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`USOO7806896B1
`
`US 7,806,896 B1
`(10) Patent N0.:
`(12) United States Patent
`
`Bonutti
`(45) Date of Patent:
`Oct. 5, 2010
`
`(54) KNEE ARTHROPLASTY METHOD
`
`(56)
`
`References Cited
`
`(75
`
`Inventor: Peter M. Bonntti, Effingham,’lL (US)
`
`(73) Assignee: Marctee, LLC, Effingham, IL (US)
`
`( *
`
`(21
`
`(22
`
`Notice:
`
`Subject to any disclaimer, the term of this
`patent is extended or adjusted under 35
`U.S.C. 15403) by 1056 days.
`
`Appl. No.: 10/722,102
`.
`.
`,
`Filed.
`NOV 25 2003
`
`U'S' RAJ ENT DOCUMEN RS
`2,589,720 A
`3/1952 McMal‘h
`3,229,006 A
`1/1966 Nohl
`3,624,747 A
`11/1971 McKnight
`3,750,652 A
`8/1973 Sherwin
`3,307,393 A
`4/1974 MCDOHald
`3,811,449 A
`5/1974 Gravlee et a1.
`
`(Continued)
`
`FOREIGN PATENT DOCUMENTS
`0520737
`«’1992
`
`EP
`
`
`
`Related U.S. Application Data
`
`'
`
`(63‘ Continuation of application No. 10/191,751, filed on
`Jul. 8, 2002, now Pat. No. 7,104,996, and a continua-
`tion-in-part of application No, 09/976,396, filed on
`Oct. 11, 2001, now Pat. No. 6,770,078, and a continu—
`ation-in—part of app‘ication No. 09/941,185, filed on
`Aug. 28, 2001, now 3at. No. 6,702,821, and a continu~
`ation—in—part of application No. 09/566,070, filed on
`May 5,2000, now’ Pat. No. 6,575,982, and a continu-
`ation~in-part of app‘ication No. 09/737,380, filed on
`Dec. 15, 2000, now Pat. No. 6,503,267, and a continu-
`ation—in—part of app‘ication No. 09/569,020, filed on
`May 11, 2000, now Pat. No. 6,423,063, and a continu-
`ation-in-part of app ication No. 09/483,676, filed on
`Jan. 14, 2000, now Pat, No. 6,468,289, and a continu—
`ation—in—part of app.ication No. 09/798,870, filed on
`Mar. 1, 2001, now Pat. No, 6,503,277, and a continu—
`ation-in—part of app_ication No. 09/526,949, filed on
`Mar. 16, 2000, now Pat. No. 6,620,181, anda continu-
`ation-in-part of app.ication No. 09/789,621, filed on
`Feb. 21, 2001, now Pat. No. 6,635,073.
`
`
`
`(51)
`
`Int. Cl.
`(2006.01)
`A61B 17/56
`(52) US. Cl.
`.................................................... 606/86 R
`(58) Field of Classification Search ................... 606/80,
`606/82, 86, 87, 88, 89, 86 R; 623/2014,
`623/16.11,18.11
`See application file for complete search history.
`
`(Continued)
`OTHER PUBLICATIONS
`
`The M/G Unicompartmental KneewMinimally Invasive Surgical
`Techniquew-Publication date unknown, but before Aug. 1, 2001.
`
`(Continued)
`
`
`Primary Examineeredro Philogene
`(74) Attorney, Agent, or Firm Fleit Gibbons Gutman
`Bongini & Bianco, PL; Paul D. Bianco; Martin Fleit
`
`(57)
`
`ABSTRACT
`
`An improved method of performing surgery on a joint in a
`patient’s body, such as a knee, includes making an incision in
`a knee portion of one leg while a lower portion of the one leg
`is extending downward from an upper portion of the one leg
`and while a foot connected with the lower portion of the one
`leg is below a support surface on‘ which the patient is dis~
`posed. The incision is relatively short, for example, between
`seven and thirteen centimeters. A patella may be offset from
`its normal position with an inner side of the patella facing
`inward during cutting of a bone with a cutting tool. During
`cutting ofthe bone, one or more guide members having oppo-
`site ends which are spaced apart by a distance less than the
`width of an implant may be utilized to guide movement of a
`cutting tool.
`
`48 Claims, 37 Drawing Sheets
`
`
`
`WMT1001-1
`
`WMT 1001-1
`
`

`

`US 7,806,896 B1
`
`PageZ
`
`U.S.PATENT DOCUMENTS
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`
`v WMT1001-2
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`WMT 1001-2
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`US 7,806,896 Bl
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`Page3
`
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`
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`................. 606/80
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`WMT 1001 -3
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`US 7,806,896 B1
`Page 5
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`7/2007 Bonutti
`6/2008 Bonutti
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`2007/0173946 A1
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`EP
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`date unknown, but before Aug. 1, 2001.
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`Flex Fixed Bearing Knee—Publication date unknown, but before
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`NexGen Complete Knee Solution—--—MultiReference“?M 4-in—1
`Femoral
`Instrumentation—Anterior
`Reference
`Surgical
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`Teclmique—for the NexGen Cruciate Retaining & Legacy® Poste-
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`Sulzcr Orthopedics TM Natural-Knee® 11 System Surgical
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`Osteonics~ One Revolutionary Idea, Three great Potential Benefits,
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`Sterile Yellow Monotube® TRIAXTM Kit, Snyker I‘lowmedica
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`12F Copending U.S. Appl. No. 11/ 171,700, Final Rejection mailed
`Feb. 4, 2008.
`12F Copending U.S. Appl. No. 11/171,700, Non-Final Rejection
`mailed Jun. 14, 2007.
`12F Copending U.S. Appl. No. 11/171,700, Non—Final Rejection
`mailed May 28, 2008.
`12F Copending U.S. Appl. No. 11/ 171,700, Non-Final Rejection
`mailed Sep. 18, 2009.
`12F Copending U.S. Appl. No. 11/ 171,700, Response to Office
`Action filed Dec. 18, 2009.
`'
`12F Copending U.S. Appl. No. 11/171,700, Response to Offfice
`Action filed Dec. 18, 2009.
`
`lO/888,783, Non—Final Rejection
`
`12F Copending U.S. Appl. No. 11/17l,700, Response to Office
`Action filed Jul. 13, 2009.
`12F Copending U.S. Appl. No. 11/171,700, Response to Office
`Action filed Oct. 28, 2008.
`12F Copending U.S. Appl. No. 11/171,700, Response to Office
`Action filed Nov. 14, 2007.
`12F Copending U.S. Appl. No. 11/171,700, Response to Office
`Action filed May 5, 2008.
`12B Copending U.S. Appl. No. 10/888,783, Final Rejection mailed
`Jul. 11, 2008.
`1213 Copending U.S. Appl. No. 10/888,783, Final Rejection mailed
`Feb. 21, 2007.
`1213 Copcnding U.S. Appl. No. 10/888,783, Non-Final Rejection
`mailed Nov. 29, 2007.
`12B Copending U.S. Appl. No. 10/888,783, Non—Final Rejection
`mailed Jul. 20, 2006.
`12E Copending U.S. Appl. No.
`mailed Sep. 14, 2009.
`1213 Copending U.S. Appl. No. 10/888,783, Response to Office
`Action filed Sep. 7, 2007.
`,
`12E Copending U.S. Appl. No. 10/888,783, Response to Olfice
`Actio