# US 12,178,487 B2 · Implant positioning devices and methods > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,178,487 B2 - Document ID: US12178487B2 - Status: Granted - Kind: B2 - Application number: 17/751,597 - Filed: 2022-05-23 - Published: 2022-09-08 - Granted: 2024-12-31 - Earliest claimed: 2017-09-27 - Assignees: Biomet Microfixation, LLC - Applicants: Biomet Microfixation, LLC - Inventors: Jason F. Detweiler; Scott Steffensmeier - Web page: https://patentgrep.com/patent/US12178487B2 ## CPC - A61B 17/88: {Osteosynthesis instruments;} Methods or means for implanting or extracting internal {or external} fixation devices {(A61B17/7074 takes precedence)} - A61B 17/1728: {for holes for bone plates or plate screws} - A61B 17/1789: {for the sternum} - A61B 17/8076: {for the ribs or the sternum} - A61B 17/808: {Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms} - A61B 17/8057: {the interlocking form comprising a thread} - A61B 17/90: Guides therefor - A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract Implant positioning devices and fastener guides for implant positioning devices are disclosed for assisting in positioning orthopaedic fixation devices (such as bone plates, etc.). A fastener guide may include a body with slits in a first end of the body that form a guide arm proximal to the first end of the body. The guide arm is configured to releasable hold a fastener in the fastener guide. The fastener guide may also be coupled to a bone plate to facilitate ease of alignment and insertion of the fastener into a fastener apertures of the bone plate. ## Claims ### Claim 1 A fastener guide system for an orthopedic fixation device, the fastener guide system comprising: a first guide body including a first longitudinal axis; a collar disposable around the first guide body; at least a first upper slit and a second upper slit formed in the first guide body, wherein the first upper slit and the second upper slit each include a first open end proximal to a first end of the first guide body and a first closed end opposite the respective first open end; a first fastener received in the first guide body; a first guide arm directly contacting the first fastener for releasably holding the first fastener in the first guide body, wherein the first guide arm is positioned between the first upper slit and the second upper slit around the first guide body and can flex away from the first longitudinal axis of the first guide body to allow the first fastener to be advanced through the first guide body when the collar is disposed around the first guide body; at least a first lower slit and a second lower slit formed in the first guide body, wherein the first lower slit and the second lower slit each include a second open end proximal to a second end of the first guide body and a second closed end opposite the respective second open end; and a first attachment arm removably couplable to the orthopedic fixation device and positioned between the first lower slit and the second lower slit around the first guide body. ### Claim 2 (depends on 1) The fastener guide system of claim 1, wherein the orthopedic fixation device is a bone plate. ### Claim 3 (depends on 1) The fastener guide system of claim 1, wherein the first guide body further comprises a second guide arm. ### Claim 4 (depends on 3) The fastener guide system of claim 3, wherein the first guide arm is positioned between the first upper slit and the second upper slit on a first side of the guide body, and wherein the second guide arm is positioned on a second side of the guide body opposite the first side. ### Claim 5 (depends on 3) The fastener guide system of claim 3 further comprising a third upper slit and a fourth upper slit formed in the first guide body, wherein the third upper slit and the fourth upper slit also each include a first open end proximal to the first end of the first guide body and a first closed end opposite the respective first open end, and wherein the second guide arm is positioned between the third upper slit and the fourth upper slit around the first guide body. ### Claim 6 (depends on 1) The fastener guide system of claim 1 further comprising a second attachment arm removably couplable to the orthopedic fixation device. ### Claim 7 (depends on 6) The fastener guide system of claim 6, wherein the second attachment arm is positioned opposite the first attachment arm around the first guide body. ### Claim 8 (depends on 6) The fastener guide system of claim 6 further comprising a third lower slit and a fourth lower slit formed in the first guide body, wherein the third lower slit and the fourth lower slit also each include a second open end proximal to the second end of the first guide body and a second closed end opposite the respective second open end, and wherein the second attachment arm is positioned between the third lower slit and the fourth lower slit around the first guide body. ### Claim 9 (depends on 1) The fastener guide system of claim 1, wherein the first guide body is tubular. ### Claim 10 (depends on 1) The fastener guide system of claim 1 further comprising a ledge extending inwardly from a sidewall of the first guide arm for holding a head of the first fastener. ### Claim 11 (depends on 1) The fastener guide system of claim 1 further comprising a first protrusion protruding from an inner surface of the collar for contacting the first attachment arm when the collar is disposed around the first guide body. ### Claim 12 (depends on 1) The fastener guide system of claim 1 further comprising a handle couplable to the first guide body. ### Claim 13 A fastener guide system for an orthopedic fixation device, the fastener guide system comprising: a first guide body; a collar disposable around the first guide body; at least a first upper slit, a second upper slit, a third upper slit, and a fourth upper slit formed in the first guide body and each including a first open end proximal to a first end of the first guide body and a first closed end opposite the respective first open end; a first fastener and a second fastener received in the first guide body; a first guide arm directly contacting the first fastener for releasably holding the first fastener in the first guide body along a first longitudinal axis that extends through the first guide body, wherein the first guide arm is positioned between the first upper slit and the second upper slit around the first guide body; a second guide arm directly contacting the second fastener for releasably holding the second fastener in the first guide body along a first longitudinal axis that extends through the first guide body, wherein the second guide arm is positioned between the third upper slit and the fourth upper slit around the first guide body; at least a first lower slit and a second lower slit formed in the first guide body, wherein the first lower slit and the second lower slit each include a second open end proximal to a second end of the first guide body and a second closed end opposite the respective second open end; and a first attachment arm removably couplable to the orthopedic fixation device and positioned between the first lower slit and the second lower slit around the first guide body. ### Claim 14 (depends on 13) The fastener guide system of claim 13, wherein the orthopedic fixation device is a bone plate. ### Claim 15 (depends on 13) The fastener guide system of claim 13, wherein the first guide arm and the second guide arm can each flex away from the first longitudinal axis and the second longitudinal axis, respectively, of the first guide body to allow the first fastener and the second fastener to be advanced through the first guide body when the collar is disposed around the first guide body. ### Claim 16 (depends on 13) The fastener guide system of claim 13, wherein the first guide arm and the second guide arm are positioned opposite one another around the first guide body. ### Claim 17 (depends on 13) The fastener guide system of claim 13 further comprising a second attachment arm removably couplable to the orthopedic fixation device. ### Claim 18 (depends on 17) The fastener guide system of claim 17, wherein the second attachment arm is positioned opposite the first attachment arm around the first guide body. ### Claim 19 (depends on 17) The fastener guide system of claim 17 further comprising a third lower slit and a fourth lower slit formed in the first guide body, wherein the third lower slit and the fourth lower slit also each include a second open end proximal to the second end of the first guide body and a second closed end opposite the respective second open end, and wherein the second attachment arm is positioned between the third lower slit and the fourth lower slit around the first guide body. ### Claim 20 (depends on 13) The fastener guide system of claim 13, wherein the collar is slidable over the first end of the first guide body.