JP7229932B2 - 整形外科用分離ねじ、かかるねじを挿入するためのツール、並びに関連するシステム及び方法 - Google Patents

整形外科用分離ねじ、かかるねじを挿入するためのツール、並びに関連するシステム及び方法 Download PDF

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Publication number
JP7229932B2
JP7229932B2 JP2019550545A JP2019550545A JP7229932B2 JP 7229932 B2 JP7229932 B2 JP 7229932B2 JP 2019550545 A JP2019550545 A JP 2019550545A JP 2019550545 A JP2019550545 A JP 2019550545A JP 7229932 B2 JP7229932 B2 JP 7229932B2
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Japan
Prior art keywords
anchor member
rotational
distal end
drive
proximal end
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JP2019550545A
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English (en)
Japanese (ja)
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JP2020510494A5 (enExample
JP2020510494A (ja
Inventor
デイリー・アンソニー
ラボリタノ・スコット
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DePuy Synthes Products Inc
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DePuy Synthes Products Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8605Heads, i.e. proximal ends projecting from bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8605Heads, i.e. proximal ends projecting from bone
    • A61B17/861Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
    • A61B17/862Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the periphery of the screw head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8685Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875Screwdrivers, spanners or wrenches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875Screwdrivers, spanners or wrenches
    • A61B17/8886Screwdrivers, spanners or wrenches holding the screw head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875Screwdrivers, spanners or wrenches
    • A61B17/8877Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit
    • A61B17/8883Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit the driver bit acting on the periphery of the screw head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/036Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter

Landscapes

  • 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)
JP2019550545A 2016-12-06 2017-11-30 整形外科用分離ねじ、かかるねじを挿入するためのツール、並びに関連するシステム及び方法 Active JP7229932B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15/370,409 2016-12-06
US15/370,409 US10531903B2 (en) 2016-12-06 2016-12-06 Orthopedic break-off screws, tools for inserting such screws, and related systems and methods
PCT/US2017/063908 WO2018106507A2 (en) 2016-12-06 2017-11-30 Orthopedic break-off screws, tools for inserting such screws, and related systems and methods

Publications (3)

Publication Number Publication Date
JP2020510494A JP2020510494A (ja) 2020-04-09
JP2020510494A5 JP2020510494A5 (enExample) 2021-01-21
JP7229932B2 true JP7229932B2 (ja) 2023-02-28

Family

ID=61188886

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2019550545A Active JP7229932B2 (ja) 2016-12-06 2017-11-30 整形外科用分離ねじ、かかるねじを挿入するためのツール、並びに関連するシステム及び方法

Country Status (9)

Country Link
US (2) US10531903B2 (enExample)
EP (1) EP3551106B1 (enExample)
JP (1) JP7229932B2 (enExample)
CN (1) CN110062605B (enExample)
AU (1) AU2017372597B2 (enExample)
BR (1) BR112019011287A2 (enExample)
CA (1) CA3045454A1 (enExample)
ES (1) ES3009594T3 (enExample)
WO (1) WO2018106507A2 (enExample)

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US10531903B2 (en) * 2016-12-06 2020-01-14 DePuy Synthes Products, Inc. Orthopedic break-off screws, tools for inserting such screws, and related systems and methods
US11806250B2 (en) 2018-02-22 2023-11-07 Warsaw Orthopedic, Inc. Expandable spinal implant system and method of using same
US11096735B2 (en) * 2018-08-21 2021-08-24 Warsaw Orthopedic, Inc. Surgical instruments and methods
US10925656B2 (en) 2019-07-26 2021-02-23 Little Engine, LLC Anchor apparatus
US10561411B1 (en) 2019-07-26 2020-02-18 Little Engine, LLC Flush anchor snap-off apparatus
JP7632311B2 (ja) * 2020-01-15 2025-02-19 ニプロ株式会社 橈骨固定プレート固定ネジ用工具
US12059189B2 (en) 2020-06-17 2024-08-13 Arthrex, Inc. Compression/reduction drivers for performing surgical methods
US11653966B2 (en) * 2020-08-14 2023-05-23 Acumed Llc Targeted torque relief for torque-based instruments
US11638653B2 (en) 2020-11-05 2023-05-02 Warsaw Orthopedic, Inc. Surgery instruments with a movable handle
US11517363B2 (en) 2020-11-05 2022-12-06 Warsaw Orthopedic, Inc. Screw driver and complimentary screws
US11833059B2 (en) 2020-11-05 2023-12-05 Warsaw Orthopedic, Inc. Expandable inter-body device, expandable plate system, and associated methods
US12239544B2 (en) 2020-11-05 2025-03-04 Warsaw Orthopedic, Inc. Rhomboid shaped implants
US12121453B2 (en) 2020-11-05 2024-10-22 Warsaw Orthopedic, Inc. Dual wedge expandable implant with eyelets, system, and method of use
US11376134B1 (en) 2020-11-05 2022-07-05 Warsaw Orthopedic, Inc. Dual expanding spinal implant, system, and method of use
US11517443B2 (en) 2020-11-05 2022-12-06 Warsaw Orthopedic, Inc. Dual wedge expandable implant, system and method of use
US11395743B1 (en) 2021-05-04 2022-07-26 Warsaw Orthopedic, Inc. Externally driven expandable interbody and related methods
US11963881B2 (en) 2020-11-05 2024-04-23 Warsaw Orthopedic, Inc. Expandable inter-body device, system, and method
US11285014B1 (en) 2020-11-05 2022-03-29 Warsaw Orthopedic, Inc. Expandable inter-body device, system, and method
US12171439B2 (en) 2020-11-05 2024-12-24 Warsaw Orthopedic, Inc. Protected drill
US11291554B1 (en) 2021-05-03 2022-04-05 Medtronic, Inc. Unibody dual expanding interbody implant
US12318308B2 (en) 2020-11-05 2025-06-03 Warsaw Orthopedic, Inc. Dual expandable inter-body device
US11517357B2 (en) 2021-02-03 2022-12-06 Warsaw Orthopedic, Inc. Combination set screw breakoff and tab breaker instrument
US12414863B2 (en) 2021-06-24 2025-09-16 Warsaw Orthopedic, Inc. Expandable interbody implant and corresponding surgical tool
US12485019B2 (en) 2021-06-24 2025-12-02 Warsaw Orthopedic, Inc. Parallel jaw inserter
US12295865B2 (en) 2021-06-24 2025-05-13 Warsaw Orthopedic, Inc. Expandable interbody implant and corresponding inserter
US12440349B2 (en) 2021-11-01 2025-10-14 Warsaw Orthopedic, Inc. Expandable interbody implant and breakoff screw
US12268614B2 (en) 2021-06-24 2025-04-08 Warsaw Orthopedic, Inc. Interbody implant with adjusting shims
US11612499B2 (en) 2021-06-24 2023-03-28 Warsaw Orthopedic, Inc. Expandable interbody implant
US11730608B2 (en) 2021-07-13 2023-08-22 Warsaw Orthopedic, Inc. Monoblock expandable interbody implant
US11850163B2 (en) 2022-02-01 2023-12-26 Warsaw Orthopedic, Inc. Interbody implant with adjusting shims
US11839550B1 (en) 2022-06-07 2023-12-12 Little Engine, LLC Machine learning based joint evaluation method
US11612503B1 (en) 2022-06-07 2023-03-28 Little Engine, LLC Joint soft tissue evaluation method
US11642118B1 (en) 2022-06-07 2023-05-09 Little Engine, LLC Knee tensioner-balancer and method
WO2024158643A1 (en) * 2023-01-23 2024-08-02 Acumed Llc Adjustable joint optimizations
US12491032B2 (en) 2023-11-01 2025-12-09 Dynamic Balancer Systems Llc Knee arthroplasty method
US12303405B2 (en) 2023-11-01 2025-05-20 Dynamic Balancer Systems Llc Knee arthroplasty method
US12171477B1 (en) 2024-02-10 2024-12-24 Peter Eric Pierman Surgical screw caddy

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JP2001524392A (ja) 1997-11-20 2001-12-04 マクロポア インコーポレイテッド 再吸収可能な高トルクねじ
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Publication number Priority date Publication date Assignee Title
JP2001524392A (ja) 1997-11-20 2001-12-04 マクロポア インコーポレイテッド 再吸収可能な高トルクねじ
JP2007513744A (ja) 2003-12-16 2007-05-31 デピュイ・スパイン・エスエイアールエル 経皮的アクセス装置および骨アンカー組立体
US20070005077A1 (en) 2005-06-28 2007-01-04 Sdgi Holdings, Inc. Driver instrument for use in a surgical application
US20080041196A1 (en) 2006-08-16 2008-02-21 Warsaw Orthopedic Inc. Surgical Screw Insertion Devices and Methods of Use
US20090149889A1 (en) 2007-12-05 2009-06-11 Peterson Scott M Torsion cutter and cannulated cutter for cutting orthopedic fasteners
JP2016527062A (ja) 2013-10-11 2016-09-08 ライト メディカル テクノロジー インコーポレイテッドWright Medical Technology, Inc. テーパー円筒状の十字型槌状足指インプラントおよび方法

Also Published As

Publication number Publication date
US20180153599A1 (en) 2018-06-07
AU2017372597A1 (en) 2019-05-30
US11534218B2 (en) 2022-12-27
US10531903B2 (en) 2020-01-14
US20200093526A1 (en) 2020-03-26
BR112019011287A2 (pt) 2019-10-15
CA3045454A1 (en) 2018-06-14
EP3551106A2 (en) 2019-10-16
WO2018106507A2 (en) 2018-06-14
WO2018106507A3 (en) 2018-07-12
AU2017372597B2 (en) 2023-06-01
EP3551106B1 (en) 2024-11-13
ES3009594T3 (en) 2025-03-27
JP2020510494A (ja) 2020-04-09
CN110062605A (zh) 2019-07-26
CN110062605B (zh) 2023-06-06

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