The present device relates to constructs that are used in the fixation of syndesmosis disruptions.
A present method for syndesmotic ankle fixation requires screws or suture button systems. Both types of these fixation devices are inserted through the fibula and into the syndesmosis. The cross section of the fibula is relatively small, particularly at the syndesmosis, which can result in the clinician having a difficult time inserting the screw or suture button system through the fibula.
Accordingly, there exists a need for a syndesmosis fixation system that does not extend through the fibula.
This Summary is provided to introduce a selection of concepts in a simplified form that are further described below in the Detailed Description. This Summary is not intended to identify key features or essential features of the claimed subject matter, nor is it intended to be used to limit the scope of the claimed subject matter.
According to one embodiment, a syndesmosis fixation assembly may include a plurality of implantable devices configured to aid in anatomic reduction.
In one embodiment, the syndesmosis fixation assembly may include a suture retaining portion having a plurality of suture openings formed therein and a suture securing portion rotatably connected to the suture retaining portion. The suture securing portion is movable between a first position wherein a suture is moveable within the suture retaining portion and a second position wherein the suture is frictionally secured within the suture retaining portion. A bone insertion portion has a distal bone insertion end adapted for insertion into a bone, a proximal bone insertion end connected to the suture retaining portion, and a central longitudinal axis extending between the distal bone insertion end and the proximal bone insertion end.
In an alternative embodiment, the syndesmosis fixation assembly includes a suture retaining portion having a plurality of suture openings formed therein and a suture extending through each of the plurality of suture openings. A suture securing portion is connected to the suture retaining portion. The suture securing portion is movable between a first position wherein the suture is moveable within the suture retaining portion and a second position wherein the suture is frictionally secured within the suture retaining portion. A bone insertion portion has a distal bone insertion end adapted for insertion into a bone and a proximal bone insertion end connected to the suture retaining portion.
In still another alternative embodiment, the syndesmosis fixation assembly comprises a suture retaining portion and a suture securing portion adapted to move from a first position wherein a suture in the suture retaining portion is moveable with respect to the suture retaining portion and a second position wherein the suture is fixed with respect to the suture retaining portion. A bone insertion portion has a distal portion adapted for insertion into a bone and a proximal portion connected to the suture retaining portion.
Other aspects, features, and advantages of the present device will become more fully apparent from the following detailed description, the appended claims, and the accompanying drawings in which like reference numerals identify similar or identical elements.
In the drawings, like numerals indicate like elements throughout. Certain terminology is used herein for convenience only and is not to be taken as a limitation on the present device. The terminology includes the words specifically mentioned, derivatives thereof and words of similar import. As used herein, the term “proximal” is intended to mean a direction closer to a clinician implanting the inventive devices and the term “distal” is intended to mean a direction farther from the clinician.
The embodiments illustrated below are not intended to be exhaustive or to limit the device to the precise form disclosed. These embodiments are chosen and described to best explain the principle of the device and its application and practical use and to enable others skilled in the art to best utilize the device.
Reference herein to “one embodiment” or “an embodiment” means that a particular feature, structure, or characteristic described in connection with the embodiment can be included in at least one embodiment of the device. The appearances of the phrase “in one embodiment” in various places in the specification are not necessarily all referring to the same embodiment, nor are separate or alternative embodiments necessarily mutually exclusive of other embodiments. The same applies to the term “implementation.”
As used in this application, the word “exemplary” is used herein to mean serving as an example, instance, or illustration. Any aspect or design described herein as “exemplary” is not necessarily to be construed as preferred or advantageous over other aspects or designs. Rather, use of the word exemplary is intended to present concepts in a concrete fashion.
Additionally, the term “or” is intended to mean an inclusive “or” rather than an exclusive “or”. That is, unless specified otherwise, or clear from context, “X employs A or B” is intended to mean any of the natural inclusive permutations. That is, if X employs A; X employs B; or X employs both A and B, then “X employs A or B” is satisfied under any of the foregoing instances. In addition, the articles “a” and “an” as used in this application and the appended claims should generally be construed to mean “one or more” unless specified otherwise or clear from context to be directed to a singular form.
Unless explicitly stated otherwise, each numerical value and range should be interpreted as being approximate as if the word “about” or “approximately” preceded the value of the value or range.
The use of figure numbers and/or figure reference labels in the claims is intended to identify one or more possible embodiments of the claimed subject matter in order to facilitate the interpretation of the claims. Such use is not to be construed as necessarily limiting the scope of those claims to the embodiments shown in the corresponding figures.
It should be understood that the steps of the exemplary methods set forth herein are not necessarily required to be performed in the order described, and the order of the steps of such methods should be understood to be merely exemplary. Likewise, additional steps may be included in such methods, and certain steps may be omitted or combined, in methods consistent with various embodiments of the present device.
Although the elements in the following method claims, if any, are recited in a particular sequence with corresponding labeling, unless the claim recitations otherwise imply a particular sequence for implementing some or all of those elements, those elements are not necessarily intended to be limited to being implemented in that particular sequence.
Also for purposes of this description, the terms “couple,” “coupling,” “coupled,” “connect,” “connecting,” or “connected” refer to any manner known in the art or later developed of joining or connecting two or more elements directly or indirectly to one another, and the interposition of one or more additional elements is contemplated, although not required. Conversely, the terms “directly coupled,” “directly connected,” etc., imply the absence of such additional elements.
The present disclosure provides embodiments of fixation device assemblies that can be used in syndesmosis fixation. The devices and assemblies described herein can be attached to a tibia 40 in two locations, with a suture 50 or suture tape connected to each device and wrapped around a fibula 42 to stabilize the syndesmosis. A simplified illustration of fixation device assemblies described herein is shown in
Referring to
Suture retaining portion 110 includes a generally hollow body 112 having a proximal portion 114, a distal portion 116, and an intermediate portion 118, between the proximal portion 114 and the distal portion 116. Proximal portion 114 includes a cavity 119 having internal threads 120 that are sized to mate with external threads 142 on suture securing portion 140.
Distal portion 116 includes a plurality of distally extending fingers 122 that are separated from adjacent fingers 122 by a longitudinal gap 124. Fingers 122 form an internal space 125 in distal portion 116. In an exemplary embodiment, four fingers 122 are provided, although those skilled in the art will recognize that more or less than four fingers 122 can be provided. A distal end of each finger 122 includes an internal lip 126 that is used to engage bone insertion portion 180. Internal space 125 has an internally extending radial lip 128 that narrows internal space 125 in a proximal direction.
Intermediate portion 118 includes a plurality of suture openings 130 formed therein. In an exemplary embodiment, suture openings 130 include a first suture opening 130a and a second suture opening 130b that are diametrically opposed from each other.
Suture securing portion 140 comprises a set screw that is insertable into cavity 119 and is movable between a first position, shown in
Bone insertion portion 180 includes a distal bone insertion end 182 that is adapted for insertion into a bone. Distal bone insertion end 182 includes a threaded portion 184 for gripping the bone.
Bone insertion portion 180 also includes a proximal bone insertion end 186 connected to suture retaining portion 110. Proximal bone insertion end 186 includes a radially extending lip 188 that is used to retain suture retaining portion 110. A hex head 190 is located proximally of lip 188 and is used to insert bone insertion portion 180 into a bone.
To insert assembly 100, bone insertion portion 180 is threaded sub-flush into bone, either using a guide wire (not shown) or, alternatively, without a guide wire. A suture 50 is inserted into first suture opening 130a through suture retaining portion 110 and out second suture opening 130b.
Suture retaining portion 110 is secured onto proximal bone insertion end 186 such that lip 126 on suture retaining portion 110 is forced over lip 188 on bone insertion portion 180 to rotatably secure suture retaining portion 110 onto bone insertion portion 180. Suture 50 can be tensioned by pulling on a free end 58.
Suture securing portion 140 can be screwed down into cavity 119 to frictionally secure suture 50 within suture retaining portion 110.
Referring to
Suture retaining portion 210 includes a generally hollow body 212 having a proximal portion 214 and a distal portion 216. Proximal portion 214 includes a cavity 219 having internal threads 220 that are sized to mate with external threads 242 on suture securing portion 240. Proximal portion 214 also includes a plurality of suture openings 218 extending therethrough. Proximal portion 214 also includes a cap 215.
Distal portion 216 includes a head 222 having a circular outer perimeter 223 and a threaded body 224 having a narrower cross section than head 222. Head 222 has a cavity 225 adapted to receive an insertion tool 206 to rotate head 222. In an exemplary embodiment, cavity 225 accepts a hex head driver. Head 222 is sized to fit within cap 215 so that head 222 rotatably engages cap 215. Threaded body 224 is sized to internally thread into a proximal threaded cavity 285 in a proximal bone insertion end 283 of bone insertion portion 280.
Suture securing portion 240 comprises a set screw 242 that is insertable into cavity 219 and is movable between a first position, shown in
Bone insertion portion 280 includes a distal bone insertion end 282 that is adapted for insertion into a bone. Distal bone insertion end 282 includes a threaded portion 284 for gripping the bone. A central longitudinal axis 292 extends between distal bone insertion end 282 and proximal bone insertion end 283.
Suture securing portion 240 is threadingly disposed in cavity 219 and movable between a first position wherein the suture is moveable within suture retaining portion 210 and a second position wherein the suture is frictionally secured within suture retaining portion 210. The first position is a distal position relative to bone insertion portion 280 and the second position is a proximal position relative to the bone insertion portion 280.
To insert assembly 200, head 222 is inserted through cap 215 such that threaded body 224 extends distally from cap 215. A suture (not shown) in inserted into one suture opening 218 and out another suture opening 218. A retaining tool 202 is inserted over suture retaining portion so that nubs 204 on distal ends of retaining tool 202 are inserted into diametrically opposing suture openings 218 and help to prevent rotation of cap 215 and the suture as assembly 200 is driven into the bone.
Next, threaded body 215 is inserted into threaded cavity 285 in proximal bone insertion end 283 of bone insertion portion 280 and bone insertion portion 280 is driven into a bone using a driver 206 inserted into head 222. Then, an outer driver 208 is used to rotate set screw 242 distally from the position shown in
Referring to
Suture retaining portion 310 includes a generally hollow body 312 having a proximal portion 314 and a distal portion 316. Proximal portion 314 includes internal threads 317 that accepts an insertion tool 302. Proximal portion 314 also includes a plurality of suture openings 318 extending therethrough. The plurality of suture openings 318 comprises a first opening 318a and a second opening 318b, proximal of first opening 318a.
Distal portion 316 includes a cap 322 that is sized to receive suture securing portion 340 to frictionally engage a suture 50 that extends from suture openings 318a, 318b. A lip 324 extends radially inwardly from cap 322.
Suture securing portion 340 comprises a head 342 adapted to receive an insertion tool 304 to rotate head 342. In an exemplary embodiment, head 342 accepts a hex head driver. Head 342 ends in an annular shoulder 344 that engages insertion tool 304. Head 342 includes a bulbous body 348 extending distal of shoulder 344, with a circumferential groove 350 formed therein. A passage 351 is provided between body 348 and suture retaining portion 310 from first suture slot 318a to second suture slot 318b so that suture 50 can be slid along passage 351.
A distal end 352 of suture securing portion 340 includes a threaded body 360 that is sized to internally thread into a proximal threaded cavity 385 in a proximal bone insertion end 383 of bone insertion portion 380. A lip 388 extends around distal end 352 between threaded body 360 and head 342.
Bone insertion portion 380 includes a distal bone insertion end 382 that is adapted for insertion into a bone. Distal bone insertion end 382 includes a threaded portion 384 for gripping the bone. A central longitudinal axis 392 extends between distal bone insertion end 382 and proximal bone insertion end 383.
Suture securing portion 340 is disposed in suture retaining portion 310 such that and movable between a first position wherein suture 50 is moveable within suture retaining portion 310 and a second position wherein suture 50 is frictionally secured suture retaining portion 310 and suture securing portion 340. The first position is a distal position relative to bone insertion portion 380 and the second position is a proximal position relative to the bone insertion portion 380.
Referring to
A first retaining tool 302 is threaded onto internal threads 317 of proximal portion 314 to prevent rotation of suture retaining portion 310. A second retaining tool 304 is inserted into first retaining tool 302 and over head 342 until second training tool engages shoulder 344.
Next, threaded body 360 is inserted into threaded cavity 385 in proximal bone insertion end 383 of bone insertion portion 380 and bone insertion portion 380 is driven into a bone using a driver 304 inserted over head 342 until bone insertion portion is sub-flush with bone. Both drivers 302, 304 can then be removed.
To frictionally secure suture 50, cap 322 is pulled proximally in the direction of arrow “A” in
Referring to
Suture retaining portion 410 includes a plurality of distally extending fingers 412 that are separated from adjacent fingers 412 by a longitudinal gap 414. Fingers 412 form an internal space 415 in suture retaining portion 410. In an exemplary embodiment, four fingers 412 are provided, although those skilled in the art will recognize that more or less than four fingers 412 can be provided.
Internal space 415 has an internal thread 416 to threadingly accept and engage suture securing portion 420. Internal space 415 bottoms out on a landing 417. Suture retaining portion 410 also includes external ribbing 418 that allows assembly 400 to be inserted into a pre-drilled hole (not shown) but resists being pulled out.
Suture securing portion 420 includes a deformable spring anchor 422 that serves as both suture securing portion 420 as well as an anchor to secure assembly 400 in bone. Spring anchor 422 includes a body portion 424 with a plurality of anchor legs 426 extending outwardly therefrom. The number of anchor legs 426 is the same number as the number of longitudinal gaps 414 such that each anchor leg 424 extends into a respective gap 414, while body portion 424 can slide within internal space 415.
Suture securing portion 420 further includes a set screw 428 that is insertable into internal space 415. Set screw 428 has a blunt distal tip 430 and a proximal head 432 that is configured to accept a driver (not shown) for rotating set screw 428 distally into internal space 415. Set screw 428 has an external thread 434 that mates with internal thread 416 to advance set screw 428 distally.
Bone insertion portion 440 extends distally from suture retaining portion 410 and includes a blunt distal tip 442 and external ribbing 444 that is an extension of the external ribbing 418 on suture retaining portion 410.
In an insertion condition, anchor legs 426 are stored within the perimeter of fingers 412, as shown in
As set screw 428 is further advanced distally, anchor legs 426 are deformed to splay outwardly from the stored position, as shown in
Referring to
Suture retaining portion 460 includes a plurality of distally extending generally semi-circular leg portions 462 that are separated from each other by a pair of diametrically opposed longitudinal gaps 464. Leg portions 462 form an internal space 465 in suture retaining portion 460. In an exemplary embodiment, two diametrically opposed leg portions 462 are provided, although those skilled in the art will recognize that more or less than two leg portions 462 can be provided.
Internal space 465 has an internal thread 466 to threadingly accept and engage suture securing portion 470. Internal space 465 bottoms out on a landing 467. A pair of diametrically opposed suture slots 468 extend from internal space 465 through each leg portion 462. Suture slots 468 are generally rectangular in cross section and are sized to allow a suture (not shown) to extend therethrough. Suture retaining portion 460 also includes external ribbing 469 that allows assembly 450 to be inserted into a pre-drilled hole (not shown) but resists being pulled out.
Suture securing portion 470 includes a pair of diametrically opposed cam-operated blades 476 that form an anchor to secure assembly 450 in bone. Blades 476 are movable between a stored position in which blades 476 are stored wholly within gaps 464, as shown in
Each blade 476 includes a sloped cam face 478 that, in a stored position, extends obliquely relative to a longitudinal axis 480 of suture retaining portion 460. A distal end 482 of each blade 476 is pivotally attached to bone insertion portion 490 at a pivot 484, located distal of landing 467.
Suture securing portion 470 includes a set screw 479 that is insertable into internal space 465. Set screw 479 has a blunt distal tip 480 and a proximal head 482 that is configured to accept a driver (not shown) for rotating set screw 479 distally into internal space 465. Set screw 479 has an external thread 484 that mate with internal thread 466 to advance set screw 479 distally.
Bone insertion portion 490 extends distally from suture retaining portion 460 and includes a blunt distal tip 492 and external ribbing 494 that is an extension of the external ribbing 468 on suture retaining portion 460.
In an insertion condition, blades 476 are stored within the perimeter of leg portions 462. A suture (not shown) can be inserted into suture retaining portion 460 such that each end of the suture extends outwardly of one of suture slots 468. Bone insertion portion 490 is inserted into the bone and set screw 479 is advanced distally into internal space 465, engaging cam face 478 of each blade 476 and pushing blades 476 outwardly through their respective gap 464 to secure assembly 450 into bone. As set screw 479 is further advanced distally, set screw 479 engages the suture and frictionally secures the suture between distal tip 480 and landing 467.
Alternatively, as shown in
To insert anchor 830, suture 50 or suture tape 52 (not shown) is passed through transverse passage 834 and anchor is tapped into a pre-drilled hole on tibia 40 (not shown). Suture 50 or suture tape 52 is wedged between anchor 830 and the wall of hole.
In an alternative embodiment shown in
Suture 50 or suture tape 52 is looped through either first passage 888 or second passage 890 and passes through cannula 892 to proximal end 896.
An alternative embodiment of an assembly 900 is shown in
Washer 910 includes a generally annular body 912 having a flat top surface 914 and a tapered inner diameter 916. A circular opening 918 is formed within inner diameter 916 and is sized to allow a fixation screw to be inserted therethrough.
Buckle 920 extends at an upward oblique angle from top surface 914 and includes parallel side walls 922, 924, a top connecting member 926, and a central connecting member 928 that each span and connect sides 922, 924 to each other. A first, lower gap 930 is formed between central connecting member 928 and body 912, while a second, upper gap 934 is formed between central connecting member 928 and top member 926.
Referring to
Alternatively, second end 56 can be inserted through gaps 932, 934 prior to securing washer 910 to tibia 40, then securing washer 910 to tibia 40, and then tightening suture tape 52 around fibula.
An alternative embodiment includes a screw 1000 shown in
Proximal end 1004 includes a buckle 1030 similar to buckle 920 described above with respect to assembly 900. This washerless embodiment allows buckle 1030 to be driven sub-flush of the bone cortex. The tensioning method for suture tape 52 is the same as for assembly 900 described above.
An alternative embodiment of an assembly 1100 is shown in
Washer 1110 includes a generally annular body 1112 having a flat top surface 1114 and a tapered inner diameter 1116. A circular opening 1118 is formed within inner diameter 1116 and is sized to allow a fixation screw to be inserted therethrough.
Buckle 1120 extends at an upward oblique angle from top surface 1114 and includes parallel side walls 1122, 1124 and a top connecting member 1126 that spans and connects sides 1122, 1124 to each other. Side walls 1122, 1124 each include a transverse slot 1128. Connecting member 1126 includes a concave inner face 1129.
Each side of cam 1130 includes a pivot portion 1132 that is inserted into transverse slot 1128 to that cam 1130 can pivot about transverse slot 1128. Cam 1130 also includes a lobe 1134 positioned over that is used to bias suture tape 52 against top surface 1112 of washer 1110 and a slot 1136 through which suture tape 52 is inserted.
First end 54 of suture tape 52 can be fixed to another securing device, not shown. Second end 56 of suture tape 52 can be inserted into gap 1127 distal from washer 110 toward washer 1110 and under lobe 1134. Second end 56 is then inserted through slot 1136 in cam 1130. To secure suture tape 52, cam 1130 is pivoted along concave inner face 1129 from the position shown in
While assembly 1100 is shown using washer 1110, those skilled in the art will recognize that buckle 1120 with cam 1130 can be used on other securing devices, such as, for example, on screw 1000.
An alternative embodiment of an assembly 1200 is shown in
Clamping instrument 1210 includes a pair of arms 1212, 1214 that are pivotally attached to each other at a pivot 1216. Instrument 1210 includes a staple receiver 1215 on an opposing side of pivot 1216. Clamping teeth 1218, 1220 are attached to distal ends of arms 1212, 1214, respectively on the opposing side of pivot 1216 and on either side of receiver 1215.
As shown in
An alternative embodiment of an assembly 1300 is shown in
Each clamp 1304 includes a body 1306 having a closure 1308 pivotally attached thereto. Free end 58 of suture 50 can be inserted through clamp 1304 between body 1306 and closure 1308. Closure 1308 can be pivoted to body 1306 to secure suture 50 between body 1306 and closure 1308.
An advantage to using band 1302 is that band 1302 can be slid along either suture 50 to a select location prior to securing suture 50 to band 1302 in order to avoid engaging any anatomically challenging areas.
The anchors and assemblies disclosed herein can be constructed from biocompatible materials, such as stainless steel, titanium, or other suitable materials or combinations thereof.
It will be further understood that various changes in the details, materials, and arrangements of the parts which have been described and illustrated in order to explain the nature of this device may be made by those skilled in the art without departing from the scope of the device as expressed in the following claims.
The present application is a continuation of U.S. patent application Ser. No. 16/717,589, filed on Dec. 17, 2019 (published as U.S. Pat. Pub. No. 2021-0177394), the entire contents of which is hereby incorporated by reference in its entirety for all purposes.
Number | Name | Date | Kind |
---|---|---|---|
254473 | Gates | Mar 1882 | A |
1105105 | Sherman | Jul 1914 | A |
2486303 | Longfellow | Oct 1949 | A |
2907978 | Bergan | Oct 1959 | A |
3463148 | Treace | Aug 1969 | A |
3695259 | Yost | Oct 1972 | A |
3716050 | Johnston | Feb 1973 | A |
4219015 | Steinemann | Aug 1980 | A |
4493317 | Klaue | Jan 1985 | A |
4524765 | de Zbikowski | Jun 1985 | A |
4651724 | Berentey et al. | Mar 1987 | A |
4683878 | Carter | Aug 1987 | A |
4781183 | Casey et al. | Nov 1988 | A |
4867144 | Karas et al. | Sep 1989 | A |
4923471 | Morgan | May 1990 | A |
4966599 | Pollock | Oct 1990 | A |
5002544 | Klaue et al. | Mar 1991 | A |
5041114 | Chapman et al. | Aug 1991 | A |
5151103 | Tepic et al. | Sep 1992 | A |
5259398 | Vrespa | Nov 1993 | A |
5364399 | Lowery et al. | Nov 1994 | A |
5372598 | Luhr et al. | Dec 1994 | A |
5423826 | Coates et al. | Jun 1995 | A |
5468242 | Reisberg | Nov 1995 | A |
D365634 | Morgan | Dec 1995 | S |
5489305 | Morgan | Feb 1996 | A |
5527311 | Procter et al. | Jun 1996 | A |
5578036 | Stone et al. | Nov 1996 | A |
5601553 | Trebing et al. | Feb 1997 | A |
5676667 | Hausman | Oct 1997 | A |
5690631 | Duncan et al. | Nov 1997 | A |
5709686 | Talos et al. | Jan 1998 | A |
5709687 | Pennig | Jan 1998 | A |
5718704 | Medoff | Feb 1998 | A |
5718705 | Sammarco | Feb 1998 | A |
5746742 | Runciman et al. | May 1998 | A |
5766175 | Martinotti | Jun 1998 | A |
5766176 | Duncan | Jun 1998 | A |
5779706 | Tschakaloff | Jul 1998 | A |
5785712 | Runciman et al. | Jul 1998 | A |
5797914 | Leibinger | Aug 1998 | A |
5814048 | Morgan | Sep 1998 | A |
5925048 | Ahmad et al. | Jul 1999 | A |
5938664 | Winquist et al. | Aug 1999 | A |
5957953 | DiPoto | Sep 1999 | A |
5961519 | Bruce et al. | Oct 1999 | A |
5980540 | Bruce | Nov 1999 | A |
6001099 | Huebner | Dec 1999 | A |
6071291 | Forst et al. | Jun 2000 | A |
6093201 | Cooper et al. | Jul 2000 | A |
6096040 | Esser | Aug 2000 | A |
6107718 | Schustek et al. | Aug 2000 | A |
6152927 | Farris et al. | Nov 2000 | A |
6206881 | Frigg et al. | Mar 2001 | B1 |
6283969 | Grusin et al. | Sep 2001 | B1 |
6309393 | Tepic et al. | Oct 2001 | B1 |
6322562 | Wolter | Nov 2001 | B1 |
6364882 | Orbay | Apr 2002 | B1 |
D458683 | Bryant et al. | Jun 2002 | S |
D458684 | Bryant et al. | Jun 2002 | S |
6533786 | Needham et al. | Mar 2003 | B1 |
D479331 | Pike et al. | Sep 2003 | S |
6623486 | Weaver et al. | Sep 2003 | B1 |
6669700 | Farris et al. | Dec 2003 | B1 |
6669701 | Steiner et al. | Dec 2003 | B2 |
6712820 | Orbay | Mar 2004 | B2 |
6719759 | Wagner et al. | Apr 2004 | B2 |
6730091 | Pfefferle et al. | May 2004 | B1 |
6866665 | Orbay | Mar 2005 | B2 |
6955677 | Dahners | Oct 2005 | B2 |
6974461 | Wolter | Dec 2005 | B1 |
7001387 | Farris et al. | Feb 2006 | B2 |
7063701 | Michelson | Jun 2006 | B2 |
7090676 | Huebner et al. | Aug 2006 | B2 |
7128744 | Weaver et al. | Oct 2006 | B2 |
7137987 | Patterson et al. | Nov 2006 | B2 |
7153309 | Huebner et al. | Dec 2006 | B2 |
7179260 | Gerlach et al. | Feb 2007 | B2 |
7250053 | Orbay | Jul 2007 | B2 |
7294130 | Orbay | Nov 2007 | B2 |
7322983 | Harris | Jan 2008 | B2 |
7341589 | Weaver et al. | Mar 2008 | B2 |
7344538 | Myerson et al. | Mar 2008 | B2 |
7354441 | Frigg | Apr 2008 | B2 |
7604657 | Orbay et al. | Oct 2009 | B2 |
7632277 | Woll et al. | Dec 2009 | B2 |
7635381 | Orbay | Dec 2009 | B2 |
7637928 | Fernandez | Dec 2009 | B2 |
7655029 | Niedernberger et al. | Feb 2010 | B2 |
7655047 | Swords | Feb 2010 | B2 |
7695472 | Young | Apr 2010 | B2 |
7717946 | Oepen et al. | May 2010 | B2 |
7722653 | Young et al. | May 2010 | B2 |
7740648 | Young et al. | Jun 2010 | B2 |
D622853 | Raven, III | Aug 2010 | S |
7771457 | Kay et al. | Aug 2010 | B2 |
7776076 | Grady, Jr. et al. | Aug 2010 | B2 |
7857838 | Orbay | Dec 2010 | B2 |
7867260 | Meyer et al. | Jan 2011 | B2 |
7867261 | Sixto, Jr. et al. | Jan 2011 | B2 |
7875062 | Lindemann et al. | Jan 2011 | B2 |
7905910 | Gerlach et al. | Mar 2011 | B2 |
7909858 | Gerlach et al. | Mar 2011 | B2 |
7951178 | Jensen | May 2011 | B2 |
7951179 | Matityahu | May 2011 | B2 |
7976570 | Wagner et al. | Jul 2011 | B2 |
D643121 | Millford et al. | Aug 2011 | S |
D646785 | Milford | Oct 2011 | S |
8043297 | Grady, Jr. et al. | Oct 2011 | B2 |
8057520 | Ducharme et al. | Nov 2011 | B2 |
8062296 | Orbay et al. | Nov 2011 | B2 |
8100953 | White et al. | Jan 2012 | B2 |
8105367 | Austin et al. | Jan 2012 | B2 |
8114081 | Kohut et al. | Feb 2012 | B2 |
8118846 | Leither et al. | Feb 2012 | B2 |
8118848 | Ducharme et al. | Feb 2012 | B2 |
8162950 | Digeser et al. | Apr 2012 | B2 |
8167918 | Strnad et al. | May 2012 | B2 |
8177820 | Anapliotis et al. | May 2012 | B2 |
8246661 | Beutter et al. | Aug 2012 | B2 |
8252032 | White et al. | Aug 2012 | B2 |
8257403 | Den Hartog et al. | Sep 2012 | B2 |
8257405 | Haidukewych et al. | Sep 2012 | B2 |
8257406 | Kay et al. | Sep 2012 | B2 |
8262707 | Huebner et al. | Sep 2012 | B2 |
8267972 | Gehlert | Sep 2012 | B1 |
8317842 | Graham et al. | Nov 2012 | B2 |
8323321 | Gradl | Dec 2012 | B2 |
8337535 | White et al. | Dec 2012 | B2 |
8343155 | Fisher et al. | Jan 2013 | B2 |
8382807 | Austin et al. | Feb 2013 | B2 |
8394098 | Orbay et al. | Mar 2013 | B2 |
8394130 | Orbay et al. | Mar 2013 | B2 |
8398685 | McGarity et al. | Mar 2013 | B2 |
8403966 | Ralph et al. | Mar 2013 | B2 |
8419775 | Orbay et al. | Apr 2013 | B2 |
8435272 | Dougherty et al. | May 2013 | B2 |
8439918 | Gelfand | May 2013 | B2 |
8444679 | Ralph et al. | May 2013 | B2 |
8491593 | Prien et al. | Jul 2013 | B2 |
8506608 | Cerynik et al. | Aug 2013 | B2 |
8512384 | Beutter et al. | Aug 2013 | B2 |
8512385 | White et al. | Aug 2013 | B2 |
8518090 | Huebner et al. | Aug 2013 | B2 |
8523862 | Murashko, Jr. | Sep 2013 | B2 |
8523919 | Huebner et al. | Sep 2013 | B2 |
8523921 | Horan et al. | Sep 2013 | B2 |
8540755 | Whitmore | Sep 2013 | B2 |
8545535 | Hirotsuka | Oct 2013 | B2 |
8551095 | Fritzinger et al. | Oct 2013 | B2 |
8551143 | Norris et al. | Oct 2013 | B2 |
8568462 | Sixto, Jr. et al. | Oct 2013 | B2 |
8574268 | Chan et al. | Nov 2013 | B2 |
8597334 | Mocanu | Dec 2013 | B2 |
8603147 | Sixto, Jr. et al. | Dec 2013 | B2 |
8617224 | Kozak et al. | Dec 2013 | B2 |
8632574 | Kortenbach et al. | Jan 2014 | B2 |
8641741 | Murashko, Jr. | Feb 2014 | B2 |
8641744 | Weaver et al. | Feb 2014 | B2 |
8663224 | Overes et al. | Mar 2014 | B2 |
8728082 | Fritzinger et al. | May 2014 | B2 |
8728126 | Steffen | May 2014 | B2 |
8740905 | Price et al. | Jun 2014 | B2 |
8747442 | Orbay et al. | Jun 2014 | B2 |
8764751 | Orbay et al. | Jul 2014 | B2 |
8764808 | Gonzalez-Hernandez | Jul 2014 | B2 |
8777998 | Daniels et al. | Jul 2014 | B2 |
8790376 | Fritzinger et al. | Jul 2014 | B2 |
8790377 | Ralph et al. | Jul 2014 | B2 |
8808333 | Kuster et al. | Aug 2014 | B2 |
8808334 | Strnad et al. | Aug 2014 | B2 |
8834532 | Velikov et al. | Sep 2014 | B2 |
8834537 | Castanada et al. | Sep 2014 | B2 |
8852246 | Hansson | Oct 2014 | B2 |
8852249 | Ahrens et al. | Oct 2014 | B2 |
8864802 | Schwager et al. | Oct 2014 | B2 |
8870931 | Dahners et al. | Oct 2014 | B2 |
8888825 | Batsch et al. | Nov 2014 | B2 |
8906076 | Mocanu et al. | Dec 2014 | B2 |
8911482 | Lee et al. | Dec 2014 | B2 |
8926675 | Leung et al. | Jan 2015 | B2 |
8940026 | Hilse et al. | Jan 2015 | B2 |
8940028 | Austin et al. | Jan 2015 | B2 |
8940029 | Leung et al. | Jan 2015 | B2 |
8951291 | Impellizzeri | Feb 2015 | B2 |
8968368 | Tepic | Mar 2015 | B2 |
9011457 | Grady, Jr. et al. | Apr 2015 | B2 |
9023052 | Lietz et al. | May 2015 | B2 |
9050151 | Schilter | Jun 2015 | B2 |
9072555 | Michel | Jul 2015 | B2 |
9072557 | Fierlbeck et al. | Jul 2015 | B2 |
9107678 | Murner et al. | Aug 2015 | B2 |
9107711 | Hainard | Aug 2015 | B2 |
9107713 | Horan et al. | Aug 2015 | B2 |
9107718 | Isch | Aug 2015 | B2 |
9113970 | Lewis et al. | Aug 2015 | B2 |
9149310 | Fritzinger et al. | Oct 2015 | B2 |
9161791 | Frigg | Oct 2015 | B2 |
9161795 | Chasbrummel et al. | Oct 2015 | B2 |
9168075 | Dell'Oca | Oct 2015 | B2 |
9179950 | Zajac et al. | Nov 2015 | B2 |
9179956 | Cerynik et al. | Nov 2015 | B2 |
9180020 | Gause et al. | Nov 2015 | B2 |
9211151 | Weaver et al. | Dec 2015 | B2 |
9259217 | Fritzinger et al. | Feb 2016 | B2 |
9259255 | Lewis et al. | Feb 2016 | B2 |
9271769 | Batsch et al. | Mar 2016 | B2 |
9283010 | Medoff et al. | Mar 2016 | B2 |
9295506 | Raven, III et al. | Mar 2016 | B2 |
9314284 | Chan et al. | Apr 2016 | B2 |
9320554 | Greenberg et al. | Apr 2016 | B2 |
9322562 | Takayama et al. | Apr 2016 | B2 |
9370388 | Globerman et al. | Jun 2016 | B2 |
D765851 | Early et al. | Sep 2016 | S |
9433407 | Fritzinger et al. | Sep 2016 | B2 |
9433452 | Weiner et al. | Sep 2016 | B2 |
9468479 | Marotta et al. | Oct 2016 | B2 |
9480512 | Orbay | Nov 2016 | B2 |
9486262 | Andermahr et al. | Nov 2016 | B2 |
9492213 | Orbay | Nov 2016 | B2 |
9510878 | Nanavati et al. | Dec 2016 | B2 |
9510880 | Terrill et al. | Dec 2016 | B2 |
9526543 | Castaneda et al. | Dec 2016 | B2 |
9545277 | Wolf et al. | Jan 2017 | B2 |
9549819 | Bravo et al. | Jan 2017 | B1 |
9566097 | Fierlbeck et al. | Feb 2017 | B2 |
9579133 | Guthlein | Feb 2017 | B2 |
9622737 | Gerber | Apr 2017 | B2 |
9622799 | Orbay et al. | Apr 2017 | B2 |
9636157 | Medoff | May 2017 | B2 |
9649141 | Raven, III et al. | May 2017 | B2 |
9668794 | Kuster et al. | Jun 2017 | B2 |
9801670 | Hashmi et al. | Oct 2017 | B2 |
9814504 | Ducharme et al. | Nov 2017 | B2 |
9980718 | Housman | May 2018 | B2 |
10595849 | Kaplan | Mar 2020 | B2 |
10945830 | Dacosta | Mar 2021 | B2 |
20020045901 | Wagner et al. | Apr 2002 | A1 |
20020147463 | Martinek | Oct 2002 | A1 |
20040097937 | Pike et al. | May 2004 | A1 |
20050107796 | Gerlach et al. | May 2005 | A1 |
20050131413 | O'Driscoll et al. | Jun 2005 | A1 |
20050187551 | Orbay et al. | Aug 2005 | A1 |
20060149265 | James et al. | Jul 2006 | A1 |
20060241607 | Myerson et al. | Oct 2006 | A1 |
20070173840 | Huebner | Jul 2007 | A1 |
20070270849 | Orbay et al. | Nov 2007 | A1 |
20070288022 | Lutz | Dec 2007 | A1 |
20080021477 | Strnad et al. | Jan 2008 | A1 |
20080234749 | Forstein | Sep 2008 | A1 |
20080275510 | Schonhardt et al. | Nov 2008 | A1 |
20090024172 | Pizzicara | Jan 2009 | A1 |
20090024173 | Reis, Jr. | Jan 2009 | A1 |
20090112270 | Lunn | Apr 2009 | A1 |
20090118773 | James et al. | May 2009 | A1 |
20090157124 | Ferragamo | Jun 2009 | A1 |
20090198285 | Raven, III | Aug 2009 | A1 |
20090228010 | Gonzalez-Hernandez et al. | Sep 2009 | A1 |
20090228047 | Derouet et al. | Sep 2009 | A1 |
20090248084 | Hintermann | Oct 2009 | A1 |
20090281543 | Orbay et al. | Nov 2009 | A1 |
20090299369 | Orbay et al. | Dec 2009 | A1 |
20090312760 | Forstein et al. | Dec 2009 | A1 |
20100057086 | Price et al. | Mar 2010 | A1 |
20100114097 | Siravo et al. | May 2010 | A1 |
20100121326 | Woll et al. | May 2010 | A1 |
20100274247 | Grady, Jr. et al. | Oct 2010 | A1 |
20100318125 | Gerber | Dec 2010 | A1 |
20110106086 | Laird | May 2011 | A1 |
20110112576 | Nguyen | May 2011 | A1 |
20110218580 | Schwager et al. | Sep 2011 | A1 |
20120010667 | Eglseder | Jan 2012 | A1 |
20120059424 | Epperly et al. | Mar 2012 | A1 |
20120203227 | Martin | Aug 2012 | A1 |
20120232599 | Schoenly et al. | Sep 2012 | A1 |
20120323284 | Baker et al. | Dec 2012 | A1 |
20130006302 | Paulk | Jan 2013 | A1 |
20130018426 | Tsai et al. | Jan 2013 | A1 |
20130046347 | Cheng et al. | Feb 2013 | A1 |
20130060291 | Petersheim | Mar 2013 | A1 |
20130123841 | Lyon | May 2013 | A1 |
20130138156 | Derouet | May 2013 | A1 |
20130150902 | Leite | Jun 2013 | A1 |
20130165981 | Clasbrummet et al. | Jun 2013 | A1 |
20130211463 | Mizuno et al. | Aug 2013 | A1 |
20130289630 | Fritzinger | Oct 2013 | A1 |
20140005728 | Koay et al. | Jan 2014 | A1 |
20140018862 | Koay et al. | Jan 2014 | A1 |
20140031879 | Sixto, Jr. et al. | Jan 2014 | A1 |
20140066998 | Martin | Mar 2014 | A1 |
20140094856 | Sinha | Apr 2014 | A1 |
20140121710 | Weaver et al. | May 2014 | A1 |
20140180345 | Chan et al. | Jun 2014 | A1 |
20140277178 | O'Kane et al. | Sep 2014 | A1 |
20140277181 | Garlock | Sep 2014 | A1 |
20140316473 | Pfeffer et al. | Oct 2014 | A1 |
20140330320 | Wolter | Nov 2014 | A1 |
20140378975 | Castaneda et al. | Dec 2014 | A1 |
20150051650 | Verstreken et al. | Feb 2015 | A1 |
20150051651 | Terrill et al. | Feb 2015 | A1 |
20150073486 | Marotta et al. | Mar 2015 | A1 |
20150105829 | Laird | Apr 2015 | A1 |
20150112355 | Dahners et al. | Apr 2015 | A1 |
20150134011 | Medoff | May 2015 | A1 |
20150142065 | Schonhardt et al. | May 2015 | A1 |
20150190185 | Koay et al. | Jul 2015 | A1 |
20150209091 | Sixto, Jr. et al. | Jul 2015 | A1 |
20150216571 | Impellizzeri | Aug 2015 | A1 |
20150223852 | Lietz et al. | Aug 2015 | A1 |
20150272638 | Langford | Oct 2015 | A1 |
20150282851 | Michel | Oct 2015 | A1 |
20150313653 | Ponce et al. | Nov 2015 | A1 |
20150313654 | Horan et al. | Nov 2015 | A1 |
20150327898 | Martin | Nov 2015 | A1 |
20150351816 | Lewis et al. | Dec 2015 | A1 |
20150374421 | Rocci et al. | Dec 2015 | A1 |
20160022336 | Bateman | Jan 2016 | A1 |
20160030035 | Zajac et al. | Feb 2016 | A1 |
20160045237 | Cerynik et al. | Feb 2016 | A1 |
20160045238 | Bohay et al. | Feb 2016 | A1 |
20160074081 | Weaver et al. | Mar 2016 | A1 |
20160166297 | Mighell et al. | Jun 2016 | A1 |
20160166298 | Mighell et al. | Jun 2016 | A1 |
20160183990 | Koizumi et al. | Jun 2016 | A1 |
20160262814 | Wainscott | Sep 2016 | A1 |
20160278828 | Ragghianti | Sep 2016 | A1 |
20160310183 | Shah et al. | Oct 2016 | A1 |
20160310185 | Sixto et al. | Oct 2016 | A1 |
20160324552 | Baker et al. | Nov 2016 | A1 |
20160354122 | Montello et al. | Dec 2016 | A1 |
20170035478 | Andermahr et al. | Feb 2017 | A1 |
20170042592 | Kim | Feb 2017 | A1 |
20170042596 | Mighell et al. | Feb 2017 | A9 |
20170049493 | Gauneau et al. | Feb 2017 | A1 |
20170065312 | Lauf et al. | Mar 2017 | A1 |
20170105775 | Ricker et al. | Apr 2017 | A1 |
20170215931 | Cremer et al. | Aug 2017 | A1 |
20190336190 | Allard | Nov 2019 | A1 |
20200245997 | Balboa | Aug 2020 | A1 |
20210177394 | Rippe | Jun 2021 | A1 |
Number | Date | Country |
---|---|---|
201987653 | Sep 2011 | CN |
202313691 | Jul 2012 | CN |
202821574 | Mar 2013 | CN |
202821575 | Mar 2013 | CN |
203506858 | Apr 2014 | CN |
203815563 | Sep 2014 | CN |
105982727 | Oct 2016 | CN |
2846870 | May 2004 | FR |
2928259 | Sep 2009 | FR |
2003210478 | Jul 2003 | JP |
201316942 | May 2013 | TW |
2016079504 | May 2016 | WO |
Number | Date | Country | |
---|---|---|---|
20230389917 A1 | Dec 2023 | US |
Number | Date | Country | |
---|---|---|---|
Parent | 16717589 | Dec 2019 | US |
Child | 18340505 | US |