DK2037827T3 - Knogleplade med komplekse, ved siden af hinanden anbragte huller, som er forbundet ved hjælp af en udsparing - Google Patents

Knogleplade med komplekse, ved siden af hinanden anbragte huller, som er forbundet ved hjælp af en udsparing Download PDF

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Publication number
DK2037827T3
DK2037827T3 DK07804575.4T DK07804575T DK2037827T3 DK 2037827 T3 DK2037827 T3 DK 2037827T3 DK 07804575 T DK07804575 T DK 07804575T DK 2037827 T3 DK2037827 T3 DK 2037827T3
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Denmark
Prior art keywords
screw
bone
head seat
plate
threaded
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DK07804575.4T
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English (en)
Inventor
Steve Forbes
Gary Thau
Patrick White
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Swiss Pro Orthodedic Sa
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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
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • 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
    • A61B17/8033—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, 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B2050/3008—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments having multiple compartments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers

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

Claims (11)

1. Knogleplade (10), som er indrettet til ved brug in situ at danne en rumlig forbindelse mellem mindst to knogledele (80), og hvor knoglepladen (10) omfatter: A) en aflang plade (11) med en længdeakse (12), en knoglerne berørende underside (16) og en overside (14), og hvor pladen mellem undersiden og oversiden fastlægger en vis pladetykkelse, og hvor der i pladen findes et antal skruehuller (24); B) mindst en sammensat skrueåbning (40) med en enkelt åbning, der har form som en håndvægt, og som er dannet ved hjælp af tæt op til hinanden anbragte første og sekundære skruehuller (24), som er forbundet ved hjælp af en udsparing (60), der er defineret ved hjælp af to over for hinanden liggende flader uden gevind, og hvor hver sammensat skrueåbning (40) strækker sig fra oversiden (14) til undersiden (16); C) mindst et skruehul (24) i den mindst ene sammensatte skrueåbning (40), og som har (i) en skrueakse (26), der går gennem skruehullets centrum (27), og (ii) et med flere facetter forsynet hovedsæde (34), som har (a) et med gevind forsynet hovedsæde (34a), eller et med en ringflade forsynet hovedsæde, eller et med en kantflade forsynet hovedsæde, hvilket hovedsæde har en radius (r), som udgår fra hovedsædets centrum og strækker sig fra nævnte underside (16) til et sted på vej op til oversiden (14), og (b) en tilspidset tilføringsflade (99), som er udformet som en aflang affasning, (i) som omgiver det med gevind forsynede hovedsæde (34a), det med ringflade forsynede hovedsæde, det med kantet flade forsynede hovedsæde og/eller et gevindfrit hovedsæde i forbindelse med både de tæt ved hinanden anbragte første og sekundære skruehuller (24) og i forbindelse med tilgrænsende frigangsrum (60), og (ii) som berører (a) frigangsrummet nærmest ved den nævnte overside, og (b) det med gevind forsynede hovedsæde (34a), det med ringvæg forsynede hovedsæde, det med kantflade forsynede hovedsæde og/eller et gevindfrit hovedsæde på både de tæt ved siden af hinanden anbragte første og sekundære skruehuller (24) nærmest ved nævnte overside, og frigangsrummet, og (iii) som strækker sig (a) udad i forhold til det med gevind forsynede hovedsæde (34a), det med ringflade forsynede hovedsæde, det med kantflade forsynede hovedsæde og/eller det gevindfrie hovedsæde på både de med lille afstand mellem hinanden anbragte første og sekundære skruehuller (24), og frigangsrum, og (b) opad indtil der sker en berøring af oversiden (14), D) og at afstanden fra centrum til centrum i hvert skruehul (24) i den mindst ene sammensatte skrueåbning (40) er lig med eller større end summen af radierne i de to skruehuller (24) i den mindst ene sammensatte skrueåbning (40); E) og at der gennem hvert skruehul (24) i den mindst ene sammensatte skrueåbning (40) kan være indskudt en knogleskrue (28), som går gennem en underliggende knogledel (80) med henblik på at forankre den aflange plade (11) til nævnte knogledel (80).
2. Knogleplade (10) ifølge krav 1, hvor radierne (r) i de tæt ved hinanden anbragte første og sekundære knogle-skruehuller (24) strækker sig ind i udsparingszonen (60).
3. Knogleplade (10) ifølge krav 1 og 2, hvor udsparingszonen (60) er udformet som en ’’taljeagtig” udsparing (60b).
4. Knogleplade (10) ifølge krav 1, hvor det første og andet skruehul (24), som danner den sammensatte åbning (40), udgøres af med gevind forsynede skruehovedsæder (34a), som har mindst en med gevind forsynet fladedel (35) og en gevindfri fladedel (36).
5. Knogleplade (10) ifølge krav 1, hvor mindst et hovedsæde (34) har en fri-gangskærv (84), som er anbragt i en flade på hovedsædet (34).
6. Knogleplade (10) ifølge krav 1, hvor det første skruehul eller det andet skruehul i den sammensatte skrueåbning (24) har et skrue-hovedsæde (34) med mindst en frigangskærv (84), som er tildannet i en flade på skruehovedsædet (34), og en selvlåsende materialeprop (92), som er fastholdt i frigangs-kærven (84).
7. Ortopædisk udstyr (100), som omfatter: a) en i afdelinger opdelt beholder (102) med afdelingsrum (104) til optagelse af genstande (106), som skal være indeholdt i udstyret (100); b) en første genstand (106) i udstyret (100), og som i det mindste er en knogleplade (10) ifølge ethvert af kravene 1 til 6; og c) en anden genstand (106) i udstyret (100), og som udgøres af et antal knogleskruer (28) med hoveder, som har gevind, og hoveder, som er gevindfri.
8. Udstyr (100) ifølge krav 7, og som yderligere omfatter en bor-føring (110), som er forsynet med en hul boreåbning (114), der er ført gennem nogle modsat beliggende ender (112,116) af føringen, og hvor en første føringsende (112) er således udformet, at den på sikker måde kan ligge an mod en med mange facetter forsynet skrueåbning (24) på knoglepladen (10) og dermed kan tjene som føring for et bor-skær til boring af et styrehul i en knogle (80), når en knogleskrue (28) skal kunne indføres i knoglen gennem skruehullet (24).
9. Knogleplade (10) ifølge krav 1, hvor hvert skruehul (24) i den mindst ene sammensatte skrueåbning (40) har (i) en skrueakse (26), som går gennem skruehullets centrum (27), og (ii) et med mange facetter forsynet hovedsæde (34), som omfatter et med et gevind forsynet hovedsæde (34a), et med en ringformet flade forsynet hovedsæde, eller et med en kantformet flade forsynet hovedsæde, som har en radius (r), som udgår fra nævnte flades centrum og strækker sig fra undersiden (16) til et stykke af vejen til oversiden (14).
10. Knogleplade (10) ifølge krav 9, hvor mindst et hovedsæde (34) har en fri-gangskærv (84), som er tildannet i en flade på hovedsædet (34).
11. Knogleplade (10) ifølge krav 1, hvor en konisk indføringsflade (99), som er udformet som en aflang rejfning, er i berøring med hele den med gevind forsynede flade (34a) nærmest ved oversiden.
DK07804575.4T 2006-07-07 2007-07-06 Knogleplade med komplekse, ved siden af hinanden anbragte huller, som er forbundet ved hjælp af en udsparing DK2037827T3 (da)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US80672806P 2006-07-07 2006-07-07
US80673006P 2006-07-07 2006-07-07
PCT/IB2007/001895 WO2008007196A2 (en) 2006-07-07 2007-07-06 Bone plate with complex, adjacent holes joined by a relief-space

Publications (1)

Publication Number Publication Date
DK2037827T3 true DK2037827T3 (da) 2015-01-05

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DK07804575.4T DK2037827T3 (da) 2006-07-07 2007-07-06 Knogleplade med komplekse, ved siden af hinanden anbragte huller, som er forbundet ved hjælp af en udsparing

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US (2) US8252032B2 (da)
EP (1) EP2037827B1 (da)
JP (1) JP5422858B2 (da)
KR (1) KR101408732B1 (da)
CN (1) CN101505670B (da)
AU (1) AU2007273986B2 (da)
BR (1) BRPI0713865A2 (da)
CA (1) CA2656872C (da)
DK (1) DK2037827T3 (da)
ES (1) ES2524612T3 (da)
WO (1) WO2008007196A2 (da)

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US8252032B2 (en) 2012-08-28
CA2656872A1 (en) 2008-01-17
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EP2037827A2 (en) 2009-03-25
JP5422858B2 (ja) 2014-02-19
BRPI0713865A2 (pt) 2012-12-11
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WO2008007196A3 (en) 2008-03-20
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AU2007273986B2 (en) 2013-01-31
AU2007273986A1 (en) 2008-01-17
JP2009542279A (ja) 2009-12-03
CN101505670B (zh) 2015-05-20
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US8100953B2 (en) 2012-01-24

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