JP5695683B2 - 骨固定装置 - Google Patents
骨固定装置 Download PDFInfo
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- JP5695683B2 JP5695683B2 JP2013019378A JP2013019378A JP5695683B2 JP 5695683 B2 JP5695683 B2 JP 5695683B2 JP 2013019378 A JP2013019378 A JP 2013019378A JP 2013019378 A JP2013019378 A JP 2013019378A JP 5695683 B2 JP5695683 B2 JP 5695683B2
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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
-
- 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
-
- 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
-
- 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
- A61B17/7034—Screws or hooks with U-shaped head or back through which longitudinal rods pass characterised by a lateral opening
-
- 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
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
- A61B17/7038—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other to a different extent in different directions, e.g. within one plane only
-
- 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
- A61B17/70—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
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7011—Longitudinal element being non-straight, e.g. curved, angled or branched
-
- 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
- A61B17/7055—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant connected to sacrum, pelvis or skull
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (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)
Description
のボア12と反対側の受部5の側面に開いている。好ましくは、第3のボア軸17は、第2のボア12の第2のボア軸13と同軸である。第3のボア17の直径は、頭部4の最大直径よりも大きく、このため、ねじ付きシャフト3の直径よりも大きい。第3のボア16は、第1のボア8と連通しているので、第2のボア12とも連通する。
°の角度範囲内で第2のボア軸に対して回動可能である。
ことができる。
構として、単一のロックねじを用いる以外の機構も実現可能である。たとえば、ロッドロックねじや頭部ロックナット状の要素を含むロックアセンブリが実現可能である。この場合、圧力要素は、ロッドの上方に突き出る直立した脚部を備えており、このため、当該ロッドとは別個に押し下げられ得る。
Claims (15)
- 骨固定装置であって、
骨に固定すべきシャフト(3)および頭部(4;400)を有する骨固定要素(2;200)と、
前記骨固定要素(2)に接続されロッド(100)を受けるための受部(5;500)とを含み、前記ロッドは長手方向の軸(L)を有し、
前記受部(5;500)は一体的に形成され、第1のボア軸(9)を備える開いた第1のボア(8)と、前記ロッドを受けるような形状および大きさの窪み(10)と、第2のボア軸(13;130)を有する第2のボア(12;120)とを有し、前記第2のボアは前記第1のボア(8)と連通しており、前記第2のボア(12、120)を通って延在する前記シャフト(3)の一部とともに前記頭部(4)を受けるような大きさであり、前記第2のボア軸(13;130)は、前記第1のボア軸(9)および前記ロッドの前記長手方向の軸(L)によって規定される面に対して78°以上102°以下の角度をなし、前記骨固定装置はさらに、
前記受部に対して前記頭部(4;400)の位置を固定するよう前記頭部に作用する圧力部材(20)を含み、
前記受部は、前記第2のボア(12;120)と連通し、かつ前記第2のボアの反対側における前記受部の側部に配置される第3のボア(16;160)を含み、前記第3のボア(16;160)は、前記窪み(10)から離れた位置に該窪み(10)とは別に設けられた、前記受部の側面に開口する貫通孔である、骨固定装置。 - 前記第1のボア軸(9)および前記第2のボア軸(13;130)は互いに交差する、請求項1に記載の骨固定装置。
- 前記骨固定要素の回動は、前記骨固定要素が前記受部内に設置された場合に可能となる、請求項1または2に記載の骨固定装置。
- 前記第2のボア(12;120)は、前記骨固定要素が前記受部内に設置された場合に前記骨固定要素(2)の回動を可能にするよう前記受部の外壁に向かって大きくなる直径を有する部分(14)を含む、請求項1から3のいずれかに記載の骨固定装置。
- 前記第2のボア軸(13;130)および前記第3のボア(16;160)の第3のボア軸(17;170)は実質的に同軸である、請求項1に記載の骨固定装置。
- 前記第2のボア(12)の直径は前記頭部(4)の最大直径よりも小さい、請求項1から5のいずれかに記載の骨固定装置。
- 前記第3のボア(16)の直径は前記頭部(4;400)の最大直径よりも大きい、請求項1から6のいずれかに記載の骨固定装置。
- 前記第2のボア(120)の直径は前記頭部(4;400)の最大直径よりも大きい、請求項1から7のいずれかに記載の骨固定装置。
- 前記第3のボア(160)の直径は前記頭部(4;400)の最大直径よりも小さい、請求項8に記載の骨固定装置。
- 前記固定要素は、前記第2のボア軸(13;130)の周りの円錐内における±10°の角度で回動可能である、請求項3から9のいずれかに記載の骨固定装置。
- 前記窪み(10)は実質的にU字型である、請求項1から10のいずれかに記載の骨固定装置。
- 前記受部は前記頭部(4)のための座部(15)を含み、前記座部は前記第2のボアの表面の一部である、請求項1から11のいずれかに記載の骨固定装置。
- 前記受部は前記頭部(4)のための座部(15)を含み、前記座部は、前記頭部(4)の球形面に対応する球形面部分を有する、請求項1から11のいずれかに記載の骨固定装置。
- 前記圧力部材(20)は、前記頭部(4;400)の球形面に対応する球形面部分を有する、請求項1から13のいずれかに記載の骨固定装置。
- 前記頭部(400)は、前記シャフトと反対側の端部に、工具との係合のための突起(401)を含む、請求項1から14のいずれかに記載の骨固定装置。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US79008406A | 2006-04-06 | 2006-04-06 | |
EP06007324.4 | 2006-04-06 | ||
US60/790,084 | 2006-04-06 | ||
EP06007324A EP1842503B1 (en) | 2006-04-06 | 2006-04-06 | Angled polyaxial bone anchoring device |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2007097460A Division JP5291887B2 (ja) | 2006-04-06 | 2007-04-03 | 骨固定装置 |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2013116336A JP2013116336A (ja) | 2013-06-13 |
JP2013116336A5 JP2013116336A5 (ja) | 2013-08-29 |
JP5695683B2 true JP5695683B2 (ja) | 2015-04-08 |
Family
ID=36933600
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2007097460A Expired - Fee Related JP5291887B2 (ja) | 2006-04-06 | 2007-04-03 | 骨固定装置 |
JP2013019378A Expired - Fee Related JP5695683B2 (ja) | 2006-04-06 | 2013-02-04 | 骨固定装置 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2007097460A Expired - Fee Related JP5291887B2 (ja) | 2006-04-06 | 2007-04-03 | 骨固定装置 |
Country Status (8)
Country | Link |
---|---|
US (2) | US8641737B2 (ja) |
EP (1) | EP1842503B1 (ja) |
JP (2) | JP5291887B2 (ja) |
KR (1) | KR101312688B1 (ja) |
CN (1) | CN101049257B (ja) |
DE (1) | DE602006009069D1 (ja) |
ES (1) | ES2333146T3 (ja) |
TW (1) | TWI413506B (ja) |
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2006
- 2006-04-06 DE DE602006009069T patent/DE602006009069D1/de active Active
- 2006-04-06 ES ES06007324T patent/ES2333146T3/es active Active
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JP2007275592A (ja) | 2007-10-25 |
TWI413506B (zh) | 2013-11-01 |
EP1842503B1 (en) | 2009-09-09 |
JP5291887B2 (ja) | 2013-09-18 |
JP2013116336A (ja) | 2013-06-13 |
TW200738208A (en) | 2007-10-16 |
ES2333146T3 (es) | 2010-02-17 |
CN101049257B (zh) | 2011-05-04 |
US8641737B2 (en) | 2014-02-04 |
US20140222079A1 (en) | 2014-08-07 |
EP1842503A1 (en) | 2007-10-10 |
DE602006009069D1 (de) | 2009-10-22 |
US20070265621A1 (en) | 2007-11-15 |
CN101049257A (zh) | 2007-10-10 |
KR20070100123A (ko) | 2007-10-10 |
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