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FR2554709A1 - Process for positioning an implant, cutting device for its implementation and novel implant, such as an interposition cup - Google Patents

Process for positioning an implant, cutting device for its implementation and novel implant, such as an interposition cup Download PDF

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Publication number
FR2554709A1
FR2554709A1 FR8318056A FR8318056A FR2554709A1 FR 2554709 A1 FR2554709 A1 FR 2554709A1 FR 8318056 A FR8318056 A FR 8318056A FR 8318056 A FR8318056 A FR 8318056A FR 2554709 A1 FR2554709 A1 FR 2554709A1
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France
Prior art keywords
cutter
cup
teeth
interposition
internal
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
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FR8318056A
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French (fr)
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FR2554709B1 (en
Inventor
Aldo Levy
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MEDICALEX
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MEDICALEX
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Priority to FR8318056A priority Critical patent/FR2554709B1/en
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Publication of FR2554709B1 publication Critical patent/FR2554709B1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1615Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1615Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
    • A61B17/1617Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material with mobile or detachable parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1662Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1664Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the hip
    • A61B17/1668Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the upper femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B2017/1602Mills

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Dentistry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to a process for positioning an implant, the cutting device for its implementation and the implant. The cutting device is constituted by a rod 5 fitted at one of its ends with a handle 6 and at the other end with cutting means comprising: 1. an internal central cutter 7 constituted by a solid cylinder 8 comprising on its far end a series of teeth 9 extending radially; 2. a tubular cutter 10 constituted by a tube fixed on the central cutter 7, the said tube having on one of its edges a series of teeth 11 intended for trimming; and 3. optionally a central drill 12.

Description

La présente invention concerne la chirurgie et plus particulièrement un procédé de positionnement d'un implant, le dispositif de fraisage pour sa mise en oeuvre et un nouvel implant ou cupule d'interposition. The present invention relates to surgery and more particularly to a method for positioning an implant, the milling device for its implementation and a new implant or interposition cup.

Jusqu'à présent, on utilise en chirurgie osseuse des implants, notamment des implants en forme de calotte sphérique. De tels implants, également dénommés cupules d'interposition, sont munis sur leur pourtour de trous qui permettent leur fixation sur une partie de l'os à réparer, laquelle a été préalablement taillée de façon appropriée. Ces cupules d'interposition en forme de calotte sphérique présent tent le désavantage de déraper et ne permettent donc pas de réaliser une ostéosynthèse durable. Up to now, implants have been used in bone surgery, in particular implants in the form of a spherical cap. Such implants, also called interposition cups, are provided on their periphery with holes which allow them to be fixed on a part of the bone to be repaired, which has previously been cut appropriately. These interposition cups in the form of a spherical cap present have the disadvantage of slipping and therefore do not allow a lasting osteosynthesis to be carried out.

On a maintenant trouvé un nouveau procédé de- positionnement d'un implant. Ce procédé consiste à ménager sur l'os à réparer une saillie de forme cylindrique à l'aide d'un dispositif de fraisage1 à déposer sur ladite saillie cylindrique de l'os une cupule présentant un logement cylindrique correspondant et une face courbe destinée à venir en contact avec l'autre partie de l'os et à remettre en place l'autre partie de l'os. We have now found a new method of positioning an implant. This method consists in providing on the bone to be repaired a cylindrical projection using a milling device 1 to deposit on said cylindrical projection of the bone a cup having a corresponding cylindrical housing and a curved face intended to come in contact with the other part of the bone and replace the other part of the bone.

Le procédé de l'invention est particulièrement approprie pour réparer les os au niveau des articulations. The method of the invention is particularly suitable for repairing bones at the level of the joints.

L'invention concerne également les moyens pour la mise en oeuvre dudit procédé qui sont d'une part un dispositif de fraisage et d'autre part une cupule d'interposition. The invention also relates to the means for implementing said method which are on the one hand a milling device and on the other hand an interposition cup.

L'invention va être maintenant décrite en détail en référence aux dessins annexés sur lesquels
FIG. I est une vue en élévation et en coupe d'un mode de réalisation du procédé selon l'invention,
FIG. 2 est une vue en élévation et en coupe du dispositif de fraisage de l'invention et de l'os après fraisage,
FIG. 3 est une vue en bout du dispositif de fraisage selon la figure 1,
FIG.4 et FIG. 5 sont des variantes de réalisation de la fraise centrale interne.
The invention will now be described in detail with reference to the accompanying drawings in which
FIG. I is a view in elevation and in section of an embodiment of the method according to the invention,
FIG. 2 is a view in elevation and in section of the milling device of the invention and of the bone after milling,
FIG. 3 is an end view of the milling device according to FIG. 1,
FIG. 4 and FIG. 5 are alternative embodiments of the internal central cutter.

Le procédé de l'invention consiste donc à réaliser une saillie cylindrique I sur un os à réparer 2, à disposer sur ladite saillie I une cupule d'interposition 3 présentant un logement cylindri que correspondant à la saillie et une face courbe externe 4 destinée à venir en contact avec l'autre partie de l'os 5 taillé de façon appropriée. The method of the invention therefore consists in making a cylindrical projection I on a bone to be repaired 2, in placing on said projection I an interposing cup 3 having a cylindrical housing corresponding to the projection and an external curved face 4 intended for come into contact with the other part of the bone 5 cut appropriately.

La saillie cylindrique osseuse 1 est réalisée à l'aide du dispositif de fraisage représenté sur les figures 2 et 3. The cylindrical bony projection 1 is produced using the milling device shown in FIGS. 2 and 3.

Ce dispositif de fraisage est constitué d'une-tige 5 munie à l'une de ses extrémités d'une poignée 6 et à l'autre extrémité des moyens de fraisage proprement dits ; ces moyens de fraisage comprennent
1) une fraise centrale interne 7 constituée d'un cylindre plein 8 présentant sur sa face extrême une série de dents 9 s'étendant radialement sur ladite face extrême-. Ledit cylindre est évide dans sa partie axiale, l'évidement 19 étant tel qu'il permet l'emmanche- ment du cylindre sur la tige 5
2) une fraise tubulaire 10 constituée d'un tube fixé sur la fraise centrale 7, par exemple au moyen d'une vis engagée dans un trou taraudé du cylindre 8 de la fraise centrale interne ; le tube 10 présente sur l'un de ses bords une série de dents 11 destinées au taillage.
This milling device consists of a rod 5 provided at one of its ends with a handle 6 and at the other end of the milling means proper; these milling means include
1) an internal central cutter 7 consisting of a solid cylinder 8 having on its end face a series of teeth 9 extending radially on said end face. Said cylinder is hollow in its axial part, the recess 19 being such that it allows the fitting of the cylinder on the rod 5
2) a tubular cutter 10 consisting of a tube fixed to the central cutter 7, for example by means of a screw engaged in a threaded hole in the cylinder 8 of the internal central cutter; the tube 10 has on one of its edges a series of teeth 11 intended for cutting.

La fraise centrale 7 peut comporter également un trou axial dans lequel est fixé un forêt central 12. The central cutter 7 may also include an axial hole in which a central forest 12 is fixed.

Les dents il de la fraise tubulaire 10 et celles 9 de la fraise centrale interne sont dirigées du même coté. The teeth 11 of the tubular cutter 10 and those 9 of the internal central cutter are directed on the same side.

Les dents des deux fraises sont soit en dents de scie, soit à pans coupés. The teeth of the two cutters are either sawtooth or cut-off.

Par rotation du dispositif de fraisage, centré à laide du foret 12 sur la partie à traiter 2, on réalise une saillie plus ou moins haute selon la distance qui sépare les dents de la fraise tubulaire 10 de celles de la fraise centrale interne 7 ; la fraise interne 7 peut en effet être positionnée plus ou moins profondément dans la fraise tubulaire 10. Lorsque les dents sont à pans coupés, la rotation doit etre alternative. By rotation of the milling device, centered using the drill 12 on the part to be treated 2, a more or less high projection is produced according to the distance which separates the teeth of the tubular cutter 10 from those of the internal central cutter 7; the internal milling cutter 7 can indeed be positioned more or less deeply in the tubular milling cutter 10. When the teeth are cut sides, the rotation must be alternative.

Grâce à la fraise centrale interne 7, la partie supérieure de la saillie osseuse 13 est convenablement nivellée en une surface plane, convexe ou concave, selon que les dents de la fraise centrale interne 7 sont dans un plan ou sont agencés de maniere à définir par rotation une surface convexe ou concave, comme représentée sur les
figures 3 et 4, les traits en pointillés sur ces figures représentant
la forme des saillies correspondantes obtenues avec des fraises
internes concaves ou convexes.
Thanks to the internal central cutter 7, the upper part of the bony projection 13 is suitably leveled in a flat, convex or concave surface, depending on whether the teeth of the internal central cutter 7 are in a plane or are arranged so as to be defined by rotation of a convex or concave surface, as shown in the
Figures 3 and 4, the dotted lines in these figures representing
the shape of the corresponding projections obtained with strawberries
internal concave or convex.

L'invention concerne également la cupule d'interposition 3 représentée sur la figure 1 ; elle est constituée essentiellement d'un corps cylindrique creux fermé à l'une des extrémités par un fond dont la face interne est avantageusement plate et la face externe est courbe, de préférence de forme concave ou convexe. The invention also relates to the interposition cup 3 shown in FIG. 1; it essentially consists of a hollow cylindrical body closed at one end by a bottom, the internal face of which is advantageously flat and the external face is curved, preferably of concave or convex shape.

La face interne du fond de la cupule peut être également convexe ou concave, lorsque la saillie de l'os est réalisée avec un dispositif de fraisage comportant une fraise interne centrale, telle que représentée sur l'une des figures 4 ou 5. En général, la hauteur du fond de la cupule est nettement supérieure à l'épaisseur de la paroi du
cylindre.
The internal face of the bottom of the cup can also be convex or concave, when the projection of the bone is carried out with a milling device comprising a central internal cutter, as shown in one of Figures 4 or 5. In general , the height of the bottom of the cup is significantly greater than the thickness of the wall of the
cylinder.

L'extrémité de la paroi du corps cylindrique peut être coupée selon un plan parallèle à la face interne du fond dudit corps ou selon un plan oblique. The end of the wall of the cylindrical body can be cut along a plane parallel to the internal face of the bottom of said body or along an oblique plane.

La cupule selon l'invention~peut être en une matière quelconque couramment utilisée en chirurgie osseuse, telle que par exemple métal, plastique, carbone, os,céramique médicale etc. The cup according to the invention can be of any material commonly used in bone surgery, such as for example metal, plastic, carbon, bone, medical ceramic, etc.

Le dispositif de fraisage selon l'invention est en acier inoxydable ou en tout autre métal ou alliage par exemple titane, chromecobalt, carbone, etc.  The milling device according to the invention is made of stainless steel or any other metal or alloy, for example titanium, chromecobalt, carbon, etc.

Claims (6)

REVENDICATIONS 1. Cupule d'interposition utilisable en chirurgie osseuse pour réparer un os, caractérisée en ce qu'elle est constituée essentiellement d'un corps cylindrique creux fermé à l'une des extrémités par un fond dont la face interne est avantageusement plate et la face externe est courbe, de préférence de forme concave ou convexe.1. Interposition cup usable in bone surgery to repair a bone, characterized in that it consists essentially of a hollow cylindrical body closed at one end by a bottom whose internal face is advantageously flat and the face external is curved, preferably concave or convex. 2. Cupule selon la revendication 1, caractérisée en ce que l'extrémité de la paroi de corps cylindrique peut être coupée selon un plan parallèle à la face interne du fond dudit corps ou selon un plan oblique.2. Cup according to claim 1, characterized in that the end of the cylindrical body wall can be cut along a plane parallel to the internal face of the bottom of said body or along an oblique plane. 3. Dispositif de fraisage pour chirurgie osseuse mettant en oeuvre une cupule d'interposition selon l'une des revendications 1 ou 2, ledit dispositif de fraisage convenant pour ménager une saillie de forme cylindrique sur un os à réparer, avant l'interposition de ladite cupule, caractérisé en ce qu'il est constitué d'une-tige munie à l'une de ses extrémités d'une poignée et à l'autre extrémité de moyen de fraisage comprenant3. Milling device for bone surgery using an interposition cup according to one of claims 1 or 2, said milling device suitable for providing a cylindrical projection on a bone to be repaired, before the interposition of said cup, characterized in that it consists of a rod provided at one of its ends with a handle and at the other end of milling means comprising -1) une fraise centrale interne constituée d'un cylindre plein comportant sur sa face extrême une #érie de dents s" étendant radialement, -1) an internal central milling cutter consisting of a solid cylinder comprising on its end face a series of teeth extending radially, 2) une fraise tubulaire constituée d'un tube fixé sur la fraise centrale, ledit tube présentant sur l'un 4e ses bords une série de dents destinées au taillage ; et 2) a tubular cutter consisting of a tube fixed to the central cutter, said tube having on one of its edges a series of teeth intended for cutting; and 3) éventuellement un foret central. 3) possibly a central drill. 4. Dispositif selon la revendication 3, caractérisé en ce que les dents de la fraise tubulaire et celles de la fraise centrale interne sont dirigées du même côte. 4. Device according to claim 3, characterized in that the teeth of the tubular cutter and those of the internal central cutter are directed on the same side. 5. Dispositif selon l'une quelconque des revendications 3 ou 4, caractérisé en ce que les dents des deux fraises sont en dents de scie ou à pans coupés.5. Device according to any one of claims 3 or 4, characterized in that the teeth of the two cutters are sawtooth or cut sides. 6. Dispositif selon l'une quelconque des revendications 3 à 5, caractérisé en ce que la fraise tubulaire est montée sur la fraise centrale interne au moyen d'une vis engagée dans un trou taraudé du cylindre de la fraise centrale interne. 6. Device according to any one of claims 3 to 5, characterized in that the tubular cutter is mounted on the internal central cutter by means of a screw engaged in a tapped hole in the cylinder of the internal central cutter.
FR8318056A 1983-11-14 1983-11-14 METHOD FOR POSITIONING AN IMPLANT, MILLING DEVICE FOR IMPLEMENTING SAME AND NEW IMPLANT, SUCH AS AN INTERPOSITION CUP Expired FR2554709B1 (en)

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FR8318056A FR2554709B1 (en) 1983-11-14 1983-11-14 METHOD FOR POSITIONING AN IMPLANT, MILLING DEVICE FOR IMPLEMENTING SAME AND NEW IMPLANT, SUCH AS AN INTERPOSITION CUP

Applications Claiming Priority (1)

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FR8318056A FR2554709B1 (en) 1983-11-14 1983-11-14 METHOD FOR POSITIONING AN IMPLANT, MILLING DEVICE FOR IMPLEMENTING SAME AND NEW IMPLANT, SUCH AS AN INTERPOSITION CUP

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FR2554709A1 true FR2554709A1 (en) 1985-05-17
FR2554709B1 FR2554709B1 (en) 1988-04-22

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Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0327387A2 (en) * 1988-02-05 1989-08-09 Btg International Limited Orthopaedic joint components, tools and methods
US5514141A (en) * 1992-11-18 1996-05-07 Howmedica, Inc. Small joint reamer
FR2749158A1 (en) * 1996-06-03 1997-12-05 Bompard Bruno Jacques Hubert Drill for dental implant positioning
WO2004032767A1 (en) * 2002-10-11 2004-04-22 Depuy International Limited A reamer assembly
WO2004069103A1 (en) 2003-02-05 2004-08-19 Aesculap Ag & Co. Kg Implant
EP1609560A1 (en) * 2004-06-21 2005-12-28 Straumann Holding AG Method for manufacturing disposable rotary cutting tools and disposable rotary tool for dental or medical applications
WO2007107842A2 (en) * 2006-03-17 2007-09-27 Precimed S.A. Guided reamer system for reshaping bulbus bone joint
WO2008001104A2 (en) * 2006-06-29 2008-01-03 O'hara John N Debris retaining reamer
US7488327B2 (en) 2004-04-12 2009-02-10 Synthes (U.S.A.) Free hand drill guide
JP2010502243A (en) * 2006-08-31 2010-01-28 スミス アンド ネフュー ピーエルシー Medical device
RU2452415C1 (en) * 2011-02-17 2012-06-10 Андрей Аполлонович Фомин Device for processing of butt end of bone saw
RU2515400C2 (en) * 2010-01-14 2014-05-10 Осстемимплант Ко., Лтд. Implant surgical drill
RU2662548C2 (en) * 2016-12-26 2018-07-26 Федеральное государственное автономное образовательное учреждение высшего образования (ФГАОУ ВО) "Севастопольский государственный университет" Combined ring bone drill
RU2675339C2 (en) * 2016-12-26 2018-12-18 Федеральное государственное автономное образовательное учреждение высшего образования (ФГАОУ ВО) "Севастопольский государственный университет" Combined annular drilling for blind holes in bone tissue
RU2765433C2 (en) * 2020-07-28 2022-01-31 Федеральное Государственное бюджетное образовательное учреждение высшего образования Дагестанский государственный медицинский университет Министерства здравоохранения Российской Федерации Method for obtaining cortical-spongy autograft from iliac wing and device for its implementation
RU2779066C1 (en) * 2021-11-30 2022-08-31 федеральное государственное бюджетное учреждение "Национальный медицинский исследовательский центр травматологии и ортопедии имени академика Г.А. Илизарова" Министерства здравоохранения Российской Федерации Set of tools for adapting articulating surfaces in the defect of long tubular bones

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FR2061466A5 (en) * 1970-09-09 1971-06-18 Muller Jean Nicolas
FR2094904A6 (en) * 1971-01-20 1972-02-04 Muller Jean Nicolas
US4231121A (en) * 1979-07-05 1980-11-04 Wright Dow Corning Metacarpal-phalangeal prosthesis

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Title
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Cited By (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH01308555A (en) * 1988-02-05 1989-12-13 John William Goodfellow Molded joint constitutional element, tool and method
EP0327387A3 (en) * 1988-02-05 1990-03-21 National Research Development Corporation Orthopaedic joint components, tools and methods
JP2938465B2 (en) 1988-02-05 1999-08-23 ブリティッシュ・テクノロジー・グループ・リミテッド Molded joint components, tools and methods
EP0327387A2 (en) * 1988-02-05 1989-08-09 Btg International Limited Orthopaedic joint components, tools and methods
US5514141A (en) * 1992-11-18 1996-05-07 Howmedica, Inc. Small joint reamer
FR2749158A1 (en) * 1996-06-03 1997-12-05 Bompard Bruno Jacques Hubert Drill for dental implant positioning
US7918856B2 (en) 2002-10-08 2011-04-05 Greatbatch Medical S.A. Guided reamer system for reshaping bone
WO2004032767A1 (en) * 2002-10-11 2004-04-22 Depuy International Limited A reamer assembly
WO2004069103A1 (en) 2003-02-05 2004-08-19 Aesculap Ag & Co. Kg Implant
US7488327B2 (en) 2004-04-12 2009-02-10 Synthes (U.S.A.) Free hand drill guide
US8343195B2 (en) 2004-04-12 2013-01-01 Synthes Usa, Llc Drill-tap-screw drill guide
US7559765B2 (en) 2004-06-21 2009-07-14 Straumann Holding Ag Rotary tool for dental or medical applications
EP1609560A1 (en) * 2004-06-21 2005-12-28 Straumann Holding AG Method for manufacturing disposable rotary cutting tools and disposable rotary tool for dental or medical applications
US9962167B2 (en) 2004-06-21 2018-05-08 Straumann Holding Ag Method for manufacturing disposable rotary cutting tools and disposable rotary tool for dental or medical applications
US9770247B2 (en) 2004-06-21 2017-09-26 Straumann Holding Ag Method for manufacturing disposable rotary cutting tools and disposable rotary tool for dental or medical applications
US8438950B2 (en) 2004-06-21 2013-05-14 Straumann Holding Ag Method for manufacturing disposable rotary cutting tools for dental or medical applications
EP2135568A3 (en) * 2004-06-21 2010-05-26 Straumann Holding AG Method for manufacturing disposable rotary cutting tools and disposable rotary tool for dental or medical applications
US8113833B2 (en) 2004-06-21 2012-02-14 Straumann Holding, AG Disposable rotary tool for dental or medical applications
WO2007107842A2 (en) * 2006-03-17 2007-09-27 Precimed S.A. Guided reamer system for reshaping bulbus bone joint
WO2007107842A3 (en) * 2006-03-17 2007-12-21 Precimed Sa Guided reamer system for reshaping bulbus bone joint
WO2008001104A3 (en) * 2006-06-29 2008-05-02 John N O'hara Debris retaining reamer
WO2008001104A2 (en) * 2006-06-29 2008-01-03 O'hara John N Debris retaining reamer
JP2010502243A (en) * 2006-08-31 2010-01-28 スミス アンド ネフュー ピーエルシー Medical device
RU2515400C2 (en) * 2010-01-14 2014-05-10 Осстемимплант Ко., Лтд. Implant surgical drill
RU2452415C1 (en) * 2011-02-17 2012-06-10 Андрей Аполлонович Фомин Device for processing of butt end of bone saw
RU2662548C2 (en) * 2016-12-26 2018-07-26 Федеральное государственное автономное образовательное учреждение высшего образования (ФГАОУ ВО) "Севастопольский государственный университет" Combined ring bone drill
RU2675339C2 (en) * 2016-12-26 2018-12-18 Федеральное государственное автономное образовательное учреждение высшего образования (ФГАОУ ВО) "Севастопольский государственный университет" Combined annular drilling for blind holes in bone tissue
RU2765433C2 (en) * 2020-07-28 2022-01-31 Федеральное Государственное бюджетное образовательное учреждение высшего образования Дагестанский государственный медицинский университет Министерства здравоохранения Российской Федерации Method for obtaining cortical-spongy autograft from iliac wing and device for its implementation
RU2779066C1 (en) * 2021-11-30 2022-08-31 федеральное государственное бюджетное учреждение "Национальный медицинский исследовательский центр травматологии и ортопедии имени академика Г.А. Илизарова" Министерства здравоохранения Российской Федерации Set of tools for adapting articulating surfaces in the defect of long tubular bones

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