994A1 (en) * 2004-11-03 2006-05-10 Walter Lorenz Surgical, Inc. Method and apparatus for bone fracture fixation
US20060122611A1 (en) * 2003-06-04 2006-06-08 Aesculap Ag & Co. Kg Sternum closure device
EP1707139A1 (en) * 2005-03-31 2006-10-04 DePuy Products, Inc. Mid-foot fixation plate
US20070162013A1 (en) * 2005-12-09 2007-07-12 Depuy Spine, Inc. Spinal plate and drill guide
US20070238069A1 (en) * 2006-04-10 2007-10-11 Scott Lovald Osteosynthesis plate, method of customizing same, and method for installing same
US20070270856A1 (en) * 2006-04-28 2007-11-22 Aesculap Ag & Co. Kg Surgical fixing device for two bone parts
WO2008034489A1 (de) * 2006-09-22 2008-03-27 Aesculap Ag Sternumverschluss
US20080132932A1 (en) * 2006-08-16 2008-06-05 Biomet Sports Medicine, Inc. Chondral Defect Repair
US20090234358A1 (en) * 2006-09-22 2009-09-17 Aesculap Ag Sternum closure device
US20100087857A1 (en) * 2004-11-05 2010-04-08 Stone Kevin T Soft Tissue Repair Device and Method
US20100125300A1 (en) * 2008-11-19 2010-05-20 Amei Technologies, Inc. Fixation plate for use in the lapidus approach
US20100145384A1 (en) * 2006-09-29 2010-06-10 Biomet Sport Medicine, Llc Method for Implanting Soft Tissue
US20100234895A1 (en) * 2009-03-13 2010-09-16 Harold Hess Dynamic Vertebral Column Plate System
US20100256687A1 (en) * 2009-04-01 2010-10-07 Merete Medical Gmbh Fixation Device and Method of Use for a Ludloff Osteotomy Procedure
US20100274293A1 (en) * 2009-04-28 2010-10-28 Osteomed L.P. Bone Plate with a Transfixation Screw Hole
WO2010124230A1 (en) * 2009-04-23 2010-10-28 University Of Massachusetts Bone fixture assembly
US20110087284A1 (en) * 2006-02-03 2011-04-14 Biomet Sports Medicine, Llc Soft Tissue Repair and Conduit Device
US20110118742A1 (en) * 2009-05-12 2011-05-19 Urs Hulliger Readjustable Locking Plate Hole
US20110160730A1 (en) * 2009-12-30 2011-06-30 Medartis Ag Osteosynthesis Plate for Treatment of Fractures or Osteotomies in the Vicinity of Joints
US20110185560A1 (en) * 2008-08-18 2011-08-04 Qioptiq Photonics Gmbh & Co. Kg Method for producing an objective
US20110208239A1 (en) * 2006-09-29 2011-08-25 Biomet Sports Medicine, Llc Method and Apparatus for Forming a Self-Locking Adjustable Loop
US20110208240A1 (en) * 2006-02-03 2011-08-25 Biomet Sports Medicine, Llc Method and Apparatus for Soft Tissue Fixation
US20110224799A1 (en) * 2006-02-03 2011-09-15 Biomet Sports Medicine, Llc Method for Trochanteric Reattachment
US20120053639A1 (en) * 2010-08-27 2012-03-01 Grant William P Foot beam insert
US8246664B2 (en) 2009-02-24 2012-08-21 Osteomed Llc Multiple bone fusion plate
US20120245693A1 (en) * 2011-03-25 2012-09-27 Josef Gorek Spinal fixation device
US8292921B2 (en) 2006-02-03 2012-10-23 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US8337525B2 (en) 2006-02-03 2012-12-25 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8343227B2 (en) 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8409253B2 (en) 2006-02-03 2013-04-02 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US8419776B2 (en) 2010-03-08 2013-04-16 Memometal Technologies Radius-plate assembly
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US8551140B2 (en) 2004-11-05 2013-10-08 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US8574270B2 (en) 2009-03-13 2013-11-05 Spinal Simplicity Llc Bone plate assembly with bone screw retention features
US8579898B2 (en) 2010-03-08 2013-11-12 Memometal Technologies Adjustable-angle radius plate
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US20130332063A1 (en) * 2012-06-10 2013-12-12 Apple Inc. Road height generation for a road network
US8608777B2 (en) 2006-02-03 2013-12-17 Biomet Sports Medicine Method and apparatus for coupling soft tissue to a bone
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US20140081337A1 (en) * 2012-09-18 2014-03-20 Karl Leibinger Medizintechnik Gmbh & Co. Kg Sternal plate type sternal closure comprising an integral severing site member
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US20140309638A1 (en) * 2009-02-17 2014-10-16 Obl Customized osteosynthesis assembly
US8932331B2 (en) 2006-02-03 2015-01-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8940026B2 (en) 2009-04-07 2015-01-27 Merete Medical Gmbh Apparatus for the constant-angle fixation and compression of a fracture or osteotomy of a bone
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US8974504B2 (en) 2012-05-10 2015-03-10 Spinal Simplicity Llc Dynamic bone fracture plates
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9161795B2 (en) 2009-12-22 2015-10-20 Merete Medical Gmbh Bone plate system for osteosynthesis
USD745162S1 (en) 2014-01-27 2015-12-08 Merete Medical Gmbh Bone plate
US9208601B2 (en) 2012-06-10 2015-12-08 Apple Inc. Computing plausible road surfaces in 3D from 2D geometry
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US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9545276B2 (en) 2013-03-15 2017-01-17 Aristotech Industries Gmbh Fixation device and method of use for a lapidus-type plantar hallux valgus procedure
US9566098B2 (en) 2009-04-23 2017-02-14 University Of Massachusetts Bone fixture assembly
US9572655B2 (en) 2004-11-05 2017-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
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US9788874B2 (en) 2012-05-03 2017-10-17 Aristotech Industries Gmbh Bone plate system for osteosynthesis
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
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US20180110625A1 (en) * 2015-08-25 2018-04-26 Wright Medical Technology, Inc. Modular talar fixation method and system
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US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
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US10912551B2 (en) 2015-03-31 2021-02-09 Biomet Sports Medicine, Llc Suture anchor with soft anchor of electrospun fibers
US11123117B1 (en) 2011-11-01 2021-09-21 Nuvasive, Inc. Surgical fixation system and related methods
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US20230010618A1 (en) * 2021-07-06 2023-01-12 Wright Medical Technology, Inc. Systems and methods of plate trial packaging
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Families Citing this family (40)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7905909B2 (en) 2005-09-19 2011-03-15 Depuy Products, Inc. Bone stabilization system including multi-directional threaded fixation element
US20120029576A1 (en) * 2006-05-26 2012-02-02 Mark Richard Cunliffe Bone Fixation Device
US10085780B2 (en) 2006-05-26 2018-10-02 Mark Richard Cunliffe Bone fixation device
DE102006055870A1 (de) * 2006-11-23 2008-06-05 Joachim Maass Vorrichtung zur Sperrung gegenläufiger Bewegung von Knochen-Trennflächen
EP2211740B1 (en) 2007-11-02 2011-10-12 DePuy Products, Inc. Elbow fracture fixation system
US8317842B2 (en) 2007-11-30 2012-11-27 Biomet C.V. Distal tibia plating system
US8257407B2 (en) * 2008-04-23 2012-09-04 Aryan Henry E Bone plate system and method
US8337533B2 (en) * 2008-06-20 2012-12-25 Osteomed Llc Locking plate benders
US8668697B2 (en) * 2009-10-07 2014-03-11 Abyrx, Inc. Methods and devices for sternal closure
US8337497B2 (en) * 2009-10-07 2012-12-25 Doctors Research Group, Inc. Methods for sternal closure
JP2011217768A (ja) * 2010-04-02 2011-11-04 Hoya Corp 固定部材および固定部材セット
US8419745B2 (en) 2010-04-23 2013-04-16 Biomet C.V. Bone plate bender system
US9066733B2 (en) 2010-04-29 2015-06-30 DePuy Synthes Products, Inc. Orthognathic implant and methods of use
US8435270B2 (en) 2010-04-29 2013-05-07 Synthes Usa, Llc Orthognathic implant and methods of use
EP2698122B1 (en) * 2010-04-29 2017-07-05 Synthes GmbH Orthognathic implant
US10058364B2 (en) 2011-06-29 2018-08-28 Zimmer Biomet CMF and Thoracic, LLC Locking mechanism to secure ends of an implantable band
US9265543B2 (en) 2011-12-27 2016-02-23 Pioneer Surgical Technology, Inc. Bone plate system and method
US9795423B2 (en) * 2012-01-23 2017-10-24 DePuy Synthes Products, Inc. Device and method for normalizing implant strain readings to assess bone healing
US10765465B2 (en) 2012-11-21 2020-09-08 A&E Advanced Closure Systems, Llc Tensioning instrument
US9561064B2 (en) 2012-11-21 2017-02-07 Pioneer Surgical Technology, Inc. Bone plate system and method
US9820755B2 (en) 2013-03-15 2017-11-21 Zimmer Biomet CMF and Thoracic, LLC Sternal closure cerclage, plate implant and instrumentation
EP2967689B1 (en) 2013-03-15 2018-05-09 Biomet Microfixation, Llc Sternal closure cerclage, plate implant and instrumentation
US10010359B2 (en) 2013-03-15 2018-07-03 Zimmer Biomet CMF and Thoracic, LLC Sternal closure cerclage, plate implant and instrumentation
EP3019101B1 (en) 2013-07-11 2018-02-21 Stryker European Holdings I, LLC Fixation assembly with a flexible elongated member for securing parts of a sternum
US9999454B2 (en) 2013-12-05 2018-06-19 A&E Advanced Closure Systems, Llc Bone plate system and method
CN106413608B (zh) * 2014-03-14 2020-08-18 捷迈拜欧米特Cmf和胸腔有限公司 胸骨闭合环扎术、板植入件和器械
US10314635B2 (en) 2014-05-28 2019-06-11 A&E Advanced Closure Systems, Llc Tensioning instruments
US9827026B1 (en) * 2014-09-30 2017-11-28 Allscripts Software, Llc Nuss procedure aid
EP3042622B1 (en) 2015-01-09 2018-05-09 Stryker European Holdings I, LLC Implant for bone fixation
US10463410B2 (en) 2016-01-22 2019-11-05 A&E Advanced Closure Systems, Llc Bone plate having a connector and a connector for a surgical loop
US10758290B2 (en) * 2016-03-11 2020-09-01 Jace Medical, Llc Orthopaedic fixation devices, systems and methods
CN105943150A (zh) * 2016-06-06 2016-09-21 广州雄俊智能科技有限公司 一种个性化接骨板及其制造方法
CN106108999A (zh) * 2016-06-12 2016-11-16 谭海涛 一种个性化接骨板及其制造方法
US10485600B2 (en) 2016-07-29 2019-11-26 A&E Advanced Closure Systems, Llc Surgical cable tensioner
EP3320868B1 (en) 2016-11-11 2019-05-01 Stryker European Holdings I, LLC Implant for bone fixation
EP3641679B1 (en) 2017-06-30 2022-01-26 Vickaryous, Brian K.P. Neutralization plate
US11957394B2 (en) 2020-02-27 2024-04-16 J.M. Longyear Manufacturing, Llc Screw caddy
CA3210163A1 (en) 2021-02-09 2022-08-18 Zimmer Biomet CMF and Thoracic, LLC Rigid sternal fixation
US11771481B2 (en) 2021-03-08 2023-10-03 Zimmer Biomet CMF and Thoracic, LLC Sternal plates and methods of use
DE102021202393A1 (de) 2021-03-11 2022-09-15 Karl Leibinger Medizintechnik Gmbh & Co. Kg Optimiertes implantatsystem

Citations (48)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1105105A (en) * 1912-02-10 1914-07-28 William O'n Sherman Surgical appliance.
US2489870A (en) * 1946-03-02 1949-11-29 Dzus William Bone fastening device
US2494229A (en) * 1946-07-08 1950-01-10 John G Collison Bone surgery
US2631584A (en) * 1948-07-22 1953-03-17 Alfred T Purificato Fracture securing instrument
US3488779A (en) * 1967-09-27 1970-01-13 Robert W Christensen Orthopedic prosthetic appliances for attachment to bone
US4219015A (en) * 1977-04-22 1980-08-26 Institut Straumann Ag Plates for osteosynthesis
US4429690A (en) * 1980-09-15 1984-02-07 Cise Centro Informazioni Studi Esperienze Spa Plate for broken bone fixation
US4484570A (en) * 1980-05-28 1984-11-27 Synthes Ltd. Device comprising an implant and screws for fastening said implant to a bone, and a device for connecting two separated pieces of bone
US4683878A (en) * 1985-04-29 1987-08-04 Kirschner Medical Corporation Osteosynthetic fixation plate
US4708132A (en) * 1986-01-24 1987-11-24 Pfizer-Hospital Products Group, Inc. Fixation device for a ligament or tendon prosthesis
US4903691A (en) * 1986-01-22 1990-02-27 Thomas Heinl Set of surgical instruments for joining bone fragments
US4905679A (en) * 1988-02-22 1990-03-06 M P Operation, Inc. Bone fracture reduction device and method of internal fixation of bone fractures
US4959065A (en) * 1989-07-14 1990-09-25 Techmedica, Inc. Bone plate with positioning member
US4973332A (en) * 1988-09-12 1990-11-27 Hospital For Joint Diseases Attachment for femur sliding screw plate
US5108399A (en) * 1988-09-17 1992-04-28 Boehringer Ingelheim Gmbh Device for osteosynthesis and process for producing it
US5108395A (en) * 1989-09-18 1992-04-28 Societe De Fabrication De Materiel Orthopedique - Sofamor Implant for anterior dorsolumbar spinal osteosynthesis, intended for the correction of kyphoses
US5129899A (en) * 1991-03-27 1992-07-14 Smith & Nephew Richards Inc. Bone fixation apparatus
US5139498A (en) * 1988-10-18 1992-08-18 Astudillo Ley Freddy R Device for closing sternum in heart surgery
US5147363A (en) * 1989-12-21 1992-09-15 Haerle Anton Screw for use in osteosynthesis
US5151103A (en) * 1987-11-03 1992-09-29 Synthes (U.S.A.) Point contact bone compression plate
US5180382A (en) * 1990-12-19 1993-01-19 Synthes (U.S.A.) Bone screw
US5180381A (en) * 1991-09-24 1993-01-19 Aust Gilbert M Anterior lumbar/cervical bicortical compression plate
US5269784A (en) * 1991-12-10 1993-12-14 Synthes (U.S.A.) Screw nut for plate osteosynthesis
US5303718A (en) * 1990-12-29 1994-04-19 Milan Krajicek Method and device for the osteosynthesis of bones
US5358367A (en) * 1992-03-18 1994-10-25 Yang Tai Her Screw or nut packing micro-adjustment
US5372598A (en) * 1987-05-14 1994-12-13 Howmedica Gmbh Small bone plate for cranial or facial fractures or the like
US5403136A (en) * 1991-06-25 1995-04-04 Synthes (U.S.A.) Threaded fastener especially for orthopaedic purposes
US5413577A (en) * 1987-04-07 1995-05-09 Pollock; Richard A. Anatomical precontoured plating
US5468242A (en) * 1993-11-19 1995-11-21 Leibinger Gmbh Form-fitting mesh implant
US5474553A (en) * 1989-04-18 1995-12-12 Rainer Baumgart System for setting tubular bone fractures
US5474551A (en) * 1994-11-18 1995-12-12 Smith & Nephew Richards, Inc. Universal coupler for spinal fixation
US5505731A (en) * 1993-09-01 1996-04-09 Tornier Sa Screw for lumbar-sacral fixator
US5520690A (en) * 1995-04-13 1996-05-28 Errico; Joseph P. Anterior spinal polyaxial locking screw plate assembly
US5569247A (en) * 1995-03-27 1996-10-29 Smith & Nephew Richards, Inc. Enhanced variable angle bone bolt
US5591167A (en) * 1994-02-15 1997-01-07 Sofamor, S.N.C. Anterior dorso-lumbar spinal osteosynthesis instrumentation for the correction of kyphosis
US5601554A (en) * 1993-03-04 1997-02-11 Advanced Spine Fixation Systems, Inc. Branch connector for spinal fixation systems
US5601553A (en) * 1994-10-03 1997-02-11 Synthes (U.S.A.) Locking plate and bone screw
US5607428A (en) * 1995-05-01 1997-03-04 Lin; Kwan C. Orthopedic fixation device having a double-threaded screw
US5653710A (en) * 1993-11-23 1997-08-05 Haerle; Anton Osteosynthetic force transmitting member
US5676667A (en) * 1995-12-08 1997-10-14 Hausman; Michael Bone fixation apparatus and method
US5722976A (en) * 1993-08-27 1998-03-03 Brown; Robin Peter Apparatus and method for surgically securing bone parts
US5822865A (en) * 1995-09-20 1998-10-20 Medartis Ag Cutting pliers for cutting implant plates
US6007538A (en) * 1997-07-25 1999-12-28 Duke University Sternal closure device
US6129728A (en) * 1998-02-18 2000-10-10 Walter Lorenz Surgical, Inc. Method and apparatus for mandibular osteosynthesis
US6315852B1 (en) * 1996-09-04 2001-11-13 Anna Magrini Production process of varying thickness osteosynthesis plates
US20020128654A1 (en) * 1998-02-18 2002-09-12 Steger Shon D. Method and apparatus for bone fracture fixation
US6565570B2 (en) * 2001-03-14 2003-05-20 Electro-Biology, Inc. Bone plate and retractor assembly
US6960211B1 (en) * 1999-05-25 2005-11-01 Medartis Ag Osteosynthetic bone plate

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE867422C (de) 1951-11-13 1953-02-16 Alfred Dr Med Abel Anschraubbare Knochenplatte zur Heilung von Knochenbruechen
FR2556583B1 (fr) * 1983-12-19 1986-04-18 Inst Nat Sante Rech Med Plaques d'osteosynthese pour derotation osseuse, en particulier derotation femorale
US5290281A (en) 1992-06-15 1994-03-01 Medicon Eg Surgical system
US5336224A (en) 1992-11-30 1994-08-09 Ace Medical Company Bone fixation plate
ES2150558T3 (es) 1995-03-27 2000-12-01 Synthes Ag Placa para osteosintesis.
US6488685B1 (en) 1995-06-26 2002-12-03 Easton L. Manderson Extramedullary rod fixateur for bones
US5752958A (en) 1997-04-02 1998-05-19 Wellisz; Tadeusz Z. Bone fixation plate
GB2324470A (en) * 1997-04-24 1998-10-28 Customflex Limited Prosthetic implants
US6325803B1 (en) 1998-02-18 2001-12-04 Walter Lorenz Surgical, Inc. Method and apparatus for mandibular osteosynthesis
US20050065521A1 (en) * 2002-02-22 2005-03-24 Steger Shon D. Method and apparatus for bone fracture fixation

Patent Citations (48)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1105105A (en) * 1912-02-10 1914-07-28 William O'n Sherman Surgical appliance.
US2489870A (en) * 1946-03-02 1949-11-29 Dzus William Bone fastening device
US2494229A (en) * 1946-07-08 1950-01-10 John G Collison Bone surgery
US2631584A (en) * 1948-07-22 1953-03-17 Alfred T Purificato Fracture securing instrument
US3488779A (en) * 1967-09-27 1970-01-13 Robert W Christensen Orthopedic prosthetic appliances for attachment to bone
US4219015A (en) * 1977-04-22 1980-08-26 Institut Straumann Ag Plates for osteosynthesis
US4484570A (en) * 1980-05-28 1984-11-27 Synthes Ltd. Device comprising an implant and screws for fastening said implant to a bone, and a device for connecting two separated pieces of bone
US4429690A (en) * 1980-09-15 1984-02-07 Cise Centro Informazioni Studi Esperienze Spa Plate for broken bone fixation
US4683878A (en) * 1985-04-29 1987-08-04 Kirschner Medical Corporation Osteosynthetic fixation plate
US4903691A (en) * 1986-01-22 1990-02-27 Thomas Heinl Set of surgical instruments for joining bone fragments
US4708132A (en) * 1986-01-24 1987-11-24 Pfizer-Hospital Products Group, Inc. Fixation device for a ligament or tendon prosthesis
US5413577A (en) * 1987-04-07 1995-05-09 Pollock; Richard A. Anatomical precontoured plating
US5372598A (en) * 1987-05-14 1994-12-13 Howmedica Gmbh Small bone plate for cranial or facial fractures or the like
US5151103A (en) * 1987-11-03 1992-09-29 Synthes (U.S.A.) Point contact bone compression plate
US4905679A (en) * 1988-02-22 1990-03-06 M P Operation, Inc. Bone fracture reduction device and method of internal fixation of bone fractures
US4973332A (en) * 1988-09-12 1990-11-27 Hospital For Joint Diseases Attachment for femur sliding screw plate
US5108399A (en) * 1988-09-17 1992-04-28 Boehringer Ingelheim Gmbh Device for osteosynthesis and process for producing it
US5139498A (en) * 1988-10-18 1992-08-18 Astudillo Ley Freddy R Device for closing sternum in heart surgery
US5474553A (en) * 1989-04-18 1995-12-12 Rainer Baumgart System for setting tubular bone fractures
US4959065A (en) * 1989-07-14 1990-09-25 Techmedica, Inc. Bone plate with positioning member
US5108395A (en) * 1989-09-18 1992-04-28 Societe De Fabrication De Materiel Orthopedique - Sofamor Implant for anterior dorsolumbar spinal osteosynthesis, intended for the correction of kyphoses
US5147363A (en) * 1989-12-21 1992-09-15 Haerle Anton Screw for use in osteosynthesis
US5180382A (en) * 1990-12-19 1993-01-19 Synthes (U.S.A.) Bone screw
US5303718A (en) * 1990-12-29 1994-04-19 Milan Krajicek Method and device for the osteosynthesis of bones
US5129899A (en) * 1991-03-27 1992-07-14 Smith & Nephew Richards Inc. Bone fixation apparatus
US5403136A (en) * 1991-06-25 1995-04-04 Synthes (U.S.A.) Threaded fastener especially for orthopaedic purposes
US5180381A (en) * 1991-09-24 1993-01-19 Aust Gilbert M Anterior lumbar/cervical bicortical compression plate
US5269784A (en) * 1991-12-10 1993-12-14 Synthes (U.S.A.) Screw nut for plate osteosynthesis
US5358367A (en) * 1992-03-18 1994-10-25 Yang Tai Her Screw or nut packing micro-adjustment
US5601554A (en) * 1993-03-04 1997-02-11 Advanced Spine Fixation Systems, Inc. Branch connector for spinal fixation systems
US5722976A (en) * 1993-08-27 1998-03-03 Brown; Robin Peter Apparatus and method for surgically securing bone parts
US5505731A (en) * 1993-09-01 1996-04-09 Tornier Sa Screw for lumbar-sacral fixator
US5468242A (en) * 1993-11-19 1995-11-21 Leibinger Gmbh Form-fitting mesh implant
US5653710A (en) * 1993-11-23 1997-08-05 Haerle; Anton Osteosynthetic force transmitting member
US5591167A (en) * 1994-02-15 1997-01-07 Sofamor, S.N.C. Anterior dorso-lumbar spinal osteosynthesis instrumentation for the correction of kyphosis
US5601553A (en) * 1994-10-03 1997-02-11 Synthes (U.S.A.) Locking plate and bone screw
US5474551A (en) * 1994-11-18 1995-12-12 Smith & Nephew Richards, Inc. Universal coupler for spinal fixation
US5569247A (en) * 1995-03-27 1996-10-29 Smith & Nephew Richards, Inc. Enhanced variable angle bone bolt
US5520690A (en) * 1995-04-13 1996-05-28 Errico; Joseph P. Anterior spinal polyaxial locking screw plate assembly
US5607428A (en) * 1995-05-01 1997-03-04 Lin; Kwan C. Orthopedic fixation device having a double-threaded screw
US5822865A (en) * 1995-09-20 1998-10-20 Medartis Ag Cutting pliers for cutting implant plates
US5676667A (en) * 1995-12-08 1997-10-14 Hausman; Michael Bone fixation apparatus and method
US6315852B1 (en) * 1996-09-04 2001-11-13 Anna Magrini Production process of varying thickness osteosynthesis plates
US6007538A (en) * 1997-07-25 1999-12-28 Duke University Sternal closure device
US6129728A (en) * 1998-02-18 2000-10-10 Walter Lorenz Surgical, Inc. Method and apparatus for mandibular osteosynthesis
US20020128654A1 (en) * 1998-02-18 2002-09-12 Steger Shon D. Method and apparatus for bone fracture fixation
US6960211B1 (en) * 1999-05-25 2005-11-01 Medartis Ag Osteosynthetic bone plate
US6565570B2 (en) * 2001-03-14 2003-05-20 Electro-Biology, Inc. Bone plate and retractor assembly

Cited By (254)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8460345B2 (en) 2002-02-22 2013-06-11 Biomet Microfixation, Llc Method and apparatus for bone fracture fixation
US20100179600A1 (en) * 2002-02-22 2010-07-15 Steger Shon D Method and apparatus for bone fracture fixation
US20050096657A1 (en) * 2002-02-26 2005-05-05 Alex Autericque Osteosynthesis or arthrodesis material comprising a bony plate
US20060122611A1 (en) * 2003-06-04 2006-06-08 Aesculap Ag & Co. Kg Sternum closure device
EP1654994A1 (en) * 2004-11-03 2006-05-10 Walter Lorenz Surgical, Inc. Method and apparatus for bone fracture fixation
US9504460B2 (en) 2004-11-05 2016-11-29 Biomet Sports Medicine, LLC. Soft tissue repair device and method
US20100087857A1 (en) * 2004-11-05 2010-04-08 Stone Kevin T Soft Tissue Repair Device and Method
US11109857B2 (en) 2004-11-05 2021-09-07 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8551140B2 (en) 2004-11-05 2013-10-08 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9572655B2 (en) 2004-11-05 2017-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10265064B2 (en) 2004-11-05 2019-04-23 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
EP1707139A1 (en) * 2005-03-31 2006-10-04 DePuy Products, Inc. Mid-foot fixation plate
US7344538B2 (en) 2005-03-31 2008-03-18 Depuy Products, Inc. Mid-foot fixation plate
US9119677B2 (en) * 2005-12-09 2015-09-01 DePuy Synthes Products, Inc. Spinal plate and drill guide
US20070162013A1 (en) * 2005-12-09 2007-07-12 Depuy Spine, Inc. Spinal plate and drill guide
US9757163B2 (en) 2005-12-09 2017-09-12 DePuy Synthes Products, Inc. Spinal plate and drill guide
US10729421B2 (en) 2006-02-03 2020-08-04 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8721684B2 (en) 2006-02-03 2014-05-13 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US20110087284A1 (en) * 2006-02-03 2011-04-14 Biomet Sports Medicine, Llc Soft Tissue Repair and Conduit Device
US11723648B2 (en) 2006-02-03 2023-08-15 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US11617572B2 (en) 2006-02-03 2023-04-04 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US11589859B2 (en) 2006-02-03 2023-02-28 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US11471147B2 (en) 2006-02-03 2022-10-18 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US20110208240A1 (en) * 2006-02-03 2011-08-25 Biomet Sports Medicine, Llc Method and Apparatus for Soft Tissue Fixation
US20110224799A1 (en) * 2006-02-03 2011-09-15 Biomet Sports Medicine, Llc Method for Trochanteric Reattachment
US9498204B2 (en) 2006-02-03 2016-11-22 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
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US10542967B2 (en) 2006-02-03 2020-01-28 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US12064101B2 (en) 2006-02-03 2024-08-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10441264B2 (en) 2006-02-03 2019-10-15 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US10398428B2 (en) 2006-02-03 2019-09-03 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US10321906B2 (en) 2006-02-03 2019-06-18 Biomet Sports Medicine, Llc Method for tissue fixation
US8932331B2 (en) 2006-02-03 2015-01-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US12096931B2 (en) 2006-02-03 2024-09-24 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US10251637B2 (en) 2006-02-03 2019-04-09 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10154837B2 (en) 2006-02-03 2018-12-18 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9532777B2 (en) 2006-02-03 2017-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9005287B2 (en) 2006-02-03 2015-04-14 Biomet Sports Medicine, Llc Method for bone reattachment
US10098629B2 (en) 2006-02-03 2018-10-16 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10092288B2 (en) 2006-02-03 2018-10-09 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10022118B2 (en) 2006-02-03 2018-07-17 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10004489B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10004588B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US9173651B2 (en) 2006-02-03 2015-11-03 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9993241B2 (en) 2006-02-03 2018-06-12 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9801620B2 (en) 2006-02-03 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9561025B2 (en) 2006-02-03 2017-02-07 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9763656B2 (en) 2006-02-03 2017-09-19 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US9603591B2 (en) 2006-02-03 2017-03-28 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US9642661B2 (en) 2006-02-03 2017-05-09 Biomet Sports Medicine, Llc Method and Apparatus for Sternal Closure
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US9622736B2 (en) 2006-02-03 2017-04-18 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8246663B2 (en) * 2006-04-10 2012-08-21 Scott Lovald Osteosynthesis plate, method of customizing same, and method for installing same
US20070238069A1 (en) * 2006-04-10 2007-10-11 Scott Lovald Osteosynthesis plate, method of customizing same, and method for installing same
US20070270856A1 (en) * 2006-04-28 2007-11-22 Aesculap Ag & Co. Kg Surgical fixing device for two bone parts
US7867262B2 (en) 2006-04-28 2011-01-11 Aesculap Ag Surgical fixing device for two bone parts
US20080132932A1 (en) * 2006-08-16 2008-06-05 Biomet Sports Medicine, Inc. Chondral Defect Repair
US8777956B2 (en) 2006-08-16 2014-07-15 Biomet Sports Medicine, Llc Chondral defect repair
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
WO2008034489A1 (de) * 2006-09-22 2008-03-27 Aesculap Ag Sternumverschluss
US20090234357A1 (en) * 2006-09-22 2009-09-17 Aesculap Ag Sternum closure device
US20090234358A1 (en) * 2006-09-22 2009-09-17 Aesculap Ag Sternum closure device
US8133227B2 (en) 2006-09-22 2012-03-13 Aesculap Ag Sternum closure device
US8048077B2 (en) * 2006-09-22 2011-11-01 Aesculap Ag Sternum closure device
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US8672968B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9414925B2 (en) 2006-09-29 2016-08-16 Biomet Manufacturing, Llc Method of implanting a knee prosthesis assembly with a ligament link
US10398430B2 (en) 2006-09-29 2019-09-03 Biomet Sports Medicine, Llc Method for implanting soft tissue
US10517714B2 (en) 2006-09-29 2019-12-31 Biomet Sports Medicine, Llc Ligament system for knee joint
US10004493B2 (en) 2006-09-29 2018-06-26 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9539003B2 (en) 2006-09-29 2017-01-10 Biomet Sports Medicine, LLC. Method and apparatus for forming a self-locking adjustable loop
US20100145384A1 (en) * 2006-09-29 2010-06-10 Biomet Sport Medicine, Llc Method for Implanting Soft Tissue
US11672527B2 (en) 2006-09-29 2023-06-13 Biomet Sports Medicine, Llc Method for implanting soft tissue
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US10610217B2 (en) 2006-09-29 2020-04-07 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10695045B2 (en) 2006-09-29 2020-06-30 Biomet Sports Medicine, Llc Method and apparatus for attaching soft tissue to bone
US20110208239A1 (en) * 2006-09-29 2011-08-25 Biomet Sports Medicine, Llc Method and Apparatus for Forming a Self-Locking Adjustable Loop
US11376115B2 (en) 2006-09-29 2022-07-05 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US10349931B2 (en) 2006-09-29 2019-07-16 Biomet Sports Medicine, Llc Fracture fixation device
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9486211B2 (en) 2006-09-29 2016-11-08 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9681940B2 (en) 2006-09-29 2017-06-20 Biomet Sports Medicine, Llc Ligament system for knee joint
US11259794B2 (en) 2006-09-29 2022-03-01 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
US9833230B2 (en) 2006-09-29 2017-12-05 Biomet Sports Medicine, Llc Fracture fixation device
US10743925B2 (en) 2006-09-29 2020-08-18 Biomet Sports Medicine, Llc Fracture fixation device
US11096684B2 (en) 2006-09-29 2021-08-24 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9788876B2 (en) 2006-09-29 2017-10-17 Biomet Sports Medicine, Llc Fracture fixation device
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US10835232B2 (en) 2006-09-29 2020-11-17 Biomet Sports Medicine, Llc Fracture fixation device
US11612391B2 (en) 2007-01-16 2023-03-28 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US11185320B2 (en) 2007-04-10 2021-11-30 Biomet Sports Medicine, Llc Adjustable knotless loops
US10729423B2 (en) 2007-04-10 2020-08-04 Biomet Sports Medicine, Llc Adjustable knotless loops
US9861351B2 (en) 2007-04-10 2018-01-09 Biomet Sports Medicine, Llc Adjustable knotless loops
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US12303122B2 (en) 2007-04-10 2025-05-20 Biomet Sports Medicine, Llc Adjustable knotless loops
US20110185560A1 (en) * 2008-08-18 2011-08-04 Qioptiq Photonics Gmbh & Co. Kg Method for producing an objective
US12245759B2 (en) 2008-08-22 2025-03-11 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US11534159B2 (en) 2008-08-22 2022-12-27 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9107715B2 (en) 2008-11-19 2015-08-18 Amei Technologies, Inc. Fixation plate for use in the lapidus approach
US8828063B2 (en) 2008-11-19 2014-09-09 Amei Technologies, Inc. Fixation plate for use in the Lapidus approach
US20100125300A1 (en) * 2008-11-19 2010-05-20 Amei Technologies, Inc. Fixation plate for use in the lapidus approach
WO2010059497A1 (en) 2008-11-19 2010-05-27 Amei Technologies, Inc. Fixation plate for use in the lapidus approach
EP2355731A4 (en) * 2008-11-19 2012-03-28 Amei Technologies Inc FIXING PLATE FOR LAPIDUS PROCESS
US9247972B2 (en) * 2009-02-17 2016-02-02 Obl Customized osteosynthesis assembly
US20140309638A1 (en) * 2009-02-17 2014-10-16 Obl Customized osteosynthesis assembly
US8246664B2 (en) 2009-02-24 2012-08-21 Osteomed Llc Multiple bone fusion plate
US8262711B2 (en) 2009-03-13 2012-09-11 Spinal Simplicity Llc Dynamic vertebral column plate system
US8882812B2 (en) 2009-03-13 2014-11-11 Spinal Simplicity Llc Bone plate assembly with plates that ratchet together
US8574270B2 (en) 2009-03-13 2013-11-05 Spinal Simplicity Llc Bone plate assembly with bone screw retention features
US8814915B2 (en) 2009-03-13 2014-08-26 Spinal Simplicity Llc Dynamic vertebral column plate system
US20100234895A1 (en) * 2009-03-13 2010-09-16 Harold Hess Dynamic Vertebral Column Plate System
US20100256687A1 (en) * 2009-04-01 2010-10-07 Merete Medical Gmbh Fixation Device and Method of Use for a Ludloff Osteotomy Procedure
USD740943S1 (en) 2009-04-01 2015-10-13 Merete Medical Gmbh Bone plate
US8940026B2 (en) 2009-04-07 2015-01-27 Merete Medical Gmbh Apparatus for the constant-angle fixation and compression of a fracture or osteotomy of a bone
US9820787B2 (en) 2009-04-07 2017-11-21 Aristotech Industries Gmbh Apparatus for the constant-angle fixation and compression of a fracture or osteotomy of a bone
WO2010124230A1 (en) * 2009-04-23 2010-10-28 University Of Massachusetts Bone fixture assembly
US8690927B2 (en) 2009-04-23 2014-04-08 University Of Massachusetts Bone fixture assembly
US9566098B2 (en) 2009-04-23 2017-02-14 University Of Massachusetts Bone fixture assembly
US8529608B2 (en) 2009-04-28 2013-09-10 Osteomed Llc Bone plate with a transfixation screw hole
US20100274293A1 (en) * 2009-04-28 2010-10-28 Osteomed L.P. Bone Plate with a Transfixation Screw Hole
US9763716B2 (en) 2009-04-28 2017-09-19 Osteomed Llc Bone plate with a transfixation screw hole
US10245085B2 (en) 2009-04-28 2019-04-02 Osteomed Llc Bone plate with a transfixation screw hole
US9351776B2 (en) 2009-04-28 2016-05-31 Osteomed Llc Bone plate with a transfixation screw hole
US20110118742A1 (en) * 2009-05-12 2011-05-19 Urs Hulliger Readjustable Locking Plate Hole
US10799275B2 (en) 2009-05-12 2020-10-13 DePuy Synthes Products, Inc. Readjustable locking plate hole
US9855082B2 (en) * 2009-05-12 2018-01-02 DePuy Synthes Products, Inc. Readjustable locking plate hole
US8343227B2 (en) 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
US8900314B2 (en) 2009-05-28 2014-12-02 Biomet Manufacturing, Llc Method of implanting a prosthetic knee joint assembly
US10149767B2 (en) 2009-05-28 2018-12-11 Biomet Manufacturing, Llc Method of implanting knee prosthesis assembly with ligament link
US12251093B2 (en) 2009-05-29 2025-03-18 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US12096928B2 (en) 2009-05-29 2024-09-24 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9161795B2 (en) 2009-12-22 2015-10-20 Merete Medical Gmbh Bone plate system for osteosynthesis
US20110160730A1 (en) * 2009-12-30 2011-06-30 Medartis Ag Osteosynthesis Plate for Treatment of Fractures or Osteotomies in the Vicinity of Joints
US9301789B2 (en) * 2009-12-30 2016-04-05 Medartis Ag Osteosynthesis plate for treatment of fractures or osteotomies in the vicinity of joints
US8419776B2 (en) 2010-03-08 2013-04-16 Memometal Technologies Radius-plate assembly
US8894650B2 (en) 2010-03-08 2014-11-25 Memometal Technologies Radius plate assembly
US8579898B2 (en) 2010-03-08 2013-11-12 Memometal Technologies Adjustable-angle radius plate
US9592084B2 (en) * 2010-08-27 2017-03-14 William P. Grant Foot beam insert
US20120053639A1 (en) * 2010-08-27 2012-03-01 Grant William P Foot beam insert
US20120245693A1 (en) * 2011-03-25 2012-09-27 Josef Gorek Spinal fixation device
US12329373B2 (en) 2011-05-02 2025-06-17 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US12336701B2 (en) 2011-05-02 2025-06-24 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US9216078B2 (en) 2011-05-17 2015-12-22 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US9668793B2 (en) 2011-08-31 2017-06-06 Aristotech Industries Gmbh Anatomically customized plantar bone plate and bone plate system
US9445827B2 (en) 2011-10-25 2016-09-20 Biomet Sports Medicine, Llc Method and apparatus for intraosseous membrane reconstruction
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US11123117B1 (en) 2011-11-01 2021-09-21 Nuvasive, Inc. Surgical fixation system and related methods
US10265159B2 (en) 2011-11-03 2019-04-23 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US11241305B2 (en) 2011-11-03 2022-02-08 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9357992B2 (en) 2011-11-10 2016-06-07 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US10368856B2 (en) 2011-11-10 2019-08-06 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US10363028B2 (en) 2011-11-10 2019-07-30 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US11534157B2 (en) 2011-11-10 2022-12-27 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9788874B2 (en) 2012-05-03 2017-10-17 Aristotech Industries Gmbh Bone plate system for osteosynthesis
US8974504B2 (en) 2012-05-10 2015-03-10 Spinal Simplicity Llc Dynamic bone fracture plates
US9208601B2 (en) 2012-06-10 2015-12-08 Apple Inc. Computing plausible road surfaces in 3D from 2D geometry
US9207094B2 (en) * 2012-06-10 2015-12-08 Apple Inc. Road height generation for a road network
US20130332063A1 (en) * 2012-06-10 2013-12-12 Apple Inc. Road height generation for a road network
US20150080895A1 (en) * 2012-09-18 2015-03-19 Karl Leibinger Medizintechnik Gmbh & Co. Kg Closing member for sternal closure, sternal closure system comprising such closing member and sternal closure
US10022169B2 (en) * 2012-09-18 2018-07-17 Karl Leibinger Medizintechnik Gmbh & Co. Kg Closing member for sternal closure, sternal closure system comprising such closing member and sternal closure
US9265544B2 (en) * 2012-09-18 2016-02-23 Karl Leibinger Medizintechnik Gmbh & Co. Kg Sternal plate type sternal closure comprising an integral severing site member
US20140081337A1 (en) * 2012-09-18 2014-03-20 Karl Leibinger Medizintechnik Gmbh & Co. Kg Sternal plate type sternal closure comprising an integral severing site member
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US10758221B2 (en) 2013-03-14 2020-09-01 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9545276B2 (en) 2013-03-15 2017-01-17 Aristotech Industries Gmbh Fixation device and method of use for a lapidus-type plantar hallux valgus procedure
USD860456S1 (en) 2013-03-15 2019-09-17 Aristotech Industries Gmbh Plantar lapidus plate
US10806443B2 (en) 2013-12-20 2020-10-20 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US12251100B2 (en) 2013-12-20 2025-03-18 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US11648004B2 (en) 2013-12-20 2023-05-16 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
USD745162S1 (en) 2014-01-27 2015-12-08 Merete Medical Gmbh Bone plate
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US12193656B2 (en) 2014-08-22 2025-01-14 Biomet Sports Medicine, Llc Non-sliding soft anchor
US11219443B2 (en) 2014-08-22 2022-01-11 Biomet Sports Medicine, Llc Non-sliding soft anchor
US10743856B2 (en) 2014-08-22 2020-08-18 Biomet Sports Medicine, Llc Non-sliding soft anchor
US10448981B2 (en) 2015-01-08 2019-10-22 Neutin Orthopedics, LLC Fixed bone plate for rotational and translational first metatarsal osteotomy procedures
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US10912551B2 (en) 2015-03-31 2021-02-09 Biomet Sports Medicine, Llc Suture anchor with soft anchor of electrospun fibers
US10327906B2 (en) * 2015-08-25 2019-06-25 Wright Medical Technology, Inc. Modular talar fixation method and system
US11311386B2 (en) 2015-08-25 2022-04-26 Wright Medical Technology, Inc. Modular talar fixation method and system
US20180110625A1 (en) * 2015-08-25 2018-04-26 Wright Medical Technology, Inc. Modular talar fixation method and system
US12350163B2 (en) 2015-08-25 2025-07-08 Wright Medical Technology, Inc. Modular talar fixation method and system
CN110167471A (zh) * 2017-01-20 2019-08-23 奥瑟菲克斯有限公司 接骨板内部固定装置
US11701154B2 (en) * 2017-01-20 2023-07-18 Orthofix S.R.L. Bone plate internal fixator device
US20190357953A1 (en) * 2017-01-20 2019-11-28 Orthofix S.R.L. Bone plate internal fixator device
US10660680B2 (en) 2018-01-26 2020-05-26 Meira Corporation Bone treating device, bone treating screw and bone treating plate
CN109480981A (zh) * 2018-12-25 2019-03-19 朱成伟 一种适用于神经外科临床的颅骨破开修复装置
US11490937B2 (en) * 2019-12-13 2022-11-08 Jace Medical, Llc Bone closure assembly
US11819399B2 (en) * 2021-07-06 2023-11-21 Wright Medical Technology, Inc. Systems and methods of plate trial packaging
US20230010618A1 (en) * 2021-07-06 2023-01-12 Wright Medical Technology, Inc. Systems and methods of plate trial packaging
US12336899B2 (en) 2021-07-06 2025-06-24 Wright Medical Technology, Inc. Systems and methods of plate trial packaging

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US8460345B2 (en) 2013-06-11
EP1654994B1 (en) 2008-04-09
EP1654994A1 (en) 2006-05-10

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