# US 10,307,197 B2 · Systems and methods for intramedullary nail implantation > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,307,197 B2 - Document ID: US10307197B2 - Status: Granted - Kind: B2 - Application number: 15/441,457 - Filed: 2017-02-24 - Published: 2018-03-22 - Granted: 2019-06-04 - Earliest claimed: 2016-09-22 - Assignees: Globus Medical, Inc. - Applicants: Globus Medical, Inc. - Inventors: Mark Hedgeland; David Machamer; David R. Jansen; Mark Rossney; David J. Rowe; David Laird - Web page: https://patentgrep.com/patent/US10307197B2 ## CPC - A61B 17/921: {for intramedullary devices} - A61B 17/1615: {Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material} - A61B 17/1717: {for applying intramedullary nails or pins} - A61B 17/1721: {for applying pins along or parallel to the axis of the femoral neck} - A61B 17/1725: {for applying transverse screws or pins through intramedullary nails or pins} - A61B 17/72: Intramedullary devices, e.g. pins or nails - A61B 17/7233: {with special means of locking the nail to the bone} - A61B 17/725: {with locking pins or screws of special form} - A61B 17/7275: {with expanding cylindrical parts} - A61B 17/7283: {with special cross-section of the nail} - A61B 17/744: {the longitudinal elements coupled to an intramedullary nail} - A61B 17/8872: {Instruments for putting said fixation devices against or away from the bone (A61B17/7074, A61B17/808 take precedence)} - A61B 17/1668: {for the upper femur (A61B17/164 takes precedence)} - A61B 17/1742: {for the hip} - A61B 17/8875: {Screwdrivers, spanners or wrenches} - A61B 17/90: Guides therefor - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract Intramedullary nails, systems, and methods. The intramedullary nail may include a generally elongate body extending from a first, distal end to a second, proximal end. The distal end may include one or more openings configured to receive one or more bone anchors that extend transversely through the distal end intramedullary nail, and thereby configured to secure the distal end of the nail. The proximal end may also include one or more openings configured to receive one or more bone anchors that extend transversely through the proximal end of the intramedullary nail, and thereby configured to secure the proximal end of the nail. ## Claims ### Claim 1 An intramedullary system configured to stabilize bone, the system comprising: an intramedullary nail having: a body elongated along a first axis, the body having a distal portion configured to facilitate entry into an intramedullary canal and a proximal portion opposite the distal portion, the body having a curvature in the anteroposterior direction and a bend in the medial-lateral direction, the body having an opening in the proximal portion, the opening having a shoulder and circumferential slot capable of non-threadably connecting to an insertion instrument; a first aperture formed in the distal portion and transverse to the first axis; a second aperture formed in the distal portion and transverse to the first axis; a third aperture formed in the distal portion and transverse to the first axis; a first elongated aperture formed in the distal portion and transverse to the first axis; a fourth aperture formed in the distal portion and transverse to the first axis; a fifth aperture formed in the distal portion and transverse to the first axis; and a second elongated aperture formed in the distal portion and transverse to the first axis, wherein the first aperture, the second aperture, the third aperture and the first elongated aperture are positioned on a first plane, wherein the fourth aperture, the fifth aperture, and the second elongated aperture are positioned on a second plane, wherein the first plane and the second planes are perpendicular. ### Claim 2 (depends on 1) The system of claim 1, wherein the first, second, and third apertures are spaced apart from one another. ### Claim 3 (depends on 1) The system of claim 1, wherein first and second apertures are threaded. ### Claim 4 (depends on 1) The system of claim 1, wherein the first, second and third apertures are angled. ### Claim 5 (depends on 4) The system of claim 4, wherein a degree of angle of the first, second and the third apertures are different. ### Claim 6 (depends on 4) The system of claim 4, wherein a degree of angle of the first, second and the third apertures is equal. ### Claim 7 (depends on 1) The system of claim 1, wherein a plurality of fastening devices are configured to be positioned within the first, second, third, fourth and fifth apertures. ### Claim 8 (depends on 1) The system of claim 1, wherein first aperture, second apertures, and fourth aperture are threaded. ### Claim 9 (depends on 1) The system of claim 1, wherein the first aperture, second aperture, third aperture, fourth aperture and fifth aperture are angled. ### Claim 10 (depends on 9) The system of claim 9, wherein a degree of angle of the first, second and the third apertures are different. ### Claim 11 (depends on 10) The system of claim 10, wherein a degree of angle of the first, second and the third apertures is equal. ### Claim 12 (depends on 1) The system of claim 1, wherein a plurality of fastening devices are configured to be positioned within the first, second, third, fourth and fifth apertures. ### Claim 13 (depends on 1) The system of claim 1, wherein the intramedullary nail is configured to be inserted into the intramedullary canal as an antegrade nail, a retrograde nail, a left nail, and a right nail. ### Claim 14 (depends on 1) The system of claim 1, wherein the intramedullary nail includes a plurality of oblique openings formed in the proximal portion, the plurality of oblique openings configured to function for both a left nail and a right nail. ### Claim 15 A system for inserting an intramedullary nail into a bone, the system comprising: an intramedullary nail having a distal portion configured to facilitate entry into an intramedullary canal, a proximal portion opposite the distal portion, the proximal portion having an opening, the opening having a shoulder and circumferential slot capable of non-threadably connecting to an insertion tool, a first side surface extending between the proximal portion and the distal portion, a second side surface extending between the proximal portion and the distal portion, and a first aperture, a second aperture, and a third aperture formed at the distal portion extending through the intramedullary nail, the body having a curvature in the anteroposterior direction and a bend in the medial-lateral direction; and the insertion tool comprising: an aiming guide having a body with at least one support block, wherein the at least one support block defines a guide sheath hole configured to receive a guide sheath therethrough, the guide sheath hole positioned such that, when the intramedullary nail is coupled to the insertion tool, the guide sheath hole substantially aligns with one of the first, second or third apertures in the intramedullary nail. ### Claim 16 (depends on 15) The system of claim 15, wherein the first aperture, the second aperture, the third aperture and a first elongated aperture are positioned on a first plane. ### Claim 17 (depends on 15) The system of claim 15, wherein the first and second apertures are threaded. ### Claim 18 (depends on 15) The system of claim 15, wherein a fastening device is configured to be received within the first, second and third apertures. ### Claim 19 An intramedullary nail comprising: a body elongated along a first axis, the body having a distal portion configured to facilitate entry into an intramedullary canal, a proximal portion opposite the distal portion, the body having a curvature in the anteroposterior direction and a bend in the medial-lateral direction, the body having an opening in the proximal portion, the opening having a shoulder and circumferential slot capable of non-threadably connecting to an insertion instrument; a first aperture formed in the distal portion and transverse to the first axis; a second aperture formed in the distal portion and transverse to the first axis; a third aperture formed in the distal portion and transverse to the first axis; a first elongated aperture formed in the distal portion and transverse to the first axis; a fourth aperture formed in the distal portion and transverse to the first axis; a fifth aperture formed in the distal portion and transverse to the first axis; and a second elongated aperture formed in the distal portion and transverse to the first axis, wherein the first aperture, the second aperture, the third aperture and the first elongated aperture are positioned on a first plane, wherein the fourth aperture, the fifth aperture, and the second elongated aperture are positioned on a second plane, wherein the first plane and the second planes are perpendicular, wherein the first elongated aperture is positioned proximal to the third aperture on the distal portion of the intramedullary nail. ### Claim 20 (depends on 19) The system of claim 19, wherein the first, second, and third apertures are spaced apart from one another.