# US 10,945,777 B2 · Surgical instrument and method for performing an orthopaedic surgical procedure

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- Number: US 10,945,777 B2
- Document ID: US10945777B2
- Status: Granted
- Kind: B2
- Application number: 16/369,443
- Filed: 2019-03-29
- Published: 2020-10-01
- Granted: 2021-03-16
- Earliest claimed: 2019-03-29
- Assignees: Depuy Ireland Unlimited Company
- Applicants: Depuy Ireland Unlimited Company
- Inventors: Jeremy Oden; Steven Kitch; Graeme John Dutton; Takayuki Nakamura; Kevin Cooney
- Web page: https://patentgrep.com/patent/US10945777B2

## CPC

- A61B 17/025: {Joint distractors}
- A61B 17/8866: {for gripping or pushing bones, e.g. approximators (joint distractors A61B17/025)}
- A61B 17/154: {for preparing bone for knee prosthesis}
- A61B 17/1764: {for the knee}
- A61F 2/461: {of knees}
- A61B 17/155: {Cutting femur}
- A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)}
- A61B 2017/0268: {for the knee}
- A61B 2017/564: {Methods for bone or joint treatment}
- A61B 2090/061: {for measuring dimensions, e.g. length}
- A61B 2090/064: {for measuring force, pressure or mechanical tension}
- A61B 2090/067: {for measuring angles}
- A61F 2002/4627: {with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument}
- 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

Surgical instruments, systems, and methods of performing orthopaedic surgical procedures on a patient's knee are disclosed.

## Claims

### Claim 1

An orthopaedic surgical instrument, comprising:
a first component including a passageway that extends along a longitudinal axis, the first component having a housing through which the passageway extends and a support arm that extends posteriorly from a superior end of the housing to a posterior end, the support arm having a first channel including a first lateral opening,
a first plate removably coupled to the posterior end of the support arm of the first component, the first plate being shaped to be positioned on a proximal end of a patient's tibia,
a second component including a shaft positioned in the passageway of the first component and an arm extending posteriorly from a superior end of the shaft, the arm of the second component having a second channel that includes a second lateral opening that is aligned in an anterior-posterior direction with the first lateral opening of the first channel, and
a second plate pivotally coupled to a posterior end of the arm of the second component superior to the first plate, the second plate being configured to pivot about a pivot axis intersecting the longitudinal axis of the first component to tilt the second plate relative to the first plate,
wherein an inferior-superior distance is de fined between the second plate and the first plate, and the second component is operable to be moved along the longitudinal axis relative to the first component to change the inferior-superior distance.

### Claim 2 (depends on 1)

The orthopaedic surgical instrument of claim 1, wherein the first plate includes:
a medial pad,
a lateral pad spaced apart from the medial pad to define a slot sized to receive the posterior end of the support arm,
a bracket connecting the medial pad to the lateral pad, and
a moveable flange coupled to the bracket and configured to engage the posterior end of the support arm to secure the first plate to the first component.

### Claim 3 (depends on 1)

The orthopaedic surgical instrument of claim 1, wherein the first plate has a first size and is one plate of a plurality of first plates, each first plate having a size different from the first size and being configured to be selectively coupled to the support arm in place of the first plate.

### Claim 4 (depends on 1)

The orthopaedic surgical instrument of claim 1, wherein:
the posterior end of the arm of the second component includes a mounting peg, the mounting peg includes a bore that extends along the pivot axis, and
the second plate includes a body and an elongated pin extending anteriorly from the body along the pivot axis, the elongated pin being received in the bore of the mounting peg such that the second plate is removably coupled to the arm of the second component.

### Claim 5 (depends on 4)

The orthopaedic surgical instrument of claim 4, wherein the posterior end of the support arm includes a groove that is sized to receive the mounting peg of the second component.

### Claim 6 (depends on 4)

The orthopaedic surgical instrument of claim 4, wherein:
the second plate includes a key extending from the body adjacent to the elongated pin, and
the mounting peg includes a keyway sized to receive the key to couple the second plate to the second component.

### Claim 7 (depends on 4)

The orthopaedic surgical instrument of claim 4, wherein:
the second plate includes a tab extending from the body, and
the second component includes a flange that extends laterally from the posterior end of the arm, the flange including a plurality of visual indicia to indicate a degree of tilt of the second plate relative to the first component based on an orientation of the tab relative to the flange.

### Claim 8 (depends on 1)

The orthopaedic surgical instrument of claim 1, wherein the second plate has a first size and is one plate of a plurality of second plates, each first plate having a size different from the first size and being configured to be selectively coupled to the arm of the second component in place of the first plate.

### Claim 9 (depends on 1)

The orthopaedic surgical instrument of claim 1, wherein:
the second component includes a plurality of teeth on the shaft, and
the first component includes a locking arm having a head configured to engage the plurality of teeth to lock the second component in a position along the longitudinal axis, the locking arm being configured to pivot relative to the shaft to selectively engage the plurality of locking teeth.

### Claim 10

An orthopaedic surgical instrument, comprising:
a first component including a passageway that extends along a longitudinal axis,
a first plate coupled to a superior end of the first component, the first plate being shaped to be positioned on a proximal end of a patient's tibia,
a second component including a shaft positioned in the passageway of the first component and an arm extending posteriorly from a superior end of the shaft,
a second plate pivotally coupled to a posterior end of the arm of the second component superior to the first plate, the second plate being configured to pivot about a pivot axis intersecting the longitudinal axis of the first component to tilt the second plate relative to the first plate, wherein an inferior-superior distance is defined between the second plate and the first plate, and the second component is operable to be moved along the longitudinal axis relative to the first component to change the inferior-superior distance, and
a third component coupled to the first component and the second component and being operable to move the second component relative to the first component, the third component including a handle that is positioned anterior of the first and second components, the handle extending along a longitudinal axis extending transverse to the pivot axis.

### Claim 11 (depends on 10)

The orthopaedic surgical instrument of claim 10, wherein the third component includes:
a first distractor arm extending posteriorly from the handle, the first distractor arm being attached to the superior end of the first component,
a second distractor arm that is positioned superior of the first distractor arm, the second distractor arm being attached to the superior end of the shaft of the second component and configured to move the second component, and
a piston including an inferior end that is positioned in the handle and a superior end that is coupled to the second distractor arm, the piston being moveable relative to the handle to move the second distractor arm relative to the first distractor arm to change the inferior-superior distance defined between the first plate and the second plate.

### Claim 12 (depends on 11)

The orthopaedic surgical instrument of claim 11, wherein the third component includes a lever coupled to the piston and the handle, the lever being configured to pivot relative to the handle to move the piston relative to the handle from a first position at which the inferior-superior distance is a first distance to a second position at which the inferior-superior distance is a second distance greater than the first distance.

### Claim 13 (depends on 12)

The orthopaedic surgical instrument of claim 12, wherein the third component further includes:
a body including the second distractor arm, and
a biasing element positioned between a distal surface of the body and a proximal surface of the piston, the biasing element being operable to bias the piston a first distance from the second distractor arm.

### Claim 14 (depends on 11)

The orthopaedic surgical instrument of claim 11, wherein the piston is moveable along an axis extending parallel to the longitudinal axis of the first component.

### Claim 15 (depends on 11)

The orthopaedic surgical instrument of claim 11, further comprising a stylus coupled to the arm of the second component.

### Claim 16

An orthopaedic surgical instrument system, comprising:
a first orthopaedic surgical instrument including a tibial plate and a femoral plate configured to (i) move relative to the tibial plate along an inferior-superior axis to change an inferior-superior distance, and (ii) tilt relative to the tibial plate about a pivot axis extending traverse to the inferior-superior axis, and
a second orthopaedic surgical instrument including (i) a pair of distractor arms that are configured to be coupled to the first orthopaedic surgical instrument, (ii) a handle extending along a longitudinal axis extending parallel to the inferior-superior axis, and (iii) a piston including an inferior end that is positioned in the handle and a superior end that is coupled to the second distractor arm, the piston being moveable relative to the handle to move a second distractor arm of the pair of distractor arms relative to a first distractor arm to move the femoral plate relative to the tibial plate along the inferior-superior axis.

### Claim 17 (depends on 16)

The orthopaedic surgical instrument system of claim 16, wherein the second orthopaedic surgical instrument further includes:
a body including the second distractor arm, and
a biasing element positioned between a distal surface of the body and a proximal surface of the piston, the biasing element being operable to bias the piston a first distance from the second distractor arm.

### Claim 18 (depends on 16)

The orthopaedic surgical instrument system of claim 16, further comprising a stylus configured to be coupled to the first orthopaedic surgical instrument.