JP2021505337A - 能動的圧縮器具、組立方法、及び使用方法 - Google Patents

能動的圧縮器具、組立方法、及び使用方法 Download PDF

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Publication number
JP2021505337A
JP2021505337A JP2020548897A JP2020548897A JP2021505337A JP 2021505337 A JP2021505337 A JP 2021505337A JP 2020548897 A JP2020548897 A JP 2020548897A JP 2020548897 A JP2020548897 A JP 2020548897A JP 2021505337 A JP2021505337 A JP 2021505337A
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JP
Japan
Prior art keywords
bone
instrument
feature
threaded
present
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
JP2020548897A
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English (en)
Japanese (ja)
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JP2021505337A5 (enrdf_load_stackoverflow
Inventor
ピーターソン，アレックス
エス． サヴェージ，ダニエル
エス． サヴェージ，ダニエル
ジェー． ヒンドリックス，ポール
ジェー． ヒンドリックス，ポール
ケー． パルマ—，アンドリュー
ケー． パルマ―，アンドリュー
ピー． ブレンゼル，マイケル
ピー． ブレンゼル，マイケル
エフ． オギルビー，ウィリアム
エフ． オギルビー，ウィリアム
Original Assignee
アクティボーソ， インコーポレイテッド
アクティボーソ， 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 US15/831,212 external-priority patent/US11234746B2/en
Priority claimed from US15/945,683 external-priority patent/US11224467B2/en
Application filed by アクティボーソ， インコーポレイテッド, アクティボーソ， インコーポレイテッド filed Critical アクティボーソ， インコーポレイテッド
Publication of JP2021505337A publication Critical patent/JP2021505337A/ja
Publication of JP2021505337A5 publication Critical patent/JP2021505337A5/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
    • A61B17/72—Intramedullary devices, e.g. pins or nails
    • A61B17/7216—Intramedullary devices, e.g. pins or nails for bone lengthening or compression
    • A61B17/7225—Intramedullary devices, e.g. pins or nails for bone lengthening or compression for bone compression
    • 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
    • A61B17/686—Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/844—Fasteners therefor or fasteners being internal fixation devices with expandable anchors or anchors having movable parts
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • 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
    • A61B17/84—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
    • 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
    • A61B17/84—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
    • A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
    • A61B17/8615—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the central region of the screw head
    • 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
    • A61B17/84—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
    • 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
    • A61B17/84—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
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/866—Material or manufacture
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/869—Pins or screws or threaded wires; nuts therefor characterised by an open form, e.g. wire helix
    • 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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8695—Washers
    • 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A61B17/8877—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit
    • A61B17/888—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit the driver bit acting on the central region of the screw head
    • 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A61B17/8886—Screwdrivers, spanners or wrenches holding the screw head
    • A61B17/8888—Screwdrivers, spanners or wrenches holding the screw head at its central region
    • 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A61B17/8894—Screwdrivers, spanners or wrenches holding the implant into or through which the screw is to be inserted
    • 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
    • A61B2017/681—Alignment, compression, or distraction mechanisms

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)
JP2020548897A 2017-12-04 2018-12-04 能動的圧縮器具、組立方法、及び使用方法 Pending JP2021505337A (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US15/831,212 US11234746B2 (en) 2016-02-26 2017-12-04 Active compression apparatus, methods of assembly and methods of use
US15/831,212 2017-12-04
US15/945,683 2018-04-04
US15/945,683 US11224467B2 (en) 2016-02-26 2018-04-04 Active compression apparatus, methods of assembly and methods of use
PCT/US2018/063915 WO2019113115A1 (en) 2017-12-04 2018-12-04 Active compression apparatus, methods of assembly and methods of use

Publications (2)

Publication Number Publication Date
JP2021505337A true JP2021505337A (ja) 2021-02-18
JP2021505337A5 JP2021505337A5 (enrdf_load_stackoverflow) 2022-01-11

Family

ID=66751767

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2020548897A Pending JP2021505337A (ja) 2017-12-04 2018-12-04 能動的圧縮器具、組立方法、及び使用方法

Country Status (7)

Country Link
EP (1) EP3720376A4 (enrdf_load_stackoverflow)
JP (1) JP2021505337A (enrdf_load_stackoverflow)
CN (1) CN111670016A (enrdf_load_stackoverflow)
AU (2) AU2018380015A1 (enrdf_load_stackoverflow)
CA (1) CA3098391A1 (enrdf_load_stackoverflow)
IL (1) IL275015A (enrdf_load_stackoverflow)
WO (1) WO2019113115A1 (enrdf_load_stackoverflow)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4070748B1 (en) * 2021-04-09 2024-07-10 Globus Medical, Inc Spinal screw
CN113485248B (zh) * 2021-07-19 2022-08-30 宁波兆盈医疗器械有限公司 一种变螺距螺钉的运算加工方法
US12064156B2 (en) 2023-01-09 2024-08-20 John F. Krumme Dynamic compression fixation devices
US12178485B1 (en) 2023-08-26 2024-12-31 University Of Utah Research Foundation Cannulated continuous compression screw
CN119194968B (zh) * 2024-11-26 2025-04-01 山西顾信项目管理有限公司 一种市政路面修补装置

Citations (3)

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US20130012942A1 (en) * 2005-05-18 2013-01-10 Sonoma Orthopedic Products, Inc. Segmented intramedullary fracture fixation devices and methods
US9482260B1 (en) * 2009-02-24 2016-11-01 William R Krause Flexible fastening device for industrial use
WO2017147537A1 (en) * 2016-02-26 2017-08-31 Activortho, Inc. Active compression apparatus, methods of assembly and methods of use

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US9848930B2 (en) * 2013-07-03 2017-12-26 Acumed Llc Steerable fastener for bone
DE10129490A1 (de) * 2001-06-21 2003-01-02 Helmut Mueckter Implantierbare Schraube zur Stabilisierung einer Gelenkverbindung oder eines Knochenbruches
SE0102749D0 (sv) * 2001-08-15 2001-08-15 Astra Tech Ab Implant, arrangement comprising an implant, and method for inserting said implant in bone tissue
US6656184B1 (en) * 2002-01-09 2003-12-02 Biomet, Inc. Bone screw with helical spring
US7175626B2 (en) * 2004-06-15 2007-02-13 Board Of Regents Of The University Of Nebraska Dynamic compression device and driving tool
WO2007117571A2 (en) 2006-04-06 2007-10-18 Lotus Medical, Llc Active compression to facilitate healing of bones
SE532372C2 (sv) * 2007-03-21 2009-12-29 Lars Haakan Wernersson Fjädrande infästande arrangemang
EP2249718B1 (en) * 2008-01-14 2019-09-18 Conventus Orthopaedics, Inc. Apparatus for fracture repair
WO2009152270A1 (en) * 2008-06-10 2009-12-17 Sonoma Orthopedic Products, Inc. Fracture fixation device, tools and methods
US20110144703A1 (en) * 2009-02-24 2011-06-16 Krause William R Flexible Screw
WO2012074991A1 (en) * 2010-11-30 2012-06-07 Amit Sinha Bone compression and fixation devices
EP2739223A1 (en) * 2011-08-02 2014-06-11 NLT Spine Ltd. Bone screw with deflectable portion
US9241806B2 (en) * 2011-09-26 2016-01-26 Globus Medical, Inc. Flexible anchoring and fusion devices and methods of using the same
US9265494B2 (en) * 2011-12-20 2016-02-23 Medos International Sarl Knotless instability anchor
US9439827B2 (en) * 2013-10-25 2016-09-13 Medtronic Vascular, Inc. Tissue compression device with pressure indicator
US10314631B2 (en) * 2013-12-17 2019-06-11 H. Lee Moffitt Cancer Center And Research Institute, Inc. Transdiscal screw
US10485595B2 (en) * 2015-07-13 2019-11-26 IntraFuse, LLC Flexible bone screw
US9808867B2 (en) * 2015-08-31 2017-11-07 Flex Technology, Inc. Flexible shaft for holding a tool of rotary driven motion
US11224467B2 (en) * 2016-02-26 2022-01-18 Activortho, Inc. Active compression apparatus, methods of assembly and methods of use

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130012942A1 (en) * 2005-05-18 2013-01-10 Sonoma Orthopedic Products, Inc. Segmented intramedullary fracture fixation devices and methods
US9482260B1 (en) * 2009-02-24 2016-11-01 William R Krause Flexible fastening device for industrial use
WO2017147537A1 (en) * 2016-02-26 2017-08-31 Activortho, Inc. Active compression apparatus, methods of assembly and methods of use

Also Published As

Publication number Publication date
CA3098391A1 (en) 2019-06-13
AU2018380015A1 (en) 2020-07-09
CN111670016A (zh) 2020-09-15
IL275015A (en) 2020-07-30
WO2019113115A1 (en) 2019-06-13
EP3720376A1 (en) 2020-10-14
AU2024227197A1 (en) 2024-11-07
EP3720376A4 (en) 2021-08-04

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