Surgical device for capturing, positioning and aligning portions of a severed human sternum

• US 7,033,377 B2
• Filed: 05/27/2004
• Issued: 04/25/2006
• Est. Priority Date: 05/27/2004
• Status: Active Grant

• Current Assignee: Mavrek Medical LLC
• Original Assignee: Mavrek Medical LLC
• Inventors: Miller, Archibald S. III
• Primary Examiner(s): Robert, Eduardo C.
• Assistant Examiner(s): Baxter, Jessica R.
• Application Number:
  US10/857,779
• Publication Number:
  US 20050267475A1
• Time in Patent Office: 698 Days
• Field of Search: 606/213, 606215-218, 606/60, 606/69, 606 70- 72, 606/74
• US Class Current: 606/213
• 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 17/88 Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices A61B17/7074 takes precedence
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

A surgical device for capturing, positioning and aligning portions of a severed human sternum via positioning around the costal cartilage portion of each of a paired set of ribs located on opposite sides of the severed sternum while simultaneously contacting and substantially surrounding the anterior and posterior portions of the sternum comprising impermanently joined insertion and insertion guide attachment members, each of the members having first and second end portions, first and second side portions, a body portion, anterior and posterior surfaces, two crescent formed leg portions with angularly displaced foot portions, a plurality of sternum, rib and costal cartilage engagement surfaces and, a rotary lock member pivotally attached to the insertion guide member, and further comprising a capturing mechanism having angularly displaced teeth-like structures on a first side cooperating with reciprocating teeth like structures integrated on a first side of the insertion member to position, secure in place and operatively combine the insertion member, rotary lock and insertion guide members.

Claims

1. A method for capturing, positioning and aligning portions of a severed human sternum via the device'"'"'s deployment around the costal cartilage portion of each of a paired set of ribs located on opposite sides of the severed sternum while simultaneously contacting and substantially surrounding the anterior and posterior portions of the sternum thereby precluding rostral and vertical bone shearing travel by preventing severed sternal halves from moving relative to one another comprising:

providing a sternum closure device comprising impermanently joined insertion and insertion guide attachment members, each of said members having first and second end portions, first and second side portions, a body portion, anterior and posterior surfaces, two crescent formed leg portions with angularly displaced foot portions, and a plurality of sternum, rib and costal cartilage engagement surfaces, the insertion guide member individually comprising a rotary lock positioning block, a plurality of variable length cylindrical pegs located on opposite sides of the insertion member'"'"'s posterior surface, a rotary lock pivoting pin, a disengagement tool positioning divot, and a pair of guide sections to position and removably receive said insertion member when inserted therein, the insertion member individually comprising a biasing guide to allow leveraging insertion therein of a prying tool to forcibly disengage insertion and insertion guide members from one another, and a plurality of severable insertion guide contact sections which may be individually or collectively removed, and

a rotary lock member pivotally attached to said insertion guide member, the locking member further comprising a capturing mechanism having angularly displaced teeth-like structures on a first side which cooperate with reciprocating teeth-like structures integrated on a first side of said insertion member to position, secure in place and operatively combine said insertion member, said rotary lock and said insertion guide member; and

, insertably joining said insertion member within said insertion guide member in a manner to capture the costal cartilage portion of each of a paired set of ribs located on opposite sides of a severed human sternum while simultaneously engaging and substantially surrounding the anterior and posterior portions of the sternum.

2. A sternal closure device comprising:

an insertion member having a body portion and a leg portion, wherein the body portion includes teeth-like structures along a first side of the body portion;

an insertion guide member configured to receive the insertion member, wherein the insertion guide member includes a body portion and a leg portion; and

a rotary lock rotatably mounted to the body portion of the insertion guide member, wherein the rotary lock includes teeth-like structures that engage or release the teeth-like structures on the insertion member as the rotary lock rotates.

3. The sternal closure device of claim 2, wherein each of the insertion member and insertion guide member include two leg portions.

4. The sternal closure device of claim 3, wherein the leg portions on each of the insertion member and insertion guide member are crescent shaped.

5. The sternal closure device of claim 2, wherein each of the insertion member and insertion guide member include a plurality of sternum, rib and costal cartilage engagement surfaces.

6. The sternal closure device of claim 2, wherein the insertion guide member includes a pivot pin extending from the body portion and the rotary lock further includes a pivot aperture that is configured to accept the insertion guide member pivot pin.

7. The sternal closure device of claim 2, wherein the rotary lock further includes a rapid release insertion bore.

8. The sternal closure device of claim 2, wherein the insertion guide member further includes a positioning block and the rotary lock includes a spring member adjacent to the positioning block that opposes the rotation of the rotary lock.

9. The sternal closure device of claim 2, wherein the rotary lock includes a sharpened beveled edge.

10. The sternal closure device of claim 2 further comprising cylindrical pegs located on the posterior side of the insertion member.

11. The sternal closure device of claim 2, wherein the insertion member further comprises a biasing guide configured to accept a prying tool to forcibly disengage the insertion member and insertion guide member.

12. A method for closing a severed sternum with a sternal closure device, the method comprising:

engaging a first portion of the severed sternum with an insertion member that includes two legs that are configured to straddle a first rib connected to the first portion of the severed sternum;

engaging a second portion of the severed sternum with an insertion guide member that includes two legs that are configured to straddle a second rib connected to the second portion of the severed sternum;

inserting the insertion member into the insertion guide member to approximate the severed sternum; and

securing the severed sternum in an approximated position by locking the insertion member and the insertion guide member in a closed position by engaging teeth-like structures on the insertion member with corresponding teeth-like structures on a rotary lock that is rotatably mounted to the insertion guide member.