KR950024743A - 뼈 운반장치 - Google Patents

뼈 운반장치 Download PDF

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KR950024743A
KR950024743A KR1019940026587A KR19940026587A KR950024743A KR 950024743 A KR950024743 A KR 950024743A KR 1019940026587 A KR1019940026587 A KR 1019940026587A KR 19940026587 A KR19940026587 A KR 19940026587A KR 950024743 A KR950024743 A KR 950024743A
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South Korea
Prior art keywords
bone
piston
cylinder
separated
nail
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KR1019940026587A
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English (en)
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알. 스피백 알란
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크리스토퍼 메씨나
제네시스 오르토페딕스
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Publication of KR950024743A publication Critical patent/KR950024743A/ko

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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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
    • A61B17/7275—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with expanding cylindrical parts
    • 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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7216—Intramedullary pins, nails or other devices for bone lengthening or compression
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • 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
    • A61B17/66—Alignment, compression or distraction mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61B17/8009—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 plate having a ratchet
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/32—Joints for the hip
    • A61F2/36—Femoral heads ; Femoral endoprostheses
    • A61F2/3662—Femoral shafts
    • A61F2/3672—Intermediate parts of shafts
    • A—HUMAN NECESSITIES
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    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
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    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/30487—Circumferential cooperating grooves and beads on cooperating lateral surfaces of a mainly longitudinal connection
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30518—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
    • A61F2002/3052—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts unrestrained in only one direction, e.g. moving unidirectionally
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/3055—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting length
    • A—HUMAN NECESSITIES
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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Abstract

본 발명은 뼈의 골수도관내에 단단히 고정될 수 있는 원위 부분 및 기부분을 가지고 있는 골수내못으로 이루어지는, 뼈 단편과 기부단부 사이의 거리를 점차적으로 연장시킴으로써 고의적으로 분리된 사이의 계속적인 성장이 가능하게 되도록 사람 또는 동물에서 뼈의 기부 단부로부터 뼈에 있는 공극을 향해 윈위 단부의 방향으로 중간지점에서 고의적으로 분리된 뼈의 단편을 운반하기 위한 장치에 관한 것이다. 못은 뼈의 기부부분과 연결될 수 있는 수압식 실린더와 고의적으로 분리된 뼈 단편에 연결될 수 있는 피스톤을 포함한다.

Description

뼈 운반장치
본 내용은 요부공개 건이므로 전문내용을 수록하지 않았음
제1도는 본 발명을 구체화하고, 대퇴골에 위치한 뼈의 연장장치의 단면도이다.
제2도는 제1도에 도시된 장치의 상부 부분의 상세도이다.
제3도는 제1도에 도시된 장치의 이동을 제한하기 위한 래치트 수단의 제2도의 라인Ⅲ - Ⅲ에서 한 확대된 규모의 상세한 단면도이다.
제4도, 5도 및 6도는 래치팅 메카니즘의 방향을 반전시키기 위한 수단을 포함하는 래치팅 메카니즘의 다른 구현예의 상세한 확대도이다.

Claims (21)

  1. 원위부분과 기부분을 가지고 있는 골수내 못 : 뼈의 기부단부에 있는 뼈의 골수도관내에서 고정될 수 있는 못의 기부분 ; 뼈의 원위 단부에 있는 뼈의 골수도관내에서 고절될 수 있는 못의 원위부분 ; 못의 기부부분에 연결된 수압식 실린더 ; 못의 원위 부분에 연결되고 실린더내에서 이동할 수 있는 피스톤 ; 실린더와 소통관계에 있는 작동유체의 공급부 ; 및 피스톤과 불연속 팁 사이에 있으면서 그것들 사이의 상대적 이동을 허용하는 수단이 구비되어 있는 막대로 이루어지는, 뼈 단편과 기부단부 사이의 거리를 점차적으로 연장시킴으로써 고의적으로 분리된 부분들 사이의 계속적인 성장이 가능하게 되도록, 사람 또는 동물에서의 뼈의 기부 단부로부터 뼈에 있는 공극을 향해 원위 단부의 방향으로 중간 지점에서 고의적으로 분리된 뼈의 단편을 운반하기 위한 장치.
  2. 원위부분과 기부부분을 가지고 있는 골수내 못 ; 뼈의 기부단부에 있는 뼈의 골수도관내에서 고정될 수 있는 못의 기부부분 ; 뼈의 원위 단부에있는 뼈의 골수도관내에서 고정될 수 있는 못의 원위 부분 ; 못의 기부부분에 연결된 수압식 실린더 ; 못의 원위 부분에 연결되고 실린더내에서 이동할 수 있는 피스톤 ; 실린더와 소통관계에 있는 작동유체의 공급부 ; 및 불연속 팁에 단단하게 고정되고 피스톤내의 홈에 미끄러질 수 있는 막대로 이루어지는, 단편과 기부단부 사이의 거리를 점차적으로 연장시킴으로써 고의적으로 분리된 부분들 사이의 계속적인 성장이 가능하게 되도록, 사람 또는 동물에서 뼈의 기부 단부로부터 뼈에 있는 공극을 향해 원위 단부의 방향으로 중간지점에서 고의적으로 분리된 뼈의 단편을 운방하기 위한 장치.
  3. 원위부분과 기부부분을 가지고 있는 골수내 못 ; 뼈의 기부단부에 있는 뼈의 골수도관내에서 고정될 수 있는 못의 기부부분 ; 뼈의 원위 단부에 있는 뼈의 골수도관내에서 고정될 수 있는 못의 원위 부분 ; 못의 기부부분에 연결된 수압식 실린더, 못의 원위 부분에 연결되고 실린더내에서 이동할 수 있는 피스톤 ; 실린더와 소통관계에 있는 작동유체의 공급부 ; 및 피스톤에 고정되고 불연속 팁내의 홈에 미끄러질 수 있는 막대로 이루어지는, 단편과 기부단부 사이의 거리를 점차적으로 연장시킴으로써 고의적으로 분리된 부분들 사이의 계속적인 성장이 가능하게 되도록, 사람 또는 동물에서 뼈의 기부 단부로부터 뼈에 있는 공극을 향해 원위 단부의 방향으로 중간지점에서 고의적으로 분리된 뼈의 단편을 운반하기 위한 장치.
  4. 제1항에 있어서, 피스톤과 실린더 사이에 있으면서 그것들의 상대적 이동과 뼈의 분리된 단편의 이동을 한 방향으로 제한하기 위한 래치팅 메카티즘을 포함하는 것을 특징으로 하는 장치.
  5. 제2항에 있어서, 피스톤과 실린더 사이에 있으면서 그것들의 상대적 이동과 뼈의 분리된 단편의 이동을 한 방향으로 제한하기 위한 래치팅 메카니즘을 포함하는 것을 특징으로 하는 장치.
  6. 제3항에 있어서, 피스톤과 실린더 사이에 있으면서 그것들의 상대적 이동과 뼈의 분리된 단편의 이동을 한 방향으로 제한하기 위한 래치팅 메카니즘을 포함하는 것을 특징으로 하는 장치.
  7. 제1항에 있어서, 피스톤 및 실린더와 작동가능하게 맞물릴 수 있는 충격흡수 엘레먼트 ; 및 분리된 뼈 단편과 고의적을 분리된 뼈의 부분 사이의 뼈 성장을 자극하기 위하여 피스톤의 이동방향으로 충격흡수 엘레먼트에 대해 피스톤과 실린더 사이의 제한된 공전을 허용하기 위한 수단을 포함하는 것을 특징으로 하는 장치.
  8. 제2항에 있어서, 피스톤 및 실린더와 작동가능하게 맞물릴 수 있는 충격 흡수 엘레먼트 ; 및 분리된 뼈 단편과 고의적으로 분리된 뼈의 부분 사이의 뼈 성장을 자극하기 위하여 피스톤의 이동방향으로 충격흡수 엘레먼트에 대해 피스톤과 실린더 사이의 제한된 공전을 허용하기 위한 수단을 포함하는 것을 특징으로 하는 장치.
  9. 제3항에 있어서, 피스톤 및 실린더와 작동가능하게 맞물릴 수 있는 충격 흡수 엘레먼트 ; 및 분리된 뼈 단편과 고의적으로 분리된 뼈의 부분 사이의 뼈 성장을 자극하기 위하여 피스톤의 이동방향으로 충격흡수 엘레먼트에 대해 피스톤과 실린더 사이의 제한된 공전을 허용하기 위한 수단을 포함하는 것을 특징으로 하는 장치.
  10. 제1항에 있어서, 피스톤과 실린더 사이에 있으면서 그것들의 상대적 이동과 뼈의 분리된 단편의 상대적 이동을 한 방향으로 제한하기 위한 래치팅 메카니즘 ; 및 작동유체의 압력이 이완된때 실린더에 대한 피스톤의 방향전환을 가능하게 하기 위한 수단을 포함하는 것을 특징으로 하는 장치.
  11. 제2항에 있어서, 피스톤과 실린더 사이에 있으면서 그것들의 상대적 이동과 뼈의 분리된 단편의 상대적 이동을 한 방향으로 제한하기 위한 래치팅 메카니즘 ; 및 작동유체의 압력이 이완된때 실린더에 대한 피스톤의 방향전환을 가능하게 하기 위한 수단을 포함하는 것을 특징으로 하는 장치.
  12. 제3항에 있어서, 피스톤과 실린더 사이에 있으면서 그것들의 상대적 이동과 뼈의 분리된 단편의 상대적 이동을 한 방향으로 제한하기 위한 래치팅 메카니즘 ; 및 작동유체의 압력이 이완된때 실린더에 대한 피스톤의 방향전환을 가능하게 하기 위한 수단을 포함하는 것을 특징으로 하는 장치.
  13. 제1항에 있어서, 불연속 팁의 그것을 뼈의 원위부분에서 골수도관에 고정시키기 위한 나사감김을 포함하는 것을 특징으로 하는 장치.
  14. 제2항에 있어서, 불연속 팁의 그것을 뼈의 원위부분에서 골수도관에 고정시키기 위한 나사감김을 포함하는 것을 특징으로 하는 장치.
  15. 제3항에 있어서, 불연속 팁의 그것을 뼈의 원위부분에서 골수도관에 고정시키기 위한 나사감김을 포함하는 것을 특징으로 하는 장치.
  16. 제1항에 있어서, 불연속 팁이 활모양인 것을 특징으로 하는 장치.
  17. 제2항에 있어서, 불연속 팁이 활모양인 것을 특징으로 하는 장치.
  18. 제3항에 있어서, 불연속 팁이 활모양인 것을 특징으로 하는 장치.
  19. 제1항에 있어서, 불연속 팁이 수직인 것을 특징으로 하는 장치.
  20. 제2항에 있어서, 불연속 팁이 수직인 것을 특징으로 하는 장치.
  21. 제3항에 있어서, 불연속 팁이 수직인 것을 특징으로 하는 장치.
    ※ 참고사항 : 최초출원 내용에 의하여 공개하는 것임.
KR1019940026587A 1994-02-09 1994-10-18 뼈 운반장치 KR950024743A (ko)

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US08/194,381 1994-02-09

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CN1119927A (zh) 1996-04-10
WO1995021580A1 (en) 1995-08-17
TW295540B (ko) 1997-01-11
AU1834595A (en) 1995-08-29
AU7149294A (en) 1996-03-07
AU676586B2 (en) 1997-03-13

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