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WO1988002246A3 - Method and apparatus for extraction and insertion of embedded articles including bone-related devices - Google Patents

Method and apparatus for extraction and insertion of embedded articles including bone-related devices

Info

Publication number
WO1988002246A3
WO1988002246A3 PCT/US1987/002496 US8702496W WO8802246A3 WO 1988002246 A3 WO1988002246 A3 WO 1988002246A3 US 8702496 W US8702496 W US 8702496W WO 8802246 A3 WO8802246 A3 WO 8802246A3
Authority
WO
WIPO (PCT)
Prior art keywords
bone
composite
article
force pulses
extraction
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.)
Ceased
Application number
PCT/US1987/002496
Other languages
French (fr)
Other versions
WO1988002246A2 (en
Inventor
Charles A Dicecca
Frederick G Heller
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of WO1988002246A2 publication Critical patent/WO1988002246A2/en
Publication of WO1988002246A3 publication Critical patent/WO1988002246A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25C—HAND-HELD NAILING OR STAPLING TOOLS; MANUALLY OPERATED PORTABLE STAPLING TOOLS
    • B25C11/00—Nail, spike, and staple extractors
    • 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
    • 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
    • A61B17/921—Impactors or extractors, e.g. for removing intramedullary devices for intramedullary devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools for implanting artificial joints
    • A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4607—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of hip femoral endoprostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools for implanting artificial joints
    • A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4609—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of acetabular cups
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools for implanting artificial joints
    • A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/461—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of knees
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25B—TOOLS OR BENCH DEVICES NOT OTHERWISE PROVIDED FOR, FOR FASTENING, CONNECTING, DISENGAGING OR HOLDING
    • B25B27/00—Hand tools, specially adapted for fitting together or separating parts or objects whether or not involving some deformation, not otherwise provided for
    • B25B27/02—Hand tools, specially adapted for fitting together or separating parts or objects whether or not involving some deformation, not otherwise provided for for connecting objects by press fit or detaching same
    • B25B27/026—Hand tools, specially adapted for fitting together or separating parts or objects whether or not involving some deformation, not otherwise provided for for connecting objects by press fit or detaching same fluid driven
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25D—PERCUSSIVE TOOLS
    • B25D9/00—Portable percussive tools with fluid-pressure drive, i.e. driven directly by fluids, e.g. having several percussive tool bits operated simultaneously
    • B25D9/14—Control devices for the reciprocating piston
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00137—Details of operation mode
    • A61B2017/00154—Details of operation mode pulsed
    • A61B2017/00172—Pulse trains, bursts, intermittent continuous operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00544—Surgical instruments, devices or methods pneumatically or hydraulically operated pneumatically
    • 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
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
    • A61B2017/922—Devices for impaction, impact element
    • A61B2017/924—Impact element driving means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools for implanting artificial joints
    • A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools for implanting artificial joints
    • A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4619—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof for extraction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools for implanting artificial joints
    • A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4619—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof for extraction
    • A61F2002/462—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof for extraction of broken endoprosthetic joint parts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools for implanting artificial joints
    • A61F2002/4681—Special tools for implanting artificial joints by applying mechanical shocks, e.g. by hammering
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools for implanting artificial joints
    • A61F2002/4688—Special tools for implanting artificial joints having operating or control means
    • A61F2002/4692—Special tools for implanting artificial joints having operating or control means fluid
    • A61F2002/4694—Special tools for implanting artificial joints having operating or control means fluid pneumatic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25D—PERCUSSIVE TOOLS
    • B25D2250/00—General details of portable percussive tools; Components used in portable percussive tools
    • B25D2250/171—Percussive pulling action of tools for extraction of elements

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Transplantation (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Cardiology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Fluid Mechanics (AREA)
  • Prostheses (AREA)
  • Dental Prosthetics (AREA)

Abstract

Method and means to remove, implant, attach and otherwise fit or adjust bone-related articles such as surgical implants, rods, nails, prosthetic and similar devices, dental restorations, and the like, without destruction of or damage to the recipient bone or composite, using a series or train of force pulses to move the article incrementally with relation to the recipient bone or composite. The waveshape of the force pulses is designed, in some cases, to oscillate the article relative to the recipient bone structure, to produce microfractures at the interface between the article and the bone or composite. A hand-held pneumatic tool is shown for providing the force pulses. The tool and method may be used for non-surgical applications such as to remove construction nails, plastic shafts, bearing races and other objects.
PCT/US1987/002496 1986-09-26 1987-09-28 Method and apparatus for extraction and insertion of embedded articles including bone-related devices Ceased WO1988002246A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US912,360 1978-06-05
US91236086A 1986-09-26 1986-09-26

Publications (2)

Publication Number Publication Date
WO1988002246A2 WO1988002246A2 (en) 1988-04-07
WO1988002246A3 true WO1988002246A3 (en) 1988-05-19

Family

ID=25431788

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1987/002496 Ceased WO1988002246A2 (en) 1986-09-26 1987-09-28 Method and apparatus for extraction and insertion of embedded articles including bone-related devices

Country Status (2)

Country Link
EP (1) EP0287614A1 (en)
WO (1) WO1988002246A2 (en)

Families Citing this family (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5112338A (en) * 1991-02-11 1992-05-12 Anspach Iii William E Surgical instrument for removing artificial acetabular cups
IL103737A (en) * 1992-11-13 1997-02-18 Technion Res & Dev Foundation Stapler device particularly useful in medical suturing
US5575794A (en) * 1993-02-12 1996-11-19 Walus; Richard L. Tool for implanting a fiducial marker
DE19859135B4 (en) * 1998-12-21 2006-07-13 Ferton Holding S.A. Device for driving a wire pin, in particular a Kirschner wire, in bone material
GB9917790D0 (en) * 1999-07-30 1999-09-29 British Aerospace Extractor device
EP1074350A1 (en) * 1999-07-30 2001-02-07 British Aerospace Public Limited Company Extractort device
DE10102985A1 (en) * 2001-01-23 2002-07-25 Kaltenbach & Voigt Mechanical pulse generator for dental medicine or medical purposes
DE502005011060D1 (en) 2005-05-17 2011-04-14 Gruenig & Elmiger Ag IMPACT TOOL, ESPECIALLY FOR SURGICAL USE
DE102006062356B3 (en) * 2006-12-22 2008-04-24 Storz Medical Ag Appliance to apply pressure shock waves, at the body of human and animal patients, has a reciprocating hammer powered by a controlled pneumatic drive to strike a beating body repeatedly
EP2571459A2 (en) 2010-05-21 2013-03-27 Universität Bern Device for loosening and explantation of bone implants
JP5200137B2 (en) * 2011-04-28 2013-05-15 イーエムテー インテグラール メディツィンテヒニーク アクチエンゲゼルシャフト Impact tool
US10478318B2 (en) 2013-12-29 2019-11-19 Kambiz Behzadi Prosthesis installation systems and methods
US10172722B2 (en) 2013-12-29 2019-01-08 Kambiz Behzadi Prosthesis installation systems and methods
US10245162B2 (en) 2013-12-29 2019-04-02 Kambiz Behzadi Prosthesis installation systems and methods
US10456271B2 (en) 2013-12-29 2019-10-29 Kambiz Behzadi Prosthesis revision systems and methods
EP3089685B1 (en) * 2013-12-29 2020-07-15 Behzadi, Kambiz Prosthesis positioning systems
US10245160B2 (en) 2013-12-29 2019-04-02 Kambiz Behzadi Prosthesis installation systems and methods
US10610379B2 (en) 2013-12-29 2020-04-07 Kambiz Behzadi Prosthesis installation systems and methods
US10258479B2 (en) 2015-08-15 2019-04-16 Ldr Medical Devices, methods, and systems to implant and secure a fusion cage or intervertebral prosthesis for spinal treatment
AU2019352742B2 (en) 2018-10-04 2025-04-17 Depuy Ireland Unlimited Company Prosthesis extraction system
GB2599706B (en) * 2020-10-09 2022-12-07 Additive Instruments Ltd Impactor
CA3200838A1 (en) 2020-11-10 2022-05-19 Zimmer, Inc. Bi-spring surgical impact tool
WO2022165223A1 (en) 2021-01-29 2022-08-04 Zimmer, Inc. Orthopedic impactor tool
US11925359B2 (en) 2021-01-29 2024-03-12 Zimmer, Inc. Rotary electric surgical hammer impact tool
WO2022165357A1 (en) 2021-02-01 2022-08-04 Zimmer, Inc. Tri-roll thread electric surgical impact tool
JP7592184B2 (en) 2021-02-26 2024-11-29 ジンマー，インコーポレイティド Surgical Dual Spring Hammer Impact Tool
WO2023173022A1 (en) * 2022-03-10 2023-09-14 Pro-Dex, Inc. Surgical impactor
US12390259B2 (en) 2022-07-19 2025-08-19 Zimmer, Inc. Linear electric surgical hammer impact tool

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE847642C (en) * 1951-03-14 1952-08-25 Reinhold Dipl-Ing Bock Method and device for easier removal of the nails used in the treatment of injured or diseased bones
DE1933440A1 (en) * 1969-07-01 1971-01-14 Ts Pk I T Bjuro Bone joining method for limbs in case of fractures and device for its realization

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE847642C (en) * 1951-03-14 1952-08-25 Reinhold Dipl-Ing Bock Method and device for easier removal of the nails used in the treatment of injured or diseased bones
DE1933440A1 (en) * 1969-07-01 1971-01-14 Ts Pk I T Bjuro Bone joining method for limbs in case of fractures and device for its realization

Also Published As

Publication number Publication date
EP0287614A1 (en) 1988-10-26
WO1988002246A2 (en) 1988-04-07

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