# US 9,750,539 B2 · Medical instrument > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 9,750,539 B2 - Document ID: US9750539B2 - Status: Granted - Kind: B2 - Application number: 14/479,407 - Filed: 2014-09-08 - Published: 2015-03-19 - Granted: 2017-09-05 - Earliest claimed: 2013-09-16 - Assignees: Aesculap AG - Applicants: Aesculap AG - Inventors: Thomas Pleil - Web page: https://patentgrep.com/patent/US9750539B2 ## CPC - A61B 17/688: {for reattaching pieces of the skull} - A61B 17/808: {Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms} - A61B 17/8863: {Apparatus for shaping or cutting osteosynthesis equipment by medical personnel} - A61B 17/8883: {the driver bit acting on the periphery of the screw head} - A61B 2090/037: {with a frangible part, e.g. by reduced diameter} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract The present invention relates to a medical instrument for applying a bone plate fixing device which comprises a first bone contact element with a rod-shaped connecting member protruding therefrom and defining a longitudinal direction and a second bone contact element which is movable on the connecting member towards the first bone contact element, characterized by a feed apparatus comprising a feed element for application to the second bone contact element, a guide element with a proximal and a distal end for guiding movement of the feed element and a feed mechanism for moving the feed element in the distal direction relative to the guide element. ## Claims ### Claim 1 A medical instrument for applying a bone plate fixing device, the bone plate fixing device comprising a first bone contact element with a rod-shaped connecting member protruding therefrom and defining a longitudinal direction and a second bone contact element which is movable on the connecting member towards the first bone contact element, the medical instrument comprising: a feed apparatus comprising: a feed element for application to the second bone contact element, a guide element with a proximal and a distal end for guiding movement of the feed element, and a feed mechanism for moving the feed element in a distal direction relative to the guide element, and a handle element couplable or coupled to the guide element or a drive element of the feed mechanism. ### Claim 2 (depends on 1) A medical instrument according to claim 1, wherein the feed mechanism is configured to convert rotation of one part of the feed apparatus about a longitudinal axis of the instrument into a linear feed movement of the feed element. ### Claim 3 (depends on 1) A medical instrument according to claim 1, wherein the handle element comprises at least one of a holding member receptacle which is open in a distal direction and a handle element through opening extending coaxially to a guide element longitudinal axis. ### Claim 4 (depends on 3) A medical instrument according to claim 3, wherein the handle element comprises a connecting member separating opening. ### Claim 5 A medical instrument for applying a bone plate fixing device, the bone plate fixing device comprising a first bone contact element with a rod-shaped connecting member protruding therefrom and defining a longitudinal direction and a second bone contact element which is movable on the connecting member towards the first bone contact element, the medical instrument comprising: a feed apparatus comprising: a feed element for application to the second bone contact element, a guide element with a proximal end and a distal end for guiding movement of the feed element, and a feed mechanism for moving the feed element in a distal direction relative to the guide element, wherein: the feed element is disc-shaped and comprises a through opening for the connecting member, and, the feed mechanism is configured to convert rotation of one part of the feed apparatus about a longitudinal axis of the instrument into a linear feed movement of the feed element. ### Claim 6 (depends on 5) A medical instrument according to claim 5, wherein the guide element comprises a sleeve defining a guide element longitudinal axis and at least one first guide member extending in a longitudinal direction of the guide element. ### Claim 7 (depends on 6) A medical instrument according to claim 6, wherein the feed element comprises at least one second guide member co-operating with the at least one first guide member. ### Claim 8 (depends on 7) A medical instrument according to claim 7, wherein: the feed element comprises a cylindrical external wall surface, and the at least one second guide member is arranged or formed to protrude away from the external wall surface in a radial direction. ### Claim 9 (depends on 7) A medical instrument according to claim 7, wherein: the at least one first guide member takes the form of a guide groove, and the at least one second guide member takes the form of a guide projection corresponding to the guide groove. ### Claim 10 (depends on 9) A medical instrument according to claim 9, wherein the guide groove takes the form of a guide slot extending parallel to the guide element longitudinal axis. ### Claim 11 (depends on 6) A medical instrument according to claim 6, wherein the at least one first guide member comprises two first guide members diametrically opposite one another relative to the guide element longitudinal axis. ### Claim 12 (depends on 6) A medical instrument according to claim 6, wherein the guide element comprises a carrier element which carries the sleeve. ### Claim 13 (depends on 12) A medical instrument according to claim 12, wherein the carrier element is symmetrical relative to a mirror plane containing the guide element longitudinal axis. ### Claim 14 (depends on 12) A medical instrument according to claim 12, wherein the carrier element has a carrier element through opening extending coaxially relative to the guide element longitudinal axis. ### Claim 15 (depends on 5) A medical instrument according to claim 5, wherein the feed mechanism comprises a drive element which is configured to co-operate with the feed element and brings about as a result of rotation of the drive element relative to the feed element a feed movement of the feed element in the distal direction. ### Claim 16 (depends on 15) A medical instrument according to claim 15, further comprising a coupling apparatus for movable coupling of the feed element and of the drive element. ### Claim 17 (depends on 16) A medical instrument according to claim 16, wherein: the coupling apparatus comprises at least one first coupling member and at least one second coupling member co-operating with the at least one first coupling member, the at least one first coupling member is arranged or formed on the feed element, and the at least one second coupling member is arranged or formed on the drive element. ### Claim 18 (depends on 17) A medical instrument according to claim 17, wherein the at least one first coupling member takes the form of a coupling projection and the at least one second coupling member takes the form of a coupling receptacle. ### Claim 19 (depends on 18) A medical instrument according to claim 18, wherein the coupling receptacle takes the form of a spiral drive groove winding around a longitudinal axis of the drive element and open towards the longitudinal axis. ### Claim 20 (depends on 17) A medical instrument according to claim 17, wherein: the at least one first coupling member comprises two first coupling members, and the at least one second coupling member comprises two second coupling members. ### Claim 21 (depends on 5) A medical instrument according to claim 5, further comprising the bone plate fixing device. ### Claim 22 (depends on 21) A medical instrument according to claim 21, wherein the bone plate fixing device comprises a holding member which is arranged in a clamping manner on a proximal end of the connecting member. ### Claim 23 A medical instrument for applying a bone plate fixing device, the bone plate fixing device comprising a first bone contact element with a rod-shaped connecting member protruding therefrom and defining a longitudinal direction and a second bone contact element which is movable on the connecting member towards the first bone contact element, the medical instrument comprising: a feed apparatus comprising: a feed element for application to the second bone contact element, a guide element with a proximal and a distal end for guiding movement of the feed element, and a feed mechanism for moving the feed element in a distal direction relative to the guide element, wherein the guide element comprises two guide element halves which are connected together in an articulated manner. ### Claim 24 (depends on 23) A medical instrument according to claim 23, wherein the feed element is disc-shaped and comprises a through opening for the connecting member. ### Claim 25 (depends on 23) A medical instrument according to claim 23, wherein the two guide element halves are connected together via a hinge defining a pivot axis extending parallel to a guide element longitudinal axis.