JP2005527316A - 長骨骨幹端骨折用の髄内固定デバイス - Google Patents
長骨骨幹端骨折用の髄内固定デバイス Download PDFInfo
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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
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
- A61B17/863—Shanks, i.e. parts contacting bone tissue with thread interrupted or changing its form along shank, other than constant taper
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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
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
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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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
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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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1725—Guides or aligning means for drills, mills, pins or wires for applying transverse screws or pins through intramedullary nails or pins
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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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1728—Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1782—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hand or wrist
-
- 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
Abstract
Description
Claims (56)
- a)当該長寸挿通部分内に延在する少なくとも一個の螺条付きネジ孔を含む長寸挿通部分と、
b)当該プレート部分を完全に貫通して延在する少なくとも一個の螺条付きペグ孔を含み、上記挿通部分と平行であるが該挿通部分と同軸的ではないプレート部分とを備えて成る、
骨折部固定デバイス。 - 前記挿通部分は、該挿通部分を完全に貫通して延在すると共に長手方向に変位された少なくとも2個の螺条付きネジ孔を含む、請求項1記載の骨折部固定デバイス。
- 前記挿通部分は比較的に堅固な部分および比較的に弾性的な部分を含み、前記少なくとも一個のネジ孔は上記比較的に堅固な部分に在る、請求項1記載の骨折部固定デバイス。
- 前記挿通部分は直線状である、請求項1記載の骨折部固定デバイス。
- 前記挿通部分はテーパを含む、請求項1記載の骨折部固定デバイス。
- 前記挿通部分は円形断面形状を備えた部分を有する、請求項1記載の骨折部固定デバイス。
- 前記プレート部分は複数の螺条付きペグ孔を含む、請求項1記載の骨折部固定デバイス。
- 前記複数の螺条付きペグ孔は前記プレート部分において長手方向に変位される、請求項7記載の骨折部固定デバイス。
- 前記複数の螺条付きペグ孔の内の少なくとも一個の螺条付きペグ孔は上記複数の螺条付きペグ孔の内の他の螺条付きペグ孔に対して傾斜した軸心を有する、請求項7記載の骨折部固定デバイス。
- 前記螺条付きペグ孔の各々は他の螺条付きペグ孔に対して傾斜した軸心を有する、請求項9記載の骨折部固定デバイス。
- 前記挿通部分および前記プレート部分は相互に対して長手方向に変位される、請求項1記載の骨折部固定デバイス。
- 前記少なくとも一個の螺条付きネジ孔は第1螺条ピッチを有し、前記少なくとも一個の螺条付きペグ孔は第2螺条ピッチを有し、且つ、上記第1および第2螺条ピッチは異なる、請求項1記載の骨折部固定デバイス。
- a)長寸の髄内部分と、プレート部分とを有し、上記髄内部分は少なくとも一個の螺条付きネジ孔を含み且つ上記プレート部分は少なくとも一個の螺条付きペグ孔を含むという固定デバイスと、
b)上記少なくとも一個のネジ孔の内の一個のネジ孔内に螺着可能に受容され得る軸部と、平坦下面を備えたヘッドと、を有する少なくとも一本の機械ネジであって、上記ヘッドは上記ネジ孔より大寸であるという少なくとも一本の機械ネジと、
c)螺条付きヘッドと軸部とを有する少なくとも一本のペグであって上記ヘッドは上記少なくとも一個の螺条付きペグ孔の内の一個の螺条付きペグ孔内に螺着可能に係合され得るという少なくとも一本のペグとを備えて成る、
骨折部固定キット。 - 前記少なくとも一本の機械ネジは比較的に鈍頭である先端を有する、請求項13記載のキット。
- 前記少なくとも一本のペグは螺条形成なし軸部を有する、請求項13記載のキット。
- 前記プレート部分は複数の螺条付きペグ孔を含み、該複数の螺条付きペグ孔の各々は他のペグ孔の軸心に対して傾斜した軸心を有する、請求項13記載のキット。
- 前記少なくとも一本の機械ネジは異なる長さのネジを含む、請求項13記載のキット。
- a)長寸の髄内部分と、プレート部分とを有し、上記髄内部分は少なくとも一個の螺条付きネジ孔を含み且つ上記プレート部分は少なくとも一個の螺条付きペグ孔を含むという固定デバイスと、
b)上記少なくとも一個のネジ孔内に螺着可能に係合される軸部と、平坦下面を備えたヘッドと、を有する少なくとも一本の機械ネジであって、上記ヘッドは上記ネジ孔より大寸であるという少なくとも一本の機械ネジと、
c)螺条付きヘッドおよび軸部を有する少なくとも一本のペグであって、上記ヘッドは上記少なくとも一個の螺条付きペグ孔に螺着可能に係合されるという少なくとも一本のペグとを備えて成る、
骨折部固定システム。 - 前記プレート部分は複数の螺条付きペグ孔を含み、該複数の螺条付きペグ孔の各々は他のペグ孔の軸心に対して傾斜した軸心を有し、且つ、
前記少なくとも一本のペグは複数本のペグを含み、且つ、該ペグの各々の前記軸部は上記各ペグ孔の上記軸心の内のひとつの軸心と同軸的に延在する、請求項18記載の骨折部固定システム。 - a)螺条付きネジ孔を含む長寸の髄内部分を有する金属製固定デバイスと、
b)ヘッドおよび軸部を有する機械ネジとを備え、
上記ヘッドは、上記螺条付きネジ孔より大寸である平坦下面を有し、且つ、
上記軸部は、先端部分と、本体部分と、上記本体部分および上記ヘッドの間の逃げ部分とを含み、
上記本体部分は、上記螺条付きネジ孔に螺着可能に係合され得る螺条を有すると共に該螺条に対する第1直径を画成し、
上記逃げ部分は、上記本体部分と比較して相対的に円滑な表面と上記第1直径より小さな第2直径とを有し、
上記先端部分は、上記本体部分と比較して相対的に円滑な表面と上記第2直径より小さな第3直径とを有する、
骨折部固定キット。 - 前記先端部分は、前記本体部分の前記螺条と連続的である浅底螺条チャネルであって該螺条と同一ピッチである浅底螺条チャネルを含む、請求項20記載のキット。
- 前記逃げ部分は、前記本体部分の前記螺条と連続的である浅底螺条チャネルであって該螺条と同一ピッチである浅底螺条チャネルを含む、請求項20記載のキット。
- 軟骨下骨層断片を画成する長骨であって内側表面および外側表面と、皮層と、それを貫通する髄内領域とを有する長骨の骨幹端骨折部を固定する骨折部固定システムであって、
a)上記長骨の上記髄内領域内に延在するようにされた剛性長寸構造と、
b)上記長骨の外側表面上にて上記軟骨下骨層断片に亙り載置され得ると共に上記長寸構造に連結される剛性プレート構造と、
c)上記長骨の上記内側表面に対して上記長寸構造を挟持する手段と、
d)上記プレート構造に連結されると共に相互に対して傾斜した軸心にて延在して軟骨下骨層断片に対する支持を提供する複数の軸部状要素から成る機構(framework)と、を備えて成る、
骨折部固定システム。 - 前記軸部状要素はペグを含む、請求項23記載の骨折部固定システム。
- a)比較的に可撓であるセクションと、該比較的に可撓であるセクションよりも相対的に大径である比較的に堅固なセクションとを含む長寸挿通部分と、
b)複数の螺条付きペグ孔を含むと共に上記挿通部分と平行であるが該挿通部分と同軸的ではないプレート部分とを備えて成る、
骨折部固定デバイス。 - 前記挿通部分の前記比較的に堅固なセクションは実質的に直線状である、請求項25記載の骨折部固定デバイス。
- 前記比較的に可撓であるセクションは橈骨の髄管内に挿入されるべく寸法設定される、請求項25記載の骨折部固定デバイス。
- 前記挿通部分は断面が実質的に円形である、請求項25記載の骨折部固定デバイス。
- 前記比較的に可撓であるセクションはその長さに沿いテーパ付けされた直径を有する、請求項25記載の骨折部固定デバイス。
- 前記比較的に堅固なセクションの直径は前記可撓部分へとテーパ付けされる、請求項25記載の骨折部固定デバイス。
- 前記挿通部分は少なくとも一個のネジ孔を含む、請求項25記載の骨折部固定デバイス。
- 前記各ペグ孔は前記プレート部分に沿い長手方向に変位される、請求項25記載の骨折部固定デバイス。
- 前記ペグ孔は各々、個別方向に配向される、請求項25記載の骨折部固定デバイス。
- c)前記各螺条付きペグ孔の内のひとつの螺条付きペグ孔に螺着される螺条付きヘッド部分を各々が有する複数本のペグ、
を更に備えて成る請求項33記載の骨折部固定デバイス。 - 前記プレート部分は前記挿通部分に対してネック部分により長手方向に且つ垂直方向にオフセットされる、請求項25記載の骨折部固定デバイス。
- 前記比較的に可撓であるセクションは湾曲を備えた端部を含む、請求項25記載の骨折部固定デバイス。
- 前記プレート部分は実質的に凹状の下面を含む、請求項25記載の骨折部固定デバイス。
- 前記プレート部分は実質的に凸状の上面を含む、請求項25記載の骨折部固定デバイス。
- 前記プレート部分は実質的に凹状の下面を含む、請求項38記載の骨折部固定デバイス。
- 各々が螺条付きヘッド部分を有する複数本のペグと共に使用される骨折部固定デバイスであって、
a)近位側の長寸挿通部分と、
b)長手方向に変位された複数の螺条付きペグ孔であって、各ペグが個別方向に延在するという配置にて各ペグを当該ペグ孔内に挿入して配備され得る軸心を有する複数の螺条付きペグ孔を含む、遠位側の比較的に平坦なプレート部分とを備えて成る、骨折部固定デバイス。 - 前記プレート部分は前記挿通部分に対して水平方向にオフセットされる、請求項40記載の骨折部固定デバイス。
- 前記プレート部分は前記挿通部分に対して垂直方向にオフセットされる、請求項41記載の骨折部固定デバイス。
- 前記挿通部分は、比較的に可撓であるセクションと、該比較的に可撓であるセクションよりも相対的に大径である比較的に堅固なセクションとを含む、請求項40記載の骨折部固定デバイス。
- 前記各ペグ孔は前記ペグの各々が個別方向に延在する如く配置される、請求項40記載の骨折部固定デバイス。
- a)i)近位側の長寸挿通部分と、
ii)長手方向に変位された複数のペグ孔を含む遠位側の比較的に平坦なプレート部分であって上記挿通部分に対して水平方向および垂直方向にオフセットされたプレート部分と、を含む固定デバイスと、
b)上記ペグ孔の夫々に対して個別的に挿入可能な複数本のペグであって、各ペグは夫々のペグ孔に挿入され、当該ペグは幾つかの配向の内の任意の配向にて配向され得るという複数本のペグと、
c)上記各ペグをその配向の内の任意の配向にて固定する手段とを備えて成る、
骨折部固定システム。 - 前記挿通部分は、比較的に可撓であるセクションと、該比較的に可撓であるセクションよりも相対的に大径である比較的に堅固なセクションとを含む、請求項45記載の骨折部固定デバイス。
- 各々が螺条付きヘッド部分を有する複数本のペグと共に使用される骨折部固定デバイスであって、
a)近位側の長寸挿通部分と、
b)各々が非平坦である上面および下面を有する遠位側のプレート部分であって長手方向に変位された複数の孔を画成する遠位側のプレート部分とを備えて成る、
骨折部固定デバイス。 - 前記プレート部分は長手方向に変位された3個の孔を画成する、請求項47記載の骨折部固定デバイス。
- c)各々が螺条付きヘッド部分を有する複数本のペグを更に備え、
前記各孔は螺条形成され、且つ、該各孔は、少なくとも2本の上記ペグが個別方向に延在するという配置にて上記各ペグを上記ペグ孔内に挿入して配備し得る軸心を画成する、請求項47記載の骨折部固定デバイス。 - 前記各ペグ孔は前記ペグの各々が個別方向に延在する如く配置される、請求項49記載の骨折部固定デバイス。
- a)比較的に固く(stiff)非弾性的な部分を有する近位側の長寸挿通部分と、
b)上記挿通部分の上記比較的に固く非弾性的な部分と平行であるが同軸的でない遠位側の比較的に平坦なプレート部分とを備えて成る、
骨折部固定デバイス。 - 前記プレート部分は複数の孔を含む、請求項51記載の骨折部固定デバイス。
- 前記各孔は螺条形成される、請求項52記載の骨折部固定デバイス。
- 前記孔は各々、他の軸心に対して別個の配向で配備される軸心を有する、請求項53記載の骨折部固定デバイス。
- 前記プレート部分は少なくとも3個の孔を含み、且つ、上記各孔は上記プレート部分に沿い長手方向に変位される、請求項52記載の骨折部固定デバイス。
- 前記挿通部分は円形断面を備えた部分を有する、請求項51記載の骨折部固定デバイス。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/159,611 US6730090B2 (en) | 2000-02-01 | 2002-05-30 | Fixation device for metaphyseal long bone fractures |
US10/315,787 US6706046B2 (en) | 2000-02-01 | 2002-12-10 | Intramedullary fixation device for metaphyseal long bone fractures and methods of using the same |
PCT/US2003/014775 WO2003101320A1 (en) | 2002-05-30 | 2003-05-09 | Intramedullary fixation device for metaphyseal long bone fractures |
Publications (2)
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2002
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-
2003
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- 2003-05-09 BR BR0311440-6A patent/BR0311440A/pt not_active IP Right Cessation
- 2003-05-09 EP EP03728824.8A patent/EP1507486B1/en not_active Expired - Lifetime
- 2003-05-09 CA CA2487571A patent/CA2487571C/en not_active Expired - Fee Related
- 2003-05-09 JP JP2004508681A patent/JP4421474B2/ja not_active Expired - Fee Related
- 2003-05-09 US US10/515,699 patent/US7727264B2/en not_active Expired - Fee Related
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JP2007518537A (ja) * | 2004-01-23 | 2007-07-12 | デピュイ・プロダクツ・インコーポレイテッド | 軟骨下支持構造を有する、凸状関節骨面の骨折を固定するためのシステム |
JP2008528202A (ja) * | 2005-01-28 | 2008-07-31 | デピュイ・プロダクツ・インコーポレイテッド | 釘プレートシステム |
JP2009524473A (ja) * | 2006-01-27 | 2009-07-02 | デピュイ・プロダクツ・インコーポレイテッド | 骨折部固定装置およびそのための埋め込みジグ |
JP2009525833A (ja) * | 2006-02-09 | 2009-07-16 | ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング | 骨折固定のための方法及び器械 |
JP2013031688A (ja) * | 2006-02-09 | 2013-02-14 | Synthes Gmbh | 骨折固定のための方法及び器械 |
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JP2008206677A (ja) * | 2007-02-26 | 2008-09-11 | Japan Medical Materials Corp | 生体用補綴体 |
JP2011514196A (ja) * | 2008-03-07 | 2011-05-06 | デ.エル.ペ. | 骨折、特に骨端における骨折を修復する装置 |
JP2013515578A (ja) * | 2009-12-29 | 2013-05-09 | モーブライフ エヌヴイ | オーダメードの外科用ガイドとその製造および使用方法 |
Also Published As
Publication number | Publication date |
---|---|
US20030083661A1 (en) | 2003-05-01 |
CA2487571A1 (en) | 2003-12-11 |
EP1507486A4 (en) | 2009-01-28 |
AU2003234384A1 (en) | 2003-12-19 |
US7727264B2 (en) | 2010-06-01 |
BR0311440A (pt) | 2005-03-22 |
JP4421474B2 (ja) | 2010-02-24 |
US20060100624A1 (en) | 2006-05-11 |
EP1507486A1 (en) | 2005-02-23 |
WO2003101320A1 (en) | 2003-12-11 |
EP1507486B1 (en) | 2013-11-06 |
US6706046B2 (en) | 2004-03-16 |
CA2487571C (en) | 2011-01-25 |
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