JP3949725B2 - 外科用留め具組立体 - Google Patents

外科用留め具組立体 Download PDF

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Publication number
JP3949725B2
JP3949725B2 JP50622698A JP50622698A JP3949725B2 JP 3949725 B2 JP3949725 B2 JP 3949725B2 JP 50622698 A JP50622698 A JP 50622698A JP 50622698 A JP50622698 A JP 50622698A JP 3949725 B2 JP3949725 B2 JP 3949725B2
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JP
Japan
Prior art keywords
anchor
bone
fastener
guide member
screw
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.)
Expired - Fee Related
Application number
JP50622698A
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English (en)
Japanese (ja)
Other versions
JP2000515041A5 (enrdf_load_stackoverflow
JP2000515041A (ja
Inventor
ジー． ブラムレット，デイル
Original Assignee
オーソーペディック デザインズ，インコーポレイティド
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 US08/680,620 external-priority patent/US5976139A/en
Application filed by オーソーペディック デザインズ，インコーポレイティド filed Critical オーソーペディック デザインズ，インコーポレイティド
Publication of JP2000515041A publication Critical patent/JP2000515041A/ja
Publication of JP2000515041A5 publication Critical patent/JP2000515041A5/ja
Application granted granted Critical
Publication of JP3949725B2 publication Critical patent/JP3949725B2/ja
Anticipated expiration legal-status Critical
Expired - Fee Related 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
    • A61B17/74—Devices for the head or neck or trochanter of the femur
    • A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
    • A61B17/746—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to a plate opposite the femoral 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
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/809—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with bone-penetrating elements, e.g. blades or prongs
    • 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
    • A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0427—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
    • A61B2017/0429—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being expanded by a mechanical mechanism which also locks them in the expanded state
    • A61B2017/043—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being expanded by a mechanical mechanism which also locks them in the expanded state by insertion of a separate spreading member into the anchor
    • A61B2017/0433—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being expanded by a mechanical mechanism which also locks them in the expanded state by insertion of a separate spreading member into the anchor the anchor or the separate member comprising threads, e.g. a set screw or a worm gear for moving spreading members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/044—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws
    • 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
    • A61F2/32—Joints for the hip
    • A61F2/36—Femoral heads ; Femoral endoprostheses
    • A61F2/3601—Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30518—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
    • A61F2002/30523—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts by means of meshing gear teeth
    • A61F2002/30525—Worm gears
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30579—Special structural features of bone or joint prostheses not otherwise provided for with mechanically expandable devices, e.g. fixation devices
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements

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)
  • Neurology (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)
JP50622698A 1996-07-17 1997-07-14 外科用留め具組立体 Expired - Fee Related JP3949725B2 (ja)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US08/680,620 1996-07-17
US08/680,620 US5976139A (en) 1996-07-17 1996-07-17 Surgical fastener assembly
PCT/US1997/012232 WO1998002105A1 (en) 1996-07-17 1997-07-14 Surgical fastener assembly
US09/239,862 US6183474B1 (en) 1996-03-13 1999-01-29 Surgical fastener assembly

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2006336177A Division JP2007090094A (ja) 1996-07-17 2006-12-13 外科用留め具組立体

Publications (3)

Publication Number Publication Date
JP2000515041A JP2000515041A (ja) 2000-11-14
JP2000515041A5 JP2000515041A5 (enrdf_load_stackoverflow) 2005-04-07
JP3949725B2 true JP3949725B2 (ja) 2007-07-25

Family

ID=37976401

Family Applications (2)

Application Number Title Priority Date Filing Date
JP50622698A Expired - Fee Related JP3949725B2 (ja) 1996-07-17 1997-07-14 外科用留め具組立体
JP2006336177A Pending JP2007090094A (ja) 1996-07-17 2006-12-13 外科用留め具組立体

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2006336177A Pending JP2007090094A (ja) 1996-07-17 2006-12-13 外科用留め具組立体

Country Status (4)

Country Link
EP (1) EP0925038A4 (enrdf_load_stackoverflow)
JP (2) JP3949725B2 (enrdf_load_stackoverflow)
AU (1) AU3662597A (enrdf_load_stackoverflow)
WO (1) WO1998002105A1 (enrdf_load_stackoverflow)

Families Citing this family (42)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5976139A (en) * 1996-07-17 1999-11-02 Bramlet; Dale G. Surgical fastener assembly
DE69816306T2 (de) 1997-02-13 2004-05-27 Boston Scientific Ltd., St. Michael Dilatator für minimal invasive beckenchirurgie
RU2141273C1 (ru) * 1997-04-09 1999-11-20 Соловьев Валерий Александрович Фиксатор соловьева в.а. для компрессионного остеосинтеза отломков проксимальной части бедренной кости
IL132742A0 (en) * 1999-05-11 2001-03-19 S I N A I Medical Technologies Osteosynthesis device for holding together in compression the parts of a fractured femur neck
WO2001047557A1 (fr) 1999-12-28 2001-07-05 Ajinomoto Co., Inc. Preparations orales pour diabetes
US6830759B2 (en) 2002-06-28 2004-12-14 Ajinomoto Co., Inc. Antidiabetic preparation for oral administration
US7951176B2 (en) 2003-05-30 2011-05-31 Synthes Usa, Llc Bone plate
US11259851B2 (en) 2003-08-26 2022-03-01 DePuy Synthes Products, Inc. Bone plate
ATE547057T1 (de) 2003-08-26 2012-03-15 Synthes Gmbh Bohrbüchse zur verwendung in einer knochenplatte
US20050055024A1 (en) * 2003-09-08 2005-03-10 James Anthony H. Orthopaedic implant and screw assembly
US11291484B2 (en) 2004-01-26 2022-04-05 DePuy Synthes Products, Inc. Highly-versatile variable-angle bone plate system
US8574268B2 (en) 2004-01-26 2013-11-05 DePuy Synthes Product, LLC Highly-versatile variable-angle bone plate system
US7229445B2 (en) 2004-06-21 2007-06-12 Synthes (Usa) Bone plate with bladed portion
JP4978906B2 (ja) * 2006-10-17 2012-07-18 周 中村 大腿骨転子部骨折に対する骨折内固定具
US7918853B2 (en) 2007-03-20 2011-04-05 Smith & Nephew, Inc. Orthopaedic plate and screw assembly
SE533303C2 (sv) * 2007-07-24 2010-08-17 Henrik Hansson Anordning för fixering av benfragment vid benbrott
SE533302C2 (sv) * 2007-07-24 2010-08-17 Henrik Hansson Anordning för fixering av benfragment vid benbrott
US8641766B2 (en) 2009-04-15 2014-02-04 DePuy Synthes Products, LLC Arcuate fixation member
US9408715B2 (en) 2009-04-15 2016-08-09 DePuy Synthes Products, Inc. Arcuate fixation member
CN105726112B (zh) 2009-06-30 2021-04-27 史密夫和内修有限公司 整形外科的植入物和紧固组件
US8449544B2 (en) 2009-06-30 2013-05-28 Smith & Nephew, Inc. Orthopaedic implant and fastener assembly
CN102596109B (zh) * 2009-09-17 2015-10-21 Ldr控股公司 具有可伸展骨固定部件的椎间植入件
US8652136B2 (en) 2011-08-15 2014-02-18 Zimmer, Gmbh Femoral fracture fixation device
WO2014114968A1 (en) * 2013-01-28 2014-07-31 Hossam Abdel Salam El Sayed Mohamed Bone fixation device
WO2015056328A1 (ja) * 2013-10-17 2015-04-23 プロスパー株式会社 骨接合具及び骨接合術
JP5770394B1 (ja) * 2013-11-07 2015-08-26 株式会社フォーエス 大腿骨近位部骨折の骨接合装置
CN104146757A (zh) * 2014-07-14 2014-11-19 苏州瑞华医院有限公司 一种治疗股骨粗隆间骨折的接骨装置
AU2017233553B2 (en) * 2016-03-18 2022-02-03 Curtin University An expandable fastener for orthopaedic applications
US10624686B2 (en) 2016-09-08 2020-04-21 DePuy Synthes Products, Inc. Variable angel bone plate
US10905476B2 (en) 2016-09-08 2021-02-02 DePuy Synthes Products, Inc. Variable angle bone plate
US10820930B2 (en) 2016-09-08 2020-11-03 DePuy Synthes Products, Inc. Variable angle bone plate
CN107661140B (zh) * 2017-11-28 2024-09-27 广东工业大学 一种弹性倒钩医用骨螺钉
US11026727B2 (en) 2018-03-20 2021-06-08 DePuy Synthes Products, Inc. Bone plate with form-fitting variable-angle locking hole
US10772665B2 (en) 2018-03-29 2020-09-15 DePuy Synthes Products, Inc. Locking structures for affixing bone anchors to a bone plate, and related systems and methods
JP7134254B2 (ja) * 2018-04-27 2022-09-09 スウェマック・イノヴェーション・アーベー 骨片の固定のための装置
US11013541B2 (en) 2018-04-30 2021-05-25 DePuy Synthes Products, Inc. Threaded locking structures for affixing bone anchors to a bone plate, and related systems and methods
CN108635031A (zh) * 2018-07-10 2018-10-12 河北医科大学第三医院 一种能够自固定的胫骨平台骨折加压器
US10925651B2 (en) 2018-12-21 2021-02-23 DePuy Synthes Products, Inc. Implant having locking holes with collection cavity for shavings
CN113384334B (zh) * 2021-07-19 2022-08-02 北京积水潭医院 股骨头支撑结构
CN113456140A (zh) * 2021-08-31 2021-10-01 华中科技大学同济医学院附属协和医院 交叉锁定组合骨锚钉
CN116138824A (zh) * 2023-01-10 2023-05-23 北京市春立正达医疗器械股份有限公司 一种锚钉及自锁式带线锚钉
WO2024230761A1 (zh) * 2023-05-10 2024-11-14 苏州柯弗尔医疗科技有限公司 一种导向锁紧装置及其骨折固定系统

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US3374786A (en) * 1964-12-15 1968-03-26 George R. Callender Jr. Fractured bone setting fastener assembly
US3791380A (en) * 1971-12-13 1974-02-12 G Dawidowski Method and apparatus of immobilizing a fractured femur
US4628923A (en) * 1983-11-28 1986-12-16 Medoff Robert J Axial compression device
US4632101A (en) * 1985-01-31 1986-12-30 Yosef Freedland Orthopedic fastener
US5041116A (en) * 1990-05-21 1991-08-20 Wilson James T Compression hip screw system
IT224673Z2 (it) * 1991-01-24 1996-06-27 Hit Medica Srl Dispositivo per ridurre le fratture trocanteriche, condiliche e del collo del femore.
EP0636346A1 (en) * 1993-07-23 1995-02-01 Massimo Santangelo Device for preventive support of the femur

Also Published As

Publication number Publication date
AU3662597A (en) 1998-02-09
EP0925038A1 (en) 1999-06-30
JP2007090094A (ja) 2007-04-12
EP0925038A4 (en) 2008-12-31
WO1998002105A1 (en) 1998-01-22
JP2000515041A (ja) 2000-11-14

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