摘要:
The invention relates to a sequential connection device for connecting together a rod and a screw head having spherical symmetry. The device comprises a first longitudinal part and second longitudinal part suitable for co-operating together. Said first first end presenting a top portion and a curved bottom portion facing said top portion, said bottom portion presenting bottom bearing points against which said screw head can come to bear. Said top portion includes an adjustable thrust disposed facing said bottom portion and spaced apart from said screw head, the adjustable thrust and said bottom bearing point defining a polyhedron inside which the center C of said screw head can be situated.
摘要:
The invention relates to a connecting member for maintaining the spacing between at least two anchor members screwed into vertebrae. It comprises two rigid rod-forming parts (12, 14) made of a first material and each having a fixing, first portion (16, 18) adapted to be fixed into an anchor member and a fastening, second portion (20, 22), said rods (12, 14) being aligned with each other and said fastening portions (20, 22) facing each other, and a connecting body (24) made of a second material which is more elastically deformable than said first material and which interconnects said rigid parts (12, 14) by means of the facing fastening portions (20, 22) so that said connecting body (24) is able to deform elastically, whereby the vertebrae, which are held spaced from each other, are movable relative to each other.
摘要:
The invention relates to an intervertebral implant comprising a spacer constituted by first and second parts (12, 14), said parts being provided with mutual assembly means comprising first clip-fastener means (54, 56) secured to one of said parts, second clip-fastener means (49, 50) secured to the other part and suitable for co-operating with the first clip-fastener means to achieve releasable clip-fastening between the two parts, and guide means for guiding the two parts (12, 14) during clip-fastening, said guide means being distinct from the clip-fastening means and comprising: a substantially non-deformable first guide assembly (42, 44) secured to one of said parts; and a substantially non-deformable second guide assembly (46, 48) secured to the other part to co-operate with the first guide assembly.
摘要:
A method and instrument for tensioning a flexible tie used for fastening an implant on a bony element by forming a first loop around it. In some embodiments, the instrument comprises a shaft having a distal end configured for contact with a rod, a moving part slidably engaged with the shaft, a holder connected to the moving part and configured to hold an end of the flexible tie, and a tension control member comprising a trigger that pivots relative to the moving part. In some embodiments, the method comprises coupling the end of the flexible tie to the instrument and squeezing the trigger to shorten the first loop of the flexible tie around the bony element, causing the moving part and the holder holding the end of the flexible tie to move in translation away from the distal end of the shaft, thereby exerting tension on the flexible tie.
摘要:
The present invention relates to an instrument for tensioning a flexible tie (14) used for fastening an implant on a bony element of a patient by forming a first loop around the bony element. Said instrument comprises: a rod (42) having a first end provided with bearing means (44) for bearing against said implant; a moving part (46) that is movable in translation and that surrounds said rod (42) over a fraction of its length, said moving part including holder means (50) for holding the end of said tie; and control means (52) mounted on said moving part (46) to cause the moving part to move relative to said rod, thereby tending to move the first end (42a) of the rod away from said moving part, thereby exerting tension on said tie relative to said implant.
摘要:
The invention relates to a knee prosthesis (1) including a femoral part (2) connected to a tibial plate (3) by an intermediate meniscal plate (4) provided with an upper surface (5). The intermediate meniscal plate (4) and the tibial plate (3) are connected to each other by two planar joining surfaces, the tibial plate (3) including a central pivot pin (26) or at least one clipping/indexing finger (34, 35) which protrudes with respect to the tibial joining surface (11). The meniscal joining surface (12) of the meniscal plate (4) includes, in combination, a central hole (25) capable of engaging with the pivot pin (26) of the tibial plate in one case, and a locking recess (46, 47) capable of becoming embedded with the indexing finger (34, 35) of the tibial plate in the other one case, depending on whether the tibial plate comprises a pivot pin or an indexing finger.
摘要:
The invention relates to a device for locking two braids (L1, L2) in the form of tapes, the device being for fastening on a wall (S) of an element, and in particular of an intervertebral spacer. It is constituted by a body having a first face (42) for facing the wall of said element, and a second face (44). The body comprises: an axial slot (60) opening out into both faces of the body; two lateral slots (62, 64), each lateral slot opening out into both faces and having dimensions suitable for allowing one braid to pass freely; and two presser surfaces (54, 56) defined in said first face (42) of the body, each presser surface extending between one end of the body and the nearer lateral slot, a flank of each lateral slot co-operating with the associated presser surface to define a first edge (A1, A2), and the other flank of each lateral slot co-operating with the second face of the body to define a second edge (A′1, A′2).
摘要:
An intervertebral implant comprising an intervertebral spacer and two fastener ties is disclosed. The intervertebral spacer may be formed having a body extending in a longitudinal direction. The intervertebral spacer may further include a first insertion face, a second face, and two recesses disposed at the ends of the body. The recesses may each be defined by a first extension, a second extension, and an end wall. Each of the two fastener ties may be secured to the first extension at a first end and a second end may be fastenable to the second face. The ties may pass around a spinous process in part and hold the spinous process within a recess. The first extension of the body may have a height relative to the bottom wall of the recess that is no greater than the height of the second extension.
摘要:
The invention provides an intervertebral implant for the lumbo-sacral joint, the implant comprising a spacer (20) suitable for being disposed between the fifth lumbar vertebra L5 and the vertebra S1 of the sacrum that is articulated to the vertebra L5, the implant comprises a flexible tie (50) having end portions (52) suitable for being fastened to the sacrum with the help of fasteners such as pedicular screws (60), the flexible tie (50) presenting an intermediate portion (54) suitable for co-operating with a connection system such as a hook (21) provided on the spacer (20) so that the flexible tie (50) connects the spacer to the sacrum. The flexible tie (50) is put under tension in such a manner as to exert a return force on the spacer (20) towards the vertebra S1.
摘要:
An intervertebral spacer for placing between two adjacent, upper and lower cervical vertebrae, the spacer being characterized in that it comprises a spacer body and retention means for retaining the spacer body in position against said vertebrae, the retention means comprising a strap and fastener means that are removable and self-blocking, enabling the ends of the strap to be secured to the spacer body, said spacer body comprising: a spacer part having two opposite ends, a portion of the first end being suitable for being inserted between said vertebrae; and top and bottom flanges connected via their bases to the second end of the spacer part and extending on either side thereof, each flange presenting an anterior face facing towards the spacer part and suitable for coming to bear against the posterior portion of the lamina of the upper or lower vertebra.