JP5465787B2 - 髄内システムおよび方法 - Google Patents
髄内システムおよび方法 Download PDFInfo
- Publication number
- JP5465787B2 JP5465787B2 JP2012540074A JP2012540074A JP5465787B2 JP 5465787 B2 JP5465787 B2 JP 5465787B2 JP 2012540074 A JP2012540074 A JP 2012540074A JP 2012540074 A JP2012540074 A JP 2012540074A JP 5465787 B2 JP5465787 B2 JP 5465787B2
- Authority
- JP
- Japan
- Prior art keywords
- bone
- drilling
- intramedullary rod
- hole
- screw hole
- 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
Links
- 238000000034 method Methods 0.000 title description 52
- 210000000988 bone and bone Anatomy 0.000 claims description 159
- 238000005553 drilling Methods 0.000 claims description 133
- 238000003780 insertion Methods 0.000 claims description 24
- 230000037431 insertion Effects 0.000 claims description 24
- 230000013011 mating Effects 0.000 claims description 3
- 230000006835 compression Effects 0.000 description 35
- 238000007906 compression Methods 0.000 description 35
- 210000001519 tissue Anatomy 0.000 description 32
- 210000000689 upper leg Anatomy 0.000 description 24
- 239000000463 material Substances 0.000 description 10
- 238000001356 surgical procedure Methods 0.000 description 9
- 230000001054 cortical effect Effects 0.000 description 8
- 239000012634 fragment Substances 0.000 description 8
- 230000008569 process Effects 0.000 description 8
- 230000007704 transition Effects 0.000 description 7
- 206010017076 Fracture Diseases 0.000 description 6
- 239000007788 liquid Substances 0.000 description 5
- 208000010392 Bone Fractures Diseases 0.000 description 4
- 239000006260 foam Substances 0.000 description 4
- 230000000399 orthopedic effect Effects 0.000 description 4
- 230000002829 reductive effect Effects 0.000 description 4
- 238000005452 bending Methods 0.000 description 3
- 230000008901 benefit Effects 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
- 238000013461 design Methods 0.000 description 3
- 238000002513 implantation Methods 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 230000005855 radiation Effects 0.000 description 3
- 238000010079 rubber tapping Methods 0.000 description 3
- 0 CCCC1C#CCC1* Chemical compound CCCC1C#CCC1* 0.000 description 2
- 229910000531 Co alloy Inorganic materials 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 2
- 230000004888 barrier function Effects 0.000 description 2
- 210000001185 bone marrow Anatomy 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 238000012217 deletion Methods 0.000 description 2
- 230000037430 deletion Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 238000003825 pressing Methods 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 208000003149 Bone Malalignment Diseases 0.000 description 1
- 241001631457 Cannula Species 0.000 description 1
- 229910000684 Cobalt-chrome Inorganic materials 0.000 description 1
- 208000008924 Femoral Fractures Diseases 0.000 description 1
- 206010020100 Hip fracture Diseases 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 238000000137 annealing Methods 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 230000004221 bone function Effects 0.000 description 1
- 230000037118 bone strength Effects 0.000 description 1
- 210000003557 bones of lower extremity Anatomy 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 239000010952 cobalt-chrome Substances 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 238000005520 cutting process Methods 0.000 description 1
- 230000000881 depressing effect Effects 0.000 description 1
- 210000003275 diaphysis Anatomy 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 239000006261 foam material Substances 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 210000000527 greater trochanter Anatomy 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 230000002028 premature Effects 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 210000003065 pyriform sinus Anatomy 0.000 description 1
- 238000005096 rolling process Methods 0.000 description 1
- 238000012216 screening Methods 0.000 description 1
- 239000002210 silicon-based material Substances 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000009987 spinning Methods 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 238000005482 strain hardening Methods 0.000 description 1
- 210000002303 tibia Anatomy 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 238000012549 training Methods 0.000 description 1
- 238000013519 translation Methods 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 230000003313 weakening effect Effects 0.000 description 1
Images
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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1631—Special drive shafts, e.g. flexible shafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1633—Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1725—Guides or aligning means for drills, mills, pins or wires for applying transverse screws or pins through intramedullary nails or pins
-
- 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
- A61B17/8897—Guide wires or guide pins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1615—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Neurology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US26286909P | 2009-11-19 | 2009-11-19 | |
| US26287809P | 2009-11-19 | 2009-11-19 | |
| US26286509P | 2009-11-19 | 2009-11-19 | |
| US61/262,865 | 2009-11-19 | ||
| US61/262,869 | 2009-11-19 | ||
| US61/262,878 | 2009-11-19 | ||
| PCT/US2010/057344 WO2011063184A1 (en) | 2009-11-19 | 2010-11-19 | Intermedullary system and method |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2013511352A JP2013511352A (ja) | 2013-04-04 |
| JP5465787B2 true JP5465787B2 (ja) | 2014-04-09 |
Family
ID=44060008
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2012540074A Expired - Fee Related JP5465787B2 (ja) | 2009-11-19 | 2010-11-19 | 髄内システムおよび方法 |
Country Status (10)
| Country | Link |
|---|---|
| US (1) | US9526540B2 (enExample) |
| EP (1) | EP2501307A4 (enExample) |
| JP (1) | JP5465787B2 (enExample) |
| CN (1) | CN102665582A (enExample) |
| CA (1) | CA2780985C (enExample) |
| IL (1) | IL219676A0 (enExample) |
| IN (1) | IN2012DN03831A (enExample) |
| MX (1) | MX2012005625A (enExample) |
| PH (1) | PH12012500898A1 (enExample) |
| WO (1) | WO2011063184A1 (enExample) |
Families Citing this family (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104105453B (zh) * | 2012-02-10 | 2016-12-28 | 新特斯有限责任公司 | 用于髓内钉的缝合线远侧锁定 |
| US9668791B2 (en) * | 2012-04-04 | 2017-06-06 | Kok Sun Khong | Surgical implant device, method and apparatus for implanting thereof |
| US9295488B2 (en) | 2012-08-09 | 2016-03-29 | Wilson T. Asfora | Joint fusion |
| CN105188584B (zh) | 2013-02-08 | 2018-07-13 | R·戈斯兰 | 用于骨骼的融合、稳定或固定的系统、方法、装置 |
| WO2014134584A1 (en) | 2013-02-28 | 2014-09-04 | Feibel Jonathan | Systems, methods, and apparatuses for reaming bone elements |
| EP2967686B1 (en) | 2013-03-15 | 2023-09-06 | Paragon 28, Inc. | Intramedullary nail |
| WO2015021140A1 (en) * | 2013-08-06 | 2015-02-12 | Dgimed Ortho, Inc. | Clip-on indexing adaptor |
| CN104367374B (zh) * | 2014-11-13 | 2016-03-30 | 胡明军 | 一种自钻式髓内钉 |
| CN104970875A (zh) * | 2015-07-21 | 2015-10-14 | 常州华强医疗器械科技有限公司 | 远端轴向指示带锁髓内钉 |
| US11446072B2 (en) | 2017-10-10 | 2022-09-20 | DePuy Synthes Products, Inc. | Self-retaining nail to insertion handle interface |
| US10405889B2 (en) * | 2018-06-14 | 2019-09-10 | New Standard Device, LLC | Cold forged cutting tip for orthopedic wires and pins |
| CA3145562A1 (en) * | 2019-06-28 | 2020-12-30 | H & M Innovations, Llc | Harvesting cancellous bone and bone marrow using bone press apparatus |
| CN111616789B (zh) * | 2020-06-09 | 2022-06-28 | 山东大学齐鲁医院(青岛) | 一种涉及骨干捆绑钢丝穿引的装置 |
| US12004785B2 (en) | 2022-04-21 | 2024-06-11 | DePuy Synthes Products, Inc. | Retrograde femoral intramedullary nail, and related systems and methods |
Family Cites Families (20)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| NL173019C (nl) * | 1977-04-01 | 1983-12-01 | Atlantis Sa | Samenstel voor het inwendig spalken van een gebroken pijpbot. |
| AU593008B2 (en) * | 1985-08-27 | 1990-02-01 | Zimmer S.A. | Boring sensor for intramedullary nail and corresponding intramedullary nail |
| FR2586554B1 (fr) | 1985-08-27 | 1988-05-20 | Zimmer Sa | Sonde de guidage, de positionnement et de percage pour clou medullaire et clou medullaire approprie |
| US4732151A (en) * | 1986-10-08 | 1988-03-22 | Patent Research & Development Corp. | Low trauma suturing |
| DE4033280A1 (de) | 1990-04-30 | 1991-10-31 | Theo Dipl Ing Schmeller | Bohrvorrichtung fuer marknaegel |
| US5374270A (en) | 1991-12-13 | 1994-12-20 | David A. McGuire | Device and method for insertion of guide pin |
| US6053918A (en) * | 1994-10-25 | 2000-04-25 | General Orthopedics | Apparatus and method for fastening an intramedullary nail to a bone |
| US5695513A (en) * | 1996-03-01 | 1997-12-09 | Metagen, Llc | Flexible cutting tool and methods for its use |
| AU9122498A (en) | 1997-09-05 | 1999-03-29 | Board Of Regents, The University Of Texas System | Creating holes in bone via the medullary cavity |
| US6428541B1 (en) | 1998-04-09 | 2002-08-06 | Sdgi Holdings, Inc. | Method and instrumentation for vertebral interbody fusion |
| US8177841B2 (en) | 2000-05-01 | 2012-05-15 | Arthrosurface Inc. | System and method for joint resurface repair |
| CN2444564Y (zh) * | 2000-10-30 | 2001-08-29 | 姚美辉 | 互锁式骨髓内钉螺孔定位器 |
| ATE301427T1 (de) | 2002-05-03 | 2005-08-15 | Lina Medical Aps | Vorrichtung zur hämostase eines offenen blutgefässes |
| US6869434B2 (en) * | 2002-05-08 | 2005-03-22 | Soon C. Choi | Alignment system for bone fixation |
| CN2624839Y (zh) * | 2003-03-20 | 2004-07-14 | 孙涛 | 带锁髓内钉远端瞄准装置 |
| US7947043B2 (en) * | 2004-01-20 | 2011-05-24 | Depuy Products, Inc. | Intramedullary nail and associated method |
| US8029505B2 (en) * | 2005-08-25 | 2011-10-04 | Synthes Usa, Llc | External fixation system and method of use |
| JP5067976B2 (ja) * | 2006-07-01 | 2012-11-07 | オーパス ケイエスディー インコーポレイテッド | 組織固定具ならびに関連する挿入デバイス、機構、および方法 |
| US20090104252A1 (en) | 2007-10-19 | 2009-04-23 | Scar Consultants, Llc | Wound dressing for improving scarring |
| US20090149862A1 (en) | 2007-12-10 | 2009-06-11 | Sym Partners, Llc | Guide pin for pedicle screw placement and method for use of such guide pin in spinal fusion surgeries |
-
2010
- 2010-11-19 CA CA2780985A patent/CA2780985C/en not_active Expired - Fee Related
- 2010-11-19 WO PCT/US2010/057344 patent/WO2011063184A1/en not_active Ceased
- 2010-11-19 MX MX2012005625A patent/MX2012005625A/es unknown
- 2010-11-19 EP EP10832226.4A patent/EP2501307A4/en not_active Withdrawn
- 2010-11-19 PH PH1/2012/500898A patent/PH12012500898A1/en unknown
- 2010-11-19 CN CN2010800527043A patent/CN102665582A/zh active Pending
- 2010-11-19 US US13/505,137 patent/US9526540B2/en not_active Expired - Fee Related
- 2010-11-19 IN IN3831DEN2012 patent/IN2012DN03831A/en unknown
- 2010-11-19 JP JP2012540074A patent/JP5465787B2/ja not_active Expired - Fee Related
-
2012
- 2012-05-08 IL IL219676A patent/IL219676A0/en not_active IP Right Cessation
Also Published As
| Publication number | Publication date |
|---|---|
| WO2011063184A1 (en) | 2011-05-26 |
| CA2780985A1 (en) | 2011-05-26 |
| US9526540B2 (en) | 2016-12-27 |
| US20120221005A1 (en) | 2012-08-30 |
| CA2780985C (en) | 2016-07-26 |
| MX2012005625A (es) | 2012-06-19 |
| PH12012500898A1 (en) | 2012-11-12 |
| AU2010321908A1 (en) | 2012-05-24 |
| EP2501307A4 (en) | 2014-07-30 |
| IN2012DN03831A (enExample) | 2015-08-28 |
| EP2501307A1 (en) | 2012-09-26 |
| CN102665582A (zh) | 2012-09-12 |
| IL219676A0 (en) | 2012-07-31 |
| JP2013511352A (ja) | 2013-04-04 |
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Legal Events
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| A61 | First payment of annual fees (during grant procedure) |
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