KR920700589A - 척추의 신장(伸張), 압박, 고정 및 교정장치 - Google Patents

척추의 신장(伸張), 압박, 고정 및 교정장치

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KR920700589A
KR920700589A KR1019910700313A KR910700313A KR920700589A KR 920700589 A KR920700589 A KR 920700589A KR 1019910700313 A KR1019910700313 A KR 1019910700313A KR 910700313 A KR910700313 A KR 910700313A KR 920700589 A KR920700589 A KR 920700589A
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screw
implant
groove
compression
female thread
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KR0179649B1 (ko
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마르나이 디엘리
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잔-프란코이스 잔슨
제이. 비이. 에스. 쏘시에떼 아노님
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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
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7049—Connectors, not bearing on the vertebrae, for linking longitudinal elements together
    • A61B17/7052—Connectors, not bearing on the vertebrae, for linking longitudinal elements together of variable angle or length
    • 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
    • A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
    • 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
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B35/00—Screw-bolts; Stay-bolts; Screw-threaded studs; Screws; Set screws
    • F16B35/02—Screw-bolts; Stay-bolts; Screw-threaded studs; Screws; Set screws divided longitudinally
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B35/00—Screw-bolts; Stay-bolts; Screw-threaded studs; Screws; Set screws
    • F16B35/04—Screw-bolts; Stay-bolts; Screw-threaded studs; Screws; Set screws with specially-shaped head or shaft in order to fix the bolt on or in an object
    • F16B35/06—Specially-shaped heads
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B37/00—Nuts or like thread-engaging members
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B39/00—Locking of screws, bolts or nuts
    • F16B39/22—Locking of screws, bolts or nuts in which the locking takes place during screwing down or tightening
    • F16B39/28—Locking of screws, bolts or nuts in which the locking takes place during screwing down or tightening by special members on, or shape of, the nut or bolt
    • F16B39/282—Locking by means of special shape of work-engaging surfaces, e.g. notched or toothed nuts
    • 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
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • 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
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
    • 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
    • A61B17/8665—Nuts
    • A61B2017/867—Nuts with integral locking or clamping means
    • 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
    • A61B17/8665—Nuts
    • A61B2017/867—Nuts with integral locking or clamping means
    • A61B2017/8675—Nuts with integral locking or clamping means clamping effect due to tapering, e.g. conical thread

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Engineering & Computer Science (AREA)
  • Neurology (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
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  • Public Health (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Finger-Pressure Massage (AREA)
  • Portable Nailing Machines And Staplers (AREA)
  • Spinning Or Twisting Of Yarns (AREA)
  • Wire Processing (AREA)
  • Basic Packing Technique (AREA)
  • Forging (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

내용 없음

Description

척추의 신장(伸張), 압박, 고정 및 교정장치
본 내용은 요부공개 건이므로 전문내용을 수록하지 않았음
그림 11, 12, 13, 14는 본 발명에 위치하는 후크에 대한 다양한 제작 형태를 길이로 본 입면도이다.

Claims (14)

  1. 척추를 곧게 세워주고, 받쳐주는 장치는 연결과 접속 구성요소들을 매개로 하여 서로간에 유대관계가 있는 최소한 두 개의 로드에 의해서 다시 연결된 후크 혹은 나사로 죄인 임플랜트들로 구성되며, 상기 로드는 나사와 직각을 이루는 홈안으로 길게 유도되고, 이 효과로 후크 혹은 임플랜트의 몸체안에서 예측되며, 홈바닥안에 봉쇄되고, 또한
    ① 홈의 바닥안에서 (10 혹은 21)를 봉쇄해내기 위해서, 홈의 옆면(111,112)들을 접근시킴으로써, 변형은 원추형 마루(30)를 가진 암나사와 원통형의 나사(114) 시스템을 매개로 하여 얻어진다.
    ② 골이 파진 첨단(40)에 대해서 롯드를 연대관계로 맺는 것은 네개의 재갈(50,51,52,53)을 매개로 하여 얻어지는데, 그중 하나(50)는 골이 패인 횡단(40)의 극단들(41)중 하나에 고정되고, 횡단위의 다른 재갈 세개(51,52,53)의 위치는 홈(531) 안에 유지되는 암나사(60)를 매개로 하여 조정될수 있고 또한 그 선회는 무한한 나사(70)와 바퀴시스템(61)을 매개로 하여 얻어진다.
    ③ 임플랜트(10)의 나사(120)를 고정하는 것은 45°각도의 삼각형 마루(121)를 매개로 하여 얻어지며, 나사(120)의 뽀족한 부분에 비해서 뒤로 위치해 있는 옆면들중 하나(122)가 전술한 나사(120)의 로드에 비해 직각을 이룬다.
    ④ 로드의 토막(201,202)들을 길이로 연결하는 구성요소들은 나사(120)로부터 분리되거나 분리되지 않는 임플랜트(10) 머리의 몸체(11)가 통과하는 두 구멍을 포함하는 톱니가 난 작은 금속판(80)으로 구성되는데, 전체를 확실히 봉쇄해주는 암나사(30)강 나사위에 이른다.
    ⑤ 롯드(21,22)의 수평 연결구성 요소들은, 롯드로부터 분리되거나 분리되지 않은 채, 임플랜트의 멀리 몸체(110)가 통과하는 구멍과 역시 전체를 제위치에서 확실히 봉쇄하는 암나사(30)와 임플랜트(10)의 머리몸체(110)가 통과하는 것을 가능하게 해주는 같은 넓이의 홈(180)을 포함하는 하나의 작은 금속판(800)으로 구성된다.
    ⑥ 두 후크(15,16)가 서로를 향해서 조정된 골이 파진 롯드(90)는, 전술한 후크(15,16)의 몸체(150)안에 똑같은 피치로 뚫린 골 파인 구멍안에 구비되는 것을 특징으로 하는 척추의 신장, 압박, 고정및 교정장치.
  2. 제1항에 있어서, 후크(15)나 임플랜트(10)의 몸체 옆면(110,150)을 확실하게 서로 접근시켜주는 원추형 암나사(30)와 원통형 나사(114) 시스템은 홈(113 혹은 152)깊이에서, 후크(15) 혹은 임플랜트(10)의 몸체(110,150)주위로 만들어진 같은 피치로 골이파인 원추형 구형(310)으로 구성되는 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정장치.
  3. 제2항에 있어서, 본 장치는 다음의 사항으로 특정지어진다. 즉, 암나사(30)의 골파진 원추형 구형의 토대(311) 직경사이즈는, 후크(15) 혹은 임플랜트(10)의 몸체(110,150)의 주위;에서 만들어진 원통형 숫나사못을 마루(114)의 직경에 해당되는 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정장치.
  4. 제1항 또는 제2항에 있어서, 장치는 다음의 사실 즉, 롯드(20 혹은 21)가 전술한 홈의 바닥안에 놓일때, 암나사(30)의 높이는 롯드(20 혹은 21)의 홈(113 혹은 152)에서 입구를 분리해주는 거리와 대략 일치하는 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정 장치.
  5. 제1항에 있어서, 본 장치는 암나사의 기초(32)가 비스듬하게 배치된 톱니(331)를 포함하는 반면에, 암나사(30)의 머리가 원형으로 되어있는 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정장치.
  6. 제5항에 있어서, 본 장치는 암나사(30)의 톱니(331)의 절단면은 직각 삼각형의 모양을 갖는데, 직각 삼각형의 기초는 암나사(30)의 기초와 섞이는 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정장치.
  7. 제6항에 있어서, 본 장치는 암나사를 죄어서 압축해내기 위해서 암나사(30)에 가해진 선회방향쪽으로 직각 삼각형 빗변을 서러정하는 것을 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정장치.
  8. 제5항에 있어서, 장치는 비스듬히 배치된 톱니(331)가 암나사(30)의 속에서 동심원(332)에 따라 홈이 파이는 것을 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정장치.
  9. 제9항에 있어서, 장치는 받침대로 사용되는 롯드(20 혹은 21)는 그 전체 길이에 홈이 파이는 것을 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정장치.
  10. 제1항 또느 제2항에 있어서, 장치는 다음의 내용으로 특징져진다. 즉, 후크(15)의 임플랜트(10)의 몸체(110)안에 만들어진 홈(113 혹은 152)의 바닥은 반원통의 흔적을 포함하는데, 그 윤곽은 받침롯트(20) 위에 만들어진 마루의 윤곽에 해당되는 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정장치.
  11. 제1항에 있어서, 장치는 임플랜트(10)가 순수 티탄(Ti) 혹은 이식할 수 있는 되탄이 섞인 혼합물로 만들어지는 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정장치.
  12. 제11항에 있어서, 장치는 임플랜트이 TiA16U4로 만들어지는 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정장치.
  13. 제1항에 있어서, 장치는 다음의 내용으로 특정져진다. 즉, 골이파인 횡단(40)위에 유동적인 재갈(51,52,53)을 확실히 이동해 주면서, 암나사(60)의 작동바퀴(61)를 회전시키는 끝없는 나사(70)는 열쇠 혹은 나사 돌리개를 매개로 해서 작동케 해주는 흔적(71)을 포함하는 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정장치.
  14. 제1항에 있어서, 장치는 다음의 내용으로 특정져진다. 즉, 후크(15와 16)를 둘씩 접속시키는 골파인 롯트(90)를 회전작동 시키는 수단은 나사 돌리개 혹은 열쇠를 매개로 하여 움직이게 해주는 흔적(92)으로 구성되는 것을 특징으로 하는 척추의 신장, 압박, 고정 및 교정장치.
    ※ 참고사항 : 최초출원 내용에 의하여 공개하는 것임.
KR1019910700313A 1989-07-26 1990-07-13 척추의 교정, 고정, 압축 및 신장을 위한 장치 KR0179649B1 (ko)

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FR89-10178 1989-07-26
FR8910178A FR2650173B1 (fr) 1989-07-26 1989-07-26 Procede et dispositif de redressement, fixation, compression, elongation du rachis
PCT/FR1990/000539 WO1991001691A1 (fr) 1989-07-26 1990-07-13 Dispositif de redressement, fixation, compression, elongation du rachis

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ES (1) ES2060190T3 (ko)
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AU6049190A (en) 1991-03-11
AU638265B2 (en) 1993-06-24
DE69010650D1 (de) 1994-08-18
EP0436697A1 (fr) 1991-07-17
FR2650173A1 (fr) 1991-02-01
WO1991001691A1 (fr) 1991-02-21
KR0179649B1 (ko) 1999-05-01
EP0436697B1 (fr) 1994-07-13
ES2060190T3 (es) 1994-11-16
DE69010650T2 (de) 1995-02-09
ATE108318T1 (de) 1994-07-15
FR2650173B1 (fr) 1991-11-15

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