CN109414329A - Surgical operation template with radiopaque label - Google Patents
Surgical operation template with radiopaque label Download PDFInfo
- Publication number
- CN109414329A CN109414329A CN201780034406.3A CN201780034406A CN109414329A CN 109414329 A CN109414329 A CN 109414329A CN 201780034406 A CN201780034406 A CN 201780034406A CN 109414329 A CN109414329 A CN 109414329A
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- China
- Prior art keywords
- implantation material
- screw
- radiopaque
- present
- wire frame
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1728—Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
- A61B17/8057—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4684—Trial or dummy prostheses
Abstract
The present invention discloses a kind of system for being tested implantation material used in orthopaedic surgery.The present invention relates to a kind of composite testing implantation material, which is similar to the polymeric substrates of bone plate using size and shape, and the radiopaque label being disposed thereon.The trial implants allow surgeon to determine correct size, hole configuration and cross-sectional profiles with simulator, to allow more rapidly and accurately to select permanent implant.
Description
Technical field
In preferred embodiments, the present invention relates generally to for the implantation material trial target in orthomorphia system and
Method.
Background technique
In orthopedic surgery procedures, fracture and bone malformation are repaired usually using various implantation materials, plate and screw.?
In orthopedic operation commonly, surgeon selects board foot using multiple implantation materials available in bactericidal unit again
It is very little, to determine the correct length of required plate or implantation material, and its width or depth are determined in some cases.These implantation materials
It is placed and is moved on operative site, such as fracture or bone malformation position.However, current method has the disadvantage, because attaching most importance to
The implant device of Amoxcillin may not include required plate or implantation material or such plate or implantation material be not in screw hole,
The just size or configuration of guide hole (that is, K- threaded hole of steel) etc..In addition, when providing the surgeon with plate in the form of aseptic packaging
When, surgeon must determine the just size of implantation material before opening aseptic packaging.Trial target is (that is, in surgical operation mistake
The model to determine the implantation material of size, configuration etc. is used in journey), the use of scale cun guider and/or template is commonly used to
Auxiliary implant selection course.
Currently, commercial test product cannot sufficiently meet clinical needs or economic problems.Dissection metallographictest product be it is very heavy,
Manufacturing cost may be very high, and cannot sufficiently allow to visualize screw position using imaging technique.Dissect plastics examination
Product are tested, although weight is lighter and more cost efficient, is often regarded as less durable, and cannot sufficiently allow using imaging
Technology visualizes screw position.In addition, two-dimentional profiled metal or plastics testing product are more easily manufactured and are to have cost
Efficiency, but anatomic information needed for surgeon is not provided, and cannot fully allow using imaging device to screw
Position is visualized.
In the presence of the needs to trial target/scale cun guider for orthopaedic surgery, the trial target/scale cun guiding
Device can be used to determine anatomic match information and length and screw position, while be to have cost-efficient, permission ray photograph
It mutually visualizes, and minimizes the destruction to surgical operation.
In the presence of to can be provided to orthomorphia surgeon visable representation of the bone plate in fluoroscopic image to
Preferably plan the trial target of board size, length, arrangement of screw hole etc. and needing further exist for for template.
Summary of the invention
The present invention substantially can be described as a kind of radiopaque template, and the radiopaque template by having radiopaque mark above
The base substrate material of note is constituted, to form the visible template of Fluoroscopic for being used for orthopaedic surgery.In reality of the invention
It applies in scheme, radiopaque component can be evenly embedded into template substrate material, or be applied in substrate or intrabasement spy
Positioning is set.According to the function of the device, overall net shape, which can be, is expected that by the main feature that radiography is observed；Cause
This, other than the material based on polymer, radiopaque dyestuff can be a kind of solution of economy.In other cases,
It may expect to convey finer details.Therefore, radiopaque dyestuff is applied to specific position may be advantageous.This can lead to
It crosses a variety of methods to carry out, including bat printing (pad printing), syringe-type dispensing (syringe dispensing) and coating.
The device can convey information by radiopaque component, so that surgeon be allowed to determine various implantation material selection marks
Standard, such as entire length, width and increment size options.Fluoroscopy based on trial target indicates that implant features are such as planted
Entering gap, hole or gap in object can be used ink visualization, rather than pass through the removing of physical material from trial target.Clinical phase
Pass information such as surgery operating technology (such as screw trajectories；Screw type；Screw insertion sequence) and patient safety information (such as
" not be implanted into (Do Not Implant) ") it can also be used the template of embodiment of the present invention to transmit.
Base material can be any material that can be sufficiently sterilized in situations in the surgery room, such as certain polymer and metal.
The selection of base material may depend in other function relevant feature and selected radiopaque compound (to dyestuff
The sensitivity of adherency)；Known base material with good adhesion includes Kapton, Mylar and Glass etc..Radiopaque
Component can be made of a variety of different chemical substances, this depends on the imaging requirements of conveyed information.In the field of medicine, sulphur
Sour barium, tungsten and bismuth are common radiopaque components.
Radiopaque component, which can be formulated into, generates different color, this can be used to similitude between transmitting of characteristic and
Difference.In addition, it is as disclosed above described, the idea of radiopaque template can be extended to other radiopaque instruments and implantation material
In.This can realize clinical benefit, and may be decreased risk relevant to misuse.
Detailed description of the invention
When read in conjunction with the accompanying drawings, foregoing invention content and hereafter detailed description of the present invention are better understood with.
In order to show the purpose of the present invention, shown in the accompanying drawings is currently preferred embodiment.It is, however, to be understood that the present invention can be with
Different modes are implemented, therefore are not intended to be limited to embodiment shown in this article.
Figure 1A is illustrated in cross-section the exemplary implementation scheme of wire frame according to the present invention.
Figure 1B illustrates the exemplary implementation scheme of wire frame according to the present invention with top plan view.
Fig. 2A is illustrated in cross-section the exemplary implementation scheme of the wire frame according to the present invention with circumferential ring.
Fig. 2 B illustrates the exemplary implementation scheme of the wire frame according to the present invention with circumferential ring with top plan view.
Fig. 3 A shows the exemplary implementation scheme of composite implant according to the present invention with sectional elevation.
Fig. 3 B is illustrated in cross-section another implementation of the composite testing implantation material according to the present invention with medication coat
Scheme.
Fig. 4 A is illustrated in cross-section the exemplary implementation scheme of composite testing implantation material according to the present invention.
Fig. 4 B is illustrated in cross-section another exemplary implementation scheme of composite testing implantation material according to the present invention.
Fig. 5 A shows the exemplary implementation scheme of the trial implants with non-linear cross-sectional profiles.
Fig. 5 B shows another exemplary implementation scheme of the trial implants with non-linear cross-sectional profiles.
Fig. 5 C shows the amplification sectional elevation in the seal wire insertion hole of embodiment according to the present invention.
Fig. 5 D shows the amplification sectional elevation of the screw insertion hole of embodiment according to the present invention.
Fig. 6 A illustrates the exemplary seal wire insertion hole with multiple discharge orifices of embodiment according to the present invention to have an X-rayed.
Fig. 6 B shows the exemplary screw holes with multiple discharge orifices of embodiment according to the present invention with sectional elevation.
Fig. 7 A shows another exemplary spiral shell with multiple discharge orifices of embodiment according to the present invention with sectional elevation
Nail hole, wherein screw passes through the screw hole and is inserted partially into.
Fig. 7 B shows the exemplary screw holes of the embodiment according to Fig. 7 A, and wherein screw is fully inserted therein.
Fig. 8 illustrates implantation material trial target with top plan view.
Fig. 9 shows various composite testing implantation materials with plan view from above and sectional elevation.
The embodiment that Figure 10 A shows the implantation material trial target according to the present invention with multiple guide holes and screw hole.
Figure 10 B shows the trial implants of Figure 10 A with sectional elevation.
The embodiment that Figure 10 C shows composite testing implantation material according to the present invention.
Figure 10 D shows the composite testing implantation material of Figure 10 C with sectional elevation.
Figure 10 E illustrates the implantation material trial target according to the present invention with multiple guide holes and screw hole with top plan view
Embodiment, and including providing the label of useful information in surgical procedures.
Figure 11 A illustrates another composite testing implantation material of embodiment according to the present invention with top plan view.
Figure 11 B is with the markd test implantation of tool that top plan view illustrates another embodiment according to the present invention
Object.
Figure 11 C illustrates the trial implants of another embodiment according to the present invention with top plan view.
Figure 12 illustrates the exemplary implementation scheme of implantation material trial target according to the present invention with top plan view.
Figure 13 illustrates the exemplary implementation scheme of implantation material trial target according to the present invention with top plan view.
Figure 14 illustrates the exemplary implementation scheme of implantation material trial target according to the present invention with top plan view.
Figure 15 illustrates the exemplary implementation scheme of implantation material trial target according to the present invention with top plan view.
Figure 16 illustrates the exemplary implementation scheme of implantation material trial target according to the present invention with top plan view.
Specific embodiment
This theme by shown in reference representative embodiment attached drawing and example later more completely explanation.However, this master
Topic can be implemented in various ways and be not intended to be limited to embodiment or example shown in text.
The invention discloses a kind of NEW TYPE OF COMPOSITE trial targets being made of at least both metal wire frame and polymeric substrates.?
It is found that the composite testing implantation material of description (herein also referred to as " trial target ") is provided in orthopedic injury
Improve the trial target of performance used in surgical procedures.Trial target according to the present invention can preferably convey anatomy
With information, provide length and screw position, be compared with using practical sterilizing implantation material more have it is cost-efficient, allow improve
Higher reliability in radiography visible and surgical procedures.
In an exemplary embodiment, the present invention includes at least wire frame.As shown in Figure 1A, wire frame 150 can be by more
A ridge part 170 and hole 160 form, which may be used as drilling director, for seal wire (for example, K- steel wire or kirschner
Needle), or the fixing screws for securing an implant to bone.As shown in Figure 1B, wire frame 150 accommodates screw guides 165, should
Screw guides 165 are inserted with the hole 190 for receiving fixing screws.Wire frame 150 further includes seal wire guider 160 and thread eye
180.When providing the guider for being implanted into bone plate, exemplary tests implantation material may include one or both.
Wire frame 250 does not need to be flat, because it can be used for the bone that approximate bone plate can be finally fixed to the upper
Topological structure, as shown in Figure 2 A.As shown in Figure 2 B, wire frame 250 may include external wire frame element, such as circumferential ring 210, and wrap
Include the thread eye 280 in one or more ridge elements 270, seal wire guider 260 and seal wire guider 260.Additional ridge member
Part can have screw hole 265 with the placement of supporting screw hole guider 290 in each screw hole guider 290.
Each composite testing implantation material will include usually by encapsulating or being partially encapsulated in the metal in solid polymer matrices
Or wire frame made of other rigidity (although it is preferred that flexible) materials.As shown in Figure 3A, wire frame 310 can be embedded in polymeric matrix
It is interior.In Fig. 3 A it is unshowned be polymeric matrix view, display polymeric matrix have is approximately similar to finally fix
To the implantation material of bone or the size and shape of bone plate.Fig. 3 B shows the composite testing of the top surface 330 with irregular shape
Implantation material 300.Wire frame 310 is completely embedded into polymer matrix body, and pharmaceutical activity coating 320 is arranged in composite testing implantation material
In 300 bottom surface.In some embodiments, wire frame 310 is radiopaque, to allow in fluoroscopy or
The position of wire frame is seen in x-ray.This feature allows surgeon to accurately determine composite testing implantation material 300 relative to bone
Position.This can permit surgeon and is inserted into seal wire using composite testing implantation material, and then with permanent bone plate (or its
His implantation material) replacement composite testing implantation material, the permanent bone plate (or other implantation materials) is then fixed to bone to fracture
Bone chip provide stability.
The outer profile and screw position of implantation material can be conveyed with external wire frame.If wire frame is by radiopaque material system
At then the outer profile of wire frame and screw position can be display together in x-ray with bone.In addition, wire frame, which has, to be allowed also to pass through
The ability of hollow hole reception and registration screw trajectories.Hollow hole may be used as drilling director.In order to make the target of surgical disruption minimum,
If hole is hollow so that for drilling, surgeon will test and drill simultaneously.With more conventional manufacturer
Method is compared, and the manufacturing method for wire frame is with the additional pre-shaping step for surfacing or hollow hole in the ideal case
3D printing.This will significantly reduce the manufacturing cost of wire frame.
As shown in Figure 5A, composite testing implantation material 550 can have non-linear cross-sectional profiles.Screw hole can be set to
Track θ is provided to the screw for passing through its insertion.In figure 5B, the screw hole for being not orthogonal to the plane of composite testing implantation material can be with
More than or less than 90 degree, such as angle beta and γ.Therefore, the present invention allows surgeon to determine before placing permanent implant
The more accurate device of screw trajectories, and the prebored hole even in bone.
Wire frame can be embedded into polymeric matrix/substrate in many ways, as shown in Fig. 3 A, 3B, 4A and 4B.It is such
Embodiment may include the single layer that wherein polymeric substrates only cover wire frame on side.Embodiment can also include wherein
Polymer covers the bilayer at the top and bottom of wire frame.Embodiment can also include that various surfaces is allowed to change to help trial target
Place or match the variable composite layer of implantation material anatomical shape.The variation of these surfaces may be very in the trial target of traditional processing
Valuableness, but there is cost-effectiveness in injection molding, 3D printer or other methods for manufacturing polymeric matrix.Surface
Preparing composite layer (Fig. 4 B) allows for various surface coverings (such as antibiotic or drug) to be applied on polymeric matrix；Carbon-based
Surface covering on polymer chain is easier.If the idea of composite construction is expanded to implantation material and can be divided by timing
Scattered mechanism applies coating, this will be especially suitable.Polymeric matrix can be realized by various manufacturing methods, but ideally be fitted
Together in injection molding or 3D printing；After wire frame and polymeric matrix have been separately fabricated, can with or without
In the case where adhesive, during carrying out injection molding or assembling, pass through insertion/overmolded engagement for carrying out wire frame.
Fig. 5 A and 5B show the various methods for creating hole with various angles in composite testing product according to desired use.For
The hollow hole of K- steel wire insertion is a kind of method that hole is created in wire frame.It can be by directly processing or using in wire frame
The insertion piece in wire frame is buckled or is assembled into create threaded hole.This will allow to produce insertion piece on a large scale, and reduce system
Cause this.
Show the method for various snap features.As shown in Figure 6 A and 6B, the injection molding of polymeric matrix 660 can also be passed through
It forms and creates polymer composite holes 690.Discharge orifice 690 will be present in wire frame, which allows polymer to flow into intubation 680
In and form straight hole or bellmouth 670.Screw with thread head can be inserted by this polymer orifices, and on screw head
Screw thread formed and enter screw thread in polymer.This permission is locked naturally since the screw thread of formation mechanism enters in polymer
It is fixed.In addition, wire frame can provide the various support functions of screw thread, including increase intensity and durability, while also providing and preventing spiral shell
Follow closely across retainer 685.This concept of polymer composite holes can extend in implantation material, and polymeric matrix needs to be raw
Object compatible (such as PEEK) and wire frame needs are implantation grade materials.Fig. 7 A and Fig. 7 B show the screw with thread head, should
Screw can pass through the hollow hole with variation track and be inserted into, so that surgeon be allowed to create best capture bone chip or right
The bone for being fixed with plate or implantation material provides the screw trajectories of maximum stability.
Implant containment in most systems especially wound system shares the common trait with a few variations point
Implantation material；Variation is mainly length (axis hole), but also includes head width, hook depth and extension feature.As shown in figure 8, compound
The implant system of the composite testing product of limited quantity is tested in the concept support of trial target.Shown in example be from 3 holes
The different implantation material race of length to a hole " n ".Composite testing product allow connector characteristic Design into polymeric matrix, make
Obtain the implantation material race for only needing two trial targets that can support entire a hole " n "；There are many variations for this concept, these variations can be with
Required composite testing product are reduced to more or less than 2 trial targets.The concept is that composite testing product " ball and socket joint " will allow
Anatomic match in anatomic region, and " length connector " allows to measure axial length.It is general that this connector is additionally shown in Fig. 9
It reads.
Most of orthopedic/trauma implants have K- threaded hole of steel, allow tentatively to be fixed in the course of surgery.Such as figure
Shown in 9, K- threaded hole of steel can also be placed in " ball and socket joint " of composite testing product, to allow to be placed on required position in trial target
The position of implantation material needed for postponing " pegging " or fixed.After the insertion of K- steel wire, trial target can be removed, and can make
Selected practical implantation material is placed into approximate location with K- steel wire.This will be carried out during being substantially reducing at trauma operation
The surgical implant of test.It can also allow for more effective surgical operation, and reduce in surgical procedures using real
The influence that border implantation material is tested.
Figure 10 A- Figure 10 E shows the various embodiments of composite testing implantation material.
Composite testing meets the needs to trial target/scale cun guider in orthopedic trauma operation, can convey
Anatomic match information and length and screw position, while being cost-efficient, permission radiography visible, and make outer
The destruction of section's operation minimizes.
In addition, the imagination of composite testing product can extend to by biocompatibility and plant as mentioned by above disclosure
In the composite implant for entering grade polymeric matrix and wire frame composition.This can by optimize composite implant design characteristics come
The cost of manufacture implantation material is reduced, while keeping clinical intensity requirement.In addition, it is contemplated that the carbochain of polymer can be more easily
Consider various surface coverings；This can permit the various composition of medicine between drug or biological agent, this depends on material property
And selection.
In another exemplary embodiment, the present invention substantially can be described as a kind of radiopaque template, this is not transmitted
Line template is made of the base substrate material above with radiopaque label, saturating for the fluorescence of orthopaedic surgery to be formed
Penetrate visible template or the template with Fluoroscopic witness marking.It in embodiments of the invention, can be by radiopaque group
It point is evenly embedded into template substrate material, or is applied in substrate or intrabasement specific position.According to the function of the device,
Overall net shape, which can be, is expected that by the main feature that radiography is observed；Therefore, in addition to the material based on polymer it
Outside, radiopaque dyestuff can be a kind of solution of economy.In other cases, it may be desirable to convey finer thin
Section.Therefore, radiopaque dyestuff is applied to specific position may be advantageous.This can be carried out by a variety of methods, including be moved
Print (pad printing), syringe-type dispensing (syringe dispensing) and coating.
The device can convey information by radiopaque component, so that surgeon be allowed to determine various implantation material selection marks
Standard, such as entire length, width and increment size options.Fluoroscopy based on trial target indicates that implant features are such as planted
Entering gap, hole or gap in object can be used ink visualization, rather than pass through the removing of physical material from trial target.Clinical phase
Pass information such as surgery operating technology (such as screw trajectories；Screw type；Screw insertion sequence) and patient safety information (such as
" not be implanted into (Do Not Implant) ") it can also be used the template of embodiment of the present invention to transmit.
Base material can be any material that can be sufficiently sterilized in situations in the surgery room, such as certain polymer and metal.
The selection of base material may depend in other function relevant feature and selected radiopaque compound (to dyestuff
The sensitivity of adherency)；Known base material with good adhesion includes Kapton, Mylar, glass and ceramics.It does not transmit
Line component can be made of a variety of different chemical substances, this depends on the imaging requirements of conveyed information.In the field of medicine,
Barium sulfate, tungsten and bismuth are common radiopaque components.
Radiopaque component, which can be formulated into, generates different color, this can be used to similitude between transmitting of characteristic and
Difference.In addition, it is as disclosed above described, the idea of radiopaque template can be extended to other radiopaque instruments and implantation material
In.This can realize clinical benefit, and may be decreased risk relevant to misuse.
It is the surgical operation of available aseptic packaging for wherein implantation material size option group, surgeon must open nothing
The implantation material of most suitable size is determined before bacterium bag dress.The use (such as shown in Figure 12-Figure 16) of template size guider can
Surgeon is helped to carry out implantation material selection.The required feature of template includes the reception and registration of length and width information；Implant features
Position (such as screw hole, k- threaded hole of steel).Required attribute is radiography visible, this template is subcutaneously inserted with
It prevents unnecessary notch and still is able to convey implantation material information.
Currently, commercially available template can not be fully full in the case where no risk and damage patient safety
Needs of the foot for radiography visible.Most of templates are the instruments of implantation material size, and length can be realized under naked eyes
The reception and registration of degree and width information.These instruments are usually made of metal material, which allows net radiography visible
Change, but does not allow the abundant visualization using imaging technique to implant features position (such as screw position).In the prior art
In device, instrument attempts by a template there is hole or gap to solve to convey corresponding implant features position to impermeable
Ray visually needs, and which results in the risks that instrument is surprisingly implanted into, and by various holes and gap there can be no
Important information only is conveyed to surgeon in fluoroscopic image.In other prior-art devices for not removing material, letter
Breath is conveyed by label (such as etching), and the label is visual under naked eyes, but is not visible by radiography.This
Outside, most of current templates due to its metal base material but uneconomic solution.Therefore, the base material is enable to be
The template solution of the polymer of lower cost is advantageous.
Device as shown in Figure 12-Figure 16 etc by provide will not be surprisingly implanted into patient based on the honest and clean of substrate
Valence template, overcomes problem of the prior art.Novel apparatus of the invention includes the substrate that there is radiopaque to mark.When passing through
Radiography observe when, these devices seem similar or even identical with practical bone plate, but directly observation when surgeon
It is apparent to test template.These die tests may also seem and practical bone plate or plant when being observed by radiography
Enter species seemingly, but can also show label in radiographic images.
Exist to template size guider and need, fully communicates length, width and the specific spy of implant features to provide
The radiography visible solution of sign, without damaging patient safety.
It should be appreciated that under the premise of not departing from the spirit and scope of the invention as defined by the appended claims,
It can be to making various changes, substitution and change herein.Belong to particular implementation side it will also be apparent that being identified as herein
Each element of case may include in other embodiments of the present invention.In addition, scope of the present application is not intended to be limited to
Technique described in bright book, machine, manufacture, component, means, the specific embodiment of method and steps.Such as this field
Those of ordinary skill will readily appreciate that according to the disclosure of this article, can utilize according to the present invention with it is as described herein right
Embodiment is answered to execute the work that is existing or will developing later of the substantially the same result of substantially the same function or realization
Skill, machine, manufacture, component, means, method or step.In addition, all publications being mentioned herein, patent application, patent
And other bibliography are incorporated by reference and are incorporated herein.
Claims (7)
1. a kind of trial implants, comprising:
Substrate, being sized and shaped to of the substrate are similar to bone plate；
One or more tag entries on the substrate are set, wherein the substrate is invisible in radiographic images, and
And one or more of tag entries are formed by radiopaque material.
2. trial implants according to claim 1, comprising: wherein the substrate is polymer.
3. trial implants according to claim 1, wherein the radiopaque material includes radiopaque ink.
4. trial implants according to claim 3, wherein one or more of tag entries include screw hole location.
5. trial implants according to claim 3, wherein one or more of tag entries include dimension information.
6. trial implants according to claim 3, wherein one or more of tag entries include to surgical
Instruction.
7. trial implants according to claim 3, wherein the substrate includes multiple frangible sections.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201662345251P | 2016-06-03 | 2016-06-03 | |
| US62/345251 | 2016-06-03 | ||
| PCT/US2017/035416 WO2017210411A1 (en) | 2016-06-03 | 2017-06-01 | Surgical templates with radio-opaque markings |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109414329A true CN109414329A (en) | 2019-03-01 |
Family
ID=59034944
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201780034406.3A Pending CN109414329A (en) | 2016-06-03 | 2017-06-01 | Surgical operation template with radiopaque label |
Country Status (7)
| Country | Link |
|---|---|
| EP (1) | EP3463203A1 (en) |
| JP (1) | JP2019517323A (en) |
| CN (1) | CN109414329A (en) |
| AU (3) | AU2017274354A1 (en) |
| BR (1) | BR112018074840A2 (en) |
| CA (1) | CA3025434A1 (en) |
| WO (1) | WO2017210411A1 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114206588A (en) * | 2019-08-08 | 2022-03-18 | 华沙整形外科股份有限公司 | Radiopaque markers in additively manufactured implants |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP3784176A4 (en) * | 2018-04-23 | 2022-01-26 | ECA Medical Instruments | Flexible adjustable radiopaque trial, plate and method of use |
| JP2022053774A (en) * | 2020-09-25 | 2022-04-06 | 株式会社ヤマト製作所 | Osteosynthesis artificial plate and manufacturing method of osteosynthesis artificial plate |
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| WO2014107601A1 (en) * | 2013-01-04 | 2014-07-10 | Tacktill Jordan | Metal alloy mono and poly-filament wire reinforced carbon fiber plating system |
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| EP2308423A1 (en) * | 2003-04-16 | 2011-04-13 | Howmedica Osteonics Corp. | Craniofacial implant |
| US8298292B2 (en) * | 2003-04-16 | 2012-10-30 | Howmedica Osteonics Corp. | Craniofacial implant |
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| US9333090B2 (en) * | 2010-01-13 | 2016-05-10 | Jcbd, Llc | Systems for and methods of fusing a sacroiliac joint |
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| US9622788B2 (en) * | 2011-11-02 | 2017-04-18 | Warsaw Orthopedic, Inc. | Implant assembly with a rigid interface |
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2017
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- 2017-06-01 AU AU2017274354A patent/AU2017274354A1/en not_active Abandoned
- 2017-06-01 WO PCT/US2017/035416 patent/WO2017210411A1/en unknown
- 2017-06-01 CA CA3025434A patent/CA3025434A1/en active Pending
- 2017-06-01 EP EP17729326.3A patent/EP3463203A1/en not_active Withdrawn
- 2017-06-01 BR BR112018074840-4A patent/BR112018074840A2/en not_active Application Discontinuation
- 2017-06-01 CN CN201780034406.3A patent/CN109414329A/en active Pending
-
2022
- 2022-02-25 AU AU2022201331A patent/AU2022201331A1/en not_active Abandoned
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2024
- 2024-03-07 AU AU2024201533A patent/AU2024201533A1/en active Pending
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| EP1384455A1 (en) * | 2002-07-23 | 2004-01-28 | DePuy AcroMed, Inc. | Surgical trial implant |
| US20150313652A1 (en) * | 2012-12-06 | 2015-11-05 | Flower Orthopedic Corporation | Bone Plate Template Systems Having One or More Removable Segments and Methods For Using The Same |
| WO2014107601A1 (en) * | 2013-01-04 | 2014-07-10 | Tacktill Jordan | Metal alloy mono and poly-filament wire reinforced carbon fiber plating system |
| CN108366817A (en) * | 2015-12-11 | 2018-08-03 | 德普伊新特斯产品公司 | Composite implant trial target |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN114206588A (en) * | 2019-08-08 | 2022-03-18 | 华沙整形外科股份有限公司 | Radiopaque markers in additively manufactured implants |
| CN114206588B (en) * | 2019-08-08 | 2023-10-03 | 华沙整形外科股份有限公司 | Radiopaque markers in additively manufactured implants |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2017210411A1 (en) | 2017-12-07 |
| CA3025434A1 (en) | 2017-12-07 |
| EP3463203A1 (en) | 2019-04-10 |
| AU2024201533A1 (en) | 2024-03-28 |
| AU2022201331A1 (en) | 2022-03-24 |
| BR112018074840A2 (en) | 2019-03-19 |
| AU2017274354A1 (en) | 2018-12-06 |
| JP2019517323A (en) | 2019-06-24 |
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Application publication date: 20190301 |