CA2495763A1 - Systems, methods and apparatuses for clamping and reclamping an orthopedic surgical cable - Google Patents

Systems, methods and apparatuses for clamping and reclamping an orthopedic surgical cable Download PDF

Info

Publication number
CA2495763A1
CA2495763A1 CA002495763A CA2495763A CA2495763A1 CA 2495763 A1 CA2495763 A1 CA 2495763A1 CA 002495763 A CA002495763 A CA 002495763A CA 2495763 A CA2495763 A CA 2495763A CA 2495763 A1 CA2495763 A1 CA 2495763A1
Authority
CA
Canada
Prior art keywords
surgical cable
orthopedic surgical
force application
application member
clamping body
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002495763A
Other languages
French (fr)
Other versions
CA2495763C (en
Inventor
C. Wayne Allen
Kevin Belew
Alisha Bergin
Phil Frederick
Jerry L. Jones
David C. Kelman
Richard D. Lambert
Terry Mc Lean
Jeffrey J. Shea
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Smith and Nephew Inc
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CA2738695A priority Critical patent/CA2738695C/en
Publication of CA2495763A1 publication Critical patent/CA2495763A1/en
Application granted granted Critical
Publication of CA2495763C publication Critical patent/CA2495763C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones

Abstract

Systems, methods and apparatus relating to orthopedic cable clamps are disclosed, especially a surgical cable clamp for clamping and reclamping an orthopedic surgical cable used in conjunction with an orthopedic implant device, a bone, and/or bone implant or structure. The surgical cable clamp does not damage the orthopedic surgical cable when then the surgical cable is operated or clamped with respect to the surgical cable. While the surgical cable is operated or in use, tension can be maintained on the orthopedic surgical cable.
Furthermore, the surgical cable clamp can be reused along with the same surgical cable when the surgical cable clamp is unclamped and reclamped with respect to the orthopedic implant device, a bone, and/or bone implant or structure. Such systems, methods, and apparatuses are particularly useful for surgeons installing an orthopedic surgical cable within a patient's body, and attempting to tension and retension the orthopedic cable with respect to the installation of an orthopedic implant device, a bone, and/or bone implant or structure in the patient's body.

Claims (110)

1. A combination of an orthopedic surgical cable and clamp, comprising:
an orthopedic surgical cable adapted to be installed relative to a bone in a patient, in order to apply a force to the bone;
a clamping body adapted to restrain a first portion of the orthopedic surgical cable;
a clamping mechanism adapted to cooperate with the clamping body to capture a second portion of the orthopedic surgical cable between the clamping mechanism and the clamping body;
a force application member connected to the clamping body and clamping mechanism, the force application member adapted to be manipulated in order to force the clamping body and clamping mechanism to grip the second portion of the orthopedic surgical cable in a manner whereby the force and consequent gripping are subject to gradual control by manipulation of the force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable;
whereby the orthopedic surgical cable and clamp are adapted to allow the orthopedic surgical cable to be tensioned and secured by the clamp at a first tension, and further adapted to allow the orthopedic surgical cable to be subsequently tensioned and secured by the clamp at a second tension without loss of tension due to nonalignment of the clamp relative to the orthopedic surgical cable.
2. The combination of Claim 1, wherein:
the force applied by the orthopedic cable to the bone is compression.
3. The combination of Claim 1, wherein:
the clamping body restrains the first portion of the orthopedic surgical cable using a larger end of the cable which is restrained by the clamping body.
4. The combination of Claim 3, wherein the larger end of the cable is a bead formed at an end of the cable.
5. The combination of Claim 1, wherein:
the force application member is adapted to force the clamping body and clamping mechanism towards each other.
6. The combination of Claim 1, wherein:
the force application member is adapted to force the clamping body and clamping mechanism apart from each other.
7. The combination of Claim 1, wherein:
the clamping body and the clamping member are integrated into a single piece.
8. The combination of Claim 1, wherein:
the clamping body is an orthopedic device selected from a group consisting of: a trochanteric grip and a bone plate.
9. The combination of Claim 1, wherein:
the clamping member is an orthopedic device selected from a group consisting of: a trochanteric grip and a bone plate.
10. The combination of Claim 1, wherein:
a threaded portion of the force application member is adapted to engage a threaded portion of the clamping body.
11. The combination of Claim 1, wherein:

a threaded portion of the force application member is adapted to engage a threaded portion of the clamping mechanism.
12. The combination of Claim 1, wherein:
the orthopedic surgical cable comprises:
one end connected to a restraint member having a larger diameter than the end;
the clamping body comprises:
a hole adapted to receive the first portion of the orthopedic surgical cable, and further adapted to have a diameter smaller than the restraint member;
a hole adapted to receive the force application member;
a channel adapted to receive the second portion of the orthopedic surgical cable; and the clamping mechanism comprises:
a hole adapted to receive the force application member.
13. A combination of an orthopedic surgical cable and clamp, comprising:
an orthopedic surgical cable adapted to be installed relative to a bone in a patient, in order to apply a force to the bone;
a clamping body adapted to receive a first portion and a second portion of the orthopedic surgical cable;
a clamping mechanism adapted to cooperate with the clamping body to capture the first portion and the second portion of the orthopedic surgical cable between the clamping mechanism and the clamping body;
a force application member connected to the clamping body and clamping mechanism, the force application member adapted to be manipulated in order to force the clamping body and clamping mechanism to grip the first and second portions of the orthopedic surgical cable in a manner whereby the force and consequent gripping are subject to gradual control by manipulation of the threaded force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable;
whereby the orthopedic surgical cable and clamp are adapted to allow the orthopedic surgical cable to be tensioned and secured by the clamp at a first tension, and further adapted to allow the orthopedic surgical cable to be subsequently tensioned and secured by the clamp at a second tension without loss of tension due to nonalignment of the clamp relative to the orthopedic surgical cable.
14. The combination of Claim 13, wherein:
the force applied by the orthopedic cable to the bone is compression.
15. The combination of Claim 13, wherein:
the orthopedic surgical cable includes a larger end of the cable which is restrained by the cooperation of the clamping body and the clamping mechanism.
16. The combination of Claim 15, wherein the larger end of the cable is a bead formed at an end of the cable.
17. The combination of Claim 13, wherein:
the force application member is adapted to force the clamping body and clamping mechanism towards each other.
18. The combination of Claim 13, wherein:
the force application member is adapted to force the clamping body and clamping mechanism apart from each other.
19. The combination of Claim 13, wherein:
the clamping body and the clamping member are integrated into a single piece.
20. The combination of Claim 13, wherein:
the clamping body is an orthopedic device selected from a group consisting of: a trochanteric grip and a bone plate.
21. The combination of Claim 13, wherein:
the clamping member is an orthopedic device selected from a group consisting of: a trochanteric grip and a bone plate.
22. The combination of Claim 13, wherein:
a threaded portion of the force application member is adapted to engage a threaded portion of the clamping body.
23. The combination of Claim 13, wherein:
a threaded portion of the force application member is adapted to engage a threaded portion of the clamping mechanism.
24. A combination of an orthopedic surgical cable and clamp, comprising:
an orthopedic surgical cable adapted to be installed relative to a bone in a patient, in order to apply a force to the bone;
a clamping body adapted to receive a first portion of the orthopedic surgical cable;
a clamping mechanism adapted to cooperate with the clamping body to capture a second portion of the orthopedic surgical cable between the clamping mechanism and the clamping body;
a force application member connected to the clamping body and clamping mechanism, the force application member adapted to be activated in order to force the clamping body and clamping mechanism to grip the first and second portions of the orthopedic surgical cable in a manner whereby the force and consequent gripping are subject to gradual control by the force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable;
whereby the orthopedic surgical cable and clamp are adapted to allow the orthopedic surgical cable to be tensioned and secured by the clamp at a first tension, and further adapted to allow the orthopedic surgical cable to be subsequently tensioned and secured by the clamp at a second tension without loss of tension due to nonalignment of the clamp relative to the orthopedic surgical cable.
25. The combination of Claim 24, wherein:
the force applied by the orthopedic cable to the bone is compression.
26. The combination of Claim 24, wherein:
the orthopedic surgical cable includes a larger end of the cable which is restrained by the cooperation of the clamping body and the clamping mechanism.
27. The combination of Claim 26, wherein the larger end of the cable is a bead formed at an end of the cable.
28. The combination of Claim 24, wherein:
the force application member is adapted to force the clamping body and clamping mechanism towards each other.
29. The combination of Claim 24, wherein:
the force application member is adapted to force the clamping body and clamping mechanism apart from each other.
30. The combination of Claim 24, wherein:

the clamping body and the clamping member are integrated into a single piece.
31. The combination of Claim 24, wherein:
the clamping body is an orthopedic device selected from a group consisting of: a trochanteric grip and a bone plate.
32. The combination of Claim 24, wherein:
the clamping member is an orthopedic device selected from a group consisting of: a trochanteric grip and a bone plate.
33. The combination of Claim 24, wherein:
the force application member is selected from a group consisting of: an elastic member, a shape-memory member, a memory metal member, a heat activated member, a force activated member, an electrically-activated member, and a magnetically-activated member.
34. A surgical method for using a surgical cable clamp with an orthopedic surgical cable for installation with respect to a patient's body, comprising:
providing an orthopedic surgical cable and a surgical cable clamp, the surgical cable clamp comprising a clamping body, a clamping mechanism, and a force application member;
mounting the surgical cable clamp relative to a bone in a patient's body;
restraining a first portion of the orthopedic surgical cable relative to the clamping body;
capturing a second portion of the orthopedic surgical cable between the clamping mechanism and the clamping body;
connecting the force application member to the clamping body and the clamping mechanism;

gripping the second portion of the orthopedic surgical cable between the clamping body and clamping mechanism by manipulating the force application member in a first direction so that the gripping is subject to gradual control by manipulation of the force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable, thus maintaining a first tension in the orthopedic surgical cable;
releasing the first tension in the orthopedic surgical cable by manipulating the force application member in an opposing direction to the first direction so that the orthopedic surgical cable can be repositioned between the clamping mechanism and the clamping body; and gripping the second portion of the orthopedic surgical cable between the clamping body and clamping mechanism by manipulating the force application member in the first direction so that consequent gripping is subject to gradual control by manipulation of the force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable, thus maintaining a second tension in the orthopedic surgical cable.
35. The method of Claim 34, wherein securing a first portion of the orthopedic surgical cable relative to the clamping body further comprises:
restraining a larger end of the cable with the clamping body.
36. The method of Claim 35, wherein the larger end of the cable is a fitting mounted to an end of the cable.
37. The method of Claim 34, wherein the surgical cable clamp is incorporated into a prefabricated device selected from a group consisting of: an orthopedic device, a bone plate, or a trochanteric grip.
38. The method of Claim 34, wherein the surgical cable clamp is a stand alone type device.
39. The method of Claim 34, wherein gripping the second portion of the orthopedic surgical cable between the clamping body and clamping mechanism by manipulating the force application member in a first direction so that the gripping is subject to gradual control by manipulation of the force application member, further comprises:
forcing the clamping body and clamping mechanism apart from each other.
40. The method of Claim 34, wherein gripping the second portion of the orthopedic surgical cable between the clamping body and clamping mechanism by manipulating the force application member in a first direction so that the gripping is subject to gradual control by manipulation of the force application member, further comprises:
forcing the clamping body and clamping mechanism towards each other.
41. A surgical method for using a surgical cable clamp with an orthopedic surgical cable for installation with respect to a patient's body, comprising:
providing an orthopedic surgical cable and a surgical cable clamp, the surgical cable clamp comprising a clamping body, a clamping mechanism, and a force application member;
mounting the clamping body to a bone in a patient's body;
connecting a first portion of the orthopedic surgical cable to the clamping body;
wrapping a remaining portion of the orthopedic surgical cable around a part of a patient's bone;
connecting a second portion of the orthopedic surgical cable to the clamping body;

capturing the first portion and second portion of the orthopedic surgical cable between the clamping body and clamping mechanism, connecting the force application member to the clamping body and clamping mechanism;

gripping the first and second portions of the orthopedic surgical cable between the clamping body and the clamping mechanism by manipulating the force application member in a first direction so that the consequent gripping is subject to gradual control by the force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable, thus maintaining a first tension in the orthopedic surgical cable;

releasing the first tension in the orthopedic surgical cable by manipulating the force application member in a second direction so that the orthopedic surgical cable can be repositioned between the clamping mechanism and the clamping body; and gripping the first and second portions of the orthopedic surgical cable between the clamping body and the clamping mechanism by manipulating the force application member in the first direction so that the consequent gripping is subject to gradual control by the force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable, thus maintaining a second tension in the orthopedic surgical cable.
42. The method of Claim 34, wherein connecting a first portion of the orthopedic surgical cable to the clamping body further comprises:

restraining a larger end of the cable with the clamping body.
43. The method of Claim 42, wherein the larger end of the cable is a fitting mounted to an end of the cable.
44. The method of Claim 42, wherein the surgical cable clamp is incorporated into a prefabricated device selected from a group consisting of: an orthopedic device, a bone plate, or a trochanteric grip.
45. The method of Claim 42, wherein the surgical cable clamp is a stand alone type device.
46. The method of Claim 42, wherein gripping the first and second portions of the orthopedic surgical cable between the clamping body and the clamping mechanism by manipulating the force application member in a first direction so that the consequent gripping is subject to gradual control by the force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable, further comprises:
forcing the clamping body and clamping mechanism apart from each other.
47. The method of Claim 34, wherein gripping the first and second portions of the orthopedic surgical cable between the clamping body and the clamping mechanism by manipulating the force application member in a first direction so that the consequent gripping is subject to gradual control by the force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable, further comprises:
forcing the clamping body and clamping mechanism towards each other.
48. A surgical method for using a surgical cable clamp with an orthopedic surgical cable for installation with respect to a patient's body, comprising:

providing an orthopedic surgical cable and a surgical cable clamp, the surgical cable clamp comprising a clamping body, a clamping mechanism, and a force application member;
mounting the surgical cable clamp to a bone in the patient's body;
restraining a first portion of the orthopedic surgical cable with the surgical cable clamp;
wrapping a remaining portion of the orthopedic surgical cable around a part of the patient's bone;
capturing an extended portion of the orthopedic surgical cable between the clamping body and the clamping mechanism;
gripping the extended portion of the orthopedic surgical cable between the clamping body and the clamping mechanism by activating the force application member so that the consequent gripping is subject to gradual control by the force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable, thus maintaining a first tension in the orthopedic surgical cable;
deactivating the force application member so that the first tension can be released and the orthopedic surgical cable can be repositioned between the clamping mechanism and the clamping body;
and gripping the extended portion of the orthopedic surgical cable between the clamping body and the clamping mechanism together by activating the force application member so that the clamping body and clamping mechanism grip the extended portion of the orthopedic surgical cable in a manner whereby the force and consequent gripping are subject to gradual control by the force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable, thus maintaining a second tension in the orthopedic surgical cable.
49. The method of Claim 42, wherein:

the force application member is adapted to force the clamping body and clamping mechanism towards each other.
50. The method of Claim 42, wherein:
the force application member is adapted to force the clamping body and clamping mechanism apart from each other.
51. The method of Claim 42, wherein:
the force application member is selected from a group consisting of: an elastic member, a shape-memory member, a memory metal member, a heat activated member, a force activated member, an electrically-activated member, and a magnetically-activated member.
52. A surgical method for using a surgical cable clamp with an orthopedic surgical cable for installation of a device with respect to a patient's body, comprising:
providing a device, an orthopedic surgical cable, and a surgical cable clamp, wherein the surgical cable clamp includes a threaded force application member;
restraining a first portion of the orthopedic surgical cable to a device;
mounting the device to a part of the patient's body;
wrapping an extended portion of the orthopedic surgical cable around a part of a patient's body;
capturing the extended portion of the orthopedic surgical cable between the surgical cable clamp and device;
connecting the threaded force application member to the surgical cable clamp;
gripping the extended portion of the orthopedic surgical cable between the surgical cable clamp and device by manipulating the threaded force application member in a first direction so that the surgical cable clamp and device grip the extended portion of the orthopedic surgical cable in a manner whereby the consequent gripping is subject to gradual control by the threaded force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable, thus maintaining a first tension in the orthopedic surgical cable;
releasing the first tension in the orthopedic surgical cable by manipulating the threaded force application member in a second direction so that the first tension can be released and the orthopedic surgical cable can be repositioned between the surgical cable clamp and device; and gripping the extended portion of the orthopedic surgical cable between the surgical cable clamp and device together by manipulating the threaded force application member in the first direction so that the surgical cable clamp and device grip the orthopedic surgical cable in a manner whereby consequent gripping is subject to gradual control by the threaded force application member and the gripping does not cause nonalignment of the clamp relative to the orthopedic surgical cable thus maintaining a second tension in the orthopedic surgical cable.
53. The method of Claim 52, wherein the device is selected from a group consisting of: an orthopedic device, a bone plate, and a trochanteric grip.
54. The method of Claim 52, wherein the surgical cable clamp is incorporated into a prefabricated orthopedic device.
55. The method of Claim 52, wherein the surgical cable clamp is a stand alone type device.
56. A combination of an orthopedic surgical cable and clamp, comprising:
an orthopedic surgical cable adapted to be installed relative to a bone in a patient, in order to apply a force to the bone;
a clamping body adapted to secure a first portion of the orthopedic surgical cable to the clamping body;
a clamping mechanism adapted to cooperate with the clamping body to capture a second portion of the orthopedic surgical cable between the clamping mechanism and the clamping body;
a threaded force application member connected to the clamping body and clamping mechanism, the threaded force application member adapted to be rotated in order to force the clamping body and clamping mechanism to grip the second portion of the orthopedic surgical cable in a manner whereby the force and consequent gripping are subject to gradual control by rotation of the threaded force application member;
whereby the orthopedic surgical cable and clamp are adapted to allow the orthopedic surgical cable to be tensioned and secured by the clamp at a first tension, and further adapted to allow the orthopedic surgical cable to be subsequently tensioned and secured by the clamp at a second tension.
57. The combination of Claim 56, wherein:
the force applied by the orthopedic cable to the bone is tension.
58. The combination of Claim 56, wherein:
the clamping body secures the first portion of the orthopedic surgical cable using a larger end of the cable which is restrained by the clamping body.
59. The combination of Claim 58, wherein the larger end of the cable is a fitting mounted to an end of the cable.
60. The combination of Claim 56, wherein:
the threaded force application member is adapted to force the clamping body and clamping mechanism towards each other.
61. The combination of Claim 56, wherein:
the threaded force application member is adapted to force the clamping body and clamping mechanism apart from each other.
62. The combination of Claim 56, wherein:
the clamping body and the clamping member are integrated into a single piece.
63. The combination of Claim 56, wherein:
the clamping body is an orthopedic device selected from a group consisting of: a trochanteric grip and a bone plate.
64. The combination of Claim 56, wherein:
the clamping member is an orthopedic device selected from a group consisting of: a trochanteric grip and a bone plate.
65. The combination of Claim 56, wherein:
the threaded portion of the threaded force application member is adapted to engage a threaded portion of the clamping body.
66. The combination of Claim 56, wherein:
the threaded portion of the threaded force application member is adapted to engage a threaded portion of the clamping mechanism.
67. The combination of Claim 56, wherein:

the orthopedic surgical cable comprises:
one end connected to a restraint member having a larger diameter than the end;
the clamping body comprises:
a hole adapted to receive the first portion of the orthopedic surgical cable, and further adapted to have a diameter smaller than the restraint member;
a hole adapted to receive the threaded force application member;
a channel adapted to receive the second portion of the orthopedic surgical cable; and the clamping mechanism comprises:
a hole adapted to receive the threaded force application member.
68. A combination of an orthopedic surgical cable and clamp, comprising:
an orthopedic surgical cable adapted to be installed relative to a bone in a patient, in order to apply a force to the bone;
a clamping body adapted to receive a first portion and a second portion of the orthopedic surgical cable;
a clamping mechanism adapted to cooperate with the clamping body to capture the first portion and the second portion of the orthopedic surgical cable between the clamping mechanism and the clamping body;
a threaded force application member connected to the clamping body and clamping mechanism, the threaded force application member adapted to be rotated in order to force the clamping body and clamping mechanism to grip the first and second portions of the orthopedic surgical cable in a manner whereby the force and consequent gripping are subject to gradual control by rotation of the threaded force application member;

whereby the orthopedic surgical cable and clamp are adapted to allow the orthopedic surgical cable to be tensioned and secured by the clamp at a first tension, and further adapted to allow the orthopedic surgical cable to be subsequently tensioned and secured by the clamp at a second tension.
69. The combination of Claim 68, wherein:
the force applied by the orthopedic cable to the bone is tension.
70. The combination of Claim 68, wherein:
the orthopedic surgical cable includes a larger end of the cable which is restrained by the cooperation of the clamping body and the clamping mechanism.
71. The combination of Claim 70, wherein the larger end of the cable is a fitting mounted to an end of the cable.
72. The combination of Claim 68, wherein:
the threaded force application member is adapted to force the clamping body and clamping mechanism towards each other.
73. The combination of Claim 68, wherein:
the threaded force application member is adapted to force the clamping body and clamping mechanism apart from each other.
74. The combination of Claim 68, wherein:
the clamping body and the clamping member are integrated into a single piece.
75. The combination of Claim 68, wherein:

the clamping body is an orthopedic device selected from a group consisting of: a trochanteric grip and a bone plate.
76. The combination of Claim 68, wherein:
the clamping member is an orthopedic device selected from a group consisting of: a trochanteric grip and a bone plate.
77. The combination of Claim 68, wherein:
the threaded portion of the threaded force application member is adapted to engage a threaded portion of the clamping body.
78. The combination of Claim 68, wherein:
the threaded portion of the threaded force application member is adapted to engage a threaded portion of the clamping mechanism.
79. A combination of an orthopedic surgical cable and clamp, comprising:
an orthopedic surgical cable adapted to be installed relative to a bone in a patient, in order to apply a force to the bone;
a clamping body adapted to receive a first portion of the orthopedic surgical cable;
a clamping mechanism adapted to cooperate with the clamping body to capture a second portion of the orthopedic surgical cable between the clamping mechanism and the clamping body;
a force application member connected to the clamping body and clamping mechanism, the force application member adapted to be activated in order to force the clamping body and clamping mechanism to grip the first and second portions of the orthopedic surgical cable in a manner whereby the force and consequent gripping are subject to gradual control by the force application member;
whereby the orthopedic surgical cable and clamp are adapted to allow the orthopedic surgical cable to be tensioned and secured by the clamp at a first tension, and further adapted to allow the orthopedic surgical cable to be subsequently tensioned and secured by the clamp at a second tension.
80. The combination of Claim 79, wherein:
the force applied by the orthopedic cable to the bone is tension.
81. The combination of Claim 79, wherein:
the orthopedic surgical cable includes a larger end of the cable which is restrained by the cooperation of the clamping body and the clamping mechanism.
82. The combination of Claim 81, wherein the larger end of the cable is a fitting mounted to an end of the cable.
83. The combination of Claim 79, wherein:
the force application member is adapted to force the clamping body and clamping mechanism towards each other.
84. The combination of Claim 79, wherein:
the force application member is adapted to force the clamping body and clamping mechanism apart from each other.
85. The combination of Claim 79, wherein:
the clamping body and the clamping member are integrated into a single piece.
86. The combination of Claim 79, wherein:
the clamping body is an orthopedic device selected from a group consisting of: a trochanteric grip and a bone plate.
87. The combination of Claim 79, wherein:
the clamping member is an orthopedic device selected from a group consisting of: a trochanteric grip and a bone plate.
88. The combination of Claim 79, wherein:
the force application member is selected from a group consisting of: an elastic member, a shape-memory member, a memory metal member, a heat activated member, a force activated member, an electrically-activated member, and a magnetically-activated member.
89. A surgical method for reusing a surgical cable clamp with an orthopedic surgical cable for installation with respect to a patient's body, comprising:
providing an orthopedic surgical cable and a surgical cable clamp, the surgical cable clamp comprising a clamping body, a clamping mechanism, and a threaded force application member;
mounting the surgical cable clamp relative to a bone in a patient's body;
securing a first portion of the orthopedic surgical cable relative to the clamping body;
capturing a second portion of the orthopedic surgical cable between the clamping mechanism and the clamping body;
connecting the threaded force application member to the clamping body and the clamping mechanism;
gripping the second portion of the orthopedic surgical cable between the clamping body and clamping mechanism by rotating the threaded force application member in a first direction so that the gripping is subject to gradual control by rotation of the threaded force application member, thus creating a first tension in the orthopedic surgical cable;
releasing the first tension in the orthopedic surgical cable by rotating the threaded force application member in an opposing direction to the first direction so that the orthopedic surgical cable can be repositioned between the clamping mechanism and the clamping body; and gripping the second portion of the orthopedic surgical cable between the clamping body and clamping mechanism by rotating the threaded force application member in the first direction so that consequent gripping is subject to gradual control by rotation of the threaded force application member, thus creating a second tension in the orthopedic surgical cable.
90. The method of Claim 89, wherein securing a first portion of the orthopedic surgical cable relative to the clamping body further comprises:
restraining a larger end of the cable with the clamping body.
91. The method of Claim 90, wherein the larger end of the cable is a fitting mounted to an end of the cable.
92. The method of Claim 89, wherein the surgical cable clamp is incorporated into a prefabricated device selected from a group consisting of: an orthopedic device, a bone plate, or a trochanteric grip.
93. The method of Claim 89, wherein the surgical cable clamp is a stand alone type device.
94. The method of Claim 89, wherein gripping the second portion of the orthopedic surgical cable between the clamping body and clamping mechanism by rotating the threaded force application member in a first direction so that the gripping is subject to gradual control by rotation of the threaded force application member, further comprises:
forcing the clamping body and clamping mechanism apart from each other.
95. The method of Claim 89, wherein gripping the second portion of the orthopedic surgical cable between the clamping body and clamping mechanism by rotating the threaded force application member in a first direction so that the gripping is subject to gradual control by rotation of the threaded force application member, further comprises:
forcing the clamping body and clamping mechanism towards each other.
96. A surgical method for reusing a surgical cable clamp with an orthopedic surgical cable for installation with respect to a patient's body, comprising:
providing an orthopedic surgical cable and a surgical cable clamp, the surgical cable clamp comprising a clamping body, a clamping mechanism, and a threaded force application member;
mounting the clamping body to a bone in a patient's body;
connecting a first portion of the orthopedic surgical cable to the clamping body;
wrapping a remaining portion of the orthopedic surgical cable around a part of a patient's bone;
connecting a second portion of the orthopedic surgical cable to the clamping body;
capturing the first portion and second portion of the orthopedic surgical cable between the clamping body and clamping mechanism, connecting the threaded force application member to the clamping body and clamping mechanism;
gripping the first and second portions of the orthopedic surgical cable between the clamping body and the clamping mechanism by rotating the threaded force application member in a first direction so that the consequent gripping is subject to gradual control by the threaded force application member, thus creating a first tension in the orthopedic surgical cable;

releasing the first tension in the orthopedic surgical cable by rotating the threaded force application member in a second direction so that the orthopedic surgical cable can be repositioned between the clamping mechanism and the clamping body; and gripping the first and second portions of the orthopedic surgical cable between the clamping body and the clamping mechanism by rotating the threaded force application member in the first direction so that the consequent gripping is subject to gradual control by the threaded force application member, thus creating a second tension in the orthopedic surgical cable.
97. The method of Claim 89, wherein connecting a first portion of the orthopedic surgical cable to the clamping body further comprises:
restraining a larger end of the cable with the clamping body.
98. The method of Claim 97, wherein the larger end of the cable is a fitting mounted to an end of the cable.
99. The method of Claim 97, wherein the surgical cable clamp is incorporated into a prefabricated device selected from a group consisting of: an orthopedic device, a bone plate, or a trochanteric grip.
100. The method of Claim 97, wherein the surgical cable clamp is a stand alone type device.
101. The method of Claim 97, wherein gripping the first and second portions of the orthopedic surgical cable between the clamping body and the clamping mechanism by rotating the threaded force application member in a first direction so that the consequent gripping is subject to gradual control by the threaded force application member, further comprises:

forcing the clamping body and clamping mechanism apart from each other.
102. The method of Claim 89, wherein gripping the first and second portions of the orthopedic surgical cable between the clamping body and the clamping mechanism by rotating the threaded force application member in a first direction so that the consequent gripping is subject to gradual control by the threaded force application member, further comprises:
forcing the clamping body and clamping mechanism towards each other.
103. A surgical method for reusing a surgical cable clamp with an orthopedic surgical cable for installation with respect to a patient's body, comprising:
providing an orthopedic surgical cable and a surgical cable clamp, the surgical cable clamp comprising a clamping body, a clamping mechanism, and a force application member;
mounting the surgical cable clamp to a bone in the patient's body;
securing a first portion of the orthopedic surgical cable with the surgical cable clamp;
wrapping a remaining portion of the orthopedic surgical cable around a part of the patient's bone;
capturing an extended portion of the orthopedic surgical cable between the clamping body and the clamping mechanism;
gripping the extended portion of the orthopedic surgical cable between the clamping body and the clamping mechanism by activating the force application member so that the consequent gripping is subject to gradual control by the force application member, thus creating a first tension in the orthopedic surgical cable;
deactivating the force application member so that the first tension can be released and the orthopedic surgical cable can be repositioned between the clamping mechanism and the clamping body;
and gripping the extended portion of the orthopedic surgical cable between the clamping body and the clamping mechanism together by activating the force application member so that the clamping body and clamping mechanism grip the extended portion of the orthopedic surgical cable in a manner whereby the force and consequent gripping are subject to gradual control by the force application member, thus creating a second tension in the orthopedic surgical cable.
104. The method of Claim 97, wherein:
the force application member is adapted to force the clamping body and clamping mechanism towards each other.
105. The method of Claim 97, wherein:
the force application member is adapted to force the clamping body and clamping mechanism apart from each other.
106. The method of Claim 97, wherein:
the force application member is selected from a group consisting of: an elastic member, a shape-memory member, a memory metal member, a heat activated member, a force activated member, an electrically-activated member, and a magnetically-activated member.
107. A surgical method for using a surgical cable clamp with an orthopedic surgical cable for installation of a device with respect to a patient's body, comprising:
providing a device, an orthopedic surgical cable, and a surgical cable clamp, wherein the surgical cable clamp includes a threaded force application member;
securing a first portion of the orthopedic surgical cable to a device;

mounting the device to a part of the patient's body;
wrapping an extended portion of the orthopedic surgical cable around a part of a patient's body;
capturing the extended portion of the orthopedic surgical cable between the surgical cable clamp and device;
connecting the threaded force application member to the surgical cable clamp;
gripping the extended portion of the orthopedic surgical cable between the surgical cable clamp and device by rotating the threaded force application member in a first direction so that the surgical cable clamp and device grip the extended portion of the orthopedic surgical cable in a manner whereby the consequent gripping is subject to gradual control by the threaded force application member, thus creating a first tension in the orthopedic surgical cable;
releasing the first tension in the orthopedic surgical cable by rotating the threaded force application member in a second direction so that the first tension can be released and the orthopedic surgical cable can be repositioned between the surgical cable clamp and device; and gripping the extended portion of the orthopedic surgical cable between the surgical cable clamp and device together by rotating the threaded force application member in the first direction so that the surgical cable clamp and device grip the orthopedic surgical cable in a manner whereby consequent gripping is subject to gradual control by the threaded force application member, thus creating a second tension in the orthopedic surgical cable.
108. The method of Claim 107, wherein the device is selected from a group consisting of: an orthopedic device, a bone plate, and a trochanteric grip.
109. The method of Claim 107, wherein the surgical cable clamp is incorporated into a prefabricated orthopedic device.
110. The method of Claim 107, wherein the surgical cable clamp is a stand alone type device.
CA2495763A 2002-08-28 2003-06-06 Systems, methods and apparatuses for clamping and reclamping an orthopedic surgical cable Expired - Fee Related CA2495763C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA2738695A CA2738695C (en) 2002-08-28 2003-06-06 Systems, methods and apparatuses for clamping and reclamping an orthopedic surgical cable

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/230,040 US7250054B2 (en) 2002-08-28 2002-08-28 Systems, methods, and apparatuses for clamping and reclamping an orthopedic surgical cable
US10/230,040 2002-08-28
PCT/US2003/017965 WO2004019797A2 (en) 2002-08-28 2003-06-06 Systems, methods and apparatuses for clamping and reclamping an orthopedic surgical cable

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CA2738695A Division CA2738695C (en) 2002-08-28 2003-06-06 Systems, methods and apparatuses for clamping and reclamping an orthopedic surgical cable

Publications (2)

Publication Number Publication Date
CA2495763A1 true CA2495763A1 (en) 2004-03-11
CA2495763C CA2495763C (en) 2011-05-17

Family

ID=31976389

Family Applications (2)

Application Number Title Priority Date Filing Date
CA2738695A Expired - Fee Related CA2738695C (en) 2002-08-28 2003-06-06 Systems, methods and apparatuses for clamping and reclamping an orthopedic surgical cable
CA2495763A Expired - Fee Related CA2495763C (en) 2002-08-28 2003-06-06 Systems, methods and apparatuses for clamping and reclamping an orthopedic surgical cable

Family Applications Before (1)

Application Number Title Priority Date Filing Date
CA2738695A Expired - Fee Related CA2738695C (en) 2002-08-28 2003-06-06 Systems, methods and apparatuses for clamping and reclamping an orthopedic surgical cable

Country Status (7)

Country Link
US (2) US7250054B2 (en)
EP (1) EP1531745B1 (en)
JP (4) JP2005537087A (en)
AU (2) AU2003238938B8 (en)
CA (2) CA2738695C (en)
ES (1) ES2598377T3 (en)
WO (1) WO2004019797A2 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8608742B2 (en) 2005-10-13 2013-12-17 DePuy Synthes Products, LLC Cable and crimp for bone surgery

Families Citing this family (148)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8475504B2 (en) * 2007-07-19 2013-07-02 Acumed Llc Method of bone fixation with slender spanning members disposed outside bone
FR2842724B1 (en) 2002-07-23 2005-05-27 Spine Next Sa VERTEBRAL FASTENING SYSTEM
US7250054B2 (en) * 2002-08-28 2007-07-31 Smith & Nephew, Inc. Systems, methods, and apparatuses for clamping and reclamping an orthopedic surgical cable
US20060129151A1 (en) * 2002-08-28 2006-06-15 Allen C W Systems and methods for securing fractures using plates and cable clamps
US7179260B2 (en) * 2003-09-29 2007-02-20 Smith & Nephew, Inc. Bone plates and bone plate assemblies
US6986792B2 (en) * 2002-09-13 2006-01-17 Smith & Nephew, Inc. Prostheses
US20040243131A1 (en) * 2003-02-07 2004-12-02 Dirks Christiaan H.P. Bone fixing device
EP1464295A3 (en) * 2003-04-01 2006-04-26 Zimmer GmbH Implant
US8105367B2 (en) 2003-09-29 2012-01-31 Smith & Nephew, Inc. Bone plate and bone plate assemblies including polyaxial fasteners
US7588576B2 (en) * 2003-12-09 2009-09-15 Michael Teague Bone plate holder and screw guide
US7846183B2 (en) 2004-02-06 2010-12-07 Spinal Elements, Inc. Vertebral facet joint prosthesis and method of fixation
EP1748746B1 (en) 2004-05-28 2022-04-27 Smith & Nephew, Inc Fluted intramedullary stem
US9504583B2 (en) 2004-06-10 2016-11-29 Spinal Elements, Inc. Implant and method for facet immobilization
JP2008512147A (en) * 2004-09-07 2008-04-24 スミス アンド ネフュー インコーポレーテッド Minimum thickness bone plate locking mechanism
US8469966B2 (en) * 2004-09-23 2013-06-25 Smith & Nephew, Inc. Systems, methods, and apparatuses for tensioning an orthopedic surgical cable
US7914531B1 (en) * 2004-10-06 2011-03-29 Geller David S Bone fixation system and methods
CA2598027C (en) * 2005-02-22 2013-10-01 Smith & Nephew, Inc. Long sleeves for use with stems
US8696707B2 (en) * 2005-03-08 2014-04-15 Zyga Technology, Inc. Facet joint stabilization
GB0505505D0 (en) * 2005-03-17 2005-04-27 Dall Desmond Meiring Configurable bone fixation system
US8758343B2 (en) 2005-04-27 2014-06-24 DePuy Synthes Products, LLC Bone fixation apparatus
EP1919385B1 (en) 2005-07-25 2014-08-20 Smith & Nephew, Inc. Polyaxial plates
US8382807B2 (en) 2005-07-25 2013-02-26 Smith & Nephew, Inc. Systems and methods for using polyaxial plates
FR2890850B1 (en) 2005-09-20 2009-04-17 Abbott Spine Sa VERTEBRAL FASTENING SYSTEM
FR2890851B1 (en) * 2005-09-21 2008-06-20 Abbott Spine Sa ANCILLARY TO TENSION A FLEXIBLE LINK.
ES2371701T3 (en) * 2005-12-23 2012-01-09 Biedermann Motech Gmbh BONE ANCHORAGE ELEMENT.
BRPI0716133B8 (en) * 2006-08-15 2021-06-22 Swissmedtechsolutions Ag retention plate for trochanter
EP2047813A1 (en) 2007-10-11 2009-04-15 Abbott Spine Bone fixing system and method of use
US20080143831A1 (en) * 2006-12-15 2008-06-19 Daniel David Bowen Systems and methods for user notification in a multi-use environment
US8652137B2 (en) * 2007-02-22 2014-02-18 Spinal Elements, Inc. Vertebral facet joint drill and method of use
US8992533B2 (en) 2007-02-22 2015-03-31 Spinal Elements, Inc. Vertebral facet joint drill and method of use
JP5415288B2 (en) 2007-02-28 2014-02-12 ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング Grooved crimp with set screw
FR2915367B1 (en) * 2007-04-24 2010-09-17 David Attia ENHANCED INTERVERTEBRAL IMPULSE IMPLANT TO ENHANCE CERTAIN INTERBREAK MOVEMENTS
ES2662643T3 (en) * 2007-07-11 2018-04-09 Smith & Nephew, Inc. Methods and apparatus for determining pin placement during hip surgery
WO2009036286A1 (en) * 2007-09-12 2009-03-19 Surgical Energetics, Inc. Medical device and tension member for use in a subject
FR2921248A1 (en) * 2007-09-25 2009-03-27 Abbott Spine Sa DEVICE FOR TIGHTENING TWO PORTIONS OF A BRAID AND INTERVERTEBRAL IMPLANT COMPRISING A BILGE, A BRAID AND A SUCH TIGHTENING DEVICE
US8343189B2 (en) * 2007-09-25 2013-01-01 Zyga Technology, Inc. Method and apparatus for facet joint stabilization
US8142434B2 (en) 2007-10-17 2012-03-27 Stryker Trauma Gmbh Cam-locking of cable for fracture plate
US8128635B2 (en) 2007-10-23 2012-03-06 Zimmer Spine S.A.S. Bone fixation tensioning tool and method
CN103251447B (en) * 2007-11-13 2016-01-27 新特斯有限责任公司 Minimally invasive cerclage system
US8926660B2 (en) * 2008-03-26 2015-01-06 Anthony Alexander Systems and methods of anchoring surgical wires, catheters, and other medical objects
US20090248077A1 (en) * 2008-03-31 2009-10-01 Derrick William Johns Hybrid dynamic stabilization
EP2111810B1 (en) * 2008-04-24 2011-07-06 Zimmer Spine System for stabilizing at least a portion of the spine
US9033985B2 (en) 2008-05-01 2015-05-19 Linares Medical Devices, Llc Composite and surface mounted brace, kit and assembly for supporting a fractured bone
WO2009135146A2 (en) * 2008-05-01 2009-11-05 Linares Medical Devices, Llc Composite and surface mounted brace, kit and assembly for supporting a fractured bone
US8343155B2 (en) 2008-05-15 2013-01-01 Zimmer, Inc. Cable button
ATE534339T1 (en) * 2008-05-20 2011-12-15 Zimmer Spine SYSTEM FOR STABILIZING AT LEAST THREE VERTEBRATES
US8685026B2 (en) * 2008-05-23 2014-04-01 Warsaw Orthopedic, Inc. Devices and methods for releasing tension on a surgical tether
WO2009149407A1 (en) * 2008-06-06 2009-12-10 Simpirica Spine, Inc. Methods and apparatus for locking a band
CA2643678C (en) * 2008-06-12 2016-01-19 Socovar, Societe En Commandite Orthopaedic fixation component and method
US8496659B2 (en) * 2008-07-25 2013-07-30 DePuy Synthes Products, LLC Minimally invasive implant and crimping system
WO2010014119A1 (en) * 2008-07-29 2010-02-04 Synthes (U.S.A) Crimp with an insert to hold a cable
ES2392362T3 (en) * 2008-10-08 2012-12-10 Biedermann Technologies Gmbh & Co. Kg Bone anchoring device and stabilization device for bone parts or vertebrae
US20120109129A1 (en) * 2010-11-02 2012-05-03 Bernstein Oren S Replacement system for a surgical wire
US8486114B2 (en) * 2008-10-10 2013-07-16 Acute Innovations Llc Cerclage system for bone
WO2010123506A2 (en) * 2009-04-24 2010-10-28 Anthony Alexander Systems and methods of anchoring surgical wires, catheters, and other medical objects
US20100274249A1 (en) * 2009-04-25 2010-10-28 Dell Oca Alberto A Fernandez System and Method for Minimally Invasive Crimp and Cable for Bone Cerclage
US8394125B2 (en) * 2009-07-24 2013-03-12 Zyga Technology, Inc. Systems and methods for facet joint treatment
GB0914673D0 (en) * 2009-08-24 2009-09-30 Kumar Deepak Fracture buttress fixation system
US8133235B2 (en) * 2009-10-09 2012-03-13 Zimmer, Inc. One-way bearing cable tensioning tool
EP2316363A1 (en) * 2009-10-27 2011-05-04 Zimmer Spine Bone holding device
FR2954905B1 (en) 2010-01-06 2012-12-28 Implanet DEVICE FOR FIXING VERTEBRAL
KR20140019764A (en) 2010-06-08 2014-02-17 스미스 앤드 네퓨, 인크. Implant components and methods
US8663293B2 (en) 2010-06-15 2014-03-04 Zyga Technology, Inc. Systems and methods for facet joint treatment
US9233006B2 (en) 2010-06-15 2016-01-12 Zyga Technology, Inc. Systems and methods for facet joint treatment
EP2465457B1 (en) * 2010-12-16 2014-04-30 Zimmer Spine Device for securing a ligature to an osseous structure
US9522026B2 (en) 2011-02-17 2016-12-20 Matthew N. Songer Cable system for surgical application
US8740949B2 (en) 2011-02-24 2014-06-03 Spinal Elements, Inc. Methods and apparatus for stabilizing bone
USD724733S1 (en) 2011-02-24 2015-03-17 Spinal Elements, Inc. Interbody bone implant
US9271765B2 (en) 2011-02-24 2016-03-01 Spinal Elements, Inc. Vertebral facet joint fusion implant and method for fusion
US8992579B1 (en) 2011-03-08 2015-03-31 Nuvasive, Inc. Lateral fixation constructs and related methods
JP6117184B2 (en) 2011-05-03 2017-04-19 スミス アンド ネフュー インコーポレイテッド Patient fit guide for orthopedic implants
BR112013032140A2 (en) 2011-06-15 2016-12-13 Smith & Nephew Inc variable angle locking implant
CA2842184C (en) 2011-07-16 2018-10-02 DePuy Synthes Products, LLC Minimally invasive crimp and cable for bone cerclage
US8870137B2 (en) * 2011-08-29 2014-10-28 Stephen R. Jacobson Adjustable hands-free mounting apparatus for tablet PCs with expanded description of its miniature subcombinations
WO2013040456A1 (en) 2011-09-14 2013-03-21 Band-Lok, Llc Tether clamp and implantation system
USD739935S1 (en) 2011-10-26 2015-09-29 Spinal Elements, Inc. Interbody bone implant
EP2787929B1 (en) 2011-12-07 2019-05-15 Smith&Nephew, Inc. Orthopedic augments having recessed pockets
CN107595438B (en) 2011-12-07 2020-12-08 史密夫和内修有限公司 Orthopaedic implant augment
US9265543B2 (en) * 2011-12-27 2016-02-23 Pioneer Surgical Technology, Inc. Bone plate system and method
US9060815B1 (en) 2012-03-08 2015-06-23 Nuvasive, Inc. Systems and methods for performing spine surgery
US20130253516A1 (en) * 2012-03-23 2013-09-26 John L Mackall Occipital plate
WO2013166036A1 (en) 2012-04-30 2013-11-07 Acute Innovations Llc System for binding bone
US9101426B2 (en) 2012-10-11 2015-08-11 Stryker Trauma Sa Cable plug
EP2919717A1 (en) 2012-11-15 2015-09-23 Zyga Technology, Inc. Systems and methods for facet joint treatment
US10765465B2 (en) 2012-11-21 2020-09-08 A&E Advanced Closure Systems, Llc Tensioning instrument
US9561064B2 (en) 2012-11-21 2017-02-07 Pioneer Surgical Technology, Inc. Bone plate system and method
US9138268B2 (en) 2013-02-27 2015-09-22 Biomet C.V. Periprosthetic fracture repair system including discrete stabilized crimp lugs for cerclage cable and tool therefor
US9138244B2 (en) 2013-02-27 2015-09-22 Biomet C.V. Dynamic compression plate
US9138245B2 (en) 2013-02-27 2015-09-22 Biomet C.V. Jig with guide adapted to lock relative to both of threaded holes and non-threaded slots in a bone plate
US9138267B2 (en) 2013-02-27 2015-09-22 Biomet C.V. Periprosthetic plating system with compressive plate and transverse bridge plate
US9138269B2 (en) * 2013-02-27 2015-09-22 Biomet C.V. Periprosthetic plating system including plate with integrated cable retaining feature
US9707025B2 (en) * 2013-02-27 2017-07-18 Biomet C.V. Cable tensioner for a periprosthetic repair system
US9820784B2 (en) 2013-03-14 2017-11-21 Spinal Elements, Inc. Apparatus for spinal fixation and methods of use
USD765853S1 (en) 2013-03-14 2016-09-06 Spinal Elements, Inc. Flexible elongate member with a portion configured to receive a bone anchor
US9421044B2 (en) 2013-03-14 2016-08-23 Spinal Elements, Inc. Apparatus for bone stabilization and distraction and methods of use
WO2017019317A1 (en) 2013-03-15 2017-02-02 Matthew Songer Cable fixation device, instruments, and methods
US9439698B2 (en) 2013-03-15 2016-09-13 Frontier Medical Devices, Inc. Cable fixation device
CN103445847A (en) * 2013-07-03 2013-12-18 厦门大博颖精医疗器械有限公司 Cable locking plate
US9510880B2 (en) 2013-08-13 2016-12-06 Zimmer, Inc. Polyaxial locking mechanism
US9456855B2 (en) 2013-09-27 2016-10-04 Spinal Elements, Inc. Method of placing an implant between bone portions
US9839450B2 (en) 2013-09-27 2017-12-12 Spinal Elements, Inc. Device and method for reinforcement of a facet
US9517089B1 (en) 2013-10-08 2016-12-13 Nuvasive, Inc. Bone anchor with offset rod connector
FR3012032B1 (en) 2013-10-18 2015-12-11 Implanet DEVICE AND SYSTEM FOR VERTICAL FASTENING FOR HOLDING A VERTEBRA ON A ROD, METHOD OF BLOCKING A LOOP WITH SUCH A DEVICE.
DE102013018788B4 (en) 2013-11-07 2017-08-10 Königsee Implantate GmbH Device for the clamping fixing of osteosynthesis cerclages
US9999454B2 (en) 2013-12-05 2018-06-19 A&E Advanced Closure Systems, Llc Bone plate system and method
WO2015095126A1 (en) 2013-12-20 2015-06-25 Hartdegen Vernon Polyaxial locking hole
WO2015112991A1 (en) * 2014-01-27 2015-07-30 Dallis James Implantable medical device for restoring alignment and stabilizing bone fractures
US9549768B2 (en) * 2014-04-17 2017-01-24 Biomet Manufacturing, Llc Medical implant system for securing bone fragments
US10314635B2 (en) 2014-05-28 2019-06-11 A&E Advanced Closure Systems, Llc Tensioning instruments
EP3653152A1 (en) 2014-07-10 2020-05-20 Crossroads Extremity Systems, LLC Bone implant and means of insertion
US11202626B2 (en) 2014-07-10 2021-12-21 Crossroads Extremity Systems, Llc Bone implant with means for multi directional force and means of insertion
US10499968B2 (en) 2014-08-08 2019-12-10 Stryker European Holdings I, Llc Cable plugs for bone plates
US11478275B2 (en) * 2014-09-17 2022-10-25 Spinal Elements, Inc. Flexible fastening band connector
JP2018502693A (en) 2015-01-27 2018-02-01 スパイナル・エレメンツ・インコーポレーテッド Facet joint implant
CN107847254B (en) 2015-07-13 2021-06-18 汇聚义肢系统有限责任公司 Bone plate with dynamic element
GB2557840B (en) 2015-09-18 2021-07-21 Smith & Nephew Inc Bone plate
EP3178424A1 (en) * 2015-12-08 2017-06-14 Arthrex Inc Bone fixation plate for the distal fibula and device for distal tibiofibular syndesmosis fixation
KR101625177B1 (en) * 2016-01-07 2016-06-07 주식회사 지에스엠코리아 Implant for fixing the femoral
CA3012198C (en) 2016-01-22 2022-10-04 A&E Advanced Closure Systems, Llc Bone plate having a connector and a connector for a surgical loop
KR101604668B1 (en) * 2016-02-01 2016-03-18 주식회사 아이피컨텍 Variable implant for fixing the femoral
FR3047657B1 (en) * 2016-02-15 2018-02-09 Backbone INTERVERTEBRAL IMPLANT OF DYNAMIC STABILIZATION AND SURGICAL KIT INCORPORATING IT
US10231762B2 (en) * 2016-03-01 2019-03-19 Advanced Orthopaedic Solutions, Inc. Bone plate system
KR101800238B1 (en) * 2016-03-02 2017-11-24 주식회사 지에스엠티 Implant for fixing the bone
EP3490474A4 (en) 2016-07-26 2019-08-28 Band-lok, LLC Orthopedic tethered implants and system
EP3490475B1 (en) 2016-07-29 2021-05-12 A&E Advanced Closure Systems, LLC Surgical cable tensioner
KR101849380B1 (en) * 2016-09-30 2018-04-16 학교법인 김천대학교 Coordination locking fixing system for orthopedic implant
WO2018067884A1 (en) * 2016-10-07 2018-04-12 Acumed Llc System and method for bone fixation using a plate straddled by a retainer
EP3357443B1 (en) 2017-02-03 2019-08-21 Stryker European Holdings I, LLC Tensioning cable locking device
US11864753B2 (en) 2017-02-06 2024-01-09 Crossroads Extremity Systems, Llc Implant inserter
EP3579762A4 (en) 2017-02-07 2021-04-07 Crossroads Extremity Systems, LLC Counter-torque implant
US11344344B2 (en) * 2017-03-13 2022-05-31 DePuy Synthes Products, Inc. Proximal femur hook plate
US10463403B2 (en) 2017-07-31 2019-11-05 Medos International Sarl Systems and methods for reducing the risk of proximal junctional kyphosis using a bone anchor or other attachment point
US10456174B2 (en) 2017-07-31 2019-10-29 Medos International Sarl Connectors for use in systems and methods for reducing the risk of proximal junctional kyphosis
JP7247438B2 (en) * 2017-09-15 2023-03-29 ディーエスエム アイピー アセッツ ビー．ブイ． Medical fixation device for polymer cables
US10675072B2 (en) * 2018-01-02 2020-06-09 Acumed Llc Bone fixation with a plate and a coupler connected by flexible members
CN108635062A (en) * 2018-05-24 2018-10-12 都芳涛 A kind of clinic Orthopeadic Surgery lesser trochanter of femur fixing device
RU2676461C1 (en) * 2018-05-30 2018-12-28 Федеральное государственное бюджетное образовательное учреждение высшего образования "Российский национальный исследовательский медицинский университет им. Н.И. Пирогова" Министерства здравоохранения Российской Федерации (ФГБОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России) Method of surgical treatment of a comminuted fracture of the large trochanter
KR101933651B1 (en) * 2018-06-20 2018-12-31 조영화 Wire mesh manufacturing machine apparatus and wire mesh manufacturing method using the same
IT201800009065A1 (en) * 2018-10-01 2020-04-01 Medico Nilli Del Device for the cerclage of fractured bones and a cerclage system using such a device
US11457959B2 (en) 2019-05-22 2022-10-04 Spinal Elements, Inc. Bone tie and bone tie inserter
JP2022535698A (en) 2019-05-22 2022-08-10 スパイナル・エレメンツ・インコーポレーテッド Bone ties and bone tie inserters
DE102020103016A1 (en) * 2020-02-06 2021-08-12 Olympus Winter & Ibe Gmbh Albarran, drive body and method for tensioning a pull wire
WO2021163313A1 (en) 2020-02-14 2021-08-19 Spinal Elements, Inc. Bone tie methods
AU2021202888A1 (en) 2020-05-26 2021-12-16 Howmedica Osteonics Corp. Medial trochanteric plate fixation
WO2021252424A1 (en) * 2020-06-09 2021-12-16 Smith & Nephew, Inc. Orthopedic cabling system
USD961081S1 (en) 2020-11-18 2022-08-16 Crossroads Extremity Systems, Llc Orthopedic implant
CN113349845B (en) * 2021-05-17 2022-12-09 上海汇禾医疗科技有限公司 Locking device
WO2023278412A1 (en) * 2021-06-30 2023-01-05 Dodson Mark A Anchoring apparatus

Family Cites Families (82)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US31628A (en) * 1861-03-05 Improvement in sewing-machines
US575631A (en) * 1897-01-19 brooks
US902040A (en) * 1906-03-12 1908-10-27 Homer W Wyckoff Wire-connector.
US2501978A (en) * 1947-04-26 1950-03-28 Wichman Heins Bone splint
USRE31628E (en) 1966-06-22 1984-07-10 Synthes Ag Osteosynthetic pressure plate construction
US3866607A (en) * 1973-08-09 1975-02-18 Environmental Sciences Corp Bone fracture compression device and method of usage
CH648197A5 (en) * 1980-05-28 1985-03-15 Synthes Ag IMPLANT AND SCREW FASTENING ON ITS BONE.
DE8203609U1 (en) * 1982-02-10 1982-06-03 Franke, Dietrich, Prof. Dr.med., 7520 Bruchsal Wire mesh
US4653481A (en) * 1985-07-24 1987-03-31 Howland Robert S Advanced spine fixation system and method
EP0355035B1 (en) 1987-11-03 1994-05-18 SYNTHES AG, Chur Bone plate with conical holes
CH681199A5 (en) 1990-07-23 1993-02-15 Synthes Ag
US5085660A (en) 1990-11-19 1992-02-04 Lin Kwan C Innovative locking plate system
US5275601A (en) * 1991-09-03 1994-01-04 Synthes (U.S.A) Self-locking resorbable screws and plates for internal fixation of bone fractures and tendon-to-bone attachment
FR2689750B1 (en) * 1992-04-10 1997-01-31 Eurosurgical BONE ANCHORING ELEMENT AND SPINAL OSTEOSYNTHESIS DEVICE INCORPORATING SUCH ELEMENTS.
US5312410A (en) * 1992-12-07 1994-05-17 Danek Medical, Inc. Surgical cable tensioner
US5324291A (en) * 1992-12-21 1994-06-28 Smith & Nephew Richards, Inc. Bone section reattachment apparatus and method
US5342361A (en) * 1993-01-14 1994-08-30 Yuan Hansen A Dual tier spinal locking and retrieving system and instrumentation for administering such system percutaneously
US5470333A (en) * 1993-03-11 1995-11-28 Danek Medical, Inc. System for stabilizing the cervical and the lumbar region of the spine
US5423820A (en) * 1993-07-20 1995-06-13 Danek Medical, Inc. Surgical cable and crimp
US5431659A (en) * 1993-08-17 1995-07-11 Texas Scottish Rite Hospital For Children Pneumatic wire tensioner
US5395374A (en) * 1993-09-02 1995-03-07 Danek Medical, Inc. Orthopedic cabling method and apparatus
EP0647436A1 (en) * 1993-10-06 1995-04-12 SMITH & NEPHEW RICHARDS, INC. Bone section reattachment apparatus
US5415658A (en) * 1993-12-14 1995-05-16 Pioneer Laboratories, Inc. Surgical cable loop connector
DE4343117C2 (en) 1993-12-17 1999-11-04 Dietmar Wolter Bone fixation system
WO1995022294A1 (en) * 1994-02-17 1995-08-24 Surgical Accessories, Inc. Fastener and tensioner for bone securing cable
US5788697A (en) * 1994-02-24 1998-08-04 Pioneer Laboratories, Inc. Cable tensioning device
US5569253A (en) * 1994-03-29 1996-10-29 Danek Medical, Inc. Variable-angle surgical cable crimp assembly and method
US5527310A (en) * 1994-07-01 1996-06-18 Cole; J. Dean Modular pelvic fixation system and method
US5601553A (en) * 1994-10-03 1997-02-11 Synthes (U.S.A.) Locking plate and bone screw
US5536127A (en) * 1994-10-13 1996-07-16 Pennig; Dietmar Headed screw construction for use in fixing the position of an intramedullary nail
US6176861B1 (en) * 1994-10-25 2001-01-23 Sdgi Holdings, Inc. Modular spinal system
US5620443A (en) * 1995-01-25 1997-04-15 Danek Medical, Inc. Anterior screw-rod connector
JP3542133B2 (en) 1995-03-27 2004-07-14 ジンテーズ アクチエンゲゼルシャフト，クール Bone plate
EP0848600B1 (en) * 1995-09-06 2001-05-09 SYNTHES AG Chur Bone plate
US5676667A (en) * 1995-12-08 1997-10-14 Hausman; Michael Bone fixation apparatus and method
US5702399A (en) * 1996-05-16 1997-12-30 Pioneer Laboratories, Inc. Surgical cable screw connector
US5893856A (en) * 1996-06-12 1999-04-13 Mitek Surgical Products, Inc. Apparatus and method for binding a first layer of material to a second layer of material
DE19627864C2 (en) * 1996-07-11 2003-05-08 Aesculap Ag & Co Kg Surgical jig
US6193721B1 (en) * 1997-02-11 2001-02-27 Gary K. Michelson Multi-lock anterior cervical plating system
FR2766353B1 (en) * 1997-07-28 1999-11-26 Dimso Sa IMPLANT, ESPECIALLY ANTERIOR CERVICAL PLATE
US5954722A (en) * 1997-07-29 1999-09-21 Depuy Acromed, Inc. Polyaxial locking plate
US6454769B2 (en) * 1997-08-04 2002-09-24 Spinal Concepts, Inc. System and method for stabilizing the human spine with a bone plate
US6053921A (en) * 1997-08-26 2000-04-25 Spinal Concepts, Inc. Surgical cable system and method
US5964769A (en) * 1997-08-26 1999-10-12 Spinal Concepts, Inc. Surgical cable system and method
GB2331244A (en) * 1997-11-18 1999-05-19 Univ Hull Fracture fixation devices
US5954769A (en) * 1997-12-05 1999-09-21 Rosenlicht; Joel L. Surgical drill positioning guide
US5968046A (en) * 1998-06-04 1999-10-19 Smith & Nephew, Inc. Provisional fixation pin
US6506191B1 (en) * 1998-08-25 2003-01-14 Medartis Ag Osteosynthetic fastening device
DE19858889B4 (en) * 1998-12-19 2008-08-07 Wolter, Dietmar, Prof. Dr.Med. Fixation system for bones
US6129730A (en) * 1999-02-10 2000-10-10 Depuy Acromed, Inc. Bi-fed offset pitch bone screw
US6355043B1 (en) * 1999-03-01 2002-03-12 Sulzer Orthopedics Ltd. Bone screw for anchoring a marrow nail
DE59910412D1 (en) * 1999-03-09 2004-10-07 Synthes Ag BONE PLATE
IL129651A (en) * 1999-04-28 2004-08-31 Nexense Ltd High-precision measuring method and apparatus
JP2002542875A (en) * 1999-05-03 2002-12-17 メダルティス・アクチェンゲゼルシャフト Bone plate that can be blocked
EP1211992B1 (en) * 1999-09-13 2004-01-14 Synthes AG Chur Bone plate system
JP3765703B2 (en) * 2000-02-01 2006-04-12 本田技研工業株式会社 Power supply
US6440135B2 (en) * 2000-02-01 2002-08-27 Hand Innovations, Inc. Volar fixation system with articulating stabilization pegs
US6767351B2 (en) * 2000-02-01 2004-07-27 Hand Innovations, Inc. Fixation system with multidirectional stabilization pegs
US6358250B1 (en) * 2000-02-01 2002-03-19 Hand Innovations, Inc. Volar fixation system
US6235033B1 (en) * 2000-04-19 2001-05-22 Synthes (Usa) Bone fixation assembly
JP2002000611A (en) * 2000-05-12 2002-01-08 Sulzer Orthopedics Ltd Bone screw to be joined with the bone plate
ATE326180T1 (en) 2000-05-31 2006-06-15 Vese Silvana FASTENING DEVICE FOR BONE PLATE
US6595944B2 (en) * 2000-06-17 2003-07-22 Fresenius Medical Care Deutschland Gmbh Dialysis machine and method of operating a dialysis machine
AU5204300A (en) * 2000-06-26 2002-01-08 Synthes Ag Bone plate for osteosynthesis
AU757023B2 (en) 2000-06-26 2003-01-30 Stryker European Holdings I, Llc Bone screw retaining system
FR2810874B1 (en) * 2000-06-30 2002-08-23 Materiel Orthopedique En Abreg IMPLANT FOR OSTEOSYNTHESIS DEVICE COMPRISING A PART FOR BONE ANCHORING AND A BODY FOR FIXING ON A ROD
US6740088B1 (en) 2000-10-25 2004-05-25 Sdgi Holdings, Inc. Anterior lumbar plate and method
US6413259B1 (en) * 2000-12-14 2002-07-02 Blackstone Medical, Inc Bone plate assembly including a screw retaining member
US6306140B1 (en) * 2001-01-17 2001-10-23 Synthes (Usa) Bone screw
US6361537B1 (en) 2001-05-18 2002-03-26 Cinci M. Anderson Surgical plate with pawl and process for repair of a broken bone
US6520965B2 (en) * 2001-05-23 2003-02-18 Alan Chervitz Apparatus and method for orthopedic fixation
US6960213B2 (en) * 2001-05-23 2005-11-01 Medicinelodge, Inc. Apparatus and method for orthopedic fixation
SI1389963T1 (en) 2001-05-28 2006-10-31 Synthes Ag Bone plate for the fixation of fractures of the proximal humerus
US6863401B2 (en) 2001-06-30 2005-03-08 Texas Instruments Incorporated Illumination system
US7179260B2 (en) * 2003-09-29 2007-02-20 Smith & Nephew, Inc. Bone plates and bone plate assemblies
US20040044345A1 (en) * 2002-08-28 2004-03-04 Demoss Richard Marshal Shallow penetration bone screw
US7250054B2 (en) * 2002-08-28 2007-07-31 Smith & Nephew, Inc. Systems, methods, and apparatuses for clamping and reclamping an orthopedic surgical cable
US6955677B2 (en) * 2002-10-15 2005-10-18 The University Of North Carolina At Chapel Hill Multi-angular fastening apparatus and method for surgical bone screw/plate systems
US20040199169A1 (en) * 2002-11-20 2004-10-07 Koons Kirk C. Cable clamp tool for surgical applications
US7094240B2 (en) * 2003-01-10 2006-08-22 Sdgi Holdings, Inc. Flexible member tensioning instruments and methods
JP2008512147A (en) * 2004-09-07 2008-04-24 スミス アンド ネフュー インコーポレーテッド Minimum thickness bone plate locking mechanism
US8469966B2 (en) * 2004-09-23 2013-06-25 Smith & Nephew, Inc. Systems, methods, and apparatuses for tensioning an orthopedic surgical cable

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8608742B2 (en) 2005-10-13 2013-12-17 DePuy Synthes Products, LLC Cable and crimp for bone surgery

Also Published As

Publication number Publication date
AU2003238938B9 (en) 2010-03-25
JP5964398B2 (en) 2016-08-03
JP2015083143A (en) 2015-04-30
US20040087954A1 (en) 2004-05-06
JP5697905B2 (en) 2015-04-08
AU2003238938B2 (en) 2009-08-20
CA2495763C (en) 2011-05-17
WO2004019797A2 (en) 2004-03-11
JP2012254370A (en) 2012-12-27
US7255701B2 (en) 2007-08-14
US7250054B2 (en) 2007-07-31
AU2009203022A1 (en) 2009-08-13
CA2738695A1 (en) 2004-03-11
CA2738695C (en) 2013-10-08
ES2598377T3 (en) 2017-01-27
AU2003238938A1 (en) 2004-03-19
EP1531745B1 (en) 2016-07-20
EP1531745A1 (en) 2005-05-25
JP2005537087A (en) 2005-12-08
JP5554386B2 (en) 2014-07-23
JP2010234078A (en) 2010-10-21
AU2003238938B8 (en) 2010-03-25
US20040097942A1 (en) 2004-05-20

Similar Documents

Publication Publication Date Title
CA2495763A1 (en) Systems, methods and apparatuses for clamping and reclamping an orthopedic surgical cable
US5782831A (en) Method an device for spinal deformity reduction using a cable and a cable tensioning system
US5941881A (en) Bone fastening apparatus and related procedures
AU674099B2 (en) Orthopedic cabling method and apparatus
AU2002214650B2 (en) Connector for spinal rod and vertebral anchor
US8679117B2 (en) Bolt and tool with anti-torque features
US10349996B2 (en) Apparatus, system, and method for securing a tensioned cable through or around bone
WO2004021901A8 (en) Orthopedic fixation device
WO2006047659B1 (en) Apparatus and method for anchoring a surgical rod
WO2002036021A3 (en) Systems, devices and methods for suturing patient tissue
AU2002214650A1 (en) Connector for spinal rod and vertebral anchor
EP0584179A1 (en) A clamp for use in spinal surgery
JP2001513391A (en) Surgical cable system and method
CA2386947A1 (en) Breakaway devices for stabilizing dental casts
TW324657B (en) Medical device clamp the invention relates to a clamp for a medical device, which comprises a groove mechanism, a clamping body mechanism, and an actuating mechanism.
EP1854498A3 (en) Process for selectively locking a medical device
WO2001002057A3 (en) Hose clamping device
US20210075173A1 (en) Installation accessories for lineman hot sticks
CN219289580U (en) Tourniquet capable of automatically adjusting pressure
JP3799460B2 (en) Divided hardware
JP3002647B2 (en) Connection element for fixing rod to pedicle screw
JPH0635618Y2 (en) Hardware installation device for line separation
SU1064947A1 (en) Apparatus for compression osteosynthesis
AU2012211377B2 (en) Systems, methods and apparatuses for clamping and reclamping and orthopedic surgical cable
KR100514401B1 (en) Wire fixing clip for fracture treatment

Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606

MKLA Lapsed

Effective date: 20160606