WO2017123118A1 - Dispositif arthromédullaire (variantes) - Google Patents
Dispositif arthromédullaire (variantes) Download PDFInfo
- Publication number
- WO2017123118A1 WO2017123118A1 PCT/RU2016/000851 RU2016000851W WO2017123118A1 WO 2017123118 A1 WO2017123118 A1 WO 2017123118A1 RU 2016000851 W RU2016000851 W RU 2016000851W WO 2017123118 A1 WO2017123118 A1 WO 2017123118A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- channel
- plug
- cap
- shell
- thread
- Prior art date
Links
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 43
- 239000004615 ingredient Substances 0.000 claims abstract description 15
- 238000010883 osseointegration Methods 0.000 claims abstract description 13
- 239000012530 fluid Substances 0.000 claims abstract description 7
- 210000001519 tissue Anatomy 0.000 claims description 11
- 238000010079 rubber tapping Methods 0.000 claims description 3
- 238000009472 formulation Methods 0.000 claims 1
- 239000000203 mixture Substances 0.000 claims 1
- 238000007789 sealing Methods 0.000 abstract description 6
- 230000006378 damage Effects 0.000 abstract description 3
- 230000000694 effects Effects 0.000 abstract description 2
- 230000001105 regulatory effect Effects 0.000 abstract description 2
- 230000002411 adverse Effects 0.000 abstract 1
- 210000001185 bone marrow Anatomy 0.000 abstract 1
- 238000005516 engineering process Methods 0.000 abstract 1
- 238000000605 extraction Methods 0.000 abstract 1
- 210000000968 fibrocartilage Anatomy 0.000 abstract 1
- 238000002347 injection Methods 0.000 description 10
- 239000007924 injection Substances 0.000 description 10
- 238000011477 surgical intervention Methods 0.000 description 8
- 239000007943 implant Substances 0.000 description 6
- 230000000399 orthopedic effect Effects 0.000 description 6
- 230000002980 postoperative effect Effects 0.000 description 6
- 238000003466 welding Methods 0.000 description 5
- 238000012986 modification Methods 0.000 description 4
- 230000004048 modification Effects 0.000 description 4
- 238000011084 recovery Methods 0.000 description 4
- 208000012868 Overgrowth Diseases 0.000 description 3
- 238000004891 communication Methods 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 238000004519 manufacturing process Methods 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 206010060820 Joint injury Diseases 0.000 description 2
- 238000011882 arthroplasty Methods 0.000 description 2
- 230000000903 blocking effect Effects 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 230000004800 psychological effect Effects 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 210000001188 articular cartilage Anatomy 0.000 description 1
- 210000000845 cartilage Anatomy 0.000 description 1
- 230000001054 cortical effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000007654 immersion Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
Definitions
- the invention relates to such fields of medicine as traumatology and orthopedics, and can be used as an implant for traumatological, orthopedic and rheumatological joint injuries.
- endoprosthetics For joint injuries caused by injuries of varying severity, as well as diseases, endoprosthetics is currently widely used.
- endoprosthetics like any complex operation related to the replacement of vital organs, is accompanied by a number of negative factors, such as the consequences of introducing a foreign body into the body, the complexity and high cost of such operations, the length of the recovery period, the need for repeated surgical intervention when replacing endoprostheses after a certain period of time, the complexity of manufacturing such devices, a combination of psychological and aesthetic factors, accompanying x such operations, prompting the search for alternative solutions aimed at the maximum use, first of all, of the patient’s natural resources, to search for opportunities for minimal surgical intervention, to reduce the cost of operations, to increase the availability and expand the scope of solutions alternative to joint replacement.
- the technical result to which the invention is directed is the creation of such an arthromedullary device that would be cannulated, which would allow the restoration and creation of an arthromedullary connection, the selection of bone fat, the intra-articular introduction of ingredients for the treatment of affected joints, would ensure the maximum use of the patient’s body resources, would minimize surgical intervention, exclude repeated surgical intervention, would allow Exclude overgrowth openings in the product fiber-cartilaginous tissue and allowed to expand assortment of devices for their introduction into the patient's body to treat affected joints, would reduce the negative psychological effects of the postoperative period, would have reduced the postoperative recovery function of the affected joints.
- the proposed arthromedullary device designed to ensure the restoration and creation of the arthromedullary connection, the selection of bone fat, intra-articular introduction of ingredients for the treatment of affected joints, cannulated, with the possibility of osseointegration, which reduces and / or eliminates the negative impact of a foreign body on the body including a through channel with inlet and outlet openings, the shell of which is provided with threaded elements, is provided with ene perforations, or performed without holes, provided with a plug for input or output openings of the through channel made adjustable or fixed in length, with self-tapping thread, or performed without a stub, or provided with, instead of the plug cap, wherein the opening is designed to to regulate the fluid flow, or filled without a cap, equipped with a gasket sealing the hole in the bone tissue and fixing the connection with the plug or cap, while one of the ends of the through channel shell is equipped with a fixture for a tool and a thread compatible with the thread of the plug or cap
- Figure 1 presents a generalized diagram of an arthromedullary device.
- the proposed arthromedullary device for restoring and creating an arthromedullary connection, bone fat selection, intraarticular injection of ingredients for the treatment of affected joints, cannulated, with the possibility of osseointegration, which reduces and / or eliminates the negative impact of a foreign body on the body includes a through channel 1 with input 2 and output 3 holes, the shell 4 of which is equipped with threaded elements 5 and perforations 6, with a plug 7 for input or output a hole in the through channel, made with an adjustable or fixed length, with a self-cutting thread, or without a plug, or, instead of a plug, with a cap 8 made with the possibility of regulating the fluid flow 9, or without a cap, with a gasket 10 sealing the hole in the bone tissue and fixing the connection with the plug or cap, while one of the ends of the through channel shell is equipped with a tool holder 11, and a thread 12 compatible with the thread 13 of the plug or cap, the shell surface 14 can be structured oh, in order to prevent the opening of the
- the proposed device for restoring and creating arthromedullary communication, bone fat selection, intraarticular injection of ingredients for the treatment of affected joints is cannulated, with the possibility of osseointegration, which reduces and / or eliminates the negative impact of a foreign body on the body, and includes a through channel 1 with input 2 and output 3 holes shell 4 which is made of materials used in orthopedics.
- the shell is equipped with threaded elements 5, which can be applied both from the external and internal sides and perforations 6 of various shapes and configurations.
- the plug 7 for the inlet or outlet can be made with both adjustable and fixed lengths, depending on the size of the area of bone tissue into which the cannulated device is inserted.
- the plug can be made with a thread 13, which is compatible with both the thread of the sheath 4 and the thread of the cap 8.
- the cap 8 is configured to control the flow of liquid 9, that is, have a through hole.
- the flow of fluid 9 through the cap 8 may come from bone tissue, for example, if it is bone fat.
- the gasket 10, made of elastic polymeric materials used in orthopedics, is designed to seal the holes in the bone tissue and tightly fix the connection of the plug or cap with the shell of the through channel.
- one of the ends of the shell is equipped with a device for the tool 11, so that the device is screwed and fixed in the bone tissue.
- the surface 14 of the sheath 4 can be structured to create more friction in the bone tissue, which enhances the fixation of the device, to ensure that the opening of the through channel of the fibrocartilaginous tissue is prevented from overgrowing at the end of the through channel shell provided with a tool holder, a ring 15 is made by welding perpendicularly to the through channel shell, the diameter of the hole of which coincides with the outer diameter of the cross section of the shell of the through channel, with a width exceeding the diameter of the through channel.
- the collapsible design of the proposed arthromedullary device allows the selection of elements for a particular variant of the device based on data such as, for example, the type of joint, joint parameters, the purpose of installation in bone tissue - this will depend, for example, on the types and sizes of elements included in the design of a specific embodiment of the device, the number, size and configuration of perforations, types and sizes of threaded connections, types and sizes of tool holders, with which x device is inserted into bone tissue.
- the proposed device may be made with a plug b
- An arthromedullary device designed to restore and create an arthromedullary connection, bone fat selection, intra-articular administration of ingredients for the treatment of affected joints, made by cannulated, with the possibility of osseointegration, which reduces and / or eliminates the negative impact of a foreign body on the body, is established as follows. From a small skin incision through the muscles, bone tissue is accessed. Through a hole drilled in the cortical bone, a metal spoke is drawn with the risks applied to it, which serves as a guide for the drill and a measure of the depth of immersion.
- the needle with its end must enter the articular space in such a way as not to damage the intra-articular ligaments and not to reach the loaded part of the articular surface.
- a canal of an appropriate diameter and length is prepared for introducing a device, which, under the control of the image intensifier tube, is screwed into the prepared bone channel due to external thread so that its articular end passes through the cartilage and does not rise above the surface of the articular cartilage.
- Additional control of the correct installation of the device may be biplanar radiographs and / or the introduction of radiopaque material into the joint space through the through channel of the device.
- An arthromedullary device designed to restore and create an arthromedullary connection, bone fat selection, intraarticular injection of ingredients for the treatment of affected joints is cannulated, with the possibility of osseointegration, which reduces and / or eliminates the negative impact of a foreign body on the body, and includes a through channel 1 with an input 2 and output 3 holes, the shell 4 of which is provided with threaded elements 5 and perforations 6, a plug 7 for input 2 holes, with an adjustable length, with a self-cutting thread, a gasket 10, a sealing hole in the bone tissue and a fixing connection with a plug, while one of the ends of the shell is provided with a key hole 11, this end is provided with a thread 12 that is compatible with the thread 13 of the plug, the surface 14 of the shell is structured , in order to prevent the opening of the through channel from overgrowing with a cartilaginous tissue, at the end of the shell of the through channel equipped with a tool holder, it is made by welding, perpendicular to dix shell
- the plug 7 is screwed into the bone tissue through the internal thread until it stops, blocking the access of bone fat to the joint cavity.
- An arthromedullary device designed to restore and create an arthromedullary connection, bone fat selection, intraarticular injection of ingredients for the treatment of affected joints is cannulated, with the possibility of osseointegration, which reduces and / or eliminates the negative impact of a foreign body on the body, and includes a through channel 1 with an input 2 and output 3 holes, the shell 4 of which is provided with threaded elements 5 and perforations 6, a cap 8, made with the possibility 9, fluid flow regulation, i.e.
- a ring 15 is made by welding perpendicularly to the shell of the through channel, the diameter of the hole of which coincides with the outer diameter of the cross section of the shell of the through channel, with a width exceeding the diameter of the through channel.
- the cap 8 When using a device of this modification, the cap 8 is screwed through the internal thread onto the sheath 4 of the through channel 1 until it stops in the bone tissue, blocking the access of bone fat to the joint cavity. If the cap is made with a through hole, then the necessary medicinal ingredients for treating the affected joints enter the joint through the through channel through the hole, and bone fat is taken from the joint through this hole in the cap.
- An arthromedullary device designed to restore and create an arthromedullary connection, bone fat selection, intraarticular injection of ingredients for the treatment of affected joints, made by cannulated, with the possibility of osseointegration, which reduces and / or eliminates the negative impact of a foreign body on the body, includes a through channel 1 with input 2 and output 3 holes, the shell 4 of which is provided with threaded elements 5 and perforations 6, the surface 14 of the shell 4 can be structured.
- a ring 15 is made by welding perpendicular to the shell of the through channel, the diameter of the hole of which coincides with the outer diameter of the cross section of the shell of the through channel, with a width exceeding the diameter of the through channel.
- the technical result was achieved by creating such an arthromedullary device that is cannulated, with the possibility of osseointegration, which reduces and / or eliminates the negative effects of a foreign body on the body, allows the restoration and creation of an arthromedullary connection, selection of bone fat, intraarticular injection of ingredients for the treatment of affected joints, ensures maximum use of the patient’s body resources, minimizes surgical intervention, to exclude repeated surgical intervention, allows to exclude the device’s hole overgrowth with fibro-cartilaginous tissue, and also allows to expand the assortment of devices designed to be introduced into the patient’s body for the treatment of affected joints, reduces the negative psychological consequences of the postoperative period, reduces the postoperative period of recovery of the function of the affected joints.
- the invention relates to such fields of medicine as traumatology and orthopedics, and can be used as an implant replacing an endoprosthesis in the treatment of traumatological, orthopedic and rheumatological lesions of the joints.
- Collapsible design of the proposed device designed to restore and create arthromedullary communication, selection of bone fat, intra-articular introduction of ingredients for the treatment of affected joints provides restoration and creation of an arthromedullary connection, bone fat selection, intraarticular injection of ingredients for the treatment of affected joints, maximizes the use of the patient’s body resources, minimizes surgical intervention, eliminates repeated surgical intervention, eliminates the possibility of overgrowing of the device’s opening with fibro-cartilaginous tissue, and also allows expanding the assortment the list of devices intended for their introduction into the patient’s body for treatment is affected joints, reduces the negative psychological effects of the postoperative period, reduces postoperative recovery function of the affected joints.
- the device with all its structural elements and various layout options is ergonomically, industrially applicable, can be manufactured at any enterprise intended for the manufacture of medical devices.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Prostheses (AREA)
Abstract
L'invention concerne les équipements médicaux et notamment des dispositifs arthromédullaires destinés à assurer la reconstitution et la formation d'une liaison arthromédullaire, la prise d'une matière grasse osseuse, l'administration intraveineuse d'ingrédients pour traiter les articulations lésées, qui ont une forme de canules permettant l'ostéointégration, assurant une réduction et/ou une élimination d'un effet négatif d'un corps étranger sur le corps humain. Le dispositif comprend un canal traversant avec des orifices d'entrée et de sortie dont l'enveloppe est munie d'éléments filetés, est dotée d'orifices de perforation ou ne comporte pas d'orifices, est équipée d'un bouchon pour l'orifice d'entrée ou de sortie du canal traversant possédant une longueur réglable ou fixe ou réalisée sans bouchon, ou dotée au lieu de bouchon d'un capuchon dont l'orifice sert à réguler le flux de liquide, ou encore réalisée sans aucun capuchon et dotée d'une garniture qui étanchéifie l'orifice dans le tissu osseux et fixe le raccordement de l'enveloppe au bouchon ou au capuchon. Une des extrémités de l'enveloppe du canal traversant est munie d'un accessoire pour outil et d'un filet compatible avec le filet du bouchon ou du capuchon pour empêcher l'accroissement dans l'orifice du canal traversant d'un tissu cartilagineux fibreux ; à l'extrémité de l'enveloppe du canal traversant doté d'un accessoire pour outil on a réalisé une bague disposée perpendiculairement à l'enveloppe du canal traversant, le diamètre de cette bague coïncidant avec le diamètre extérieur de la coupe de l'enveloppe du canal traversant avec une largeur qui dépasse le diamètre du canal traversant. L'utilisation de l'invention permet de réduire la période de récupération des fonctions par les articulations lésées.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| RU2016000004 | 2016-01-15 | ||
| RUPCT/RU2016/000004 | 2016-01-15 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO2017123118A1 true WO2017123118A1 (fr) | 2017-07-20 |
Family
ID=59311708
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/RU2016/000851 WO2017123118A1 (fr) | 2016-01-15 | 2016-12-06 | Dispositif arthromédullaire (variantes) |
Country Status (1)
| Country | Link |
|---|---|
| WO (1) | WO2017123118A1 (fr) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2743407C1 (ru) * | 2020-03-20 | 2021-02-18 | Валерий Георгиевич Булгаков | Имплантаты артромедуллярные (варианты) |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0491211A1 (fr) * | 1990-12-19 | 1992-06-24 | Synthes AG, Chur | Vis à os |
| WO2000067653A1 (fr) * | 1999-05-11 | 2000-11-16 | S.I.N.A.I. Medical Technologies Ltd. | Dispositif universel de compression de la hanche |
| EA200802283A1 (ru) * | 2006-05-04 | 2009-06-30 | Николай Свиридович ГАВРЮШЕНКО | Устройство для восстановления и создания артромедуллярной связи, отбора костного жира, внутрисуставного введения ингредиентов для лечения пораженных суставов |
| RU91843U1 (ru) * | 2009-04-02 | 2010-03-10 | Общество с ограниченной ответственностью "ЦИТОпроект" (ООО "ЦИТОпроект") | Имплантат артромедуллярный |
-
2016
- 2016-12-06 WO PCT/RU2016/000851 patent/WO2017123118A1/fr active Application Filing
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0491211A1 (fr) * | 1990-12-19 | 1992-06-24 | Synthes AG, Chur | Vis à os |
| WO2000067653A1 (fr) * | 1999-05-11 | 2000-11-16 | S.I.N.A.I. Medical Technologies Ltd. | Dispositif universel de compression de la hanche |
| EA200802283A1 (ru) * | 2006-05-04 | 2009-06-30 | Николай Свиридович ГАВРЮШЕНКО | Устройство для восстановления и создания артромедуллярной связи, отбора костного жира, внутрисуставного введения ингредиентов для лечения пораженных суставов |
| RU91843U1 (ru) * | 2009-04-02 | 2010-03-10 | Общество с ограниченной ответственностью "ЦИТОпроект" (ООО "ЦИТОпроект") | Имплантат артромедуллярный |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2743407C1 (ru) * | 2020-03-20 | 2021-02-18 | Валерий Георгиевич Булгаков | Имплантаты артромедуллярные (варианты) |
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