WO2010054493A9 - Intramedullary apparatus for arthrodesis or osteosynthesis - Google Patents

Intramedullary apparatus for arthrodesis or osteosynthesis Download PDF

Info

Publication number
WO2010054493A9
WO2010054493A9 PCT/CH2009/000354 CH2009000354W WO2010054493A9 WO 2010054493 A9 WO2010054493 A9 WO 2010054493A9 CH 2009000354 W CH2009000354 W CH 2009000354W WO 2010054493 A9 WO2010054493 A9 WO 2010054493A9
Authority
WO
WIPO (PCT)
Prior art keywords
bone
intramedullary
arthrodesis
channel
osteosynthesis
Prior art date
Application number
PCT/CH2009/000354
Other languages
German (de)
French (fr)
Other versions
WO2010054493A1 (en
Inventor
Hans Stalder
Original Assignee
Axus Medical Suisse Gmbh
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 Axus Medical Suisse Gmbh filed Critical Axus Medical Suisse Gmbh
Publication of WO2010054493A1 publication Critical patent/WO2010054493A1/en
Publication of WO2010054493A9 publication Critical patent/WO2010054493A9/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
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • 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
    • A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1682—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the foot or ankle
    • 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
    • A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1686—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the 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
    • A61B17/16—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
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1775—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the foot or ankle
    • 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
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1782—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • 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
    • A61B17/7291—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
    • A61B17/68—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
    • A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to 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
    • A61B17/7233—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
    • A61B17/56—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
    • A61B17/842—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, 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
    • A61B17/8861—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, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417—T-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0461—Means for attaching and blocking the suture in the suture anchor with features cooperating with special features on the suture, e.g. protrusions on the suture
    • A61B2017/0462—One way system, i.e. also tensioning the suture
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures

Landscapes

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

Abstract

The intramedullary apparatus according to the invention for arthrodesis and osteosynthesis comprises at least one intramedullary tractive element (4), which is anchored in a first bone or bone fragment (1) and which can be guided through a first bone channel into a second bone channel of a second bone or bone fragment (2). From the second bone channel, the at least one intramedullary tractive element (4) can be guided through a bore in the bone wall to a suitable position (2.3) on an outside of the second bone or bone fragment (2), where it is fixed using a tensile element (6.1 and 6.2) and subjected to adjustable tensile stress. Said tensile stress can be reversibly adjusted in some preferred embodiments, whereby the adjustment of the spatial angle between the two bones or bone fragments in preferred embodiments can also be corrected postoperatively.
PCT/CH2009/000354 2008-11-14 2009-11-10 Intramedullary apparatus for arthrodesis or osteosynthesis WO2010054493A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CH01780/08A CH699896A2 (en) 2008-11-14 2008-11-14 Intramedullary DEVICE FOR Arthrodesis or OSTEOSYNTHESIS.
CH1780/08 2008-11-14

Publications (2)

Publication Number Publication Date
WO2010054493A1 WO2010054493A1 (en) 2010-05-20
WO2010054493A9 true WO2010054493A9 (en) 2010-07-15

Family

ID=41572479

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CH2009/000354 WO2010054493A1 (en) 2008-11-14 2009-11-10 Intramedullary apparatus for arthrodesis or osteosynthesis

Country Status (2)

Country Link
CH (1) CH699896A2 (en)
WO (1) WO2010054493A1 (en)

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9060789B2 (en) * 2011-02-10 2015-06-23 Robert B. Weinstein Method and apparatus for preparing and fusion of small joints
CN103610489B (en) * 2013-11-26 2014-10-15 张英泽 Intramedullary repositor for fracture of long bones of arms and legs
CN109662769A (en) * 2018-11-30 2019-04-23 陈聚伍 Through towed Medullary fixation device
IL264355B (en) * 2019-01-21 2020-02-27 Noris Medical Ltd Medical apparatus for guiding a medical implement and constructing method thereof
CN110742661A (en) * 2019-10-18 2020-02-04 郑伟伟 Butterfly bone block fixing system for assisting intramedullary needle
CN111973324B (en) * 2020-08-20 2022-11-11 四川大学华西医院 Orthopedic implant system based on stress self-adaption controllable adjustment and control method thereof
CN113925588B (en) * 2021-09-28 2023-02-28 山东中医药大学附属医院 Proximal humerus locking plate

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4456005A (en) * 1982-09-30 1984-06-26 Lichty Terry K External compression bone fixation device
US20050143734A1 (en) * 1996-11-12 2005-06-30 Cachia Victor V. Bone fixation system with radially extendable anchor
US6368326B1 (en) * 1998-09-28 2002-04-09 Daos Limited Internal cord fixation device
JP4167398B2 (en) * 1998-12-23 2008-10-15 ネナド セシック， Metaphyseal direction intramedullary screw for osteosynthesis of long bones
US20080147126A1 (en) * 2001-10-18 2008-06-19 Fxdevices, Llc System and method for a cap used in the fixation of bone fractures
US20070038303A1 (en) * 2006-08-15 2007-02-15 Ebi, L.P. Foot/ankle implant and associated method
GB2430625A (en) * 2005-09-30 2007-04-04 Andrew Malcolm Jackson Joint fusion peg
US7875058B2 (en) * 2007-01-17 2011-01-25 Arthrex, Inc. Bunion repair using suture-button construct

Also Published As

Publication number Publication date
WO2010054493A1 (en) 2010-05-20
CH699896A2 (en) 2010-05-14

Similar Documents

Publication Publication Date Title
WO2010054493A9 (en) Intramedullary apparatus for arthrodesis or osteosynthesis
EP2231044A4 (en) Spinal osteosynthesis device
WO2007092813A3 (en) Method and apparatus for bone fracture fixation
WO2008022136A3 (en) Fracture fixation device
DK1663037T3 (en) Orthopedic implant and bone screw assembly
WO2010077939A3 (en) Improved device for spinal fusion
WO2008055648A3 (en) Polyaxial locking mechanism
WO2007146032A3 (en) Pedicle screw system
WO2005086953A3 (en) Device and method for fixing bone segments
FI20065385A0 (en) Benfixeringsmedel
WO2008029404A3 (en) Pelvic anchor brace
WO2008016910A3 (en) Bone fixation system and method of use
WO2003096885A3 (en) Surgical suturing instrument and method of use
WO2006102269A3 (en) Interspinous process implant having deployable wing and method of implantation
WO2008124831A3 (en) Adjustable spine distraction implant
WO2004075778A3 (en) Adjustable rod and connector device and method of use
AU2003304415A1 (en) Vertebral fixation device for the treatment of spondylolisthesis
TW200513230A (en) Bone fixing equipment
WO2008103832A3 (en) Devices for treating the spine
WO2011002903A3 (en) Orthopaedic implant and fastener assembly
WO2006116119A3 (en) Dynamic stabilization system for the spine
WO2003084602A3 (en) Device for stimulating bone growth, especially for the osteosynthesis of bone fragments and/or for fixing bone fractures
WO2008088685A3 (en) Systems and methods for the fixation or fusion of bone
CA2588425A1 (en) Locking nail system for arthrodesis reconstruction in calcaneus fractures
WO2006096516A3 (en) Instruments and methods for manipulating a vertebra

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 09752093

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase in:

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 09752093

Country of ref document: EP

Kind code of ref document: A1