US3805775A - Expanding bone connector - Google Patents

Expanding bone connector Download PDF

Info

Publication number
US3805775A
US3805775A US00181120A US18112071A US3805775A US 3805775 A US3805775 A US 3805775A US 00181120 A US00181120 A US 00181120A US 18112071 A US18112071 A US 18112071A US 3805775 A US3805775 A US 3805775A
Authority
US
United States
Prior art keywords
end portion
sleeve
bone
trailing end
appliance
Prior art date
Legal status (The legal status 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 status listed.)
Expired - Lifetime
Application number
US00181120A
Other languages
English (en)
Inventor
A Fischer
J Mueller
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Application granted granted Critical
Publication of US3805775A publication Critical patent/US3805775A/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74Devices for the head or neck or trochanter of the femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary devices, e.g. pins or nails
    • A61B17/7233Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone
    • A61B17/7258Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30579Special structural features of bone or joint prostheses not otherwise provided for with mechanically expandable devices, e.g. fixation devices

Definitions

  • ABSTRACT A connector for fractured bones has a sleeve which can be inserted into a fractured bone so as to bridge the fracture thereof with an expansible leading end portion being located in one bone fragment, an open trailing end portion being located in the other bone fragment, and an intermediate portion extending between the end portions.
  • An expander screw expands the leading end portion, and the intermediate portion is provided over most or all of its length with one or several ribs projecting beyond its circumference so as to prevent it from rotating in the bone.
  • the present invention relates generally to a medical appliance, and more particularly to a connector for fractured bones.
  • Connectors for fractured bones are already known, and one such connector is described in the aforementioned copending application.
  • the fractured bone is provided with a bore which extends into both of the bone fragments and which must have a diameter so selected that the connector portion of largest cross-section can still be accommodated in it.
  • the connector is then inserted into the bore and the expanding member provided for the purpose is driven or drawn into the expansion sleeve of the connector in order to thereby expand the sleeve and anchor the con nector in one of the bone fragments.
  • a cap nut or similar member is connected with the sleeve at the end located in the other bone fragment and the two bone fragments are then drawn together by the aid of this cap nut or analogous means until the two bone fragments are tightly drawn into abutment along the fracture and assume their previous relative positions.
  • the bore must have a diameter which corresponds to the largest diameter of the connector, as mentioned before, and such largest diameter is the outer diameter of the cap nut which is utilized for drawing together the bone fragments.
  • this outer diameter of the cap nut must be relatively substantial in order to make it possible to thread the cap nut onto the exterior of the threaded trailing end portion of the sleeve.
  • the resulting rather large-diameter bore in the bone fragments is, however, frequently undesirable and often unacceptable, either because the dimensions of the bone do not permit the use of bores of such diameter or because the use of such bores would lead to excessive destruction of bone material in the region of the fracture, or for other medical considerations.
  • a further difficulty with the prior art is the fact that the known connectors are difficult to expand.
  • the diameter of the bore must correspond to the outer diameter of the cap nut, as pointed out before, and the outer diameter of the cap nut is necessarily larger than the outer diameter of the expansion sleeve of the connector, with the result that the external surface of the expansion sleeve does not contact the inner wall bounding the bore in the bone.
  • cap nut or cap screw cannot of course extend over the entire length of the intermediate portion connecting the trailing end portion and the expansible leading end portion. This means that between the leading end portion and the trailing end portion the intermediate portion does not contact the wall of the bore.
  • precisely in this region-which is traversed by the intermediate portion-the bone fracture is usually located and with the prior-art constructions the fracture is thus not supported, that is the bone fragments are not supported with reference to one another in the region of the fracture.
  • a concomitant object of the invention is to provide such an improved connector which. can be utilized in a bore of minimum diameter.
  • a further object of the invention is to provide such an improved connector which, while capable of being utilized in a bore of minimum diameter, does not require the use of special tools for preventing rotation of the sleeve, and whose sleeve is in fact reliably prevented from such rotation by other means.
  • Still another object of the invention is to provide such an improved connector which permits-immediately after its insertion and expansion-the placing of load upon the fractured bone without any danger of relative displacement of the bone fragments.
  • a medical appliance namely a connector for fractured bones, which comprises a sleeve adapted for insertion into a fractured bone bridging the fracture thereof, and having an expansible leading end portion adapted to be located in one bone fragment, an externally threaded open trailing end portion adapted to communicate with the exterior of the other bone fragment, and an intermediate portion.
  • Expander means is provided for expanding the leading end portion and includes an expander screw threaded through the sleeve.
  • An internally threaded cap screw is connected with the trailing end portion of the sleeve and has a cap screw head exteriorly engaging and bearing upon the other bone fragment. At least one rotation-preventing rigid rib projects beyond the outer circumference of the intermediate portion and extends longitudinally of the latter over at least the major part of the distance between the leading and trailing end portions.
  • the trailing end portion may have a diameter smaller than that of the intermediate portion, and the outer diameter of the cap nut may correspond to that of the intermediate portion.
  • the trailing end portion may also have the same diameter as the intermediate portion and 'may be provided with internal screw threads, with both the threads on the cap nut andthe threads on the expander screw being dimensioned to mesh with these internal screw threads.
  • the rib or ribs may be continuous over the entire length thereof, or they may be discontinuous. They may also extend over the major portion of the distance between the leading and trailing end portions, that is over the major portion ofthe length of the intermediate portion, or preferably they may extend over the entire length.
  • the novel connector according to the present invention can be constructed as an element having the smallest possible outer diameter, and consequently capable of being used with a bore of the smallest possible inner diameter, and having the highest possible degree of rotation prevention. Because of their relatively substantial length the rib or ribs extend into large-area contact with the bone material surrounding the bore hole, being driven into such material, and thus provide a highly substantial protection against turning of the sleeve during expanding of the leading end portion, without having to accept the danger that the ribs might destroy or damage the bone material with which they are in contact.
  • the entire outer diameter of the connector can be constant, because the difference between the smaller diameter of the trailing end portion and the larger diameter of the intermediate end portion (and of the leading end portion before the expansion thereof) corresponds to the difference between the inner and outer diameter of the cap nut.
  • the connector tightly and firmly engages the bone fragments over its entire length, preventing them from a relative displacement.
  • the construction permits a very small outer diameter overall, and consequently a similarly small inner diameter of the bore required.
  • the expander screw engages with its head a shoulder provided for this purpose on the trailing end portion of the sleeve, and this shoulder requires only little space.
  • the outer diameter of the intermediate portion need be selected only by considerations of the requisite strength and of the bore hole which can be formed in a bone of given dimensions.
  • the small diameter overall of course is achieved in that the cap nut extends into the interior of the trailing end portion.
  • the first-mentioned embodiment, with the reduceddiameter trailing end portion, is preferably utilized for repairing fractures in the femur.
  • a nail is first driven into the femur at the requisite angle, bridging the fracture.
  • a tubular drill is placed over this nail and a hole is drilled about the nail having an inner diameter corresponding to the outer diameter of the connector.
  • the nail is then removed again, having served only as a guide for the drill, and the connector is inserted into the bore.
  • cap nut is threaded onto the reduced-diameter trailing end portion until its head engages the outer side of the second bone fragment, whereupon continued tightening of the cap nut results in drawing of the two bone fragments together until they firmly contact one another along the fracture.
  • the other above-mentioned embodiment in which the cap nut is threaded into the interior of the trailing end portion with the sleeve having constant diameter throughout, is advantageously used for repairing fractures in tubular or hollow bones.
  • a bore is formed in the hollow bone extending in the region of the bone marrow longitudinally of the bone.
  • the connector- which can be provided in different lengths in accordance with the respective tubular bone with which it is to be used and the location of the fracture which is known to be frequently encountered in such bonesis inserted into the bore to such an extent until its expansible leading end portion is lodged at a location where it can best be anchored in view of the bone configuration.
  • the expanding screw is turned in a sense drawing the expander element deeper into the sleeve and expanding the leading end portion.
  • a torque wrench can be used in this embodiment, as well as in the previous one, to assure that the use of excessive force in the expansion is avoided which could lead to cracking of the bone.
  • FIG. 1 is a somewhat diagrammatic illustration showing a connector according to one embodiment of the invention inserted into a femur;
  • FIG. 2 is a section taken on line lI-II of FIG. 1;
  • FIG. 3 is a view similar to FIG. I but showing a connecting element according to an embodiment of the invention inserted into a tubular bone.
  • the connector is generally identified with reference numeral 1 and preferably consists of rust-free steel, although other materials may also be suitable.
  • the connector 1 utilizes, as shown in the drawing, a sleeve 2 having a radially expansible leading end portion 3 and a smaller-diameter trailing end portion 4.
  • a cap nut 5 can be threaded over the end portion 4.
  • the outer diameter of the sleeve-except for the trailing end portion 4-an d of the cap nut 5 are identical.
  • the expander element 7 is drawn axially rearwardly into the sleeve by means of the expander screw 8.
  • the head of the screw 8 is smaller than the outer diameter of the sleeve 2 or the trailing end portion 4 so that it contacts only the sleeve 2 or the trailing end portion 4 as it is turned in a sense drawing the expander element 7 deeper into the sleeve 2. This avoids transmission of axial stresses into the bone.
  • the outer periphery of the sleeve 2 is provided with one or more ribs 10 which extend over a substantial part or all of the length of the intermediate portion of the sleeve 2 between the trailing end portion 4 and the leading end portion 3 thereof.
  • the ribs 10 are distributed about the circumference of the sleeve 2 and serve to prevent the sleeve 2 from rotating as the screw 8 is turned in a sense drawing the expander element 7 deeper into the expansible leading portion 3.
  • the ribs 10 are rigid and extend into the bone material of the fragments 6, 6, as illustrated.
  • the cap nut 5 is provided with a head 11 which in turn utilizes a Washer 12 in order to increase the contact area. with the bone fragment 6.
  • a Washer 12 in order to increase the contact area. with the bone fragment 6.
  • an annular groove 13 is provided in the sleeve 2 where the intermediate portion of the sleeve joins the expansible leading end portion 3 thereof.
  • the leading end of the expansible end portion 3 may be upset in radially inward direction to prevent bone matter from entering the interior of the sleeve when the latter is inserted into the bone.
  • the connector is identified in toto with reference numeral 21.
  • This connector has a sleeve 22 provided with the leading end portion 23 which is to be expanded, the cap nut 24 which can be threaded into the interior thread 25 of the sleeve 22, and the expander element 27 which is to be drawn into the sleeve 22 in asense expanding the expansible leading end portion 23 by means of the expander screw 28.
  • the outer threads 29 of the screw 28 correspond to the inner threads 25 of the sleeve 22 with which they mesh.
  • the cap nut 24 is threaded into the internal threads 25 of the sleeve 22 until it engages the outer side of the bone fragment 36' to thereby draw the fragments 36 and 36 together until they abut one another along the fracture line.
  • the contact area between the bone fragment 36 and the head of the cap nut 24 may be further increased by providing a washer 32 which is interposed between them and which may also be constructed-4n a manner known per se-to prevent the cap nut from becoming undesirably loosened.
  • the embodiment of FIG. 3 is again provided with one or more circumferentially distributed rigid ribs 10 which project beyond its circumference and into the bone material surrounding the bore in which the connector is lodged. These ribs also extend over most or all of the distance between the trailing and leading end portions of the sleeve and may, as in the embodiment of FIGS. 1 and 2, be continuous or discontinuous, that is be in sections.
  • a connector for fractured bones comprising a sleeve adapted for insertion into a fractured bone bridging the fracture thereof, and having an expansible leading end portion adapted to be located in one bone fragment, a threaded open trailing end portion adapted to communicate with the exterior of the other bone fragment, and an intermediate portion; expander means for expanding said leading end portion, and including an expander screw threaded through said sleeve, a threaded cap screw connected with said trailing end portion of said sleeve and having a cap screw head exteriorly engaging and bearing upon said other bone fragment; and at least one rotation-' preventing rigid rib projecting beyond the outer cirtially of said intermediate portion.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
US00181120A 1970-09-18 1971-09-16 Expanding bone connector Expired - Lifetime US3805775A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE2046102 1970-09-18

Publications (1)

Publication Number Publication Date
US3805775A true US3805775A (en) 1974-04-23

Family

ID=5782753

Family Applications (1)

Application Number Title Priority Date Filing Date
US00181120A Expired - Lifetime US3805775A (en) 1970-09-18 1971-09-16 Expanding bone connector

Country Status (7)

Country Link
US (1) US3805775A (enrdf_load_stackoverflow)
JP (1) JPS5119276B1 (enrdf_load_stackoverflow)
CA (1) CA990003A (enrdf_load_stackoverflow)
CS (1) CS181702B2 (enrdf_load_stackoverflow)
DE (1) DE2046102B (enrdf_load_stackoverflow)
GB (1) GB1350219A (enrdf_load_stackoverflow)
SU (1) SU419002A3 (enrdf_load_stackoverflow)

Cited By (67)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4227518A (en) * 1978-02-12 1980-10-14 Jacob Aginsky Intramedullary retraction nail for fixation of comminuted fractured bones
US4776330A (en) * 1986-06-23 1988-10-11 Pfizer Hospital Products Group, Inc. Modular femoral fixation system
US4969887A (en) * 1986-09-08 1990-11-13 Sodhi Jitendra S Self-retaining nail kit for repairing a fractured neck of femur
US5213112A (en) * 1992-01-29 1993-05-25 Pfizer Hospital Products Group, Inc. Tension meter for orthopedic surgery
EP0776636A1 (fr) * 1995-11-30 1997-06-04 Tornier Sa Dispositif pour la fixation d'une prothèse et notamment d'une prothèse glénoidienne de l'omoplate
US5713903A (en) * 1991-03-22 1998-02-03 United States Surgical Corporation Orthopedic fastener
US5716358A (en) * 1994-12-02 1998-02-10 Johnson & Johnson Professional, Inc. Directional bone fixation device
US5720753A (en) * 1991-03-22 1998-02-24 United States Surgical Corporation Orthopedic fastener
US5759184A (en) * 1993-07-23 1998-06-02 Santangelo; Massimo Device for preventive support of the femur
US5882351A (en) * 1995-09-29 1999-03-16 Biomedical Enterprises, Inc. Fasteners having coordinated self-seeking conforming members and uses thereof
US5928244A (en) * 1996-10-04 1999-07-27 United States Surgical Corporation Tissue fastener implantation apparatus and method
US5948000A (en) * 1996-10-03 1999-09-07 United States Surgical Corporation System for suture anchor placement
US5993459A (en) * 1996-10-04 1999-11-30 Larsen; Scott Suture anchor installation system with insertion tool
US6187008B1 (en) 1999-07-07 2001-02-13 Bristol-Myers Squibb Device for temporarily fixing bones
US6290701B1 (en) * 2000-01-11 2001-09-18 Albert Enayati Bioabsorbable rivet bone fastener
WO2001076493A1 (de) * 2000-04-10 2001-10-18 Synthes Ag Chur Osteosynthetisches verankerungselement
US20040015172A1 (en) * 2000-11-10 2004-01-22 Lutz Biedermann Bone screw
US20040199165A1 (en) * 1996-11-12 2004-10-07 Culbert Brad S. Bone fixation system with radially extendable anchor
US20050197660A1 (en) * 2004-03-08 2005-09-08 Haid Regis W.Jr. Occipital and cervical stabilization systems and methods
US20080249623A1 (en) * 2006-12-22 2008-10-09 Qi-Bin Bao Implant Restraint Device and Methods
JP2010500908A (ja) * 2006-08-14 2010-01-14 スミス アンド ネフュー インコーポレーテッド 骨折部固定装置
US20100023012A1 (en) * 2008-07-23 2010-01-28 University Of Louisville Research Foundation, Inc. Device and method to prevent hip fractures
US20100145396A1 (en) * 2007-07-03 2010-06-10 Sota Orthoppaedics Limited Bolt Apparatus
CN102085115A (zh) * 2011-01-10 2011-06-08 张建林 一种骨科手术用带尾帽长钩型螺钉
US8287538B2 (en) 2008-01-14 2012-10-16 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US20130231665A1 (en) * 2006-11-22 2013-09-05 Sonoma Orthopedic Products, Inc. Fracture fixation device, tools and methods
US8906022B2 (en) 2010-03-08 2014-12-09 Conventus Orthopaedics, Inc. Apparatus and methods for securing a bone implant
US8961518B2 (en) 2010-01-20 2015-02-24 Conventus Orthopaedics, Inc. Apparatus and methods for bone access and cavity preparation
US20160166292A1 (en) * 2013-12-12 2016-06-16 Mark Allen Mighell Intramedullary anchor-screw fracture fixation
US9522070B2 (en) 2013-03-07 2016-12-20 Interventional Spine, Inc. Intervertebral implant
US9730739B2 (en) 2010-01-15 2017-08-15 Conventus Orthopaedics, Inc. Rotary-rigid orthopaedic rod
US9770278B2 (en) 2014-01-17 2017-09-26 Arthrex, Inc. Dual tip guide wire
US9839530B2 (en) 2007-06-26 2017-12-12 DePuy Synthes Products, Inc. Highly lordosed fusion cage
US9883951B2 (en) 2012-08-30 2018-02-06 Interventional Spine, Inc. Artificial disc
US9895236B2 (en) 2010-06-24 2018-02-20 DePuy Synthes Products, Inc. Enhanced cage insertion assembly
US9913727B2 (en) 2015-07-02 2018-03-13 Medos International Sarl Expandable implant
US9931223B2 (en) 2008-04-05 2018-04-03 DePuy Synthes Products, Inc. Expandable intervertebral implant
US9993349B2 (en) 2002-06-27 2018-06-12 DePuy Synthes Products, Inc. Intervertebral disc
US10022132B2 (en) 2013-12-12 2018-07-17 Conventus Orthopaedics, Inc. Tissue displacement tools and methods
US10058433B2 (en) 2012-07-26 2018-08-28 DePuy Synthes Products, Inc. Expandable implant
US10136929B2 (en) 2015-07-13 2018-11-27 IntraFuse, LLC Flexible bone implant
US10154863B2 (en) 2015-07-13 2018-12-18 IntraFuse, LLC Flexible bone screw
US10390963B2 (en) 2006-12-07 2019-08-27 DePuy Synthes Products, Inc. Intervertebral implant
US10398563B2 (en) 2017-05-08 2019-09-03 Medos International Sarl Expandable cage
US10433977B2 (en) 2008-01-17 2019-10-08 DePuy Synthes Products, Inc. Expandable intervertebral implant and associated method of manufacturing the same
US10485595B2 (en) 2015-07-13 2019-11-26 IntraFuse, LLC Flexible bone screw
US10500062B2 (en) 2009-12-10 2019-12-10 DePuy Synthes Products, Inc. Bellows-like expandable interbody fusion cage
US10499960B2 (en) 2015-07-13 2019-12-10 IntraFuse, LLC Method of bone fixation
US10537436B2 (en) 2016-11-01 2020-01-21 DePuy Synthes Products, Inc. Curved expandable cage
US10548741B2 (en) 2010-06-29 2020-02-04 DePuy Synthes Products, Inc. Distractible intervertebral implant
US10888433B2 (en) 2016-12-14 2021-01-12 DePuy Synthes Products, Inc. Intervertebral implant inserter and related methods
US10918426B2 (en) 2017-07-04 2021-02-16 Conventus Orthopaedics, Inc. Apparatus and methods for treatment of a bone
US10940016B2 (en) 2017-07-05 2021-03-09 Medos International Sarl Expandable intervertebral fusion cage
US11344424B2 (en) 2017-06-14 2022-05-31 Medos International Sarl Expandable intervertebral implant and related methods
US11426286B2 (en) 2020-03-06 2022-08-30 Eit Emerging Implant Technologies Gmbh Expandable intervertebral implant
US11426290B2 (en) 2015-03-06 2022-08-30 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
US11446156B2 (en) 2018-10-25 2022-09-20 Medos International Sarl Expandable intervertebral implant, inserter instrument, and related methods
US11452607B2 (en) 2010-10-11 2022-09-27 DePuy Synthes Products, Inc. Expandable interspinous process spacer implant
US11510788B2 (en) 2016-06-28 2022-11-29 Eit Emerging Implant Technologies Gmbh Expandable, angularly adjustable intervertebral cages
US11596522B2 (en) 2016-06-28 2023-03-07 Eit Emerging Implant Technologies Gmbh Expandable and angularly adjustable intervertebral cages with articulating joint
US11596419B2 (en) 2017-03-09 2023-03-07 Flower Orthopedics Corporation Plating depth gauge and countersink instrument
US11612491B2 (en) 2009-03-30 2023-03-28 DePuy Synthes Products, Inc. Zero profile spinal fusion cage
US11752009B2 (en) 2021-04-06 2023-09-12 Medos International Sarl Expandable intervertebral fusion cage
US11850160B2 (en) 2021-03-26 2023-12-26 Medos International Sarl Expandable lordotic intervertebral fusion cage
US11911287B2 (en) 2010-06-24 2024-02-27 DePuy Synthes Products, Inc. Lateral spondylolisthesis reduction cage
USRE49973E1 (en) 2013-02-28 2024-05-21 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
US12090064B2 (en) 2022-03-01 2024-09-17 Medos International Sarl Stabilization members for expandable intervertebral implants, and related systems and methods

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1006954B (zh) * 1985-03-11 1990-02-28 阿图尔·费希尔 用于骨接合术的紧固元件
DE3509417A1 (de) * 1985-03-15 1986-09-25 geb. Goos Hildegund Dr. 2300 Kiel Ewers Einrichtung zur unterstuetzung der osteosynthese in der knochen-chirurgie

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2121193A (en) * 1932-12-21 1938-06-21 Hanicke Paul Gustav Erich Fracture clamping apparatus
US2243717A (en) * 1938-09-20 1941-05-27 Moreira Franciseo Elias Godoy Surgical device
US2381050A (en) * 1943-12-04 1945-08-07 Mervyn G Hardinge Fracture reducing device
US2490364A (en) * 1948-02-27 1949-12-06 Herman H Livingston Bone pin
US2699774A (en) * 1952-05-12 1955-01-18 Livingston Herman Harrison Bone pin locking device
US3678925A (en) * 1969-10-03 1972-07-25 Artur Fischer Connector for fractured bones

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2121193A (en) * 1932-12-21 1938-06-21 Hanicke Paul Gustav Erich Fracture clamping apparatus
US2243717A (en) * 1938-09-20 1941-05-27 Moreira Franciseo Elias Godoy Surgical device
US2381050A (en) * 1943-12-04 1945-08-07 Mervyn G Hardinge Fracture reducing device
US2490364A (en) * 1948-02-27 1949-12-06 Herman H Livingston Bone pin
US2699774A (en) * 1952-05-12 1955-01-18 Livingston Herman Harrison Bone pin locking device
US3678925A (en) * 1969-10-03 1972-07-25 Artur Fischer Connector for fractured bones

Cited By (128)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4227518A (en) * 1978-02-12 1980-10-14 Jacob Aginsky Intramedullary retraction nail for fixation of comminuted fractured bones
US4776330A (en) * 1986-06-23 1988-10-11 Pfizer Hospital Products Group, Inc. Modular femoral fixation system
US4969887A (en) * 1986-09-08 1990-11-13 Sodhi Jitendra S Self-retaining nail kit for repairing a fractured neck of femur
US5713903A (en) * 1991-03-22 1998-02-03 United States Surgical Corporation Orthopedic fastener
US5720753A (en) * 1991-03-22 1998-02-24 United States Surgical Corporation Orthopedic fastener
US5213112A (en) * 1992-01-29 1993-05-25 Pfizer Hospital Products Group, Inc. Tension meter for orthopedic surgery
US5759184A (en) * 1993-07-23 1998-06-02 Santangelo; Massimo Device for preventive support of the femur
US5868747A (en) * 1994-12-02 1999-02-09 Johnson & Johnson Professional, Inc. Directional bone fixation device
US5716358A (en) * 1994-12-02 1998-02-10 Johnson & Johnson Professional, Inc. Directional bone fixation device
US6287310B1 (en) 1995-09-29 2001-09-11 Biomedical Enterprises, Inc. Fasteners having coordinated self-seeking conforming members and uses thereof
US5882351A (en) * 1995-09-29 1999-03-16 Biomedical Enterprises, Inc. Fasteners having coordinated self-seeking conforming members and uses thereof
FR2741796A1 (fr) * 1995-11-30 1997-06-06 Tornier Sa Dispositif pour la fixation d'une prothese et notamment d'une prothese glenoidienne de l'omoplate
US5702447A (en) * 1995-11-30 1997-12-30 Tornier S.A. Device for the attachment of a glenoid prosthesis of the shoulder blade
EP0776636A1 (fr) * 1995-11-30 1997-06-04 Tornier Sa Dispositif pour la fixation d'une prothèse et notamment d'une prothèse glénoidienne de l'omoplate
US5948000A (en) * 1996-10-03 1999-09-07 United States Surgical Corporation System for suture anchor placement
US5928244A (en) * 1996-10-04 1999-07-27 United States Surgical Corporation Tissue fastener implantation apparatus and method
US5993459A (en) * 1996-10-04 1999-11-30 Larsen; Scott Suture anchor installation system with insertion tool
US20040199165A1 (en) * 1996-11-12 2004-10-07 Culbert Brad S. Bone fixation system with radially extendable anchor
US6187008B1 (en) 1999-07-07 2001-02-13 Bristol-Myers Squibb Device for temporarily fixing bones
US6290701B1 (en) * 2000-01-11 2001-09-18 Albert Enayati Bioabsorbable rivet bone fastener
US20020156490A1 (en) * 2000-01-11 2002-10-24 Albert Enayati Bioabsorbable rivet bone fastener
US6540751B2 (en) * 2000-01-11 2003-04-01 Albert Enayati Bioabsorbable rivet bone fastener
US6780185B2 (en) 2000-04-10 2004-08-24 Synthes (U.S.A.) Osteosynthetic anchoring member
WO2001076493A1 (de) * 2000-04-10 2001-10-18 Synthes Ag Chur Osteosynthetisches verankerungselement
US8137389B2 (en) * 2000-11-10 2012-03-20 Biedermann Motech Gmbh & Co. Kg Bone screw
US20040015172A1 (en) * 2000-11-10 2004-01-22 Lutz Biedermann Bone screw
US9468483B2 (en) 2000-11-10 2016-10-18 Biedermann Technologies Gmbh & Co. Kg Bone screw
US8968372B2 (en) 2000-11-10 2015-03-03 Biedermann Technologies Gmbh & Co. Kg Bone screw
US9993349B2 (en) 2002-06-27 2018-06-12 DePuy Synthes Products, Inc. Intervertebral disc
US20050197660A1 (en) * 2004-03-08 2005-09-08 Haid Regis W.Jr. Occipital and cervical stabilization systems and methods
WO2005087122A1 (en) * 2004-03-08 2005-09-22 Sdgi Holdings, Inc. Occipital and cervical stabilization systems and methods
US7799053B2 (en) 2004-03-08 2010-09-21 Warsaw Orthopedic, Inc. Occipital and cervical stabilization systems and methods
JP2010500908A (ja) * 2006-08-14 2010-01-14 スミス アンド ネフュー インコーポレーテッド 骨折部固定装置
US20130231665A1 (en) * 2006-11-22 2013-09-05 Sonoma Orthopedic Products, Inc. Fracture fixation device, tools and methods
US9259250B2 (en) * 2006-11-22 2016-02-16 Sonoma Orthopedic Products, Inc. Fracture fixation device, tools and methods
US10398566B2 (en) 2006-12-07 2019-09-03 DePuy Synthes Products, Inc. Intervertebral implant
US10583015B2 (en) 2006-12-07 2020-03-10 DePuy Synthes Products, Inc. Intervertebral implant
US11642229B2 (en) 2006-12-07 2023-05-09 DePuy Synthes Products, Inc. Intervertebral implant
US11712345B2 (en) 2006-12-07 2023-08-01 DePuy Synthes Products, Inc. Intervertebral implant
US11273050B2 (en) 2006-12-07 2022-03-15 DePuy Synthes Products, Inc. Intervertebral implant
US11660206B2 (en) 2006-12-07 2023-05-30 DePuy Synthes Products, Inc. Intervertebral implant
US11432942B2 (en) 2006-12-07 2022-09-06 DePuy Synthes Products, Inc. Intervertebral implant
US10390963B2 (en) 2006-12-07 2019-08-27 DePuy Synthes Products, Inc. Intervertebral implant
US11497618B2 (en) 2006-12-07 2022-11-15 DePuy Synthes Products, Inc. Intervertebral implant
US8163019B2 (en) * 2006-12-22 2012-04-24 Pioneer Surgical Technology, Inc. Implant restraint device and methods
US20080249623A1 (en) * 2006-12-22 2008-10-09 Qi-Bin Bao Implant Restraint Device and Methods
US10973652B2 (en) 2007-06-26 2021-04-13 DePuy Synthes Products, Inc. Highly lordosed fusion cage
US11622868B2 (en) 2007-06-26 2023-04-11 DePuy Synthes Products, Inc. Highly lordosed fusion cage
US9839530B2 (en) 2007-06-26 2017-12-12 DePuy Synthes Products, Inc. Highly lordosed fusion cage
US9724141B2 (en) * 2007-07-03 2017-08-08 Sota Orthopaedics Limited Bolt apparatus
US20100145396A1 (en) * 2007-07-03 2010-06-10 Sota Orthoppaedics Limited Bolt Apparatus
US10603087B2 (en) 2008-01-14 2020-03-31 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US8287538B2 (en) 2008-01-14 2012-10-16 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US9517093B2 (en) 2008-01-14 2016-12-13 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US11399878B2 (en) 2008-01-14 2022-08-02 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US9788870B2 (en) 2008-01-14 2017-10-17 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US10433977B2 (en) 2008-01-17 2019-10-08 DePuy Synthes Products, Inc. Expandable intervertebral implant and associated method of manufacturing the same
US11737881B2 (en) 2008-01-17 2023-08-29 DePuy Synthes Products, Inc. Expandable intervertebral implant and associated method of manufacturing the same
US10449058B2 (en) 2008-01-17 2019-10-22 DePuy Synthes Products, Inc. Expandable intervertebral implant and associated method of manufacturing the same
US9931223B2 (en) 2008-04-05 2018-04-03 DePuy Synthes Products, Inc. Expandable intervertebral implant
US11707359B2 (en) 2008-04-05 2023-07-25 DePuy Synthes Products, Inc. Expandable intervertebral implant
US11712342B2 (en) 2008-04-05 2023-08-01 DePuy Synthes Products, Inc. Expandable intervertebral implant
US9993350B2 (en) 2008-04-05 2018-06-12 DePuy Synthes Products, Inc. Expandable intervertebral implant
US11712341B2 (en) 2008-04-05 2023-08-01 DePuy Synthes Products, Inc. Expandable intervertebral implant
US11701234B2 (en) 2008-04-05 2023-07-18 DePuy Synthes Products, Inc. Expandable intervertebral implant
US11602438B2 (en) 2008-04-05 2023-03-14 DePuy Synthes Products, Inc. Expandable intervertebral implant
US12011361B2 (en) 2008-04-05 2024-06-18 DePuy Synthes Products, Inc. Expandable intervertebral implant
US12023255B2 (en) 2008-04-05 2024-07-02 DePuy Synthes Products, Inc. Expandable inter vertebral implant
US10449056B2 (en) 2008-04-05 2019-10-22 DePuy Synthes Products, Inc. Expandable intervertebral implant
US11617655B2 (en) 2008-04-05 2023-04-04 DePuy Synthes Products, Inc. Expandable intervertebral implant
US9452003B2 (en) 2008-07-23 2016-09-27 University Of Louisville Research Foundation, Inc. Device and method to prevent hip fractures
US20100023012A1 (en) * 2008-07-23 2010-01-28 University Of Louisville Research Foundation, Inc. Device and method to prevent hip fractures
US11612491B2 (en) 2009-03-30 2023-03-28 DePuy Synthes Products, Inc. Zero profile spinal fusion cage
US12097124B2 (en) 2009-03-30 2024-09-24 DePuy Synthes Products, Inc. Zero profile spinal fusion cage
US10500062B2 (en) 2009-12-10 2019-12-10 DePuy Synthes Products, Inc. Bellows-like expandable interbody fusion cage
US11607321B2 (en) 2009-12-10 2023-03-21 DePuy Synthes Products, Inc. Bellows-like expandable interbody fusion cage
US9730739B2 (en) 2010-01-15 2017-08-15 Conventus Orthopaedics, Inc. Rotary-rigid orthopaedic rod
US8961518B2 (en) 2010-01-20 2015-02-24 Conventus Orthopaedics, Inc. Apparatus and methods for bone access and cavity preparation
US9848889B2 (en) 2010-01-20 2017-12-26 Conventus Orthopaedics, Inc. Apparatus and methods for bone access and cavity preparation
US8906022B2 (en) 2010-03-08 2014-12-09 Conventus Orthopaedics, Inc. Apparatus and methods for securing a bone implant
US9993277B2 (en) 2010-03-08 2018-06-12 Conventus Orthopaedics, Inc. Apparatus and methods for securing a bone implant
US11911287B2 (en) 2010-06-24 2024-02-27 DePuy Synthes Products, Inc. Lateral spondylolisthesis reduction cage
US12318304B2 (en) 2010-06-24 2025-06-03 DePuy Synthes Products, Inc. Lateral spondylolisthesis reduction cage
US10966840B2 (en) 2010-06-24 2021-04-06 DePuy Synthes Products, Inc. Enhanced cage insertion assembly
US11872139B2 (en) 2010-06-24 2024-01-16 DePuy Synthes Products, Inc. Enhanced cage insertion assembly
US9895236B2 (en) 2010-06-24 2018-02-20 DePuy Synthes Products, Inc. Enhanced cage insertion assembly
US10548741B2 (en) 2010-06-29 2020-02-04 DePuy Synthes Products, Inc. Distractible intervertebral implant
US11654033B2 (en) 2010-06-29 2023-05-23 DePuy Synthes Products, Inc. Distractible intervertebral implant
US11452607B2 (en) 2010-10-11 2022-09-27 DePuy Synthes Products, Inc. Expandable interspinous process spacer implant
CN102085115B (zh) * 2011-01-10 2012-10-31 张建林 一种骨科手术用带尾帽长钩型螺钉
CN102085115A (zh) * 2011-01-10 2011-06-08 张建林 一种骨科手术用带尾帽长钩型螺钉
US10058433B2 (en) 2012-07-26 2018-08-28 DePuy Synthes Products, Inc. Expandable implant
US9883951B2 (en) 2012-08-30 2018-02-06 Interventional Spine, Inc. Artificial disc
USRE49973E1 (en) 2013-02-28 2024-05-21 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
US11497619B2 (en) 2013-03-07 2022-11-15 DePuy Synthes Products, Inc. Intervertebral implant
US10413422B2 (en) 2013-03-07 2019-09-17 DePuy Synthes Products, Inc. Intervertebral implant
US11850164B2 (en) 2013-03-07 2023-12-26 DePuy Synthes Products, Inc. Intervertebral implant
US9522070B2 (en) 2013-03-07 2016-12-20 Interventional Spine, Inc. Intervertebral implant
US10022132B2 (en) 2013-12-12 2018-07-17 Conventus Orthopaedics, Inc. Tissue displacement tools and methods
US10076342B2 (en) 2013-12-12 2018-09-18 Conventus Orthopaedics, Inc. Tissue displacement tools and methods
US20160166292A1 (en) * 2013-12-12 2016-06-16 Mark Allen Mighell Intramedullary anchor-screw fracture fixation
US9770278B2 (en) 2014-01-17 2017-09-26 Arthrex, Inc. Dual tip guide wire
US11426290B2 (en) 2015-03-06 2022-08-30 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
US9913727B2 (en) 2015-07-02 2018-03-13 Medos International Sarl Expandable implant
US10136929B2 (en) 2015-07-13 2018-11-27 IntraFuse, LLC Flexible bone implant
US10154863B2 (en) 2015-07-13 2018-12-18 IntraFuse, LLC Flexible bone screw
US10485595B2 (en) 2015-07-13 2019-11-26 IntraFuse, LLC Flexible bone screw
US10492838B2 (en) 2015-07-13 2019-12-03 IntraFuse, LLC Flexible bone implant
US10499960B2 (en) 2015-07-13 2019-12-10 IntraFuse, LLC Method of bone fixation
US11596522B2 (en) 2016-06-28 2023-03-07 Eit Emerging Implant Technologies Gmbh Expandable and angularly adjustable intervertebral cages with articulating joint
US11510788B2 (en) 2016-06-28 2022-11-29 Eit Emerging Implant Technologies Gmbh Expandable, angularly adjustable intervertebral cages
US12390343B2 (en) 2016-06-28 2025-08-19 Eit Emerging Implant Technologies Gmbh Expandable, angularly adjustable intervertebral cages
US11596523B2 (en) 2016-06-28 2023-03-07 Eit Emerging Implant Technologies Gmbh Expandable and angularly adjustable articulating intervertebral cages
US10537436B2 (en) 2016-11-01 2020-01-21 DePuy Synthes Products, Inc. Curved expandable cage
US10888433B2 (en) 2016-12-14 2021-01-12 DePuy Synthes Products, Inc. Intervertebral implant inserter and related methods
US11596419B2 (en) 2017-03-09 2023-03-07 Flower Orthopedics Corporation Plating depth gauge and countersink instrument
US11446155B2 (en) 2017-05-08 2022-09-20 Medos International Sarl Expandable cage
US10398563B2 (en) 2017-05-08 2019-09-03 Medos International Sarl Expandable cage
US11344424B2 (en) 2017-06-14 2022-05-31 Medos International Sarl Expandable intervertebral implant and related methods
US10918426B2 (en) 2017-07-04 2021-02-16 Conventus Orthopaedics, Inc. Apparatus and methods for treatment of a bone
US10940016B2 (en) 2017-07-05 2021-03-09 Medos International Sarl Expandable intervertebral fusion cage
US11446156B2 (en) 2018-10-25 2022-09-20 Medos International Sarl Expandable intervertebral implant, inserter instrument, and related methods
US11806245B2 (en) 2020-03-06 2023-11-07 Eit Emerging Implant Technologies Gmbh Expandable intervertebral implant
US11426286B2 (en) 2020-03-06 2022-08-30 Eit Emerging Implant Technologies Gmbh Expandable intervertebral implant
US11850160B2 (en) 2021-03-26 2023-12-26 Medos International Sarl Expandable lordotic intervertebral fusion cage
US11752009B2 (en) 2021-04-06 2023-09-12 Medos International Sarl Expandable intervertebral fusion cage
US12023258B2 (en) 2021-04-06 2024-07-02 Medos International Sarl Expandable intervertebral fusion cage
US12090064B2 (en) 2022-03-01 2024-09-17 Medos International Sarl Stabilization members for expandable intervertebral implants, and related systems and methods

Also Published As

Publication number Publication date
GB1350219A (en) 1974-04-18
DE2046102B (de) 1972-05-04
SU419002A3 (enrdf_load_stackoverflow) 1974-03-05
JPS5119276B1 (enrdf_load_stackoverflow) 1976-06-16
CA990003A (en) 1976-06-01
CS181702B2 (en) 1978-03-31

Similar Documents

Publication Publication Date Title
US3805775A (en) Expanding bone connector
US3760802A (en) Supporting device for fractured tubular bones
US2821979A (en) Intramedullary splint
US3779239A (en) Connector for fractured bones
US2381050A (en) Fracture reducing device
US3759257A (en) Connector for fractured tubular bones
US3791380A (en) Method and apparatus of immobilizing a fractured femur
US4379451A (en) Intramedullary hip pin and cortical plate
US5514138A (en) Connector having a stop member
US4723541A (en) Bone screw and method
US3374786A (en) Fractured bone setting fastener assembly
US5112333A (en) Intramedullary nail
US8187309B2 (en) Screw locking systems for bone plates
US4227518A (en) Intramedullary retraction nail for fixation of comminuted fractured bones
EP0550814B1 (en) Anchorage nail for the treatment of hollow bone fractures
US2270188A (en) Surgical threaded nail and method of applying same
US4381770A (en) Method and apparatus for performing percutaneous bone surgery and new pin implant
US3896504A (en) Hip joint prosthesis
JP3169967B2 (ja) 骨折の骨接合のための髄内釘
US5454813A (en) Intramedullary intertrochanteric fracture fixation appliance
JP2599777B2 (ja) 大腿骨近位部骨折固定器具
US2699774A (en) Bone pin locking device
US3986504A (en) Internal fixation device for securing two fractured bone joints together
JP2549805B2 (ja) 橈骨骨折の医学的修復のための骨用の釘
AUPQ366099A0 (en) Ortho paedic screw