WO2010058878A1 - Appareil de fixation osseuse - Google Patents

Appareil de fixation osseuse Download PDF

Info

Publication number
WO2010058878A1
WO2010058878A1 PCT/KR2008/007824 KR2008007824W WO2010058878A1 WO 2010058878 A1 WO2010058878 A1 WO 2010058878A1 KR 2008007824 W KR2008007824 W KR 2008007824W WO 2010058878 A1 WO2010058878 A1 WO 2010058878A1
Authority
WO
WIPO (PCT)
Prior art keywords
washer
head portion
plate
screw
bone fixation
Prior art date
Application number
PCT/KR2008/007824
Other languages
English (en)
Inventor
Seo-Kon Kim
Il Kim
Jong-Keon Oh
Original Assignee
Solco Biomedical Co., Ltd.
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 Solco Biomedical Co., Ltd. filed Critical Solco Biomedical Co., Ltd.
Priority to US12/521,839 priority Critical patent/US20110270320A1/en
Priority to EP08863401A priority patent/EP2242436A4/fr
Priority to JP2010539314A priority patent/JP2011504408A/ja
Priority to CN2008800017221A priority patent/CN101835433B/zh
Publication of WO2010058878A1 publication Critical patent/WO2010058878A1/fr

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
    • 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
    • A61B17/8047—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 wherein the additional element surrounds the screw head in the plate hole
    • 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

Definitions

  • the present invention relates to an apparatus for bone fixation that joins broken bones, more particularly an apparatus for bone fixation designed to allow an operator to more freely perform an operation.
  • apparatuses for bone fixation which disposes and fix a plate to the surface of a broken bone with screws, for treatment, after the soft tissue of a bone fracture patient is cut, is used.
  • These apparatuses for bone fixation generally have structures in which holes are formed through a plate and screws are inserted in the holes.
  • an apparatus for bone fixation that is composed of a plate and screws fixing the plate to a bone, includes: screws that has a head portion having a male thread on the outer circumference while increasing in diameter toward the upper portion in a tapered shape; washers of which the outer circumference is formed convex, and which has, on the inner circumference, a slope that contacts with the head portion such that the head portion of the screw is placed and a female thread that is engaged with the male thread of the head portion; and a plate that has locking holes which are bored concave in the up-down direction and have a holding step, where the washer is placed, on the inner circumference, in which when the washer and the head of which the female thread and the male thread are partially engaged are inserted from above the locking hole and placed on the holding step, as the head portion is moved down by thread-fastening, the washer is in close contact and fixed in the locking hole while the diameter of the upper end increases.
  • At least two or more gaps are formed at the upper end of the washer and the gaps are formed at a predetermined distance from each other.
  • the locking hole has a circular shape or a shape of which both sides are semicircular shapes facing each other at a predetermined distance from each other.
  • the upper end of the head portion is sloped to be in close contact with the slope of the washer when the washer is fixed in the locking hole while increasing in diameter.
  • the apparatus for bone fixation according to the present invention has the effect of inserting and fixing the screw perpendicular to the plate because the washer and screw are combined in advance and then fixed to the plate, and allowing an operator to more freely perform an operation because the operator can insert and fix the screw at a desired angle.
  • the washer of the present invention has the gaps, it can easily increase in diameter.
  • a plurality of the gaps is formed at regular intervals and the upper end of the washer radially expands, such that it is stably fixed in the locking hole while preventing biasing to a side.
  • the locking hole has a circular shape or a shape of which both sides are semicircular shapes facing each other at a predetermined distance, which allows an operator to be able to adjust the position and insertion angle of the screw in more detail, if necessary.
  • FIG. 1 is an exploded perspective view of an apparatus for bone fixation according to a preferred embodiment of the present invention.
  • FIG. 2 is a cross-sectional view of a screw and a washer according to a preferred embodiment of the present invention.
  • FIG. 3 is a perspective view when the washer and the screw of the present invention are combined.
  • FIG. 4 is a perspective view when the washer of the present invention, combined with the screw, is fixed to a plate.
  • FIG. 5 is a flowchart illustrating that the apparatus for bone fixing of the present invention is fastened. Best Mode for Carrying out the Invention
  • the present invention is composed of screws 10, washers 20, and a plate 30.
  • the screw 10 of the present invention has a threaded portion 11 where a thread is formed around the outer circumference to be inserted into a bone and a head portion 12 that is integrally formed at the upper end of the threaded portion 11.
  • the screw 10 of the present invention similar to the method of inserting a common screw, also has a wrench groove 14 on the upper surface of the head portion 12 to be inserted into a bone from above by a wrench.
  • the head portion 12 is tapered such that the diameter increases upward, and has a male thread 13a at the lower end of the outer circumference 13 and a slope 13b at the upper end.
  • the washer 20 of the present invention has a ring shape bored in the up-down direction at the center and a predetermined thickness, in which the outer circumference is formed convex, a female thread 22 that is engaged with the male thread 13a formed at the head portion 12 of the screw 10 is formed at the lower end of the inner circumference, and a slope 21 is formed at the upper end.
  • a plurality of gaps 23 is formed at regular intervals such that the upper end can radially open while the diameter of the upper end increases, when being pressed.
  • the slope 13b of the head portion 12 and the slope 21 of the washer 20 have different angles such that the washer can be more easily opened, while the upper end of the washer 20 is opened by engagement of the male thread 13a with the female thread 22. That is, it is preferable to be configured such that the slope 13b of the head portion can be in close contact with the slope of the washer, only when the upper end of the washer 20 is the most open.
  • the plate 30 of the present invention has a plurality of locking holes 31.
  • the locking hole 31 has a circular shape or a circular shape with both sides extending, that is, a shape of which both ends are semicircular shapes and spaced apart at a predetermined distance.
  • a holding step 32 is formed at the locking hole 31, such that the inner diameter of the lower end is smaller than the inner diameter of the upper end. Therefore, the washer 20 can be freely inserted and removed through the upper end of the locking hole 31, but cannot pass downward through the lower end.
  • the screw 10 of the present invention is combined with the washer 20 and inserted in the locking hole 31 of the plate 30, as shown in FIG. 4. That is, in an operation, the plate 30 is in contact with a bone and the screw 10 is inserted, while being combined with the washer 20, into the bone by a wrench (not shown).
  • the inner diameter of the upper end of the washer 20 is larger than the maximum outer diameter of the washer 20 such that the washer 20 can be freely inserted and removed, and the inner diameter of the lower end of the locking hole 31 is small such that the washer 20 cannot pass.
  • the male thread 13a of the head portion 12 which continues being turned by the wrench, becomes engaged again with the female thread 22 of the washer 20, in which the head portion 12 is moved down by the engagement and the outer circumference 13 of the head portion 12 correspondingly presses the inner circumference of the washer 20 from the upper end. Accordingly, the washer 20 radially increases in diameter from the upper end, and as a result, it is in close contact and fixed to the inner circumference of the locking hole 31. In this position, as described above, since the slope 13b is formed at the upper end of the head portion 12, it is in close contact with the slope 21 of the washer.
  • This fastening method can be applied to when the locking hole 31 has, as described above, the shape of which both ends are formed in semicircular shapes and spaced apart at a predetermined distance from each other, as well as having circular shape.

Abstract

La présente invention concerne un appareil de fixation osseuse composé d’une plaque et de vis fixant la plaque à un os, l’appareil comprenant : des vis dont chacune comporte une partie de tête dotée d’un filetage mâle sur sa circonférence extérieure tout en augmentant de diamètre en direction de la partie supérieure sous une forme conique; une rondelle dont la circonférence extérieure est formée de façon convexe et qui présente, sur la circonférence intérieure, une pente en contact avec la partie de tête de telle sorte que la partie de tête de la vis soit mise en place et un filetage femelle coopérant avec le filetage mâle de la partie de tête; et une plaque dotée de trous de blocage qui sont forés de façon à être concaves dans le sens haut-bas et comportent un épaulement de retenue où la rondelle est placée, sur la circonférence intérieure, caractérisé en ce que, lorsque la rondelle et la tête dont le filetage femelle et le filetage mâle coopèrent partiellement sont insérées depuis le haut du trou de blocage et placées sur l’épaulement de retenue, tandis que la partie de tête descend sous l’effet du vissage, la rondelle se trouve en contact rapproché et fixée dans le trou de blocage tandis que le diamètre de l’extrémité supérieure augmente. L’appareil de fixation osseuse selon la présente invention a pour effet d’insérer et de fixer la vis perpendiculairement à la plaque, car la rondelle et la vis sont combinées à l’avance puis fixées à la plaque, et de permettre à un opérateur de réaliser plus librement une opération, car l’opérateur est en mesure d’insérer et de fixer la vis suivant un angle souhaité.
PCT/KR2008/007824 2008-11-21 2008-12-31 Appareil de fixation osseuse WO2010058878A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US12/521,839 US20110270320A1 (en) 2008-11-21 2008-12-31 Apparatus for bone fixation
EP08863401A EP2242436A4 (fr) 2008-11-21 2008-12-31 Appareil de fixation osseuse
JP2010539314A JP2011504408A (ja) 2008-11-21 2008-12-31 骨固定装置
CN2008800017221A CN101835433B (zh) 2008-11-21 2008-12-31 用于骨固定的装置

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR1020080116188A KR20100057240A (ko) 2008-11-21 2008-11-21 골고정용 장치
KR10-2008-0116188 2008-11-21

Publications (1)

Publication Number Publication Date
WO2010058878A1 true WO2010058878A1 (fr) 2010-05-27

Family

ID=42198312

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR2008/007824 WO2010058878A1 (fr) 2008-11-21 2008-12-31 Appareil de fixation osseuse

Country Status (6)

Country Link
US (1) US20110270320A1 (fr)
EP (1) EP2242436A4 (fr)
JP (1) JP2011504408A (fr)
KR (1) KR20100057240A (fr)
CN (1) CN101835433B (fr)
WO (1) WO2010058878A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012072735A1 (fr) * 2010-12-01 2012-06-07 Facet-Link Inc. Dispositif de fixation par vis osseuse à angle variable

Families Citing this family (10)

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Publication number Priority date Publication date Assignee Title
KR101045229B1 (ko) * 2009-09-29 2011-06-30 주식회사 솔고 바이오메디칼 골고정용 장치
US8728129B2 (en) * 2011-01-07 2014-05-20 Biomet Manufacturing, Llc Variable angled locking screw
CN102499745B (zh) * 2011-11-07 2014-04-30 南方医科大学 一种改进的脊椎动态内固定装置
US9522023B2 (en) 2011-12-09 2016-12-20 Zimmer Gmbh Orthopedic plate, orthopedic device, method of coupling bone segments, and method of assembling an orthopedic plate
KR101331429B1 (ko) * 2012-08-03 2013-11-21 주식회사 솔고 바이오메디칼 걸쇠식 경추고정장치
EP2719348A1 (fr) * 2012-10-10 2014-04-16 FACET-LINK Inc. Agencement de fixation de vis à os sécurisées pour ne pas se fausser en tournant
US11452554B2 (en) * 2014-07-16 2022-09-27 The Regents Of The University Of Colorado System and method for fastening of two or more interacting elements
CN108210050A (zh) * 2016-12-14 2018-06-29 常州奥斯迈医疗器械有限公司 胫骨远端内侧接骨板
CN108210051A (zh) * 2016-12-14 2018-06-29 创生医疗器械（中国）有限公司 T型接骨板
KR101989351B1 (ko) * 2018-04-16 2019-06-14 (주)오스테오닉 가변식 스크류 가이드를 구비하는 악궁 확장 장치

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US5129899A (en) * 1991-03-27 1992-07-14 Smith & Nephew Richards Inc. Bone fixation apparatus
US20030187440A1 (en) * 2002-03-12 2003-10-02 Marc Richelsoph Bone plate and screw retaining mechanism
US20040068319A1 (en) * 2002-10-04 2004-04-08 Cordaro Nicholas M. Cervical plate/screw system for immobilizing vertebral bodies

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US5129899A (en) * 1991-03-27 1992-07-14 Smith & Nephew Richards Inc. Bone fixation apparatus
US20030187440A1 (en) * 2002-03-12 2003-10-02 Marc Richelsoph Bone plate and screw retaining mechanism
US20040068319A1 (en) * 2002-10-04 2004-04-08 Cordaro Nicholas M. Cervical plate/screw system for immobilizing vertebral bodies

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Cited By (1)

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Publication number Priority date Publication date Assignee Title
WO2012072735A1 (fr) * 2010-12-01 2012-06-07 Facet-Link Inc. Dispositif de fixation par vis osseuse à angle variable

Also Published As

Publication number Publication date
CN101835433B (zh) 2012-08-22
CN101835433A (zh) 2010-09-15
EP2242436A4 (fr) 2012-07-11
US20110270320A1 (en) 2011-11-03
KR20100057240A (ko) 2010-05-31
JP2011504408A (ja) 2011-02-10
EP2242436A1 (fr) 2010-10-27

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