Bone plate system and method

• US 10,426,532 B2
• Filed: 02/01/2017
• Issued: 10/01/2019
• Est. Priority Date: 11/21/2012
• Status: Active Grant

• Current Assignee: A&E Advanced Closure Systems LLC (Alto Development Corporation)
• Original Assignee: A&E Advanced Closure Systems LLC (Alto Development Corporation)
• Inventors: Goodwin, Robert, Didyk, Peter, Close, Jamie, Gephart, Matthew
• Primary Examiner(s): Gibson, Eric S
• Assistant Examiner(s): Shirsat, Marcela I
• Application Number:
  US15/422,109
• Publication Number:
  US 20170143394A1
• Time in Patent Office: 972 Days
• Field of Search: 606213-231, 606 70- 71, 606280-299, 606902, 606232, 606233, 606 74, 606103, 606138-150, 24527, 623 1311, 623 1314
• CPC Class Codes: A61B 17/8057 the interlocking form comprising a thread
• CPC Class Codes: A61B 17/8076 for the ribs or the sternum
• CPC Class Codes: A61B 17/808 Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
• CPC Class Codes: A61B 17/823 for the sternum
• CPC Class Codes: A61B 17/842 Flexible wires, bands or straps A61B17/72, A61B17/82, A61B17/86 take precedence
• CPC Class Codes: A61B 17/8869 Tensioning devices
• CPC Class Codes: A61B 2017/681 Alignment, compression, or distraction mechanisms
• CPC Class Codes: B60P 7/0823 Straps; Tighteners
• CPC Class Codes: B60P 7/083 Tensioning by repetetive movement of an actuating member
• CPC Class Codes: B60P 7/0838 Tensioning by single movement of an actuating member

Abstract

A bone plate system for securing a plurality of bones is provided including a plate member, a locking device of the bone plate, and a surgical cable having a trailing end for being connected to the bone plate and a leading end for being advanced around the bones and into the locking device. The surgical cable may be tensioned to approximate the bones, urge the bones together, and seat the bone plate against the bones. The locking device may be reconfigured to a locked configuration to fix the bone plate to the surgical cable. The bone plate further includes a plurality of throughbores for receiving bone anchors that rigidly fix the bone plate to the bones. The bone plate system utilizes the tensile strength of the surgical cable and the rigid fixation between the bone anchors and the bone plate to resist relative movement of the bones.

Claims

1. A bone plate system for stabilizing bone portions, the bone plate system comprising:

a plurality of bone screws;

a bone plate having a longitudinal axis;

a cable adapted to be looped around the bone portions and connected to the bone plate;

body portions of the bone plate that are laterally spaced from each other for contacting the bone portions;

throughbores of the body portions for receiving the bone screws;

a cylindrical, straight tubular member of the bone plate that interconnects the bone plate body portions and extends straight laterally therebetween, the tubular member resisting relative movement of the bone plate body portions;

tool-receiving through openings of the bone plate at opposite sides of the tubular member;

a cylindrical outer surface of the tubular member that extends along the tool-receiving through openings for being engaged by a tool positioned in the tool-receiving openings, the cylindrical outer surface having an outer diameter that is uniform throughout the tubular member;

a through aperture of the tubular member extending laterally therethrough and sized to receive the cable to allow the cable to be looped around the bone portions and advanced through the tubular member; and

exposed arcuate crimp portions of the tubular member each including a portion of the cylindrical outer surface, the exposed arcuate crimp portions being across the through aperture from one another and defining a portion of the through aperture therebetween, the arcuate crimp portions being configured to be deformed toward each other to fix the cable to the bone plate, each one of the arcuate crimp portions extending along a different one of the tool-receiving through openings.

2. The bone plate system of claim 1 wherein the tubular member and the bone plate body portions have a unitary, one-piece construction.

3. The bone plate system of claim 1 wherein the tubular member is uninterrupted such that the tubular member lacks any openings therein that are in communication with the tubular member through aperture.

4. The bone plate system of claim 1 wherein the bone plate defines a stop opening adjacent the tubular member and the cable has a leading end portion configured to be advanced through the stop opening and an enlarged, trailing end portion configured to be drawn against the bone plate at the stop opening.

5. The bone plate system of claim 1 wherein the aperture of the tubular member includes a central axis extending straight through the aperture and extending substantially perpendicular to the bone plate longitudinal axis.

6. The bone plate system of claim 1 wherein the bone plate includes longitudinal portions spaced apart by the tubular member and connecting the tubular member to the bone plate halves.

7. The bone plate system of claim 6 wherein the throughbores include a pair of laterally outer throughbores and the longitudinal portions include laterally outer surfaces disposed laterally inward from the outer throughbores so that the longitudinal portions have a lateral width thereacross that is less than a maximum lateral width of the bone plate.

8. The bone plate system of claim 1 further comprising a second cable adapted to be looped around the bone portions and connected to the bone plate;

and

the bone plate includes a second tubular member that interconnects and extends laterally intermediate the bone plate body portions, the second tubular member having a second through aperture sized to receive the second cable and second exposed crimp portions across the second through aperture from each other with the second exposed crimp portions being configured to be deformed toward each other and fix the second cable to the bone plate.

9. The bone plate system of claim 8 wherein the bone plate includes a narrowed transverse support longitudinally spaced from the tubular members and interconnecting the bone plate body portions.

10. The bone plate system of claim 1 wherein the throughbores have a substantially X-shaped arrangement on the bone plate.

11. The bone plate system of claim 1 wherein the bone plate body portions include lobes having the throughbores therein.

12. A bone plate system for stabilizing bone portions, the bone plate system comprising:

a plurality of bone screws;

a bone plate having upper and lower surfaces for contacting the bone portions;

throughbores of the bone plate extending between the upper and lower surfaces and configured to receive the bone screws with either the bone plate upper surface or the bone plate lower surface contacting the bone portions;

a cable having a leading end portion adapted to be looped around the one or more bone portions and having a trailing end portion for being secured to the bone plate;

a first longitudinal portion and a second longitudinal portion of the bone plate that are laterally spaced from each other, the first and second longitudinal portions each having an exposed laterally inner surface and an exposed laterally outer surface;

a deformable member of the bone plate connecting the first and second longitudinal portions and extending transversely thereto, the deformable member having a through aperture sized to receive the cable;

the deformable member having an unlocked configuration that permits the cable to be shifted in the through aperture relative to the bone plate and a locked configuration which fixes the cable to the bone plate;

a through opening of the bone plate first longitudinal portion adjacent the deformable member and extending between the laterally inner and outer surfaces of the first longitudinal portion, the through opening being configured to permit the leading end portion of the cable to be advanced through the through opening in a lateral direction from the laterally inner surface to the laterally outer surface of the first longitudinal portion; and

a stop surface of the through opening configured to engage the cable trailing end portion and resist the cable trailing end portion from being advanced through the through opening in the lateral direction from the laterally inner surface to the laterally outer surface of the first longitudinal portion and secure the cable trailing end portion to the first bone plate longitudinal portion adjacent the deformable member.

13. The bone plate system of claim 12 wherein the deformable member includes exposed crimp portions disposed across the through aperture from one another, the crimp portions being spaced apart from each other to permit the cable to shift therebetween with the deformable member in the unlocked configuration and the crimp portions being compressed together to fix the cable to the bone plate with the deformable member in the locked configuration.

14. The bone plate system of claim 12 wherein the bone plate includes body portions laterally spaced from each other and having the through bores therein, the bone plate longitudinal portions connecting the body portions to the deformable member.

15. The bone plate system of claim 12 wherein the bone plate includes body portions having the through bores therein and the deformable member and the bone plate body portions have a unitary, one-piece construction.

16. The bone plate system of claim 12 wherein the bone plate includes tool-receiving openings on opposite sides of the deformable member and the deformable member includes exposed crimp portions extending along the tool-receiving openings.

17. The bone plate system of claim 12 wherein the deformable member is a cylindrical, tubular member and includes crimp portions diametrically from one another across the through aperture.

18. The bone plate system of claim 12 wherein the bone plate longitudinal portions include a pair of elongated, spaced tool alignment members connected to the deformable member and extending generally parallel to one another on opposite sides of the deformable member.

19. The bone plate system of claim 12 wherein the cable includes an intermediate portion between the leading end portion and the trailing end portion, the trailing end portion being enlarged relative to the intermediate portion.

20. The bone plate system of claim 12 wherein the through opening of the bone plate first longitudinal portion is longitudinally offset from the deformable member.

21. The bone plate system of claim 12 wherein the trailing end portion of the cable includes a plug and the stop surface is configured to engage the plug.