Sternum fixation device

• US 6,872,210 B2
• Filed: 02/13/2002
• Issued: 03/29/2005
• Est. Priority Date: 02/23/2001
• Status: Expired due to Term

• Current Assignee: Synthes USA LLC (Johnson & Johnson)
• Original Assignee: Synthes AG Chur And Synthes (USA)
• Inventors: Hearn, James P.
• Primary Examiner(s): Robert, Eduardo C.
• Assistant Examiner(s): Priddy, Michael B.
• Application Number:
  US10/073,133
• Publication Number:
  US 20020143336A1
• Time in Patent Office: 1,140 Days
• Field of Search: 606 69- 73, 606/54, 606/57, 606216-221
• US Class Current: 606/71
• CPC Class Codes: A61B 17/8009 the plate having a ratchet
• 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 17/8085 with pliable or malleable elements or having a mesh-like structure, e.g. small strips A61B17/8071, A61B17/8076 take precedence
• CPC Class Codes: A61B 17/823 for the sternum
• CPC Class Codes: A61B 17/863 with thread interrupted or changing its form along shank, other than constant taper
• CPC Class Codes: Y10S 606/905 Rib or sternum plate

Abstract

A sternum fixation device for securing parts of a sternum includes first and second removably associated plates. The first plate has an upper surface and a sternum-contacting surface, and at least one hole passing through both of these surfaces for receiving a fastener head. The second plate has at least one attachment member for fixation to the sternum. A release member holds the first and second plates together, and is movably associated with at least one of the first and second plates such that it may be moved to allow separation of the two parts of the sternum.

Claims

1. A sternum fixation device for securing parts of a sternum comprising:

a first plate having an upper surface and a sternum-contacting surface, and at least one hole passing through the upper and sternum-contacting surfaces for receiving a fastener head, the first plate further including a first longitudinal bore defining an axis oriented substantially transversely to the at least one hole;

a second plate having an upper surface and a sternum-contacting surface, and an attachment member for fixation to the sternum, the second plate further including a second longitudinal bore; and

a removable release member for holding the first and second plates together, wherein the first and second plates are dimensioned to releasably mate with one another such that the first and second longitudinal bores are aligned to receive the release member;

wherein the release member is a pin that is substantially U-shaped or T-shaped.

2. A sternum fixation device for securing parts of a sternum comprising:

a first plate having an upper surface and a sternum-contacting surface, and at least one hole threaded to receive a threaded fastener head and passing through the upper and sternum-contacting surfaces for receiving a fastener head, the first plate further including a first longitudinal bore defining an axis oriented substantially transversely to the at least one hole;

a second plate having an upper surface and a sternum-contacting surface, and an attachment member for fixation to the sternum, the second plate further including a second longitudinal bore; and

a removable release member for holding the first and second plates together, wherein the first and second plates are dimensioned to releasably mate with one another such that the first and second longitudinal bores are aligned to receive the release member; and

a bone fastener having a threaded fastener head and a shaft and defining a longitudinal axis that extends away from the upper surface toward the sternum-contacting surface, wherein the at least one hole is angled such that when the threaded fastener head is received in the hole, the longitudinal axis is angled toward the second plate.

3. The sternum fixation device of claim 2, wherein the attachment member is a through hole passing through the second plate upper and sternum-contacting surfaces.

4. The sternum fixation device of claim 3, wherein the through hole is threaded to receive a threaded fastener head.

5. The sternum fixation device of claim 2, wherein the first and second plates mate at a mating line, and at least one of the first and second longitudinal bores is disposed at an angle with respect to the mating line.

6. A sternum fixation device for securing parts of a sternum comprising:

a first plate having an upper surface and a sternum-contacting surface, and at least one hole passing through the upper and sternum-contacting surfaces for receiving a fastener head, the first plate further including a first longitudinal bore defining an axis oriented substantially transversely to the at least one hole;

a second plate having an upper surface and a sternum-contacting surface, and an attachment member for fixation to the sternum, the second plate further including a second longitudinal bore; and

a removable release member for holding the first and second plates together, wherein the first and second plates are dimensioned to releasably mate with one another such that the first and second longitudinal bores are aligned to receive the release member;

wherein the attachment member is a hook member for engaging an intercostal space portion of the sternum.

7. A sternum fixation device for securing parts of a sternum comprising:

a first plate having an upper surface and a sternum-contacting surface, and at least one hole passing through the upper and sternum-contacting surfaces for receiving a fastener head, the first plate further including a first longitudinal bore defining an axis oriented substantially transversely to the at least one hole;

a second plate having an upper surface and a sternum-contacting surface, and an attachment member for fixation to the sternum, the second plate further including a second longitudinal bore; and

a removable release member for holding the first and second plates together, wherein the first and second plates are dimensioned to releasably mate with one another such that the first and second longitudinal bores are aligned to receive the release member;

wherein the first and second plates mate with one another such that they cannot rotate with respect to one another about the release member.

8. The sternum fixation device of claim 7, wherein the attachment member is a through hole passing through the second plate upper and sternum-contacting surfaces.

9. The sternum fixation device of claim 8, wherein the through hole is threaded to receive a threaded fastener head.

10. The sternum fixation device of claim 7, wherein the first and second plates mate at a mating line, and at least one of the first and second longitudinal bores is disposed at an angle with respect to the mating line.

11. A sternum fixation device for securing parts of a sternum comprising:

a first plate having an upper surface and a sternum-contacting surface, and at least one hole passing through the upper and sternum-contacting surfaces for receiving a fastener head, the first plate further including a first longitudinal bore defining an axis oriented substantially transversely to the at least one hole;

a second plate having an upper surface and a sternum-contacting surface, and an attachment member for fixation to the sternum, the second plate further including a second longitudinal bore; and

a removable release member for holding the first and second plates together, wherein the first and second plates are dimensioned to releasably mate with one another such that the first and second longitudinal bores are aligned to receive the release member;

wherein the release member is a pin having a tip portion with a plurality of splayed apart fingers.

12. A sternum fixation device for securing parts of a sternum comprising:

a first plate having an upper surface and a sternum-contacting surface, and at least one hole passing through the upper and sternum-contacting surfaces for receiving a fastener head, the first plate further including a first longitudinal bore defining an axis oriented substantially transversely to the at least one hole;

a second plate having an upper surface and a sternum-contacting surface, and an attachment member for fixation to the sternum, the second plate further including a second longitudinal bore; and

a removable release member for holding the first and second plates together, wherein the first and second plates are dimensioned to releasably mate with one another such that the first and second longitudinal bores are aligned to receive the release member;

wherein the release member is a taper pin.

13. A sternum fixation device for securing parts of a sternum comprising:

a first plate having an upper surface and a sternum-contacting surface, and at least one hole passing through the upper and sternum-contacting surfaces for receiving a fastener head, the first plate further including a first longitudinal bore defining an axis oriented substantially transversely to the at least one hole and at least one additional first longitudinal bore having an axis substantially parallel to the first longitudinal bore axis;

a second plate having an upper surface and a sternum-contacting surface, and an attachment member for fixation to the sternum, the second plate further including a second longitudinal bore and at least one additional second longitudinal bore; and

a removable pin having first and second spaced apart legs, and for holding the first and second plates together, wherein the first and second plates are dimensioned to releasably mate with one another such that the first and second longitudinal bores are aligned to receive the pin;

wherein when the first and second plates are mated with one another, one of the first and second longitudinal bores are aligned to receive the first leg and another one of the first and second longitudinal bores are aligned to receive the second leg.

14. A sternum fixation device for securing parts of a sternum comprising:

a first plate having an upper surface and a sternum-contacting surface, and at least one hole passing through the upper and sternum-contacting surfaces for receiving a fastener;

a second plate having at least one hook member for fixation to the sternum; and

a release member for holding the first and second plates together, wherein the release member is slidably associated with both the first and second plates such that it may be moved to allow separation of the two parts of the sternum.

15. The sternum fixation device of claim 14, wherein the first plate further includes at least one first longitudinal bore defining an axis oriented substantially transversely to the at least one through hole, and the second plate further includes at least one second longitudinal bore, and the first and second plates are dimensioned to mate with one another such that at least the first and second longitudinal bores are aligned to receive the release member such that removal of the release member from the first and second longitudinal bores allows separation of the two parts of the sternum.

16. The sternum fixation device of claim 14, wherein at least one fastener is a bone screw.

17. The sternum fixation device of claim 16, wherein at least one bone screw is self-drilling.

18. The sternum fixation device of claim 16, wherein at least one bone screw is self-tapping.

19. The sternum fixation device of claim 14, wherein the at least one hole is threaded.

20. A method for securing parts of a sternum, comprising the steps of:

(a) providing a first plate with at least one hole for receiving a fastener, and a second plate with at least one hook member;

(b) contacting at least one hook member with a first part of the sternum;

(c) inserting at least one fastener through the hole in the first plate and into a second part of the sternum; and

(d) linking the first and second plates with a removable release member, wherein the first and second plates are separable upon the removal of the release member.

21. The method of claim 20, wherein steps (b) and (c) are reversed.

22. The method of claim 20, further comprising the step (e) of removing the release member.

23. The method of claim 20, wherein the fastener is a bone screw.

24. The method of claim 20, wherein the at least one hole is threaded.

25. The method of claim 20, wherein the release member is slidably associated with both the first and second plates.

26. The method of claim 20, wherein the first part of sternum is the intercostal space portion of the sternum.

27. The method of claim 20, wherein the first and second plates are linked such that they cannot rotate with respect to one another about the release member.

28. The method of claim 20, wherein the release member is a pin.