System and method for a cap used in the fixation of bone fractures

• US 8,679,167 B2
• Filed: 02/23/2007
• Issued: 03/25/2014
• Est. Priority Date: 10/18/2001
• Status: Active Grant

• Current Assignee: OrthoIP, LLC
• Original Assignee: OrthoIP, LLC
• Inventors: Tipirneni, Kishore, Vassello, Wayne
• Primary Examiner(s): SEVILLA, CHRISTIAN ANTHONY
• Application Number:
  US11/678,473
• Publication Number:
  US 20070162026A1
• Time in Patent Office: 2,587 Days
• Field of Search: 606/65, 606/300, 606/301, 606/305, 411/389
• US Class Current: 606/305
• CPC Class Codes: A61B 17/62 Ring frames, i.e. devices extending around the bones to be positioned A61B17/6433 , A61B17/66 take precedence
• CPC Class Codes: A61B 17/68 Internal fixation devices , including fasteners and spinal fixators, even if a part thereof projects from the skin bone staples A61B17/0642
• CPC Class Codes: A61B 17/683 comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
• CPC Class Codes: A61B 17/685 Elements to be fitted on the end of screws or wires, e.g. protective caps
• CPC Class Codes: A61B 17/7001 Screws or hooks combined with longitudinal elements which do not contact vertebrae A61B17/7058 takes precedence
• CPC Class Codes: A61B 17/746 the longitudinal elements coupled to a plate opposite the femoral head
• CPC Class Codes: A61B 17/842 Flexible wires, bands or straps A61B17/72, A61B17/82, A61B17/86 take precedence
• 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: A61B 17/8863 Apparatus for shaping or cutting osteosynthesis equipment by medical personnel
• CPC Class Codes: A61B 17/8869 Tensioning devices

Abstract

A system and method for facilitating the fixation of bone fractures is disclosed. The head component includes a tip, cutting threads and mating threads which are inserted into the far cortex of the bone. A wire extends from the head component and exits from the near cortex. A cap device includes a tension spring, wherein the tension spring is configured to assert friction against the wire when the cap is translated in one direction, but minimal friction against the wire when the cap is translated in the opposite direction. The cap is threaded over the wire such that the cap is restricted from backwards movement. Tension is then applied to the wire while the cap is tightened against or within the bone surface to apply an appropriate amount of pressure between the surfaces of the fracture. The excess wire beyond the cap can then be removed.

Claims

1. A system for facilitating a change in distance between objects, said system including:

a head component configured to attach to one of said objects;

a wire having a first end and a second end, wherein said first end of said wire is configured to mate with said head component;

a cap configured to mate with said second end of said wire, wherein said cap permits distal travel of said cap with respect to said wire, but resists proximal travel of said cap with respect to said wire, wherein said cap includes a tension spring which engages said wire, wherein said tension spring asserts friction against said wire in response to said cap being translated in one direction, but minimal friction against said wire in response to said cap being translated in an opposite direction;

wherein said tension spring includes a tab joining and extending from an outer ring and an inner ring, wherein said inner ring is spaced radially from said outer ring; and

a cover which encapsulates said tension spring within a head portion of said cap, wherein said cover contacts said tab causing said inner ring to at least one of flex, tilt or torque.

2. The system of claim 1, wherein each of said objects include at least one of bone and vertebra.

3. The system of claim 1, further including an extractor configured to at least one of rotate and translate said cap.

4. The system of claim 1, wherein said cap is configured with threads on an outside surface of said cap to facilitate rotating said cap into said object.

5. The system of claim 4, wherein said cap is configured with a substantially flat end to minimize said cap from protruding from said object surface.

6. The system of claim 5, wherein said cap includes a center hole for receiving said wire.

7. The system of claim 6 further including a tensioner for applying tension to said wire.

8. A cap device configured to mate with a first end of a wire, wherein said cap device includes:

a head portion;

a tension spring including an inner ring and an outer ring which are non-continuous over a substantial portion of an outer circumference of said inner ring and an inner circumference of said outer ring, wherein said tension spring is removably assembled within said head portion, wherein said tension spring asserts friction directly against said wire in response to said cap being translated in one direction, but minimal friction against said wire in response to said cap being translated in the opposite direction, wherein said tension spring includes a tab, wherein said tab is configured to force said tension spring to assert friction against said wire;

wherein said tension spring includes said tab joining and extending from said outer ring and said inner ring, wherein said inner ring is spaced radially from said outer ring; and

a cover which encapsulates said tension spring within said head portion, wherein said cover contacts said tab causing said inner ring to at least one of flex, tilt or torque.

9. The cap device of claim 8, wherein said cap device includes an outside surface, wherein at least a portion of said outside surface has cutting threads.

10. The cap device of claim 9, wherein a second end of said wire includes a head component configured to attach to a bone portion, wherein said wire is a flexible wire comprised of a thin metal.

11. The cap device of claim 10, wherein said tension spring includes a cut in a portion of said outer ring.

12. The cap device of claim 11, wherein said tension spring is configured to permit distal travel of said cap device with respect to said wire, but resists proximal travel of said cap device with respect to said wire.