USO0RE43317E

(19) United States (12) Reissued Patent

(10) Patent Number: US RE43,317 E (45) Date of Reissued Patent: *Apr. 17, 2012

Fraser et al. (54)

MEDICAL INSTALLATION TOOL

(56)

U.S. PATENT DOCUMENTS

(75) Inventors: Robert D. Fraser, Adelaide (AU); Alexander D. Grinberg, Newton, MA (US); John D. Malone, Franklin, MA

3,409,013 A *

ll/l968

Berry .............................. .. 606/1

(Continued)

(US); Bradley Moore, Barrington, RI (US); Michael J. O’Neil, West Barnstable, MA (US); Mark C. Boomer,

References Cited

FOREIGN PATENT DOCUMENTS DE

29901611

4/1999

(Continued)

Phoenix, AZ (US)

OTHER PUBLICATIONS

(73) Assignee: DePuy Spine, Inc., Raynham, MA (US) (*)

Notice:

This patent is subject to a terminal dis claimer.

(74) Attorney, Agent, or Firm * Nutter McClennen & Fish LLP

Mar. 29, 2006 Related U.S. Patent Documents

Issued:

6,755,841

10/011,264

Filed:

Dec. 7, 2001

ABSTRACT

adjacent vertebral bodies is provided. The installation tool

Jun. 29, 2004

Appl. No.:

(57)

An installation tool that is useful for the ef?cient and effective placement of an article, such as an arti?cial disc, between

Reissue of:

(64) Patent No.:

(Continued) Primary Examiner * Nicholas Woodall

(21) Appl.No.: 11/397,887 (22) Filed:

Depuy M0tech., “Keystone Graft Instruments Anterior Cervical Techniques,” Technical Manual.

can be provided as a kit having modular components which allow the surgeon to select from among a variety of compo nents to assemble an installation tool that is optimized for its intended use. The installation tool of the invention generally

U.S. Applications: (63) Continuation-in-part of application No. 09/566,514,

includes a pair of opposed levers, each of which has a proxi mal handle portion and a distal portion. A fulcrum is disposed

?led on May 8, 2000, now Pat. No. 6,478,800.

between the two levers to enable proper operation of the tool. The tool further includes a pusher block that is positioned between the two levers and is selectively movable between an initial location distal of the fulcrum and a ?nal location adja cent the distal end of the levers. The pusher block includes a proximal end, a distal end, and a bore extending at least

(51)

Int. Cl.

A6IB 17/58

(52) (58)

U.S. Cl.

(2006.01)

....................................................... .. 606/99

Field of Classi?cation Search .................. .. 606/53,

606/86, 86 A, 86 B, 99*100, 106*108, 119, 606/123il24, 205*206, 210*211; 600/237i244 See application ?le for complete search history.

10 PM

partially therethrough. A pusher rod, which facilitates move ment of a pusher block, has a distal end extending into the bore in the pusher block and a proximal, handle end.

34 Claims, 19 Drawing Sheets

US RE43,317 E Page2 US. PATENT DOCUMENTS

6,096,038 A

8/2000 Michelson

4,034,746 3,486,505 A * 12/1969 709” Williams Morrison ...................... .. 606/90

2’}}%’?(7)i 63133602 : A

10/2000 35888 Shrivastava etal.

4,337,576 A 4,369,788 A

RE37,005 E 6,156,040 A

12/2000 Michelson etal. 12/2000 Yonernnra etal.

6,159,212 A

12/2000 Schoedinger, 111 et al.

6,159,215 A 6’159’244 A

12/2000 Urbahnsetal. 12/2000 SUdd-‘lby

1232?: 2 4,660,287 A 4,730,613 A

4,735,202 A

4772 287 A

4,877,020 A

7/1982 Drostetal' 10983 Goald

131322 ?retgrp 4/1987 Sggksfn 3/1988 Gordy

4/1988 Williarns 9/1988 Rayetal. 10/1989 Vich

213382; 5% ’ ’

$88} gain? 1 a1 ’ r'eta'

6,200,322 B1

3/2001 Brarlchetal.

$588} @231“)

4,898,161 A

2/1990 Grundei

252%??? 5%

4,997,432 A

3/1991 Keller ...................... .. 623/17.11

6’277’122 B1

5,015,247 A

5/1991 Michelson

6,319,257 B1

8/2001 McGahan

11/2001 Cari nan etal

5,019,081 A

5/1991 Watanabe

6’436’119 B1

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8/2002 Ralph ei'al.

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18%;} $511613“

5,059,194 5,122,130 A

10/1991 6/1992 Michelson Keller ~~~~~~~~~~~~~~~~~~~~~~~ ~~ 606/86A

5,139,507 A 5,213,112 A 5,254,128 A

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6,478,800 B1* 11/2002 Fraser etal. .................. .. 606/99 2%???2 635753981 5% B1

80992 D91g1n etaL 50993 lea “A 10/1993 Mesa

iggg; 6/2003 Boydetalt

6,582,437 B2

6/2003 Dorchak etal.

6,589,247 B2 6,599,291 B1

7/2003 MoGahan etal. 7/2003 Foleyetal. 7/2003

5,292,329 A

“994 Werner

6,599,294 B2*

2,3833)? A 5,314,477 A 5:403:337 A

$33: VBflaban etalL 5/1994 Mirggfreta' 4/1995 Platts y

6,648,888 B1 11/2003 Shluzas 6,648,895 B2 11/2003 Burkusetal. 2333;? 5% lggggi in?

Fussetal. ..................... .. 606/99

5,423,843 A

6/1995 Werner

6,719,760 B2

4/2004 Dgréhak etal

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7/1995 Moskovich ................... .. 606/99

637433234 B2

6/2004 Burkuset 31"

5,431,672 A

7/1995 Cote etal

6,755,841 B2*

5,443,514 A

8/1995 Steffee

6,814,737 B2

6/2004 Fraser etal. .................. .. 606/99

11/2004 Cauthen

5,481,804 A

10996 Plims

5,484,437 A

10996 M1?h?lson

2001/0029377 A1

7,118,580 B1* 10/2006 Beyersdorffetal. ......... .. 606/99

2,232,339 A

31332 ?zicllggnd

2001/0031968 A1 10/2001 Dorchak etal.

10/2001 Aebi

5,531,754 A

7/1996 Shackelford, Sr. et al.

5885932249, 2}

2,2252? 2

ig?ggg iabYd‘?tal~ l

2002/0143343 A1 10/2002 Castro

5,569,282 A ’

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l

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2002/0198532 A1

lggggé ?eb‘etal' olmes et a1. 12/2002 Miohelson

.

2003/0069586 A1

4/2003

11/1996 Bertagnoh

2003/0078590 A1

4/2003 Errico etal.

Errlco etal.

2,2233; A

12633; gaberetalf

2003/0149438 A1

8/2003 Nichols et al.

5645597 A

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2003/0212404 A1

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.

2003/0225416 A1

12/2003

’

l

2,232,232 A

5,683,464 A 1

P

$133;

if;

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’

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2004/0078079 A1

Bonvalletetal.

2/2004 Weber

4/2004 Foley

2004/0102790 A1

5/2004 Ralph etal.

2004/0106927 A1 2004/0117019 A1 2004/0167535 A1

6/2004 Ruffneretal. 6/2004 Trieu etal. 8/2004 Errico etal.

5,720,751 A 5,722,977 A 5,730,751 A

“998 19919911 “998 W‘lhelmy “998 D1110“ etal'

5,741,253 A

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2004/0167536 A1

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5,779,724 A ’

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.

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2 539082432 A

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A A A A A A A A A A

8/1999 8/1999 9/1999 9/1999 12/1999 1/2000 2/2000 3/2000 5/2000 5/2000

6,080,155

A

6/2000

6,083,225 A 6,083,228 A

1/2005

2005/0027300 A1

2/2005 Hawkins etal.

Broughton etal. Korosetal. Schroderetal. Magee etal. Castro etal. Strome etal. Flumene etal. Ray Winslow Farris Michelson

7/2000 Winslow et 31‘ 7/2000 Michelson

Stadetal.

2005/0043741 A1

2/2005 Michelson

2005/0075644 A1

4/2005

2005/0119665 A1

6/2005 Keller

DiPoto etal.

2005/0143747 A1

6/2005 Zuboketal.

2005/0159756 A1

7/2005

2005/0165408 A1

7/2005 Puno etal

Ray

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5,935,151 5,944,658 5,951,564 5,957,927 6,004,326 6,015,419 6,022,364 6,042,582 6,063,088 6,066,174

11/2004 Zuboketal.

2005/0010213 A1

FOREIGN PATENT DOCUMENTS DE DE DE DE DE EP EP WO W0

29901611 U

4/1999

29916078 29916078 U 20012549 20012549 U 0880938 1153582 00/74605 WO 00/74605

11/1999 11/1999 10/2000 10/2000 12/1998 11/2001 12/2000 12/2000

OTHER PUBLICATIONS “

_

_

_

_

_

Rutsky,V.V.andValkav,A.N., De51gn1ngadynam1c splnal dlstrac tor,”MedTekh.4:29-32(1995).

US RE43,317 E Page 3 SynMesh System, Original Instruments and Implants of the Associ

Metronic Sofamor Danek, “Catalyst Anterior Instrument Set,” pp.

ate for the Study of Internal Fixation.

1-10 (2004).

Demetropoulas, C.K., Truumees, E., HerkowitZ, H.N. and Yang,

Capasso, G. Velotti A. and AuZino, G., “Mechanical Behavior of Two Types of Vertebral Distractors Submitted to Compression-FleXion

K.H., “Development and calivration of a load sensing cervical

distractor capable of withstanding autoclave sterilization,” Med Eng

Phys. 27(4):343-6 (2005). Spinal Correction FRA Spacer Instruments, pp. 2-10.

Metronic, “Parallel Tissue Offerings,” (2004).

Tests,” Ital J. Orthop Traumatol. 13(1)1121-6 (1987). Technical Manual “Keystone Graft Instruments Anterior Cervical

Surgical Technique”, Depuy Motech. * cited by examiner

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