TWI296194B - Articular facet interference screw - Google Patents
Articular facet interference screw Download PDFInfo
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- TWI296194B TWI296194B TW092127407A TW92127407A TWI296194B TW I296194 B TWI296194 B TW I296194B TW 092127407 A TW092127407 A TW 092127407A TW 92127407 A TW92127407 A TW 92127407A TW I296194 B TWI296194 B TW I296194B
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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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation 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
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7064—Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools 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
- A61B17/84—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
- A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
- A61B17/8615—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the central region of the screw head
-
- 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
- A61B17/685—Elements to be fitted on the end of screws or wires, e.g. protective caps
-
- 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
- A61B17/8635—Tips of 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
- A61B17/864—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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
-
- 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
- A61B2017/8655—Pins or screws or threaded wires; nuts therefor with special features for locking in the bone
Description
1296194 玖、發明說明: 【發明所屬之技術領域】 本發明係相關於根據申請專利範圍第一項之前言部分 的骨螺釘,尤其是用於將一關節面鎖定於兩個脊椎主體的 上方及下方關節隆起部分之間。 【先前技術】 為了達成一種周圍關節固定術(脊椎融合固定術), 前方的以及後方的脊柱係必須被加以處理。處理的目標係 為脊柱前凸曲線以及結構正確椎間盤位置之復位。首先 亦即在椎間空間之中’例如是椎間支架(椎籠;_)之 植入物係於椎間盤移除後被插人。坐落有關節面之後方脊 柱亦應被鎖定。習知&上 白知技術考慮使用跨層螺絲( translaminar screw ) ^ Β ^ Λ 、^ 次疋椎弓根螺釘(transpedical screw),然而,其並無法為吾人所滿意。 跨層螺絲所具有之確切缺點如: 螺釘插入點係難以定位;定位係於完全看到的狀 況下所完成,亦即,一彻他 凡王有到的狀 個獨立的背部切口係經由一般方六 所施仃,而肌肉係必須 方式 b)外科醫生係因Γ 起部分處所分離。 -生係因切D很小,故其 ,此係會造成第二螺釘與第-螺釘之干擾以及疋一維的 c )目田準用裂置或引導工具並 置放的精確度。 顿入技術或螺絲 1296194 【發明内容】 如同申請專利範圍 為目的。 所界定之本發明係 以解決前述問題 本發明係提供了一種如同在 界定的晋硬义 u隹曱明專利靶圍弟1項中所 H種如同在巾請專利範圍第2 4項中 1疋之用於鎖定一脊骨主體之一關節面的方法。、 該方法以及使用該骨螺釘的優點如下: •經皮術係會造成降低的發病率; •由於簡單設計而具有低植入成本,尤其 根固定法相較之下; >、罹弓 •與椎弓根螺絲相較之下,在螺釘定位方面 的危險性; •螺釘之容易移除。 > 一根據本發明之干擾螺釘(interference screw)係容 弄-種新的外科手術技術能夠鎖定脊骨主體的關節面。 少天然的功能脊椎單元(functi〇nal叩丨⑽仙F別 )係包合有兩個關節面。根據本發明之螺釘的功能係為在 °亥等關即面之阻礙或固定術方面上的干擾。由於螺釘的核 直彷係為顯著地大於在關節面中的缺口,裝置係會妨礙 天J關卽。螺釘螺紋係為藉由旋轉所插入者。在插入之後 ’螺釘螺紋係會保護螺釘使其不會產生軸向移動,並且抗 方疋轉裝置係會保護螺釘使其不會因旋轉而移動。 根據新式外科手術方法,鎖定用螺釘係經由兩種經皮 術而被插入在平行於關節面之關節表面的執跡中。瞒準用 1296194 線材係保證正確的贫/ _ , 、 一個抗旋轉部件係保持骨螺釘為 在適切位置令,# 产# w在對螺釘運用以微移動的狀況下能夠 防止螺釘轉動離開。此一 # ^^ . 技術係為可運用者,如果前方的 椎Η確…, 間空間)係經由-個例如是 椎間龍之分隔件而被穩定化的話。 根據一個特殊實施例, Λ ^ ^ ^ y 隹系釘碩部之周圍上的溝檜係 為貫貝上平行於中央軸 ,亦卽;ta關^ ^ 匕係了以經由下述方式來解釋 亦即相關於中央軸線 Α 央軸绫相切”Α 朝向中央軸線或者與中 央軸線相切之微小帶角 平面中的此-帶角部分传被量測::具功能者。在一徑向 最大到60度的程户ρ “為對於中央軸線而可能 切線平面二 是較佳的狀況為小於2〇度。在 而可能最大、、篁測為相對於中央軸線 月b琅大為2 0度的程度, 在-個胜“ 又早又佳的狀況為小於1 0度。 在個特殊實施例之中, 在直徑上相對^ 、,、被提供有至邵一對 仅上相對的溝槽於該螺釘頭部 了植入物的穩定性。 β圍之上,其係增強 螺釘頭部係可以被提供有一 於該中央軸線被 央二腔,其係為相對 型態,較佳地係為-個六角形型態,=疋帶有一個多角形 應型態的螺絲起子。在螺針頭部支周圍=接收一個具有相 該中央空腔之多角平面為齊頭者上的溝槽係可以與 強度係可以被達成。 胃’量測一較高機械 在一更進一步的實施例中,一 該螺針頭部之周圍上的該溝槽或=部件係可插入在 了屢槽之_,藉此,該 1296194 走轉部件在其已插入位置中係會徑向地突出 π的周圍之外。抗旋轉部件較佳地係唯—U型造型的= ,而帶有兩個腿部以及-個橋接此二腿部的中央邱八 ;其係被設計以插入至該螺钉頭部的該溝槽或該對二: 中、。抗旋轉部件較佳地係具有-個大於該螺釘頭部的越 =-種υ型造型肘釘之形式所呈現的抗旋轉部件係可以 被,供有一個被附接至該中央部分並且實質上平行 =部的料用部件。引導用部件係能夠以 ζ 體或一菱柱的形式所呈現,其係被設計以插固柱 部的該中央空腔之中 播入至6亥螺釘頭 正確地引導的優點“件之回柱型形狀係具有更 抗旋轉部件之中央部分係可以被提供有至少一 ,用以移除螺釘。 牙孔 骨螺釘之螺紋軸桿係較佳地具有—個 =紋广是在4度至7〇度的範圍中。該螺紋= HI:::?或者非對稱地定向者。非對稱定向之S': 定的穩定性\、疋具海綿似結構的骨頭。此係會增加初始固 :螺釘係可以為自動裝入(self_tapping),較佳地 係為藉由一個切割邊緣。 而成=桿的核心係可以為圓柱型或者為遠離螺釘頭部 可二==具圓柱型核心的狀況中’不同的優點係 1296194 鲁沿著螺釘軸桿之連續彎曲強度; 鲁一恨定插入扭拓夕k 之運用’而在同時轉動在關節面中 的螺釘;以及 •由於恆定的軸桿直徑, 螺釘在装置於插入後被稍微 轉回之時將不t變鬆。此在外科醫生帶動用於抗旋轉部件 之溝槽在與關節面缺口類似的一絲 頭似的致方向中之時係可能會出 現。 在核心為具有一錐形形壯 ❿办狀的狀況中,轴桿係會壓縮環 繞著軸桿的骨頭。此係會增加植人物的初始穩定度。 螺紋轴桿的外形係可以為圓柱型者,而亦容許-恆定
插入扭矩0然而,虫累妓闲士曰 L 一 文周扣之外型較佳地係為成錐形遠離 螺釘頭部’如此在骨頭中螺妓^ 入其中而增加。…、―以藉由將螺釘轉 =釘係可以為自動鑽入者,較佳地係為藉由一夾頭 厚槽(chucking groove)所施行。 2於將-關節面鎖定在介於兩個脊椎主體的上方 方關節隆起部分之間的靳方表 力之間的新方法係為由將-骨螺釘之螺紋軸 在_㈣的缺口中所構成。就此目的而論,骨螺 :二係為套管狀者’並且插入係藉由-瞒準用線材所 螺:軸Γ螺釘較佳地係具有一個螺釘頭部而帶有-個較該 面的缺控’並且該螺釘軸桿係被插入在該關節 骨螺針之=,,螺釘頭部接觸到骨頭為止。隨著該 部,已侦π兮典挪△ 饭埂用至邊螺釘頭 传"亥月螺針之旋轉係可以被防止。 1296194 作為本發明拉Μ 指出於士姐-、至之不同新穎特點係經由特定方式而被 圍中。為二不内谷所附、並形成為其-部份的申請專利範 藉由其使用對本Γ明有較佳的了冑,其操作上的優點以及 ⑽佳實獲得的特殊目的應參照用以㈣並描述本發 佳貫^例的伴隨圖示、示例、以及描述内容。 【實施方式】 圖中所描繪之 兩個脊椎主體 一個螺紋軸桿 。該螺釘頭部 在走向為實質 上。该螺釘頭 ’其相對於該 一個六角形形 如同在第一圖、第二a圖、以及第二b 骨螺釘1係特別被使用以將一關節面鎖定於 之上方及下方關節隆起部分之間。其係具有 2個螺釘頭部3、以及-個中央軸線4 3係提供有六個溝槽5,其係被規則地安置 上平行於該t央軸線4之螺㈣部3的周圍 部3係被更進一步地提供有一個中央空腔6 中央軸線4而§為同軸配置者,並且係具有 狀。 ’、 該抗旋轉部件1 〇係被提供有一個11型造型的肘釘 而具有兩個腿部1 1以及橋接此二腿部工工的一個中^ 分1 3。該U型造型肘釘係被提供有一個引導用部件 ’其係具有一個圓柱㉟的形狀,並且係被附接至該中央4 分1 3,且其實質上為平行於諸腿部i丄。如同可以從/ 一圖以及第二a圖中所看到的,該抗旋轉部件丄〇係4可1 藉由使其沿著該中央軸線4進行移動而被連接至該骨螺^ 1,藉此,其中央部分1 3係會進入至該螺釘頭部3的4 1296194 央空腔6之中’並且兩個腿部1 i係會被插… 部5之二斜、、蓋揭R Μ甘tb i s亥螺、釘頭 …一對溝槽5的其中-對溝槽之中, 中所顯示者。 佐第一 b圖 該兩個腿部1 1的自由端部係被提供有—個、卜 徑向地朝向内部至該中央轴線4的突出部分?疋位為 諸腿部1 1係被引導沿著溝槽5之時,該突出部分= 會卡接在螺釘頭部3的下方邊緣16之 . 轉部件1 0以抵抗在相反軸向方向上的抽回。“XS1定抗旋 該U型造型肘釘係更被提供 助於該骨斷丨之移除。 牙孔u,此係有 用於該骨螺钉i及用於該抗旋轉部件工〇之有 係為鈦、鈦合金、或是纖維強化式塑膠材料 塗敷以陶瓷材料。 〃 μ 被 為了對本發明有較佳了解,操作之詳細方法係如 述·· 1、 在所相關關節面之關節相連平面的延伸部份中的 兩個位置係被識別並據此在皮膚上做記號。為達成此一目 的,一個影像識別器係被使用以控制位置及方向。 2、 雙邊皮膚切口係被施行於關節面的方向中。 3、 依據外科醫生的偏好,一個套管針丄7或類似器 械係被使用以將一瞄準用線材i 8帶入介於該關節面之間 、 1 9中(參見弟二圖)。位置控制係使用一影像識 別器來指示。 4、 如同在第四圖中所顯示者,該瞄準用線材丄8係 12 1296194 错由,頭2 〇 (「螺針頭部鑽孔器(screw head reainer) 」或疋鑽碩孔(c〇unter sink)」)而被暫時地固定在 關節面的缺口 1 9中。 * 5如同在第五圖中所顯示者,一個插管用且可自動 牙刺用之骨螺釘1係經由使用暫時固定的引導線材i 8, 而藉由一個螺絲起子2 1以被插入缺口 ! 9之中,直到骨 螺釘1之螺釘頭部3係接觸到骨頭為止。
6、如同在第六圖中所顯示者,_個抗旋轉部件工〇 係被置放在最接近於關節缺口 1 9的螺釘.頭部3之上而位 於溝槽5 (刻槽)巾。最後,該骨螺釘μ必須被某種程 度地向後轉回,用以使該螺釘頭部3中的溝槽5 (刻槽) 能夠與關節缺口 i 9相配(參見第七圖)。 7、 所有的器械係被移開。 8、 該骨螺釘工之置放係藉由使用一個影像識別器來 加以確認,並且傷口係被關閉。 t» 所描述之操作方法係可以被施行僅於脊骨柱體之-側 ’但較佳地係被同時施行在左側及右側,如同在第三圖至 第七圖中所顯示者,其係具有一種生物力學上的優點。 【圖式簡單說明】 第一圖係為根據本發明之晋4 U芡月螺釘U及一個與該骨螺釘 一起使用之抗旋轉部件的立體圖; 第二a圖係為一個縱向剖面圖,其係為通過根據第一 圖之骨螺釘及抗旋轉部件的中央軸線; 13 1296194 ^第二b圖係為根據第一圖之骨螺釘 旋轉部件係被插入至螺釘頭部之中; 的俯視圖,其令抗 第三圖係為一個套管針的立體圖, 用線材帶入介於關節面之間的缺口之曰中 第四圖係為一個鑽頭的立體圖,瞄 地固定在關節面的缺口之中; 其係用於將一瞒準 準用線材係被暫時 第五圖係為骨螺釘的立體圖,其 時固定的引導用線材而藉由螺絲起^ 缺口之中; 中骨螺釘係使用 以被插入至關節 被暫 面的 第六圖係為抗旋轉部件 被置放在最接近於關節缺口 ;以及 之立體圖, 的螺釘頭部 其中抗旋轉部件係 之上而位於溝槽中 弟七圖係為已插入之骨 件係已被附接至骨螺釘。 螺針的立體 圖,其中抗旋轉部 骨螺釘 螺紋轴桿 螺釘頭部 中央軸線 溝槽 中央空腔 抗旋轉部件 腿部 【元件符號說明】 1 2 3 4 5 6 10 14 1296194 12 13 14
17 18 19 2 0 2 1 引導用部件 中央部分 穿孔 突出部分 下方邊緣 套管針 引導線材 關節缺口 鑽頭 螺絲起子
Claims (1)
1296194 拾、申請專利範圍: 1、 -種骨螺釘⑴,特別係用於將 在”於兩個脊椎主體之上方及下方關節隆起部分貞疋 骨螺釘(1 ).係具有一個螺紋軸椁 間,該 (3卜以及-個中央軸線(4),藉此該螺釘=頭部 )係提供有至少一個軸向溝槽(5)於其周圍上,::3 在於··一個可插入於該溝槽(5 ) 八特徵 的抗旋轉部件(1 〇 ) ,此兮p 9 ( 5 )之中 | u i υ ^ 抗旋轉部 已插入位置中係徑向地突出至)在其 外。 貝( 3 )的周圍之 2、 根據申請專利範圍第1項所述之骨螺釘… 其特徵係在於,至少一個軸向溝槽(5二: 於該中央軸線(4 )。 貰貝上千仃 甘3、根據申請專利範圍第1項所述之骨螺釘(1) ,、特徵係在於,至少一個軸向溝槽(5)係 ^ w面分’且其係相對於該中 而被量測為在小於6 〇度、較 、''' 4 ) η… 李“圭地係為小於20度的等級。 4、根射請專利範圍第1項所述之骨螺針⑴, 八特徵係在於,至少一個軸向溝槽(5 正切平面中之有角部分, 〜、有-個在一 而被量測為在小於二:相對於該中央軸線") -特二=申請專利範圍第4項所述之骨螺釘(1), :寺:係在於,至少一個轴向溝槽(5)係具有一 正切平面中之有角部分,且其係相對於該 16 1296194 而被量測為在小於1 0度的等級。 6、 根射請專利範圍第1項所述之骨螺釘⑴, 其特徵係在於,其係枯接s ^ 、& ί、有至>、_對在直徑方向上相對 的溝槽(5 )於該螺釘頭部(3 )的周圍之上。 7、 根據巾請專利範圍第1項所述之骨螺釘㈠卜 其特徵係在於,該螺釘頭部(3 )係被提供有—個中央空 腔(6) ’其係相對於該中央軸線(4)而被同轴地配置。 8、 根據中請專利範圍第i項所述之骨螺釘(丄), 其特徵係在於,(A)該抗旋轉部件(1〇)係為—㈣ 型造型的肘釘而帶有兩個腿部(i i )以及—個橋接該二 腿部(1 1 )的中央部分(1 3 ) · f 刀、丄〇 ;,以及C B )該抗旋轉 部件(1 G )係被設計以插人於該螺釘頭冑(3 )的該溝 槽(5 )或該對溝槽(5 )之中。 人丨 9、 根據申請專利範圍第丄項所述之骨螺釘(1 ), 其特徵係在於,該抗旋轉部件(1 〇 )係具有一個大於該 螺釘頭部(3 )的直徑。 1 〇、根據申請專利範圍第1項所述之骨螺釘(工) ,其特徵係在於,該U型造型肘釘係被提供有—個?丨導用 部件(1 2 ),其係被附接至該中央部分(i 3 )並且實 質上平行於該等腿部(1 1 )。 、 拾壹、圓式·· 如次頁。 17 1296194 柒、指定代表圖: (一) 本案指定代表圖為:第(1 )圖。 (二) 本代表圖之元件代表符號簡單說明: 捌、本案若有化學式時,請揭示最能顯示發明特徵的化學式 1 骨 螺釘 2 螺 紋軸桿 3 螺 釘頭部 5 溝槽 6 中 央空腔 1 0 抗旋轉部件 1 1 腿部 1 2 引 導用部件 1 3 中 央部分 1 4 穿 孔 1 5 突 出部分 1 6 下 方邊緣
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PCT/CH2002/000608 WO2004043278A1 (en) | 2002-11-13 | 2002-11-13 | Articular facet interference screw |
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TWI296194B true TWI296194B (en) | 2008-05-01 |
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TW092127407A TWI296194B (en) | 2002-11-13 | 2003-10-03 | Articular facet interference screw |
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US (3) | US7699878B2 (zh) |
EP (1) | EP1585449B8 (zh) |
JP (1) | JP4307387B2 (zh) |
AU (1) | AU2002340694B2 (zh) |
BR (1) | BR0215923B1 (zh) |
CA (1) | CA2505850C (zh) |
DE (1) | DE60214908T2 (zh) |
ES (1) | ES2274099T3 (zh) |
MY (1) | MY134584A (zh) |
TW (1) | TWI296194B (zh) |
WO (1) | WO2004043278A1 (zh) |
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2003
- 2003-10-03 TW TW092127407A patent/TWI296194B/zh not_active IP Right Cessation
- 2003-10-14 MY MYPI20033915A patent/MY134584A/en unknown
-
2005
- 2005-05-10 US US11/126,976 patent/US7699878B2/en active Active
-
2010
- 2010-03-03 US US12/716,631 patent/US8317839B2/en not_active Expired - Lifetime
-
2012
- 2012-11-13 US US13/675,511 patent/US8668722B2/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
JP2006506113A (ja) | 2006-02-23 |
US8668722B2 (en) | 2014-03-11 |
EP1585449B8 (en) | 2007-04-18 |
TW200414890A (en) | 2004-08-16 |
AU2002340694A1 (en) | 2004-06-03 |
US8317839B2 (en) | 2012-11-27 |
EP1585449B1 (en) | 2006-09-20 |
WO2004043278A1 (en) | 2004-05-27 |
ES2274099T3 (es) | 2007-05-16 |
DE60214908T2 (de) | 2007-03-01 |
US20130116732A1 (en) | 2013-05-09 |
CA2505850C (en) | 2011-01-04 |
US20060064099A1 (en) | 2006-03-23 |
US20100179598A1 (en) | 2010-07-15 |
BR0215923B1 (pt) | 2013-01-22 |
JP4307387B2 (ja) | 2009-08-05 |
MY134584A (en) | 2007-12-31 |
CA2505850A1 (en) | 2004-05-27 |
EP1585449A1 (en) | 2005-10-19 |
DE60214908D1 (de) | 2006-11-02 |
BR0215923A (pt) | 2005-08-09 |
AU2002340694B2 (en) | 2006-09-21 |
US7699878B2 (en) | 2010-04-20 |
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