DE08878635T1 - Systeme und verfahren zur fixierung oder fusion von knochen an dem oder in der nähe des sakroiliakalgelenks - Google Patents

Systeme und verfahren zur fixierung oder fusion von knochen an dem oder in der nähe des sakroiliakalgelenks Download PDF

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DE08878635T1
DE08878635T1 DE08878635T DE08878635T DE08878635T1 DE 08878635 T1 DE08878635 T1 DE 08878635T1 DE 08878635 T DE08878635 T DE 08878635T DE 08878635 T DE08878635 T DE 08878635T DE 08878635 T1 DE08878635 T1 DE 08878635T1
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shaft
elongate
shaped structural
structural element
bone
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DE08878635T8 (de
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Mark A. Reiley
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SI Bone Inc
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SI Bone Inc
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    • 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
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7055—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant connected to sacrum, pelvis or skull
    • 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
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/866—Material or manufacture
    • 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
    • A61B17/84—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
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/30261—Three-dimensional shapes parallelepipedal
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/30273—Three-dimensional shapes pyramidal
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/3028—Three-dimensional shapes polyhedral different from parallelepipedal and pyramidal
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30593—Special structural features of bone or joint prostheses not otherwise provided for hollow
    • 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
    • A61F2/30988—Other joints not covered by any of the groups A61F2/32 - A61F2/4425
    • A61F2002/30995—Other joints not covered by any of the groups A61F2/32 - A61F2/4425 for sacro-iliac joints
    • 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
    • A61F2/30988—Other joints not covered by any of the groups A61F2/32 - A61F2/4425
    • A61F2002/30996—Other joints not covered by any of the groups A61F2/32 - A61F2/4425 for sterno-clavicular joints
    • 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
    • A61F2/30988—Other joints not covered by any of the groups A61F2/32 - A61F2/4425
    • A61F2002/30998—Other joints not covered by any of the groups A61F2/32 - A61F2/4425 for acromio-clavicular joints

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Neurology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurosurgery (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

Gelenkverbindungsvorrichtung, die Folgendes aufweist: ein langgestrecktes, schaftförmiges Strukturelement (10) mit einem geradlinigen Querschnitt, welches frei von einem Außenschraubgewinde ist und für die Platzierung mittels Einhämmern in das Sakroiliakalgelenk zwischen dem iliakalen Knochen und dem Kreuzbein dimensioniert und konfiguriert ist, um das Sakroiliakalgelenk zu verbinden, wobei das langgestreckte, schaftförmige Strukturelement ein Lumen (20) enthält, welches sich dort hindurch erstreckt, um einen Führungsstift (22) während der Platzierung darin aufzunehmen und eine Außenfläche (12) aufweist, die dafür eingerichtet ist, das Einwachsen des Knochens nach der Platzierung zu ermöglichen.

Claims (7)

  1. Gelenkverbindungsvorrichtung, die Folgendes aufweist: ein langgestrecktes, schaftförmiges Strukturelement (10) mit einem geradlinigen Querschnitt, welches frei von einem Außenschraubgewinde ist und für die Platzierung mittels Einhämmern in das Sakroiliakalgelenk zwischen dem iliakalen Knochen und dem Kreuzbein dimensioniert und konfiguriert ist, um das Sakroiliakalgelenk zu verbinden, wobei das langgestreckte, schaftförmige Strukturelement ein Lumen (20) enthält, welches sich dort hindurch erstreckt, um einen Führungsstift (22) während der Platzierung darin aufzunehmen und eine Außenfläche (12) aufweist, die dafür eingerichtet ist, das Einwachsen des Knochens nach der Platzierung zu ermöglichen.
  2. Gelenkverbindungsvorrichtung nach Anspruch 1, wobei der geradlinige Querschnitt von dem langgestreckten, schaftförmigen Strukturelement (10) ein Quadrat aufweist.
  3. Gelenkverbindungsvorrichtung nach Anspruch 1, wobei der geradlinige Querschnitt von dem langgestreckten, schaftförmigen Strukturelement (10) ein Rechteck aufweist.
  4. Gelenkverbindungsvorrichtung nach einem der vorhergehenden Ansprüche wobei das langgestreckte, schaftförmige Strukturelement (10) Titan oder eine Titanlegierung aufweist.
  5. Gelenkverbindungsvorrichtung nach einem der vorhergehenden Ansprüche, wobei die Außenfläche (12) von dem langgestreckten, schaftförmigen Strukturelement (10), welche das Einwachsen des Knochens ermöglicht, eine Oberflächenstrukturierung aufweist, die das Einwachsen des Knochens unterstützt.
  6. Gelenkverbindungsvorrichtung nach einem der vorhergehenden Ansprüche, wobei die Außenfläche (12) von dem langgestreckten, schaftförmigen Strukturelement (10), welche das Einwachsen des Knochens ermöglicht, Durchgangslöcher aufweist.
  7. Gelenkverbindungsvorrichtung nach einem der vorhergehenden Ansprüche, wobei das langgestreckte, schaftförmige Strukturelement (10) einen sich verjüngenden Abschnitt enthält.
DE08878635T 2008-12-04 2008-12-04 Systeme und verfahren zur fixierung oder fusion von knochen an dem oder in der nähe des sakroiliakalgelenks Active DE08878635T8 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP08878635A EP2367484A4 (de) 2008-12-04 2008-12-04 Systeme und verfahren zur fixierung oder fusion von knochen an dem oder in der nähe des sakroiliakalgelenks
PCT/US2008/013351 WO2010065015A1 (en) 2008-12-04 2008-12-04 Systems and methods for the fixation or fusion of bone at or near a sacroiliac joint

Publications (2)

Publication Number Publication Date
DE08878635T1 true DE08878635T1 (de) 2012-10-11
DE08878635T8 DE08878635T8 (de) 2013-04-25

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EP (1) EP2367484A4 (de)
JP (1) JP2012510852A (de)
CN (1) CN102238919A (de)
DE (1) DE08878635T8 (de)
WO (1) WO2010065015A1 (de)

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US8348950B2 (en) 2010-01-04 2013-01-08 Zyga Technology, Inc. Sacroiliac fusion system
US9161763B2 (en) 2010-01-04 2015-10-20 Zyga Technology, Inc. Sacroiliac fusion system
WO2014015309A1 (en) 2012-07-20 2014-01-23 Jcbd, Llc Orthopedic anchoring system and methods
US9788961B2 (en) 2010-01-13 2017-10-17 Jcbd, Llc Sacroiliac joint implant system
US8979928B2 (en) 2010-01-13 2015-03-17 Jcbd, Llc Sacroiliac joint fixation fusion system
US9333090B2 (en) 2010-01-13 2016-05-10 Jcbd, Llc Systems for and methods of fusing a sacroiliac joint
US9421109B2 (en) 2010-01-13 2016-08-23 Jcbd, Llc Systems and methods of fusing a sacroiliac joint
US9381045B2 (en) 2010-01-13 2016-07-05 Jcbd, Llc Sacroiliac joint implant and sacroiliac joint instrument for fusing a sacroiliac joint
US8900251B2 (en) 2010-05-28 2014-12-02 Zyga Technology, Inc Radial deployment surgical tool
EP3372179A1 (de) 2010-07-27 2018-09-12 Richard S. Ginn System für iliosakrale stabilisierung
US8900279B2 (en) 2011-06-09 2014-12-02 Zyga Technology, Inc. Bone screw
US9113972B2 (en) 2011-08-24 2015-08-25 Pioneer Surgical Technology, Inc. Apparatus and methods for immobilization and fusion of a synovial joint
JP6091529B2 (ja) * 2012-03-09 2017-03-08 エスアイ−ボーン・インコーポレイテッドＳｉ−Ｂｏｎｅ， Ｉｎｃ． 一体化インプラント
WO2013166496A1 (en) 2012-05-04 2013-11-07 Si-Bone Inc. Fenestrated implant
US10179014B1 (en) 2012-06-01 2019-01-15 Nuvasive, Inc. Systems and methods for promoting sacroiliac joint fusion
DE202012103384U1 (de) 2012-09-05 2012-09-24 Signus Medizintechnik Gmbh Beckenringimplantat
US9700356B2 (en) 2013-07-30 2017-07-11 Jcbd, Llc Systems for and methods of fusing a sacroiliac joint
US9510872B2 (en) 2013-03-15 2016-12-06 Jcbd, Llc Spinal stabilization system
US10245087B2 (en) 2013-03-15 2019-04-02 Jcbd, Llc Systems and methods for fusing a sacroiliac joint and anchoring an orthopedic appliance
US9826986B2 (en) 2013-07-30 2017-11-28 Jcbd, Llc Systems for and methods of preparing a sacroiliac joint for fusion
US9717539B2 (en) 2013-07-30 2017-08-01 Jcbd, Llc Implants, systems, and methods for fusing a sacroiliac joint
US9861375B2 (en) 2014-01-09 2018-01-09 Zyga Technology, Inc. Undercutting system for use in conjunction with sacroiliac fusion
US9801546B2 (en) 2014-05-27 2017-10-31 Jcbd, Llc Systems for and methods of diagnosing and treating a sacroiliac joint disorder
US10045803B2 (en) 2014-07-03 2018-08-14 Mayo Foundation For Medical Education And Research Sacroiliac joint fusion screw and method
US10413332B2 (en) 2016-04-25 2019-09-17 Imds Llc Joint fusion implant and methods
US10751071B2 (en) 2016-04-25 2020-08-25 Imds Llc Joint fusion instrumentation and methods
CN107137138A (zh) * 2017-06-01 2017-09-08 成都贝施美生物科技有限公司 一种脊椎关节内固定装置
US11147682B2 (en) 2017-09-08 2021-10-19 Pioneer Surgical Technology, Inc. Intervertebral implants, instruments, and methods
CN107510521A (zh) * 2017-09-12 2017-12-26 北京爱康宜诚医疗器材有限公司 骶髂关节融合器
US10603055B2 (en) 2017-09-15 2020-03-31 Jcbd, Llc Systems for and methods of preparing and fusing a sacroiliac joint
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US20070156241A1 (en) * 2004-08-09 2007-07-05 Reiley Mark A Systems and methods for the fixation or fusion of bone
US20060054171A1 (en) * 2004-09-15 2006-03-16 Bruce Dall Method and apparatus of approaching a joint

Also Published As

Publication number Publication date
EP2367484A4 (de) 2012-09-12
EP2367484A1 (de) 2011-09-28
CN102238919A (zh) 2011-11-09
JP2012510852A (ja) 2012-05-17
WO2010065015A1 (en) 2010-06-10
DE08878635T8 (de) 2013-04-25

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