# US 11,432,831 B2 · Targeting guide and method for an implant > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,432,831 B2 - Document ID: US11432831B2 - Status: Granted - Kind: B2 - Application number: 16/322,246 - Filed: 2016-09-30 - Published: 2021-09-09 - Granted: 2022-09-06 - Earliest claimed: 2016-09-30 - Assignees: Wright Medical Technology, Inc. - Applicants: Wright Medical Technology, Inc. - Inventors: Kian-Ming Wong; George Awtrey - Web page: https://patentgrep.com/patent/US11432831B2 ## CPC - A61B 17/17: Guides {or aligning means} for drills {, mills, pins or wires} - A61B 17/1725: {for applying transverse screws or pins through intramedullary nails or pins} - A61B 17/1728: {for holes for bone plates or plate screws} - A61B 17/7291: {for small bones, e.g. in the foot, ankle, hand or wrist} - 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 17/8057: {the interlocking form comprising a thread} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A system comprises a first implant including first and second screw receiving holes having respective first and second longitudinal axes. A second implant includes third and fourth screw receiving holes having respective third and fourth longitudinal axes. First and second drill guides have respective fifth and sixth longitudinal axes. A targeting guide is provided for aligning the first and second drill guides with each of the first and second implants simultaneously, so that the first, third and fifth longitudinal axes lie along a same line as each other, and the second, fourth and sixth longitudinal axes lie along a same line as each other. ## Claims ### Claim 1 A system comprising: a first implant including first and second screw receiving holes, the first and second screw receiving holes having respective first and second longitudinal axes aligned with a respective transverse axis of the first implant; a second implant including third and fourth screw receiving holes, the third and fourth screw receiving holes having respective third and fourth longitudinal axes aligned with a respective transverse axis of the second implant; first and second drill guides having respective fifth and sixth longitudinal axes, wherein the first and second drill guides are configured to be coupled to the third and fourth screw receiving holes of the second implant so that the third and fifth longitudinal axes and the fourth and sixth longitudinal axes are collinear with each other; and a targeting guide configured to be directly coupled to the first implant, the first drill guide, and the second drill guide so that the first, third and fifth longitudinal axes are collinear with each other, and the second, fourth and sixth longitudinal axes are collinear with each other, wherein the targeting guide is not directly coupled to the second implant, and wherein the first and second drill guides are slideable in a direction parallel to the fifth and sixth longitudinal axes to adjust a distance between the first implant and the second implant. ### Claim 2 (depends on 1) The system of claim 1, wherein the first and second drill guides extend through each of the second implant and the targeting guide simultaneously. ### Claim 3 (depends on 1) The system of claim 1, wherein the targeting guide includes at least a first drill guide hole. ### Claim 4 (depends on 3) The system of claim 3, wherein the first drill guide hole is configured for receipt of the first drill guide. ### Claim 5 (depends on 1) The system of claim 1, wherein the targeting guide alone holds the first implant. ### Claim 6 (depends on 5) The system of claim 5, wherein at least one of the first and second drill guides has a distal threaded portion at a respective end thereof, and a respective one of the third and fourth screw receiving holes has mating threads for engaging the threaded portion. ### Claim 7 (depends on 5) The system of claim 5, wherein the first implant is an intramedullary nail, and the second implant is a bone plate. ### Claim 8 (depends on 7) The system of claim 7, wherein the intramedullary nail and the bone plate have respective longitudinal axes, the longitudinal axes of the intramedullary nail and the bone plate being perpendicular to the first, second, third, and fourth longitudinal axes. ### Claim 9 (depends on 8) The system of claim 8, wherein the system is configured to support the bone plate with the longitudinal axis of the bone plate parallel to the longitudinal axis of the intramedullary nail. ### Claim 10 (depends on 7) The system of claim 7, wherein the drill guides are slidably positioned in the targeting guide, for moving the bone plate relative to the intramedullary nail. ### Claim 11 (depends on 7) The system of claim 7, wherein the targeting guide with the intramedullary nail attached thereto can rotate around a longitudinal axis of the intramedullary nail. ### Claim 12 (depends on 7) The system of claim 7, wherein the first and second drill guides comprise first and second sleeves slidably mounted in the targeting guide and respective first and second drill guide inserts, each of the first and second drill guide inserts is concentrically held inside a respective one of the first and second sleeves. ### Claim 13 (depends on 12) The system of claim 12, wherein each sleeve of the first and second sleeves has a respective shoulder for retaining the sleeve within a respective opening of the targeting guide.