JP7286648B2 - カニュレーションアクセス孔を有する髄内釘 - Google Patents
カニュレーションアクセス孔を有する髄内釘 Download PDFInfo
- Publication number
- JP7286648B2 JP7286648B2 JP2020532632A JP2020532632A JP7286648B2 JP 7286648 B2 JP7286648 B2 JP 7286648B2 JP 2020532632 A JP2020532632 A JP 2020532632A JP 2020532632 A JP2020532632 A JP 2020532632A JP 7286648 B2 JP7286648 B2 JP 7286648B2
- Authority
- JP
- Japan
- Prior art keywords
- nail
- hole
- access hole
- intramedullary nail
- nail body
- 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.)
- Active
Links
- 210000000988 bone and bone Anatomy 0.000 claims description 286
- 238000004873 anchoring Methods 0.000 claims description 149
- 239000000523 sample Substances 0.000 claims description 30
- 238000003780 insertion Methods 0.000 claims description 22
- 230000037431 insertion Effects 0.000 claims description 22
- 230000009969 flowable effect Effects 0.000 claims description 13
- 239000000463 material Substances 0.000 claims description 12
- 230000008685 targeting Effects 0.000 claims description 12
- 210000001519 tissue Anatomy 0.000 claims description 4
- 230000035515 penetration Effects 0.000 claims 2
- 238000000034 method Methods 0.000 description 26
- 239000003795 chemical substances by application Substances 0.000 description 8
- 239000000126 substance Substances 0.000 description 5
- 239000004568 cement Substances 0.000 description 4
- 230000035876 healing Effects 0.000 description 4
- 239000003242 anti bacterial agent Substances 0.000 description 3
- 239000003814 drug Substances 0.000 description 3
- 239000000853 adhesive Substances 0.000 description 2
- 230000001070 adhesive effect Effects 0.000 description 2
- 230000003115 biocidal effect Effects 0.000 description 2
- 239000000560 biocompatible material Substances 0.000 description 2
- 238000004891 communication Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 210000002758 humerus Anatomy 0.000 description 2
- 230000006698 induction Effects 0.000 description 2
- 230000001939 inductive effect Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000001737 promoting effect Effects 0.000 description 2
- 210000002303 tibia Anatomy 0.000 description 2
- 210000000689 upper leg Anatomy 0.000 description 2
- 239000011345 viscous material Substances 0.000 description 2
- 229940088710 antibiotic agent Drugs 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 230000005672 electromagnetic field Effects 0.000 description 1
- 210000002082 fibula Anatomy 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 239000003292 glue Substances 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 230000005236 sound signal Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000000007 visual effect Effects 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
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
- A61B17/744—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to an intramedullary nail
-
- 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
- A61B17/7233—Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1707—Guides or aligning means for drills, mills, pins or wires using electromagnetic effects, e.g. with magnet and external sensors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1725—Guides or aligning means for drills, mills, pins or wires for applying transverse screws or pins through intramedullary nails or pins
-
- 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
- A61B17/72—Intramedullary devices, e.g. pins or nails
- A61B17/7283—Intramedullary devices, e.g. pins or nails with special cross-section of the nail
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1717—Guides or aligning means for drills, mills, pins or wires for applying intramedullary nails or pins
-
- 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
- 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
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
- A61B17/921—Impactors or extractors, e.g. for removing intramedullary devices for intramedullary devices
-
- 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
- A61B2017/561—Implants with special means for releasing a drug
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Neurology (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Physics & Mathematics (AREA)
- Electromagnetism (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US15/840,389 US10695109B2 (en) | 2017-12-13 | 2017-12-13 | Intramedullary nail with cannulation access hole |
| US15/840,389 | 2017-12-13 | ||
| PCT/US2018/064993 WO2019118491A1 (en) | 2017-12-13 | 2018-12-11 | Intramedullary nail with cannulation access hole |
Publications (4)
| Publication Number | Publication Date |
|---|---|
| JP2021506388A JP2021506388A (ja) | 2021-02-22 |
| JP2021506388A5 JP2021506388A5 (https=) | 2022-01-27 |
| JPWO2019118491A5 JPWO2019118491A5 (https=) | 2022-01-27 |
| JP7286648B2 true JP7286648B2 (ja) | 2023-06-05 |
Family
ID=65139099
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2020532632A Active JP7286648B2 (ja) | 2017-12-13 | 2018-12-11 | カニュレーションアクセス孔を有する髄内釘 |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US10695109B2 (https=) |
| EP (1) | EP3723631A1 (https=) |
| JP (1) | JP7286648B2 (https=) |
| CN (1) | CN111479523B (https=) |
| WO (1) | WO2019118491A1 (https=) |
Families Citing this family (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2544501B (en) * | 2015-11-18 | 2017-12-13 | Grampian Health Board | Variable curve jig for an intramedullary nail |
| US10932828B2 (en) | 2018-01-25 | 2021-03-02 | Advanced Orthopaedic Solutions, Inc. | Bone nail |
| US11457934B2 (en) * | 2018-07-24 | 2022-10-04 | DePuy Synthes Products, Inc. | Intramedullary nail with wire or magnet for targeting of a bone-anchor locking hole |
| KR102153796B1 (ko) * | 2018-10-16 | 2020-09-08 | 주식회사 아이키 | 뼈 접합용 im 로드 |
| US11376024B2 (en) * | 2019-09-13 | 2022-07-05 | DePuy Synthes Products, Inc. | Intramedulary nail with recepatacle for receiving a tareting device for targeting a bone-anchor fixation hole |
| US11344341B2 (en) * | 2019-10-25 | 2022-05-31 | Skeletal Dynamics, Inc. | Intramedullary fixation nail and method of use |
| EP3888576B1 (de) * | 2020-03-31 | 2023-03-22 | Heraeus Medical GmbH | Marknagel zur applikation von pharmazeutischen fluiden |
| JP1695333S (https=) * | 2021-03-31 | 2021-09-21 | ||
| AU2022348885A1 (en) * | 2022-11-07 | 2024-05-23 | Wolfgang Auf | Apparatus For Treating A Fracture Of A Bone |
| US20250248739A1 (en) * | 2024-02-02 | 2025-08-07 | Reselute, Inc. | Fluted and fenestrated intramedullary devices |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2002085219A2 (en) | 2001-04-24 | 2002-10-31 | Bramlet, Dale, G. | Fermoral nail intamedullary system |
| JP2005537035A (ja) | 2001-10-17 | 2005-12-08 | オーソピーディク デザインズ インコーポレイテッド | 二股ロックを備えた脊髄ヒップネイル |
| US20120029432A1 (en) | 2003-07-15 | 2012-02-02 | Spinal Generations, Llc | Method and device for delivering medicine to bone |
| US20150157370A1 (en) | 2012-09-23 | 2015-06-11 | Impetus Innovations, Inc. | Segmental reconstructive intramedullary nail and delivery system |
| US20150305791A1 (en) | 2014-04-25 | 2015-10-29 | DePuy Synthes Products, Inc. | Aiming device for distal locking of intramedullary nails and methods of use |
| JP2016504961A (ja) | 2013-01-30 | 2016-02-18 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 照準器具 |
Family Cites Families (58)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AU593008B2 (en) * | 1985-08-27 | 1990-02-01 | Zimmer S.A. | Boring sensor for intramedullary nail and corresponding intramedullary nail |
| IT1214567B (it) * | 1986-12-02 | 1990-01-18 | Cremascoli G S P A | Struttura di chiodo endomidollare, ed apparecchiatura per il suo inserimento nell'osso. |
| US5032125A (en) | 1990-02-06 | 1991-07-16 | Smith & Nephew Richards Inc. | Intramedullary hip screw |
| US5514137A (en) * | 1993-12-06 | 1996-05-07 | Coutts; Richard D. | Fixation of orthopedic devices |
| WO1999037208A1 (en) | 1996-02-01 | 1999-07-29 | Biosense Inc. | Intrabody measurement |
| US6201387B1 (en) | 1997-10-07 | 2001-03-13 | Biosense, Inc. | Miniaturized position sensor having photolithographic coils for tracking a medical probe |
| US6223066B1 (en) | 1998-01-21 | 2001-04-24 | Biosense, Inc. | Optical position sensors |
| US6183477B1 (en) | 1998-09-04 | 2001-02-06 | Smith & Nephew, Inc. | Attachment tool for drill guide |
| US7549960B2 (en) | 1999-03-11 | 2009-06-23 | Biosense, Inc. | Implantable and insertable passive tags |
| US7558616B2 (en) | 1999-03-11 | 2009-07-07 | Biosense, Inc. | Guidance of invasive medical procedures using implantable tags |
| US6783499B2 (en) | 2000-12-18 | 2004-08-31 | Biosense, Inc. | Anchoring mechanism for implantable telemetric medical sensor |
| US6746404B2 (en) | 2000-12-18 | 2004-06-08 | Biosense, Inc. | Method for anchoring a medical device between tissue |
| US6636769B2 (en) | 2000-12-18 | 2003-10-21 | Biosense, Inc. | Telemetric medical system and method |
| US6652464B2 (en) | 2000-12-18 | 2003-11-25 | Biosense, Inc. | Intracardiac pressure monitoring method |
| US6658300B2 (en) | 2000-12-18 | 2003-12-02 | Biosense, Inc. | Telemetric reader/charger device for medical sensor |
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| US6565573B1 (en) | 2001-04-16 | 2003-05-20 | Smith & Nephew, Inc. | Orthopedic screw and method of use |
| US7286868B2 (en) | 2001-06-15 | 2007-10-23 | Biosense Inc. | Medical device with position sensor having accuracy at high temperatures |
| US6992477B2 (en) | 2001-06-15 | 2006-01-31 | Biosense, Inc. | Medical device with position sensor having core with high permeability material for determining location coordinates of a portion of the medical device |
| US20030040670A1 (en) | 2001-06-15 | 2003-02-27 | Assaf Govari | Method for measuring temperature and of adjusting for temperature sensitivity with a medical device having a position sensor |
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| US7060075B2 (en) | 2002-07-18 | 2006-06-13 | Biosense, Inc. | Distal targeting of locking screws in intramedullary nails |
| US20040068178A1 (en) | 2002-09-17 | 2004-04-08 | Assaf Govari | High-gradient recursive locating system |
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| EP1769768A1 (en) | 2005-09-28 | 2007-04-04 | DePuy Orthopädie GmbH | Surgical instrument calibration |
| EP1769769A1 (en) | 2005-09-28 | 2007-04-04 | DePuy Orthopädie GmbH | Tracking surgical items |
| US7894872B2 (en) | 2005-12-26 | 2011-02-22 | Depuy Orthopaedics, Inc | Computer assisted orthopaedic surgery system with light source and associated method |
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| GB0605807D0 (en) | 2006-03-23 | 2006-05-03 | Depuy Int Ltd | A template for use in a surgical procedure |
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| GB0605800D0 (en) | 2006-03-23 | 2006-05-03 | Depuy Int Ltd | Probe assembly |
| ITVI20060128A1 (it) | 2006-04-28 | 2007-10-29 | O S P Ortho Service Provider Srl | Chiodo endomidollare per la stabilizzazione di fratture di ossa lunghe |
| US7885701B2 (en) | 2006-06-30 | 2011-02-08 | Depuy Products, Inc. | Registration pointer and method for registering a bone of a patient to a computer assisted orthopaedic surgery system |
| US8068648B2 (en) | 2006-12-21 | 2011-11-29 | Depuy Products, Inc. | Method and system for registering a bone of a patient with a computer assisted orthopaedic surgery system |
| CA2678369A1 (en) | 2007-02-28 | 2008-09-04 | Smith & Nephew, Inc. | System and method for identifying a landmark |
| DE102007051136A1 (de) * | 2007-05-23 | 2009-04-30 | Eichhorn, Stefan, Dipl.-Ing. | Verriegelbarer Marknagel und Vorrichtung zum Fixieren |
| AU2008270835A1 (en) | 2007-06-29 | 2009-01-08 | F. Hoffmann-La Roche Ag | Device and methods for optimizing communications between a medical device and a remote electronic device |
| US9031637B2 (en) | 2009-04-27 | 2015-05-12 | Smith & Nephew, Inc. | Targeting an orthopaedic implant landmark |
| US8945147B2 (en) | 2009-04-27 | 2015-02-03 | Smith & Nephew, Inc. | System and method for identifying a landmark |
| CN102892364B (zh) | 2009-10-06 | 2016-03-16 | 史密夫和内修有限公司 | 瞄准整形外科器械的标志物 |
| TR201003130A2 (tr) | 2010-04-20 | 2011-09-21 | Havitçioğlu Hasan | Çok kanallı, kendinden kılavuzlu intramedüller tespit çivisi. |
| JP6081353B2 (ja) | 2010-06-03 | 2017-02-15 | スミス アンド ネフュー インコーポレイテッド | 整形外科用インプラント |
| BR112012033413B1 (pt) * | 2010-07-09 | 2020-06-23 | Synthes Gmbh | Pino intramedular que se estende ao longo de um eixo longitudinal e método para montar um pino intramedular |
| CN103068320A (zh) * | 2010-09-24 | 2013-04-24 | 斯恩蒂斯有限公司 | 用于测量髓内钉的弯曲度的装置 |
| US20180140311A1 (en) * | 2015-05-22 | 2018-05-24 | The Medical Research, Infrastructure and Health Services Fund of the Tel Aviv Medical Center | Targeting locations in the body by generating echogenic disturbances |
-
2017
- 2017-12-13 US US15/840,389 patent/US10695109B2/en active Active
-
2018
- 2018-12-11 EP EP18836955.7A patent/EP3723631A1/en not_active Withdrawn
- 2018-12-11 WO PCT/US2018/064993 patent/WO2019118491A1/en not_active Ceased
- 2018-12-11 CN CN201880080559.6A patent/CN111479523B/zh active Active
- 2018-12-11 JP JP2020532632A patent/JP7286648B2/ja active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2002085219A2 (en) | 2001-04-24 | 2002-10-31 | Bramlet, Dale, G. | Fermoral nail intamedullary system |
| JP2005537035A (ja) | 2001-10-17 | 2005-12-08 | オーソピーディク デザインズ インコーポレイテッド | 二股ロックを備えた脊髄ヒップネイル |
| US20120029432A1 (en) | 2003-07-15 | 2012-02-02 | Spinal Generations, Llc | Method and device for delivering medicine to bone |
| US20150157370A1 (en) | 2012-09-23 | 2015-06-11 | Impetus Innovations, Inc. | Segmental reconstructive intramedullary nail and delivery system |
| JP2016504961A (ja) | 2013-01-30 | 2016-02-18 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 照準器具 |
| US20150305791A1 (en) | 2014-04-25 | 2015-10-29 | DePuy Synthes Products, Inc. | Aiming device for distal locking of intramedullary nails and methods of use |
| JP2017515554A (ja) | 2014-04-25 | 2017-06-15 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 髄内釘を遠位に係止するための照準デバイス及び使用方法 |
Also Published As
| Publication number | Publication date |
|---|---|
| US10695109B2 (en) | 2020-06-30 |
| WO2019118491A1 (en) | 2019-06-20 |
| CN111479523B (zh) | 2024-08-09 |
| EP3723631A1 (en) | 2020-10-21 |
| CN111479523A (zh) | 2020-07-31 |
| US20190175232A1 (en) | 2019-06-13 |
| JP2021506388A (ja) | 2021-02-22 |
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