JP2009534106A - 股関節部の螺旋状移植片 - Google Patents
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- 238000003780 insertion Methods 0.000 claims abstract description 86
- 230000037431 insertion Effects 0.000 claims abstract description 86
- 210000004394 hip joint Anatomy 0.000 claims abstract description 57
- 210000001624 hip Anatomy 0.000 claims abstract description 45
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- 206010017076 Fracture Diseases 0.000 description 11
- 208000010392 Bone Fractures Diseases 0.000 description 10
- 210000001519 tissue Anatomy 0.000 description 6
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- 239000000203 mixture Substances 0.000 description 4
- 230000033764 rhythmic process Effects 0.000 description 4
- 210000000689 upper leg Anatomy 0.000 description 4
- 206010020100 Hip fracture Diseases 0.000 description 3
- 206010065687 Bone loss Diseases 0.000 description 2
- 208000008924 Femoral Fractures Diseases 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 230000007838 tissue remodeling Effects 0.000 description 2
- 125000002066 L-histidyl group Chemical group [H]N1C([H])=NC(C([H])([H])[C@](C(=O)[*])([H])N([H])[H])=C1[H] 0.000 description 1
- 206010061599 Lower limb fracture Diseases 0.000 description 1
- 206010060872 Transplant failure Diseases 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
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- 239000012634 fragment Substances 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
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- 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
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- 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
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- 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
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- 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
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- A—HUMAN NECESSITIES
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- 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
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- 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
- A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
- A61B17/862—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the periphery of the screw head
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- A—HUMAN NECESSITIES
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- 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
- A61B17/8875—Screwdrivers, spanners or wrenches
- A61B17/8877—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
- A61B17/8875—Screwdrivers, spanners or wrenches
- A61B17/8886—Screwdrivers, spanners or wrenches holding the screw head
- A61B17/8891—Screwdrivers, spanners or wrenches holding the screw head at its periphery
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
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- 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
- A61B2017/8655—Pins or screws or threaded wires; nuts therefor with special features for locking in the bone
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Abstract
【解決手段】髄内骨組織復位装置は髄内釘、股関節螺旋移植片、滑動スリーブ、横止めネジ、および、少なくとも1本の遠位固定用ネジを備えている。髄内釘はカニューレ状の構成にされている。髄内釘のカニューレ部は少なくとも一部にネジが切られ、髄内釘と同軸の止めネジを受容するようになっている。髄内釘には、カニューレ部と連絡状態にある少なくとも1個の斜めスロット状穿孔が設けられており、この少なくとも1個の斜めスロット状穿孔は滑動スリーブを受容し、髄内釘にはネジを切った切欠きが更に設けられており、この切欠きは横止めネジと組みになって螺合する。股関節螺旋移植片は円錐台形状を呈している前螺旋部、前螺旋部に取付けられる少なくとも2枚の螺旋状に捻れた刃、および、後平滑シャフトを備えており、後平滑シャフトには外側平坦面が設けられている。股関節螺旋移植片の刃は各々に1個の穴が設けられており、段差螺旋部材から突出しているペグを受容することで股関節螺旋移植片を段差螺旋部材に固定する。股関節螺旋移植片はカニューレ状に構成されて、移植片を大腿骨頭に挿入する間はキルシュナー鋼線を受容する。滑動スリーブは1本の管材から構成されており、股関節螺旋移植片の外側平坦部に対応する内側平坦部が設けられているとともに、後端に外側ネジが切られて、横止めネジと螺合する。同軸止めネジは、滑動スリーブを斜め穿孔の内側に固定することにより、滑動スリーブを髄内釘に固定する。
【選択図】図2
Description
添付の図面を参照しながらより詳細に図解的かつ具体例を挙げて、本発明を説明してゆく。
Claims (10)
- 髄内骨組織復位装置は、
髄内釘、
股関節螺旋移植片、
滑動スリーブ、
横止めネジ、および、
少なくとも1本の遠位固定用ネジを備えている。 - 前記股関節螺旋移植片は、
円錐台形状を呈している前螺旋部、
前記前螺旋部に取付けられる少なくとも2枚の螺旋状に捻れた刃、および、
後平滑シャフトを備えており、前記後平滑シャフトには外側平坦面が設けられており、
前記刃は各々に1個の穴が設けられており、前記段差螺旋部材から突出しているペグを受容することで前記股関節螺旋移植片を段差螺旋部材に固定し、
前記股関節螺旋移植片はカニューレ状に構成されて、キルシュナー鋼線を受容することを特徴とする、請求項1に記載の髄内骨組織復位装置。 - 前記髄内釘はカニューレ状に構成されて、前記髄内釘のカニューレ部は少なくとも一部にネジが切られて髄内釘と同軸の止めネジを受容し、
前記髄内釘には前記カニューレ部と連絡状態にある少なくとも1個の斜めスロット状穿孔が設けられており、前記少なくとも1個の斜めスロット状穿孔は滑動スリーブを受容し、
前記髄内釘には、前記横止めネジと組になって螺合するネジを切った切欠きが設けられていることを特徴とする、請求項1に記載の髄内骨組織復位装置。 - 前記滑動スリーブは1本の管材から構成されており、前記股関節螺旋移植片の前記外側平坦面に対応する内側平坦部が設けられているとともに、後端に外側ネジが切られて、前記横止めネジと螺合することを特徴とする、請求項3に記載の髄内骨組織復位装置。
- 前記同軸止めネジは、前記滑動スリーブを前記斜め穿孔の内側に固定することにより、滑動スリーブを前記髄内釘に固定することを特徴とする、請求項3に記載の髄内骨組織復位装置。
- 前記段差螺旋部材は、スロットが設けられた基部に取付けられた少なくとも2枚の螺旋状に捻れた刃を備えており、
前記スロットが設けられた基部は前ペグを有しており、前記前ペグは前記股関節螺旋移植片の前記シャフトに配置された切欠きに嵌合することを特徴とする、請求項2に記載の髄内骨組織復位装置。 - シャフトを有している股関節螺旋移植片を挿入するための挿入具は、
回転ハンドルを有しているカニューレ状のシャフト、
軸線方向インサート部材、および、
後蓋を備えており、
前記カニューレ状のシャフトはその前端にスロットが設けられており、前記スロットが設けられた前端は段差螺旋部材のスロットが設けられた基部と嵌合し、
前記回転ハンドルは前記カニューレ状のシャフトの上に組み付けられ、
前記カニューレ状のシャフトの後部にはノーズが設けられており、前記股関節螺旋移植片の挿入完了後は、前記ノーズを叩くことで前記挿入具を取外すことができることを特徴とする、挿入具。 - 前記軸線方向インサート部材は前記カニューレ状のシャフトよりも直径を小さくして前記シャフトのカニューレ部を滑動自在に通り抜けることができるようになっているとともに、外側にネジを切った前端を設けることで前記股関節螺旋移植片のシャフトの内側ネジに螺合し、前記挿入具を股関節螺旋移植片に堅固に取付けるようにしたことを特徴とする、請求項7に記載の股関節螺旋移植片を挿入するための挿入具。
- 前記挿入具、前記段差螺旋部材、および、前記股関節螺旋移植片は挿入前に組み付けられることを特徴とする、請求項7に記載の股関節螺旋移植片を挿入するための挿入具。
- 前記挿入具、前記段差螺旋部材、および、前記股関節螺旋移植片の組み付けプロセスは、
前記段差螺旋部材を前記股関節螺旋移植片の後部に堅固に取付けて、段差螺旋部材に設けられたペグを股関節螺旋移植片の刃に配置された穴に挿入する工程を含んでおり、
前記挿入具の前記カニューレ状のシャフトはスロットが設けられた機構によって前記段差螺旋部材の前記基部と係合し、
前記軸線方向インサート部材は前記段差螺旋部材の前記基部のカニューレ部の中を通って前記股間螺旋移植片の前記シャフトの、内側にネジを切った穴に挿入され、前記軸線方向インサート部材は前記股関節螺旋移植片にねじ込まれ、
前記挿入具の前記後蓋は前記軸線方向インサート部材のネジを切った後端に取付けられることを特徴とする、請求項9に記載の挿入具。
Applications Claiming Priority (3)
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US79362206P | 2006-04-21 | 2006-04-21 | |
US60/793,622 | 2006-04-21 | ||
PCT/US2007/009739 WO2007124099A2 (en) | 2006-04-21 | 2007-04-20 | Hip helical implant |
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JP2009534106A true JP2009534106A (ja) | 2009-09-24 |
JP5254210B2 JP5254210B2 (ja) | 2013-08-07 |
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JP2009506617A Expired - Fee Related JP5254210B2 (ja) | 2006-04-21 | 2007-04-20 | 股関節部の螺旋状移植片 |
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US (1) | US8353910B2 (ja) |
EP (1) | EP2018127B1 (ja) |
JP (1) | JP5254210B2 (ja) |
KR (1) | KR101409468B1 (ja) |
CN (1) | CN101426442B (ja) |
AT (1) | ATE468077T1 (ja) |
AU (1) | AU2007240665A1 (ja) |
BR (1) | BRPI0710640A2 (ja) |
CA (1) | CA2649444C (ja) |
CO (1) | CO6140009A2 (ja) |
DE (1) | DE602007006657D1 (ja) |
ES (1) | ES2343283T3 (ja) |
PL (1) | PL2018127T3 (ja) |
WO (1) | WO2007124099A2 (ja) |
ZA (1) | ZA200808535B (ja) |
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- 2007-04-20 CA CA2649444A patent/CA2649444C/en not_active Expired - Fee Related
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- 2007-04-20 CN CN2007800143361A patent/CN101426442B/zh not_active Expired - Fee Related
- 2007-04-20 WO PCT/US2007/009739 patent/WO2007124099A2/en active Application Filing
- 2007-04-20 BR BRPI0710640-8A patent/BRPI0710640A2/pt not_active Application Discontinuation
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Also Published As
Publication number | Publication date |
---|---|
US20100063503A1 (en) | 2010-03-11 |
CN101426442B (zh) | 2013-05-29 |
ZA200808535B (en) | 2009-12-30 |
CO6140009A2 (es) | 2010-03-19 |
EP2018127A2 (en) | 2009-01-28 |
CA2649444C (en) | 2014-08-05 |
JP5254210B2 (ja) | 2013-08-07 |
US8353910B2 (en) | 2013-01-15 |
ATE468077T1 (de) | 2010-06-15 |
WO2007124099A2 (en) | 2007-11-01 |
WO2007124099A3 (en) | 2008-03-06 |
PL2018127T3 (pl) | 2010-10-29 |
AU2007240665A1 (en) | 2007-11-01 |
DE602007006657D1 (de) | 2010-07-01 |
EP2018127B1 (en) | 2010-05-19 |
ES2343283T3 (es) | 2010-07-27 |
KR101409468B1 (ko) | 2014-06-18 |
KR20090008210A (ko) | 2009-01-21 |
CA2649444A1 (en) | 2007-11-01 |
BRPI0710640A2 (pt) | 2011-08-23 |
CN101426442A (zh) | 2009-05-06 |
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