JP5868981B2 - 外科用植え込み片の2つ以上のセグメントを接続する方法 - Google Patents
外科用植え込み片の2つ以上のセグメントを接続する方法 Download PDFInfo
- Publication number
- JP5868981B2 JP5868981B2 JP2013529324A JP2013529324A JP5868981B2 JP 5868981 B2 JP5868981 B2 JP 5868981B2 JP 2013529324 A JP2013529324 A JP 2013529324A JP 2013529324 A JP2013529324 A JP 2013529324A JP 5868981 B2 JP5868981 B2 JP 5868981B2
- Authority
- JP
- Japan
- Prior art keywords
- bone
- implant segment
- segment
- recess
- implant
- 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
- 239000007943 implant Substances 0.000 title claims description 62
- 238000000034 method Methods 0.000 title description 33
- 210000000988 bone and bone Anatomy 0.000 claims description 169
- 239000000463 material Substances 0.000 claims description 52
- 238000003466 welding Methods 0.000 claims description 47
- 229910052719 titanium Inorganic materials 0.000 claims description 9
- 229910052751 metal Inorganic materials 0.000 claims description 4
- 239000002184 metal Substances 0.000 claims description 4
- 229910052759 nickel Inorganic materials 0.000 claims description 2
- 229910052726 zirconium Inorganic materials 0.000 claims description 2
- 230000008018 melting Effects 0.000 claims 1
- 238000002844 melting Methods 0.000 claims 1
- 239000011888 foil Substances 0.000 description 11
- 239000010936 titanium Substances 0.000 description 9
- XKRFYHLGVUSROY-UHFFFAOYSA-N Argon Chemical compound [Ar] XKRFYHLGVUSROY-UHFFFAOYSA-N 0.000 description 8
- 238000001356 surgical procedure Methods 0.000 description 8
- 238000005219 brazing Methods 0.000 description 7
- 238000010894 electron beam technology Methods 0.000 description 6
- 238000004519 manufacturing process Methods 0.000 description 6
- 229910000679 solder Inorganic materials 0.000 description 6
- 238000006243 chemical reaction Methods 0.000 description 5
- 238000000576 coating method Methods 0.000 description 5
- 229910001069 Ti alloy Inorganic materials 0.000 description 4
- 238000004873 anchoring Methods 0.000 description 4
- 229910052786 argon Inorganic materials 0.000 description 4
- 239000011248 coating agent Substances 0.000 description 4
- 238000003780 insertion Methods 0.000 description 4
- 230000037431 insertion Effects 0.000 description 4
- 238000002156 mixing Methods 0.000 description 4
- VYZAMTAEIAYCRO-UHFFFAOYSA-N Chromium Chemical compound [Cr] VYZAMTAEIAYCRO-UHFFFAOYSA-N 0.000 description 3
- 229910000943 NiAl Inorganic materials 0.000 description 3
- NPXOKRUENSOPAO-UHFFFAOYSA-N Raney nickel Chemical compound [Al].[Ni] NPXOKRUENSOPAO-UHFFFAOYSA-N 0.000 description 3
- 230000008859 change Effects 0.000 description 3
- 230000007797 corrosion Effects 0.000 description 3
- 238000005260 corrosion Methods 0.000 description 3
- 238000000151 deposition Methods 0.000 description 3
- 238000010438 heat treatment Methods 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 239000000203 mixture Substances 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- CSCPPACGZOOCGX-UHFFFAOYSA-N Acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 2
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 2
- 206010017076 Fracture Diseases 0.000 description 2
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 2
- 229910045601 alloy Inorganic materials 0.000 description 2
- 239000000956 alloy Substances 0.000 description 2
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 229910052804 chromium Inorganic materials 0.000 description 2
- 239000011651 chromium Substances 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 239000002360 explosive Substances 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 230000014759 maintenance of location Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 239000001301 oxygen Substances 0.000 description 2
- 229910052760 oxygen Inorganic materials 0.000 description 2
- 238000005240 physical vapour deposition Methods 0.000 description 2
- 230000035882 stress Effects 0.000 description 2
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 229910000531 Co alloy Inorganic materials 0.000 description 1
- 208000024779 Comminuted Fractures Diseases 0.000 description 1
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 description 1
- 229910000861 Mg alloy Inorganic materials 0.000 description 1
- 208000006670 Multiple fractures Diseases 0.000 description 1
- 229910000831 Steel Inorganic materials 0.000 description 1
- 229910009871 Ti5Si3 Inorganic materials 0.000 description 1
- 229910010380 TiNi Inorganic materials 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 239000013590 bulk material Substances 0.000 description 1
- 229910052799 carbon Inorganic materials 0.000 description 1
- 210000003797 carpal joint Anatomy 0.000 description 1
- 239000000919 ceramic Substances 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 238000011109 contamination Methods 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000008021 deposition Effects 0.000 description 1
- 238000010892 electric spark Methods 0.000 description 1
- 210000002745 epiphysis Anatomy 0.000 description 1
- 238000004880 explosion Methods 0.000 description 1
- 230000004907 flux Effects 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 239000001257 hydrogen Substances 0.000 description 1
- 229910052739 hydrogen Inorganic materials 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 229910000765 intermetallic Inorganic materials 0.000 description 1
- 238000005304 joining Methods 0.000 description 1
- 238000001755 magnetron sputter deposition Methods 0.000 description 1
- 239000002905 metal composite material Substances 0.000 description 1
- 239000007769 metal material Substances 0.000 description 1
- 238000006386 neutralization reaction Methods 0.000 description 1
- 238000013021 overheating Methods 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 238000001552 radio frequency sputter deposition Methods 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 125000006850 spacer group Chemical group 0.000 description 1
- 238000004544 sputter deposition Methods 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 230000008646 thermal stress Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
- 238000005493 welding type Methods 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
- A61B17/80—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
- 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
-
- 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
- A61B17/56—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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/02—Inorganic materials
- A61L27/04—Metals or alloys
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30451—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements soldered or brazed or welded
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Neurology (AREA)
- Chemical & Material Sciences (AREA)
- Dermatology (AREA)
- Inorganic Chemistry (AREA)
- Medicinal Chemistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Epidemiology (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US38453710P | 2010-09-20 | 2010-09-20 | |
| US61/384,537 | 2010-09-20 | ||
| PCT/US2011/051771 WO2012040033A1 (en) | 2010-09-20 | 2011-09-15 | Method for joining two or more segments of a surgical implant |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2013540489A JP2013540489A (ja) | 2013-11-07 |
| JP2013540489A5 JP2013540489A5 (enExample) | 2014-10-16 |
| JP5868981B2 true JP5868981B2 (ja) | 2016-02-24 |
Family
ID=44678069
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2013529324A Expired - Fee Related JP5868981B2 (ja) | 2010-09-20 | 2011-09-15 | 外科用植え込み片の2つ以上のセグメントを接続する方法 |
Country Status (9)
| Country | Link |
|---|---|
| US (1) | US9956014B2 (enExample) |
| EP (1) | EP2618758A1 (enExample) |
| JP (1) | JP5868981B2 (enExample) |
| KR (1) | KR101927682B1 (enExample) |
| CN (1) | CN103108599A (enExample) |
| BR (1) | BR112013004157A2 (enExample) |
| CA (1) | CA2807593C (enExample) |
| TW (1) | TWI587953B (enExample) |
| WO (1) | WO2012040033A1 (enExample) |
Families Citing this family (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9452005B2 (en) | 2012-08-23 | 2016-09-27 | DePuy Synthes Products, Inc. | Bone fixation system |
| US10004603B2 (en) | 2012-08-23 | 2018-06-26 | DePuy Synthes Products, Inc. | Bone implant |
| WO2014031951A1 (en) * | 2012-08-23 | 2014-02-27 | DePuy Synthes Products, LLC | Intramedullary fixation system |
| KR101394321B1 (ko) * | 2013-04-05 | 2014-05-14 | 중앙대학교 산학협력단 | 골접합 장치 |
| JP2015116574A (ja) * | 2013-12-16 | 2015-06-25 | 公立大学法人兵庫県立大学 | 反応性多層膜およびそれを用いたデバイス用接合方法 |
| CN105012003A (zh) * | 2015-08-11 | 2015-11-04 | 张英泽 | 一种用于治疗长骨骨折的内固定钢板 |
| CN108210051A (zh) * | 2016-12-14 | 2018-06-29 | 创生医疗器械(中国)有限公司 | T型接骨板 |
| CN109482995B (zh) * | 2018-11-14 | 2020-04-21 | 南京航空航天大学 | 一种具有球面特征阵列微结构的金属基体及其构建方法 |
| KR102216754B1 (ko) * | 2019-01-30 | 2021-02-17 | 경상대학교 산학협력단 | 대퇴골 골수강내 금속정 및 그 모델링 방법 |
| CN109984873A (zh) * | 2019-05-14 | 2019-07-09 | 赵滨 | 一种用于填补和支撑四肢长骨干骺缺损的骨髓腔内植物块 |
Family Cites Families (27)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CH665554A5 (de) * | 1985-02-07 | 1988-05-31 | Sulzer Ag | Knochenimplantat. |
| JPH02155595A (ja) * | 1988-12-07 | 1990-06-14 | Meidensha Corp | ロウ材の製造方法 |
| US5381944A (en) * | 1993-11-04 | 1995-01-17 | The Regents Of The University Of California | Low temperature reactive bonding |
| US5899939A (en) * | 1998-01-21 | 1999-05-04 | Osteotech, Inc. | Bone-derived implant for load-supporting applications |
| US6123731A (en) * | 1998-02-06 | 2000-09-26 | Osteotech, Inc. | Osteoimplant and method for its manufacture |
| US7441688B2 (en) * | 2003-11-04 | 2008-10-28 | Reactive Nanotechnologies | Methods and device for controlling pressure in reactive multilayer joining and resulting product |
| US7361412B2 (en) * | 2000-05-02 | 2008-04-22 | Johns Hopkins University | Nanostructured soldered or brazed joints made with reactive multilayer foils |
| US20050082343A1 (en) * | 2000-05-02 | 2005-04-21 | Jiaping Wang | Method of joining using reactive multilayer foils with enhanced control of molten joining materials |
| US6736942B2 (en) * | 2000-05-02 | 2004-05-18 | Johns Hopkins University | Freestanding reactive multilayer foils |
| US20050142495A1 (en) * | 2003-10-09 | 2005-06-30 | David Peter Van Heerden | Methods of controlling multilayer foil ignition |
| US6572379B1 (en) * | 2001-05-03 | 2003-06-03 | Lincoln Global, Inc. | Self instruction welding kit |
| US20040019353A1 (en) | 2002-02-01 | 2004-01-29 | Freid James M. | Spinal plate system for stabilizing a portion of a spine |
| US7270679B2 (en) * | 2003-05-30 | 2007-09-18 | Warsaw Orthopedic, Inc. | Implants based on engineered metal matrix composite materials having enhanced imaging and wear resistance |
| US7666522B2 (en) | 2003-12-03 | 2010-02-23 | IMDS, Inc. | Laser based metal deposition (LBMD) of implant structures |
| JP2005186106A (ja) * | 2003-12-25 | 2005-07-14 | Hitachi Cable Ltd | ろう付け方法及びそれに用いるろう材並びにそのろう材を用いた複合材及びろう付け製品 |
| US20060247638A1 (en) * | 2005-04-29 | 2006-11-02 | Sdgi Holdings, Inc. | Composite spinal fixation systems |
| US20080093418A1 (en) * | 2005-06-22 | 2008-04-24 | Weihs Timothy P | Multifunctional Reactive Composite Structures Fabricated From Reactive Composite Materials |
| US20070225707A1 (en) * | 2006-03-22 | 2007-09-27 | Sdgi Holdings, Inc. | Orthopedic spinal devices fabricated from two or more materials |
| US7975902B2 (en) * | 2007-04-30 | 2011-07-12 | Airbus Operations Gmbh | Joining method for joining components |
| DE102007034169A1 (de) * | 2007-07-23 | 2009-01-29 | Karl Leibinger Medizintechnik Gmbh & Co. Kg | Medizinisches Synthesesystem und Verfahren zur Verbindung eines mehrteiligen medizinischen Synthesesystems |
| PL2211741T3 (pl) * | 2007-11-13 | 2013-10-31 | Synthes Gmbh | Naprawa złamania okołoprotezowego |
| US20090198287A1 (en) * | 2008-02-04 | 2009-08-06 | Mark Hsien Nien Chiu | Bone fixation device and method of use thereof |
| EP2113216B1 (en) * | 2008-04-28 | 2012-05-30 | Biedermann Technologies GmbH & Co. KG | Rod-shaped element for spinal stabilization and method for producing the same |
| US8915918B2 (en) * | 2008-05-02 | 2014-12-23 | Thomas James Graham | Bone plate system for bone restoration and methods of use thereof |
| EP2379014A1 (en) * | 2008-11-19 | 2011-10-26 | Endospinal, Inc. | Intramedullary repair system for vertebra fractures |
| KR101054462B1 (ko) * | 2008-11-20 | 2011-08-05 | 한국수력원자력 주식회사 | 모재의 강도를 초과하는 접합강도를 갖는, 중간층을 이용한강계열 합금과 티타늄 또는 티타늄계열 합금 간의 고강도 이종금속 접합방법 |
| CN102387754B (zh) * | 2009-04-08 | 2015-08-19 | 斯特赖克特劳马股份公司 | 混合骨板 |
-
2011
- 2011-09-15 JP JP2013529324A patent/JP5868981B2/ja not_active Expired - Fee Related
- 2011-09-15 CN CN2011800449392A patent/CN103108599A/zh active Pending
- 2011-09-15 EP EP11761221.8A patent/EP2618758A1/en not_active Withdrawn
- 2011-09-15 WO PCT/US2011/051771 patent/WO2012040033A1/en not_active Ceased
- 2011-09-15 CA CA2807593A patent/CA2807593C/en not_active Expired - Fee Related
- 2011-09-15 KR KR1020137006215A patent/KR101927682B1/ko not_active Expired - Fee Related
- 2011-09-15 BR BR112013004157A patent/BR112013004157A2/pt not_active Application Discontinuation
- 2011-09-15 US US13/233,702 patent/US9956014B2/en active Active
- 2011-09-20 TW TW100133697A patent/TWI587953B/zh not_active IP Right Cessation
Also Published As
| Publication number | Publication date |
|---|---|
| CA2807593C (en) | 2020-02-25 |
| US20120239036A1 (en) | 2012-09-20 |
| CN103108599A (zh) | 2013-05-15 |
| KR101927682B1 (ko) | 2018-12-12 |
| KR20130120451A (ko) | 2013-11-04 |
| BR112013004157A2 (pt) | 2016-07-05 |
| JP2013540489A (ja) | 2013-11-07 |
| WO2012040033A1 (en) | 2012-03-29 |
| EP2618758A1 (en) | 2013-07-31 |
| TW201221258A (en) | 2012-06-01 |
| CA2807593A1 (en) | 2012-03-29 |
| US9956014B2 (en) | 2018-05-01 |
| TWI587953B (zh) | 2017-06-21 |
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