TR201610537A2 - PERMANENT IMPLANT USED DURING ORTHOPEDIC SURGICAL OPERATIONS - Google Patents
PERMANENT IMPLANT USED DURING ORTHOPEDIC SURGICAL OPERATIONS Download PDFInfo
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- TR201610537A2 TR201610537A2 TR2016/10537A TR201610537A TR201610537A2 TR 201610537 A2 TR201610537 A2 TR 201610537A2 TR 2016/10537 A TR2016/10537 A TR 2016/10537A TR 201610537 A TR201610537 A TR 201610537A TR 201610537 A2 TR201610537 A2 TR 201610537A2
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- screw
- small
- large screw
- cylinder
- lumen
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- 239000007943 implant Substances 0.000 title claims abstract description 31
- 230000000399 orthopedic effect Effects 0.000 title claims abstract description 14
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 27
- 230000006835 compression Effects 0.000 description 17
- 238000007906 compression Methods 0.000 description 17
- 238000001356 surgical procedure Methods 0.000 description 16
- 206010017076 Fracture Diseases 0.000 description 13
- 208000010392 Bone Fractures Diseases 0.000 description 11
- 238000000034 method Methods 0.000 description 11
- 230000006641 stabilisation Effects 0.000 description 8
- 238000011105 stabilization Methods 0.000 description 8
- 208000037873 arthrodesis Diseases 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 238000007710 freezing Methods 0.000 description 4
- 230000008014 freezing Effects 0.000 description 4
- 238000000926 separation method Methods 0.000 description 4
- 230000002146 bilateral effect Effects 0.000 description 3
- 230000009089 cytolysis Effects 0.000 description 3
- 230000009467 reduction Effects 0.000 description 3
- 230000037182 bone density Effects 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 230000018109 developmental process Effects 0.000 description 2
- 241001631457 Cannula Species 0.000 description 1
- 206010020100 Hip fracture Diseases 0.000 description 1
- 206010020462 Humerus fracture Diseases 0.000 description 1
- 208000007103 Spondylolisthesis Diseases 0.000 description 1
- 238000009835 boiling Methods 0.000 description 1
- 230000001054 cortical effect Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 230000006866 deterioration Effects 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000001009 osteoporotic effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 210000003131 sacroiliac joint Anatomy 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 210000001694 thigh bone Anatomy 0.000 description 1
- 206010043827 tibia fracture Diseases 0.000 description 1
- 238000011541 total hip replacement Methods 0.000 description 1
- 230000003313 weakening effect Effects 0.000 description 1
Classifications
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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
- A61B17/683—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
-
- 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
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
-
- 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
- A61B17/864—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, 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
- A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
Abstract
Buluş; ortopedik cerrahi operasyonlar esnasında kullanılan; birbiri ile irtibatlanan; büyük vida başı (201), büyük vida silindiri (202), büyük vida lümeni (203), büyük vida tornavida ağzına (204) sahip büyük vida (200) ve küçük vida başı (301), küçük vida silindiri (302), küçük vida lümeni (303), küçük vida tornavida ağzına (304) sahip küçük vida (300) içeren kalıcı implant (100) olup; bahsedilen büyük vida lümeninin (203) iç kısmında bulunan büyük vida lümen içi yiv sistemi (A); bahsedilen büyük vida silindirinin (202) dış kısmında bulunan ve büyük vidanın (200) kemiğe tutunmasını sağlayan bir büyük vida silindir üstü yiv sistemi (B); bahsedilen küçük vida silindirinin (302) dış kısmında bulunan ve büyük vida lümen içi yiv sistemiyle (A) irtibatlanmasını sağlayan küçük vida silindir üstü yiv sistemi (C) içermektedir.Invention; used during orthopedic surgical operations; interconnected; large screw head (201), large screw cylinder (202), large screw lumen (203), large screw (200) and small screw head (301) with large screw screwdriver bore (204), small screw cylinder (302), small the screw lumen (303) is a permanent implant (100) comprising a small screw (300) having a small screw screwdriver opening (304); the large screw luminal groove system (A) located inside said large screw lumen (203); a large screw roll-over groove system (B) located on the outside of said large screw roll (202) and allowing the large screw (200) to adhere to the bone; and a small screw-on-roll threading system (C) located on the outside of said small screw-roller (302) and connecting the large screw-in-lumen threading system (A).
Description
TARIFNAME ORTOPEDIK CERRAHI OPERASYONLAR ESNASINDA KULLANILAN KALICI IMPLANT Teknik Alan Bulus, ortopedik cerrahi operasyonlarda 'ozellikle kirik tespiti, eklem ayrismasi veya eklem dondurma(artrodez) ameliyatlari esnasinda kullanilan kalici implant ile ilgilidir. DESCRIPTION PERMANENT USED DURING ORTHOPEDIC SURGERY OPERATIONS IMPLANT Technical Area The invention is used in orthopedic surgical operations 'especially fracture fixation, joint separation or It is related to the permanent implant used during joint freezing (arthrodesis) surgeries.
Bulus ozellikle; iki vidanin birbiri içine girerek her iki taraftan kemigi daha güçlü sekilde komprese ederek (sikistirarak)i kemikten bagimsiz bir fiksasyon saglayan ve kemik lizise ugrasa dahi stabilizasyonu kaybolmayan kalici implant ile ilgilidir. The invention especially; the two screws go into each other, making the bone stronger on both sides It provides an independent fixation from the bone by compressing (compressing) and It is related to the permanent implant whose stabilization is not lost even if the bone undergoes lysis.
Onceki Teknik Mevcut durumda uygulamalarda en fazla kullanilan teknikler arasinda kanüllü vida ile fiksasyon, bassiz kompresyon vidasi ile fiksasyon, plak kullanimi gibi teknikler mevcuttur. Bahsedilen bu tekniklerde özellikle vida ile yapilan kompresyonlar yetersiz kalmakta zamanla kemikte olusan lizisden (kemigin zayiflamasi) etkilenerek fiksasyon kaybina, kaynamamaya, agriya, baska komplikasyonlara ve tekrar operasyonlarina neden olmaktadir. Bunun en büyük nedeni günümüzde kullanilan malzemelerin kompresyon (sikistirma gücü) ve fiksasyon gücünün kemige bagimli olmasindan kaynaklanmaktadir. Bunu bir tarafi yivli olan vida kemige tutunarak çektirmekte ve kompresyon yapmaktadir. Kemikteki kitsel incelme kompresyon gücünde zamanla kayba neden olmakta ve vidanin gevsemesi sonucu sonuç basarisiz olabilmektedir. Yine osteoporotik kemiklerde bu vidalar kemige tutunamamakta ve kompresyon yapamamakta, operasyonun erken döneminde bile kirikta kayma ve revizyon ameliyat ile sonuçlanabilmektedir. Revizyon ameliyati ihtimalinin yüksek olmasi operasyonu gerçeklestiren cerrah ve hastane açisindan zaman ve isgücü kayiplarini arttirmaktadir. Previous Technique Currently, among the most used techniques in applications, cannulated screw techniques such as fixation, fixation with a compression screw without compression, use of a plate available. In these techniques, especially the compressions made with screws are insufficient. remains affected by the lysis (weakening of the bone) that occurs in the bone over time. fixation loss, nonunion, pain, other complications and recurrence cause operations. The main reason for this is today's Compression (compression strength) and fixation strength of materials dependent on bone is due to it. The screw, which is threaded on one side, clings to the bone. pulls and compresses. Compression of the bone thinning It causes loss of power over time and results as a result of loosening of the screw. may fail. Again, in osteoporotic bones, these screws are attached to the bone. unable to hold and compress, even in the early stages of the operation. Fracture slippage and revision may result in surgery. revision surgery The high probability of this is important for the surgeon and the hospital performing the operation. increases time and labor losses.
Konu ile ilgili mevcut teknikte bilinen gelismeler asagida verilmektedir. The known developments in the current art related to the subject are given below.
TR 2003 00137 yayin numarali faydali model basvurusu, emniyetli omurga ameliyatlarinda kullanilan açik pedikül vida, açik poliaxial vida, spondilolistezis vida ve açik çengellerin sabitlemesi ile ilgilidir. Application for utility model with publication number TR 2003 00137, safe spine Open pedicle screw, open polyaxial screw, spondylolisthesis screw used in surgeries and the fastening of open hooks.
TR 2014 00396 yayin numarali faydali model; total kalça protezi ameliyatlari sirasinda istemli ya da istemsiz sekilde meydana gelebilen uyluk kemigi büyük trokanterik kiriklarinin tedavisinde, ortopedik implant olarak kullanilan trokanterik gripli plak- vida sistemi ve bu sistemle gerçeklestirilen tedavi yöntemi ile ilgilidir. Utility model with issue number TR 2014 00396; total hip replacement surgeries large thigh bone that may occur voluntarily or involuntarily during trochanteric implant used as an orthopedic implant in the treatment of trochanteric fractures. It is about the plate-screw system with grip and the treatment method performed with this system.
Sonuç olarak yukarida anlatilan olumsuzluklardan dolayi ve mevcut çözümlerin konu hakkindaki yetersizligi nedeniyle ilgili teknik alanda bir gelistirme yapilmasi gerekli kilinmistir. As a result, due to the above-mentioned negativities and existing solutions It is necessary to make an improvement in the relevant technical field due to the inadequacy of the is locked.
Bulusun Kisa Açiklamasi Mevcut bulus, yukarida bahsedilen gereksinimleri karsilayan, tüm dezavantajlari ortadan kaldiran ve ilave bazi avantajlar getiren ortopedik cerrahi operasyonlar esnasinda kullanilan kalici implant ile ilgilidir. Brief Description of the Invention The present invention fulfills the above-mentioned requirements, has all the disadvantages Orthopedic surgical operations that eliminate the problem and bring some additional advantages It is related to the permanent implant used during the procedure.
Bulusun amaci; ortopedik cerrahi operasyonlarda özellikle kirik tespiti, eklem ayrismasi veya eklem dondurma (artrodez) ameliyatlari esnasinda kullanilabilen bir kalici implant gelistirilmesini saglamaktir. The purpose of the invention; In orthopedic surgical operations, especially fracture fixation, joint It can be used during separation or joint freezing (arthrodesis) surgeries. To ensure the development of permanent implants.
Bulusun bir amaci; iki ayri vidanin birbiri içine girmek suretiyle iki taraftan birden sikistirarak sikistirma gücünü arttirmasi ve bunu kemik yogunlugundan bagimsiz olarak yapmasidir. An aim of the invention is; from both sides by interlocking two separate screws. it increases the compressive power by compressing and it does this independently of bone density. as it does.
Bulusun baska bir amaci; kanüllü olan iki vidanin önce bir kilavuz teli gönderilerek daha sonra telin iki ucundan birinin, digerinin içine girebilecek özellige sahip olan iki vida gönderilmek suretiyle tipki bir vida somunu gibi sikistirici etki olusturmasidir. Another object of the invention is; by sending a guide wire first to the two cannulated screws. then one of the two ends of the wire can be inserted into the other by sending a screw, it creates a tightening effect just like a screw nut.
Bulusun bir amaci; biri digerinden daha kalin iki vida kullanilmasi, ince vidanin, hem içi hem disi ayni araliklara sahip yiv sistemi içeren kalin vidanin yiv sistemi içine girerek birlesmesi ve sikisarak kenetlenmesi sonucunda kompresyon gücünün saglamasidir. An aim of the invention is; using two screws, one thicker than the other, Inside the thread system of the thick screw containing the thread system with the same spacing both inside and out. Compression strength as a result of merging by entering and clamping by squeezing it is to provide.
Bulusun baska bir amaci; kemigin kitlesel yogunluguna bagli olmadan, iki vidanin birbiri üzerinden kayarak tutunmasi sayesinde çok daha güçlü, güvenli ve stabil bir fiksasyon meydana getirilmesini saglamaktir. Another object of the invention is; Regardless of the massive density of the bone, the two screws are a much stronger, safer and more stable solution thanks to its sliding over each other. to provide fixation.
Bulusun bir amaci; kirik hattindaki kompresyon gücü ile dogrudan iliskili kaynama oraninin arttirilmasini ve stabilizasyon kaybolmadigi için kirik redüksiyonunun bozulmasinin engellenmesi sonucunda revizyon ameliyatlarinin azaltmasini saglamaktir. An aim of the invention is; union directly related to the compression force at the fracture line increase the rate of fracture and fracture reduction as stabilization is not lost. reduction of revision surgeries as a result of preventing the deterioration of is to provide.
Bulusun bir amaci; revizyon ameliyati ihtimalinin azaltilmasi ve ekstra ameliyat masraflarinin önlenmesini saglamaktir. An aim of the invention is; Reducing the possibility of revision surgery and extra surgery to prevent costs.
Bulusun bir amaci; revizyon ameliyati ihtimalini azaltarak operasyonu gerçeklestiren cerrah ve hastane açisindan zaman ve isgücü kayiplarinin engellenmesini saglamaktir. An aim of the invention is; performing the operation, reducing the possibility of revision surgery. to prevent time and labor losses in terms of surgeon and hospital. is to provide.
Bulus, yukarida anlatilan amaçlarin yerine getirilmesi için, ortopedik cerrahi operasyonlar esnasinda kullanilan; birbiri ile irtibatlanan; o büyük vida basi, büyük vida silindiri, büyük vida Iümeni, büyük vida tornavida agzina sahip büyük vida ve o küçük vida basi, küçük vida silindiri, küçük vida Iümeni, küçük vida tornavida kalici implant olup; 0 bahsedilen büyük vida Iümeninin iç kisminda bulunan büyük vida lümen içi yiv o bahsedilen büyük vida silindirinin dis kisminda bulunan ve büyük vidanin kemige tutunmasini saglayan bir büyük vida silindir üstü yiv sistemi, 0 bahsedilen küçük vida silindirinin dis kisminda bulunan ve büyük vida lümen içi yiv sistemiyle irtibatlanmasini saglayan küçük vida silindir üstü yiv sistemi içermektedir. In order to fulfill the above-described purposes, the invention is used in orthopedic surgery. used during operations; connected with each other; o big screw head, big screw cylinder, big screw head, big screw screwdriver large screw with mouth and o small screw head, small screw cylinder, small screw head, small screw screwdriver is a permanent implant; 0 the large screw in the inner part of the mentioned large screw lumen o located on the disc of said large screw cylinder and a large screw-on-cylinder thread system that allows it to attach to the bone, 0 located on the disc of said small screw cylinder and the large screw lumen A small screw-on-cylinder thread system that allows it to be connected with the internal thread system. contains.
Bulusun amaçlarini gerçeklestirmek üzere, bahsedilen yiv sistemleri, birbirleri ile esit uzunlukta yiv mesafesine sahiptir. To achieve the objectives of the invention, said thread systems are to be equidistant with each other. It has a long groove distance.
Bulusun amaçlarini gerçeklestirmek üzere, bahsedilen küçük vida, içi düz ve yiv sistemi bulunmayan bir küçük vida lümeni içermektedir. To achieve the objectives of the invention, said small screw is flat inside and threaded. It contains a small screw lumen without a system.
Bulusun yapisal ve karakteristik özellikleri ve tüm avantajlari asagida verilen sekiller ve bu sekillere atiflar yapilmak suretiyle yazilan detayli açiklama sayesinde daha net olarak anlasilacaktir. Bu nedenle degerlendirmenin de bu sekiller ve detayli açiklama göz önüne alinarak yapilmasi gerekmektedir. The structural and characteristic features of the invention and all its advantages are given below. and it is clearer thanks to the detailed explanation written by making references to these figures. will be understood as For this reason, these forms and detailed explanations are also included in the evaluation. should be taken into account.
Bulusun Anlasilmasina Yardimci Olacak Sekiller Sekil-1; Bulus konusu kalici implantin demontaj perspektif bir görünümüdür. Figures to Help Understand the Invention Figure 1; The subject of the invention is a disassembly perspective view of the permanent implant.
Sekil-2; Bulus konusu kalici implantin montajlanmis kesit perspektif görünümüdür. Figure-2; The subject of the invention is the assembled section perspective view of the permanent implant.
Sekil-3; Bulus konusu kalici implantin büyük vidasinin yiv sistemlerinin (A), (B) yandan detay görünümüdür. Figure-3; (A), (B) thread systems of the large screw of the inventive permanent implant side detail view.
Sekil-4; Bulus konusu kalici implantin küçük vidasinin yiv sistemi ve küçük vida Çizimlerin mutlaka ölçeklendirilmesi gerekmemektedir ve mevcut bulusu anlamak için gerekli olmayan detaylar ihmal edilmis olabilmektedir. Bundan baska, en azindan büyük ölçüde özdes olan veya en azindan büyük ölçüde özdes islevleri olan elemanlar, ayni numara ile gösterilmektedir. Figure-4; The thread system of the small screw of the permanent implant and the small screw Drawings do not necessarily need to be scaled and to understand the present invention Unnecessary details may be omitted. Other than that, at least substantially identical, or at least having substantially identical functions Elements are indicated by the same number.
Parça Referanslarinin Açiklamasi 100- kalici implant 200- büyük vida 201- büyük vida basi 202- büyük vida silindiri 203- büyük vida lümeni 300- küçük vida 301- küçük vida basi 302- küçük vida silindiri 303- küçük vida lümeni A- büyük vida Iümen içi yiv sistemi 8- büyük vida silindir üstü yiv sistemi C- küçük vida silindir üstü yiv sistemi X- yiv mesafesi Bulusun Detayli Açiklamasi Bu detayli açiklamada, bulus konusu ortopedik cerrahi operasyonlar esnasinda kullanilan kalici implant (100) ve tercih edilen yapilanmalari, sadece konunun daha iyi anlasilmasina yönelik olarak ve hiçbir sinirlayici etki olusturmayacak sekilde açiklanmaktadir. Description of Part References 100- permanent implant 200- big screw 201- big screw head 202- big screw cylinder 203- large screw lumen 300- small screw 301- small screw head 302- small screw cylinder 303- small screw lumen A- big screw intraluminal thread system 8- big screw on cylinder thread system C- small screw on-cylinder thread system X-groove distance Detailed Description of the Invention In this detailed description, the subject of the invention is covered during orthopedic surgical operations. The permanent implant (100) used and its preferred configurations are only a further discussion of the subject. for good understanding and without any limiting effect is explained.
Bulus, ortopedik cerrahi operasyonlar esnasinda kullanilan, bir büyük vida (200) ile bahsedilen büyük vida (200) içinde irtibatlanma özelligine sahip bir küçük vida (300) içeren kalici implanttan (100) meydana gelmektedir. The invention is made with a large screw (200) used during orthopedic surgical operations. a small screw (300) that has the feature of being connected within the said big screw (200) consists of a permanent implant (100) containing
Sekil-1'de bulus konusu kalici implantin (100) demontaj perspektif bir görünümü resmedilmistir. Bulus, ortopedik cerrahi operasyonlarda özellikle kirik tespiti, eklem ayrismasi veya eklem dondurma(artrodez) ameliyatlari esnasinda kalici implant (100) olarak kullanima imkan vermektedir. Bulus özellikle büyük vida (200) ve küçük vidanin(300) birbiri içine girerek her iki taraftan kemigi daha güçlü sekilde komprese ederek (sikistirarak), kemikten bagimsiz bir fiksasyon saglamasi ve kemik lizise ugrasa dahi stabilizasyonun kaybolmamasini saglamaktadir. A disassembly perspective view of the permanent implant (100) which is the subject of the invention in Figure-1. it is pictured. The invention is particularly useful for fracture fixation, joint Permanent implant during separation or joint freezing (arthrodesis) surgeries (100) allows its use. The invention is particularly useful for the large screw (200) and the small The screw (300) can get into each other and compress the bone more strongly from both sides. By compressing, it provides a bone-independent fixation and bone lysis. It ensures that the stabilization is not lost even if you try.
Sekil-2'de bulus konusu kalici implantin (100) montajlanmis kesit perspektif görünümü resmedilmistir. Bulus konusu kalici implant (100) sistemi; ortopedik cerrahi müdahaleler esnasinda özellikle güçlü kompresyon istenen yük tasiyan alt ekstremite kiriklari, her iki taraftan plak konularak güçlü stabilizasyon istenen durumlarda (örnegin proksimal tibia kiriklari ,plato kiriklari, distal humerus kiriklari vs..) her iki plagi da sikistirmak amaciyla kirik kaynamasini arttirmak ve yük tasinabilmesini arttirmak amaciyla , artrodez gibi eklem dondurma ameliyatlarinda iki farkli kemigi sikistirip kaynatarak tek kemik haline getirmek istendigi durumlarda ve iki tarafli sakroiliak eklem ayrismalarinda bilateral kompresyon gerektigi durumlarda kullanilabilmektedir. Assembled cross-section perspective of the permanent implant (100) which is the subject of the invention in Figure-2. view is illustrated. The subject of the invention is the permanent implant (100) system; orthopedic surgery especially weight-bearing lower extremities where strong compression is required during interventions fractures, in cases where strong stabilization is required by placing plates on both sides (for example, proximal tibia fractures, plateau fractures, distal humerus fractures, etc.) both In order to compress the plate, increase the fracture union and increase the load carrying capacity. In order to increase two different bones in joint freezing operations such as arthrodesis, In cases where it is desired to make a single bone by compressing and boiling and bilateral In cases where bilateral compression is required in sacroiliac joint separations can be used.
Kalici implant (100) bir büyük vida (200) ile bir küçük vidanin (300) irtibatlandirilmasi sonucu olusmaktadir. Bahsedilen büyük vida (200), üzerine dislerin açilmasini saglayan bir büyük vida silindiri (202) ve büyük vida basindan (201) olusmaktadir. Connecting the permanent implant (100) with a large screw (200) and a small screw (300) result is formed. Said big screw (200) prevents the teeth from being opened on it. It consists of a large screw cylinder (202) and a large screw head (201).
Bahsedilen büyük vidanin (200) döndürme momenti etkisiyle montajlanmasini saglamak amaciyla büyük vida basi üzerinde (201) büyük vida tornavida agzi (204) bulunmaktadir. Bahsedilen küçük vida (300), üzerine dislerin açilmasini saglayan bir küçük vida silindiri (302) ve küçük vida basindan (301) olusmaktadir. Küçük vidanin (300) döndürme momenti etkisiyle büyük vida (200) ile montajlanmasini saglamak amaciyla küçük vida basi üzerinde (301) küçük vida tornavida agzi (304) bulunmaktadir. Büyük vida tornavida agzi (204) ve küçük vida tornavida agzinin (304), farkli geometrilere sahip olmasi mümkündür. Cerrahi müdahaleler esnasinda büyük vida (200) ve küçük vida (300) yerlestirilmek istendigi hat üzerinden bir adet 'K' (kischner teli) gönderilerek 'K, telinin her iki ucu drilize edildikten sonra büyük vida (200) ve küçük vida (300) her iki uçtan “K' teli üzerinden gönderilmekte ve baglanti saglandiktan sonra “K” teli çekilmektedir. Bahsedilen bu islemin yapilabilmesi amaciyla büyük vida (200) içinde büyük vida Iümeni (203) yani iç boslugu ve küçük vida (300) içinde küçük vida lümeni (303) bulunmaktadir. Assembling the mentioned big screw (200) with the effect of torque. large screwdriver blade (204) on the large screw head (201) to provide are available. The small screw (300) mentioned is a device that allows the teeth to be opened on it. consists of a small screw cylinder (302) and a small screw head (301). little screw (300) to be mounted with a large screw (200) with the effect of torque small screwdriver blade (304) on the small screw head (301) for are available. Large screwdriver blade (204) and small screwdriver blade (304), it is possible to have different geometries. During surgical interventions one 'K' over the line where the big screw (200) and the small screw (300) are to be placed. (kischner wire) is sent and both ends of the 'K, wire are drilized, and then the big screw (200) and small screw (300) are sent from both ends over the “K' wire and the connection is made. "K" wire is drawn after it is provided. The aforementioned process can be done For the purpose of the large screw (200), the large screw radius (203) There is a small screw lumen (303) inside the screw (300).
Sekil-3Jte bulus konusu kalici implantin (100) büyük vidasinin (200) yiv sistemlerinin (A), (B) yandan detay görünümü; Sekil-4'te bulus konusu kalici implantin (100) küçük vidasinin (300) yiv sistemi (C) ve küçük vida Iümeninin (303) yandan detay görünümü resmedilmistir. Bahsedilen kanüllü büyük vidanin (200) büyük vida saglayan büyük vida lümen içi yiv sistemi (A) bulunmaktadir. Yine bahsedilen küçük vida silindirinin (302) dis kisminda, büyük vida lümen içi yiv sistemiyle (A) irtibatlanmasini saglayan küçük vida silindir üstü yiv sistemi (C) bulunmaktadir. Yine bahsedilen büyük vida silindirinin (202) dis kisminda, büyük vidanin (200) kemige tutunmasini destekleyen bir büyük vida silindir üstü yiv sistemi (B) bulunmaktadir. In Figure 3, the thread systems of the big screw (200) of the permanent implant (100) which is the subject of the invention (A), (B) side detail view; In Figure-4, the inventive permanent implant (100) is small. Side detail of thread system (C) and small screw thread (303) of screw (300) view is illustrated. The large screw (200) mentioned cannulated large screw There is a large screw in-lumen thread system (A) that provides Again, the small on the disc of the screw cylinder (302), with the large screw intralumen thread system (A) There is a small screw-on-cylinder thread system (C) that provides the connection. Still on the disc of said large screw cylinder (202), the large screw (200) is attached to the bone. There is a large screw-on-cylinder thread system (B) that supports its attachment.
Bahsedilen bu yiv sistemleri (A), (B), (C) sayesinde kompresyon gücü artmakta ve çok güçlü stabilizasyon elde edilmektedir. Bahsedilen yiv sistemlerinin (A), (B), (C) montaj sirasinda birbiriyle tam olarak baglantilanmasini saglayan ve her tam tur çevirmede ayni miktarda yol almasini saglayan esit yiv mesafesi (X) bulunmaktadir. Thanks to these thread systems (A), (B), (C), the compression power increases and very strong stabilization is achieved. The aforementioned groove systems (A), (B), (C) which ensures that they are fully connected with each other during assembly and There is an equal groove distance (X) that provides the same amount of travel in turning.
Sistemin tekniginde büyük vida (200) ve küçük vida (300) yerlestirilmek istendigi hat üzerinden bir adet 'K, (kischner teli) gönderilerek 'K7 telinin her iki ucu drilize edildikten sonra, büyük vida (200) ve küçük vida (300) her iki uçtan “K' teli üzerinden gönderilmek sureti ile kemik içinde yiv sisteminin (A), (B), (C) birbirini bulmasi saglanarak kompresyon gerçeklestirilmektedir. Daha sonra büyük vida Iümeni (203) ve küçük vida lümeni (303) içindeki “K” teli çekilmektedir. Bu islemde bilateral plak konulan durumlarda kilavuz (guide) teli her iki plagin da kortikal vida deligi içine denk getirilerek plaklar arasinda kompresyon da yapilabilmektedir. Bu sayede kompresyon gücü artmakta ve çok güçlü stabilizasyon elde edilmektedir. In the technique of the system, the line where the large screw (200) and the small screw (300) are intended to be placed Both ends of the 'K7 wire are drilled by sending a 'K' (kischner wire) over After that, the big screw (200) and the small screw (300) are passed over the “K' wire from both ends. by sending the thread system (A), (B), (C) to find each other in the bone. compression is performed. Later large screw lumen (203) and the “K” wire in the small screw lumen (303) is pulled. In this procedure, bilateral plaque In cases where the guide wire is placed, the guide wire is placed in the cortical screw hole of both plates. Compression can also be done between the plates. In this way, compression strength increases and very strong stabilization is obtained.
Bulus konusu kalici implant (100) sayesinde; iki ayri vida (200,300) birbiri içine girmek suretiyle iki taraftan birden sikistirarak sikistirma gücünü arttirmakta ve bunu kemik yogunlugundan bagimsiz olarak yapmaktadir. Bu islemde, kanülü olan iki vidanin (200,300) önce bir kilavuz teli gönderilerek, daha sonra telin iki ucundan biri, digerinin içine girebilecek özellige sahip olan 2 vida (200,300) gönderilmek suretiyle tipki bir vida somunu gibi sikistirici etki olusturmaktadir. Bu iki vidanin (200,300) birisi digerinden daha kalindir. Ince olan küçük vida (300), hem içi hem disi ayni araliklara sahip yiv sistemi içeren, kalin olan büyük vidanin (200) yiv sitemi içine girerek birlesmekte ve sikisarak kenetlenmesi sonucunda kompresyonu gücü saglamaktadir. Bu esnada kemige tutunmasi; kemigin kitlesel yogunluguna bagli olmadigi ve her iki vidanin (200,300) birbiri üzerinden kayarak tutundugu için çok daha güçlü, güvenli ve stabil bir fiksasyon meydana getirmektedir. Thanks to the permanent implant (100), which is the subject of the invention; two separate screws (200,300) It increases the compression power by squeezing from both sides by entering and It does this regardless of bone density. In this procedure, two cannulas of the screw (200,300) by first sending a guide wire, then one of the two ends of the wire, by sending 2 screws (200,300) that can fit inside the other It creates a tightening effect just like a screw nut. These two screws (200,300) one is thicker than the other. The thin small screw (300) is the same both inside and out. Inside the thread system of the large screw (200), which is thick, containing the thread system with gaps Compression strength as a result of merging by entering and clamping by squeezing it provides. In the meantime, its attachment to the bone; depending on the massive density of the bone and both screws (200,300) slide over each other, so it is very It creates a stronger, safer and more stable fixation.
Bulus konusu kalici implant (100) sayesinde; iki ayri vida (200,300) birbiri içine girerek her iki taraftan kemigi diger tekniklerden çok daha fazla sekilde komprese ederek (sikistirarak) kemikten bagimsiz bir fiksasyon yapmakta, kemik Iizise ugrasa dahi stabilizasyonu kaybolmamaktadir. Sonuçta kirigin kaynamasi kirik hattindaki kompresyon gücü ile dogrudan iliskili oldugu için kaynama orani artmakta, stabilizasyon kaybolmadigi için kirik redüksiyonu bozulmamakta ve sonuç olarak revizyon ameliyatlari azalmaktadir. Thanks to the permanent implant (100), which is the subject of the invention; two separate screws (200,300) compresses the bone from both sides much more than other techniques. It makes an independent fixation from the bone by (squeezing) the bone. Even its stabilization is not lost. As a result, the union of the fracture occurs at the fracture line. Since it is directly related to the compression strength, the rate of union increases, As stabilization is not lost, fracture reduction is not impaired and as a result revision surgeries are decreasing.
ORTOPEDIK CERRAHI OPERASYONLAR ESNASINDA KULLANILAN KALICI IMPLANT Bulus; ortopedik cerrahi operasyonlar esnasinda kullanilan; birbiri ile irtibatlanan; büyük vida basi (201), büyük vida silindiri (202), büyük vida Iümeni (203), büyük vida tornavida agzina (204) sahip büyük vida (200) ve küçük vida basi (301), küçük vida silindiri (302), küçük vida lümeni (303), küçük vida tornavida agzina (304) sahip küçük vida (300) içeren kalici implant (100) olup; bahsedilen büyük vida Iümeninin (203) iç kisminda bulunan büyük vida Iümen içi yiv sistemi (A); bahsedilen büyük vida silindirinin (202) dis kisminda bulunan ve büyük vidanin (200) kemige tutunmasini saglayan bir büyük vida silindir üstü yiv sistemi (8); bahsedilen küçük vida silindirinin (302) dis kisminda bulunan ve büyük vida lümen içi yiv sistemiyle (A) irtibatlanmasini saglayan küçük vida silindir üstü yiv sistemi (C) içermektedir.PERMANENT USED DURING ORTHOPEDIC SURGERY OPERATIONS IMPLANT Meet; used during orthopedic surgical operations; connected with each other; large screw head (201), large screw cylinder (202), large screw head (203), large screw large screw (200) with screwdriver blade (204) and small screw head (301), small screw cylinder (302), small screw lumen (303), small screw screwdriver blade (304) It is a permanent implant (100) containing a small screw (300); of the aforementioned large screw (203) the large screw in the inner part of the intraluminal thread system (A); the big screw mentioned the attachment of the large screw (200) on the outer part of the cylinder (202) to the bone. a large screw-on-cylinder thread system (8); said small screw cylinder (302) to connect the large screw with the intralumen thread system (A) on the disc. It includes a small screw on cylinder thread system (C).
Claims (3)
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TR2016/10537A TR201610537A2 (en) | 2016-07-28 | 2016-07-28 | PERMANENT IMPLANT USED DURING ORTHOPEDIC SURGICAL OPERATIONS |
| PCT/TR2017/050248 WO2018021987A1 (en) | 2016-07-28 | 2017-06-06 | Permanent implant used in orthopedic surgical operations |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TR2016/10537A TR201610537A2 (en) | 2016-07-28 | 2016-07-28 | PERMANENT IMPLANT USED DURING ORTHOPEDIC SURGICAL OPERATIONS |
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| TR201610537A2 true TR201610537A2 (en) | 2016-10-21 |
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| US11471200B2 (en) * | 2020-03-11 | 2022-10-18 | DePuy Synthes Products, Inc. | Compression nut, a system and a method for treating a bone |
| US11478277B2 (en) | 2020-03-11 | 2022-10-25 | DePuy Synthes Products, Inc. | Compression nut and a system for treating a bone |
| US20220313328A1 (en) * | 2021-03-30 | 2022-10-06 | Wright Medical Technology, Inc. | Bone fixation implant and method of implantation |
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| TR200300137U (en) | 2003-02-03 | 2004-02-23 | V2-Evren Tibbi̇ Mamuller İmalat San. Ve Ti̇c. A.Ş. | Secure spine bolt for fixing screws and other open implants without spondylolist |
| US8828066B2 (en) * | 2007-02-01 | 2014-09-09 | Sargon Lazarof | Securing mechanism with dual expandable ends |
| US8734497B2 (en) * | 2009-03-13 | 2014-05-27 | The University Of Toledo | Removable anchoring pedicle screw |
| WO2012003548A1 (en) * | 2010-07-07 | 2012-01-12 | Matthew Adam Yalizis | Compression bone screw |
| US9579123B2 (en) * | 2014-09-19 | 2017-02-28 | Globus Medical, Inc. | Orthopedic stabilization devices and methods for installation thereof |
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