WO2009143374A8 - Modular segmented intramedullary system, apparatus and associated methods - Google Patents

Modular segmented intramedullary system, apparatus and associated methods Download PDF

Info

Publication number
WO2009143374A8
WO2009143374A8 PCT/US2009/044898 US2009044898W WO2009143374A8 WO 2009143374 A8 WO2009143374 A8 WO 2009143374A8 US 2009044898 W US2009044898 W US 2009044898W WO 2009143374 A8 WO2009143374 A8 WO 2009143374A8
Authority
WO
WIPO (PCT)
Prior art keywords
interface
segmented intramedullary
intramedullary structure
segmented
associated methods
Prior art date
Application number
PCT/US2009/044898
Other languages
French (fr)
Other versions
WO2009143374A3 (en
WO2009143374A2 (en
Inventor
Thomas B. Buford, Iii
Jesse Gabriel Moore
Daniel F. Justin
Karen E. Mohr
Carlyle J. Creger
Jeremy D. Borchert
James D. Stoneburner
Matthew T. Harmon
Mojan Goshayesh
Roelof Trip
Charles E. Larsen
Original Assignee
Novalign Orthopaedics, Inc.
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 US12/345,340 external-priority patent/US20090216232A1/en
Application filed by Novalign Orthopaedics, Inc. filed Critical Novalign Orthopaedics, Inc.
Priority to EP09751602A priority Critical patent/EP2309937A2/en
Priority to CA2725324A priority patent/CA2725324A1/en
Priority to JP2011511731A priority patent/JP2011521718A/en
Publication of WO2009143374A2 publication Critical patent/WO2009143374A2/en
Publication of WO2009143374A8 publication Critical patent/WO2009143374A8/en
Publication of WO2009143374A3 publication Critical patent/WO2009143374A3/en

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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7208—Flexible pins, e.g. ENDER pins
    • 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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7216—Intramedullary pins, nails or other devices for bone lengthening or compression
    • A61B17/7225—Intramedullary pins, nails or other devices for bone lengthening or compression for bone compression
    • 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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
    • A61B17/7266—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with fingers moving radially outwardly
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1717—Guides or aligning means for drills, mills, pins or wires for applying intramedullary nails or pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1725—Guides or aligning means for drills, mills, pins or wires for applying transverse screws or pins through intramedullary nails or pins
    • 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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
    • 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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7283—Intramedullary pins, nails or other devices with special cross-section of the nail
    • 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
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7291—Intramedullary pins, nails or other devices for small bones, e.g. in the foot, ankle, hand or wrist
    • 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
    • A61B17/921—Impactors or extractors, e.g. for removing intramedullary devices for intramedullary devices

Abstract

A modular implantable segmented intramedullary structure (300) adapted to be received in the intramedullary canal of a bone configurable between a relatively flexible, bent configuration (307) for implantation or extraction and a relatively rigid, straightened compressed configuration (306) for bone treatment. The segmented intramedullary structure (300) comprises a plurality of interconnected segments (310) with a first interface (310) and a complementarily-shaped second interface (320) such that the first interface of a segment cooperatively engages the second interface of an adjacent segment. The segments define a channel (340) for a tensioning elongate member (350) to lock the structure in a compressed configuration. Methods of manufacturing, assembling, and/or treating a patient with the segmented intramedullary structure include options for real time customizable construction of the segmented intramedullary structure.
PCT/US2009/044898 2008-05-23 2009-05-21 Modular segmented intramedullary system, apparatus and associated methods WO2009143374A2 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP09751602A EP2309937A2 (en) 2008-05-23 2009-05-21 Modular segmented intramedullary system, apparatus and associated methods
CA2725324A CA2725324A1 (en) 2008-05-23 2009-05-21 Modular segmented intramedullary system, apparatus and associated methods
JP2011511731A JP2011521718A (en) 2008-05-23 2009-05-21 Modular segmented intramedullary system, apparatus, and related methods

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US5574708P 2008-05-23 2008-05-23
US61/055,747 2008-05-23
US12/345,225 2008-12-29
US12/345,340 US20090216232A1 (en) 2007-03-22 2008-12-29 Modular segmented intramedullary system, apparatus and methods
US12/345,451 US8128627B2 (en) 2007-03-22 2008-12-29 Segmented intramedullary system and apparatus
US12/345,451 2008-12-29
US12/345,225 US20090228007A1 (en) 2007-03-22 2008-12-29 Segmented intramedullary system and methods
US12/345,340 2008-12-29

Publications (3)

Publication Number Publication Date
WO2009143374A2 WO2009143374A2 (en) 2009-11-26
WO2009143374A8 true WO2009143374A8 (en) 2010-12-23
WO2009143374A3 WO2009143374A3 (en) 2011-02-10

Family

ID=40934155

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2009/044898 WO2009143374A2 (en) 2008-05-23 2009-05-21 Modular segmented intramedullary system, apparatus and associated methods

Country Status (4)

Country Link
EP (1) EP2309937A2 (en)
JP (1) JP2011521718A (en)
CA (1) CA2725324A1 (en)
WO (1) WO2009143374A2 (en)

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US8287538B2 (en) 2008-01-14 2012-10-16 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
EP3251618B8 (en) 2009-01-16 2019-11-13 Carbofix Orthopedics Ltd. Composite material bone implant
WO2011067668A1 (en) * 2009-12-01 2011-06-09 Dalhousie University Steerable femoral fracture reduction device
US20110178520A1 (en) 2010-01-15 2011-07-21 Kyle Taylor Rotary-rigid orthopaedic rod
CN105534561B (en) 2010-01-20 2018-04-03 康文图斯整形外科公司 For bone close to the device and method with bone cavity preparation
US8556896B2 (en) 2010-01-27 2013-10-15 Zimmer, Inc. Distal relief for a surgical device
AU2011224529C1 (en) 2010-03-08 2017-01-19 Conventus Orthopaedics, Inc. Apparatus and methods for securing a bone implant
US10154867B2 (en) 2010-06-07 2018-12-18 Carbofix In Orthopedics Llc Multi-layer composite material bone screw
CN105877829B (en) 2010-06-07 2018-06-22 卡波菲克斯整形有限公司 Composite material bone implant
US20130325007A1 (en) * 2011-02-13 2013-12-05 Carbofix Orthopedics Ltd. Segmented intramedullary implant
EP3326558A1 (en) 2011-11-14 2018-05-30 The University of British Columbia Intramedullary fixation system for management of pelvic and acetabular fractures
GB201120642D0 (en) * 2011-12-01 2012-01-11 Depuy Int Ltd Bone broach and method of manufacturing a bone broach
US9526549B2 (en) 2012-01-16 2016-12-27 Carbofix Orthopedics Ltd. Bone screw with insert
WO2014152308A1 (en) * 2013-03-14 2014-09-25 Wright Medical Technology, Inc. Intramedullary ankle technique and system
JP6486365B2 (en) * 2013-12-10 2019-03-20 アキュームド・エルエルシー Hip fixation system with flexible fixation elements
CN105939677A (en) 2013-12-12 2016-09-14 康文图斯整形外科公司 Tissue displacement tools and methods
US9770278B2 (en) 2014-01-17 2017-09-26 Arthrex, Inc. Dual tip guide wire
WO2015134750A1 (en) 2014-03-06 2015-09-11 University Of British Columbia Shape adaptable intramedullary fixation device
WO2015136342A1 (en) * 2014-03-10 2015-09-17 Tecres S.P.A. Device for extracting bone cement from a bone cavity
US10258394B2 (en) 2014-10-14 2019-04-16 The University Of British Columbia Systems and methods for intermedullary bone fixation
US10588679B2 (en) 2014-11-01 2020-03-17 Numagenesis, Llc Compression fixation system
US10617458B2 (en) 2015-12-23 2020-04-14 Carbofix In Orthopedics Llc Multi-layer composite material bone screw
EP3432838B1 (en) 2016-03-23 2024-04-17 Wright Medical Technology, Inc. Fixation apparatus for total ankle replacement
EP3522803A4 (en) 2016-10-05 2020-05-27 The University of British Columbia Intramedullary fixation device with shape locking interface
EP3381410A1 (en) * 2017-03-31 2018-10-03 Waldemar Link GmbH & Co. KG Connection sleeve for two anchoring shafts of two side-to-side prostheses
KR101925561B1 (en) * 2017-06-14 2018-12-05 인하대학교 산학협력단 Segmented Intramedullary nail for insertion in medullary cavity
WO2019010252A2 (en) 2017-07-04 2019-01-10 Conventus Orthopaedics, Inc. Apparatus and methods for treatment of a bone
US10667850B2 (en) 2017-08-17 2020-06-02 Spinal Generations, Llc Modular femoral nail and method of use thereof
USD842474S1 (en) 2017-10-20 2019-03-05 Ormco Corporation Endodontic file
US11478289B2 (en) 2018-05-04 2022-10-25 Numagenesis, Llc Compression fixation system
US11678990B2 (en) * 2018-07-10 2023-06-20 Adler Ortho S.P.A. Device for facilitating the formation of new bone tissue
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IL268608B (en) * 2019-08-08 2021-03-01 Konstantinovsky Yevgeny An intramedullary affixing apparatus
JP2022034191A (en) * 2020-08-18 2022-03-03 株式会社日本エム・ディ・エム End cap used for intramedullary nail, intramedullary nail, end cap insertion instrument, and intramedullary nail insertion instrument
EP4176832A1 (en) * 2021-11-08 2023-05-10 Daniel Bechtold Intramedullary nail
IT202100028847A1 (en) * 2021-11-12 2023-05-12 Luciano Trinchese Device for osteosynthesis.

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Also Published As

Publication number Publication date
WO2009143374A3 (en) 2011-02-10
CA2725324A1 (en) 2009-11-26
JP2011521718A (en) 2011-07-28
WO2009143374A2 (en) 2009-11-26
EP2309937A2 (en) 2011-04-20

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