( 12 ) United States Patent
`Hill et al .
`
`( 10 ) Patent No .: US 10,653,464 B2
`( 45 ) Date of Patent :
`May 19 , 2020
`
`US010653464B2
`
`( 54 ) FOOT BONE PLATE PROVIDING FIXATION
`AND COMPRESSION
`
`( 56 )
`
`References Cited
`U.S. PATENT DOCUMENTS
`
`( 71 ) Applicant : LIFE SPINE , INC . , Huntley , IL ( US )
`
`( 72 ) Inventors : Joshua Lee Hill , Pikeville , KY ( US ) ;
`Daniel Predick , Chicago , IL ( US )
`( 73 ) Assignee : LIFE SPINE , INC . , Huntley , IL ( US )
`( * ) Notice :
`Subject to any disclaimer , the term of this
`patent is extended or adjusted under 35
`U.S.C. 154 ( b ) by 570 days .
`
`*
`3,593,709 A
`3,716,050 A *
`4,454,876 A
`*
`
`7/1971 Halloran
`2/1973 Johnston
`6/1984 Mears
`
`4,565,193 A
`
`*
`
`1/1986 Streli
`
`4,800,874 A
`
`*
`
`1/1989 David
`
`5,261,909 A
`5,718,705 A
`
`*
`
`11/1993 Sutterlin et al .
`2/1998 Sammarco
`
`A61B 17/8061
`52/514
`A61B 17/8061
`606/286
`A61B 17/8066
`606/280
`A61B 17/809
`606/297
`A61B 17/8061
`606/286
`A61B 17/8085
`606/260
`
`( 21 ) Appl . No .: 14 / 619,920
`
`( 22 )
`
`Filed :
`
`Feb. 11 , 2015
`
`( 65 )
`
`Prior Publication Data
`US 2015/0223851 A1 Aug. 13 , 2015
`
`Related U.S. Application Data
`( 60 ) Provisional application No. 61 / 938,849 , filed on Feb.
`12 , 2014 .
`
`( 51 ) Int . Ci .
`A61B 17/58
`A61B 17/80
`( 52 ) U.S. CI .
`CPC
`
`( 2006.01 )
`( 2006.01 )
`
`A61B 17/8004 ( 2013.01 ) ; A61B 17/8061
`( 2013.01 )
`( 58 ) Field of Classification Search
`CPC . A61B 17/80 ; A61B 17/8004 ; A61B 17/8061 ;
`A61B 17/8085
`..... 606 / 70-71 , 280-299
`USPC
`See application file for complete search history .
`
`A61B 17/1728
`606/280
`
`A61B 17/8033
`606/280
`
`9/1998 Mortier
`5,810,822 A
`9/2001 Grusin
`6,283,969 B1 *
`8,177,819 B2 5/2012 Huebner et al .
`8,403,970 B1 *
`3/2013 Bedor
`( Continued )
`Primary Examiner
`Jessica Weiss
`( 74 ) Attorney , Agent , or Firm — Foley & Lardner LLP
`( 57 )
`ABSTRACT
`A foot bone plate provides both fixation of two bones or
`bone portions and compression across their juncture . The
`foot bone plate has a plurality of bone screw bores posi
`tioned to receive and hold a bone screw on both sides of the
`two bones / bone portions ( i.e. fixation ) , and a lateral flange
`positioned to receive and hold a bone screw across the foot
`bones / foot bone portions juncture ( i.e. compression ) . The
`foot bone plate has an elongate body having a plurality of
`bores along its length configured to receive and hold a bone
`screw generally perpendicular to the foot bone plate and into
`the two foot bone portions . A flange is positioned at a side
`of the plate and includes a bore to receive and hold a bone
`screw . The flange and flange bore positions and holds the
`bone screw such that it extends through the juncture of the
`two bones / bone portions .
`14 Claims , 5 Drawing Sheets
`
`20f 197
`
`21c 20e 19e
`21b20c
`
`23
`
`12
`
`20d
`19d
`
`14
`
`17
`
`18 .
`
`206
`
`21a
`
`19c
`28
`
`196
`
`25
`
`199 200
`
`27
`
`31
`
`30
`
`29
`
`Globus Medical, Inc. Exhibit 2005, Page 1 of 11
`Life Spine, Inc. v. Globus Medical, Inc.
`IPR2022-01602
`
`

`

`US 10,653,464 B2
`Page 2
`
`( 56 )
`
`References Cited
`U.S. PATENT DOCUMENTS
`
`9,254,154 B2 *
`
`9,402,667 B2 *
`
`2003/0055429 A1 *
`
`2005/0192577 A1 *
`
`3/2003 Ip
`
`9/2005 Mosca
`
`2006/0235396 A1 * 10/2006 Sanders
`
`2007/0233113 A1 * 10/2007 Kaelblein
`
`2008/0300637 A1 * 12/2008 Austin
`
`2009/0118769 A1 *
`
`2010/0217327 A1 *
`
`2010/0217328 A1 *
`
`5/2009 Sixto , Jr.
`
`8/2010 Vancelette
`
`8/2010 Terrill
`
`2010/0256687 A1 * 10/2010 Neufeld
`
`2010/0324602 A1 * 12/2010 Huebner
`
`2/2016 Gonzalez - Hernandez
`A61B 17/8061
`8/2016 Gonzalez - Hernandez
`A61B 17/8061
`A61B 17/8085
`606/284
`A61B 17/1615
`606/86 B
`A61B 17/8061
`606/280
`A61B 17/8061
`606/71
`A61B 17/74
`606/290
`A61B 17/8061
`606/280
`A61B 17/8061
`606/281
`A61B 17/8061
`606/286
`A61B 17/80
`606/289
`A61B 17/80
`606/280
`A61B 17/80
`606/289
`A61B 17/8061
`606/281
`
`2015/0359573 Al 12/2015 Adams et al .
`* cited by examiner
`
`2013/0158608 A1 *
`
`2013/0172942 A1 *
`
`2014/0172020 A1 *
`
`2014/0249586 A1 *
`
`6/2013 Viola
`
`7/2013 Lewis
`
`6/2014 Gonzalez - Hernandez
`A61B 17/8085
`606/281
`A61B 17/8066
`606/286
`
`9/2014 Guy
`
`Globus Medical, Inc. Exhibit 2005, Page 2 of 11
`Life Spine, Inc. v. Globus Medical, Inc.
`IPR2022-01602
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`

`

`U.S. Patent
`
`May 19 , 2020
`
`Sheet 1 of 5
`
`US 10,653,464 B2
`
`10
`
`196
`
`20a
`
`19a
`
`28
`
`29
`
`27
`
`22a
`
`216
`
`20c
`19C
`
`23
`
`22c
`
`20e
`
`19e
`
`90
`
`21a
`
`-17
`-18
`
`-22b
`20d
`
`21c
`
`20b
`
`12
`
`-14
`
`-190
`
`20f
`
`-19f
`
`Fig . 1
`
`Globus Medical, Inc. Exhibit 2005, Page 3 of 11
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`IPR2022-01602
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`

`

`U.S. Patent
`
`May 19 , 2020
`
`?
`
`Sheet 2 of 5
`
`US 10,653,464 B2
`
`10 .
`
`19b
`
`25
`19a
`
`-27
`29
`
`21a
`
`17D
`
`-19c
`
`-15
`
`19e
`
`90
`
`.21b
`
`20d
`
`19d
`
`12
`
`20f
`
`19f
`
`21c0
`
`Fig . 2
`
`Globus Medical, Inc. Exhibit 2005, Page 4 of 11
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`IPR2022-01602
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`

`

`U.S. Patent
`
`May 19 , 2020
`
`Sheet 3 of 5
`
`US 10,653,464 B2
`
`10
`
`2
`
`20f
`
`22C
`210
`14
`
`19f
`20e
`19e
`
`23
`
`-12
`-20C
`-190
`
`-27
`
`90
`
`20d
`
`19d
`
`22b
`21b .
`
`18
`
`22a
`21a .
`
`20b
`
`17
`
`19b
`
`20a
`
`19a
`
`28
`
`29
`
`91
`
`Fig . 3
`
`Globus Medical, Inc. Exhibit 2005, Page 5 of 11
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`IPR2022-01602
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`

`U.S. Patent
`
`May 19 , 2020
`
`Sheet 4 of 5
`
`US 10,653,464 B2
`
`20f19f
`
`210 20e 19e
`14 21b20c
`
`23
`
`12
`
`19c
`28
`
`20d
`19d
`
`17
`
`18 .
`
`21a
`
`206
`
`19b
`
`25
`
`199 200
`
`-30
`
`27
`
`31
`
`29
`
`Fig . 4
`
`Globus Medical, Inc. Exhibit 2005, Page 6 of 11
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`IPR2022-01602
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`

`

`U.S. Patent
`
`May 19 , 2020
`
`Sheet 5 of 5
`
`US 10,653,464 B2
`
`??
`
`06
`
`06
`
`FB2
`
`27
`
`06
`
`12
`
`06
`
`06 06
`
`Fig . 5
`
`17
`
`06
`
`FB1
`
`Globus Medical, Inc. Exhibit 2005, Page 7 of 11
`Life Spine, Inc. v. Globus Medical, Inc.
`IPR2022-01602
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`

`

`US 10,653,464 B2
`
`5
`
`1
`FOOT BONE PLATE PROVIDING FIXATION
`AND COMPRESSION
`
`2
`foot bone plate has a plurality of bone screw bores posi
`tioned to receive and hold a bone screw on both sides of the
`two foot bones / bone portions ( i.e. fixation ) , and a side or
`lateral flange positioned to receive and hold a bone screw
`CROSS - REFERENCE TO RELATED
`across the foot bones / foot bone portions juncture ( i.e. com
`APPLICATIONS
`pression )
`In one form , the present foot bone plate is characterized
`This U.S. non - provisional patent application claims the
`by an elongate body having a plurality of bores along its
`benefit of and / or priority under 35 U.S.C. § 119 ( e ) to U.S.
`length . The bores are configured to receive and hold a bone
`provisional patent application Ser . No. 61 / 938,849 filed Feb.
`12 , 2014 titled “ Foot Bone Plate Providing Fixation And 10 screw generally perpendicular to the foot bone plate and into
`Compression , ” the entire contents of which is specifically
`the two foot bones / bone portions . A flange is positioned at
`a side of the plate and includes a bore to receive and hold a
`incorporated herein by reference .
`bone screw . The flange and flange bore positions and holds
`the bone screw such that it extends through the juncture of
`BACKGROUND OF THE INVENTION
`15 the two bones / bone portions .
`The plate may additionally have a cutout or window
`Field of the Invention
`positioned to view the juncture and / or provide bone graft
`material .
`The present invention relates to implants for fixation of
`According to one method of use , the foot bone plate is
`human bones , and particularly to implants for fixation of
`bones of the foot . More particularly , the present invention 20 placed over the two foot bones / foot bone portions and their
`relates to implants for internal fixation of calcaneus , tarsal ,
`juncture . Bone screws are positioned in the plate bores and
`the side flange to provide fixation and compression for
`and metatarsal bones of the foot .
`fusion .
`Background
`Providing a combination plate and screw as one unit
`25 obtains much greater compression .
`The present plate thus overcomes the deficiencies of the
`There are many reasons why surgeries are performed on
`prior art .
`the bones of the foot . Some foot surgeries such as osteoto
`mies are performed to correct angular deformities . Other
`Further aspects of the present invention will become
`foot surgeries are performed to mend a fracture , fissure or to
`apparent from consideration of the drawings and the fol
`re - align or reposition bones of the foot . In these surgical 30 lowing description of a preferred embodiment of the inven
`procedures and others , two bones or bone portions must be
`tion . A person skilled in the art will realize that other
`joined or otherwise secured relative to each other so as to be
`embodiments of the invention are possible and that the
`fixed in a desired position and , eventually fuse . This may be
`details of the invention can be modified in a number of
`accomplished by a foot bone plate .
`respects without departing from the inventive concept . The
`In many instances , a plate is used to bridge the joint ( e.g. 35 following drawings and description are to be regarded as
`illustrative in nature and not restrictive .
`joint , fissure , crack or the like ) between the two foot bones
`or bone portions . The plate is configured to extend over the
`two bones or bone portions and has several bores each sized
`BRIEF DESCRIPTION OF THE DRAWINGS
`and shaped to receive and hold a bone screw . When
`The features of the invention will be better understood by
`installed , the bone screws extend into the bone generally 40
`reference to the accompanying drawings which illustrate an
`perpendicular to the plate . The plate and bone screws thus
`embodiment of the invention , wherein :
`hold the two bones or bone portions in a fixed orientation .
`FIG . 1 is a top view of a foot bone plate fashioned in
`It is often desirable , however , to first compress the two
`accordance with the principles of the present invention with
`bones or bone portions together . With prior art foot bone
`plates , it is necessary to use added instrumentation in 45 a bone screw extending through a side flange thereof ( foot
`addition to the foot bone plate and bone screws in order to
`bone plate system ) ;
`provide compression . Moreover , in some instances , fixation
`FIG . 2 is a bottom view of the foot bone plate system of
`and compression is first achieved by a bone screw extending
`FIG . 1 ;
`through the two bones / bone portions and their juncture . In
`FIG . 3 is a top isometric view of the foot bone plate
`these instances , all of the compression is obtained through 50 system of FIG . 1 ;
`the separate bone screw and minimal , if any , compression is
`FIG . 4 is an end isometric view of the foot bone plate
`obtained through the plate . The plate and screw ( s ) are more
`system of FIG . 3 ; and
`for additional stability and protection against plantar forces .
`FIG . 5 is an illustration of the foot bone plate of FIGS . 1-4
`It is therefore evident from the above that there is a need
`installed on two adjacent bone / bone portions of a foot .
`for a better manner of providing both compression and 55
`fixation of two bones or bone portions , particularly , but not
`DETAILED DESCRIPTION OF THE
`necessarily , of the foot .
`INVENTION
`It is further evident from the above that there is a need for
`a bone plate that provides both compression and fixation
`Referring to FIGS . 1-3 and 5 , there is depicted a foot bone
`between two bones or bone portions , particularly , but not 60 implant or system generally designated 10 ( implant 10 ) for
`fixing and compressing two bones or bone portions together .
`necessarily , of the foot .
`The implant 10 consists of a foot bone plate or body 12 and
`one or more bone screws of which one exemplary bone
`SUMMARY OF THE INVENTION
`screw 90 is shown in the figures . Other styles of bone screws
`The present invention is a foot bone plate , system and 65 may be used as appropriate . The foot bone plate 12 and bone
`screws 90 are fashioned from
`a known biocompatible
`method of use that provides both fixation of the two bones
`or bone portions and compression across their juncture . The
`implant material and is used for aiding or providing internal
`
`Globus Medical, Inc. Exhibit 2005, Page 8 of 11
`Life Spine, Inc. v. Globus Medical, Inc.
`IPR2022-01602
`
`

`

`US 10,653,464 B2
`
`5
`
`3
`4
`the bone screw bores 19c and 19d are positioned , while the
`fixation of calcaneus , tarsal , and metatarsal bones of the foot
`third hole 21c is positioned proximate to a second longitu
`in cases such as , but not limited to , filling an osteotomy or
`dinal end of the plate 17 where the bone screw bores 19e and
`expanding and correcting an angular deformity in the foot .
`19f are positioned . It should be appreciated that the nomen
`Other uses such as use on other bones / bone portions of the
`body are contemplated .
`clature first , second and third is arbitrary . The bores 21a - c
`each have an angled or beveled rim 22a - c on the upper
`The foot bone plate 12 has a generally elongated polygo
`surface 14 of the plate 12. The holes 21a - c allow temporary
`nal - shape defining an upper surface 14 and a lower surface
`fixation pins to be inserted into the bone ( s ) in order to hold
`15. The periphery 23 of the upper surface 14 is preferably ,
`the plate 12 in place for installing the bone screws , or to
`but not necessarily , angled or tapered downwardly from the
`upper surface 14 to its peripheral sides to provide a bevel . 10 compress or distract off of .
`Likewise , the periphery 25 of the lower surface 15 is
`The plate 12 further includes a flange structure ( flange ) 27
`preferably , but not necessarily , angled or tapered down
`provided at or on a lateral or lower side of the plate 12
`wardly from the lower surface to its peripheral side to
`proximate the first longitudinal end of the plate , and par
`provide a bevel . The plate 12 is sized for use in the bones of
`ticularly proximate the bone screw bore 19a . The flange
`the foot . However other sizes are contemplated to accom- 15 structure 27 is characterized by a neck 28 that extends or
`modate various anatomies and bones . Moreover , the plate 12
`projects from the lateral side of the plate 12 , and a flange 29
`may have a different polygonal shape if desired . It should be
`situated at the end of the neck 28. Other configurations may
`appreciated that the foot bone plate 12 and / or its principles
`be used . The flange 29 extends generally downward and
`are applicable to other bones of the body such as , but not
`perpendicular relative to the lower surface 15 of the plate 12 .
`limited to , the bones of the hand . In general , the plate 12 has 20 The flange 29 has a bore 30 that extends through the flange
`first and second lateral sides , and first and second ends , the
`29 and includes a bevel 31 about the bore 30 on the face of
`the flange 29 ( see , e.g. , FIG . 4 ) . The flange 29 and bore 30
`nomenclature first and second being arbitrary .
`The plate 12 has six ( 6 ) bores or holes 19a - f each of which
`are positioned to hold a bone screw 90 generally transverse
`is generally cylindrical and dimensioned to receive a bone
`to a plane defined by the plate ( see , e.g. , FIGS . 1-3 ) or
`screw 90 such that the head of the bone screw is held by the 25 transverse to the axes of the six ( 6 ) cylindrical bores 19a - f
`plate 12 with the shank of the bone screw extending beyond
`of the plate 12. Particularly , the flange structure 27 holds a
`the plate 12 for receipt in a foot bone / foot bone portion . The
`bone screw 90 skew relative to the longitudinal axis of the
`bone screw bores 19a - f each have an angled or beveled rim
`plate such that the bone screw 90 will extend through the
`20a - f on the upper surface 14 of the plate 12. The angled
`first and second bones / bone portions and thus their juncture .
`rims 20a - f allow a bone screw 90 to be somewhat counter- 30 The amount of skew may be varied relative to that shown as
`sunk relative to the plate by receiving the angled bone screw
`long as it passes through the bone juncture . In this manner ,
`head , and to allow bone screw angulation . The bone screw
`the bone screw 90 allows the two bones / bone portions to be
`bores 19a , 19b form a pair of bone screw bores for placing
`compressed together .
`two bone screws into one foot bone / foot bone portion . The
`Referring to FIG . 5 , there is shown an exemplary illus
`bone screw bores 19a , 19b are staggered relative to one 35 tration of the present foot bone implant 10 installed on two
`another . The bone screw bores 19c , 19d form another pair of
`adjacent foot bones FB1 and FB2 of a foot . The implant 10
`bone screw bores for placing two bone screws into another
`has been mounted or attached to the foot bones FB1 and FB2
`( second ) foot bone / foot bone portion . The bone screw bores
`and over a fracture ( shown as a jagged line ) in the foot bone
`19c , 19d are likewise staggered relative to one another . The
`FB1 . While one use is shown in FIG . 5 , the present implant
`bone screw bores 19e , 19f form yet another pair of bone 40
`10 may be used in various situations . The plate 12 of the
`screw bores for placing two more bone screws into the
`implant 10 is positioned onto the foot bone FB1 and attached
`second foot bone / foot bone portion . The bone screw bores
`thereto by bone screws 90. A bone screw 90 is likewise
`19e , 19f are also staggered relative to one another . The plate
`provided in the flange 27 and into and through the foot bones
`12 may have more or less bone screw bores without depart
`FB1 and FB2 and their juncture ( here shown as the fracture ) .
`ing from the invention , and plate dimensions accordingly . 45 The bone screw of the flange 27 provides compression
`Moreover , the positions of the bone screw bores may change
`between the fracture ( juncture ) of the foot bones FB1 , FB2 .
`The plate 12 and bone screws 90 thereof provide fixation of
`if desired .
`Acutout or window 17 is provided in the plate 12 between
`the foot bones FB1 , FB2 to each other .
`It should be appreciated that although the present bone
`the bone screw bore pairs 19a , 19b and the bone screw bore
`pairs 19c , 19d and 19e , 19f . While the window 17 is shown 50 fixation implant / plate system has been described in particu
`as oval - shaped , the window 17 may take other forms and
`larity with respect to foot bones , it is applicable to hand
`dimensions as desired . An angled or beveled rim 18 extends
`bones and those bones being very similar in anatomy . It
`about the window 17 on the upper surface 14 of the plate 12 .
`should also be appreciated that dimensions of the plate 12
`The window 17 provides access to the two foot bones / bone
`and its components and / or features can be altered as desired .
`portions juncture or junction . As such , the window 17 may 55
`What is claimed is :
`be used for providing bone graft material to the two foot
`1. An implant for fixing and compressing two adjacent
`bones / bone portions juncture and / or for other purposes such
`bone portions across their juncture , the implant comprising :
`as providing a viewing window . The window also allows
`an elongate body defining a longitudinal axis and having
`viewing of the positioning of a bone screw 90 relative to the
`an upper surface , a lower surface opposite the upper
`plate 12 when installed ( and as shown ) .
`surface ; a first lateral side , a second lateral side oppo
`The plate 17 further includes three ( 3 ) holes or bores
`site the first lateral side , a first end , and a second end
`21a - c that are generally cylindrical and spaced along the
`opposite the first end ;
`length of the plate 17 and generally along the longitudinal
`a plurality of cylindrical bores in the elongate body , at
`axis thereof . The first hole 21a is positioned proximate to a
`least one of the cylindrical bores having a first axis that
`first longitudinal end of the plate 17 where the bone screw 65
`extends between the upper surface of the elongate body
`bores 19a and 19b are positioned . The second hole 21b is
`and the lower surface of the elongate body , the plurality
`positioned proximate the middle of the plate 17 near where
`of cylindrical bores situated along the elongate body
`
`60
`
`Globus Medical, Inc. Exhibit 2005, Page 9 of 11
`Life Spine, Inc. v. Globus Medical, Inc.
`IPR2022-01602
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`US 10,653,464 B2
`
`30
`
`5
`6
`1 ;
`providing an implant per claim
`from the first end to the second end thereof , each
`installing the implant of claim 1 onto the first and second
`cylindrical bore configured to receive and hold a bone
`bone portions of adjacent bone portions via bone
`screw in one of the two adjacent bone portions ; and
`screws through the cylindrical bone screw bores of the
`a flange having a first portion and a second portion , the
`plate ; and
`first portion extending from the first lateral side of the 5
`installing a bone screw through the flange of the plate , and
`elongate body , the first portion comprising a neck
`into the first and second bone portions of the adjacent
`having a recessed surface between the upper surface of
`bone portions and through their juncture .
`the elongate body and the second portion of the flange ,
`9. An implant for fixing and compressing two adjacent
`the second portion of the flange extending generally
`perpendicular to the lower surface of the elongate body 10 foot bone portions across their juncture , the implant com
`and having a first surface , a second surface opposite the
`prising :
`first surface , and a cylindrical bore with a second axis
`an elongate plate defining an upper surface , a lower
`surface opposite the upper surface ; a first lateral side , a
`that extends between the first and second surfaces of
`the second portion ;
`second lateral side opposite the first lateral side , a first
`wherein the first axis is generally perpendicular to the first 15
`end between the first lateral side and the second lateral
`longitudinal axis ;
`side , and a second end opposite the first end and
`wherein the second axis extends at an oblique angle
`between the first lateral side and the second lateral side ,
`relative to the longitudinal axis of the elongate body so
`wherein the elongate plate further defines a longitudinal
`that a bone screw received in the cylindrical bore of the
`first axis between the first and second ends ;
`flange extends into the two adjacent bone portions and 20
`a first pair of cylindrical bores in the elongate plate , each
`cylindrical bore having a second axis that extends
`across their juncture ;
`wherein the longitudinal axis , the first axis , and the
`between the upper surface of the elongate plate and the
`second axis are offset to each other and do not intersect ;
`lower surface of the elongate plate and situated proxi
`mate the first end of the elongated plate , the first pair of
`and
`wherein bone screws used in the plurality of cylindrical 25
`cylindrical bores each configured to receive and hold a
`bone screw in one of the two adjacent foot bone
`bores of the elongate body provide fixation of the
`elongate body to the two adjacent bone portions ,
`portions ;
`wherein a bone screw used in the cylindrical bore of the
`a second pair of cylindrical bores in the elongate plate ,
`flange provides compression of the two adjacent bone
`each cylindrical bore having a third axis that extends
`portions across their juncture .
`between the upper surface of the elongate plate and the
`2. The implant of claim 1 , further comprising :
`lower surface of the elongate plate and situated proxi
`a cutout in the elongate body that extends between the
`mate the second end of the elongated plate , the second
`upper surface of the elongate body and the lower
`pair of cylindrical bores each configured
`receive and
`surface of the elongate body , and situated proximate to
`hold a bone screw in another of the two adjacent foot
`the flange .
`bone portions ; and
`3. The implant of claim
`2 , wherein the plurality of
`a flange having a first portion and a second portion , the
`cylindrical bores in the elongate body includes two cylin
`first portion extending from the first lateral side of the
`drical bores proximate the first end of the elongate body , two
`elongate plate , the first portion comprising a neck
`cylindrical bores proximate the second end of the elongate
`having a recessed surface between the upper surface of
`body , and two cylindrical bores between the first and second 40
`the elongate plate and the second portion of the flange ,
`ends of the elongate body .
`the second portion of the flange extending from the first
`4. The implant of claim 3 , wherein the first lateral side of
`portion and generally perpendicular to the lower sur
`the elongate body has a first length , and the second lateral
`face of the elongate plate , the second portion having a
`side of the elongate body has a second length that is greater
`cylindrical bore with a fourth axis ;
`wherein the second and third axes are generally perpen
`than the first length of the first lateral side .
`5. The implant of claim 4 , further comprising :
`dicular to the first axis , wherein the fourth axis extends
`a first rim extending continuously about and beveled
`at an oblique angle relative to , and at an acute angle
`between the upper surface of the elongate body adja
`relative to , the longitudinal first axis of the elongate
`cent the first lateral side of the elongate body , the first
`plate , wherein the longitudinal first axis , the second
`end of the elongate body , the second lateral side of the 50
`axis , the third axis , and the fourth axis are offset to each
`elongate body , and the second end of the elongate body ;
`other and do not intersect , and wherein the cylindrical
`bore of the flange is configured to receive and hold a
`and
`a second rim extending continuously about and beveled
`bone screw into the two adjacent foot bone portions and
`between the lower surface of the elongate body adja
`across their juncture ; and
`cent the first lateral side of the elongate body , the first 55
`wherein bone screws used in the first and second pairs of
`end of the elongate body , the second lateral side of the
`cylindrical bores of the elongate plate provide fixation
`elongate body , and the second end of the elongate body .
`of the elongate plate to the two adjacent foot bone
`6. The implant of claim 5 , further comprising a bevel
`portions , while a bone screw used in the cylindrical
`situated in the upper surface of the elongate body about each
`bore of the flange provides compression of the two
`one of the plurality of cylindrical bores in the elongate body . 60
`adjacent foot bone portions across their juncture .
`7. The implant of claim 1 , wherein the elongate body
`10. The implant of claim 9 , further comprising :
`further defines a longitudinal third axis between the first and
`a cutout in the elongate plate that extends between the
`second ends , and wherein the third axis is at an acute angle
`upper surface of the elongate plate and the lower
`surface of the elongate plate , and situated proximate to
`relative to the second axis .
`8. A method of providing fixation and compression of first 65
`the flange .
`11. The implant of claim 10 , further comprising a third
`and second adjacent bone portions of the foot , the method
`comprising :
`pair of cylindrical bores in the elongate plate , each one of
`
`35
`
`45
`
`Globus Medical, Inc. Exhibit 2005, Page 10 of 11
`Life Spine, Inc. v. Globus Medical, Inc.
`IPR2022-01602
`
`

`

`8
`
`US 10,653,464 B2
`
`which has an axis that extends between the upper surface of
`the elongate plate and the lower surface of the elongate plate
`and situated between the first pair of cylindrical bores in the
`elongate plate and the second pair of cylindrical bores in the
`elongate plate , wherein bone screws used in the third pair of 5
`cylindrical bores of the elongate plate provide fixation of the
`elongate plate to one of the two adjacent foot bone portions .
`12. The implant of claim 11 , wherein the first lateral side
`of the elongate plate has a first length , and the second lateral
`side of the elongate plate has a second length that is greater 10
`than the first length of the first lateral side .
`13. The implant of claim 12 , further comprising :
`a first rim extending continuously about and beveled
`between the upper surface of the elongate plate adja
`cent the first lateral side of the elongate plate , the first 15
`end of the elongate plate , the second lateral side of the
`elongate plate , and the second end of the elongate plate ;
`and
`a second rim extending continuously about and beveled
`between the lower surface of the elongate plate adja- 20
`cent the first lateral side of the elongate plate , the first
`end of the elongate plate , the second lateral side of the
`elongate plate , and the second end of the elongate plate .
`14. The implant of claim 13 , further comprising a bevel
`situated in the upper surface of the elongate plate about the 25
`first , second , and third pairs of cylindrical bores in the
`elongate plate .
`
`Globus Medical, Inc. Exhibit 2005, Page 11 of 11
`Life Spine, Inc. v. Globus Medical, Inc.
`IPR2022-01602
`
`