WO1994000063A1 - Cable metallique - Google Patents

Cable metallique Download PDF

Info

Publication number
WO1994000063A1
WO1994000063A1 PCT/GB1993/001327 GB9301327W WO9400063A1 WO 1994000063 A1 WO1994000063 A1 WO 1994000063A1 GB 9301327 W GB9301327 W GB 9301327W WO 9400063 A1 WO9400063 A1 WO 9400063A1
Authority
WO
WIPO (PCT)
Prior art keywords
cable
wire
strands
metal cable
strand
Prior art date
Application number
PCT/GB1993/001327
Other languages
English (en)
Inventor
Hugh Alan Crockard
Raphael Meloul
Original Assignee
Hillway Surgical Limited
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 Hillway Surgical Limited filed Critical Hillway Surgical Limited
Priority to EP93913424A priority Critical patent/EP0647124A1/fr
Priority to JP6502160A priority patent/JPH07508318A/ja
Priority to TW082105650A priority patent/TW326396B/zh
Publication of WO1994000063A1 publication Critical patent/WO1994000063A1/fr

Links

Classifications

    • DTEXTILES; PAPER
    • D07ROPES; CABLES OTHER THAN ELECTRIC
    • D07BROPES OR CABLES IN GENERAL
    • D07B1/00Constructional features of ropes or cables
    • D07B1/06Ropes or cables built-up from metal wires, e.g. of section wires around a hemp core
    • D07B1/0673Ropes or cables built-up from metal wires, e.g. of section wires around a hemp core having a rope configuration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • 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, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/82Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/12Brackets; Arch wires; Combinations thereof; Accessories therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/12Brackets; Arch wires; Combinations thereof; Accessories therefor
    • A61C7/20Arch wires
    • DTEXTILES; PAPER
    • D07ROPES; CABLES OTHER THAN ELECTRIC
    • D07BROPES OR CABLES IN GENERAL
    • D07B5/00Making ropes or cables from special materials or of particular form
    • D07B5/007Making ropes or cables from special materials or of particular form comprising postformed and thereby radially plastically deformed elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • 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, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • DTEXTILES; PAPER
    • D07ROPES; CABLES OTHER THAN ELECTRIC
    • D07BROPES OR CABLES IN GENERAL
    • D07B2201/00Ropes or cables
    • D07B2201/10Rope or cable structures
    • D07B2201/1028Rope or cable structures characterised by the number of strands
    • D07B2201/1036Rope or cable structures characterised by the number of strands nine or more strands respectively forming multiple layers
    • DTEXTILES; PAPER
    • D07ROPES; CABLES OTHER THAN ELECTRIC
    • D07BROPES OR CABLES IN GENERAL
    • D07B2201/00Ropes or cables
    • D07B2201/10Rope or cable structures
    • D07B2201/104Rope or cable structures twisted
    • D07B2201/1048Rope or cable structures twisted using regular lay, i.e. the wires or filaments being parallel to rope axis
    • DTEXTILES; PAPER
    • D07ROPES; CABLES OTHER THAN ELECTRIC
    • D07BROPES OR CABLES IN GENERAL
    • D07B2201/00Ropes or cables
    • D07B2201/10Rope or cable structures
    • D07B2201/104Rope or cable structures twisted
    • D07B2201/1064Rope or cable structures twisted characterised by lay direction of the strand compared to the lay direction of the wires in the strand
    • DTEXTILES; PAPER
    • D07ROPES; CABLES OTHER THAN ELECTRIC
    • D07BROPES OR CABLES IN GENERAL
    • D07B2201/00Ropes or cables
    • D07B2201/20Rope or cable components
    • D07B2201/2001Wires or filaments
    • D07B2201/2009Wires or filaments characterised by the materials used
    • DTEXTILES; PAPER
    • D07ROPES; CABLES OTHER THAN ELECTRIC
    • D07BROPES OR CABLES IN GENERAL
    • D07B2205/00Rope or cable materials
    • D07B2205/30Inorganic materials
    • D07B2205/3021Metals

Definitions

  • the present invention relates to a metal cable and, in particular, to a cable for use in surgical procedures.
  • a stiff stainless steel wire filament is moulded into a shape and pulled or pushed around the bone.
  • the stiff wire is fastened by tightening together the free ends of the wire as described for example in U.S. patents 2,455,609 (Scheib), 1,304,620 (Steinkoenig) and 914,182 (Pfeffer).
  • a mechanical operation simultaneously tightens and fastens the loop.
  • this stiff wire is not ideal since it may cause serious and irreparable damage to the underlying soft tissues, and for this reason a more flexible cable would be preferable.
  • a metal wire filament may, at first sight, be obviated by the selection of alternative non-metallic materials for the filament.
  • polymers or fibre reinforced composites might seem particularly suitable because of the way in which they have been successfully applied to a large number of other situations.
  • polymers are prone to stretching, and fibres have a tendency to splinter. Neither of these characteristics are acceptable in this particular application.
  • a wire cable comprising filaments of surgical grade stainless steel, a material which is compatible with human tissue, has been preferred, see US patent 4,790,303 (Steffee).
  • the wire cable has to be strong enough to withstand the high strains which may be encountered during the surgical procedure, a factor which tends to necessitate an increase in the diameter of the cable.
  • the wire cable has to be strong enough to withstand the high strains which may be encountered during the surgical procedure, a factor which tends to necessitate an increase in the diameter of the cable.
  • by increasing the diameter to provide basic tensile strength there is an unavoidable loss in the flexibility of the known braided wire cables.
  • an improved cable which has the strength and flexibility required by the surgical procedures.
  • Magnetic resonance imaging is an application of the well documented technique of nuclear magnetic resonance (NMR) and is used to provide a
  • non-invasive clinical image of the human body Multiple projections are combined to create virtual sections through a body, providing a very powerful diagnostic aid.
  • MRI a strong magnetic field is applied to a specimen, and the absorption of radio frequency radiation is monitored.
  • the magnetic field must be exceptionally well controlled and homogenous over the bulk of the sample.
  • the technique is highly sensitive and resolution can be severely reduced by the presence of even small amounts of ferrous material within the magnetic field. Hence, the progress of a fracture stabilized with a steel cable, for example, could not be monitored by MRI because of the presence of the iron in the material.
  • Aluminium alloys usually provide an alternative to ferrous based materials. However, whilst aluminium is compatible with MRI, it is not suited for use in the human body, since traces of dissolved aluminium are toxic.
  • a metal cable comprising a plurality of individual wire filaments; the wire filaments comprising titanium and having a diameter in the range 0.0015 inches to 0.005 inches (approximately 38 ⁇ m to 127 ⁇ m).
  • Pure titanium has a hexagonal close packed (h.c.p.) structure ( ⁇ ) below 882"C, and a body centred cubic (b.c.c.) structure ( ⁇ ) above this temperature.
  • h.c.p. hexagonal close packed
  • b.c.c. body centred cubic
  • b.c.c. body centred cubic
  • the important mechanical properties of the metal cable are strength and flexibility.
  • the strength depends upon the overall size of cable, the number of individual wires in the cable, and the type of material from which the wires are made.
  • a cable that undergoes repeated and severe bending must have a high degree of flexibility to prevent premature breakage and failure due to fatigue. Greater flexibility in the cable is obtained by using small wires in larger numbers.
  • groups of wire filaments are twisted together in a first helical direction around a central wire filament to make a strand.
  • a plurality of strands are twisted together in a second helical direction around a core strand to make a strong, flexible cable.
  • the first helical direction has the opposite sense to that of the second helical direction. If the wires in the strands lay in the opposite direction to that of the strands in the cable, then any filament failure is more likely to occur on the outer surface of the cable where it may be detected before catastrophic failure ensues.
  • the cable has a 19 ⁇ 7 configuration with each of the nineteen strands consisting of seven wire filaments.
  • the diameter of each wire filament is 0.0025 inches (64um), and the diameter of the cable after swaging is 0.033 inches (0.84-mm).
  • the combination of a 19 ⁇ 7 configuration with wire filaments of diameter 0.0025 inches (64 ⁇ m) results in a cable with a highly desirable strength versus flexibiltiy ratio.
  • Figure 1 shows a cross-section through a cable according to the invention in the unswaged condition
  • Figure 2 shows an enlarged individual strand in cross section according to Figure 1;
  • Figure 3 shows a configuration for a 19 ⁇ 7 cable
  • Figure 4 shows a configuration for a 7 ⁇ 7 cable
  • Figure 5 shows schematically a beam deflection test
  • Figure 6 shows graphically the results of beam deflection tests.
  • the cable comprises a plurality of strands 10.
  • Each strand 10 comprises a plurality of wire filaments 20.
  • Eighteen strands 10 are arranged substantially symmetrically about a central core strand in two concentric rings. Therefore the cable consists of nineteen strands altogether.
  • Each strand consists of seven individual wire filaments 20. Therefore there are one hundred and thirty three (133) wire filaments in the cable cross-section.
  • the cable designated a 19x7 cable, may be manufactured in the following way: ⁇
  • the individual wire filaments are produced by wire drawing.
  • Drawing is the process by which metallic wire is pulled through a die in the presence of lubricants to create wire of a diameter equal to that of the die.
  • There are several parameters in the drawing process which ultimately affect the strength, . ductility, and flexibility of the wire. For example, differences in the drawing speed may effect the degree of strain hardening imparted to the wire. For this reason, the drawing process is generally very slow to prevent the wire from breaking.
  • the wire is drawn from a diameter of about 0.020 inches (0.5mm) in a series of drawing steps until it is approximately 0.003 inches (75 ⁇ m) in diameter.
  • the drawn wire is chemically etched or 'milled' in hot hydrofluoric acid to further reduce the diameter of the wire.
  • the exposure to the acid is strictly measured so that the final diameter of the wire may be controlled to a tolerance of about ⁇ 0.0001 inches ( ⁇ 2.5 ⁇ m) .
  • the very thin wire of typical diameter 0.0025 inches (64 ⁇ m) is received on spools which are placed in a stranding machine.
  • the wire is first "stranded" into 1x7 helical strands (i.e. producing a single strand from seven individual wires).
  • the strands are laid in the right hand direction, where the 'lay' of a strand refers to the direction of the helical path in which the wires are arranged.
  • the resulting strands are taken up as 1x7 strands on individual spools for eventual, closing.
  • Closing is the term which describes the stranding of strands to form the final cable in a process which is similar to the wire stranding process itself.
  • the strands are layed in the left hand direction.
  • the result is a cable, as shown in the drawing, comprising nineteen strands with seven wires in each strand, i.e. 19 ⁇ 7 cable.
  • the cable is subjected to a stress relieving heat treatment.
  • the stress relief helps the material maintain its helical shape and decreases its natural tendency to unwind. This process is repeated after the closing phase for the same reason.
  • the cable undergoes a swaging operation which creates flats or longitudinal facets on the wire. Care must be taken not to crush or distort the wires unintentionally. Swaging smoothes out the wire and helps ensure a uniform cross sectional area. It is of paramount importance to ensure that the cable is free of sharp edges and burrs. For this reason, any free end of cable must be specially prepared. A small bead of titanium is welded onto the end to capture all the fine wires. The end is then subjected to another swaging operation to create a short length of cylindrical material equal in diameter to the cable.
  • the lay of the wires in the strands is opposite to that of the strands in the cable.
  • Cross-laying has an advantage in that any failure of the cable usually begins on the outer surface of the cable and may therefore be detected.
  • failure typically initiates on the inner wires and is not noticed until catastrophic failure occurs.
  • the latter form of laying does result in a marginal increase in flexibility of the wire. Therefore, particular situations dictate which type of lay is preferred depending upon whether maximum reliability or maximum flexibility is required.
  • the wire filaments may be made from unalloyed titanium e.g. ASTM F67. Although this material is not as strong as some titanium alloys, such as Ti-6wt%Al-4wt%V, it is at least as flexible and easier to draw.
  • the cross-section of the cable in Figure 3 shows two concentric rings of strands.
  • the outermost shell of strands may not be required.
  • the loss of twelve strands in the cable would greatly reduce its ultimate tensile strength. However, this would be compensated by a significant increase in flexibility.
  • the resulting cable i.e. 7 ⁇ 7 configuration may have sufficient flexibility and strength for use as a suture in certain surgical procedures.
  • the diameter of the cable is controlled by the diameter of the individual wires in each strand, and also by the number of strands in the cable.
  • the 19 ⁇ 7 configuration can comprise wires of diameter in the range 0.0015 to 0.005 inches (38 ⁇ m to 127 ⁇ m) with a tolerance of ⁇ 0.0001 inches ( ⁇ 2.5 ⁇ m). The lower limit of this range is controlled by practical limitations.
  • the corresponding cable diameter, in the unswaged condition, would be in the range 0.022 to 0.075 inches (0.56mm-1.9mm).
  • the 7 ⁇ 7 configuration could employ wires of similar dimensions, although only wires in the range 0.0015 to 0.0025 inches (38um-64pm) would be suitable for the intended application.
  • the corresponding cable thickness, in the unswaged condition, would be in the range 0.014 to 0.022 inches (0.36mm-0.56ram).
  • wire filaments of diameter 0.0025 inches (64 ⁇ m) in a 19 ⁇ 7 configuration results in a cable possessing good
  • the diameter of such a cable after swaging is 0.033 inches (0.84mm).
  • Other construction patterns, besides a 19 ⁇ 7 configuration, using wire filaments of appropriate diameters could be used to give a cable of diameter 0.033" (0.84mm) as is illustrated in table 1.
  • the 7 ⁇ 7 ⁇ 3 notation represents a cable with seven groups of seven strands where each strand has three wire filaments).
  • some of these alternatives may not have adequate strength and others may not have sufficient flexibility.
  • the diameter of the wire filament decreases so the flexibility of the resultant cable increases.
  • the 19 ⁇ 7 configuration with wire filaments of diameter 0.0025" (64 ⁇ m) has a particularly advantageous strength v flexibility ratio.
  • a sample 50 is clamped such that a length "1", where 1 is 1.00 inches (25.4mm) projects horizontally from the clamp 51.
  • a range of loads 52 are applied to the unsupported protuberant end of the sample to produce a variety of deflection readings.
  • the maximum deflection "d" at the tip of the sample is measured and recorded provided that, when the load is removed, the sample returns to the horizontal starting position.
  • the graph of figure 6 plots deflection against load applied for the different samples.
  • the gradient of each slope obtained gives a relative indication of the flexibility of the sample.
  • the 19 ⁇ 7 cable shows a gradient of 4.25; the 19x19 cable shows a gradient of 0.77; and the monofilament wire shows a gradient of 0.02.
  • both the 19 ⁇ 7 and 19 ⁇ 19 cables are considerably more flexible than monofilament wire.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Dentistry (AREA)
  • Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)

Abstract

L'invention concerne un câble en alliage de titane qui se compose d'une pluralité de filaments (20) individuels. Les groupes de filaments sont torsadés ensemble autour d'un filament central dans un premier sens hélicoïdal afin de former un toron (10). Une pluralité de torons sont torsadés ensemble autour d'un toron central dans un second sens élicoïdal afin de produire un câble résistant et flexible. Le premier sens hélicoïdal est l'inverse du second. Dans un mode de réalisation, le câble est constitué de cent trente trois filaments d'un diamètre de 0.0025 pouces (64νm), répartis en 19 torons équivalents. L'alliage de titane contient Ti-A1(6 % en poids)-V(4 % en poids).
PCT/GB1993/001327 1992-06-24 1993-06-24 Cable metallique WO1994000063A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP93913424A EP0647124A1 (fr) 1992-06-24 1993-06-24 Cable metallique
JP6502160A JPH07508318A (ja) 1992-06-24 1993-06-24 金属ケーブル
TW082105650A TW326396B (en) 1992-06-24 1993-07-15 Metal surgical cable

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB9213427.9 1992-06-24
GB9213427A GB2268518B (en) 1992-06-24 1992-06-24 Metal cable

Publications (1)

Publication Number Publication Date
WO1994000063A1 true WO1994000063A1 (fr) 1994-01-06

Family

ID=10717676

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB1993/001327 WO1994000063A1 (fr) 1992-06-24 1993-06-24 Cable metallique

Country Status (5)

Country Link
EP (1) EP0647124A1 (fr)
JP (1) JPH07508318A (fr)
GB (1) GB2268518B (fr)
TW (1) TW326396B (fr)
WO (1) WO1994000063A1 (fr)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0649636A2 (fr) * 1993-09-20 1995-04-26 JOHNSON & JOHNSON PROFESSIONAL Inc. Câble chirurgical
WO2017127714A1 (fr) * 2016-01-22 2017-07-27 Pioneer Surgical Technology, Inc. Plaque osseuse comportant un connecteur et connecteur pour boucle chirurgicale
US10314635B2 (en) 2014-05-28 2019-06-11 A&E Advanced Closure Systems, Llc Tensioning instruments
US10426532B2 (en) 2012-11-21 2019-10-01 A&E Advanced Closure Systems, Llc Bone plate system and method
US10485600B2 (en) 2016-07-29 2019-11-26 A&E Advanced Closure Systems, Llc Surgical cable tensioner
US10765465B2 (en) 2012-11-21 2020-09-08 A&E Advanced Closure Systems, Llc Tensioning instrument
US10881437B2 (en) 2013-12-05 2021-01-05 A&E Advanced Closure Systems, Llc Bone plate system and method

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6045909A (en) 1997-11-07 2000-04-04 Stryker Technologies Corporation Orthopaedic wires and cables and methods of making same
US6818076B1 (en) * 2000-03-23 2004-11-16 Ormco Corporation Multi-strand coil spring
CN109853275A (zh) * 2019-04-10 2019-06-07 贵州钢绳股份有限公司 一种超细航空航天用钛合金绳

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE1510076A1 (de) * 1966-01-18 1969-04-17 Alfred Dietz Litzenspiralseil
FR2309199A1 (fr) * 1975-04-28 1976-11-26 Downs Surgical Ltd Implant chirurgical pour defauts de colonne vertebrale
FR2419715A1 (fr) * 1978-03-14 1979-10-12 Univ Connecticut Appareils orthodontiques
US4790303A (en) * 1987-03-11 1988-12-13 Acromed Corporation Apparatus and method for securing bone graft
US5080584A (en) * 1990-05-30 1992-01-14 Acme-Monaco Corporation Method for forming nickel/titanium braided arch wires

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH02211164A (ja) * 1989-02-10 1990-08-22 Kobe Steel Ltd 生体用ワイヤ

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE1510076A1 (de) * 1966-01-18 1969-04-17 Alfred Dietz Litzenspiralseil
FR2309199A1 (fr) * 1975-04-28 1976-11-26 Downs Surgical Ltd Implant chirurgical pour defauts de colonne vertebrale
FR2419715A1 (fr) * 1978-03-14 1979-10-12 Univ Connecticut Appareils orthodontiques
US4790303A (en) * 1987-03-11 1988-12-13 Acromed Corporation Apparatus and method for securing bone graft
US5080584A (en) * 1990-05-30 1992-01-14 Acme-Monaco Corporation Method for forming nickel/titanium braided arch wires

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
DATABASE WPIL Week 9040, Derwent Publications Ltd., London, GB; AN 90-300693 *
DRAHT vol. 33, no. 10, October 1982, BAMBERG, DEUTSCHLAND pages 645 - 649 APEL UND N]NNINGHOF 'Verbesserung der Eigenschaften hochfester Seile durch Optimierung der Seilkonstruktion.' *

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0649636A2 (fr) * 1993-09-20 1995-04-26 JOHNSON & JOHNSON PROFESSIONAL Inc. Câble chirurgical
EP0649636A3 (fr) * 1993-09-20 1995-05-03 Johnson & Johnson Professional
US10426532B2 (en) 2012-11-21 2019-10-01 A&E Advanced Closure Systems, Llc Bone plate system and method
US10765465B2 (en) 2012-11-21 2020-09-08 A&E Advanced Closure Systems, Llc Tensioning instrument
US10881437B2 (en) 2013-12-05 2021-01-05 A&E Advanced Closure Systems, Llc Bone plate system and method
US10314635B2 (en) 2014-05-28 2019-06-11 A&E Advanced Closure Systems, Llc Tensioning instruments
US11298172B2 (en) 2014-05-28 2022-04-12 A&E Advanced Closure Systems, Llc Tensioning instruments
WO2017127714A1 (fr) * 2016-01-22 2017-07-27 Pioneer Surgical Technology, Inc. Plaque osseuse comportant un connecteur et connecteur pour boucle chirurgicale
US10463410B2 (en) 2016-01-22 2019-11-05 A&E Advanced Closure Systems, Llc Bone plate having a connector and a connector for a surgical loop
US11413077B2 (en) 2016-01-22 2022-08-16 A&E Advanced Closure Systems, Llc Bone plate having a connector and a connector for a surgical loop
US10485600B2 (en) 2016-07-29 2019-11-26 A&E Advanced Closure Systems, Llc Surgical cable tensioner

Also Published As

Publication number Publication date
TW326396B (en) 1998-02-11
GB9213427D0 (en) 1992-08-05
GB2268518A (en) 1994-01-12
JPH07508318A (ja) 1995-09-14
GB2268518B (en) 1996-07-31
GB2268518A8 (en) 1995-05-22
EP0647124A1 (fr) 1995-04-12

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