JP4514444B2 - 脊柱または骨の外科手術で使用される骨ねじ - Google Patents
脊柱または骨の外科手術で使用される骨ねじ Download PDFInfo
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- JP4514444B2 JP4514444B2 JP2003417888A JP2003417888A JP4514444B2 JP 4514444 B2 JP4514444 B2 JP 4514444B2 JP 2003417888 A JP2003417888 A JP 2003417888A JP 2003417888 A JP2003417888 A JP 2003417888A JP 4514444 B2 JP4514444 B2 JP 4514444B2
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- 210000000988 bone and bone Anatomy 0.000 title claims description 74
- 238000001356 surgical procedure Methods 0.000 title claims description 3
- 239000007943 implant Substances 0.000 description 26
- 239000000463 material Substances 0.000 description 7
- 239000003795 chemical substances by application Substances 0.000 description 4
- 230000013011 mating Effects 0.000 description 3
- 208000010392 Bone Fractures Diseases 0.000 description 2
- 230000004927 fusion Effects 0.000 description 2
- 238000010079 rubber tapping Methods 0.000 description 2
- 229910001200 Ferrotitanium Inorganic materials 0.000 description 1
- 208000001132 Osteoporosis Diseases 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 239000002639 bone cement Substances 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 229910003460 diamond Inorganic materials 0.000 description 1
- 239000010432 diamond Substances 0.000 description 1
- 239000006185 dispersion Substances 0.000 description 1
- 238000007373 indentation Methods 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 230000003746 surface roughness Effects 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
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Classifications
-
- 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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
-
- 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
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
-
- 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
- A61B17/864—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, 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
- A61B17/8685—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, 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
- A61B17/70—Spinal positioners or stabilisers ; Bone 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, 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
- A61B17/70—Spinal positioners or stabilisers ; Bone 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, 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
- A61B17/70—Spinal positioners or stabilisers ; Bone 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
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Neurology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
れ、その下方にある旋回の開口部の上方に位置する。
導入された材料とともに、骨にねじ込む。
距離をおかれるように、互いに対して寸法づけられ、配置される。
Claims (12)
- 脊柱にまたは骨の外科手術に使用される管状要素を有する骨ねじであって、骨ねじ山を有する骨ねじ山部分(5;102)と、該骨ねじ山部分(5;102)における複数の開口部(9,9′)とを有し、前記管状要素(1;101)の少なくとも一方端部は頭部または先端部を収容するように形成され、
前記管状要素(1;101)の一方の端部に着脱可能に接続された先端部(12,12′,15)が設けられ、
前記開口部が、前記骨ねじ山の谷底(8)に配置され、かつ前記骨ねじ山の頂き(7)が無傷であるような寸法にされ、
前記開口部(9,9′)のうちの少なくとも1つは、前記管状要素の壁の外側で、皿もみを含む、骨ねじ。 - 少なくとも1つの開口部が、該開口部(9)の最大直径が該ねじ山の谷底(8)におけるねじフランク(6)間の距離よりも小さくなるような寸法にされることを特徴とする、請求項1に記載の骨ねじ。
- 少なくとも1つの開口部(9′)は、該開口部(9)の最大直径が該ねじの谷底(8)における前記ねじフランク(6)間の距離よりも大きくなるような寸法にされ、該開口部は、前記ねじの谷底(8)から、前記ねじフランク(6)のうち少なくとも一方のフランクにまで、前記頂き(7)を通り抜けることがない程度に延在する、請求項1または2に記載の骨ねじ。
- 前記ねじ山の各々の旋回に、複数の等間隔に置かれた開口部が設けられる、請求項1から3のいずれかに記載の骨ねじ。
- 少なくとも一方端部に、頭部(16;24;40)または先端部(12,13)にねじ込むための、内ねじ山を有する部分(10,11;105,106)が設けられる、請求項1から4のいずれかに記載の骨ねじ。
- 前記骨ねじ山部分(102)は円錐形である、請求項1から5のいずれかに記載の骨ねじ。
- 前記管状要素(1;101)の他方端に取外し可能に接続される頭部(16;19;24;40,41,47,47′)が設けられる、請求項1に記載の骨ねじ。
- 前記頭部は、ねじ頭(17;40)として形成される、請求項7に記載の骨ねじ。
- 前記頭部は、実質的に円筒形のねじを切った要素(19)として形成される、請求項7に記載の骨ねじ。
- 前記頭部(24;47;47′)は、いくつかの骨ねじを接続するロッド(100,100′)のための収容部材として形成される、請求項7に記載の骨ねじ。
- 前記頭部(24)および前記管状要素(1;101)は、互いに単軸に接続される、請求項10に記載の骨ねじ。
- 前記収容部材を形成する前記頭部(47;47′)および前記管状要素(1;101)は、互いに多軸に接続される、請求項10に記載の骨ねじ。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE10260222A DE10260222B4 (de) | 2002-12-20 | 2002-12-20 | Rohrförmiges Element für ein in der Wirbelsäulen- oder der Knochenchirurgie zu verwendendes Implantat und Implantat mit einem solchen Element |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2004202226A JP2004202226A (ja) | 2004-07-22 |
JP2004202226A5 JP2004202226A5 (ja) | 2005-05-26 |
JP4514444B2 true JP4514444B2 (ja) | 2010-07-28 |
Family
ID=32336541
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2003417888A Expired - Fee Related JP4514444B2 (ja) | 2002-12-20 | 2003-12-16 | 脊柱または骨の外科手術で使用される骨ねじ |
Country Status (5)
Country | Link |
---|---|
US (1) | US20040147929A1 (ja) |
EP (1) | EP1430846B1 (ja) |
JP (1) | JP4514444B2 (ja) |
KR (1) | KR101076746B1 (ja) |
DE (2) | DE10260222B4 (ja) |
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Also Published As
Publication number | Publication date |
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JP2004202226A (ja) | 2004-07-22 |
DE10260222A1 (de) | 2004-07-15 |
DE50304450D1 (de) | 2006-09-14 |
KR101076746B1 (ko) | 2011-10-26 |
EP1430846B1 (de) | 2006-08-02 |
EP1430846A1 (de) | 2004-06-23 |
DE10260222B4 (de) | 2008-01-03 |
KR20040055583A (ko) | 2004-06-26 |
US20040147929A1 (en) | 2004-07-29 |
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