JP2007532258A - ねじ組立体 - Google Patents

ねじ組立体 Download PDF

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Publication number
JP2007532258A
JP2007532258A JP2007508524A JP2007508524A JP2007532258A JP 2007532258 A JP2007532258 A JP 2007532258A JP 2007508524 A JP2007508524 A JP 2007508524A JP 2007508524 A JP2007508524 A JP 2007508524A JP 2007532258 A JP2007532258 A JP 2007532258A
Authority
JP
Japan
Prior art keywords
base
support
arm
screw assembly
assembly
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2007508524A
Other languages
English (en)
Japanese (ja)
Other versions
JP2007532258A5 (enExample
Inventor
アーロン ディー． マークウォース，
ユゲス エフ． マランダイン，
Original Assignee
カイフォン インコーポレイテッド
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/825,962 external-priority patent/US7648520B2/en
Priority claimed from US11/027,500 external-priority patent/US7789899B2/en
Priority claimed from US11/027,501 external-priority patent/US7811311B2/en
Application filed by カイフォン インコーポレイテッド filed Critical カイフォン インコーポレイテッド
Publication of JP2007532258A publication Critical patent/JP2007532258A/ja
Publication of JP2007532258A5 publication Critical patent/JP2007532258A5/ja
Pending legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7004—Longitudinal elements, e.g. rods with a cross-section which varies along its length
    • A61B17/7005—Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit in the screw or hook heads
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7004—Longitudinal elements, e.g. rods with a cross-section which varies along its length
    • A61B17/7007—Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit around the screw or hook heads
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/701—Longitudinal elements with a non-circular, e.g. rectangular, cross-section
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • A61B17/7037—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • A61B17/7082—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7083—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements
    • A61B17/7085—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements for insertion of a longitudinal element down one or more hollow screw or hook extensions, i.e. at least a part of the element within an extension has a component of movement parallel to the extension's axis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7011—Longitudinal element being non-straight, e.g. curved, angled or branched
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7041—Screws or hooks combined with longitudinal elements which do not contact vertebrae with single longitudinal rod offset laterally from single row of screws or hooks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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
    • A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
    • A61B17/8047—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers wherein the additional element surrounds the screw head in the plate hole

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Neurology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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)
JP2007508524A 2004-04-16 2005-04-15 ねじ組立体 Pending JP2007532258A (ja)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US10/825,962 US7648520B2 (en) 2004-04-16 2004-04-16 Pedicle screw assembly
US11/027,500 US7789899B2 (en) 2004-12-30 2004-12-30 Bone anchorage screw with built-in hinged plate
US11/027,501 US7811311B2 (en) 2004-12-30 2004-12-30 Screw with deployable interlaced dual rods
PCT/US2005/012657 WO2005104970A1 (en) 2004-04-16 2005-04-15 Screw assembly

Publications (2)

Publication Number Publication Date
JP2007532258A true JP2007532258A (ja) 2007-11-15
JP2007532258A5 JP2007532258A5 (enExample) 2008-05-29

Family

ID=34965628

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2007508524A Pending JP2007532258A (ja) 2004-04-16 2005-04-15 ねじ組立体

Country Status (5)

Country Link
EP (1) EP1740112A1 (enExample)
JP (1) JP2007532258A (enExample)
AU (1) AU2005237459A1 (enExample)
CA (1) CA2562744A1 (enExample)
WO (1) WO2005104970A1 (enExample)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008519611A (ja) * 2004-11-09 2008-06-12 デピュイ・スパイン・インコーポレイテッド 低侵襲性脊椎固定ガイドシステムおよび方法
JP2009533183A (ja) * 2006-04-11 2009-09-17 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 最小侵襲性固定システム
KR20110095930A (ko) * 2008-12-10 2011-08-25 컨셉트 스파인 리미티드 척추기형 교정용 수술장치
US9808281B2 (en) 2009-05-20 2017-11-07 DePuy Synthes Products, Inc. Patient-mounted retraction
US10098666B2 (en) 2011-05-27 2018-10-16 DePuy Synthes Products, Inc. Minimally invasive spinal fixation system including vertebral alignment features
US10888360B2 (en) 2010-04-23 2021-01-12 DePuy Synthes Products, Inc. Minimally invasive instrument set, devices, and related methods
KR20230102347A (ko) * 2021-12-30 2023-07-07 가톨릭대학교 산학협력단 척추 고정 장치

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7618442B2 (en) 2003-10-21 2009-11-17 Theken Spine, Llc Implant assembly and method for use in an internal structure stabilization system
US7588588B2 (en) 2003-10-21 2009-09-15 Innovative Spinal Technologies System and method for stabilizing of internal structures
US7967826B2 (en) 2003-10-21 2011-06-28 Theken Spine, Llc Connector transfer tool for internal structure stabilization systems
WO2007138659A1 (ja) 2006-05-26 2007-12-06 National University Corporation Nagoya University 創外固定器
US7806913B2 (en) 2006-08-16 2010-10-05 Depuy Spine, Inc. Modular multi-level spine stabilization system and method
NL1033910C1 (nl) * 2007-05-31 2008-12-02 Baat Holding B V Medisch apparaat voor het ten opzichte van elkaar positioneren van botdelen, in het bijzonder ruggenwervels alsmede een gereedschap voor het onderdeel voor onderdeel aanbrengen van een dergelijk medisch apparaat.
CA2697710A1 (en) * 2007-08-24 2009-03-05 Spinal Elements, Inc. Loop rod spinal stabilization device
US9827013B2 (en) 2009-12-08 2017-11-28 Concept Spine Ltd. Surgical device for correction of spinal deformities

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5649926A (en) * 1994-07-14 1997-07-22 Advanced Spine Fixation Systems, Inc. Spinal segmental reduction derotational fixation system
JP2003526443A (ja) * 2000-03-15 2003-09-09 エスディージーアイ・ホールディングス・インコーポレーテッド 多方向枢動型骨ねじ及び固定システム

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE9402695U1 (de) * 1994-02-18 1994-04-14 Kernforschungszentrum Karlsruhe Gmbh, 76133 Karlsruhe Implantat
JP2871620B2 (ja) * 1996-09-06 1999-03-17 株式会社ロバート・リード商会 骨固定装置
US7322979B2 (en) * 2000-03-15 2008-01-29 Warsaw Orthopedic, Inc. Multidirectional pivoting bone screw and fixation system
US6802844B2 (en) * 2001-03-26 2004-10-12 Nuvasive, Inc Spinal alignment apparatus and methods
US6520963B1 (en) * 2001-08-13 2003-02-18 Mckinley Lawrence M. Vertebral alignment and fixation assembly
US20040210216A1 (en) * 2003-04-17 2004-10-21 Farris Robert A Spinal fixation system and method

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5649926A (en) * 1994-07-14 1997-07-22 Advanced Spine Fixation Systems, Inc. Spinal segmental reduction derotational fixation system
JP2003526443A (ja) * 2000-03-15 2003-09-09 エスディージーアイ・ホールディングス・インコーポレーテッド 多方向枢動型骨ねじ及び固定システム

Cited By (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9179926B2 (en) 2004-11-09 2015-11-10 DePuy Synthes Products, Inc. Minimally invasive spinal fixation guide systems and methods
JP2008519611A (ja) * 2004-11-09 2008-06-12 デピュイ・スパイン・インコーポレイテッド 低侵襲性脊椎固定ガイドシステムおよび方法
US10441325B2 (en) 2006-04-11 2019-10-15 DePuy Synthes Products, Inc. Minimally invasive fixation system
JP2009533183A (ja) * 2006-04-11 2009-09-17 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 最小侵襲性固定システム
KR20110095930A (ko) * 2008-12-10 2011-08-25 컨셉트 스파인 리미티드 척추기형 교정용 수술장치
KR101648998B1 (ko) 2008-12-10 2016-08-17 컨셉트 스파인 리미티드 척추기형 교정용 수술장치
JP2012511365A (ja) * 2008-12-10 2012-05-24 コンセプト スパイン リミテッド 脊椎変形を矯正する外科装置
US10993739B2 (en) 2009-05-20 2021-05-04 DePuy Synthes Products, Inc. Patient-mounted retraction
US9808281B2 (en) 2009-05-20 2017-11-07 DePuy Synthes Products, Inc. Patient-mounted retraction
US12349936B2 (en) 2009-05-20 2025-07-08 DePuy Synthes Products, Inc. Patient-mounted retraction
US10888360B2 (en) 2010-04-23 2021-01-12 DePuy Synthes Products, Inc. Minimally invasive instrument set, devices, and related methods
US11389213B2 (en) 2010-04-23 2022-07-19 DePuy Synthes Products, Inc. Minimally invasive instrument set, devices, and related methods
US12440248B2 (en) 2010-04-23 2025-10-14 DePuy Synthes Products, Inc. Minimally invasive instrument set, devices, and related methods
US10098666B2 (en) 2011-05-27 2018-10-16 DePuy Synthes Products, Inc. Minimally invasive spinal fixation system including vertebral alignment features
KR20230102347A (ko) * 2021-12-30 2023-07-07 가톨릭대학교 산학협력단 척추 고정 장치
KR102653961B1 (ko) * 2021-12-30 2024-04-01 가톨릭대학교 산학협력단 척추 고정 장치
KR20240046465A (ko) * 2021-12-30 2024-04-09 가톨릭대학교 산학협력단 척추 고정 장치
KR102721002B1 (ko) * 2021-12-30 2024-10-22 가톨릭대학교 산학협력단 척추 고정 장치

Also Published As

Publication number Publication date
CA2562744A1 (en) 2005-11-10
WO2005104970A1 (en) 2005-11-10
EP1740112A1 (en) 2007-01-10
AU2005237459A1 (en) 2005-11-10

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