摘要:
Systems and methods for stabilizing the spine are provided. For stabilizing the L5-S1 junction, the system includes a plate (7) that has a generally triangular shape with an upper node (8a) and a pair of lower nodes (9a, 10a). The upper node (8a) has a hole (8) through the plate (7) to receive a screw (11) for passage into the L5 vertebra. The loer nodes (9a, 10a) each include a hole (9, 10) through the plate (7) to receive screws (12, 13) for passage into the S1 vertebra. The system further includes a plate (7) having a retaining element (32) for preventing backout of screws inserted through the plate (9). Instruments and methods for attaching the plate to the spinal column are also provided.
摘要:
A tray for holding surgical fasteners comprises at least one well holding one of the fasteners and a film over the well. Preferably the film is weakened, as by scoring, or slit, over the well to more easily allow an instrument to penetrate the well to remove the fastener.
摘要:
The present invention is a system for installing bioabsorbable plates for general bone repair, as for example, facial or cranial osteosynthesis. The present invention includes an improved plate (10) and fastener (12) system which reduces if not eliminates stresses within the plate (10). It also includes an improved fastener container and driver (24) for handling and installing fasteners (12). The system employs a unique water bath for heating the bioabsorbable plates (10) so they can be deformed to the contours of the bone being repaired. Additionally, there is a hand tool (140) for localized heating and deformation of the plate (10) when positioned against the bone to further ensure conformity with the bone structure. These and other features are contained within a kit (220) which is easily sterilized.
摘要:
This invention is anatomically contoured anterior cervical plates (2) with bone ingrowth surfaces, providing for intersegmental compressive pre-loading, and a rigid and locked interface to all of the bone screws (30), with those engaging the vertebrae deployed in highly convergent pairs. The bone screws (30) have a tapered self-tapping leading end, an increasing root diameter with a generally constant outer diameter with a thread that is narrow and sharp throughout, and an enlarged head portion capable of an interference fit to the receiving holes (6) in the plate (2). Instrumentation consists of plate holders (130), a compression apparatus (100), and a pilot hole forming device (60) that interlocks with the plate.
摘要:
A distal radial plate including a longitudinal segment having a proximal end and a distal end; a transverse segment having a lateral end and a medial end; the distal end of the longitudinal segment attached to the transverse segment intermediate the lateral and medial ends of the transverse segment to form a T-shape; the longitudinal segment having a plurality of spherically recessed holes and having a slot with a proximal end and a distal end; the distal end of the slot having a spherical recess; the proximal end of the slot having a beveled edge which converges distally with the spherical recess of the slot; the transverse segment having a plurality of spherically recessed holes. An extender seats in one of the holes in the transverse segment of the distal radial plate and provides an additional hole on the lateral side of the transverse segment of the plate. Buttress pins have specially formed collars to be secured to the distal radial plate via a "snap-lock." A slotted-style distal radial plate bender has slots for receiving and bending both the transverse and longitudinal segments of the distal radial plate.
摘要:
The invention concerns an anterior osteosynthesis plate for lumbar vertebrae or sacral lumbar vertebra comprising: an elongated body with the following features: adapted to cover the anterior part of two consecutive vertebrae; having an anterior surface (6) and an opposite posterior surface (7); presenting two end zones linked by a connecting zone (11); and provided with two passage holes for anchoring screws. The invention is characterised in that the plate posterior surface (7) has a support plate (12, 13) designed to be urged in contact with the anterior surface of the vertebrae, the support plates (12, 13) being inclined to define between them, along a saggital plane (S), an obtuse angle (α) adapted to the relative angulation of the anterior part of the two vertebrae and mutually linked at the connecting zone by a concave extension (17), such that at least the posterior surface (7) of the body presents a concave profile in the saggital plane.
摘要:
This invention is anatomically contoured anterior cervical plates (2) with bone ingrowth surfaces, providing for intersegmental compressive pre-loading, and a rigid and locked interface to all of the bone screws (30), with those engaging the vertebrae deployed in highly convergent pairs. The bone screws (30) have a tapered self-tapping leading end, an increasing root diameter with a generally constant outer diameter with a thread that is narrow and sharp throughout, and an enlarged head portion capable of an interference fit to the receiving holes (6) in the plate (2). Instrumentation consists of plate holders (130), a compression apparatus (100), and a pilot hole forming device (60) that interlocks with the plate.
摘要:
Mit der Erfindung ist ein Befestigungssystem für metallische Stützschalen (1) an implantierbaren Gelenken mit stiftähnlichen, metallischen Verankerungselementen (2) gezeigt. Die Verankerungselemente weisen einen Kopf (3) auf, der in axialer Richtung (4) an einer Schulter (5) des Implantats aufliegt. Zwischen Schulter und Kopf besteht eine kreisförmige Dichtkante (6). Durch eine Anpressschraube (7) wird am Kopf (3) eine Anpresskraft erzeugt, die so gross ist, dass durch plastisches Fliessen an der Dichtkante (6) eine metallische Dichtung erzeugt wird, die flüssigkeitsdicht ist und ein Vordringen von Abriebpartikeln aus dem inneren Bereich der Stützschale (1) verhindert.
摘要:
This invention is a holder drill guide apparatus (150) for holding a spinal plate (20) and for drilling and tapping the bone. The holder drill guide comprises two arms (151, 152) which pivot with respect to each other, and a foot (157) attached at the end of each arm (151, 152). Each foot (157) has a hook (161) which is adapted to securely grasp a spinal plate (20), and each foot (157) has a pair of thru-holes (158). Each thru-hole (158) is aligned with a screw bore (27) in the spinal plate (20) when the holder drill guide (150) is engaged to the plate (20). The system further includes a number of double headed fixation pins (170), which hold the plate (20) in position against the cervical spine during drilling and tapping. In another embodiment a drill and tap guide system (100) can be mounted on a bone plate (20) to provide a firm foundation for accurately drilling and tapping screw holes into vertebra to be instrumented. The drill and tap guide system (100) includes an assembly support (101) which is engaged to the plate (20) by way of positioning screw (105) to the guide body (110). A tap sleeve (102) and drill guide (103) can then be supported by the assembly support (101), which both thereby provide accurate positioning for a drill (104).