摘要:
A bone screw is provided comprising a longitudinal core member (10, 10') having a longitudinal axis (L) defining a longitudinal direction and having a surface, wherein a helical groove (15, 150, 15') is provided in a least a portion of the surface; and a helical thread body (20, 20') that is a separate part and that is provided in the groove (15, 150, 15'); wherein the groove (15, 150, 15') has a first width (wg) and the thread body (20, 20') has a second width (wt) and wherein the first width (wg) is greater than the second width (wt) such that the thread body (20, 20') can slide in the groove (15, 150, 15') in the longitudinal direction.
摘要:
Bone fixation system including methods, apparatus, and kits, for steering a leading end of a fastener within bone. In some embodiments, the system may include (a) a flexible fastener having an external thread, and (b) a guide including a graspable handle attached or attachable to a wire having a distal end portion with a preformed longitudinal curvature in a direction indicated by the handle. The wire may be extendable through the fastener and configured to be advanced longitudinally, while extending through the fastener, such that the distal end portion of the wire penetrates bone ahead of a leading end of the fastener and creates a curved travel path for the leading end of the fastener.
摘要:
The disclosure provides examples of an open architecture anchor for securing soft tissue to bone, for example, to repair a torn rotor cuff. The anchor includes a helical screw thread having a base and two sidewalls that are non-linear. The non-linear sidewalls extend from opposing ends of the base and meet at a peak. The non-linear sidewalls are circumscribed within a triangle defined by the peak and ends of the base. Compared to the standard triangle profile, the helical screw thread profile has a smaller cross-sectional surface area and, consequently, removes less bone. The helical screw thread having the reduced cross-sectional area preserves bone stock and enhances the holding strength of the anchor in bone.
摘要:
Apparatus and methods for bone fracture repair. The apparatus may include a structural support for positioning a first bone segment relative to a second bone segment. The apparatus may include an anchoring substrate. The anchoring substrate may be configured to compress the first bone segment to the second bone segment. The anchoring substrate may transmit tension from a distal bone segment anchor in the first bone segment to a proximal bone segment anchor in the second bone segment. The apparatus may be configured to be deployed percutaneously in an inner cavity of a bone. The apparatus may be installed in an open fracture. The apparatus may be expanded, self-expanding or configured for mechanically actuation. Some embodiments of the apparatus may include a central axis member that may be used in conjunction with expansion of one or both of the structural support and the anchoring substrate to configure the apparatus.
摘要:
A resorbable screw fastener and a method of firing with an applicator capable of applying a surgical fastener to tissue in order to form tissue connection to secure objects to tissue, the fastener including a body portion having a helical thread, a head portion disposed at the proximal end of the body portion. The resorbable screw fastener is 100 % resorbed in vivo during a period of time ranging from about 14 days to about one year after implantation.
摘要:
Silver and/or zinc ion releasing implants, systems and method of operating, inserting and activating/inactivating them are described. In some variations the implant is configured as a bone implant that includes a bone-screw or intramedullary rod like body (22, 64) configured to receive a treatment cartridge (32, 72) having a plurality of ion-releasing members configured as an anode that can controllably engage with a catheter to turn galvanic release of ions on/off as desired. These devices may be configured to release silver ions (and/or zinc ions) above a predetermined level for a predetermined period of time and may maintain a concentration of ions over a relatively large volume of tissue. The ion-releasing members may be configured to reduce or prevent implant movement.
摘要:
A surgical fastener (10) for delivering into body tissue during a surgical procedure is disclosed. The surgical fastener (10) includes a continuous helical coil (40) having a proximal end and a distal end (21). The continuous helical coil (40) has a cross-section with at least five sides. A first helical coil section (42) is located at the distal end (21). A tapered point (22) extends from the first helical coil (42). A central passage (30) that passes through the center of the fastener (10) has a non-circular shape. The central passage (30) defines a longitudinal axis ("X"). The continuous helical coil (40) has a profile transverse to the longitudinal axis ("X"). The profile is non-circular. A tail (60) is located at the proximal end of the continuous helical coil (40).
摘要:
A bone screw, such as a pedicle screw, comprises en elongate structure having a head, an anchoring portion or tip distal from the head, and an open, helical body extending there-between. In one embodiment, the invention provides a screw having an anchoring portion, which engages bone and which includes a means for engaging a driver or the like whereby the screw is driven into the bone by the anchoring portion. A method of driving a screw is also provided.