JP5599806B2 - 複合材料創内固定器 - Google Patents
複合材料創内固定器 Download PDFInfo
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- JP5599806B2 JP5599806B2 JP2011532256A JP2011532256A JP5599806B2 JP 5599806 B2 JP5599806 B2 JP 5599806B2 JP 2011532256 A JP2011532256 A JP 2011532256A JP 2011532256 A JP2011532256 A JP 2011532256A JP 5599806 B2 JP5599806 B2 JP 5599806B2
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- Prior art keywords
- layer
- layers
- nail
- bone
- intramedullary nail
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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
- A61B17/72—Intramedullary pins, nails or other devices
-
- 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- 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
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7216—Intramedullary pins, nails or other devices for bone lengthening or compression
-
- 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
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7216—Intramedullary pins, nails or other devices for bone lengthening or compression
- A61B17/7225—Intramedullary pins, nails or other devices 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, 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
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7283—Intramedullary pins, nails or other devices with special cross-section of the nail
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00411—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like actuated by application of energy from an energy source outside the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00415—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like having power generation near the working tip of the tool
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00526—Methods of manufacturing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00734—Aspects not otherwise provided for battery operated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00955—Material properties thermoplastic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/04—Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery
- A61B2090/0409—Specification of type of protection measures
- A61B2090/0436—Shielding
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
Description
本出願は、2008年10月15日に出願された米国仮特許出願第61/105,717号、および2009年5月21日に出願された米国仮特許出第61/180,403号の利益を主張するものである。これら各出願の開示は、参照により全体として本明細書に組み込まれる。
104 ヘッド
105 移行セクション
100c 中間部分
P ピン
111 孔
100b 第2の端部
C2 第2の外周C2
103 第2のセクション
102 シャフト
101 第1のセクション
C1 第1の外周
211 第6の層
100 髄内釘
209 第5の層
207 第4の層
213 第7の層
200a 空洞部
205 第3の層
201 第1の層
L 長さ次元
203 第2の層
T 事前含浸炭素繊維強化トウ
251 長さ次元
261 孔
250 プレート
258 層
259 層
257 層
255 層
253 層
254 層
256 層
271 ガイド部材
400 システム
410 選択エンジン
420 整形外科デバイスのモデルのライブラリ
430 層配向のパターンのライブラリ
440 有限要素解析エンジン
450 記憶デバイス
460 入力/出力モジュール
470 入力デバイス
480 出力デバイス
490 コンピュータシステム
500 プロセス
600 プロセス
712 X線不透過性マーカ
713 ラグスクリュー穴
1000 骨
715 X線不透過性マーカ
716 芯部
718 穴
720 スロット
721 インサート
722 送受信機
724 ワイヤ
726 ひずみ計/回路基板
728 部分
730 穴
732 穴
R 半径
734 保護スリーブまたはカプセル
736 インモールド挿管部
738 インモールド穴
810 髄内釘
820 髄内釘
830 溝またはチャネル
840 近位穴
850 遠位穴
860 テーパ状先端部
900 骨プレート
902 骨プレート
903 開口
910 骨プレート
912 インモールド特徴部
914 補剛材または構造補強材
916 挿入要素
918 コネクタ
920 特定患者専用骨プレート
950 髄内釘
960 第1のスリーブ
970 第2のスリーブ
980 髄内釘
982 近位部分
984 作用部分
986 遠位部分
Claims (15)
- a.骨折部を架橋するための創内固定器であって、前記創内固定器は、複数の層を有し、前記複数の層の各層が、熱可塑性成分および繊維成分を含み、選択された繊維角度パターンを有する、創内固定器と、
b.初めの層から最終層にかけて対称的に構成された、前記選択された繊維角度パターンと、
c.概して逆の繊維角度パターンを有する少なくとも2つの層を含む、前記対称的な繊維角度パターンの構成と
を含み、
前記創内固定器は、心棒の周囲に前記複数の層を巻き付けて形成されている、デバイス。 - 前記創内固定器は、髄内釘および骨プレートの一方である、請求項1に記載のデバイス。
- 各層について、層の前記繊維が、概して平行である、請求項1に記載のデバイス。
- 耐磨耗性材料からなるスリーブをさらに備える、請求項1に記載のデバイス。
- X線不透過性マーカをさらに備える、請求項1に記載のデバイス。
- 埋設される電子構成要素をさらに備える、請求項1に記載のデバイス。
- 前記層の選択された繊維角度パターンが、前記デバイスが選択された剛性特性を示すように選択される、請求項1に記載のデバイス。
- 繊維成分を実質的に含まない熱可塑性材料からなる外部コーティングをさらに含む、請求項1に記載のデバイス。
- 前記外部コーティングは、テープまたはトウの形態の層を含む、請求項8に記載のデバイス。
- 固定具を受けるために、前記創内固定器を貫通して形成された孔をさらに備える、請求項1に記載のデバイス。
- 前記孔から離間されたセンサをさらに備える、請求項10に記載のデバイス。
- 前記孔内に配設されるインサートをさらに備え、前記インサートは前記固定具を中に受けるように構成される、請求項10に記載のデバイス。
- 前記創内固定器は、髄内釘であり、前記髄内釘は、ヘッド、シャフト、および前記ヘッドと前記シャフトとの間の移行領域を備える、請求項10に記載のデバイス。
- 前記ヘッドは、前記シャフトの層数よりも多数の層を備える、請求項13に記載のデバイス。
- 前記創内固定器の外側表面に沿ってチャネルをさらに備える、請求項13に記載のデバイス。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10571708P | 2008-10-15 | 2008-10-15 | |
US61/105,717 | 2008-10-15 | ||
US18040309P | 2009-05-21 | 2009-05-21 | |
US61/180,403 | 2009-05-21 | ||
PCT/US2009/060866 WO2010045473A2 (en) | 2008-10-15 | 2009-10-15 | Composite internal fixators |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2012505723A JP2012505723A (ja) | 2012-03-08 |
JP5599806B2 true JP5599806B2 (ja) | 2014-10-01 |
Family
ID=42107244
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011532256A Expired - Fee Related JP5599806B2 (ja) | 2008-10-15 | 2009-10-15 | 複合材料創内固定器 |
Country Status (10)
Country | Link |
---|---|
US (3) | US9492210B2 (ja) |
EP (1) | EP2364115B1 (ja) |
JP (1) | JP5599806B2 (ja) |
CN (1) | CN102245115B (ja) |
AU (1) | AU2009305693B2 (ja) |
BR (1) | BRPI0920250A2 (ja) |
CA (1) | CA2740730A1 (ja) |
RU (1) | RU2545424C2 (ja) |
WO (1) | WO2010045473A2 (ja) |
ZA (1) | ZA201102354B (ja) |
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2009
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- 2009-10-15 US US13/124,555 patent/US9492210B2/en active Active
- 2009-10-15 CA CA2740730A patent/CA2740730A1/en not_active Abandoned
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- 2009-10-15 WO PCT/US2009/060866 patent/WO2010045473A2/en active Application Filing
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CA2740730A1 (en) | 2010-04-22 |
CN102245115B (zh) | 2016-08-24 |
WO2010045473A2 (en) | 2010-04-22 |
EP2364115A4 (en) | 2014-05-21 |
AU2009305693A1 (en) | 2010-04-22 |
RU2545424C2 (ru) | 2015-03-27 |
EP2364115B1 (en) | 2019-02-20 |
AU2009305693B2 (en) | 2015-10-29 |
RU2011118078A (ru) | 2012-11-27 |
ZA201102354B (en) | 2012-01-25 |
US9492210B2 (en) | 2016-11-15 |
JP2012505723A (ja) | 2012-03-08 |
US20190282279A1 (en) | 2019-09-19 |
CN102245115A (zh) | 2011-11-16 |
BRPI0920250A2 (pt) | 2016-11-22 |
US20170035469A1 (en) | 2017-02-09 |
EP2364115A2 (en) | 2011-09-14 |
US10357292B2 (en) | 2019-07-23 |
WO2010045473A3 (en) | 2010-07-29 |
US20120059376A1 (en) | 2012-03-08 |
US11096726B2 (en) | 2021-08-24 |
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