Surgical cable loop connector

• US 5,415,658 A
• Filed: 12/14/1993
• Issued: 05/16/1995
• Est. Priority Date: 12/14/1993
• Status: Expired due to Term

• Current Assignee: Pioneer Surgical Technology Incorporated (Surgalign Holdings, Inc.), Zimmer Technology Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Pioneer Laboratories Incorporated
• Inventors: Songer, Matthew N., Kilpela, Thomas S., Iwanski, George J., Songer, Robert J.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): MULCARE, NANCY C
• Application Number:
  US08/167,542
• Time in Patent Office: 518 Days
• Field of Search: 606/53, 606/60, 606/69-74, 606/86, 606/103, 606/105, 24/16 R, 24/18, 24/19, 24/27, 24/28, 24/29, 24/276-278
• US Class Current: 606/300
• CPC Class Codes: A61B 17/82 for bone cerclage apparatus for manipulating wires or straps A61B17/8861; wires, bands or straps other than cerclage A61B17/842
• CPC Class Codes: A61B 17/842 Flexible wires, bands or straps A61B17/72, A61B17/82, A61B17/86 take precedence
• CPC Class Codes: A61B 17/8861 Apparatus for manipulating flexible wires or straps devices for inserting Kirschner wires A61B17/1697

Abstract

A surgical connector for cable comprises a body having a pair of opposed ends and a first side extending between the ends. Outwardly extending projections adjacent the first side and ends may be provided to facilitate securance of the connector in a desired position. Cable-receiving bores extend from each of the ends inwardly toward each other, typically at an obtuse angle of less than 180°. The bores have inner ends that communicate with a central aperture which is open to at least the side of the body which is opposed to the first side. Alternatively, the central aperture may extend entirely through the body and be open to both the first side and the opposed side. Also, a novel retention technique for cable is disclosed, for more general use, if desired.

Claims

1. A surgical connector for cable which comprises a body having a pair of opposed ends and a first side extending between said ends;

outwardly extending projections adjacent said first side and ends to facilitate securance of said connector in a desired position, said outwardly extending projections comprising sharp ribs projecting from edges adjacent said first side and extending between the opposed ends, whereby bone contact is through ends of said sharp ribs;

cable-receiving bores extending from each of said ends inwardly toward each other at an obtuse angle of less than 180°

, said bores having inner ends that communicate with a central aperture open to at least the side of said body which is opposed to said first side, for securing lengths of cable in said bores.

2. The connector of claim 1 in which said first side is concave.

3. The connector of claim 1 which is for retention of a cable loop for bone retention, the bores being positioned at an obtuse angle that permits cable portions to extend straight from the bores in a direction that is substantially tangent to the bone surrounded by the cable loop.

4. The connector of claim 1 in which said bores define longitudinal axes which occupy a common plane.

5. The connector of claim 1 in which said bores define ends that are free of sharp edges.

6. The connector of claim 1 in combination with a cable in which said cable is secured in one of said bores by a transverse, screw-threaded hole intersecting said one bore, and a screw advanceable therein to compress and retain the cable in said one bore.

7. The connector of claim 6 in which said screw defines a rear head to limit screw-threaded advancement of said screw into the one bore, the screw being proportioned whereby the position of maximum screw advancement is the position of optimum advancement for retention of said cable.

8. The connector of claim 7 in which a malleable metal sleeve is positioned in said one bore to surround said cable in the one bore and to be collapsed by said screw.

9. The connector of claim 6 in which a malleable metal sleeve is positioned in said one bore to surround said cable in the one bore and to be collapsed by said screw.

10. The connector of claim 6 in combination with a cable, which connector carries said cable in both of said cable-receiving bores to define a cable loop, said cable having an end which defines a transversely enlarged portion, said second cable-receiving bore defining an enlarged diameter inner portion receiving said transversely enlarged cable portion, and a reduced-diameter outer portion, to retain said cable and to prevent its outward movement through the reduced-diameter outer bore portion.

11. The connector or claim 1 in combination with a cable, which connector carries a length of cable in both of said cable-receiving bores which defines a loop, said cable having an end which defines a transversely enlarged portion, said second cable-receiving bore defining an enlarged diameter inner portion receiving said transversely enlarged cable portion, and a reduced-diameter outer portion, to retain said cable and to prevent its outward movement through the reduced-diameter outer bore portion.

12. A surgical connector for cable ends in combination with lengths of cable, which connector comprises a body having a pair of opposed ends, and a concave first side extending between said ends;

sharp ribs projecting from said first side and extending between the opposed ends to define outwardly extending projections adjacent said first side and opposed ends, to facilitate securance of said connector in a desired position;

cable-receiving bores extending from each of said ends inwardly toward each other at an obtuse angle of less than 180°

, said bores having inner ends that communicate with a central aperture open to at least the side of the body which is opposed to said first side, said lengths of cable being secured in said bores.

13. The connector of claim 12 which carries a cable loop for bone retention, the bores being positioned at an obtuse angle that permits cable portions to extend straight from the bores in a direction that is substantially tangent to the bone surrounded by the cable loop.

14. The connector of claim 13 in which said bores define longitudinal axes which occupy a common plane.

15. The connector of claim 14 in which one length of said cable is secured in one of said bores by means of a transverse, screw-threaded hole intersecting said one bore and a blunt-tipped screw advanceable therein to compress and retain said cable in said one bore.

16. The connector of claim 15 in which a malleable metal sleeve is positioned in said one bore to surround said cable in the one bore and to be collapsed by said screw.

17. The connector of claim 16 in which said screw defines a rear head to limit screw-threaded advancement of said screw into the one bore, the screw being proportioned whereby the position of maximum screw advancement is the position of optimum advancement for retention of the cable.

18. The connector of claim 16 in which a second of said cable-receiving bores carries an end of said cable, which cable end is enlarged, said second cable-receiving bore defining an enlarged diameter inner portion receiving said enlarged end, and a reduced-diameter outer bore portion to retain said cable and to prevent its outward movement through the opposed end associated with said second bore.

19. A surgical connector in combination with a cable, said surgical connector comprising a body having a pair of opposed ends and a first side extending between the ends;

outwardly extending projections adjacent said first side and ends to facilitate securance of said connector in a desired position;

cable-receiving bores extending from each of said ends inwardly toward each other at an obtuse angle of less than 180°

, said bores having inner ends that communicate with a central aperture open to at least the side of said body which is opposed to said first side, said cable being secured in one of said bores by a transverse, screw-threaded hole intersecting said one bore, and a screw advanceable in said hole to compress and secure the cable in said one bore.

20. The connector of claim 19 in which said screw defines a rear head to limit screw-threaded advancement of said screw into the one bore, the screw being proportioned whereby the position of maximum screw advancement is the position of optimum advancement for retention of said cable.

21. The connector of claim 20 in which a malleable metal sleeve is positioned in said one bore to surround said cable in the one bore and to be collapsed by said screw.

22. A surgical connector for cable in combination with lengths of cable, which connector comprises a body having a pair of opposed ends and a first side extending between said ends;

cable receiving bores extending from each of said ends inwardly toward each other at an obtuse angle of less than 180°

, said bores having inner ends that communicate with a central aperture open to at least the side of said body which is opposed to said first side, said lengths of cable being secured in said bores, said first side being longitudinally concave of a radius smaller than that of an adult femur shaft whereby said connector can rest on an adult femur shaft with the opposed ends of said connector in contact with said femur shaft and the remainder of said first side being spaced from said femur shaft.

23. The connector of claim 22 in which said bores define longitudinal axes which occupy a common plane, said lengths of cable secured in said bores comprising part of a loop of cable of less than 360°

.

24. The connector of claim 22 in which said screw defines a rear head to limit screw-threaded advancement of said screw into the one bore, the screw being proportioned whereby the position of maximum screw advancement is the position of optimum advancement for retention of said cable.

25. The connector of claim 24 which carries a length of cable in both of said cable-receiving bores which defines a loop, a second of said cable-receiving bores carrying a transversely enlarged portion, said second cable-receiving bore defining an enlarged diameter inner portion receiving said enlarged cable portion, and a reduced-diameter outer portion to retain said cable and to prevent its outward movement through the reduced-diameter outer bore portion and the opposed end associated with said second bore.

26. A surgical cable connector which comprises a body, a first cable receiving bore defined in said body, and securing means for retaining cable in secured manner within said bore comprising a transverse, screw-threaded hole intersecting said bore;

a malleable sleeve occupying said bore and extending completely across said hole in bridging relation, and a screw rotatably mounted in said hole, whereby a cable extending through said sleeve in said bore may be bent with said sleeve by the advancing screw into a cable-retaining, clamped condition.

27. The connector of claim 26 in which said hole extends completely through said body.

28. The connector of claim 27 in which said screw defines a rear head to limit screw-threaded advancement of said screw into the bore, the screw being proportioned whereby the position of maximum screw advancement is the position of optimum advancement for retention of said cable.

29. The connector of claim 28 which defines a second cable-receiving bore and which carries a length of cable in both of said cable-receiving bores which defines a loop, said cable having an end which defines a transversely enlarged portion, said second cable-receiving bore defining an enlarged diameter inner portion receiving said transversely enlarged cable portion, and a reduced-diameter outer portion, to retain said cable and to prevent its outward movement through the reduced-diameter outer bore portion.

30. The connector of claim 26 in which said screw defines a rear head to limit screw-threaded advancement of said screw into the bore, the screw being proportioned whereby the position of maximum screw advancement is the position of optimum advancement for retention of said cable.

31. The connector of claim 26 which defines a second cable-receiving bore and which carries a length of cable in both of said cable-receiving bores which defines a loop, said cable having an end which defines a transversely enlarged portion, said second cable-receiving bore defining an enlarged diameter inner portion receiving said transversely enlarged cable portion, and a reduced-diameter outer portion, to retain said cable and to prevent its outward movement through the reduced-diameter outer bore portion.

32. The connector of claim 26 in which said body comprises a plate which carries a plurality of said securing means for retaining a plurality of said cables.