摘要:
The invention relates to an implantable orthopaedic device comprising a load-bearing element, such as a bone plate, for fixing elements, such as bone screws, that can be oriented polyaxially. The load-bearing element is equipped with at least one opening for the passage of the fixing elements. A two part insert is provided in the opening, the insert having an external form that complements the internal form of the receiving opening and permits the polyaxial rotation of the insert in the opening. The insert is equipped with a central bore for receiving the body of the fixing element. The first insert element part has a central inner hollow chamber, into which the second insert element part can be introduced. The first insert element is flexible or has at least one slit, in such a way that when the two insert elements are displaced axially in relation to one another, the first insert element in the plate can be expanded at least partially in order to block the position and alignment of the fixing element in the device in a polyaxial manner.
摘要:
The invention relates to an implantable orthopaedic device comprising a load-bearing element, such as a bone plate, for fixing elements, such as bone screws, that can be oriented polyaxially. The load-bearing element is equipped with at least one opening for the passage of the fixing elements. A two part insert is provided in the opening, the insert having an external form that complements the internal form of the receiving opening and permits the polyaxial rotation of the insert in the opening. The insert is equipped with a central bore for receiving the body of the fixing element. The first insert element part has a central inner hollow chamber, into which the second insert element part can be introduced. The first insert element is flexible or has at least one slit, in such a way that when the two insert elements are displaced axially in relation to one another, the first insert element in the plate can be expanded at least partially in order to block the position and alignment of the fixing element in the device in a polyaxial manner.
摘要:
An extractor is provided to extract an insert used with a bone connection element such as a bone plate having at least one opening for a bone screw used with the insert. The extractor has an outer hollow sleeve having proximal abutment surface for engaging a surface portion of the bone plate, and an inner bar having a diameter enabling the insertion of the bar into the hollow sleeve. The bar has a threaded leading end to engage the thread of the insert to be extracted. The hollow sleeve has an inner thread and the inner bar has an outer threaded element for engaging the inner thread of the hollow sleeve. The outer threaded element is positioned with respect to the bar in a longitudinal position to enable the threaded locking end to extend beyond the proximal abutment surface of the sleeve to be threaded into the insert.
摘要:
An implantable orthopedic device having a load-bearing element, such as a bone plate, with at least one opening for a fixation element and one insert which can be inserted in an inclined opening in a receptacle in the bore. This insert has an external form that is at least partially complementary to the internal form of the receptacle and a central through-bore for receiving the body of the fixation element such as a bone screw. The insert also provides a locking system for holding the insert in the receptacle, in which the insert exhibits at least one locking mechanism with which conformal locking with the load-bearing element may be achieved.
摘要:
In a method for the production of a corrugated tube from a flat metal sheet, two half shells are formed each extending in a longitudinal direction, and the half shells are provided with corrugations oriented transversely to their longitudinal direction. The two half shells are either disposed in a single sheet metal part longitudinally next to one another or are separate parts. In the case of their formation with two half shells disposed in a common sheet metal part next to one another, the preformed sheet metal part in the region between the two half shells is folded or curved about an axis parallel to the longitudinal directions of the half shells, wherein free longitudinal edges of the half shells are brought into mutual contact and are connected with one another. In the case of the formation of the half shells in the form of separate parts, the two half shells are placed against one another with their longitudinal edges and the longitudinal edges are connected with one another. At least one of the two longitudinal edges, coming into mutual contact, of the subshells is provided with a row of cutouts spaced apart from one another in the longitudinal direction of the subshells. Through the connection of sections of this longitudinal edge, located between the cutouts, together with the other longitudinal edge in the connection region of the two longitudinal edges, a row of openings through the casing of the corrugated tube is formed, which openings are spaced apart in the longitudinal direction of the corrugated tube.
摘要:
An adjustable steering column for a motor vehicle includes a fixing device, in the opened state of which the steering column is adjustable in at least one displacement direction, and, in the closed state of which the set position of the steering column is fixed in the displacement direction or at least one of the displacement directions, for fixing the set position comprises at least one securement part which includes at least one toothing with teeth, and at least one counter-securement part, which includes at least one counter toothing, with teeth. Viewed in a cross section through the teeth of the securement part and of the counter-securement part, wherein the plane of this cross section is oriented parallel to the displacement direction and parallel to the opening direction, both side flanks of the teeth of the securement part and of the counter-securement part in the closed state of the fixing device form, at least in a section of their extent, inclination angles of less than 20°, preferably less than 12°, with the opening direction.
摘要:
Bone plating implants, instruments, systems and methods for fracture fixation are provided. The systems includes the instruments and implants comprising a trial component, handle, aiming block, bone plate, tissue spreader, drill guide, K-wire guide, monoaxial screw-locking inserts, polyaxial screw-locking inserts, cable plugs, K-wires, monoaxial screws and polyaxial screws. The methods include the use of the instruments and implants for either open or minimally invasive fracture fixation surgery.
摘要:
An adjustable steering column includes a steering spindle (1), a shell unit (3) bearing the steering spindle (1), a console unit (4), stationary on the chassis, with at least one side wall (5), which extends bilaterally along the shell unit (3) and supports the shell unit (3). The steering column also includes a securement device, which can be opened and closed, in the opened state of which the shell unit (3) is adjustable relative to the console unit (4) at least in one adjustment direction, and which has a tension bolt (11) penetrating openings in the shell unit (3) and in the at least one side wall (5). At least for one adjustment direction at least one tilting part (26) is provided acting in this adjustment direction, wherein in a torsion entailed in a deformation of the steering column of at least the segment, located in the proximity of the side wall (5), of the shell unit (3) relative to the side wall (5), an entrainment of the tilting part (26) takes place and clamping edges (36) and clamping faces (35) come to engage one another, whereby the displaceability of the tilting part (26) in this adjustment direction is inhibited.
摘要:
An extractor is provided to extract an insert used with a bone connection element such as a bone plate having at least one opening for a bone screw used with the insert. The extractor has an outer hollow sleeve having proximal abutment surface for engaging a surface portion of the bone plate, and an inner bar having a diameter enabling the insertion of the bar into the hollow sleeve. The bar has a threaded leading end to engage the thread of the insert to be extracted. The hollow sleeve has an inner thread and the inner bar has an outer threaded element for engaging the inner thread of the hollow sleeve. The outer threaded element is positioned with respect to the bar in a longitudinal position to enable the threaded locking end to extend beyond the proximal abutment surface of the sleeve to be threaded into the insert.
摘要:
A locking device of a steering column adjustable in at least one adjustment direction (46) comprises at least one locking part (20, 21) associated with the adjustment direction (46) or one of the adjustment directions, at least one counterlocking part (14, 15) associated with this adjustment direction (46) and an openable and closable tensioning arrangement, in the opened state of which first and second toothings (38, 39) of locking parts (20, 21) are spaced apart from first and second countertoothings (40, 41) of the counterlocking part (14, 15), and in the closed state of which the locking part (20, 21) and the counterlocking part (14, 15) engage each other's teeth. The planes (47, 48; 49, 50) of the tips of teeth (42, 43; 44, 45) of the first and second toothings (38, 39) or first and second countertoothings (40, 41) are disposed in a V shape relative to one another and between the teeth (42, 43; 44, 45) of the first and second toothing (38, 39) or the first and second countertoothing (40, 41) is present an offset (v) in the adjustment direction (46), which is a fraction of the distance (a) between successive teeth (42 to 45).