JPH0263450A - 骨用ピン - Google Patents

骨用ピン

Info

Publication number
JPH0263450A
JPH0263450A JP1142302A JP14230289A JPH0263450A JP H0263450 A JPH0263450 A JP H0263450A JP 1142302 A JP1142302 A JP 1142302A JP 14230289 A JP14230289 A JP 14230289A JP H0263450 A JPH0263450 A JP H0263450A
Authority
JP
Japan
Prior art keywords
pin
bone
drill
polymer
polymeric
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
Application number
JP1142302A
Other languages
English (en)
Other versions
JPH0560757B2 (ja
Inventor
Alastair J T Clemow
アラステア・ジエイ・テイ・クレモウ
Scott H Jaeger
スコツト・エイチ・イエーガー
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Johnson and Johnson Professional Inc
Original Assignee
Johnson and Johnson Orthopaedics Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Johnson and Johnson Orthopaedics Inc filed Critical Johnson and Johnson Orthopaedics Inc
Publication of JPH0263450A publication Critical patent/JPH0263450A/ja
Publication of JPH0560757B2 publication Critical patent/JPH0560757B2/ja
Granted legal-status Critical Current

Links

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
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/842—Flexible wires, bands or straps
    • 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
    • A61B17/8625—Shanks, i.e. parts contacting bone tissue
    • A61B17/8635—Tips of screws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • 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
    • A61B17/846—Nails or pins, i.e. anchors without movable parts, holding by friction only, with or without structured surface
    • A61B17/848—Kirschner wires, i.e. thin, long nails
    • 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
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/907—Composed of particular material or coated
    • 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
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/907—Composed of particular material or coated
    • Y10S606/908—Bioabsorbable material
    • 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
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/907—Composed of particular material or coated
    • Y10S606/91—Polymer

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurology (AREA)
  • Nursing (AREA)
  • Vascular Medicine (AREA)
  • Materials For Medical Uses (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。

Description

【発明の詳細な説明】 本発明は、小さい骨の断片を一緒にとめるために使用さ
れ、そして重合体材料、好ましくは動物の身体に吸収さ
れる材料から作られた骨用ピン（ｂｏｎｅ　ｐｉｎ）に
関する。本発明の骨用ピンには、ピンを骨又は骨の断片
中に直接挿入しうるように、ピンの重合体部分の一端に
切削具又はドリル具が取りつけられている。
要するに本発明によれば、先細りにした重合体部分及び
この重合体部分の細い方の端にとりつけられた切削具を
有する骨用ピンが提供される。このピンは骨又は骨の断
片を通して挿入でき、切削具を除去することができる。
骨用ピンは、悪影響なしに長期間動物の体内に置くこと
ができる医療用グレードの金属から一般に作られている
。金属の骨用ピンは普通骨が治った後に身体から除去さ
れる。金属の骨用ピン、特にキルシュネル針金（Ｋ　１
ｒｓｃｈｎｅｒ　ｗｉｒｅ）と呼ばれる骨用ピンを挿す
道具は、骨を通してピンを穴あけ加工するドリル先端と
して使用しうる鋭端を有していてよい。
骨用ピンとしてプラスチック例えばポリエチレンを使用
することが提案されてきた。体内で吸収される重合体材
料から作られる骨用ピンも又提案されてきた。これらの
骨用ピンはポリグリコリド又はポリラクチド重合体、或
いはグリコリド及びラクチドの共重合体から、或いはポ
リジオキサノン（ｐｏｌｙ−ｄｉｏｘａｎｏｎｅ）又は
他の吸収しうる重合体から製造することができる。ポリ
ジオキサノンから作られる骨用ピンは米国特許第４．０
５２　９８８号に開示されていて、いつの日か市販され
た。
ポリジオキサノンの骨用ピンは、骨の断片に、或いは基
礎の骨に、或いは一緒に維持すべき骨の２つの隣接した
断片間に又は断片中に穴を開けることによって使用され
る。適当な直径の穴をあけた後、ドリルを除去し、その
穴にポリジオキサノンのピンを挿入し、骨の表面を越え
て延びるピンの部分を、メス又は他の装置で切断するこ
とによって除去する。
この方法での問題は、骨に最初に穴を開けるとき骨の断
片を配列し、ピンを挿入するためにドリルを除去した後
、断片の配列が乱れることがあってピンを適切に挿入す
ることに難点をもたらすということである。
本発明は重合体ピンに取りつけられたドリル先端を有す
る重合体骨用ピンを提供する。本発明は、ピンが骨の１
つの表面から反対側の表面へ完全に貫通する場合に特に
有用である。本発明の骨用ピンは穿孔ドリルを用いるこ
とによって位置させることができる。ピンのドリル先端
は接合すべき骨を通る穴をあける。ドリル先端は骨の遠
い方の表面を越えて又は完全に貫通して延びる。次に、
ピンを骨の中へ押し入れる。次いでピンの重合体部分と
骨の表面を越えて延びるドリル先端を切り離す。本発明
の骨用ピンを用いるこの方法は、ピンがドリル先端に直
ぐ続いて骨の中を通るから、骨の断片の誤った配列とい
う問題を完全に排除する。
本明細書において、第１図は骨の断片を通してピンを押
し込むことによって一緒にとめた２つの骨の断片を示す
。
第２図はドリル先端を取りつけられた骨用のピンを示す
。
第３図は骨の中に固定された重合体部分を示す。
図面を参照すると、第１図は本発明の骨用ピンの使用例
を示す。ピンは骨１０の部分を一緒にしっかりとめるた
めに使用されている。ピン１１はドリル部分Ｊ３の取り
付けられた重合体部分１２がら成る。ドリル部分はドリ
ル先端１４を有し、重合体部分を先細りにしあるいは接
着剤で又は他の方法で取りつけられる。
ピンの重合体部分に用いる好適な非吸収性重合体はポリ
エチレンであり、好適な吸収性重合体は米国特許第４，
０５２，９８８号に開示されるポリジオキサノンである
。
ピンの重合体部分には長さ１ｍｍ当り０，００５〜０．
０５ｍｍのテーパーがつけられている。
ピン１１は概ね約１００〜２００ｍｍの長さを有するで
あろう。ピンの重合体部分は約５０〜ｌＯＱｍｍの長さ
を有し、そして道具の切断部分は約５０〜１００ｍｍの
長さを有するであろう。この切断部分は最小直径を有す
るピンの重合体部分の端部に固定されている。道具の重
合体部分は先細りにすることによって、或いは連続ピン
を用いて２つの部分をエポキシ又は他の適当な接合剤で
接合することにより、或いはこれらの方法の組合せによ
り切断部分に固定することかで・きる。切断部分は道具
の吸収しうる部分を受は入れるべく針金の後方に開けら
れた穴を有するキルシュナー針金片であってもよい。道
具の切断部分のドリル先端１４は、中空の外科用ドリル
を用いたとき、骨に穴を開けることができる。この中空
の外科用ドリルを用いる場合、ピンの切断部分はドリル
のチャックによって保持され、ピンの重合体部分はドリ
ルの本体の中で、チャックの後方まで延びる。図面に示
すように道具の吸収しうる部分は長さ１ｍｍ当り約０．
００５ｍｍ〜０．０５ｍｍのテーパーを有する。ここで
テーパーとは長さｌミル当りの直径の差である。道具の
切断部分は道具の重合体部分の最小直径より大きいが、
道具の重合体部分の最大直径はど大きくない直径を有す
る。このピンのテーパーは、骨にあけられた穴の中にピ
ンが徐々に押込まれることを可能にする。ピンの直径は
結局骨の穴程度かあるいはそれより大きく、ピンを骨の
中にしっかり固定させるために、骨の中へ圧入すること
ができる。
ピンを挿入した後、第３図に示すように、骨を越えて延
びるピンは、ピンが骨と平らになるように外科用メス又
は他の適当な切断具で切り落すことができる。
本発明の特徴及び態様は以下の通りである：１、重合体
材料から作られた円柱部分及びこの重合体部分の一端に
固定された切断部分を含む埋植しうるピンからなり、該
ピンの重合体部分が長さ１ｍｍ当り０．００５−０．０
５ｍｍのテーパーを有する骨用ピン。
２、ピンの重合体部分は動物の体中に吸収されうる重合
体から製造される上記ｌの方法。
３、ドリルの切断部分の先端は金属である上記ｌの骨用
ピン。
４、ピンの重合体部分は道具の切断部分に対して先細に
されている上記２の骨用ピン。
５、吸収しうる重合体はポリジオキサノンである上記２
の骨用ピン。
【図面の簡単な説明】
第１図は骨の断片を通してピンを押し込むことによって
一緒にとめられた２つの骨の断片を示し、第２図はドリ
ル・ポイントの取りつけられた骨用のピンを示し、そし
て 第３図は骨の中に固定された重合体部分を示す。 １０・・・骨、ｌｌ・・・ピン、１２・・・重合体部分
、１３・・・ドリル部分、１４・・・ドリル先端

Claims (1)

    【特許請求の範囲】
  1. 重合体材料から作られた円柱部分及びこの重合体部分の
    一端に固定された切断部分を含む埋植しうるピンからな
    り、該ピンの重合体部分が長さ１ｍｍ当り０．００５〜
    ０．０５ｍｍのテーパーを有する骨用ピン。
JP1142302A 1988-06-06 1989-06-06 骨用ピン Granted JPH0263450A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/202,602 US4858603A (en) 1988-06-06 1988-06-06 Bone pin
US202602 1988-06-06

Publications (2)

Publication Number Publication Date
JPH0263450A true JPH0263450A (ja) 1990-03-02
JPH0560757B2 JPH0560757B2 (ja) 1993-09-02

Family

ID=22750551

Family Applications (1)

Application Number Title Priority Date Filing Date
JP1142302A Granted JPH0263450A (ja) 1988-06-06 1989-06-06 骨用ピン

Country Status (14)

Country Link
US (1) US4858603A (ja)
EP (1) EP0346033B1 (ja)
JP (1) JPH0263450A (ja)
KR (1) KR0162634B1 (ja)
AU (1) AU611032B2 (ja)
DE (1) DE68909497T2 (ja)
DK (1) DK174737B1 (ja)
ES (1) ES2044116T3 (ja)
FI (1) FI92143C (ja)
IE (1) IE63870B1 (ja)
MY (1) MY104033A (ja)
NO (1) NO167957C (ja)
NZ (1) NZ229431A (ja)
PH (1) PH25893A (ja)

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WO1999040865A1 (fr) * 1998-02-13 1999-08-19 Chugai Seiyaku Kabushikikaisha Broche de fixation osseuse
EP2083056A1 (en) * 2006-10-05 2009-07-29 Mitsui Chemicals Polyurethanes, Inc. Composition for two-component fluorine coating material

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NO892301D0 (no) 1989-06-05
FI92143B (fi) 1994-06-30
IE63870B1 (en) 1995-06-14
DE68909497T2 (de) 1994-05-11
DK274489D0 (da) 1989-06-02
PH25893A (en) 1991-12-19
US4858603A (en) 1989-08-22
AU3604389A (en) 1989-12-07
NO167957B (no) 1991-09-23
DK174737B1 (da) 2003-10-13
DK274489A (da) 1989-12-07
NO892301L (no) 1989-12-07
EP0346033A1 (en) 1989-12-13
NZ229431A (en) 1990-10-26
FI92143C (fi) 1994-10-10
AU611032B2 (en) 1991-05-30
JPH0560757B2 (ja) 1993-09-02
MY104033A (en) 1993-10-30
FI892743A0 (fi) 1989-06-05
NO167957C (no) 1992-01-02
EP0346033B1 (en) 1993-09-29
IE891818L (en) 1989-12-06
FI892743A (fi) 1989-12-07
KR0162634B1 (ko) 1999-02-18
ES2044116T3 (es) 1994-01-01
KR910000093A (ko) 1991-01-29
DE68909497D1 (de) 1993-11-04

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