RU2013128272A - Хирургическая направляющая для ортопедии - Google Patents
Хирургическая направляющая для ортопедии Download PDFInfo
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- RU2013128272A RU2013128272A RU2013128272/14A RU2013128272A RU2013128272A RU 2013128272 A RU2013128272 A RU 2013128272A RU 2013128272/14 A RU2013128272/14 A RU 2013128272/14A RU 2013128272 A RU2013128272 A RU 2013128272A RU 2013128272 A RU2013128272 A RU 2013128272A
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- bone
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- 210000000988 bone and bone Anatomy 0.000 claims abstract 53
- 238000005553 drilling Methods 0.000 claims abstract 26
- 238000012876 topography Methods 0.000 claims abstract 11
- 230000037361 pathway Effects 0.000 claims abstract 3
- 210000004233 talus Anatomy 0.000 claims abstract 3
- 210000002303 tibia Anatomy 0.000 claims abstract 3
- 238000000034 method Methods 0.000 claims 6
- 210000002683 foot Anatomy 0.000 claims 4
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/14—Surgical saws
- A61B17/15—Guides therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1717—Guides or aligning means for drills, mills, pins or wires for applying intramedullary nails or pins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1775—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the foot or ankle
-
- 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
- A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
- A61F2/4202—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for ankles
-
- 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
- A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/108—Computer aided selection or customisation of medical implants or cutting guides
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Dentistry (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
1. Система для создания интрамедуллярного пути, включающая:тело, имеющее такие размеры и форму, чтобы входить в резецированное костное пространство, и имеющее первое отверстие, которое проходит через упомянутое тело, причем это первое отверстие имеет такой размер и форму, чтобы через него проходил хирургический инструмент; ипервую конструкцию захвата кости, проходящую от упомянутого тела в первом направлении, причем первая конструкция захвата кости включает первую поверхность, которая соответствует топографии поверхности первой кости,отличающаяся тем, что, когда первая поверхность конструкции захвата кости войдет в зацепление с топографией поверхности первой кости, которой соответствует первая поверхность, ось первого отверстия будет лежать по существу на одной линии с механической осью первой кости.2. Система по п.1, отличающаяся тем, что первой костью является большеберцовая кость.3. Система по п.1, отличающаяся тем, что вторая конструкция захвата кости проходит от упомянутого тела в направлении, которое по существу противоположно первому направлению, причем вторая конструкция захвата кости включает вторую поверхность, которая соответствует топографии поверхности второй кости.4. Система по п.3, отличающаяся тем, что второй костью является таранная кость.5. Система по п.1, кроме того включающая:направляющую для сверления, имеющую такой размер и форму, чтобы входить в первое отверстие, выполненное в упомянутом теле, причем направляющая для сверления имеет второе отверстие, имеющее такой размер и форму, чтобы через него проходил хирургический инструмент.6. Система по п.5, отличающаяся тем, что первое отверсти
Claims (22)
1. Система для создания интрамедуллярного пути, включающая:
тело, имеющее такие размеры и форму, чтобы входить в резецированное костное пространство, и имеющее первое отверстие, которое проходит через упомянутое тело, причем это первое отверстие имеет такой размер и форму, чтобы через него проходил хирургический инструмент; и
первую конструкцию захвата кости, проходящую от упомянутого тела в первом направлении, причем первая конструкция захвата кости включает первую поверхность, которая соответствует топографии поверхности первой кости,
отличающаяся тем, что, когда первая поверхность конструкции захвата кости войдет в зацепление с топографией поверхности первой кости, которой соответствует первая поверхность, ось первого отверстия будет лежать по существу на одной линии с механической осью первой кости.
2. Система по п.1, отличающаяся тем, что первой костью является большеберцовая кость.
3. Система по п.1, отличающаяся тем, что вторая конструкция захвата кости проходит от упомянутого тела в направлении, которое по существу противоположно первому направлению, причем вторая конструкция захвата кости включает вторую поверхность, которая соответствует топографии поверхности второй кости.
4. Система по п.3, отличающаяся тем, что второй костью является таранная кость.
5. Система по п.1, кроме того включающая:
направляющую для сверления, имеющую такой размер и форму, чтобы входить в первое отверстие, выполненное в упомянутом теле, причем направляющая для сверления имеет второе отверстие, имеющее такой размер и форму, чтобы через него проходил хирургический инструмент.
6. Система по п.5, отличающаяся тем, что первое отверстие включает часть с уменьшенным диаметром, и наружная поверхность направляющей для сверления включает первую часть, имеющую меньшую площадь поперечного сечения чем вторая часть и имеющую такой размер и форму, чтобы входить в часть меньшего диаметра первого отверстия.
7. Система по п.5, отличающаяся тем, что наружная поверхность направляющей для сверления включает плоскую поверхность, которая соответствует препятствующему повороту элементу, расположенному в первом отверстии.
8. Система по п.5, отличающаяся тем, что второе отверстие сходит на конус по меньшей мере на части его длины.
9. Система по п.1, отличающаяся тем, что упомянутое тело имеет по меньшей мере одно отверстие для соединения тела с соединительным стержнем, причем соединительный стержень выполнен так, чтобы входить в зацепление с парой стержней для выравнивания, отходящих от держателя стопы.
10. Система для создания интрамедуллярного пути, включающая:
держатель направляющей для сверления, включающий тело, имеющее такие размеры и форму, чтобы входить в резецированное костное пространство, причем упомянутое тело имеет первое отверстие, которое проходит через упомянутое тело, первую конструкцию захвата кости, отходящую от тела в первом направлении и включающую первую поверхность, которая соответствует топографии поверхности первой кости; и
направляющую для сверления, имеющую такой размер и форму, чтобы входить в первое отверстие, выполненное в теле держателя направляющей для сверления, причем направляющая для сверления имеет второе отверстие, имеющее такой размер и форму, чтобы через него проходил хирургический инструмент,
отличающаяся тем, что, когда первая поверхность конструкции захвата кости войдет в зацепление с топографией поверхности первой кости, которой соответствует первая поверхность, ось первого отверстия будет лежать по существу на одной линии с механической осью первой кости.
11. Система по п.10, отличающаяся тем, что вторая конструкция захвата кости проходит от тела держателя направляющей для сверления в направлении, которое по существу противоположно первому направлению, причем вторая конструкция захвата кости включает вторую поверхность, которая соответствует топографии поверхности второй кости.
12. Система по п.11, отличающаяся тем, что первая и вторая конструкции захвата кости каждая включает по меньшей мере одно отверстие, имеющее такой размер и форму, чтобы через него проходила k-проволока.
13. Система по п.10, отличающаяся тем, что первое отверстие включает часть с уменьшенным диаметром, и наружная поверхность направляющей для сверления включает первую часть, имеющую меньшую площадь поперечного сечения чем вторая часть и имеющую такой размер и форму, чтобы входить в часть меньшего диаметра первого отверстия.
14. Система по п.10, отличающаяся тем, что наружная поверхность направляющей для сверления включает плоскую поверхность, которая соответствует препятствующему повороту элементу, расположенному в первом отверстии.
15. Система по п.10, отличающаяся тем, что второе отверстие сходит на конус по меньшей мере на части его длины.
16. Система по п.10, кроме того включающая соединительный стержень, имеющий такой размер и форму, чтобы захватывать пару стержней для выравнивания, отходящих от держателя стопы, причем соединительный стержень имеет такую форму, чтобы его можно было соединить с телом держателя направляющей для сверления для поддержания положения держателя направляющей для сверления относительно держателя стопы.
17. Способ, включающий:
введение направляющей для сверления в отверстие, выполненное в держателе направляющей для сверления, причем держатель направляющей для сверления включает первую конструкцию захвата кости, проходящую от тела держателя направляющей для сверления в первом направлении и имеющую первую поверхность, которая соответствует топографии поверхности первой кости;
введение держателя направляющей для сверления и направляющей для сверления, расположенной в первом отверстии держателя направляющей для сверления, в резецированное костное пространство так, чтобы первая поверхность конструкции захвата кости вошла в соответствующее зацепление с первой костью; и
проведение хирургического инструмента через второе отверстие, выполненное в направляющей для сверления, чтобы создать интрамедуллярный канал в первой кости, который лежит по существу на одной линии с механической осью первой кости.
18. Способ по п.17, отличающийся тем, что держатель направляющей для сверления включает вторую конструкцию захвата кости, которая проходит от тела держателя направляющей для сверления в направлении, которое по существу противоположно первому направлению, причем вторая конструкция захвата кости включает вторую поверхность, которая соответствует топографии поверхности второй кости.
19. Способ по п.18, отличающийся тем, что, когда первая поверхность конструкции захвата кости соответственно входит в зацепление с первой костью, вторая поверхность соответственно входит в зацепление с второй костью.
20. Способ по п.17, кроме того включающий:
введение первой k-проволоки через первое отверстие, выполненное в первой конструкции захвата кости, и в первую кость; и
введение второй k-проволоки через второе отверстие, выполненное во второй конструкции захвата кости, и во вторую кость.
21. Способ по п.17, кроме того включающий:
соединение держателя направляющей для сверления с соединительным стержнем;
и
прикрепление соединительного стержня к паре стержней для выравнивания, отходящих от узла для хирургической фиксации.
22. Способ по п.21, отличающийся тем, что узлом для хирургической фиксации является комплект держателя стопы, первой костью является большеберцовая кость и второй костью является таранная кость.
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201061425054P | 2010-12-20 | 2010-12-20 | |
| US61/425,054 | 2010-12-20 | ||
| US201161482657P | 2011-05-05 | 2011-05-05 | |
| US61/482,657 | 2011-05-05 | ||
| US13/330,091 US8808303B2 (en) | 2009-02-24 | 2011-12-19 | Orthopedic surgical guide |
| US13/330,091 | 2011-12-19 | ||
| PCT/US2011/066025 WO2012088036A1 (en) | 2010-12-20 | 2011-12-20 | Orthopedic surgical guide |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| RU2013128272A true RU2013128272A (ru) | 2015-01-27 |
| RU2559221C2 RU2559221C2 (ru) | 2015-08-10 |
Family
ID=45464129
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2013128272/14A RU2559221C2 (ru) | 2010-12-20 | 2011-12-20 | Хирургическая направляющая для ортопедии |
| RU2015125992/14A RU2015125992A (ru) | 2010-12-20 | 2013-06-20 | Хирургическая направляющая для ортопедии |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2015125992/14A RU2015125992A (ru) | 2010-12-20 | 2013-06-20 | Хирургическая направляющая для ортопедии |
Country Status (13)
| Country | Link |
|---|---|
| US (5) | US8808303B2 (ru) |
| EP (1) | EP2654580B1 (ru) |
| JP (2) | JP5723460B2 (ru) |
| KR (1) | KR101534181B1 (ru) |
| CN (1) | CN103379868B (ru) |
| AU (1) | AU2011349425B2 (ru) |
| BR (1) | BR112013015526B1 (ru) |
| CA (1) | CA2822081C (ru) |
| CO (1) | CO6781546A2 (ru) |
| MX (1) | MX338956B (ru) |
| PE (1) | PE20141362A1 (ru) |
| RU (2) | RU2559221C2 (ru) |
| WO (1) | WO2012088036A1 (ru) |
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| US8808303B2 (en) * | 2009-02-24 | 2014-08-19 | Microport Orthopedics Holdings Inc. | Orthopedic surgical guide |
| WO2010120346A1 (en) * | 2009-04-13 | 2010-10-21 | George John Lian | Custom radiographically designed cutting guides and instruments for use in total ankle replacement surgery |
| US8475463B2 (en) * | 2009-04-13 | 2013-07-02 | George J. Lian | Systems and instrumentalities for use in total ankle replacement surgery |
| GB2479899A (en) | 2010-04-28 | 2011-11-02 | Biomet Uk Ltd | Alignment tool for use in joint replacement |
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- 2011-12-20 WO PCT/US2011/066025 patent/WO2012088036A1/en not_active Ceased
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- 2011-12-20 EP EP11805730.6A patent/EP2654580B1/en active Active
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2013
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2014
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2015
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