WO2006135935A1 - Sternal reconstruction system - Google Patents

Sternal reconstruction system Download PDF

Info

Publication number
WO2006135935A1
WO2006135935A1 PCT/US2006/023229 US2006023229W WO2006135935A1 WO 2006135935 A1 WO2006135935 A1 WO 2006135935A1 US 2006023229 W US2006023229 W US 2006023229W WO 2006135935 A1 WO2006135935 A1 WO 2006135935A1
Authority
WO
WIPO (PCT)
Prior art keywords
flexible cable
parallel
sternal reconstruction
fitting piece
ferrule
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.)
Ceased
Application number
PCT/US2006/023229
Other languages
English (en)
French (fr)
Other versions
WO2006135935A8 (en
Inventor
Thomas Albertson
Christopher Goheen
Mark Michels
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.)
Synthes GmbH
Synthes USA LLC
Original Assignee
Synthes GmbH
Synthes USA LLC
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 Synthes GmbH, Synthes USA LLC filed Critical Synthes GmbH
Priority to AU2006257797A priority Critical patent/AU2006257797A1/en
Priority to EP06773200A priority patent/EP1890625A1/en
Priority to KR1020077029411A priority patent/KR101237769B1/ko
Priority to BRPI0611584-5A priority patent/BRPI0611584A2/pt
Priority to CA2611525A priority patent/CA2611525C/en
Priority to JP2008517087A priority patent/JP5351515B2/ja
Publication of WO2006135935A1 publication Critical patent/WO2006135935A1/en
Publication of WO2006135935A8 publication Critical patent/WO2006135935A8/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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
    • A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • A61B17/8076—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones for the ribs or the sternum
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • A61B17/823—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage for the sternum
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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
    • A61B17/842—Flexible wires, bands or straps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8861—Apparatus for manipulating flexible wires or straps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8869—Tensioning devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated

Definitions

  • External skeletal fixation is a preferred method of treatment for various limb deformities, injuries, and other conditions including: severe open fractures, fractures associated with severe burns, fractures requiring distraction, fractures requiring limb lengthening, arthrodesis, infected fractures, and nonunions.
  • External fixation offers several advantages over the above-mentioned internal fixation approaches. For example, external fixation enables skeletal stabilization to be managed from a location that is generally remote from the deformity, injury, or disease, thereby permitting direct surveillance of the limb and wound during related or subsequent procedures.
  • external fixation facilitates adjustment of fracture alignment, bone lengthening, bone compression, and fixed distraction following initial surgery.
  • minimal interference with proximal and distal joints allows immediate mobilization of a wounded limb, and insertion of the fixator pins can be performed under local anesthesia.
  • FIG. 7 is a top view of a cannulated screw
  • the diameter of crimp shaft 7 should not be less than the diameter of flexible cable 1.
  • the length and shape of crimp shaft 7 may assist in stabilizing the crimp fitting 2 to a bone anchor, such as a screw, or to a bone plate, and results in greater stability of the system.
  • each cylindrical bar or tube preferably second ends 7' of each cylindrical bar or tube are aligned so as to provide a flat second end of parallel fitting piece 5'.
  • a channel is introduced into each cylindrical bar.
  • the channels are introduced by drilling, however one of ordinary skill in the art will know and appreciate that any suitable method may be used.
  • Pin 110 is also linked to a plunger 94 such that when pin 88 is forced in the direction of the aperture 21, plunger end 94 A is pushed into aperture 21 , thereby crimping the ferrule 20 about the cable 12 and simultaneously cutting cable 12 on the free end side of the ferrule.
  • Suitable safety cable tools are commercially available from Daniels Manufacturing Corporation and are described in United States Patents Nos. 5,320,663; 5,345,663; and 5,361,475, and United States Patent Application Publication No. U.S. 2004/0199169, the contents of which are incorporated herein in their entirety.
  • the cannulated screws 13 are inserted into the sternum on opposite sides of the sternal fragments.
  • Flexible cable or wire 1 is fed through the lumen 16 of the cannulated screws 13, and is tensioned to a desired tension, causing the portions of the sternum to be brought together.
  • the tensioned flexible cable 1 is secured to secure the aligned sternum.
  • the cannulated screws 13 prevent the flexible cable or wire 1 from bearing directly on the soft bone of the sternum, thus alleviating the clinical problems of "cut through" and sternal dehiscence, or separation of the bony sternum and manubrium following median sternotomy.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Flexible Shafts (AREA)
PCT/US2006/023229 2005-06-13 2006-06-13 Sternal reconstruction system Ceased WO2006135935A1 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
AU2006257797A AU2006257797A1 (en) 2005-06-13 2006-06-13 Sternal reconstruction system
EP06773200A EP1890625A1 (en) 2005-06-13 2006-06-13 Sternal reconstruction system
KR1020077029411A KR101237769B1 (ko) 2005-06-13 2006-06-13 흉골 재건 시스템
BRPI0611584-5A BRPI0611584A2 (pt) 2005-06-13 2006-06-13 sistema, método e kit de reconstrução do osso esterno
CA2611525A CA2611525C (en) 2005-06-13 2006-06-13 Sternal reconstruction system
JP2008517087A JP5351515B2 (ja) 2005-06-13 2006-06-13 胸骨再構成システム

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/152,738 2005-06-13
US11/152,738 US9055984B2 (en) 2004-04-21 2005-06-13 Sternal reconstruction system

Publications (2)

Publication Number Publication Date
WO2006135935A1 true WO2006135935A1 (en) 2006-12-21
WO2006135935A8 WO2006135935A8 (en) 2007-12-13

Family

ID=37035735

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/023229 Ceased WO2006135935A1 (en) 2005-06-13 2006-06-13 Sternal reconstruction system

Country Status (11)

Country Link
US (1) US9055984B2 (https=)
EP (1) EP1890625A1 (https=)
JP (1) JP5351515B2 (https=)
KR (1) KR101237769B1 (https=)
CN (1) CN100593392C (https=)
AU (1) AU2006257797A1 (https=)
BR (1) BRPI0611584A2 (https=)
CA (1) CA2611525C (https=)
TW (1) TWI430775B (https=)
WO (1) WO2006135935A1 (https=)
ZA (1) ZA200710215B (https=)

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9055984B2 (en) 2004-04-21 2015-06-16 DePuy Synthes Products, Inc. Sternal reconstruction system
US9295507B2 (en) 2004-04-21 2016-03-29 DePuy Synthes Products, Inc. Sternal reconstruction system
WO2017040038A1 (en) * 2015-08-28 2017-03-09 Arthrex, Inc. Apparatus for internal hip distraction
US9801671B2 (en) 2013-07-11 2017-10-31 Stryker European Holdings I, Llc Fixation assembly with multiple sections for securing parts of a sternum
US9999416B2 (en) 2015-08-28 2018-06-19 Arthrex, Inc. Methods and apparatus for internal hip distraction
US10070891B2 (en) 2015-08-28 2018-09-11 Arthrex, Inc. Methods and apparatus for internal hip distraction
US10292742B2 (en) 2015-01-09 2019-05-21 Stryker European Holdings I, Llc Implant for bone fixation
GB2586181A (en) * 2019-06-24 2021-02-10 Nextremity Solutions Inc Fracture fixation system and method
US11596458B2 (en) 2016-11-11 2023-03-07 Stryker European Operations Holdings Llc Implant for bone fixation
US11925397B2 (en) 2020-06-25 2024-03-12 Medartis Ag System and method for bone fixation
US11998252B2 (en) 2020-11-18 2024-06-04 Medartis Ag System and method for bone fixation
US12134790B2 (en) 2017-09-27 2024-11-05 Inozyme Pharma, Inc. Methods of improving cardiovascular function and treating cardiovascular disease using a recombinant ectonucleotide pyrophosphatase phosphodiesterase (NPP1)
US12157903B2 (en) 2018-05-08 2024-12-03 Yale University Compositions and methods for reducing progression of nephrolithiasis

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US8500739B2 (en) * 2007-04-06 2013-08-06 DePuy Synthes Products, LLC Securing device to secure fixation devices to bone portions
US8486114B2 (en) * 2008-10-10 2013-07-16 Acute Innovations Llc Cerclage system for bone
US9131968B2 (en) 2013-02-27 2015-09-15 Biomet C.V. Periprosthetic plating system including plate with system for retaining tension on a cable
US10010359B2 (en) 2013-03-15 2018-07-03 Zimmer Biomet CMF and Thoracic, LLC Sternal closure cerclage, plate implant and instrumentation
US9820755B2 (en) 2013-03-15 2017-11-21 Zimmer Biomet CMF and Thoracic, LLC Sternal closure cerclage, plate implant and instrumentation
EP2967689B1 (en) * 2013-03-15 2018-05-09 Biomet Microfixation, Llc Sternal closure cerclage, plate implant and instrumentation
US10052143B2 (en) 2014-04-30 2018-08-21 DePuy Synthes Products, Inc. Tensioning instrument and related bone fixation systems and methods
US20160143663A1 (en) * 2014-11-24 2016-05-26 Stryker European Holdings I, Llc Strut plate and cabling system
CN104490462A (zh) * 2014-12-04 2015-04-08 江苏双羊医疗器械有限公司 用以锁紧钛缆的锁扣
US9956021B1 (en) * 2017-01-03 2018-05-01 DePuy Synthes Products, Inc. Tensioning and crimping tool for orthopedic cable tensioning
US10499972B2 (en) 2017-01-03 2019-12-10 DePuy Synthes Products, Inc. Mini cable tensioner for orthopedic cable tensioning
KR20200117578A (ko) 2019-04-05 2020-10-14 (주)케어테크 흉벽 재건 조립체
US12089882B2 (en) 2019-04-30 2024-09-17 Fusion Innovations, Llc Method and system for assembling a structure to secure to opposite sides of a fracture in a bone of a subject
US11395688B2 (en) 2019-09-30 2022-07-26 DePuy Synthes Products, Inc. Tool for crimping orthopedic cable
US12440252B2 (en) 2022-03-28 2025-10-14 Zimmer Biomet CMF and Thoracic, LLC Surgical plate fastener cartridge

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Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9055984B2 (en) 2004-04-21 2015-06-16 DePuy Synthes Products, Inc. Sternal reconstruction system
US9295507B2 (en) 2004-04-21 2016-03-29 DePuy Synthes Products, Inc. Sternal reconstruction system
US9801671B2 (en) 2013-07-11 2017-10-31 Stryker European Holdings I, Llc Fixation assembly with multiple sections for securing parts of a sternum
US10433889B2 (en) 2013-07-11 2019-10-08 Stryker European Holdings I, Llc Fixation assembly with a flexible elongated member for securing parts of a sternum
US11576707B2 (en) 2013-07-11 2023-02-14 Stryker European Operations Holdings Llc Fixation assembly with a flexible elongated member for securing parts of a sternum
US10292742B2 (en) 2015-01-09 2019-05-21 Stryker European Holdings I, Llc Implant for bone fixation
US12396772B2 (en) 2015-01-09 2025-08-26 Stryker European Operations Holdings Llc Implant for bone fixation
US11259853B2 (en) 2015-01-09 2022-03-01 Stryker European Operations Holdings Llc Implant for bone fixation
WO2017040038A1 (en) * 2015-08-28 2017-03-09 Arthrex, Inc. Apparatus for internal hip distraction
US9999416B2 (en) 2015-08-28 2018-06-19 Arthrex, Inc. Methods and apparatus for internal hip distraction
US10070891B2 (en) 2015-08-28 2018-09-11 Arthrex, Inc. Methods and apparatus for internal hip distraction
US11039858B2 (en) 2015-08-28 2021-06-22 Arthrex, Inc. Methods and apparatus for internal hip distraction
US11596458B2 (en) 2016-11-11 2023-03-07 Stryker European Operations Holdings Llc Implant for bone fixation
US12134790B2 (en) 2017-09-27 2024-11-05 Inozyme Pharma, Inc. Methods of improving cardiovascular function and treating cardiovascular disease using a recombinant ectonucleotide pyrophosphatase phosphodiesterase (NPP1)
US12157903B2 (en) 2018-05-08 2024-12-03 Yale University Compositions and methods for reducing progression of nephrolithiasis
US11857232B2 (en) 2019-06-24 2024-01-02 Medartis Ag Fracture fixation system and method
GB2586181A (en) * 2019-06-24 2021-02-10 Nextremity Solutions Inc Fracture fixation system and method
US11925397B2 (en) 2020-06-25 2024-03-12 Medartis Ag System and method for bone fixation
US11998252B2 (en) 2020-11-18 2024-06-04 Medartis Ag System and method for bone fixation

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CA2611525A1 (en) 2006-12-21
US9055984B2 (en) 2015-06-16
TW200706154A (en) 2007-02-16
EP1890625A1 (en) 2008-02-27
JP5351515B2 (ja) 2013-11-27
CA2611525C (en) 2015-08-11
ZA200710215B (en) 2008-11-26
JP2008546449A (ja) 2008-12-25
KR101237769B1 (ko) 2013-02-28
WO2006135935A8 (en) 2007-12-13
BRPI0611584A2 (pt) 2010-09-21
AU2006257797A1 (en) 2006-12-21
CN100593392C (zh) 2010-03-10
CN101198285A (zh) 2008-06-11
KR20080040635A (ko) 2008-05-08
US20050240191A1 (en) 2005-10-27
TWI430775B (zh) 2014-03-21

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