JP5760013B2 - 多軸の骨接合アンカーのためのロック要素、骨接合板の組立品、および工具 - Google Patents
多軸の骨接合アンカーのためのロック要素、骨接合板の組立品、および工具 Download PDFInfo
- Publication number
- JP5760013B2 JP5760013B2 JP2012556602A JP2012556602A JP5760013B2 JP 5760013 B2 JP5760013 B2 JP 5760013B2 JP 2012556602 A JP2012556602 A JP 2012556602A JP 2012556602 A JP2012556602 A JP 2012556602A JP 5760013 B2 JP5760013 B2 JP 5760013B2
- Authority
- JP
- Japan
- Prior art keywords
- locking element
- osteosynthesis
- head
- recess
- upper side
- 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.)
- Active
Links
- 230000000712 assembly Effects 0.000 title claims description 4
- 238000000429 assembly Methods 0.000 title claims description 4
- 210000000988 bone and bone Anatomy 0.000 claims description 27
- 230000004323 axial length Effects 0.000 claims description 9
- 230000002093 peripheral effect Effects 0.000 claims description 5
- 238000003780 insertion Methods 0.000 claims description 4
- 230000037431 insertion Effects 0.000 claims description 4
- 238000007906 compression Methods 0.000 description 5
- 239000012634 fragment Substances 0.000 description 5
- 230000015572 biosynthetic process Effects 0.000 description 4
- 230000004048 modification Effects 0.000 description 4
- 238000012986 modification Methods 0.000 description 4
- 230000006835 compression Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 229910045601 alloy Inorganic materials 0.000 description 2
- 239000000956 alloy Substances 0.000 description 2
- 238000004873 anchoring Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- 239000004696 Poly ether ether ketone Substances 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- JUPQTSLXMOCDHR-UHFFFAOYSA-N benzene-1,4-diol;bis(4-fluorophenyl)methanone Chemical compound OC1=CC=C(O)C=C1.C1=CC(F)=CC=C1C(=O)C1=CC=C(F)C=C1 JUPQTSLXMOCDHR-UHFFFAOYSA-N 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- KHYBPSFKEHXSLX-UHFFFAOYSA-N iminotitanium Chemical compound [Ti]=N KHYBPSFKEHXSLX-UHFFFAOYSA-N 0.000 description 1
- 230000003100 immobilizing effect Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 210000004197 pelvis Anatomy 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920002530 polyetherether ketone Polymers 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 230000007704 transition Effects 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
- A61B17/8057—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
-
- 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
- A61B17/8042—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers the additional component being a cover over the screw head
-
- 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/808—Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
-
- 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
- A61B17/8605—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
- A61B17/8605—Heads, i.e. proximal ends projecting from bone
- A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
- A61B17/8615—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the central region of the screw head
-
- 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
- A61B17/56—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
-
- 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
- F16B23/00—Specially shaped nuts or heads of bolts or screws for rotations by a tool
- F16B23/0007—Specially shaped nuts or heads of bolts or screws for rotations by a tool characterised by the shape of the recess or the protrusion engaging the tool
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
- F16B23/00—Specially shaped nuts or heads of bolts or screws for rotations by a tool
- F16B23/0007—Specially shaped nuts or heads of bolts or screws for rotations by a tool characterised by the shape of the recess or the protrusion engaging the tool
- F16B23/003—Specially shaped nuts or heads of bolts or screws for rotations by a tool characterised by the shape of the recess or the protrusion engaging the tool star-shaped or multi-lobular, e.g. Torx-type, twelve-point star
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
- F16B23/00—Specially shaped nuts or heads of bolts or screws for rotations by a tool
- F16B23/0061—Specially shaped nuts or heads of bolts or screws for rotations by a tool with grooves, notches or splines on the external peripheral surface designed for tools engaging in radial direction
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
下側5bから延びる球状の凹部52が大きな深さを有することができ、その結果、ロック要素5と頭部42との接触領域を増やすことができる。他方で、骨接合ねじの広範囲の角度形成を許容するよう座部21を小さく維持することができる。
Claims (15)
- 最大直径(d)の球状外表面部分を含む頭部(42)を有する多軸の骨接合アンカーと
ともに使用されるよう構成され、前記骨接合アンカーの頭部(42)と対面する下側(5
b)と、前記下側(5b)と反対になる上側(5a)と、雄ねじが形成された表面部を含む外周部(51)とを有する略円筒形状のロック要素であって、
少なくとも前記頭部(42)の一部を受け入れるための第一凹部(52,52´´)を前記下側(5b)に有し、ねじ回しと係合するための第二凹部(53,53´,53´´´)を前記上側(5a)に有し、前記第二凹部(53,53´,53´´´)は前記上側(5a)の中心の外側に位置し、
前記最大直径(d)が前記頭部(42)周りに描く円の最高点によって第一レベルL1が規定され、前記第二凹部(53,53´,53´´´)の底部によって第二レベルL2が規定され、L2はL1よりも高くないレベルであり、
前記第二凹部(53,53´,53´´´)は前記ロック要素の前記外周部(51)に向かって閉じる複数のポケット(53´´´)を有する、ロック要素。 - 同心状の貫通孔(54)をさらに有する、請求項1に記載のロック要素。
- 前記頭部(42)と接触する前記第一凹部(52)の接触領域は、円錐形状接触、線状接触、および球状接触の少なくとも1つである、請求項1または2に記載のロック要素。
- 前記第二凹部(53,53´´,53´´´)は実質的に前記上側(5a)の径方向外側領域に位置する、請求項1〜3のいずれかに記載のロック要素。
- 前記ポケット(53´´´)は前記ロック要素の中心軸線周りに円周方向に配置される、請求項1〜4のいずれかに記載のロック要素。
- 前記ポケット(53´´´)は前記中心軸線と前記ロック要素の外縁との間に配置される、請求項5に記載のロック要素。
- 前記ポケット(53´´´)はロック要素を貫通して下側(5b)に延びるよう構成される、請求項1〜6のいずれかに記載のロック要素。
- 前記上側(5a)から測定される前記第一凹部(52)の最深部の距離(a)が、前記
上側(5a)から測定される前記第二凹部(53,53´,53´´´)の深さ(b)よりも小さい、請求項1〜7のいずれかに記載のロック要素。 - 雄ねじを伴う部分(51)をさらに有する、請求項1〜8のいずれかに記載のロック要
素。 - 前記ロック要素は、前記雄ねじを伴う部分(51)はロック要素全体に亘り該ロック要素はすべてねじ状にされるよう、または前記雄ねじを伴う部分(51)はロック要素全体に亘らず前記下側(5b)に隣接する非ねじ状部を有するよう、構成される、請求項9に記載のロック要素。
- 前記非ねじ状部の軸線方向長さが、前記雄ねじ部(51)のうちのねじ状部分の軸線方
向長さと略同じあるいはそれよりも小さい、請求項10に記載のロック要素。 - 上側(1a)および下側(1b)を有する長尺なプレート部材(1,1´)と、
前記上側(1a)から前記下側(1b)まで延びる少なくとも2個の孔(2,3)と、
アンカーを骨に貫入させるよう構成されたシャンク(41)と、最大直径(d)を伴う
部分を有する頭部(42)とを有し、前記シャンク(41)は前記孔(2,3)を通って延びる少なくとも2本の骨接合アンカー(4)とを備え、
少なくとも1個の前記孔(2)は、前記下側(1b)で前記頭部(42)を回転可能に受け入れるのに適した座部(21)を規定するよう構成され、少なくとも1個の前記孔(2)は、軸線を伴ったボア穴(22)を前記上側(1a)に含み、その内径(D)は前記頭部(42)の最大直径(d)と同じか又は大きくなるように形成され、
前記ボア穴(22)の軸線と同心の中心軸線と、前記頭部(42)と対面する下側(5b)と、前記頭部(42)と反対側を向く上側(5a)とを有し、前記ボア穴(22)に挿入されるよう構成される請求項1〜9のいずれかに記載のロック要素(5,5´)をさらに備える、骨接合板の組立品。 - 複数のロック要素が設けられ、前記複数のロック要素は前記頭部(42)の回転運動を許容する一方で、前記頭部(42)をロックし、および/または骨接合板の組立品が緩くなることを妨げるよう構成される、請求項12に記載の骨接合板の組立品。
- さらに他のロック要素が設けられ、前記ロック要素および前記他のロック要素は異なる
軸線方向長さを有する、請求項12または13に記載の骨接合板の組立品。 - 前記ロック要素に係合するよう構成される係合部(62)を伴うねじ回し(61)と、
管状のホルダ(64)とを備え、
前記ねじ回し(61)は前記係合部(62)を伴い前記管状のホルダ(64)を通って延びるよう構成され、
前記ねじ回し(61)は前記ホルダ(64)内を軸線方向に移動可能および回転可能であり、前記ホルダ(64)は前記ロック要素の挿入に適した径方向スロット(65)を有する、請求項1〜14のいずれかに記載のロック要素および/または骨接合板の組立品に使用される工具。
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US31151710P | 2010-03-08 | 2010-03-08 | |
US61/311,517 | 2010-03-08 | ||
EP10158246.8 | 2010-03-29 | ||
EP10158246 | 2010-03-29 | ||
US36949510P | 2010-07-30 | 2010-07-30 | |
US61/369,495 | 2010-07-30 | ||
PCT/IB2011/000457 WO2011110916A1 (en) | 2010-03-08 | 2011-03-04 | Locking element for a polyaxial bone anchor, bone plate assembly and tool |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2013521095A JP2013521095A (ja) | 2013-06-10 |
JP2013521095A5 JP2013521095A5 (ja) | 2014-02-27 |
JP5760013B2 true JP5760013B2 (ja) | 2015-08-05 |
Family
ID=43927910
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012556602A Active JP5760013B2 (ja) | 2010-03-08 | 2011-03-04 | 多軸の骨接合アンカーのためのロック要素、骨接合板の組立品、および工具 |
Country Status (7)
Country | Link |
---|---|
US (4) | US8808335B2 (ja) |
EP (2) | EP2544614B1 (ja) |
JP (1) | JP5760013B2 (ja) |
KR (1) | KR20130052542A (ja) |
CN (1) | CN102883673B (ja) |
ES (1) | ES2581830T3 (ja) |
WO (1) | WO2011110916A1 (ja) |
Families Citing this family (50)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8007522B2 (en) | 2008-02-04 | 2011-08-30 | Depuy Spine, Inc. | Methods for correction of spinal deformities |
BRPI1010924A2 (pt) * | 2009-05-20 | 2019-01-08 | Synthes Gmbh | retração montada em pacientes |
US8808333B2 (en) * | 2009-07-06 | 2014-08-19 | Zimmer Gmbh | Periprosthetic bone plates |
US8808335B2 (en) * | 2010-03-08 | 2014-08-19 | Miami Device Solutions, Llc | Locking element for a polyaxial bone anchor, bone plate assembly and tool |
CA2839423A1 (en) | 2011-06-15 | 2012-12-20 | Smith & Nephew, Inc. | Variable angle locking implant |
EP2747795B1 (en) | 2011-08-25 | 2017-11-15 | Synthes GmbH | Peek or pmma transparent implant comprising an adhesive layer of an uncured polymer. |
AU2012307305B2 (en) * | 2011-09-14 | 2016-12-22 | Zimmer Gmbh | Implantable device |
US9782204B2 (en) | 2012-09-28 | 2017-10-10 | Medos International Sarl | Bone anchor assemblies |
US10342582B2 (en) | 2013-03-14 | 2019-07-09 | DePuy Synthes Products, Inc. | Bone anchor assemblies and methods with improved locking |
US9724145B2 (en) | 2013-03-14 | 2017-08-08 | Medos International Sarl | Bone anchor assemblies with multiple component bottom loading bone anchors |
US9259247B2 (en) | 2013-03-14 | 2016-02-16 | Medos International Sarl | Locking compression members for use with bone anchor assemblies and methods |
US20140277153A1 (en) | 2013-03-14 | 2014-09-18 | DePuy Synthes Products, LLC | Bone Anchor Assemblies and Methods With Improved Locking |
US9775660B2 (en) | 2013-03-14 | 2017-10-03 | DePuy Synthes Products, Inc. | Bottom-loading bone anchor assemblies and methods |
CA2932585C (en) * | 2013-12-02 | 2021-04-06 | Zimmer, Inc. | Adjustable orthopedic connections |
JP2017501002A (ja) | 2013-12-20 | 2017-01-12 | クロスローズ エクストリミティ システムズ リミテッド ライアビリティ カンパニー | 多軸ロッキング穴 |
EP2932927B1 (en) * | 2014-04-17 | 2017-09-20 | Biedermann Technologies GmbH & Co. KG | Bone plate with enlarged angle of inclination for a bone anchor to a favored side |
CN106456316B (zh) * | 2014-05-15 | 2019-09-03 | 史密夫和内修有限公司 | 具有张力调节的组织移植物固定 |
US11202626B2 (en) | 2014-07-10 | 2021-12-21 | Crossroads Extremity Systems, Llc | Bone implant with means for multi directional force and means of insertion |
FR3023469B1 (fr) * | 2014-07-10 | 2016-08-26 | In2Bones | Implant et kit chirurgical pour maintenir en position des corps osseux d'un patient les uns par rapport aux autres |
EP3653152B1 (en) | 2014-07-10 | 2024-05-01 | Crossroads Extremity Systems, LLC | Bone implant and means of insertion |
US9987043B2 (en) | 2014-10-24 | 2018-06-05 | Stryker European Holdings I, Llc | Methods and systems for adjusting an external fixation frame |
CN105877831B (zh) * | 2015-02-18 | 2020-09-25 | 比德尔曼技术有限责任两合公司 | 骨板 |
EP3563785B1 (en) | 2015-07-13 | 2023-11-01 | Crossroads Extremity Systems, LLC | Bone plates with dynamic elements |
US10368913B2 (en) * | 2015-08-10 | 2019-08-06 | Stryker European Holdings I, Llc | Adjustment instrument with tactile feedback |
US9877839B2 (en) | 2015-08-25 | 2018-01-30 | Wright Medical Technology, Inc. | Modular talar fixation method and system |
US10993750B2 (en) | 2015-09-18 | 2021-05-04 | Smith & Nephew, Inc. | Bone plate |
US20170181779A1 (en) * | 2015-12-29 | 2017-06-29 | Orthohelix Surgical Designs, Inc. | Active compression plate and method for its use |
WO2018035175A1 (en) | 2016-08-15 | 2018-02-22 | In Queue Innovations, Llc | Bone fusion device, system and methods |
WO2018129286A1 (en) | 2017-01-09 | 2018-07-12 | Zimmer, Inc. | Adjustable orthopedic connections |
US11864753B2 (en) | 2017-02-06 | 2024-01-09 | Crossroads Extremity Systems, Llc | Implant inserter |
WO2018148284A1 (en) | 2017-02-07 | 2018-08-16 | Crossroads Extremity Systems, Llc | Counter-torque implant |
EP3375394B1 (en) * | 2017-03-13 | 2021-10-13 | Biedermann Technologies GmbH & Co. KG | Cable retaining insert and bone plate assembly with such a cable retaining insert |
US10849690B2 (en) | 2017-04-21 | 2020-12-01 | Zimmer, Inc. | Tool for fixed customised relative alignment of adjustable orthopedic devices |
US10925658B2 (en) | 2017-04-21 | 2021-02-23 | Zimmer, Inc. | Guide wire alignment |
USD928589S1 (en) * | 2018-02-12 | 2021-08-24 | Bematrix Bvba | Pin plate |
US11013541B2 (en) * | 2018-04-30 | 2021-05-25 | DePuy Synthes Products, Inc. | Threaded locking structures for affixing bone anchors to a bone plate, and related systems and methods |
US10828076B2 (en) | 2018-05-17 | 2020-11-10 | Biedermann Technologies Gmbh & Co. Kg | Bone fixation assembly with enlarged angle of inclination for a bone anchor to a favored side |
US10765461B2 (en) * | 2018-06-01 | 2020-09-08 | DePuy Synthes Products, Inc. | Variable angle bone fixation device |
CN109009379B (zh) * | 2018-08-23 | 2023-10-03 | 常州市武进人民医院 | 微动式骨折内固定***及其使用的骨折用微动螺钉 |
EP3856042A4 (en) * | 2018-09-27 | 2022-07-06 | In Queue Innovations, LLC | IMPLANT SYSTEMS, PLATES, BONE FUSION SYSTEMS AND PROCEDURES USING THEM |
US11160592B2 (en) * | 2018-10-18 | 2021-11-02 | Biedermann Technologies Gmbh & Co. Kg | Method of using bone plate with polyaxial injection screws |
JP7281160B2 (ja) * | 2018-10-30 | 2023-05-25 | 株式会社ホムズ技研 | 骨固定システム |
EP3656320B1 (en) * | 2018-11-20 | 2022-08-24 | Biedermann Technologies GmbH & Co. KG | Anchoring member for a polyaxial bone anchoring device and polyaxial bone anchoring device with such an anchoring member |
US11432856B2 (en) | 2019-02-28 | 2022-09-06 | Biedermann Technologies Gmbh & Co. Kg | Bone plate with accessory elements attached at bone fastener holes |
KR102348490B1 (ko) * | 2019-06-13 | 2022-01-07 | 고려대학교 산학협력단 | 골 접합용 임플란트 결합구조 |
EP3785649B1 (en) * | 2019-08-30 | 2022-08-03 | Biedermann Technologies GmbH & Co. KG | Bone anchoring device |
JP2023513594A (ja) * | 2020-02-14 | 2023-03-31 | パラゴン28・インコーポレイテッド | 骨プレートホールキャップ、骨プレートシステム、及びそれらを使用する方法 |
US20220031371A1 (en) * | 2020-07-31 | 2022-02-03 | Crossroads Extremity Systems, Llc | Bone plates with dynamic elements and screws |
USD961081S1 (en) | 2020-11-18 | 2022-08-16 | Crossroads Extremity Systems, Llc | Orthopedic implant |
US20240081876A1 (en) * | 2022-09-13 | 2024-03-14 | Medos International Sarl | Surgical implant instruments and methods of use |
Family Cites Families (50)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2813450A (en) * | 1954-05-03 | 1957-11-19 | Dzus William | Rotatable fastener having circular toothed tool receiving groove |
US4480513A (en) * | 1981-11-16 | 1984-11-06 | Mcgard, Inc. | Bolt-lock structure |
US5180381A (en) * | 1991-09-24 | 1993-01-19 | Aust Gilbert M | Anterior lumbar/cervical bicortical compression plate |
US5370486A (en) * | 1991-12-19 | 1994-12-06 | Plummer; Mark J. | Vehicle locking fastener assembly |
US5814046A (en) | 1992-11-13 | 1998-09-29 | Sofamor S.N.C. | Pedicular screw and posterior spinal instrumentation |
FR2697991B1 (fr) | 1992-11-13 | 1995-02-03 | Fabrication Mat Orthopedique S | Instrumentation d'ostéosynthèse lombosacrée pour la correction du spondylolisthésis par voie postérieure, et vis d'instrumentation. |
US5534027A (en) * | 1993-06-21 | 1996-07-09 | Zimmer, Inc. | Method for providing a barrier to the advancement of wear debris in an orthopaedic implant assembly |
CA2155548A1 (en) * | 1994-06-01 | 1995-12-02 | Synthes (U.S.A.) | Forked plate |
JP3501542B2 (ja) | 1995-04-07 | 2004-03-02 | 富久 腰野 | 医用硬組織代替部材および人工関節 |
US5520690A (en) | 1995-04-13 | 1996-05-28 | Errico; Joseph P. | Anterior spinal polyaxial locking screw plate assembly |
FR2748387B1 (fr) | 1996-05-13 | 1998-10-30 | Stryker France Sa | Dispositif de fixation osseuse, en particulier au sacrum, en osteosynthese du rachis |
US5885286A (en) * | 1996-09-24 | 1999-03-23 | Sdgi Holdings, Inc. | Multi-axial bone screw assembly |
EP0996385B1 (en) | 1997-02-11 | 2008-01-16 | Warsaw Orthopedic, Inc. | Skeletal plating system |
EP0884032B1 (de) | 1997-06-12 | 2002-09-25 | Sulzer Orthopädie AG | Befestigungssystem für metallische Stützschalen |
US5954722A (en) | 1997-07-29 | 1999-09-21 | Depuy Acromed, Inc. | Polyaxial locking plate |
EP0933065A1 (de) | 1998-02-02 | 1999-08-04 | Sulzer Orthopädie AG | Schwenkbares Befestigungssystem an einer Knochenschraube |
FR2780631B1 (fr) | 1998-07-06 | 2000-09-29 | Dimso Sa | Dispositif d'osteosynthese rachidienne pour fixation anterieure avec plaque |
US5904683A (en) | 1998-07-10 | 1999-05-18 | Sulzer Spine-Tech Inc. | Anterior cervical vertebral stabilizing device |
DE19832513A1 (de) | 1998-07-20 | 2000-02-17 | Impag Gmbh Medizintechnik | Befestigungsanordnung |
EP0988833B1 (de) | 1998-09-24 | 2003-10-01 | Centerpulse Orthopedics Ltd. | Osteosyntheseplatte mit mehreren Knochenschrauben |
US6893444B2 (en) | 2000-02-01 | 2005-05-17 | Hand Innovations, Llc | Bone fracture fixation systems with both multidirectional and unidirectional stabilization pegs |
US20060041260A1 (en) | 2000-02-01 | 2006-02-23 | Orbay Jorge L | Fixation system with plate having holes with divergent axes and multidirectional fixators for use therethrough |
US6767351B2 (en) | 2000-02-01 | 2004-07-27 | Hand Innovations, Inc. | Fixation system with multidirectional stabilization pegs |
US20040153073A1 (en) | 2000-02-01 | 2004-08-05 | Hand Innovations, Inc. | Orthopedic fixation system including plate element with threaded holes having divergent axes |
US6440135B2 (en) | 2000-02-01 | 2002-08-27 | Hand Innovations, Inc. | Volar fixation system with articulating stabilization pegs |
JP2002000611A (ja) | 2000-05-12 | 2002-01-08 | Sulzer Orthopedics Ltd | 骨ネジの骨板への結合 |
ES2288864T3 (es) | 2000-08-24 | 2008-02-01 | Synthes Gmbh | Dispositivo para conexion de un elemento de fijacion osea con una barra longitudinal. |
US6423068B1 (en) * | 2000-10-18 | 2002-07-23 | Erhard Reisberg | Method and apparatus for mandibular osteosynthesis |
JP2002291762A (ja) | 2001-03-30 | 2002-10-08 | Robert Reed Shokai Co Ltd | インプラント用止めねじ操作器具及びその使用方法 |
US7097645B2 (en) | 2001-06-04 | 2006-08-29 | Sdgi Holdings, Inc. | Dynamic single-lock anterior cervical plate system having non-detachably fastened and moveable segments |
CA2443425C (en) | 2001-06-04 | 2009-09-15 | Gary Karlin Michelson | Dynamic anterior cervical plate system having moveable segments and instrumentation therefor |
US7186256B2 (en) | 2001-06-04 | 2007-03-06 | Warsaw Orthopedic, Inc. | Dynamic, modular, single-lock anterior cervical plate system having assembleable and movable segments |
AUPR546601A0 (en) * | 2001-06-05 | 2001-06-28 | Australian Surgical Design And Manufacture Pty Limited | High tibial osteotomy device |
US7476228B2 (en) * | 2002-10-11 | 2009-01-13 | Abdou M Samy | Distraction screw for skeletal surgery and method of use |
US7967850B2 (en) * | 2003-06-18 | 2011-06-28 | Jackson Roger P | Polyaxial bone anchor with helical capture connection, insert and dual locking assembly |
US6945975B2 (en) * | 2003-07-07 | 2005-09-20 | Aesculap, Inc. | Bone fixation assembly and method of securement |
US7691120B2 (en) | 2003-08-26 | 2010-04-06 | Zimmer Spine, Inc. | Access systems and methods for minimally invasive surgery |
US8002798B2 (en) | 2003-09-24 | 2011-08-23 | Stryker Spine | System and method for spinal implant placement |
WO2005058134A2 (en) * | 2003-12-12 | 2005-06-30 | Kinetikos Medical Incorporated | Apparatuses, systems and methods for bone fixation |
EP1693013A1 (en) * | 2005-02-22 | 2006-08-23 | Kyon | Plate and screws for treatment of bone fractures |
US20060276793A1 (en) * | 2005-05-26 | 2006-12-07 | Amedica Corporation | Bone fixation plate with self-locking screws |
FR2917596B1 (fr) | 2007-06-21 | 2010-06-18 | Newdeal | Kit de fixation a usage medical ou chirurgical |
US8641740B2 (en) | 2007-09-26 | 2014-02-04 | Zimmer, Gmbh | Bone anchoring device for the operative repair of fractures |
US8998958B2 (en) | 2007-12-20 | 2015-04-07 | Aesculap Implant Systems, Llc | Locking device introducer instrument |
US20090210067A1 (en) | 2008-02-20 | 2009-08-20 | Biomet Manufacturing Corp. | Acetabular Cup Fixation |
AU2009303402B2 (en) * | 2008-10-14 | 2016-01-14 | K2M, Inc. | Semi-constrained screw and spinal plate assembly |
EP2236101B1 (en) * | 2009-04-03 | 2015-07-08 | Stryker Trauma GmbH | Sonic screw |
US8808333B2 (en) | 2009-07-06 | 2014-08-19 | Zimmer Gmbh | Periprosthetic bone plates |
US8808335B2 (en) * | 2010-03-08 | 2014-08-19 | Miami Device Solutions, Llc | Locking element for a polyaxial bone anchor, bone plate assembly and tool |
JP6500013B2 (ja) * | 2013-05-29 | 2019-04-10 | スパイナル シンプリシティ エルエルシーSpinal Simplicity LLC | 棘突起間インプラントを挿入するための器具 |
-
2011
- 2011-03-03 US US13/039,422 patent/US8808335B2/en active Active
- 2011-03-04 EP EP11714657.1A patent/EP2544614B1/en active Active
- 2011-03-04 EP EP15203135.7A patent/EP3028655B1/en active Active
- 2011-03-04 WO PCT/IB2011/000457 patent/WO2011110916A1/en active Application Filing
- 2011-03-04 JP JP2012556602A patent/JP5760013B2/ja active Active
- 2011-03-04 CN CN201180013246.7A patent/CN102883673B/zh active Active
- 2011-03-04 ES ES11714657.1T patent/ES2581830T3/es active Active
- 2011-03-04 KR KR1020127023423A patent/KR20130052542A/ko not_active Application Discontinuation
-
2014
- 2014-07-03 US US14/323,717 patent/US10499964B2/en active Active
-
2019
- 2019-11-13 US US16/683,215 patent/US11547458B2/en active Active
-
2022
- 2022-12-07 US US18/076,811 patent/US11925396B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
EP2544614B1 (en) | 2016-05-11 |
CN102883673B (zh) | 2016-03-02 |
KR20130052542A (ko) | 2013-05-22 |
EP3028655B1 (en) | 2017-11-22 |
US8808335B2 (en) | 2014-08-19 |
US11547458B2 (en) | 2023-01-10 |
US20120059425A1 (en) | 2012-03-08 |
US11925396B2 (en) | 2024-03-12 |
ES2581830T3 (es) | 2016-09-07 |
US20150005830A1 (en) | 2015-01-01 |
US10499964B2 (en) | 2019-12-10 |
JP2013521095A (ja) | 2013-06-10 |
US20230145753A1 (en) | 2023-05-11 |
WO2011110916A1 (en) | 2011-09-15 |
EP3028655A1 (en) | 2016-06-08 |
US20200078060A1 (en) | 2020-03-12 |
EP2544614A1 (en) | 2013-01-16 |
CN102883673A (zh) | 2013-01-16 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP5760013B2 (ja) | 多軸の骨接合アンカーのためのロック要素、骨接合板の組立品、および工具 | |
JP6076648B2 (ja) | 多軸骨アンカー固定システム | |
JP6073597B2 (ja) | 拡大した回動角度を有する多軸骨アンカー固定装置 | |
JP5622387B2 (ja) | ロッドを受けてそのロッドを骨固定要素に連結するための受け部、およびそのような受け部を有する骨固定装置 | |
JP6653525B2 (ja) | 骨アンカーで使用する骨プレート・アセンブリ | |
US8690925B2 (en) | Locking device for locking a rod-shaped element in a receiving part of a bone anchor and bone anchor with such a locking device | |
JP6126063B2 (ja) | 骨固定具、および骨固定具を備える骨固定アセンブリ | |
US10898246B2 (en) | Bone plate with reorientable screw hole and cover member | |
JP2013123645A (ja) | 骨固着装置 | |
US20220395299A1 (en) | Bone anchoring device | |
JP2020081871A (ja) | 多軸骨固定装置用固定部材、および当該固定部材を備えた多軸骨固定装置 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20140106 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20140106 |
|
A711 | Notification of change in applicant |
Free format text: JAPANESE INTERMEDIATE CODE: A711 Effective date: 20140806 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20140828 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20140902 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20141126 |
|
A602 | Written permission of extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A602 Effective date: 20141203 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20141219 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20150126 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20150226 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20150512 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20150608 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 5760013 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |