Bone fusion apparatus and method

• US 6,179,839 B1
• Filed: 09/20/1999
• Issued: 01/30/2001
• Est. Priority Date: 09/20/1999
• Status: Expired due to Term

• Current Assignee: Integra Lifesciences Corporation (Integra LifeSciences Holdings Corporation)
• Original Assignee: Kinetikos Medical, Inc. (Integra LifeSciences Holdings Corporation)
• Inventors: Collins, Michael S., Weiss, Arnold-Peter
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): REIP, DAVID OWEN
• Application Number:
  US09/399,021
• Time in Patent Office: 498 Days
• Field of Search: 606/69, 606/70, 606/79, 606/80, 606/81, 606/85, 606/91, 606/71, 606/84, 623/22.15, 623/22.21, 623/22.36, 623/22.35
• US Class Current: 606/281
• CPC Class Codes: A61B 17/1659 Surgical rasps, files, planes, or scrapers
• CPC Class Codes: A61B 17/1686 for the hand or wrist
• CPC Class Codes: A61B 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/1602 Mills
• CPC Class Codes: Y10S 606/906 Small bone plate

Abstract

A bone fusion apparatus and method for positioning over and attachment to a desired bone area which can provide for radial compression of bones, with particular suitability for wrist fusion by attachment to suitable bones such as, for example, a plurality of carpus area bones, with or without attachment to the radius bone and/or to one or more metacarpal bones. The bone fusion apparatus includes an annular plate having an outer side for at least partially contacting bone and an opposite inner side. The plate has a top outer edge of greatest diameter and a smaller diameter, bottom inner edge which defines an at least substantially central opening through the plate. The plate is substantially conical in shape such that the plate tapers outwardly from the inner edge of the plate to the outer edge of the plate. The plate defines a plurality of preferably countersunk holes therethrough between the inner edge and the outer edge, wherein each of the holes is adapted for receiving a bone fastener. Also provided is a bone burr and handle which can easily be utilized to precisely burr bone at a location where the bone fusion apparatus is to be placed in order for the bone fusion apparatus to precisely be positioned and affixed to bone as desired.

Claims

1. A bone fusion apparatus for positioning over and attachment to one or more bones, said bone fusion apparatus comprising:

(a) a plate having an outer side for at least partially contacting bone and an opposite inner side, and said plate having a top outer edge of greatest diameter and a smaller diameter, bottom inner edge which defines an at least substantially central opening through said plate;

(b) said plate being substantially conical in shape such that said plate tapers outwardly from said inner edge of said plate to said outer edge of said plate; and

(c) said plate defining a plurality of holes therethrough between said inner edge and said outer edge, each of said holes adapted for receiving a bone fastener for attaching said plate to one or more bones whereby the plate and bone fasteners can cause radial compression of the one or more bones.

2. The bone fusion apparatus of claim 1 for wrist bone fusion wherein said plate includes at least four (4) holes configured for simultaneous alignment for attachment of a bone fastener to a lunate bone, a triquetrium bone, a hamate bone, and a capitate bone of a carpus area of a wrist.

3. The bone fusion apparatus of claim 1 wherein said holes are countersunk on said inner side of said plate.

4. The bone fusion apparatus of claim 1 wherein said outer side of said plate is disposed at an angle of between approximately 0 and 90 degrees to a plane on which said central opening of said plate is disposed.

5. The bone fusion apparatus of claim 1 wherein said wrist fusion plate is constructed of stainless steel.

6. The bone fusion apparatus of claim 1 wherein said wrist fusion plate is constructed of a bioabsorbable material.

7. A bone fusion system for precisely positioning and affixing a bone fusion apparatus to a plurality of bones, said bone fusion system comprising:

(a) an annular plate having an outer side for at least partially contacting bone and an opposite inner side, and said plate having a top outer edge of greatest diameter and a smaller diameter, bottom inner edge which defines an at least substantially central opening through said plate;

(b) said plate being substantially conical in shape such that said plate tapers outwardly from said inner edge of said plate to said outer edge of said plate;

(c) said plate defining a plurality of holes therethrough between said inner edge and said outer edge, each of said holes adapted for receiving a bone fastener for attaching said plate to a plurality of bones; and

(d) a bone burr for burring away bone in preparation for positioning and affixing said plate, said bone burr being substantially cone-shaped and being threaded on its outer side for burring away bone, and said bone burr having an outer configuration at least generally matching that of said outer side of said plate such that said bone burr can be easily used to burr away bone to create a burred away location in a desired area of bones, and wherein said plate can subsequently be placed and affixed in position in the burred away location.

8. The bone fusion system of claim 7 further comprising a handle adapted for engaging said bone burr for rotating said bone burr to burr away bone.

9. The bone fusion system of claim 8 wherein said handle is “

t”

-shaped.

10. The bone fusion system of claim 8 wherein said handle is a quick coupling adapter for a power instrument.

11. The bone fusion system of claim 7 wherein said outer threaded side of said bone burr forms a point.

12. A method of affixing a bone fusion apparatus, said method comprising the steps of:

(a) providing a bone fusion apparatus comprising;

(i) an annular plate having an outer side for at least partially contacting bone and an opposite inner side, and said plate having a top outer edge of greatest diameter and a smaller diameter, bottom inner edge which defines an at least substantially central opening through said plate;

(ii) said plate being substantially conical in shape such that said plate tapers outwardly from said inner edge of said plate to said outer edge of said plate; and

(iii) said plate defining a plurality of holes therethrough between said inner edge and said outer edge, each of said holes adapted for receiving a bone fastener for attaching said plate to bone;

(b) positioning said bone fusion apparatus over a desired bone area; and

(c) affixing said bone fusion apparatus to one or more bones of said bone area wherein said bone fusion apparatus causes radial compression of the one or more bones to which said bone fusion apparatus is affixed.

13. The method of claim 12 wherein said plate of said bone fusion apparatus is for wrist fusion and wherein said bone fusion apparatus is positioned such that at least one hole is positioned for attachment of a bone fastener to each of a lunate bone, a triquetrium bone, a hamate bone, and a capitate bone of a carpus area.

14. The method of claim 13 wherein said plate is affixed at least to said lunate bone, triquetrium bone, hamate bone, and capitate bone of the carpus area.

15. The method of claim 14 wherein said plate is affixed to said lunate bone, triquetrium bone, hamate bone, and capitate bone of the carpus area by fastening a bone screw through a plurality of holes of said plate.

16. The method of claim 13 further comprising a step prior to the step of paragraph (c) of burring away bone to create a burred away area at a desired placement location for said bone fusion apparatus to be positioned and affixed, and further comprising placing said plate at least partially in said burred away area and affixing said plate in position with minimal or no slippage of said plate as said plate is affixed.

17. A method of affixing a bone fusion apparatus, said method comprising the steps of:

(a) providing a bone fusion system comprising;

(i) an annular plate having an outer side for at least partially contacting bone and an opposite inner side, and said plate having a top outer edge of greatest diameter and a smaller diameter, bottom inner edge which defines an at least substantially central opening through said plate;

(ii) said plate being substantially conical in shape such that said plate tapers outwardly from said inner edge of said plate to said outer edge of said plate;

(iii) said plate defining a plurality of holes therethrough between said inner edge and said outer edge, each of said holes adapted for receiving a bone fastener for attaching said plate to bone; and

(iv) a bone burr for burring away bone in preparation for positioning and affixing said plate, said bone burr being substantially cone-shaped and being threaded on its outer side for burring away bone and said bone burr having an outer configuration at least generally matching that of said outer side of said plate such that said bone burr can be easily used to burr away bone in a desired area to create a burred away location, and wherein said plate can subsequently be placed in the burred away location and affixed there in position;

(b) burring away bone using said bone burr to create a burred away area in a desired location for positioning and affixing said plate;

(c) positioning said plate at least partially in said burred away area with said outer side of said plate positioned adjacent or in contact with one or more bones; and

(d) affixing said plate in position while said plate is positioned at least partially in said burred away area by fastening bone screws to said one or more bones through one or more of said holes of said plate.

18. The method of claim 17 wherein burring away bone using said bone burr comprises rotating a handle attached to said bone burr to rotate said bone burr.

19. A method of affixing a bone fusion apparatus for wrist fusion, said method comprising the steps of:

(a) providing a bone fusion system comprising;

(i) an annular plate having an outer side for at least partially contacting bone and an opposite inner side, and said plate having a top outer edge of greatest diameter and a smaller diameter, bottom inner edge which defines an at least substantially central opening through said plate;

(ii) said plate being substantially conical in shape such that said plate tapers outwardly from said inner edge of said plate to said outer edge of said plate;

(iii) said plate defining a plurality of holes therethrough between said inner edge and said outer edge, each of said holes adapted for receiving a bone fastener for attaching said plate to bone; and

(iv) a bone burr for burring away bone in preparation for positioning and affixing said plate, said bone burr being substantially cone-shaped and being threaded on its outer side for burring away bone and said bone burr having an outer configuration at least generally matching that of said outer side of said plate such that said bone burr can be easily used to burr away bone in a desired area to create a burred away location, and wherein said plate can subsequently be placed in the burred away location and affixed there in position;

(b) burring away bone using said bone burr to create a burred away area in a carpus area of a wrist for positioning and affixing said plate;

(c) positioning said plate at least partially in said burred away area with said at least one of said holes of said plate being in simultaneous alignment for attachment of a bone fastener to a lunate bone, a triquetrium bone, a hamate bone, and a capitate bone of the carpus area; and

(d) affixing said plate in position while said plate is positioned at least partially in said burred away area by fastening bone screws to said lunate bone, triquetrium bone, hamate bone, and capitate bone through one or more of said holes of said plate.