# US 2023/0053657 A1 · Jigs, systems, and methods for correcting joint deformities

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- Number: US 2023/0053657 A1
- Document ID: US20230053657A1
- Status: Published application
- Kind: A1
- Application number: 18/045,951
- Filed: 2022-10-12
- Published: 2023-02-23
- Earliest claimed: 2020-04-09
- Assignees: Wright Medical Technology, Inc.
- Applicants: Wright Medical Technology, Inc.
- Inventors: Zachary KORMAN; Robert Michael CARLO, III; Elizabeth J. PHELPS
- Web page: https://patentgrep.com/patent/US20230053657A1

## CPC

- A61B 17/66: {Alignment}, compression or distraction mechanisms
- A61B 90/11: with guides for needles or instruments, e.g. arcuate slides or ball joints
- A61B 17/1775: {for the foot or ankle}
- A61B 2017/565: {for surgical correction of axial deviation, e.g. hallux valgus or genu valgus}
- A61B 2090/3916: {Bone tissue}
- A61B 2090/3966: {Radiopaque markers visible in an X-ray image}
- A61B 2090/3991: {having specific anchoring means to fixate the marker to the tissue, e.g. hooks}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A system includes a first tool having a first portion and a second portion supported by the first portion. The first portion extends from a first end to a second end, which includes a sleeve defining a first hole defining a first axis. The second portion defines a second hole having a second axis that is disposed at an angle relative to the first axis. The first and second holes are sized and configured to receive fixation elements for coupling the first tool to at least one bone. The first portion is configured to rotate about the first hole when a first fixation element is received within the first hole, and the sleeve defines a third hole that intersects a bottom surface of the sleeve. The third hole defines a third axis that is disposed at an angle relative to the first axis and the second axis.

## Claims

### Claim 1

A system, comprising:
a first tool, including:
a first portion extending from a first end to a second end, the second end including a sleeve defining a first hole defining a first axis; and
a second portion supported by the first portion, the second portion defining a second hole having a second axis that is disposed at an angle relative to the first axis defined by the first hole,
wherein the first and second holes are sized and configured to receive fixation elements for coupling the first tool to at least one bone,
wherein the first portion is configured to rotate about the first hole when a first fixation element is received within the first hole, and
wherein the sleeve defines a third hole that intersects a bottom surface of the sleeve, the third hole defining a third axis that is disposed at an angle relative to the first axis defined by the first hole and the second axis defined by the second hole.

### Claim 2 (depends on 1)

The system of claim 1, wherein the first portion of the first tool is provided by a first component, and wherein the second portion of the first tool is provided by a second component that is supported by the first component.

### Claim 3 (depends on 2)

The system of claim 2, wherein the first component defines a channel adjacent to the first end, the channel having a longitudinal axis that is disposed at an angle with respect to the first axis defined by the first hole.

### Claim 4 (depends on 3)

The system of claim 3, wherein the second component is configured to slide within the channel defined by the first component and is configured to rotate about an axis that is parallel to the first axis defined by the first hole.

### Claim 5 (depends on 4)

The system of claim 4, wherein the first tool is configured to rotate about the first axis defined by the first hole when fixation elements are disposed within the first and second holes.

### Claim 6 (depends on 5)

The system of claim 5, wherein, when the first tool rotates about the first axis defined by the first hole, the second component slides within the channel and rotates about the axis that is parallel to the first axis defined by the first hole.

### Claim 7 (depends on 6)

The system of claim 6, wherein the first tool includes a locking mechanism coupled to the second component, the locking mechanism configured to engage a fixation element disposed within the second hole to prevent the first tool from rotating about the first axis defined by the first hole.

### Claim 8 (depends on 1)

The system of claim 1, wherein the sleeve includes a notch that is aligned with the third hole.

### Claim 9 (depends on 1)

The system of claim 1, wherein the first tool is configured to lock onto at least one of a first fixation element and a second fixation element when the first fixation element and the second fixation element are received respectively in the first hole and the second hole.

### Claim 10 (depends on 1)

The system of claim 1, further comprising a second tool including:
a third component;
a fourth component; and
at least one fastener for coupling the third component to the fourth component,
wherein the third component is coupled to the fourth component such that a distance between the first component and the second component in a first direction is adjustable.

### Claim 11

A surgical tool, comprising:
a body having an arm portion and a guide portion, the arm portion extending from a first end to a second end and having a channel at the first end, the guide portion extending from the first end of the arm portion and defining a first hole that extends parallel to the arm portion;
an adjustment guide slidably and rotatably disposed within the channel defined by the arm portion of the body, the adjustment guide defining a second hole sized and configured to receive a fixation device therein; and
a sleeve disposed within the first hole defined by the guide portion of the body, the sleeve defining a third hole that extends from a first end of the sleeve to a second end of the sleeve and intersects with a bottom surface of the sleeve.

### Claim 12 (depends on 11)

The surgical tool of claim 11, further comprising first and second elongate radiopaque members, the first and second radiopaque members disposed within at least one slot defined by the arm portion.

### Claim 13 (depends on 12)

The surgical tool of claim 12, further comprising a clip securing the first and second radiopaque members to the arm portion.

### Claim 14 (depends on 13)

The surgical tool of claim 13, wherein the clip includes:
a clip body having a first side and a second side; and
first and second legs extending from the second side, each of the first and second legs including a projection for engaging a respective one of the first and second radiopaque members.

### Claim 15 (depends on 14)

The surgical tool of claim 14, wherein the guide portion defines a targeting slot that extends along an upper surface of the guide portion in a direction that is parallel to the third hole defined by the sleeve.

### Claim 16 (depends on 11)

The surgical tool of claim 11, wherein the sleeve defines a fourth hole that is sized and configured to receive a fixation device therein for coupling the body to a bone.

### Claim 17 (depends on 16)

The surgical tool of claim 16, wherein the fourth hole is disposed adjacent to a notch defined by the sleeve, the notch aligned with the third hole.

### Claim 18 (depends on 11)

The surgical tool of claim 11, wherein the bottom surface of the sleeve includes at least one of an angle and a step.

### Claim 19 (depends on 11)

The surgical tool of claim 11, wherein the guide portion defines a fourth hole that is disposed parallel to the third hole, the fourth hole sized and configured to receive a radiopaque element therein.

### Claim 20 (depends on 11)

A system, comprising:
the surgical tool of claim 11; and
a second tool, the second tool including:
a first component;
a second component; and
at least one fastener for coupling the first component to the second component,
wherein the first component is coupled to the second component such that a distance between the first component and the second component in a first direction is adjustable.
