# US 10,368,913 B2 · Adjustment instrument with tactile feedback > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,368,913 B2 - Document ID: US10368913B2 - Status: Granted - Kind: B2 - Application number: 15/180,530 - Filed: 2016-06-13 - Published: 2017-02-16 - Granted: 2019-08-06 - Earliest claimed: 2015-08-10 - Assignees: Stryker European Holdings I, LLC - Applicants: Stryker European Holdings I, LLC - Inventors: Subash K. Mannanal; Daniel Greenberg - Web page: https://patentgrep.com/patent/US10368913B2 ## CPC - A61B 17/66: {Alignment}, compression or distraction mechanisms - A61B 17/62: Ring frames, i.e. devices extending around the bones to be positioned ({A61B17/6433} , A61B17/66 take precedence) - A61B 17/645: {comprising a framework (A61B17/6425, A61B17/6441 take precedence)} - A61B 17/8894: {holding the implant into or through which the screw is to be inserted (A61B17/7082, A61B17/7091 take precedence)} - A61B 2017/564: {Methods for bone or joint treatment} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract An external fixation frame system may include a first ring, a second ring, and at least three struts configured to couple the first ring to the second ring, each strut having a rotatable head portion and a counter torque portion. The system may also include an adjustment tool that includes a driver portion having an inner engagement portion for engaging the head portion of the strut, an outer engagement portion for engaging the counter torque portion of the strut, and a feedback mechanism rotatably coupled to the inner and outer engagement portions. The tool may further include a plunger having an inner portion positioned at least partially within the inner engagement portion, and an outer portion positioned at least partially between the inner engagement portion and the outer engagement portions, the plunger being axially translatable with respect to the inner and outer engagement portions. ## Claims ### Claim 1 A tool for actuating one or more of a plurality of struts of an external fixation frame comprising: a handle portion; and a driving portion coupled to the handle portion, the driving portion having an inner engagement portion configured to directly couple to a movable portion of each of the struts, an outer engagement portion configured to directly couple to a non-movable portion of each of the struts, and a feedback mechanism coupled to the inner and outer engagement portions; wherein in a first partially engaged condition of the tool, rotation of the inner engagement portion with respect to the outer engagement portion does not cause the feedback mechanism to rotate with respect to the outer engagement portion; and wherein in a second fully engaged condition of the tool, rotation of the inner engagement portion with respect to the outer engagement portion does cause the feedback mechanism to rotate with respect to the outer engagement portion so that the feedback mechanism provides audible or tactile feedback regarding an amount of rotation of the inner engagement portion with respect to the outer engagement portion, wherein the inner engagement portion is at least partially received within the outer engagement portion. ### Claim 2 (depends on 1) The tool of claim 1, wherein the movable portion of each strut is a rotatable portion, and the feedback mechanism is rotatable with respect to both the inner and outer engagement portions. ### Claim 3 (depends on 1) The tool of claim 1, further comprising a plunger having an inner portion positioned at least partially within the inner engagement portion, and an outer portion positioned at least partially between the inner engagement portion and the outer engagement portions, the plunger being axially translatable with respect to the inner and outer engagement portions. ### Claim 4 (depends on 3) The tool of claim 3, wherein the feedback mechanism has a first mating structure and the outer portion of the plunger has a second mating structure corresponding to the first mating structure. ### Claim 5 (depends on 4) The tool of claim 4, wherein the plunger has a first axial position in the partially engaged condition of the tool in which the first mating structure is disengaged with the second mating structure, and a second axial position in the fully engaged condition of the tool in which the first mating structure is engaged with the second mating structure, the plunger being rotationally fixed with respect to the feedback mechanism when the plunger is in the second axial position. ### Claim 6 (depends on 5) The tool of claim 5, wherein the outer engagement portion includes at least one ball detent mechanism and the feedback mechanism includes a plurality of recesses configured to engage the at least one ball detent mechanism. ### Claim 7 (depends on 4) The tool of claim 4, wherein the first mating structure of the feedback mechanism and the second feedback structure of the outer portion of the plunger are both grooves. ### Claim 8 An external fixation frame system comprising: a first ring; a second ring; at least three struts configured to couple the first ring to the second ring, each strut having a rotatable head portion and a counter torque portion; and an adjustment tool including a handle portion, a driver portion having an inner engagement portion for directly engaging the head portion of the strut, an outer engagement portion for directly engaging the counter torque portion of the strut, and a feedback mechanism rotatably coupled to the inner and outer engagement portions, wherein in a first partially engaged condition of the tool, rotation of the inner engagement portion with respect to the outer engagement portion does not cause the feedback mechanism to rotate with respect to the outer engagement portion; and wherein in a second fully engaged condition of the tool, rotation of the inner engagement portion with respect to the outer engagement portion does cause the feedback mechanism to rotate with respect to the outer engagement portion so that the feedback mechanism provides audible or tactile feedback regarding an amount of rotation of the inner engagement portion with respect to the outer engagement portion, wherein the inner engagement portion is at least partially received within the outer engagement portion. ### Claim 9 (depends on 8) The external fixation frame system of claim 8, wherein the tool is devoid of motors and electronic components. ### Claim 10 (depends on 8) The external fixation frame system of claim 8, wherein the tool further comprises a plunger having an inner portion positioned at least partially within the inner engagement portion, and an outer portion positioned at least partially between the inner engagement portion and the outer engagement portions, the plunger being axially translatable with respect to the inner and outer engagement portions. ### Claim 11 (depends on 10) The external fixation frame system of claim 10, wherein the feedback mechanism has a first mating structure and the outer portion of the plunger has a second mating structure corresponding to the first mating structure. ### Claim 12 (depends on 11) The external fixation frame system of claim 11, wherein the plunger has a first axial position in the partially engaged condition of the tool in which the first mating structure is disengaged with the second mating structure, and a second axial position in the fully engaged condition of the tool in which the first mating structure is engaged with the second mating structure, the plunger being rotationally fixed with respect to the feedback mechanism when the plunger is in the second axial position. ### Claim 13 (depends on 12) The external fixation frame system of claim 12, wherein the outer engagement portion includes at least one ball detent mechanism and the feedback mechanism includes a plurality of recesses configured to engage the at least one ball detent mechanism. ### Claim 14 (depends on 11) The external fixation frame system of claim 11, wherein the first mating structure of the feedback mechanism and the second feedback structure of the outer portion of the plunger are both grooves.