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JPH01310658A - 開放形背付き肉茎ねじ - Google Patents

開放形背付き肉茎ねじ

Info

Publication number
JPH01310658A
JPH01310658A JP1042023A JP4202389A JPH01310658A JP H01310658 A JPH01310658 A JP H01310658A JP 1042023 A JP1042023 A JP 1042023A JP 4202389 A JP4202389 A JP 4202389A JP H01310658 A JPH01310658 A JP H01310658A
Authority
JP
Japan
Prior art keywords
yoke
screw
rod
block
shaft
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
JP1042023A
Other languages
English (en)
Other versions
JP2621050B2 (ja
Inventor
Michael Sherman
ミツチエル・シー・シヤーマン
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.)
AO Technology AG
Original Assignee
Synthes AG Chur
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 Synthes AG Chur filed Critical Synthes AG Chur
Publication of JPH01310658A publication Critical patent/JPH01310658A/ja
Application granted granted Critical
Publication of JP2621050B2 publication Critical patent/JP2621050B2/ja
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
    • A61B17/70Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032Screws or hooks with U-shaped head or back through which longitudinal rods pass
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16BDEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B2/00Friction-grip releasable fastenings
    • F16B2/02Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening
    • F16B2/06Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening external, i.e. with contracting action
    • F16B2/065Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening external, i.e. with contracting action using screw-thread elements
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16BDEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B7/00Connections of rods or tubes, e.g. of non-circular section, mutually, including resilient connections
    • F16B7/04Clamping or clipping connections
    • F16B7/044Clamping or clipping connections for rods or tubes being in angled relationship
    • F16B7/048Clamping or clipping connections for rods or tubes being in angled relationship for rods or for tubes without using the innerside thereof
    • 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
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B2017/603Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors with three points of contact, e.g. tripod

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Mechanical Engineering (AREA)
  • Neurology (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (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

(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】 〔産業上の利用分野〕 本発明は、背柱の体内固定に用いる肉茎ねじに関し、特
に、小形で、調節可能で隣接背椎に適用できる肉茎ねじ
に関する。
〔従来の技術〕
体内背柱固定装置が背柱骨折の治療や背柱変形の修正に
用いられている。一般に、このような装置は、長い軸を
有するねじを含み、そのねじは肉茎に挿し込まれ1次に
背柱に大体平行に走る棒または板に締付けられる。ねじ
は、背柱に留め具として動き、ねじの軸の棒または板に
対する位置全調節することによって、背柱(またはその
断面)を所望の形状に固定できる。
肉茎ねじ金棒に取付ける方法は−いろいろと考えられた
問題であったので、この目的を達成する非常に様々なり
ランプや腕木がある。しかし、従来の提案は、構成が複
雑で嵩はシすぎる装置を含んでいたので、棒/ねじ組立
体を隣接背椎に取付けることは、不可能でなければ困難
であった。
さらに、多くの装置の場合、棒は、すべてのねじを挿入
する前に一つ以上のねじに固着されなければならない。
ある装置では、棒は、ねじを切られていて、棒とねじの
相対位wt−変えるのを困難にしている。
〔発明の解決しようとする課題〕
本発明は、稽すの寸法に容易に調節でき、隣接背椎に使
用するのに十分に小形でかつねじを背柱内に置いた後に
神を受けて調節のできる肉茎ねじを提供することを目的
としている。
〔課珀ヲ解決するための手段〕
本発明によれば、肉茎ねじが一端に骨に挿込むためのね
じのついた軸と、他端に棒を受けるように構成されたヨ
ークまたはトラフを備えた締付は手段とを具備している
。ヨークの前端の内部は、挿入された棒を押すように構
成された縁をもった尖頭の形になっているのが最も好ま
しい突起と、ヨークにあって挿入された棒を尖頭に押付
けて締付ける手段とを形作るように成形されているのが
好ましい。
締付は手段は、ヨーク内に滑り込ませて取付けられ棒を
尖頭または突起に押付けるねじ手段を有するブロックま
たはパネルであるのが好ましい。
ねじ手段は、尖頭または突起の各側に1本づつの2本の
ねじを備え、どちらかのねじを進めることによって棒を
傾けることができるようにしであるのが好ましい。
ヨークは、みそを備えているのが好ましく、ブロックは
、ヨーク内のみそとぴったり合って、ブロックがヨーク
の中に滑り込めるようにする見合いのみそを備えている
。ソケットと見合いの突起がヨークとブロックとのみそ
に設けられて、ブロックがヨークに挿入された棒にしつ
かシ締付けられるときブロックがヨークの中で滑らない
ようにするのが好ましい。
〔実施例〕
図面を参照すると、第1図は1本発明によるねじである
。総括的に10として表わされたねじは。
12におけるように一端にねじ金切られ、骨の中に導入
するためにやや尖らされているのが好ましい軸11を備
えている。反対端にはヨークまたはトラフ1うがある。
ヨークの前端は、11冬におけるように棒15を受ける
ために湾曲している。棒15はなめらかでもよい、すな
わちねじやまがっていなくてもよい。第2図および第う
図にもつと明瞭に示されているように、ヨークの前内壁
16は、棒15がもたれることのできる尖頭または突起
17を形作るために内方ヘテーパがついている。
ヨークの側壁18は、後方アンダカツト部分20を有し
、パネルまたはブロック21を受けるみぞまたは長穴1
9=i備えている。第4図および第5図に示されている
ように、ブロック21は、ヨークのアンダカソト部分と
アシつぎ全形成する見合いのアンダカツト部分26をも
ったランド2つを備えている。
ブロック21は、第5図に示されているように。
棒15に接触し、棒をヨークの前内側表面に形成された
尖頭17に押しつけるようにブロック全通して進めるこ
とのできる2本の止めねじ22および25を備えている
。止めねじ22.25の外端は、適当なレンチで操作で
きるように六角形の頭にしてもよい。ブロック21の厚
さは、ヨーク19の深さよシかなシ小さいので、ブロッ
クはヨークにゆるくはまる。しかし、止めねじ22.2
3が。
第)図に示されているように、挿入された棒を圧迫する
ように進められると、ブロックは、ランド2つのアンダ
カツト部分26がヨークのアンダカツト部分20に係合
するように押しかえされる。
ヨークのみぞ19のアンダカツト部分20の内部は、小
さな突起24(第2図および第う図)を備えていてもよ
く、見合いのソケット25がブロック21に設けられて
止めねじ22,251進めて、棒に押しつけ、ブロック
をヨークのみぞ19の後部に押しかえすと突起214が
ソケット25の中にはまって、ソケット内でブロックの
滑るのを妨げるようにする。
使用時には、ねじは、従来の教示に従って案内穴を設け
るためにキルシュネル針金を用いて肉薄に挿入できる。
ソケツ)50を肉薄ねじを操作するのを助けるためにね
じヨークの側壁に設けてもよい。2本以上のねじを所望
の点に取付けた後に。
棒をねじのヨークの開放後端を通して挿入できる。
次に、ブロック21全みぞ19に落し込んで、止めねじ
22.21を締める。棒とヨークの内側との間の接点が
尖頭17にあるので、どちらかの止めねじを進めること
によって棒を肉薄ねじに対して傾けることができる。こ
れは、とりわけ、背柱の変形を修正するために背柱自体
を所望通9に一直線にするために用いることができる。
〔発明の効果〕
第6図は、本発明による肉薄ねじを用いる2本の固定棒
を適用した一連の胸椎を示している。肉薄ねじのヨーク
端の横寸法は、かなり小さく1例えば+ 12X12+
wの程度のものである。従って。
第6図に示されているように1本発明による肉薄ねじを
隣接背椎2了、28に干渉なしに挿入することが可能で
ある。さらに、肉薄ねじと棒との間の角度を2本の止め
ねじの釣合いをとることによって調節できるので、棒が
非常に容易に所定の付量に納った後に棒の角度を調節す
ることが可能である。
【図面の簡単な説明】
第1図は1本発明による肉薄ねじを用いる背柱固定組立
体の分解斜視図。 第2図は1本発明による肉薄ねじの側面図。 第5図は、第2図の肉薄ねじの端面図。 第4図は、第1.2およびう図に示したブロックの詳細
を示す側室面図、 第5図は、ヨークと係合するありつぎみそを示す第4図
のブロックの端面図。 第6図は1本発明による背柱固定組立体における肉薄ね
じの使用法を示す背柱の一部分の図解後方図である。 11−一軸、13−−ヨーク、15−−棒。 21−一ブロック+ 22.25−一止めねじ。

Claims (1)

  1. 【特許請求の範囲】 1、骨に挿込むためにねじを切られている前端と棒を受
    けるヨークをもつた後端とを有する軸を備え、前記ヨー
    クの前方壁が前記ヨークに挿入された棒を圧迫するよう
    に構成された縁をもつた尖頭を形作るように成形されて
    おり、さらに前記ヨーク内にあつて前記ヨークに挿入さ
    れた棒を前記尖頭に締付ける手段を備えた肉茎ねじ。 2、ブロックと、前記ブロックを前記ヨーク内に摺動さ
    せて取付ける手段と、前記ブロックについており、前記
    ヨークに挿入された棒を締付ける手段とをさらに備えた
    請求項1に記載の肉茎ねじ。 3、前記ヨークの側面にあるみぞと、前記ヨークの側面
    にあるみぞに適合するランドを有するブロックと、前記
    ヨーク内にブロックを摺動させて取付ける手段と、前記
    ブロック内にあつて前記ヨークに挿入された棒を前記尖
    頭に押しつけるねじ手段とをさらに備える請求項1に記
    載の肉茎ねじ。 4、前記ねじ手段が2本の止めねじからなる請求項3に
    記載の肉茎ねじ。 5、前記ヨーク内の前記みぞと前記ブロック内の前記ラ
    ンドが互いにありつぎになるアンダカツト部分を有して
    いる請求項3に記載の肉茎ねじ。 6、前記アンダカツト部分内にあつて、前記ブロックと
    前記ヨークとの間の相対運動を抑える手段をさらに備え
    る請求項3に記載の肉茎ねじ。 7、軸と、前記軸についており、前記軸の端にヨークを
    備え、前記軸を前記軸の軸線に直角に走る棒に締付ける
    締めつけ手段と、前記ヨーク内に取外し自在に取付けら
    れたパネルと、前記パネル内にあつて前記ヨークに挿入
    された棒を前記ヨークの内部に押しつける手段とを備え
    る肉茎ねじ。 8、前記ヨークの内側壁が前記ヨークに挿入された棒に
    接触する内方に伸びる突起をもつている請求項7に記載
    の肉茎ねじ。 9、前記パネルが前記突起のどちらの側でも前記ヨーク
    の中に進められるように構成されたねじを有する請求項
    8に記載の肉茎ねじ。 10、肉茎ねじと棒とを具備し、前記肉茎ねじは軸と前
    記軸に付いていて前記肉茎ねじを前記棒に固着する締付
    け手段とを備え、前記締付け手段が、前記軸の端にある
    ヨークと、前記ヨークに取外し自在に取付けられたブロ
    ックと、前記ブロックにあつて前記棒を前記ヨークに挿
    入されたとき前記ヨークの内部に押しつける手段とを備
    えている背柱固定組立体。 11、前記軸の前記ヨークから遠い端は、ねじを切られ
    ており、前記棒はねじを切られていない請求項10に記
    載の背柱固定組立体。 12、前記ヨークの内側壁が尖頭に形作られ、前記ブロ
    ックが前記ブロックに挿入された棒を前記尖頭に押しつ
    けるねじ手段を備えている請求項10に記載の背柱固定
    組立体。
JP1042023A 1988-03-02 1989-02-23 開放形背付き肉茎ねじ Expired - Lifetime JP2621050B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/163,278 US4887596A (en) 1988-03-02 1988-03-02 Open backed pedicle screw
US163278 1988-03-02

Publications (2)

Publication Number Publication Date
JPH01310658A true JPH01310658A (ja) 1989-12-14
JP2621050B2 JP2621050B2 (ja) 1997-06-18

Family

ID=22589280

Family Applications (1)

Application Number Title Priority Date Filing Date
JP1042023A Expired - Lifetime JP2621050B2 (ja) 1988-03-02 1989-02-23 開放形背付き肉茎ねじ

Country Status (6)

Country Link
US (1) US4887596A (ja)
EP (1) EP0330881B1 (ja)
JP (1) JP2621050B2 (ja)
CA (1) CA1309629C (ja)
DE (1) DE68900346D1 (ja)
HK (1) HK99492A (ja)

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JP2621050B2 (ja) 1997-06-18
EP0330881B1 (en) 1991-10-23
EP0330881A1 (en) 1989-09-06
HK99492A (en) 1992-12-18
DE68900346D1 (de) 1991-11-28
CA1309629C (en) 1992-11-03
US4887596A (en) 1989-12-19

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