# US 9,750,550 B2 · Contoured bone plate

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- Number: US 9,750,550 B2
- Document ID: US9750550B2
- Status: Granted
- Kind: B2
- Application number: 14/564,185
- Filed: 2014-12-09
- Published: 2015-04-02
- Granted: 2017-09-05
- Earliest claimed: 2006-04-11
- Assignees: Biomet Manufacturing, LLC
- Applicants: Biomet Manufacturing, LLC
- Inventors: Ross T. Leung; Jordan N. Milford
- Web page: https://patentgrep.com/patent/US9750550B2

## CPC

- A61B 17/80: Cortical plates {, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates}
- A61B 17/3472: {for bones, e.g. intraosseus injections}
- A61F 2/4601: {for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity}
- A61B 17/8057: {the interlocking form comprising a thread}
- A61B 17/842: {Flexible wires, bands or straps (A61B17/72, A61B17/82, A61B17/86 take precedence)}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- 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)

## Abstract

A method for repairing a bone includes attaching a bone plate to the bone. The bone plate includes an upper surface, a bone-contacting surface, and at least one hole extending between the upper surface and the bone-contacting surface. The method also includes inserting at least a portion of a delivery device into the at least one hole. The delivery device includes at least one of an osteobiologic material, a graft material and a pharmacological substance. The method further includes injecting the at least one of the osteobiologic material, the graft material and the pharmacological substance into the bone and through the at least one hole.

## Claims

### Claim 1

A method for repairing a bone, the method comprising:
attaching a bone plate to the bone, the bone plate including an upper surface, a bone-contacting surface, at least one suture hole, and at least one graft hole, each of the at least, one suture hole and the at least one graft hole extending between the upper surface and the bone-contacting surface, at least a portion of a perimeter of the bone contacting surface having a continuously undulating shape including a series of alternating convex regions and concave regions, the concave regions extending away from the bone contacting surface, wherein the undulating shape defines at least one suture clearance formation, the least one suture hole disposed adjacent to a concave region of the undulating shape;
inserting at least a portion of a delivery device into the at least one graft hole, the delivery device including at least one of an osteobiologic material, a graft material and a pharmacological substance; and
injecting the at least one of the osteobiologic material, the graft material and the pharmacological substance into the bone and through the at least one graft hole.

### Claim 2 (depends on 1)

The method of claim 1, wherein the delivery device includes a syringe having an outer tube and a tip portion, and wherein the at least one of the osteobiologic material, the graft material and the pharmacological substance is disposed within the outer tube, the method further comprising:
inserting the tip portion into the at least one graft hole; and
delivering the at least one of the osteobiologic material, the graft material and the pharmacological substance into the bone from the outer tube to the at least one graft hole through the tip portion.

### Claim 3 (depends on 2)

The method of claim 2, further comprising loading the outer tube with the at least one of the osteobiologic material, the graft material and the pharmacological substance.

### Claim 4 (depends on 1)

The method of claim 1, wherein the bone plate includes a fastener hole extending between the upper surface and the bone-contacting surface, the method further comprising inserting a fastener through the fastener hole.

### Claim 5 (depends on 4)

The method of claim 4, further comprising inserting the fastener into the bone.

### Claim 6 (depends on 5)

The method of claim 5, wherein the fastener includes a bone screw.

### Claim 7 (depends on 6)

The method of claim 6, further comprising threadingly engaging a head portion of the fastener with a threaded portion of the fastener hole.

### Claim 8 (depends on 7)

The method of claim 7, further comprising varying an angle of the fastener in the fastener hole relative to the bone plate.

### Claim 9 (depends on 4)

The method of claim 4, further comprising inserting the fastener into a muscle tissue.

### Claim 10 (depends on 9)

The method of claim 9, wherein the fastener includes a suture.

### Claim 11

A method for implanting a bone plate, the method comprising: attaching the bone plate to a bone, the bone plate including an upper surface, a bone-contacting surface, a fastener hole, a suture hole, and a graft hole, the fastener, suture and graft holes extending between the upper surface and the bone-contacting surface, at least a portion of a perimeter of the bone contacting surface having a continuously undulating shape including a series of alternating convex regions and concave regions, the concave regions extending away from the bone contacting surface wherein the undulating shape defines a suture clearance formation, the suture hole disposed adjacent to a concave region of the undulating shape;
inserting a fastener through the fastener hole and into the bone; inserting a suture through the suture hole;
providing a syringe having a tip portion, an outer tube, and a plunger;
loading the outer tube with at least one of an osteobiologic material, a graft material and a pharmacological substance;
inserting the tip portion of the syringe into the graft hole; and
injecting the at least one of the osteobiologic material, the graft material and the pharmacological substance through the tip portion and into the graft hole.

### Claim 12 (depends on 11)

The method of claim 11, further comprising threadingly engaging a head portion of the fastener with a threaded portion of the fastener hole.

### Claim 13 (depends on 12)

The method of claim 12, further comprising varying an angle of the fastener in the fastener hole relative to the bone plate.

### Claim 14

An orthopaedic assembly comprising:
a bone plate including an upper surface, a bone-contacting surface, the upper surface and the bone-contacting surface cooperating to define a nominal thickness of the bone plate, at least a portion of a perimeter of the bone contacting surface having a continuously undulating shape including a series of alternating convex regions and concave regions, the concave regions extending away from the bone contacting surface wherein the undulating shape defines a plurality of suture-clearance formations providing a clearance between the bone-contacting surface of the bone plate and the bone, the bone plate further including;
a plurality of suture holes extending between the upper surface and the bone-contacting surface, wherein each of the plurality of the suture holes is and disposed adjacent to a concave region of the undulating shape;
a plurality of fastener holes extending between the upper surface and the bone-contacting surface; and
a graft hole extending between the upper surface and the bone-contacting surface; and
a delivery device configured to deliver at least one of an osteobiologic material, a graft material and a pharmacological substance to the graft hole.

### Claim 15 (depends on 14)

The orthopaedic assembly of claim 14, wherein the delivery device includes a tip portion configured to be disposed within the graft hole.

### Claim 16 (depends on 14)

The orthopaedic assembly of claim 14, wherein the delivery device includes a syringe.

### Claim 17 (depends on 16)

The orthopaedic assembly of claim 16, wherein the syringe includes a tip portion configured to be disposed within the graft hole.

### Claim 18 (depends on 16)

The orthopaedic assembly of claim 16, wherein the syringe includes an outer tube and a plunger slidably received in the outer tube.

### Claim 19 (depends on 18)

The orthopaedic assembly of claim 18, wherein the at least one of the osteobiologic material, the graft material and the pharmacological substance is disposed within the outer tube.

### Claim 20 (depends on 14)

The orthopaedic assembly of claim 14, wherein the upper surface includes a plurality of raised portions having a greater thickness than the nominal thickness the plurality of fastener holes positioned relative to the plurality of raised portions such that fasteners respectively received within the plurality of fastener holes are flush with or recessed from the upper surface.
