WO1993015679A1 - Marknagel - Google Patents
Marknagel Download PDFInfo
- Publication number
- WO1993015679A1 WO1993015679A1 PCT/DE1993/000135 DE9300135W WO9315679A1 WO 1993015679 A1 WO1993015679 A1 WO 1993015679A1 DE 9300135 W DE9300135 W DE 9300135W WO 9315679 A1 WO9315679 A1 WO 9315679A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- nail
- insert
- screw
- end region
- intramedullary
- Prior art date
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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
-
- 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
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7241—Intramedullary pins, nails or other devices with special means of locking the nail to the bone the nail having separate elements through which screws pass
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
Definitions
- the invention relates to an intramedullary nail
- the invention is therefore based on the object of creating an intramedullary nail in which it is possible to dispense with drilling the cortical bone on both sides of the nail, ie the nail only on one side by means of an attachment driven into the cortical bone and the nail a corresponding screw is fixed.
- the object on which the invention is based is achieved according to the invention by a plug-like insert which is arranged in the end region of the metal nail and is oriented transversely to the nail longitudinal axis and which opens outwards on at least one side of the nail and is made of a material which is easily drilled out can or into which a screw can easily be screwed.
- This measure makes it possible to drill the cortical bone of the upper arm only on one side and to insert a screw or pin through this hole, which is securely held in the cortical bone on the one hand, but on the other hand engages in the insert within the nail without it it sticks out of the nail on the other side. As a result, injury or damage to the sensitive nerves on the other hand is reliably eliminated.
- the insert is installed in one or more blind bores or in cylindrical bores which are cylindrical over a large part of their length, but then taper conically, so that no cavities when inserting the material into this bore caused by air pockets or the like.
- the insert can be made of plastic, but can advantageously be formed from a material that is biodegradable, the period of this biodegradation being of course longer than is necessary to heal a fracture of the upper arm, so that the nail is removed again in good time can.
- a material that is biodegradable By using the organic gisch degradable material is achieved, however, that material splinters arising during drilling do not lead to inflammation or dg1. being able to lead.
- part of a nail 1 is shown, in which an insert 2 is provided in one end region, which in the exemplary embodiment shown is arranged in a cylindrical bore which is designed as a blind bore.
- This insert consists of a material that is biodegradable. Now, after drilling through the cortical bone, a screw can be screwed into this insert, which causes the nail to be fixed to the cortical bone in this end region of the nail.
Abstract
Description
Claims
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE59304096T DE59304096D1 (de) | 1992-02-13 | 1993-02-11 | Marknagel |
EP93903175A EP0583442B1 (de) | 1992-02-13 | 1993-02-11 | Marknagel |
JP5513582A JPH06507104A (ja) | 1992-02-13 | 1993-02-11 | 骨髄釘 |
US08/344,223 US5484438A (en) | 1992-02-13 | 1994-11-23 | Intramedullary nail with screw-receiving solid insert |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE4204246 | 1992-02-13 | ||
DEP4204246.1 | 1992-02-13 | ||
DEP4205118.5 | 1992-02-20 | ||
DE4205118A DE4205118C1 (de) | 1992-02-13 | 1992-02-20 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1993015679A1 true WO1993015679A1 (de) | 1993-08-19 |
Family
ID=25911805
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/DE1993/000135 WO1993015679A1 (de) | 1992-02-13 | 1993-02-11 | Marknagel |
Country Status (8)
Country | Link |
---|---|
US (1) | US5484438A (de) |
EP (1) | EP0583442B1 (de) |
JP (1) | JPH06507104A (de) |
AT (1) | ATE143787T1 (de) |
CA (1) | CA2108249A1 (de) |
DE (2) | DE4205118C1 (de) |
ES (1) | ES2093405T3 (de) |
WO (1) | WO1993015679A1 (de) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2004110291A1 (de) * | 2003-06-12 | 2004-12-23 | Synthes Ag Chur | Chirurgischer nagel |
KR100851643B1 (ko) * | 2005-12-09 | 2008-08-13 | 신세스 게엠바하 | 외과용 네일 |
US8221419B2 (en) | 2003-08-29 | 2012-07-17 | Synthes Usa, Llc | Intramedullary nail |
US8465489B2 (en) | 2003-06-12 | 2013-06-18 | Synthes Usa, Llc | Surgical nail |
US8888779B2 (en) | 2003-03-07 | 2014-11-18 | DePuy Synthes Products, LLC | Locking screw for an intramedullary nail |
US9237909B2 (en) | 2003-07-30 | 2016-01-19 | DePuy Synthes Products, Inc. | Surgical nail |
Families Citing this family (54)
Publication number | Priority date | Publication date | Assignee | Title |
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DE19751284A1 (de) | 1997-11-19 | 1999-05-27 | Leo Prof Dr Gotzen | Fixationselement |
US5935127A (en) * | 1997-12-17 | 1999-08-10 | Biomet, Inc. | Apparatus and method for treatment of a fracture in a long bone |
US6019761A (en) * | 1998-12-23 | 2000-02-01 | Gustilo; Ramon B. | Intramedullary nail and method of use |
US6296645B1 (en) | 1999-04-09 | 2001-10-02 | Depuy Orthopaedics, Inc. | Intramedullary nail with non-metal spacers |
US6783529B2 (en) | 1999-04-09 | 2004-08-31 | Depuy Orthopaedics, Inc. | Non-metal inserts for bone support assembly |
US5983904A (en) * | 1999-05-20 | 1999-11-16 | Conair Corporation | Hair curler |
US7008425B2 (en) * | 1999-05-27 | 2006-03-07 | Jonathan Phillips | Pediatric intramedullary nail and method |
US6520996B1 (en) * | 1999-06-04 | 2003-02-18 | Depuy Acromed, Incorporated | Orthopedic implant |
US6893444B2 (en) * | 2000-02-01 | 2005-05-17 | Hand Innovations, Llc | Bone fracture fixation systems with both multidirectional and unidirectional stabilization pegs |
US20060041260A1 (en) * | 2000-02-01 | 2006-02-23 | Orbay Jorge L | Fixation system with plate having holes with divergent axes and multidirectional fixators for use therethrough |
US7695502B2 (en) | 2000-02-01 | 2010-04-13 | Depuy Products, Inc. | Bone stabilization system including plate having fixed-angle holes together with unidirectional locking screws and surgeon-directed locking screws |
US7857838B2 (en) | 2003-03-27 | 2010-12-28 | Depuy Products, Inc. | Anatomical distal radius fracture fixation plate |
US6767351B2 (en) * | 2000-02-01 | 2004-07-27 | Hand Innovations, Inc. | Fixation system with multidirectional stabilization pegs |
US6706046B2 (en) * | 2000-02-01 | 2004-03-16 | Hand Innovations, Inc. | Intramedullary fixation device for metaphyseal long bone fractures and methods of using the same |
US20040153073A1 (en) | 2000-02-01 | 2004-08-05 | Hand Innovations, Inc. | Orthopedic fixation system including plate element with threaded holes having divergent axes |
US6730090B2 (en) | 2000-02-01 | 2004-05-04 | Hand Innovations, Inc. | Fixation device for metaphyseal long bone fractures |
US6808527B2 (en) | 2000-04-10 | 2004-10-26 | Depuy Orthopaedics, Inc. | Intramedullary nail with snap-in window insert |
US6527775B1 (en) * | 2000-09-22 | 2003-03-04 | Piper Medical, Inc. | Intramedullary interlocking fixation device for the distal radius |
US20060149257A1 (en) * | 2002-05-30 | 2006-07-06 | Orbay Jorge L | Fracture fixation device |
US7938850B2 (en) * | 2002-05-30 | 2011-05-10 | Depuy Products, Inc. | Nail plate |
US20040111090A1 (en) * | 2002-10-03 | 2004-06-10 | The University Of North Carolina At Chapel Hill | Modification of percutaneous intrafocal plate system |
US20050187551A1 (en) * | 2002-12-02 | 2005-08-25 | Orbay Jorge L. | Bone plate system with bone screws fixed by secondary compression |
US7425213B2 (en) * | 2002-12-10 | 2008-09-16 | Depuy Products, Inc. | Method of endosteal nailing |
DE20300987U1 (de) * | 2003-01-23 | 2003-04-10 | Stryker Trauma Gmbh | Implantat für die Osteosynthese |
US20040193155A1 (en) * | 2003-03-27 | 2004-09-30 | Hand Innovations, Inc. | Fracture fixation plate with particular plate hole and fastener engagement and methods of using the same |
AU2004294998B2 (en) | 2003-12-01 | 2011-03-24 | Smith & Nephew, Inc. | Humeral nail with insert for fixing a screw |
US20060015101A1 (en) * | 2004-07-15 | 2006-01-19 | Wright Medical Technology, Inc. | Intramedullary fixation assembly and devices and methods for installing the same |
US7588577B2 (en) * | 2004-07-15 | 2009-09-15 | Wright Medical Technology, Inc. | Guide assembly for intramedullary fixation and method of using the same |
AU2006207962B2 (en) * | 2005-01-28 | 2012-03-01 | Biomet C.V. | Nail plate system |
US7410488B2 (en) * | 2005-02-18 | 2008-08-12 | Smith & Nephew, Inc. | Hindfoot nail |
DE102005009347B8 (de) | 2005-03-01 | 2008-11-20 | Gradl Medizintechnik Gmbh | Verriegelungseinrichtung für einen gebrochenen oder angebrochenen Knochen |
US7491202B2 (en) * | 2005-03-31 | 2009-02-17 | Covidien Ag | Electrosurgical forceps with slow closure sealing plates and method of sealing tissue |
US8961516B2 (en) | 2005-05-18 | 2015-02-24 | Sonoma Orthopedic Products, Inc. | Straight intramedullary fracture fixation devices and methods |
US9060820B2 (en) | 2005-05-18 | 2015-06-23 | Sonoma Orthopedic Products, Inc. | Segmented intramedullary fracture fixation devices and methods |
WO2006124764A1 (en) * | 2005-05-18 | 2006-11-23 | Sonoma Orthopedic Products, Inc. | Minimally invasive actuable bone fixation devices, systems and methods of use |
US7905909B2 (en) * | 2005-09-19 | 2011-03-15 | Depuy Products, Inc. | Bone stabilization system including multi-directional threaded fixation element |
GB2442706A (en) * | 2006-10-09 | 2008-04-16 | Mohamed Khalid | An intramedullary rod for the fixation of bone fractures |
US20080149115A1 (en) * | 2006-11-22 | 2008-06-26 | Sonoma Orthopedic Products, Inc. | Surgical station for orthopedic reconstruction surgery |
CA2670263A1 (en) | 2006-11-22 | 2008-05-29 | Sonoma Orthopedic Products, Inc. | Fracture fixation device, tools and methods |
US20080132896A1 (en) * | 2006-11-22 | 2008-06-05 | Sonoma Orthopedic Products, Inc. | Curved orthopedic tool |
US7722611B2 (en) * | 2007-03-05 | 2010-05-25 | Depuy Products, Inc. | Method of treating a clavicle fracture |
JP5499244B2 (ja) * | 2007-04-27 | 2014-05-21 | ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング | 金属とポリマーの要素から構成されたインプラント装置 |
US8771283B2 (en) * | 2007-12-17 | 2014-07-08 | Wright Medical Technology, Inc. | Guide assembly for intramedullary fixation and method of using the same |
WO2009152273A1 (en) * | 2008-06-10 | 2009-12-17 | Sonoma Orthopedic Products, Inc. | Fracture fixation device, tools and methods |
CA2738478A1 (en) | 2008-09-26 | 2010-04-01 | Sonoma Orthopedic Products, Inc. | Bone fixation device, tools and methods |
WO2013095756A1 (en) | 2011-12-20 | 2013-06-27 | Synthes Usa, Llc | Self centering feature for an intramedullary nail |
EP2811927B1 (de) | 2012-02-07 | 2017-05-10 | MNR Device Corporation | Vorrichtung zur behandlung von knochenbrüchen |
DE102013005413A1 (de) * | 2013-03-28 | 2014-10-02 | Dietmar Wolter | Osteosynthesesystem für die multidirektionale, winkelstabile Versorgung von Frakturen von Röhrenknochen umfassend einen Marknagel und Knochenschrauben |
US9770278B2 (en) | 2014-01-17 | 2017-09-26 | Arthrex, Inc. | Dual tip guide wire |
US9814499B2 (en) | 2014-09-30 | 2017-11-14 | Arthrex, Inc. | Intramedullary fracture fixation devices and methods |
US10213250B2 (en) | 2015-11-05 | 2019-02-26 | Covidien Lp | Deployment and safety mechanisms for surgical instruments |
EP3694430A1 (de) | 2017-10-11 | 2020-08-19 | Tornier, Inc. | Führungen für humerusfixationsplatte |
EP3740145A1 (de) | 2018-01-15 | 2020-11-25 | GLW, Inc. | Hybride intramedulläre stäbe |
US11617604B2 (en) | 2020-04-15 | 2023-04-04 | DePuy Synthes Products, Inc. | Intramedullary nail assembly |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE3729840C1 (de) * | 1987-09-05 | 1989-02-02 | Dauerer Hermann Heinrich Micha | Markraum - Verriegelungsnagel |
DE4012995A1 (de) * | 1989-04-24 | 1990-10-25 | Kyle Richard F | Intramedullarnagel |
DE3921972A1 (de) * | 1989-07-04 | 1991-01-17 | Rainer Dr Baumgart | Marknagel |
Family Cites Families (11)
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US3596656A (en) * | 1969-01-21 | 1971-08-03 | Bernd B Kaute | Fracture fixation device |
US4338926A (en) * | 1980-11-21 | 1982-07-13 | Howmedica, Inc. | Bone fracture prosthesis with controlled stiffness |
DE3200156C2 (de) * | 1982-01-04 | 1984-03-08 | Mecron Medizinische Produkte Gmbh, 1000 Berlin | Schraubverbindung zum Komprimieren einer repositionierten Knochenfraktur |
US4457301A (en) * | 1982-06-18 | 1984-07-03 | Howmedica Inc. | Intramedullary fixation device |
DE8534358U1 (de) * | 1985-12-06 | 1986-01-23 | Howmedica GmbH Werk Schönkirchen, 2314 Schönkirchen | Knochennagel zur Versorgung von Oberarmfrakturen |
CH670381A5 (de) * | 1986-05-05 | 1989-06-15 | Sulzer Ag | |
US4733654A (en) * | 1986-05-29 | 1988-03-29 | Marino James F | Intramedullar nailing assembly |
US4851008A (en) * | 1988-02-01 | 1989-07-25 | Orthomet, Inc. | Bone implant prosthesis with substantially stress-free outer surface |
DE8811634U1 (de) * | 1988-09-14 | 1990-01-11 | Fux, Heinz-Dieter, Dr.Med., 6729 Leimersheim, De | |
SU1692566A1 (ru) * | 1989-05-25 | 1991-11-23 | Г.Г. Фишер, В.П. Пишак и В.М. Василов | Интрамедулл рный фиксатор дл лечени переломов трубчатых костей |
US5127913A (en) * | 1991-04-22 | 1992-07-07 | Thomas Jr Charles B | Apparatus and method for implanting an intramedullary rod |
-
1992
- 1992-02-20 DE DE4205118A patent/DE4205118C1/de not_active Expired - Fee Related
-
1993
- 1993-02-11 AT AT93903175T patent/ATE143787T1/de active
- 1993-02-11 EP EP93903175A patent/EP0583442B1/de not_active Expired - Lifetime
- 1993-02-11 WO PCT/DE1993/000135 patent/WO1993015679A1/de active IP Right Grant
- 1993-02-11 CA CA002108249A patent/CA2108249A1/en not_active Abandoned
- 1993-02-11 DE DE59304096T patent/DE59304096D1/de not_active Expired - Fee Related
- 1993-02-11 JP JP5513582A patent/JPH06507104A/ja active Pending
- 1993-02-11 ES ES93903175T patent/ES2093405T3/es not_active Expired - Lifetime
-
1994
- 1994-11-23 US US08/344,223 patent/US5484438A/en not_active Expired - Fee Related
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE3729840C1 (de) * | 1987-09-05 | 1989-02-02 | Dauerer Hermann Heinrich Micha | Markraum - Verriegelungsnagel |
DE4012995A1 (de) * | 1989-04-24 | 1990-10-25 | Kyle Richard F | Intramedullarnagel |
DE3921972A1 (de) * | 1989-07-04 | 1991-01-17 | Rainer Dr Baumgart | Marknagel |
Cited By (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8888779B2 (en) | 2003-03-07 | 2014-11-18 | DePuy Synthes Products, LLC | Locking screw for an intramedullary nail |
WO2004110291A1 (de) * | 2003-06-12 | 2004-12-23 | Synthes Ag Chur | Chirurgischer nagel |
AU2003232567B2 (en) * | 2003-06-12 | 2007-12-20 | Synthes Gmbh | Surgical nail |
US8465489B2 (en) | 2003-06-12 | 2013-06-18 | Synthes Usa, Llc | Surgical nail |
US9737347B2 (en) | 2003-06-12 | 2017-08-22 | DePuy Synthes Products, Inc. | Surgical nail |
US9237909B2 (en) | 2003-07-30 | 2016-01-19 | DePuy Synthes Products, Inc. | Surgical nail |
US8221419B2 (en) | 2003-08-29 | 2012-07-17 | Synthes Usa, Llc | Intramedullary nail |
US9814500B2 (en) | 2003-08-29 | 2017-11-14 | DePuy Synthes Products, Inc. | Intramedullary nail |
KR100851643B1 (ko) * | 2005-12-09 | 2008-08-13 | 신세스 게엠바하 | 외과용 네일 |
Also Published As
Publication number | Publication date |
---|---|
US5484438A (en) | 1996-01-16 |
EP0583442B1 (de) | 1996-10-09 |
EP0583442A1 (de) | 1994-02-23 |
DE4205118C1 (de) | 1993-07-29 |
JPH06507104A (ja) | 1994-08-11 |
CA2108249A1 (en) | 1993-08-14 |
ES2093405T3 (es) | 1996-12-16 |
ATE143787T1 (de) | 1996-10-15 |
DE59304096D1 (de) | 1996-11-14 |
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