# US 10,863,996 B2 · Orthopeadic surgical instrument

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- Number: US 10,863,996 B2
- Document ID: US10863996B2
- Status: Granted
- Kind: B2
- Application number: 16/213,609
- Filed: 2018-12-07
- Published: 2019-06-13
- Granted: 2020-12-15
- Earliest claimed: 2017-12-08
- Assignees: Depuy Ireland Unlimited Company
- Applicants: DePuy Ireland Unlimited Company
- Inventors: Robert Freeman; Kevin D. Booth; Mark Reason; Duncan J. Beedall; Michael J. Rees; Alberto P. Verteramo
- Web page: https://patentgrep.com/patent/US10863996B2

## CPC

- A61B 17/1764: {for the knee}
- A61B 17/154: {for preparing bone for knee prosthesis}
- A61B 17/155: {Cutting femur}
- A61B 17/1615: {Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material}
- A61B 17/1675: {for the knee}
- A61F 2/461: {of knees}
- A61B 17/164: {intramedullary}
- A61B 17/72: Intramedullary devices, e.g. pins or nails
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)

## Abstract

An orthopaedic surgical instrument for use in resecting a patient's bone is disclosed. In some embodiments, the instrument may be for single patient use and may be disposed of at the end of each surgical procedure.

## Claims

### Claim 1

An orthopaedic surgical instrument, comprising:
an intramedullary rod configured to be inserted into a medullary canal of a patient's bone,
a housing coupled to the intramedullary rod, the housing including a pair of arms spaced apart to define an elongated slot, each arm including a first longitudinal rib formed on a proximal surface and a second longitudinal rib formed on a distal surface positioned opposite the proximal surface,
a translation frame configured to slide along the pair of arms, the translation frame comprising:
a first body including a central section positioned in the elongated slot of the housing and a pair of first flanges extending outwardly from the central section, each first flange including a proximal surface that engages the first longitudinal rib of one of the pair of arms,
a second body coupled to the first body, the second body including a pair of second flanges, and each second flange includes a distal surface that engages the second longitudinal rib of one of the pair of arms to couple the first body and the second body to the housing, the second body also includes a base plate and an elongated shaft that extends outwardly from the base plate through the central section of the first body,
a fastener secured to the elongated shaft of the second body to couple the second body to the first body, and
a mounting bracket coupled to the first body and the second body, and
a cutting block coupled to the mounting bracket such that the cutting block is configured to slide with the translation frame, the cutting block including a cutting slot sized to receive a cutting tool to guide a resection of the patient's bone.

### Claim 2 (depends on 1)

The orthopaedic surgical instrument of claim 1, wherein a pocket is defined in the proximal surface of each first flange to create a relief section in the proximal surface.

### Claim 3 (depends on 1)

The orthopaedic surgical instrument of claim 1, wherein a pocket is defined in the distal surface of each second flange to create a relief section in the distal surface.

### Claim 4 (depends on 1)

The orthopaedic surgical instrument of claim 1, wherein each longitudinal rib includes a curved outer surface.

### Claim 5 (depends on 1)

The orthopaedic surgical instrument of claim 1, wherein: the elongated shaft of the second body includes a threaded outer surface, and the fastener includes a locking ring structure that is threaded onto the elongated shaft.

### Claim 6 (depends on 5)

The orthopaedic surgical instrument of claim 5, wherein the locking ring is a first locking ring, and the fastener includes a second locking ring that is threaded onto the elongated shaft to retain the first locking ring in position on the elongated shaft.

### Claim 7 (depends on 1)

The orthopaedic surgical instrument of claim 1, wherein the housing and at least one component of the translation frame are formed from a plastic material.

### Claim 8 (depends on 1)

The orthopaedic surgical instrument of claim 1, wherein:
the housing further includes a central slot that is spaced apart from the elongated slot, and a pair of brackets positioned on opposite sides of the central slot, and
the orthopaedic surgical instrument further comprises:
a distal plate coupled to the housing, the distal plate including a bone-engaging surface and an opening that is defined in the bone-engaging surface and is aligned with the central slot,
an elongated shaft extending from a first end positioned in the central slot, and
a pair of pivot pins coupled to the elongated shaft, each pivot pin being positioned in one of the pair of brackets, and
wherein the intramedullary rod extends through the elongated shaft and the opening defined in the distal plate and defining a longitudinal axis that extends transverse to the bone-engaging surface of the distal plate,
wherein the bone-engaging surface extends generally parallel to the cutting slot of the cutting block,
wherein the pivot pins cooperate to define a pivot axis about which the elongated shaft and the intramedullary rod are configured to pivot relative to the distal plate to change a magnitude of an angle defined between the longitudinal axis and the bone-engaging surface of the distal plate, and
wherein the distal plate engages the pivot pins to retain the pivot pins in the brackets of the housing.

### Claim 9 (depends on 8)

The orthopaedic surgical instrument of claim 8, wherein the distal plate is formed from a metallic material, and the pivot pins are formed from a plastic material.

### Claim 10 (depends on 8)

The orthopaedic surgical instrument of claim 8, further comprising at least one fastener that secures the distal plate to the housing to clamp the pivot pins between inner walls of the brackets and the distal plate.

### Claim 11 (depends on 8)

The orthopaedic surgical instrument of claim 8, wherein the pivot pins are clamped between distal-facing inner walls of the brackets and a proximal-facing surface of the distal plate.

### Claim 12 (depends on 11)

The orthopaedic surgical instrument of claim 11, wherein:
each bracket includes the distal-facing inner wall and a pair of side inner walls that cooperate with the distal-facing inner wall to define an open-ended channel sized to receive one of the pivot pins, and
each pivot pin extends outwardly from the open-ended channel of its corresponding bracket.

### Claim 13 (depends on 12)

The orthopaedic surgical instrument of claim 12, wherein the distal plate includes a bowed central section that engages the pivot pins extending outwardly from the open-ended channels of the brackets.

### Claim 14

An orthopaedic surgical instrument, comprising:
an intramedullary rod configured to be inserted into a medullary canal of a patient's bone,
a housing coupled to the intramedullary rod, the housing including a pair of arms spaced apart to define an elongated slot, each arm including a first longitudinal rib formed on a proximal surface and a second longitudinal rib formed on a distal surface positioned opposite the proximal surface,
a translation frame configured to slide along the pair of arms, the translation frame comprising:
a first body including a central section positioned in the elongated slot of the housing and a pair of first flanges extending outwardly from the central section, each first flange including a proximal surface that engages the first longitudinal rib of one of the pair of arms, wherein a pocket is defined in the proximal surface of each first flange to create a relief section in the proximal surface,
a second body coupled to the first body, the second body including a pair of second flanges, and each second flange includes a distal surface that engages the second longitudinal rib of one of the pair of arms to couple the first body and the second body to the housing, and
a mounting bracket coupled to the first body and the second body, and
a cutting block coupled to the mounting bracket such that the cutting block is configured to slide with the translation frame, the cutting block including a cutting slot sized to receive a cutting tool to guide a resection of the patient's bone.

### Claim 15

An orthopaedic surgical instrument, comprising:
an intramedullary rod configured to be inserted into a medullary canal of a patient's bone,
a housing coupled to the intramedullary rod, the housing including a pair of arms spaced apart to define an elongated slot, each arm including a first longitudinal rib formed on a proximal surface and a second longitudinal rib formed on a distal surface positioned opposite the proximal surface,
a translation frame configured to slide along the pair of arms, the translation frame comprising:
a first body including a central section positioned in the elongated slot of the housing and a pair of first flanges extending outwardly from the central section, each first flange including a proximal surface that engages the first longitudinal rib of one of the pair of arms,
a second body coupled to the first body, the second body including a pair of second flanges, and each second flange includes a distal surface that engages the second longitudinal rib of one of the pair of arms to couple the first body and the second body to the housing, wherein a pocket is defined in the distal surface of each second flange to create a relief section in the distal surface, and
a mounting bracket coupled to the first body and the second body, and
a cutting block coupled to the mounting bracket such that the cutting block is configured to slide with the translation frame, the cutting block including a cutting slot sized to receive a cutting tool to guide a resection of the patient's bone.