公开(公告)号：US07299561B2

公开(公告)日：2007-11-27

申请号：US10686285

申请日：2003-10-15

申请人： Javier Castañeda

发明人： Javier Castañeda

IPC分类号： A61B5/103

CPC分类号： A61B17/1725 ,  A61B17/1782 ,  A61B90/11 ,  A61B2090/062

摘要： A drill guide includes a window and graduated indicia corresponding to a scale provided along a side of the windows. A gauge for use therewith includes a handle, a shaft having a reference mark thereon, and an end portion. The end portion is slightly angled relative to the remainder of the shaft and is spring-like. The end portion includes a rounded tip which ensures that the gauge rides smoothly in and out of drilled bone and bore, and an angled upper catch that allows a user to retrieve the gauge without chipping bone.

摘要翻译： 钻子引导器包括对应于沿窗户侧面设置的刻度的窗口和刻度标记。 用于其的量规包括手柄，在其上具有参考标记的轴和端部。 端部相对于轴的其余部分稍微倾斜，并且是弹簧状的。 端部包括圆形尖端，其确保测距仪顺利地进出钻孔和钻孔，以及倾斜的上部捕获器，其允许使用者在不破碎骨骼的情况下取回计量器。

公开(公告)号：US06926720B2

公开(公告)日：2005-08-09

申请号：US10686291

申请日：2003-10-15

申请人： Javier Castañeda

发明人： Javier Castañeda

IPC分类号： A61B17/17 ,  A61B17/58

CPC分类号： A61B17/1725 ,  A61B17/1782

摘要： A jig assembly includes a jig having an elevated first portion having holes or slots to align a drill with screw holes in an intramedullary portion of a fixation device, and a lower second portion having openings in axial alignment with holes on a plate portion of the fixation device. The jig may be locked relative to the fixation device. The jig assembly further includes one or more of sleeves, drill guides and gauges for facilitating the drilling of appropriate holes into bone both beneath and above the fixation device.

摘要翻译： 夹具组件包括具有升高的第一部分的夹具，所述第一部分具有孔或狭槽，以使钻头与固定装置的髓内部分中的螺钉孔对准，下部第二部分具有与固定件的板部分上的孔轴向对齐的开口 设备。 夹具可以相对于固定装置锁定。 夹具组件还包括一个或多个套筒，钻子引导件和计量器，用于便于在固定装置的下方和上方钻入合适的孔到骨中。

公开(公告)号：US06730090B2

公开(公告)日：2004-05-04

申请号：US10159611

申请日：2002-05-30

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： A61B17/7208 ,  A61B17/7233 ,  Y10S606/902

摘要： A fixation device is provided which includes a proximal nail portion and a distal plate portion. The nail portion includes a flexible tapered section, and a rigid distal section larger in diameter and is adapted to be inserted into a medullary canal of a fractured bone. The plate portion has a low, narrow profile and includes three longitudinally displaced peg holes, each of which is adapted to orient a peg in a different orientation from the others. The plate portion is adapted to be positioned on the outside of a fractured bone when the nail portion is within the medullary canal. The device provides the benefits of both an intramedullary nail and a bone plate in a single device. The fixation device permits a minimally invasive treatment of the metaphyseal fractures that may otherwise be undertreated.

摘要翻译： 提供一种固定装置，其包括近端指甲部分和远侧板部分。 指甲部分包括柔性锥形部分和直径更大的刚性远侧部分，并且适于插入到骨折的骨髓中。 板部分具有低的狭窄轮廓，并且包括三个纵向移动的栓孔，每个孔被适配成使钉与另一方向不同的取向定向。 当指甲部分在髓质管内时，板部分适于定位在骨折骨的外侧。 该装置在单个装置中提供髓内钉和骨板的优点。 固定装置允许对另外可能被治疗的干al端骨折进行微创治疗。

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。

公开(公告)号：US06200321B1

公开(公告)日：2001-03-13

申请号：US09150792

申请日：1998-09-10

申请人： Jorge L Orbay ,  Javier Castañeda ,  Ernesto Hernandez

发明人： Jorge L Orbay ,  Javier Castañeda ,  Ernesto Hernandez

IPC分类号： A61B1758

CPC分类号： A61B17/7291 ,  A61B17/1682 ,  A61B17/1686 ,  A61B17/7208 ,  A61B17/921

摘要： A fracture fixation system is provided for the insertion of a fixation pin into the medullary canal of a fractured metacarpal, metatarsal, or phalangeal bone for stable bone fixation. The system includes a pin and an instrument for implanting the pin. According to one embodiment of the invention, the instrument includes a main handle and a pin handle movable relative to the main handle. The main handle includes a distal end, a drill coupled to the distal end, and a longitudinal slot which receives the pin handle. The drill includes a shaft having a distal boring tip and a groove proximal the boring tip for guiding the fixation pin. The pin handle is shaped and sized to slidably move within the longitudinal slot. The pin includes a curved, distal end. The distal end rests within the groove of the drill shaft. Movement of the pin handle within the slot of the main handle distally relative to the main handle causes the distal end of the pin to move relative to the drill shaft. In use, the main handle of the instrument is manipulated to subcutaneously introduce the drill into the metacarpal, metatarsal, or phalangeal base, and the pin handle is then moved relative to the main handle to introduce the pin into the bone until it extends through the medullary canal on either side of the fracture and provides the necessary immobilization of the fractured bone. The pin is then bent, cut, and preferably subcutaneously seated.

摘要翻译： 提供骨折固定系统用于将固定销插入骨折的掌骨，跖骨或趾骨的髓管中用于稳定的骨固定。 该系统包括一个针脚和一个用于植入销的器械。 根据本发明的一个实施例，仪器包括主手柄和相对于主手柄可移动的销柄。 主手柄包括远端，联接到远端的钻头和容纳销柄的纵向槽。 该钻具包括具有远端钻尖和远近钻尖的槽，用于引导固定销。 销手柄的形状和尺寸可在纵向槽内可滑动地移动。 销包括一个弯曲的远端。 远端位于钻杆轴的槽内。 销把手在主把手的狭槽内相对于主把手向远侧运动导致销的远端相对于钻杆轴移动。 在使用中，操作仪器的主把手将皮下将钻头引入掌骨，跖骨或趾骨基部，然后相对于主手柄移动针柄，以将针引入骨中，直到其延伸通过 在骨折两侧的髓管，并提供必要的骨折骨固定。 然后将销弯曲，切割，并优选皮下放置。

公开(公告)号：US06273892B1

公开(公告)日：2001-08-14

申请号：US09388879

申请日：1999-09-02

申请人： Jorge L. Orbay ,  Javier Castañeda ,  Ernesto Hernandez

发明人： Jorge L. Orbay ,  Javier Castañeda ,  Ernesto Hernandez

IPC分类号： A61B1758

CPC分类号： A61B17/7291 ,  A61B17/1682 ,  A61B17/1686 ,  A61B17/7208 ,  A61B17/921

摘要： A fracture fixation system is provided for the insertion of a fixation pin into the medullary canal of a fractured metacarpal, metatarsal, or phalangeal bone for stable bone fixation. The system includes one or more pins and an instrument for implanting the pins. According to one embodiment of the invention, the instrument includes a main handle and a pin handle movable relative to the main handle. The main handle includes a distal end, a drill coupled to the distal end, and a longitudinal slot which receives the pin handle. The drill includes a shaft having a distal boring tip and a groove proximal the boring tip for guiding the fixation pin. The pin handle is shaped and sized to slidably move within the longitudinal slot. Each pin preferably includes a curved, distal end. The distal end rests within the groove of the drill shaft. Movement of the pin handle within the slot of the main handle distally relative to the main handle causes the distal end of the pin to move relative to the drill shaft. In use, the main handle of the instrument is manipulated to subcutaneously introduce the drill into the metacarpal, metatarsal, or phalangeal base, and the pin handle is then moved relative to the main handle to introduce a pin into the bone until it extends through the medullary canal on either side of the fracture. Several pins may likewise be inserted to torsionally immobilization of the fracture.

摘要翻译： 提供骨折固定系统用于将固定销插入骨折的掌骨，跖骨或趾骨的髓管中用于稳定的骨固定。 该系统包括一个或多个引脚和用于植入引脚的器械。 根据本发明的一个实施例，仪器包括主手柄和相对于主手柄可移动的销柄。 主手柄包括远端，联接到远端的钻头和容纳销柄的纵向槽。 该钻具包括具有远端钻尖和远近钻尖的槽，用于引导固定销。 销手柄的形状和尺寸可在纵向槽内可滑动地移动。 每个销优选地包括弯曲的远端。 远端位于钻杆轴的槽内。 销把手在主把手的狭槽内相对于主把手向远侧运动导致销的远端相对于钻杆轴移动。 在使用中，操作器械的主把手将皮下将钻头引入掌骨，跖骨或趾骨基部，然后相对于主手柄移动针柄，以将针引入骨中，直到其延伸通过 骨折两侧的髓管。 同样可以插入多个销以扭曲地固定骨折。