JP5671620B2 - ネジ内にピンを挿入するシステム - Google Patents
ネジ内にピンを挿入するシステム Download PDFInfo
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- JP5671620B2 JP5671620B2 JP2013530584A JP2013530584A JP5671620B2 JP 5671620 B2 JP5671620 B2 JP 5671620B2 JP 2013530584 A JP2013530584 A JP 2013530584A JP 2013530584 A JP2013530584 A JP 2013530584A JP 5671620 B2 JP5671620 B2 JP 5671620B2
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- pin
- bore
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- screw
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- 230000003416 augmentation Effects 0.000 claims description 33
- 230000003190 augmentative effect Effects 0.000 claims description 25
- 230000003014 reinforcing effect Effects 0.000 claims description 22
- 239000000463 material Substances 0.000 claims description 10
- 230000002708 enhancing effect Effects 0.000 claims 1
- 230000002669 organ and tissue protective effect Effects 0.000 claims 1
- 230000002787 reinforcement Effects 0.000 claims 1
- 210000001519 tissue Anatomy 0.000 description 29
- 210000000988 bone and bone Anatomy 0.000 description 8
- 238000000034 method Methods 0.000 description 8
- 239000004568 cement Substances 0.000 description 7
- 238000005243 fluidization Methods 0.000 description 3
- 238000004873 anchoring Methods 0.000 description 2
- 239000002639 bone cement Substances 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 229920000642 polymer Polymers 0.000 description 2
- 230000001954 sterilising effect Effects 0.000 description 2
- 238000004659 sterilization and disinfection Methods 0.000 description 2
- 208000008924 Femoral Fractures Diseases 0.000 description 1
- 208000001132 Osteoporosis Diseases 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 208000020089 femoral neck fracture Diseases 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000035515 penetration 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, 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8872—Instruments for putting said fixation devices against or away from the bone
-
- 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
- A61B17/74—Devices for the head or neck or trochanter of the femur
-
- 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
- A61B17/8605—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, 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
- A61B17/865—Packages or dispensers for bone screws or threaded wires
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8802—Equipment for handling bone cement or other fluid fillers
- A61B17/8805—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
- A61B17/8822—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it characterised by means facilitating expulsion of fluid from the introducer, e.g. a screw pump plunger, hydraulic force transmissions, application of vibrations or a vacuum
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
- Automatic Assembly (AREA)
Description
110 ハウジング (housing)
120 軸方向貫通ボア (axial through-bore)
130 横方向開口 (lateral opening)
140 接続部分 (connection portion)
142 中空シャフト (hollow shaft)
144 グリップ (grip)
146 弾性素子 (elastic element)
148 係合素子 (engagement element)
150 グリップ部分 (grip portion)
160 係止素子 (locking element)
162 係止ピン (locking pin)
164 バネ (spring)
170 突起 (projection)
180 プッシャ (pusher)
200 ピンマガジン (pin-magazine)
201 ピン保持部 (pin-retainer)
202 ピン保持部 (pin-retainer)
210 グリップ部分 (grip portion)
220 本体 (body)
230 凹部 (recess)
240 ノッチ (notch)
250 面取り (chamfer)
300 増強ネジ (augmentation screw)
312 第1の区画 (first section)
313 第1の段部 (first step)
314 第2の区画 (second section)
315 第2の段部 (second step)
316 第3の区画 (third section)
322 第1の横方向ボア (first lateral bore)
324 第2の横方向ボア (second lateral bore)
330 近位端部 (proximal end portion)
340 外側ネジ山 (outer thread)
350 溝 (groove)
401 増強ピン (augmentation pin)
402 増強ピン (augmentation pin)
500 組織保護スリーブ (tissue protection sleeve)
600 超音波アプリケータ (ultrasonic applicator)
610 ソノトロード (sonotrode)
620 調節部分 (adjusting portion)
630 グリップ部分 (grip portion)
Claims (13)
- 増強ピンと、
増強ネジと、
前記増強ピンを前記増強ネジ内に挿入するためのピン挿入器とを含み、
前記増強ネジは、増強ピンを受け入れるための軸方向ボアを含み、
前記軸方向ボアは、第1の直径を備える第1の区画と第2の直径を備える第2の区画との間の第1の段部と、前記第2の区画と第3の直径を備える第3の区画との間の第2の段部とを含み、前記第3の直径は、前記第2の直径よりも大きく、前記第2の直径は、前記第1の直径よりも大きく、
前記軸方向ボアは、前記第1の段部に隣接して前記第2の区画内に配置される第1の横方向ボアと、前記第2の段部に隣接して前記第3の区画内に配置される第2の横方向ボアとを含み、前記増強ピンが前記増強ネジの前記軸方向ボア内に挿入されるとき、前記増強ピンは、前記増強ピンの直径に依存して、前記第1の段部又は前記第2の段部に位置し、
前記ピン挿入器は、
細長いハウジングと、
細長いプッシャと、
前記増強ピンのためのピン保持部を備えるピンマガジンとを含み、
前記ハウジングは、軸方向貫通ボアと、横方向開口とを備え、前記軸方向貫通ボア及び前記横方向開口は互いに接続され、
前記プッシャは、前記軸方向貫通ボア内で移動可能であり、前記軸方向貫通ボア内に少なくとも部分的に収容され、
前記増強ピンが前記横方向開口内に配置され、前記軸方向貫通ボアと整列されるとき、前記増強ピンを、前記プッシャを用いて、前記軸方向貫通ボアの少なくとも一部を通じて、前記ハウジングから前記増強ネジ内に移動可能であり、
前記ピンマガジンは、前記ピン挿入器の前記ハウジングの前記横方向開口内に配置可能であり、前記増強ピンが前記ピン保持部内に配置されるとき、前記増強ピンを前記増強ネジ内に挿入させるために、前記ピン保持部を前記ハウジングの前記軸方向貫通ボアと整列させるよう構成される、
システム。 - 前記プッシャの長さは、前記軸方向貫通ボアの長さよりも大きい、請求項1に記載のシステム。
- 前記ピン挿入器の前記ハウジングは、接続部分を更に含み、組織保護スリーブで前記増強ネジの近位端部を締結するために、並びに前記ハウジングの前記接続部分で前記組織保護スリーブを締結するために、前記組織保護スリーブが前記増強ネジと前記ピン挿入器の前記接続部分との間に配置可能である、請求項1に記載のシステム。
- 前記接続部分は、クイック締結具を含む、請求項3に記載のシステム。
- 前記ピン挿入器は、前記増強ピンが前記横方向開口内に配置され且つ前記軸方向貫通ボアと整列されるときに前記増強ピンが横方向に移動するのを妨げる突起を更に含む、請求項1乃至4のうちの何れか1項に記載のシステム。
- 前記ピン挿入器の前記ハウジングの前記横方向開口は、貫通開口であり、前記ピン挿入器の前記ハウジングは、前記横方向開口内に突出する突起を更に含み、前記増強ピンが前記横方向開口内に配置され、前記突起に当接するとき、前記増強ピンが、前記軸方向貫通ボアと自動的に整列される、請求項1乃至5のうちの何れか1項に記載のシステム。
- 前記ピンマガジンは、前記ハウジングの前記横方向開口によって少なくとも部分的に受け入れられるよう設計される、請求項6に記載のシステム。
- 前記ピンマガジンは、前記ピン保持部にある凹部を更に含み、当該ピンマガジンが前記ハウジングの前記横方向開口内に配置されるとき、前記ハウジングにある突起が前記凹部内に突出し、前記増強ピンが前記ピン保持部内に配置されるとき、前記増強ピンの一部が、前記突起での当接のために横方向に露出される、請求項1又は7に記載のピンマガジン。
- 前記ピンマガジンは、ピン挿入器の係止素子との係合のために適合されるノッチを更に含む、請求項1、7、及び8のうちのいずれか1項に記載のピンマガジン。
- 前記ピンマガジンは、2つのピン保持部を含む、請求項1、7、8、及び9のうちの何れか1項に記載のピンマガジン。
- 前記2つのピン保持部は、2つの異なるピンを保持するよう構成される、請求項10に記載のピンマガジン。
- 前記増強ネジは、外側ネジ山を備える部分を更に含み、前記第1の横方向ボア及び前記第2の横方向ボアは、前記外側ネジ山を備える前記部分内に配置される、請求項1に記載のシステム。
- 前記増強ネジ内の前記増強ピンを流動化させ、前記横方向ボアの少なくとも1つを通じて前記増強ピンの材料を前記増強ネジから押し出し得る超音波アプリケータとを更に含む、請求項1又は3に記載のシステム。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/EP2010/064542 WO2012041376A1 (en) | 2010-09-30 | 2010-09-30 | System for inserting a pin into a screw |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2013540514A JP2013540514A (ja) | 2013-11-07 |
JP5671620B2 true JP5671620B2 (ja) | 2015-02-18 |
Family
ID=43735144
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013530584A Active JP5671620B2 (ja) | 2010-09-30 | 2010-09-30 | ネジ内にピンを挿入するシステム |
Country Status (5)
Country | Link |
---|---|
US (2) | US9198703B2 (ja) |
EP (2) | EP2716244B1 (ja) |
JP (1) | JP5671620B2 (ja) |
ES (2) | ES2598822T3 (ja) |
WO (1) | WO2012041376A1 (ja) |
Families Citing this family (16)
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US9510886B2 (en) * | 2012-02-29 | 2016-12-06 | Woodwelding Ag | System for handling an augmentation implant |
EP2879941B1 (en) | 2012-07-30 | 2016-10-12 | CNH Industrial America LLC | Pin assembly for a tracked work vehicle suspension system |
US10456271B2 (en) | 2013-12-29 | 2019-10-29 | Kambiz Behzadi | Prosthesis revision systems and methods |
US9168154B2 (en) | 2013-12-29 | 2015-10-27 | Kambiz Behzadi | Prosthesis installation systems and methods |
WO2015100461A1 (en) | 2013-12-29 | 2015-07-02 | Behzadi Kambiz | Prosthesis positioning systems and methods |
US10245162B2 (en) | 2013-12-29 | 2019-04-02 | Kambiz Behzadi | Prosthesis installation systems and methods |
US10478318B2 (en) | 2013-12-29 | 2019-11-19 | Kambiz Behzadi | Prosthesis installation systems and methods |
US10245160B2 (en) | 2013-12-29 | 2019-04-02 | Kambiz Behzadi | Prosthesis installation systems and methods |
US10172722B2 (en) | 2013-12-29 | 2019-01-08 | Kambiz Behzadi | Prosthesis installation systems and methods |
US10610379B2 (en) | 2013-12-29 | 2020-04-07 | Kambiz Behzadi | Prosthesis installation systems and methods |
WO2016020014A1 (en) | 2014-08-08 | 2016-02-11 | Stryker Trauma Gmbh | Slotted augmentation sleeve |
JP6884772B2 (ja) | 2015-09-30 | 2021-06-09 | スパインウェルディング・アクチェンゲゼルシャフトSpinewelding Ag | 医療器具を備えたシステム |
WO2018148539A1 (en) | 2017-02-10 | 2018-08-16 | Zimmer, Inc. | Systems for advancing a pin wire with a driver device |
WO2019154835A1 (en) * | 2018-02-08 | 2019-08-15 | Spinewelding Ag | System and method for establishing an anchorage or reinforcement in an object with the aid of in situ liquefaction and displacement of a material having thermoplastic properties |
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US11154337B2 (en) * | 2019-02-26 | 2021-10-26 | Medos Iniernational Sarl | Spinal screw handling |
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2010
- 2010-09-30 ES ES13191758.5T patent/ES2598822T3/es active Active
- 2010-09-30 US US13/876,364 patent/US9198703B2/en active Active
- 2010-09-30 WO PCT/EP2010/064542 patent/WO2012041376A1/en active Application Filing
- 2010-09-30 EP EP13191758.5A patent/EP2716244B1/en active Active
- 2010-09-30 ES ES10767964.9T patent/ES2541839T3/es active Active
- 2010-09-30 EP EP20100767964 patent/EP2621387B1/en active Active
- 2010-09-30 JP JP2013530584A patent/JP5671620B2/ja active Active
-
2011
- 2011-11-09 US US13/292,616 patent/US8556909B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
WO2012041376A1 (en) | 2012-04-05 |
US8556909B2 (en) | 2013-10-15 |
EP2621387B1 (en) | 2015-04-29 |
ES2598822T3 (es) | 2017-01-30 |
ES2541839T3 (es) | 2015-07-27 |
EP2716244A2 (en) | 2014-04-09 |
US9198703B2 (en) | 2015-12-01 |
EP2716244B1 (en) | 2016-08-03 |
US20130304135A1 (en) | 2013-11-14 |
JP2013540514A (ja) | 2013-11-07 |
EP2716244A3 (en) | 2014-10-29 |
US20120143261A1 (en) | 2012-06-07 |
EP2621387A1 (en) | 2013-08-07 |
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