# US 10,117,681 B2 · Distraction plate system

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- Number: US 10,117,681 B2
- Document ID: US10117681B2
- Status: Granted
- Kind: B2
- Application number: 15/517,250
- Filed: 2015-10-06
- Published: 2017-08-31
- Granted: 2018-11-06
- Earliest claimed: 2014-10-06
- Assignees: Implantable Design, LLC
- Applicants: Implantable Design, LLC
- Inventors: Arthur A. Grigorian; Leonid S. Tadevosyan; Arthur John Ulm, III
- Web page: https://patentgrep.com/patent/US10117681B2

## CPC

- A61B 17/7059: {Cortical plates (A61B17/7007, A61B17/7058 take precedence)}
- A61B 17/7082: {for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws}
- A61B 17/8014: {the extension or compression force being caused by interaction of the plate hole and the screws}
- A61B 17/8038: {the additional component being inserted in the screw head}
- A61B 17/8052: {immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded}
- A61B 17/8605: {Heads, i.e. proximal ends projecting from bone}
- A61B 2017/564: {Methods for bone or joint treatment}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

The present invention provides plate systems for distracting and fixating vertebral bodies of animal (preferably human) spines. In some embodiments, the system includes: a biocompatible plate with at least two holes, at least two biocompatible distraction screws for insertion through the holes, each screw having an expandable head, a bore and a threaded shank, and at least two biocompatible fixating screws with threaded shanks. Insertion of the fixating screws into the distraction screws causes the expandable heads to expand and lock to the biocompatible plate. Optionally, the plate and the expandable heads comprises mating teeth configured to lock the expandable heads to the plate upon expansion of the expandable heads. The present invention also relates to use of the plate system to distract and fixate vertebral bodies.

## Claims

### Claim 1

A plate system for distracting and fixating vertebral bodies comprising
a) a biocompatible plate comprising a top surface, a bottom surface configured to confront a vertebral body and at least two generally circular holes, each hole comprising a length extending from the top surface to the bottom surface, a diameter, a circumference, and a plurality of teeth spaced evenly about the circumference;
b) at least two biocompatible distraction screws, each biocompatible distraction screw comprising an expandable head, the expandable head generally circular in shape and comprising a circumference, a diameter and a plurality of teeth spaced evenly about the circumference and configured to engage the teeth of a generally circular hole of the biocompatible plate, a shank comprising threads located on an exterior surface of the shank, a length extending from the head to the shank, and a generally circular bore comprising a top end located in the head, a bottom end located in the shank, and threads spaced about the bore; and
c) at least two biocompatible fixating screws, each biocompatible fixating screw comprising a head and a shank comprising threads located on an exterior surface of the shank, each shank of each biocompatible fixating screw configured to be received in a generally circular bore and mate with the threads of the generally circular bore,
wherein the expandable heads have a radially collapsed state in which the circumferences of the expandable heads are less than the circumferences of the generally circular holes and the diameters of the expandable heads are less than the diameters of the generally circular holes,
wherein the expandable heads have a radially expanded state in which the circumferences of the expandable heads are substantially equal to the circumferences of the generally circular holes and the diameters of the expandable heads are substantially equal to the diameters of the generally circular holes, and
further wherein insertion of the fixating screws into the distraction screws causes the distraction screw heads to move from the radially collapsed state to the radially expanded state.

### Claim 2 (depends on 1)

The plate system of claim 1, wherein the teeth of the generally circular holes of the biocompatible plate are adjacent to the top surface of the biocompatible plate.

### Claim 3 (depends on 1)

The plate system of claim 1, wherein each generally circular bore tapers in diameter from the bore top end to the bore bottom end.

### Claim 4 (depends on 1)

The plate system of claim 1, wherein each generally circular hole of the biocompatible plate decreases in diameter and circumference from the plate top surface to the plate bottom surface.

### Claim 5 (depends on 1)

The plate system of claim 1, wherein each generally circular bore comprises a height extending from top end of the generally circular bore to the bottom end of the generally circular bore and further wherein the threads of each generally circular bore extend substantially the entire height of the generally circular bore.

### Claim 6 (depends on 1)

The plate system of claim 1, wherein the heads of the fixating screws are substantially co-planar with the heads of the distraction screws and the top surface of the biocompatible plate.

### Claim 7 (depends on 6)

The plate system of claim 6, wherein the fixating screws are located in the generally circular bores.

### Claim 8 (depends on 6)

The plate system of claim 6, wherein the distraction screw heads are in the radially expanded state.

### Claim 9 (depends on 1)

The plate system of claim 1, wherein the fixating screws are located in the generally circular bores and further wherein the heads of the fixating screws are substantially co-planar with the heads of the distraction screws and below the top surface of the plate.

### Claim 10 (depends on 1)

The plate system of claim 1, wherein the lengths of the distraction screws are greater than the lengths of the generally circular holes.

### Claim 11 (depends on 1)

The plate system of claim 1, wherein one distraction screw shank is located in a vertebral body of an animal, the other distraction screw shank is located in another vertebral body of the animal, and the heads of the distraction screws are in the radially expanded state.

### Claim 12 (depends on 11)

The plate system of claim 11, wherein the vertebral bodies are fixed relative to the plate.

### Claim 13 (depends on 1)

The plate system of claim 1, wherein each distraction screw is positioned in one of the generally circular holes, and each fixating screw is positioned in the bore of one of the distraction screws.

### Claim 14 (depends on 1)

The plate system of claim 1, wherein each expandable head comprises a plurality of grooves.

### Claim 15 (depends on 14)

The plate system of claim 14, wherein the plurality of grooves traverse the expandable head.

### Claim 16 (depends on 15)

The plate system of claim 15, wherein the plurality of grooves on each distraction screw extend into the shank of the distraction screw.

### Claim 17 (depends on 1)

The plate system of claim 1, wherein each generally circular bore is located in the center of an expandable head when the expandable head is in the radially expanded state.

### Claim 18 (depends on 1)

The plate system of claim 1, wherein the system further comprises at least two screw drivers, each screw driver comprising a top end comprising a handle and a threaded bottom end configured to mate with the threads of a generally circular bore of one of the distraction screws.

### Claim 19 (depends on 1)

The plate system of claim 1, wherein each generally circular bore of each biocompatible distraction screw further comprises a circumference and further wherein each head of each biocompatible distraction screw further comprises a circumferential groove extending about the circumference.

### Claim 20 (depends on 19)

The plate system of claim 19, wherein the system further comprises at least two screw drivers, each screw driver comprising a top end comprising a handle, a bottom end configured to be inserted in a generally circular bore, and a flange configured to mate with a circumferential groove of a biocompatible distraction screw.

### Claim 21 (depends on 1)

A method of fixating a plurality of vertebral bodies comprising:
a) providing the plate system of claim 1 and at least two screw drivers, each screw driver comprising a top end comprising a handle, a bottom end;
b) using the screw drivers to drive the distraction screws into the plurality of vertebral bodies by placing the bottom end of each screw driver into a generally circular bore of the distraction screw and rotating the handle of the screw driver;
c) placing the plate over the vertebral bodies such that each distraction screw is located in a generally circular hole;
d) removing the screw drivers from the generally circular bores; and
e) radially expanding the expandable heads and fixating the plate to the vertebral bodies by inserting the fixating screws into the generally circular bores and rotating the fixating screws relative to the distraction screws.

### Claim 22 (depends on 21)

The method of claim 21, further comprising using the screw drivers to distract the vertebral bodies prior to step d).

### Claim 23 (depends on 21)

The method of claim 21 further comprising adding bone graft material between the vertebral bodies after distracting the vertebral bodies.