ES2177614T3 - Dispositivo de fijacion de hueso. - Google Patents

Dispositivo de fijacion de hueso.

Info

Publication number
ES2177614T3
ES2177614T3 ES95308668T ES95308668T ES2177614T3 ES 2177614 T3 ES2177614 T3 ES 2177614T3 ES 95308668 T ES95308668 T ES 95308668T ES 95308668 T ES95308668 T ES 95308668T ES 2177614 T3 ES2177614 T3 ES 2177614T3
Authority
ES
Spain
Prior art keywords
fixation device
pin
features
bone
directional
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 - Lifetime
Application number
ES95308668T
Other languages
English (en)
Inventor
Jorge A Ochoa
Laurel Rogers
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.)
DePuy Products Inc
Original Assignee
DePuy Products 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 DePuy Products Inc filed Critical DePuy Products Inc
Application granted granted Critical
Publication of ES2177614T3 publication Critical patent/ES2177614T3/es
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary devices, e.g. pins or nails
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8625Shanks, i.e. parts contacting bone tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/869Pins or screws or threaded wires; nuts therefor characterised by an open form, e.g. wire helix
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00858Material properties high friction or non-slip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B2017/8655Pins or screws or threaded wires; nuts therefor with special features for locking in the bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0077Special surfaces of prostheses, e.g. for improving ingrowth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30836Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves knurled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30838Microstructures

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Neurology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Materials For Medical Uses (AREA)
  • Electrical Discharge Machining, Electrochemical Machining, And Combined Machining (AREA)
  • Pressure Welding/Diffusion-Bonding (AREA)
  • Window Of Vehicle (AREA)

Abstract

MECANISMO DE FIJACION DEL HUESO, COMO UN TORNILLO, PASADOR, GRAPA CABLE O ANCLAJE QUE TIENE UNA SUPERFICIE DE CONTACTO MICROTEXTURADA PARA MEJORAR SUS PROPIEDADES DE INSTALACION Y AGARRE, PREFERENTEMENTE PROPORCIONANDO UN ENGRANAJE DIRECCIONAL O ANISOTROPICO. UNA TEXTURA DE SUPERFICIE COMPUESTA DE FIGURAS GEOMETRICAS EN RELIEVE MICROSCOPICAS CONFIERE UNA RUGOSIDAD O UN ENGRANE MECANICO REAL QUE EVITA LA SEPARACION. EN DISTINTAS VERSIONES LAS FIGURAS SON SIMILARES A UNA SERIE DE RESALTES MICROSCOPICOS O PIRAMIDES , O FIGURAS ANISOTROPICAS COMO DIENTES RASPADORES, PELOS REBAJADOS REGULARMENTE Y FIBRAS/VARILLAS OBLICUAS EN VOLADIZO. LA UTILIZACION DE RESALTES MICROSCOPICOS PRESENTA UNA AREA DE SUPERFICIE MENOR EN MOVIMIENTO, AL MISMO TIEMPO QUE PROPORCIONA UNA ZONA DE CONTACTO COMPLETA DESPUES DE QUE LAS SUPERFICIES SE HAYAN RELAJADO O DESCOMPRIMIDO; LA INSTALACION PUEDE EFECTUARSE MEDIANTE LA APLICACION DE UNA FUERZA BAJA, MIENTRAS QUE UNA ELEVADA FRICCION ESTATICA O DE REPOSO EVITA EL DESACOPLAMIENTO. LAS FIGURAS CON UNA ASIMETRIA DIRECCIONAL O SUSPENSION EN ANGULO PERMITEN A LA SUPERFICIE TEXTURADA DESLIZARSE O DESVIARSE CUANDO EL MECANISMO DE FIJACION SE MUEVE EN UNA DIRECCION, AL MISMO TIEMPO QUE PRESENTAN UNA ELEVADA RESISTENCIA AL MOVIMIENTO DE TORSION O LINEAL CUANDO SE MUEVE EN LA OTRA DIRECCION. LA FABRICACION SE LOGRA CON HACES IONICOS O TRATAMIENTO DIRECCIONAL CON RADIACION ENERGETICA, Y SE PUEDEN CONSEGUIR SERIES REGULARES DE FIGURAS MICROSCOPICAS MEDIANTE FENOMENOS DE DILATACION DE LA SUPERFICIE ESTATICOS SIN LA UTILIZACION DE PLANTILLAS GEOMETRICAS O CONTACTO MECANICO. UN APARATO DE FABRICACION ROTA EL MECANISMO DE FIJACION ALREDEDOR DE UN EJE LONGITUDINAL MIENTRAS QUE ESTE ES IRRADIADO A LO LARGO DE UN EJE OBLICUO. UN PASADOR DE HUESO PUEDE TENER PROYECCIONES DIRIGIDAS HACIA EL CENTRO QUE PERMITAN A LAS FRACTURAS MULTISEGMENTO UNA FIJACION SEGURA MEDIANTE PASADORES, SIN ROSCADO. UNA PIEZA DE ABRAZADERA ELASTICA COMO UN TORNILLO O UN PASADOR PUEDEN PRETENSIONARSEPARA SOMETER AL HUESO A UNA CARGA TORSIONAL O COMPRESIVA, O APLICAR UNA FUERZA EN EL PUNTO DE CICATRIZACION.
ES95308668T 1994-12-02 1995-12-01 Dispositivo de fijacion de hueso. Expired - Lifetime ES2177614T3 (es)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US08/348,607 US5716358A (en) 1994-12-02 1994-12-02 Directional bone fixation device

Publications (1)

Publication Number Publication Date
ES2177614T3 true ES2177614T3 (es) 2002-12-16

Family

ID=23368754

Family Applications (1)

Application Number Title Priority Date Filing Date
ES95308668T Expired - Lifetime ES2177614T3 (es) 1994-12-02 1995-12-01 Dispositivo de fijacion de hueso.

Country Status (10)

Country Link
US (2) US5716358A (es)
EP (1) EP0714643B1 (es)
JP (1) JPH08238256A (es)
AT (1) ATE218309T1 (es)
CA (1) CA2164182A1 (es)
DE (1) DE69526909T2 (es)
DK (1) DK0714643T3 (es)
ES (1) ES2177614T3 (es)
PT (1) PT714643E (es)
SI (1) SI0714643T1 (es)

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JPH08238256A (ja) 1996-09-17
DE69526909D1 (de) 2002-07-11
PT714643E (pt) 2002-09-30
US5868747A (en) 1999-02-09
ATE218309T1 (de) 2002-06-15
DK0714643T3 (da) 2002-09-09
EP0714643A1 (en) 1996-06-05
SI0714643T1 (en) 2002-12-31
US5716358A (en) 1998-02-10

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