WO2010033702A3 - Intramedullary arthrodesis nail and method of use - Google Patents

Intramedullary arthrodesis nail and method of use Download PDF

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Publication number
WO2010033702A3
WO2010033702A3 PCT/US2009/057319 US2009057319W WO2010033702A3 WO 2010033702 A3 WO2010033702 A3 WO 2010033702A3 US 2009057319 W US2009057319 W US 2009057319W WO 2010033702 A3 WO2010033702 A3 WO 2010033702A3
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WO
WIPO (PCT)
Prior art keywords
nail
joint
bone
proximal
affixing
Prior art date
Application number
PCT/US2009/057319
Other languages
French (fr)
Other versions
WO2010033702A2 (en
Inventor
Jorge L. Orbay
Thomas H. Norman
Juan Salcedo
Ronald Litke
Original Assignee
Skeletal Dynamics Llc
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 Skeletal Dynamics Llc filed Critical Skeletal Dynamics Llc
Priority to EP09815196.2A priority Critical patent/EP2361043B1/en
Priority to AU2009293201A priority patent/AU2009293201B2/en
Priority to JP2011527960A priority patent/JP2012502753A/en
Priority to CA2737104A priority patent/CA2737104C/en
Publication of WO2010033702A2 publication Critical patent/WO2010033702A2/en
Publication of WO2010033702A3 publication Critical patent/WO2010033702A3/en

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    • 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
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Abstract

A device is provided including a distal nail portion and a proximal nail portion that can be connected to each other to attain a rigid configuration. The device is to be placed internally within the medullary cavities of at least two bones forming a joint to accomplish arthrodesis of the joint. The device is placed intramedullarily in order to minimize incision size, excessive bone resection and post-operative tendon damage and tenderness. Additionally, one particular method for using the device is provided that includes placing and affixing the distal nail in a bone of a joint, placing the proximal nail in another bone of a joint, connecting the distal nail to the proximal nail, doing the desired geometrical adjustments, affixing the proximal nail to the distal nail by tightening the connection and affixing the proximal nail to the other bone of the joint to attain a rigid configuration.
PCT/US2009/057319 2008-09-17 2009-09-17 Intramedullary arthrodesis nail and method of use WO2010033702A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP09815196.2A EP2361043B1 (en) 2008-09-17 2009-09-17 Intramedullary arthrodesis nail and method of use
AU2009293201A AU2009293201B2 (en) 2008-09-17 2009-09-17 Intramedullary arthrodesis nail and method of use
JP2011527960A JP2012502753A (en) 2008-09-17 2009-09-17 Intramedullary joint fixation nail and method of use thereof
CA2737104A CA2737104C (en) 2008-09-17 2009-09-17 Intramedullary arthrodesis nail and method of use

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US9761608P 2008-09-17 2008-09-17
US61/097,616 2008-09-17
US23927709P 2009-09-02 2009-09-02
US61/239,277 2009-09-02
US12/561,805 2009-09-17
US12/561,805 US9095440B2 (en) 2008-09-17 2009-09-17 Intramedullary arthrodesis nail and method of use

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WO2010033702A2 WO2010033702A2 (en) 2010-03-25
WO2010033702A3 true WO2010033702A3 (en) 2010-06-17

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US (2) US9095440B2 (en)
EP (1) EP2361043B1 (en)
JP (1) JP2012502753A (en)
AU (1) AU2009293201B2 (en)
CA (1) CA2737104C (en)
WO (1) WO2010033702A2 (en)

Families Citing this family (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8425513B2 (en) * 2008-03-24 2013-04-23 Clavicle, Llc Method and system for the intramedullary fixation of a fractured bone
US10251757B2 (en) * 2008-09-17 2019-04-09 Skeletal Dynamics Llc Grooved slot allowing adjustment of the position of a bone fixation device for osteosynthesis
US8932301B2 (en) * 2009-08-26 2015-01-13 Biomet C.V. Targeting jig for hip fracture nail system
US9662221B2 (en) 2011-01-26 2017-05-30 Nextremity Solutions, Inc. Upper extremity fusion devices and methods
SE536732C2 (en) * 2011-03-04 2014-07-01 Swemac Innovation Ab Prosthesis for joint surgery
WO2013095756A1 (en) 2011-12-20 2013-06-27 Synthes Usa, Llc Self centering feature for an intramedullary nail
US9017404B2 (en) 2012-01-23 2015-04-28 Lloyd P. Champagne Devices and methods for tendon repair
WO2013181358A1 (en) * 2012-05-30 2013-12-05 Acumed Llc Articulated intramedullary nail
US9480515B2 (en) 2012-07-12 2016-11-01 Exsomed International IP, LLC Metacarpal bone stabilization device
US20140128985A1 (en) 2012-11-07 2014-05-08 Roy W. Sanders Joint Arthroplasty Systems, Methods, and Components
US8721644B1 (en) * 2013-03-08 2014-05-13 Ta-Lun Tan Intramedullary apparatus and methods of treating bone fracture using the same
US11259849B2 (en) * 2013-10-02 2022-03-01 ExsoMed Corporation Full wrist fusion device
US9622523B2 (en) 2014-01-06 2017-04-18 Exsomed International IP, LLC Ergonomic work gloves
US9554916B2 (en) * 2014-06-04 2017-01-31 Sarah Miller Apparatus and method for replacement of a metatarsophalangeal joint with interphalangeal fusion
US20160081725A1 (en) * 2014-08-12 2016-03-24 Vilex In Tennessee, Inc. Intramedullary Nail
US10441330B2 (en) 2015-05-19 2019-10-15 Exsomed Holding Company, Llc Distal radius plate
CN104783881B (en) * 2015-05-20 2016-11-09 陈伟 A kind of clavicular fracture Wicresoft Medullary fixation device
US10245091B2 (en) 2015-12-30 2019-04-02 Exsomed Holding Company, Llc Dip fusion spike screw
US11147604B2 (en) 2016-01-12 2021-10-19 ExsoMed Corporation Bone stabilization device
USD867593S1 (en) * 2016-09-22 2019-11-19 Baugh Medical Organization, Llc Prosthesis for post tissue recovery
US9974579B2 (en) * 2016-10-03 2018-05-22 Robert Peter Casola Intramedullary distraction device
EP3678565A4 (en) 2017-09-05 2021-10-27 ExsoMed Corporation Intramedullary threaded nail for radial cortical fixation
US11191645B2 (en) 2017-09-05 2021-12-07 ExsoMed Corporation Small bone tapered compression screw
US11147681B2 (en) 2017-09-05 2021-10-19 ExsoMed Corporation Small bone angled compression screw
US10639050B2 (en) 2017-10-02 2020-05-05 Robin Kamal System and method for interosseous ligament reconstruction
US11000327B2 (en) 2018-12-14 2021-05-11 Nextremity Solutions, Inc. Bone defect repair apparatus and method
US10987146B2 (en) 2019-03-05 2021-04-27 Nextremity Solutions, Inc. Bone defect repair apparatus and method
AU2021216566A1 (en) * 2020-02-07 2022-08-18 Trimed Inc. Implant for fusing at least two bone components and method of fusing bone components using the implant
US11617604B2 (en) 2020-04-15 2023-04-04 DePuy Synthes Products, Inc. Intramedullary nail assembly
US11857272B2 (en) 2021-05-17 2024-01-02 Si-Restore Llc Implanted article physical referencing apparatus
US20230190311A1 (en) * 2021-12-16 2023-06-22 Metal Industries Research & Development Centre Assembling kit for installing intramedullary nail

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4106128A (en) * 1976-12-06 1978-08-15 Greenwald A Seth Endoprosthetic bone joint
US4259752A (en) * 1980-01-04 1981-04-07 Julio Taleisnik Endoprosthetic wrist joint
US5855579A (en) * 1994-07-15 1999-01-05 Smith & Nephew, Inc. Cannulated modular intramedullary nail
US20050055023A1 (en) * 2002-07-23 2005-03-10 Advanced Orthopaedic Solutions, Inc. Intramedullary nail for long bone fractures
US20050096656A1 (en) * 2003-10-30 2005-05-05 Behrens Alfred F. Intramedullary nail-based bone fracture treatment

Family Cites Families (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US526580A (en) * 1894-09-25 osyor
US3744488A (en) 1971-06-08 1973-07-10 J Cox Bone splint
DE3922957C1 (en) * 1989-07-12 1990-12-06 Erowa Ag, Reinach, Ch
US5108398A (en) * 1990-10-16 1992-04-28 Orthopaedic Research Institute Orthopaedic knee fusion apparatus
US5352227A (en) * 1993-02-03 1994-10-04 Howmedica Inc. Intercalary device
US5626580A (en) 1994-07-15 1997-05-06 Brosnahan; Robert Multi-section intramedullary nail
US5489284A (en) * 1994-07-15 1996-02-06 Smith & Nephew Richards Inc. Cannulated modular intramedullary nail
US5620445A (en) * 1994-07-15 1997-04-15 Brosnahan; Robert Modular intramedullary nail
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
US6652528B2 (en) * 2001-07-17 2003-11-25 Biomet, Inc. Intramedullary nail with modular sleeve
FR2861577B1 (en) * 2003-11-05 2006-02-10 Ceravic IMPLANTABLE ORTHESIS AND SURGICAL KIT FOR ARTHRODESIS OF THE KNEE
WO2006123844A1 (en) * 2005-05-20 2006-11-23 Atushi Ota Intermediate insertion type nut
EP1906850B1 (en) 2005-07-13 2013-04-10 Acumed LLC Bone plates with movable locking elements
WO2007009123A2 (en) * 2005-07-14 2007-01-18 Stout Medical Group, L.P. Implant systems and methods for use
US8303590B2 (en) * 2007-01-26 2012-11-06 Ebi, Llc Lockable intramedullary fixation device
EP2129309A2 (en) 2007-03-22 2009-12-09 Novalign Orthopaedics, Inc. Segmented intramedullary structure
US8764751B2 (en) * 2010-03-04 2014-07-01 Skeletal Dynamics, Llc Endosteal nail plate for fixing bone segments

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4106128A (en) * 1976-12-06 1978-08-15 Greenwald A Seth Endoprosthetic bone joint
US4259752A (en) * 1980-01-04 1981-04-07 Julio Taleisnik Endoprosthetic wrist joint
US5855579A (en) * 1994-07-15 1999-01-05 Smith & Nephew, Inc. Cannulated modular intramedullary nail
US20050055023A1 (en) * 2002-07-23 2005-03-10 Advanced Orthopaedic Solutions, Inc. Intramedullary nail for long bone fractures
US20050096656A1 (en) * 2003-10-30 2005-05-05 Behrens Alfred F. Intramedullary nail-based bone fracture treatment

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP2361043A4 *

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Publication number Publication date
WO2010033702A2 (en) 2010-03-25
AU2009293201A1 (en) 2010-03-25
AU2009293201B2 (en) 2016-05-05
US9095440B2 (en) 2015-08-04
EP2361043A2 (en) 2011-08-31
CA2737104A1 (en) 2010-03-25
EP2361043A4 (en) 2014-06-11
CA2737104C (en) 2018-06-12
EP2361043B1 (en) 2016-08-03
JP2012502753A (en) 2012-02-02
US9820862B2 (en) 2017-11-21
US20100130978A1 (en) 2010-05-27
US20150342652A1 (en) 2015-12-03

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