CN114206242B - 用于固定构件的精细轴向可调节性的引导套筒和相关系统 - Google Patents

用于固定构件的精细轴向可调节性的引导套筒和相关系统 Download PDF

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Publication number
CN114206242B
CN114206242B CN202080055098.4A CN202080055098A CN114206242B CN 114206242 B CN114206242 B CN 114206242B CN 202080055098 A CN202080055098 A CN 202080055098A CN 114206242 B CN114206242 B CN 114206242B
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CN
China
Prior art keywords
distal
fixation member
guide
bone
central axis
Prior art date
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Active
Application number
CN202080055098.4A
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English (en)
Chinese (zh)
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CN114206242A (zh
Inventor
A·弗林特罗普
T·凯尔
S·小克米奇
A·西波尔
D·帕帕拉多
D·科文斯
J·麦克马纳斯
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DePuy Synthes Products Inc
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DePuy Synthes Products Inc
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Publication of CN114206242A publication Critical patent/CN114206242A/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
    • A61B17/72—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
    • 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
    • A61B17/74—Devices for the head or neck or trochanter of the femur
    • A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
    • A61B17/744—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to an intramedullary nail
    • 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
    • A61B17/164—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans intramedullary
    • 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
    • A61B17/1721—Guides or aligning means for drills, mills, pins or wires for applying pins along or parallel to the axis of the femoral neck
    • 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
    • A61B17/74—Devices for the head or neck or trochanter of the femur
    • 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
    • A61B17/8872—Instruments for putting said fixation devices against or away from the bone
    • 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
    • A61B17/1725—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
    • A61B17/16—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
    • A61B17/1742—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip
    • 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
    • A61B17/7241—Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone the nail having separate elements through which screws pass
    • 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
    • A61B17/8886—Screwdrivers, spanners or wrenches holding the screw head
    • A61B17/8888—Screwdrivers, spanners or wrenches holding the screw head at its central region
    • 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
    • A61B17/8894—Screwdrivers, spanners or wrenches holding the implant into or through which the screw is to be inserted
    • 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
    • A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
    • A61B2017/922—Devices for impaction, impact element
    • 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)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Neurology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)
CN202080055098.4A 2019-08-05 2020-07-27 用于固定构件的精细轴向可调节性的引导套筒和相关系统 Active CN114206242B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US16/531,747 US11185355B2 (en) 2019-08-05 2019-08-05 Guide sleeve for fine axial adjustability of a fixation member, and related systems and methods
US16/531747 2019-08-05
PCT/IB2020/057080 WO2021024086A1 (en) 2019-08-05 2020-07-27 Guide sleeve for fine axial adjustability of a fixation member, and related systems

Publications (2)

Publication Number Publication Date
CN114206242A CN114206242A (zh) 2022-03-18
CN114206242B true CN114206242B (zh) 2024-08-06

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202080055098.4A Active CN114206242B (zh) 2019-08-05 2020-07-27 用于固定构件的精细轴向可调节性的引导套筒和相关系统

Country Status (8)

Country Link
US (1) US11185355B2 (enExample)
EP (1) EP4009891A1 (enExample)
JP (1) JP7608433B2 (enExample)
CN (1) CN114206242B (enExample)
AU (1) AU2020325803B2 (enExample)
BR (1) BR112022002056A2 (enExample)
CA (1) CA3149704A1 (enExample)
WO (1) WO2021024086A1 (enExample)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115804649B (zh) * 2022-12-05 2025-07-29 河北瑞鹤医疗器械有限公司 一种髓内钉植入导航装置

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1356777A2 (en) * 2002-04-15 2003-10-29 HIT MEDICA S.r.L. Screw Guide for an intramedullary nail
CN105263429A (zh) * 2013-11-07 2016-01-20 株式会社4S 大腿骨近位部骨折的骨接合装置、以及大腿骨近位部骨折的骨接合装置的标准螺旋式旋入装置

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3927574A (en) 1974-05-13 1975-12-23 Gen Motors Corp Indexing mechanism
DE29804268U1 (de) 1998-03-11 1998-05-14 Synthes AG Chur, Chur, Graubünden Spiralklingen-Insertions-Instrument
US7175633B2 (en) 2001-10-17 2007-02-13 Synthes (Usa) Orthopedic implant insertion instruments
WO2008064059A2 (en) * 2006-11-17 2008-05-29 Synthes(U.S.A.) Sliding hip helical implant
US8206389B2 (en) * 2007-08-31 2012-06-26 Huebner Randall J Rod-based system for bone fixation
US8152807B2 (en) * 2008-03-31 2012-04-10 Olecranail Llc Intramedullary device assembly and associated method
CN103327918B (zh) 2011-01-21 2016-12-14 新特斯有限责任公司 可扩张的转子股骨钉
EP3106253A1 (de) 2015-06-17 2016-12-21 HILTI Aktiengesellschaft Bohrer und herstellungsverfahren
US10492803B2 (en) * 2016-09-22 2019-12-03 Globus Medical, Inc. Systems and methods for intramedullary nail implantation

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1356777A2 (en) * 2002-04-15 2003-10-29 HIT MEDICA S.r.L. Screw Guide for an intramedullary nail
CN105263429A (zh) * 2013-11-07 2016-01-20 株式会社4S 大腿骨近位部骨折的骨接合装置、以及大腿骨近位部骨折的骨接合装置的标准螺旋式旋入装置

Also Published As

Publication number Publication date
EP4009891A1 (en) 2022-06-15
WO2021024086A1 (en) 2021-02-11
CA3149704A1 (en) 2021-02-11
CN114206242A (zh) 2022-03-18
BR112022002056A2 (pt) 2022-06-07
US20210038268A1 (en) 2021-02-11
AU2020325803A1 (en) 2022-03-24
JP2022543154A (ja) 2022-10-07
AU2020325803B2 (en) 2025-07-10
JP7608433B2 (ja) 2025-01-06
US11185355B2 (en) 2021-11-30

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