FR2728779A1 - Surgical wire anchor for impacting into spongy bone tissue - Google Patents

Surgical wire anchor for impacting into spongy bone tissue Download PDF

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Publication number
FR2728779A1
FR2728779A1 FR9500004A FR9500004A FR2728779A1 FR 2728779 A1 FR2728779 A1 FR 2728779A1 FR 9500004 A FR9500004 A FR 9500004A FR 9500004 A FR9500004 A FR 9500004A FR 2728779 A1 FR2728779 A1 FR 2728779A1
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thread
component
bone
receive
intended
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FR9500004A
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French (fr)
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FR2728779B1 (en
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CAFFINIERE JEAN YVES DE
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CAFFINIERE JEAN YVES DE
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Classifications

    • 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
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B13/00—Dowels or other devices fastened in walls or the like by inserting them in holes made therein for that purpose
    • F16B13/12—Separate metal or non-separate or non-metal dowel sleeves fastened by inserting the screw, nail or the like
    • F16B13/124—Separate metal or non-separate or non-metal dowel sleeves fastened by inserting the screw, nail or the like fastened by inserting a threaded element, e.g. screw or bolt
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00862—Material properties elastic or resilient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0412—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from suture anchor body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0427—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
    • A61B2017/0429—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being expanded by a mechanical mechanism which also locks them in the expanded state
    • A61B2017/043—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being expanded by a mechanical mechanism which also locks them in the expanded state by insertion of a separate spreading member into the anchor
    • A61B2017/0433—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being expanded by a mechanical mechanism which also locks them in the expanded state by insertion of a separate spreading member into the anchor the anchor or the separate member comprising threads, e.g. a set screw or a worm gear for moving spreading members
    • 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
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0805—Implements for inserting tendons or ligaments
    • 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
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0888—Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Rheumatology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Cardiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Rehabilitation Therapy (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)

Abstract

The anchor consists of two threaded components (A,B) which fit one inside the other, with the final turns of component (A) causing the expansion of vanes created by vertical slits in component (B). Component (A) is made from six segments - a hexagonal head (3) with a hole (2) through it to receive the surgical wire (C), a shoulder and neck and a smooth truncated conical section to expand the vanes, a threaded segment and a pointed tip. Component (B) is hollow and cylindrical, with a rough outer surface and two, three or four vertical slits covering the upper two-thirds of its length. It has an upper section which extends to below the level of the slits, and a lower threaded section to receive component (A).

Description

DISPOSITIF D'ANCRAGE PAR IMPACTION
DANS L'OS SPONGIEUX DES FILS DE FIXATION
UTILISES EN CHIRURGIE
On peut introduire par impaction toute pièce métallique dans le tissu osseux spongieux ou épiphysaire parce que sa dureté est beaucoup plus faible que celle de l'os compact.IMPACT ANCHORING DEVICE
IN THE SPONGIOUS BONE OF THE FIXATION WIRES
USED IN SURGERY
Any metallic part can be introduced by impaction into the spongy or epiphyseal bone tissue because its hardness is much lower than that of compact bone.

Une pièce métallique de petite taille et disposant d'une pointe peut être ainsi pénétrée dans la pièce osseuse par simple impaction. Le présent dispositif possède cette caractéristique tout en permettant un ancrage définitif et la possibilité d'y passer ensuite un fil à usage chirurgical. A small metal piece with a tip can thus be penetrated into the bone piece by simple impaction. The present device has this characteristic while allowing a final anchoring and the possibility of then passing a wire for surgical use.

Le dispositif de base est composé de deux pièces vissées partiellement l'une dans l'autre avant impaction dans l'os (figure 1). The basic device is made up of two parts that are partially screwed into each other before impacting into the bone (Figure 1).

Lorsque le dispositif a été impacté, un vissage complémentaire de la pièce mâle (A) dans ia pièce femelle (B) permet l'ancrage osseux grâce à un mécanisme d'écartement des branches (1) ménagées dans la partie proximale de la pièce femelle (figure 2). When the device has been impacted, a complementary screwing of the male part (A) in the female part (B) allows the bone anchoring thanks to a mechanism for spreading the branches (1) formed in the proximal part of the female part. (figure 2).

L'ensemble du dispositif est alors en place et un fil (C) peut être placé dans un canal (2) ménagé dans la tete (3) de la vis (A)
La pièce (A) (figure 3) est une vis miniaturisée disposant de haut en bas de 6 segments:
- La tête de vis (3) possède un canal (2) dans lequel est passé le fil d'appui utilisé par le chirurgien. The entire device is then in place and a wire (C) can be placed in a channel (2) formed in the head (3) of the screw (A)
The part (A) (figure 3) is a miniaturized screw having from top to bottom of 6 segments:
- The screw head (3) has a channel (2) through which the support wire used by the surgeon has passed.

- Un épaulement (4) sert de butée d'appui sur la surface osseuse afin que la pièce ne s'enfonce pas dans le tissu osseux après le vissage terminal. Cette partie doit donc être d'un diamètre supérieur à tous les segments sous jacents de la vis. - A shoulder (4) serves as a bearing stop on the bone surface so that the part does not sink into the bone tissue after the final screwing. This part must therefore be of a diameter greater than all the underlying segments of the screw.

- Un col (5) dont la longueur détermine la profondeur de pénétration finale de la pièce (A) dans la pièce (B) et qui doit donc etre toujours supérieure au segment sous jacent (6). - A neck (5) whose length determines the final penetration depth of the part (A) in the part (B) and which must therefore always be greater than the underlying segment (6).

- Le segment (6) est un segment court, de forme tronconique, à base supérieure. - The segment (6) is a short segment, frustoconical in shape, with a higher base.

Sa surface est lisse. C'est cette partie, qui en pénétrant dans la partie femelle (B), assure l'écartement de ses branches (1) et donc, L'ancrage final de la pièce dans le tissu osseux spongieux.Its surface is smooth. It is this part, which, penetrating into the female part (B), ensures the spacing of its branches (1) and therefore, the final anchoring of the part in the cancellous bone tissue.

- Le segment sous-jacent (7) est la partie filetée. C'est cette partie qui assure la descente de la pièce (A) dans la pièce (B). Cette partie doit avoir une longueur égale à celle de la pièce (B). - The underlying segment (7) is the threaded part. It is this part which ensures the descent of the part (A) in the part (B). This part must have a length equal to that of the part (B).

- Enfin l'extrémité de la pièce (A) présente une pointe (8) qui dépasse l'extrémité de la pièce (B) avant l'impaction du dispositif dans l'os. - Finally the end of the part (A) has a point (8) which exceeds the end of the part (B) before the impact of the device in the bone.

La pièce (B) (figure 4) est la partie femelle du dispositif : c'est une pièce cylindrique, creuse, dont les deux tiers supérieurs disposent de 2, 3 ou 4 fentes verticales (9) séparant 2, 3 ou 4 branches à charnière inférieure. La surface extérieure de la pièce est artificiellement rendue rugueuse (10) afin de résister à la torsion lors du vissage final de la pièce (A) dans la pièce (B). The part (B) (Figure 4) is the female part of the device: it is a cylindrical, hollow part, the upper two thirds of which have 2, 3 or 4 vertical slots (9) separating 2, 3 or 4 branches with lower hinge. The external surface of the part is artificially roughened (10) in order to resist torsion during the final screwing of the part (A) into the part (B).

La surface intérieure de la pièce (B) présente deux parties : plus des deux tiers supérieurs (11) sont lisses, sans aucun filetage ; tandis que la partie la plus basse (12) est munie de quelques filets destinés à recevoir la partie filetée (7) de la pièce (A).  The internal surface of the part (B) has two parts: more than two upper thirds (11) are smooth, without any thread; while the lowest part (12) is provided with some threads intended to receive the threaded part (7) of the part (A).

L'ensemble du dispositif avant usage chirurgical (figure 5) est manipulé par un instrument (D) dont l'extrémité vient s'encastrer sur le col (5) entre l'épaulement (4) et la base de la partie tronconique (6). Cet instrument permet un serrage du dispositif grâce à une molette intérieure. The entire device before surgical use (Figure 5) is manipulated by an instrument (D), the end of which is embedded on the neck (5) between the shoulder (4) and the base of the frustoconical part (6 ). This instrument allows a tightening of the device thanks to an internal wheel.

Grâce à cet instrument et un tournevis, le déroulement de l'opération est le suivant (figure 6):
- 1er temps : impaction jusqu'à l'extrémité de l'instrument (D),
- 2ème temps: ablation de l'instrument (D),
- 3ème temps: la moitié supérieure du dispositif reste extérieure à la surface osseuse (segment 3, 4 et 5),
- 4ème temps : début de la procédure d'ancrage par vissage grâce à un tournevis emboité sur la tête de vis (3),
- 5ème temps: le vissage est terminé, L'ancrage est obtenu et le chirurgien peut passer son fil dans le canal (2) de la tête de vis (3). Using this instrument and a screwdriver, the operation is as follows (Figure 6):
- 1st time: impaction to the end of the instrument (D),
- 2nd stage: removal of the instrument (D),
- 3rd step: the upper half of the device remains outside the bone surface (segment 3, 4 and 5),
- 4th step: start of the anchoring procedure by screwing using a screwdriver fitted on the screw head (3),
- 5th time: the screwing is finished, the anchoring is obtained and the surgeon can pass his thread through the channel (2) of the screw head (3).

Claims (4)

REVENDICATIONS 1- Dispositif d'ancrage impacté dans l'os spongieux pour fixation de fils chirurgicaux. Le dispositif est composé de deux pièces vissées ; I'une (A) dans l'autre (B). Les deux pièces métalliques sont présentées partiellement vissées l'une dans l'autre. Le vissage terminal de la pièce (A) dans la pièce (B) provoque un écartement des lamelles (1) ménagées par des fentes verticales (9) de la pièce (B). 1- Anchoring device impacted in the cancellous bone for fixing surgical threads. The device is made up of two screwed parts; One (A) in the other (B). The two metal parts are presented partially screwed into each other. The terminal screwing of the part (A) in the part (B) causes a separation of the strips (1) formed by vertical slots (9) of the part (B). 2- Dispositif selon la revendication 1 caractérisé en ce que la pièce (A) est une vis possédant 6 segments qui sont de haut en bas: - une tête hexagonale (3) perforée d'un canal (2) visant à recevoir le fil chirurgical, - un épaulement (4) visant à assurer l'appui terminal de la pièce sur la surface osseuse, - un col (5), - une partie tronconique lisse (6) plus courte que ia partie sus jacente (5) destinée à assurer l'écartement des lames (9) de la pièce (B), - un segment fileté (7) de longueur égale à celle de la pièce (B), - enfin une pointe (8) extériorisée de la pièce (B) avant l'impaction osseuse.2- Device according to claim 1 characterized in that the part (A) is a screw having 6 segments which are from top to bottom: - a hexagonal head (3) perforated with a channel (2) intended to receive the surgical thread , - a shoulder (4) aimed at ensuring the end support of the part on the bone surface, - a neck (5), - a smooth frustoconical part (6) shorter than the overlying part (5) intended to ensure the spacing of the blades (9) of the part (B), - a threaded segment (7) of length equal to that of the part (B), - finally a point (8) externalized from the part (B) before l bone impaction. 3- Dispositif selon les revendications 1 et 2 caractérisé en ce que la pièce (B) est une pièce creuse, cylindrique, à surface extérieure rugueuse (10), et dont la paroi est fendue verticalement par 2, 3 ou 4 fentes ((9) occupant les 2/3 supérieurs de sa longueur.3- Device according to claims 1 and 2 characterized in that the part (B) is a hollow, cylindrical part, with rough external surface (10), and the wall of which is split vertically by 2, 3 or 4 slots ((9 ) occupying the upper 2/3 of its length. 4- Dispositif selon les précédentes revendications caractérisé en ce que la pièce (B) présente une surface intérieure divisée en deux parties: la partie supérieure (11), la plus longue, dépasse en bas les fentes (9), elle est lisse sans aucun filetage, tandis que la partie la plus basse courte, est munie d'un filet (12) visant à recevoir le filetage (7) de la pièce (A). 4- Device according to the preceding claims characterized in that the part (B) has an inner surface divided into two parts: the upper part (11), the longer, below the slots (9), it is smooth without any thread, while the shortest part is provided with a thread (12) intended to receive the thread (7) of the part (A).
FR9500004A 1995-01-02 1995-01-02 DEVICE FOR ANCHORING BY IMPACTION IN THE SPONGIOUS BONE OF THE FIXATION THREADS USED IN SURGERY Expired - Fee Related FR2728779B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR9500004A FR2728779B1 (en) 1995-01-02 1995-01-02 DEVICE FOR ANCHORING BY IMPACTION IN THE SPONGIOUS BONE OF THE FIXATION THREADS USED IN SURGERY

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR9500004A FR2728779B1 (en) 1995-01-02 1995-01-02 DEVICE FOR ANCHORING BY IMPACTION IN THE SPONGIOUS BONE OF THE FIXATION THREADS USED IN SURGERY

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FR2728779A1 true FR2728779A1 (en) 1996-07-05
FR2728779B1 FR2728779B1 (en) 1997-07-18

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EP1006948A1 (en) * 1996-11-21 2000-06-14 Innovasive Devices, Inc. Apparatus and methods for anchoring autologous or artificial tendon grafts in bone
EP1006934A2 (en) * 1997-07-03 2000-06-14 Innovasive Devices, Inc. Apparatus and methods for anchoring autologous or artificial tendon grafts in bone
GB2444705A (en) * 2006-12-15 2008-06-18 Sean Scott A tri-part screw with protruding lateral spikes
CN103876809A (en) * 2012-12-21 2014-06-25 瑞特医疗技术公司 Percutaneous expanding hammertoe implant
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US9226828B2 (en) 2004-10-26 2016-01-05 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9271766B2 (en) 2004-10-26 2016-03-01 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9474561B2 (en) 2013-11-19 2016-10-25 Wright Medical Technology, Inc. Two-wire technique for installing hammertoe implant
US9498266B2 (en) 2014-02-12 2016-11-22 Wright Medical Technology, Inc. Intramedullary implant, system, and method for inserting an implant into a bone
US9498273B2 (en) 2010-06-02 2016-11-22 Wright Medical Technology, Inc. Orthopedic implant kit
US9504582B2 (en) 2012-12-31 2016-11-29 Wright Medical Technology, Inc. Ball and socket implants for correction of hammer toes and claw toes
US9545274B2 (en) 2014-02-12 2017-01-17 Wright Medical Technology, Inc. Intramedullary implant, system, and method for inserting an implant into a bone
US9603643B2 (en) 2010-06-02 2017-03-28 Wright Medical Technology, Inc. Hammer toe implant with expansion portion for retrograde approach
US9610073B2 (en) 2006-02-07 2017-04-04 P Tech, Llc Methods and devices for intracorporeal bonding of implants with thermal energy
US9629687B2 (en) 2002-03-20 2017-04-25 P Tech, Llc Robotic arthroplasty system
US9724140B2 (en) 2010-06-02 2017-08-08 Wright Medical Technology, Inc. Tapered, cylindrical cruciform hammer toe implant and method
US9750496B2 (en) 2002-08-27 2017-09-05 P Tech, Llc System for securing a portion of a body
US9808296B2 (en) 2014-09-18 2017-11-07 Wright Medical Technology, Inc. Hammertoe implant and instrument
US9962162B2 (en) 2003-04-30 2018-05-08 P Tech, Llc Tissue fastener and methods for using same
US9980761B2 (en) 2004-10-26 2018-05-29 P Tech, Llc Tissue fixation system and method
US9980717B2 (en) 2005-02-22 2018-05-29 P Tech, Llc Device and method for securing body tissue
US9986994B2 (en) 2000-03-13 2018-06-05 P Tech, Llc Method and device for securing body tissue
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization
US10076377B2 (en) 2013-01-05 2018-09-18 P Tech, Llc Fixation systems and methods
US10080597B2 (en) 2014-12-19 2018-09-25 Wright Medical Technology, Inc. Intramedullary anchor for interphalangeal arthrodesis
WO2018231681A1 (en) * 2017-06-12 2018-12-20 Conmed Corporation Expanding anchor
US10238378B2 (en) 2004-10-26 2019-03-26 P Tech, Llc Tissue fixation system and method
US10390817B2 (en) 2007-02-13 2019-08-27 P Tech, Llc Tissue fixation system and method
US11129645B2 (en) 2006-02-07 2021-09-28 P Tech, Llc Methods of securing a fastener
US11246638B2 (en) 2006-05-03 2022-02-15 P Tech, Llc Methods and devices for utilizing bondable materials
US11253296B2 (en) 2006-02-07 2022-02-22 P Tech, Llc Methods and devices for intracorporeal bonding of implants with thermal energy
US11278331B2 (en) 2006-02-07 2022-03-22 P Tech Llc Method and devices for intracorporeal bonding of implants with thermal energy

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