# US 2024/0197487 A1 · Connection mechanisms for use with orthopedic instruments

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- Number: US 2024/0197487 A1
- Document ID: US20240197487A1
- Status: Published application
- Kind: A1
- Application number: 18/513,030
- Filed: 2023-11-17
- Published: 2024-06-20
- Earliest claimed: 2022-12-15
- Assignees: Smith & Nephew, Inc.; Smith & Nephew Orthopaedics AG; Smith & Nephew Asia Pacific Pte. Limited
- Applicants: Smith & Nephew, Inc.; Smith & Nephew Orthopaedics AG; Smith & Nephew Asia Pacific Pte. Limited
- Inventors: Aaron N. Little; Jeffrey N. Yeager; Tom J. Francis; Jason S. Jordan; Tedd Dixon
- Web page: https://patentgrep.com/patent/US20240197487A1

## CPC

- A61F 2/389: {Tibial components (A61F2/3868 takes precedence)}
- A61B 17/1604: {Chisels; Rongeurs; Punches; Stamps}
- A61B 17/1764: {for the knee}
- A61F 2/4684: {Trial or dummy prostheses}
- A61B 17/154: {for preparing bone for knee prosthesis}
- A61B 17/157: {Cutting tibia}
- A61B 17/1675: {for the knee}
- A61B 17/1732: {for bone breaking devices}
- A61B 17/1735: {for rasps or chisels}
- A61B 17/1739: {specially adapted for particular parts of the body}
- A61F 2/461: {of knees}
- A61F 2002/3895: {unicompartimental}
- A61F 2002/4205: {Tibial components}
- A61F 2220/0025: Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

Orthopedic systems, methods, and instrumentation for preforming knee arthroplasty. In some embodiments, the systems, methods, and instruments utilized improved quick connect mechanisms such as, for example, snap-fit connectors, to facilitate easier assembly and disassembly of the various components. For example, various connection mechanisms for coupling a tibial base trial to a guide (e.g., a fin punch guide), and/or for coupling the guide (e.g., fin punch guide) to a punch. In use, the systems, methods, and instruments provide an improved workflow for facilitating knee arthroplasty surgery.

## Claims

### Claim 1

An orthopedic knee system comprising:
a tibial base trial including an inferior surface arranged and configured to contact a resected tibia, a superior surface opposite the inferior surface, and at least one first connector;
a fin punch guide including an inferior surface arranged and configured to contact the superior surface of the tibial base trial, a superior surface opposite the inferior surface, at least one second connector arranged and configured to couple with the at least one first connector, and at least one third connector; and
a fin punch including at least one fourth connector arranged and configured to couple with the at least one third connector;
wherein at least one of the first connector and the second connector includes a male mating feature, and the other one of the first connector and the second connector includes a female mating feature; and
wherein at least one of the third connector and the fourth connector includes a male mating feature, and the other one of the third connector and the fourth connector includes a female mating feature.

### Claim 2 (depends on 1)

The orthopedic knee system of claim 1, wherein the male mating feature includes a plurality of tabs; and
the female mating feature includes a recess arranged and configured to receive the male mating feature.

### Claim 3 (depends on 2)

The orthopedic knee system of claim 2, wherein the male mating feature further includes a boss, the plurality of tabs circumferentially spaced about the boss.

### Claim 4 (depends on 2)

The orthopedic knee system of claim 2, wherein the recess includes a circumferential chamfer arranged and configured to guide insertion of the male mating feature; a first section having a first diameter; and a second section having a second diameter, wherein the second diameter is greater than the first diameter.

### Claim 5 (depends on 1)

The orthopedic knee system of claim 1, wherein coupling the male mating feature to the female mating feature provides tactical feedback including an audible sound.

### Claim 6 (depends on 1)

The orthopedic knee system of claim 1, wherein:
the fin punch guide further includes a fin punch guide tab including a lever or hook-shaped end portion; and
the tibial base trial includes a recess including a surface, the lever or hook-shaped end portion arranged and configured to reside within the recess and to contact the surface when the fin punch guide is coupled to the tibial base trial.

### Claim 7 (depends on 6)

The orthopedic knee system of claim 6, wherein the fin punch further includes a projection or tab arranged and configured to contact the fin punch guide tab during connection of the fin punch to the fin punch guide, contact of the projection or tab moving the fin punch guide tab to a second position thereby releasing the lever or hook-shaped end portion from the recess so that removing the fin punch causes the fin punch guide to disconnect from the tibial base trial.

### Claim 8 (depends on 1)

The orthopedic knee system of claim 1, wherein the tibial base trial includes a first passageway formed therein, the fin punch guide includes a second passageway formed therein, the second passageway aligned with the first passageway when the fin punch guide is coupled to the tibial base trial so that a portion of the fin punch can pass through the fin punch guide, through the tibial base trial and into the resected tibia.

### Claim 9

A method of performing knee arthroplasty surgery, the method comprising:
placing a tibia base trial onto a resected tibia;
coupling a fin punch guide to the tibia base trial via a first snap-fit connection between the tibia base trial and the fin punch guide, and via an end portion of a tab associated with the fin punch guide contacting a surface formed in a recess of the tibia base trial;
coupling a fin punch to the fin punch guide via a second snap-fit connection between the fin punch and the fin punch guide, at least a portion of the fin punch extending through a passageway formed in the fin punch guide and the tibia base trial and into the patient's resected tibia, wherein coupling the fin punch to the fin punch guide further includes a projection associated with the fin punch contacting the tab to move the tab from a first position to a second position to release the surface formed in the recess; and
removing the fin punch and the fin punch guide from the tibia base trial.

### Claim 10 (depends on 9)

The method of claim 9, further comprising inserting one or more fixation pins through the tibia base trial and into the resected tibia to secure the tibia base trial to the resected tibia.

### Claim 11 (depends on 9)

The method of claim 9, wherein the first snap-fit connection includes at least one first connector associated with the tibial base trial and at least one second connector associated with the fin punch guide;
wherein at least one of the first connector and the second connector includes a male mating feature, and the other one of the first connector and the second connector includes a female mating feature.

### Claim 12 (depends on 11)

The method of claim 11, wherein the second snap-fit connection includes at least one third connector associated with the fin punch guide and at least one fourth connector associated with the fin punch;
wherein at least one of the third connector and the fourth connector includes a male mating feature, and the other one of the third connector and the fourth connector includes a female mating feature.

### Claim 13 (depends on 12)

The method of claim 12, wherein the male mating feature includes a plurality of tabs; and
the female mating feature includes a recess arranged and configured to receive the male mating feature.

### Claim 14 (depends on 13)

The method of claim 13, wherein the male mating feature further includes a boss, the plurality of tabs being circumferentially spaced about the boss.

### Claim 15 (depends on 13)

The method of claim 13, wherein the recess includes a circumferential chamfer arranged and configured to guide insertion of the male mating feature; a first section having a first diameter; and a second section having a second diameter, wherein the second diameter is greater than the first diameter.

### Claim 16 (depends on 11)

The method of claim 11, wherein coupling the male mating feature to the female mating feature provides tactical feedback including an audible sound.
