JP5819360B2 - 外固定アセンブリおよびその使用法 - Google Patents
外固定アセンブリおよびその使用法 Download PDFInfo
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- JP5819360B2 JP5819360B2 JP2013148980A JP2013148980A JP5819360B2 JP 5819360 B2 JP5819360 B2 JP 5819360B2 JP 2013148980 A JP2013148980 A JP 2013148980A JP 2013148980 A JP2013148980 A JP 2013148980A JP 5819360 B2 JP5819360 B2 JP 5819360B2
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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
- A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
- A61B17/66—Alignment, compression or distraction mechanisms
-
- 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
- A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
-
- 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
- A61B17/866—Material or manufacture
-
- 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
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurology (AREA)
- Surgical Instruments (AREA)
Description
Claims (24)
- 外固定アセンブリであって、
A.骨の中に挿入される固定ピンであって、
1.)前記骨の中に当該固定ピンを固定するネジ山を有し、前記骨の中に挿入される挿入端部と、
2.)減圧供給源と連通する連結端部が設けられた、ネジ山のない中空シャフト部分であって、当該中空シャフト部分は前記骨の外部領域に配置され、且つその長手方向に沿って伸びるように形成された内部流体通路と、当該内部流体通路と連通するポートとを有するものである、前記中空シャフト部分と、
3.)前記中空シャフト部分のシャフト壁を貫通して設けられ、前記内部流体通路と流体流通して前記骨の外部領域に減圧を供給する複数の孔部と
を有する、前記固定ピンと、
B.取外し自在に前記固定ピンの前記ポートに連結され、前記固定ピンに減圧を供給する可撓性チューブと、
C.前記チューブと動作可能に連結され、前記チューブを介して前記固定ピンに減圧を供給する減圧供給源と、
D.前記固定ピンの周囲に取外し自在に配置される覆い部であって、この覆い部は、
当該覆い部の下側に包囲部分を形成して減圧を維持するように構成されており、
前記固定ピンの前記複数の孔部が設けられた領域で前記固定ピンと接触することにより前記複数の孔部と連通し、前記複数の孔部を通して前記包囲部分に減圧を供給するものである、前記覆い部と、
E.前記固定ピンの周囲および前記覆い部の下側に取外し自在に配置される減圧伝達要素であって、前記覆い部下側に減圧を伝達するように構成されているものである、前記減圧伝達要素と
を有する外固定アセンブリ。 - 請求項1記載の外固定アセンブリにおいて、前記複数の孔部は、前記固定ピンの前記挿入端部および前記中空シャフト部分の双方に形成され、前記骨の内部領域および外部領域と連通するように設けられているものである外固定アセンブリ。
- 請求項1記載の外固定アセンブリにおいて、前記ポートは前記中空シャフト部分の前記連結端部を通って延長するものである外固定アセンブリ。
- 請求項1記載の外固定アセンブリにおいて、前記ポートは前記中空シャフト部分の側壁を通って形成されるものである外固定アセンブリ。
- 請求項4記載の外固定アセンブリにおいて、前記ポートは前記中空シャフト部分から径方向外向きに延在する円筒状のハブを有するものである外固定アセンブリ。
- 請求項1記載の外固定アセンブリにおいて、前記覆い部はOリング・シールを有し、前記中空シャフト部分は、当該Oリング・シールを受容する座部を形成する溝により隔てられた1対の円周方向の突起部を有するものである外固定アセンブリ。
- 請求項1記載の外固定アセンブリにおいて、前記減圧伝達要素は、オープンセル(open cell)発泡体を有するものである外固定アセンブリ。
- 請求項1記載の外固定アセンブリにおいて、この外固定アセンブリは取外し自在なネジ山を有する挿入端部を有し、前記骨の中に埋め込まれるインプラントを提供するものである外固定アセンブリ。
- 請求項8記載の外固定アセンブリにおいて、前記取外し自在なネジ山を有する挿入端部は代用骨材料を有するものである外固定アセンブリ。
- 請求項9記載の外固定アセンブリにおいて、前記取外し自在なネジ山を有する挿入端部は、骨伝導性物質、骨誘導性物質、またはその組合せを有するものである外固定アセンブリ。
- 請求項9記載の外固定アセンブリにおいて、前記取外し自在なネジ山を有する挿入端部、バイオガラス、セラミック材、硫酸カルシウム、リン酸カルシウム、ヒドロキシアパタイト、フッ素リン灰石、リン酸三カルシウム、バイオガラス・セラミックス、またはその組合せを有するものである外固定アセンブリ。
- 請求項1記載の外固定アセンブリにおいて、前記固定ピンは代用骨材料を有するものである外固定アセンブリ。
- 請求項12記載の外固定アセンブリにおいて、前記固定ピンは、骨伝導性物質、骨誘導性物質、またはその組合せを有するものである外固定アセンブリ。
- 請求項12記載の外固定アセンブリにおいて、前記固定ピンは、バイオガラス、セラミック材、硫酸カルシウム、リン酸カルシウム、ヒドロキシアパタイト、フッ素リン灰石、リン酸三カルシウム、バイオガラス・セラミックス、またはその組合せを有するものである外固定アセンブリ。
- 請求項1記載の外固定アセンブリにおいて、この外固定アセンブリは、骨の中に挿入されるガイドピンを有し、前記固定ピンの前記内部流体通路は、当該ガイドピンを内部に挿入することができる寸法になっているものである外固定アセンブリ。
- 外固定を骨の欠損部に適用する装置であって、
A.中空固定ピンであって、
皮膚の開口部を通して前記骨の中に挿入される挿入端部と、
減圧供給源と連通する連結端部が設けられた中空シャフト部分であって、当該中空シャフト部分は前記骨の外部領域に配置され、且つその長手方向に沿って伸びるように形成された内部流体通路を有するものである、前記中空シャフト部分と、
前記中空シャフト部分のシャフト壁を貫通して設けられ、前記内部流体通路と流体流通して前記骨の外部領域に減圧を供給する複数の孔部と
を有するものである、前記中空固定ピンと、
B.前記中空固定ピンに連結される固定具と、
C.前記中空固定ピンの周囲に配置され、前記皮膚の開口部を覆う密閉覆い部材と
D.前記中空固定ピンの前記内部流体通路に減圧を供給する減圧供給源と、
を有し、
前記中空固定ピンの前記挿入端部は、前記複数の孔部が所定の組織と整合するように前記骨の中に配置されるものであり、
前記減圧供給源を作動させることにより、前記密閉覆い部材の下側に前記固定ピンを通して減圧が加えられるように構成されているものである、
装置。 - 請求項16記載の装置において、前記固定ピンの複数の孔部は表皮に近接して配置されるように構成されているものである装置。
- 請求項16記載の装置において、前記固定ピンの複数の孔部は皮膚内に配置されるように構成されているものである装置。
- 請求項16記載の装置において、さらに、
前記骨の中に配置されるように構成された追加の孔部を有するものである装置。 - 請求項16記載の装置において、前記減圧供給源は前記所定の組織に加えらるように構成されており、これにより、前記骨欠損部において骨の形成が促進されるものである装置。
- 請求項16記載の装置において、前記密閉覆い部材は柔軟性覆い部を有し、この柔軟性覆い部は前記固定ピンの周囲および前記皮膚の開口部上に配置されるように構成されているものである装置。
- 請求項21記載の装置において、さらに、
前記ピンの周囲部分であり且つ前記皮膚の開口部と前記柔軟性覆い部との間に配置されるように構成された多孔性の柔軟なスクリーンを有するものである装置。 - 請求項21記載の装置において、さらに、薬剤を有し、この薬剤は前記内部流体通路に導入され、前記複数の孔部を介して前記所定の組織に送達されるように構成されているものである装置。
- 請求項16記載の装置において、さらに、前記骨の中に挿入されるように構成されたガイドピンを有し、前記固定ピンは、当該ガイドピンの少なくとも一部分が前記固定ピンの前記内部流体通路内に配置されるように当該ガイドピンの外周に配置されるように構成されているものである装置。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US86632706P | 2006-11-17 | 2006-11-17 | |
US60/866,327 | 2006-11-17 | ||
US11/694,395 US7931651B2 (en) | 2006-11-17 | 2007-03-30 | External fixation assembly and method of use |
US11/694,395 | 2007-03-30 |
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JP2009537389A Division JP5512276B2 (ja) | 2006-11-17 | 2007-11-16 | 外固定アセンブリおよびその使用法 |
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JP2013255814A JP2013255814A (ja) | 2013-12-26 |
JP5819360B2 true JP5819360B2 (ja) | 2015-11-24 |
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JP2009537389A Expired - Fee Related JP5512276B2 (ja) | 2006-11-17 | 2007-11-16 | 外固定アセンブリおよびその使用法 |
JP2013148980A Expired - Fee Related JP5819360B2 (ja) | 2006-11-17 | 2013-07-18 | 外固定アセンブリおよびその使用法 |
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JP2009537389A Expired - Fee Related JP5512276B2 (ja) | 2006-11-17 | 2007-11-16 | 外固定アセンブリおよびその使用法 |
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Country | Link |
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US (4) | US7931651B2 (ja) |
EP (1) | EP2094179B1 (ja) |
JP (2) | JP5512276B2 (ja) |
AU (1) | AU2007338520B2 (ja) |
CA (1) | CA2669712C (ja) |
DK (1) | DK2094179T3 (ja) |
ES (1) | ES2448593T3 (ja) |
WO (1) | WO2008079550A1 (ja) |
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EP2666488B1 (en) * | 2008-05-30 | 2015-10-07 | KCI Licensing, Inc. | Anisotropic drapes |
JP5500603B2 (ja) * | 2008-09-18 | 2014-05-21 | ケーシーアイ ライセンシング インコーポレイテッド | 減圧を皮下組織に送達するシステムおよび方法 |
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2007
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- 2007-11-16 EP EP07854683.5A patent/EP2094179B1/en not_active Not-in-force
- 2007-11-16 DK DK07854683.5T patent/DK2094179T3/en active
- 2007-11-16 ES ES07854683.5T patent/ES2448593T3/es active Active
- 2007-11-16 CA CA2669712A patent/CA2669712C/en not_active Expired - Fee Related
- 2007-11-16 JP JP2009537389A patent/JP5512276B2/ja not_active Expired - Fee Related
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ES2448593T3 (es) | 2014-03-14 |
US20130267952A1 (en) | 2013-10-10 |
US7931651B2 (en) | 2011-04-26 |
US8454603B2 (en) | 2013-06-04 |
AU2007338520B2 (en) | 2013-07-04 |
EP2094179A1 (en) | 2009-09-02 |
CA2669712A1 (en) | 2008-07-03 |
EP2094179B1 (en) | 2014-01-08 |
WO2008079550A1 (en) | 2008-07-03 |
US9050136B2 (en) | 2015-06-09 |
US20150245854A1 (en) | 2015-09-03 |
CA2669712C (en) | 2016-08-16 |
US20110202059A1 (en) | 2011-08-18 |
US20080281324A1 (en) | 2008-11-13 |
EP2094179A4 (en) | 2012-10-24 |
JP5512276B2 (ja) | 2014-06-04 |
AU2007338520A1 (en) | 2008-07-03 |
DK2094179T3 (en) | 2014-03-10 |
JP2010510002A (ja) | 2010-04-02 |
US9566089B2 (en) | 2017-02-14 |
JP2013255814A (ja) | 2013-12-26 |
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