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FR3032877A1 - PROTHETIC STERNUM DEVICE WITH MANUBRIUM AND CLAVICULES - Google Patents

PROTHETIC STERNUM DEVICE WITH MANUBRIUM AND CLAVICULES Download PDF

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Publication number
FR3032877A1
FR3032877A1 FR1551572A FR1551572A FR3032877A1 FR 3032877 A1 FR3032877 A1 FR 3032877A1 FR 1551572 A FR1551572 A FR 1551572A FR 1551572 A FR1551572 A FR 1551572A FR 3032877 A1 FR3032877 A1 FR 3032877A1
Authority
FR
France
Prior art keywords
manubrium
plate
clavicles
pin
extension
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
FR1551572A
Other languages
French (fr)
Inventor
Dominique Fabre
Patrice Moreau
Karin Worner
Elie Fadel
Olaf Mercier
Sacha Mussot
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Neuro France Implants NFI SARL
Original Assignee
Neuro France Implants NFI SARL
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Neuro France Implants NFI SARL filed Critical Neuro France Implants NFI SARL
Priority to FR1551572A priority Critical patent/FR3032877A1/en
Priority to EP16707933.4A priority patent/EP3261567B1/en
Priority to CA2975353A priority patent/CA2975353C/en
Priority to PCT/FR2016/050362 priority patent/WO2016135395A1/en
Priority to ES16707933T priority patent/ES2748777T3/en
Priority to JP2017562134A priority patent/JP6704002B2/en
Priority to US15/551,892 priority patent/US10667851B2/en
Publication of FR3032877A1 publication Critical patent/FR3032877A1/en
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • A61B17/823—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage for the sternum
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • A61B17/8076—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones for the ribs or the sternum

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

Dispositif prothétique de sternum avec manubrium et clavicules comportant une plaque (1) et des moyens (2) de solidarisation à des côtes, chacun des moyens (2) de solidarisation à des côtes comprenant d'une part un moyen d'accrochage à une côte, et d'autre part un moyen de fixation à la plaque (1), laquelle comporte à cet effet une multiplicité de zones de fixation d'un desdits moyens d'accrochage, réparties en périphérie. La plaque (1) comporte de plus, dans sa partie supérieure deux emplacements (10) d'insertion sur chacun d'une broche (3) destinée à coopérer avec une clavicule, ou partie de clavicule, la solidarisation d'une broche (3) à un emplacement d'insertion (10) étant réalisé au travers d'une articulation multidirectionnelle (11, 12, 30, 32).Prosthetic sternum device with manubrium and clavicles comprising a plate (1) and means (2) for securing to ribs, each of the means (2) for securing to ribs comprising on the one hand a means for fastening to a rib , and on the other hand a means of fixing to the plate (1), which for this purpose comprises a multiplicity of fixing zones of one of said hooking means, distributed around the periphery. The plate (1) further comprises, in its upper part, two insertion locations (10) on each of a pin (3) intended to cooperate with a clavicle, or part of a clavicle, the attachment of a pin (3 ) at an insertion location (10) being made through a multidirectional joint (11, 12, 30, 32).

Description

1 La présente invention a pour objet un dispositif prothétique de sternum avec manubrium et clavicules, destiné à être implanté en remplacement d'un sternum et de son manubrium et de tout ou partie des clavicules, c'est-à-dire sa partie supérieure sur laquelle s'articulent les clavicules. On connaît déjà, par le document FR 3 004 337, dispositif prothétique de sternum comportant une plaque et des moyens de solidarisation à des côtes, chacun desdits moyens de solidarisation à des côtes comprenant d'une part un moyen d'accrochage à une côte, et d'autre part un moyen de fixation à ladite plaque, laquelle comporte à cet effet une multiplicité de zones de fixation d'un desdits moyens d'accrochage, réparties en périphérie. Si un tel dispositif prothétique de sternum constitue un progrès par rapport à l'art antérieur lors du remplacement d'un sternum, il présente toutefois un inconvénient du fait lors de l'ablation du sternum, il n'est pas possible de raccorder les clavicules puisque le manubrium a également été enlevé. La présente invention a pour but de perfectionner le 20 dispositif prothétique de sternum objet du document FR 3 004 337. Le dispositif prothétique de sternum avec manubrium et clavicules selon l'invention, comporte une plaque et des moyens de solidarisation à des côtes, chacun desdits moyens de 25 solidarisation à des côtes comprenant d'une part un moyen d'accrochage à une côte, et d'autre part un moyen de fixation à ladite plaque, laquelle comporte à cet effet une multiplicité de zones de fixation d'un desdits moyens d'accrochage, réparties en périphérie, et il se caractérise en ce que ladite plaque 30 comporte de plus, dans sa partie supérieure deux emplacements d'insertion sur chacun d'une broche destinée à coopérer avec une clavicule, ou partie de clavicule, la solidarisation d'une broche à un emplacement d'insertion étant réalisé au travers d'une articulation multidirectionnelle.The present invention relates to a prosthetic sternum device with manubrium and clavicles, intended to be implanted in replacement of a sternum and its manubrium and all or part of the clavicles, that is to say, its upper part on which articulate the clavicles. Document FR 3 004 337 already discloses a sternum prosthetic device comprising a plate and means for securing to ribs, each of said rib bonding means comprising on the one hand a means of attachment to a rib, and on the other hand a fixing means to said plate, which comprises for this purpose a multiplicity of attachment zones of one of said attachment means, distributed at the periphery. If such a prosthetic sternum device is an advance over the prior art when replacing a sternum, it has a disadvantage, however, due to the fact that when removing the sternum, it is not possible to connect the clavicles since the manubrium has also been removed. The object of the present invention is to improve the sternum prosthetic device which is the subject of the document FR 3,004,337. The sternum prosthetic device with manubrium and clavicles according to the invention comprises a plate and means for securing to ribs, each of said means for securing to ribs comprising on the one hand a hooking means on one side, and on the other hand a fixing means to said plate, which comprises for this purpose a plurality of fixing zones of one of said means latching, distributed peripherally, and it is characterized in that said plate 30 further comprises, in its upper part two insertion locations on each of a pin for cooperating with a clavicle, or part of clavicle, the securing a pin to an insertion location being achieved through a multidirectional hinge.

3032877 2 Selon une caractéristique additionnelle du dispositif prothétique selon l'invention, l'articulation multidirectionnelle consiste en une rotule. Les avantages et les caractéristiques du dispositif 5 prothétique de sternum avec manubrium et clavicules selon l'invention, ressortiront plus clairement de la description qui suit et qui se rapporte au dessin annexé, lequel en représente un mode de réalisation non limitatif. Dans le dessin annexé : 10 - la figure 1 représente une vue en plan avec éclaté partiel du dispositif prothétique de sternum avec manubrium, selon l'invention. - la figure 2 représente une vue schématique en perspective d'une patrie du même dispositif. 15 - la figure 3 représente une vue en perspective et en éclaté du même dispositif. En référence à ces figures 1, 2 et 3, on peut voir qu'un dispositif prothétique de sternum avec manubrium et clavicules selon l'invention comprend, dans ce mode de réalisation, une plaque 1 et quatre moyens 2 de solidarisation à une côte, de manière connue en soi conformément au document FR 3 004 337. Selon l'invention, la plaque 1 comporte de plus dans sa partie supérieure, deux emplacements 10 d'insertion sur chacun d'une broche 3 destinée à être connectée, par insertion dans une clavicule, non représentée, après résection, laquelle clavicule peut également être prothétique. Chaque emplacement 10 se présente sous la forme d'une extension 11 pourvue d'une cavité 12 de forme hémisphérique, d'axe passant par le plan de la plaque 1 et faisant un angle 30 avec l'axe longitudinal principal de la plaque 1, en sorte de s'ouvrir vers l'extérieur, le haut et latéralement. L'extension est munie sur son bord distal et périphériquement d'un filetage 13. La broche 3 comporte à son extrémité destinée à être 35 solidarisée à la plaque 1, une rotule sphérique 30, fixée au corps de la broche 3 par une vis axiale 31, cette rotule 30 3032877 3 étant destinée prendre place dans la cavité 12, et à y être maintenue par un écrou 32, enfilé sur la broche 3 et vis sur le filetage 13, en sorte d'autoriser l'articulation de la broche sur la plaque 1.According to an additional feature of the prosthetic device according to the invention, the multidirectional articulation consists of a ball joint. The advantages and characteristics of the sternum prosthetic device with manubrium and clavicles according to the invention will become more clearly apparent from the description which follows and which refers to the appended drawing, which represents a non-limiting embodiment thereof. In the accompanying drawing: FIG. 1 is a partial exploded plan view of the sternum prosthetic device with manubrium, according to the invention. - Figure 2 shows a schematic perspective view of a homeland of the same device. Figure 3 shows a perspective and exploded view of the same device. Referring to these Figures 1, 2 and 3, it can be seen that a sternum prosthetic device with manubrium and clavicles according to the invention comprises, in this embodiment, a plate 1 and four means 2 for joining to a rib, in a manner known per se according to the document FR 3 004 337. According to the invention, the plate 1 further comprises, in its upper part, two insertion locations on each of a pin 3 intended to be connected, by insertion into a clavicle, not shown, after resection, which clavicle can also be prosthetic. Each location 10 is in the form of an extension 11 provided with a cavity 12 of hemispherical shape, of axis passing through the plane of the plate 1 and forming an angle 30 with the main longitudinal axis of the plate 1, so as to open outwards, upwards and laterally. The extension is provided on its distal edge and peripherally with a thread 13. The spindle 3 has at its end intended to be secured to the plate 1, a spherical ball 30, fixed to the body of the spindle 3 by an axial screw 31, this ball 3032877 3 being intended to take place in the cavity 12, and to be held there by a nut 32, threaded on the pin 3 and screw on the thread 13, so as to allow the articulation of the pin on the plate 1.

5 Il est à noter de manière préférentielle, chaque extension 11 est garnie intérieurement d'un insert 14, qui comporte la cavité 12. De manière avantageuse, la paroi extérieure de l'insert 14 est sphérique, et le logement, non visible, de ce dernier réalisé dans l'extension 11, lui est 10 congruent, en sorte de créer une liaison rotule supplémentaire entre l'insert 14 et l'extension 11. On notera également que l'insert 14 ainsi que la rotule sphérique 30 sont réalisés, non limitativement en PEEK (polyétheréthercétone). 15It should be noted preferably, each extension 11 is lined internally with an insert 14, which comprises the cavity 12. Advantageously, the outer wall of the insert 14 is spherical, and the housing, not visible, of the latter made in the extension 11, it is congruent, so as to create an additional ball joint between the insert 14 and the extension 11. It will also be noted that the insert 14 and the spherical ball 30 are made, not limited to PEEK (polyetheretherketone). 15

Claims (6)

REVENDICATIONS1) Dispositif prothétique de sternum avec manubrium et clavicules comportant une plaque (1) et des moyens (2) de solidarisation à des côtes, chacun desdits moyens (2) de solidarisation à des côtes comprenant d'une part un moyen d'accrochage à une côte, et d'autre part un moyen de fixation à ladite plaque (1), laquelle comporte à cet effet une multiplicité de zones de fixation d'un desdits moyens d'accrochage, réparties en périphérie, caractérisé en ce que ladite plaque (1) comporte de plus, dans sa partie supérieure deux emplacements (10) d'insertion sur chacun d'une broche (3) destinée à coopérer avec une clavicule, ou partie de clavicule, la solidarisation d'une broche (3) à un emplacement d'insertion (10) étant réalisé au travers d'une articulation multidirectionnelle (11, 12, 30, 32).1) Prosthetic sternum device with manubrium and clavicles comprising a plate (1) and means (2) for securing to ribs, each of said means (2) for securing ribs comprising on the one hand a fastening means to a rib, and secondly a means of attachment to said plate (1), which comprises for this purpose a multiplicity of attachment zones of one of said attachment means, distributed at the periphery, characterized in that said plate ( 1) further comprises, in its upper part two locations (10) for insertion on each of a pin (3) intended to cooperate with a clavicle, or part of clavicle, the joining of a pin (3) to a insertion location (10) being provided through a multidirectional hinge (11, 12, 30, 32). 2) Dispositif prothétique de sternum avec manubrium et clavicules selon la revendication 1, caractérisé en ce que l'articulation multidirectionnelle consiste en une rotule (11, 12, 30, 32).2) prosthetic sternum device with manubrium and clavicles according to claim 1, characterized in that the multidirectional articulation consists of a ball joint (11, 12, 30, 32). 3) Dispositif prothétique de sternum avec manubrium et 20 clavicules selon la revendication 2, caractérisé en ce que chacun des deux emplacements (10) d'insertion, se présente sous la forme d'une extension (11) pourvue d'une cavité (12) de forme hémisphérique, d'axe passant par le plan de la plaque (1) et faisant un angle avec l'axe longitudinal principal de ladite 25 plaque (1), en sorte de s'ouvrir vers l'extérieur, le haut et latéralement, tandis que la broche (3) comporte à son extrémité destinée à être solidarisée à la plaque (1), une rotule sphérique (30), destinée prendre place dans la cavité (12), et à y être maintenue par un écrou (32), enfilé sur ladite broche (3) 30 et vissé sur un filetage (13) dont est munie sur son bord distal et périphériquement, ladite extension (11). 3032877 53) prosthetic sternum device with manubrium and clavicles according to claim 2, characterized in that each of the two locations (10) of insertion, is in the form of an extension (11) provided with a cavity (12) ) of hemispherical shape, axis passing through the plane of the plate (1) and at an angle to the main longitudinal axis of said plate (1), so as to open outwards, upwards and downwards. laterally, while the pin (3) has at its end intended to be secured to the plate (1), a spherical ball (30), intended to take place in the cavity (12), and to be held there by a nut ( 32), threaded onto said pin (3) 30 and screwed onto a thread (13) which is provided on its distal edge and peripherally, said extension (11). 3032877 5 4) Dispositif prothétique de sternum avec manubrium et clavicules selon la revendication 3, caractérisé en ce que chaque extension (11) est garnie intérieurement d'un insert (14), lequel comporte la cavité (12). 54) prosthetic sternum device with manubrium and clavicles according to claim 3, characterized in that each extension (11) is lined internally with an insert (14), which comprises the cavity (12). 5 5) Dispositif prothétique de sternum avec manubrium et clavicules selon la revendication 4, caractérisé en ce que la paroi extérieure de l'insert (14) est sphérique, tandis que le logement de ce dernier réalisé dans l'extension (11), lui est congruent, en sorte de créer une liaison rotule supplémentaire. 105) prosthetic sternum device with manubrium and clavicles according to claim 4, characterized in that the outer wall of the insert (14) is spherical, while the housing of the latter made in the extension (11), it is congruent, so as to create an additional ball joint. 10 6) Dispositif prothétique de sternum avec manubrium et clavicules selon la revendication 4 ou la revendication 5, caractérisé en ce que l'insert (14) et la rotule sphérique (30) sont réalisés en PEEK.6) Prosthetic sternum device with manubrium and clavicles according to claim 4 or claim 5, characterized in that the insert (14) and the spherical ball (30) are made of PEEK.
FR1551572A 2015-02-24 2015-02-24 PROTHETIC STERNUM DEVICE WITH MANUBRIUM AND CLAVICULES Withdrawn FR3032877A1 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
FR1551572A FR3032877A1 (en) 2015-02-24 2015-02-24 PROTHETIC STERNUM DEVICE WITH MANUBRIUM AND CLAVICULES
EP16707933.4A EP3261567B1 (en) 2015-02-24 2016-02-17 Prosthetic sternum device with manubrium
CA2975353A CA2975353C (en) 2015-02-24 2016-02-17 Prosthetic sternum device with manubrium
PCT/FR2016/050362 WO2016135395A1 (en) 2015-02-24 2016-02-17 Prosthetic sternum device with manubrium
ES16707933T ES2748777T3 (en) 2015-02-24 2016-02-17 Prosthetic sternum device with handlebar
JP2017562134A JP6704002B2 (en) 2015-02-24 2016-02-17 Sternal prosthetic device including sternal handle
US15/551,892 US10667851B2 (en) 2015-02-24 2016-02-17 Prosthetic sternum device with manubrium

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR1551572A FR3032877A1 (en) 2015-02-24 2015-02-24 PROTHETIC STERNUM DEVICE WITH MANUBRIUM AND CLAVICULES

Publications (1)

Publication Number Publication Date
FR3032877A1 true FR3032877A1 (en) 2016-08-26

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FR1551572A Withdrawn FR3032877A1 (en) 2015-02-24 2015-02-24 PROTHETIC STERNUM DEVICE WITH MANUBRIUM AND CLAVICULES

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FR (1) FR3032877A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109363757A (en) * 2018-12-19 2019-02-22 尹坤 An improved sternoclavicular joint bone plate

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130158608A1 (en) * 2011-12-20 2013-06-20 Osteomed L.P. Plate and cannulated transfixation screw system for human implant
US20140257291A1 (en) * 2013-01-12 2014-09-11 Louis Houff Sternum fixation device and method
FR3004337A1 (en) * 2013-04-15 2014-10-17 Neuro France Implants Nfi PROTHETIC STERNUM DEVICE

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130158608A1 (en) * 2011-12-20 2013-06-20 Osteomed L.P. Plate and cannulated transfixation screw system for human implant
US20140257291A1 (en) * 2013-01-12 2014-09-11 Louis Houff Sternum fixation device and method
FR3004337A1 (en) * 2013-04-15 2014-10-17 Neuro France Implants Nfi PROTHETIC STERNUM DEVICE

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109363757A (en) * 2018-12-19 2019-02-22 尹坤 An improved sternoclavicular joint bone plate

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