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Publication numberUS3469573 A
Publication typeGrant
Publication dateSep 30, 1969
Filing dateMay 4, 1966
Priority dateMay 4, 1966
Publication numberUS 3469573 A, US 3469573A, US-A-3469573, US3469573 A, US3469573A
InventorsFlorio Michael A
Original AssigneeFlorio Michael A
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Orthopedic clamp
US 3469573 A
Abstract  available in
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Claims  available in
Description  (OCR text may contain errors)

Sept. 30, 1969 M. A. FLORIO 3,469,573

ORTHOPEDIC CLAMP Filed May 4, 1966 4 JNVENTOR.

Michael Angelo Florio BY I ATTORNEY United States Patent 3,469,573 ORTHOPEDIC CLAMP Michael A. Florio, 180 E. Delaware, Chicago, Ill. 60611 Filed May 4, 1966, Ser. No. 547,484 Int. Cl. A61f 5/04 U.S. Cl. 12892 1 Claim ABSTRACT OF THE DISCLOSURE A clamping device for use by orthopedic surgeons in connection with the fixation of bone fractures and which serves to not only perform the main function of securing the portions of the fractured bone together during bone growth, but which enables a reduction in the area of pressurized conduct between the clamp and the bone.

My invention relates to orthopedic devices and more particularly to those types of devices which are employed in fixation of certain types of fractures.

One object of my invention is to provide a new orthopedic 'band which can be easily inserted and securely fastened into final place with the desired tension.

Another object of my invention is to provide a device of the character described which will permit the surgeon to not only clamp the band around the bone to the desired tightness by means of a screw, but which will further enable him to double-lock the device into its final position without any danger of slippage or loosening during the latter operation.

Another important object of my invention is to provide a device of the character described which will enable the bone growth to develop with the continuation of a relatively normal bone metabolism and in a more normal pattern than possible with other devices.

Another important object is to provide an orthopedic clamp having features which will, in comparison to devices in use heretofore, minimize if not completely eliminate the amount of dead bone lying directly under the band. Other objects and advantages of my invention will appear as the specification progresses and with reference to the accompanying drawing which illustrates a preferred form of my invention.

For a better understanding of my invention it should be mentioned that in devices used heretofore for the immobilization and stabilization of bone fractures, fiat metal bands or one or more wrappings of wire have been used. It is common knowledge that these older devices frequently had to be removed within several months of their installation or they would produce ring-type sequestrum. This necessary removal requires additional surgery and if the removal is not affected in due time a new fracture may appear in the area of the sequestrum, incurring secondary complications. The intimate contact of either a solid metal band or wire does not permit nourishment to reach the underlying bone. To overcome the objections of the former orthopedic encircling devices it will readily appear from the description to follow that my invention, while stabilizing the fracture, permits nourishment to flow to the bone lying underneath the 3,469,573 Patented Sept. 30, 1969 ice major portion of the device. In addition I have made provision for the growth and development of soft tissue, such as fibrotus tissue, blood vessels, etc., to grow in and through the device.

For a better understanding of my invention reference is made to FIGS. 1 and 2 in which a band 1 is disposed circumferentially about a bone structure indicated by broken lines at 7. One or more fractures, not shown, may extend longitudinally or even diagonally of the bone and the purpose of the annular clamp is to enable the surgeon to set the bone fragments back into normal position and to cause the band to act as an annular clamp to retain this position enabling the fractures to heal and the bone growth to continue to develop in a relatively normal manner.

The clamp is made of a straight band of metal which will permit the surgeon to wrap the same around the bone in a circular manner shown. The clamping action must be sufficiently firm to prevent movement between the fractured parts and to this end a locking buckle comprising a clamp member 2 is provided through which the free end 6 of the band 1 is inserted. To secure the desired tension the free end 6 is made sufficiently long to enable grasping same while it is being pulled firmly through the buckle, immediately following which a set screw 3 is tightened firmly to prevent loosening of the clamp. To further secure the clamp into locked position, the free end 6 is bent to extend radially of the annular clamp to the position indicated by the broken lines and following this any excess portion of the thus formed free end may be sheared off and discarded. In order to reduce or prevent the formation of a ring-type sequestrum occasioned by plain curved metal bands or wires in use heretofore for this purpose I have provided the band 1 with a series of inwardly-extending corrugations or ribs 4. This improvement enables a tremendous reduction in the area of pressurized contact between the clamp and the bone, permitting normal development and growth particularly in the areas between the projections 4. My invention embodies a further step in this direction by providing the band with a series of relatively large holes 5.

From the above it will be obvious that I have not only minimized the area of contact between the bone and the band but have also made provision for the growth and development of soft tissue, blood vessels and the like to grow under the major area of the band and also through the same by virtue of the presence of holes 5.

While the above described structure may be made of a desirable material such as stainless steel, in the modification of my invention shown in FIGS. 4, 5 and 6 I have provided a series of inwardly-extending ribs 9 made of a material different from that of a metal band 8. In this arrangement large holes 11 for growth of tissue and the like are provided between the ribs while the ribs themselves are permanently assembled in advance to the band. This is accomplished by providing each rib 9 with a pair of studs 10 made integrally therewith and which studs are pressed into smaller holes disposed between the larger growth holes 11. The ribs 9 may be made of plastic or any material sufficiently strong yet suitable for permanent contact with bone, tissue, body chemicals and the like.

I claim:

1. An orthopedic device comprising an annular metal band adapted to be applied as a clamp around a fractured bone, said band being provided with a plurality of inwardly-disposed bone-contacting members made of a plastic material of suflicient strength yet suitable for permanent contact with bone, tissue and body chemicals, said members are each elongated laterally across the width of said band to lie parallel to one another and sufficiently separated from one another circumferentially to provide areas between adjacent members devoid of bone contact to permit the continuation of relatively normal bone metabolism and a series of openings in those portions of said metal band which occur between said bone-contacting members, said openings being of sufficient size to permit the growth of soft tissues therethrough.

References Cited UNITED STATES PATENTS 3/1928 Nicholson et a1. 128-92 6/1963 Spiro 24-16 11/1963 Von Solbrig 128-92 10/1917 Olmsted 29-222 6/1925 Gillis 29-222 12/1927 Maki 29-224 FOREIGN PATENTS 10/ 1949 France.

9/ 1953 Canada.

RICHARD A. GAUDET, Primary Examiner 15 J. D. YASKO, Assistant Examiner

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US1242027 *Mar 13, 1916Oct 2, 1917Louie E OlmstedPiston-ring-clamping tool.
US1544974 *Jun 3, 1924Jul 7, 1925M E CurtisPiston-ring compressor
US1651462 *Mar 5, 1927Dec 6, 1927Maki Elmer GPiston-ring remover and applier
US1662758 *May 31, 1927Mar 13, 1928Cavin William DFemur splint
US3099054 *Apr 24, 1961Jul 30, 1963Lockheed Aircraft CorpFlexible multi-purpose clamp
US3111945 *Jan 5, 1961Nov 26, 1963Von Solbrig Charles RBone band and process of applying the same
CA495773A *Sep 1, 1953Tinnerman Products IncSeparable clamping device
FR960010A * Title not available
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US3828787 *Sep 8, 1972Aug 13, 1974Medical IncCollet for holding heart valve
US3860005 *Sep 5, 1973Jan 14, 1975Anderson LawrenceCollet for holding heart valve
US3946728 *May 24, 1974Mar 30, 1976Protek A.G.Surgical device
US4119091 *Jun 30, 1977Oct 10, 1978Chichester Partridge LimitedTie for use in bone fracture surgery
US4146022 *Nov 16, 1977Mar 27, 1979Ronald A. JohnsonFracture fixation by cerclage utilizing cortical bone tack and pull-out tension device
US4263904 *Feb 6, 1979Apr 28, 1981Judet Robert LOsteosynthesis devices
US4667662 *Mar 5, 1984May 26, 1987Davol, Inc.Cerclage device
US5190545 *Aug 27, 1991Mar 2, 1993Pfizer Hospital Products Group, Inc.Cerclage wire positioning insert
US5250049 *Jan 10, 1992Oct 5, 1993Michael Roger HBone and tissue connectors
US5318575 *Feb 3, 1992Jun 7, 1994United States Surgical CorporationMethod of using a surgical repair suture product
US5330489 *Oct 9, 1992Jul 19, 1994United States Surgical CorporationSternum closure buckle
US5339870 *Oct 9, 1992Aug 23, 1994United States Surgical CorporationSternum buckle and applier
US5355913 *Oct 9, 1992Oct 18, 1994United States Surgical CorporationSurgical repair device
US5356412 *Oct 9, 1992Oct 18, 1994United States Surgical CorporationSternum buckle with rotational engagement and method of closure
US5356417 *Oct 9, 1992Oct 18, 1994United States Surgical CorporationAbsorbable sternum closure buckle
US5417698 *Oct 9, 1992May 23, 1995United States Surgical CorporationApparatus for tightening elongated wound closure elements
US5665088 *Jun 7, 1996Sep 9, 1997Smith & Nephew Richards Inc.Bone section reattachment apparatus and method
US7112221 *Aug 18, 2003Sep 26, 2006Finsbury (Development) LimitedProsthesis
US8231626Apr 30, 2010Jul 31, 2012Synthes Usa, LlcSelf-retaining cable tie
US8882816Dec 29, 2011Nov 11, 2014Proactive Orthopedics, LlcFixation and alignment device and method used in orthopaedic surgery
US8906090 *Feb 15, 2008Dec 9, 2014Heinz Kurz Gmbh MedizintechnikAuditory ossicle prosthesis
US8911476Jan 13, 2014Dec 16, 2014Osteomed, LlcBone plates, screws, and instruments
US8940019Dec 23, 2008Jan 27, 2015Osteomed Spine, Inc.Bone tissue fixation device and method
DE2730571A1 *Jul 6, 1977Jan 12, 1978Anthony John PartridgeVorrichtung zum zusammenhalten der teile eines gebrochenen knochens
DE2904304A1 *Feb 5, 1979Aug 16, 1979Robert JudetOsteo-synthesevorrichtung
DE3244680A1 *Dec 2, 1982Jun 14, 1984Peter Dr ClarenzDevice for holding the parts of a broken bone together
DE3538645A1 *Oct 30, 1985May 7, 1987Gundolf FerdinandDevice for the osteosynthesis of bone fragments, especially for the fixation of bone fractures
DE3743638A1 *Dec 22, 1987Jul 6, 1989Johannes Franz Dr Med HoenigOsteosynthesis or reconstruction plates
DE3841288A1 *Dec 8, 1988Jun 13, 1990Pertti Prof Dr ToermaelaeOsteosyntheseimplantate
EP0019062A1 *Mar 26, 1980Nov 26, 1980Gerhard DawidowskiCerclage lock for connecting the ends of a cerclage wire for bone fractures and clamping device for receiving the lock
EP0615728A2 *Feb 14, 1994Sep 21, 1994MIKHAIL, Michael W.E.Orthopaedic reconstruction plate
WO1986003978A1 *Dec 23, 1985Jul 17, 1986Baxter Travenol LabInfusor having a distal flow regulator
Classifications
U.S. Classification606/74
International ClassificationA61B17/68, A61B17/82
Cooperative ClassificationA61B17/82
European ClassificationA61B17/82