AU5405299A - Bone screw - Google Patents

Bone screw Download PDF

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Publication number
AU5405299A
AU5405299A AU54052/99A AU5405299A AU5405299A AU 5405299 A AU5405299 A AU 5405299A AU 54052/99 A AU54052/99 A AU 54052/99A AU 5405299 A AU5405299 A AU 5405299A AU 5405299 A AU5405299 A AU 5405299A
Authority
AU
Australia
Prior art keywords
sterols
screw
acid
esters
sterol esters
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.)
Granted
Application number
AU54052/99A
Other versions
AU757039B2 (en
Inventor
Roger Berger
Piet Reynders
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
Original Assignee
Synthes 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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=4551715&utm_source=***_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=AU5405299(A) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Synthes GmbH filed Critical Synthes GmbH
Publication of AU5405299A publication Critical patent/AU5405299A/en
Application granted granted Critical
Publication of AU757039B2 publication Critical patent/AU757039B2/en
Assigned to SYNTHES GMBH reassignment SYNTHES GMBH Alteration of Name(s) in Register under S187 Assignors: SYNTHES AG, CHUR
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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
    • 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
    • A61B17/864Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
    • 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
    • A61B17/7097Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
    • A61B17/7098Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants wherein the implant is permeable or has openings, e.g. fenestrated screw
    • 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
    • A61B17/74Devices for the head or neck or trochanter of the femur

Landscapes

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

Abstract

The invention relates to a bone screw that is provided with a head (1), a shaft (2), a central longitudinal axis (3), a screw point (4), a surface area (5) an external thread (6) and an entire length (L). A bore (7) that is open in the direction towards the head (1) and extends coaxially in relation to the longitudinal axis (3) is provided. Said bore is connected to the surface area (5) via at least one channel (8) which extends crosswise in relation to the longitudinal axis (3). The bore reaches the outside in the form of at least one perforation (9) through the surface area (5) and is closed in the direction towards the screw point (4). The advantage of the bone screw is that osteocementum can be introduced into the adjacent bone in such a way that an artificial coaxial cement bed for the thread of the bone screw is embodied. The cement bed is only laterally adjacent to the screw such that said screw can be axially screwed further into the forward direction even after the osteocementum has hardened.

Description

WO 01/00046 1 PCT/EPOO/05537 Use of Nanoscale Sterols and Sterol Esters Field of the Invention This invention relates generally to nanoparticles and, more particularly, to the use of nanoscale sterols and sterol esters as food additives. 5 Prior Art Sterols and sterol esters are important raw materials both for cosmetics and pharmaceutical products and for the food industry. For example, it is known that sterols, especially vegetable representatives 10 ("phytosterols"), are incorporated in the basal membrane of the skin and pass to the skin surface through the differentiation of the skin cells. This would explain the caring and protecting effect of phytosterols in skin cosmetics. The topical application of sterols also leads to an increased skin moisture level and to an increased lipid content. This improves the 15 desquamation behavior of the skin and reduces any erythemas present. Overviews on the properties of sterols and sterol esters in cosmetics have been published, for example, by R. Wachter in Parf. Kosm. 75, 755 (1994) and in Cosm. Toil. 110, 72 (1995). Another important property of phytosterols and, above all, of phytosterol esters is their hypo 20 cholesterolemic effect, i.e. their ability after oral ingestion, for example as a margarine additive, significantly to reduce the cholesterol level in the blood which was described as long ago as 1953 by Peterson et al. in J. Nutrit. 50, 1919 (1953). US 3,089,939, US 3,203,862 and DE-OS 20 35 069 (Procter & Gamble) point in the same direction. The active substances are 25 normally added to cooking oils or edible oils and are then taken up through the food. However, the quantities used are generally small and are normally below 0.5% by weight to prevent the edible oils from clouding or WO 01/00046 3 PCT/EPO0/05537 In general, sterols contain 27 to 30 carbon atoms and one double bond in the 5/6 position and occasionally in the 7/8, 8/9 or other positions. Besides these unsaturated species, other sterols are the saturated compounds obtainable by hydrogenation which are known as stanols and which are 5 also encompassed by the present invention. One example of a suitable animal sterol is cholesterol. Typical examples of suitable phytosterols, which are preferred from the applicational point of view, are ergosterols, campesterols, stigmasterols, brassicasterols and, preferably, sitosterols or sitostanols and, more particularly, p-sitosterols or p-sitostanols. Besides 10 the phytosterols mentioned, their esters are preferably used. The acid component of the ester may go back to carboxylic acids corresponding to formula (I): R'CO-OH (I) 15 in which R 1 CO is an aliphatic, linear or branched acyl group containing 2 to 22 carbon atoms and 0 and/or 1, 2 or 3 double bonds. Typical examples are acetic acid, propionic acid, butyric acid, valeric acid, caproic acid, caprylic acid, 2-ethyl hexanoic acid, capric acid, lauric acid, isotridecanoic 20 acid, myristic acid, palmitic acid, palmitoleic acid, stearic acid, isostearic acid, oleic acid, elaidic acid, petroselic acid, linoleic acid, conjugated linoleic acid (CLA), linolenic acid, elaeosteric acid, arachic acid, gadoleic acid, behenic acid and erucic acid and the technical mixtures thereof obtained, for example, in the pressure hydrolysis of natural fats and oils, in 25 the reduction of aldehydes from Roelen's oxosynthesis or as monomer fraction in the dimerization of unsaturated fatty acids. Technical fatty acids containing 12 to 18 carbon atoms, for example cocofatty acid, palm oil fatty acid, palm kernel oil fatty acid or tallow fatty acid, are preferred. It is particularly preferred to use esters of p-sitosterol or p-sitostanol with fatty 30 acids containing 12 to 18 carbon atoms. These esters may be prepared WO 01/00046 5 PCT/EPOO/05537 a surface-active compound dissolved therein, in such a way that the nanoparticles are precipitated by the homogenization of the two immiscible solvents, the organic solvent preferably evaporating. O/w emulsions or o/w microemulsions may be used instead of an aqueous solution. The 5 emulsifiers and protective colloids mentioned at the beginning may be used as the surface-active compounds. Another method for the production of nanoparticles is the so-called GAS process (gas anti-solvent recrystallization). This process uses a highly compressed gas or supercritical fluid (for example carbon dioxide) as non-solvent for the 10 crystallization of dissolved substances. The compressed gas phase is introduced into the primary solution of the starting materials and absorbed therein so that there is an increase in the liquid volume and a reduction in solubility and fine particles are precipitated. The PCA process (precipitation with a compressed fluid anti-solvent) is equally suitable. In 15 this process, the primary solution of the starting materials is introduced into a supercritical fluid which results in the formation of very fine droplets in which diffusion processes take place so that very fine particles are precipitated. In the PGSS process (particles from gas saturated solutions), the starting materials are melted by the introduction of gas under 20 pressure (for example carbon dioxide or propane). Temperature and pressure reach near- or super-critical conditions. The gas phase dissolves in the solid and lowers the melting temperature, the viscosity and the surface tension. On expansion through a nozzle, very fine particles are formed as a result of cooling effects. 25 Commercial Applications The particular fineness of the particles promotes more rapid absorption by the blood serum after oral ingestion by comparison with conventional sterols and sterol esters. Besides the in situ encapsulation of 30 the nanoparticles, the substances may also be dissolved or dispersed in WO 01/00046 7 PCT/EPOO/05537 are shown in Table 1 below. Table I Nanoparticles Ex. Steroll Sol p TI T2 Protective Colloid PSR Sterol Ester v. bar 0 C 0 C nm 1 Phytosterol* C02 200 80 175 Gelatine 60-135 2 Phytosterol* C02 180 70 160 Gelatine 75-125 3 -Sitostanol C02 200 85 180 Gelatine 75-130 4 -Sitostenyl laurate C02 200 85 175 Chitosan 55-140 5 -Sitostanyl stearate C02 200 85 175 Gelatine/chitosan (1:1) 60-150 6 Phytosterol* - - - - Gelatine/chitosan (1:1) 65-150 58.1% by weight p-sitosterol, 29.8% by weight campesterol, 4.5% by weight stigmasterol; 3.8% by weight tocopherol; 0.4% by weight cholesterol; 0.3% by weight squalane; unsaponifiables to 100 Application Examples. Gelatine capsules (weight ca. 1.5 g) containing 5% by weight of p-sitostanol or p-sitostanolester (nanoparticles encapsulated in a gelatine or chitosan matrix and non-nanoscale commercial products) and 0.5% by weight of radioactively marked cholesterol were prepared. To study the hypocholesterolemic effect, male rats (individual weight ca.200 g) were allowed no food overnight. The next day, a size-reduced gelatine capsule was inserted into each test animal via a stomach probe together with a little water containing sodium chloride. After 3, 6, 12, 24 and 48 h, blood was taken from the animals and the content of radioactive cholesterol was determined. The results, which represent the mean value of the measurements of 10 test animals, are set out in Table 2. The figures relating to the reduction in radioactivity are based on a blank group of test animals which were only given gelatine

Claims (9)

1. The use of nanoscale sterols and/or sterol esters with particle diameters of 10 to 300 nm as food additives.
2. The use claimed in claim 1, characterized in that phytosterols or 5 their esters are used.
3. The use claimed in claims 1 and 2, characterized in that sitosterols or their esters are used.
4. The use claimed in at least one of claims 1 to 3, characterized in that nanoscale sterols and/or sterol esters obtained by 10 (a) dissolving the starting materials in a suitable solvent under supercritical or near-critical conditions, (b) expanding the fluid mixture through a nozzle into a vacuum, a gas or a liquid and (c) simultaneously evaporating the solvent 15 are used.
5. The use claimed in at least one of claims 1 to 4, characterized in that nanoparticles surrounded by a toxicologically safe protective colloid are used.
6. The use claimed in claim 5, characterized in that gelatine and/or 20 chitosan is/are used as the protective colloid.
7. The use claimed in at least one of claims 1 to 6, characterized in that the sterols and/or sterol esters are used in quantities of 0.1 to 5% by weight, based on the food.
8. The use claimed in at least one of claims 1 to 7, characterized in that 25 the sterols and/or sterol esters are used in butter, margarine, diet food, frying oils, edible oils, mayonnaises, salad dressings, cocoa products or sausage.
9. The use of nanoscale sterols and/or sterol esters with particle diameters of 10 to 300 nm as active substances for the production of 30 hypocholesterolemic agents.
AU54052/99A 1999-09-08 1999-09-08 Bone screw Ceased AU757039B2 (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CH1999/000419 WO2001017447A1 (en) 1999-09-08 1999-09-08 Bone screw

Publications (2)

Publication Number Publication Date
AU5405299A true AU5405299A (en) 2001-04-10
AU757039B2 AU757039B2 (en) 2003-01-30

Family

ID=4551715

Family Applications (1)

Application Number Title Priority Date Filing Date
AU54052/99A Ceased AU757039B2 (en) 1999-09-08 1999-09-08 Bone screw

Country Status (12)

Country Link
EP (1) EP1210019B2 (en)
JP (1) JP4145044B2 (en)
KR (1) KR100656573B1 (en)
CN (1) CN1261082C (en)
AT (1) ATE279887T1 (en)
AU (1) AU757039B2 (en)
CA (1) CA2405230C (en)
DE (1) DE59910917D1 (en)
ES (1) ES2228085T5 (en)
NZ (1) NZ517314A (en)
TW (1) TW466310B (en)
WO (1) WO2001017447A1 (en)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050021084A1 (en) * 2003-05-19 2005-01-27 Lu William Weijia Bone treatment device and method
US7250055B1 (en) * 2003-08-26 2007-07-31 Biomet Manufacturing Corp. Method and apparatus for cement delivering buttress pin
GB2417536B (en) * 2004-08-28 2006-09-06 Adam James A bioabsorable screw
US20100211113A1 (en) 2009-02-17 2010-08-19 Jon Olson Bone Screw With Channels
CN101548907B (en) * 2009-05-14 2011-06-01 梁德富 Backward-forward direction self-locking loose-proof bone nail
TR200904029A2 (en) 2009-05-25 2009-10-21 Murat Aydin Hali̇l A biomaterial.
US8574273B2 (en) 2009-09-09 2013-11-05 Innovision, Inc. Bone screws and methods of use thereof
KR101885506B1 (en) * 2010-05-13 2018-08-07 신세스 게엠바하 Bone screw assembly and instruments for implantation of the same
DE102011001264A1 (en) 2011-03-14 2012-09-20 Aesculap Ag Surgical K-wire and surgical screw system
CN103654934B (en) * 2012-08-30 2016-03-30 上海微创骨科医疗科技有限公司 For blade plate combined locking screw and comprise its bone plate system
CN103006307B (en) * 2012-12-14 2015-06-03 深圳先进技术研究院 Bone screw for fixing osteoporosis bone
JP6411446B2 (en) 2013-03-15 2018-10-24 インノビシオン, インコーポレーティッド Bone screw and method of use
EP2856958A1 (en) 2013-10-07 2015-04-08 Arthrex Inc Cannulated bone screw
EP4124356A1 (en) 2021-07-28 2023-02-01 Heraeus Medical GmbH Device and method for application of a pharmaceutical fluid

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA1227902A (en) 1984-04-02 1987-10-13 Raymond G. Tronzo Fenestrated hip screw and method of augmented internal fixation
JP2935708B2 (en) 1987-02-20 1999-08-16 ドレナート,クラウス Bone screw
US5098435A (en) 1990-11-21 1992-03-24 Alphatec Manufacturing Inc. Cannula
JPH0751292A (en) * 1993-08-16 1995-02-28 Yoshihiro Kishigami Bone screw left in bone
JPH07222752A (en) * 1994-02-09 1995-08-22 Terumo Corp Bone fixing means
US6214012B1 (en) 1998-11-13 2001-04-10 Harrington Arthritis Research Center Method and apparatus for delivering material to a desired location

Also Published As

Publication number Publication date
ATE279887T1 (en) 2004-11-15
CN1367665A (en) 2002-09-04
JP4145044B2 (en) 2008-09-03
DE59910917D1 (en) 2004-11-25
CA2405230A1 (en) 2002-10-07
ES2228085T3 (en) 2005-04-01
EP1210019B1 (en) 2004-10-20
JP2003508147A (en) 2003-03-04
ES2228085T5 (en) 2009-12-09
CA2405230C (en) 2007-11-20
KR20020035642A (en) 2002-05-13
TW466310B (en) 2001-12-01
AU757039B2 (en) 2003-01-30
EP1210019B2 (en) 2009-07-15
NZ517314A (en) 2003-06-30
EP1210019A1 (en) 2002-06-05
CN1261082C (en) 2006-06-28
WO2001017447A1 (en) 2001-03-15
KR100656573B1 (en) 2007-01-30

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