CA2561552C - Orthopedic intramedullary fixation system - Google Patents
Orthopedic intramedullary fixation system Download PDFInfo
- Publication number
- CA2561552C CA2561552C CA2561552A CA2561552A CA2561552C CA 2561552 C CA2561552 C CA 2561552C CA 2561552 A CA2561552 A CA 2561552A CA 2561552 A CA2561552 A CA 2561552A CA 2561552 C CA2561552 C CA 2561552C
- Authority
- CA
- Canada
- Prior art keywords
- guide wire
- distal
- proximal
- tube
- dilator
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 230000000399 orthopedic effect Effects 0.000 title description 4
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 136
- 230000006835 compression Effects 0.000 claims abstract description 58
- 238000007906 compression Methods 0.000 claims abstract description 58
- 239000000463 material Substances 0.000 claims description 13
- 230000013011 mating Effects 0.000 claims description 7
- 238000004873 anchoring Methods 0.000 claims description 4
- 230000000975 bioactive effect Effects 0.000 claims description 3
- 230000035876 healing Effects 0.000 claims description 3
- 238000000034 method Methods 0.000 abstract description 22
- 208000010392 Bone Fractures Diseases 0.000 description 24
- 206010017076 Fracture Diseases 0.000 description 24
- 210000003109 clavicle Anatomy 0.000 description 15
- 230000008439 repair process Effects 0.000 description 15
- 238000005553 drilling Methods 0.000 description 10
- 230000006378 damage Effects 0.000 description 7
- 238000009434 installation Methods 0.000 description 7
- 230000000087 stabilizing effect Effects 0.000 description 7
- 210000001519 tissue Anatomy 0.000 description 7
- 230000008901 benefit Effects 0.000 description 6
- 150000001875 compounds Chemical class 0.000 description 5
- 241001465754 Metazoa Species 0.000 description 4
- 238000000576 coating method Methods 0.000 description 4
- 238000003384 imaging method Methods 0.000 description 4
- 239000010935 stainless steel Substances 0.000 description 4
- 229910001220 stainless steel Inorganic materials 0.000 description 4
- 241000282412 Homo Species 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 210000005036 nerve Anatomy 0.000 description 3
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 3
- 229910001000 nickel titanium Inorganic materials 0.000 description 3
- 230000009467 reduction Effects 0.000 description 3
- 206010009245 Clavicle fracture Diseases 0.000 description 2
- 229910045601 alloy Inorganic materials 0.000 description 2
- 239000000956 alloy Substances 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 230000033001 locomotion Effects 0.000 description 2
- 230000005012 migration Effects 0.000 description 2
- 238000013508 migration Methods 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 229920000642 polymer Polymers 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 210000003270 subclavian artery Anatomy 0.000 description 2
- 229920001169 thermoplastic Polymers 0.000 description 2
- 239000004416 thermosoftening plastic Substances 0.000 description 2
- 208000032544 Cicatrix Diseases 0.000 description 1
- 208000003044 Closed Fractures Diseases 0.000 description 1
- 208000024779 Comminuted Fractures Diseases 0.000 description 1
- PMATZTZNYRCHOR-CGLBZJNRSA-N Cyclosporin A Chemical compound CC[C@@H]1NC(=O)[C@H]([C@H](O)[C@H](C)C\C=C\C)N(C)C(=O)[C@H](C(C)C)N(C)C(=O)[C@H](CC(C)C)N(C)C(=O)[C@H](CC(C)C)N(C)C(=O)[C@@H](C)NC(=O)[C@H](C)NC(=O)[C@H](CC(C)C)N(C)C(=O)[C@H](C(C)C)NC(=O)[C@H](CC(C)C)N(C)C(=O)CN(C)C1=O PMATZTZNYRCHOR-CGLBZJNRSA-N 0.000 description 1
- 108010036949 Cyclosporine Proteins 0.000 description 1
- 206010018720 Greenstick fracture Diseases 0.000 description 1
- 208000006670 Multiple fractures Diseases 0.000 description 1
- 206010033372 Pain and discomfort Diseases 0.000 description 1
- 208000031074 Reinjury Diseases 0.000 description 1
- 208000005688 Salter-Harris Fractures Diseases 0.000 description 1
- 208000005250 Spontaneous Fractures Diseases 0.000 description 1
- 229910000831 Steel Inorganic materials 0.000 description 1
- 208000013201 Stress fracture Diseases 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 230000002491 angiogenic effect Effects 0.000 description 1
- 230000001772 anti-angiogenic effect Effects 0.000 description 1
- 230000002924 anti-infective effect Effects 0.000 description 1
- 230000000118 anti-neoplastic effect Effects 0.000 description 1
- 230000000840 anti-viral effect Effects 0.000 description 1
- 229960005475 antiinfective agent Drugs 0.000 description 1
- 239000002246 antineoplastic agent Chemical class 0.000 description 1
- 229940034982 antineoplastic agent Drugs 0.000 description 1
- 239000012867 bioactive agent Substances 0.000 description 1
- 230000003115 biocidal effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 229960001265 ciclosporin Drugs 0.000 description 1
- 239000002872 contrast media Substances 0.000 description 1
- 229940039231 contrast media Drugs 0.000 description 1
- 229930182912 cyclosporin Natural products 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
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- 239000003102 growth factor Chemical class 0.000 description 1
- 239000002955 immunomodulating agent Substances 0.000 description 1
- 229940121354 immunomodulator Drugs 0.000 description 1
- 230000008595 infiltration Effects 0.000 description 1
- 238000001764 infiltration Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 230000007257 malfunction Effects 0.000 description 1
- 238000012978 minimally invasive surgical procedure Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 230000037387 scars Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 229940124597 therapeutic agent Drugs 0.000 description 1
- 210000001364 upper extremity Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary devices, e.g. pins or nails
- A61B17/7233—Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone
- A61B17/7258—Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
- A61B17/7275—Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with expanding cylindrical parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary devices, e.g. pins or nails
- A61B17/7216—Intramedullary devices, e.g. pins or nails for bone lengthening or compression
- A61B17/7225—Intramedullary devices, e.g. pins or nails for bone lengthening or compression for bone compression
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary devices, e.g. pins or nails
- A61B17/7233—Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone
- A61B17/7258—Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary devices, e.g. pins or nails
- A61B17/7291—Intramedullary devices, e.g. pins or nails for small bones, e.g. in the foot, ankle, hand or wrist
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1717—Guides or aligning means for drills, mills, pins or wires for applying intramedullary nails or pins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1782—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hand or wrist
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/811,661 | 2004-03-29 | ||
| US10/811,661 US7632277B2 (en) | 2004-03-29 | 2004-03-29 | Orthopedic intramedullary fixation system |
| PCT/US2005/007842 WO2005102196A1 (en) | 2004-03-29 | 2005-03-09 | Orthopedic intramedullary fixation system |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2561552A1 CA2561552A1 (en) | 2005-11-03 |
| CA2561552C true CA2561552C (en) | 2011-05-24 |
Family
ID=34962139
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2561552A Expired - Fee Related CA2561552C (en) | 2004-03-29 | 2005-03-09 | Orthopedic intramedullary fixation system |
Country Status (5)
| Country | Link |
|---|---|
| US (2) | US7632277B2 (https=) |
| EP (1) | EP1761183B1 (https=) |
| JP (1) | JP2007530221A (https=) |
| CA (1) | CA2561552C (https=) |
| WO (1) | WO2005102196A1 (https=) |
Families Citing this family (139)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102004053464A1 (de) * | 2004-11-03 | 2006-05-04 | Karl Storz Gmbh & Co. Kg | Ovalärer Stift zum Fixieren eines unter Zuglast beanspruchten Implantates |
| US8568413B2 (en) * | 2008-12-18 | 2013-10-29 | Sonoma Orthopedic Products, Inc. | Bone fixation device, tools and methods |
| WO2009152272A1 (en) * | 2008-06-10 | 2009-12-17 | Sonoma Orthopedic Products, Inc. | Fracture fixation device, tools and methods |
| US9060820B2 (en) | 2005-05-18 | 2015-06-23 | Sonoma Orthopedic Products, Inc. | Segmented intramedullary fracture fixation devices and methods |
| WO2006124764A1 (en) * | 2005-05-18 | 2006-11-23 | Sonoma Orthopedic Products, Inc. | Minimally invasive actuable bone fixation devices, systems and methods of use |
| US8961516B2 (en) | 2005-05-18 | 2015-02-24 | Sonoma Orthopedic Products, Inc. | Straight intramedullary fracture fixation devices and methods |
| AU2013263822B2 (en) * | 2006-01-27 | 2015-11-19 | Smith & Nephew, Inc. | Assemblies for the reduction of a fracture |
| US7806900B2 (en) | 2006-04-26 | 2010-10-05 | Illuminoss Medical, Inc. | Apparatus and methods for delivery of reinforcing materials to bone |
| US9155574B2 (en) | 2006-05-17 | 2015-10-13 | Sonoma Orthopedic Products, Inc. | Bone fixation device, tools and methods |
| US7879041B2 (en) | 2006-11-10 | 2011-02-01 | Illuminoss Medical, Inc. | Systems and methods for internal bone fixation |
| CA2669129C (en) | 2006-11-10 | 2014-09-16 | Illuminoss Medical, Inc. | Systems and methods for internal bone fixation |
| WO2008061543A1 (de) * | 2006-11-21 | 2008-05-29 | Oliver Pieske | Implantat für röhrenknochen sowie behandlungsverfahren |
| WO2008064346A2 (en) | 2006-11-22 | 2008-05-29 | Sonoma Orthopedic Products, Inc. | Fracture fixation device, tools and methods |
| JP2010522046A (ja) | 2007-03-22 | 2010-07-01 | ノヴァリン・オルソペディクス・インコーポレーテッド | セグメント状髄内構造体 |
| US8128626B2 (en) * | 2007-04-24 | 2012-03-06 | Flexfix, Llc | System and method for delivery conformation and removal of intramedullary bone fixation devices |
| US20080287958A1 (en) * | 2007-05-14 | 2008-11-20 | Howmedica Osteonics Corp. | Flexible intramedullary rod |
| WO2009009772A1 (en) * | 2007-07-11 | 2009-01-15 | Sonoma Orthopedic Products, Inc. | Fracture fixation devices and methods incorporating a membrane |
| US8632543B2 (en) * | 2007-09-28 | 2014-01-21 | Biomet C.V. | Composite intramedullary nail |
| US9427289B2 (en) | 2007-10-31 | 2016-08-30 | Illuminoss Medical, Inc. | Light source |
| US8403968B2 (en) | 2007-12-26 | 2013-03-26 | Illuminoss Medical, Inc. | Apparatus and methods for repairing craniomaxillofacial bones using customized bone plates |
| EP2249718B1 (en) | 2008-01-14 | 2019-09-18 | Conventus Orthopaedics, Inc. | Apparatus for fracture repair |
| EP2299917A1 (en) | 2008-06-10 | 2011-03-30 | Sonoma Orthopedic Products, Inc. | Fracture fixation device, tools and methods |
| EP2133034B1 (en) * | 2008-06-13 | 2011-12-28 | Orthofix S.r.l. | Intramedullary nail to be inserted into a fractured long bone |
| US8282674B2 (en) | 2008-07-18 | 2012-10-09 | Suspension Orthopaedic Solutions, Inc. | Clavicle fixation |
| WO2010078436A2 (en) * | 2008-12-30 | 2010-07-08 | Brandon Mark L | Minimally invasive endoscopic systems for placing intramedullary nails and methods therefor |
| US8210729B2 (en) | 2009-04-06 | 2012-07-03 | Illuminoss Medical, Inc. | Attachment system for light-conducting fibers |
| US8512338B2 (en) | 2009-04-07 | 2013-08-20 | Illuminoss Medical, Inc. | Photodynamic bone stabilization systems and methods for reinforcing bone |
| JP5746636B2 (ja) * | 2009-04-27 | 2015-07-08 | 学校法人慶應義塾 | 医療用ワイヤ |
| WO2010148125A1 (en) * | 2009-06-18 | 2010-12-23 | The Foundry, Llc | Microfracture device and method |
| EP2467098A4 (en) | 2009-08-19 | 2015-07-08 | Illuminoss Medical Inc | DEVICES AND METHODS FOR BONE ALIGNMENT, STABILIZATION AND DISTRACTION |
| US9821094B2 (en) | 2014-06-11 | 2017-11-21 | Silver Bullet Therapeutics, Inc. | Coatings for the controllable release of antimicrobial metal ions |
| US8927004B1 (en) | 2014-06-11 | 2015-01-06 | Silver Bullet Therapeutics, Inc. | Bioabsorbable substrates and systems that controllably release antimicrobial metal ions |
| US10265435B2 (en) | 2009-08-27 | 2019-04-23 | Silver Bullet Therapeutics, Inc. | Bone implant and systems and coatings for the controllable release of antimicrobial metal ions |
| EP2470257B1 (en) | 2009-08-27 | 2015-03-04 | Silver Bullet Therapeutics Inc. | Bone implants for the treatment of infection |
| US9114197B1 (en) | 2014-06-11 | 2015-08-25 | Silver Bullett Therapeutics, Inc. | Coatings for the controllable release of antimicrobial metal ions |
| US9510878B2 (en) | 2009-11-16 | 2016-12-06 | The Research Foundation For The State University Of New York | Pre-curved intramedullary clavicle nail and method of using same |
| WO2011067668A1 (en) * | 2009-12-01 | 2011-06-09 | Dalhousie University | Steerable femoral fracture reduction device |
| WO2011088172A1 (en) | 2010-01-15 | 2011-07-21 | Brenzel Michael P | Rotary-rigid orthopaedic rod |
| CN102821707B (zh) | 2010-01-20 | 2016-02-03 | 康文图斯整形外科公司 | 用于骨接近和骨腔准备的装置及方法 |
| CN108125714A (zh) | 2010-03-08 | 2018-06-08 | 康文图斯整形外科公司 | 用于固定骨植入物的装置及方法 |
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| US10499960B2 (en) | 2015-07-13 | 2019-12-10 | IntraFuse, LLC | Method of bone fixation |
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2005
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- 2005-03-09 EP EP05725174.6A patent/EP1761183B1/en not_active Expired - Lifetime
- 2005-03-09 WO PCT/US2005/007842 patent/WO2005102196A1/en not_active Ceased
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2009
- 2009-11-09 US US12/615,039 patent/US20100121326A1/en not_active Abandoned
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| WO2005102196A1 (en) | 2005-11-03 |
| JP2007530221A (ja) | 2007-11-01 |
| US20050216007A1 (en) | 2005-09-29 |
| US7632277B2 (en) | 2009-12-15 |
| EP1761183A1 (en) | 2007-03-14 |
| EP1761183B1 (en) | 2013-10-09 |
| US20100121326A1 (en) | 2010-05-13 |
| CA2561552A1 (en) | 2005-11-03 |
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