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KR100424088B1 - 본플레이트 - Google Patents

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KR100424088B1
KR100424088B1 KR10-1998-0701634A KR19980701634A KR100424088B1 KR 100424088 B1 KR100424088 B1 KR 100424088B1 KR 19980701634 A KR19980701634 A KR 19980701634A KR 100424088 B1 KR100424088 B1 KR 100424088B1
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bone plate
bone
plate
screw
hardness
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KR19990044390A (ko
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로베르트 프리그
로베르트 샤반
마르쿠스 헤리
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신테스 아게 츄어
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
    • A61B17/8057Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/866Material or manufacture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04Macromolecular materials
    • A61L31/06Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/12Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A61L31/125Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2430/00Materials or treatment for tissue regeneration
    • A61L2430/02Materials or treatment for tissue regeneration for reconstruction of bones; weight-bearing implants

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
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Abstract

뼈에 접촉하는 표면(2)을 향해 테이퍼진 몇 개의 원추형 홀과 플레이트(1)의 위치에 고정되도록 설계된 두 개의 스크류(4)를 구비하게 제안된 본 플레이트(1). 각각의 스크류(4)는 곡선화된 표면을 가져 플레이트에서 원추형 홀(3)에 맞게 형상지어진 원추형 헤드(5)를 가지고, 뼈에 스크류를 고정하게 설계된 나사부가 구비된 몸체(6)를 구비한다. 스크류 헤드의 곡선화된 표면은 홀(3)의 주변에 만들어진 플레이트(1)가 만들어진 재료보다 더 단단하다.

Description

본 플레이트
이런 일반적인 타입의 본 플레이트는 유럽특허 다큐멘트 A 0,530,585로부터 알려져 있다. 원추형 헤드로 구성된 본 스크류를 사용하여 원추형 플레이트 홀에 본 플레이트를 영구적으로 고정하는 것은 실현가능한 기하학적인 즉 스크류 헤드와 플레이트 홀 사이의 포지티브 체결에 의존하고, 그리고 그런 체결은 작은 사이즈를 다룰 때 가장 문제이다.
본 발명은 특허청구의 범위 제 1항의 전제부에 정의된 타입의 본 플레이트에 관한 것이다.
도 1은 본 발명에 따른 본 플레이트의 종단면도이고,
도 2는 도 1에 도시된 본 플레이트에 부착하기 위한 본 스크류의 사시도이고,
도 3은 도 1의 본 플레이트의 상면을 보인 부분 사시도이다.
본 발명의 목적은 본 플레이트를 부착함에 사용되는 본 스크류를 사용하여 최적의 기하학적 체결을 보장하는 상기 종류의 본 플레이트를 제공하는 것이다.
본 발명은 청구범위 1항의 특징을 나타내는 본 플레이트로 이런 문제를 해결한다.
본 발명의 보다 바람직한 실시예는 종속항에 특징화되어 있다.
본 발명에 의해 실질적으로 제공되는 장점들은 본 플레이트를 부착하기 위해 소용되는 스크류 헤드의 구조화된 표면의 디자인 때문으로, 이 플레이트와의 탁월한 기하학적 체결이 이루어진다.
본 발명과 본 발명의 실시예들은 몇몇의 도시된 실시예의 부분적으로 도식화된 표현에 따라 아래에 설명되는데,
도 1에서 도 3 사이에 도시된 본 플레이트(1)는 몇 개의 플레이트 홀(3)을 포함하는데, 각각의 홀은 뼈접촉면(2)를 향해 테이퍼지고 또 본 스크류(4)를 수납하도록 형상지어져 있다. 상기 본 스크류(4)는 이들 스크류가 결합되는 원투형 플레이트 홀(3)에 삽입되게 구조화되거나 만들어진 측면(7)을 구비하고, 뼈에 고정하기 위한 나사산(6)을 또한 구비한다.
각각의 본 스크류(4)의 헤드(5)의 상기 구조화된 측면(7)은 본 플레이트(1)의 플레이트 홀(3)의 주변의 재질보다 더 큰 경도를 가진다. 결과적으로, 본 스크류(4)가 플레이트 홀(3)에 불완전하게 동축이 되게 삽입되더라도, 상기 더 단단한 구조화된 측면(7)이 플레이트 홀(3)의 더 부드러운 재질을 관통할 수 있기 때문에 최적의 기하학적 체결이 달성될 수 있다.
구조화된 외측면(7)의 경도는 유익하게는 230에서 450HV(바이커스 경도)의범위에서 선정되고 바람직하게는 250에서 350HV이다. 본 플레이트(1)에 적절한 재질은 100에서 200, 바람직하게는 120에서 200HV 사이의 경도를 가진 금속이다. 유익하게는 구조화된 외측면(7)의 경도는 적어도 본 플레이트(1), 바람직하게는 그 플레이트 홀(3)의 주변의 경도의 두배이다.
바람직하게는 구조화된 외측면(7)은 본 스크류(4)의 종방향 축에 대해 가로질러가는 방향으로 형상지어지는데, 이를테면 원주형 리브(circumferential ribs)의 형태이다. 이런 특징은 기하학적 체결을 개선한다.
도 2에 도시된 바와 같은 본 발명의 바람직한 실시예에서, 본 스크류(4)의 헤드(5)의 상기 측면(7)은 나선부(9)나 나선 구조에 체결된다.
도 3에 도시된 바와 같이, 플레이트 홀(3)은 또한 나선부(8)에 체결될 수 있다. 유익하게는, 두 개의 나선부(8,9)가 서로 결합된다. 유익하게는, 이와 같은 조합에서, 본 스크류(4)의 헤드(5)의 나선부(9)는 플레이트 홀(3)의 나선부(8)와 결합하는 2개 혹은 그 이상의 턴(TURNS)을 가진다.
그것의 상부 자유단부에서, 각각의 본 스크류의 헤드(5)는 육각 소켓 렌치를 수납하기 위한 육각 홈(10)을 포함한다.
본 플레이트(1)보다 더 단단한 재질로 본 스크류(4)의 헤드 전체를 만드는 대신에, 상기 헤드는 바람직하게는 플레이트 홀(3)의 주변의 본 플레이트(1)보다 더 큰 경도를 가지는 코팅으로 단지 덮혀질 수 있다. 이 코팅은 500에서 10,000 바람직하게는 1,000에서 5,000 HV사이의 표면 경도를 가질 수 있다. 특히, 강화된 것이든지 아니든지 다음 타입의 플라스틱이 본 플레이트에 적합하다:
40에서 70%의 파단 신장도(RUPTURE ELONGATION)와 3,000에서 6,000N/㎟ 사이의 영의 계수(YOUNG'S MODULE)를 가진 폴리아크릴 에테르 케톤(PEAK) 혹은 폴리에테르 에테르 케톤(PEEK);
80에서 120%의 파단 신장도와 2,000에서 3,500 N/㎟의 영의 계수를 가진 폴리설폰,
1.5에서 2.5%의 파단 신장도와 5,000에서 20,000N/㎟의 영의 계수를 가진 리퀴드 크리스탈 폴리머(LCP),
10에서 50%의 파단 신장도와 2,000에서 3,500 N/㎟의 영의 계수를 가진 폴리옥시메틸렌(POM),
0.2에서 1.0%의 파단 신장도와 12,000에서 20,000N/㎟의 영의 계수를 가진 폴리페닐렌 설파이드(PPS).
상기 플라스틱은 메탈 화이버, 플라스틱 화이버 혹은 카본 화이버를 플라스틱기질에 삽입함에 의해 강화될 수 있다.

Claims (18)

  1. 뼈 접촉면(2)을 향해 테이퍼진 다수개의 원추형 플레이트 홀(3)과 뼈에 본 플레이트(1)를 고정하기 위한 적어도 2개의 본 스크류(4)를 가지고, 상기 각각의 스크류가 구조화된 외측표면(7)을 구비한 원추형 헤드(5)를 가지고, 상기 헤드는 상기 플레이트 홀(3)에 삽입되게 형합되는 형상으로 되고, 상기 본 스크류(4)가 뼈에 고정하기 위한 나선이 형성된 자루(shank)를 더 포함하는 본 플레이트(10)에 있어서,
    상기 구조화된 외측 표면(7)은 그 플레이트 홀(3)의 주변에 위치되는 본 플레이트(1)의 재질보다 더 큰 경도를 가지고,
    상기 구조화된 외측 표면(7)의 경도는 상기 플레이트 홀(3)의 주변의 본 플레이트(1)의 경도보다 적어도 2배임을 특징으로 하는 본 플레이트.
  2. 제 1항에 있어서,
    구조화된 외측 표면(7)의 경도는 230에서 450 HV임을 특징으로 하는 본 플레이트.
  3. 제 1항 또는 제 2항에 있어서,
    100에서 220 HV의 경도를 가진 금속으로 이루어짐을 특징으로 하는 본 플레이트.
  4. 제 1 항 또는 제 2 항에 있어서,
    상기 본 스크류(4)의 헤드(5)의 외측 표면(7)은 나사부(9) 혹은 나선 구조를 구비함을 특징으로 하는 본 플레이트.
  5. 제 1 항에 있어서,
    상기 플레이트 홀(3)이 나사부(8)를 구비함을 특징으로 하는 본 플레이트.
  6. 제 1 항에 있어서, 본 스크류(4)의 헤드(5)가 본 플레이트(1)보다 더 경도가 큰 코팅을 구비함을 특징으로 하는 본 플레이트
  7. 제 6 항에 있어서,
    상기 코팅은 500에서 10,000HV의 표면 경도를 나타냄을 특징으로 하는 본 플레이트.
  8. 제 1 항 또는 제 2 항에 있어서, 구조화된 외측 표면(7)의 경도는 본 플레이트(1)의 경도의 적어도 2배임을 특징으로 하는 본 플레이트.
  9. 제 5 항에서 제 7 항 중 어느 한 항에 있어서, 상기 본 스크류(4)의 헤드(5)의 상기 구조화된 외측 표면(7)과 상기 플레이트 홀(3)을 서로 매칭되는나사부(8,9)를 나타냄을 특징으로 하는 본 플레이트.
  10. 제 5 항 내지 제 7 항중 어느 한 항에 있어서, 본 스크류(4)의 헤드(5)의 나사부(9)는 플레이트 홀(3)의 나사부(8)에 대해 하나 혹은 그 이상의 턴을 가짐을 특징으로 하는 본 플레이트.
  11. 제 1 항 또는 제 2 항에 있어서, 상기 구조화된 외측 표면(7)은 본 스크류(4)의 길이방향 축을 가로질러 가는 구조임을 특징으로 하는 본 플레이트.
  12. 제 1 항 또는 제 2 항에 있어서, 본 플레이트(1)는 플라스틱으로 만들어지고 본 스크류(4)는 금속 혹은 세라믹으로 만들어짐을 특징으로 하는 본 플레이트.
  13. 제 1 항 또는 제 2 항에 있어서, 상기 본 플레이트(1)는 40에서 70%의 파단 신장도와 3,000에서 6,000N/㎟의 영의 계수를 가진 폴리아크릴 에테르 케톤(PEAK) 혹은 폴리에테르 에테르 케톤(PEEK)으로 만들어짐을 특징으로 하는 본 플레이트.
  14. 제 1 항 또는 제 2 항에 있어서, 상기 본 플레이트(1)는 80에서 120%의 파단 신장도와 2,000에서 3,500N/㎟의 영의 계수를 가진 폴리설폰으로 만들어짐을 특징으로 하는 본 플레이트.
  15. 제 1 항 또는 제 2 항에 있어서, 상기 본 플레이트(1)는 파단 신장도 1.5에서 2.5%의 파단 신장도와 5,000에서 20,000N/㎟의 영의 계수를 가진 리퀴드 크리스탈 폴리머(LCP)로 만들어짐을 특징으로 하는 본 플레이트.
  16. 제 1 항 또는 제 2 항에 있어서, 상기 본 플레이트(1)는 10에서 50%의 파단 신장도와 2,000에서 3,500N/㎟의 영의 계수를 가진 폴리옥시메틸렌(POM)으로 만들어짐을 특징으로 하는 본 플레이트.
  17. 제 1 항 또는 제 2 항에 있어서, 상기 본 플레이트(1)는 0.2에서 1.0%의 파단 신장도와 12,000에서 20,000N/㎟의 영의 계수를 가진 폴리페닐렌 설파이드(PPS)로 만들어짐을 특징으로 하는 본 플레이트.
  18. 제 1 항 또는 제 2 항에 있어서, 상기 본 플레이트(1)는 금속 화이버, 플라스틱 화이버 혹은 카본 화이버로 강화된 플라스틱으로 만들어짐을 특징으로 하는 본 플레이트.
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KR102038360B1 (ko) 2019-06-13 2019-10-30 이정선 뼈 플레이트 조립체
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ES2158127T3 (es) 2001-09-01
WO1997009000A1 (de) 1997-03-13
EP0848600A1 (de) 1998-06-24
EP0848600B1 (de) 2001-05-09
DE59509247D1 (de) 2001-06-13
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CA2230058C (en) 2005-03-29

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