ES2531857T3 - Implante de artrodesis - Google Patents

Implante de artrodesis Download PDF

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Publication number
ES2531857T3
ES2531857T3 ES11712977.5T ES11712977T ES2531857T3 ES 2531857 T3 ES2531857 T3 ES 2531857T3 ES 11712977 T ES11712977 T ES 11712977T ES 2531857 T3 ES2531857 T3 ES 2531857T3
Authority
ES
Spain
Prior art keywords
bone
implant
central core
longitudinal axis
arms
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
Application number
ES11712977.5T
Other languages
English (en)
Inventor
Christophe Averous
Christophe Cermolacce
Patrice Determe
Patrice Diebold
Stéphane GUILLO
Hubert Rocher
Christophe Roy
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.)
SYNCHRO MEDICAL
Original Assignee
SYNCHRO MEDICAL
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=42985533&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=ES2531857(T3) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by SYNCHRO MEDICAL filed Critical SYNCHRO MEDICAL
Application granted granted Critical
Publication of ES2531857T3 publication Critical patent/ES2531857T3/es
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • 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
    • A61F2/42Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • 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
    • A61B17/7233Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone
    • A61B17/7258Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
    • A61B17/7266Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with fingers moving radially outwardly
    • 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
    • A61B17/7283Intramedullary devices, e.g. pins or nails with special cross-section of the nail
    • 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
    • A61B17/7291Intramedullary devices, e.g. pins or nails for small bones, e.g. in the foot, ankle, hand or wrist
    • 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
    • A61F2/42Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4225Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for feet, e.g. toes
    • AHUMAN NECESSITIES
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    • 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
    • A61F2/42Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4241Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for hands, e.g. fingers
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • 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
    • A61B17/7216Intramedullary devices, e.g. pins or nails for bone lengthening or compression
    • A61B17/7225Intramedullary devices, e.g. pins or nails for bone lengthening or compression for bone compression
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006Properties of materials and coating materials
    • A61F2002/30062(bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
    • 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
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30112Rounded shapes, e.g. with rounded corners
    • 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
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30159Concave polygonal shapes
    • A61F2002/30171Concave polygonal shapes rosette- or star-shaped
    • 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
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
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    • 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
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    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
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    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
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    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
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  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
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  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Prostheses (AREA)

Abstract

Implante médico (1) destinado a permitir la fusión ósea entre un primer hueso (P2) y un segundo hueso (P1), dicho implante comprendiendo una primera parte (20), de forma globalmente alargada y que presenta un eje longitudinal A, destinada a ser introducida en el interior del primer hueso y que comprende primeros medios de fijación (24) de dicho implante en el interior de dicho primer hueso, y una segunda parte (30), de forma igualmente globalmente alargada y que presenta un eje longitudinal B, destinada a ser introducida en el interior del segundo hueso y que comprende segundos medios de fijación (34) de dicho implante en el interior de dicho segundo hueso, dichas partes primera y segunda (20, 30) estando unidas entre ellas por un núcleo central (40), caracterizado por que dicho núcleo central es un sólido macizo cuya sección en corte por un plano perpendicular a dicho eje longitudinal A presenta sensiblemente una forma de estrella de por lo menos tres brazos (41, 42, 43), dicha primera parte presentando por lo menos tres patillas (21, 22, 23), cada patilla extendiéndose sensiblemente según dicho eje longitudinal A, a partir del extremo libre (41a, 42a, 43a) de uno de los tres brazos de dicho núcleo central.

Description

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E11712977
02-03-2015
destinada a ser introducida por ejemplo en el interior del canal medular de una primera falange y la segunda parte, igualmente de forma alargada, del implante según la invención, está destinada a ser introducida en el interior del canal medular de la segunda falange, adyacente a la primera. Gracias a su estructura específica, en particular gracias a la presencia de tres patillas en la primera parte del implante, cada una de ellas extendiéndose a partir de un brazo del núcleo central macizo, el implante según la invención asegura una estabilidad perfecta en las tres direcciones del espacio, del conjunto de la primera falange, la segunda falange y el implante y esto en la posición deseada por el cirujano en el momento de la implantación. Además, el núcleo central sólido macizo del implante según la invención asegura a la vez una rigidez y una flexibilidad del implante, que permite una colocación fácil del implante en su sitio y un mantenimiento fiable del conjunto del primer hueso, el segundo hueso y el implante en una posición determinada.
Según la presente solicitud, se entiende por "forma de estrella de por lo menos tres brazos", una forma que tiene un punto de unión a partir del cual se extienden, sensiblemente radialmente, por lo menos tres brazos, dichos brazos estando separados unos de los otros por ángulos regulares o no. Por ejemplo, en una forma de realización, dicha sección en corte de dicho núcleo central presenta una forma en T: en un caso de este tipo, los tres brazos de la T están separados entre ellos ángulos diferentes, a saber dos ángulos de 90° y un ángulo de 180°. En otra forma de realización, dicha sección en corte de dicho núcleo central presenta una forma en Y. En otras formas de realización, la sección en corte del núcleo central presenta una forma de estrella de más de tres brazos, por ejemplo de cuatro o de cinco brazos.
El núcleo central del implante según la invención es un sólido macizo: así, el punto de unión de la estrella está constituido por material. En una forma de realización, dicho implante es mono bloque. El implante según la invención puede estar formado de un material escogido entre las poliéter éter cetonas (PEEK), el titanio, el acero inoxidable, los ácidos polilácticos y sus mezclas. Por ejemplo, el implante según la invención puede ser reabsorbible biológicamente o no.
El implante según la invención por ejemplo pueden estar realizado por moldeo por inyección o incluso por mecanización.
En una forma de realización, dichas patillas presentan globalmente la forma de un paralelepípedo alargado, por lo menos una patilla presenta una sección transversal reducida al nivel de su unión con el núcleo central. De preferencia, las tres patillas presentan, cada una, una sección transversal reducida al nivel de su unión con el núcleo central. Una forma de este tipo de realización permite conferir al implante una elasticidad y una flexibilidad que le permiten colocarlo fácilmente en su sito. Además, por el hecho de la estructura maciza del núcleo central, el implante conserva una rigidez que le permite asegurar una buena estabilidad del conjunto del primer hueso, el segundo hueso y el implante en el lugar de implantación.
En una forma de realización, dicha segunda parte presenta por lo menos dos patas que se extienden según el eje longitudinal B a partir de dicho núcleo central. Alternativamente, dicha segunda parte presenta tres patas que se extienden según el eje longitudinal B a partir de dicho núcleo central.
En una forma de realización, la sección en corte de dicho núcleo central por un plano perpendicular a dicho eje longitudinal B presenta sensiblemente dicha forma de estrella de por lo menos tres brazos, cada una de dichas patas extendiéndose sensiblemente según dicho eje longitudinal B a partir del extremo libre de uno de los brazos de dicho núcleo central.
Una forma de realización de este tipo permite reforzar la estabilidad en las tres direcciones del espacio del conjunto del primer hueso, el segundo hueso y el implante, en la posición deseada por el cirujano, una vez que el implante según la invención está implantado y que los dos huesos que se van a soldar están reunidos uno al otro.
En una forma de realización, dichas patas presenta globalmente la forma de un paralelepípedo alargado, cada pata presenta una sección transversal reducida al nivel de su unión con el núcleo central. Como se ha visto anteriormente, una forma de realización de este tipo permite conferir al implante una elasticidad y una flexibilidad que permiten colocarla fácilmente en su sitio. Además, por el hecho de la estructura maciza del núcleo central, el implante conserva una rigidez que le permite asegurar una buena estabilidad del conjunto del primer hueso, el segundo hueso y el implante en el lugar de implantación.
En una forma de realización, dichos primeros medios de fijación comprenden muescas de anclaje situadas sobre dichas patillas. Por ejemplo, estas muescas de anclaje están situadas sobre las caras exteriores de los paralelepípedos que forman estas patillas, a fin de que estas últimas se fijen en el interior del hueso en el cual están introducidas. Igualmente, los segundos medios de fijación pueden comprender muescas de anclaje situadas sobre dichas patas, por ejemplo sobre las caras exteriores de los paralelepípedos que forman dichas patas a fin de que estas últimas se fijen en el interior del hueso en el cual se introducen. Las muescas de anclaje presentan de preferencia aristas dirigidas hacia el núcleo central a fin de comprimir cada hueso en dirección al otro hueso, contra el cual está reunido, en el momento en el que el implante según la invención se implanta.
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Claims (1)

  1. imagen1
ES11712977.5T 2010-03-09 2011-03-08 Implante de artrodesis Active ES2531857T3 (es)

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Application Number Priority Date Filing Date Title
FR1051673 2010-03-09
FR1051673A FR2957244B1 (fr) 2010-03-09 2010-03-09 Implant d'arthrodese
PCT/FR2011/050473 WO2011110784A1 (fr) 2010-03-09 2011-03-08 Implant d'arthrodese

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ES2531857T3 true ES2531857T3 (es) 2015-03-20

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AU (1) AU2011225917B2 (es)
BR (1) BR112012022343A2 (es)
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EP2544633B1 (fr) 2014-11-19
WO2011110784A1 (fr) 2011-09-15
US8834572B2 (en) 2014-09-16
FR2957244B1 (fr) 2012-04-13
CN102802566A (zh) 2012-11-28
US20130066435A1 (en) 2013-03-14
EA022497B1 (ru) 2016-01-29
EA201290863A1 (ru) 2013-02-28
CN102802566B (zh) 2015-03-25
EP2544633A1 (fr) 2013-01-16
ZA201207174B (en) 2013-05-29
FR2957244A1 (fr) 2011-09-16
CA2791967A1 (fr) 2011-09-15
JP5814952B2 (ja) 2015-11-17
AU2011225917B2 (en) 2016-04-07
AU2011225917A1 (en) 2012-10-11
BR112012022343A2 (pt) 2016-07-05

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