JP7187157B2 - ケーブル保持挿入物およびそのようなケーブル保持挿入物を備えた骨プレート組立部品 - Google Patents
ケーブル保持挿入物およびそのようなケーブル保持挿入物を備えた骨プレート組立部品 Download PDFInfo
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- JP7187157B2 JP7187157B2 JP2018041785A JP2018041785A JP7187157B2 JP 7187157 B2 JP7187157 B2 JP 7187157B2 JP 2018041785 A JP2018041785 A JP 2018041785A JP 2018041785 A JP2018041785 A JP 2018041785A JP 7187157 B2 JP7187157 B2 JP 7187157B2
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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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
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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
- A61B17/68—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
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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
- A61B17/68—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
- A61B17/8004—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
- A61B17/8014—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones the extension or compression force being caused by interaction of the plate hole and the screws
-
- 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
- A61B17/8042—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers the additional component being a cover over the screw head
-
- 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
- A61B17/8057—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
-
- 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
- A61B17/842—Flexible wires, bands or straps
-
- 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
- A61B2017/564—Methods for bone or joint treatment
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
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- Surgical Instruments (AREA)
Description
Claims (15)
- 骨プレート組立部品のプレート部材と共に使用されるように形成されたケーブル保持挿入物(5、5’)であって、
上側(5a)および反対の下側(5b)と、
前記プレート部材(1)において、対応する係合構造に係合するように形成された、ケーブル保持挿入物(5、5’)の中心軸(M)を定める係合構造(51a)を含む、下側(5b)に隣接している第1の部分(51、51’)と、
前記プレート部材(1)に対してケーブル(200)を保持するように構成された少なくとも1の開口(54)を含む、上側(5a)に隣接している第2の部分(53)とを備え、
前記開口(54)は、前記中心軸(M)に直交する方向に前記第2の部分(53)を貫通して設けられ、
前記開口が貫通する方向である、前記中心軸(M)と直交する第1方向での前記第2の部分(53)の第1幅は、前記第1方向および前記中心軸(M)と直交する第2方向での第2幅よりも小さく、
前記ケーブル保持挿入物(5、5’)の前記第1の部分(51)は、前記下側(5b)に、骨アンカー(4)のヘッド(42)の少なくとも一部を収容するためのくぼみ(52、52’)を含む、ケーブル保持挿入物。 - 前記くぼみ(52、52’)は、球形に形作られた部分あるいは円すい形に形作られた部分を含む、請求項1に記載のケーブル保持挿入物。
- 前記第1の部分(51、51’)は、前記プレート部材(1)内の穴の雌ねじ山(23a)と係合するように構成される雄ねじ山(51a)を含む、請求項1または請求項2に記載のケーブル保持挿入物。
- 前記開口(54)は、細長い形状を有する、請求項1~請求項3のいずれかに記載のケーブル保持挿入物。
- 前記係合構造(51a)は、前記ケーブル保持挿入物(5、5’)の中心軸(M)を定め、
前記開口(54)の長辺は、前記中心軸(M)と直交するように延伸する、請求項4に記載のケーブル保持挿入物。 - 前記第2の部分(53)の前記第2幅は、前記中心軸(M)と直交する方向での第1の部分(51,51’)の幅よりも同一であるかわずかに小さい、請求項1~請求項5のいずれかに記載のケーブル保持挿入物。
- 前記開口(54)は閉ループを形成する、請求項1~請求項6のいずれかに記載のケーブル保持挿入物。
- 前記第1の部分(51、51’)と前記第2の部分(53)とは、一体となって形成される、請求項1~請求項7のいずれかに記載のケーブル保持挿入物。
- 上側(1a)および下側(1b)を備えるプレート部材(1)と、
前記上側(1a)から前記下側(1b)に延伸し、様々な角度の位置での骨アンカー(4)のヘッド(42)を受け入れるように適合されたシート部(21)を定義するように形成されている少なくとも1つの穴(2)と、
請求項1~請求項8のいずれかに記載のケーブル保持挿入物(5、5’)とを備え、
前記穴(2)は、前記ケーブル保持挿入物(5、5’)の係合構造(51a)との係合のために係合構造(32a)を含む、骨プレート組立部品。 - 骨アンカー(4)をさらに含み、
前記骨アンカー(4)は、骨(100)において留められるように形成された軸(41)と、球状の外面部分を有するヘッド(42)とを含む、請求項9に記載の骨プレート組立部品。 - 前記穴の前記係合構造(23a)はねじ山を含む、請求項9または請求項10に記載の骨プレート組立部品。
- 前記ケーブル保持挿入物(5、5’)の前記第1の部分(51、51’)は、挿入物(5、5’)が前記穴(2)に挿入されて、前記穴(2)に挿入された骨アンカー(4)の前記ヘッド(42)と接触するときに、前記挿入物(5、5’)の第2の部分(53)のみが、プレート部材(1)の上側(1a)の上に突出するように、軸方向の長さを有する、請求項9~請求項11のいずれかに記載の骨プレート組立部品。
- 前記穴(2)を囲む前記プレート部材(1)の壁において、前記シート部(21)に挿入されている間、骨アンカー(4)のヘッド(42)を押すように形成される傾斜路(21a)が設けられる、請求項9~請求項12のいずれかに記載の骨プレート組立部品。
- 前記第1の部分 (51、51’)の寸法と、前記穴(2)での前記シート部(21)の寸法と、前記ヘッド(42)の寸法とは、挿入されたとき、前記ケーブル保持挿入物(5、5’)が前記シート部 (21)において前記ヘッド(42)をロックするような寸法である、請求項9~請求項13のいずれかに記載の骨プレート組立部品。
- 前記穴(2)に挿入されるように形成されるロック部材(6)をさらに含み、
前記ロック部材は、前記ヘッド(42)の少なくとも一部分を収容する下側と、駆動ツール用の係合部を備えた上側とで、くぼみを含み、
前記ロック部材(6)は、前記ケーブル保持挿入物(5、5’)と交換可能に、使用可能である、請求項9~請求項14のいずれかに記載の骨プレート組立部品。
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US201762470740P | 2017-03-13 | 2017-03-13 | |
US62/470,740 | 2017-03-13 |
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JP7187157B2 true JP7187157B2 (ja) | 2022-12-12 |
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US (1) | US10716607B2 (ja) |
EP (1) | EP3375394B1 (ja) |
JP (1) | JP7187157B2 (ja) |
CN (1) | CN108567478B (ja) |
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Publication number | Priority date | Publication date | Assignee | Title |
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US20210401474A1 (en) * | 2018-11-09 | 2021-12-30 | Daniel Chan | Fracture fixation system |
JP2023513594A (ja) * | 2020-02-14 | 2023-03-31 | パラゴン28・インコーポレイテッド | 骨プレートホールキャップ、骨プレートシステム、及びそれらを使用する方法 |
US20220226030A1 (en) * | 2021-01-15 | 2022-07-21 | Globus Medical, Inc. | Cerclage cable system and apparatus |
Citations (5)
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US20020177852A1 (en) | 2001-05-23 | 2002-11-28 | Alan Chervitz | Apparatus and method for orthopedic fixation |
JP2008505700A (ja) | 2004-07-07 | 2008-02-28 | デピュイ・プロダクツ・インコーポレイテッド | 補助的に締め付けることによって固定された骨ねじを有する骨プレートシステム |
US20090287215A1 (en) | 2008-05-15 | 2009-11-19 | Zimmer, Inc. | Cable button |
JP2013521095A (ja) | 2010-03-08 | 2013-06-10 | マイアミ デバイス ソリューションズ リミテッド ライアビリティ カンパニー | 多軸の骨接合アンカーのためのロック要素、骨接合板の組立品、および工具 |
US20150289914A1 (en) | 2012-10-11 | 2015-10-15 | Stryker European Holdings I, Llc | Cable plug |
Family Cites Families (8)
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US5190545A (en) | 1991-08-27 | 1993-03-02 | Pfizer Hospital Products Group, Inc. | Cerclage wire positioning insert |
US5741259A (en) * | 1996-02-22 | 1998-04-21 | Chan; Kwan-Ho | Surgical fastener device for use in bone fracture fixation |
CA2354747A1 (en) * | 2000-08-08 | 2002-02-08 | Depuy Acromed, Inc. | Spinal rod/plate locking mechanisms and surgical methods |
ATE296580T1 (de) * | 2000-09-18 | 2005-06-15 | Zimmer Gmbh | Pedikelschraube für intervertebrale stützelemente |
US6960213B2 (en) * | 2001-05-23 | 2005-11-01 | Medicinelodge, Inc. | Apparatus and method for orthopedic fixation |
DE202004015582U1 (de) * | 2004-10-07 | 2004-12-23 | Merete Medical Gmbh | Cerclagestift für die Fixation von Stabilisierungsplatten |
US9138268B2 (en) | 2013-02-27 | 2015-09-22 | Biomet C.V. | Periprosthetic fracture repair system including discrete stabilized crimp lugs for cerclage cable and tool therefor |
US10499968B2 (en) * | 2014-08-08 | 2019-12-10 | Stryker European Holdings I, Llc | Cable plugs for bone plates |
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2017
- 2017-04-25 EP EP17167975.6A patent/EP3375394B1/en active Active
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- 2018-02-23 US US15/903,519 patent/US10716607B2/en active Active
- 2018-03-08 JP JP2018041785A patent/JP7187157B2/ja active Active
- 2018-03-08 CN CN201810188728.XA patent/CN108567478B/zh active Active
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20020177852A1 (en) | 2001-05-23 | 2002-11-28 | Alan Chervitz | Apparatus and method for orthopedic fixation |
JP2008505700A (ja) | 2004-07-07 | 2008-02-28 | デピュイ・プロダクツ・インコーポレイテッド | 補助的に締め付けることによって固定された骨ねじを有する骨プレートシステム |
US20090287215A1 (en) | 2008-05-15 | 2009-11-19 | Zimmer, Inc. | Cable button |
JP2013521095A (ja) | 2010-03-08 | 2013-06-10 | マイアミ デバイス ソリューションズ リミテッド ライアビリティ カンパニー | 多軸の骨接合アンカーのためのロック要素、骨接合板の組立品、および工具 |
US20150289914A1 (en) | 2012-10-11 | 2015-10-15 | Stryker European Holdings I, Llc | Cable plug |
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Publication number | Publication date |
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JP2018149282A (ja) | 2018-09-27 |
US10716607B2 (en) | 2020-07-21 |
EP3375394A1 (en) | 2018-09-19 |
US20180256228A1 (en) | 2018-09-13 |
CN108567478A (zh) | 2018-09-25 |
CN108567478B (zh) | 2022-04-29 |
EP3375394B1 (en) | 2021-10-13 |
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