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US20030083694A1 - Method and apparatus for closing a severed sternum - Google Patents

Method and apparatus for closing a severed sternum Download PDF

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Publication number
US20030083694A1
US20030083694A1 US10/095,324 US9532402A US2003083694A1 US 20030083694 A1 US20030083694 A1 US 20030083694A1 US 9532402 A US9532402 A US 9532402A US 2003083694 A1 US2003083694 A1 US 2003083694A1
Authority
US
United States
Prior art keywords
sternum
structures
receiving
positioning
teeth
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US10/095,324
Other languages
English (en)
Inventor
Archibald Miller
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
MAVREX MEDICAL LLC
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/001,988 external-priority patent/US6540769B1/en
Application filed by Individual filed Critical Individual
Priority to US10/095,324 priority Critical patent/US20030083694A1/en
Priority to PCT/US2002/034636 priority patent/WO2003037201A1/fr
Publication of US20030083694A1 publication Critical patent/US20030083694A1/en
Priority to US10/699,208 priority patent/US6969398B2/en
Priority to US11/289,750 priority patent/US20060195101A1/en
Assigned to MAVREX MEDICAL, L.L.C. reassignment MAVREX MEDICAL, L.L.C. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: MILLER, III ARCHIBALD S.
Abandoned legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/82Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • A61B17/823Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage for the sternum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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 or setting implements
    • 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 distracting or compressing the bone or bones
    • A61B17/8009Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones the plate having a ratchet
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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 or setting implements
    • 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 distracting or compressing the bone or bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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 or setting implements
    • 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
    • A61B17/8061Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • A61B17/8076Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones for the ribs or the sternum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B2017/8655Pins or screws or threaded wires; nuts therefor with special features for locking in the bone
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T24/00Buckles, buttons, clasps, etc.
    • Y10T24/44Clasp, clip, support-clamp, or required component thereof
    • Y10T24/44573Clasp, clip, support-clamp, or required component thereof including track or way guided and retained gripping member
    • Y10T24/44607Track or way oblique to path of gripping member
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T24/00Buckles, buttons, clasps, etc.
    • Y10T24/44Clasp, clip, support-clamp, or required component thereof
    • Y10T24/44573Clasp, clip, support-clamp, or required component thereof including track or way guided and retained gripping member
    • Y10T24/44615Clasp, clip, support-clamp, or required component thereof including track or way guided and retained gripping member with position locking-means for gripping members
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T24/00Buckles, buttons, clasps, etc.
    • Y10T24/44Clasp, clip, support-clamp, or required component thereof
    • Y10T24/44573Clasp, clip, support-clamp, or required component thereof including track or way guided and retained gripping member
    • Y10T24/44615Clasp, clip, support-clamp, or required component thereof including track or way guided and retained gripping member with position locking-means for gripping members
    • Y10T24/44624Integral locking-means

Definitions

  • This invention relates generally to surgical devices. More specifically, the present invention relates to improved sternum clamping devices and methods to reapproximate a patient's sternum following a partial median sternotomy.
  • a partial or median sternotomy is a procedure by which a saw or other appropriate cutting instrument is used to make a midline, longitudinal incision along a portion or the entire axial length of the patient's sternum, allowing two opposing sternal halves to be separated laterally. A large opening into the thoracic cavity is thus created, through which a surgeon may directly visualize and operate upon the heart and other thoracic organs or tissues. Following such a procedure, the two severed sternal halves must be reapproximated.
  • the cut ends of the steel wires are also sharp and can pierce through the surgeon's gloves or fingers.
  • the small diameter of the steel wires can cause the wires to migrate into or through the tissue surrounding the sternum region or into the sternal bone itself over time and result in sternal disintegration into small segments. This can lead to significant patient pain and discomfort in addition to slowing the postoperative recovery and increasing the risk of sternal infection.
  • the strap mechanisms of band assemblies are often relatively structurally complex and are difficult to precisely apply about the sternum. There are also healing problems associated with the use of steel wires and band assemblies due to improper forces exerted by these devices which can cause unwanted bone movements leading to raking and rubbing of surrounding tissue or bone.
  • the instant invention spans the width of at least two interspaces, thus eliminating the need for more than one device for tight/secured closure over the same sternal area.
  • the four securing leg and foot structures of the instant invention improve pulmonary mechanics by assisting in the alignment of ribs across the sternotomy allowing for simultaneous right and left rib elevation symmetrically across the sternum and chest.
  • the projection member structures of the instant invention leverage the tight connections provided by fascia and muscle, strengthens pulmonary compliance and allows for distribution of energy and positioning strength to be spread evenly throughout the sternum.
  • the instant invention enables fragmented segments of the sternum to be held in place for healing, as opposed to single plate structures of the contemporary art which concentrate (as opposed to distribute) energy occasionally to a crushing central point thereby allowing laterally displaced fragments to further displace.
  • the present invention provides an improved device and method for re-approximating the sternal halves of a patient's sternum following a median or partial sternotomy, and facilitates ready access to the thoracic cavity during or after a medical procedure advanced the art by overcoming the sternal nonunion problems inherent in prior art devices.
  • the present invention advances the present art and provides for an improved sternum clamping device which employs first and second attachment structures; and angled foot members which facilitate tilting divided sternal plates upward in apposition to each other avoiding prevent downward deflection to enhance healing.
  • the following disclosure teaches the structure and practice of a method for a sternal closure device, which comprises impermanently joined, sliding and receiving attachment structures that are adapted for intercostal positioning between at least two correspondingly positioned rib pairs substantially surrounding a patient's sternum with each structure having a cross member, a plurality of integrated leg and foot portions, a plurality of sternum engagement surfaces, and an end portion.
  • the instant invention disclosed herein advances the art and is a continuation in part of U.S. patent application, Ser. No. 10/001,988, filed Oct. 31, 2001. Said previously filed parent application is incorporated by reference herein in its entirety.
  • Another significant object of the instant invention is to facilitate sternum closure via two separate attachment structures from opposing sides which decreases the amount of metal needed for clamping/securing structures.
  • An additional object of the invention is to provide for two independently adjustable locking means which distribute the strength of a sternum closure, equally and laterally, and essentially appose opposing rib segments along the same plane.
  • Another object of the instant invention is to provide a device wherein the width of two separate sequentially occurring rip intraspaces are associated with the invention's clamping structures to eliminate need for multiple devices to facilitate sternum closure over the same area.
  • a further object of the instant invention is to provide a small locking member and clamping apparatus which results in decreased apparatus profile and weight but not closure strength.
  • Yet another object of the instant invention is to provide for a single locking mechanism which improves pulmonary mechanics by assisting in the alignment of the ribs across a sternotomy, thus permitting simultaneous right and left rib elevation symmetrically across the sternum and chest.
  • a further object of the instant invention is to provide for a single locking mechanism which leverages ribs connected by fascia and muscle strengthening pulmonary compliance.
  • An additional object of the instant invention is to provide a mechanism and method by which the distribution of closure energy and strength are spread evenly throughout the sternum enabling even fragmented segments of the sternum to be held in place for healing.
  • Yet another object of the instant invention is to provide an apparatus by which the strength of the sternal closure is actually increased and distributed by means of a double clamping mechanism over a correspondingly positioned rib pair.
  • An additional further object of the instant invention is to provide an apparatus by which the alignment of apposing ribs actually increases the strength of the closure as well as pulmonary force expiratory volume.
  • Yet another object of the instant invention is to provide an apparatus in which the edges are smooth to prevent dehiscence or extrusion.
  • Another object of the instant invention is to provide for an easily accessible and expeditious means by which sliding and receiving attachment structures may be engaged to, and disengaged from on another.
  • Another object of the instant invention is its single set screw which when removed, allows rapid, complete disarticulation of the apparatus allowing almost instantaneous surgical access in the event of an emergency procedure.
  • FIG. 1 illustrates a frontal view of one embodiment of the instant invention as practiced in its joined or associated state.
  • FIG. 2 illustrates a posterior view of one embodiment of the instant invention as practiced in its joined or associated state.
  • FIG. 3 illustrates a side view of one embodiment of the instant invention as practiced in its joined or associated state.
  • FIG. 4 illustrates distinguishable elements of one embodiment of the instant invention in a disassociated state.
  • FIG. 5 illustrates a posterior view of one embodiment of the instant invention's sliding attachment structure with the invention's locking member positioned therein.
  • FIG. 6 illustrates a posterior view of the instant invention intercostally positioned above and below at least two correspondingly positioned rib pairs and substantially surrounding a patient's sternum.
  • FIG. 7 illustrates a frontal view of the instant invention intercostally positioned above and below at least two correspondingly positioned rib pairs and substantially surrounding a patient's sternum.
  • FIGS. 1 through 7 one embodiment of an improved sternal closure device according to the present invention is shown in FIGS. 1 through 7.
  • the following disclosure teaches the structure and practice of a method for a sternal closure device, which comprises impermanently jawing, sliding and receiving attachment structures that are adapted for intercostal positioning between at least two correspondingly positioned rib pairs substantially surrounding a patient's sternum with each structure having a cross member, a plurality of integrated leg and foot portions, a plurality of sternum engagement surfaces, and an end portion.
  • the instant invention disclosed herein advances the art and is a continuation in part of U.S. patent application, Ser. No. 10/001,988, filed Oct. 31, 2001. Said previously filed parent application is incorporated by reference herein in its entirety.
  • FIG. 1 illustrates a frontal view of one embodiment of the instant invention when practiced in a joined or associated state.
  • a sliding attachment structure 3 comprises a cross member 5 , a plurality of leg structures 7 , and a plurality of projection members 9 with each projection member further embodying a number of angularly disposed teeth like structures 10 which are inwardly disposed and positioned on the innermost edges of each said projection members 9 .
  • connection means such as but not limited to, a screw, lock, pin, or other similarly intended device 15 and a catch member (illustrated in association with FIGS. 4 and 5) which is inserted through an aperture 17 embodied within said receiving attachment structure 12 .
  • Said connection means providing an easily accessible and expeditious means of engaging and disengaging attachment structures 3 and 12 , thereby allowing rapid removal of said structure.
  • FIG. 2 illustrates a posterior view of one embodiment of the instant invention as practiced in its joined or associated state. Turning now to FIG. 2.
  • FIG. 2 the invention's receiving attachment structure 12 is shown further illustrating its receiving chambers 13 through which the invention's projection members 9 are inserted.
  • FIG. 2 further discloses a plurality of sternum engagement surfaces 8 , which are located at the terminus of the invention's integrated leg portions 7 .
  • the invention's projection members 9 are slidably received into and through said receiving chambers 13 whereupon the invention's projection members teeth like structures 10 are correspondingly engaged by a locking member (not shown) teeth like structures, such that one way traversing of said receiving chambers 13 is allowed.
  • the teeth like structures 10 of each projection member 9 and locking member further possess complimenting engagement surfaces which allow for secure positioning once a desired closure position has been realized. Further discussion and disclosure of the interaction between the instant invention's locking member and projection member teeth like surfaces will be provided in association with FIGS. 4 and 5.
  • FIG. 3 illustrates a side view of one embodiment of the instant invention as practiced in a joined or associated state. Turning now to FIG. 3.
  • FIG. 3 further distinction may be observed with respect to the invention's leg 6 , foot 7 , and sternum engagement surfaces 8 .
  • a side view illustration of the engagement of the inventions receiving chamber 13 is also provided, as is a beveled or otherwise angled projection member positioning limitation structure 18 .
  • Said limitation structure 18 intended to provide the means by which a maximum projection member insertion may be observed/facilitated.
  • FIG. 4 illustrates distinguishable elements of one embodiment of the instant invention in a dis-associated state. Turning now to FIG. 4.
  • the invention's locking member 20 may be observed.
  • the locking member is a resiliently tensioned structure, typically, though not limitedly embodied of the same material as the invention's receiving and sliding attachment structures 3 and 12 .
  • the catching member 20 further possess angularly disposed teeth like structures 22 which are outwardly positioned at first and second ends ( 26 , 28 ) of the catching member.
  • a securing aperture 24 is substantially centered between said ends ( 21 , 28 ).
  • FIG. 4 further provides a frontal view of the invention's sliding member as well as a posterior view of the invention's attachment receiving structure 12 .
  • FIG. 5 illustrates a frontal view of one embodiment of the instant invention's sliding attachment structure 12 with the invention's locking member 20 positioned therein. Turning now to FIG. 5.
  • FIG. 5 the invention's projection members 9 are shown for purposes of illustration and full and complete disclosure with inwardly positioned angularly disposed teeth like structures 10 located on each of the invention's projection members. Said teeth like structures 10 engaging in outwardly positioned teeth like structures 22 located at first and second ends ( 26 , 28 ) of the invention's locking member 20 . As the invention's locking member is housed and accommodated within the posterior of the invention's receiving chambers, FIG. 5 allows comprehension and appreciation of the one way insertion orientation of the slidably adjustable sternum closure device.
  • FIG. 6 illustrates a posterior view of the instant invention intercostally positioned above and below at least two correspondingly positioned rib pairs and substantially surrounding a patient's sternum.
  • FIG. 7 illustrates a frontal view of the instant invention intercostally positioned above and below at least two correspondingly positioned rib pairs and substantially surrounding a patient's sternum.

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
US10/095,324 2001-10-31 2002-03-07 Method and apparatus for closing a severed sternum Abandoned US20030083694A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US10/095,324 US20030083694A1 (en) 2001-10-31 2002-03-07 Method and apparatus for closing a severed sternum
PCT/US2002/034636 WO2003037201A1 (fr) 2001-10-31 2002-10-29 Methode et dispositif ameliores, destines a la reparation d'une fracture du sternum
US10/699,208 US6969398B2 (en) 2001-10-31 2003-10-31 Method and apparatus for closing a severed sternum
US11/289,750 US20060195101A1 (en) 2001-10-31 2005-11-29 Sternum closure device having locking member

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/001,988 US6540769B1 (en) 2001-10-31 2001-10-31 Method and apparatus for closing a severed sternum
US10/095,324 US20030083694A1 (en) 2001-10-31 2002-03-07 Method and apparatus for closing a severed sternum

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US10/001,988 Continuation-In-Part US6540769B1 (en) 2001-10-31 2001-10-31 Method and apparatus for closing a severed sternum

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US10/699,208 Continuation US6969398B2 (en) 2001-10-31 2003-10-31 Method and apparatus for closing a severed sternum

Publications (1)

Publication Number Publication Date
US20030083694A1 true US20030083694A1 (en) 2003-05-01

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Family Applications (3)

Application Number Title Priority Date Filing Date
US10/095,324 Abandoned US20030083694A1 (en) 2001-10-31 2002-03-07 Method and apparatus for closing a severed sternum
US10/699,208 Expired - Fee Related US6969398B2 (en) 2001-10-31 2003-10-31 Method and apparatus for closing a severed sternum
US11/289,750 Abandoned US20060195101A1 (en) 2001-10-31 2005-11-29 Sternum closure device having locking member

Family Applications After (2)

Application Number Title Priority Date Filing Date
US10/699,208 Expired - Fee Related US6969398B2 (en) 2001-10-31 2003-10-31 Method and apparatus for closing a severed sternum
US11/289,750 Abandoned US20060195101A1 (en) 2001-10-31 2005-11-29 Sternum closure device having locking member

Country Status (2)

Country Link
US (3) US20030083694A1 (fr)
WO (1) WO2003037201A1 (fr)

Cited By (85)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050124996A1 (en) * 2001-02-23 2005-06-09 Hearn James P. Sternum fixation device
WO2005077289A3 (fr) * 2004-02-16 2005-09-22 Sic Brevetti S R L Dispositif de consolidation du sternum a utiliser apres une sternotomie ou une fracture sternale
US20050240189A1 (en) * 2004-04-22 2005-10-27 Rousseau Robert A Sternal closure device and method
US20050267475A1 (en) * 2004-05-27 2005-12-01 Miller Archibald S Iii Surgical device for capturing, positioning and aligning portions of a severed human sternum
RU2267306C1 (ru) * 2004-07-16 2006-01-10 Государственное Образовательное Учреждение Высшего Профессионального Образования Амурская Государственная Медицинская Академия Мз Рф Устройство для коррекции воронкообразной деформации грудной клетки
RU2268673C1 (ru) * 2004-09-20 2006-01-27 Общество с ограниченной ответственностью "ИЛЬКОМ" Пластина для стабилизации грудино-реберного комплекса
WO2005117726A3 (fr) * 2004-05-27 2006-02-16 Archibald S Miller Iii Instrument chirurgical pour saisir, placer et aligner des parties d'un sternum humain sectionne horizontalement
US20060116683A1 (en) * 2004-12-01 2006-06-01 Barrall Benjamin S Unidirectional translation system for bone fixation
US20060167458A1 (en) * 2005-01-25 2006-07-27 Lorenz Gabele Lock and release mechanism for a sternal clamp
US20060195101A1 (en) * 2001-10-31 2006-08-31 Leonard Stevens Sternum closure device having locking member
US20060235278A1 (en) * 2005-04-01 2006-10-19 Winston Thomas R Apparatus and method for expanding a chest cavity
RU2327432C1 (ru) * 2007-01-26 2008-06-27 Общество с ограниченной ответственностью "ИЛЬКОМ" Пластина для стабилизации грудино-реберного комплекса
WO2008148283A1 (fr) * 2007-06-07 2008-12-11 Fangqin Liu Agrafe de fixation sternale
RU2361536C1 (ru) * 2008-03-25 2009-07-20 Общество с ограниченной ответственностью "ИЛЬКОМ" Пластина для коррекции воронкообразной деформации грудной клетки
US20110087284A1 (en) * 2006-02-03 2011-04-14 Biomet Sports Medicine, Llc Soft Tissue Repair and Conduit Device
US20110224799A1 (en) * 2006-02-03 2011-09-15 Biomet Sports Medicine, Llc Method for Trochanteric Reattachment
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
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US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8337525B2 (en) 2006-02-03 2012-12-25 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
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US8551140B2 (en) 2004-11-05 2013-10-08 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US8608777B2 (en) 2006-02-03 2013-12-17 Biomet Sports Medicine Method and apparatus for coupling soft tissue to a bone
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
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US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
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US6969398B2 (en) 2005-11-29
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