TW464488B - Marrow nail - Google Patents

Marrow nail Download PDF

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Publication number
TW464488B
TW464488B TW088116970A TW88116970A TW464488B TW 464488 B TW464488 B TW 464488B TW 088116970 A TW088116970 A TW 088116970A TW 88116970 A TW88116970 A TW 88116970A TW 464488 B TW464488 B TW 464488B
Authority
TW
Taiwan
Prior art keywords
nail
bone marrow
cap
marrow nail
patent application
Prior art date
Application number
TW088116970A
Other languages
English (en)
Inventor
Uwe Ahrens
Andreas Klockow
Original Assignee
Aap Implantate Ag
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by Aap Implantate Ag filed Critical Aap Implantate Ag
Application granted granted Critical
Publication of TW464488B publication Critical patent/TW464488B/zh

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Classifications

    • 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
    • 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
    • A61B17/7241—Intramedullary pins, nails or other devices 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, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; 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, 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
    • 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
    • A61B17/88—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
    • A61B17/921—Impactors or extractors, e.g. for removing intramedullary devices for intramedullary devices

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Neurology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Steroid Compounds (AREA)
  • Paper (AREA)
  • Silicon Polymers (AREA)

Description

經-部智慧財產苟員工消費合作社印製 4 6 44 8 8 A7 __B7_____ 五、發明說明（1 ) 本發明關於一種具有螺絲之骨髓釘，用以將骨髓釘固 定在骨頭內 '其設多個凹部供螺絲插設，且近端可附近一 握持件來協助骨髓釘之插入及拔出1並在近端設有外螺紋 '及/或內螺紋來固定握持件。 此種骨髓釘已爲習知，如歐洲專利E P 5 6 5 2 1 6案中所揭示者。 近接端置放一釘帽之骨髓釘亦爲習知，釘帽係設在骨 髓釘插入骨頭之骨頭孔附近，且釘帽一方面做爲用於外移 或偏向的器具之定位器，另一方面用來保護垂直於骨髓釘 軸線延伸的穿孔，防止組織生長到穿孔內，使器具不用額 外步驟即可螺固定位。 今曰骨髓釘係與導引器具一起使用，導引器具係設計 來確保最多數目的固定孔或槽被佔據而無需X光控制。爲 此理由，植入件係例如在一端內螺紋及一嵌片部。過去這 些重要區域在很靠近骨髓釘這一端處和另一端一樣都要固 接。 此缺點變得更明顯，例如在股退化打釘（亦即從膝蓋 )時，此外’其大多適用於骨頭的下面三分之一部分之骨 折，很多骨折延伸到骨髁，僅能在骨髓釘端部下方2 0至 3 Omm固定之植入片無法適用。 尤其是將骨髓釘從髖部植入股骨時，外科醫生無法直 接目擊釘.點進入骨頭內，只能靠觸摸感覺》這些情況最有 幫助者爲不僅能轉動釘帽也能將釘帽握持定位之器具，此 一機構亦應能用於螺釘和骨髓釘本身。 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公愛） -4- -----------1"裝------訂·--------線 (請先閲^背面之注意事項再填寫本頁) 464488 Λ7 B7 五、發明說明（2 ) 本發明之目的在於提供一種骨髓釘，其最近端能夠固 定。 依據本發明’此目的之達成係藉由在骨髓釘最近端設 置一個與骨髓釘軸線垂直之缺口，並在近端設螺紋，供設 對應螺紋之釘帽螺入。釘帽在其內側表面設有對正該缺口 之穿孔，供另一支螺絲插入。 其他實施例在申請專利範圍附屬項有所描述。 以下參照圖式說明本發明： 圖1爲骨髓釘近端槪示圖。 圖2爲釘帽部分剖面圖。 圖3爲釘帽一實施例外觀圖° 圖4爲骨髓釘一變化實施例。 圖5和6爲釘帽實施例詳細圖。 請 先 閱 讀 背 之-注 意 事 項 再 5裝 本 頁 訂 線 經濟部智慧时產局員工消f合作社印製 元件對照表 1 骨髓釘 2 螺紋 3 缺口 4 釘帽 5 穿孔 6 內螺紋 7 號、碼 8 下切 9 平坦點 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） 經-部智慧財產局員工消費合作社印製 4 6 以 8 8 A7 ______B7__________ 五、發明說明（3 ) 1 0 型件 14 凹部 12 銷 13 內螺紋 請參閱圖1 ，骨髓釘1 —端設螺紋2及一缺口 3，'釘 帽4在橫向於骨髓釘和釘帽縱軸方向設一穿孔5，釘帽4 尙有內螺紋6，釘帽座則以一號碼7標示。 骨髓釘1在螺合釘帽之前以平常方式插入並固定。之 後移走標準導引器具並代之以釘帽導引裝置，供釘帽螺入 骨髓釘’使骨髓釘端部到達釘帽內表面正前面或靠在釘帽 內表面。釘帽導引裝置設定釘帽相對於最外面近接缺口之 角度’以排除錯誤定位。之後可利用導引裝置導引桿的穿 孔來鑽設螺孔，再插入螺絲。依此方式，螺絲可固定在骨 髓釘最近端，確保在該位置之可靠固定。 釘帽可設一型件9或1 〇 ’確保釘帽導引裝置之正確 定位。 如圖3所示，釘帽可設包栝一下切8之突起或耳部， 因γγπ ί米用適當導引裝置’下切8允許釘帽不僅能被轉動也 能被握持定位=圖3，5 ’ 6爲釘帽實施例外觀圖，其特 別有一平坦點9和一凹部1 4 ’二者均能固定導引器具位 置並協助螺合在釘帽上。 本纸張尺度適用中國國家標準（Ci\JS)A4規格（210 X 297公釐） -6- -------------裝--------訂---------線 (請先閱後背面_之汊意事項再填寫本頁)

Claims (1)

  1. 烴濟邡智慧財產局—工消費合作社印製 4 6 44 8 8 六、申請專利範圍 1 · 一種骨髓釘，其具有螺絲來將骨髓釘固定在骨頭 內，且設有供螺絲插入之多個凹部，且其近端可附接一固 持件來協助骨髓釘之插入和拔出，並在近端設有外螺紋及 /或內螺紋來固定握持件，其特徵在於：骨髓釘在最近端 設有垂直於骨髓釘軸線之缺口（ 3，1 0 )並在近端設螺 紋（4 )供具對應螺紋（6 )之釘帽（4 )螺入，釘帽（ 7)在其內表面附近有對正缺口（3)之穿孔（5)供另 一支螺絲插設。 2 .如申請專利範圍第1項之骨髓釘，其中釘帽（4 )有內螺紋（6 )，而骨髓釘有外螺紋（2 )= 3 ·如申請專利範圍第1項之骨髓釘，其中釘帽（4 )有設外螺紋之銷（12)，而骨髓釘有內螺紋（13) 〇 4 ·如申請專利範圍第1項之骨髓釘，其中缺口（ 3 )和穿孔（5 )爲橢圓形，η近形或圓形》 5 .如申請專利範圍第1項之骨髓釘，其中釘帽之頂 面設有包括一下切（8 )之突起或耳部。 6 .如申請專利範圍第1項之骨髓釘，其中釘帽之頂 部設一型件（9 ’ 1〇)來協助導引器具之正確定位以及 螺合在釘帽（4 )上。 7 .如申請專利範圍第1項之骨髓釘，其中釘帽之頂 部設一Μ槽狀之凹部（1 4 )來協助導引器具之定位以及 釘蓋（4 )螺合到骨髓釘上。 本纸張尺度適用t國國家標準（CNS)A4規格（210 X 297公釐） ---------- ----illl — ιϊ^* —-------線 (請先閱讀f面t注意事項再填寫本頁)
TW088116970A 1998-10-02 1999-10-01 Marrow nail TW464488B (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE19847253A DE19847253A1 (de) 1998-10-02 1998-10-02 Marknagel

Publications (1)

Publication Number Publication Date
TW464488B true TW464488B (en) 2001-11-21

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ID=7884376

Family Applications (1)

Application Number Title Priority Date Filing Date
TW088116970A TW464488B (en) 1998-10-02 1999-10-01 Marrow nail

Country Status (5)

Country Link
EP (1) EP1117337B1 (zh)
AT (1) ATE274855T1 (zh)
DE (2) DE19847253A1 (zh)
TW (1) TW464488B (zh)
WO (1) WO2000019924A1 (zh)

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4776330A (en) * 1986-06-23 1988-10-11 Pfizer Hospital Products Group, Inc. Modular femoral fixation system
ATE175563T1 (de) 1992-04-10 1999-01-15 Aap Implantate Ag Marknagel
US5766174A (en) * 1995-09-26 1998-06-16 Orthologic Corporation Intramedullary bone fixation device
US6106528A (en) * 1997-02-11 2000-08-22 Orthomatrix, Inc. Modular intramedullary fixation system and insertion instrumentation

Also Published As

Publication number Publication date
DE19847253A1 (de) 2000-04-06
WO2000019924A1 (de) 2000-04-13
DE59910405D1 (de) 2004-10-07
EP1117337A1 (de) 2001-07-25
ATE274855T1 (de) 2004-09-15
EP1117337B1 (de) 2004-09-01

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