TW200829205A - Bone anchoring device - Google Patents
Bone anchoring device Download PDFInfo
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- TW200829205A TW200829205A TW96143632A TW96143632A TW200829205A TW 200829205 A TW200829205 A TW 200829205A TW 96143632 A TW96143632 A TW 96143632A TW 96143632 A TW96143632 A TW 96143632A TW 200829205 A TW200829205 A TW 200829205A
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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
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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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
- A61B17/7037—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
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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
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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
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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
- A61B17/7001—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
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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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8605—Heads, i.e. proximal ends projecting from bone
-
- 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
- A61B17/8645—Headless screws, e.g. ligament interference screws
-
- 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
-
- 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
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
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Description
200829205 九、發明說明: 【發明所屬之技術領域】 本發明係關於骨骼固定裝置, 置括幹部和頭部,形成分開組件。日’式讀固定裝 【先前技術】 US 6,835,196 B2 記截一插阆中-‘ 螺釘幹部和頭部形成分開組件。頭;連接於桿。 樞動自如保持於容納件内。例為球體之截段,可 η
KJ 筒形狀,而頭部設有開縫,並具 ^的末端部份呈圓 形末端部可插入其内。 八 同形肛孔,幹部之圓筒 US 2005/0049588 A1 措千 於脊較置桿。錄螺轉叙,供連接 J ’予徑按離開幹部的螺纹端方向二:、有,,形捕住結 【’ ^幹部之錐形表面相容,以容 扣3錐形中央腔 Γ角度定向,1 咖物―=== US 2006/0036252 A1 揭示 部’把螺釘保固於骨絡。幹^^由式螺釘’具有螺紋幹 十=部朝向和背離幹部斜縮开頭部,從加 而可靠處理,並在組裝後,組震之際,得以方便 提供一種具化變化性之模組全鎖定於頭部内。又, 成 此目的是利料請專利範 > 弟1項之骨骼固定裝置達 本發明進一步之發展载於 由於幹部和頭部形成分開^,用ϋ附屬項内。 5、件用於骨骼固定裝置時, 200829205 其ΐ用ΐ而定’並可連接於頭部’以形成骨 使存料成本降低。、疋可提供不同長度之幹部,與頭部組合, 邻部ΐ的圓筒形與頭部内圓筒形腔孔合作,使幹 部==插入頭部。在頭部内設至少-開縫: 固持留在頭部内。¥致-果疋’幹部可在組裝條件下保 【實施方式】 Γ、 點。錄參照附圖所示具體例,說明本發明進—步之特點和優 盖二具體例 見’ 之圖:固第定例包:二2圖 由第4a圖可見,幹部2句括w、唑m•结a 有骨絡螺紋22 ;和第二^ ^括2 〇/弟一部份21,設 由端27,具有圓筒开痛於尖端20相反對之自 面。再者科實冑上滑順表 份23的自由端27呈傾斜:卜表=;;=巧 由第3圖可見,幹心便直位軍月自由& 27斜縮。 自由端27開口,並二;2有„ 25。腔孔25在 21内可設侧向貫穿孔26,從=處。第-部份 面。貫穿孔26可配置在骨狗^ 2 ^伸到弟—部份之外表 孔25和貫穿孔26細^ 之基部。腔 定置於骨絡。幹部的自由心^進=跡枯劑,以增進幹部2 合。 杆丨的自由又包括凹部’可與旋動工具結 頭^ 3壬實f场·形狀,有第-端32和第二 端 200829205 33。外表面30形成球體截段。設有圓筒形腔孔31,從第一 端32延伸貫穿頭部,至第二端33。大約在圓筒形腔孔31的 中心,設有沿周凹溝34。由第3和牝圖可見,凹溝34呈實 質上長方形截面。
( K. / 再者,頭部設有縱向開縫35,從第一端32延伸至第二 端33。雖然具體例内顯示唯一開縫35,從第一端延伸至 第二端33,但開縫不必從第一端32連續延伸至第二端%。 可設一開縫從第一端32或第二端33延伸至距各另一端之預 定距離處。變通例可設例如若干開缝,輪流從第一端32延伸 至距弟一:¾¾ 33預定距離處,和從第二端33延伸至距第一端 32預定距離處。頭部3開縫用來對頭部3提供彈性,以便令 即使猶微過大的幹部也可以插入,詳後,並在以保固元件最 後鎖定後,提供安全夾持。 設气套環7,呈實質上環狀,有間隙7〇,參見第牝圖。 環7呈貝貝上長方形斷面,其形狀可套入幹部2的第二部份 23之凹溝24,以及頭部3的圓筒形腔孔31之凹溝从内。由 於間隙70,環7具有某些可撓性,即直徑可加減到某一程 度。 /、 由第2和3圖可見,容納件4呈實質上圓筒形,有第一 端40和第二端41,以及縱軸線Ζ。共軸腔孔42從第一端4〇 延伸貫穿容,件4,至第二端41。縱向腔孔42的形狀,朝第 一端40斜縮,形成底座43,以容納頭部3之外表面3〇。底 座呈例如球形、錐形,或其他斜縮形狀。又,在容納 鄰 近第二端41形成實質上υ形凹部44,具有二 42 ^ 6〇 0 弟-端41的自由股部45,46之内表面,設有陰螺紋47,可旋 入保固兀件61内,把桿6〇保固於u形凹部内。在具體 中’陰螺紋47設計成平面歡,職配置 由 惟螺紋可有任何其他_ __狀。 躲縱轴線。 7 200829205 又如第2圖所示,加壓元件5呈實質上_形狀, $ =容^41共軸腔孔42内,在其内滑動導引。力^壓 々上側有凹部52 ,形成空心圓筒之段節,1直炉實質 in容!?4 u形凹部44之底部直徑。在加壓元^ ί 形成空心球體段節之凹部(圖上未示)’ 1直 if 頭部3之外徑。加壓树5内設腔孔…斑 严:口=線共軸’以便容許旋動工具導引通過。使用時,力^ 二7置於縱向腔孔42内,使形成空心圓筒段節的凹呷 52 ’與U形凹部44對準,見第丨圖。 Π奴即的凹』 r 下。第-具體崎麵定裝置〗之操作,參見第5圖說明如 路或首先可彻與旋私具結合,把幹部2旋入骨 提供。在預組和加塵兀件5 ’可呈預組褒狀態 内,使其置於^狀^溝3=7。筒1腔孔31 縱向腔孔42内,你丹f頭#3放入谷納件4的 樞動。加壓元件5 ; &座43,保留可相對於容納件4 部52,與U形凹部44 ^ 开ς狀為空心圓筒段節之凹 供的可撓性,環7 ^在t且f態’由於間隙70提 35之故,頭部3仍财# 直徑。又,由於開縫 容納件4、頭=以擴大其直控。 部2之第二部份23P衣7和加壓几件5之總成,是利用幹 壓元件5連接於幹部2。==自之^筒形腔孔Μ ’而將加 方便插入。插入睹,杵邛2上自由端27之傾斜形狀, 下 撐開’直到環7套二皮幹部的第二部份23稍微 ,環7置於幹部2古幹;Ρ弟二挪之凹溝24内。在此情況 内。結果,7碥部份之凹溝24内,和頭部3之凹、、f 科"形式鎖定結合於頭部3之凹溝3=溝 200829205 可防^幹部2再從頭部3縮回。 幹部2第二部份23之/ 便插入頭部3内。配置在形狀,使幹部2得以容易且方 部,利用形式鎖定,可係=2上凹溝24内之環7所形成凸 在幹部2插入頭^^2 =定置於頭部3。 轴線Z之角度定向,仍 相對於容納件4圓筒 U形凹部内,使其置於壯、欠化。刼作時,即可將桿置入 部52内。保固元件利用5^心圓筒段節之凹 r 45,46之間。保固元件對桿旆;累、、ϋ之合作,可旋入股部 結果,加壓元件5壓住 ,杯轉而施壓於加壓元件5。 角度定向即可固定。再者、:,而頭部3相對於容納件4之 底座43,頭部3即稍被麼縮,3 2於形成斜縮狀之 3。 乂加強幹部2連接於頭部 頭部3之開縫,對頭部 具有稍微過大的第二部份、』:、某;種程度的彈性。因此, ::固元件繫止時,此項彈二供以 2=過== 二=容納件;:; 第二具體Μ 頭部==面6·9與圖第說_!第第二具體例在幹部和 元件5與第-具tr/4和加壓 5在第6-9圖内省略不示。 、、内件4和加壓元件 第二具體例之幹部102包括第—部份⑵,設有骨路螺 9 200829205 由本;„二部份123,具有第一直徑之圓筒形外表面,其 繁二目=只貝上滑順。由第8和9圖可見,幹部102不具g 體例幹部之縱向腔孔。在自由端127設有凹部U6, ίζΓΐίΐ結合之用。一如第一具體例,幹部102的自由端 主傾斜幵》狀’方便幹部102插入頭部1〇3内。 在第二部份123形成沿周延伸凸部1〇7。凸部1〇7 弟二部份123—體形成。 尔^、 f' ί 類似第-具體例,頭部1G3呈實f上賴般的形狀。外 30的形狀為球體段節,設有圓筒形腔孔m。大 圓同形腔孔131之中心,設有沿周凹溝134。 此外L頭部設有複數縱向開縫135,交替從第一端132 ,伸至距第二端133預定距離處,和從第二端133延伸至距 弟了端13>2預定距離處。開縫135此項結構,在第一端132 的區,和第二端133之區域,對頭部1〇3提供均勻可撓性。 山第二具體例之操作與第一具體例類似。當幹部1〇2的自 ,端127插入頭部103的圓筒形腔孔131内時,頭部1⑹ ίΓ引進^形凸部107而加大。當凸部107到達圓筒形腔孔 1内之環狀凹溝134時,頭部1〇3彈性收縮,凸部1〇7置 =凹溝134内,防止幹部1〇2從圓筒形腔孔13u欠回。完整 月骼固定裝置組裝後,經由加壓元件5傳遞之壓力,更加二 進幹部102定置於頭部1〇3内,類似第一具體例。 曰 按照第一具體例,從幹部2第二部份23的圓筒形 大出立凸部,是由置於幹部2的凹溝24中之環7形成。因 ,,第二具體例内從幹部1〇2第二部份123的圓筒形外表面 =出之凸部,係由與第二部份一體形成之圓形凸部1〇7形 f。在二種情況下,由於第二部份23,123外表面之圓筒形 了使幹部2,102谷易又方便插入頭部3,1〇3之圓筒形腔孔 31,131内。再者,在二種情況下,利用從第二部份23,123二外 表面突出之凸部7,107,與頭部3,103所設凹溝34,134結合, 200829205 P了保固幹部2,ι〇2免予意外縮回。開缝%仍八 3,103^供可撓性,更為方便插人。’、,77別對頭部 λλμμμ 構和力^t11圖所示。第三具體例的頭部結 和第二具ί:二
絲第,具體例之骨㈣定裝置,提供頭部2,H f置,接5胃多軸式連接。反之,第三具體例之骨路固^ 衣置’ h供幹部202和容納件4間之單軸式遠二f固疋 =第具謝之幹部2,二=:::: 鈿227之圓同形第二部份223,以 妾自由 孔,亦無貫穿孔。 屏224但無縱向腔 志八圖可見’在第三具體例中’頭部和加壓元件不槿 ί二開讀’而是和頭部203 -樣形成單件式。頭, ”上圓筒形狀,有圓筒形外表面23〇,並维。= Ί 4之縱向腔孔42内。在第一端203a,頭^2〇3之^ ,球形斜縮。形成對立之第二端23() 卜佐 壓元件之上侧50 ’即在第二端2G3b =例= 開縫235從第一端203a延伸到距第二端2〇3b ^定^雜,數 對頭™ 第二具體例之總成與第一具體例類似。 203插入容納件4之縱向腔孔42内。套、:〜:、σ 入頭部203之圓筒形腔孔231,頭部加即 2〇2 7 所也狀凹溝234 ’再因頭部203的可撓性,套環7與凹溝 11 200829205 234 ί合6〇。ϋ可ί止f部202再從頭部203縮回。 4内。侧元件61旋料,施壓於頭部把^内件 頭部朋壓向容納件4之第-端40。由於縱向t—^42=斜 縮形狀,以及頭部203所設開縫235,頭部之: 幹部202即保固鎖定於頭部2〇3内 、 被i細,而 即可是’先把套環置於環狀凹溝234内,然後 進一步改# η ί \ 在多軸式骨額定裝置之進—步 似第一具體例之幹部2,在第-邱彳八^ f之形成頒 溝24。與第一具體例相反的㈡::同=卜表面設有凹 ^腔孔内之環_ 34,減徑相當於瞻 壤狀凸部’-體形成於圓筒形腔孔31内 ^ 二果可達成,、就弟一和第二具體 此項結構亦可顧於第三具體例所示之單軸式連連接 ^-和第二具體例内之環7,可視為腔孔31,23 形内ί面上所灿部m彡成之凸部,鱗部22。2 = 設凹溝24,224結合。 1 ,ζυ2上所 第二具_巾’與卩所設喊合 可應用於第三具體例之單軸式連接。 …構 骨具,f和幹部之角度定向鎖定於多軸式 和ίΪΐ;=件為之,亦可設有二保固元 成,螺合於容納件的自由股部上所設陽螺紋。 2上述具體财,加壓元件在上表面有 具有平坦上表面之加壓元件。 P j 4 可進Vf多飾例如,第二具體例的頭部特點,可與第 12 200829205 一具體例之幹部組合,反之亦然。 一半可設有不同型之幹部,有無共軸腔孔均可,亦可設有不 π類支之月路螺紋,以形成椒組糸統。在如此系統中,亦可 設鉤1。又,可設有不同類型之頭部,可與幹部組合,分別 ,用途而定。如此―來’可提供模㈣統,達成之變 化0 【圖式簡單說明】 圖;第1圖為第-具體例骨路固定裝置呈組裝狀態之透視 第2圖為第1圖骨齡圊金驻®+人妨®·
【主要元件符號說明】 1 骨骼固定元件 3,103,203 頭部 5 加壓元件 2〇 尖端 22,122 骨骼螺紋 24,224 凹溝 26,126 貫穿孔 30,130,230頭部外表面 32,132,203a頭部第一端 2? 102,202 幹部 4 容納件 7,1〇7 環或圓形凸部 21,121,221幹部第^一部份 23,123,223幹部第二部份 25 共軸腔孔 27,127,227 自由端 31,131,231圓筒形腔孔 33,133,203b頭部第二端 13 200829205 34,134,234 凹溝 35,135,235 縱向開縫 40 容納件第一端 41 容納件第二端 42 縱向腔孔 43 底座 44 U形凹部 45,46 股部 47 陰螺紋 50 加壓元件上侧 51 加壓元件下侧 52 凹部 53 腔孔 60 桿 61 保固元件 Z 縱轴線 70 間隙 14
Claims (1)
- 200829205 十、申請專利範圍·· ^一種骨骼固定裝置,具有·· 2 (2,1G2,2G2),要固定於錄或椎骨;頭部(3 103 203),把幹部(2,1〇2,2〇2)連接於桿; U03, 幹部(2,1〇2,2〇2)和頭部(3,1〇3,2〇3)係分開組 頭部(3,103,203),包含具有圓筒形内表面之腔’ 131),设於内表面之環狀凹溝(34,134,234),和 , ((SS=raM)之内表面延伸到外=幹部(2,102,202),有可供固定於骨路或椎骨之第 伤(21,121,221),和具有鄰接自由端(27,127,227) 二 外表面之第二部份⑵现則,其中在圓筒科表&有ς 部(7,107V當幹部(2,102,2〇2)之圓筒形第二部份(23,^ 3)插入頭邛之腔孔(3i,i3i,231)内時,即與頭部之環狀 溝(34,134,234)結合者。 衣狀凹 2·如申請專利範圍第1項之骨骼固定裝置,其中 102,202)圓筒形外表面之凸部(7,1〇7)係呈環狀者。 ’ 3·如申請專利範圍第1或2項之骨骼固定裝置,其中凸部 $107)與幹部(2,1〇2,202)之圓筒形第二部份(123)係形成 單件式者。 4·如申請專利範圍第1或2項之骨骼固定裝置,其中凸部 (7)係由配置在第二部份(23,223)圓筒形外表面^斤設環狀 凹溝(24,224)内之環所形成者。 5.—種骨骼固定裝置,具有: 幹部(2,202),要固定於骨絡或椎骨内;頭部(3,103, 203);和容納件(4),容納頭部(3,1〇3,203),把幹部(2 102, 202)連接於桿; ’ ’ 幹部(2,202)和頭部(3,1〇3,203)係分開組件; 頭部(3,103,203 )包含具有圓筒形内表面之腔孔(31, 200829205 131231),設於内表面之凸部⑺,和至少 部⑴酬^ 幹部(2,202),具有供固定於骨路或椎骨之第 一(21刀1),和鄰接具有圓筒形外表面的自由端⑵,历)之^ 二巧份⑵归卜其中圓筒形外表面設有環狀凹溝⑵ 2冗筒形第二部份(23,223)插入頭部 ⑺έ士,入本)之腔孔31,131,231)内時,即與頭部的凸部 W)結合者。6·如申請專利範圍第5項之骨骼固定裝置,豆中部 103,203)圓筒形内表面上之凸部,係呈環狀者。 、’ 7·如申請專利範圍第5或6項之骨骼固定裝 豆 係與頭部形成單件式者。 ^ 8·如申請專利範圍第5或6項之骨骼固定裝置,其中凸部 係由配置在頭部腔孔的圓筒形内表面所設環狀凹溝/(' 34,13°4 234)内之環所形成者。 ’ 9·如申請專利範圍第1或5項之骨骼固定裝置,其中頭部 (30,130)之外表面實質上呈球體之段節者。 、 10·如申請專利範圍第1或5項之骨路固定裝置,其中腔 孔(31,131,231 )透入頭部(3,1〇3,203 ) ’ 從第一端(32,132 203a)至第二端(33,133,203b)者。 ’, Π·如申請專利範圍第1或5項之骨骼固定骏置,其中至少 一開縫(35,135),從頭部(3,103)之第一蠕(32,Π2)延 至弟一端(33,133)者。 立I2·如申請專利範圍第1或5項之骨骼固定裝置,其中頭 部(1〇3j設有若干開縫(135),分別交替從第一端(132)延 伸至距第二端(133)預定距離處,和從第二端(133)延伸至 距第一端(132)預定距離處者。 13·如申請專利範圍第丨或5項之骨骼固定裝置,其中縱 16 200829205 向腔孔(42)從第一端(40)通過容納件至第二端(41),而 縱向腔孔鄰接第二端(41)呈斜縮狀,形成底座(43),以容 納頭部(3,103,203)者。 14·如申請專利範圍第1或5項之骨骼固定裝置,其中縱 向腔孔(42)内配置加壓元件(5),將幹部(2)相對於容納 件(4)之角度定向加以定置者。 15·如申請專利範圍第1或5項之骨骼固定裝置,其中容 納件(4)鄰接第一端(40)形成u形凹部(44),並實質上 垂直於縱向腔孔(42)延伸,使形成自由部),構 宠納焊用之澧i酋去。 516. -種模組系統 固定裝置,其愤有複==翻_第1或5項之骨路 同頭部(3,103,203)者。°幹部(2,1〇2,202)和/或複數不
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TWI383771B (zh) * | 2010-01-08 | 2013-02-01 | Rotary bone nails for orthopedics |
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US9486245B2 (en) | 2016-11-08 |
EP2039310A3 (en) | 2009-04-08 |
DE602006019616D1 (de) | 2011-02-24 |
EP2039310B1 (en) | 2011-09-14 |
JP5579964B2 (ja) | 2014-08-27 |
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US9119674B2 (en) | 2015-09-01 |
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JP2014158711A (ja) | 2014-09-04 |
EP2039310A2 (en) | 2009-03-25 |
US9788865B2 (en) | 2017-10-17 |
EP2272451A1 (en) | 2011-01-12 |
ATE551962T1 (de) | 2012-04-15 |
EP1925263B1 (en) | 2011-01-12 |
US20100049255A1 (en) | 2010-02-25 |
CN101185587B (zh) | 2012-01-04 |
JP2008126082A (ja) | 2008-06-05 |
JP5968929B2 (ja) | 2016-08-10 |
KR20080046571A (ko) | 2008-05-27 |
ES2373770T3 (es) | 2012-02-08 |
KR101586835B1 (ko) | 2016-01-20 |
CN101185587A (zh) | 2008-05-28 |
TWI445516B (zh) | 2014-07-21 |
EP2272451B1 (en) | 2012-04-04 |
EP1925263A1 (en) | 2008-05-28 |
ES2385440T3 (es) | 2012-07-24 |
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