FR2874166A1 - Surgical clip for connecting fragments of bone, has bridge whose ratio between height and length is lower than specific value when series of branches are moved aside, where clip has low profile, once placed on bony parts to be connected - Google Patents

Surgical clip for connecting fragments of bone, has bridge whose ratio between height and length is lower than specific value when series of branches are moved aside, where clip has low profile, once placed on bony parts to be connected Download PDF

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FR2874166A1
FR2874166A1 FR0408823A FR0408823A FR2874166A1 FR 2874166 A1 FR2874166 A1 FR 2874166A1 FR 0408823 A FR0408823 A FR 0408823A FR 0408823 A FR0408823 A FR 0408823A FR 2874166 A1 FR2874166 A1 FR 2874166A1
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branches
bridge
series
clip
length
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FR2874166B1 (en
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Herve Arnould
Dominique Petitjean
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SURGE FOOT
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SURGE FOOT
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0642Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B2017/0641Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body

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

Abstract

The clip has two series of branches (2, 3) situated in two respective planes. Each series has branches (4) connected to a bridge (5). The bridge has a radius of curvature when the clip is in rest position, in order to obtain the bridge whose ratio between height and length is lower than 0.03 when the series are moved aside, where the planes are parallel. The clip presents a low profile, once placed on bony parts to be connected. An independent claim is also included for an accessory for positioning a surgical clip.

Description

AGRAFE CHIRURGICALESURGICAL CLIP

La présente invention a pour objet une agrafe chirurgicale destinée à assurer la liaison entre plusieurs os ou plusieurs fragments d'os et un ancillaire pour la mise en place de ladite agrafe chirurgicale.  The present invention relates to a surgical staple intended to ensure the connection between several bone or several bone fragments and an ancillary for the establishment of said surgical staple.

L'agrafe chirurgicale sera, de préférence, du type des agrafes assurant une compression mono ou bi-corticale par un effet de pression exercé par les branches sur les os.  The surgical staple will preferably be of the type of staples providing mono or bi-cortical compression by a pressure effect exerted by the branches on the bones.

On connaît déjà différents types d'agrafes permettant la liaison entre deux os; classiquement, ces agrafes comportent deux branches réunies entre elles par un pont.  Various types of staples are already known for connecting two bones; conventionally, these staples comprise two branches joined together by a bridge.

On connaît également des agrafes comportant une première série de branches disposées dans un plan et une seconde série de branches disposées dans un second plan, la première série et la seconde série étant reliées entre elles par un pont.  Also known are staples having a first series of branches disposed in a plane and a second series of branches arranged in a second plane, the first series and the second series being interconnected by a bridge.

Le fonctionnement de ces agrafes est généralement le suivant: - en position de repos, les agrafes ont une première série de branches situées dans un premier plan P1 et la seconde série de branches dans un plan P2, les plans P1 et P2 étant sécants, - le chirurgien réalise des percements dans l'os de manière à pouvoir, une fois les branches écartées, introduire ces dernières dans des orifices percés, - lors de l'introduction et une fois mise en place, les plans P1 et P2 dans lesquels les séries de branches sont contenues sont parallèles entre eux.  The operation of these staples is generally as follows: in the rest position, the staples have a first series of branches located in a first plane P1 and the second series of branches in a plane P2, the planes P1 and P2 being secant; the surgeon makes piercings in the bone so that, once the branches apart, introduce the latter in drilled holes, - during introduction and once in place, the plans P1 and P2 in which the series of branches are contained are parallel to each other.

En fonction des matériaux choisis pour l'agrafe, les branches pourront simplement assurer le maintien des os en place et on utilisera à cet effet, notamment, des agrafes réalisées en titane ou en acier inoxydable.  Depending on the materials chosen for the staple, the branches can simply maintain the bones in place and will be used for this purpose, in particular, staples made of titanium or stainless steel.

On pourra également utiliser des agrafes dont les branches exercent des forces de pression sur les os de manière à rapprocher et comprimer entre elles les 2874166 2 parties osseuses et on utilisera à cet effet, avantageusement, des agrafes en alliage à mémoire de forme.  It is also possible to use staples whose branches exert pressure forces on the bones in such a way as to bring the bony parts closer together and to compress them, and advantageously use will be made of shape-memory alloy staples for this purpose.

Dans un cas comme dans l'autre, l'écartement des séries de branches engendre une contrainte importante au niveau du pont qui est généralement plat en position de repos.  In one case as in the other, the spacing of the series of branches generates a significant stress at the bridge which is generally flat in the rest position.

Cette contrainte provoque une déformation du pont qui se cintre soit vers l'extérieur, soit vers l'intérieur, une fois que l'agrafe est mise en place.  This constraint causes a deformation of the bridge that bends either outwardly or inwardly, once the staple is put in place.

Il apparaît que cette déformation du pont engendre plusieurs inconvénients.  It appears that this deformation of the bridge generates several disadvantages.

En effet, dans le cas où le pont est bombé vers l'extérieur, il déborde nettement au dessus de la surface de l'os, ce qui crée un risque d'arrachement en cas de frottement du porteur sur une surface dure.  Indeed, in the case where the bridge is bulged outwards, it overflows clearly above the surface of the bone, which creates a risk of tearing in case of friction of the wearer on a hard surface.

Il existe également un risque de cassure en cas de choc violent ou répété sur le pont.  There is also a risk of breakage in case of violent or repeated impact on the deck.

L'agrafe peut également endommager les tissus dans le voisinage du pont.  The staple can also damage tissue in the vicinity of the bridge.

Lorsque le pont présente une surface bombée vers l'intérieur de l'agrafe, le problème est identique, les extrémités du pont débordant également largement au dessus de la surface de l'os.  When the bridge has a curved surface towards the inside of the staple, the problem is identical, the ends of the bridge also projecting well above the surface of the bone.

De plus, si le pont présente une surface bombée vers l'intérieur, le sommet du pont entrera en contact avec la surface de l'os avant que les jambes n'entrent complètement dans l'os empêchant ainsi une pénétration totale des jambes dans les corticales opposées.  In addition, if the bridge has an inward curved surface, the top of the bridge will contact the surface of the bone before the legs fully enter the bone thus preventing total penetration of the legs into the bone. opposite cortices.

La présente invention a pour but de pallier aux inconvénients précités et de proposer une agrafe qui, une fois disposée sur les parties à lier, présente un profil bas, c'est-à-dire au ras de l'os, permettant d'éviter les risques d'arrachement de ladite agrafe ou d'éviter toute lésion ou détérioration des tissus avoisinant le lieu d'implantation de ladite agrafe.  The present invention aims to overcome the aforementioned drawbacks and to provide a clip which, once arranged on the parts to be bonded, has a low profile, that is to say flush with the bone, to avoid the risks of tearing of said staple or of avoiding any lesion or deterioration of the tissues close to the implantation site of said staple.

L'invention a ainsi pour objet une agrafe chirurgicale comportant une première série et une seconde série de branches situées respectivement dans un premier plan P1 et dans un second plan P2, chacune des branches étant reliée à un pont de longueur D et les plans P1,P2 formant avec le plan P3 du pont respectivement un angle a et un angle 13 lorsque l'agrafe est en position de repos.  The subject of the invention is thus a surgical staple comprising a first series and a second series of branches located respectively in a first plane P1 and in a second plane P2, each of the branches being connected to a bridge of length D and the planes P1, P2 forming with the plane P3 of the bridge respectively an angle α and an angle 13 when the clip is in the rest position.

Selon l'invention, le pont présente un rayon de courbure R, en position de repos, permettant d'obtenir un pont dont le rapport entre la hauteur et la longueur est inférieur à 0,03 lorsque les première et seconde séries de branches sont écartées, lesdits plans P1 et P2 les contenant étant sensiblement parallèles entre eux.  According to the invention, the bridge has a radius of curvature R, in the rest position, to obtain a bridge whose ratio between height and length is less than 0.03 when the first and second series of branches are removed , said planes P1 and P2 containing them being substantially parallel to each other.

L'invention vise également un ancillaire dont la structure permet la manipulation et la mise en place de l'agrafe.  The invention also relates to an ancillary whose structure allows the manipulation and implementation of the clip.

D'autres caractéristiques et avantages de l'invention apparaîtront plus clairement à la lecture de la description ci-après d'un exemple préféré de réalisation, dans lequel la description n'est donnée qu'à titre d'exemple non limitatif et en référence aux dessins annexés par lesquels: - la figure 1 illustre une vue schématique de face d'une agrafe à deux branches en position de repos conforme à l'invention, la figure 2 représente l'agrafe de la figure 1 avec les branches écartées en vue de la pose de l'agrafe, la figure 3 illustre un second mode de réalisation dans lequel chaque série de branches comporte deux branches, - la figure 4 représente un exemple de réalisation d'un ancillaire conforme à l'invention pour une agrafe bipode.  Other features and advantages of the invention will appear more clearly on reading the following description of a preferred embodiment, in which the description is given by way of non-limiting example and with reference to the accompanying drawings in which: - Figure 1 shows a schematic front view of a clip with two branches in the rest position according to the invention, Figure 2 shows the clip of Figure 1 with the branches apart in view 3 illustrates a second embodiment in which each series of branches comprises two branches; FIG. 4 represents an exemplary embodiment of an ancillary device according to the invention for a bipod staple.

En se reportant à la figure 1, on voit que l'agrafe chirurgicale 1 comporte une première série de branches 2 et une seconde série de branches 3.  Referring to FIG. 1, it can be seen that the surgical staple 1 comprises a first series of branches 2 and a second series of branches 3.

Dans l'exemple de la figure 1, chaque série de branches 2,3 comporte une unique branche 4; cela étant, on pourra prévoir que chaque série de branches comporte deux à cinq branches 4, le nombre de branches 4 par série pouvant être identique ou non.  In the example of Figure 1, each series of branches 2,3 has a single branch 4; however, it can be expected that each series of branches has two to five branches 4, the number of branches 4 per series may be identical or not.

Toutes les branches 4 d'une même série sont situées dans un même plan à savoir le plan P1 pour la première série de branches 2 et le plan P2 pour la seconde série de branches 3.  All the branches 4 of the same series are situated in the same plane, namely the plane P1 for the first series of branches 2 and the plane P2 for the second series of branches 3.

Dans le cas où chaque série de branches 2,3 ne comporte qu'une seule branche 4, on définit les plans P1 et P2 comme des plans contenant la branche 4 de la série considérée et perpendiculaires au plan contenant les branches 4 de chaque série.  In the case where each series of branches 2,3 has only one branch 4, the planes P1 and P2 are defined as plans containing the branch 4 of the series considered and perpendicular to the plane containing the branches 4 of each series.

On définit pour l'ensemble de la demande la longueur D du pont 5 comme la distance directe séparant les extrémités 6,6' à la moitié de l'épaisseur du pont 5 de chaque côté.  For the entire application, the length D of the bridge 5 is defined as the direct distance separating the ends 6, 6 'to half the thickness of the bridge 5 on each side.

On définit également le plan P3 du pont 5 comme le plan contenant les extrémités 6,6' du pont 5 et perpendiculaire au plan de symétrie longitudinal dudit pont 5.  The plane P3 of the bridge 5 is also defined as the plane containing the ends 6, 6 'of the bridge 5 and perpendicular to the longitudinal plane of symmetry of said bridge 5.

Dans l'exemple de la figure 1, les plans P1,P2 forment avec le plan P3 du pont 5, respectivement un angle a et un angle 13 lorsque ladite agrafe 1 est en position de repos.  In the example of Figure 1, the planes P1, P2 form with the plane P3 of the bridge 5, respectively an angle and an angle 13 when said clip 1 is in the rest position.

Selon l'invention, le pont 5 présente un rayon de courbure R, lorsque l'agrafe 1 est en position de repos permettant d'obtenir un pont 5 dont le rapport entre la hauteur H et la longueur D est inférieur à 0,03 lorsque les deux séries des branches sont écartées, les plans P1 et P2 les contenant étant sensiblement parallèles entre eux.  According to the invention, the bridge 5 has a radius of curvature R when the clip 1 is in the rest position to obtain a bridge 5 whose ratio between the height H and the length D is less than 0.03 when the two series of branches are separated, the planes P1 and P2 containing them being substantially parallel to each other.

Ce rayon de courbure R en position de repos permet d'obtenir une fois l'agrafe mise en place avec la première et la seconde séries de branches parallèles entre elles un pont 5 présentant un profil bas tel que représenté à la figure 2.  This radius of curvature R in the rest position makes it possible to obtain once the staple in place with the first and second series of branches parallel to each other a bridge 5 having a low profile as represented in FIG. 2.

Le rayon de courbure R est déterminé de manière avantageuse selon la relation suivante: R = K [ D ( cos a + cos [3) ] / (4 cos a cos 3) Dans cette formule, K est un coefficient permettant de faire varier le rapport entre la hauteur H et la longueur D entre 0 et 0,03.  The radius of curvature R is advantageously determined according to the following relationship: R = K [D (cos a + cos [3)] / (4 cos a cos 3) In this formula, K is a coefficient allowing to vary the ratio between the height H and the length D between 0 and 0.03.

On pourra, en effet, si la partie osseuse disposée sous le pont 5 n'est pas parfaitement plate, choisir d'avoir un pont 5 très légèrement bombé.  In fact, if the bone portion disposed under the bridge 5 is not perfectly flat, choose to have a bridge 5 very slightly curved.

Dans le cas où au contraire la partie osseuse est plate, on choisira une agrafe dont le rayon de courbure a été calculé avec un coefficient K égal à 1.  In the case where on the contrary the bone part is flat, one will choose a staple whose radius of curvature was calculated with a coefficient K equal to 1.

A titre d'exemple, pour une agrafe 1 avec un pont de longueur égale à 19 mm, on utilisera une valeur de coefficient K compris entre 0,76 et 1,52 pour obtenir un rapport entre la hauteur H et la longueur D inférieur à 0, 03.  By way of example, for a staple 1 with a bridge of length equal to 19 mm, a value of coefficient K of between 0.76 and 1.52 will be used to obtain a ratio between the height H and the length D less than 0, 03.

Une fois en place, le pont 5 présentera un bombé entrant ou sortant maximum de 0,5 mm.  Once in place, the bridge 5 will have a bulge entering or outgoing maximum of 0.5 mm.

La relation précitée permet ainsi de calculer la courbure à donner au pont 5 pour obtenir une agrafe chirurgicale 1 présentant un profil bas.  The aforementioned relation thus makes it possible to calculate the curvature to be given to the bridge 5 in order to obtain a surgical staple 1 having a low profile.

En fonction des applications, et notamment de la position des parties osseuses à relier, l'agrafe 1 pourra être symétrique ou non, c'est-à-dire que les angles a et R pourront être égaux ou différents.  Depending on the applications, and particularly the position of the bone parts to be connected, the clip 1 may be symmetrical or not, that is to say that the angles a and R may be equal or different.

De même, la longueur de chaque branche 4 pourra être différente en 5 fonction de la nature ou des épaisseurs des os à traverser.  Similarly, the length of each branch 4 may be different depending on the nature or thickness of the bones to be crossed.

A ce sujet, on pourra également prévoir que les extrémités des branches soient arrondies ou acérées. La section des branches pourra présenter des formes géométriques diverses et notamment être ronde ou carrée.  In this regard, it may also be provided that the ends of the branches are rounded or sharp. The branch section may have various geometric shapes and in particular be round or square.

L'agrafe chirurgicale pourra également présenter des branches réalisées dans un matériau à mémoire de forme super-élastique permettant d'assurer un effort de compression aux extrémités des branches une fois placée dans l'os.  The surgical staple may also have branches made of a super-elastic shape memory material to ensure a compression force at the ends of the branches once placed in the bone.

En se reportant à la figure 4 on voit un ancillaire 7 permettant la mise en place d'une agrafe 1 bipode. Toutefois les solutions techniques décrites pour la réalisation de cet ancillaire 7 sont également transposables pour des agrafes 1 comportant plusieurs branches 4 dans chaque série 2,3.  Referring to Figure 4 we see an ancillary 7 for the establishment of a clip 1 bipod. However the technical solutions described for the realization of this ancillary 7 are also transposable for staples 1 having several branches 4 in each series 2,3.

L'ancillaire 7 est constitué de deux leviers articulés classique (12) partiellement représentés sur la figure 4 dont les extrémités comportent des mors 8.  The ancillary 7 consists of two conventional articulated levers (12) partly shown in FIG. 4, the ends of which comprise jaws 8.

Le fonctionnement de l'ancillaire 7 est le suivant, les parties latérales 9 des mors 8 viennent en appui sur l'intérieur des branches 4 de chaque série de branche 2,3. Cet appui permet lors de l'écartement des mors 8 d'exercer une pression sur les branches 4 engendrant une déformation du pont 5. Lorsque le pont 5 est plat les deux séries de branches 2,3 de l'agrafe 1 sont placées sensiblement parallèles entre elles.  The operation of the ancillary 7 is as follows, the side portions 9 of the jaws 8 bear against the inside of the branches 4 of each series of branches 2,3. This support allows, during the separation of the jaws 8 to exert a pressure on the branches 4 generating a deformation of the bridge 5. When the bridge 5 is flat the two series of branches 2,3 of the clip 1 are placed substantially parallel between them.

De préférence, l'appui se fait à l'intérieur des branches 4 au ras des pliages reliant le pont 5 aux branches 4 de chaque série 2,3.  Preferably, the support is inside the branches 4 flush with the folds connecting the bridge 5 to the branches 4 of each series 2,3.

Cet appui proximal présente l'avantage de permettre aux branches 4 de chaque série 2,3 de rester droites et permet de rentrer l'agrafe 1 le plus loin possible de l'os.  This proximal support has the advantage of allowing the branches 4 of each series 2,3 to remain straight and allows the staple 1 to be retracted as far as possible from the bone.

Selon une caractéristique avantageuse de l'invention, les mors 8 de l'ancillaire 7 présentent des rainures 10 avec une largeur supérieure à celle de l'épaisseur du pont 5 de l'agrafe 1 à laquelle l'ancillaire est destiné.  According to an advantageous characteristic of the invention, the jaws 8 of the ancillary 7 have grooves 10 with a width greater than that of the thickness of the bridge 5 of the clip 1 to which the ancillary is intended.

Cette disposition permet d'empêcher un contact simultané du pont 5 avec les deux surfaces intérieures 11 dudit mors et permet par conséquent de ne pas contraindre le travail du pont 5, lors de l'écartement des branches 4 dans chaque série 2,3 jusqu'à obtention des plans P1 et P2 parallèles.  This arrangement makes it possible to prevent simultaneous contact of the bridge 5 with the two inner surfaces 11 of said jaw and therefore makes it possible not to constrain the work of the bridge 5, during the separation of the branches 4 in each series 2,3 until obtaining parallel planes P1 and P2.

A cette même fin, on pourra également tel que représenté à la figure 4 prévoir que les extrémités 13 des leviers 12 soient biaisés vers l'intérieur.  For this same purpose, it will also be possible as shown in Figure 4 to provide that the ends 13 of the levers 12 are biased inwardly.

Bien entendu, d'autres modes de réalisation à la portée de l'homme de l'art auraient pu être envisagés sans pour autant sortir du cadre de l'invention définie par les revendications ci-après.  Of course, other embodiments within the reach of ordinary skill in the art could have been envisaged without departing from the scope of the invention defined by the claims below.

Claims (10)

REVENDICATIONS 1. Agrafe chirurgicale comportant une première série et une seconde série de branches (2,3) situées respectivement dans un premier et un second plans (P1, P2), chacune des branches (4) étant reliée à un pont de longueur D et les plans (P1, P2) formant avec le plan (P3) du pont (5), respectivement un angle a et un angle F3, CARACTERISEE en ce que le pont (5) présente un rayon de courbure (R), en position de repos, permettant d'obtenir un pont (5) dont le rapport entre la hauteur (H) et la longueur (D) est inférieur à 0,03 lorsque les deux séries de branches de l'agrafe sont écartées, les plans (P1) et (P2) les contenant étant sensiblement parallèles entre eux.  A surgical staple comprising a first series and a second series of limbs (2,3) located respectively in a first and a second plane (P1, P2), each of the branches (4) being connected to a bridge of length D and the planes (P1, P2) forming with the plane (P3) of the bridge (5), respectively an angle a and an angle F3, CHARACTERIZED in that the bridge (5) has a radius of curvature (R), in the rest position , to obtain a bridge (5) whose ratio between the height (H) and the length (D) is less than 0.03 when the two sets of branches of the clip are spaced apart, the planes (P1) and (P2) containing them being substantially parallel to each other. 2. Agrafe selon la revendication 1, dans laquelle le rayon de courbure (R) est déterminé suivant la relation suivante: R=K [D(cos a+cos(3)]/ (4cosa cos[3)  2. Clip according to claim 1, wherein the radius of curvature (R) is determined according to the following relationship: R = K [D (cos a + cos (3)] / (4cosa cos [3] 3. Agrafe selon la revendication 2, dans laquelle la valeur du coefficient K est comprise entre 0,76 et 1,52.The staple of claim 2, wherein the value of the coefficient K is between 0.76 and 1.52. 4. Agrafe selon l'une quelconque des revendications 1 à 3, dans laquelle les angles a et r3 sont égaux.  4. A clip according to any one of claims 1 to 3, wherein the angles a and r3 are equal. 5. Agrafe selon l'une quelconque des revendications 1 à 4, dans laquelle chaque série de branches (2,3) comporte une unique branche (4).  5. Clip according to any one of claims 1 to 4, wherein each series of branches (2,3) comprises a single branch (4). 6. Agrafe selon l'une quelconque des revendications 1 à 4, dans laquelle chaque série de branches comporte deux branches (4).  6. Clip according to any one of claims 1 to 4, wherein each series of branches comprises two branches (4). 7. Agrafe selon l'une quelconque des revendications 1 à 6, dans laquelle les branches (4) sont réalisées dans un matériau à mémoire de forme superélastique permettant d'assurer un effort de compression des extrémités des branches (4) sur les parties osseuses.  7. Clip according to any one of claims 1 to 6, wherein the legs (4) are made of a superelastic shape memory material to ensure a compressive force of the ends of the branches (4) on the bone parts . 8. Ancillaire pour ma mise en place d'une agrafe selon l'une quelconque des revendications précédentes comportant des mors (8) dont les parties latérales (9) viennent en appui sur les branches (4) de chaque série de branche (2, 3), au ras des pliages reliant le pont (5) aux branches (4), permettant lors de l'écartement des mors (8) d'exercer une pression sur l'intérieur des branches (4) engendrant une déformation du pont (5) de manière à placer les deux séries de branches (2,3) de l'agrafe sensiblement parallèles entre elles.  8. Ancillary for my establishment of a clip according to any one of the preceding claims comprising jaws (8) whose side portions (9) bear on the legs (4) of each series of limbs (2, 3), flush with the folds connecting the bridge (5) to the branches (4), making it possible, when the jaws (8) are spaced apart, to exert pressure on the inside of the branches (4) causing a deformation of the bridge ( 5) so as to place the two series of branches (2,3) of the clip substantially parallel to each other. 9. Ancillaire selon la revendication 8 précédente dans lequel la rainure (10) de chaque mors (8) à une dimension supérieure à l'épaisseur du pont (5) empêchant un contact simultané du pont (5) avec les deux surfaces intérieures (11) dudit mors (8).  Ancillary device according to claim 8, wherein the groove (10) of each jaw (8) has a dimension greater than the thickness of the bridge (5) preventing simultaneous contact of the bridge (5) with the two inner surfaces (11). ) of said jaw (8). 10. Ancillaire selon l'une ou l'autre des revendications 8 et 9 comportant deux mors (8) pour la mise en place d'une agrafe bipode.  10. Ancillary according to either of claims 8 and 9 comprising two jaws (8) for the establishment of a bipod clip.
FR0408823A 2004-08-11 2004-08-11 SURGICAL CLIP Expired - Fee Related FR2874166B1 (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2901119A1 (en) * 2006-05-19 2007-11-23 Memometal Technologies Soc Par DEVICE FOR SUPPORTING A SURGICAL IMPLANT WITH SHAPE MEMORY
EP1870042A1 (en) * 2006-06-21 2007-12-26 Textile Hi-Tec (T.H.T.) Surgical assembly for applying a compression staple
WO2008129061A1 (en) * 2007-04-24 2008-10-30 Small Bone Innovations International Instrument for manipulating a surgical staple and method for producing this instrument
EP2106754A1 (en) * 2008-04-02 2009-10-07 Tornier Compression staple
WO2012114360A1 (en) 2011-02-24 2012-08-30 Ntplast S.R.L. Fixing device for closing the sternum after a sternotomy and instrument for applying such device
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WO2014197265A1 (en) * 2013-06-03 2014-12-11 Biomedical Enterprises, Inc. Method and apparatus for loading and implanting a shape memory implant
WO2015107311A1 (en) * 2014-01-20 2015-07-23 Arthroplastie Diffusion Surgical instrument for fitting an osteosynthesis clip
EP3068312A4 (en) * 2013-11-13 2017-07-26 Mx Orthopedics, Corp. Staples for generating and applying compression within a body
US9861413B2 (en) 2013-11-11 2018-01-09 Arthrex, Inc. Screws for generating and applying compression within a body
US10016198B2 (en) 2014-11-13 2018-07-10 Arthrex, Inc. Staples for generating and applying compression within a body
US10456130B2 (en) 2014-05-07 2019-10-29 Biomedical Enterprises, Inc. Method and apparatus for loading and implanting a shape memory implant
US10456131B2 (en) 2014-05-07 2019-10-29 Biomedical Enterprises, Inc. Method and apparatus for loading and implanting a shape memory implant
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US10842487B2 (en) 2017-10-20 2020-11-24 Biomedical Enterprises, Inc. Method and apparatus for loading and implanting a shape memory implant
US10898249B2 (en) 2015-01-28 2021-01-26 Arthrex, Inc. Self-compressing screws for generating and applying compression within a body
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US11090095B2 (en) 2012-02-16 2021-08-17 Biomedical Enterprises, Inc. Method and apparatus for an orthopedic fixation system
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US11202626B2 (en) 2014-07-10 2021-12-21 Crossroads Extremity Systems, Llc Bone implant with means for multi directional force and means of insertion
EP3801298A4 (en) * 2018-05-29 2022-03-09 In2Bones USA, LLC Surgical bending instrument
US11317951B2 (en) 2013-12-20 2022-05-03 Crossroads Extremity Systems, Llc Bone plates with dynamic elements
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US11523820B2 (en) 2020-01-29 2022-12-13 DePuy Synthes Products, Inc. Shape memory implants and a method and apparatus for the loading and implanting thereof
US11911026B1 (en) 2018-08-08 2024-02-27 Medshape, Inc. Low profile staple and methods for using the same
US11911025B1 (en) 2018-08-08 2024-02-27 Medshape, Inc. Low profile staple and methods for using same
USD1024332S1 (en) 2018-08-08 2024-04-23 Medshape, Inc. Low profile staple
US12042386B2 (en) 2020-01-29 2024-07-23 DePuy Synthes Products, Inc. Shape memory implants and methods and apparatus for the loading and implanting thereof
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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD957636S1 (en) 2018-08-08 2022-07-12 Medshape, Inc. Low profile staple

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE4110123A1 (en) * 1991-03-27 1992-10-01 Augustin Dr Betz ELASTIC CLAMP
US5474557A (en) * 1993-09-21 1995-12-12 Mai; Christian Multibranch osteosynthesis clip with dynamic compression and self-retention
US20020173793A1 (en) * 1999-04-26 2002-11-21 Drew Allen Compression bone staple, apparatus and method

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE4110123A1 (en) * 1991-03-27 1992-10-01 Augustin Dr Betz ELASTIC CLAMP
US5474557A (en) * 1993-09-21 1995-12-12 Mai; Christian Multibranch osteosynthesis clip with dynamic compression and self-retention
US20020173793A1 (en) * 1999-04-26 2002-11-21 Drew Allen Compression bone staple, apparatus and method

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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WO2007135322A1 (en) * 2006-05-19 2007-11-29 Memometal Technologies Support device for a surgical implant with shape memory
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WO2012114360A1 (en) 2011-02-24 2012-08-30 Ntplast S.R.L. Fixing device for closing the sternum after a sternotomy and instrument for applying such device
US11090095B2 (en) 2012-02-16 2021-08-17 Biomedical Enterprises, Inc. Method and apparatus for an orthopedic fixation system
WO2014087111A1 (en) * 2012-12-06 2014-06-12 In2Bones Compression clip having convergent legs
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US10849618B2 (en) 2014-05-07 2020-12-01 Biomedical Enterprises, Inc. Method and apparatus for loading and implanting a shape memory implant
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US10820902B2 (en) 2015-09-03 2020-11-03 Biomedical Enterprises, Inc. Elastic orthopedic implant and method of manufacturing thereof
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