Search Images Maps Play YouTube News Gmail Drive More »
Sign in
Screen reader users: click this link for accessible mode. Accessible mode has the same essential features but works better with your reader.

Patents

  1. Advanced Patent Search
Publication numberUS20020198527 A1
Publication typeApplication
Application numberUS 10/174,906
Publication dateDec 26, 2002
Filing dateJun 18, 2002
Priority dateJun 21, 2001
Also published asUS7625395, US20050177167
Publication number10174906, 174906, US 2002/0198527 A1, US 2002/198527 A1, US 20020198527 A1, US 20020198527A1, US 2002198527 A1, US 2002198527A1, US-A1-20020198527, US-A1-2002198527, US2002/0198527A1, US2002/198527A1, US20020198527 A1, US20020198527A1, US2002198527 A1, US2002198527A1
InventorsHelmut Muckter
Original AssigneeHelmut Muckter
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Implantable screw for stabilization of a joint or a bone fracture
US 20020198527 A1
Abstract
A bone screw has a flexible shaft which prevents relative movements in the direction of tension, but permits smaller movements in all other directions, and wherein the bone screw is configured as a screw insertable into medullary cavities having a curved surface, where the screw adapts to the given contour.
Images(11)
Previous page
Next page
Claims(16)
What is claimed as new and desired to be protected by Letters Patent is set forth in the appended claims and their equivalents:
1. An implantable screw for stabilization of a joint or a bone fracture comprising an elongated body with a proximal head portion and a distal insertion portion having a thread, wherein the head portion and the insertion portion are interconnected by a flexible shaft.
2. The implantable screw of claim 1 wherein the proximal head portion is provided with a thread.
3. The implantable screw of claim 2, wherein the threads of the proximal head portion and the distal insertion portion are identical.
4. The implantable screw of claim 1, wherein the thread of the distal insertion portion is a bone thread.
5. The implantable screw of claim 3, wherein the thread of each the head portion and the insertion portion are a bone thread
6. The implantable screw of claim 1, wherein the body is defined by a planar axial moment of inertia which is 30 percent less than that of a conventional screw.
7. The implantable screw of claim 1, wherein the planar axial moment of inertia is 50 percent less than that of a conventional screw of same outer diameter.
8. The implantable screw of claim 1, wherein the flexible shaft is a member selected from the group consisting of a wire cable, a wire bundle, a cord, a spiral, multiple webs and fibers.
9. The implantable screw of claim 1, wherein the flexible shafts is provided with a reinforcement.
10. The implantable screw of claim 9, wherein the reinforcement is a sleeve for sliding onto the shaft.
11. The implantable screw of claim 10, wherein the sleeve is configured as a spiral.
12. The implantable screw of claim 1, wherein the threaded insertion portion is configured as a stud bolt with a wrench socket and provided with a threaded bolt with a head nut in an area of the head portion.
13. The implantable screw of claim 1, wherein the head portion is provided with a wrench socket and configured with a smooth surface.
14. The implantable screw of claim 2, wherein the head portion has a diameter which is greater than a diameter of the insertion portion, and has a smaller thread pitch than a thread pitch of the insertion portion.
15. The implantable screw of claim 1, wherein the head portion and the insertion portion are each provided with a wrench socket.
16. The implantable screw of claim 1, wherein the screw is made from a material selected from the group consisting of biocompatible metal, biocompatible absorbable plastic, biocompatible non-absorbable plastic and a combination thereof.
Description
    CROSS-REFERENCES TO RELATED APPLICATIONS
  • [0001]
    This application claims the priority of German Patent Application Serial No. 101 29 490.5, filed Jun. 21, 2001, pursuant to 35 U.S.C. 119(a)-(d), the subject matter of which is incorporated herein by reference.
  • [0002]
    This application claims the benefit of prior filed provisional application, Appl. No. 60/301,267, filed Jun. 27, 2001, pursuant to 35 U.S.C. 119(e), the subject matter of which is incorporated herein by reference.
  • BACKGROUND OF THE INVENTION
  • [0003]
    The present invention relates in general to an implant for augmenting stabilization of bone joints and in particular to an implant for augmenting stabilization of bone joints with a low relative movement and for interfragmentary stabilization of bone fractures, when primarily tensile forces are to be applied.
  • [0004]
    The joints of the body have different ranges of movement. In addition to the joints in the main axes of movement of the extremities as well as the mandibular joint, some of which have relative movements of a considerable extent, there are many joints with a low relative range of movement. Typical examples of this include the acromioclavicular joint as the connection between the shoulder blade and the collar bone (acromioclavicular joint), the joint between the collar bone and the breastbone or sternum (sternoclavicular joint), the iliosacral joint, the pubic symphysis, the articulated connections between the tibia and fibula (proximal and distal tibiofibular joints), the joints between the wrist (carpal bones) and the foot (tarsal bones) as well as the joints between the bones of the metacarpus (metacarpal joints) and those of the metatarsus (metatarsal joints). Likewise, injuries to these joints can in many cases lead to serious physical impairments, where a painful arthrosis develops as a result of a permanent joint incongruence. The therapeutic goal must therefore be to accurately reposition these joints and restore the capsule-ligament apparatus. In most cases, this cannot be accomplished by simply suturing the capsule-ligament apparatus. The sutures would not be able to withstand the stress and would rupture, and the joint would slip back into a false, incongruent position. Instead, the injured joint must be kept in a correct position through a suitable surgical implant by way of an augmentation until the capsule-ligament apparatus has healed to a sufficient level of strength and can again withstand the forces required to move the joint. The same thing is also true of unstable bone fractures, where an implant is supposed to keep the bones in the correct position, after repositioning the fracture, until the fracture has healed to an adequate level of strength.
  • [0005]
    Various techniques have been described for augmenting stabilization of a ruptured joint with small relative movements, and these techniques can be divided into roughly four groups: 1. temporary rigid bridging of the joint, 2. bridging with flexible implants, 3. retaining implants, which are bolted to one side of a joint and engage like a hook on the opposite side, 4. implants with an articular connection.
  • [0006]
    The best known representative of the first group (rigid implants) is the so-called locking screw. When using this principle, the two partners in the joint are secured rigidly relative to one another by a direct screw connection, which guarantees congruence of the joint, but blocks relative movement of the joint. Similar functions are achieved by bridging the joint with Kirschner's wires, optionally supplemented by wire cerlage or by using rigid osteosynthesis plates (especially in the area of the pelvis).
  • [0007]
    Known representatives of the second group (flexible implants) include plastic cords or bands made of absorbable or non-absorbable materials (literature: R. W. Fremerey et al. (1996) “Surgical treatment of acute, complete rupture of the AC joint,” Unfallchirurg [Trauma Surgeon] 99:341-5), wire cables in the technique proposed by LABITZKE (literature: R. Labitzke (1982) “Wire cables and intraosseous pressure distribution systems in surgery,” Chirurg [Surgeon] 53:741-3) or the use of wire cerclage.
  • [0008]
    Known representatives of the third group (screw-in implants with hooks) include hook plates proposed by Balser, Wolter or Dreithaler in a similar design for stabilization of ruptures of the acromioclavicular joint or the syndesmosis hooks developed by Engelbrecht (literature: E. Engelbrecht et al. “Syndesmosis hooks for treatment of tibio-fibular syndesmosis ruptures,” Chirurg 42:92) for stabilization of ruptures of the ankle joint. These implants allow good augmentation of the joint and essentially preserve mobility, but it is difficult to adjust the proper congruence of the joint, which can often be achieved only by bending the implant subsequently, because these implants do not have any suitable possibilities for adjustment. In addition, a relatively large surgical access area is required, which necessitates a greater surgical trauma.
  • [0009]
    A typical representative of the fourth group (implants with an integrated joint) is the joint plate developed by Ramanzadeh for stabilization of ruptures of the acromioclavicular joint. However, this plate has the disadvantage that it is difficult to adjust the correct congruence of the joint, and the axes of rotation of the joint and the implant do not match, so the natural movement of the joint is at least partially blocked.
  • [0010]
    It would therefore be desirable and advantageous to provide an improved implantable screw for stabilizing a joint or a bone fracture to obviate prior art shortcomings.
  • SUMMARY OF THE INVENTION
  • [0011]
    According to one aspect of the present invention, this is achieved with an implant which augments the ligament connections reliably in joints with a small relative movement, while causing little or no impairment of the natural range of movement of the joint by providing an implantable screw which has a flexible shaft for stabilization of a joint or a bone.
  • [0012]
    The present invention resolves prior art problems by providing the design of an implant which guarantees a transfer of tensile forces almost exclusively, whereas there is little or no transfer of bending torque, compressive forces and transverse forces through the flexible shaft and by providing an implantable screw for stabilization of a joint or a bone fracture comprising an elongated body with a proximal head portion and a distal insertion portion having a thread, wherein the head portion and the insertion portion are interconnected by a flexible shaft.
  • [0013]
    The use of one or more such screws with a flexible shaft makes it possible to connect the bones involved in an unstable joint in such a way that there is little or no impairment of the natural joint movement.
  • [0014]
    Likewise, it is possible through the use of one or more such screws having a flexible shaft to apply primarily interfragmentary tensile forces when creating screw connections in bone fractures.
  • [0015]
    Such a screw makes it possible for both bones involved in a joint injury or both fragments involved in a bone injury to be joined by one or more screws which have a flexible shaft. This design of the implant guarantees transfer of tensile forces almost exclusively, while bending moments, compressive forces and transverse forces are not transmitted at all by the flexible shaft or only to a slight extent. In the case of capsule-ligament injuries of a joint, the screw is preferably installed so that the axis of the screw corresponds to the direction of the resultant force of the ligament connection of the joint. Ideal augmentation of the joint can be achieved in this way. In bone fractures, the screw is introduced at a right angle to the plane of the fracture and causes interfragmentary compression due to the tensile force.
  • [0016]
    Widening of the surgical space can be achieved to advantage through this invention. In an advantageous embodiment, this invention is suitable for a so-called minimally invasive implantation.
  • [0017]
    In addition, the screw according to this invention may be designed for use in surgery so that primarily tensile forces are transmitted but no significant bending moment is transmitted. Likewise, the screw according to this invention may be designed so that it can be introduced into the medullary cavity of a fractured bone by way of a so-called creep screw, thereby adapting to the contour of the medullary cavity, which is usually curved.
  • [0018]
    It is advantageous if the planar axial moment of inertia of the screw is 30% less, preferably more than 50% less than that of a screw having the same outside diameter.
  • [0019]
    The flexibility in the shaft area can be achieved by a wire cable, a wire bundle, a cord, a spiral or multiple webs and by fibers.
  • [0020]
    When using a wire cable or a wire bundle, it is especially advantageous if the wire cable or wire bundle is reinforced on the outside by sleeves or a spiral. Twisting of the wire cable or wire bundle is thereby limited when a torsional moment is applied, and thus the wire cable or wire bundle is stabilized. In addition, the bending movement of the shaft can be limited by the size of the sleeve or the spiral windings and their spacing relative to one another.
  • [0021]
    It is especially advantageous if the threaded part has a bone thread.
  • [0022]
    According to a preferred embodiment, the head part has a wrench socket and has a smooth surface or a bone thread matching the threaded part, depending on the intended application of the implant, said thread having a larger diameter and a smaller thread pitch than the bone thread in the threaded part.
  • [0023]
    With a high flexibility of the shaft and therefore inadequate transferability of the torsion moments required for the thread to penetrate, it is advantageous if the implantable screw has wrench sockets in the head part as well as in the threaded part. This allows a stepped wrench to act on these wrench sockets in synchronization.
  • BRIEF DESCRIPTION OF THE DRAWING
  • [0024]
    Other features and advantages of the present invention will be more readily apparent upon reading the following description of currently preferred exemplified embodiments of the invention with reference to the accompanying drawing, in which:
  • [0025]
    [0025]FIG. 1 is a bone screw according to the present invention, whose shaft is configured for flexibillity as a wire cable or as a wire bundle;
  • [0026]
    [0026]FIG. 2 is a bone adjusting screw, whose shaft is configured for flexibility as a wire cable or as a wire bundle;
  • [0027]
    [0027]FIG. 3 is a bone screw, with a bone thread on the distal side from the head and whose shaft is configured for flexibility as a wire cable or as a wire bundle, with a bone thread at the proximal head side, which has a larger diameter and a smaller thread pitch than the bone thread distal from the head;
  • [0028]
    [0028]FIG. 4 is a screw, which has a bone thread on one side, with a shaft configured for flexibility as a wire cable, a cord or a wire bundle, and a bolt on the other side with a metal thread and a hexagon socket head nut screwed onto it;
  • [0029]
    [0029]FIG. 5 is a bone screw, whose shaft is configured to be flexible in the manner of a spiral spring;
  • [0030]
    [0030]FIG. 6a is a bone screw, which is preferably made of a biocompatible plastic with a flexible shaft composed of multiple webs;
  • [0031]
    [0031]FIG. 6b is a hexagon head wrench for use with the bone screw of FIG. 6a;
  • [0032]
    [0032]FIG. 7 is a bone screw, wherein the shaft consists of multiple fibers which are anchored alternately in the head part and in the threaded part of the bone screw,
  • [0033]
    [0033]FIG. 8 is an embodiment of a bone screw according to the present invention for stabilization of the ankle joint (distal tibiofibular joint, syndesmosis);
  • [0034]
    [0034]FIG. 9 is a further embodiment for stabilization of the acromioclavicular joint;
  • [0035]
    [0035]FIG. 10 is another embodiment for stabilization of the iliosacral joint;
  • [0036]
    [0036]FIG. 11 is another embodiment for stabilization in the area of the wrist with scapholunate dissociation;
  • [0037]
    [0037]FIG. 12 is yet another embodiment for interfragmentary traction screws in the area of the patella with a fracture of the patella;
  • [0038]
    [0038]FIG. 13 is a bone screw according to FIG. 4, where the wire cable or the wire bundle is reinforced by individual sleeves.
  • DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
  • [0039]
    Throughout all the Figures, same or corresponding elements are generally indicated by same reference numerals.
  • [0040]
    Turning now to the drawing, and in particular to FIG. 1, there is shown a a bone screw, whose head part 1 and whose threaded part 2 are flexibly interconnected by a wire cable or a wire bundle 3. The wire cable or the wire bundle is fixedly connected in the head part as well as in the threaded part through suitable connection methods (e.g., pressed, glued, soldered or welded connections). The use of a wire cable or a wire bundle allows the application of tensile forces and the transfer of torsion moments by way of a flexible shaft. Compressive forces, transverse forces or bending moments, however, are transmitted only to a slight extent.
  • [0041]
    [0041]FIG. 2 shows a bone locking screw which has a head part 4, which is provided with a bone thread, and a threaded part 5, which are flexibly interconnected by a wire cable or wire bundle 6 analogeous to FIG. 1. The thread on the head part and the threaded part are of the same size and the thread flanks are the same. In this way, a previously defined distance between two bones to be joined is established, regardless of the tightening torque of the screw.
  • [0042]
    [0042]FIG. 3 shows a bone screw with a thread-bearing head part 7, which is flexibly connected to threaded part 9 by a wire cable or a wire bundle 8 analogeous to FIG. 1. According to the known function principle of the Herbert screw, the thread on the head part has a larger diameter in comparison with the threaded part and it has a smaller thread pitch. When this screw is screwed into a fractured bone perpendicular to the plane of the fracture, the two fragments are moved toward one another and are braced against one another, where the extent of the movement toward one another per revolution of the screw is obtained from the difference between the two thread pitches.
  • [0043]
    [0043]FIG. 4 shows a screw which has a threaded part 10 on one side with a bone thread which is connected flexibly by a wire cable, a wire bundle or a cord 11 to a bolt 12, which has a metal or plastic thread. A hexagon socket head nut 13 is screwed onto this bolt. In implantation of such a screw, first the threaded part with the bone thread is screwed into the bone by way of a stud bolt. This is done by means of a cannulated wrench which is pushed over the wire cable or the wire bundle or the cord and the bolt and meshes with the hexagon insert bit 14 of the threaded part. Then the hexagon socket head nut is screwed onto the bolt with a metal thread by means of a cannulated hexagon socket wrench. Next, the wire cable or wire bundle that projects on the hexagon socket or the projecting cord is shortened with a knife forceps.
  • [0044]
    [0044]FIG. 5 shows a variation of a bone screw 15, whose shaft 16 is designed in the form of a spiral. In addition to the flexibility of the shaft, an elastic component is added in this variation. The amount of flexibility and elasticity of the shaft depends to a great extent on the design of the spiral. Large spirals have only a low flexibility and elasticity, whereas small spirals are highly elastic and flexible. Such a design variant is especially suitable for intramedullary screwing of bones with curved surfaces, e.g., as so-called creep screws in the area of the pelvis. The shaft length is limited by a wire cable, a wire bundle, a chain, a fiber or a flexible pin (not shown), preferably arranged in the spiral.
  • [0045]
    [0045]FIG. 6a shows a bone screw 17, which is preferably suitable for being fabricated from absorbable or non-absorbable plastics and is designed so that it can be manufactured by the casting technology. The flexibility of the shaft here is achieved due to the fact that it consists of multiple webs 18. The extent of the flexibility of this variant is defined by the number and dimensions of the webs and by the material properties of the material used. Since the webs are capable of transmitting the torsion moments which occur in tightening the screw only to a very limited extent, it is especially advantageous if a hexagon head 21, 22 (or a different type of wrench socket) is provided in both the threaded part 19 and the head part 20, so that a torsion load on the webs is prevented when using a corresponding stepped hexagon head wrench according to FIG. 6b. Likewise, it is advantageous for many applications if the threaded part is cannulated 23, so that application of the screw can take place through a corresponding guide wire.
  • [0046]
    [0046]FIG. 7 shows a bone screw 24, which is equally suitable for fabrication from an implant metal as well as from absorbable or non-absorbable plastics and which is designed so that the individual components can be manufactured by the casting technology. The flexibility of the shaft is achieved by the fact that it consists of multiple fibers 25 which are either held in eyelets 26, 27, anchored alternately in the head part 28 and in the threaded part 29 of the screw according to the figure or are each securely anchored in the head part and in the threaded part. Since this variant can transmit only tensile forces, a hexagon head socket 30, 31 (or a different type of wrench socket) is to be provided in both the head part and in the threaded part, analogeous to FIG. 6a, permitting the use of a stepped wrench according to FIG. 6b, with which the head part and threaded part can be screwed equally into the bone.
  • [0047]
    [0047]FIG. 8 shows an embodiment of a bone screw with a flexible shaft 32 according to FIG. 4, which is introduced into the area of the ankle for augmentation of a ruptured syndesmosis 33 (syndesmosis=ligament connection between the fibula 34 and the tibia 35 in the area of the ankle joint). In contrast with a conventional rigid screw connection, the natural relative movement between the fibula and tibia is preserved due to the flexible shaft. However, it is impossible for the ankle to yield, which would lead to instability of the ankle bone 36. The dimensions of the bone screw are selected so that it can be introduced into the bone through the boreholes in a conventional osteosynthesis plate when there is a concomitant fracture of the lateral malleolus.
  • [0048]
    [0048]FIG. 9 shows another embodiment of a bone screw with a flexible shaft 37 according to FIG. 1 in the area of the ligament connection between the shoulder blade 38 and the collar bone 39, on the acromioclavicular joint 40. The rupture of all three ligaments involved in this connection is diagramed schematically (acromioclavicular ligament 41, trapezoid ligament 42, conoid 43). According to the principle described in 1941 by Bosworth for the use of rigid screws, the screw is screwed into the coracoid process 44 through the collar bone. In contrast with a conventional rigid screw connection, the natural relative movement between the collar bone and the shoulder blade is maintained due to the flexible shaft. However, a high position of the collar bone, which would lead to incongruence of the acromioclavicular joint, is impossible.
  • [0049]
    [0049]FIG. 10 shows another embodiment of a bone screw having a flexible shaft 45 according to FIG. 4 in the area of the ligament connection between the sacrum 46 and the iliac bone 47 (iliosacral joint 48). In the case of an instability of the posterior pelvic ring due to injury, stabilization is accomplished by screwing one or more screws with a flexible shaft into the bone. In contrast with a conventional rigid screw connection, the natural relative movement between the sacrum and the ileum is preserved due to the flexible shaft. However, gaping of the joint gap is reliably prevented due to the screw having a flexible shaft.
  • [0050]
    [0050]FIG. 11 shows another embodiment of a bone screw having a flexible shaft 49 according to FIG. 4 in the area of the wrist in the case of a ruptured ligament between the scaphoid bone 50 and the lunate bone 51 (scapholunate dissociation). Repositioning and stabilization are accomplished by screwing a screw having a flexible shaft into the bone. In contrast with a conventional rigid screw connection or stabilization with Kirschner's wires, the natural relative movement between the scaphoid bone and the lunate bone is preserved due to the flexible shaft. However, the wrist bones that have been screwed together cannot yield laterally.
  • [0051]
    [0051]FIG. 12 shows another embodiment of bone screws with a flexible shaft 52, 53 according to FIG. 1 with a transverse fracture of the patella 54. According to the known tension belt principle, the tensile forces conducted from the quadriceps tendon over the patella and into the patellar tendon are transferred through the two bone screws with a flexible shaft and the two fragments of the patella are compressed together.
  • [0052]
    [0052]FIG. 13 shows a bone screw according to FIG. 4, where wire cable or wire bundle is reinforced by individual sleeves 55. In accordance with their winding, wire cables tend to twist and coil up when a torsion moment is introduced in the opposite direction to their winding. Due to the fact that sleeves or a spiral are pushed onto the wire cable or the wire bundle, this twisting can be limited, and at the same time, a stabilization of the wire cable can be achieved due to the resulting clamping of the wire cable in the sleeve or the spiral. This allows higher torsion moments to be transmitted than is possible with an unreinforced wire cable or wire bundle. In addition, depending on the design of the sleeve and the spacing of the individual sleeves or spiral windings relative to one another, the extent of the bending of the flexible screw shaft can be limited.
  • [0053]
    While the invention has been illustrated and described as embodied in an implantable bone screw for a joint or bone fracture, it is not intended to be limited to the details shown since various modifications and structural changes may be made without departing in any way from the spirit of the present invention. The embodiments were chosen and described in order to best explain the principles of the invention and practical application to thereby enable a person skilled in the art to best utilize the invention and various embodiments with various modifications as are suited to the particular use contemplated.
Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US4947502 *Mar 16, 1990Aug 14, 1990Boehringer Mannheim CorporationMethod of making a dynamic tension bone screw
US4959064 *Oct 7, 1988Sep 25, 1990Boehringer Mannheim CorporationDynamic tension bone screw
US5152790 *Mar 21, 1991Oct 6, 1992American Cyanamid CompanyLigament reconstruction graft anchor apparatus
US5411523 *Apr 11, 1994May 2, 1995Mitek Surgical Products, Inc.Suture anchor and driver combination
US5571139 *May 19, 1995Nov 5, 1996Jenkins, Jr.; Joseph R.Bidirectional suture anchor
US5735898 *Sep 25, 1996Apr 7, 1998Medevelop AbAnchoring element supporting prosthesis or a joint mechanism for a reconstructed joint
US5814047 *Mar 4, 1997Sep 29, 1998Industrial Technology Research InstituteIntramedullary nail fixation apparatus and its fixation method
US6010507 *Jul 24, 1998Jan 4, 2000Rudloff; David A. C.Repair of bone fracture using flexible fully or partially cannulated compression/decompression fixation element
US6190411 *Apr 1, 1997Feb 20, 2001Kokbing LoFixing element and ligament fixed with fixing element
US6368326 *Sep 28, 1998Apr 9, 2002Daos LimitedInternal cord fixation device
US6436124 *Dec 3, 1997Aug 20, 2002Bionx Implants OySuture anchor
US20020013623 *May 24, 2001Jan 31, 2002Sklar Joseph H.Method and apparatus for making a ligament repair using compressed tendons
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US6736819 *Oct 17, 2002May 18, 2004Kishore TipirneniSystem and method for fixation of bone fractures
US7547324 *Oct 22, 2004Jun 16, 2009Trans1, Inc.Spinal mobility preservation apparatus having an expandable membrane
US7591823Feb 17, 2004Sep 22, 2009Lagwire, LlcSystem and method for the fixation of bone fractures
US7591839Mar 2, 2005Sep 22, 2009Biedermann Motech GmbhBone anchoring element for anchoring in a bone or vertebra, and stabilization device with such a bone anchoring element
US7601171Oct 24, 2005Oct 13, 2009Trans1 Inc.Spinal motion preservation assemblies
US7662173 *Oct 22, 2004Feb 16, 2010Transl, Inc.Spinal mobility preservation apparatus
US7717958Oct 22, 2004May 18, 2010Trans1, Inc.Prosthetic nucleus apparatus
US7776042Aug 17, 2010Trans1 Inc.Methods and apparatus for provision of therapy to adjacent motion segments
US7776068Oct 24, 2006Aug 17, 2010Trans1 Inc.Spinal motion preservation assemblies
US7806914 *Dec 31, 2003Oct 5, 2010Spine Wave, Inc.Dynamic spinal stabilization system
US7828828Nov 9, 2010Warsaw Orthopedic, IncIntervertebral joint
US7846183 *Dec 7, 2010Spinal Elements, Inc.Vertebral facet joint prosthesis and method of fixation
US7901412Mar 9, 2009Mar 8, 2011Orthoip, LlcMethod for the fixation of bone structures
US7905905Oct 31, 2007Mar 15, 2011Trans1, Inc.Spinal mobility preservation apparatus
US7905908Mar 15, 2011Trans1, Inc.Spinal mobility preservation method
US7938836May 10, 2011Trans1, Inc.Driver assembly for simultaneous axial delivery of spinal implants
US7951198 *May 9, 2006May 31, 2011Acumed LlcBone connector with pivotable joint
US7955388Jun 7, 2011Acumed LlcOrthopedic connector system
US7998172Apr 16, 2009Aug 16, 2011Spinal Elements, Inc.Vertebral facet joint prosthesis and method of fixation
US8029478Oct 31, 2007Oct 4, 2011Warsaw Orthopedic, Inc.Implantable device and method for delivering drug depots to a site beneath the skin
US8038680Oct 18, 2011Trans1 Inc.Drivers for inserts to bone anchors
US8066748Nov 29, 2011The Cleveland Clinic FoundationApparatus and method for affixing body structures
US8088147Jan 3, 2012Trans1 Inc.Multi-membrane prosthetic nucleus
US8109936Mar 9, 2009Feb 7, 2012Orthoip, LlcCap device for use in the fixation of bone structures
US8114141Dec 11, 2008Feb 14, 2012Synthes Usa, LlcDynamic bone fixation element and method of using the same
US8167947Jun 23, 2010May 1, 2012Trans1 Inc.Methods for push distraction and for provision of therapy to adjacent motion segments
US8197523 *Jun 12, 2012Apex Biomedical Company, LlcBone screw for positive locking but flexible engagement to a bone
US8202305Jun 19, 2012Si-Bone Inc.Systems and methods for the fixation or fusion of bone
US8221455 *Feb 10, 2011Jul 17, 2012Arthrex, Inc.Lispranc repair using suture anchor-button construct
US8308779Nov 13, 2012Si-Bone, Inc.Systems and methods for the fixation or fusion of bone
US8317846 *Nov 27, 2012Apex Biomedical Company, LlcBone screw for positive locking but flexible engagement to a bone
US8328846Dec 29, 2009Dec 11, 2012Trans1 Inc.Prosthetic nucleus with a preformed membrane
US8328847Aug 6, 2010Dec 11, 2012Trans1 Inc.Assemblies for provision of therapy to motion segments
US8388667Mar 5, 2013Si-Bone, Inc.Systems and methods for the fixation or fusion of bone using compressive implants
US8398636Mar 19, 2013Stryker Trauma GmbhHip fracture device with barrel and end cap for load control
US8398690 *Mar 19, 2013Apex Biomedical Company, LlcRotationally asymmetric bone screw
US8414648Apr 9, 2013Si-Bone Inc.Apparatus, systems, and methods for achieving trans-iliac lumbar fusion
US8425570Dec 6, 2010Apr 23, 2013Si-Bone Inc.Apparatus, systems, and methods for achieving anterior lumbar interbody fusion
US8444693May 21, 2013Si-Bone Inc.Apparatus, systems, and methods for achieving lumbar facet fusion
US8470004Dec 6, 2010Jun 25, 2013Si-Bone Inc.Apparatus, systems, and methods for stabilizing a spondylolisthesis
US8523918Sep 14, 2012Sep 3, 2013Baxano Surgical, Inc.Therapy to adjacent motion segments
US8529611Mar 16, 2011Sep 10, 2013Competitive Global Medical, LlcDistal interphalangeal fusion method and device
US8562652May 6, 2004Oct 22, 2013Biedermann Technologies Gmbh & Co. KgDynamic anchoring device and dynamic stabilization device for vertebrae
US8597337 *Feb 17, 2009Dec 3, 2013Lloyd P. ChampagneJoint fusion device
US8617227 *May 25, 2011Dec 31, 2013Acumed LlcBone connector with pivotable joint
US8632570Nov 5, 2004Jan 21, 2014Biedermann Technologies Gmbh & Co. KgStabilization device for bones comprising a spring element and manufacturing method for said spring element
US8652137Feb 21, 2008Feb 18, 2014Spinal Elements, Inc.Vertebral facet joint drill and method of use
US8679167Feb 23, 2007Mar 25, 2014Orthoip, LlcSystem and method for a cap used in the fixation of bone fractures
US8685067Dec 14, 2011Apr 1, 2014Competitive Global Medical, LlcCompression plate apparatus
US8690931Jan 10, 2012Apr 8, 2014DePuy Synthes Products, LLCDynamic bone fixation element and method of using the same
US8696716 *Aug 1, 2008Apr 15, 2014Proactive Orthopedics, LlcFixation and alignment device and method used in orthopaedic surgery
US8702768Apr 30, 2007Apr 22, 2014Orthoip, LlcCannulated bone screw system and method
US8715326Aug 26, 2010May 6, 2014Competitive Global Medical, LlcDistal interphalangeal fusion device and method of use
US8721690Oct 27, 2009May 13, 2014Biedermann Technologies GmbH & Co., KGRod-shaped implant element with flexible section
US8734462Mar 5, 2013May 27, 2014Si-Bone Inc.Systems and methods for the fixation or fusion of bone using compressive implants
US8734494Apr 11, 2008May 27, 2014Stryker Trauma GmbhHip fracture device with static locking mechanism allowing compression
US8740942Jan 23, 2013Jun 3, 2014Spinal Elements, Inc.Vertebral facet joint prosthesis and method of fixation
US8740949Feb 24, 2011Jun 3, 2014Spinal Elements, Inc.Methods and apparatus for stabilizing bone
US8740955Mar 3, 2011Jun 3, 2014Zimmer, Inc.Bone screw with multiple thread profiles for far cortical locking and flexible engagement to a bone
US8778026Mar 8, 2013Jul 15, 2014Si-Bone Inc.Artificial SI joint
US8828067Dec 7, 2007Sep 9, 2014Orthoip, LlcBone screw system and method
US8840623Jan 23, 2014Sep 23, 2014Si-Bone Inc.Systems and methods for the fixation or fusion of bone
US8840651Nov 12, 2012Sep 23, 2014Si-Bone Inc.Systems and methods for the fixation or fusion of bone
US8858597Dec 3, 2010Oct 14, 2014Spinal Elements, Inc.Vertebral facet joint prosthesis and method of fixation
US8858601May 20, 2013Oct 14, 2014Si-Bone Inc.Apparatus, systems, and methods for achieving lumbar facet fusion
US8882804May 6, 2013Nov 11, 2014Spinal Elements, Inc.Vertebral facet joint prosthesis and method of fixation
US8882816Dec 29, 2011Nov 11, 2014Proactive Orthopedics, LlcFixation and alignment device and method used in orthopaedic surgery
US8888815 *Jan 24, 2011Nov 18, 2014Arthrex, Inc.Bone fixation using suture-button construct
US8920477Jun 24, 2013Dec 30, 2014Si-Bone Inc.Apparatus, systems, and methods for stabilizing a spondylolisthesis
US8983624Dec 6, 2007Mar 17, 2015Spinal Modulation, Inc.Delivery devices, systems and methods for stimulating nerve tissue on multiple spinal levels
US8986348Oct 5, 2010Mar 24, 2015Si-Bone Inc.Systems and methods for the fusion of the sacral-iliac joint
US8992533Aug 18, 2010Mar 31, 2015Spinal Elements, Inc.Vertebral facet joint drill and method of use
US8998953Aug 30, 2011Apr 7, 2015Spinal Elements, Inc.Vertebral facet joint prosthesis and method of fixation
US9011505Feb 9, 2010Apr 21, 2015Memometal TechnologiesScrew for osteosynthesis and arthrodesis
US9028534Aug 1, 2014May 12, 2015Orthoip, LlcBone screw system and method
US9039743May 16, 2014May 26, 2015Si-Bone Inc.Systems and methods for the fusion of the sacral-iliac joint
US9044321Mar 8, 2013Jun 2, 2015Si-Bone Inc.Integrated implant
US9044592Jan 29, 2008Jun 2, 2015Spinal Modulation, Inc.Sutureless lead retention features
US9056197Oct 27, 2009Jun 16, 2015Spinal Modulation, Inc.Selective stimulation systems and signal parameters for medical conditions
US9060787Aug 14, 2012Jun 23, 2015Spinal Elements, Inc.Method of using a vertebral facet joint drill
US9060809May 31, 2011Jun 23, 2015Orthoip, LlcLagwire system and method for the fixation of bone fractures
US9101399Dec 31, 2012Aug 11, 2015Proactive Orthopedics, LlcAnchoring systems and methods for surgery
US9138219Jul 15, 2011Sep 22, 2015Tarsus Medical Inc.Methods and devices for treating a syndesmosis injury
US9155578Feb 28, 2012Oct 13, 2015DePuy Synthes Products, Inc.Expandable fastener
US9179943Apr 18, 2014Nov 10, 2015Spinal Elements, Inc.Methods and apparatus for stabilizing bone
US9205259Feb 22, 2012Dec 8, 2015The Board Of Trustees Of The Leland Stanford Junior UniversityNeurostimulation system
US9205260Jul 16, 2012Dec 8, 2015The Board Of Trustees Of The Leland Stanford Junior UniversityMethods for stimulating a dorsal root ganglion
US9205261Dec 5, 2012Dec 8, 2015The Board Of Trustees Of The Leland Stanford Junior UniversityNeurostimulation methods and systems
US9220535Oct 26, 2010Dec 29, 2015Christian RöblingProcess for introducing a stabilizing element into a vertebral column
US9247963 *Jul 30, 2009Feb 2, 2016Charles KollmerBone compression device and methods
US9254153Feb 4, 2014Feb 9, 2016Stryker Trauma GmbhHip fracture device with static locking mechanism allowing compression
US9259569May 14, 2010Feb 16, 2016Daniel M. BrounsteinMethods, systems and devices for neuromodulating spinal anatomy
US9271765Feb 23, 2012Mar 1, 2016Spinal Elements, Inc.Vertebral facet joint fusion implant and method for fusion
US9282999Sep 24, 2010Mar 15, 2016Biedermann Technologies Gmbh & Co. KgAnchoring element and stabilization device for the dynamic stabilization of vertebrae or bones using such anchoring elements
US9301786Aug 16, 2011Apr 5, 2016Spinal Elements, Inc.Methods and apparatus for stabilizing bone
US9314286Apr 30, 2014Apr 19, 2016Zimmer, Inc.Bone screw with multiple thread profiles for far cortical locking and flexible engagement to a bone
US9314618Dec 6, 2007Apr 19, 2016Spinal Modulation, Inc.Implantable flexible circuit leads and methods of use
US20030078584 *Oct 17, 2002Apr 24, 2003Kishore TipirneniSystem and method for fixation of bone fractures
US20040172030 *Feb 17, 2004Sep 2, 2004Kishore TipirrneniSystem and method for the fixation of bone fractures
US20040225289 *May 6, 2004Nov 11, 2004Biedermann Motech GmbhDynamic anchoring device and dynamic stabilization device for bones, in particular for vertebrae, with such an anchoring device
US20050113929 *Oct 22, 2004May 26, 2005Cragg Andrew H.Spinal mobility preservation apparatus
US20050143823 *Dec 31, 2003Jun 30, 2005Boyd Lawrence M.Dynamic spinal stabilization system
US20050149191 *Oct 22, 2004Jul 7, 2005Cragg Andrew H.Spinal mobility preservation apparatus having an expandable membrane
US20050154390 *Nov 5, 2004Jul 14, 2005Lutz BiedermannStabilization device for bones comprising a spring element and manufacturing method for said spring element
US20050177240 *Jun 10, 2004Aug 11, 2005Jason BlainVertebral facet joint prosthesis and method of fixation
US20050216003 *Mar 2, 2005Sep 29, 2005Biedermann Motech GmbhBone anchoring element for anchoring in a bone or vertebra, and stabilization device with such a bone anchoring element
US20060079898 *Oct 24, 2005Apr 13, 2006Trans1 Inc.Spinal motion preservation assemblies
US20060155297 *Oct 25, 2005Jul 13, 2006Ainsworth Stephen DDriver assembly for simultaneous axial delivery of spinal implants
US20060195099 *Feb 15, 2005Aug 31, 2006Apex Abc, LlcBone screw for positive locking but flexible engagement to a bone
US20060235414 *Apr 14, 2005Oct 19, 2006Sdgi Holdings, Inc.Intervertebral joint
US20060271054 *May 9, 2006Nov 30, 2006Sucec Matthew CBone connector with pivotable joint
US20070162026 *Feb 23, 2007Jul 12, 2007Fxdevices LlcSystem and method for a cap used in the fixation of bone fractures
US20070167951 *Oct 24, 2006Jul 19, 2007Trans1 Inc.Methods and tools for delivery of spinal motion preservation assemblies
US20070168036 *Oct 24, 2006Jul 19, 2007Trans1 Inc.Spinal motion preservation assemblies
US20070260248 *Apr 30, 2007Nov 8, 2007Fxdevices, LlcCannulated bone screw system and method
US20070270804 *Feb 2, 2007Nov 22, 2007Chudik Steven CAcromioclavicular joint repair system
US20070282342 *Mar 26, 2004Dec 6, 2007Alfred NiederbergerArticulated Bone Screw
US20080004707 *Sep 7, 2007Jan 3, 2008Cragg Andrew HProsthetic nucleus apparatus and method
US20080154316 *Feb 25, 2008Jun 26, 2008Inbone Technologies, Inc.Systems and methods for the fixation or fusion bone related applications
US20080177291 *Oct 30, 2007Jul 24, 2008Jensen David GOrthopedic connector system
US20080177333 *Oct 24, 2006Jul 24, 2008Warsaw Orthopedic, Inc.Adjustable jacking implant
US20080188899 *Feb 7, 2007Aug 7, 2008Apex Biomedical Company, LlcRotationally asymmetric bone screw
US20080195156 *Mar 7, 2008Aug 14, 2008Trans1 Inc.Methods for Deploying Spinal Motion Preservation Assemblies
US20080213714 *Nov 8, 2006Sep 4, 2008Alexander KnochRotary Furnace Burner
US20080243132 *Apr 16, 2008Oct 2, 2008Fx Devices, LlcTensioning system and method for the fixation of bone fractures
US20080243191 *Apr 17, 2008Oct 2, 2008Fx Devices, LlcAdjustable bone plate fixation system and metho
US20080262502 *Apr 2, 2008Oct 23, 2008Trans1, Inc.Multi-membrane prosthetic nucleus
US20080269752 *Apr 11, 2008Oct 30, 2008Stryker Trauma GmbhHip fracture device with barrel and end cap for load control
US20080269807 *Apr 11, 2008Oct 30, 2008Stryker Trauma GmbhHip fracture device with static locking mechanism allowing compression
US20090036893 *Aug 1, 2008Feb 5, 2009Proactive Orthopedic, LlcFixation and alignment device and method used in orthopaedic surgery
US20090048606 *Jun 27, 2008Feb 19, 2009Fxdevices LlcGuide system and method for the fixation of bone fractures
US20090062868 *Apr 4, 2006Mar 5, 2009Zimmer GmbhPedicle screw
US20090112177 *Oct 31, 2007Apr 30, 2009Warsaw Orthopedic, Inc.Implantable Device And Method for Delivering Drug Depots To A Site Beneath the Skin
US20090112269 *Oct 21, 2008Apr 30, 2009The Cleveland Clinic FoundationApparatus and method for affixing body structures
US20090131936 *Sep 22, 2008May 21, 2009Kishore TipirneniSystem and method for the fixation of bone fractures
US20090131990 *Oct 24, 2008May 21, 2009Kishore TipirneniBone screw system and method
US20090171403 *Mar 9, 2009Jul 2, 2009Lagwire, LlcMethod for the fixation of bone structures
US20090177199 *Mar 9, 2009Jul 9, 2009Lagwire, LlcCap device for use in the fixation of bone structures
US20090198287 *Feb 4, 2008Aug 6, 2009Mark Hsien Nien ChiuBone fixation device and method of use thereof
US20090210016 *Feb 17, 2009Aug 20, 2009Champagne Lloyd PJoint fusion device
US20100042156 *Oct 27, 2009Feb 18, 2010Biedermann Motech GmbhRod-shaped implant element with flexible section
US20100137991 *Dec 29, 2009Jun 3, 2010Trans1, Inc.Prosthetic nucleus with a preformed membrane
US20100145462 *Dec 29, 2009Jun 10, 2010Trans1 Inc.Preformed membranes for use in intervertebral disc spaces
US20100292738 *Jul 22, 2010Nov 18, 2010Inbone Technologies, Inc.Systems and methods for the fixation or fusion of bone
US20100292769 *May 14, 2010Nov 18, 2010Brounstein Daniel MMethods, systems and devices for neuromodulating spinal anatomy
US20100312245 *Dec 9, 2010Orthoip, LlcBone screw system and method for the fixation of bone fractures
US20110054545 *Mar 3, 2011Lloyd ChampagneDistal interphalangeal fusion device and method of use
US20110118780 *May 19, 2011Holmes Jr George BBunion repair using suture-button construct
US20110130789 *Jun 2, 2011Paul ShurnasLispranc repair using suture anchor-button construct
US20110137356 *Jul 30, 2009Jun 9, 2011Uso-Ck, LlcBone compression device and methods
US20110224738 *Sep 15, 2011Acumed LlcBone connector with pivotable joint
US20120215265 *May 2, 2012Aug 23, 2012Apex Biomedical Company LlcBone screw for positive locking but flexible engagement to a bone
US20130041412 *Feb 14, 2013Depuy Spine, Inc.Flexible pedicle screws
US20130172946 *Aug 3, 2012Jul 4, 2013Industrial Technology Research InstituteImplant module and method for repairing avulsion fracture
US20130345783 *Aug 23, 2013Dec 26, 2013Albert G. BurdulisHard tissue anchors and delivery devices
USD724733Oct 26, 2011Mar 17, 2015Spinal Elements, Inc.Interbody bone implant
USD748262Jan 23, 2015Jan 26, 2016Spinal Elements, Inc.Interbody bone implant
USD748793Jan 23, 2015Feb 2, 2016Spinal Elements, Inc.Interbody bone implant
CN103479417A *Oct 14, 2013Jan 1, 2014天津正天医疗器械有限公司Distal tibiofibular syndesmosis hinge type flexible fixing device
DE102012106336A1 *Jul 13, 2012Jan 16, 2014Aesculap AgBone screw for use in bone fixation system for connecting two bone portions, has distal screw part and proximal screw part, where distal screw part has distal bone thread, and proximal screw part has proximal bone thread
EP1430845A1 *Oct 24, 2003Jun 23, 2004Stryker Trauma GmbHMeans for osteosynthesis comprising medullary nail, screw and spring sleeve
EP1786341A2 *Aug 15, 2005May 23, 2007TRANS1, Inc.Therapy provision to adjacent motion segments
EP1885262A2 *May 10, 2006Feb 13, 2008Acumed Sports Medicine LLCBone connector with pivotable joint
EP1931287A2 *Oct 5, 2006Jun 18, 2008Amei Technologies Inc.Bone alignment implant and method of use
EP2286747A2 *Feb 23, 2005Feb 23, 2011Biedermann Motech GmbHEnchoring element and dynamic stabilisation device for vertebral bodies or bones
EP2446842A1 *Oct 26, 2010May 2, 2012Christian RöblingDevice for stabilising a spine
WO2004069065A1 *Feb 10, 2004Aug 19, 2004Cell Center Cologne GmbhDynamic epiphysial telescopic screw
WO2005092226A1 *Mar 26, 2004Oct 6, 2005Synthes GmbhArticulated bone screw
WO2006122218A2May 10, 2006Nov 16, 2006Acumed Sports Medicine LlcBone connector with pivotable joint
WO2008128662A1 *Apr 11, 2008Oct 30, 2008Stryker Trauma GmbhHip fracture device with barrel and end cap for load control
WO2012064401A1 *Sep 12, 2011May 18, 2012Competitive Global Medical, LlcProximal interphalangeal fusion device
WO2013130741A1 *Feb 28, 2013Sep 6, 2013Synthes Usa, LlcExpandable fastener
Classifications
U.S. Classification606/316, 606/312, 606/331, 606/908, 606/317, 606/907, 606/305
International ClassificationA61B17/86
Cooperative ClassificationA61B17/863, A61B17/866, A61B17/8685
European ClassificationA61B17/86P, A61B17/86M
Legal Events
DateCodeEventDescription
Jun 17, 2002ASAssignment
Owner name: JUSUNG ENGINEERING CO., LTD., KOREA, REPUBLIC OF
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:KWON, GI CHUNG;BYUN, HONG SIK;LEE, SUNG WEON;AND OTHERS;REEL/FRAME:013031/0935
Effective date: 20020605
Jun 18, 2002ASAssignment
Owner name: MUCKTER, HELMUT, GERMANY
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:MUCKTER, HELMUT;REEL/FRAME:013040/0829
Effective date: 20020602
Owner name: HILDINGER, KARL-HEINZ, GERMANY
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:MUCKTER, HELMUT;REEL/FRAME:013040/0829
Effective date: 20020602