IP Library › Granted Patent US 12,268,428
Granted Patent B2
US 12,268,428 · App. 18/645,596 · Granted Apr 8, 2025

Tarsal-metatarsal joint procedure utilizing fulcrum

Inventors: F. Barry Bays (Collierville, TN); Robert D. Santrock (Morgantown, WV); Paul Dayton (Ankeny, IA); Daniel J. Hatch (Greeley, CO); W. Bret Smith (Lexington, SC); Carlos Eduardo Gil (Memphis, TN); Sean F. Scanlan (Jacksonville, FL); Joe William Ferguson (Ponte Vedra Beach, FL); John T. Treace (Ponte Vedra Beach, FL)
Assignee: Treace Medical Concepts, Inc.
A61B17/8866A61B17/151A61B17/8061A61B2017/564
View Patent ↗
Loading inventors, assignments & file history…
Monitor This Case
Get email alerts when status or documents change.
Order Certified Copies
Most orders are placed with the USPTO same day — all within 24 business hours.
Order via The Patent Place →
Pre-filled with this patent's details
Quick Facts
Patent No.
US 12,268,428
App. No.
18/645,596
Granted
Apr 8, 2025
Kind
B2
Abstract

A technique for correcting a bone deformity, such as a bunion, may be performed using an instrument. In some examples, the technique involves inserting the instrument between a first metatarsal and a second metatarsal. The technique further includes preparing an end of the first metatarsal and preparing an end of a medial cuneiform opposing the end of the first metatarsal.

Claims (63)

1. An instrumented surgical technique for treating a bunion deformity, the instrumented surgical technique comprising:

inserting an instrument between a first metatarsal and a second metatarsal adjacent to the first metatarsal;

with the instrument inserted between the first metatarsal and the second metatarsal, cutting an end of the first metatarsal;

moving the first metatarsal in at least one plane to treat the bunion deformity;

cutting an end of a medial cuneiform opposing the end of the first metatarsal; and

after moving the first metatarsal in at least one plane to treat the bunion deformity, fixating a moved position of the first metatarsal relative to the medial cuneiform using at least one bone fixation device.

2. The instrumented surgical technique of claim 1 , wherein:

the instrument has a body and a handle operatively connected to the body;

the handle extends from the body; and

inserting the instrument between the first metatarsal and the second metatarsal comprises inserting the body between the first metatarsal and the second metatarsal and thereby positioning the handle extending laterally over a dorsal surface of the second metatarsal.

3. The instrumented surgical technique of claim 2 , wherein inserting the body between the first metatarsal and the second metatarsal comprises inserting the body from a dorsal side of a foot toward a plantar side of the foot.

4. The instrumented surgical technique of claim 1 , further comprising positioning a bone preparation guide defining a cutting slot over the first metatarsal, wherein cutting the end of the first metatarsal comprises guiding a saw blade through the cutting slot to cut the end of the first metatarsal.

5. The instrumented surgical technique of claim 4 , wherein the bone preparation guide comprises at least one fixation aperture, and further comprising securing the bone preparation guide to the first metatarsal with at least one fixation pin inserted into the first metatarsal and extending through the at least one fixation aperture of the bone preparation guide.

6. The instrumented surgical technique of claim 1 , further comprising, after cutting the end of the first metatarsal, removing the instrument from between the first metatarsal and the second metatarsal.

7. The instrumented surgical technique of claim 1 , wherein positioning the instrument between the first metatarsal and the second metatarsal comprises positioning the instrument between a proximal-most third of the first metatarsal and a proximal-most third of the second metatarsal.

8. The instrumented surgical technique of claim 1 , wherein moving the first metatarsal in at least one plane comprises moving the first metatarsal relative to the second metatarsal in a transverse plane by applying a force to the first metatarsal with a bone positioning guide and thereby reducing an intermetatarsal angle between the first metatarsal and the second metatarsal.

9. The instrumented surgical technique of claim 8 , wherein:

the instrument is a fulcrum; and

moving the first metatarsal in the transverse plane comprises pivoting the first metatarsal about the fulcrum.

10. The instrumented surgical technique of claim 8 , wherein moving the first metatarsal in at least one plane further comprises moving the first metatarsal in a frontal plane.

11. The instrumented surgical technique of claim 10 , wherein moving the first metatarsal in the frontal plane comprises imparting a force to a pin inserted into the first metatarsal to adjust an alignment of the first metatarsal in the frontal plane to treat the bunion deformity.

12. The instrumented surgical technique of claim 1 , further comprising compressing the first metatarsal together with the medial cuneiform prior to fixing the moved position of the first metatarsal relative to the medial cuneiform using the at least one bone fixation device.

13. The instrumented surgical technique of claim 1 , wherein cutting the end of the medial cuneiform comprises cutting the end of the medial cuneiform with the instrument inserted between the first metatarsal and the second metatarsal.

14. The instrumented surgical technique of claim 1 , wherein cutting the end of the medial cuneiform comprises cutting the end of the medial cuneiform after cutting the end of the first metatarsal and after moving the first metatarsal in the at least one plane to treat the bunion deformity.

15. The instrumented surgical technique of claim 1 , further comprising, prior to inserting the instrument between the first metatarsal and the second metatarsal, obtaining the instrument from a sterile kit that also includes (1) a bone positioning guide configured to engage the first metatarsal and apply a force to the first metatarsal to move the first metatarsal in at least one plane and (2) a bone preparation guide defining a cutting slot configured to be positioned over an end of the first metatarsal to be cut.

16. The instrumented surgical technique of claim 1 , wherein the at least one bone fixation device comprises at least one of a screw and a plate.

17. The instrumented surgical technique of claim 1 , wherein the at least one bone fixation device comprises an intramedullary implant.

18. An instrumented surgical technique for treating a bunion deformity, the instrumented surgical technique comprising:

positioning a bone preparation guide defining a cutting slot over a first metatarsal with at least one fixation pin inserted into the first metatarsal and extending through at least one fixation aperture of the bone preparation guide;

inserting an instrument between a proximal portion of the first metatarsal and a proximal portion of a second metatarsal adjacent to the first metatarsal;

with the instrument inserted between the first metatarsal and the second metatarsal, guiding a saw blade through the cutting slot to cut an end of the first metatarsal;

moving the first metatarsal in at least one plane to treat the bunion deformity;

cutting an end of a medial cuneiform opposing the end of the first metatarsal;

compressing the first metatarsal together with the medial cuneiform; and

after moving the first metatarsal in at least one plane to treat the bunion deformity and after compressing the first metatarsal together with the medial cuneiform, fixating a moved position of the first metatarsal relative to the medial cuneiform for fusion using at least one bone fixation device.

19. The instrumented surgical technique of claim 18 , further comprising, after cutting the end of the first metatarsal, removing the instrument from between the first metatarsal and the second metatarsal.

20. The instrumented surgical technique of claim 18 , wherein:

the instrument has a body and a handle operatively connected to the body;

the handle extends from the body; and

inserting the instrument between the first metatarsal and the second metatarsal comprises inserting the body between the first metatarsal and the second metatarsal and thereby positioning the handle extending laterally over a dorsal surface of the second metatarsal.

21. The instrumented surgical technique of claim 18 , wherein moving the first metatarsal in at least one plane comprises moving the first metatarsal relative to the second metatarsal in a transverse plane by applying a force to the first metatarsal with a bone positioning guide and thereby reducing an intermetatarsal angle between the first metatarsal and the second metatarsal.

22. The instrumented surgical technique of claim 21 , wherein:

the instrument is a fulcrum; and

moving the first metatarsal in the transverse plane comprises pivoting the first metatarsal about the fulcrum.

23. The instrumented surgical technique of claim 21 , wherein moving the first metatarsal in at least one plane comprises moving the first metatarsal in a frontal plane.

24. The instrumented surgical technique of claim 23 , wherein moving the first metatarsal in the frontal plane comprises imparting a force to a pin inserted into the first metatarsal to adjust an alignment of the first metatarsal in the frontal plane to treat the bunion deformity.

25. The instrumented surgical technique of claim 18 , wherein cutting the end of the medial cuneiform comprises cutting the end of the medial cuneiform after cutting the end of the first metatarsal and after moving the first metatarsal in the at least one plane to treat the bunion deformity.

26. The instrumented surgical technique of claim 18 , further comprising, prior to inserting the instrument between the first metatarsal and the second metatarsal, obtaining the instrument from a sterile kit that also includes (1) a bone positioning guide configured to engage the first metatarsal and apply a force to the first metatarsal to move the first metatarsal in at least one plane and (2) the bone preparation guide.

27. The instrumented surgical technique of claim 18 , wherein the at least one bone fixation device comprises one or more of a screw, a plate, and an intramedullary implant.

28. An instrumented surgical technique for treating a bunion deformity, the instrumented surgical technique comprising:

positioning a bone preparation guide defining a cutting slot over a first metatarsal with at least one fixation pin inserted into the first metatarsal and extending through at least one fixation aperture of the bone preparation guide;

inserting an instrument between a proximal portion of the first metatarsal and a proximal portion of a second metatarsal adjacent to the first metatarsal;

with the instrument inserted between the first metatarsal and the second metatarsal, guiding a saw blade through the cutting slot to cut an end of the first metatarsal;

engaging a bone positioning guide with the first metatarsal and using the bone positioning guide to move the first metatarsal relative to the second metatarsal in a transverse plane to reduce an intermetatarsal angle between the first metatarsal and the second metatarsal to treat the bunion deformity;

imparting a force to a pin inserted into the first metatarsal to adjust an alignment of the first metatarsal in a frontal plane to treat the bunion deformity;

cutting an end of a medial cuneiform opposing the end of the first metatarsal;

compressing the first metatarsal together with the medial cuneiform; and

fixating a moved position of the first metatarsal relative to the medial cuneiform for fusion using at least one bone fixation device.

29. The instrumented surgical technique of claim 28 , wherein:

the instrument has a body and a handle operatively connected to the body;

the handle extends from the body; and

inserting the instrument between the first metatarsal and the second metatarsal comprises inserting the body between the first metatarsal and the second metatarsal and thereby positioning the handle extending laterally over a dorsal surface of the second metatarsal.

30. The instrumented surgical technique of claim 28 , further comprising, after cutting the end of the first metatarsal, removing the instrument from between the first metatarsal and the second metatarsal.

Assignments (2)
SECURITY INTEREST Recorded Dec 18, 2025
From: TREACE MEDICAL CONCEPTS, INC.
To: SLR INVESTMENT CORP.
Reel/Frame 074011/0001 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Oct 25, 2024
From: BAYS, F. BARRY; SANTROCK, ROBERT D.; DAYTON, PAUL; HATCH, DANIEL J.; SMITH, W. BRET; GIL, CARLOS EDUARDO; SCANLAN, SEAN F.; FERGUSON, JOE WILLIAM; TREACE, JOHN T.
To: TREACE MEDICAL CONCEPTS, INC.
Reel/Frame 069273/0800 →
Continuity (8)
Continuation 18323138 · May 24, 2023
Continuation 17888272 · Aug 15, 2022
Continuation 16448357 · Jun 21, 2019
Division 15236464 · Aug 14, 2016
Continuation In Part 14981335 · Dec 28, 2015
Provisional Application 62293189 · Feb 9, 2016
Provisional Application 62205338 · Aug 14, 2015
Related Publication 20240268876A1 · Aug 15, 2024
References Cited (400)
US 3664022A · Small · 1972 [cited by applicant]
US 4069824A · Weinstock · 1978 [cited by applicant]
US 4159716A · Borchers · 1979 [cited by applicant]
US 4187840A · Watanabe · 1980 [cited by applicant]
US 4335715A · Kirkley · 1982 [cited by applicant]
US 4338927A · Volkov et al. · 1982 [cited by applicant]
US 4349018A · Chambers · 1982 [cited by applicant]
US 4364381A · Sher et al. · 1982 [cited by applicant]
US 4409973A · Neufeld · 1983 [cited by applicant]
US 4440168A · Warren · 1984 [cited by applicant]
US 4501268A · Comparetto · 1985 [cited by applicant]
US 4502474A · Comparetto · 1985 [cited by applicant]
US 4509511A · Neufeld · 1985 [cited by applicant]
US 4565191A · Slocum · 1986 [cited by applicant]
US 4570624A · Wu · 1986 [cited by applicant]
US 4627425A · Reese · 1986 [cited by applicant]
US 4628919A · Clyburn · 1986 [cited by applicant]
US 4632102A · Comparetto · 1986 [cited by applicant]
US 4664102A · Comparetto · 1987 [cited by applicant]
US 4708133A · Comparetto · 1987 [cited by applicant]
US 4736737A · Fargie et al. · 1988 [cited by applicant]
US 4750481A · Reese · 1988 [cited by applicant]
US 4754746A · Cox · 1988 [cited by applicant]
US 4757810A · Reese · 1988 [cited by applicant]
US 4895141A · Koeneman et al. · 1990 [cited by applicant]
US 4952214A · Comparetto · 1990 [cited by applicant]
US 4959066A · Dunn et al. · 1990 [cited by applicant]
US 4978347A · Ilizarov · 1990 [cited by applicant]
US 4988349A · Pennig · 1991 [cited by applicant]
US 4995875A · Coes · 1991 [cited by applicant]
US 5021056A · Hofmann et al. · 1991 [cited by applicant]
US 5035698A · Comparetto · 1991 [cited by applicant]
US 5042983A · Rayhack · 1991 [cited by applicant]
US 5049149A · Schmidt · 1991 [cited by applicant]
US 5053039A · Hofmann et al. · 1991 [cited by applicant]
US 5078719A · Schreiber · 1992 [cited by applicant]
US 5112334A · Alchermes et al. · 1992 [cited by applicant]
US 5147364A · Comparetto · 1992 [cited by applicant]
US 5176685A · Rayhack · 1993 [cited by applicant]
US 5207676A · Canadell et al. · 1993 [cited by applicant]
US 5246444A · Schreiber · 1993 [cited by applicant]
US 5254119A · Schreiber · 1993 [cited by applicant]
US 5312412A · Whipple · 1994 [cited by applicant]
US 5358504A · Paley et al. · 1994 [cited by applicant]
US 5364402A · Mumme et al. · 1994 [cited by applicant]
US 5374271A · Hwang · 1994 [cited by applicant]
US 5413579A · Tom Du Toit · 1995 [cited by applicant]
US 5417694A · Marik et al. · 1995 [cited by applicant]
US 5449360A · Schreiber · 1995 [cited by applicant]
US 5470335A · Du Toit · 1995 [cited by applicant]
US 5490854A · Fisher et al. · 1996 [cited by applicant]
US 5529075A · Clark · 1996 [cited by examiner]
US 5540695A · Levy · 1996 [cited by applicant]
US 5578038A · Slocum · 1996 [cited by applicant]
US 5586564A · Barrett et al. · 1996 [cited by applicant]
US 5601565A · Huebner · 1997 [cited by applicant]
US 5613969A · Jenkins, Jr. · 1997 [cited by applicant]
US 5620442A · Bailey et al. · 1997 [cited by applicant]
US 5620448A · Puddu · 1997 [cited by applicant]
US 5643270A · Combs · 1997 [cited by applicant]
US 5667510A · Combs · 1997 [cited by applicant]
US H1706H · Mason · 1998 [cited by applicant]
US 5722978A · Jenkins · 1998 [cited by applicant]
US 5749875A · Puddu · 1998 [cited by applicant]
US 5779709A · Harris et al. · 1998 [cited by applicant]
US 5788695A · Richardson · 1998 [cited by applicant]
US 5803924A · Oni et al. · 1998 [cited by applicant]
US 5810822A · Mortier · 1998 [cited by applicant]
US 5843085A · Graser · 1998 [cited by applicant]
US 5893553A · Pinkous · 1999 [cited by applicant]
US 5911724A · Wehrli · 1999 [cited by applicant]
US 5935128A · Carter et al. · 1999 [cited by applicant]
US 5941877A · Viegas et al. · 1999 [cited by applicant]
US 5951556A · Faccioli et al. · 1999 [cited by applicant]
US 5980526A · Johnson et al. · 1999 [cited by applicant]
US 5984931A · Greenfield · 1999 [cited by applicant]
US 6007535A · Rayhack et al. · 1999 [cited by applicant]
US 6027504A · McGuire · 2000 [cited by applicant]
US 6030391A · Brainard et al. · 2000 [cited by applicant]
US 6162223A · Orsak et al. · 2000 [cited by applicant]
US 6171309B1 · Huebner · 2001 [cited by applicant]
US 6203545B1 · Stoffella · 2001 [cited by applicant]
US 6248109B1 · Stoffella · 2001 [cited by applicant]
US 6391031B1 · Toomey · 2002 [cited by applicant]
US 6416465B2 · Brau · 2002 [cited by applicant]
US 6478799B1 · Williamson · 2002 [cited by applicant]
US 6511481B2 · Von Hoffmann et al. · 2003 [cited by applicant]
US 6547793B1 · McGuire · 2003 [cited by applicant]
US 6676662B1 · Bagga et al. · 2004 [cited by applicant]
US 6719773B1 · Boucher et al. · 2004 [cited by applicant]
US 6743233B1 · Baldwin et al. · 2004 [cited by applicant]
US 6755838B2 · Trnka · 2004 [cited by applicant]
US 6796986B2 · Duffner · 2004 [cited by applicant]
US 6859661B2 · Tuke · 2005 [cited by applicant]
US 7018383B2 · McGuire · 2006 [cited by applicant]
US 7033361B2 · Collazo · 2006 [cited by applicant]
US 7097647B2 · Segler et al. · 2006 [cited by applicant]
US 7112204B2 · Justin et al. · 2006 [cited by applicant]
US 7153310B2 · Ralph et al. · 2006 [cited by applicant]
US 7182766B1 · Mogul · 2007 [cited by applicant]
US 7241298B2 · Nemec et al. · 2007 [cited by applicant]
US 7282054B2 · Steffensmeier et al. · 2007 [cited by applicant]
US 7377924B2 · Raistrick et al. · 2008 [cited by applicant]
US 7465303B2 · Riccione et al. · 2008 [cited by applicant]
US 7540874B2 · Trumble et al. · 2009 [cited by applicant]
US 7572258B2 · Stiernborg · 2009 [cited by applicant]
US 7641660B2 · Lakin et al. · 2010 [cited by applicant]
US D610257S · Horton · 2010 [cited by applicant]
US 7686811B2 · Byrd et al. · 2010 [cited by applicant]
US 7691108B2 · Lavallee · 2010 [cited by applicant]
US 7763026B2 · Egger et al. · 2010 [cited by applicant]
US D629900S · Fisher · 2010 [cited by applicant]
US 7967823B2 · Ammann et al. · 2011 [cited by applicant]
US 7972338B2 · O'Brien · 2011 [cited by applicant]
US D646389S · Claypool et al. · 2011 [cited by applicant]
US 8057478B2 · Kuczynski et al. · 2011 [cited by applicant]
US 8062301B2 · Ammann et al. · 2011 [cited by applicant]
US D651315S · Bertoni et al. · 2011 [cited by applicant]
US D651316S · May et al. · 2011 [cited by applicant]
US 8080010B2 · Schulz et al. · 2011 [cited by applicant]
US 8080045B2 · Wotton, III · 2011 [cited by applicant]
US 8083746B2 · Novak · 2011 [cited by applicant]
US 8123753B2 · Poncet · 2012 [cited by applicant]
US 8137406B2 · Novak et al. · 2012 [cited by applicant]
US 8147530B2 · Strnad et al. · 2012 [cited by applicant]
US 8167918B2 · Strnad et al. · 2012 [cited by applicant]
US 8172848B2 · Tomko et al. · 2012 [cited by applicant]
US 8192441B2 · Collazo · 2012 [cited by applicant]
US 8197487B2 · Poncet et al. · 2012 [cited by applicant]
US 8231623B1 · Jordan · 2012 [cited by applicant]
US 8231663B2 · Kay et al. · 2012 [cited by applicant]
US 8236000B2 · Ammann et al. · 2012 [cited by applicant]
US 8246561B1 · Agee et al. · 2012 [cited by applicant]
US D666721S · Wright et al. · 2012 [cited by applicant]
US 8262664B2 · Justin et al. · 2012 [cited by applicant]
US 8277459B2 · Sand et al. · 2012 [cited by applicant]
US 8282644B2 · Edwards · 2012 [cited by applicant]
US 8282645B2 · Lawrence et al. · 2012 [cited by applicant]
US 8292966B2 · Morton · 2012 [cited by applicant]
US 8303596B2 · Plassky et al. · 2012 [cited by applicant]
US 8313492B2 · Wong et al. · 2012 [cited by applicant]
US 8323289B2 · Re · 2012 [cited by applicant]
US 8337503B2 · Lian · 2012 [cited by applicant]
US 8343159B2 · Bennett · 2013 [cited by applicant]
US 8377105B2 · Bscher · 2013 [cited by applicant]
US D679395S · Wright et al. · 2013 [cited by applicant]
US 8409209B2 · Ammann et al. · 2013 [cited by applicant]
US 8435246B2 · Fisher et al. · 2013 [cited by applicant]
US 8475462B2 · Thomas et al. · 2013 [cited by applicant]
US 8496662B2 · Novak et al. · 2013 [cited by applicant]
US 8523870B2 · Green, II et al. · 2013 [cited by applicant]
US 8529571B2 · Horan et al. · 2013 [cited by applicant]
US 8540777B2 · Ammann et al. · 2013 [cited by applicant]
US 8545508B2 · Collazo · 2013 [cited by applicant]
US D694884S · Mooradian et al. · 2013 [cited by applicant]
US D695402S · Dacosta et al. · 2013 [cited by applicant]
US 8652142B2 · Geissler · 2014 [cited by applicant]
US 8657820B2 · Kubiak et al. · 2014 [cited by applicant]
US D701303S · Cook · 2014 [cited by applicant]
US 8672945B2 · Lavallee et al. · 2014 [cited by applicant]
US 8696716B2 · Kartalian et al. · 2014 [cited by applicant]
US 8702715B2 · Ammann et al. · 2014 [cited by applicant]
US D705929S · Frey · 2014 [cited by applicant]
US 8715363B2 · Ratron et al. · 2014 [cited by applicant]
US 8728084B2 · Berelsman et al. · 2014 [cited by applicant]
US 8758354B2 · Habegger et al. · 2014 [cited by applicant]
US 8764760B2 · Metzger et al. · 2014 [cited by applicant]
US 8764763B2 · Wong et al. · 2014 [cited by applicant]
US 8771279B2 · Philippon et al. · 2014 [cited by applicant]
US 8777948B2 · Bernsteiner · 2014 [cited by applicant]
US 8784427B2 · Fallin et al. · 2014 [cited by applicant]
US 8784457B2 · Graham · 2014 [cited by applicant]
US 8795286B2 · Sand et al. · 2014 [cited by applicant]
US 8801727B2 · Chan et al. · 2014 [cited by applicant]
US 8808303B2 · Stemniski et al. · 2014 [cited by applicant]
US 8828012B2 · May et al. · 2014 [cited by applicant]
US 8858602B2 · Weiner et al. · 2014 [cited by applicant]
US 8882778B2 · Ranft · 2014 [cited by applicant]
US 8882816B2 · Kartalian et al. · 2014 [cited by applicant]
US 8888785B2 · Ammann et al. · 2014 [cited by applicant]
US D720456S · Dacosta et al. · 2014 [cited by applicant]
US 8900247B2 · Tseng et al. · 2014 [cited by applicant]
US 8906026B2 · Ammann et al. · 2014 [cited by applicant]
US 8945132B2 · Plassy et al. · 2015 [cited by applicant]
US 8998903B2 · Price et al. · 2015 [cited by applicant]
US 8998904B2 · Zeetser et al. · 2015 [cited by applicant]
US 9011507B2 · Schelling · 2015 [cited by applicant]
US 9023052B2 · Lietz et al. · 2015 [cited by applicant]
US 9044250B2 · Olsen et al. · 2015 [cited by applicant]
US 9060822B2 · Lewis et al. · 2015 [cited by applicant]
US 9089376B2 · Medoff et al. · 2015 [cited by applicant]
US 9101421B2 · Blacklidge · 2015 [cited by applicant]
US 9107715B2 · Blitz et al. · 2015 [cited by applicant]
US 9113920B2 · Ammann et al. · 2015 [cited by applicant]
US D740424S · Dacosta et al. · 2015 [cited by applicant]
US D765844S · DaCosta · 2016 [cited by applicant]
US D766434S · DaCosta · 2016 [cited by applicant]
US D766437S · DaCosta · 2016 [cited by applicant]
US D766438S · DaCosta · 2016 [cited by applicant]
US D766439S · DaCosta · 2016 [cited by applicant]
US 9452057B2 · Dacosta et al. · 2016 [cited by applicant]
US 9522023B2 · Haddad et al. · 2016 [cited by applicant]
US 9750538B2 · Soffiatti et al. · 2017 [cited by applicant]
US 9785747B2 · Geebelen · 2017 [cited by applicant]
US 9980760B2 · Dacosta et al. · 2018 [cited by applicant]
US 10028750B2 · Rose · 2018 [cited by applicant]
US 10064631B2 · Dacosta et al. · 2018 [cited by applicant]
US 10159499B2 · Dacosta et al. · 2018 [cited by applicant]
US 10292713B2 · Fallin et al. · 2019 [cited by applicant]
US 10327829B2 · Dacosta et al. · 2019 [cited by applicant]
US 10342590B2 · Bays · 2019 [cited by examiner]
US 10376268B2 · Fallin et al. · 2019 [cited by applicant]
US 10470779B2 · Fallin et al. · 2019 [cited by applicant]
US 10779867B2 · Penzimer et al. · 2020 [cited by applicant]
US 10939939B1 · Gil et al. · 2021 [cited by applicant]
US 11304705B2 · Fallin et al. · 2022 [cited by applicant]
US 20020058944A1 · Michelson · 2002 [cited by applicant]
US 20020099381A1 · Maroney · 2002 [cited by applicant]
US 20020107519A1 · Dixon et al. · 2002 [cited by applicant]
US 20020165552A1 · Duffner · 2002 [cited by applicant]
US 20020198531A1 · Millard et al. · 2002 [cited by applicant]
US 20040010259A1 · Keller et al. · 2004 [cited by applicant]
US 20040039394A1 · Conti et al. · 2004 [cited by applicant]
US 20040097946A1 · Dietzel et al. · 2004 [cited by applicant]
US 20040138669A1 · Horn · 2004 [cited by applicant]
US 20050004676A1 · Schon et al. · 2005 [cited by applicant]
US 20050059978A1 · Sherry et al. · 2005 [cited by applicant]
US 20050070909A1 · Egger et al. · 2005 [cited by applicant]
US 20050075641A1 · Singhatat et al. · 2005 [cited by applicant]
US 20050101961A1 · Huebner et al. · 2005 [cited by applicant]
US 20050149042A1 · Metzger · 2005 [cited by applicant]
US 20050228389A1 · Stiernborg · 2005 [cited by applicant]
US 20050251147A1 · Novak · 2005 [cited by applicant]
US 20050267482A1 · Hyde, Jr. · 2005 [cited by applicant]
US 20050273112A1 · McNamara · 2005 [cited by applicant]
US 20060036257A1 · Steffensmeier · 2006 [cited by applicant]
US 20060129163A1 · McGuire · 2006 [cited by applicant]
US 20060206044A1 · Simon · 2006 [cited by applicant]
US 20060217733A1 · Plassky et al. · 2006 [cited by applicant]
US 20060229621A1 · Cadmus · 2006 [cited by applicant]
US 20060241607A1 · Myerson et al. · 2006 [cited by applicant]
US 20060241608A1 · Myerson et al. · 2006 [cited by applicant]
US 20060264961A1 · Murray-Brown · 2006 [cited by applicant]
US 20070010818A1 · Stone et al. · 2007 [cited by applicant]
US 20070123857A1 · Deffenbaugh et al. · 2007 [cited by applicant]
US 20070233138A1 · Figueroa et al. · 2007 [cited by applicant]
US 20070265634A1 · Weinstein · 2007 [cited by applicant]
US 20070276383A1 · Rayhack · 2007 [cited by applicant]
US 20080009863A1 · Bond et al. · 2008 [cited by applicant]
US 20080015603A1 · Collazo · 2008 [cited by applicant]
US 20080039850A1 · Rowley et al. · 2008 [cited by applicant]
US 20080091197A1 · Coughlin · 2008 [cited by applicant]
US 20080140081A1 · Heavener et al. · 2008 [cited by applicant]
US 20080147073A1 · Ammann et al. · 2008 [cited by applicant]
US 20080172054A1 · Claypool et al. · 2008 [cited by applicant]
US 20080195215A1 · Morton · 2008 [cited by applicant]
US 20080208252A1 · Holmes · 2008 [cited by applicant]
US 20080262500A1 · Collazo · 2008 [cited by applicant]
US 20080269908A1 · Warburton · 2008 [cited by applicant]
US 20080288004A1 · Schendel · 2008 [cited by applicant]
US 20090036893A1 · Kartalian et al. · 2009 [cited by applicant]
US 20090036931A1 · Pech et al. · 2009 [cited by applicant]
US 20090054899A1 · Ammann et al. · 2009 [cited by applicant]
US 20090093849A1 · Grabowski · 2009 [cited by applicant]
US 20090105767A1 · Reiley · 2009 [cited by applicant]
US 20090112212A1 · Murray et al. · 2009 [cited by applicant]
US 20090118733A1 · Orsak et al. · 2009 [cited by applicant]
US 20090198244A1 · Leibel · 2009 [cited by applicant]
US 20090198279A1 · Zhang et al. · 2009 [cited by applicant]
US 20090216089A1 · Davidson · 2009 [cited by applicant]
US 20090222047A1 · Graham · 2009 [cited by applicant]
US 20090254092A1 · Albiol Llorach · 2009 [cited by applicant]
US 20090254126A1 · Orbay et al. · 2009 [cited by applicant]
US 20090287309A1 · Walch et al. · 2009 [cited by applicant]
US 20100069910A1 · Hasselman · 2010 [cited by applicant]
US 20100121334A1 · Couture et al. · 2010 [cited by applicant]
US 20100130981A1 · Richards · 2010 [cited by applicant]
US 20100152782A1 · Stone et al. · 2010 [cited by applicant]
US 20100168799A1 · Schumer · 2010 [cited by applicant]
US 20100185245A1 · Paul et al. · 2010 [cited by applicant]
US 20100249779A1 · Hotchkiss et al. · 2010 [cited by applicant]
US 20100256687A1 · Neufeld et al. · 2010 [cited by applicant]
US 20100318088A1 · Warne et al. · 2010 [cited by applicant]
US 20100324556A1 · Tyber et al. · 2010 [cited by applicant]
US 20110009865A1 · Orfaly · 2011 [cited by applicant]
US 20110093084A1 · Morton · 2011 [cited by applicant]
US 20110118739A1 · Tyber et al. · 2011 [cited by applicant]
US 20110178524A1 · Lawrence et al. · 2011 [cited by applicant]
US 20110245835A1 · Dodds et al. · 2011 [cited by applicant]
US 20110264149A1 · Pappalardo et al. · 2011 [cited by applicant]
US 20110288550A1 · Orbay et al. · 2011 [cited by applicant]
US 20110301648A1 · Lofthouse et al. · 2011 [cited by applicant]
US 20120016426A1 · Robinson · 2012 [cited by applicant]
US 20120065689A1 · Prasad et al. · 2012 [cited by applicant]
US 20120078258A1 · Lo et al. · 2012 [cited by applicant]
US 20120123420A1 · Honiball · 2012 [cited by applicant]
US 20120123484A1 · Lietz et al. · 2012 [cited by applicant]
US 20120130376A1 · Loring et al. · 2012 [cited by applicant]
US 20120130382A1 · Tannotti et al. · 2012 [cited by applicant]
US 20120130383A1 · Budoff · 2012 [cited by applicant]
US 20120184961A1 · Johannaber · 2012 [cited by applicant]
US 20120185056A1 · Warburton · 2012 [cited by applicant]
US 20120191199A1 · Raemisch · 2012 [cited by applicant]
US 20120239045A1 · Li · 2012 [cited by applicant]
US 20120253350A1 · Anthony et al. · 2012 [cited by applicant]
US 20120265301A1 · Demers et al. · 2012 [cited by applicant]
US 20120277745A1 · Lizee et al. · 2012 [cited by applicant]
US 20120303033A1 · Weiner et al. · 2012 [cited by applicant]
US 20120330135A1 · Millahn et al. · 2012 [cited by applicant]
US 20130012949A1 · Fallin et al. · 2013 [cited by applicant]
US 20130035694A1 · Grimm et al. · 2013 [cited by applicant]
US 20130085499A1 · Lian · 2013 [cited by applicant]
US 20130085502A1 · Harrold · 2013 [cited by applicant]
US 20130096563A1 · Meade et al. · 2013 [cited by applicant]
US 20130131821A1 · Cachia · 2013 [cited by applicant]
US 20130150900A1 · Haddad et al. · 2013 [cited by applicant]
US 20130150903A1 · Vincent · 2013 [cited by applicant]
US 20130158556A1 · Jones et al. · 2013 [cited by applicant]
US 20130165936A1 · Myers · 2013 [cited by applicant]
US 20130165938A1 · Chow et al. · 2013 [cited by applicant]
US 20130172942A1 · Lewis et al. · 2013 [cited by applicant]
US 20130184714A1 · Kaneyama et al. · 2013 [cited by applicant]
US 20130190765A1 · Harris et al. · 2013 [cited by applicant]
US 20130190766A1 · Harris et al. · 2013 [cited by applicant]
US 20130204259A1 · Zajac · 2013 [cited by applicant]
US 20130226248A1 · Hatch et al. · 2013 [cited by applicant]
US 20130226252A1 · Mayer · 2013 [cited by applicant]
US 20130231668A1 · Olsen et al. · 2013 [cited by applicant]
US 20130237987A1 · Graham · 2013 [cited by applicant]
US 20130237989A1 · Bonutti · 2013 [cited by applicant]
US 20130267956A1 · Terrill et al. · 2013 [cited by applicant]
US 20130310836A1 · Raub et al. · 2013 [cited by applicant]
US 20130325019A1 · Thomas et al. · 2013 [cited by applicant]
US 20130325076A1 · Palmer et al. · 2013 [cited by applicant]
US 20130331845A1 · Horan et al. · 2013 [cited by applicant]
US 20130338785A1 · Wong · 2013 [cited by applicant]
US 20140005672A1 · Edwards et al. · 2014 [cited by applicant]
US 20140025127A1 · Richter · 2014 [cited by applicant]
US 20140039501A1 · Schickendantz et al. · 2014 [cited by applicant]
US 20140039561A1 · Weiner et al. · 2014 [cited by applicant]
US 20140046387A1 · Waizenegger · 2014 [cited by applicant]
US 20140074099A1 · Vigneron et al. · 2014 [cited by applicant]
US 20140074101A1 · Collazo · 2014 [cited by applicant]
US 20140094861A1 · Fallin · 2014 [cited by applicant]
US 20140094924A1 · Hacking et al. · 2014 [cited by applicant]
US 20140135775A1 · Maxson et al. · 2014 [cited by applicant]
US 20140163563A1 · Reynolds et al. · 2014 [cited by applicant]
US 20140171953A1 · Gonzalvez et al. · 2014 [cited by applicant]
US 20140180342A1 · Lowery et al. · 2014 [cited by applicant]
US 20140188139A1 · Fallin et al. · 2014 [cited by applicant]
US 20140194884A1 · Martin et al. · 2014 [cited by applicant]
US 20140194999A1 · Orbay et al. · 2014 [cited by applicant]
US 20140207144A1 · Lee et al. · 2014 [cited by applicant]
US 20140249537A1 · Wong et al. · 2014 [cited by applicant]
US 20140257308A1 · Johannaber · 2014 [cited by applicant]
US 20140257509A1 · Dacosta et al. · 2014 [cited by applicant]
US 20140276815A1 · Riccione · 2014 [cited by applicant]
US 20140276853A1 · Long et al. · 2014 [cited by applicant]
US 20140277176A1 · Buchanan et al. · 2014 [cited by applicant]
US 20140277214A1 · Helenbolt et al. · 2014 [cited by applicant]
US 20140288562A1 · Von Zabern et al. · 2014 [cited by applicant]
US 20140296995A1 · Reiley et al. · 2014 [cited by applicant]
US 20140303621A1 · Gerold et al. · 2014 [cited by applicant]
US 20140336658A1 · Luna et al. · 2014 [cited by applicant]
US 20140343555A1 · Russi et al. · 2014 [cited by applicant]
US 20140350561A1 · Dacosta et al. · 2014 [cited by applicant]
US 20150032168A1 · Orsak et al. · 2015 [cited by applicant]
US 20150045801A1 · Axelson, Jr. et al. · 2015 [cited by applicant]
US 20150045839A1 · Dacosta et al. · 2015 [cited by applicant]
US 20150051650A1 · Verstreken et al. · 2015 [cited by applicant]
US 20150057667A1 · Ammann et al. · 2015 [cited by applicant]
US 20150066094A1 · Prandi et al. · 2015 [cited by applicant]
US 20150112446A1 · Melamed · 2015 [cited by examiner]
US 20150119944A1 · Geldwert · 2015 [cited by applicant]
US 20150142064A1 · Perez et al. · 2015 [cited by applicant]
US 20150150608A1 · Sammarco · 2015 [cited by applicant]
US 20150182273A1 · Stemniski et al. · 2015 [cited by applicant]
US 20150223851A1 · Hill et al. · 2015 [cited by applicant]
US 20150245858A1 · Weiner et al. · 2015 [cited by applicant]
US 20160015426A1 · Dayton et al. · 2016 [cited by applicant]
US 20160022315A1 · Soffiatti et al. · 2016 [cited by applicant]
US 20160135858A1 · Dacosta et al. · 2016 [cited by applicant]
US 20160151165A1 · Fallin et al. · 2016 [cited by applicant]
US 20160175089A1 · Fallin et al. · 2016 [cited by applicant]
US 20160192950A1 · Dayton et al. · 2016 [cited by applicant]
US 20160199076A1 · Fallin et al. · 2016 [cited by applicant]
US 20160213384A1 · Fallin et al. · 2016 [cited by applicant]
US 20160235414A1 · Hatch et al. · 2016 [cited by applicant]
US 20160242791A1 · Fallin et al. · 2016 [cited by applicant]
US 20160256204A1 · Patel et al. · 2016 [cited by applicant]
US 20160324532A1 · Montoya et al. · 2016 [cited by applicant]
US 20160354127A1 · Lundquist et al. · 2016 [cited by applicant]
US 20170042598A1 · Santrock et al. · 2017 [cited by applicant]
US 20170056031A1 · Awtrey et al. · 2017 [cited by applicant]
US 20170079669A1 · Bays et al. · 2017 [cited by applicant]
US 20170143511A1 · Cachia · 2017 [cited by applicant]
US 20170164989A1 · Weiner et al. · 2017 [cited by applicant]
US 20180132868A1 · Dacosta et al. · 2018 [cited by applicant]
US 20180344334A1 · Kim et al. · 2018 [cited by applicant]
AU 2009227957B2 · 2014 [cited by applicant]