# US 2019/0167274 A1 · Variable angle cutting guide and method of using the same > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2019/0167274 A1 - Document ID: US20190167274A1 - Status: Published application - Kind: A1 - Application number: 16/323,954 - Filed: 2016-10-19 - Published: 2019-06-06 - Earliest claimed: 2016-10-19 - Assignees: Wright Medical Technology, Inc. - Applicants: Wright Medical Technology, Inc. - Inventors: Braham K. DHILLON - Web page: https://patentgrep.com/patent/US20190167274A1 ## CPC - A61B 17/15: Guides therefor - A61B 17/1775: {for the foot or ankle} - A61B 17/1682: {for the foot or ankle} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A cutting guide includes a body and a rotatable device. The body includes a top portion, a bottom portion parallel to the top portion, and a side portion connecting the top and the bottom portions. The rotatable device is coupled to one end of the top portion of the body, and includes a pivotal element and a handle. The handle in the rotatable device has a first portion coupled to the pivotal element, and a second portion configured to be rotated around an axis of the pivotal element. Each of the top portion of the body, the side portion of the body, the bottom portion of the body, and the handle has one respective edge providing a respective guide surface for cutting a bone in a surgical procedure. ## Claims ### Claim 1 A cutting guide, comprising: a body comprising a top portion, a bottom portion, and a side portion connecting the top and the bottom portions; and a rotatable device coupled to one end of the top portion of the body, the rotatable device comprising a pivotal element and a handle, the handle having a first portion coupled to the pivotal element and a second portion configured to be rotated around an axis of the pivotal element, wherein each of the top portion of the body, the side portion of the body, the bottom portion of the body, and the handle has one respective edge providing a respective guide surface. ### Claim 2 (depends on 1) The cutting guide of claim 1, wherein the body of the cutting guide is configured to be positioned against a first bone and the respective guide surfaces of the top portion, the side portion and the bottom portion of the body are so configured that a surgical tool is received for cutting the first bone. ### Claim 3 (depends on 1) The cutting guide of claim 1, wherein the axis of the pivotal element is perpendicular to a plane defined by the body of the cutting guide, and the handle is movable at an angle in the range of from 0 to 60 degree relative to an in-plane normal to the top portion of the body of the cutting guide. ### Claim 4 (depends on 1) The cutting guide of claim 1, wherein each of the handle, the top portion of the body, the side portion of the body and the bottom portion of the body has a surface being flat and coplanar to one another. ### Claim 5 (depends on 1) The cutting guide of claim 1, wherein the body of the cutting guide and the handle defines a first slot, with an opening defined between the bottom portion of the body and the handle when the handle is in a position away from the bottom portion of the body. ### Claim 6 (depends on 1) The cutting guide of claim 1, wherein the pivotal element comprises a device selected from a group consisting of a screw, a shoulder bolt, a dowel pin, a combination of a bolt and a nut, a wrenching device, a lock and gear device, and any combination thereof ### Claim 7 (depends on 1) The cutting guide of claim 1, wherein the body defines at least two pin holes sized and configured to receive pins to couple the body to a bone. ### Claim 8 (depends on 1) The cutting guide of claim 1, wherein the handle defines at least one pin hole sized and configured to receive a pin to couple the handle to a bone. ### Claim 9 (depends on 1) The cutting guide of claim 1, wherein the bottom portion of the body is parallel to the top portion of the body. ### Claim 10 (depends on 1) The cutting guide of claim 1, wherein the body of the cutting guide further defines a second slot in the bottom portion of the body. ### Claim 11 A kit, comprising: a cutting guide comprising: a body comprising a top portion, a bottom portion, and a side portion connecting the top and the bottom portions, and a rotatable device coupled to one end of the top portion of the body, the rotatable device comprising a pivotal element and a handle, the handle having a first portion coupled to the pivotal element and a second portion configured to be rotated around an axis of the pivotal element, wherein each of the top portion of the body, the side portion of the body, the bottom portion of the body, and the handle has one respective edge providing a respective guide surface; and; a surgical tool configured for cutting a bone surface. ### Claim 12 (depends on 11) The kit of claim 11, wherein the pivotal element comprises a device selected from a group consisting of a screw, a shoulder bolt, a dowel pin, a combination of a bolt and a nut, a wrenching device, a lock and gear device, and any combination thereof. ### Claim 13 (depends on 11) The kit of claim 11, wherein the body defines at least two pin holes sized and configured to receive pins to couple the body to the bone. ### Claim 14 (depends on 11) The kit of claim 11, wherein the bottom portion of the body is parallel to the top portion of the body. ### Claim 15 (depends on 11) The kit of claim 11, wherein the surgical tool is selected from the group consisting of a high speed burr, a drill, an osteotome, a sawblade, a cutting reamer and any combination thereof. ### Claim 16 (depends on 1) A method of using the cutting guide of claim 1, comprising: positioning the cutting guide against a first bone of a patient so that the respective edges provided by the body and the handle match with a predetermined region of the first bone of the patient; adjusting the rotatable device so that the handle is oriented to a patient-specific angle relative to the body of the cutting guide; and cutting the first bone in the predetermined region along the respective edges of the body and the handle after the rotatable device is adjusted. ### Claim 17 (depends on 16) The method of claim 16, wherein the cutting guide is used in a surgery of total ankle arthroplasty, the first bone is tibia, and the handle of the rotatable device is aligned along and covering a medial malleolus. ### Claim 18 (depends on 16) The method of claim 16, further comprising: fixing the cutting guide onto the first bone, wherein the body of the cutting guide comprises at least two pin holes, and the cutting guide is coupled with the first bone by inserting at least two pins into the at least two pin holes. ### Claim 19 (depends on 16) The method of claim 16, further comprising: cutting a portion of a second bone, wherein the body of the cutting guide further defines a second slot in the bottom portion of the body and the second slot matches a portion of the second bone to be cut. ### Claim 20 (depends on 19) The method of claim 19, wherein the second bone is talus.