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公开(公告)号：US07771433B2
公开(公告)日：2010-08-10
申请号：US11384841
申请日：2006-03-20
IPC分类号： A61B17/58
CPC分类号： A61B17/1728 , A61B17/1782 , A61B17/80 , A61B17/8052 , A61B17/8061 , A61B17/8085 , A61B17/8863 , A61B17/888 , A61B17/8888 , A61B90/92 , A61B2090/062
摘要： Removable guide tips are pre-assembled into threaded holes of a fracture fixation plate. The guide tips may be used with or without drill guides to guide a drill along the axes of threaded holes defined in the plate. In addition, the tips may be used with bending tools to contour the plate laterally, longitudinally and with twist. More particularly, such plate contouring can be performed while the plate is located on the bone.
摘要翻译： 可拆卸的导向尖端预先组装成骨折固定板的螺纹孔。 引导尖端可用于或不具有钻子引导件以沿着限定在板中的螺纹孔的轴线引导钻头。 此外，尖端可以与弯曲工具一起使用，以横向，纵向和扭转轮廓板。 更具体地，可以在板位于骨头上的同时执行这种板形状。
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公开(公告)号：US07740634B2
公开(公告)日：2010-06-22
申请号：US11459877
申请日：2006-07-25
IPC分类号： A61B17/88
CPC分类号： A61B17/1728 , A61B17/1782 , A61B17/80 , A61B17/8052 , A61B17/8061 , A61B17/8085 , A61B17/8863 , A61B17/888 , A61B17/8888 , A61B90/92 , A61B2090/062
摘要： Removable guide tips are pre-assembled into threaded holes of a fracture fixation plate. The guide tips may be used with or without drill guides to guide a drill along the axes of threaded holes defined in the plate. In addition, the tips may be used with bending tools to contour the plate laterally, longitudinally and with twist. More particularly, such plate contouring can be performed while the plate is located on the bone.
摘要翻译： 可拆卸的导向尖端预先组装成骨折固定板的螺纹孔。 引导尖端可用于或不具有钻子引导件以沿着限定在板中的螺纹孔的轴线引导钻头。 此外，尖端可以与弯曲工具一起使用，以横向，纵向和扭转轮廓板。 更具体地，可以在板位于骨头上的同时执行这种板形状。
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公开(公告)号：US07727264B2
公开(公告)日：2010-06-01
申请号：US10515699
申请日：2003-05-09
IPC分类号： A61B17/80
CPC分类号： A61B17/863 , A61B17/1725 , A61B17/1728 , A61B17/1782 , A61B17/7233 , A61B17/8057 , A61B17/8061
摘要： A fixation system (10) includes a device having a nail portion (12) and a plate portion (14), preferably horizontally and vertically offset relative to the nail portion by a neck portion (16). The nail portion (12) includes preferably threaded screw holes (24, 26), and the plate portion (14) includes longitudinally displaced peg holes (50, 52, 54), each of which is adapted to orient a peg (56, 58, 60) in a different orientation from the others. The system (10) also includes unicortical screws (28) having a reasonably large head (36) adapted to seat against the outer surface of the bone and a threaded shaft (32) adapted to engage in the screw holes (24, 26), and pegs (56, 58, 60) adapted to engage in the peg holes (50, 52, 54). Where threaded screw holes (24, 26) are used, bone is clamped between the nail portion (12) and the head (36) of the unicortical screws (28, 30). The pegs (56, 58, 60) provide stabilization and support for subchondral fragments. Moreover, as the pegs (56, 58, 60) preferably enter the subchondral fragments from a plurality of directions, additional fixation of the device (10) into the bone is provided.
摘要翻译： 固定系统（10）包括具有指甲部分（12）和板部分（14）的装置，优选地通过颈部（16）相对于指甲部分水平和垂直地偏移。 指甲部分（12）优选地包括螺纹螺纹孔（24,26），并且板部分（14）包括纵向移位的栓孔（50,52,54），每个栓孔适于使钉（56,58 ，60）与其他方面不同。 系统（10）还包括单皮质螺钉（28），其具有适于抵靠骨的外表面的相当大的头部（36）和适于接合在螺钉孔（24,26）中的螺纹轴（32） 以及适于接合所述钉孔（50,52,54）的钉（56,58,60）。 在使用螺纹孔（24,26）的情况下，骨骼被夹在指甲部分（12）和单皮质螺钉（28,30）的头部（36）之间。 钉（56,58,60）为软骨下碎片提供稳定和支撑。 此外，当钉（56,58,60）优选地从多个方向进入软骨下碎片时，提供将装置（10）额外固定到骨中。
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公开(公告)号：US07699880B2
公开(公告)日：2010-04-20
申请号：US11257177
申请日：2005-10-24
CPC分类号： A61B17/8047 , A61B17/8605
摘要： The system includes a plate with a screw hole and a bone screw wherein the screw and plate cooperate such that the screw is inhibited from back out from the plate after inserted into bone. Described embodiments include a pawl, with and without ratchet, an interfering clip about the screw head, and a snap-fit engagement between the screw and screw hole. The screw hole is preferably provided with openings at at least one of two diametric sides which provide dynamic compression functionality and access under the screw for an instrument to facilitate screw release.
摘要翻译： 该系统包括具有螺孔和骨螺钉的板，其中螺钉和板协调，使得螺钉在插入骨中后被禁止从板返回。 所描述的实施例包括具有和不具有棘轮的棘爪，围绕螺钉头的干涉夹子以及螺钉和螺钉孔之间的卡扣配合接合。 螺钉孔优选地在两个直径侧中的至少一个上设置有开口，其提供动态压缩功能并且在螺钉下面进入用于仪器以便于螺钉释放。
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95.发明授权公开(公告)号：US07635381B2
公开(公告)日：2009-12-22
申请号：US10985598
申请日：2004-11-10
申请人： Jorge L. Orbay
发明人： Jorge L. Orbay
IPC分类号： A61B17/58
CPC分类号： A61B17/8057 , A61B17/8061 , A61B17/8095 , A61B17/863 , A61B2017/565
摘要： A fixation plate includes a set of threaded peg holes adapted to individually receive fixation pegs therethrough and non-threaded alignment holes having a relatively smaller diameter than the peg holes and preferably sized to closely receive a K-wire. The alignment holes are located between the peg holes. One alignment hole is configured for aligning the plate during an osteotomy procedure, while other alignment holes are configured for use after fracture reduction and receive K-wires to temporarily stabilize the fracture and secure the plate to the bone and determine whether pegs inserted through adjacent respective peg holes will be properly located before drilling relatively larger holes for such pegs. The head of the plate has a shape and contour which provides bone support and a low profile which minimizes the potential for soft tissue irritation.
摘要翻译： 固定板包括适于独立地接收固定钉的一组螺纹孔孔和非螺纹对准孔，其具有比栓孔小的直径相对较小的直径，并且优选尺寸设计成紧密地接收K线。 对准孔位于钉孔之间。 一个对准孔构造成用于在截骨过程期间对准板，而其他对准孔构造成在骨折复位后使用，并且接收K线以暂时稳定骨折并将板固定到骨上并且确定是否穿过相邻的相应 在为这种钉子钻孔较大的孔之前，钉孔将被适当地定位。 板的头部具有形状和轮廓，其提供骨支撑和低轮廓，其最小化软组织刺激的可能性。
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公开(公告)号：US20080009871A1
公开(公告)日：2008-01-10
申请号：US11426606
申请日：2006-06-27
IPC分类号： A61F2/30
CPC分类号： A61B17/8866 , A61B17/1728 , A61B17/746 , A61B2017/0046
摘要： A bone plate clamp includes a C-shaped frame with opposing arms spaced apart about a bridge portion. One arm includes a threaded bore into which an adjustable clamping screw having a clamping end is inserted. The clamping screw defines a longitudinal drill guide. The opposite arm has a V-shaped surface oriented to support the bone at two points on the opposite side of the bone from the clamping end of the screw such that the bone clamp securely holds the bone and the bone plate together at three points. The bridge portion is structured to flex when the clamp applies a compressive force between the first and second arms. Flexing of the bridge applies a preload to the clamp which allows the clamp to function as a spring and maintain compression over a range of bone-plate dimensions. The bone plate clamp also includes a removable handle.
摘要翻译： 骨板夹具包括C形框架，其具有围绕桥接部分间隔开的相对臂。 一个臂包括螺纹孔，其中插入有具有夹紧端的可调节夹紧螺钉。 夹紧螺钉限定了纵向钻孔导向器。 相对的臂具有V形表面，其被定向成在骨头的相对侧的两个点处从螺钉的夹持端支撑骨，使得骨夹将骨和骨板牢固地保持在三个点处。 当夹具在第一和第二臂之间施加压缩力时，桥接部分构造成弯曲。 桥的弯曲对夹具施加预载荷，其允许夹具用作弹簧并且在一定范围的骨板尺寸上保持压缩。 骨板夹具还包括可移除的手柄。
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公开(公告)号：US07250053B2
公开(公告)日：2007-07-31
申请号：US10985596
申请日：2004-11-10
申请人： Jorge L. Orbay
发明人： Jorge L. Orbay
IPC分类号： A61B17/56
CPC分类号： A61B17/8057 , A61B17/8061 , A61B17/8095 , A61B17/863 , A61B2017/565
摘要： A fixation plate includes a set of threaded peg holes adapted to individually receive fixation pegs therethrough and non-threaded alignment holes having a relatively smaller diameter than the peg holes and preferably sized to closely receive a K-wire. The alignment holes are located between the peg holes. One alignment hole is configured for aligning the plate during an osteotomy procedure, while other alignment holes are configured for use after fracture reduction and receive K-wires to temporarily stabilize the fracture and secure the plate to the bone and determine whether pegs inserted through adjacent respective peg holes will be properly located before drilling relatively larger holes for such pegs. The head of the plate has a shape and contour which provides bone support and a low profile which minimizes the potential for soft tissue irritation.
摘要翻译： 固定板包括适于独立地接收固定钉的一组螺纹孔孔和非螺纹对准孔，其具有比栓孔小的直径相对较小的直径，并且优选尺寸设计成紧密地接收K线。 对准孔位于钉孔之间。 一个对准孔构造成用于在截骨过程期间对准板，而其他对准孔构造成在骨折复位后使用，并且接收K线以暂时稳定骨折并将板固定到骨上并且确定是否穿过相邻的相应 在为这种钉子钻孔较大的孔之前，钉孔将被适当地定位。 板的头部具有形状和轮廓，其提供骨支撑和低轮廓，其最小化软组织刺激的可能性。
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98.发明授权公开(公告)号：US07001388B2
公开(公告)日：2006-02-21
申请号：US11040734
申请日：2005-01-21
IPC分类号： A61B17/80
CPC分类号： A61B17/8061 , A61B17/68 , A61B17/72 , A61B17/7233 , A61B17/725 , A61B17/744 , A61B17/746 , A61B17/8057 , Y10S606/902
摘要： A fracture fixation system is provided for a fracture of a head portion of a long bone which has subchondral bone defining a convex articular surface. The system includes a plate element positionable on the long bone substantially opposite the head portion of the long bone and on a first side of the fracture, and a post coupled to the plate and into the head portion of the bone and across the fracture. A cross peg is coupled to the post to provide support of the subchondral bone.
摘要翻译： 提供骨折固定系统用于长骨的头部的断裂，其具有限定凸形关节表面的软骨下骨。 该系统包括可在长骨上定位的板元件，其基本上与长骨的头部相对，并且在断裂的第一侧上，以及柱，其联接到板并进入骨的头部并穿过骨折。 交叉钉联接到柱以提供软骨下骨的支撑。
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99.发明授权Intramedullary fixation device for metaphyseal long bone fractures and methods of using the same 有权用于干al端长骨骨折的髓内固定装置及其使用方法公开(公告)号：US06706046B2
公开(公告)日：2004-03-16
申请号：US10315787
申请日：2002-12-10
申请人： Jorge L. Orbay , Javier Castañeda
发明人： Jorge L. Orbay , Javier Castañeda
IPC分类号： A61B1780
CPC分类号： A61B17/863 , A61B17/1725 , A61B17/1728 , A61B17/1782 , A61B17/7233 , A61B17/8057 , A61B17/8061
摘要： A fixation system includes a device having a nail portion and a plate portion, preferably horizontally and vertically offset relative to the nail portion by a neck portion. The nail portion includes threaded screw holes, and the plate portion includes longitudinally displaced peg holes, each of which is adapted to orient a peg in a different orientation from the others. The system also includes unicortical screws having a reasonably large head adapted to seat against the outer surface of the bone and a threaded shaft adapted to engage in the screw holes, and pegs adapted to engage in the peg holes. Bone is clamped between the nail portion and the head of the unicortical screws. The pegs provide stabilization and support for subchondral fragments. Moreover, as the pegs preferably enter the subchondral fragments from a plurality of directions, additional fixation of the device into the bone is provided.
摘要翻译： 固定系统包括具有指甲部分和板部分的装置，优选地通过颈部相对于指甲部分水平和垂直地偏移。 指甲部分包括螺纹螺纹孔，并且板部分包括纵向移位的钉孔，每个钉孔适于将栓钉定向成不同于另一个的钉。 该系统还包括具有相当大头部的单皮质螺钉，其适于抵靠骨的外表面，并且适于接合在螺钉孔中的螺纹轴和适于接合在钉孔中的钉。 骨头夹在指甲部分和单皮质螺钉的头部之间。 钉子为软骨下碎片提供稳定和支撑。 此外，由于钉优选地从多个方向进入软骨下碎片，因此提供了将装置额外固定到骨中。
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公开(公告)号：US06364882B1
公开(公告)日：2002-04-02
申请号：US09524058
申请日：2000-03-13
申请人： Jorge L. Orbay
发明人： Jorge L. Orbay
IPC分类号： A61B1780
CPC分类号： A61B17/8061 , A61B17/1728 , A61B17/1782 , A61B17/68 , A61B17/7208 , A61B17/80 , A61B17/8033 , A61B17/8052 , A61B17/84 , A61B17/863 , Y10S606/902
摘要： A volar fixation system includes a T-shaped plate intended to be positioned against the volar side of the radial bone, a plurality of bone screws for securing the plate along an non-fractured portion of the radial bone, and a plurality of bone pegs which extend from the plate and into bone fragments of a Colles' fracture. The plate is a T-shaped plate including a plurality of screw holes and a plurality of threaded peg holes. According to a first preferred aspect of the invention, the peg holes are preferably linearly or parabolically arranged and provided such that the holes are positioned increasingly distal in a medial to lateral direction along the second side. According to a second preferred aspect, axes through the holes are oblique relative to each other and preferably angled relative to each other in two dimensions. The system includes a guide plate which temporarily sits on top of the volar plate and includes holes oriented according to the axes of the peg holes for guiding a drill into the bone fragments at the required orientation. The volar plate is positioned against the radius and screws are inserted through the screw holes to secure the volar plate to the radius. The bone fragments are aligned, and the guide plate assists in drilling pilot hole. The pegs are inserted through the peg holes and into the drilled holes in the bone. The volar system thereby secures the bone fragments in proper orientation.
摘要翻译： 手掌固定系统包括旨在抵靠径向骨的手臂侧定位的T形板，用于沿着桡骨的未断裂部分固定板的多个骨螺钉和多个骨钉，所述骨钉 从板上延伸到科尔斯骨折的骨碎片。 该板是包括多个螺纹孔和多个螺纹栓孔的T形板。 根据本发明的第一优选方面，钉孔优选是直线或抛物线布置并且设置成使得孔沿着第二侧沿中间向横向方向越来越远地定位。 根据第二优选方面，穿过孔的轴线相对于彼此是倾斜的，并且优选地在两个维度上相对于彼此成角度。 该系统包括一个临时安置在压板顶部的引导板，并且包括根据钉孔的轴线定位的孔，用于将钻头以所需的方向引导到骨碎片中。 将阀板抵靠半径定位，并且螺钉通过螺孔插入，以将挡板固定在半径上。 骨碎片对齐，导板辅助钻孔导孔。 钉头穿过钉孔插入骨头中的钻孔中。 因此，该系统将骨碎片固定在正确的方位。
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