An implant for bone fixation is presented. The implant comprises an elongated member configured to be wound around bone parts that are to be fixed. Further, an engagement feature is provided that is coupled to the elongated member and configured to engage a portion of the elongated member so as to secure the implant in a loop around the bone parts. A fastening member is arranged between and coupled to the elongated member and the engagement member. The fastening member comprises at least one opening for receiving a bone fastener. In one variant, at least one visual indicator indicating a region of the fastening member to be severed in order to detach the implant is provided. In another variant, at least one of the engagement member and the elongated member are coupled to the fastening member by injection molding.

An apparatus and technique for infernally securing a plurality of bone segments together. The device incorporates a plate-like structure stabilizing the fracture and integrated fasteners to attach straps circumscribing the bone segments.

A bone fixation system includes at least one bone fixation member and a bone fixation instrument. The bone fixation member includes a strap and a locking mechanism. The strap can be pulled through the locking mechanism so as to form a loop about a target bone so as to secure first and second bone segments in an approximated, compressed configuration. The bone fixation instrument is configured to apply tension to the loop about the target bone. The fixation instrument includes a tension assembly that is configured to secure a free end of the bone fixation member to the fixation instrument. The tension assembly is further configured to pull the free end so as to increase tension in the loop while the tension in the loop is less than a select tension. The tension assembly is unable to further increase tension in the bone fixation member once the tension in the bone fixation member has reached the select tension. The fixation instrument further includes a cutter assembly that is configured to cut the free end of the bone fixation member so as to separate the free end from the loop.

A system including a bone punch tool and a needle guide. The bone punch tool can include a support arm having a support arm proximal portion and a support arm distal portion, a pivot arm having a pivot arm proximal portion and a pivot arm distal portion, and an arcuate punch configured to punch through bone. The pivot arm distal portion can be pivotably coupled to the support arm distal portion, such that the pivot arm proximal portion is configured to be moved away from the support arm proximal portion to extend the arcuate punch into a punch position to punch an arcuate hole through bone. The needle guide can be configured to guide a needle through the arcuate hole.

An implant for bone fixation is presented. The implant comprises an elongated member configured to be wound around bone parts that are to be fixed. Further, an engagement feature is provided that is coupled to the elongated member and configured to engage a portion of the elongated member so as to secure the implant in a loop around the bone parts. A fastening member is arranged between and coupled to the elongated member and the engagement member. The fastening member comprises at least one opening for receiving a bone fastener. In one variant, at least one visual indicator indicating a region of the fastening member to be severed in order to detach the implant is provided. In another variant, at least one of the engagement member and the elongated member are coupled to the fastening member by injection molding.

Surgical suture assemblies, and methods of their use, are disclosed having configurations suitable for closure of biological tissue, including the bony tissue of the sternum. The surgical suture assemblies described or contemplated herein have physical characteristics that help to mitigate undesirable issues, such as bleeding.

An apparatus and technique for infernally securing a plurality of bone segments together. The device incorporates a plate-like structure stabilizing the fracture and integrated fasteners to attach straps circumscribing the bone segments.

The present disclosure relates to an implantable split sternum prosthesis to facilitate closure of the chest cavity and relieve pain after sternotomy operations. The split sternum prosthesis which after a surgical procedure is placed along the inline incision made in the sternum bone will also facilitate access to the chest cavity for patients in need of repeated surgical operations inside the chest cavity. The split sternum prosthesis comprises two elongated bone attachment plates, a first bone attachment plate and a second bone attachment plate. The first and he second bone attachment plates each have a bone attachment surface and a coupling surface. The first and second bone attachment plates are adapted be coupled together in a very close fit along their coupling surfaces.

The present disclosure relates to a surgical tensioning instrument configured to apply a tension to a strap portion of a tensioning member about a target bone or parts thereof. The tensioning member further includes a locking portion configured to cooperate with the strap portion so as to maintain the tension in the tensioning member. The tensioning instrument comprises a clamping mechanism configured to secure the locking portion to the instrument. The clamping mechanism comprises opposed clamping jaws, with at least one of the clamping jaws being configured to be movable between a closed position, in which the locking portion is secured to the instrument, and an open position, in which the locking portion is released from the instrument. The clamping mechanism is specifically operable to move the at least one of the clamping jaws from the closed position to the open position upon its operation.

A sternal closure device includes an insertion member, a receiver member and a joint locking mechanism. The joint locking mechanism includes a dual pawl assembly and a dual ratchet assembly. The dual pawl assembly includes a pair of pawl arms that include heads with outward facing teeth. The dual ratchet assembly includes a pair of ratchet arms with inward facing teeth that are configured for an intermeshed engagement with the teeth on the corresponding pawl arms. Alignment tabs on the ratchet arms are captured within guide channels on the receiver member. The configuration and number of the teeth contribute to the strength of the device. The locking mechanism contributes to efficiency, speed, and strength of the closure.