JP7608433B2 - 固定部材の微細軸方向調整機能のためのガイドスリーブ及び関連システム - Google Patents

固定部材の微細軸方向調整機能のためのガイドスリーブ及び関連システム Download PDF

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Publication number
JP7608433B2
JP7608433B2 JP2022507429A JP2022507429A JP7608433B2 JP 7608433 B2 JP7608433 B2 JP 7608433B2 JP 2022507429 A JP2022507429 A JP 2022507429A JP 2022507429 A JP2022507429 A JP 2022507429A JP 7608433 B2 JP7608433 B2 JP 7608433B2
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Japan
Prior art keywords
fixation member
distal
bone
proximal
guide
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JP2022507429A
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English (en)
Japanese (ja)
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JP2022543154A5 (enExample
JP2022543154A (ja
Inventor
フリントロップ・アンドリュー
キーヤー・トーマス
クミーク・スタンレー・ジュニア
シボール・アレクサンドラ
パッパラルド・ダナ
コーウェンス・デビッド
マクマヌス・ジョシュア
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DePuy Synthes Products Inc
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DePuy Synthes Products Inc
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Publication of JP2022543154A publication Critical patent/JP2022543154A/ja
Publication of JP2022543154A5 publication Critical patent/JP2022543154A5/ja
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    • 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
    • A61B17/56—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
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/164—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans intramedullary
    • 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
    • A61B17/1721—Guides or aligning means for drills, mills, pins or wires for applying pins along or parallel to the axis of the femoral neck
    • 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
    • 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
    • A61B17/8872—Instruments for putting said fixation devices against or away from 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
    • A61B17/1717—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
    • A61B17/16—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
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1742—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip
    • 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
    • A61B17/7241—Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone the nail having separate elements through which screws pass
    • 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
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A61B17/8886—Screwdrivers, spanners or wrenches holding the screw head
    • A61B17/8888—Screwdrivers, spanners or wrenches holding the screw head at its central region
    • 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
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A61B17/8894—Screwdrivers, spanners or wrenches holding the implant into or through which the screw is to be inserted
    • 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
    • A61B2017/922—Devices for impaction, impact element
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Neurology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)
JP2022507429A 2019-08-05 2020-07-27 固定部材の微細軸方向調整機能のためのガイドスリーブ及び関連システム Active JP7608433B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US16/531,747 US11185355B2 (en) 2019-08-05 2019-08-05 Guide sleeve for fine axial adjustability of a fixation member, and related systems and methods
US16/531,747 2019-08-05
PCT/IB2020/057080 WO2021024086A1 (en) 2019-08-05 2020-07-27 Guide sleeve for fine axial adjustability of a fixation member, and related systems

Publications (3)

Publication Number Publication Date
JP2022543154A JP2022543154A (ja) 2022-10-07
JP2022543154A5 JP2022543154A5 (enExample) 2024-09-03
JP7608433B2 true JP7608433B2 (ja) 2025-01-06

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Family Applications (1)

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JP2022507429A Active JP7608433B2 (ja) 2019-08-05 2020-07-27 固定部材の微細軸方向調整機能のためのガイドスリーブ及び関連システム

Country Status (8)

Country Link
US (1) US11185355B2 (enExample)
EP (1) EP4009891A1 (enExample)
JP (1) JP7608433B2 (enExample)
CN (1) CN114206242B (enExample)
AU (1) AU2020325803B2 (enExample)
BR (1) BR112022002056A2 (enExample)
CA (1) CA3149704A1 (enExample)
WO (1) WO2021024086A1 (enExample)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115804649B (zh) * 2022-12-05 2025-07-29 河北瑞鹤医疗器械有限公司 一种髓内钉植入导航装置

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030074005A1 (en) 2001-10-17 2003-04-17 Roth Christoph A. Orthopedic implant insertion instruments

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3927574A (en) 1974-05-13 1975-12-23 Gen Motors Corp Indexing mechanism
DE29804268U1 (de) 1998-03-11 1998-05-14 Synthes AG Chur, Chur, Graubünden Spiralklingen-Insertions-Instrument
ITBO20020200A1 (it) * 2002-04-15 2003-10-15 Hit Medica Srl Dispositivo per il posizionamento di una vite da associare ed un chiodo endomidollare infisso nel canale midollare del femore
WO2008064059A2 (en) * 2006-11-17 2008-05-29 Synthes(U.S.A.) Sliding hip helical implant
US8206389B2 (en) * 2007-08-31 2012-06-26 Huebner Randall J Rod-based system for bone fixation
US8152807B2 (en) * 2008-03-31 2012-04-10 Olecranail Llc Intramedullary device assembly and associated method
CN103327918B (zh) 2011-01-21 2016-12-14 新特斯有限责任公司 可扩张的转子股骨钉
WO2015068434A1 (ja) * 2013-11-07 2015-05-14 株式会社 フォーエス 大腿骨近位部骨折の骨接合装置および大腿骨近位部骨折の骨接合装置のマスタースクリュウ式ねじ込み装置
EP3106253A1 (de) 2015-06-17 2016-12-21 HILTI Aktiengesellschaft Bohrer und herstellungsverfahren
US10492803B2 (en) * 2016-09-22 2019-12-03 Globus Medical, Inc. Systems and methods for intramedullary nail implantation

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030074005A1 (en) 2001-10-17 2003-04-17 Roth Christoph A. Orthopedic implant insertion instruments

Also Published As

Publication number Publication date
EP4009891A1 (en) 2022-06-15
CN114206242B (zh) 2024-08-06
WO2021024086A1 (en) 2021-02-11
CA3149704A1 (en) 2021-02-11
CN114206242A (zh) 2022-03-18
BR112022002056A2 (pt) 2022-06-07
US20210038268A1 (en) 2021-02-11
AU2020325803A1 (en) 2022-03-24
JP2022543154A (ja) 2022-10-07
AU2020325803B2 (en) 2025-07-10
US11185355B2 (en) 2021-11-30

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