JP2000507475A - 骨折の骨接合のための髄内釘 - Google Patents
骨折の骨接合のための髄内釘Info
- Publication number
- JP2000507475A JP2000507475A JP9535825A JP53582597A JP2000507475A JP 2000507475 A JP2000507475 A JP 2000507475A JP 9535825 A JP9535825 A JP 9535825A JP 53582597 A JP53582597 A JP 53582597A JP 2000507475 A JP2000507475 A JP 2000507475A
- Authority
- JP
- Japan
- Prior art keywords
- nail
- tubular body
- hook
- bushing
- intramedullary nail
- 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
Links
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 29
- 230000000399 orthopedic effect Effects 0.000 claims abstract description 8
- 238000001356 surgical procedure Methods 0.000 claims abstract description 7
- 230000000284 resting effect Effects 0.000 claims abstract description 6
- 210000000689 upper leg Anatomy 0.000 claims description 10
- 230000013011 mating Effects 0.000 claims description 2
- 238000000034 method Methods 0.000 claims description 2
- 230000004308 accommodation Effects 0.000 abstract 1
- 206010017076 Fracture Diseases 0.000 description 22
- 208000010392 Bone Fractures Diseases 0.000 description 21
- 239000012634 fragment Substances 0.000 description 19
- 238000005056 compaction Methods 0.000 description 12
- 230000008901 benefit Effects 0.000 description 3
- 206010020100 Hip fracture Diseases 0.000 description 2
- 210000002414 leg Anatomy 0.000 description 2
- 208000008924 Femoral Fractures Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000013467 fragmentation Methods 0.000 description 1
- 238000006062 fragmentation reaction Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000003754 machining Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000010008 shearing Methods 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 210000003625 skull Anatomy 0.000 description 1
- 238000001179 sorption measurement Methods 0.000 description 1
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
- A61B17/7216—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
- A61B17/56—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
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
- A61B17/744—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to an intramedullary 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
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/725—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with locking pins or screws of special form
-
- 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
- A61B17/8695—Washers
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1.整形外科で使用される髄内釘であって、 −長さに関して非円筒形である外形の端部(11)を有する、実質的に円筒形 の管状本体(1)と、 −2つ又はそれ以上の長手方向の窪み(32)を備える実質的に管状の本体( 31)を有する少なくとも1つの鉤止装置(3)において、前記窪みのそれぞれ が管の外側の方へ向けられ且つ前記管状本体の円筒形表面に位置する穴(6)に 面している弓形先端部(34)を有するフック(33)を収容するのに適するよ うな形状にされており、前記フック(33)が管に対する鉤止装置の滑動時に収 容窪み(32)に対して移動可能である、少なくとも1つの鉤止装置(3)と、 −前記管状本体の内側に収容されていて、それぞれ前記フック(33)を出て こさせる又はフックの前記管状本体に設けられている前記穴へ引っ込ませる2つ の方向での前記少なくとも1つの鉤止装置(3)の長手方向の滑動を保証するの に適している、手動道具によって操作される前記鉤止装置のための操作要素(4 )と、 −前記管状本体の非円筒形端部と滑動可能に結合することができるような形状 にされ且つ前記釘が挿入される骨との接触のために少なくとも1つの弓形の縁( 91)を有する穴付きブッシング(9)であって、前記ブッシングがねじ(2) と協働し、そのねじ(2)の頭部は前記ブッシングに載って、非円筒形長さ部と 対応して管状本体の内側に設けられているねじ山(12)に螺入する、穴付きブ ッシング(9)とを備えていることを特徴としている、整形外科で使用されるた めの髄内釘。 2.前記管状本体にある穴(6)を通した運動の間、前記各鉤止 装置(3)に属する前記各フック(33)は、先端部と反対側の端部(35)を 前記窪みの底部の端部にある半径方向の穴(36)に挿入された状態に保ちつつ 、前記窪み(32)から持ち上がることを特徴とする、請求項1に記載の髄内釘 。 3.前記鉤止装置の操作装置(4)は2つの直径(41、42)を有する螺刻 されているロッドであって、短い方の直径部分(42)は前記鉤止装置(3)の 端部にある螺刻されている穴(37)と結合するのに適している第一ねじ山を設 けられており、長い方の直径部分(41)は、第一ねじ山に対して逆巻きで且つ 前記管状本体の内壁にある、対応するねじ山(13)に係合するのに適している 第二ねじ山と、操作するためのスパナの頭部を受容するのに適している軸方向の ハウジング(43)とを備えていることを特徴とする、請求項1又は請求項2に 記載の髄内釘。 4.さらに別の固定を保証するねじ(20)を受容するのに適している横断方 向の穴(21)を備えていることを特徴とする、前出の請求項の何れか一項に記 載の髄内釘。 5.前記髄内釘の外側の最初の長さ部分は平行六面体の形状を有することを特 徴とする、前出の請求項の何れか一項に記載の髄内釘。 6.前記髄内釘が反対向きに位置する2つの鉤止装置(30、301)を備え 、それぞれのフックが互いに対して近づいていく収束方向又は離れていく発散方 向に出てくるようにされていることを特徴とする、前出の請求項の何れか一項に 記載の髄内釘。 7.底部に閉鎖栓(5)を備えていることを特徴とする、前出の請求項の何れ か一項に記載の髄内釘。 8.前記ブッシングは密着させられている骨に載るのに適している2つの対称 な縁(51)を有する座金(50)の形状を有してい ることを特徴とする、前出の請求項の何れか一項に記載の髄内釘。 9.前記ブッシングは実質的に平坦な縦長ロッド(72)の形態を示す板(7 1)の形状をとり、該ロッドは大腿骨に載り且つ前記管状本体(73)と接続さ れ、該管状本体(73)は前記釘の非円筒形部分と結合し、前記釘と相互作用す るねじ(2)の頭部が管状本体(73)に載っていることを特徴とする、請求項 1から請求項7の何れか一項に記載の髄内釘。 10.前記髄内釘は第二釘(101)が挿入される横断方向の穴(103)を 備え、前記第二釘(101)の回転が長手方向の窪み(104、105)に収容 されているロッド(102)によって防止され、該長手方向の窪み(104、1 05)は互いに向かい合っており且つ前記釘の前記穴(103)と前記第二釘の 外側表面とに設けられていることを特徴とする、請求項1に記載の髄内釘(10 )。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
IT96A000054 | 1996-04-05 | ||
IT96VI000054A IT1287271B1 (it) | 1996-04-05 | 1996-04-05 | Chiodo endomidollare per l'osteosintesi delle fratture delle ossa lunghe |
PCT/EP1997/001675 WO1997037606A1 (en) | 1996-04-05 | 1997-04-03 | Intramedullary nail for the osteosynthesis of bone fractures |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2000507475A true JP2000507475A (ja) | 2000-06-20 |
JP3169967B2 JP3169967B2 (ja) | 2001-05-28 |
Family
ID=11426020
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP53582597A Expired - Fee Related JP3169967B2 (ja) | 1996-04-05 | 1997-04-03 | 骨折の骨接合のための髄内釘 |
Country Status (15)
Country | Link |
---|---|
US (1) | US6077264A (ja) |
EP (1) | EP0892624B1 (ja) |
JP (1) | JP3169967B2 (ja) |
CN (1) | CN1136819C (ja) |
AT (1) | ATE208588T1 (ja) |
AU (1) | AU725703B2 (ja) |
BR (1) | BR9708761A (ja) |
CA (1) | CA2249664C (ja) |
DE (1) | DE69708280T2 (ja) |
DK (1) | DK0892624T3 (ja) |
ES (1) | ES2166539T3 (ja) |
IT (1) | IT1287271B1 (ja) |
PT (1) | PT892624E (ja) |
RU (1) | RU2149598C1 (ja) |
WO (1) | WO1997037606A1 (ja) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2008188411A (ja) * | 2006-11-16 | 2008-08-21 | Newdeal Sas | 指骨間固定用インプラント、対応する手術キット、及び対応する製造方法 |
JP2011522663A (ja) * | 2008-06-13 | 2011-08-04 | オルトフィックス ソシエタ ア レスポンサビリタ リミタータ | 骨折した長骨内に挿入される皮質間ネイル |
Families Citing this family (134)
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US20020178674A1 (en) | 1993-05-10 | 2002-12-05 | Tony Pervan | System for joining a building board |
SE9301595L (sv) | 1993-05-10 | 1994-10-17 | Tony Pervan | Fog för tunna flytande hårda golv |
SE503861C2 (sv) | 1994-10-24 | 1996-09-23 | Perstorp Flooring Ab | Förfarande för framställning av en golvlist |
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US6588166B2 (en) | 1995-03-07 | 2003-07-08 | Pergo (Europe) Ab | Flooring panel or wall panel and use thereof |
US6421970B1 (en) | 1995-03-07 | 2002-07-23 | Perstorp Flooring Ab | Flooring panel or wall panel and use thereof |
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EP1190149B1 (de) | 1999-06-30 | 2004-01-21 | Akzenta Paneele + Profile GmbH | Paneel sowie befestigungssystem für paneele |
US7877956B2 (en) | 1999-07-05 | 2011-02-01 | Pergo AG | Floor element with guiding means |
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US6488684B2 (en) | 2001-04-25 | 2002-12-03 | Dale G. Bramlet | Intramedullary nail |
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US6572620B1 (en) | 2001-11-16 | 2003-06-03 | Lew C. Schon | Modular, blade-rod, intramedullary fixation device |
DE10206877B4 (de) | 2002-02-18 | 2004-02-05 | E.F.P. Floor Products Fussböden GmbH | Paneel, insbesondere Fussbodenpaneel |
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-
1996
- 1996-04-05 IT IT96VI000054A patent/IT1287271B1/it active IP Right Grant
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1997
- 1997-04-03 US US09/155,640 patent/US6077264A/en not_active Expired - Fee Related
- 1997-04-03 RU RU98120054A patent/RU2149598C1/ru active
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- 1997-04-03 DE DE69708280T patent/DE69708280T2/de not_active Expired - Fee Related
- 1997-04-03 BR BR9708761-0A patent/BR9708761A/pt not_active IP Right Cessation
- 1997-04-03 ES ES97919316T patent/ES2166539T3/es not_active Expired - Lifetime
- 1997-04-03 JP JP53582597A patent/JP3169967B2/ja not_active Expired - Fee Related
- 1997-04-03 CN CNB971950644A patent/CN1136819C/zh not_active Expired - Fee Related
- 1997-04-03 AU AU23835/97A patent/AU725703B2/en not_active Ceased
- 1997-04-03 WO PCT/EP1997/001675 patent/WO1997037606A1/en active IP Right Grant
- 1997-04-03 CA CA002249664A patent/CA2249664C/en not_active Expired - Fee Related
- 1997-04-03 PT PT97919316T patent/PT892624E/pt unknown
- 1997-04-03 EP EP97919316A patent/EP0892624B1/en not_active Expired - Lifetime
- 1997-04-03 AT AT97919316T patent/ATE208588T1/de not_active IP Right Cessation
Cited By (2)
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JP2008188411A (ja) * | 2006-11-16 | 2008-08-21 | Newdeal Sas | 指骨間固定用インプラント、対応する手術キット、及び対応する製造方法 |
JP2011522663A (ja) * | 2008-06-13 | 2011-08-04 | オルトフィックス ソシエタ ア レスポンサビリタ リミタータ | 骨折した長骨内に挿入される皮質間ネイル |
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AU2383597A (en) | 1997-10-29 |
PT892624E (pt) | 2002-05-31 |
DE69708280T2 (de) | 2002-07-18 |
ITVI960054A1 (it) | 1997-10-05 |
EP0892624B1 (en) | 2001-11-14 |
BR9708761A (pt) | 2000-08-08 |
RU2149598C1 (ru) | 2000-05-27 |
EP0892624A1 (en) | 1999-01-27 |
ATE208588T1 (de) | 2001-11-15 |
US6077264A (en) | 2000-06-20 |
ES2166539T3 (es) | 2002-04-16 |
DE69708280D1 (de) | 2001-12-20 |
CA2249664C (en) | 2002-03-05 |
DK0892624T3 (da) | 2002-03-11 |
CN1136819C (zh) | 2004-02-04 |
WO1997037606A1 (en) | 1997-10-16 |
AU725703B2 (en) | 2000-10-19 |
JP3169967B2 (ja) | 2001-05-28 |
IT1287271B1 (it) | 1998-08-04 |
ITVI960054A0 (it) | 1996-04-05 |
CA2249664A1 (en) | 1997-10-16 |
CN1219857A (zh) | 1999-06-16 |
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