# US 12,758,236 B2 · Surgical guides with removable inserts

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- Number: US 12,758,236 B2
- Document ID: US12758236B2
- Status: Granted
- Kind: B2
- Application number: 19/076,172
- Filed: 2025-03-11
- Published: 2025-10-23
- Granted: 2026-10-13
- Earliest claimed: 2019-11-12
- Assignees: OsteoMed LLC
- Applicants: OsteoMed LLC
- Inventors: Johanna Scheeh; Devid R. Zille
- Web page: https://patentgrep.com/patent/US12758236B2

## CPC

- A61B 17/1739: {specially adapted for particular parts of the body}
- A61B 34/10: Computer-aided planning, simulation or modelling of surgical operations
- B33Y 80/00: Products made by additive manufacturing
- A61B 2034/102: {Modelling of surgical devices, implants or prosthesis}
- A61B 2034/105: {Modelling of the patient, e.g. for ligaments or bones}
- A61B 2034/108: {Computer aided selection or customisation of medical implants or cutting guides}
- B33Y 10/00: Processes of additive manufacturing
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- B33Y: ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING

## Abstract

The present disclosure describes a surgical guide comprising a cutting guide defining a plurality of cutting slots and including at least one removable insert positioned between the plurality of cutting slots. The at least one removable insert defines an aperture which is designed to receive a surgical fastening device. The surgical guide further comprises a template guide which defines a feature. The at least one removable insert is designed to fit in the template guide at least in part using the feature.

## Claims

### Claim 1

A pre-packaged surgical guide kit, comprising:
a cutting guide configured to be placed over a fibula and facilitate extraction of one or more resected fibula bone portions, the cutting guide including one or more removable inserts configured to be removably coupled in a direct manner to the cutting guide, each of the removable inserts comprises an aperture, wherein each of the one or more resected fibula bone portions is configured to be secured with a removable insert of the one or more removable inserts;
a template guide configured to be positioned at a mandibular reconstruction site and configured to mate with the one or more removable inserts and to align the one or more resected fibula bone portions to reconstruct at least part of a mandible, the template guide comprising a top surface and a bottom surface defining a plurality of features, each of the removable inserts is configured to mate with one of the features so as to connect a plurality of resected bones to their target angles, wherein a majority of each of the removable inserts is covered by the bottom surface of the template guide when each of the removable inserts is mated with one of the features; and
a packaging unit comprising a first contoured surface and a second contoured surface, wherein the first contoured surface matches a contour of the fibula and the second contoured surface matches a contour of the mandible, and
wherein the cutting guide includes a first contact surface matching the first contoured surface and the template guide includes a second contact surface matching the second contoured surface.

### Claim 2 (depends on 1)

The kit of claim 1, wherein the fibula comprises a donor site.

### Claim 3 (depends on 1)

The kit of claim 1, wherein the first contoured surface and/or the second contoured surface are patient-specific anatomic contours.

### Claim 4 (depends on 3)

The kit of claim 3, wherein the first contact surface and/or the second contact surface are patient-specific anatomic contours.

### Claim 5 (depends on 3)

The kit of claim 3, wherein the packaging unit is 3D printed based on patient-specific imaging data.

### Claim 6 (depends on 1)

The kit of claim 1, wherein the first guide and the second guide are disposed onto the first contoured surface and the second contoured surface of the packaging unit, respectively, to provide a visual aid to a surgeon.

### Claim 7 (depends on 1)

The kit of claim 1, further comprising surgical screws, wherein the packaging unit further comprise apertures configured to receive the surgical screws.

### Claim 8 (depends on 7)

The kit of claim 7, wherein the surgical screws are selected based on a thickness or depth of a patient's first or second biological structures.

### Claim 9 (depends on 1)

The kit of claim 1, wherein the packaging unit further comprises a lid including a reverse contour.

### Claim 10 (depends on 1)

The kit of claim 1, further comprising one or more bone plates.