US2427128A - Surgical bone clamp - Google Patents

Surgical bone clamp Download PDF

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Publication number
US2427128A
US2427128A US643848A US64384846A US2427128A US 2427128 A US2427128 A US 2427128A US 643848 A US643848 A US 643848A US 64384846 A US64384846 A US 64384846A US 2427128 A US2427128 A US 2427128A
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shank
bone
lower member
jaw
upper member
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US643848A
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Joe J Ettinger
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DW Zimmerman Manufacturing Inc
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DW Zimmerman Manufacturing Inc
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators

Definitions

  • This invention relates to surgical appliances and has special reference to a bone clamp.
  • Bone clamps have been heretofore known wherein the segments of a broken bone were held together by a pair of clamping jaws each grasping one side of the bone across the fracture. In these devices the jaws were held in parallelism and since bones are not generally purely cylindrical the jaws did not always effect proper clamping of the bone.
  • the principal object of the present invention is provide a novel form of bone clamp wherein least one of the jaws will be so mounted as to at to automatically adjust itself to the contour of the bone and thus effect uniform clamping pressure at the places wherein these jaws engage.
  • a second important object of the invention is to provide a device of this description which may be quickly adjusted to the bone and then securely forced and locked into position thereon, the quick adjustable means being detachable after the bone has been clamped.
  • a third important object of the invention is to provide a device of this character wherein there is a fixedly positioned jaw and a self adjusting jaw.
  • Fig. 1 is a side elevation of the devic showing the jaws open and the quick adjusting means applied thereto.
  • Fig. 2 is a fragmentary view from the line 2-2 of Fig. 1.
  • Fig. 3 is an enlarged detail section on the line 33 of ig. 2
  • Fig. 4 is a front elevation of the bone clamp shown in Fig. 1 with the jaws partly closed
  • Fig. 5 is a side elevation of the clamp of Fig, 1 with the jaws partly closed.
  • Fig. 6 is an enlarged detail section on the line 66 of Fig. 4.
  • Fig. 7 is an enlarged detail section on the line 1-1 of Fig. 4.
  • Fig. 8 is a view similar to Fig. 4 but showing a modification of the clamping jaws.
  • Fig. 9 is a side elevation of the clamp employing the type of jaws shown in Fig. 8.
  • Fig. 10 is a detail section on the line Iii-4U of Fig. 8.
  • the first form is shown in Figs. 1 to 7 inclusive and in this form there is provided what may be termed a lower member [0 because of the provision of bone engaging jaws at the bottom of this member.
  • a shank ll extends up from these jaws and is flattened on two sides l2 while the other two sides are threaded as at l 3. The lower part of the shank need not be threaded.
  • On the shank II is mounted a flattened sleeve l4 which so fits the shank as to be slidable therealong but non-rotatable thereon as is best shown in Fig. 7.
  • a boss I 5 Projecting from one flat side of the sleeve i4 is a boss I 5 and on this boss is mounted a yoke I6 which is pivoted to the boss by a screwii.
  • This yoke l6 has a pair of forwardly extending arms I 8.
  • Mounted on each of these arms is a jaw member l9 provided with a forked portion 2t straddling the arm and pivoted thereto by a pin 2
  • These jaw members [9 are alinecl above the jaw members l0. Concentric with the axis of the screw [1 is a slot 22 and a pin 23 is fixed in the boss I 5 and extends into this slot so that the tilting of the yoke l6 on the screw I1 is limited.
  • each of the jaw members l9 can rock onits pin 2!.
  • a nut 24 havin a knurled head 25.
  • lug 26 Extending rearwardly from the sleeve I4 is a lug 26 and extending rearwardly from the shank II below the sleeve [4 i 2. lug 27. These lugs are provided with eyes 28.
  • a pair of tongs having members 29 and 30 pivoted together intermediate their ends as at 3!. These tongs extend forwardly from the pivots to form jaws 32 and each jaw is cut away at its forward end to form a rabbit 33 from the side of which extends a pin 34 adapted to fit in the lug 26.
  • Pivoted to each jaw 32 is a cover plate 3'! which in one position lies over the end of the pin 34 but which may be moved out of this position to free the jaw and permit its removal from the lug 21.
  • a finger grip 33 and to properly position it there is also provided a lug 39 which, when the plate is in closed position, engages the jaw 32 as shown in Fig. 2.
  • a boss 49 wherein is pivoted a ratchet member 4
  • a spring 44 is interposed between the handle of the tong and this spring has an upturned end 45 which presses against the ratchet member M to hold teeth of the ratchet in contact with the pawl side 43.
  • the tongs may be closed and held closed but can only be released by tilting ratchet member 4
  • the nut 24 is unscrewed, the tongs applied to the lugs 26 and 21 and the jaws placed on opposite sides of the broken bone.
  • the tongs are then compressed to bring the jaws into close engagement with the bone whereupon the screw is screwed down to make a firm fit of said jaws on the bone.
  • the tongs may be removed and the bone clamp left on the bone by itself so that a fracture plate may be applied or other means for holding the part permanently during healing.
  • Figs. 8 to 10 the construction of the parts is very similar but in place of the boss i there is provided a boss '46 whereon is pivoted a rocker member 41 carrying a generally rectangular and elongated bone clamp 48, the ends and central bar of which are curved as best seen in Fig. 9. Also the jaws it of the previous form are supplanted at the lower end of the shank H by an elongated and rectangular bone clamp 55. Bone clamps 48 and 50 are of skeleton construction as will be seen. This form is used in the same manner as the previously described form.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along aid lower member, and bone engaging means pivoted to said upper member and rockable relative to said jaw.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and bone engaging means pivoted to said upper member and rockable relative to said jaw, said last means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and bone engaging means having universal joint connection with said upper member and opposed to said jaw.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, said adjusting means including a pair of tongs having detachable connection with said upper and lower members, and bone engaging means pivoted to said upper member and rockable relative to said jaw.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, said adjusting means including a pair of tongs having detachable connection with said upper and lower members, and bone engaging means pivoted to said upper member and rockable relative to said jaw, said last means including a base portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and bone engaging means having universal joint connection with said upper member and opposed to said jaw, said adjusting means including a pair of tongs having detachable connection with said upper and lower members.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along r said shank, adjusting means to move said upper member along said lower member, said adjusting means including a nut screwed on the upper end of the lower member and engaging the upper end of the upper member, and bone engaging means pivoted to said upper member and rockable relative to said jaw.
  • a lower member including a, shank having a bone engaging jaw at its lower end, an upper member mounted on lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, said adjusting means including a nut screwed on the upper end of the lower member and engaging the upper end of the upper member, and bone engaging means pivoted to said upper member and rockable relative to said jaw, said last means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
  • a lower member eluding a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move upper member along said lower member, and bone en-- gaging means having universal joint connection with said upper member and opposed to said jaw, said adjusting means including a nut screwed on the upper end of the lower member and engaging the upper end of the upper member.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and bone engaging means pivoted to said upper member and rockable relative to said jaw, said adjusting means including a pair of tongs having detachable connection with said upper and lower members and including a nut screwed on the upper end of the lower member and engageable with the upper end or" the upper member.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and bone engaging means pivoted to said upper member and roekable relative to said jaw
  • said adjusting means including a pair of tongs having detachable connection with said upper and lower mem-- bers and including a, nut screwed on the upper end of the lower member and engageable with the upper end of the upper member
  • said last means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and bone en" gaging means having universal joint connection with said upper member and opposed to said jaw
  • said adjusting means including a pair of tongs having detachable connection with said upper and lower members and including a nut screwed on the upper end of the lower member and engageable with the upper end of the upper memher
  • said engaging means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and having a sleeve non-rotatably fitting on the shank of the lower member, and bone engaging means pivoted to said upper member and rockable relative to said jaw.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and having a sleeve non-rotatably fitting on the shank of the lower member, said last means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and having a sleeve non-rotatably fitting on the shank of the lower member, and bone engaging means pivoted to said upper member and rockable relative to said aw.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper memher along said lower member, and having a sleeve non-rotatably fitting on the shank of the lower member, and bone engaging means pivoted to said upper member and rockable relative to said jaw, said adjusting means including a, pair of tongs having detachable connection with said upper and lower members and including a nut screwed on the upper end of the lower member and engageable with the upper end of the upper member.
  • a lower member including a shank having a, bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and having a sleeve non-rotatably fitting on the shank of the lower member, and bone engaging means pivoted to said upper member and rockable relative to said jaw
  • said adjusting means including a, pair of tongs having detachable connection with said upper and lower members and including a nut screwed on the upper end of the lower member and engageable with the upper end of the upper member
  • said engaging means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
  • a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and having a sleeve non-rotatably fitting on the shank of the lower member, and bone engaging means having universal joint connection with said upper member and opposed to said jaw, said adjusting means including a pair of tongs having detachable connection with said upper and lower members and including a.
  • said engaging means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.

Description

J. J. ETTINGER SURGICAL BONE CLAMP Sept 9, 1947.
Filed Jan.- 28, 1946 3 Sheets-Sheet '1' 'Sept. 9, 1947. ETTlNGER 2,427,128
1 SURGICAL BONE CLAMP Filed/Jail. 28, 1946 s Shets-Sheet 2 J. J. ETTINGER SURGICAL BONE CLAMP Fil ed Jan. 28, 1946 Sept. 9, 1947.
3 Sheets-Sheet 3 Patented Sept. 9, 1947 UNITED STATES PATENT OFFICE SURGICAL BONE CLAMP Joe J. Ettinger, Warsaw, Ind., assignor to Zimmer Manufacturing Company, Warsaw, Ind.
Application January 28, 1946, Serial No. 643,848
18 Claims. 1
This invention relates to surgical appliances and has special reference to a bone clamp.
Bone clamps have been heretofore known wherein the segments of a broken bone were held together by a pair of clamping jaws each grasping one side of the bone across the fracture. In these devices the jaws were held in parallelism and since bones are not generally purely cylindrical the jaws did not always effect proper clamping of the bone.
The principal object of the present invention is provide a novel form of bone clamp wherein least one of the jaws will be so mounted as to at to automatically adjust itself to the contour of the bone and thus effect uniform clamping pressure at the places wherein these jaws engage.
A second important object of the invention is to provide a device of this description which may be quickly adjusted to the bone and then securely forced and locked into position thereon, the quick adjustable means being detachable after the bone has been clamped.
A third important object of the invention is to provide a device of this character wherein there is a fixedly positioned jaw and a self adjusting jaw.
With the above and other objects in view the invention consists in general of certain novel details of construction and combinations of parts hereinafter fully described, illustrated in the accompanying drawings and particularly claimed.
In the accompanying drawings, Fig. 1 is a side elevation of the devic showing the jaws open and the quick adjusting means applied thereto.
Fig. 2 is a fragmentary view from the line 2-2 of Fig. 1.
Fig. 3 is an enlarged detail section on the line 33 of ig. 2
Fig. 4 is a front elevation of the bone clamp shown in Fig. 1 with the jaws partly closed,
Fig. 5 is a side elevation of the clamp of Fig, 1 with the jaws partly closed.
Fig. 6 is an enlarged detail section on the line 66 of Fig. 4.
Fig. 7 is an enlarged detail section on the line 1-1 of Fig. 4.
Fig. 8 is a view similar to Fig. 4 but showing a modification of the clamping jaws.
Fig. 9 is a side elevation of the clamp employing the type of jaws shown in Fig. 8.
Fig. 10 is a detail section on the line Iii-4U of Fig. 8.
In the construction of the invention as herein disclosed, two forms of the main portion of the devices are shown each of which may be primarily adjusted by the tongues shown in Fig. 1. These forms are quite similar but vary in certain details of the clamping jaws.
The first form is shown in Figs. 1 to 7 inclusive and in this form there is provided what may be termed a lower member [0 because of the provision of bone engaging jaws at the bottom of this member. A shank ll extends up from these jaws and is flattened on two sides l2 while the other two sides are threaded as at l 3. The lower part of the shank need not be threaded. On the shank II is mounted a flattened sleeve l4 which so fits the shank as to be slidable therealong but non-rotatable thereon as is best shown in Fig. 7.
Projecting from one flat side of the sleeve i4 is a boss I 5 and on this boss is mounted a yoke I6 which is pivoted to the boss by a screwii. This yoke l6 has a pair of forwardly extending arms I 8. Mounted on each of these arms is a jaw member l9 provided with a forked portion 2t straddling the arm and pivoted thereto by a pin 2|. These jaw members [9 are alinecl above the jaw members l0. Concentric with the axis of the screw [1 is a slot 22 and a pin 23 is fixed in the boss I 5 and extends into this slot so that the tilting of the yoke l6 on the screw I1 is limited. With this arrangement not only can the yoke tilt on the screw I! but also each of the jaw members l9 can rock onits pin 2!. Mounted on the upper end of the shank l I is a nut 24 havin a knurled head 25.
Extending rearwardly from the sleeve I4 is a lug 26 and extending rearwardly from the shank II below the sleeve [4 i 2. lug 27. These lugs are provided with eyes 28.
In connection with this arrangement there is provided a pair of tongs having members 29 and 30 pivoted together intermediate their ends as at 3!. These tongs extend forwardly from the pivots to form jaws 32 and each jaw is cut away at its forward end to form a rabbit 33 from the side of which extends a pin 34 adapted to fit in the lug 26. Pivoted to each jaw 32 is a cover plate 3'! which in one position lies over the end of the pin 34 but which may be moved out of this position to free the jaw and permit its removal from the lug 21. To aid in operating the plate 31 there is provided a finger grip 33 and to properly position it there is also provided a lug 39 which, when the plate is in closed position, engages the jaw 32 as shown in Fig. 2.
At the rear handle end of one of these tong members there is provided a boss 49 wherein is pivoted a ratchet member 4| which extends through an opening 42 shaped to provide a pawl like side 43. A spring 44 is interposed between the handle of the tong and this spring has an upturned end 45 which presses against the ratchet member M to hold teeth of the ratchet in contact with the pawl side 43. Thus the tongs may be closed and held closed but can only be released by tilting ratchet member 4| against the action of the spring end 45.
In operation the nut 24 is unscrewed, the tongs applied to the lugs 26 and 21 and the jaws placed on opposite sides of the broken bone. The tongs are then compressed to bring the jaws into close engagement with the bone whereupon the screw is screwed down to make a firm fit of said jaws on the bone. Then the tongs may be removed and the bone clamp left on the bone by itself so that a fracture plate may be applied or other means for holding the part permanently during healing.
In the form shown in Figs. 8 to 10 the construction of the parts is very similar but in place of the boss i there is provided a boss '46 whereon is pivoted a rocker member 41 carrying a generally rectangular and elongated bone clamp 48, the ends and central bar of which are curved as best seen in Fig. 9. Also the jaws it of the previous form are supplanted at the lower end of the shank H by an elongated and rectangular bone clamp 55. Bone clamps 48 and 50 are of skeleton construction as will be seen. This form is used in the same manner as the previously described form.
What is claimed is:
1. In a surgical bone clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along aid lower member, and bone engaging means pivoted to said upper member and rockable relative to said jaw.
2. In a surgical bone clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and bone engaging means pivoted to said upper member and rockable relative to said jaw, said last means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
3. In a surgical clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and bone engaging means having universal joint connection with said upper member and opposed to said jaw.
4. In a surgical bone clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, said adjusting means including a pair of tongs having detachable connection with said upper and lower members, and bone engaging means pivoted to said upper member and rockable relative to said jaw.
5. In a surgical bone clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, said adjusting means including a pair of tongs having detachable connection with said upper and lower members, and bone engaging means pivoted to said upper member and rockable relative to said jaw, said last means including a base portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
"6. In a surgical clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and bone engaging means having universal joint connection with said upper member and opposed to said jaw, said adjusting means including a pair of tongs having detachable connection with said upper and lower members.
'7. In a surgical bone clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along r said shank, adjusting means to move said upper member along said lower member, said adjusting means including a nut screwed on the upper end of the lower member and engaging the upper end of the upper member, and bone engaging means pivoted to said upper member and rockable relative to said jaw.
8. In a surgical bone clamp, a lower member including a, shank having a bone engaging jaw at its lower end, an upper member mounted on lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, said adjusting means including a nut screwed on the upper end of the lower member and engaging the upper end of the upper member, and bone engaging means pivoted to said upper member and rockable relative to said jaw, said last means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
9. In a surgical clamp. a lower member eluding a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move upper member along said lower member, and bone en-- gaging means having universal joint connection with said upper member and opposed to said jaw, said adjusting means including a nut screwed on the upper end of the lower member and engaging the upper end of the upper member.
10. In a surgical bone clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and bone engaging means pivoted to said upper member and rockable relative to said jaw, said adjusting means including a pair of tongs having detachable connection with said upper and lower members and including a nut screwed on the upper end of the lower member and engageable with the upper end or" the upper member.
11. In a surgical bone clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and bone engaging means pivoted to said upper member and roekable relative to said jaw, said adjusting means including a pair of tongs having detachable connection with said upper and lower mem-- bers and including a, nut screwed on the upper end of the lower member and engageable with the upper end of the upper member, said last means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
12. In a surgical clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and bone en" gaging means having universal joint connection with said upper member and opposed to said jaw, said adjusting means including a pair of tongs having detachable connection with said upper and lower members and including a nut screwed on the upper end of the lower member and engageable with the upper end of the upper memher, said engaging means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
13. In a surgical bone clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and having a sleeve non-rotatably fitting on the shank of the lower member, and bone engaging means pivoted to said upper member and rockable relative to said jaw.
14. In a surgical clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and having a sleeve non-rotatably fitting on the shank of the lower member, said last means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
15. In a surgical clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and having a sleeve non-rotatably fitting on the shank of the lower member, and bone engaging means pivoted to said upper member and rockable relative to said aw.
16. In a surgical clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper memher along said lower member, and having a sleeve non-rotatably fitting on the shank of the lower member, and bone engaging means pivoted to said upper member and rockable relative to said jaw, said adjusting means including a, pair of tongs having detachable connection with said upper and lower members and including a nut screwed on the upper end of the lower member and engageable with the upper end of the upper member.
17. In a surgical bone clamp, a lower member including a shank having a, bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and having a sleeve non-rotatably fitting on the shank of the lower member, and bone engaging means pivoted to said upper member and rockable relative to said jaw, said adjusting means including a, pair of tongs having detachable connection with said upper and lower members and including a nut screwed on the upper end of the lower member and engageable with the upper end of the upper member, said engaging means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
18. In a, surgical clamp, a lower member including a shank having a bone engaging jaw at its lower end, an upper member mounted on said lower member for sliding movement along said shank, adjusting means to move said upper member along said lower member, and having a sleeve non-rotatably fitting on the shank of the lower member, and bone engaging means having universal joint connection with said upper member and opposed to said jaw, said adjusting means including a pair of tongs having detachable connection with said upper and lower members and including a. nut screwed on the upper end of the lower member and engageable with the upper end of the upper member, said engaging means including a base portion pivoted to the upper member and at least one secondary portion pivoted to the base portion, the pivoted axes of said base and secondary portions being at right angles to each other.
JOE J. ETTINGER.
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Cited By (60)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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US2567182A (en) * 1949-10-07 1951-09-11 Safety Tourniquet Corp Tourniquet
US2577008A (en) * 1949-06-18 1951-12-04 Oscar L Engstrom Tourniquet clamp
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FR2657246A1 (en) * 1990-01-25 1991-07-26 Massaad Raymond Autostable retractor for bone surgery
EP0457017A1 (en) * 1990-05-15 1991-11-21 Synthes AG, Chur Fixations system for clamps
US5129908A (en) * 1990-01-23 1992-07-14 Petersen Thomas D Method and instruments for resection of the patella
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US11628002B2 (en) 2020-08-25 2023-04-18 DePuy Synthes Products, Inc. Bone plating system clamp sizing instrument and installation instrument
WO2023100060A1 (en) * 2021-12-01 2023-06-08 Crossroads Extremity Systems, Llc Bone sliver removal system
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Cited By (92)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2448321A (en) * 1946-09-11 1948-08-31 John A Morrone Surgical clamp
US2577008A (en) * 1949-06-18 1951-12-04 Oscar L Engstrom Tourniquet clamp
US2631585A (en) * 1949-09-06 1953-03-17 Siebrandt Francture Equipment Bone reducing tool
US2567182A (en) * 1949-10-07 1951-09-11 Safety Tourniquet Corp Tourniquet
US3477429A (en) * 1967-06-30 1969-11-11 Sampson Corp Extra-cortical clamp with detachable tensioning tool for internal fixation of bone fractures
DE1766652B1 (en) * 1967-06-30 1972-04-27 Arnold Sampson Brace for setting up bone fractures
US3509882A (en) * 1967-09-18 1970-05-05 American Hospital Supply Corp Parallel jaw spring clip and applicator
US3565066A (en) * 1967-09-29 1971-02-23 Nat Res Dev Surgical implant devices for correcting scoliotic curves
US4187840A (en) * 1978-08-14 1980-02-12 Watanabe Robert S Bone plate clamp
US4457306A (en) * 1982-05-05 1984-07-03 Howmedica, Inc. Tool and method for engaging two members of a joint prosthesis
FR2560764A1 (en) * 1984-03-09 1985-09-13 Matco Forceps for the reduction of fractures
US4813407A (en) * 1986-07-30 1989-03-21 Vogen Kenneth W Sesamoid bone clamp
US4898161A (en) * 1986-12-05 1990-02-06 S+G Implants Gmbh Forceps for pushing apart vertebrae
WO1989006939A1 (en) * 1988-02-05 1989-08-10 Pfizer Hospital Product Group, Inc. Multi purpose orthopedic ratcheting forceps
US4896661A (en) * 1988-02-05 1990-01-30 Pfizer, Inc. Multi purpose orthopedic ratcheting forceps
US5129908A (en) * 1990-01-23 1992-07-14 Petersen Thomas D Method and instruments for resection of the patella
FR2657246A1 (en) * 1990-01-25 1991-07-26 Massaad Raymond Autostable retractor for bone surgery
US5397330A (en) * 1990-04-11 1995-03-14 Mikhail; E. Michael Posterior cruciate ligament retractor for use in performing knee surgery
US5380331A (en) * 1990-04-11 1995-01-10 Mikhail; W. E. Michael Method for performing knee surgery and retractors for use therein
EP0457017A1 (en) * 1990-05-15 1991-11-21 Synthes AG, Chur Fixations system for clamps
US5888034A (en) * 1990-07-13 1999-03-30 Greenberg; Alex M. Drill mountable drill guide
US5133720A (en) * 1990-07-13 1992-07-28 Greenberg Alex M Surgical drill guide and retractor
US5409493A (en) * 1990-07-13 1995-04-25 Greenberg; Alex M. Single-handed surgical drill depth guide
US5746743A (en) * 1990-07-13 1998-05-05 Greenberg Surgical Technologies, Llc Single-handed surgical drill depth guide with mandibular retractor
US5129907A (en) * 1990-12-10 1992-07-14 Zimmer, Inc. Patellar clamp and reamer with adjustable stop
US5133715A (en) * 1991-02-04 1992-07-28 Lenzo Salvatore R Surgical device for open reduction of bone fractures
US5284482A (en) * 1991-02-08 1994-02-08 Mikhail Michael W E Universal patellar clamp
US5312403A (en) * 1991-05-03 1994-05-17 Synthes (U.S.A.) External fixation device
EP0686375A1 (en) * 1994-06-08 1995-12-13 Yechiel Gotfried Surgical instrument for use during connection of a fractured bone
US20030109879A1 (en) * 1994-12-05 2003-06-12 Orsak James E. External fixator for distal radius fractures
US6793655B2 (en) 1994-12-05 2004-09-21 Smith & Nephew, Inc. External fixator for distal radius fractures
DE19506564C2 (en) * 1994-12-20 1999-07-08 Accurate Surgical & Scient Ins Bone clamp
DE19506564A1 (en) * 1994-12-20 1996-07-04 Accurate Surgical & Scient Ins Bone clamp for introduction into surgical incision
US5968051A (en) * 1995-07-27 1999-10-19 Johnson & Johnson Professional, Inc. Patella clamping device
US5797919A (en) * 1996-07-16 1998-08-25 Brinson; Keith Anthony Surgical bone clamp
US5895389A (en) * 1997-05-29 1999-04-20 Synthes (U.S.A.) Drilling guide and measuring instrumentation
US6579296B1 (en) 1998-03-13 2003-06-17 Theodore I. Macey Method and apparatus for clamping
US20040220578A1 (en) * 1999-10-20 2004-11-04 Sulzer Spine-Tech, Inc. Bone instruments and methods
US7887537B2 (en) 2002-02-04 2011-02-15 Smith & Nephew, Inc. External fixation system
US20050119656A1 (en) * 2002-02-04 2005-06-02 Joseph Ferrante External fixation system
US7004943B2 (en) 2002-02-04 2006-02-28 Smith & Nephew, Inc. Devices, systems, and methods for placing and positioning fixation elements in external fixation systems
US7048735B2 (en) 2002-02-04 2006-05-23 Smith & Nephew External fixation system
US7758582B2 (en) 2002-06-14 2010-07-20 Smith & Nephew, Inc. Device and methods for placing external fixation elements
US6866667B2 (en) 2002-09-03 2005-03-15 Symmetry Medical, Inc. Patellar milling clamp
US20040087961A1 (en) * 2002-09-03 2004-05-06 Wood Steven R. Patellar milling clamp
US20040138659A1 (en) * 2003-01-10 2004-07-15 Ed Austin External fixation apparatus and method
US20070255280A1 (en) * 2003-01-10 2007-11-01 Smith & Nephew, Inc. External fixation apparatus and method
US8382755B2 (en) 2003-01-10 2013-02-26 Smith & Nephew, Inc. External fixation apparatus and method
US7608074B2 (en) 2003-01-10 2009-10-27 Smith & Nephew, Inc. External fixation apparatus and method
US20060069407A1 (en) * 2004-09-24 2006-03-30 Weber Robert M Grasper assembly
US7727256B2 (en) 2004-09-24 2010-06-01 Arthrex, Inc. Grasper assembly
US20070123916A1 (en) * 2005-10-25 2007-05-31 Brainlab Ag Non-penetrating fixing device
US8192449B2 (en) * 2005-10-25 2012-06-05 Brainlab Ag Non-penetrating fixing device
US20080097450A1 (en) * 2006-09-14 2008-04-24 Zimmer Technology, Inc. Patella clamp
US8231623B1 (en) 2009-11-23 2012-07-31 Christopher Jordan Bone reduction and plate clamp assembly
US8579950B1 (en) 2009-12-22 2013-11-12 Christopher Jordan Bone reduction and plate clamp assembly
US8685037B1 (en) 2009-12-22 2014-04-01 Christopher Jordan Bone reduction and plate clamp assembly
US20130345762A1 (en) * 2012-06-20 2013-12-26 DePuy Synthes Products, LLC Soft tissue bone reduction forceps
US9909288B2 (en) 2012-06-22 2018-03-06 Kohler Mira Limited Plumbing fixture with mixing valve and controller
US10087607B2 (en) 2012-06-22 2018-10-02 Kohler Mira Limited Shower head with integrated mixing valve
US10577784B2 (en) 2012-06-22 2020-03-03 Kohler Mira Limited Shower head with integrated mixing valve
US9822513B2 (en) 2012-06-22 2017-11-21 Kohler Mira Limited Mixing valve
US10604919B2 (en) 2012-06-22 2020-03-31 Kohler Mira Limited Plumbing fixture with heating element
US9920507B2 (en) 2012-06-22 2018-03-20 Kohler Mira Limited Mixing valve
US9957699B2 (en) 2012-06-22 2018-05-01 Kohler Mira Limited Plumbing fixture with heating elements
US9957700B2 (en) 2012-06-22 2018-05-01 Kohler Mira Limited Valve with heating element
US10000914B2 (en) 2012-06-22 2018-06-19 Kohler Mira Limited Plumbing fixture with user interface
US10494798B2 (en) 2012-06-22 2019-12-03 Kohler Mira Limited Plumbing fixture with heating element
US10106964B2 (en) 2012-06-22 2018-10-23 Kohler Mira Limited Method of controlling mixing valve
US11674293B2 (en) 2012-06-22 2023-06-13 Kohler Mira Limited Mixing valve
US10631900B2 (en) 2012-12-12 2020-04-28 Wright Medical Technology, Inc. Orthopedic compression/distraction device
US9770272B2 (en) 2012-12-12 2017-09-26 Wright Medical Technology, Inc. Orthopedic compression/distraction device
US9730741B2 (en) 2013-12-30 2017-08-15 Monsour Vincent Makhlouf Temporarily secured bone reduction clamp
US10201891B2 (en) 2014-10-17 2019-02-12 Matthew E. Williams Alignment and adjustment clamp
US9550277B1 (en) 2014-10-17 2017-01-24 Matthew E. Williams Alignment and adjustment clamp
US10426459B2 (en) 2016-07-05 2019-10-01 Mortise Medical, LLC Extra joint stabilization construct
US11241225B2 (en) 2016-07-05 2022-02-08 Crossroads Extremity Systems, Llc Extra joint stabilization construct
US10682131B2 (en) 2016-07-05 2020-06-16 Crossroads Extremity Systems, Llc Intra joint stabilization construct
US11937801B2 (en) 2016-07-05 2024-03-26 Crossroads Extremity Systems, Llc Intra joint stabilization construct
US10842480B2 (en) 2016-07-05 2020-11-24 Crossroads Extremity Systems, Llc Multiple suture threader and methods of use
US10426460B2 (en) 2016-07-05 2019-10-01 Mortise Medical, LLC Compression and tension instruments and methods of use to reinforce ligaments
US11234688B2 (en) 2016-07-05 2022-02-01 Crossroads Extremity Systems, Llc Compression and tension instruments and methods of use to reinforce ligaments
US11439451B2 (en) 2017-06-23 2022-09-13 Orthopediatrics Corp. Insertion apparatus for an intramedullary nail
US10806499B2 (en) * 2017-10-10 2020-10-20 Javier E. Castaneda Universal orthopedic clamp
US20190105092A1 (en) * 2017-10-10 2019-04-11 Javier E. Castaneda Universal Orthopedic Clamp
USD894385S1 (en) 2017-10-27 2020-08-25 Orthopediatrics Corp. Orthopedic tool
US11391021B2 (en) 2017-11-09 2022-07-19 Kohler Mira Limited Plumbing component
US20220009057A1 (en) * 2020-07-09 2022-01-13 Gary Kevin Beulah Bifurcated locking pliers for enhanced control of adel clamps during installation, inspection, and removal
US11628002B2 (en) 2020-08-25 2023-04-18 DePuy Synthes Products, Inc. Bone plating system clamp sizing instrument and installation instrument
US20220125496A1 (en) * 2020-10-22 2022-04-28 Cyber Surgery, S.L. Bone clamp
WO2023100060A1 (en) * 2021-12-01 2023-06-08 Crossroads Extremity Systems, Llc Bone sliver removal system
DE102022211215B3 (en) 2022-10-21 2024-03-14 Karl Leibinger Medizintechnik Gmbh & Co. Kg Surgical instrument for reducing fractures

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