Method and apparatus for closing a severed sternum

• US 6,969,398 B2
• Filed: 10/31/2003
• Issued: 11/29/2005
• Est. Priority Date: 10/31/2001
• Status: Expired due to Fees

• Current Assignee: Archibald S. Miller III, Leonard Stevens
• Original Assignee: Archibald S. Miller III, Leonard Stevens
• Inventors: Miller, Archibald S. III, Stevens, Leonard
• Primary Examiner(s): Dawson, Glenn K.
• Assistant Examiner(s): MENDOZA, MICHAEL G
• Application Number:
  US10/699,208
• Publication Number:
  US 20040133206A1
• Time in Patent Office: 760 Days
• Field of Search: 606/72, 606/71, 606/74, 606/151, 606/218, 606/216, 606/217, 606/221, 606/60, 606/213, 606/69, 606/157, 606/215, 269/89, 269/152, 403/388, 403/396, 245/26, 245/27, 245/28
• US Class Current: 606/216
• CPC Class Codes: A61B 17/8004 with means for distracting or compressing the bone or bones
• CPC Class Codes: A61B 17/8009 the plate having a ratchet
• CPC Class Codes: A61B 17/8076 for the ribs or the sternum
• CPC Class Codes: A61B 17/823 for the sternum
• CPC Class Codes: A61B 2017/8655 with special features for locking in the bone
• CPC Class Codes: Y10T 24/44607 Track or way oblique to path of gripping member
• CPC Class Codes: Y10T 24/44615 with position locking-means for gripping members
• CPC Class Codes: Y10T 24/44624 Integral locking-means

Abstract

A sternal closure device including impermanently joined sliding and receiving attachment structures which are adapted for intercostal positioning between at least two corresponding rib pairs and substantially surrounding a patient'"'"'s sternum with each structure having a cross member, a plurality of integrated legs and foot members, a plurality of sternum engagement surfaces, and an end portion. The receiving structure further incorporates a resiliently tensioned catch member with angularly disposed teeth like structures positioned to receive and position a plurality of receiving structure projection members when inserted therein. The catch member further serves as a stabilizing structure with stabilization facilitated via an easily removed single screw like structure markedly facilitates quick release. The projection members further embody complimenting positioned teeth like structures providing for racheting, unidirectional entry and positioning within the receiving structure, whereupon complimentary teeth engagement surfaces on catch and receiving member projection members facilitate secure and precision positioning.

Claims

1. A sternal closure device comprising impermanently joined sliding and receiving attachment structures which are adapted for intercostal positioning between at least two correspondingly positioned rib pairs substantially surrounding a patient'"'"'s sternum each structure having a cross member, a plurality of integrated leg and angled foot portions, and a plurality of sternum engagement surfaces, and an end portion;

and

wherein the receiving attachment structure further comprises a resiliently tensioned locking member with angularly disposed teeth like structures outwardly positioned at first and second ends of said resiliently tensioned locking member and a securing aperture substantially centered there between; and

wherein said resiliently tensioned locking member may be compressed to facilitate immediate device disengagement when previously secured intercostally between at least two corresponding positioned rib pairs.

2. The device of claim 1 wherein said sliding structure further comprises a plurality of projection members with angularly disposed teeth like structures inwardly positioned on each innermost surface of each projection member.

3. The device of claim 1 wherein said sternum engagement surfaces are adapted to contact the frontal portion of a sternum.

4. The device of claim 1 wherein said sternum engagement surfaces are adapted to contact the posterior portion of a sternum.

5. The device of claim 1 wherein said sternum engagement surfaces are adapted to contact the frontal and posterior of a sternum.

6. The device of claim 1 wherein the receiving attachment structure further comprises a securing means to facilitate the operative securing of said structures to one another.

7. The surgical device of claim 1 wherein said sliding and receiving attachment structures are made from biocompatible material.

8. The surgical device of claim 7 wherein said material comprises a radiolucent biocompatible material.

9. The sternal closure device of claim 1 wherein said sliding and receiving attachment structures are sized and dimensioned to engage opposite sides of a patient'"'"'s severed sternum and facilitate the tilting of divided sternal plates while positioned intercostally between at least two corresponding rib pairs.

10. The sternal closure device of claim 1 wherein said device further comprises a screw type fastening means to removably attach said sliding and receiving attachment structures.

12. The device of claim 1 wherein said device may be intercostally positioned absent necessity for any secondary transfixion application or structure.

13. The device of claim 6 wherein said securing means may be removed to facilitate immediate device disengagement when previously secured intercostally between at least two corresponding positioned rib pairs.

14. The device of claim 1 further comprising laser scoring of at least one portion of said device to allow severing thereof to facilitate immediate device disengagement when previously secured intercostally between at least two corresponding positioned rib pairs.

11. A method of closing a patient'"'"'s sternum following a sternotomy comprising:

positioning sliding and receiving attachment structures about a respective sternal half and between at least two correspondingly positioned rib pairs;

aligning opposed positioned sliding and receiving attachment structures for subsequent insertion of sliding structure projection members into receiving chambers of said receiving attachment structure;

positioning foot members of attachment and receiving structures upon the posterior section of said sternum in a manner to angle upwardly divided sternal halves and to maximize sternal healing surface contact; and

,

removably positioning and securing teeth like structures on each end of a resiliently tensioned locking member to abut complimenting teeth located on a plurality of projection members where said projection members are within said receiving chambers; and

wherein said resiliently tensioned locking member may be compressed to facilitate immediate device disengagement when previously secured intercostally between at least two corresponding positioned rib pairs.

15. A sternal closure device comprising impermanently joined sliding and receiving attachment structure which are adapted for intercostal positioning between at least two correspondingly positioned rib pairs substantially surrounding a patient'"'"'s sternum each structure having a cross member, a plurality of integrated leg and angled foot portions, and a plurality of sternum engagement surfaces, and an end portion, wherein said device may be intercostally positioned absent necessity for any secondary transfixion application or structure;

and

wherein said receiving attachment structure further comprises a resiliently tensioned locking member with angularly disposed teeth like structures outwardly positioned at first and second ends of said resiliently tensioned locking member and a securing aperture substantially centered there between; and

wherein said resiliently tensioned locking member may be compressed to facilitate immediate device disengagement when previously secured intercostally between at least two corresponding positioned rib pairs.

16. A sternal closure device comprising impermanently joined sliding and receiving attachment structure which are adapted for intercostal positioning between at least two correspondingly positioned rib pairs substantially surrounding a patient'"'"'s sternum each structure having a cross member, a plurality of integrated leg and angled foot portions, and a plurality of sternum engagement surfaces, and an end portion, the device further comprising a laser scoring of at least one portion of said device to allow severing thereof to facilitate immediate device disengagement when previously secured intercostally between at least two corresponding positioned rib pairs;

and

wherein the receiving attachment structure further comprises a resiliently tensioned locking member with angularly disposed teeth like structures outwardly position at first and second ends of said resiliently tensioned locking member and a securing aperture substantially centered there between; and

wherein said resiliently tensioned locking member may be compressed to facilitate immediate device disengagement when previously secured intercostally between at least two corresponding positioned rib pairs.