CN1268293C - 手术导引体 - Google Patents

手术导引体 Download PDF

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Publication number
CN1268293C
CN1268293C CNB008114579A CN00811457A CN1268293C CN 1268293 C CN1268293 C CN 1268293C CN B008114579 A CNB008114579 A CN B008114579A CN 00811457 A CN00811457 A CN 00811457A CN 1268293 C CN1268293 C CN 1268293C
Authority
CN
China
Prior art keywords
guide body
opening
openings
bone
fixation
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
Application number
CNB008114579A
Other languages
English (en)
Chinese (zh)
Other versions
CN1368866A (zh
Inventor
R·弗雷
M·赫利
G·杜达
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.)
AO Technology AG
Original Assignee
Synthes AG Chur
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Synthes AG Chur filed Critical Synthes AG Chur
Publication of CN1368866A publication Critical patent/CN1368866A/zh
Application granted granted Critical
Publication of CN1268293C publication Critical patent/CN1268293C/zh
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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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
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
    • A61B17/8047—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers wherein the additional element surrounds the screw head in the plate hole
    • 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
    • A61B17/1735—Guides or aligning means for drills, mills, pins or wires for rasps or chisels
    • 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
    • A61B17/80—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
    • 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
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8085—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with pliable or malleable elements or having a mesh-like structure, e.g. small strips
    • 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
    • A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • 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
    • A61B17/16—Instruments for performing osteoclasis; 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
    • 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
    • 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
    • A61B17/1778—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the shoulder
    • 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
    • A61B17/1796—Guides or aligning means for drills, mills, pins or wires for holes for sutures or flexible wires
    • 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
    • A61B17/80—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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00004—(bio)absorbable, (bio)resorbable or resorptive

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Materials For Medical Uses (AREA)
CNB008114579A 1999-08-11 2000-03-07 手术导引体 Expired - Fee Related CN1268293C (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE29913994.8 1999-08-11
DE29913994U DE29913994U1 (de) 1999-08-11 1999-08-11 Chirurgische Führungsplatte

Publications (2)

Publication Number Publication Date
CN1368866A CN1368866A (zh) 2002-09-11
CN1268293C true CN1268293C (zh) 2006-08-09

Family

ID=8077341

Family Applications (1)

Application Number Title Priority Date Filing Date
CNB008114579A Expired - Fee Related CN1268293C (zh) 1999-08-11 2000-03-07 手术导引体

Country Status (11)

Country Link
US (1) US8753379B1 (https=)
EP (1) EP1202675B1 (https=)
JP (1) JP4750989B2 (https=)
CN (1) CN1268293C (https=)
AT (1) ATE292419T1 (https=)
AU (1) AU759419B2 (https=)
CA (1) CA2405235A1 (https=)
DE (2) DE29913994U1 (https=)
ES (1) ES2238269T3 (https=)
PT (1) PT1202675E (https=)
WO (1) WO2001012081A1 (https=)

Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6893444B2 (en) * 2000-02-01 2005-05-17 Hand Innovations, Llc Bone fracture fixation systems with both multidirectional and unidirectional stabilization pegs
US7857838B2 (en) 2003-03-27 2010-12-28 Depuy Products, Inc. Anatomical distal radius fracture fixation plate
US20040153073A1 (en) 2000-02-01 2004-08-05 Hand Innovations, Inc. Orthopedic fixation system including plate element with threaded holes having divergent axes
US7282053B2 (en) * 2003-03-27 2007-10-16 Depuy Products, Inc. Method of using fracture fixation plate for performing osteotomy
US6827743B2 (en) * 2001-02-28 2004-12-07 Sdgi Holdings, Inc. Woven orthopedic implants
US7322983B2 (en) 2002-02-12 2008-01-29 Ebi, L.P. Self-locking bone screw and implant
US7425213B2 (en) 2002-12-10 2008-09-16 Depuy Products, Inc. Method of endosteal nailing
FR2849766B1 (fr) * 2003-01-15 2005-03-18 Christian Dongar Dispositif de blocage d'une broche d'osteosynthese dans une piece osseuse
US9155577B2 (en) 2003-04-03 2015-10-13 Medartis Ag Housing for a locking element and locking element
CN100586390C (zh) * 2004-03-03 2010-02-03 斯恩蒂斯有限公司 骨固定装置
WO2005092224A1 (de) * 2004-03-11 2005-10-06 Stefan Schwer Repositionswerkzeug
US8506597B2 (en) * 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US7935126B2 (en) 2006-03-20 2011-05-03 Depuy Products, Inc. Bone plate shaping system
ATE513519T1 (de) 2007-05-03 2011-07-15 Medartis Ag Fixiervorrichtung, kombination einer fixiervorrichtung mit einem länglichen element, anordnung mit einer solchen kombination sowie osteosyntheseset
US8556943B2 (en) 2007-12-13 2013-10-15 Alexandre Worcel Lock ring for osteosynthesis device and osteosynthesis device including such ring
FR2924918B1 (fr) * 2007-12-13 2010-09-03 Alexandre Worcel Douille de blocage pour un dispositif d'osteosynthese et dispositif d'osteosynthese comprenant une telle douille
DE202008000914U1 (de) 2008-01-22 2008-03-20 Stryker Trauma Gmbh Kirschnerdraht-Klammer
FR2935254B1 (fr) * 2008-09-01 2011-12-23 Xavier Renard Systeme de fixation externe pour realiser une osteosynthese entre deux portions d'os
ES2394257T3 (es) * 2010-03-10 2013-01-30 Aap Implantate Ag Sistema de placa para huesos
US10575968B2 (en) 2014-05-16 2020-03-03 Howmedica Osteonics Corp. Guides for fracture system
US9681960B2 (en) 2014-05-16 2017-06-20 Howmedica Osteonics Corp. Guides for fracture system
US10092340B2 (en) * 2014-12-09 2018-10-09 Arthrex, Inc. Fracture fixation system including locking cap and wire
DE202016008476U1 (de) 2015-10-09 2018-02-08 Königsee Implantate GmbH Osteosyntheseplatte zur Frakturversorgung am Humeruskopf
US10813652B2 (en) * 2017-05-23 2020-10-27 Biomet Manufacturing, Llc Offset guide

Family Cites Families (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR742618A (https=) * 1933-03-10
US3741205A (en) * 1971-06-14 1973-06-26 K Markolf Bone fixation plate
FR2254298A1 (en) 1973-12-18 1975-07-11 Chatin Robert Osteosynthesis plate guide device - has eccentric screw guide members in fracture clamping plate
JPS533595B2 (https=) * 1973-12-31 1978-02-08
US3867932A (en) * 1974-01-18 1975-02-25 Donald R Huene Assembly for inserting rigid shafts into fractured bones
CH648197A5 (de) * 1980-05-28 1985-03-15 Synthes Ag Implantat und zu dessen befestigung an einem knochen dienende schrauben.
FR2519857A1 (fr) * 1982-01-19 1983-07-22 Butel Jean Dispositif pour osteosynthese des fractures des extremites du femur
US4421112A (en) * 1982-05-20 1983-12-20 Minnesota Mining And Manufacturing Company Tibial osteotomy guide assembly and method
DE8414690U1 (de) * 1984-05-14 1984-11-29 Technomed Gmk, Hódmezövásárhely Knochenverbindungsplatte
US5474553A (en) * 1989-04-18 1995-12-12 Rainer Baumgart System for setting tubular bone fractures
US5098383A (en) * 1990-02-08 1992-03-24 Artifax Ltd. Device for orienting appliances, prostheses, and instrumentation in medical procedures and methods of making same
FR2657774B1 (fr) * 1990-02-08 1992-05-22 Sofamor Sabot de prise sacree pour dispositif d'osteosynthese rachidienne.
DE9114118U1 (de) * 1991-11-13 1992-01-02 Howmedica GmbH, 2314 Schönkirchen Stützmittel für die menschliche Wirbelsäule
GB9206018D0 (en) * 1992-03-19 1992-04-29 Dall Desmond Meiring Bone fixation system
DE4307633C1 (de) * 1993-03-11 1994-05-19 Pennig Dietmar Schraube zum Festlegen eines Markraumnagels
DE9315148U1 (de) * 1993-10-06 1994-01-20 Pennig, Dietmar, Dr.med. priv. Doz., 50935 Köln Osteosyntheseplatte
FR2712174A1 (fr) * 1993-11-09 1995-05-19 Caffiniere De Jean Yves Guide broché pour ostéosynthèse des fractures épiphyso-métaphysaires par plaque vissée préformée.
US5476467A (en) 1994-06-14 1995-12-19 Benoist; Louis A. Surgical hammer for driving K-wires
US5601553A (en) * 1994-10-03 1997-02-11 Synthes (U.S.A.) Locking plate and bone screw
SE508120C2 (sv) * 1995-01-27 1998-08-31 Robert J Medoff Implanteringsbar anordning innefattande en stiftplatta och stift
US5976141A (en) * 1995-02-23 1999-11-02 Synthes (U.S.A.) Threaded insert for bone plate screw hole
JPH08280708A (ja) * 1995-04-19 1996-10-29 Hideo Nakajima 骨接合用プレート
US5607428A (en) * 1995-05-01 1997-03-04 Lin; Kwan C. Orthopedic fixation device having a double-threaded screw
US5643264A (en) * 1995-09-13 1997-07-01 Danek Medical, Inc. Iliac screw
US5676667A (en) * 1995-12-08 1997-10-14 Hausman; Michael Bone fixation apparatus and method
DE19548395A1 (de) * 1995-12-22 1997-09-18 Leibinger Gmbh Osteosynthesevorrichtung
US5868749A (en) * 1996-04-05 1999-02-09 Reed; Thomas M. Fixation devices
US5893850A (en) * 1996-11-12 1999-04-13 Cachia; Victor V. Bone fixation device
US6306170B2 (en) * 1997-04-25 2001-10-23 Tegementa, L.L.C. Threaded fusion cage anchoring device and method
US5954722A (en) * 1997-07-29 1999-09-21 Depuy Acromed, Inc. Polyaxial locking plate
JPH11178837A (ja) * 1997-10-06 1999-07-06 General Electric Co <Ge> 基準構造構成システムおよび基準構造アセンブリ
US6129728A (en) * 1998-02-18 2000-10-10 Walter Lorenz Surgical, Inc. Method and apparatus for mandibular osteosynthesis
US6139552A (en) * 1998-05-13 2000-10-31 K. K. Hollyx Bone jointer and a bone jointer fixing tool
US5904683A (en) * 1998-07-10 1999-05-18 Sulzer Spine-Tech Inc. Anterior cervical vertebral stabilizing device
US6533790B1 (en) * 2000-07-27 2003-03-18 Yuehuei H An Self-guided pedical screw

Also Published As

Publication number Publication date
ES2238269T3 (es) 2005-09-01
CN1368866A (zh) 2002-09-11
DE29913994U1 (de) 2000-12-21
WO2001012081A1 (de) 2001-02-22
JP2003506189A (ja) 2003-02-18
ATE292419T1 (de) 2005-04-15
EP1202675B1 (de) 2005-04-06
EP1202675A1 (de) 2002-05-08
AU759419B2 (en) 2003-04-17
CA2405235A1 (en) 2001-02-22
US8753379B1 (en) 2014-06-17
DE50010000D1 (de) 2005-05-12
JP4750989B2 (ja) 2011-08-17
AU2791400A (en) 2001-03-13
PT1202675E (pt) 2005-08-31

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SE01 Entry into force of request for substantive examination
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Owner name: SYNTHES LTD.

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Effective date: 20061201

C41 Transfer of patent application or patent right or utility model
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Address after: Swiss Obbo Dov

Patentee after: Synthes AG

Address before: Swiss Kurdish

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Granted publication date: 20060809

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