# US 10,307,196 B2 · Bone fixation assembly > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,307,196 B2 - Document ID: US10307196B2 - Status: Granted - Kind: B2 - Application number: 14/789,403 - Filed: 2015-07-01 - Published: 2015-10-29 - Granted: 2019-06-04 - Earliest claimed: 2011-02-02 - Assignees: DePuy Synthes Products, Inc. - Applicants: DePuy Synthes Products, Inc. - Inventors: Stefan Knueppel - Web page: https://patentgrep.com/patent/US10307196B2 ## CPC - A61B 17/8872: {Instruments for putting said fixation devices against or away from the bone (A61B17/7074, A61B17/808 take precedence)} - A61B 17/823: {for the sternum} - A61B 17/8863: {Apparatus for shaping or cutting osteosynthesis equipment by medical personnel} - A61B 17/8869: {Tensioning devices} - A61B 2017/00407: {Ratchet means} - A61B 2017/0454: {the anchor being crimped or clamped on the suture} - A61B 2017/0496: {for tensioning sutures} - A61B 2017/06052: {Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle} - A61B 2090/032: {pressure limiting, e.g. hydrostatic} - B65B 13/027: {for applying straps having preformed connecting means, e.g. cable ties} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - B65B: MACHINES, APPARATUS OR DEVICES FOR, OR METHODS OF, PACKAGING ARTICLES OR MATERIALS; UNPACKING (bundling and pressing devices for cigars A24C1/44; devices for tensioning and securing binders adapted to be supported by the article or articles to be bound B25B25/00; applying closure members to bottles, jars or similar containers B67B1/00-B67B6/00; concurrent cleaning, filling and closing of bottles B67C7/00; emptying bottles, jars, cans, casks, barrels or similar containers B67C9/00) ## Abstract A bone fixation system includes at least one bone fixation member and a bone fixation instrument. The bone fixation member includes a strap and a locking mechanism. The strap can be pulled through the locking mechanism so as to form a loop about a target bone so as to secure first and second bone segments in an approximated, compressed configuration. The bone fixation instrument is configured to apply tension to the loop about the target bone. The fixation instrument includes a tension assembly that is configured to secure a free end of the bone fixation member to the fixation instrument. The tension assembly is further configured to pull the free end so as to increase tension in the loop while the tension in the loop is less than a select tension. The tension assembly is unable to further increase tension in the bone fixation member once the tension in the bone fixation member has reached the select tension. The fixation instrument further includes a cutter assembly that is configured to cut the free end of the bone fixation member so as to separate the free end from the loop. ## Claims ### Claim 1 A method for securing a bone fixation member around a target bone via a bone fixation instrument having a front end, a rear end, a tension assembly, and a trigger for actuating the tension assembly, comprising: pulling a strap of the bone fixation member through a locking mechanism of the bone fixation member so as to form a loop around the target bone and thereby secure first and second bone segments of the target bone in an approximated, compressed configuration, wherein the bone fixation instrument applies tension to the loop around the target bone; securing a free end of the bone fixation member to the tension assembly, the tension assembly being configured to secure the bone fixation instrument to the free end of the bone fixation member; activating the tension assembly by motion of the trigger towards the rear end of the bone fixation instrument in order to pull the free end of the bone fixation member and increase tension in the bone fixation member about the target bone until the tension in the bone fixation member has reached a select tension, wherein the tension assembly is unable to further increase tension in the bone fixation member once the tension in the bone fixation member has reached the select tension; and, actuating a cutter assembly of the bone fixation instrument in order to cut the free end of the bone fixation member so as to separate the free end from the loop of the bone fixation member, wherein the cutter assembly is actuatable independently of whether the tension in the bone fixation member has reached the select tension, thereby securing the bone fixation member about the target bone. ### Claim 2 (depends on 1) The method according to claim 1, wherein the bone fixation instrument further comprises a tension limiter for setting the select tension and for preventing the tension assembly from further increasing tension in the bone fixation member once the tension therein has reached the select tension by applying a force that counteracts the tension applied by the tension assembly. ### Claim 3 (depends on 1) The method according to claim 1, wherein the tension assembly further comprises a grip that is configured to move from 1) a disengaged position wherein the grip is configured to loosely receive the free end of the bone fixation member to 2) an engaged position wherein the grip secures the free end of the bone fixation member to the bone fixation instrument, and, wherein the grip and the cutter assembly are both substantially aligned along the longitudinal axis of the bone fixation instrument. ### Claim 4 (depends on 3) The method according to claim 3, wherein the tension assembly further comprises a traveler that is operably coupled to the grip such that rearward movement of the traveler causes the grip to move rearward in the engaged position, thereby inducing tension in the strap of the bone fixation member. ### Claim 5 (depends on 4) The method according to claim 4, wherein the traveler is substantially aligned along a longitudinal axis of the bone fixation instrument. ### Claim 6 (depends on 1) The method according to claim 1, wherein the bone fixation instrument further comprises a safety mechanism preventing actuation of the cutter assembly when the tension assembly has pulled the free end, thereby increasing tension in the bone fixation member. ### Claim 7 A method for securing a bone fixation member around a target bone via a bone fixation instrument having a front end, a rear end, a tension assembly, and a trigger for actuating the tension assembly, the method comprising the steps of: pulling a strap of the bone fixation member through a locking mechanism of the bone fixation member so as to form a loop around the target bone and thereby secure first and second bone segments of the target bone in an approximated, compressed configuration, wherein the bone fixation instrument applies tension to the loop around the target bone; securing a free end of the bone fixation member to a grip of the bone fixation instrument; causing a traveler of the bone fixation instrument that is connected to the grip to move away from the target bone by motion of the trigger towards the rear end of the bone fixation instrument, thereby causing the grip to increase tension in the bone fixation member until the tension in the bone fixation member has reached a select tension; preventing the traveler from moving further away from the target bone once the tension in the bone fixation member has reached the select tension; and actuating a cutter assembly of the bone fixation instrument to cut the free end of the bone fixation member so as to separate the free end from the loop of the bone fixation member after the traveler moves away from the target bone, thereby securing the bone fixation member about the target bone. ### Claim 8 (depends on 7) The method according to claim 7, wherein the traveler is prevented from moving further away from the target bone using a tension limiter that is connected between an actuator and the traveler. ### Claim 9 (depends on 8) The method according to claim 8, wherein the tension limiter is a spring member, and wherein movement of the actuator causes the spring member to flex and bias the traveler rearward under a biasing force. ### Claim 10 (depends on 8) The method according to claim 8, wherein the tension limiter prevents the tension assembly from further increasing tension in the bone fixation member once the tension therein has reached the select tension by applying a force that counteracts the traveler. ### Claim 11 (depends on 8) The method according to claim 8, wherein the bone fixation instrument extends along a longitudinal axis. ### Claim 12 (depends on 11) The method according to claim 11, wherein the traveler and the tension limiter are both substantially aligned along the longitudinal axis of the bone fixation instrument. ### Claim 13 (depends on 8) The method according to claim 8, wherein the traveler moves rearward when the biasing force is greater than the tension in the bone fixation member. ### Claim 14 (depends on 13) The method according to claim 13, wherein the traveler remains stationary when the biasing force is not greater than the tension in the bone fixation member. ### Claim 15 (depends on 7) The method according to claim 7, further comprising the step of using a safety mechanism to prevent actuation of the cutter assembly when the traveler has moved rearward so as to increase tension in the bone fixation member.