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WO2023038595A1 - Procédés et appareil de détection d'os à un seul côté avec double plateau avec quatre pattes - Google Patents

Procédés et appareil de détection d'os à un seul côté avec double plateau avec quatre pattes Download PDF

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Publication number
WO2023038595A1
WO2023038595A1 PCT/TR2022/050213 TR2022050213W WO2023038595A1 WO 2023038595 A1 WO2023038595 A1 WO 2023038595A1 TR 2022050213 W TR2022050213 W TR 2022050213W WO 2023038595 A1 WO2023038595 A1 WO 2023038595A1
Authority
WO
WIPO (PCT)
Prior art keywords
fixed
bone
middle platform
articulated
correct
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/TR2022/050213
Other languages
English (en)
Inventor
Güray YILMAZ
Kaan Talat AKÇA
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.)
Bozoq Teknoloji San Ve Tic Ltd Sti
Original Assignee
Bozoq Teknoloji San Ve Tic Ltd Sti
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 Bozoq Teknoloji San Ve Tic Ltd Sti filed Critical Bozoq Teknoloji San Ve Tic Ltd Sti
Publication of WO2023038595A1 publication Critical patent/WO2023038595A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • 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
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • 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
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/645Devices extending alongside the bones to be positioned comprising a framework

Definitions

  • the invention relates to a double-layered, four-legged, unilateral bone fixation method and apparatus, which performs the function of bringing 2 separate parts or surfaces to the desired distance, rotation and angulation, which can be used in fracture, correction and bone lengthening surgeries, and can correct in many planes attached to the bone.
  • Limb bone lengthening and realignment techniques are used to replace bone loss and to straighten and lengthen deformity (bent) bones. These interventions can be applied to pediatric or adult patients with congenital disease, bone loss or arm and leg inequalities after trauma.
  • the places where external fixators are used can be summarized as follows: A- In fractures
  • a bone fixation system usually consists of one or more rods, wire pins, wires. Since the fracture model can be in many structural variations, the placement and fixation of the
  • Our invention is a combination of all the inventions made so far and can perform the function that all of them do in a single piece.
  • Various inventions that are similar to our invention and try to do the same task have been protected by patent and utility model protection types in the world. Examples of these are as follows.
  • a patent registered to WIPO no 2010104567 also describes a bone fixation system, wherein the bone fixation apparatus; the first and second planes comprise at least parts with annular ring members.
  • the first ring member further has a circumferential insert along the circumferential portion; the plurality of claws each having a first and a second end. The first end of each claw is connected to the first ring by a first connector and the second end of each claw is connected to the second ring by a second connector.
  • the first connecting piece includes a spherical seal, the second connecting piece non-rotably connected to the second ring.
  • the bone fixation apparatus here is half the size of our invention, and it does not provide as much benefit as our invention and is insufficient in processes such as lengthening, bringing the bone piece or surface to the desired distance, and restoring the bone in cases such as bone angulation.
  • the reason for this is that it has a simpler structure compared to our invention and does not have a well-adjustable structure.
  • the bone fixation apparatus herein includes a retaining rod, a retaining pin and a clamp assembly.
  • the gripper assembly includes a first pair of jaws, a second pair of jaws, and a first snap spring.
  • the first pair of jaws has a first upper jaw component and a first lower jaw component and these components are defined by a first section so that they can massively support the bone retaining bar.
  • the second pair of jaws includes a second upper jaw component and a second lower jaw component and these components are defined by a second portion, which can be massively supported by the retaining pin.
  • the first snap spring is located within the first section and is located between the first upper jaw component and the first lower jaw component.
  • a patent registered to WIPO numbered 2009102904 also describes a fast adjustable bone fixation attachment rod.
  • the present disclosure is provided with various embodiments, such as clearly indicated gaskets of bone anchor rods that can be attached to external supports such as rings.
  • the bone fixation tie rod includes a telescopic rod and the connecting mechanism used to attach the rods to the outer supports, and the connecting mechanisms are essentially useful for locking the seals oriented in a particular direction.
  • the connecting rod has a housing with parallel axis drills located in the device, and the sleeves are inclined to slide over these axle punches.
  • the present patent disclosure includes methods for maintaining the orientation of the first and second bone anchor rings in a certain direction to immobilize bone fragments.
  • connection mechanism here is a compression connection mechanism, and during the improvements made on the most important component of the body, such as bone, it causes relaxation and the desired treatment cannot be applied to the bone.
  • the fixing connecting rods have a stepped structure, and our invention is attached to the bone with the pins placed in the grooves placed at certain intervals and the desired treatment techniques can be applied to the bone.
  • Our invention is related to the device and software that provides many planar corrections of parts in bone fixation surgeries, one-sided bone fixation system; It is formed by combining an end skeleton and a combined skeleton near the body by connecting with each other with structures such as hinges etc.
  • the front outer arm which is fixed to the upper and middle platform, one end of which is articulated and the other end can be fixed and shortened.
  • Front inner arm that is fixed to the upper and middle platform, one end of which is articulated, the other end is fixed, extendable and shortened, which is used to correct forward or backward angulation in the side plan and fore or aft shift in the side
  • the inner arm at the back, fixed to the upper and middle platform, one end of which is articulated and the other end can be fixed and shortened.
  • Rear outer arm that is fixed to the upper and middle platform, one end of which is articulated and the other end can be fixed and shortened.
  • Front outer arm that is fixed to the lower and middle platform, one end of which is articulated and the other end can be fixed and shortened.
  • Front inner arm that is fixed to the lower and middle platform, one end of which is articulated and the other end can be fixed and shortened.
  • Inner arm at the back, one end of which is articulated and the other end is fixed to the fixed lower and middle platform, which is used to correct inward or outward angulation in the fore-background and inward or outward shift in the fore-background
  • the rear outer arm which is fixed to the lower and middle platform, one end of which is articulated and the other end can be fixed and shortened.
  • the invention is based on a skeleton that is attached to the bone with half pins, which can be used in abnormal angulation, fracture and bone lengthening surgeries, which are used in other branches of medicine and industry, especially in orthopedic surgery, that perform the function of bringing 2 separate parts or surfaces to the desired distance, rotation and angulation. It is related to the eight-legged unilateral bone fixation method and apparatus, which can make corrections in many planes thanks to its extendable and shortenable arms.
  • the outer arm in the front (1) which is fixed to the upper and middle platform, one end of which is articulated and the other end can be extended and shortened, which is used to correct inward or outward angulation in the foreground background and inward or outward shift in the foreground background
  • Front inner arm (2) that is fixed to the upper and middle platform that can be extended and shortened, one end is articulated, the other end is fixed, which is used to correct forward or backward angulation in the side plan and fore or aft shift in the side
  • the inner arm at the back (3 ) which is fixed to the upper and middle platform, one end of which is articulated and the other end can be extended and shortened, which is used to correct inward or outward angulation in the foreground background and inward or outward shift in the foreground background
  • the outer arm at the back(4) which is fixed to the upper and middle platform, one end of which is articulated and the other end can be fixed and shortened, which is used to correct inward or outward angulation in
  • SUBSTITUTE SHEETS (RULE 26) foreground and inward or outward shift in the fore-background
  • the rear outer arm (8 ) which is fixed to the lower and middle platform, one end of which is articulated and the other end can be extended and shortened, which is used to correct inward or outward angulation in the foreground background and inward or outward shift in the forebackground
  • Upper platform with holes (12) Middle platform with holes on it (13), Bottom platform with holes (19)
  • Half Ring (18) the bearing (14) in the perforated metal (19) in which the ring can move, the gear ( 9 ) used to move the half ring (18 ) and the washer (10 ) and the screw ( 11 ) used to fix the gear ( 9 ).
  • This invention consists of an external skeleton that immobilizes the movement and position of the bone during the bone healing process by sending a pin to the bone, and 8 pillars mounted on this skeleton.
  • the device is a single-sided detection apparatus and has a feature that can perform multi-axis correction.
  • the device gives a formula for fracture reduction and abnormal angulation correction with its current software, after the current X-ray film is transferred to a computer and the target points are marked.
  • This formula includes the information about which strut will be lengthened and shortened, and finally, the bone is placed in its place and its immobilization can be continued.
  • the method begins by sending a pin to the bone tissue.
  • These pins can be in numbers that vary depending on the shape of the broken and abnormally angulated pins.
  • These pins are connected to the middle platform (13) on which there are eight longitudinal struts and holes on it.
  • Each of these struts can control the bone fracture line movement in a multiaxial plane when they are lengthened and shortened simultaneously, alone and together. For simple transverse fractures and bone lengthening cases, elongation can be achieved with two-level pin delivery and the fracture can be immobilized.
  • the system is placed on the fracture site. After being duly sent to the bone, the pins attached to the Pin holder apparatus (15) fixed to the upper platform and to the Pin holder apparatus fixed to the lower platform are fixed to the system. Anteroposterior and lateral x-rays are taken, angling, rotation, sliding... etc. on the film. The values are entered into the computer software by measuring, and the necessary values are given by calculating with the formulas in the software.
  • SUBSTITUTE SHEETS (RULE 26) platform which is articulated at one end and fixed and shortened at the other end, or fixed to the upper and middle platform, which is articulated at one end and fixed and shortens the other.
  • the outer arm at the front (1) one end is articulated and the other end is fixed to the upper and middle platform, which is fixed to the upper and middle platform. It is carried out by extending the rear inner arm (3), which is fixed to the upper and middle platform, one end of which is articulated and the other end can be fixed and shortened.
  • the other end is fixed to the lower and middle platform, which can be fixed and shortened, the inner arm in the front (6), while shortening, one end is articulated, the other end is fixed to the upper and middle platform, which can be fixed and shortened, the other end is fixed to the upper and middle platform; and the rear outer arm (4) fixed to the middle platform, the rear inner arm ( 7 ) fixed to the lower and middle platform with one end articulated and the other fixed extendable and shortened, the rear outer arm fixed to the lower and middle platform ( 8) is carried out by extending it.
  • SUBSTITUTE SHEETS (RULE 26) and extending.
  • SUBSTITUTE SHEETS (RULE 26) the fixed and extendable lower and middle platform, the rear inner arm
  • the arm ( 7 ) is realized by simultaneously shortening the rear outer arm ( 8 ), which is fixed to the lower and middle platform, one end of which is articulated and the other end can be fixed and shortened.
  • the tip of the pin screwed to the bone is duly attached to the Pin holder apparatus (16), which is fixed to the middle platform with holes on it. Then, one end is articulated, the other end is fixed and the other end is fixed to the upper and middle platform, the outer outer arm (1) is fixed, one end is articulated, the other end is fixed, and the other end is fixed to the upper and middle platform, the front inner arm (2) is one end is articulated, the other end is The rear inner arm (3) fixed to the fixed extensible upper and middle platform, the rear outer arm (4), one end of which is articulated and the other end fixed to the upper and middle platform, which can be extended and shortened, is extended and one end is articulated and the other end is fixed to the lower and middle platform, fixed front outer arm (5), one end hinged, the other end fixed to the lower and middle platform, which can be fixed and shortened, the front
  • SUBSTITUTE SHEETS (RULE 26) inner arm (6), one end articulated, the other end fixed to the fixed and extendable lower and middle platform, the rear inner arm (7),
  • the transport is carried out by simultaneously shortening the outer arm ( 8 ) at the back, which is fixed to the lower and middle platform, one end of which is articulated and the other end can be fixed and shortened.
  • the lengthening and shortening amounts of the arms are determined by the formula calculated by the software and taken online.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (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

L'invention concerne un procédé et un appareil de fixation osseuse unilatérale à double couche et quatre pattes, qui exécutent la fonction consistant à amener 2 parties ou surfaces séparées à 10 la distance, la rotation et l'angulation souhaitées, qui peuvent être utilisés dans des chirurgies de correction de fracture et d'allongement d'os, et peuvent amener des corrections dans de nombreux plans fixés à l'os.
PCT/TR2022/050213 2021-09-10 2022-03-10 Procédés et appareil de détection d'os à un seul côté avec double plateau avec quatre pattes Ceased WO2023038595A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TRTR2021/014222 2021-09-10
TR2021014222 2021-09-10

Publications (1)

Publication Number Publication Date
WO2023038595A1 true WO2023038595A1 (fr) 2023-03-16

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Application Number Title Priority Date Filing Date
PCT/TR2022/050213 Ceased WO2023038595A1 (fr) 2021-09-10 2022-03-10 Procédés et appareil de détection d'os à un seul côté avec double plateau avec quatre pattes

Country Status (1)

Country Link
WO (1) WO2023038595A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20250090201A1 (en) * 2023-09-20 2025-03-20 Sehmuz ISIN Unilateral external fixator apparatus and control method

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5728095A (en) * 1995-03-01 1998-03-17 Smith & Nephew, Inc. Method of using an orthopaedic fixation device
US20080021451A1 (en) * 2006-04-20 2008-01-24 Millennium Medical Technologies, Inc. External Fixator
CN112155699A (zh) * 2020-10-21 2021-01-01 杨俊� 一种改良单边双轨道骨搬移外架
CN212490098U (zh) * 2020-04-13 2021-02-09 岳肖华 一种骨骼复位外固定支架

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5728095A (en) * 1995-03-01 1998-03-17 Smith & Nephew, Inc. Method of using an orthopaedic fixation device
US20080021451A1 (en) * 2006-04-20 2008-01-24 Millennium Medical Technologies, Inc. External Fixator
CN212490098U (zh) * 2020-04-13 2021-02-09 岳肖华 一种骨骼复位外固定支架
CN112155699A (zh) * 2020-10-21 2021-01-01 杨俊� 一种改良单边双轨道骨搬移外架

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20250090201A1 (en) * 2023-09-20 2025-03-20 Sehmuz ISIN Unilateral external fixator apparatus and control method
WO2025062023A1 (fr) * 2023-09-20 2025-03-27 Isin Sehmuz Fixateur externe unilatéral et méthode de commande
US12433641B2 (en) * 2023-09-20 2025-10-07 Şehmuz Işin Unilateral external fixator apparatus and control method

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