JP2011502028A - 整形外科装置 - Google Patents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
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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
- A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
- A61B17/64—Devices extending alongside the bones to be positioned
- A61B17/6416—Devices extending alongside the bones to be positioned with non-continuous, e.g. hinged, pin-clamp connecting element
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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
- A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
- A61B17/64—Devices extending alongside the bones to be positioned
- A61B17/6466—Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod
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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
- A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
- A61B17/64—Devices extending alongside the bones to be positioned
- A61B17/6466—Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod
- A61B17/6475—Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod the connecting rod being threaded
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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
- A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
- A61B17/66—Alignment, compression or distraction mechanisms
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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
- A61B17/8605—Heads, i.e. proximal ends projecting from 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
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Abstract
【選択図】 図1A
Description
Claims (20)
- 骨片に係合する為に適している少なくとも1つの骨固定ピンと;
その中を通って長手方向に延出しており内部にねじ山が形成されている孔を有している固定部本体と;
前記固定部本体中で対向し長手方向に延出している一対の細長穴と;そして、
前記固定部本体の前記内部にねじ山が形成されている孔内に受け入れられていて、前記対向し長手方向に延出している一対の細長穴を通って延出している1つ又はそれ以上の骨固定ピンの前記一揃いを除去可能に保持するよう構成されているピン保持体と、
を備えていて、
前記ピン保持体が、前記固定部本体内の骨固定ピンの前記一揃いの位置を制御する為に前記固定部本体内で長手方向に移動可能である、
骨部分を固定する為の整形外科装置。 - 前記固定部本体が、前記固定部本体に沿い固定された位置に1つ又はそれ以上の骨固定ピンの第2の一揃いを除去可能に保持するよう構成されている、
請求項1の整形外科装置。 - 前記固定部本体には、1つ又はそれ以上の骨固定ピンの前記第2の一揃いを除去可能に保持する為の少なくとも一対の対向しているピン孔が設けられている、
請求項2の整形外科装置。 - 前記ピン保持体が、前記ピン保持体に回転可能に取り付けられているとともに前記固定部本体内で前記ピン保持体を長手方向に移動させる為に前記固定部本体の前記ねじ山が形成されている孔に螺合されている駆動ねじ部材をさらに備えている、
請求項1の整形外科装置。 - 前記ピン保持体が、1つ又はそれ以上の骨固定ピンの前記第1の一揃いを受け入れる為に前記ピン保持体を貫通して横方向に延出している1つ又はそれ以上のピン孔を備えていて、
前記ピン保持体は、前記ピン保持体中に前記骨固定ピンを固定する為に前記1つ又はそれ以上のピン孔の夫々に受け入れられた1つ又はそれ以上の骨固定ピンの前記第1の一揃いの夫々に突き当たる為の1つ又はそれ以上の揃いのねじ部材を受け入れるよう構成されている、
請求項1の整形外科装置。 - 前記ピン保持体が、1つ又はそれ以上の骨固定ピンの前記第1の一揃いを受け入れる為に前記ピン保持体を貫通して横方向に延びている1つ又はそれ以上のピン孔と、
前記ピン保持体中で前記骨固定ピンを固定する為に前記1つ又はそれ以上のピン孔に受け入れられた前記1つ又はそれ以上の骨固定ピンに突き当たる為に前記ピン保持体中に設けられた1つ又はそれ以上の据付けねじ部材と、
を備えている、
請求項1の整形外科装置。 - 前記固定本体中に設けられ長手方向に延出している細長穴をさらに備えていて、そこを通って前記ピン保持体中に設けられている前記1つ又はそれ以上の据付けねじ部材が、前記1つ又はそれ以上のピン孔中に受け入れられている1つ又はそれ以上の骨固定ピンの前記第1の一揃い上に突き当たる為に接近される、
請求項7の整形外科装置。 - 前記固定部本体を通って骨固定ピンの第2の一揃いを受け入れる為に、前記固定本体の第2端近傍で前記固定部本体中に設けられている少なくとも一対の対向しているピン孔と、そして、
前記固定部本体の前記第2端に受け入れられていて、前記第2骨固定ピンを固定する為に前記固定本体の前記内部にねじ山が形成されている孔に螺合している据付ねじ部材と、
をさらに備えている、
請求項1の整形外科装置。 - 骨片に係合する為に適している1つ又はそれ以上の骨固定ピンと;
第1端及び第2端及びその中を通って長手方向に延出しており内部にねじ山が形成されている孔を有している固定部本体と;
前記固定部本体中に設けられていて、対向し長手方向に延出している一対の細長穴と;
前記固定部本体中に受け入れられていて、前記内部にねじ山が形成されている孔に螺合していて、1つ又はそれ以上の骨固定ピンの第1の一揃いを除去可能に保持するよう構成されているピン保持体と、
を備えていて、
前記固定ピンが前記ピン保持体を介して相互に対向している前記一対の細長穴を通って延出しており、前記ピン保持体が前記固定部本体中を長手方向に移動可能であり、前記固定部本体の長手方向軸に沿った骨固定ピンの前記第1の一揃いの位置が制御されている、
整形外科装置。 - 前記ピン保持体が駆動ねじ部材に回転可能に係合されていて、前記駆動ねじ部材は前記固定本体の前記内部にねじ山が形成されている孔と螺合されていて、これによって、前記駆動ねじを螺合させことにより及び螺合させないことにより前記固定部本体中で前記ピン保持体が長手方向に移動される、
請求項9の整形外科装置。 - 前記ピン保持体が、1つ又はそれ以上の骨固定ピンの前記第1の一揃いを受け入れる為に前記ピン保持体を貫通して横方向に延出している1つ又はそれ以上のピン孔を備えていて、そして、
前記ピン保持体が、前記ピン保持体中における前記骨固定ピンの固定の為の前記1つ又はそれ以上のピン孔の夫々に受け入れられている1つ又はそれ以上の骨固定ピンの前記第1の一揃いの夫々に突き当たる為の1つ又はそれ以上の据付けねじ部材を受け入れるよう構成されている、
請求項9の整形外科装置。 - 前記ピン保持体が、1つ又はそれ以上の骨固定ピンの前記第1の一揃いを受け入れる為に前記ピン保持体を貫通して横方向に延出している1つ又はそれ以上のピン孔と、そして、
前記ピン保持体中における前記骨固定ピンの固定の為の前記1つ又はそれ以上のピン孔に受け入れられている前記1つ又はそれ以上の骨固定ピンに突き当たる為に前記ピン保持体内に設けられている1つ又はそれ以上の据付けねじ部材と、
を備えている、請求項9の整形外科装置。 - 前記固定部本体中に設けられていて長手方向に延出している細長穴をさらに備えていて、そこを通って前記ピン保持体中に設けられている前記1つ又はそれ以上の据付けねじ部材が、前記1つ又はそれ以上のピン孔中に受け入れられている1つ又はそれ以上の骨固定ピンの前記第1の一揃い上に突き当たる為に接近される、
請求項12の整形外科装置。 - 前記固定部本体を通って骨固定ピンの第2の一揃いを受け入れる為に、前記固定本体の第2端近傍で前記固定部本体中に設けられている少なくとも一対の対向しているピン孔と、そして、
前記固定部本体の前記第2端に受け入れられていて、前記第2骨固定ピンを固定する為に前記固定本体の前記内部にねじ山が形成されている孔に螺合している据付ねじ部材と、
をさらに備えている、
請求項9の整形外科装置。 - 前記固定部本体が第1部及び第2部を備えていて、対向していて長手方向に延出している細長穴の前記第1対が前記第1部に設けられており、前記ピン保持体が前記第1部の前記内部にねじ山が形成されている孔内に受け入れられていて、前記1つ又はそれ以上の骨固定ピンの前記第2の一揃いが前記第2部中に除去可能に保持されており、
前記装置が前記第1部と前記第2部とを連結している自在継ぎ手をさらに備えている、
請求項9の整形外科装置。 - 前記自在継ぎ手が、前記自在継ぎ手の為の回転の2つの軸を提供している2重軸部材と、そして、回転の為の前記2つの軸の一方に沿い前記2重軸を完全に貫通して延出しているカニューレヒンジ固定ピンと、を備えていて、
前記カニューレヒンジ固定ピンがK−ワイヤーを受け入れる為のカニューレを提供している、
請求項15の整形外科装置。 - 骨片に係合する為に適している1つ又はそれ以上の骨固定ピンの2揃いと;
第1部及び第2部を有していて、前記第1部及び第2部が継ぎ手により連結されていて、前記第1部及び第2部の夫々がその中を通って長手方向に延出しており内部にねじ山が形成されている孔を有している、固定部本体と;
前記固定部本体の前記第1部中で、対向し長手方向に延出している第1の対の細長穴と;
前記第1部の前記内部にねじ山が形成されている孔内に受け入れられており、対向し長手方向に延出している前記第1の対の細長穴を通って延出している1つ又はそれ以上の骨固定ピンの前記第1の一揃いを除去可能に保持するよう構成されていて、前記第1部内で骨固定ピンの前記一揃いの位置を制御する為に前記第1部内で長手方向に移動可能である、第1ピン保持体と;
前記固定部本体の前記第2部中で、対向し長手方向に延出している第2の対の細長穴と;
前記第2部の前記内部にねじ山が形成されている孔内に受け入れられており、対向し長手方向に延出している前記第2の対の細長穴を通って延出している1つ又はそれ以上の骨固定ピンの前記第2の一揃いを除去可能に保持するよう構成されていて、前記第2部内で長手方向に移動可能である第2ピン保持体と;
を備えている、骨部分を固定する為の整形外科装置。 - 前記継ぎ手が自在継ぎ手である、請求項17の整形外科装置。
- 前記継ぎ手が2つの自在継ぎ手を備えている、請求項17の整形外科装置。
- 前記2つの自在継ぎ手が2つの玉継ぎ手により形成されている、請求項19の整形外科装置。
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US98401207P | 2007-10-31 | 2007-10-31 | |
US60/984,012 | 2007-10-31 | ||
US9635808P | 2008-09-12 | 2008-09-12 | |
US61/096,358 | 2008-09-12 | ||
PCT/US2008/081971 WO2009059119A1 (en) | 2007-10-31 | 2008-10-31 | Orthopedic device |
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JP2014167643A Division JP5922725B2 (ja) | 2007-10-31 | 2014-08-20 | 整形外科装置 |
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JP2014167643A Active JP5922725B2 (ja) | 2007-10-31 | 2014-08-20 | 整形外科装置 |
JP2015210841A Active JP6174660B2 (ja) | 2007-10-31 | 2015-10-27 | 整形外科装置 |
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US (5) | US8057473B2 (ja) |
EP (2) | EP3162311B1 (ja) |
JP (3) | JP5602633B2 (ja) |
AU (3) | AU2008318535B2 (ja) |
CA (1) | CA2702764C (ja) |
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EP3162311B1 (en) | 2019-11-20 |
EP3162311A1 (en) | 2017-05-03 |
US9993267B2 (en) | 2018-06-12 |
AU2014224096A1 (en) | 2014-10-02 |
US9492199B2 (en) | 2016-11-15 |
WO2009059119A1 (en) | 2009-05-07 |
JP5922725B2 (ja) | 2016-05-24 |
AU2008318535B2 (en) | 2014-06-19 |
US20140081267A1 (en) | 2014-03-20 |
EP2214602A1 (en) | 2010-08-11 |
JP5602633B2 (ja) | 2014-10-08 |
AU2016231628A1 (en) | 2016-10-20 |
EP2214602A4 (en) | 2014-04-09 |
US20090118733A1 (en) | 2009-05-07 |
AU2014224096B2 (en) | 2016-06-23 |
JP2015013176A (ja) | 2015-01-22 |
US20120029575A1 (en) | 2012-02-02 |
AU2008318535A1 (en) | 2009-05-07 |
CA2702764A1 (en) | 2009-05-07 |
US20150250501A1 (en) | 2015-09-10 |
US8585702B2 (en) | 2013-11-19 |
US20170042577A1 (en) | 2017-02-16 |
AU2016231628B2 (en) | 2018-02-01 |
US8057473B2 (en) | 2011-11-15 |
JP2016041268A (ja) | 2016-03-31 |
EP2214602B1 (en) | 2016-12-28 |
US9084632B2 (en) | 2015-07-21 |
JP6174660B2 (ja) | 2017-08-02 |
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