CA2696262A1 - Cranial flap clamp and instrument for use therewith - Google Patents

Cranial flap clamp and instrument for use therewith Download PDF

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Publication number
CA2696262A1
CA2696262A1 CA2696262A CA2696262A CA2696262A1 CA 2696262 A1 CA2696262 A1 CA 2696262A1 CA 2696262 A CA2696262 A CA 2696262A CA 2696262 A CA2696262 A CA 2696262A CA 2696262 A1 CA2696262 A1 CA 2696262A1
Authority
CA
Canada
Prior art keywords
clamping member
clamping
extension member
skull
clamp
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA2696262A
Other languages
French (fr)
Other versions
CA2696262C (en
Inventor
John H. Manthorp
James P. Hearn
Sean H. Kerr
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Synthes USA LLC
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=22826552&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=CA2696262(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Individual filed Critical Individual
Publication of CA2696262A1 publication Critical patent/CA2696262A1/en
Application granted granted Critical
Publication of CA2696262C publication Critical patent/CA2696262C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/688—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for reattaching pieces of the skull
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8869—Tensioning devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00862—Material properties elastic or resilient

Abstract

A cranial flap clamp includes a first clamping member, an extension member, and a second clamping member. At least a portion of the inner surface of the first clamping member is positionable against inferior surfaces of a bone flap and skull and at least a portion of the inner surface of the second clamping member is positionable against superior surfaces of the bone flap and skull. The extension member extends from the first clamping member and fits between the bone flap and skull. The second clamping member has a through opening for receiving the extension member. A
stop provided by mechanical deformation for which an instrument is disclosed of the extension member at any location along its length and adjacent the outer surface of the second clamping member secures the clamping member against the bone flap and skull.

Claims (49)

1. A cranial flap clamp for fixing a bone flap to a skull comprising:
a first clamping member having inner and outer surfaces, at least a portion of the inner surface positionable against inferior surfaces of the bone flap and skull;
an extension member extending from the first clamping member and configured and dimensioned to fit between the bone flap and the skull, the extension member being smooth and comprising a stop located at a surgeon selected location along the length of the extension member; and a second clamping member having inner and outer surfaces and an opening through the inner and outer surfaces for slidably receiving the extension member, with at least a portion of the inner surface positionable against superior surfaces of the bone flap and skull, wherein:
movement of at least one of the first and second clamping members from a first position, wherein the second clamping member is distal to the first clamping member, to a second position, wherein the second clamping member is proximal to the first clamping member, urges the inner surface of the first clamping member against the inferior surfaces of the bone flap and skull and urges the inner surface of the second clamping member against the superior surfaces of the bone flap and skull; and at least one of the clamping members has a plurality of radial cutouts extending radially inwards from an outer circumference of the clamping member so that movement of the clamping member from the first position to the second position causes the inner surface of the clamping member to flatten out allowing the clamping member to at least partially conform to the outer surface of the bone flap and skull.
2. The cranial flap clamp of claim 1 wherein the extension member is a ribbon and the opening of the second clamping member has a rectangular shape.
3. The cranial flap clamp of claim 2 wherein the stop comprises a twisted portion of the ribbon.
4. The cranial flap clamp of claim 3 wherein the second clamping member is provided with a recessed area surrounding the opening, wherein the stop fits substantially within the recessed area.
5. The cranial flap clamp of claim 4 wherein the recessed area forms a cuffing surface so that the stop may be formed by twisting and shearing of the ribbon.
6. The cranial flap clamp of claim 1 wherein the extension member is integral with the first clamping member.
7. The cranial flap clamp of claim 1 wherein the first clamping member comprises a bore for receiving the extension member.
8. The cranial flap clamp of claim 7 further comprising a head disposed on the extension member for slidably engaging the bore to prevent the first clamping member from sliding off the extension member.
9. The cranial flap clamp of claim 8 wherein the extension member includes a flared proximal portion for preventing the second clamping member from sliding off.
10. The cranial flap clamp of claim 1 wherein the extension member is a tube and the stop comprises a crimp in the tube.
11. The cranial flap clamp of claim 10 wherein the opening has a substantially circular shape that is smaller than the crimp.
12. The cranial flap clamp of claim 11, wherein the opening includes a countersink for receiving the stop and the stop fits substantially within the countersink.
13. The cranial flap clamp of claim 12, wherein the second clamping member comprises a recessed area proximate the opening for receiving the stop.
14. The cranial flap clamp of claim 1 wherein the portions of the first and second clamping members that abut the inferior surfaces of the bone flap and skull are substantially smooth.
15. The cranial flap clamp of claim 1, wherein the second clamping member has at least one fastener hole for receiving a fastener.
16. A cranial flap clamp for fixing a bone flap to a skull comprising:
a first clamping member;
a smooth extension member extending from the first clamping member;
a second clamping member having a first surface and a second surface opposite the first surface, the first surface facing the first clamping member and positionable against superior surfaces of the bone flap and skull, the second clamping member having a through hole extending from the first surface to the second surface, the extension member extending through the hole to at least the second surface, the second clamping member having a plurality of radial cutouts extending radially inwards from an outer circumference of the second clamping member; and an integrally formed stop on the extension member for limiting movement of the second clamping member on the extension member.
17. The cranial flap clamp of claim 16, wherein the extension member is integral with the first clamping member.
18. The cranial flap clamp of claim 16, wherein opposing surfaces of the first and second clamping members are substantially smooth.
19. A cranial flap clamp for fixing a bone flap to a skull comprising:

a first clamping member having inner and outer surfaces, at least a portion of the inner surface positionable against inferior surfaces of the bone flap and skull;
a substantially smooth extension member extending from the first clamping member and configured and dimensioned to fit between the bone flap and the skull; and a second clamping member having inner and outer surfaces and an opening through the inner and outer surfaces for slidably receiving the extension member, with at least a portion of the inner surface positionable against superior surfaces of the bone flap and skull, the opening having a recessed area forming a cutting surface; wherein:
the first and second clamping members have a first position wherein the second clamping member is distal to the first clamping member, and a second position wherein the second clamping member is proximal to the first clamping member that urges the inner the inner surface of the first clamping member against the inferior surfaces of the bone flap and skull and urges the inner surface of the second clamping member against the superior surfaces of the bone flap and skull;
the inner surfaces of the first and second clamping members are concave in the first position and flatten out in the second position;
the second clamping member has a disk shape with a plurality of cutouts extending radially inward from an outer circumference of the second clamping member; and the extension member comprises an integrally formed stop on the extension member adjacent the outer surface of the second clamping member after the first and second clamping members are in the second position to secure the inner surface of the first clamping member against the inferior surfaces of the bone flap and skull and the inner surface of the second clamping member against the superior surfaces of the bone flap and skull, the stop sized and configured to fit substantially within the recessed area.
20. The cranial flap clamp of claim 19, wherein the extension member is integral with the first clamping member.
21. The cranial flap clamp of claim 19, wherein the first clamping member comprises a bore for receiving the extension member.
22. The cranial flap clamp of claim 21, further comprising a head disposed on the extension member for slidably engaging the bore to prevent the first clamping member from sliding off the extension member.
23. The cranial flap clamp of claim 19, wherein the extension member includes a flared proximal portion for preventing the second clamping member from sliding off.
24. The cranial flap clamp of claim 19, wherein the portions of the first and second clamping members that abut the inferior surfaces of the bone flap and skull are substantially smooth.
25. The cranial flap clamp of claim 19, wherein the second clamping member has at least one fastener hole for receiving a fastener.
26. A cranial flap clamp for fixing a bone flap to a skull comprising:
a first clamping member positionable against inferior surfaces of the bone flap and skull;
a smooth extension member extending from the first clamping member and configured and dimensioned to extend between the bone flap and the skull;
a second clamping member positionable against superior surfaces of the bone flap and skull and comprising an opening in which a portion of the extension member is disposed and a recessed area forming a cutting surface proximate the opening; and an integrally formed stop on the extension member abutting the second clamping member abutting the second clamping member for limiting movement of the second clamping member when the first clamping member abuts the inferior surfaces and the second clamping member abuts the superior surfaces;
wherein:
the portions of the first and second clamping members that abut the inferior surfaces of the bone flap and skull are substantially smooth;
the first and second clamping members each comprise a disk shape;
and the second clamping member further comprises a plurality of cutouts extending radially inwards from an outer circumference of the second clamping member.
27. The cranial flap clamp of claim 26, wherein the extension member comprises a tube and the stop comprises a crimp in the tube.
28. The cranial flap clamp of claim 27, wherein the opening has a substantially circular shape that is smaller than the crimp.
29. The cranial flap clamp of claim 26, wherein the extension member comprises a ribbon.
30. The cranial flap clamp of claim 29, wherein the stop comprises a twisted portion of the ribbon.
31. The cranial flap clamp of claim 26, wherein the first clamping member comprises a bore for receiving the extension member.
32. The cranial flap clamp of claim 26, wherein the first and second clamping members each comprise an arcuate outer edge.
33. The cranial flap clamp of claim 26, wherein the stop is received in the recessed area.
34. The cranial flap clamp of claim 26, wherein the extension member is integral with the first clamping member.
35. The cranial flap clamp of claim 26, wherein the stop is provided by mechanical deformation of the extension member at a surgeon selected location along its length.
36. The cranial flap clamp of claim 26, further comprising a head disposed on the extension member proximate the first clamping member.
37. The cranial flap clamp of claim 26, wherein the opening comprises a countersink and the stop is disposed substantially within the countersink.
38. The cranial flap clamp of claim 26, wherein the stop comprises a twisted portion of the extension member.
39. The cranial flap clamp of claim 26, wherein the second clamping member comprises at least one fastener hole for receiving a fastener.
40. A securing instrument for the cranial flap clamp of claim 16 comprising:
first and second pivotally connected handles, each of said handles having proximal and distal portions;
a gripping arm operatively connected with the first handle and having proximal and distal portions;
a tensioning arm operatively connected with the second handle and having proximal and distal portions, the gripping and tensioning arms movable in response to movement of the first and second handles;
a slot extending through the distal portions of the gripping and tensioning arms for receiving the extension member of the cranial flap clamp;
a clamping element operatively associated with the slot and having active and inactive configurations, the inactive configuration allowing sliding of the extension member through the slot and the active configuration clamping a portion of the extension member against a wall of the slot to inhibit sliding of the extension member through the slot; and a crimping assembly operatively associated with at least one of the gripping and tensioning arms for crimping the extension member, wherein pivoting of the first and second handles causes the gripping and tensioning arms to separate with the tensioning arm engaging the outer surface of the second clamping member and the clamping element in the active position thereby moving the first and second clamping members from the first position to the second position.
41. The securing instrument of claim 40 wherein the clamping element comprises a clamp rotatably coupled to the gripping arm and wherein rotation of the clamp within the slot upon separation of the gripping and tensioning arms moves the clamping element from the inactive configuration to the active configuration.
42. The securing instrument of claim 41 further comprising a resilient member biasing the clamping element in the active configuration when the gripping and tensioning arms are separated.
43. The securing instrument of claim 42 wherein the tensioning arm includes a foot maintaining the clamping element in the inactive configuration when the gripping and tensioning arms are in contact.
44. The securing instrument of claim 43 wherein the foot includes a ramped surface.
45. The securing instrument of claim 40 wherein the distal portion of the tensioning arm includes a grooved end and the crimping assembly comprises:
a slider having a crimping edge for crimping the extension member and sides configured and dimensioned for sliding in the grooved end of the tensioning arm;

a link operatively associated with the tensioning arm for sliding movement with respect thereto, the link having a distal end coupled to the slider and a proximal end with teeth; and a lever having a distal end rotatably coupled to the proximal portion of the tensioning arm, the distal end having teeth engaging the teeth of the distal end of the link.
46. The securing instrument of claim 45 wherein the crimping assembly includes a cutting stop, the cutting stop cooperating with the crimping edge of the slider to crimp and cut the extension member.
47. The securing instrument of claim 40 wherein:
the gripping arm further comprises an intermediate portion located between the gripping arm proximal and distal portions with the gripping arm proximal portion extending from the distal portion of the first handle, the distal portion of the gripping arm extending from the intermediate portion substantially parallel to the proximal portion, and the intermediate portion angling from the gripping arm proximal portion and;
the tensioning arm further comprises an intermediate portion located between the tensioning arm proximal and distal portions with the tensioning arm proximal portion extending from the distal portion of the second handle, the distal portion of the tensioning arm extending from the intermediate portion substantially parallel to the proximal portion, and the intermediate portion angling from the tensioning arm proximal portion.
48. The securing instrument of claim 40 further comprising a resilient element located between the first and second handles biasing the first and second handles away from each other.
49. The securing instrument of claim 48 further comprising:
a locking bar having a first end pivotably coupled to the first handle and a curved body portion with a plurality of teeth; and a locking clip pivotably coupled to the second handle and having a through channel, wherein the locking clip is movable between a free position in which the locking bar is moveable in and out of the channel and a ratchet position in which the teeth of the locking bar engage an edge of the channel to prohibit the locking bar from moving out of the channel.
CA2696262A 2000-07-26 2001-06-07 Cranial flap clamp and instrument for use therewith Expired - Fee Related CA2696262C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US22114800P 2000-07-27 2000-07-27
US60/221,148 2000-07-27
CA2416117A CA2416117C (en) 2000-07-27 2001-06-07 Cranial flap clamp and instrument for use therewith

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CA2416117A Division CA2416117C (en) 2000-07-26 2001-06-07 Cranial flap clamp and instrument for use therewith

Publications (2)

Publication Number Publication Date
CA2696262A1 true CA2696262A1 (en) 2002-02-07
CA2696262C CA2696262C (en) 2012-12-18

Family

ID=22826552

Family Applications (2)

Application Number Title Priority Date Filing Date
CA2696262A Expired - Fee Related CA2696262C (en) 2000-07-26 2001-06-07 Cranial flap clamp and instrument for use therewith
CA2416117A Expired - Fee Related CA2416117C (en) 2000-07-26 2001-06-07 Cranial flap clamp and instrument for use therewith

Family Applications After (1)

Application Number Title Priority Date Filing Date
CA2416117A Expired - Fee Related CA2416117C (en) 2000-07-26 2001-06-07 Cranial flap clamp and instrument for use therewith

Country Status (15)

Country Link
US (1) US7361178B2 (en)
EP (1) EP1303223B2 (en)
JP (1) JP4871485B2 (en)
AR (1) AR030437A1 (en)
AT (2) ATE302569T1 (en)
AU (2) AU2001260010B2 (en)
BR (2) BR0117289B1 (en)
CA (2) CA2696262C (en)
DE (2) DE60112945T3 (en)
DK (1) DK1303223T3 (en)
ES (2) ES2245692T5 (en)
HK (1) HK1062877A1 (en)
MX (1) MXPA02012950A (en)
WO (1) WO2002009602A1 (en)
ZA (1) ZA200300151B (en)

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