Patent No. US11607250 (titled "Tarsal-Metatarsal Joint Procedure Utilizing Compressor-Distractor And Instrument Providing Sliding Surface") was filed by Midcap Funding Iv Trust on Feb 7, 2020.
’250 is related to the field of surgical instruments and methods, specifically those used for bone realignment, particularly in the foot. The background involves correcting bone deformities like hallux valgus (bunions), where the metatarsal bone is misaligned. Surgical interventions aim to realign the metatarsal, and there's a need for instruments that improve the efficiency, accuracy, and reproducibility of these procedures.
The underlying idea behind ’250 is to use a compressor-distractor in conjunction with a sliding surface instrument to facilitate bone realignment. The compressor-distractor allows for controlled movement (compression or distraction) of the metatarsal relative to the cuneiform. The sliding surface instrument is inserted between the metatarsal being moved and an adjacent metatarsal to reduce friction and prevent the moving bone from catching on surrounding tissue or bone, ensuring a smoother and more accurate realignment.
The claims of ’250 focus on a method involving attaching a compressor-distractor to both a first metatarsal and a medial cuneiform. The method further includes inserting an instrument that provides a sliding surface between the first metatarsal and a second metatarsal. Finally, the compressor-distractor is actuated to move the first metatarsal towards the medial cuneiform, causing the first metatarsal to slide along the instrument's sliding surface.
In practice, the surgeon first attaches the compressor-distractor to the metatarsal and cuneiform using pins. The compressor-distractor can then be used to separate (distract) the bones for cleaning or preparation. The sliding surface instrument is then inserted between the metatarsal being moved and the adjacent metatarsal. As the compressor-distractor brings the bones back together (compresses), the metatarsal slides along the instrument's surface, minimizing friction and preventing unwanted lateral movement or catching.
This approach differs from prior solutions by providing a controlled and less traumatic method for bone realignment. Traditional methods might involve more forceful manipulation, potentially leading to tissue damage or inaccurate positioning. The combination of controlled distraction/compression with a dedicated sliding surface offers a more precise and predictable outcome, especially in delicate foot surgeries where space is limited and accuracy is paramount. The angled pin-receiving holes on the compressor-distractor can also impart corrective rotation during installation.
In the late 2010s when ’250 was filed, surgical procedures for bone realignment, particularly in the foot, were at a time when specialized instruments were typically used to achieve accurate and reproducible clinical results. At that time, surgeons commonly relied on distraction and compression techniques to correct bone deformities such as hallux valgus, when hardware or software constraints made precise bone positioning non-trivial.
The examiner approved the application because no prior art references, alone or in combination, disclosed or suggested all the limitations of the claims. Specifically, claim 1 was allowed because it recites attaching a compressor-distractor to a first metatarsal and a medial cuneiform, inserting an instrument defining a sliding surface between the first and a second metatarsal, and actuating the compressor-distractor to move the first metatarsal toward the medial cuneiform, causing the first metatarsal to slide across the sliding surface. Claim 19 was allowed for similar reasons, focusing on moving the first metatarsal away from the medial cuneiform and inserting the sliding surface instrument.
This patent contains 25 claims, with independent claims 1 and 19 directed to methods involving a compressor-distractor attached to a first metatarsal and medial cuneiform, and the insertion of an instrument defining a sliding surface between the first and second metatarsals. The dependent claims generally elaborate on and refine the steps and features recited in the independent claims.
Definitions of key terms used in the patent claims.
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