EP3897421A1 - Schraubenbefestigungsvorrichtung, befestigungsbausatz und befestigungsverfahren - Google Patents
Schraubenbefestigungsvorrichtung, befestigungsbausatz und befestigungsverfahrenInfo
- Publication number
- EP3897421A1 EP3897421A1 EP19842401.2A EP19842401A EP3897421A1 EP 3897421 A1 EP3897421 A1 EP 3897421A1 EP 19842401 A EP19842401 A EP 19842401A EP 3897421 A1 EP3897421 A1 EP 3897421A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- screws
- screw
- fact
- bone
- fixing
- 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.)
- Pending
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
- A61B17/84—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
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
-
- 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
- A61B17/1635—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for grafts, harvesting or transplants
-
- 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
- A61B17/1684—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 shoulder
-
- 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
- A61B17/1778—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the shoulder
-
- 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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8605—Heads, i.e. proximal ends projecting from 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
- A61B17/84—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
- A61B17/8635—Tips of screws
-
- 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
- A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
-
- 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
- A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30721—Accessories
- A61F2/30749—Fixation appliances for connecting prostheses to the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/40—Joints for shoulders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4601—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4644—Preparation of bone graft, bone plugs or bone dowels, e.g. grinding or milling bone material
-
- 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
- A61B2017/564—Methods for bone or joint treatment
-
- 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
- A61B2017/567—Joint mechanisms or joint supports in addition to the natural joints and outside the joint gaps
-
- 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
- A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
-
- 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
- A61B2017/681—Alignment, compression, or distraction mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/101—Computer-aided simulation of surgical operations
- A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
- A61F2002/2835—Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
- A61F2002/4627—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
Definitions
- the invention relates to fixation by screws in bones and in particular to adaptations making it possible to optimize this fixation.
- the fixing device comprising such screws has several drawbacks, among these:
- a first screw provided at its proximal end with a head for compressing the bone by a straight stop
- a second screw provided at its distal end with a bone thread having a first helix pitch and at its proximal end with a bone thread having a helix with a pitch smaller than the first pitch propeller.
- This device is intended for fixation without a bone graft plate in the shoulder for the treatment of pathologies linked to shoulder instability.
- This device is more particularly intended for fixing the bone graft in the context of a Lartajet procedure.
- the screw with head is generally placed first, in particular for the reasons mentioned above. In addition, it is usually the screw located in the lowest position that is installed first.
- At least one of the screws comprises a cannula, that is to say that the screw is formed with a longitudinal through hole,
- the screw with head comprises:
- At least one of the screws comprises a conical proximal threaded portion.
- the two screws comprise a conical proximal threaded portion.
- the taper of the proximal portion of the two screws has a half angle of about 10 degrees.
- the proximal part of at least one screw has a smooth portion.
- the smooth portion is preformed on the screw with head between the head and the threaded proximal portion. This characteristic facilitates the manufacture of the screw by machining.
- the device comprises the following two screws:
- a cannula that is to say that the screw is formed with a longitudinal through hole with a diameter between 1 and 2 millimeters
- a distal threaded portion (at a distance from the head) threaded according to a first pitch and with an outside diameter of between 3 and 5 millimeters;
- the threads of the distal portions of the screws are double and the threads of the proximal portions are simple.
- the two screws have a smooth central part separating the proximal portion from the distal portion.
- the length of the distal threaded portion forms between 46 and 56 percent of the total length of the headless screw and forms between 48 and 58 percent of the total length of the headless screw.
- the length of the proximal threaded portion is between 5 and 9 millimeters.
- This length is defined so that the proximal threaded portion is engaged only and only in the graft and in no case in the host bone, this to allow compression.
- the invention also relates to a fixing kit formed from the device described above, namely that the two screws of different designs are packaged in the same package.
- the device is remarkable in that it comprises two screws of different designs which are packaged in the same package for the purpose of creating a ready-to-use fixing kit.
- the kit consists of two screws with a length difference between 0.5 and 5.5 millimeters.
- kits are delivered non-sterile in a packaging suitable for sterilization by the care establishment.
- kits are delivered sterile in a packaging suitable for sterilization by gamma ray or x-ray and suitable for aseptic transfer of the device.
- the fixing kit contains screws which have been selected and / or sized specifically for a patient according to a preoperative planning established on the basis of the patient's preoperative imagery.
- the invention also relates to a method of fixing a bone graft on a shoulder bone remarkable in that it uses two screws and only two adopting the characteristics described above taken together or not. [74] This process thus applies to a so-called "Latarjet" fixation procedure.
- the process comprises, before the selection and use of the screws, a preoperative planning comprising the following operations:
- the preoperative planning method comprises, between the identification and planning operation, an operation for measuring at least one characteristic characteristic of the patient's joint.
- Figure 1 is an exterior side view of an embodiment of a first of the two screws of the device of the invention
- Figure 2 is a side view in section of the screw of Figure 1;
- Figure 3 is an external side view of an embodiment of the second of the two screws of the device of the invention.
- Figure 4 is a side view in section of the screw of Figure 3;
- Figure 5 is a sectional view of an assembly of a bone graft to another bone.
- Figure 6 is a diagram of the main phases of the process leading to the creation of a kit and / or screws according to the invention specific to a patient
- One embodiment of the device of the invention consists of the two screws shown.
- the first screw 100 in FIGS. 1 and 2 comprises a head 110 and a rod 120.
- the head 110 includes an imprint 111 to cooperate with a fitting tool (not shown) allowing the insertion of the screw into the bone.
- This first screw is preformed with a cannula 130.
- Rod 120 breaks down into several portions:
- the second screw 200 of Figures 3 and 4 is formed of a solid headless body which includes
- the device is used for fixing the bone graft G to a host bone O.
- the screws are dimensioned so that:
- the distal threaded portions 124 and 230 only cooperate with the host bone O.
- the length of the screws 100 and 200 is defined so that the distal threaded portions 124 and 230 of the screws pass through the cortical wall, of the host bone O, opposite the bone graft G.
- the preoperative imaging of the patient to be operated on is acquired in various ways. For example, x-rays and / or ultrasounds and / or CT images and / or MRI of the shoulder are used.
- a modeling and identification phase 320 On the basis of the preoperative imaging of the patient to be operated, during a modeling and identification phase 320, at least one segmentation and processing algorithm makes it possible to model the patient's joint, to identify at least one structure anatomical.
- This phase can include the measurement of at least one characteristic characteristic of the patient's joint.
- the surgeon performs preoperative planning using a computer interface making it possible to view the modeling of the joint and to carry out at least one of the following operations: size the graft, position the graft on the host bone and position and select the screws constituting the fixing device according to the invention.
- This method may also include the constitution, manufacture and making available for surgical intervention of a patient-specific fixation kit produced on the basis of the data previously collected and, in particular, the output data from the planning.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Dentistry (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Physical Education & Sports Medicine (AREA)
- Robotics (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201862783780P | 2018-12-21 | 2018-12-21 | |
PCT/IB2019/061203 WO2020129014A1 (fr) | 2018-12-21 | 2019-12-20 | Dispositif de fixation par vis, kit de fixation et procédé de fixation |
Publications (1)
Publication Number | Publication Date |
---|---|
EP3897421A1 true EP3897421A1 (de) | 2021-10-27 |
Family
ID=69187818
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP19842401.2A Pending EP3897421A1 (de) | 2018-12-21 | 2019-12-20 | Schraubenbefestigungsvorrichtung, befestigungsbausatz und befestigungsverfahren |
EP19842885.6A Pending EP3897410A2 (de) | 2018-12-21 | 2019-12-20 | Instrumentensystem für ein latarstrahlverfahren und entsprechendes verfahren |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP19842885.6A Pending EP3897410A2 (de) | 2018-12-21 | 2019-12-20 | Instrumentensystem für ein latarstrahlverfahren und entsprechendes verfahren |
Country Status (4)
Country | Link |
---|---|
US (4) | US11291487B2 (de) |
EP (2) | EP3897421A1 (de) |
FR (2) | FR3090313A1 (de) |
WO (2) | WO2020129014A1 (de) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2020129014A1 (fr) * | 2018-12-21 | 2020-06-25 | Azurmeds Inc | Dispositif de fixation par vis, kit de fixation et procédé de fixation |
US11517334B1 (en) * | 2019-11-04 | 2022-12-06 | Smith & Nephew, Inc. | Patient-specific guides for latarjet procedure |
Family Cites Families (49)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB1565178A (en) | 1977-02-24 | 1980-04-16 | Interfix Ltd | Bone screw |
US4463753A (en) | 1980-01-04 | 1984-08-07 | Gustilo Ramon B | Compression bone screw |
US4537185A (en) | 1983-06-10 | 1985-08-27 | Denis P. Stednitz | Cannulated fixation screw |
US4858601A (en) * | 1988-05-27 | 1989-08-22 | Glisson Richard R | Adjustable compression bone screw |
IT1237496B (it) * | 1989-10-26 | 1993-06-08 | Giuseppe Vrespa | Dispositivo a vite per l'ancoraggio di protesi alle ossa, metodo per l'applicazione di tale dispositivo e relativa attrezzatura |
US5019079A (en) * | 1989-11-20 | 1991-05-28 | Zimmer, Inc. | Bone screw |
EP0544868B1 (de) | 1991-06-25 | 1995-08-16 | Synthes AG, Chur | Befestigungselement |
US5334204A (en) | 1992-08-03 | 1994-08-02 | Ace Medical Company | Fixation screw |
US9161793B2 (en) * | 1993-01-21 | 2015-10-20 | Acumed Llc | Axial tension screw |
US6030162A (en) * | 1998-12-18 | 2000-02-29 | Acumed, Inc. | Axial tension screw |
US5536127A (en) * | 1994-10-13 | 1996-07-16 | Pennig; Dietmar | Headed screw construction for use in fixing the position of an intramedullary nail |
US5697933A (en) * | 1995-12-18 | 1997-12-16 | Medicinelodge, Inc. | Bone-tendon-bone drill guide |
US5925048A (en) | 1998-03-13 | 1999-07-20 | Osteomed | Bone screw |
US20030045881A1 (en) * | 1998-12-30 | 2003-03-06 | Depuy France | Self-compressing osteosynthesis screw for surgery of small bones |
US6648894B2 (en) * | 2000-12-21 | 2003-11-18 | Stryker Spine | Bone graft forming guide and method of forming bone grafts |
US6306140B1 (en) | 2001-01-17 | 2001-10-23 | Synthes (Usa) | Bone screw |
US6565573B1 (en) | 2001-04-16 | 2003-05-20 | Smith & Nephew, Inc. | Orthopedic screw and method of use |
CA2390912C (en) * | 2001-07-05 | 2008-01-29 | Depuy France | Self-tapping screw for small-bone surgery |
FR2841764B1 (fr) * | 2002-07-05 | 2005-05-20 | Newdeal Sa | Vis d'osteosynthese et de compression auto-taraudante et auto-forante |
US7517350B2 (en) * | 2002-11-20 | 2009-04-14 | Orthopediatrics Corp. | Convertible threaded compression device and method of use |
DE10361044B4 (de) | 2003-12-23 | 2005-12-29 | Stryker Leibinger Gmbh & Co. Kg | Selbstbohrende Knochenschraube und Implantatsystem |
US20070233123A1 (en) * | 2006-02-21 | 2007-10-04 | Osteomed, L.P. | Bone fixation device |
US8118849B2 (en) * | 2006-03-17 | 2012-02-21 | Tornier, Inc. | Bone screw with selectively securable washer |
US20080234763A1 (en) * | 2007-03-16 | 2008-09-25 | Patterson Chad J | Surgical compression bone screw |
EP2135566B1 (de) * | 2008-06-20 | 2011-03-09 | Arthrex, Inc. | Latarjet-Instrumentierung |
JP5759900B2 (ja) * | 2008-12-05 | 2015-08-05 | ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング | 骨固定に使用するためのアンカー・イン・アンカーシステム |
EP2370004A1 (de) * | 2008-12-09 | 2011-10-05 | Mazor Surgical Technologies Ltd. | Zweigängige orthopädische schraube |
FR2941859B1 (fr) * | 2009-02-09 | 2012-04-06 | Memometal Technologies | Vis d'osteosynthese. |
US8992587B2 (en) * | 2010-07-20 | 2015-03-31 | X-Spine Systems, Inc. | Spinal facet compression screw with variable pitch thread zones and buttress head |
US8945193B2 (en) * | 2010-07-20 | 2015-02-03 | X-Spine Systems, Inc. | Minimally invasive spinal facet compression screw and system for bone joint fusion and fixation |
US20120253350A1 (en) * | 2011-03-31 | 2012-10-04 | Depuy Products, Inc. | Bone graft shaper |
US20120303067A1 (en) * | 2011-05-24 | 2012-11-29 | Peter Charles Van Citters | Elbow Compression Instrument |
WO2012171011A1 (en) | 2011-06-09 | 2012-12-13 | Zyga Technology, Inc. | Bone screw |
WO2013028224A2 (en) * | 2011-08-25 | 2013-02-28 | Talwar Vikram | Interbody fusion implant and screw guide |
US20130158610A1 (en) * | 2011-12-16 | 2013-06-20 | Depuy Mitek, Inc. | Bone graft fixation systems and methods |
JP6363065B2 (ja) * | 2012-05-03 | 2018-07-25 | シンセス・ゲーエムベーハーSynthes GmbH | インプラントスキャンデータに基づくサージカルガイド |
US9855065B2 (en) * | 2012-09-28 | 2018-01-02 | Depuy Ireland Unlimited Company | Orthopaedic surgical instrument assembly for implanting a prosthetic patella component |
FR2996114B1 (fr) | 2012-10-02 | 2015-02-13 | Sem Sa | Guide de percage pour butee anterieure d'epaule |
US9968391B2 (en) * | 2012-11-09 | 2018-05-15 | Fellowship of Orthopaedic Researchers, LLC | Facet screws |
CN107405109B (zh) * | 2015-03-10 | 2021-07-16 | 史密夫和内修有限公司 | 用于矫治前下部关节盂骨损失的开放式latarjet术 |
US20160354074A1 (en) * | 2015-06-02 | 2016-12-08 | Stuart D. Miller | Orthopedic Screw with Suture Anchor and Multipurpose Connector |
US10172627B2 (en) | 2015-06-29 | 2019-01-08 | Smith & Nephew, Inc. | Graft placement system and method |
US10327789B2 (en) * | 2015-12-29 | 2019-06-25 | Medos International Sarl | Methods and systems for preparing bone for a surgical procedure |
US10130407B2 (en) * | 2016-01-12 | 2018-11-20 | Biomet Manufacturing, Llc | Headless bone compression screw |
US10130406B2 (en) * | 2016-01-12 | 2018-11-20 | Biomet Manufacturing, Llc | Headless bone compression screw |
US11224467B2 (en) * | 2016-02-26 | 2022-01-18 | Activortho, Inc. | Active compression apparatus, methods of assembly and methods of use |
US10849757B2 (en) * | 2016-03-18 | 2020-12-01 | Smith & Nephew, Inc. | Soft anchor surgical fixation device and methods of use thereof |
US10349992B2 (en) * | 2016-06-02 | 2019-07-16 | In2Bones Usa, Llc | Differential compression bone screw |
WO2020129014A1 (fr) * | 2018-12-21 | 2020-06-25 | Azurmeds Inc | Dispositif de fixation par vis, kit de fixation et procédé de fixation |
-
2019
- 2019-12-20 WO PCT/IB2019/061203 patent/WO2020129014A1/fr unknown
- 2019-12-20 WO PCT/IB2019/061211 patent/WO2020129019A2/fr unknown
- 2019-12-20 FR FR1915359A patent/FR3090313A1/fr active Pending
- 2019-12-20 EP EP19842401.2A patent/EP3897421A1/de active Pending
- 2019-12-20 EP EP19842885.6A patent/EP3897410A2/de active Pending
- 2019-12-20 FR FR1915286A patent/FR3090314B1/fr active Active
- 2019-12-23 US US16/724,886 patent/US11291487B2/en active Active
- 2019-12-23 US US16/724,965 patent/US11406435B2/en active Active
-
2022
- 2022-03-17 US US17/655,241 patent/US20220211421A1/en not_active Abandoned
- 2022-06-30 US US17/809,939 patent/US20220346849A1/en not_active Abandoned
Also Published As
Publication number | Publication date |
---|---|
US11291487B2 (en) | 2022-04-05 |
WO2020129019A3 (fr) | 2020-08-13 |
US20200205869A1 (en) | 2020-07-02 |
FR3090314B1 (fr) | 2022-10-07 |
US20200197030A1 (en) | 2020-06-25 |
WO2020129014A1 (fr) | 2020-06-25 |
EP3897410A2 (de) | 2021-10-27 |
WO2020129019A2 (fr) | 2020-06-25 |
FR3090313A1 (fr) | 2020-06-26 |
US11406435B2 (en) | 2022-08-09 |
FR3090314A1 (fr) | 2020-06-26 |
US20220211421A1 (en) | 2022-07-07 |
US20220346849A1 (en) | 2022-11-03 |
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