JP2005509480A - 骨固定装置用近位留め具 - Google Patents
骨固定装置用近位留め具 Download PDFInfo
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- JP2005509480A JP2005509480A JP2003545175A JP2003545175A JP2005509480A JP 2005509480 A JP2005509480 A JP 2005509480A JP 2003545175 A JP2003545175 A JP 2003545175A JP 2003545175 A JP2003545175 A JP 2003545175A JP 2005509480 A JP2005509480 A JP 2005509480A
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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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
-
- 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
- A61B17/683—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
-
- 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
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
-
- 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
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
- A61B17/746—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to a plate opposite the femoral head
-
- 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
- A61B17/8665—Nuts
-
- 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
- A61B17/869—Pins or screws or threaded wires; nuts therefor characterised by an open form, e.g. wire helix
-
- 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
- A61B17/8695—Washers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
-
- 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
- A61B2017/8655—Pins or screws or threaded wires; nuts therefor with special features for locking in the bone
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
Description
ポリ(L−ラクチド)
ポリ(DL−ラクチド)
ポリグリコリド
ポリ(L−ラクチド−co−D,L−ラクチド)
70:30ポリ(L−ラクチド−co−D,L−ラクチド)
95:5ポリ(DL−ラクチド−co−グリコリド)
90:10ポリ(DL−ラクチド−co−グリコリド)
85:15ポリ(DL−ラクチド−co−グリコリド)
75:25ポリ(DL−ラクチド−co−グリコリド)
50:50ポリ(DL−ラクチド−co−グリコリド)
90:10ポリ(DL−ラクチド−co−カプロラクトン)
75:25ポリ(DL−ラクチド−co−カプロラクトン)
50:50ポリ(DL−ラクチド−co−カプロラクトン)
ポリジオキサノン
ポリエステルアミド
コポリオキサレート
ポリカーボネート
ポリ(グルタミン−co−レクチン)
これらのポリマまたはその他のポリマのいずれか1つまたは混合品の望ましさは、機械的条件、好ましい製造方法、望ましい再吸収時間などを考慮に入れて、当業者が日常の実験を通じて決定することができる。本明細書の開示を考慮すれば日常の実験を通じて最適化を行うことができる。
Claims (18)
- 第1の骨の断片を第2の骨の断片に固定するための骨固定装置であって、
近位端、遠位端および第1の保持構造を有する細長い固定ピンと、
前記細長い固定ピンによって保持される少なくとも1つの遠位留め具と、
前記細長い固定ピンに対して軸方向に移動可能で第2の保持構造を有する近位留め具とを備え、
前記第2の保持構造の少なくとも一部が第1と第2の各位置の間で移動可能であり、前記第1の位置が細長い固定ピンに対する近位留め具の遠位への移動を可能にしつつ、第1の保持部の少なくとも一部と係合し細長い固定ピンに対する近位留め具の近位への移動を防止するように前記第2の位置が前記第1の位置よりも前記細長い固定ピンの長手方向軸により近く配置される骨固定装置。 - 前記近位留め具が、前記細長い固定ピン上に保持され、軸方向に滑動可能な管状体を備えている請求項1に記載の骨固定装置。
- 前記近位留め具が、かどのある骨接触面を形成する環状フランジも備えている請求項2に記載の骨固定装置。
- 前記近位留め具が、複数のレバーアームの境界を定める複数の溝を含んでいる請求項3に記載の骨固定装置。
- 前記溝が、環状フランジを通って管状ハウジング内に少なくとも部分的に伸張している請求項4に記載の骨固定装置。
- 前記第2の保持構造が、複数のレバーアームの少なくとも1つの上に位置している請求項4に記載の骨固定装置。
- 前記第2の保持構造が、近位留め具の近位端に位置している請求項5に記載の骨固定装置。
- 前記第2の保持構造が少なくとも1つの突起部または歯を備えている請求項5に記載の骨固定装置。
- 前記第1の保持構造が少なくとも1つの環状隆起部または環状溝を備えている請求項8に記載の骨固定装置。
- 前記第2の保持構造が、近位留め具内に形成された環状くぼみ内に配置された環状リングを備えている請求項1に記載の骨固定装置。
- 前記環状くぼみが近位部および遠位部を備え、前記環状リングが細長い固定ピンの長手方向軸から遠くへ移動できるように前記近位部が構成され、前記環状リングが細長い固定ピンの長手方向軸から遠くへ移動するのを防ぐように前記遠位部が構成されている請求項10に記載の骨固定装置。
- 前記第2の保持構造が細長い固定ピンの長手方向軸に向かってかたよっているフランジを備えている請求項1に記載の骨固定装置。
- 前記近位留め具が管状ハウジングを含み、前記フランジの遠位端が前記管状ハウジングに取り付けられる一方で前記フランジの近位端が細長い固定ピンの長手方向軸に向かってかたよっている請求項12に記載の骨固定装置。
- 前記固定装置上の遠位留め具が、骨の中の孔を通して遠位へ挿入するための軸の向きから、前記孔を通る軸移動を抑制するための傾斜した向きに移動可能な請求項1に記載の骨固定装置。
- 前記遠位留め具がらせん状フランジを備える請求項1に記載の骨固定装置。
- 第1の骨の断片を第2の骨の断片に固定するための骨固定装置であって、
近位端、遠位端を有する細長い固定ピンと、
前記固定ピンによって保持される少なくとも1つの遠位留め具と、
前記固定ピンに対して軸方向に移動可能でかつ管状ハウジングとフランジを備えるアクチュエータと、
前記アクチュエータに対する前記細長い固定ピンの近位への移動は行わせるが、遠位への移動は抑制する手段とを備える骨固定装置。 - 前記固定装置上の遠位留め具が、骨の中の孔を通して遠位へ挿入するための軸の向きから、前記孔を通る軸移動を抑制するための傾斜した向きに移動可能な請求項16に記載の骨固定装置。
- 前記遠位留め具がらせん状フランジを備える請求項16に記載の骨固定装置。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/990,587 US6685706B2 (en) | 2001-11-19 | 2001-11-19 | Proximal anchors for bone fixation system |
PCT/US2002/037102 WO2003043488A2 (en) | 2001-11-19 | 2002-11-18 | Proximal anchors for bone fixation system |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005509480A true JP2005509480A (ja) | 2005-04-14 |
JP4309763B2 JP4309763B2 (ja) | 2009-08-05 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2003545175A Expired - Lifetime JP4309763B2 (ja) | 2001-11-19 | 2002-11-18 | 骨固定装置用近位留め具 |
Country Status (8)
Country | Link |
---|---|
US (3) | US6685706B2 (ja) |
EP (2) | EP1453413B1 (ja) |
JP (1) | JP4309763B2 (ja) |
AT (1) | ATE444025T1 (ja) |
AU (1) | AU2002356983A1 (ja) |
DE (1) | DE60233889D1 (ja) |
ES (1) | ES2329991T3 (ja) |
WO (1) | WO2003043488A2 (ja) |
Cited By (6)
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JP2007502664A (ja) * | 2003-08-21 | 2007-02-15 | ウォーソー・オーソペディック・インコーポレーテッド | 脊椎への外科的アプローチにおいて骨アンカーに対してインプラントを配置するシステムおよび方法 |
JP2009240442A (ja) * | 2008-03-29 | 2009-10-22 | Osaka City Univ | 骨接合用スクリュー |
KR20140143791A (ko) * | 2012-03-13 | 2014-12-17 | 신세스 게엠바하 | 동적 뼈 고정 요소 |
JP2015503945A (ja) * | 2011-12-14 | 2015-02-05 | デピュイ・シンセス・プロダクツ・エルエルシーDePuy Synthes Products, LLC | 骨折部位圧縮装置 |
US9839455B2 (en) | 2006-08-01 | 2017-12-12 | J. Dean Cole | Bone fixation system and method of use |
JP2020068933A (ja) * | 2018-10-30 | 2020-05-07 | 株式会社ホムズ技研 | 骨固定システム |
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-
2001
- 2001-11-19 US US09/990,587 patent/US6685706B2/en not_active Expired - Lifetime
-
2002
- 2002-11-18 WO PCT/US2002/037102 patent/WO2003043488A2/en active Application Filing
- 2002-11-18 ES ES02803670T patent/ES2329991T3/es not_active Expired - Lifetime
- 2002-11-18 AT AT02803670T patent/ATE444025T1/de not_active IP Right Cessation
- 2002-11-18 EP EP02803670A patent/EP1453413B1/en not_active Expired - Lifetime
- 2002-11-18 AU AU2002356983A patent/AU2002356983A1/en not_active Abandoned
- 2002-11-18 JP JP2003545175A patent/JP4309763B2/ja not_active Expired - Lifetime
- 2002-11-18 EP EP08101855A patent/EP1920721A3/en not_active Withdrawn
- 2002-11-18 DE DE60233889T patent/DE60233889D1/de not_active Expired - Lifetime
-
2003
- 2003-12-23 US US10/745,360 patent/US6942668B2/en not_active Expired - Lifetime
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2005
- 2005-08-08 US US11/199,516 patent/US20060195103A1/en not_active Abandoned
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2007502664A (ja) * | 2003-08-21 | 2007-02-15 | ウォーソー・オーソペディック・インコーポレーテッド | 脊椎への外科的アプローチにおいて骨アンカーに対してインプラントを配置するシステムおよび方法 |
US9839455B2 (en) | 2006-08-01 | 2017-12-12 | J. Dean Cole | Bone fixation system and method of use |
JP2009240442A (ja) * | 2008-03-29 | 2009-10-22 | Osaka City Univ | 骨接合用スクリュー |
JP2015503945A (ja) * | 2011-12-14 | 2015-02-05 | デピュイ・シンセス・プロダクツ・エルエルシーDePuy Synthes Products, LLC | 骨折部位圧縮装置 |
KR20140143791A (ko) * | 2012-03-13 | 2014-12-17 | 신세스 게엠바하 | 동적 뼈 고정 요소 |
KR102120622B1 (ko) * | 2012-03-13 | 2020-06-10 | 신세스 게엠바하 | 동적 뼈 고정 요소 |
JP2020068933A (ja) * | 2018-10-30 | 2020-05-07 | 株式会社ホムズ技研 | 骨固定システム |
JP7239970B2 (ja) | 2018-10-30 | 2023-03-15 | 株式会社ホムズ技研 | 骨固定システム |
Also Published As
Publication number | Publication date |
---|---|
US20030097132A1 (en) | 2003-05-22 |
EP1920721A2 (en) | 2008-05-14 |
DE60233889D1 (de) | 2009-11-12 |
US20040138665A1 (en) | 2004-07-15 |
EP1920721A3 (en) | 2009-10-14 |
ATE444025T1 (de) | 2009-10-15 |
US20060195103A1 (en) | 2006-08-31 |
JP4309763B2 (ja) | 2009-08-05 |
ES2329991T3 (es) | 2009-12-03 |
US6685706B2 (en) | 2004-02-03 |
WO2003043488A3 (en) | 2003-07-31 |
EP1453413A2 (en) | 2004-09-08 |
WO2003043488A2 (en) | 2003-05-30 |
AU2002356983A8 (en) | 2003-06-10 |
AU2002356983A1 (en) | 2003-06-10 |
EP1453413B1 (en) | 2009-09-30 |
EP1453413A4 (en) | 2006-07-05 |
US6942668B2 (en) | 2005-09-13 |
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