摘要:
The invention relates to a device for the articulated connection of two bodies. Said device comprises A) a first body (1) which contains a hollow chamber (5) that is positioned coaxially in relation to a central axis (6); B) a clamping element (8) comprising a longitudinal axis (11) and a coaxial bore (15) with at least one opening (50) that adjoins said bore, whereby the clamping element (8) is configured in such a way that it can be elastically deformed in a complementary manner in relation to the hollow chamber (5) and perpendicular to the longitudinal axis (11); C) at least one tensioning element (12) which can be introduced into the opening (50) coaxially in relation to the longitudinal axis (11) and which can extend in an axial direction; D) a second body (2), which can be detachably connected to the first body (1) using the tensioning element(s) (12) and the clamping element (8); E) a drive element (19) which can be used to displace the tensioning element(s) (12) axially in relation to the opening (50), whereby F) the drive element (19) is connected axially to both the clamping element (8) and the tensioning element(s) (12) in a positive fit and in such a way that it can be rotated about the longitudinal axis (11).
摘要:
The present invention relates to a bone fixation assembly for securing a fixation device (10), such as a bone plate, to bone. The assembly includes the fixation device (10), a bushing (14), a fastening screw (32), and a locking screw (34). The bushing (14) is seated within a through hole (12) in the fixation device (10) and can rotate within the through hole (12) and has a sidewall (20) with a bore (24). The sidewall (20) has at least one slot (28; 28a) for allowing outward expansion of the sidewall (20) against the through hole (12) to thereby lock the bushing (14) at a selected angle relative to the axis of the through hole (12). The fastening screw (32) has a threaded shaft (36) for insertion through the bore (24) of the bushing (14) and threads into bone to secure the bushing (14) and fixation device (10) to bone. The head (38) of the fastening screw (32) fits in the bushing (14) and includes a radial wall (44) and open end defining a recess (50). The radial side wall (44) has at least one slit (46) for allowing outward expansion of the radial wall (44) thereby outwardly expanding the sidewall (20) of the bushing (14). The locking screw (34) has a body that threads in the head (38) of the fastening screw (32) to thereby outwardly expand the radial wall (44) of the fastening screw (32).
摘要:
The intramedullary nail has a longitudinal axis (5), a near end (1) with means (8) for coupling to an insertion device and a far end (2) with a tip (7) for insertion into the intramedullary canal of a long bone. The far end (2) is provided with at least two traversing through holes (3) with axes (6), all of said through holes (3) being grouped in said far end (2) within a distance x measured from said tip (7) to the axis (6) of the most distant hole (3). The nail is provided with at least a third through hole (3) with axis (6) in said far end (2) which contains the first and second holes (3) and the projection of the hole axis (6) of said through holes (3) in a plane orthogonal to said longitudinal axis (5) is such that at least two of said projected hole axis (6) are at an angle alpha greater than zero and less than 90 DEG with respect to each other.
摘要:
A cranial spring clip (10) for attaching a bone flap (16) to a skull (22) is disclosed. The clip (10) includes a substantially flat flap clipping portion (12), a substantially flat skull clipping portion (18), an extension (24) disposed between, connecting, and substantially perpendicular to the flap clipping portion (12) and the skull clipping portion (18), at least one burr (32) attached to the extension (24). When the clip (10) is implanted, the topography of the flap clipping portion (12) and skull clipping portion (18), the only parts of the clip (10) above the outer table of the skull (22), provides the clip (10) with a low profile. At least a portion of the extension (24) is resilient in nature so that the resilient portion flexes inward upon insertion in the saw gap and then flexes back to fix the clip (10) in place. The burr (32) penetrates the skull (22) to also fix the clip (10) in place. As the extension (24) has a length that is shorter than the thickness of the skull (22) and the bone flap (16), there is minimal possibility of accidental injury to the brain. A fastening element can be located on the extension (24) so that it is substantially perpendicular to the extension (24) when implanted. Alternatively, a fastening element can be located on the flap clipping portion (12) so that it is substantially perpendicular to the flap clipping portion (12). The extension (24) can be either substantially flat or U-shaped.
摘要:
The invention relates to an aiming device (1) which is used to guide and place longitudinal bone fixing means (4) in a predetermined direction with respect to a bone fixing device (6). The aiming device (1) comprises securing means (5) which can be detachably secured to a bone fixing device (39). The aiming device comprises A) a first centering part (13) which can be placed on the bone fixing device (39), and a second centering part (3) which is arranged at a distance from the first centering part; B) both of the centering parts (13;3) comprise at least one pair of guiding elements (14, 29) which are arranged in a coaxial manner in relation to each other.
摘要:
The method for the determination of reduction parameters comprises: A) measuring points on the surfaces of the corresponding bones of interest at the patient's left and right side of the body; B) establishing a plane of symmetry containing an anterior-posterior axis and a proximal-distal axis; C) a mirror image of the patient's non-fractured bone is generated symmetrically to the plane of symmetry; and D) the reduction parameters are then determined by comparison of the coordinates of the points at the fractured bone with the coordinates of the points within the mirror image. The device according to the invention comprises: A) a cylindric or prismatic reference bar; B) clamps displaceable on and fastenable to the reference bar; C) screws or pins screwable into the bone transversely to the reference bar within the clamps; and D) an adjustable clamp to fasten a pin capable of being set with its tip to desired points on the surface of the bone.
摘要:
A variable angle spinal fixation system is disclosed. The system includes a longitudinal member positionable along a spinal column, a fastener (14) having a threaded end for engaging a vertebra, and a connector member (12) for connecting the fastener (14) and the longitudinal member. The connector member (12) has a channel (26) extending through side surfaces of the connector member (12) for receiving the longitudinal member, an opening (32) laterally displaced from the channel (26) and extending through top and bottom surfaces of the connector member (12) for receiving the fastener (14), and a fastener clamping element for securing the fastener (14) in the opening (32) at a surgeon selected angle relative to the connector member (12) and longitudinal member. The system according to the present invention allows angulation of the fastener (14) to accommodate complex pathologies.
摘要:
The invention relates to a device for joining a longitudinal support (11) with a bone fixation means (1), in particular a pedicle screw. Said device comprises: A) a joining piece (5) having a coaxial hollow area (8), which passes through said joining piece (5) from the upper end (6) to the lower end (7) and tapers to the lower end (12) by means of at least one shoulder (9) as well as a channel (10), which passes through said joining piece (5) perpendicularly to the longitudinal axis (2) for receiving a longitudinal support (11); B) a cap (12) and C) clamping means (13), which can be joined to the rear end (19) of said cap (12) and by means of which a longitudinal support (11) can be fixed within said channel (10), whereby D) complementary locking means (21), engaging into each other for attaching the cap (12) to the joining piece (5), are externally arranged on said joining piece (5) and in the second hollow area (18) in said cap (12).
摘要:
The invention relates to a device for use in osteosynthesis, in particular for drilling, cutting threads or inserting implants. Said device comprises a drill bushing (1) with a longitudinal axis (2), a rear end (6), into which an instrument or implant can be introduced, a front end (5) that can be placed on an implant or a bone and a hollow chamber (11) lying coaxially to the longitudinal axis, a supporting handle (9) that can be connected to the drill bushing (1) and a coolant connection (10), through which a coolant can be conducted directly into the hollow chamber (11) of the drill bushing (1). Said drill bushing (1) is divided into two parts along the longitudinal axis (2). The drill bushing (1) can thus be used to tighten screws with a larger diameter screw head. Once the screw has been tightened, the half-shells (3; 4) of the drill bushing (1) are pushed apart and the drill bushing (1) is removed from the screw, without being hindered by the larger diameter screw head.