CN110123430B - 骨锚和细长器械的系统 - Google Patents

骨锚和细长器械的系统 Download PDF

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Publication number
CN110123430B
CN110123430B CN201910101530.8A CN201910101530A CN110123430B CN 110123430 B CN110123430 B CN 110123430B CN 201910101530 A CN201910101530 A CN 201910101530A CN 110123430 B CN110123430 B CN 110123430B
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CN
China
Prior art keywords
bone anchor
channel
instrument
tip portion
elongated instrument
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Active
Application number
CN201910101530.8A
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English (en)
Chinese (zh)
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CN110123430A (zh
Inventor
T·比德尔曼
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Biedermann Technologies GmbH and Co KG
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Biedermann Technologies GmbH and Co KG
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Publication of CN110123430A publication Critical patent/CN110123430A/zh
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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
    • 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
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • A61B17/7037—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
    • 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
    • A61B17/1613—Component parts
    • A61B17/1615—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
    • 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
    • A61B17/1655—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for tapping
    • 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
    • A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1671—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the spine
    • 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
    • A61B17/1725—Guides or aligning means for drills, mills, pins or wires for applying transverse screws or pins through intramedullary nails or pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—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
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • A61B17/7082—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws
    • 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
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7097—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
    • A61B17/7098—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants wherein the implant is permeable or has openings, e.g. fenestrated screw
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8605—Heads, i.e. proximal ends projecting from bone
    • A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
    • A61B17/862—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the periphery of the screw head
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8625—Shanks, i.e. parts contacting bone tissue
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8625—Shanks, i.e. parts contacting bone tissue
    • A61B17/8635—Tips of screws
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8802—Equipment for handling bone cement or other fluid fillers
    • A61B17/8805—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
    • A61B17/8811—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it characterised by the introducer tip, i.e. the part inserted into or onto 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8897—Guide wires or guide pins
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • 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
    • A61B2017/564—Methods for bone or joint treatment
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
    • A61B2090/3916—Bone tissue
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
CN201910101530.8A 2018-02-09 2019-02-01 骨锚和细长器械的系统 Active CN110123430B (zh)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201862628820P 2018-02-09 2018-02-09
US62/628,820 2018-02-09
EP18156123.4A EP3524181B1 (en) 2018-02-09 2018-02-09 System of a bone anchor and an elongate instrument
EP18156123.4 2018-02-09

Publications (2)

Publication Number Publication Date
CN110123430A CN110123430A (zh) 2019-08-16
CN110123430B true CN110123430B (zh) 2024-05-28

Family

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Family Applications (1)

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CN201910101530.8A Active CN110123430B (zh) 2018-02-09 2019-02-01 骨锚和细长器械的系统

Country Status (4)

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US (3) US11191583B2 (enExample)
EP (2) EP3524181B1 (enExample)
JP (2) JP2019136504A (enExample)
CN (1) CN110123430B (enExample)

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US11071576B2 (en) * 2015-10-27 2021-07-27 Spinal Simplicity, Llc Flexible guide wire with tantalum marker
US10973558B2 (en) 2017-06-12 2021-04-13 K2M, Inc. Screw insertion instrument and methods of use
EP3524181B1 (en) * 2018-02-09 2021-11-10 Biedermann Technologies GmbH & Co. KG System of a bone anchor and an elongate instrument
US11666367B2 (en) * 2018-05-30 2023-06-06 Tushar Goradia Guidance apparatus for implantation into bone and related methods of use
EP3892215B1 (en) * 2020-04-09 2023-10-11 Biedermann Technologies GmbH & Co. KG Surgical instrument
US12262927B2 (en) 2020-12-10 2025-04-01 K2M, Inc. Screw insertion instrument and methods of use
JP7755051B2 (ja) 2021-09-09 2025-10-15 エクソームド コーポレーション 整形外科インプラント及び該整形外科インプラントを搬送するための装置
EP4193933B1 (en) 2021-12-08 2025-06-18 Biedermann Technologies GmbH & Co. KG Surgical device, in particular for use in spinal or musculoskeletal surgery or in simulated surgery and method of using the same
US20230320771A1 (en) * 2022-04-11 2023-10-12 Spineology Inc. Surgical screwdriver system
EP4595907A1 (en) * 2022-09-28 2025-08-06 Spine Chronicle Japan Co., Ltd. Therapeutic instrument and screw
CN116570341A (zh) * 2023-04-12 2023-08-11 中国人民解放军总医院第四医学中心 导航手术机器人用不规则骨面锚钉开口装置
WO2025017834A1 (ja) * 2023-07-18 2025-01-23 株式会社スパインクロニクルジャパン 治療器具
US20250082381A1 (en) * 2023-09-12 2025-03-13 Conventus Orthopaedics, Inc. Cannulated implant removal tools and method
WO2025248647A1 (ja) * 2024-05-28 2025-12-04 株式会社スパインクロニクルジャパン 治療器具

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US5098435A (en) * 1990-11-21 1992-03-24 Alphatec Manufacturing Inc. Cannula
US5957953A (en) * 1996-02-16 1999-09-28 Smith & Nephew, Inc. Expandable suture anchor
WO2017147537A1 (en) * 2016-02-26 2017-08-31 Activortho, Inc. Active compression apparatus, methods of assembly and methods of use

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DE3936703A1 (de) * 1989-11-03 1991-05-08 Lutz Biedermann Knochenschraube
US7938848B2 (en) 2004-06-09 2011-05-10 Life Spine, Inc. Spinal fixation system
EP2224858B1 (en) * 2007-10-25 2016-10-26 Smith & Nephew, Inc. Anchor assembly
US20090149862A1 (en) * 2007-12-10 2009-06-11 Sym Partners, Llc Guide pin for pedicle screw placement and method for use of such guide pin in spinal fusion surgeries
US8075579B2 (en) * 2008-01-17 2011-12-13 Life Spine, Inc. Pedicle dart system
US20090275994A1 (en) * 2008-04-30 2009-11-05 Phan Christopher U Apparatus and methods for inserting facet screws
EP2140824B1 (en) 2008-07-01 2016-06-08 Biedermann Technologies GmbH & Co. KG Cannulated bone anchor with plug member and tool for inserting the plug member into the bone anchor
US8403973B2 (en) * 2008-08-05 2013-03-26 The University Of Toledo Pedicle screw assembly having a retractable screw tip for facilitating the securement of the pedicle screw assembly to a spinal vertebra
DE102011001264A1 (de) 2011-03-14 2012-09-20 Aesculap Ag Chirurgischer K-Draht und chirurgisches Schraubensystem
WO2016100570A1 (en) * 2014-12-16 2016-06-23 Nevada Neurosurgery Bone screw
US20160374740A1 (en) * 2015-06-23 2016-12-29 Sterling Therapeutics, Llc Retractable screw guide
EP4023178B1 (en) * 2016-02-25 2023-11-29 Biedermann Technologies GmbH & Co. KG Bone anchor
EP3524181B1 (en) * 2018-02-09 2021-11-10 Biedermann Technologies GmbH & Co. KG System of a bone anchor and an elongate instrument

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5098435A (en) * 1990-11-21 1992-03-24 Alphatec Manufacturing Inc. Cannula
US5957953A (en) * 1996-02-16 1999-09-28 Smith & Nephew, Inc. Expandable suture anchor
WO2017147537A1 (en) * 2016-02-26 2017-08-31 Activortho, Inc. Active compression apparatus, methods of assembly and methods of use

Also Published As

Publication number Publication date
JP7756142B2 (ja) 2025-10-17
US20250049486A1 (en) 2025-02-13
EP3970639B1 (en) 2025-01-22
US11191583B2 (en) 2021-12-07
US20220133374A1 (en) 2022-05-05
EP3524181A1 (en) 2019-08-14
US12082859B2 (en) 2024-09-10
EP3524181B1 (en) 2021-11-10
JP2024015370A (ja) 2024-02-01
CN110123430A (zh) 2019-08-16
US20190247102A1 (en) 2019-08-15
JP2019136504A (ja) 2019-08-22
EP3970639A1 (en) 2022-03-23

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