# US 10,765,459 B2 · Occipital plate for occipito-cervical fixation and system for occipito-cervical fixation > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,765,459 B2 - Document ID: US10765459B2 - Status: Granted - Kind: B2 - Application number: 15/777,664 - Filed: 2016-11-10 - Published: 2018-12-06 - Granted: 2020-09-08 - Earliest claimed: 2015-11-20 - Assignees: Medacta International SA - Applicants: Medacta International S.A. - Inventors: Meinrad Fiechter; Francesco Siccardi; Michele Incandela; Massimiliano Martis - Web page: https://patentgrep.com/patent/US10765459B2 ## CPC - A61B 17/7055: {connected to sacrum, pelvis or skull} - A61B 17/809: {with bone-penetrating elements, e.g. blades or prongs (bone staples A61B17/0642; intramedullary nails with a plate at an end A61B17/7233)} - A61B 17/7001: {Screws or hooks combined with longitudinal elements which do not contact vertebrae (A61B17/7058 takes precedence)} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract An occipital plate for occipito-cervical fixation, comprising: a substantially flat plate provided with at least one fixation area connectable to the skull of a patient and at least one pair of through slots extending length-wise away from each other; and at least one pair of clamps slidably constrained each in a respective slot to move along a medial-lateral adjustment direction and provided with respective seats for receiving a support bar, wherein each receiving seat has an opening for insertion of the respective support bar accessible laterally and longitudinally along an insertion direction substantially parallel to a lying plane of the plate. Other aspects are disclosed and claimed. ## Claims ### Claim 1 An occipital plate for occipito-cervical fixation, comprising: a substantially flat plate provided with at least one fixation area connectable to the skull of a patient and at least one pair of through slots set a distance from the fixation area extending length-wise away from each other; and at least one pair of clamps, wherein each clamp of said pair of clamps is slidably constrained in a respective through slot to move along a medial-lateral adjustment direction and provided with respective receiving seats for receiving a support bar, wherein each receiving seat has an insertion opening for insertion of the respective support bar accessible laterally and longitudinally along respective insertion directions substantially parallel to a lying plane of the substantially flat plate; wherein the receiving seat of each clamp of said pair of clamps has an elastic retaining means configured to provisionally keep the respective support bar inside the receiving seat once inserted; wherein each clamp of said pair of clamps comprises a clamping member associated with the receiving seat and configured to lock the position of the respective support bar in the receiving seat; wherein each clamp of said pair of clamps is also rotatably coupled to the respective through slot so as to rotate about a respective axis perpendicular to the lying plane of the substantially flat plate and set at a distance from the fixation area. ### Claim 2 (depends on 1) The occipital plate according to claim 1, wherein the insertion opening of each receiving seat is oriented tangentially to the substantially flat plate. ### Claim 3 (depends on 1) The occipital plate according to claim 1, wherein: each receiving seat has at least a first and a second jaw facing each other and spaced apart to define the insertion opening, in which the first jaw is distal from the substantially flat plate with respect to the second jaw; and the clamping member is operatively active transversely to the substantially flat plate for moving the first jaw closer to the second jaw, or vice versa, in order to tighten the receiving seat. ### Claim 4 (depends on 3) The occipital plate according to claim 3, wherein the clamping member comprises a screw coupled with a body of the respective clamp and extending orthogonally to the lying plane of the substantially flat plate. ### Claim 5 (depends on 3) The occipital plate according to claim 3, wherein the receiving seats for each clamp of said pair of clamps has an elongated conformation to house a portion of the respective support bar. ### Claim 6 (depends on 1) The occipital plate according to claim 1, wherein: the substantially flat plate has a first face, in use on the inside, and a second face, in use on the outside, opposing each other, wherein each clamp of said pair of clamps protrudes from the second face away from the substantially flat plate; the first face having a plurality of gripping teeth, or claws, extending away from the second face. ### Claim 7 (depends on 6) The occipital plate according to claim 6, wherein the gripping teeth are arranged along a periphery of the first face. ### Claim 8 (depends on 1) The occipital plate according to claim 1, wherein the substantially flat plate has three end portions, in which: a first end portion has at least the fixation area; a second and a third end portion have respectively a through slot each. ### Claim 9 A system for occipito-cervical fixation, comprising: a substantially flat plate provided with at least one fixation area connectable to the skull of a patient and at least one pair of through slots set at a distance from the fixation area and extending length-wise away from each other; at least one pair of clamps, wherein each clamp of the pair of claims is slidably constrained in a respective through slot to move along a medial-lateral adjustment direction and provided with respective receiving seats for receiving a support bar, wherein each receiving seat has an insertion opening for insertion of the respective support bar accessible laterally and longitudinally along respective insertion directions substantially parallel to a lying plane of the substantially flat plate; at least two joining screws inserted in the fixation area and perpendicular to said lying plane of the substantially flat plate for connection to the skull of a patient; a pair of longitudinal support bars, each having an end portion inserted in a corresponding receiving seat of a clamp of the pair of clamps; wherein the receiving seat of each clamp of the pair of clamps has an elastic retaining means configured to provisionally keep the respective support bar inside the receiving seat once inserted; wherein each clamp of the pair of clamps comprises a clamping member associated with the receiving seat and configured to lock the position of the respective support bar in receiving the seat; wherein each clamp of the pair of clamps is also rotatably coupled to the respective through slot so as to rotate about a respective axis parallel the at least two joining screws. ### Claim 10 (depends on 9) The system for occipito-cervical fixation according to claim 9, wherein the at least two joining screws are polyaxial.