US1920821A - Distraction bone forceps - Google Patents

Distraction bone forceps Download PDF

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Publication number
US1920821A
US1920821A US584215A US58421531A US1920821A US 1920821 A US1920821 A US 1920821A US 584215 A US584215 A US 584215A US 58421531 A US58421531 A US 58421531A US 1920821 A US1920821 A US 1920821A
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Prior art keywords
jaw
jaws
members
screw
bone forceps
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Expired - Lifetime
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US584215A
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Wassenaar Jan Jacob Stephanus
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6408Devices not permitting mobility, e.g. fixed to bed, with or without means for traction or reduction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators

Definitions

  • This invention relates to improvements in surgical instruments of the type known as distraction bone forceps.
  • the present invention provides an instrument which is simple in construction, positive in its action, and is readily dismantled for purposes of cleaning and sterilization. Furthermore, the manner in which the jaws of the instrument are designed to grip the bones, precludes any possibility of their slipping and damaging the tissue covering the same.
  • the instrument comprises two straight jaw members whose shanks are rotatable and slidable in guide brackets, which brackets are connected by a screw member by which means the distance between them may be varied and adjusted at will within predetermined limits.
  • a slidable guide member preferably of square section passes through suitable holes in bosses on each guide bracket at right angles to said jaw member and thus retains the two jaw members in parallel relationship with one another, although allowing free movement of said members either toward or away from one another under the influence of the screw member.
  • the ends or" the jaw members are provided with fixed curved forked or claw-like jaws with which a movable sliding jaw member co-oper ates.
  • the shanks of said jaw members are bored out centrally and a cylindrical projection integral with said movable jaw slides within the portion of said bore adjacent said fixed jaw members.
  • a slot parallel with the axis of said shank allows free movement for the connecting lweb between the jaw proper and the sliding cylindrical portion.
  • a screwed rod provided with a ball shaped end engages movably with a socket in the end of said sliding cylindrical projection and provides the means whereby the movable jaw is caused to approach or recede from the fork-like fixedjaw members for purposes of gripping 'or releasing the bone ends.
  • the shanks of the gripping members are further provided with grooves parallel with their axes and on opposite sides thereof.
  • a set screw located in the boss on each guide bracket is adapted to engage with these grooves and to lock said members where desired.
  • circular grooves may be provided to enable the said member to rotate with the end of the set screw in engagement therewith.
  • Fig. 1 is an elevation of the instrument in an operative position.
  • Fig. 2 is an end elevation of one of the guide brackets and part of the jaw shank.
  • Fig. 3 is the thumb screw whose end engages in the slots in the shank.
  • Fig. 4. is an elevation of the screwed rod operating the movable jaw.
  • Fig. 5 is a part sectional elevation of one fixed jaw and shank with movable jaw and operating square holes 8 in the boss 18 on each guide bracket while the hand operated screw 5 provides the means whereby the parallel distance between the jaw members may be varied. It
  • the screw 5 is rotatably located in the guide bracket 2, while bracket 1 is tapped taco-operate with said screw member 5.
  • the movable jaw is shown at 9 and is actuated by the screw rod 12 whose ball end 11 engages with a socket 10 on the integral cylindrical projection 17 which is slidable in a bore 13. 5
  • the longitudinal grooves are shown at 14 while one circumferential groove is shown at 15.
  • a set screw 16 screws into each bracket member in such a manner that its end is adapted to engage with said grooves as desired.
  • One or more cir- 9'0 cumferential or longitudinal grooves may be provided.
  • Fig. 1 shows the instrument in use for the purpose of bringing the two ends of a fractured bone into direct alignment and contact.
  • screw 5 is first of all rotated so as to bring the ends clear of one another.
  • One of the jaw members 3 may then be moved in its guide bracket until the two ends of the bone are in alignment,
  • the serrations or teeth on the gripping faces- 01" the fixed jaws l will preferably be at an angle to the shank as shown in Figs. 5 and 6 which will further aid in preventing said jaws slipping longitudinally of bones with which they are in gripping contact.
  • An improved surgical instrument of the dis- 1 traction bone forceps type comprising two straight gripping members terminating at one end in fixed forked claw-like jaws, separate guide brackets in which said members are slidable and rotatable, a transverse guide rod slidably connected to the bracketsvand retaining said jaw members in parallel relationship, a hand operated rod threadedly connecting said guide brackets to adjust said parallel relationship, and a hand operated screw rod cooperating with a tapped bore in the other end of each jaw member and having a ball at the inner end and a cylindrical sliding member having a curved jaw member positioned to cooperate with said forked claw-like jaws for bone gripping purposes, and also having a socket in which said ball end of the hand operated rod is engaged.

Description

1, 1933- J. -..l. s. WASSENAAR DISTRACTION BONE FORCEPS Filed Dec. 31, 1931 Patented Aug. 1, 1933 rarest or ies DISTRACTEGN BONE FORCEPS Jan .lacob Stephanns Wassenaar, Pilgrims Rest, Transvaal, Union of South Africa Application December 31, 1931, Serial No. 584,215, and in the Union of South Africa September 6 Claims. (01. 128-432) This invention relates to improvements in surgical instruments of the type known as distraction bone forceps. The present invention provides an instrument which is simple in construction, positive in its action, and is readily dismantled for purposes of cleaning and sterilization. Furthermore, the manner in which the jaws of the instrument are designed to grip the bones, precludes any possibility of their slipping and damaging the tissue covering the same.
The instrument comprises two straight jaw members whose shanks are rotatable and slidable in guide brackets, which brackets are connected by a screw member by which means the distance between them may be varied and adjusted at will within predetermined limits. To provide rigidity a slidable guide member preferably of square section passes through suitable holes in bosses on each guide bracket at right angles to said jaw member and thus retains the two jaw members in parallel relationship with one another, although allowing free movement of said members either toward or away from one another under the influence of the screw member.
The ends or" the jaw members are provided with fixed curved forked or claw-like jaws with which a movable sliding jaw member co-oper ates. The shanks of said jaw members are bored out centrally and a cylindrical projection integral with said movable jaw slides within the portion of said bore adjacent said fixed jaw members. A slot parallel with the axis of said shank allows free movement for the connecting lweb between the jaw proper and the sliding cylindrical portion. A screwed rod provided with a ball shaped end engages movably with a socket in the end of said sliding cylindrical projection and provides the means whereby the movable jaw is caused to approach or recede from the fork-like fixedjaw members for purposes of gripping 'or releasing the bone ends.
The shanks of the gripping members are further provided with grooves parallel with their axes and on opposite sides thereof. A set screw located in the boss on each guide bracket is adapted to engage with these grooves and to lock said members where desired. Further, circular grooves may be provided to enable the said member to rotate with the end of the set screw in engagement therewith.
To enable the invention to be more readily understood reference is made to the accompanying sheet of drawing, in which is shown one I construction embodying the invention.
Fig. 1 is an elevation of the instrument in an operative position.
Fig. 2 is an end elevation of one of the guide brackets and part of the jaw shank.
Fig. 3 is the thumb screw whose end engages in the slots in the shank. g s
Fig. 4. is an elevation of the screwed rod operating the movable jaw.
Fig. 5 is a part sectional elevation of one fixed jaw and shank with movable jaw and operating square holes 8 in the boss 18 on each guide bracket while the hand operated screw 5 provides the means whereby the parallel distance between the jaw members may be varied. It
will be noted that the screw 5 is rotatably located in the guide bracket 2, while bracket 1 is tapped taco-operate with said screw member 5.
The movable jaw is shown at 9 and is actuated by the screw rod 12 whose ball end 11 engages with a socket 10 on the integral cylindrical projection 17 which is slidable in a bore 13. 5
The longitudinal grooves are shown at 14 while one circumferential groove is shown at 15. A set screw 16 screws into each bracket member in such a manner that its end is adapted to engage with said grooves as desired. One or more cir- 9'0 cumferential or longitudinal grooves may be provided.
Fig. 1 shows the instrument in use for the purpose of bringing the two ends of a fractured bone into direct alignment and contact. The
screw 5 is first of all rotated so as to bring the ends clear of one another. One of the jaw members 3 may then be moved in its guide bracket until the two ends of the bone are in alignment,
when the screw 5 may again be operated to bring the two ends into direct contact for bone plating, jointing and other purposes.
The serrations or teeth on the gripping faces- 01" the fixed jaws lwill preferably be at an angle to the shank as shown in Figs. 5 and 6 which will further aid in preventing said jaws slipping longitudinally of bones with which they are in gripping contact.
What I claim is:-
1. An improved surgical instrument of the dis- 1 traction bone forceps type, comprising two straight gripping members terminating at one end in fixed forked claw-like jaws, separate guide brackets in which said members are slidable and rotatable, a transverse guide rod slidably connected to the bracketsvand retaining said jaw members in parallel relationship, a hand operated rod threadedly connecting said guide brackets to adjust said parallel relationship, and a hand operated screw rod cooperating with a tapped bore in the other end of each jaw member and having a ball at the inner end and a cylindrical sliding member having a curved jaw member positioned to cooperate with said forked claw-like jaws for bone gripping purposes, and also having a socket in which said ball end of the hand operated rod is engaged.
2. An improved surgical instrument, according to claim 1, wherein said cylindrical sliding member is located in a bore adjacent the fixed claw-like jaws and a longitudinal slot in the walls thereof forms positioning and guiding means for the said cylindrical sliding member.
3. An improved surgical instrument as claimed in claim 1, wherein the slidable guide rod is of square section.
4. An improved surgical instrument as claimed e in claim 1, wherein the hand operated screwed her is located inra bore adjacent the fixed clawlike jaws and a longitudinal slot in the walls thereof forms positioning and guiding means for the said cylindrical sliding member and wherein said fixed claw like jaws and said movable jaw members have serrations or teeth on their inner surfaces arranged at an angle to the axis of the jaws, to prevent said jaws slipping longitudinally.
JAN JACOB STEPHANUS WASSENAAR.
US584215A 1931-09-22 1931-12-31 Distraction bone forceps Expired - Lifetime US1920821A (en)

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US1920821XA 1931-09-22 1931-09-22
US584215A US1920821A (en) 1931-09-22 1931-12-31 Distraction bone forceps

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Cited By (34)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2985168A (en) * 1959-03-19 1961-05-23 Jonas Salo Bone-aligning instrument
US4187841A (en) * 1978-07-07 1980-02-12 Knutson Richard A Bone compression or distraction device
WO1981000048A1 (en) * 1979-07-09 1981-01-22 R Knutson Bone compression or distraction device
US4813407A (en) * 1986-07-30 1989-03-21 Vogen Kenneth W Sesamoid bone clamp
EP0528177A3 (en) * 1991-08-17 1993-05-05 Aesculap Ag Internal fixator for the correction of a lumbar spondyldisthesis
US5391169A (en) * 1991-12-13 1995-02-21 Mcguire; David A. Patellar tendon harvester
EP0686375A1 (en) * 1994-06-08 1995-12-13 Yechiel Gotfried Surgical instrument for use during connection of a fractured bone
US5514143A (en) * 1991-11-27 1996-05-07 Apogee Medical Products, Inc. Apparatus and method for use during surgery
US20040210232A1 (en) * 2003-04-09 2004-10-21 Tushar Patel Guide device and plate inserter
US20040267274A1 (en) * 2003-06-27 2004-12-30 Tushar Patel Tissue retractor and drill guide
US7416553B2 (en) 2003-04-09 2008-08-26 Depuy Acromed, Inc. Drill guide and plate inserter
US7488324B1 (en) * 2003-12-08 2009-02-10 Biomet Manufacturing Corporation Femoral guide for implanting a femoral knee prosthesis
US20090292314A1 (en) * 2006-09-18 2009-11-26 Spineart Sa Lumbar interspinous prosthesis and its applications
US7776047B2 (en) 2003-04-09 2010-08-17 Depuy Spine, Inc. Guide for spinal tools, implants, and devices
US7909848B2 (en) 2003-06-27 2011-03-22 Depuy Spine, Inc. Tissue retractor and guide device
US7935123B2 (en) 2003-04-09 2011-05-03 Depuy Acromed, Inc. Drill guide with alignment feature
US20130184763A1 (en) * 2012-01-16 2013-07-18 K2M, Inc. Rod reducer, compressor, distractor system
US8702713B2 (en) 2011-01-26 2014-04-22 Warsaw Orthopedic, Inc. Instruments and techniques for adjusting relative positioning of bones or bony tissues
US8784495B2 (en) 2000-01-14 2014-07-22 Bonutti Skeletal Innovations Llc Segmental knee arthroplasty
US8834490B2 (en) 2001-08-28 2014-09-16 Bonutti Skeletal Innovations Llc Method for robotic arthroplasty using navigation
US9402660B2 (en) 2013-09-05 2016-08-02 Warsaw Orthopedic, Inc. Surgical instrument and method
US9770272B2 (en) 2012-12-12 2017-09-26 Wright Medical Technology, Inc. Orthopedic compression/distraction device
US20170311987A1 (en) * 2016-04-27 2017-11-02 Warsaw Orthopedic, Inc Spinal correction system and method
US9895211B2 (en) 2008-01-04 2018-02-20 Michael J. Yaremchuk Craniofacial implant registration features and methods
US9913704B1 (en) 2008-01-04 2018-03-13 Michael J. Yaremchuk Craniofacial surgery implant systems and methods
US10194958B2 (en) 2016-04-27 2019-02-05 Warsaw Othopedic, Inc. Spinal correction system and method
USD842479S1 (en) 2016-04-27 2019-03-05 Warsaw Orthopedic, Inc. Spinal implant
US10543022B2 (en) 2016-10-11 2020-01-28 Warsaw Orthopedic, Inc. Spinal implant system and method
US10646261B2 (en) 2018-07-24 2020-05-12 Warsaw Orthopedic, Inc. Multi-purpose screwdriver and method of use
US10779866B2 (en) 2016-12-29 2020-09-22 K2M, Inc. Rod reducer assembly
US10945777B2 (en) * 2019-03-29 2021-03-16 Depuy Ireland Unlimited Company Surgical instrument and method for performing an orthopaedic surgical procedure
US11051859B2 (en) 2016-04-27 2021-07-06 Warsaw Orthopedic, Inc. Spinal correction system and method
US11357490B2 (en) * 2015-09-24 2022-06-14 Swiss Medical Instruments Ag Distractor device and method
US11419643B2 (en) * 2018-07-04 2022-08-23 Silony Medical International AG Device for correcting bone fractures

Cited By (58)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2985168A (en) * 1959-03-19 1961-05-23 Jonas Salo Bone-aligning instrument
US4187841A (en) * 1978-07-07 1980-02-12 Knutson Richard A Bone compression or distraction device
WO1981000048A1 (en) * 1979-07-09 1981-01-22 R Knutson Bone compression or distraction device
US4813407A (en) * 1986-07-30 1989-03-21 Vogen Kenneth W Sesamoid bone clamp
EP0528177A3 (en) * 1991-08-17 1993-05-05 Aesculap Ag Internal fixator for the correction of a lumbar spondyldisthesis
US5514143A (en) * 1991-11-27 1996-05-07 Apogee Medical Products, Inc. Apparatus and method for use during surgery
US5391169A (en) * 1991-12-13 1995-02-21 Mcguire; David A. Patellar tendon harvester
EP0686375A1 (en) * 1994-06-08 1995-12-13 Yechiel Gotfried Surgical instrument for use during connection of a fractured bone
US9101443B2 (en) 2000-01-14 2015-08-11 Bonutti Skeletal Innovations Llc Methods for robotic arthroplasty
US8784495B2 (en) 2000-01-14 2014-07-22 Bonutti Skeletal Innovations Llc Segmental knee arthroplasty
US9192459B2 (en) 2000-01-14 2015-11-24 Bonutti Skeletal Innovations Llc Method of performing total knee arthroplasty
US9795394B2 (en) 2000-01-14 2017-10-24 Bonutti Skeletal Innovations Llc Method for placing implant using robotic system
US10231739B1 (en) 2001-08-28 2019-03-19 Bonutti Skeletal Innovations Llc System and method for robotic surgery
US9060797B2 (en) 2001-08-28 2015-06-23 Bonutti Skeletal Innovations Llc Method of preparing a femur and tibia in knee arthroplasty
US10321918B2 (en) 2001-08-28 2019-06-18 Bonutti Skeletal Innovations Llc Methods for robotic surgery using a cannula
US9763683B2 (en) 2001-08-28 2017-09-19 Bonutti Skeletal Innovations Llc Method for performing surgical procedures using optical cutting guides
US10470780B2 (en) 2001-08-28 2019-11-12 Bonutti Skeletal Innovations Llc Systems and methods for ligament balancing in robotic surgery
US8834490B2 (en) 2001-08-28 2014-09-16 Bonutti Skeletal Innovations Llc Method for robotic arthroplasty using navigation
US8840629B2 (en) 2001-08-28 2014-09-23 Bonutti Skeletal Innovations Llc Robotic arthroplasty system including navigation
US8858557B2 (en) 2001-08-28 2014-10-14 Bonutti Skeletal Innovations Llc Method of preparing a femur and tibia in knee arthroplasty
US7776047B2 (en) 2003-04-09 2010-08-17 Depuy Spine, Inc. Guide for spinal tools, implants, and devices
US7935123B2 (en) 2003-04-09 2011-05-03 Depuy Acromed, Inc. Drill guide with alignment feature
US8394107B2 (en) 2003-04-09 2013-03-12 Depuy Spine, Inc. Guide for spinal tools, implants, and devices
US7416553B2 (en) 2003-04-09 2008-08-26 Depuy Acromed, Inc. Drill guide and plate inserter
US20040210232A1 (en) * 2003-04-09 2004-10-21 Tushar Patel Guide device and plate inserter
US7909829B2 (en) 2003-06-27 2011-03-22 Depuy Spine, Inc. Tissue retractor and drill guide
US20040267274A1 (en) * 2003-06-27 2004-12-30 Tushar Patel Tissue retractor and drill guide
US7909848B2 (en) 2003-06-27 2011-03-22 Depuy Spine, Inc. Tissue retractor and guide device
US7488324B1 (en) * 2003-12-08 2009-02-10 Biomet Manufacturing Corporation Femoral guide for implanting a femoral knee prosthesis
US8834486B2 (en) 2003-12-08 2014-09-16 Biomet Manufacturing, Llc Femoral guide for implanting a femoral knee prosthesis
US20090292314A1 (en) * 2006-09-18 2009-11-26 Spineart Sa Lumbar interspinous prosthesis and its applications
US9895211B2 (en) 2008-01-04 2018-02-20 Michael J. Yaremchuk Craniofacial implant registration features and methods
US9913704B1 (en) 2008-01-04 2018-03-13 Michael J. Yaremchuk Craniofacial surgery implant systems and methods
US8702713B2 (en) 2011-01-26 2014-04-22 Warsaw Orthopedic, Inc. Instruments and techniques for adjusting relative positioning of bones or bony tissues
US9737351B2 (en) * 2012-01-16 2017-08-22 K2M, Inc. Rod reducer, compressor, distractor system
USRE49410E1 (en) * 2012-01-16 2023-02-07 K2M, Inc. Rod reducer, compressor, distractor system
US9125703B2 (en) * 2012-01-16 2015-09-08 K2M, Inc. Rod reducer, compressor, distractor system
US20130184763A1 (en) * 2012-01-16 2013-07-18 K2M, Inc. Rod reducer, compressor, distractor system
USRE48250E1 (en) * 2012-01-16 2020-10-13 K2M, Inc. Rod reducer, compressor, distractor system
US20150351814A1 (en) * 2012-01-16 2015-12-10 K2M, Inc. Rod reducer, compressor, distractor system
US9770272B2 (en) 2012-12-12 2017-09-26 Wright Medical Technology, Inc. Orthopedic compression/distraction device
US10631900B2 (en) 2012-12-12 2020-04-28 Wright Medical Technology, Inc. Orthopedic compression/distraction device
US9402660B2 (en) 2013-09-05 2016-08-02 Warsaw Orthopedic, Inc. Surgical instrument and method
US11357490B2 (en) * 2015-09-24 2022-06-14 Swiss Medical Instruments Ag Distractor device and method
US10390862B2 (en) * 2016-04-27 2019-08-27 Warsaw Orthopedic, Inc. Spinal correction system and method
US11051859B2 (en) 2016-04-27 2021-07-06 Warsaw Orthopedic, Inc. Spinal correction system and method
US11806052B2 (en) 2016-04-27 2023-11-07 Warsaw Orthopedic, Inc. Spinal correction system and method
US11793555B2 (en) 2016-04-27 2023-10-24 Warsaw Orthopedic, Inc. Spinal correction system and method
USD842479S1 (en) 2016-04-27 2019-03-05 Warsaw Orthopedic, Inc. Spinal implant
US20170311987A1 (en) * 2016-04-27 2017-11-02 Warsaw Orthopedic, Inc Spinal correction system and method
US10959760B2 (en) 2016-04-27 2021-03-30 Warsaw Orthopedic, Inc. Spinal correction system and method
US10194958B2 (en) 2016-04-27 2019-02-05 Warsaw Othopedic, Inc. Spinal correction system and method
US10543022B2 (en) 2016-10-11 2020-01-28 Warsaw Orthopedic, Inc. Spinal implant system and method
US10779866B2 (en) 2016-12-29 2020-09-22 K2M, Inc. Rod reducer assembly
US11419643B2 (en) * 2018-07-04 2022-08-23 Silony Medical International AG Device for correcting bone fractures
US10646261B2 (en) 2018-07-24 2020-05-12 Warsaw Orthopedic, Inc. Multi-purpose screwdriver and method of use
US11344352B2 (en) 2019-03-29 2022-05-31 Depuy Ireland Unlimited Company Methods of operating a surgical instrument and performing a surgical procedure to balance a patient's knee
US10945777B2 (en) * 2019-03-29 2021-03-16 Depuy Ireland Unlimited Company Surgical instrument and method for performing an orthopaedic surgical procedure

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