# US 10,499,966 B2 · Bone fixation system including an implant having a plate portion and a mesh portion

> Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt

- Number: US 10,499,966 B2
- Document ID: US10499966B2
- Status: Granted
- Kind: B2
- Application number: 15/791,958
- Filed: 2017-10-24
- Published: 2019-04-25
- Granted: 2019-12-10
- Earliest claimed: 2017-10-24
- Assignees: DePuy Synthes Products, Inc.
- Applicants: DePuy Synthes Products, Inc.
- Inventors: Kenneth Kobayashi; Harry Thomas Hall, IV; Glen Pierson
- Web page: https://patentgrep.com/patent/US10499966B2

## CPC

- A61B 17/80: Cortical plates {, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates}
- A61B 17/8014: {the extension or compression force being caused by interaction of the plate hole and the screws}
- A61B 17/8057: {the interlocking form comprising a thread}
- A61B 17/8061: {specially adapted for particular bones (A61B17/70 and A61B17/74 take precedence)}
- A61B 17/8085: {with pliable or malleable elements or having a mesh-like structure, e.g. small strips (A61B17/8071, A61B17/8076 take precedence)}
- A61B 17/8605: {Heads, i.e. proximal ends projecting from bone}
- A61B 17/8625: {Shanks, i.e. parts contacting bone tissue}
- A61B 2017/564: {Methods for bone or joint treatment}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A bone fixation system is configured to be implanted and secured to a bone so as to stabilize a bone. The bone fixation system includes an implant having a plate portion configured to be secured to a first segment of the bone by a first bone anchor, and a second segment of the bone by a second one anchor. The implant further includes a mesh portion configured to abut a third segment of the bone to prevent movement of the third segment relative to both the first segment and the second segment. The implant defining an outer perimeter defined in part by the plate portion and in part by the mesh portion.

## Claims

### Claim 1

An implant comprising:
a plate portion; and
a mesh portion that extends from the plate portion,
wherein the implant defines an outer perimeter defined at least partially by the plate portion and further defined at least partially by the mesh portion;
wherein the mesh portion is a first mesh portion and the implant includes a second mesh portion separated from the first mesh portion by the plate portion.

### Claim 2 (depends on 1)

The implant of claim 1, wherein the plate portion includes a plate body that defines an inner plate surface and an outer plate surface, the inner plate surface configured to face the bone, the outer plate surface opposite the inner plate surface.

### Claim 3 (depends on 2)

The implant of claim 2, wherein the inner plate surface is spaced from the outer plate surface with respect to a first direction, and the plate portion defines a plate height measured from the inner plate surface to the outer plate surface along the first direction.

### Claim 4 (depends on 3)

The implant of claim 3, wherein the mesh portion includes a mesh body that defines an inner mesh surface and an outer mesh surface, the inner mesh surface configured to face the bone, the outer mesh surface opposite the inner mesh surface.

### Claim 5 (depends on 4)

The implant of claim 4, wherein the inner mesh surface is spaced from the outer mesh surface with respect to a second direction, the mesh portion defines a mesh height measured from the inner mesh surface to the outer mesh surface along the second direction, and the mesh height is less than the plate height.

### Claim 6 (depends on 5)

The implant of claim 5, wherein the first direction is parallel to the second direction.

### Claim 7 (depends on 5)

The implant of claim 5, wherein the plate portion includes a bone fixation hole that extends through the plate body between the inner plate surface and the outer plate surface, and the bone fixation hole is configured to receive a bone anchor to secure the implant to the bone.

### Claim 8 (depends on 7)

The implant of claim 7 wherein plate body defines a central hole axis, and the bone fixation hole extends along the central hole axis between the inner plate surface and the outer plate surface.

### Claim 9 (depends on 8)

The implant of claim 8, wherein the central hole axis is parallel to the first direction.

### Claim 10 (depends on 7)

The implant of claim 7, wherein the bone fixation hole is a first bone fixation hole, the plate portion includes a second bone fixation hole that extends through the plate body between the inner plate surface and the outer plate surface.

### Claim 11 (depends on 10)

The implant of claim 10, wherein the plate height is measured at a location between the first bone fixation hole and the second bone fixation hole.

### Claim 12 (depends on 11)

The implant of claim 11, wherein the plate body defines a side plate surface that extends between the inner plate surface and the outer plate surface such that the side plate surface defines an outer plate perimeter that surrounds all of the bone fixation holes of the implant that are configured to receive a bone anchor configured to secure the implant to the bone.

### Claim 13 (depends on 12)

The implant of claim 12, wherein the mesh portion extends out from a portion of the side plate surface.

### Claim 14 (depends on 12)

The implant of claim 12, wherein the mesh portion defines an aperture that extends through the mesh body between the inner mesh surface and the outer mesh surface, and the aperture is smaller than all of the bone fixation holes of the implant such that the aperture is not configured to receive the bone anchor.

### Claim 15 (depends on 14)

The implant of claim 14, wherein the mesh portion defines a plurality of apertures, the mesh body includes a side mesh surface that extends between the inner mesh surface and the outer mesh surface, and the side mesh surface defines an outer mesh perimeter that encloses the plurality of apertures.

### Claim 16 (depends on 15)

The implant of claim 15, wherein the outer perimeter of the implant is defined by the outer plate perimeter and the outer mesh perimeter.

### Claim 17 (depends on 15)

The implant of claim 15, wherein the plurality of apertures includes an inner aperture and an outer aperture, the inner aperture including a fully enclosed perimeter defined by the mesh body, and the outer aperture extends into the mesh body toward the plate portion.

### Claim 18 (depends on 17)

The implant of claim 17, wherein the mesh portion includes a first petal and a second petal, the first petal separated from the second petal by the outer aperture such that the first petal is independently flexible relative to the second petal.

### Claim 19

A method of stabilizing a bone, the bone including a first bone fragment, a second bone fragment, a third bone fragment, a first defect between the first bone fragment and the second bone fragment, and a second defect between the second bone fragment and the third bone fragment, the method comprising the steps of:
moving an implant toward the bone, the implant including a plate portion, a mesh portion, and an outer perimeter defined in part by the plate portion and in part by the mesh portion, wherein the mesh portion is a first mesh portion and the implant includes a second mesh portion separated from the first mesh portion by the plate portion;
inserting a bone anchor through a first bone fixation hole defined by the plate portion, and into the first bone segment;
inserting a second bone anchor through a second bone fixation hole defined by the plate portion, and into the second bone segment; and
abutting the mesh portion with the third bone segment.