JP2006501908A - 固定要素 - Google Patents
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- JP2006501908A JP2006501908A JP2004542245A JP2004542245A JP2006501908A JP 2006501908 A JP2006501908 A JP 2006501908A JP 2004542245 A JP2004542245 A JP 2004542245A JP 2004542245 A JP2004542245 A JP 2004542245A JP 2006501908 A JP2006501908 A JP 2006501908A
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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
- A61B17/1659—Surgical rasps, files, planes, or scrapers
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- 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
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- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the spine
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- 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
- A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
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- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
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- A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
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- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
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- 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
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
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- A—HUMAN NECESSITIES
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- 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
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
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- 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
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
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- Public Health (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Neurology (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
Description
1の端部2に隣接して、枝部が内面ねじ山10を有する。内面ねじ山は、たとえば、ねじ山フランクがいずれの場合も対称軸4に対して90°の角度で延在する平坦なねじ山として設計される。U字型の窪みの底部は、第2の端部3から予め定められた距離まで延在する。
のために管状ねじシャンク13は、その第1の端部16に隣接してその内壁上に内面ねじ山131を有する。こうして、第1の実施例と対照的に、頭部はシャンクにおいて係合する頭部によってねじシャンクに接続されるが、第1の実施例では頭部はシャンクを囲んで係合する。
の方から導入され得ることを意味する。
さらに、図示される例示的な実施例では、内面ねじ山部分122が第1の端部114および第2の端部115に隣接して形成され、上述の内面ねじ山部分122は、先端部、ならびにねじ頭部および受部にそれぞれ接続するのに役立ち、これは先述の実施例に関連して記載されている通りである。
Claims (19)
- 骨ねじ山部分を備えたシャンク(13)および頭部(14;140)を有するねじ(12)を含む固定要素であって、前記ねじをロッド型の要素(40)に接続するための受部(1)を含み、前記ねじおよび前記受部は多軸または単軸の態様で互いに接続され、前記ねじの前記シャンク(13)は管状に設計され、その壁は複数の窪み(18)を有することを特徴とする、固定要素。
- 前記シャンク(13)および前記頭部(14;140)は別個の部分として設計されることを特徴とする、請求項1に記載の固定要素。
- 前記シャンク(13)は、前記頭部の方に向けられたその端部(16)に内面ねじ山部分を有し、前記頭部(140)は、前記頭部を前記シャンクにねじ込むことができるように対応する外面ねじ山(143)を備えた部分を有することを特徴とする、請求項2に記載の固定要素。
- 前記頭部(14)は、前記シャンクの方に向けられたその端部に、前記シャンク(13)が把持される窪み(24)を有することを特徴とする、請求項2に記載の固定要素。
- 前記頭部(14)は、前記シャンク(13)の方に向けられる側に、弾力的に曲がる端縁(25,26)を有することを特徴とする、請求項4に記載の固定要素。
- 前記シャンク(13)は、前記頭部(14)の方に向けられるその端部に隣接して、骨ねじ山のない部分(20)を有することを特徴とする、請求項4または5に記載の固定要素。
- 前記骨ねじ山のない部分(20)は基本的に滑らかな外面を有することを特徴とする、請求項6に記載の固定要素。
- 前記骨ねじ山のない部分(20)は、前記窪み(24)の壁上の対応する内面ねじ山(28)と協働するメートル外面ねじ山(28′)を有することを特徴とする、請求項6に記載の固定要素。
- 前記骨ねじ山のない部分(20)は、前記窪み(24)の波形の壁(27)と協働する波形の外面(27′)を有することを特徴とする、請求項6に記載の固定要素。
- 前記頭部はそこを通って延在するチャネルを有することを特徴とする、請求項1から9のいずれかに記載の固定要素。
- 前記ねじの先端部は、前記シャンクの内面ねじ山部分にねじ込むことができる別個の要素であることを特徴とする、請求項1から10のいずれかに記載の固定要素。
- 前記受部(1)は中空の球体セグメントとして形作られる部分(6)を有し、前記頭部(14;140)は、これに対応して多軸接続を可能にするよう中空の球体セグメントとして形作られることを特徴とする、請求項1から11のいずれかに記載の固定要素。
- 受部(70,70′)は、前記受部におけるロッド型の要素(40,40′)がねじ軸に対してオフセットされて把持されるように設計されることを特徴とする、請求項1から12のいずれかに記載の固定要素。
- 前記ねじの前記頭部および受部(90)は一体に設計されて、結果として単軸接続となることを特徴とする、請求項1から11のいずれかに記載の固定要素。
- 脊柱の手術または外傷の手術で用いるための管状シャンク要素であって、骨ねじ山部分(13)と、前記骨ねじ山部分の壁に設けられた窪み(18)とを備え、前記管状シャンク要素は、一方の端部(17)で先端部を受けるよう設計され、反対側の端部(16)に、シャンク要素を骨にねじ込むためにねじ回しと係合するための手段(21)を有する、管状シャンク要素。
- ねじ回しと係合するための前記手段は、端面に設けられたスリット(21)であることを特徴とする、請求項15に記載の管状シャンク要素。
- 前記窪み(18)のうちいくつかが、螺旋状の頂部を中断するように骨ねじ山に突き出ることを特徴とする、請求項1から16のいずれかに記載の要素。
- 窪み(120,120′)は、骨ねじ山のねじ山谷底(119)に配置され、かつ前記骨ねじ山の螺旋状の頂部(118)が損なわれないままとなるような寸法にされることを特徴とする、請求項1から16のいずれかに記載の固定要素。
- 前記管状シャンクは円錐形の骨ねじ山部分(126)を有することを特徴とする、請求項1から18のいずれかに記載の要素。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE10246177A DE10246177A1 (de) | 2002-10-02 | 2002-10-02 | Verankerungselement |
PCT/EP2002/014676 WO2004032774A1 (de) | 2002-10-02 | 2002-12-20 | Knochenverankerungselement |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009210882A Division JP5138648B2 (ja) | 2002-10-02 | 2009-09-11 | 固定要素 |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2006501908A true JP2006501908A (ja) | 2006-01-19 |
JP2006501908A5 JP2006501908A5 (ja) | 2006-03-02 |
JP4437086B2 JP4437086B2 (ja) | 2010-03-24 |
Family
ID=37252235
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004542245A Expired - Lifetime JP4437086B2 (ja) | 2002-10-02 | 2002-12-20 | 固定要素 |
JP2009210882A Expired - Lifetime JP5138648B2 (ja) | 2002-10-02 | 2009-09-11 | 固定要素 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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JP2009210882A Expired - Lifetime JP5138648B2 (ja) | 2002-10-02 | 2009-09-11 | 固定要素 |
Country Status (7)
Country | Link |
---|---|
US (1) | US9848892B2 (ja) |
EP (2) | EP1443866B1 (ja) |
JP (2) | JP4437086B2 (ja) |
KR (1) | KR100996240B1 (ja) |
AU (1) | AU2002360070A1 (ja) |
DE (3) | DE10246177A1 (ja) |
WO (1) | WO2004032774A1 (ja) |
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2007014787A (ja) * | 2005-07-08 | 2007-01-25 | Biedermann Motech Gmbh | 骨固定装置 |
JP2007021206A (ja) * | 2005-07-12 | 2007-02-01 | Biedermann Motech Gmbh | 骨固定装置 |
KR20080046571A (ko) * | 2006-11-22 | 2008-05-27 | 비이더만 모테크 게엠베하 | 뼈 고정장치 |
JP2008119467A (ja) * | 2006-11-10 | 2008-05-29 | Biedermann Motech Gmbh | 骨固定釘 |
US8366710B2 (en) | 2006-05-26 | 2013-02-05 | National University Corporation Nagoya University | External fixator |
JP2014000403A (ja) * | 2012-06-18 | 2014-01-09 | Biedermann Technologies Gmbh & Co Kg | 骨アンカー |
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- 2002-10-02 DE DE10246177A patent/DE10246177A1/de not_active Withdrawn
- 2002-12-20 EP EP02795258A patent/EP1443866B1/de not_active Expired - Lifetime
- 2002-12-20 WO PCT/EP2002/014676 patent/WO2004032774A1/de active IP Right Grant
- 2002-12-20 DE DE50206171T patent/DE50206171D1/de not_active Expired - Lifetime
- 2002-12-20 KR KR1020047006260A patent/KR100996240B1/ko active IP Right Grant
- 2002-12-20 JP JP2004542245A patent/JP4437086B2/ja not_active Expired - Lifetime
- 2002-12-20 EP EP06005740A patent/EP1681024B1/de not_active Expired - Lifetime
- 2002-12-20 US US10/494,456 patent/US9848892B2/en not_active Expired - Lifetime
- 2002-12-20 AU AU2002360070A patent/AU2002360070A1/en not_active Abandoned
- 2002-12-20 DE DE50212417T patent/DE50212417D1/de not_active Expired - Lifetime
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- 2009-09-11 JP JP2009210882A patent/JP5138648B2/ja not_active Expired - Lifetime
Cited By (16)
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JP2007014787A (ja) * | 2005-07-08 | 2007-01-25 | Biedermann Motech Gmbh | 骨固定装置 |
JP2007021206A (ja) * | 2005-07-12 | 2007-02-01 | Biedermann Motech Gmbh | 骨固定装置 |
US8366710B2 (en) | 2006-05-26 | 2013-02-05 | National University Corporation Nagoya University | External fixator |
JP2013090987A (ja) * | 2006-11-10 | 2013-05-16 | Biedermann Technologies Gmbh & Co Kg | 骨固定釘 |
JP2008119467A (ja) * | 2006-11-10 | 2008-05-29 | Biedermann Motech Gmbh | 骨固定釘 |
US9517088B2 (en) | 2006-11-10 | 2016-12-13 | Biedermann Technologies Gmbh & Co. Kg | Bone anchoring nail |
JP2008126082A (ja) * | 2006-11-22 | 2008-06-05 | Biedermann Motech Gmbh | 骨固定装置およびモジュラシステム |
KR20080046571A (ko) * | 2006-11-22 | 2008-05-27 | 비이더만 모테크 게엠베하 | 뼈 고정장치 |
KR101586835B1 (ko) | 2006-11-22 | 2016-01-20 | 비이더만 테크놀로지스 게엠베하 & 코. 카게 | 뼈 고정장치 |
US11116556B2 (en) | 2012-06-18 | 2021-09-14 | Biedermann Technologies Gmbh & Co. Kg | Bone anchor |
JP2014000403A (ja) * | 2012-06-18 | 2014-01-09 | Biedermann Technologies Gmbh & Co Kg | 骨アンカー |
US10092339B2 (en) | 2012-06-18 | 2018-10-09 | Biedermann Technologies Gmbh & Co. Kg | Bone anchor |
US12042195B2 (en) | 2012-06-18 | 2024-07-23 | Biedermann Technologies Gmbh & Co. Kg | Bone anchor |
JP2015073905A (ja) * | 2013-10-11 | 2015-04-20 | ビーダーマン・テクノロジーズ・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング・ウント・コンパニー・コマンディートゲゼルシャフトBiedermann Technologies Gmbh & Co. Kg | 骨ねじおよび骨ねじを提供する方法 |
US11172968B2 (en) | 2013-10-11 | 2021-11-16 | Biedermann Technologies Gmbh & Co. Kg | Bone screw with self-constrained flexibility |
US10335215B2 (en) | 2013-10-11 | 2019-07-02 | Biedermann Technologies Gmbh & Co. Kg | Bone screw with self-constrained flexibility |
Also Published As
Publication number | Publication date |
---|---|
JP2010012292A (ja) | 2010-01-21 |
KR100996240B1 (ko) | 2010-11-23 |
DE50212417D1 (de) | 2008-08-07 |
EP1443866B1 (de) | 2006-03-22 |
EP1681024B1 (de) | 2008-06-25 |
KR20050058992A (ko) | 2005-06-17 |
JP4437086B2 (ja) | 2010-03-24 |
AU2002360070A1 (en) | 2004-05-04 |
DE50206171D1 (de) | 2006-05-11 |
WO2004032774A1 (de) | 2004-04-22 |
EP1443866A1 (de) | 2004-08-11 |
US20050055026A1 (en) | 2005-03-10 |
JP5138648B2 (ja) | 2013-02-06 |
EP1681024A1 (de) | 2006-07-19 |
DE10246177A1 (de) | 2004-04-22 |
US9848892B2 (en) | 2017-12-26 |
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