# US 12,213,685 B2 · Mis cross-connector > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,213,685 B2 - Document ID: US12213685B2 - Status: Granted - Kind: B2 - Application number: 17/821,238 - Filed: 2022-08-22 - Published: 2022-12-15 - Granted: 2025-02-04 - Earliest claimed: 2015-11-09 - Assignees: Globus Medical, Inc. - Applicants: Globus Medical, Inc. - Inventors: Angelo Patrinicola; Edward Karpowicz - Web page: https://patentgrep.com/patent/US12213685B2 ## CPC - A61B 17/1671: {for the spine} - A61B 17/7043: {with a longitudinal element fixed to one or more transverse elements which connect multiple screws or hooks} - A61B 17/7052: {of variable angle or length} - A61B 17/7079: {Tools requiring anchors to be already mounted on an implanted longitudinal or transverse element, e.g. where said element guides the anchor motion} - A61B 17/7083: {Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A system for implanting a bone fixation system including an implant head inserter associated with each hook member and positionable relative to one of the elongate members to engage the hook member with the elongate member; a preliminary locking instrument associated with each implant head inserter and configured to engage the respective elongate member and lock the position of the hook member and implant head inserter relative to the elongate member; a compressor assembly configured to engage the implant head inserters and compress them toward one another; a path creation tool configured to be extended through holes in the hook members to define a connector member path between the hook members; and a rod introduction instrument configured to support the connector member and direct it through the connector member path. Methods of implanting a bone fixation system are also provided. ## Claims ### Claim 1 A method for stabilizing a spine using a bone fixation system, said method comprising: providing the bone fixation system, wherein the bone fixation system includes: at least one bone fastener assembly configured to attach to bone, an elongate member configured to attach to each bone fastener assembly, a connector member configured to engage the elongate member, a hook member configured to engage the elongate member and the connector member, wherein the hook member comprises a hook member body having a first opening formed between a pair of upwardly extending arms, a receptacle, a hook portion, and a second opening, and wherein the hook member body includes tapered portions to guide the connector member toward the hook portion, wherein the tapered portions are positioned between the first and second openings of the hook member; fixating the at least one bone faster assembly to a portion of the spine; fixating each elongate member to one the bone fastener assembles; engaging the connector member to one of the elongate members; and attaching each hook member to one of the elongate members and one of the connector members. ### Claim 2 (depends on 1) The method of claim 1, wherein each bone fastener assembly includes: a bone fastener that configured to attach to bone; a coupler that connects to the bone fastener; and an extender that connects to the coupler. ### Claim 3 (depends on 2) The method of claim 2, wherein the extender includes: a coupling portion that attaches to the coupler; and a blade portion that attaches to the coupling portion. ### Claim 4 (depends on 3) The method of claim 3, wherein coupling portion includes a threading. ### Claim 5 (depends on 3) The method of claim 3, wherein the blade portion includes a pair of extender blades. ### Claim 6 (depends on 3) The method of claim 3, wherein the hook member includes a hook fastener. ### Claim 7 (depends on 6) The method of claim 6, wherein the hook fastener secures the connector member to the hook member. ### Claim 8 (depends on 7) The method of claim 7, wherein the hook fastener secures the hook member and the connector member to the elongate member. ### Claim 9 (depends on 8) The method of claim 8, wherein the hook member is hooked to the elongate member using an implant head insertor. ### Claim 10 (depends on 9) The method of claim 9, wherein the hook member is secured to the elongate member using a preliminary locking instrument. ### Claim 11 A method for implanting a bone fixation system in bone, said method comprising: providing the bone fixation system, wherein the bone fixation system includes: a connector member that contacts a pair of elongate members, and a hook member configured to engage one of the elongate members and the connector member, wherein the hook member comprises a hook member body having a first opening formed between a pair of upwardly extending arms, a receptacle, a hook portion, and a second opening, and wherein the hook member body includes tapered portions to guide the connector member toward the hook portion, wherein the tapered portions are positioned between the first and second openings of the hook member, fixating each elongate member to a bone fastener assembly; engaging the connector member to the pair of elongate members; and attaching the hook member to one of the elongate members and the connector member. ### Claim 12 (depends on 11) The method of claim 11, wherein the bone fixation system further includes a bone fastener assembly. ### Claim 13 (depends on 12) The method of claim 12, wherein each bone fastener assembly includes: a bone fastener that configured to attach to bone; a coupler that connects to the bone fastener; and an extender that connects to the coupler. ### Claim 14 (depends on 13) The method of claim 13, wherein the extender includes: a coupling portion that attaches to the coupler; and a blade portion that attaches to the coupling portion. ### Claim 15 (depends on 14) The method of claim 14, wherein coupling portion includes a threading. ### Claim 16 (depends on 15) The method of claim 15, wherein the blade portion includes a pair of extender blades. ### Claim 17 A method for implanting a bone fixation system in bone, said method comprising: providing the bone fixation system, wherein the bone fixation system includes: a plurality of bone fasteners that attach to bone; a plurality of couplers that connect to the plurality of bone fasteners; a plurality of extenders that connect to the plurality of couplers; a pair of elongate members that attach to the plurality of bone fastener assemblies; a connector member that contacts the pair of elongate members; and a hook member configured to engage one of the elongate members and the connector member, wherein the hook member comprises a hook member body having a first opening formed between a pair of upwardly extending arms, a receptacle, a hook portion, and a second opening, and wherein the hook member body includes tapered portions to guide the connector member toward the hook portion, wherein the tapered portions are positioned between the first and second openings of the hook member; fixating each elongate member to a bone fastener assembly; engaging the connector member to the pair of elongate members; and attaching the hook member to one of the elongate members and the connector member. ### Claim 18 (depends on 17) The method of claim 17, wherein the hook member includes a hook fastener. ### Claim 19 (depends on 18) The method of claim 18, wherein the hook fastener secures the connector member to the hook member. ### Claim 20 (depends on 19) The method of claim 19, wherein the hook fastener secures the hook member and the connector member to the elongate member.