JP2008540037A - 低侵襲で作動可能な骨固定装置、システムおよび使用方法 - Google Patents
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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
- A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
- A61B17/7275—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with expanding cylindrical parts
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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
- A61B17/7208—Flexible pins, e.g. ENDER 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
- A61B17/56—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
- A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
- A61B17/7266—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with fingers moving radially outwardly
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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
- A61B17/7241—Intramedullary pins, nails or other devices with special means of locking the nail to the bone the nail having separate elements through which screws pass
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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
- A61B17/7291—Intramedullary pins, nails or other devices for small bones, e.g. in the foot, ankle, 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
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
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Abstract
Description
おける位置付けの途中および後の場所で支援する構成要素を含んでもよい。
102 基端
104 末端
110 アクチュエータ
112 ネジ山
120 シャフト
132 基端ベアリング部
134 中間ベアリング部
136 末端ベアリング部
140 定着部
142 握持部
150 スリーブ
152 スリット
Claims (55)
- a.骨に形成された空間に位置付けられるように構成されたスリーブと、
b.前記スリーブの移動を案内するように構成されたガイドワイヤと、
c.前記装置の端部から前記骨の前記空間内に前記スリーブを固定するように構成された作動可能な止め具とを備える固定可能な骨固定装置。 - 前記スリーブが、可撓性を有する請求項1に記載の固定可能な骨固定装置。
- 前記スリーブが、開口を有する請求項1に記載の固定可能な骨固定装置。
- 前記スリーブは、伸長可能である請求項1に記載の固定可能な骨固定装置。
- 前記スリーブが、生体吸収性を有する請求項1に記載の固定可能な骨固定装置。
- 前記スリーブは、骨の中の空間から取り除くことができる請求項1に記載の固定可能な骨固定装置。
- 前記スリーブは、前記骨隆起部に形成されるアクセス穴を介して前記骨の中の前記空間にアクセスできるように構成された請求項1に記載の固定可能な骨固定装置。
- 第1の前記スリーブの中に嵌め込まれるように構成された第2のスリーブを構成する請求項1に記載の固定可能な骨固定装置。
- 前記第2のスリーブは、収納可能な連結突起を有する請求項8に記載の固定可能な骨固定装置。
- 前記スリーブは、前記収納可能な連結突起が骨に結合するように構成された長さ方向に沿った開口を有する請求項9に記載の固定可能な骨固定装置。
- 前記収納可能な連結突起は、前記スリーブによって作動される時に骨に結合するように構成された請求項9に記載の固定可能な骨固定装置。
- 前記空間の中で前記固定可能な骨固定装置が保持されるように構成された片持ち梁をさらに構成する請求項1に記載の固定可能な骨固定装置。
- 前記スリーブは、ユーザによって前記空間内で伸長され、かつ、折りたたまれる請求項1に記載の固定可能な骨固定装置。
- 前記装置は、カテーテルによって配置されるように構成された請求項1に記載の固定可能な骨固定装置。
- 前記装置の末端が、鈍性栓塞子を有する請求項1に記載の固定可能な骨固定装置。
- 前記装置の末端が、案内用先端を有する請求項1に記載の固定可能な骨固定装置。
- 前記装置は、前記骨の治療を可能にする外部の刺激を受けるように構成された請求項1に記載の固定可能な骨固定装置。
- 前記装置が内腔の中に配置される場合、前記装置は複合材料を受け入れるように構成された請求項1に記載の固定可能な骨固定装置。
- a.骨に係合する連結突起を長手方向の所定位置に有する第1のスリーブと、
b.前記第1のスリーブの前記連結突起を作用させるように構成された大きさの第2のスリーブとから構成された骨固定装置。 - 前記第1または第2のスリーブは、可撓性を有する請求項19に記載の骨固定装置。
- 前記第1または第2のスリーブは、開口を有する請求項19に記載の骨固定装置。
- 前記第1または第2のスリーブが、伸長可能である請求項19に記載の骨固定装置。
- 前記第1または第2のスリーブは、生体吸収性を有する請求項19に記載の骨固定装置。
- 前記第1または第2のスリーブは、取り除くことができる請求項19に記載の骨固定装置。
- 前記第1または第2のスリーブは、前記骨隆起部に形成されるアクセス穴を介して前記骨の空間にアクセスできるように構成された請求項19に記載の骨固定装置。
- 前記第2のスリーブは、連結突起を有する請求項19に記載の骨固定装置。
- 前記第2のスリーブは、前記収納可能な連結突起が骨に結合するように構成された長さ方向に沿った開口を有する請求項19に記載の骨固定装置。
- 前記収納可能な連結突起は、前記第2のスリーブによって作動される時に骨に結合するように構成された請求項19に記載の骨固定装置。
- 片持ち梁は、前記骨の空間の中で前記骨固定装置を保持する請求項19に記載の骨固定装置。
- 前記第1または第2のスリーブは、ユーザによって前記空間内で伸長され、かつ、折りたたまれるように構成された請求項19に記載の骨固定装置。
- 前記骨固定装置は、カテーテルによって配置されるように構成された請求項19に記載の骨固定装置。
- 前記装置の末端が、鈍性栓塞子を有する請求項19に記載の骨固定装置。
- 前記装置の末端が、案内用先端を有する請求項19に記載の固定可能な骨固定装置。
- 前記装置は、前記骨に治療のための刺激を伝えるように構成された請求項19に記載の骨固定装置。
- 前記装置が内腔の中に配置される場合、前記装置は複合材料を受け入れるように構成された請求項19に記載の骨固定装置。
- a.骨の端部のアクセスポイントで、骨隆起部を通って骨の長さ方向に沿って骨折にアクセスし、
b.前記骨の前記端部の前記アクセスポイントを通って空間に骨固定装置を推進させ、
c.前記骨折を横切るように長さ方向に沿って前記骨固定装置の一部を曲げさせ、
d.前記骨固定装置を前記骨の前記空間内の所定の場所に固定することから成る骨折整復方法。 - さらに、前記空間に前記骨固定装置を推進させる前に、前記骨隆起部を通り、前記骨折を横切って栓塞子を推進させるステップから成る請求項36に記載の方法。
- さらに、前記空間内に前記骨固定装置を定着するステップから成る請求項36に記載の方法。
- さらに、前記骨固定装置の第1のスリーブおよび第2のスリーブは、連結突起を前記骨に伸長して係合する請求項36に記載の方法。
- a.入口で骨隆起部を通って骨の長さ方向に沿って骨折にアクセスし、
b.前記入口を通って髄管に骨固定装置を導入し、
c.骨固定装置に前記骨の前記随腔に前進できるように長さ方向に沿って前記骨固定装置の一部を曲げさせ、
e.骨折箇所で髄管において屈曲可能な屈曲部を位置付け、
f.前記骨固定装置を硬直させ、
g.前記骨固定装置を前記骨の中に固定し、
h.前記骨固定装置を有する前記骨折を縮小させ、
i.前記骨折の随内整復を達成できるように前記可撓性を有する屈曲部を固定することから成る骨折整復方法。 - さらに、骨折箇所を超えるように長さ方向に沿って前記骨固定装置を曲げさせるステップから成る請求項40に記載の方法。
- さらに、入口で骨隆起部を通ってガイドワイヤを髄腔に導入することから成る請求項40に記載の方法。
- さらに、入口で骨隆起部を通ってガイドワイヤをリーミングすることから成る請求項40に記載の方法。
- 前記リーマ加工された腔の場所が、骨折の解剖学および骨の解剖学によって規定される請求項43に記載の方法。
- さらに、前記骨固定装置に沿うスリーブを前進させることからなる請求項40に記載の方法。
- 前記固定装置からスリーブがスパイクを解除する請求項45に記載の方法。
- 前記スパイクが前記骨固定装置を骨に固定する請求項46に記載の方法。
- 前記骨にバタフライ・リングを固定することから成る請求項47に記載の方法。
- さらに、前記骨固定装置にバタフライ・リングを固定することから成る請求項47に記載の方法。
- バタフライ・リングは、前記骨固定装置の上に装着される請求項47に記載の方法。
- 治具は、バタフライ・リングを通ってネジを案内する請求項46および請求項47に記載の方法。
- セルフタッピングネジは、前記バタフライ・リングを前記骨および骨固定装置に固定する請求項46および請求項47に記載の方法。
- 前記骨固定装置が強化される請求項45に記載の方法。
- 前記骨に固定される前記骨固定装置を用いて骨折片を減少させることからなる請求項40に記載の方法。
- 骨折箇所で前記屈曲部を固定するように一連のネジを推進させることからなる請求項40に記載の方法。
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US68265205P | 2005-05-18 | 2005-05-18 | |
PCT/US2006/018704 WO2006124764A1 (en) | 2005-05-18 | 2006-05-15 | Minimally invasive actuable bone fixation devices, systems and methods of use |
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JP2008540037A5 JP2008540037A5 (ja) | 2009-05-14 |
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US (4) | US20060264951A1 (ja) |
EP (1) | EP1885263A1 (ja) |
JP (1) | JP2008540037A (ja) |
CN (1) | CN101208053A (ja) |
AU (1) | AU2006247498A1 (ja) |
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US11399878B2 (en) | 2008-01-14 | 2022-08-02 | Conventus Orthopaedics, Inc. | Apparatus and methods for fracture repair |
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Also Published As
Publication number | Publication date |
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EP1885263A1 (en) | 2008-02-13 |
US7942875B2 (en) | 2011-05-17 |
US20060264951A1 (en) | 2006-11-23 |
US20060264950A1 (en) | 2006-11-23 |
CA2608693A1 (en) | 2006-11-23 |
CN101208053A (zh) | 2008-06-25 |
US7846162B2 (en) | 2010-12-07 |
AU2006247498A1 (en) | 2006-11-23 |
US20060264952A1 (en) | 2006-11-23 |
US20070233105A1 (en) | 2007-10-04 |
WO2006124764A1 (en) | 2006-11-23 |
US7914533B2 (en) | 2011-03-29 |
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