US583455A - Surgical apparatus - Google Patents

Surgical apparatus Download PDF

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US583455A
US583455A US583455DA US583455A US 583455 A US583455 A US 583455A US 583455D A US583455D A US 583455DA US 583455 A US583455 A US 583455A
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tangs
plates
attached
surgical apparatus
knee
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/809Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with bone-penetrating elements, e.g. blades or prongs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8004Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for extending or compressing the bone or bones

Description

(No Model.)

C. A. BUSH. SURGICAL APPARATUS.

515.583.455. Patented June 1,1897.

UNITED STATES PATENT EEicE.

CHARLES A. BUSH, OF CANTON,4OHIO.

SURGICAL APPARATUS.

SPECIFICATION forming part of Letters Patent No. 583,455, dated June 1, 1897'.

Application tiled September 25, 1896. Serial No. 606,988, (No model.)

To all whom t Netty concern.-

Beit known that I, CHARLES A. BUSH, a citizen of the United States, residing at Canton, in the county of Stark and State of Ohio, have invented certain new and useful Improvements in Fracture Apparatus; and I do hereby declare that the following is a full, clear, and exact description of the same, reference being had to the annexed drawings, making a part of this specification, and to the letters of reference marked thereon, in which- Figure l is a top view showing my device properly attached. Fig. 2 is a detached View of a knee-cap, showing a compound fracture vand illustrating the device properly attached,

the device being shown in dotted lines. Fig. 3 is a perspective view. Fig. et is a View showing a portion of the apparatus and illustratin g the same provided with pivoted tangs or points. Fig. 5 is a detached view of one of the pivoted tangs. Fig. 6 is a longitudinal section.

The present invention has relation to fracture apparatus especially designed for use in clamping together severed sections of broken knee-caps; and it consists in the novel arrangements hereinafter described, and particularly pointed out in the claim.

Similar letters of reference indicate corresponding parts in all the iigures of the drawings.

In the accompanying drawings, A represents the sliding head or section, to which are securely attached in any convenient and wellknown manner the tangs a. To the head A is attached or formed integral therewith the plate B, which plate is formed of a lengt-h and width to correspond with the length and width of the chamber or opening b, said plate being so adjusted as to size that it will move back and forth in the chamberb, but is so adjusted that it will be held in proper relative position at all times and under all circumstances. The chamber b is formed by means of the upper and lower plates c and d, which plates are formed of a size to correspond substantially with the size of the apparatus or device. To the plates c and d are attached the tangs d', and when a simple fracture of the knee-cap is produced said tangs may be rigidly attached, as illustrated in Fig. o.

To the head A is attached the lu g C, to which lug is journaled the screw threaded shaft D, which screw-threaded shaft is extended through a screw-threaded aperture located upon and attached to the plate d, said screwthreaded aperture being formed in the lug E.

For the purpose of treating compound fractures of the knee-cap the plates c and d are provided with the pivoted tangs e, which pivoted tangs are provided with the disks j", said disks being located between the plates c and d and illustrated in Fig. 4, and are held in proper position by means of the rivets. In use the tangs c and d or e, as the case may be, are spaced so that the knee-cap proper will come between said tangs, as illustrated in Figs. l and 2, after which the screw-threaded shaft D is rotated in the direction to bring the tangs d and cl toward each other, thereby bringing the broken sections of the knee-cap together.

For the purpose of preventing the tangs from slipping upward after they have been properly adj ust-ed upon the edges of the kneecap said tangs are bent or inclined inward or toward each other, by which arrangement said tangs will have a tendency to better adhere to and bind the knee-cap.

By my -peculiar arrangement I am enabled to bring together fractu red portions of a kneecap and hold them in such a position that they will become knitted together, and at the same time the tangs are so formed that they will not pierce the bone, thereby preventing any injury to the parts clamped together.

For the purpose of rotating the screwthreaded shaft D its outer end is provided with the thumb-nut ct, which thumb-nut is securely attached to the shaft in any convenient and well-known manner. The plates c and d are held the desired distance apart, so as to form the chamber b, by means of the interposed strips CL2, which interposed strips may be formed separate and the plates c and d properljT attached to said strips, or, if desired, one of the plates may be provided with iianges, which iianges take the place of the interposed strips; but in either event the plates c and d are to be riveted together.

It will be understood that various devices can be employed to adjust the tangs a and d or e to or from each other and hold said tangs IOO at the desired point of adjustment without departing from the nature of my invention, but the device shown is the one preferred.

Having fully described my invention, what I claim as new, and desire to secure by Letters Patent, is-

In a fracture apparatus the combination of an adjustable head provided with a guideplate, tangs pivoted to the plates and means io for adjusting the rangs upon the head and plates to or from each other, substantially as and for the purpose specified.

In testimony that I claim the above I have hereunto subscribed my name in the presence of two Witnesses.

e1iAR.i.Es A. BUSH.

Witnesses:

BERTHA FINCH, F. W. BOND.

US583455A Surgical apparatus Expired - Lifetime US583455A (en)

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US583455A true US583455A (en) 1897-06-01

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US583455A Expired - Lifetime US583455A (en) Surgical apparatus

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Cited By (55)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2443106A (en) * 1945-05-10 1948-06-08 Patrick P Grosso Apparatus for reducing and holding fractures in position
US2561550A (en) * 1948-05-28 1951-07-24 Harlem Hospital Surgical Res F Device for treatment of bone fractures
US2580821A (en) * 1950-10-21 1952-01-01 Nicola Toufick Spring impactor bone plate
US3068869A (en) * 1959-10-01 1962-12-18 Sheiden Charles Hunter Tissue suture clamp
US3680553A (en) * 1970-12-07 1972-08-01 Tallin Bolnitsa Tynismyae Fixing apparatus for osteosynthesis of fractures of long tubular bones
US3824995A (en) * 1972-07-24 1974-07-23 Villiers E Trochanteric plate
US3862631A (en) * 1973-05-16 1975-01-28 Down Bros Surgical implants
US4135506A (en) * 1976-03-16 1979-01-23 Ulrich Max B Method of and device for pinning a fractured vertebra
US4269180A (en) * 1978-03-30 1981-05-26 Dall Desmond Meiring Bone fastener for the greater trochanter
US4289123A (en) * 1980-03-31 1981-09-15 Dunn Harold K Orthopedic appliance
US4289124A (en) * 1978-09-18 1981-09-15 Zickel Robert E Surgical appliance for the fixation of fractured bones
US4364382A (en) * 1979-08-23 1982-12-21 Ulrich Mennen Internal fixation device for bone fractures
US4473068A (en) * 1982-01-18 1984-09-25 Indong Oh Trochanteric basket
US4548199A (en) * 1981-11-13 1985-10-22 Agee John M Fracture splint
US4723540A (en) * 1986-07-15 1988-02-09 Gilmer Jr Raymond E Apparatus and method for exerting and maintaining a force between two bone members
US4936844A (en) * 1989-05-25 1990-06-26 Boehringer Mannheim Corporation Bone fixation system
US5263971A (en) * 1991-02-13 1993-11-23 Life Medical Sciences, Inc. Apparatus for the closure of wide skin defects by stretching of skin
US5415658A (en) * 1993-12-14 1995-05-16 Pioneer Laboratories, Inc. Surgical cable loop connector
US5486196A (en) * 1992-02-13 1996-01-23 Medchem Products, Inc. Apparatus for the closure of wide skin defects by stretching of skin
US5545162A (en) * 1995-02-15 1996-08-13 Huebner; Randall J. External fixator for repairing fractures of distal radius and wrist
US5624440A (en) * 1996-01-11 1997-04-29 Huebner; Randall J. Compact small bone fixator
EP0773004A1 (en) * 1995-11-07 1997-05-14 IMPLANTS ORTHOPEDIQUES TOUTES APPLICATIONS, S.A.R.L. dite: Osteotomy plate for angle correction
US5658283A (en) * 1995-02-15 1997-08-19 Huebner; Randall J. External fixator for repairing fractures
US5662649A (en) * 1995-02-15 1997-09-02 Huebner; Randall J. External fixator for repairing fractures of distal radius and wrist
US5702399A (en) * 1996-05-16 1997-12-30 Pioneer Laboratories, Inc. Surgical cable screw connector
US5759193A (en) * 1994-04-21 1998-06-02 Medchem Products, Inc. Single needle skin stretching device
US5976134A (en) * 1995-06-01 1999-11-02 Huebner; Randall J. External fixator for repairing fractures
US6162224A (en) * 1995-02-15 2000-12-19 Acumed, Inc. External fixator for repairing fractures of distal radius and wrist
US6171309B1 (en) 1995-02-15 2001-01-09 Acumed, Inc. External fixator for repairing fractures of distal radius and wrist
US20020143339A1 (en) * 2001-02-12 2002-10-03 Medoff Robert J. Implant device for applying compression across a fracture site
US20030212399A1 (en) * 2002-02-25 2003-11-13 Dinh Dzung H. Methods and apparatuses for promoting fusion of vertebrae
US20040102792A1 (en) * 2002-08-09 2004-05-27 Sarin Vineet Kumar Non-imaging tracking tools and method for hip replacement surgery
US20040181221A1 (en) * 2003-03-12 2004-09-16 Huebner Randall J. External fixator
US20050283155A1 (en) * 2004-06-21 2005-12-22 Michael Jacene Instruments and methods for holding a bone plate
US20060161261A1 (en) * 2004-05-04 2006-07-20 Biomet Manufacturing Corp. Method and apparatus for constructing a modular acetabulum
US20060189992A1 (en) * 2001-02-12 2006-08-24 Medoff Robert J Implant device for applying compression across a fracture site
US20070043371A1 (en) * 2005-08-19 2007-02-22 Michael Teague Sternal closure clamp device
US20070173835A1 (en) * 2006-01-13 2007-07-26 Medoff Robert J Intramedullary implant for fracture fixation and method of using the same
US20080208251A1 (en) * 2005-12-29 2008-08-28 Ethicon, Inc. Device for attaching, relocating and reinforcing tissue and methods of using same
US7476254B2 (en) 1993-11-01 2009-01-13 Biomet Manufacturing Corporation Compliant fixation for pelvis
US20090275947A1 (en) * 2008-05-02 2009-11-05 Thomas James Graham Bone plate system for bone restoration and methods of use thereof
US20090281577A1 (en) * 2008-05-08 2009-11-12 Thomas James Graham Bone plate with reduction aids and methods of use thereof
US20100030260A1 (en) * 2007-03-08 2010-02-04 Wilhelm Fleischmann Device for Stretching the Skin
US7670383B1 (en) 2004-05-04 2010-03-02 Biomet Manufacturing Corp. Pubic catch
US7722678B2 (en) 1993-11-01 2010-05-25 Biomet Manufacturing Corp. Intramedullary compliant fixation
US20110106081A1 (en) * 2008-05-08 2011-05-05 Thomas James Graham Bone Plate with Flange Member and Methods of Use Thereof
US20110178604A1 (en) * 2010-01-18 2011-07-21 Biomet Manufacturing Corp. Expandable Endoprosthesis
US20130046349A1 (en) * 2008-05-05 2013-02-21 Trimed, Incorporated Contoured bone plate for fracture fixation having hook members and holder/impactor for same
FR2980966A1 (en) * 2011-10-10 2013-04-12 S B M Osteosynthesis staple for joining bones during orthopedic surgery, has hook elements joined to each other during impaction of anchoring tabs into bone bodies, where locking unit produces compression effect of bone bodies against each other
US8652179B2 (en) 2008-05-02 2014-02-18 The Cleveland Clinic Foundation Bone plate extender and extension system for bone restoration and methods of use thereof
US8915970B2 (en) 2013-02-08 2014-12-23 Biomet Manufacturing, Llc Transdermal prosthesis
US8939224B2 (en) * 2012-11-15 2015-01-27 Charles Spencer Potter Hoof medical device and method
US8968415B2 (en) 2012-02-07 2015-03-03 Biomet Manufacturing, Llc Implant fixation device
US9012714B2 (en) 2005-02-15 2015-04-21 Wilhelm Fleischmann Wound treatment device
US9271730B2 (en) 2010-12-15 2016-03-01 Wilhelm Fleischmann Instrument for stretching the skin

Cited By (75)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2443106A (en) * 1945-05-10 1948-06-08 Patrick P Grosso Apparatus for reducing and holding fractures in position
US2561550A (en) * 1948-05-28 1951-07-24 Harlem Hospital Surgical Res F Device for treatment of bone fractures
US2580821A (en) * 1950-10-21 1952-01-01 Nicola Toufick Spring impactor bone plate
US3068869A (en) * 1959-10-01 1962-12-18 Sheiden Charles Hunter Tissue suture clamp
US3680553A (en) * 1970-12-07 1972-08-01 Tallin Bolnitsa Tynismyae Fixing apparatus for osteosynthesis of fractures of long tubular bones
US3824995A (en) * 1972-07-24 1974-07-23 Villiers E Trochanteric plate
US3862631A (en) * 1973-05-16 1975-01-28 Down Bros Surgical implants
US4135506A (en) * 1976-03-16 1979-01-23 Ulrich Max B Method of and device for pinning a fractured vertebra
US4269180A (en) * 1978-03-30 1981-05-26 Dall Desmond Meiring Bone fastener for the greater trochanter
US4289124A (en) * 1978-09-18 1981-09-15 Zickel Robert E Surgical appliance for the fixation of fractured bones
US4364382A (en) * 1979-08-23 1982-12-21 Ulrich Mennen Internal fixation device for bone fractures
US4289123A (en) * 1980-03-31 1981-09-15 Dunn Harold K Orthopedic appliance
US4548199A (en) * 1981-11-13 1985-10-22 Agee John M Fracture splint
US4473068A (en) * 1982-01-18 1984-09-25 Indong Oh Trochanteric basket
US4723540A (en) * 1986-07-15 1988-02-09 Gilmer Jr Raymond E Apparatus and method for exerting and maintaining a force between two bone members
US4936844A (en) * 1989-05-25 1990-06-26 Boehringer Mannheim Corporation Bone fixation system
US5263971A (en) * 1991-02-13 1993-11-23 Life Medical Sciences, Inc. Apparatus for the closure of wide skin defects by stretching of skin
US5486196A (en) * 1992-02-13 1996-01-23 Medchem Products, Inc. Apparatus for the closure of wide skin defects by stretching of skin
US7722678B2 (en) 1993-11-01 2010-05-25 Biomet Manufacturing Corp. Intramedullary compliant fixation
US7476254B2 (en) 1993-11-01 2009-01-13 Biomet Manufacturing Corporation Compliant fixation for pelvis
US5415658A (en) * 1993-12-14 1995-05-16 Pioneer Laboratories, Inc. Surgical cable loop connector
US5759193A (en) * 1994-04-21 1998-06-02 Medchem Products, Inc. Single needle skin stretching device
US6171309B1 (en) 1995-02-15 2001-01-09 Acumed, Inc. External fixator for repairing fractures of distal radius and wrist
US5658283A (en) * 1995-02-15 1997-08-19 Huebner; Randall J. External fixator for repairing fractures
US5662649A (en) * 1995-02-15 1997-09-02 Huebner; Randall J. External fixator for repairing fractures of distal radius and wrist
US5545162A (en) * 1995-02-15 1996-08-13 Huebner; Randall J. External fixator for repairing fractures of distal radius and wrist
US6162224A (en) * 1995-02-15 2000-12-19 Acumed, Inc. External fixator for repairing fractures of distal radius and wrist
US5976134A (en) * 1995-06-01 1999-11-02 Huebner; Randall J. External fixator for repairing fractures
EP0773004A1 (en) * 1995-11-07 1997-05-14 IMPLANTS ORTHOPEDIQUES TOUTES APPLICATIONS, S.A.R.L. dite: Osteotomy plate for angle correction
US5624440A (en) * 1996-01-11 1997-04-29 Huebner; Randall J. Compact small bone fixator
US5702399A (en) * 1996-05-16 1997-12-30 Pioneer Laboratories, Inc. Surgical cable screw connector
US20020143339A1 (en) * 2001-02-12 2002-10-03 Medoff Robert J. Implant device for applying compression across a fracture site
US7811286B2 (en) 2001-02-12 2010-10-12 Robert J. Medoff Implant device for applying compression across a fracture site
US7037308B2 (en) 2001-02-12 2006-05-02 Medoff Robert J Implant device for applying compression across a fracture site
US20060189992A1 (en) * 2001-02-12 2006-08-24 Medoff Robert J Implant device for applying compression across a fracture site
WO2003068080A1 (en) * 2002-02-11 2003-08-21 Tri-Med, Inc. An implant device for applying compression across a fracture site
US20030212399A1 (en) * 2002-02-25 2003-11-13 Dinh Dzung H. Methods and apparatuses for promoting fusion of vertebrae
US7186254B2 (en) 2002-02-25 2007-03-06 Dinh Dzung H Methods and apparatus for promoting fusion of vertebrae
US20040102792A1 (en) * 2002-08-09 2004-05-27 Sarin Vineet Kumar Non-imaging tracking tools and method for hip replacement surgery
US8002772B2 (en) * 2002-08-09 2011-08-23 Kinamed, Inc. Non-imaging tracking tools and method for hip replacement surgery
US20040181221A1 (en) * 2003-03-12 2004-09-16 Huebner Randall J. External fixator
US7147640B2 (en) 2003-03-12 2006-12-12 Acumed Llc External fixator
US20060161261A1 (en) * 2004-05-04 2006-07-20 Biomet Manufacturing Corp. Method and apparatus for constructing a modular acetabulum
US7670383B1 (en) 2004-05-04 2010-03-02 Biomet Manufacturing Corp. Pubic catch
US8048166B2 (en) 2004-05-04 2011-11-01 Biomet Manufacturing Corp. Method and apparatus for constructing a modular acetabulum
US8298271B2 (en) 2004-06-21 2012-10-30 Depuy Spine, Inc. Instruments and methods for holding a bone plate
US20050283155A1 (en) * 2004-06-21 2005-12-22 Michael Jacene Instruments and methods for holding a bone plate
US7604638B2 (en) * 2004-06-21 2009-10-20 Depuy Spine, Inc. Instruments and methods for holding a bone plate
US20100069967A1 (en) * 2004-06-21 2010-03-18 Michael Jacene Instruments and Methods For Holding A Bone Plate
US9012714B2 (en) 2005-02-15 2015-04-21 Wilhelm Fleischmann Wound treatment device
US9555170B2 (en) 2005-02-15 2017-01-31 Wilhelm Fleischmann Wound treatment device
US7803176B2 (en) 2005-08-19 2010-09-28 Kls-Martin, L.P. Sternal closure clamp device
US20070043371A1 (en) * 2005-08-19 2007-02-22 Michael Teague Sternal closure clamp device
US20080208251A1 (en) * 2005-12-29 2008-08-28 Ethicon, Inc. Device for attaching, relocating and reinforcing tissue and methods of using same
US8894683B2 (en) * 2005-12-29 2014-11-25 Ethicon, Inc. Device for attaching, relocating and reinforcing tissue and methods of using same
US20070173835A1 (en) * 2006-01-13 2007-07-26 Medoff Robert J Intramedullary implant for fracture fixation and method of using the same
US8216238B2 (en) 2006-01-13 2012-07-10 L. G. Tellman Method of using an intramedullary implant for fracture fixation
US20080208261A1 (en) * 2006-01-13 2008-08-28 Medoff Robert J Method of using an intramedullary implant for fracture fixation
US9414840B2 (en) * 2007-03-08 2016-08-16 Wilhelm Fleischmann Device for stretching the skin
US20100030260A1 (en) * 2007-03-08 2010-02-04 Wilhelm Fleischmann Device for Stretching the Skin
US20090275947A1 (en) * 2008-05-02 2009-11-05 Thomas James Graham Bone plate system for bone restoration and methods of use thereof
US8915918B2 (en) 2008-05-02 2014-12-23 Thomas James Graham Bone plate system for bone restoration and methods of use thereof
US8652179B2 (en) 2008-05-02 2014-02-18 The Cleveland Clinic Foundation Bone plate extender and extension system for bone restoration and methods of use thereof
US20130046349A1 (en) * 2008-05-05 2013-02-21 Trimed, Incorporated Contoured bone plate for fracture fixation having hook members and holder/impactor for same
US9283010B2 (en) * 2008-05-05 2016-03-15 Trimed, Incorporated Contoured bone plate for fracture fixation having hook members and holder/impactor for same
US20110106081A1 (en) * 2008-05-08 2011-05-05 Thomas James Graham Bone Plate with Flange Member and Methods of Use Thereof
US8608783B2 (en) 2008-05-08 2013-12-17 The Cleveland Clinic Foundation Bone plate with flange member and methods of use thereof
US20090281577A1 (en) * 2008-05-08 2009-11-12 Thomas James Graham Bone plate with reduction aids and methods of use thereof
US8628533B2 (en) 2008-05-08 2014-01-14 The Cleveland Clinic Foundation Bone plate with reduction aids and methods of use thereof
US20110178604A1 (en) * 2010-01-18 2011-07-21 Biomet Manufacturing Corp. Expandable Endoprosthesis
US9271730B2 (en) 2010-12-15 2016-03-01 Wilhelm Fleischmann Instrument for stretching the skin
FR2980966A1 (en) * 2011-10-10 2013-04-12 S B M Osteosynthesis staple for joining bones during orthopedic surgery, has hook elements joined to each other during impaction of anchoring tabs into bone bodies, where locking unit produces compression effect of bone bodies against each other
US8968415B2 (en) 2012-02-07 2015-03-03 Biomet Manufacturing, Llc Implant fixation device
US8939224B2 (en) * 2012-11-15 2015-01-27 Charles Spencer Potter Hoof medical device and method
US8915970B2 (en) 2013-02-08 2014-12-23 Biomet Manufacturing, Llc Transdermal prosthesis

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