Source: https://patents.google.com/patent/US20110137351A1/en
Timestamp: 2019-07-22 21:08:16
Document Index: 304471407

Matched Legal Cases: ['§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119', '§119']

US20110137351A1 - Bone fixation with a bone plate attached to a fastener assembly - Google Patents
Bone fixation with a bone plate attached to a fastener assembly Download PDF
US20110137351A1
US20110137351A1 US13/028,757 US201113028757A US2011137351A1 US 20110137351 A1 US20110137351 A1 US 20110137351A1 US 201113028757 A US201113028757 A US 201113028757A US 2011137351 A1 US2011137351 A1 US 2011137351A1
US13/028,757
US8425574B2 (en
2002-11-19 Priority to US42790802P priority
2003-03-12 Priority to US45421703P priority
2003-06-20 Priority to US48052903P priority
2003-07-22 Priority to US10/625,503 priority patent/US7537603B2/en
2003-11-12 Priority to US10/712,202 priority patent/US20050101961A1/en
2003-11-19 Priority to US10/717,399 priority patent/US7326212B2/en
2003-11-19 Priority to US10/716,719 priority patent/US7090676B2/en
2003-11-19 Priority to US10/717,401 priority patent/US7153309B2/en
2003-12-10 Priority to US10/734,017 priority patent/US7147640B2/en
2004-02-02 Priority to US54141404P priority
2004-04-19 Priority to US56376704P priority
2004-04-19 Priority to US56386004P priority
2004-04-22 Priority to US56485304P priority
2004-06-21 Priority to US10/873,522 priority patent/US7537596B2/en
2004-11-12 Priority to US62772104P priority
2004-11-12 Priority to US62729704P priority
2004-11-18 Priority to US10/993,205 priority patent/US7235079B2/en
2005-02-02 Priority to US11/050,342 priority patent/US20050171544A1/en
2005-04-19 Priority to US11/109,985 priority patent/US20050234458A1/en
2005-04-19 Priority to US11/109,984 priority patent/US7578825B2/en
2005-07-13 Priority to US69927705P priority
2005-10-21 Priority to US72937305P priority
2005-11-14 Priority to US11/274,597 priority patent/US7927332B2/en
2005-11-14 Priority to US11/273,811 priority patent/US20060106391A1/en
2006-01-11 Priority to US11/330,802 priority patent/US20070173840A1/en
2006-04-28 Priority to US11/413,631 priority patent/US8652142B2/en
2006-06-07 Priority to US11/449,554 priority patent/US20070055249A1/en
2006-07-13 Priority to US11/486,959 priority patent/US7857836B2/en
2006-08-14 Priority to US11/504,223 priority patent/US7704251B2/en
2006-10-17 Priority to US11/550,255 priority patent/US8231662B2/en
2006-10-23 Priority to US11/585,378 priority patent/US7914532B2/en
2006-11-01 Priority to US85612806P priority
2006-12-11 Priority to US11/637,626 priority patent/US7717945B2/en
2007-07-19 Priority to US96131707P priority
2007-10-30 Priority to US11/929,026 priority patent/US7955388B2/en
2008-07-17 Priority to US12/175,223 priority patent/US8475504B2/en
2008-07-21 Priority to US12/176,913 priority patent/US8231627B2/en
2008-11-10 Priority to US11287808P priority
2009-11-10 Priority to US12/616,054 priority patent/US8398717B2/en
2010-04-27 Priority to US12/768,508 priority patent/US20110022049A1/en
2011-02-16 Assigned to ACUMED LLC reassignment ACUMED LLC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: GILLARD, JOEL, HUEBNER, RANDALL J.
2011-02-16 Application filed by Acumed LLC filed Critical Acumed LLC
2011-02-16 Priority to US13/028,757 priority patent/US8425574B2/en
2011-06-09 Publication of US20110137351A1 publication Critical patent/US20110137351A1/en
2013-04-23 Publication of US8425574B2 publication Critical patent/US8425574B2/en
System, including methods, apparatus, and kits, for bone fixation with a bone plate attached to a fastener assembly including a first fastener disposed in threaded engagement with the bone plate and a second fastener disposed in threaded engagement with the first fastener.
This application is a continuation of U.S. patent application Ser. No. 12/768,508, filed Apr. 27, 2010, which, in turn, is a continuation-in-part of the following U.S. patent applications: Ser. No. 11/504,223, filed Aug. 14, 2006, now U.S. Pat. No. 7,704,251; Ser. No. 11/637,626, filed Dec. 11, 2006, now U.S. Pat. No. 7,717,945; Ser. No. 11/929,026, filed Oct. 30, 2007; Ser. No. 12/175,223, filed Jul. 17, 2008; Ser. No. 12/176,913, filed Jul. 21, 2008; and Ser. No. 12/616,054, filed Nov. 10, 2009.
U.S. patent application Ser. No. 11/504,223, in turn, is a continuation of U.S. patent application Ser. No. 10/716,719, filed Nov. 19, 2003, now U.S. Pat. No. 7,090,676, which, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of the following U.S. provisional patent applications: Ser. No. 60/427,908, filed Nov. 19, 2002; and Ser. No. 60/512,136, filed Oct. 17, 2003.
U.S. patent application Ser. No. 11/637,626, in turn, is a continuation-in-part of the following U.S. patent applications: Ser. No. 10/625,503, filed Jul. 22, 2003, now U.S. Pat. No. 7,537,603; Ser. No. 10/712,202, filed Nov. 12, 2003, now abandoned; Ser. No. 10/717,015, filed Nov. 19, 2003, now U.S. Pat. No. 7,537,604; Ser. No. 10/717,399, filed Nov. 19, 2003, now U.S. Pat. No. 7,326,212; Ser. No. 10/717,401, filed Nov. 19, 2003, now U.S. Pat. No. 7,153,309; Ser. No. 10/717,402, filed Nov. 19, 2003, now U.S. Pat. No. 7,189,237; Ser. No. 10/734,017, filed Dec. 10, 2003, now U.S. Pat. No. 7,147,640; Ser. No. 10/873,522, filed Jun. 21, 2004, now U.S. Pat. No. 7,537,596; Ser. No. 10/993,205, filed Nov. 18, 2004, now U.S. Pat. No. 7,235,079; Ser. No. 11/050,342, filed Feb. 2, 2005, now abandoned; Ser. No. 11/109,984, filed Apr. 19, 2005, now U.S. Pat. No. 7,578,825; Ser. No. 11/109,985, filed Apr. 19, 2005, now abandoned; Ser. No. 11/112,858, filed Apr. 22, 2005, now abandoned; Ser. No. 11/273,811, filed Nov. 14, 2005, now abandoned; Ser. No. 11/274,597, filed Nov. 14, 2005; Ser. No. 11/330,802, filed Jan. 11, 2006; Ser. No. 11/413,631, filed Apr. 28, 2006; Ser. No. 11/449,554, filed Jun. 7, 2006, now abandoned; Ser. No. 11/486,959, filed Jul. 13, 2006, now U.S. Pat. No. 7,857,836; Ser. No. 11/504,223, filed Aug. 14, 2006; Ser. No. 11/550,255, filed Oct. 17, 2006; and Ser. No. 11/585,378, filed Oct. 23, 2006.
U.S. patent application Ser. No. 10/625,503, in turn, 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.
U.S. patent application Ser. No. 10/717,015, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/512,323, filed Oct. 17, 2003.
U.S. patent application Ser. No. 10/717,399, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of the following U.S. provisional patent applications: Ser. No. 60/427,908, filed Nov. 19, 2002; and Ser. No. 60/512,136, filed Oct. 17, 2003.
U.S. patent application Ser. No. 10/717,401, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of the following U.S. provisional patent applications: Ser. No. 60/427,910, filed Nov. 19, 2002; and Ser. No. 60/512,322, filed Oct. 17, 2003.
U.S. patent application Ser. No. 10/717,402, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of the following U.S. provisional patent applications: Ser. No. 60/427,908, filed Nov. 19, 2002; and Ser. No. 60/512,136, filed Oct. 17, 2003.
U.S. patent application Ser. No. 10/734,017, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/454,217, filed Mar. 12, 2003.
U.S. patent application Ser. No. 10/873,522, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/480,529, filed Jun. 20, 2003.
U.S. patent application Ser. No. 10/993,205, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/541,414, filed Feb. 2, 2004.
U.S. patent application Ser. No. 11/109,984, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/563,860, filed Apr. 19, 2004.
U.S. patent application Ser. No. 11/109,985, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/563,767, filed Apr. 19, 2004.
U.S. patent application Ser. No. 11/112,858, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/564,853, filed Apr. 22, 2004.
U.S. patent application Ser. No. 11/273,811, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/627,297, filed Nov. 12, 2004.
U.S. patent application Ser. No. 11/274,597, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/627,721, filed Nov. 12, 2004.
U.S. patent application Ser. No. 11/449,554, in turn, is a continuation of U.S. patent application Ser. No. 10/873,522, which, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/480,529, filed Jun. 20, 2003.
U.S. patent application Ser. No. 11/486,959, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/699,277, filed Jul. 13, 2005.
U.S. patent application Ser. No. 11/585,378, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/729,373, filed Oct. 21, 2005.
U.S. patent application Ser. No. 11/929,026, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/856,128, filed Nov. 1, 2006.
U.S. patent application Ser. No. 12/175,223, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/961,317, filed Jul. 19, 2007.
U.S. patent application Ser. No. 12/176,913, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/961,317, filed Jul. 19, 2007.
U.S. patent application Ser. No. 12/616,054, in turn, is based upon and claims the benefit under 35 U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 61/112,878, filed Nov. 10, 2008.
Each of these priority patent applications is incorporated herein by reference in its entirety for all purposes.
The present teachings provide a system, including methods, apparatus, and kits, for bone fixation with a bone plate attached to a fastener assembly including a first fastener disposed in threaded engagement with the bone plate and a second fastener disposed in threaded engagement with the first fastener.
A method of attaching a fastener assembly to a bone plate is provided. In the method, a bone plate may be disposed adjacent a bone, with the bone plate defining an opening. A channel may be formed through the bone, coaxial to the opening. A fastener assembly may be installed in the channel, such that a first fastener of the fastener assembly is in threaded engagement with the bone plate at the opening, a second fastener of the fastener assembly is in threaded engagement with the first fastener, and a head of the second fastener is disposed at least generally across the bone from the bone plate.
The present teachings also provide a system, including methods, apparatus, and kits, for retrograde placement of fasteners into bone. The retrograde placement of each fastener may be along a guide path that extends through bone and may be in a direction opposite to that in which the guide path was formed. The guide path may be formed, for example, by placement of a guide member, such as wire, into the bone. In some examples, the guide member may be inserted through bone, from an entry or start site adjacent and/or defined by an implant, such as a bone plate, disposed adjacent the bone, to an exit or end site spaced from the implant. The fastener, such as a bone screw, thus may enter the bone along the guide path, adjacent the exit or end site, from a position outside a footprint defined by the implant on bone. The fastener after entering bone, then may approach the implant from an inner surface of the implant and enter an opening of the implant from adjacent the inner surface, for coupling to the implant, such as through threaded engagement between a leading region of the fastener and an internal thread of the implant. In some examples, retrograde placement may position a head of the fastener in a spaced relation to the implant, such as in engagement with a bone surface region (natural or engineered) that generally opposes the implant on the bone. Overall, retrograde placement of one or more fasteners to couple bone to an implant may provide a number of advantages over placement only in a forward direction, such as (1) more options for fracture reduction, (2) better fixation of poor quality bone, (3) improved bone healing, and/or (4) better compression of bone against the implant, among others.
1. A method of attaching a fastener assembly to a bone plate, comprising:
disposing a bone plate adjacent a bone, the bone plate defining an opening;
forming a channel through the bone, coaxial to the opening; and
installing a fastener assembly in the channel, such that a first fastener of the fastener assembly is in threaded engagement with the bone plate at the opening, a second fastener of the fastener assembly is in threaded engagement with the first fastener, and a head of the second fastener is disposed at least generally across the bone from the bone plate.
2. The method of claim 1, wherein the step of installing engages the bone with the head of the second fastener.
3. The method of claim 1, wherein the bone is a radius bone, and wherein the step of disposing includes a step of disposing a bone plate adjacent a distal portion of the radius bone.
4. The method of claim 3, wherein the step of installing disposes the head of the second fastener adjacent a dorsal surface region of the radius bone.
5. The method of claim 1, further comprising a step of connecting the bone plate to the bone with one or more other fasteners before the step of forming a channel.
6. The method of claim 5, wherein the step of connecting includes a step of placing the one or more other fasteners into the bone from one or more other openings of the bone plate.
7. The method of claim 1, wherein the step of forming a channel includes a step of forming a first portion of the channel closer to the bone plate before forming a second portion of the channel farther from the bone plate.
8. The method of claim 1, further comprising a step of attaching to the bone plate a guide structure defining an axial bore, wherein the step of attaching disposes the axial bore coaxial to the opening and projecting above an outer surface of the bone plate, and wherein the step of attaching is performed before the step of forming a channel.
9. The method of claim 1, wherein the step of installing includes a step of advancing a shaft of the second fastener along the channel toward the bone plate.
10. The method of claim 1, wherein the channel extends along an axis, further comprising a step of measuring a dimension of the bone parallel to the axis, wherein the fastener assembly has a length corresponding to the dimension.
11. A method of attaching a fastener assembly to a bone plate, comprising:
placing a guide wire in the bone, coaxial to the opening;
forming a channel through the bone, coaxial to the opening;
locking a first fastener to the bone plate by threaded engagement of the first fastener with the bone plate at the opening;
advancing a shaft of a second fastener to the first fastener with the shaft disposed over the guide wire; and
locking the second fastener to the first fastener within the bone by threaded engagement of the first and second fasteners with each other, such that a head of the second fastener and the bone plate are positioned at least generally across the bone from each other.
12. The method of claim 11, wherein the head of the second fastener is engaged with the bone after the step of locking the second fastener to the first fastener.
13. The method of claim 11, further comprising a step of connecting the bone plate to the bone with one or more other fasteners before the step of forming a channel.
14. The method of claim 13, wherein the step of connecting includes a step of placing the one or more other fasteners into the bone from one or more other openings of the bone plate.
15. The method of claim 11, wherein the step of forming a channel includes a step of forming a first portion of the channel closer to the bone plate before forming a second portion of the channel farther from the bone plate.
16. The method of claim 11, further comprising a step of attaching a tube to the bone plate, coaxial to the opening and with the tube projecting above an outer surface of the bone plate, before the step of forming a channel.
17. The method of claim 11, wherein the bone is a radius bone, and wherein the step of disposing includes a step of disposing a bone plate adjacent a distal portion of the radius bone.
18. The method of claim 11, wherein the channel extends along an axis, further comprising a step of measuring a dimension of the bone parallel to the axis.
19. A device for bone fixation, comprising:
a bone plate including opposing inner and outer surfaces and defining a plurality of openings;
a first fastener disposed in threaded engagement with an opening of the bone plate and extending below the inner surface of the bone plate; and
a second fastener including a head and a shaft, the shaft being disposed in threaded engagement with the first fastener and extending to the head in a direction away from the bone plate and coaxial to the first fastener.
20. The device of claim 19, wherein the first fastener includes an external thread disposed in threaded engagement with an internal thread of the second fastener.
21. The device of claim 19, wherein the inner surface of the bone plate is at least generally complementary to a distal surface region of a radius bone.
22. The device of claim 21, wherein the inner surface of the bone plate is at least generally complementary to a distal volar surface region of a radius bone.
US13/028,757 2002-07-22 2011-02-16 Bone fixation with a bone plate attached to a fastener assembly Active 2024-03-19 US8425574B2 (en)
US45421703P true 2003-03-12 2003-03-12
US10/625,503 US7537603B2 (en) 2002-07-22 2003-07-22 Bone fusion system
US10/712,202 US20050101961A1 (en) 2003-11-12 2003-11-12 Bone screws
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US10/717,401 US7153309B2 (en) 2002-11-19 2003-11-19 Guide system for bone-repair devices
US10/717,399 US7326212B2 (en) 2002-11-19 2003-11-19 Bone plates with reference marks
US10/734,017 US7147640B2 (en) 2003-03-12 2003-12-10 External fixator
US54141404P true 2004-02-02 2004-02-02
US56386004P true 2004-04-19 2004-04-19
US56376704P true 2004-04-19 2004-04-19
US10/873,522 US7537596B2 (en) 2003-06-20 2004-06-21 Bone plates with intraoperatively tapped apertures
US62729704P true 2004-11-12 2004-11-12
US62772104P true 2004-11-12 2004-11-12
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US10/716,719 Active US7090676B2 (en) 2002-11-19 2003-11-19 Adjustable bone plates
US10/717,399 Active 2025-11-02 US7326212B2 (en) 2002-11-19 2003-11-19 Bone plates with reference marks
US11/504,223 Active 2025-10-12 US7704251B2 (en) 2002-11-19 2006-08-14 Adjustable bone plates
US12/768,508 Abandoned US20110022049A1 (en) 2002-07-22 2010-04-27 Adjustable bone plates
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US15/237,482 Pending US20170035477A1 (en) 2002-07-22 2016-08-15 Adjustable bone plates
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2003-11-19 AU AU2003295749A patent/AU2003295749B2/en active Active
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US7326212B2 (en) 2008-02-05
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US20150216574A1 (en) 2015-08-06
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:HUEBNER, RANDALL J.;GILLARD, JOEL;REEL/FRAME:025819/0552