JP5268887B2 - 外科用固定具 - Google Patents
外科用固定具 Download PDFInfo
- Publication number
- JP5268887B2 JP5268887B2 JP2009506571A JP2009506571A JP5268887B2 JP 5268887 B2 JP5268887 B2 JP 5268887B2 JP 2009506571 A JP2009506571 A JP 2009506571A JP 2009506571 A JP2009506571 A JP 2009506571A JP 5268887 B2 JP5268887 B2 JP 5268887B2
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- JP
- Japan
- Prior art keywords
- fixture
- mandrel
- distal end
- fixture according
- torso
- 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.)
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- 239000000463 material Substances 0.000 claims abstract description 36
- 230000007246 mechanism Effects 0.000 claims description 7
- 241000251468 Actinopterygii Species 0.000 claims description 2
- 230000007423 decrease Effects 0.000 claims 1
- 210000001519 tissue Anatomy 0.000 description 12
- 239000013077 target material Substances 0.000 description 9
- 239000011295 pitch Substances 0.000 description 7
- 238000000034 method Methods 0.000 description 6
- 230000000994 depressogenic effect Effects 0.000 description 4
- 206010019909 Hernia Diseases 0.000 description 3
- 210000000078 claw Anatomy 0.000 description 3
- 210000003205 muscle Anatomy 0.000 description 3
- 230000008439 repair process Effects 0.000 description 3
- 230000002745 absorbent Effects 0.000 description 2
- 239000002250 absorbent Substances 0.000 description 2
- 230000000295 complement effect Effects 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 230000003213 activating effect Effects 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000012830 laparoscopic surgical procedure Methods 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000002355 open surgical procedure Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L31/148—Materials at least partially resorbable by the body
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
- B25B—TOOLS OR BENCH DEVICES NOT OTHERWISE PROVIDED FOR, FOR FASTENING, CONNECTING, DISENGAGING OR HOLDING
- B25B17/00—Hand-driven gear-operated wrenches or screwdrivers
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
- B25B—TOOLS OR BENCH DEVICES NOT OTHERWISE PROVIDED FOR, FOR FASTENING, CONNECTING, DISENGAGING OR HOLDING
- B25B23/00—Details of, or accessories for, spanners, wrenches, screwdrivers
- B25B23/02—Arrangements for handling screws or nuts
- B25B23/04—Arrangements for handling screws or nuts for feeding screws or nuts
- B25B23/06—Arrangements for handling screws or nuts for feeding screws or nuts using built-in magazine
- B25B23/065—Arrangements for handling screws or nuts for feeding screws or nuts using built-in magazine the magazine being coaxial with the tool axis
-
- 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
- A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
-
- 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
- A61B17/8875—Screwdrivers, spanners or wrenches
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
- A61B2017/0648—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks threaded, e.g. tacks with a screw thread
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Molecular Biology (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Mechanical Engineering (AREA)
- Vascular Medicine (AREA)
- Epidemiology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
Claims (12)
- 外科用固定具であって、
自身の遠位端付近から自身の近位端に向かって延びる螺旋ねじを含む胴部分と、
前記胴部分の前記近位端にある頭部分と、
前記頭部分及び前記胴部分を通って延び、ねじ部分を含む貫通孔と、
を備え、
前記胴部分及び頭部分は、生体吸収性材料で形成され、
前記貫通孔は、前記貫通孔の近位端に位置するねじなし部分を含み、
前記ねじ部分は、前記貫通孔の遠位端に位置し、
前記ねじなし部分は、前記貫通孔の長さの約半分にわたって延び、
前記頭部分は、ドライバと係合して前記胴部分を回転し、組織内に入れるように適合された少なくとも1つの駆動機構を含む、
固定具。 - 前記少なくとも1つの駆動機構は、前記頭部分の側部に対向平坦部分を含む、
請求項1に記載の固定具。 - 前記螺旋ねじは、前記胴部分の前記遠位端付近から前記頭部分へと延びる、
請求項1に記載の固定具。 - 前記螺旋ねじは、前記胴部分の前記遠位端付近から前記近位端に向かって増加するねじ高さを有する、
請求項1に記載の固定具。 - 前記螺旋ねじは、前記胴部分の前記近位端に向かって減少するねじ高さを有する、
請求項1に記載の固定具。 - 前記胴部分は、前記胴部分の前記遠位端のところに魚口構成を含む、
請求項1に記載の固定具。 - 前記頭部分は、半径方向に前記螺旋ねじの最大幅より大きい最大幅を有する、
請求項1に記載の固定具。 - 前記ねじ部分のピッチは、前記螺旋ねじのピッチより小さい、
請求項1に記載の固定具。 - 前記頭部分は、半径方向に前記胴部分の最大幅より大きい最大幅を有する、
請求項1に記載の固定具。 - 前記胴部分は、縦軸を有するとともに、自身の前記遠位端の少なくとも一部が前記縦軸に対して横方向の面に配置され、
前記頭部分は、前記胴部分の最大幅より大きい最大幅を有し、
前記貫通孔は、前記縦軸に沿って延びる、
請求項1に記載の固定具。 - 前記胴部分の前記遠位端が、前記縦軸に対して傾斜した面を有する、
請求項10に記載の固定具。 - 前記頭部分は、自身の対向側部が、回転体と係合して、展開中に前記固定具を前記縦軸の周囲で回転させるように適合された湾曲凹部を有する、
請求項10に記載の固定具。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/408,399 US7862573B2 (en) | 2006-04-21 | 2006-04-21 | Method and apparatus for surgical fastening |
US11/408,399 | 2006-04-21 | ||
PCT/US2007/009542 WO2007123978A2 (en) | 2006-04-21 | 2007-04-18 | Apparatus for surgical fastening |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012228950A Division JP5627658B2 (ja) | 2006-04-21 | 2012-10-16 | 外科用固定方法及び装置 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2009534100A JP2009534100A (ja) | 2009-09-24 |
JP5268887B2 true JP5268887B2 (ja) | 2013-08-21 |
Family
ID=38548098
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009506571A Active JP5268887B2 (ja) | 2006-04-21 | 2007-04-18 | 外科用固定具 |
JP2012228950A Active JP5627658B2 (ja) | 2006-04-21 | 2012-10-16 | 外科用固定方法及び装置 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012228950A Active JP5627658B2 (ja) | 2006-04-21 | 2012-10-16 | 外科用固定方法及び装置 |
Country Status (9)
Country | Link |
---|---|
US (2) | US7862573B2 (ja) |
EP (3) | EP2012676B1 (ja) |
JP (2) | JP5268887B2 (ja) |
AT (1) | ATE486528T1 (ja) |
AU (1) | AU2007240814B2 (ja) |
CA (2) | CA2650018C (ja) |
DE (1) | DE602007010273D1 (ja) |
ES (3) | ES2428417T3 (ja) |
WO (1) | WO2007123978A2 (ja) |
Families Citing this family (112)
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DE60336936D1 (de) | 2002-06-11 | 2011-06-09 | Tyco Healthcare | Netzklammern für Brüche |
EP2314241B1 (en) | 2003-06-13 | 2013-08-07 | Covidien LP | Multiple member interconnect for surgical instrument and absorbable screw fastener |
US7960935B2 (en) | 2003-07-08 | 2011-06-14 | The Board Of Regents Of The University Of Nebraska | Robotic devices with agent delivery components and related methods |
US10478179B2 (en) | 2004-04-27 | 2019-11-19 | Covidien Lp | Absorbable fastener for hernia mesh fixation |
CN101044286A (zh) * | 2004-07-26 | 2007-09-26 | 环球工程固件有限公司 | 进入复合材料的部件的固定 |
US8100946B2 (en) | 2005-11-21 | 2012-01-24 | Synthes Usa, Llc | Polyaxial bone anchors with increased angulation |
US9579088B2 (en) | 2007-02-20 | 2017-02-28 | Board Of Regents Of The University Of Nebraska | Methods, systems, and devices for surgical visualization and device manipulation |
US8679096B2 (en) | 2007-06-21 | 2014-03-25 | Board Of Regents Of The University Of Nebraska | Multifunctional operational component for robotic devices |
CA2861159C (en) | 2006-06-22 | 2018-02-27 | Board Of Regents Of The University Of Nebraska | Magnetically coupleable robotic devices and related methods |
WO2008010948A2 (en) * | 2006-07-18 | 2008-01-24 | Davol Inc. | Method and apparatus for surgical fastening |
JP4702216B2 (ja) * | 2006-08-03 | 2011-06-15 | オムロンヘルスケア株式会社 | 電子血圧計およびその制御方法 |
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CA2650018A1 (en) | 2007-11-01 |
JP5627658B2 (ja) | 2014-11-19 |
WO2007123978A2 (en) | 2007-11-01 |
US8979874B2 (en) | 2015-03-17 |
JP2009534100A (ja) | 2009-09-24 |
WO2007123978A3 (en) | 2008-03-06 |
EP2361559A1 (en) | 2011-08-31 |
EP2361559B1 (en) | 2018-09-26 |
AU2007240814B2 (en) | 2012-10-04 |
CA2862649C (en) | 2016-05-24 |
JP2013056164A (ja) | 2013-03-28 |
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