WO2003032863A3 - Dispositif et procede de stabilisation orthopedique - Google Patents

Dispositif et procede de stabilisation orthopedique

Info

Publication number
WO2003032863A3
WO2003032863A3 PCT/US2002/031569 US0231569W WO03032863A3 WO 2003032863 A3 WO2003032863 A3 WO 2003032863A3 US 0231569 W US0231569 W US 0231569W WO 03032863 A3 WO03032863 A3 WO 03032863A3
Authority
WO
WIPO (PCT)
Prior art keywords
stabilization device
orthopedic stabilization
rod
threaded fastener
orthopedic
Prior art date
Application number
PCT/US2002/031569
Other languages
English (en)
Other versions
WO2003032863B1 (fr
WO2003032863A2 (fr
Inventor
Gary J Reed
Original Assignee
Gary J Reed
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
Priority claimed from US09/978,449 external-priority patent/US6692500B2/en
Priority claimed from US09/978,490 external-priority patent/US6689137B2/en
Priority claimed from US10/010,629 external-priority patent/US6800078B2/en
Priority claimed from US10/099,400 external-priority patent/US6800079B2/en
Application filed by Gary J Reed filed Critical Gary J Reed
Priority to EP02786365A priority Critical patent/EP1435858A2/fr
Priority to KR10-2004-7005549A priority patent/KR20040053174A/ko
Priority to JP2003535670A priority patent/JP2005506128A/ja
Publication of WO2003032863A2 publication Critical patent/WO2003032863A2/fr
Publication of WO2003032863A3 publication Critical patent/WO2003032863A3/fr
Publication of WO2003032863B1 publication Critical patent/WO2003032863B1/fr

Links

Classifications

    • 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
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8625Shanks, i.e. parts contacting bone tissue
    • A61B17/863Shanks, i.e. parts contacting bone tissue with thread interrupted or changing its form along shank, other than constant taper
    • 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
    • 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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6466Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032Screws or hooks with U-shaped head or back through which longitudinal rods pass
    • A61B17/7034Screws or hooks with U-shaped head or back through which longitudinal rods pass characterised by a lateral opening
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • A61B17/7037Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • A61B17/7038Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other to a different extent in different directions, e.g. within one plane only
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7041Screws or hooks combined with longitudinal elements which do not contact vertebrae with single longitudinal rod offset laterally from single row of screws or hooks
    • 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
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
    • A61B17/8057Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
    • 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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6466Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod
    • A61B17/6475Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod the connecting rod being threaded
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7004Longitudinal elements, e.g. rods with a cross-section which varies along its length
    • A61B17/7008Longitudinal elements, e.g. rods with a cross-section which varies along its length with parts of, or attached to, the longitudinal elements, bearing against an outside of the screw or hook heads, e.g. nuts on threaded rods
    • 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
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032Screws or hooks with U-shaped head or back through which longitudinal rods pass

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Neurology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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)
  • Prostheses (AREA)

Abstract

Cette invention concerne une structure orthopédique de stabilisation comprenant divers éléments: fixation filetée qui, de par son articulation, convient pour diverses géométries du squelette ; tringle et coupelle supportant ladite fixation filetée et ladite tige en vue de leur maintien ultérieur dans une position fixe par rapport à la structure de squelette.
PCT/US2002/031569 2001-10-15 2002-10-15 Dispositif et procede de stabilisation orthopedique WO2003032863A2 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP02786365A EP1435858A2 (fr) 2001-10-15 2002-10-15 Dispositif et procede de stabilisation orthopedique
KR10-2004-7005549A KR20040053174A (ko) 2001-10-15 2002-10-15 정형외과 안정화 장치 및 방법
JP2003535670A JP2005506128A (ja) 2001-10-15 2002-10-15 整形外科用の安定化デバイス及び方法

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US09/978,490 2001-10-15
US09/978,449 US6692500B2 (en) 2001-10-15 2001-10-15 Orthopedic stabilization device and method
US09/978,449 2001-10-15
US09/978,490 US6689137B2 (en) 2001-10-15 2001-10-15 Orthopedic fastener and method
US10/010,629 US6800078B2 (en) 2001-11-07 2001-11-07 Orthopedic stabilization device and method
US10/010,629 2001-11-07
US10/099,400 US6800079B2 (en) 2002-03-15 2002-03-15 Orthopedic stabilization device and method
US10/099,400 2002-03-15

Publications (3)

Publication Number Publication Date
WO2003032863A2 WO2003032863A2 (fr) 2003-04-24
WO2003032863A3 true WO2003032863A3 (fr) 2003-10-02
WO2003032863B1 WO2003032863B1 (fr) 2003-12-11

Family

ID=27486027

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/031569 WO2003032863A2 (fr) 2001-10-15 2002-10-15 Dispositif et procede de stabilisation orthopedique

Country Status (5)

Country Link
EP (1) EP1435858A2 (fr)
JP (1) JP2005506128A (fr)
KR (1) KR20040053174A (fr)
CN (1) CN1604758A (fr)
WO (1) WO2003032863A2 (fr)

Families Citing this family (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7887539B2 (en) 2003-01-24 2011-02-15 Depuy Spine, Inc. Spinal rod approximators
US7708766B2 (en) 2003-08-11 2010-05-04 Depuy Spine, Inc. Distraction screw
US7951175B2 (en) * 2005-03-04 2011-05-31 Depuy Spine, Inc. Instruments and methods for manipulating a vertebra
US7951172B2 (en) 2005-03-04 2011-05-31 Depuy Spine Sarl Constrained motion bone screw assembly
EP1774919B1 (fr) 2005-10-12 2008-08-20 BIEDERMANN MOTECH GmbH Vis polyaxiale pivotable dans un seul plan
US7722651B2 (en) 2005-10-21 2010-05-25 Depuy Spine, Inc. Adjustable bone screw assembly
US8075604B2 (en) 2006-02-16 2011-12-13 Warsaw Orthopedic, Inc. Multi-thread bone screw and method
SE530328C2 (sv) * 2006-09-21 2008-05-06 Henrik Hansson Anordning för fixering av en benfraktur
US8608746B2 (en) 2008-03-10 2013-12-17 DePuy Synthes Products, LLC Derotation instrument with reduction functionality
US10973556B2 (en) 2008-06-17 2021-04-13 DePuy Synthes Products, Inc. Adjustable implant assembly
WO2011127065A1 (fr) 2010-04-06 2011-10-13 Seaspine, Inc. Système et procédés pour la correction de malformations de la colonne vertébrale
EP2611375B1 (fr) * 2010-09-03 2018-04-11 International Spinal Innovations, LLC Ensemble ancre vertébrale polyaxiale à réglage vertical et blocage à fente
FR2971413B1 (fr) * 2011-02-15 2013-12-27 Jean-Pierre Py Vis a usage medical, notamment pour la realisation d'une osteosynthese
CN105496537B (zh) * 2015-12-31 2018-09-21 林列 一种胸锁关节的内固定钢板
CN106037994B (zh) * 2016-07-08 2018-09-18 北京大学人民医院 髋骨修复体
CN108354661B (zh) * 2018-04-08 2024-03-01 北京柏惠维康科技股份有限公司 配准骨钉及配准系统
WO2020224657A1 (fr) * 2019-05-09 2020-11-12 The University Of Hong Kong Nouvelle conception de filetage pour vis à os

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4175555A (en) * 1977-02-24 1979-11-27 Interfix Limited Bone screw
US4648388A (en) * 1985-11-01 1987-03-10 Acromed Corporation Apparatus and method for maintaining vertebrae in a desired relationship
US5584834A (en) * 1995-07-13 1996-12-17 Fastenetix, L.L.C. Polyaxial locking screw and coupling element assembly for use with side loading rod fixation apparatus
US5586984A (en) * 1995-07-13 1996-12-24 Fastenetix, L.L.C. Polyaxial locking screw and coupling element assembly for use with rod fixation apparatus
US5667508A (en) * 1996-05-01 1997-09-16 Fastenetix, Llc Unitary locking cap for use with a pedicle screw
US5931840A (en) * 1996-10-28 1999-08-03 Innovasive Corp. Bone fixator for a ligament anchor system
US5989254A (en) * 1997-05-20 1999-11-23 Katz; Akiva Raphael Pedicle screw assembly

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4175555A (en) * 1977-02-24 1979-11-27 Interfix Limited Bone screw
US4648388A (en) * 1985-11-01 1987-03-10 Acromed Corporation Apparatus and method for maintaining vertebrae in a desired relationship
US4648388B1 (en) * 1985-11-01 1995-10-31 Acromed Corp Apparatus and method for maintaining vertebrae in a desired relationship
US5584834A (en) * 1995-07-13 1996-12-17 Fastenetix, L.L.C. Polyaxial locking screw and coupling element assembly for use with side loading rod fixation apparatus
US5586984A (en) * 1995-07-13 1996-12-24 Fastenetix, L.L.C. Polyaxial locking screw and coupling element assembly for use with rod fixation apparatus
US5667508A (en) * 1996-05-01 1997-09-16 Fastenetix, Llc Unitary locking cap for use with a pedicle screw
US5931840A (en) * 1996-10-28 1999-08-03 Innovasive Corp. Bone fixator for a ligament anchor system
US5989254A (en) * 1997-05-20 1999-11-23 Katz; Akiva Raphael Pedicle screw assembly

Also Published As

Publication number Publication date
KR20040053174A (ko) 2004-06-23
CN1604758A (zh) 2005-04-06
EP1435858A2 (fr) 2004-07-14
WO2003032863B1 (fr) 2003-12-11
JP2005506128A (ja) 2005-03-03
WO2003032863A2 (fr) 2003-04-24

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