JP6559959B2 - 弾性的な骨接合術のための骨プレート - Google Patents
弾性的な骨接合術のための骨プレート Download PDFInfo
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- JP6559959B2 JP6559959B2 JP2014555748A JP2014555748A JP6559959B2 JP 6559959 B2 JP6559959 B2 JP 6559959B2 JP 2014555748 A JP2014555748 A JP 2014555748A JP 2014555748 A JP2014555748 A JP 2014555748A JP 6559959 B2 JP6559959 B2 JP 6559959B2
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- Health & Medical Sciences (AREA)
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Description
Claims (23)
- 外面と、骨に面する表面と、第1の面と、第2の面と、第1の面と第2の面との間で延びる長手方向軸線とを有する骨折部位固定プレートを含む器具であって、
前記骨折部位固定プレートは該骨折部位固定プレートに対して弾性的に遊動状態で支持されている1つまたは2つ以上の摺動要素を含んでおり、前記骨折部位固定プレート内の各摺動要素の弾性遊動支持は前記摺動要素と前記骨折部位固定プレートの間の弾性材料によって達成され、各摺動要素は、骨ねじのための1つ又は2つ以上のねじ山付き受容穴を含んでおり、前記骨ねじは、該受容穴内に固定的な角度でロック可能な対応するねじ山付きヘッドを有しており、
前記1つまたは2つ以上の摺動要素は、前記骨折部位固定プレートの前記長手方向軸線に対して平行に、制御された状態で変位させられるが、前記骨折部位固定プレートの長手方向軸線に対して垂直な変位に抗して実質的に拘束され、
前記1つまたは2つ以上の摺動要素は、前記骨折部位固定プレート又は摺動要素を骨表面に押し付けることなしに前記骨ねじに堅固に固定されるように形成されている、器具。 - 前記摺動要素の弾性遊動支持は、前記骨折部位固定プレートの長手方向に加えられた力に応答して、該骨折部位固定プレートに対して前記摺動要素の所定量の双方向並進運動を生じさせるように構成される、請求項1に記載の器具。
- 前記弾性材料は、定義された静止位置で各摺動要素を保持し、前記弾性材料の圧縮性が、前記骨折部位固定プレートの長手方向に加えられた力に応答する、該骨折部位固定プレートに対する各摺動要素の単方向並進運動量を決定する、請求項2に記載の器具。
- 前記弾性材料はポリマーである、請求項1に記載の器具。
- 前記摺動要素と前記骨折部位固定プレートとの間の摩擦を低減するために、前記摺動要素が前記弾性材料内に部分的又は完全に埋め込まれている、請求項1に記載の器具。
- 長手方向アクセスに対して垂直方向の運動を制限することによって、前記骨折部位固定プレートの回転安定性を向上させるために、前記1つ又は2つ以上の摺動要素が前記骨折部位固定プレート内部に互い違いパターンを成して配列されている、請求項1に記載の器具。
- 前記骨折部位固定プレートがさらにねじ山無しのねじ穴を含む、請求項1に記載の器具。
- 前記摺動要素が、前記骨折部位固定プレートの第1区分内に配置されており、且つ前記骨折部位固定プレートの第2区分は、摺動要素なしのねじ山付き穴又はねじ山無しの穴を含む、請求項1に記載の装置。
- 複数の骨ねじを更に含む、請求項1に記載の装置。
- ねじ山付きヘッドとねじ山無しのペグ軸部とを有する1つ又は2つ以上の非共線状骨ペグを更に含む、請求項1に記載の装置。
- 前記摺動要素内の受容穴が円錐形である、請求項1に記載の装置。
- 前記摺動要素内の受容穴が円筒形である、請求項1に記載の装置。
- 前記弾性材料は、前記骨折部位固定プレートに対して摺動要素を弾性的に拘束するために、前記骨折部位固定プレート又は摺動要素表面の少なくとも一部にポジティブに付着することができる、請求項1に記載の器具。
- 前記弾性材料が、ボイドをほとんど有さないエラストマールーメンを含んでいる、請求項1に記載の器具。
- 前記弾性材料が、エラストマールーメンの圧縮性を高めるためにボイドを含有するエラストマールーメンを含んでいる、請求項1に記載の器具。
- 前記弾性材料の弾性率が0.1〜50MPaである、請求項1に記載の器具。
- 前記弾性材料の弾性率及び構成が該弾性材料内部で変化し得る、請求項1に記載の器具。
- 前記摺動要素が単独エレメントとして取り外すことができるか、又は組み立てることによって骨折部位固定プレートを形成する前に前記弾性材料に組み付けられる、請求項1に記載の器具。
- 前記受容穴が非ロック式骨ねじで骨表面上に押し付けられるときに前記骨折部位固定プレートを骨表面の上方に持ち上げるために、1つ又は2つ以上の摺動要素が前記骨折部位固定プレートの骨に面する表面を超えて延びており、該非ロック式骨ねじが、該摺動要素の弾性遊動支持と相俟って、前記骨折部位固定プレートと前記骨表面との制御された運動を可能にする、請求項1に記載の器具。
- 前記弾性材料がシリコーンである、請求項1に記載の器具。
- 前記摺動要素は前記骨折部位固定プレートの側方に設けられた空洞内に少なくとも部分的に包囲されている、請求項1に記載の器具。
- 前記少なくとも一つまたはそれ以上の摺動要素は、少なくとも部分的に前記骨折部位固定プレート内に形成された凹部内に包囲される、請求項1に記載の器具。
- 前記弾性材料は前記摺動要素を収容するエラストマールーメンである、請求項1に記載の器具。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261594560P | 2012-02-03 | 2012-02-03 | |
US61/594,560 | 2012-02-03 | ||
US13/755,493 | 2013-01-31 | ||
US13/755,493 US9295508B2 (en) | 2012-02-03 | 2013-01-31 | Bone plate for elastic osteosynthesis |
PCT/US2013/024336 WO2013116642A1 (en) | 2012-02-03 | 2013-02-01 | Bone place for elastic osteosynthesis |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017234039A Division JP2018064962A (ja) | 2012-02-03 | 2017-12-06 | 弾性的な骨接合術のための骨プレート |
Publications (3)
Publication Number | Publication Date |
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JP2015507953A JP2015507953A (ja) | 2015-03-16 |
JP2015507953A5 JP2015507953A5 (ja) | 2016-03-17 |
JP6559959B2 true JP6559959B2 (ja) | 2019-08-14 |
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Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP2014555748A Active JP6559959B2 (ja) | 2012-02-03 | 2013-02-01 | 弾性的な骨接合術のための骨プレート |
JP2017234039A Pending JP2018064962A (ja) | 2012-02-03 | 2017-12-06 | 弾性的な骨接合術のための骨プレート |
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Application Number | Title | Priority Date | Filing Date |
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JP2017234039A Pending JP2018064962A (ja) | 2012-02-03 | 2017-12-06 | 弾性的な骨接合術のための骨プレート |
Country Status (7)
Country | Link |
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US (4) | US9295508B2 (ja) |
EP (1) | EP2811928B1 (ja) |
JP (2) | JP6559959B2 (ja) |
CN (2) | CN104135953B (ja) |
AU (2) | AU2013214894B2 (ja) |
CA (1) | CA2863597C (ja) |
WO (1) | WO2013116642A1 (ja) |
Families Citing this family (24)
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US8790379B2 (en) | 2010-06-23 | 2014-07-29 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
WO2011163387A2 (en) | 2010-06-23 | 2011-12-29 | Apex Biomedical Company, Llc | Flexible plate fixation of bone fractures |
BR112012033588A2 (pt) * | 2010-07-21 | 2016-11-29 | Synthes Gmbh | dispositivo para osteossíntese. |
US9295508B2 (en) | 2012-02-03 | 2016-03-29 | Zimmer, Inc. | Bone plate for elastic osteosynthesis |
EP3079612B1 (en) | 2013-12-09 | 2020-06-24 | Acumed LLC | Nail-based compliant hip fixation system |
US9463055B2 (en) | 2013-12-09 | 2016-10-11 | Acumed Llc | Plate-based compliant hip fixation system |
US10080596B2 (en) | 2013-12-09 | 2018-09-25 | Acumed Llc | Hip fixation with load-controlled dynamization |
US9526542B2 (en) | 2014-05-07 | 2016-12-27 | Acumed Llc | Hip fixation with load-controlled dynamization |
US9433451B2 (en) | 2013-12-09 | 2016-09-06 | Acumed Llc | Hip fixation system with a compliant fixation element |
EP2957247A1 (en) * | 2014-04-22 | 2015-12-23 | Stryker European Holdings I, LLC | Plates with countersinks |
EP3179942B1 (en) * | 2014-07-25 | 2020-05-27 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
US10478238B2 (en) | 2014-12-02 | 2019-11-19 | Activortho, Inc. | Active compression devices, methods of assembly and methods of use |
US10123831B2 (en) | 2015-03-03 | 2018-11-13 | Pioneer Surgical Technology, Inc. | Bone compression device and method |
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