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US7537603: Bone fusion system

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Filing Information

Inventor(s) Randall J. Huebner · David G. Jensen · Herbert Respess ·
Assignee(s) Acumed LLC ·
Attorney/Agent(s) Kolisch Hartwell, PC ·
Primary Examiner Eduardo C Robert ·
Assistant Examiner Michael J Araj ·
Application Number US10625503
Filing date 07/22/2003
Issue date 05/26/2009
Prior Publication Data
Predicted expiration date 10/13/2024
Patent term adjustment 449
U.S. Classifications 606/281  ·
International Classifications A61B1788  ·
Kind CodeB2
Related U.S. Application DataCROSS-REFERENCES
This application is based upon and claims the benefit under 35 U.S.C. § 119(e) of the following U.S. provisional patent applications: Ser. No. 60/398,075, filed Jul. 22, 2002; and Ser. No. 60/484,262, filed Jun. 30, 2003. Each of these provisional patent applications is incorporated herein by reference in their entirety for all purposes.
78 Claims, 5 Drawings


Abstract

Systems, including apparatus, methods, and kits, for fusing two or more bones with a bone plate.

Independent Claims | See all claims (78)

  1. 1. A method of fusing at least two bones of a hand or a foot, comprising: selecting a bone plate including a body portion with a bone-facing surface and further including a post extending from the bone-facing surface of the body portion; forming a cavity defined by at least two bones of a hadn or a foot, the step of forming including a step of reaming to form a portion of the cavity; placing the bone plate into the cavity such that the body portion is received in the portion of the cavity and such that the post restricts movement of the body portion; and attaching the bone plate to the at least two bones using fasteners, wherein the step of reaming forms adjoining first and second portions of the cavity, wherein the first portion of the cavity is shaped according to the bone-facing surface, and wherein the second portion of the cavity is shaped according to the post, wherein the steps of placing disposes the post in the second portion of the cavity, and wherein the second portion of the cavity is formed partially by a pre-existing gap between the at least two bones.
  2. 20. A method of fusing at least two bones, comprising: selecting a bone plate including a body portion with a bone-facing surface and further including a post connected to the body portion and extending from the bone-facing surface of the body portion; placing the bone plate into a cavity formed by at least two bones of a hand or a foot such that the post restricts movement of the body portion; and attaching the bone plate to the at least two bones using fasteners, wherein placing the bone plate into a cavity is performed while the post remains connected to the body portion, wherein the body portion further includes a perimeter and a bone-opposing surface that opposes the bone-facing surface, and wherein the thickness of the perimeter is greater than the average thickness of the body portion measured between the bone-facing and bone-opposing surfaces.
  3. 39. A method of fusing at least two bones of a hand, comprising: selecting a bone plate including a body portion with a bone-facing surface and further including a post connected to the body portion and extending from the bone-facing surface of the body portion; placing the bone plate into a cavity formed by at least two bones of a hand such that the post extends into a portion of the cavity defined by at least a pair of carpal bones of the hand to restrict movement of the body portion; and attaching the bone plate to the at least two bones using fasteners, wherein placing the bone plate into a cavity is performed while the post remains connected to the body portion.
  4. 59. A method of fusing at least two bones of a hand, comprising: selecting a bone plate including a body portion with a bone-facing surface and further including a post connected to the body portion and extending from the bone-facing surface of the body portion; placing the bone plate into a cavity formed by at least two bones of a hand such that the post restricts movement of the body portion and such that the body portion is disposed in a recess formed selectively on a dorsal side of the at least two bones; and attaching the bone plate to the at least two bones using fasteners, wherein placing the bone plate into a cavity is performed while the post remains connected to the body portion.

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Bilder internet printout, Martin GmbH & Co. KG, print date Sep. 5, 2003.
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Salvage of Distal Tibia Metaphyseal Nonunions With the 90° Cannulated Blade Plate, Chin et al., Clinical Orthopaedics and Related Research, No. 409, pp. 241-249, 2003.
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ECT Internal Fracture Fixation brochure, Zimmer, Inc., undated.
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Spider™ and Mini-Spider™ Limited Wrist Fusion System brochure, Kinetics Medical Incorporated, undated.
Spider™ Limited Wrist Fusion System brochure, Kinetics Medical Incorporated, undated.
Zueler Hook Plates description page, Codman & Shurtleff, Inc., p. 808, undated.
Biological Plating: A New Concept to Foster Bone Healing, Synthes (USA), 1991.
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Design and Biomechanics of a Plate for the Distal Radius, Gesensway et al., Journal of Hand Surgery, vol. 20, No. 6, pp. 1021-1027, 1995 (abstract only provided).
Fractures of the Distal Radius: A Practical Approach to Management, Fernandez et al., pp. 103-188, 1996.
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Prospective Multicenter Trial of a Plate for Dorsal Fixation of Distal Radius Fractures, Ring et al., The Journal of Hand Surgery, vol. 22A, No. 5, pp. 777-784, Sep. 1997.
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The Titanium Distal Radius Plate, technique guide, Synthes (USA), 1997.
TriMed Wrist Fixation System brochure, TriMed, Inc., 1997.
SCS/D Distal Radius Plate System brochure, Avanta Orthopaedics, 1997.
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SCS/V Distal Radius Plate Volar brochure, Avanta Orthopaedics, 1998.
Delayed Rupture of the Flextor Pollicis Longus Tendon After Inappropriate Placement of the π Plate on the Volar Surface of the Distal Radius, Nunley et al., Journal of Hand Surgery, vol. 24, No. 6, pp. 1279-1280, Nov. 1999.
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Outcome Following Nonoperative Treatment of Displaced Distal Radius Fractures in Low-Demand Patients Older Than 60 Years, Young, Journal of Hand Surgery, vol. 25A, No. 1, pp. 19-28, Jan. 2000.
Comparison of Three Different Plating Techniques for the Dorsum of the Distal Radius: A Biomechanical Study, Peine et al., Journal of Hand Surgery, vol. 25A, No. 1, pp. 29-33, Jan. 2000.
Distal Radial Metaphyseal Forces in an Extrinsic Grip Model: Implications for Postfracture Rehabilitation, Putnam et al., Journal of Hand Surgery, vol. 25A, No. 3, pp. 469-475, May 2000.
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Titanium Distal Radius Plates description page, Synthes (USA), 2001.
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Tendon Function and Morphology Related to Material and Design of Plates For Distal Radius Fracture Fixation: Canine Forelimb Model, Turner et al., Orthopaedic Research Society, Feb. 2003.
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Fixation of Unstable Fractures of the Volar Rim of the Distal Radius with a Volar Buttress Pin®, Hooker et al., 2003.
Results of Palmar Plating of the Lunate Facet Combined with External Fixation for the Treatment of High-Energy Compression Fractures of the Distal Radius, Ruch et al., J. Orthop. Trauma, Vo. 18, No. 1, pp. 28-33, Jan. 2004.
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