JP4224431B2 - ターゲットおよび/またはくぎ打ち装置と髄内ピンからなる組合せ - Google Patents
ターゲットおよび/またはくぎ打ち装置と髄内ピンからなる組合せ Download PDFInfo
- Publication number
- JP4224431B2 JP4224431B2 JP2004170890A JP2004170890A JP4224431B2 JP 4224431 B2 JP4224431 B2 JP 4224431B2 JP 2004170890 A JP2004170890 A JP 2004170890A JP 2004170890 A JP2004170890 A JP 2004170890A JP 4224431 B2 JP4224431 B2 JP 4224431B2
- Authority
- JP
- Japan
- Prior art keywords
- nail
- target
- fastener element
- sleeve
- quick fastener
- 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.)
- Expired - Fee Related
Links
- 230000008878 coupling Effects 0.000 claims description 6
- 238000010168 coupling process Methods 0.000 claims description 6
- 238000005859 coupling reaction Methods 0.000 claims description 6
- 210000001185 bone marrow Anatomy 0.000 claims 1
- 238000006073 displacement reaction Methods 0.000 claims 1
- 210000000988 bone and bone Anatomy 0.000 description 4
- 238000005553 drilling Methods 0.000 description 2
- 210000002436 femur neck Anatomy 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Images
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
-
- 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
- A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
- A61B17/921—Impactors or extractors, e.g. for removing intramedullary devices for intramedullary devices
-
- 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
- A61B2017/00477—Coupling
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/49—Method of mechanical manufacture
- Y10T29/49826—Assembling or joining
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T403/00—Joints and connections
- Y10T403/70—Interfitted members
- Y10T403/7005—Lugged member, rotary engagement
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T403/00—Joints and connections
- Y10T403/70—Interfitted members
- Y10T403/7005—Lugged member, rotary engagement
- Y10T403/7007—Bayonet joint
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T403/00—Joints and connections
- Y10T403/70—Interfitted members
- Y10T403/7009—Rotary binding cam or wedge
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T403/00—Joints and connections
- Y10T403/70—Interfitted members
- Y10T403/7009—Rotary binding cam or wedge
- Y10T403/7011—Radially interposed shim or bushing
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T403/00—Joints and connections
- Y10T403/70—Interfitted members
- Y10T403/7009—Rotary binding cam or wedge
- Y10T403/7011—Radially interposed shim or bushing
- Y10T403/7013—Arcuate slip
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)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurology (AREA)
- Surgical Instruments (AREA)
Description
30 … 突起
40 … クギ
44 … 凹部
50 … スリーブ
58 … 操作ピン
60 … バネ
64 … 径方向突起
70 … 溝
72 … 内側ねじ部
Claims (8)
- 骨髄くぎとターゲットおよび/またはくぎ打ち装置との組合せであって、ターゲットおよび/またはくぎ打ち装置の連結端が軸心と平行な突起を持ち、その突起がくぎの中空連結端の軸心と平行な凹部と協働して、くぎをターゲットおよび/またはくぎ打ち装置上の所定の回転位置で軸心方向係合によってターゲットおよび/またはくぎ打ち装置の連結端に固定し、また、くぎをターゲットおよび/またはくぎ打ち装置に取外し可能に軸心方向に固定連結する手段が設けられている構成において、ターゲットおよび/またはくぎ打ち装置の連結端(10)にクイックファスナー要素が回転式に取り付けられ、
前記クイックファスナー要素は、くぎ(40)の連結端に係入する第1連結手段である少なくとも1つの径方向突起(64)を備え、
前記くぎ(40)の連結端が内部に第2連結手段である内側ねじ部(72)を備え、
前記クイックファスナー要素が前記軸心と平行な突起に対する相対回転位置である第1回転位置と第2回転位置とを持ち、かつ、前記クイックファスナー要素が前記第1回転位置でばね(60)によって前記第2回転位置の方向に付勢され、
前記第1回転位置で前記クイックファスナー要素をくぎの連結端へ導入でき、前記クイックファスナー要素が前記くぎ(40)の連結端へ軸心方向に所定距離導入されると、前記クイックファスナー要素は前記ばね(60)の付勢力によって前記第1回転位置から前記第2回転位置へ回転することにより、前記第1連結手段と前記第2連結手段とが自動的に協働して、ターゲットおよび/またはくぎ打ち装置に対してくぎを軸心方向に固定して保持することを特徴とする組合わせ。 - くぎ(40)の連結端が前記内側ねじ部(72)と少なくとも1つの軸心に平行な溝(70)を備え、前記クイックファスナー要素の前記径方向突起(64)が、前記溝(70)へ導入され、第1回転位置から第2回転位置へクイックファスナー要素が回転すると、その突起がねじ部(72)の先端部分と協働する請求項1に記載の組合せ。
- ねじピッチまわりに120°の間隔および変位で3つの径方向突起(64)が配置され、また、くぎ(40)の内部に120°変位した軸心方向に平行な溝が配置され、各突起(64)がねじ部(72)の先端部分と協働するようねじ部(72)が構成される請求項2に記載の組合せ。
- クイックファスナー要素が、ターゲットおよび/またはくぎ打ち装置の連結端(10)の穿孔(16)において軸心方向に固定され、限定的に回転可能に取り付けられるスリーブ(50)を備え、スリーブ(50)が、連結端(12)の径方向スロット(20)から外部に突出する径方向の操作ピン(58)を備えている請求項3に記載の組合せ。
- スリーブ(50)とターゲットおよび/またはくぎ打ち装置の連結端(10)の穿孔(16)の壁との間の隙間にコイルばね(60)が配置され、前記コイルばねの一端が連結端に固定され、他端がスリーブ(50)に固定される請求項4に記載の組合せ。
- スリーブ(50)が、連結端(10)の穿孔(16)内の径方向対向面(32)に接当する第1径方向フランジ(52)を備え、また、スリーブ(50)が、反対方向の操作ピン(58)によって軸心方向に固定され、それによって、軸心方向の予備応力が加えられたばね(60)がスリーブ(50)のフランジ(52)と操作ピンに対して、あるいは操作ピン(58)を取り付けた別の径方向フランジに対して接当する請求項4または5に記載の組合せ。
- ターゲットおよび/またはくぎ打ち装置の連結端(10)がスリーブ状の端部(28)を備え、それがくぎ(40)の連結端の終端穿孔部分(46)にほぼ密着して係合する請求項1から6のいずれかに記載の組合せ。
- ターゲットおよび/またはくぎ打ち装置の連結端(12)の軸心と平行な突起(30)が、スリーブ状の端部(28)の自由端上に軸心方向に張り出す請求項7に記載の組合せ。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE20309058U DE20309058U1 (de) | 2003-06-11 | 2003-06-11 | Kombination aus intramedulärem Nagel unter einem Ziel- und/oder Einschlaginstrument |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005000659A JP2005000659A (ja) | 2005-01-06 |
JP4224431B2 true JP4224431B2 (ja) | 2009-02-12 |
Family
ID=27816461
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004170890A Expired - Fee Related JP4224431B2 (ja) | 2003-06-11 | 2004-06-09 | ターゲットおよび/またはくぎ打ち装置と髄内ピンからなる組合せ |
Country Status (5)
Country | Link |
---|---|
US (2) | US7901410B2 (ja) |
EP (1) | EP1486176B1 (ja) |
JP (1) | JP4224431B2 (ja) |
DE (2) | DE20309058U1 (ja) |
ES (1) | ES2305607T3 (ja) |
Families Citing this family (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SG120879A1 (en) * | 2002-08-08 | 2006-04-26 | Micron Technology Inc | Packaged microelectronic components |
EP1759643A1 (en) * | 2005-08-30 | 2007-03-07 | Orthofix International B.V. | Targeting device for intramedullary nails |
US9192398B2 (en) | 2005-09-19 | 2015-11-24 | DePuy Synthes Products, Inc. | Orthopedic implant insertion handle and aiming guide |
US8784430B2 (en) * | 2007-04-26 | 2014-07-22 | Zimmer, Inc. | Nail cap cannula |
US20090112209A1 (en) * | 2007-10-31 | 2009-04-30 | Zimmer, Inc. | Implantation system for intramedullary nail and related methods for implanting intramedullary nails |
US20090299375A1 (en) * | 2008-06-03 | 2009-12-03 | Zimmer, Inc. | Catheter nail targeting guide |
US8257354B2 (en) * | 2009-08-26 | 2012-09-04 | Biomet, C.V. | Hip fracture nail system |
DE202012103384U1 (de) | 2012-09-05 | 2012-09-24 | Signus Medizintechnik Gmbh | Beckenringimplantat |
US9155582B2 (en) | 2013-01-30 | 2015-10-13 | DePuy Synthes Products, Inc. | Aiming instrument |
EP2762096B1 (en) | 2013-01-31 | 2016-10-05 | Stryker European Holdings I, LLC | Bone nail with smooth trailing end |
US9044283B2 (en) * | 2013-01-31 | 2015-06-02 | Stryker Trauma Gmbh | Bone nail with smooth trailing end |
US10357314B2 (en) | 2015-07-08 | 2019-07-23 | Stryker European Holdings I, Llc | Instrumentation and method for repair of a bone fracture |
CN112932644A (zh) * | 2021-01-25 | 2021-06-11 | 河北省胸科医院 | 一种骨科临床用的取钉装置 |
CN114366311B (zh) * | 2022-01-24 | 2023-05-09 | 北京长木谷医疗科技有限公司 | 用于手术机器人的标志钉、手术器械及其使用方法 |
CN117045338B (zh) * | 2023-10-09 | 2024-01-09 | 杭州键嘉医疗科技股份有限公司 | 一种标记钉固定与拆卸一体化装置及导航*** |
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US2444758A (en) * | 1947-12-11 | 1948-07-06 | Jan H Stillbach | Cleaning implement |
US2672861A (en) * | 1952-12-30 | 1954-03-23 | Jonas Salo | Self-retaining medullary extension splint |
US3478302A (en) * | 1968-03-18 | 1969-11-11 | Bunker Ramo | Electrical connector |
DE2246274A1 (de) * | 1972-09-21 | 1974-03-28 | Ortopedia Gmbh | Vorrichtung zur behandlung von gebrochenen roehrenknochen durch axiale druckosteosynthese |
SE445082B (sv) * | 1981-08-31 | 1986-05-26 | Bofors Ab | Feste for induktiv elkopplare |
US5176681A (en) | 1987-12-14 | 1993-01-05 | Howmedica International Inc. | Intramedullary intertrochanteric fracture fixation appliance and fitting device |
FR2628488B1 (fr) * | 1988-03-14 | 1990-12-28 | Ecia Equip Composants Ind Auto | Attache rapide du type a baionnette perfectionnee |
DE9001447U1 (de) * | 1990-02-08 | 1990-04-12 | Gebrüder Martin oHG, 7200 Tuttlingen | Knochennagel-Werkzeuganordnung |
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US5499986A (en) * | 1994-01-07 | 1996-03-19 | Smith & Nephew Richards Inc. | Quick release handle apparatus for removing and inserting intramedullary nails |
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GB9714004D0 (en) * | 1997-07-02 | 1997-09-10 | Howmedica | Apparatus for releasably attaching an impaction hammer to a proximal impactor to be impacted into a bone |
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DE20311718U1 (de) * | 2003-07-30 | 2004-12-09 | Stryker Trauma Gmbh | Kombination aus intramedulärem Nagel und Ziel und/oder Einschlaginstrument |
US7338497B2 (en) * | 2003-12-05 | 2008-03-04 | Mis-Tka Group, Llc | Femoral impactor-extractor |
-
2003
- 2003-06-11 DE DE20309058U patent/DE20309058U1/de not_active Expired - Lifetime
-
2004
- 2004-04-30 DE DE502004006705T patent/DE502004006705D1/de not_active Expired - Lifetime
- 2004-04-30 EP EP04010254A patent/EP1486176B1/de not_active Expired - Fee Related
- 2004-04-30 ES ES04010254T patent/ES2305607T3/es not_active Expired - Lifetime
- 2004-06-09 JP JP2004170890A patent/JP4224431B2/ja not_active Expired - Fee Related
- 2004-06-09 US US10/864,039 patent/US7901410B2/en active Active
-
2010
- 2010-12-13 US US12/966,239 patent/US8337505B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
US8337505B2 (en) | 2012-12-25 |
US20110078887A1 (en) | 2011-04-07 |
JP2005000659A (ja) | 2005-01-06 |
US20050004600A1 (en) | 2005-01-06 |
ES2305607T3 (es) | 2008-11-01 |
EP1486176A1 (de) | 2004-12-15 |
US7901410B2 (en) | 2011-03-08 |
DE20309058U1 (de) | 2003-09-04 |
EP1486176B1 (de) | 2008-04-02 |
DE502004006705D1 (de) | 2008-05-15 |
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