I lllll llllllll Ill lllll lllll lllll lllll lllll 111111111111111111111111111111111
`US009295482B2
`
`c12) United States Patent
`Fitz et al.
`
`(10) Patent No.:
`(45) Date of Patent:
`
`US 9,295,482 B2
`*Mar. 29, 2016
`
`(54) PATIENT SELECTABLE JOINT
`ARTHROPLASTY DEVICES AND SURGICAL
`TOOLS
`
`(75)
`
`Inventors: Wolfgang Fitz, Sherborn, MA (US);
`Philipp Lang, Lexington, MA (US);
`Raymond A. Bojarski, Attleboro, MA
`(US); Daniel Steines, Lexington, MA
`(US)
`
`(73) Assignee: ConforMIS, Inc., Bedford, MA (US)
`
`( *) Notice:
`
`Subject to any disclaimer, the term ofthis
`patent is extended or adjusted under 35
`U.S.C. 154(b) by 929 days.
`This patent is subject to a terminal dis(cid:173)
`claimer.
`
`(56)
`
`17/158; A61B 17/1767; A61B 5/103; A61B
`5/4514; A61B 5/4523; A61B 5/4533; A61B
`17/1666; A61B 17/1668; A61B 17/1675;
`A61B 17/1746; A61B 19/46; A61B 19/50;
`A61B 19/5244; A61B 2017/568; A61B
`2019/463; A61B 2019/502; A61B 2019/505;
`A61B 2019/508; A61B 5/4504; A61F
`2/30756; A61F 2/30942; A61F 2/38; A61F
`2/3877; A61F 2002/3895
`USPC ........... 606/86 R-89, 80, 82, 96, 98, 79, 102;
`623/14.12, 16.11; 29/527.1, 557;
`128/898
`See application file for complete search history.
`References Cited
`
`U.S. PATENT DOCUMENTS
`
`3,314,420 A
`3,605,123 A
`
`128/92
`4/1967 Smith et al.
`9/1971 Halm .................................... 3/1
`(Continued)
`
`FOREIGN PATENT DOCUMENTS
`
`(21) Appl. No.: 13/163,121
`
`(22) Filed:
`
`Jun. 17, 2011
`
`(65)
`
`Prior Publication Data
`
`Dec. 1, 2011
`US 2011/0295329 Al
`Related U.S. Application Data
`
`(63) Continuation of application No. 12/135,603, filed on
`Jun. 9, 2008, now Pat. No. 7,981,158, which is a
`continuation of application No. 12/048,764, filed on
`Mar. 14, 2008, now Pat. No. 8,083,745, which is a
`
`(51)
`
`Int. Cl.
`A61B 17156
`A61B 17117
`
`(Continued)
`
`(2006.01)
`(2006.01)
`(Continued)
`
`(52) U.S. Cl.
`CPC ........... A61B 1711739 (2013.01); A61B 514528
`(2013.01); A61B 171154 (2013.01);
`
`(Continued)
`( 58) Field of Classification Search
`CPC ............. A61B 17/1739; A61B 5/4528; A61B
`17/154; A61B 17/155; A61B 17/157; A61B
`
`DE
`DE
`
`................ A61F 1/00
`................ A61F 2/36
`
`8/1974
`2306552
`1111986
`3516743
`(Continued)
`OTHER PUBLICATIONS
`Birnbaum et al., "Computer-Assisted Orthopedic Surgery With Indi(cid:173)
`vidual Templates and Comparison to Conventional Operation
`Method", Spine, vol. 26, No. 4, pp. 365-369, Feb. 2001.
`(Continued)
`
`Primary Examiner - Pedro Philogene
`(74) Attorney, Agent, or Firm - Sunstein Kann Murphy &
`Timbers LLP
`ABSTRACT
`(57)
`A patellar 3-D guidance tool includes a template. The tem(cid:173)
`plate includes at least one contact surface for engaging a
`surface of the patella. The at least one contact surface sub(cid:173)
`stantially conforms with the surface associated with the patel(cid:173)
`lar. At least one guide aperture directs movement of a surgical
`instrument, wherein the shape and/or position of the guide
`aperture is based, at least in part, on three or more anatomic
`reference points associated with the patellar.
`20 Claims, 68 Drawing Sheets
`
`-1-
`
`Smith & Nephew Ex. 1001
`IPR Petition - USP 9,295,482
`
`

`
`US 9,295,482 B2
`Page 2
`
`(60)
`
`(51)
`
`(52)
`
`Related U.S. Application Data
`
`continuation-in-part of application No. 11/671,745,
`filed on Feb. 6, 2007, now Pat. No. 8,066,708, which is
`a continuation-in-part of application No. 11/002,573,
`filed on Dec. 2, 2004, now Pat. No. 7,534,263, which is
`a continuation-in-part of application No. 10/724,010,
`filed on Nov. 25, 2003, now Pat. No. 7,618,451, which
`is a continuation-in-part of application No. 10/305,
`652, filed on Nov. 27, 2002, now Pat. No. 7,468,075,
`which is a continuation-in-part of application No.
`10/160,667, filed on May 28, 2002, said application
`No. 11/671,745 is a continuation-in-partofapplication
`No. 10/728,731, filed on Dec. 4, 2003, now Pat. No.
`7,634,119, and a continuation-in-part of application
`No. 10/681,750, filed on Oct. 7, 2003.
`
`Provisional application No. 60/894,744, filed on Mar.
`14, 2007, provisional application No. 60/975,028,
`filed on Sep. 25, 2007, provisional application No.
`601765,592, filed on Feb. 6, 2006, provisional applica(cid:173)
`tion No. 60/785, 168, filed on Mar. 23, 2006, provision(cid:173)
`al application No. 60/788,339, filed on Mar. 31, 2006,
`provisional application No. 60/293,488, filed on May
`25, 2001, provisional application No. 60/363,527,
`filed on Mar. 12, 2002, provisional application No.
`60/380,695, filed on May 14, 2002, provisional appli(cid:173)
`cation No. 60/380,692, filed on May 14, 2002, provi(cid:173)
`sional application No. 60/431,176, filed on Dec. 4,
`2002, provisional application No. 60/467,686, filed on
`May 2, 2003, provisional application No. 60/416,601,
`filed on Oct. 7, 2002.
`
`(2006.01)
`(2006.01)
`(2006.01)
`(2006.01)
`(2006.01)
`(2006.01)
`(2006.01)
`
`Int. Cl.
`A61B 17115
`A61F 2130
`A61F 2138
`A61B 51103
`A61B 5100
`A61B 17116
`A61B 19100
`U.S. Cl.
`CPC ............. A61Bl7/155 (2013.01); A61B 171157
`(2013.01); A61B 171158 (2013.01); A61B
`1711767 (2013.01); A61F 2130756 (2013.01);
`A61F 2130942 (2013.01); A61F 2138
`(2013.01); A61B 51103 (2013.01); A61B 514504
`(2013.01); A61B 514514 (2013.01); A61B
`514523 (2013.01); A61B 514533 (2013.01);
`A61B 17/1666(2013.0l);A61B 1711668
`(2013.01); A61B 1711675 (2013.01); A61B
`1711746 (2013.01); A61B 19146 (2013.01);
`A61B 19150 (2013.01); A61B 1915244
`(2013.01); A61B 20171568 (2013.01); A61B
`20191463 (2013.01); A61B 20191502 (2013.01);
`A61B 20191505 (20l3.01);A61B 20191508
`(2013.01); A61B 201915255 (2013.01); A61F
`213877 (2013.01); A61F 200213895 (2013.01)
`
`(56)
`
`References Cited
`
`U.S. PATENT DOCUMENTS
`
`3,798,679 A
`3,808,606 A
`3,843,975 A
`3,855,638 A
`3,938,198 A
`
`3/1974 Ewald ................................... 3/1
`5/1974 Tronzo .................................. 3/1
`10/1974 Tronzo .................................. 3/1
`12/1974 Pilliar ................................... 3/1
`2/1976 Kahn et al. ..................... 3/1.912
`
`3,982,281 A
`3,987,499 A
`4,052,753 A
`4,055,862 A
`4,085,466 A
`4,098,626 A
`4,203,444 A
`4,213,816 A
`4,340,978 A
`4,368,040 A
`4,436,684 A
`4,501,266 A
`4,502,161 A
`4,586,496 A
`4,594,380 A
`4,601,290 A
`4,609,551 A
`4,627,853 A
`4,715,860 A
`4,721,104 A
`4,759,350 A
`4,769,040 A
`4,841,975 A
`4,846,835 A
`4,865,607 A
`4,880,429 A
`4,886,258 A
`4,936,862 A
`4,979,949 A
`5,002,547 A
`5,007,936 A *
`5,041,138 A
`5,053,039 A
`5,059,216 A
`5,067,964 A
`5,122,144 A
`5,129,908 A
`5,133,759 A
`5,154,717 A
`5,162,430 A
`5,171,322 A
`5,197,985 A
`5,206,023 A
`5,226,914 A
`5,234,433 A
`5,246,530 A
`5,250,050 A
`5,258,032 A
`5,270,300 A
`5,288,797 A
`5,299,288 A
`5,303,148 A
`5,306,311 A
`5,314,482 A
`5,344,459 A
`5,360,446 A
`5,368,858 A
`5,380,332 A
`5,387,216 A
`5,403,319 A
`5,437,676 A
`5,452,407 A
`5,468,787 A
`5,474,559 A
`5,478,739 A
`5,486,180 A
`5,501,687 A
`5,503,162 A
`5,523,843 A
`5,540,696 A
`5,542,947 A
`5,554,190 A
`5,556,432 A
`
`5,571,205 A
`5,575,793 A
`5,578,037 A
`5,593,450 A
`5,597,379 A
`
`9/1976
`10/1976
`10/1977
`1111977
`4/1978
`7/1978
`5/1980
`7/1980
`7/1982
`111983
`3/1984
`2/1985
`3/1985
`5/1986
`6/1986
`7/1986
`9/1986
`12/1986
`12/1987
`111988
`7/1988
`9/1988
`6/1989
`7/1989
`9/1989
`1111989
`12/1989
`6/1990
`12/1990
`3/1991
`4/1991
`8/1991
`10/1991
`10/1991
`1111991
`6/1992
`7/1992
`7/1992
`10/1992
`1111992
`12/1992
`3/1993
`4/1993
`7/1993
`8/1993
`9/1993
`10/1993
`1111993
`12/1993
`2/1994
`3/1994
`4/1994
`4/1994
`5/1994
`9/1994
`1111994
`1111994
`111995
`2/1995
`4/1995
`8/1995
`9/1995
`1111995
`12/1995
`12/1995
`111996
`3/1996
`4/1996
`6/1996
`7/1996
`8/1996
`9/1996
`9/1996
`
`1111996
`1111996
`1111996
`111997
`111997
`
`Giliberty ........................ 3/1.913
`Scharbach et al. ............... 3/1.91
`Dedo .................................... 3/1
`Farling ............................. 3/1.91
`Goodfellow et al ............. 3/1.91
`Graham et al.
`149/19.4
`Bonnell et al.
`128/276
`Morris .
`156/245
`Buechel et al ................. 3/1.911
`Weissman ....................... 433/36
`White ........................... 264/138
`McDaniel .
`128/69
`Wall ................................. 3/1.91
`Keller .
`128/92 E
`Chapin et al .................. 524/144
`Effron et al.
`128/305
`Caplan et al. ................... 424/95
`Campbell et al. . . . . . . . . . . . . . . . 623/ 16
`Amstutz et al. ................. 623122
`Kaufman et al.
`128/92
`Dunn et al.
`128/92 VW
`Wevers ........................... 623/20
`Woolson .
`128/653
`Grande . . . . . . . . . . . . . . . . . . . . . . . . . . . 623/ 11
`Witzel et al. .................... 623/20
`Stone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 623/ 18
`Scott ............................. 269/328
`Walker et al. ................... 623/23
`. . . . . . . . . . . . 606/ 53
`Matsen, III et al.
`Poggie et al. ................... 606/88
`Woolson .
`128/898
`. . . . . . . . . . . . . . . . . . 623/ 16
`Vacanti et al.
`Hofmann et al. ............... 606/87
`Winters .......................... 623/20
`Richmond et al. . . . . . . . . . . . . . . 623/ 18
`Bert et al.
`....................... 606/88
`Petersen ......................... 606/88
`Turner ............................ 623/20
`Matsen, III et al.
`. . . . . . . . . . . . 606/ 53
`Rhee et al. ................... 525/54.1
`Kenny ............................ 623/18
`Caplan et al. . . . . . . . . . . . . . . . . . . . 623/ 16
`Hunziker ...................... 424/423
`Caplan et al. . . . . . . . . . . . . . . . . . . . 623/ 16
`Bert et al.
`....................... 606/88
`Bugle et al.
`156/643
`Poggie et al. ................... 606179
`Bertin ............................. 623/20
`Hunziker ........................ 514/12
`Khalil et al.
`.................. 524/872
`.............. 395/80
`Glassman et al.
`Mattson et al ........... 364/413.01
`Stone et al. . . . . . . . . . . . . . . . . . . . . . 623/ 18
`Goodfellow et al ............ 623/20
`Swartz . . . . . . . . . . . . . . . . . . . . . . . . . . . . 623/ 18
`Kennedy ......................... 623/16
`Hunziker ...................... 424/423
`Ferrante .......................... 606179
`Thornhill et al. ............... 606/88
`Matsen, III et al.
`............ 606/88
`Bouraly et al.
`................. 606/88
`Crook ........................... 395/121
`Braden et al .................. 523/113
`.................... 606/89
`Bertin et al.
`Slivka et al. ............. 435/240.23
`Dietz et al ....................... 606/87
`Willert et al. . . . . . . . . . . . . . . . . . . . 606/94
`Athanasiou et al.
`128/774
`Yamane et al.
`............... 356/363
`Booth, Jr. et al. ............... 606/88
`Treacy ............................ 606/88
`Draenert . . . . . . . . . . . . . . . . . . . . . . . . . 623/ 16
`Kubein-Meesenburg
`............................... 623/20
`et al.
`James ............................. 623/24
`Carls et al. ...................... 606/80
`Sanders et al. .................. 606/80
`Scott et al. ...................... 623/20
`Haines et al. ................... 606/80
`
`-2-
`
`

`
`US 9,295,482 B2
`Page 3
`
`(56)
`
`References Cited
`
`U.S. PATENT DOCUMENTS
`
`5,601,563 A
`5,613,970 A
`5,616,146 A
`5,630,820 A
`5,632,745 A
`5,649,929 A
`5,658,290 A
`5,671,741 A
`5,681,316 A
`5,681,354 A
`5,682,886 A
`5,683,466 A
`5,684,562 A
`5,688,282 A
`5,690,635 A
`5,690,637 A
`5,728,162 A
`5,735,277 A
`5,737,506 A
`5,741,215 A
`5,749,874 A
`5,749,876 A
`5,766,259 A
`5,768,134 A
`5,769,092 A
`5,769,899 A
`5,776,137 A
`5,786,217 A
`5,795,353 A
`5,800,438 A
`5,827,289 A
`5,830,216 A
`5,835,619 A
`5,842,477 A
`5,847,804 A
`5,853,746 A
`5,860,981 A
`5,871,018 A
`5,871,542 A
`5,871,546 A
`5,879,390 A
`
`5,880,976 A
`5,885,296 A
`5,885,297 A
`5,885,298 A
`5,897,559 A
`5,899,859 A
`5,900,245 A
`5,906,934 A
`5,911,723 A
`5,916,220 A
`5,939,323 A
`5,961,523 A
`5,968,051 A
`5,972,385 A
`5,995,738 A
`6,001,895 A
`6,002,859 A
`6,007,537 A
`6,010,509 A
`6,013,103 A
`6,046,379 A
`6,056,754 A
`6,056,756 A
`6,057,927 A
`6,077,270 A *
`6,082,364 A
`6,090,144 A
`6,093,204 A
`6,096,043 A *
`6,102,916 A
`6,106,529 A
`6,110,209 A
`6,120,541 A
`
`2/1997 Burke et al ..................... 606/86
`3/ 1997 Houston et al. ................. 606/88
`411997 Murray ........................... 606/80
`511997 Todd ............................... 606190
`511997 Schwartz ........................ 60617 5
`7/1997 Callaway ........................ 606/88
`8/ 1997 Lechot ............................ 606/80
`9/1997 Lang et al.
`128/653.2
`10/ 1997 DeOrio et al. .................. 606/88
`10/ 1997 Eckhoff .......................... 623/20
`128/653.l
`1111997 Delp et al.
`1111997 Vitale ............................. 623/18
`1111997 Fujieda ......................... 3511212
`1111997 Baron et al.
`.................... 606190
`1111997 Matsen, III et al ............. 606/88
`1111997 Wen et al. ....................... 606/88
`3/ 1998 Eckhoff .......................... 623/20
`4/1998 Schuster
`128/653.l
`4/1998 McKenna et al. ............. 395/125
`4/1998 D'Urso ......................... 600/407
`511998 Schwartz ........................ 60617 5
`511998 Duvillier et al. ................ 606/88
`611998 Sanunarco ...................... 623/21
`6/1998 Swaelens et al. ........ 364/468.28
`128/898
`6/1998 Williamson, Jr.
`6/1998 Schwartz et al.
`............... 623/18
`7I1998 Katz ............................... 606/88
`7I1998 Tubo et al. .................... 435/402
`8/1998 Felt ................................. 623/18
`911998 Tuke et al.
`...................... 606190
`10/ 1998 Reiley et al. .................... 606/86
`1111998 Insall et al ...................... 606/88
`1111998 Morimoto et al ............. 382/132
`12/1998 Naughton et al.
`128/898
`12/1998 Sarver et al. .................. 3511206
`12/1998 Hunziker ...................... 424/426
`111999 Bertin et al.
`.................... 606/89
`2/1999 Delp et al.
`128/898
`........... 623/20
`211999 Goodfellow et al.
`211999 Colleran et al.
`................ 623/20
`3/1999 Kubein-Meesenburg
`............................... 623/20
`et al.
`3/1999 DiGioia, III et al.
`......... 364/578
`3/ 1999 Masini ............................ 606/86
`3/ 1999 Matsen, III ..................... 606/87
`3/1999 Herrington et al .............. 606/88
`411999 Masini ............................ 606/86
`511999 Votruba et al. ................ 600/415
`5/1999 Sawhney et al ............... 424/426
`5/1999 Grande et al ................. 435/325
`6/1999 Ashby et al ..................... 606/88
`611999 Masini ............................ 606/88
`8/ 1999 Valentini et al. .............. 435/395
`10/ 1999 Masini ............................ 606/86
`10/ 1999 Luckman et al. ............... 606/88
`10/1999 Liu et al. ....................... 424/486
`1111999 DiGioia, III et al.
`.... 395/500.32
`12/1999 Harvey et al .................. 523/113
`.... 395/500.32
`12/1999 DiGioia, III et al.
`12/1999 Burkinshaw et al. ........... 606/66
`112000 Delgado et al. ................. 606/88
`112000 Kaufman et al ................ 623/20
`412000 Stone et al ...................... 623/11
`512000 Haines et al. ................... 606/80
`512000 Eng et al. ........................ 606/87
`512000 Levesque et al. .......... 356/432 T
`612000 Katz ............................... 606/88
`712000 Balian et al.
`128/898
`712000 Letot et al. ...................... 623/20
`712000 Stone ......................... 623/14.12
`8/2000 Techiera et al. ................. 606/88
`8/2000 Masini ............................ 606/88
`8/2000 Techiera ......................... 606/88
`8/2000 Stone ......................... 623/16.11
`912000 Johnson ..................... 623/14.12
`
`6,126,690 A
`6,139,578 A
`6,156,069 A
`6,161,080 A
`6,187,010 Bl
`6,200,606 Bl
`6,203,546 Bl
`6,203,576 Bl
`6,205,411 Bl
`6,206,927 Bl
`6,214,369 Bl
`6,217,894 Bl
`6,219,571 Bl
`6,224,632 Bl
`6,235,060 Bl
`
`6,251,143 Bl
`6,277,151 Bl
`6,281,195 Bl
`6,283,980 Bl
`6,296,646 Bl
`6,299,905 Bl
`6,322,588 Bl
`6,328,765 Bl
`6,344,043 Bl
`6,344,059 Bl
`6,352,558 Bl
`6,358,253 Bl
`6,365,405 Bl
`6,371,958 Bl
`6,373,250 Bl
`6,375,658 Bl
`6,379,367 Bl
`6,382,028 Bl
`6,383,228 Bl
`6,387,131 Bl
`6,429,013 Bl
`6,443,988 B2
`6,443,991 Bl
`6,444,222 Bl
`6,459,948 Bl
`6,468,314 B2
`6,478,799 Bl
`6,479,996 Bl
`6,510,334 Bl
`6,520,964 B2
`6,554,838 B2
`6,558,421 Bl
`6,560,476 Bl
`6,575,980 Bl
`6,589,281 B2
`6,620,168 Bl
`6,626,945 B2
`6,626,948 B2
`6,632,225 B2 *
`6,632,235 B2
`6,652,587 B2
`6,673,077 Bl
`6,673,116 B2
`6,679,917 B2
`6,702,821 B2
`6,712,856 Bl
`6,875,218 B2
`6,905,514 B2
`6,916,341 B2
`6,928,742 B2
`6,969,393 B2 *
`6,984,249 B2
`7,008,430 B2
`7,048,741 B2
`7,060,074 B2
`7,104,997 B2
`7,106,479 B2
`7,115,131 B2
`7,117,027 B2
`7,141,053 B2
`7,184,814 B2
`7 ,239 ,908 B 1
`7,245,697 B2
`
`10/2000
`10/2000
`12/2000
`12/2000
`2/2001
`3/2001
`3/2001
`3/2001
`3/2001
`3/2001
`4/2001
`4/2001
`4/2001
`5/2001
`5/2001
`
`6/2001
`8/2001
`8/2001
`9/2001
`10/2001
`10/2001
`1112001
`12/2001
`212002
`212002
`3/2002
`3/2002
`412002
`412002
`412002
`412002
`412002
`512002
`512002
`512002
`8/2002
`912002
`912002
`912002
`10/2002
`10/2002
`1112002
`1112002
`112003
`212003
`4/2003
`5/2003
`5/2003
`6/2003
`7/2003
`9/2003
`9/2003
`9/2003
`10/2003
`10/2003
`1112003
`112004
`112004
`112004
`3/2004
`3/2004
`412005
`6/2005
`712005
`8/2005
`11/2005
`112006
`3/2006
`512006
`612006
`912006
`912006
`10/2006
`10/2006
`1112006
`212007
`7/2007
`7/2007
`
`Ateshian et al. . . . . . . . . . . . . . . . . 623/ 18
`Lee eta!. ................... 623/16.11
`Amstutz .................... 623/22.11
`Aouni-Ateshian et al. ..... 703/11
`Masini ............................ 606/86
`.............. 424/574
`Peterson et al.
`MacMahon ..................... 606/87
`Afriat et al. ................ 623/20.27
`DiGioia, III et al ............ 703/11
`Fell et al. ................... 623/20.29
`Grande et al.
`................ 424/423
`Sawhney et al ............... 424/426
`Hargreaves et al.
`.......... 600/410
`Pappas et al. .............. 623/20.34
`Kubein-Meesenburg
`et al.
`.......................... 623/20.31
`Schwartz et al.
`.......... 623/23.72
`Lee et al.
`................... 623/23.61
`Rueger et al. ................... 514/21
`Vibe-Hansen et al.
`. . . . . . . 606/ 151
`Williamson . . . . . . . . . . . . . . . . . . . . 606190
`Peterson et al.
`.............. 424/486
`Ogle et al.
`................... 623/1.46
`Hardwick et al.
`......... 623/23.72
`Pappas . . . . . . . . . . . . . . . . . . . . . . . . . . . . 606/96
`Krakovits et al. .......... 623/20.31
`Spector ...................... 623/18.11
`Torrie et al. ..................... 606/96
`............ 435/366
`Salzmann et al.
`Overaker . . . . . . . . . . . . . . . . . . . . . . . . 606172
`Tsoref et al. .................. 324/309
`Hangody et al ................. 606/80
`Vibe-Hansen et al.
`. . . . . . . 606/ 151
`Wooh et al. ..................... 73/602
`Schmotzer ................. 623/23.35
`Miehlke et al. ............ 623/20.15
`Halvorsen et al ............. 435/377
`Felt et al. ................... 623/17.12
`Running .................... 623/20.27
`Asculai et al. ................ 424/484
`Ateshian et al. .............. 700/117
`.......... 623/23.72
`Schwartz et al.
`Williamson . . . . . . . . . . . . . . . . . . . . 606190
`Hoogeveen et al. .......... 324/309
`Schuster et al.
`.............. 600/407
`Tallarida et al. .............. 396/567
`McGovern et al .............. 606/87
`Fell et al. ................... 623/14.12
`Pelletier et al. ............... 600/410
`Robie et al. ..................... 606/88
`Hyde, Jr ..................... 623/18.11
`Lombardo et al. .............. 606/88
`Simon et al. ............... 623/17.19
`Storer et al.
`............... 623/23.14
`Sanford et al. .................. 606/87
`Weikel et al .................. 606/192
`Felt et al. ................... 623/20.16
`Katz ............................... 606/88
`Reiley ........................ 623/21.18
`Ek .............................. 623/20.14
`Bonutti ........................... 606/88
`Carignan et al ............ 623/20.35
`Dye et al. . . . . . . . . . . . . . . . . . . . . . . . . 606/91
`Carignan et al ............ 623/20.35
`Rolston ........................ 623/20.3
`Broers et al. .................... 33/512
`Pinczewski et al. ............ 606/88
`Keller ........................ 623/20.24
`Dong et al. ..................... 606/80
`Swanson ......................... 606/88
`Rosa et al.
`...................... 606/88
`Lionberger et al. ............. 606/88
`Roy et al ...................... 358/3.27
`Engh et al. . . . . . . . . . . . . . . . . . . . . . . 606179
`Zheng et al ................... 6001426
`Rosa et al.
`...................... 606/86
`Lang et al. .................... 600/416
`Alexander et al ............. 600/427
`Lang ............................... 378/54
`
`-3-
`
`

`
`US 9,295,482 B2
`Page 4
`
`(56)
`
`References Cited
`
`U.S. PATENT DOCUMENTS
`
`7,282,054 B2
`7,292,674 B2
`7,379,529 B2
`7,427,200 B2
`7,442,196 B2
`7,467,892 B2
`7,468,075 B2
`7,534,263 B2
`7,603,192 B2
`7,615,054 Bl
`7,618,451 B2
`7,695,477 B2
`7,747,305 B2
`7,758,651 B2
`7,806,896 Bl
`7,833,275 B2
`7,881,768 B2
`7,981,158 B2
`7,983,777 B2
`8,036,729 B2
`8,062,302 B2
`8,066,708 B2
`8,070,752 B2
`8,083,745 B2
`8,092,462 B2
`8,105,330 B2
`8,109,942 B2
`8,112,142 B2
`8,122,582 B2
`8,123,753 B2
`RE43,282 E
`8,160,345 B2
`8,167,888 B2
`8,221,430 B2
`8,234,097 B2
`8,257,360 B2
`8,265,730 B2
`8,282,646 B2
`8,306,601 B2
`8,311,306 B2
`8,337,501 B2 *
`8,337,503 B2
`8,337,507 B2
`8,343,218 B2
`8,357,111 B2
`8,357,166 B2
`8,361,076 B2
`8,366,771 B2
`8,369,926 B2
`8,377,066 B2
`8,377,068 B2
`8,377,073 B2
`8,377,129 B2
`8,380,471 B2
`8,398,646 B2
`8,407,067 B2
`8,419,740 B2
`8,425,524 B2
`8,439,926 B2
`8,460,304 B2
`8,480,754 B2
`8,500,740 B2
`8,529,568 B2
`8,529,630 B2
`8,545,569 B2
`8,551,099 B2
`8,551,102 B2
`8,551,103 B2
`8,551,169 B2
`8,556,906 B2
`8,556,907 B2
`8,556,971 B2
`8,556,983 B2
`8,561,278 B2
`8,562,611 B2
`
`10/2007 Steffensmeier et al. ........ 606/96
`1112007 Lang ............................... 378/54
`5/2008 Lang ............................... 378/54
`9/2008 Noble et al.
`.................. 434/274
`10/2008 Fisher et al.
`.................... 606/88
`12/2008 Lang et al. .................... 378/207
`12/2008 Lang et al. ................. 623/16.11
`512009 Burdulis, Jr. et al. ...... 623/14.12
`10/2009 Martin et al.
`................... 700/98
`1112009 Bonutti ........................... 606/88
`1112009 Berez et al. ................ 623/14.12
`412010 Creger et al.
`................... 606/87
`612010 Dean et al. .................... 600/407
`7/2010 Chauhan et al. ........... 623/20.18
`10/2010 Bonutti
`606/86 R
`1112010 Mears et al.
`............... 623/22.11
`212011 Lang et al. .................... 600/407
`7/2011 Fitz eta!. ................... 623/17.16
`712011 Melton et al. ................... 700/98
`10/2011 Lang et al. .................... 600/407
`1112011 Lang et al. ...................... 606/87
`1112011 Lang et al. ...................... 606/88
`12/2011 Metzger et al .................. 606/88
`12/2011 Lang et al. ...................... 606/87
`112012 Pinczewski et al. ............ 606/88
`112012 Fitz et al. ........................ 606/88
`212012 Carson .......................... 606/130
`212012 Alexander et al. ............ 600/407
`212012 Burdulis, Jr. et al. ........ 29/527.1
`212012 Poncet ............................ 606/87
`3/2012 Alexander et al. ............ 600/427
`412012 Pavlovskaia et al. ......... 382/131
`512012 Steffensmeier ................. 606/88
`7/2012 Park et al. ....................... 606/88
`7/2012 Steines et al. ..................... 703/1
`912012 Richard et al. .................. 606/88
`9/2012 Alexander et al. ............ 600/410
`10/2012 Schoenefeld et al.
`.......... 606/88
`1112012 Lang et al. .................... 600/407
`1112012 Pavlovskaia et al. ......... 382/131
`12/2012 Fitz et al.
`606/86 R
`12/2012 Lian ................................ 606/87
`12/2012 Lang et al. .................... 606/102
`112013 Lang et al. ................. 623/16.11
`112013 Caillouette et al .............. 602126
`112013 Ararn et al. ..................... 606/88
`112013 Roose et al.
`.................... 606/88
`2/2013 Burdulis, Jr. et al. ...... 623/14.12
`212013 Lang et al. .................... 600/407
`606/86 R
`212013 Katrana et al.
`212013 Aker et al.
`...................... 606/87
`2/2013 Wasielewski ................. 606/102
`2/2013 Fitz et al. ................... 623/14.12
`212013 Iannotti et al. .................... 703/6
`3/2013 Metzger et al .................. 606/88
`3/2013 Uthgenannt et al. .............. 705/2
`412013 Ararn et al. ..................... 606/88
`412013 Aker et al.
`...................... 606/88
`512013 Bojarski et al. ................. 606/88
`612013 Fitz et al. ........................ 606/88
`7/2013 Bojarski et al. ............ 623/20.35
`8/2013 Bojarski et al.
`606/86 R
`912013 Bouadi ........................... 606/84
`9/2013 Bojarski et al. ............ 623/20.14
`10/2013 Fitz et al. ................... 623/20.14
`10/2013 Lang et al.
`606/86 R
`10/2013 Fitz et al. ........................ 606/88
`10/2013 Fitz et al. ........................ 606/88
`10/2013 Fitz et al. ................... 623/14.12
`10/2013 Fitz et al. ........................ 606/87
`10/2013 Fitz et al. ........................ 606/87
`10/2013 Lang .......................... 623/14.12
`10/2013 Bojarski et al. ............ 623/20.35
`10/2013 Fitz et al. ................... 29/407.09
`10/2013 Fitz et al. ........................ 606/80
`
`8,562,618 B2
`8,568,479 B2
`8,568,480 B2
`8,617,172 B2
`8,617,242 B2
`8,623,023 B2
`8,634,617 B2
`8,638,998 B2
`8,641,716 B2
`8,657,827 B2 *
`8,682,052 B2
`8,690,945 B2
`8,709,089 B2
`8,735,773 B2
`8,768,028 B2
`8,771,365 B2
`8,801,720 B2
`8,951,259 B2
`8,951,260 B2
`8,998,915 B2
`9,055,953 B2
`9,066,728 B2
`9,072,531 B2
`9,084,617 B2
`9,107,679 B2
`9,107,680 B2
`9,113,921 B2
`9,125,672 B2
`9,125,673 B2
`200110001120 Al
`200110010023 Al
`200110039455 Al
`200210013626 Al
`2002/0029038 Al
`2002/0045940 Al
`2002/0059049 Al
`2002/0068979 Al
`2002/0072821 Al
`2002/0079601 Al
`2002/0082703 Al
`2002/0087274 Al
`200210106625 Al
`2002/0115647 Al
`2002/0120274 Al
`2002/0120281 Al
`2002/0127264 Al
`2002/0133230 Al
`200210143402 Al
`2002/0151986 Al
`2002/0156150 Al
`2002/0173852 Al
`2002/0183850 Al
`2003/0028196 Al
`2003/0055500 Al
`2003/0055501 Al
`2003/0055502 Al
`2003/0060882 Al
`2003/0060883 Al
`2003/0060884 Al
`2003/0060885 Al
`2003/0069591 Al
`2003/0100907 Al
`2003/0100953 Al
`2003/0120347 Al
`2003/0158558 Al
`2003/0158606 Al
`2003/0163137 Al
`2003/0173695 Al
`2003/0216669 Al
`2003/0225457 Al
`2003/0236521 Al
`2004/0098133 Al
`200410102852 Al
`200410102866 Al
`2004/0117015 Al
`2004/0122521 Al
`2004/0133276 Al
`2004/0138754 Al
`200410147927 Al
`
`10/2013
`10/2013
`10/2013
`12/2013
`12/2013
`112014
`112014
`112014
`212014
`212014
`3/2014
`412014
`412014
`512014
`7/2014
`7/2014
`8/2014
`212015
`212015
`412015
`612015
`612015
`7/2015
`7/2015
`8/2015
`8/2015
`8/2015
`912015
`912015
`5/2001
`7/2001
`1112001
`112002
`3/2002
`412002
`512002
`612002
`612002
`612002
`612002
`712002
`8/2002
`8/2002
`8/2002
`8/2002
`912002
`912002
`10/2002
`10/2002
`10/2002
`1112002
`12/2002
`212003
`3/2003
`3/2003
`3/2003
`3/2003
`3/2003
`3/2003
`3/2003
`4/2003
`5/2003
`5/2003
`6/2003
`8/2003
`8/2003
`8/2003
`9/2003
`1112003
`12/2003
`12/2003
`512004
`512004
`512004
`6/2004
`6/2004
`7/2004
`7/2004
`7/2004
`
`Fitz et al. ........................ 606/88
`Fitz et al. ................... 623/14.12
`Fitz et al. ................... 623/14.12
`Fitz et al. ........................ 606/88
`Philipp ...................... 623/16.11
`Ritchey et al. . . . . . . . . . . . . . . . . . . 606/96
`Tsougarakis et al. ......... 382/128
`Steines et al. . . . . . . . . . . . . . . . . . 382/128
`Fitz et al. ........................ 606/80
`Fitz et al. ........................ 606/87
`Fitz et al. ...................... 382/131
`Fitz et al. ................... 623/16.11
`Lang et al. ................. 623/18.11
`Lang ........................ 219/121.72
`Lang et al. .................... 382/131
`Bojarski et al. ............ 623/20.32
`Park et al. ....................... 606/88
`Fitz et al.
`606/86 R
`Lang et al.
`606/86 R
`Fitz et al. ........................ 606179
`Lang et al. . . . . . . . . . . . . . . . . . . . . 606/ 102
`Burdulis, Jr. et al. ...... 623/20.32
`606/86 R
`Fitz et al.
`Lang et al. . . . . . . . . . . . . . . . . . . . . . . 606179
`Lang et al. . . . . . . . . . . . . . . . . . . . . . . 606179
`Fitz et al. ........................ 606179
`Lang et al.
`A61B 17/1739
`Fitz et al.
`A61B 17/1739
`Fitz et al.
`A61B 17/1739
`Masini ............................ 606/86
`.......... 623/23.72
`Schwartz et al.
`Simon et al. ............... 623/23.51
`Geistlich et al ............ 623/23.57
`Haines . . . . . . . . . . . . . . . . . . . . . . . . . . . . 606/ 54
`Giannetti et al.
`.......... 623/11.11
`Bradbury et al. . . . . . . . . . . . . . . . 703/ 11
`Brown et al.
`................ 623/20.3
`Baker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 700/98
`Russell et al ................ 264/40.l
`Repicci ...................... 623/20.29
`Alexander et al ............... 702/19
`Hung et al. .................... 435/1.1
`Halvorsen et al. . . . . . . . . . . . . 514/ 171
`Overaker et al.
`. . . . . . . . . . . . . . . 606172
`Overaker ...................... 606/151
`Felt et al. ...................... 424/423
`Repicci ...................... 623/14.12
`Steinberg ................... 623/22.16
`Asculai et al. ................ 424/484
`Williams et al. ........... 623/23.75
`Felt et al. ................... 623/20.32
`Felt et al. ................... 623/20.16
`Bonutti ........................... 606/87
`Fell et al. ................... 623/14.12
`Fell et al. ................... 623/14.12
`Lang et al. ................. 623/16.11
`Fell et al. ................... 623/14.12
`Fell et al. ................... 623/14.12
`Fell et al. ................... 623/14.12
`Fell et al. ................... 623/14.12
`Carson et al. . . . . . . . . . . . . . . . . . 606/ 130
`Rosa et al.
`...................... 606/86
`Rosa et al.
`................... 623/20.3
`Steinberg ................... 623/22.17
`Horn ............................... 606/87
`Coon et al .................. 623/20.15
`Smucker et al ................. 606/87
`Monkhouse et al ......... 264/40.l
`Lang et al. .................... 600/587
`Justin et al. ................ 623/20.14
`................... 606/80
`Brown et al.
`Carignan et al ............ 623/20.35
`Johnson et al ............. 623/20.15
`Harris et al ................... 700/117
`Biscup ....................... 623/16.11
`Lee et al.
`................... 623/20.15
`Lang et al. ................. 623/14.12
`Lang et al. ................. 623/20.14
`Tsougarakis et al. . . . . . . . . . . . 606/ 53
`
`-4-
`
`

`
`US 9,295,482 B2
`Page 5
`
`(56)
`
`References Cited
`
`U.S. PATENT DOCUMENTS
`
`200410153079 Al
`2004/0153162 Al
`2004/0153164 Al
`200410167390 Al
`200410167630 Al
`2004/0193280 Al
`2004/0204644 Al
`2004/0204760 Al
`2004/0236424 Al
`2004/0249386 Al
`2005/0015153 Al
`2005/0021039 Al
`2005/0043807 Al
`2005/0055028 Al
`2005/0085920 Al
`2005/0107801 Al
`2005/0107883 Al
`2005/0107884 Al
`2005/0107886 Al
`2005/0119664 Al
`2005/0143745 Al
`2005/0148843 Al
`2005/0171545 Al
`2005/0171612 Al
`2005/0192588 Al
`2005/0216305 Al
`2005/0234461 Al
`2005/0267584 Al
`2005/0278034 Al
`2006/0052795 Al
`2006/0069318 Al
`200610111722 Al
`2006/0122616 Al
`200610149283 Al
`200610200162 Al
`2006/0235421 Al
`200710015995 Al
`2007 /0073305 Al
`2007/0118141 Al
`2007/0198022 Al
`2007 /0203430 Al
`2007 /0208349 Al
`2007 /0226986 Al
`2007/0233141 Al
`2007/0233151 Al
`2007 /0233156 Al
`2007/0255288 Al
`2007/0276224 Al
`2007/0276501 Al
`2007/0282451 Al
`2007 /0288030 Al
`2007 /0293868 Al
`2008/0004709 Al
`2008/0015433 Al
`2008/0021566 Al
`2008/0025463 Al
`2008/0031412 Al
`2008/0058613 Al
`2008/0058945 Al
`2008/0097450 Al
`2008/0114370 Al
`2008/0140212 Al
`2008/0147072 Al
`2008/0170659 Al
`2008/0195216 Al
`2008/0215059 Al
`2008/0219412 Al
`2008/0243127 Al
`2008/0255445 Al
`2008/0262624 Al
`2008/0269596 Al
`2008/0275452 Al
`2008/0281328 Al
`2008/0281329 Al
`2008/0281426 Al
`
`8/2004 Tsougarakis et al. ........... 606/77
`8/2004 Sanford et al. ............... 623/20.3
`8/2004 Sanford et al. ............. 623/20.29
`8/2004 Alexander et al. ............ 600/410
`8/2004 Rolston ...................... 623/20.14
`912004 Webster et al.
`............ 623/20.33
`10/2004 Tsougarakis et al. ......... 600/410
`10/2004 Fitz et al. ................... 623/14.12
`1112004 Berez et al. ................ 623/14.12
`12/2004 Faoro .............................. 606/88
`112005 Goble et al.
`...............