WO2003032863B1 - Dispositif et procede de stabilisation orthopedique - Google Patents

Dispositif et procede de stabilisation orthopedique

Info

Publication number
WO2003032863B1
WO2003032863B1 PCT/US2002/031569 US0231569W WO03032863B1 WO 2003032863 B1 WO2003032863 B1 WO 2003032863B1 US 0231569 W US0231569 W US 0231569W WO 03032863 B1 WO03032863 B1 WO 03032863B1
Authority
WO
WIPO (PCT)
Prior art keywords
cup
thread
fastener
shaft
threaded shaft
Prior art date
Application number
PCT/US2002/031569
Other languages
English (en)
Other versions
WO2003032863A3 (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 KR10-2004-7005549A priority Critical patent/KR20040053174A/ko
Priority to JP2003535670A priority patent/JP2005506128A/ja
Priority to EP02786365A priority patent/EP1435858A2/fr
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

    • 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
    • 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
    • A61B17/863—Shanks, i.e. parts contacting bone tissue with thread interrupted or changing its form along shank, other than constant taper
    • 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
    • A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/6466—Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod
    • 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
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
    • A61B17/7034—Screws or hooks with U-shaped head or back through which longitudinal rods pass characterised by a lateral opening
    • 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
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • A61B17/7037—Screws 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
    • 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
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • A61B17/7038—Screws 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
    • 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
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7041—Screws or hooks combined with longitudinal elements which do not contact vertebrae with single longitudinal rod offset laterally from single row of screws or hooks
    • 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
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052—Cortical 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
    • A61B17/8057—Cortical 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
    • 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
    • A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/6466—Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod
    • A61B17/6475—Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod the connecting rod being threaded
    • 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
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7004—Longitudinal elements, e.g. rods with a cross-section which varies along its length
    • A61B17/7008—Longitudinal 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
    • 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
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032—Screws 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
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
EP02786365A EP1435858A2 (fr) 2001-10-15 2002-10-15 Dispositif et procede de stabilisation orthopedique

Applications Claiming Priority (8)

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

Publications (3)

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

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9101416B2 (en) 2003-01-24 2015-08-11 DePuy Synthes Products, Inc. Spinal rod approximator

Families Citing this family (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7708766B2 (en) * 2003-08-11 2010-05-04 Depuy Spine, Inc. Distraction screw
US7951172B2 (en) 2005-03-04 2011-05-31 Depuy Spine Sarl Constrained motion bone screw assembly
US7951175B2 (en) 2005-03-04 2011-05-31 Depuy Spine, Inc. Instruments and methods for manipulating a vertebra
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
US9138261B2 (en) 2010-04-06 2015-09-22 Seaspine, Inc. System and methods for correcting spinal deformities
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
EP3965675A4 (fr) * 2019-05-09 2023-01-04 The University of Hong Kong Nouvelle conception de filetage pour vis à os

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1565178A (en) * 1977-02-24 1980-04-16 Interfix Ltd Bone screw
US4648388B1 (en) * 1985-11-01 1995-10-31 Acromed Corp Apparatus and method for maintaining vertebrae in a desired relationship
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
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
US5667508A (en) * 1996-05-01 1997-09-16 Fastenetix, Llc Unitary locking cap for use with a pedicle screw
US5766250A (en) * 1996-10-28 1998-06-16 Medicinelodge, Inc. Ligament fixator for a ligament anchor system
US5989254A (en) * 1997-05-20 1999-11-23 Katz; Akiva Raphael Pedicle screw assembly

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9101416B2 (en) 2003-01-24 2015-08-11 DePuy Synthes Products, Inc. Spinal rod approximator

Also Published As

Publication number Publication date
KR20040053174A (ko) 2004-06-23
WO2003032863A3 (fr) 2003-10-02
JP2005506128A (ja) 2005-03-03
EP1435858A2 (fr) 2004-07-14
CN1604758A (zh) 2005-04-06
WO2003032863A2 (fr) 2003-04-24

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