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WO2011070367A2 - Appareil chirurgical - Google Patents

Appareil chirurgical Download PDF

Info

Publication number
WO2011070367A2
WO2011070367A2 PCT/GB2010/052065 GB2010052065W WO2011070367A2 WO 2011070367 A2 WO2011070367 A2 WO 2011070367A2 GB 2010052065 W GB2010052065 W GB 2010052065W WO 2011070367 A2 WO2011070367 A2 WO 2011070367A2
Authority
WO
WIPO (PCT)
Prior art keywords
jig
kit
alignment
tibial
cutting
Prior art date
Application number
PCT/GB2010/052065
Other languages
English (en)
Other versions
WO2011070367A3 (fr
Inventor
Gursharan Singh Chana
Original Assignee
Gursharan Singh Chana
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 Gursharan Singh Chana filed Critical Gursharan Singh Chana
Priority to US13/515,033 priority Critical patent/US20120303131A1/en
Priority to CA2783885A priority patent/CA2783885A1/fr
Priority to EP10800989A priority patent/EP2509516A2/fr
Priority to AU2010329643A priority patent/AU2010329643A1/en
Publication of WO2011070367A2 publication Critical patent/WO2011070367A2/fr
Publication of WO2011070367A3 publication Critical patent/WO2011070367A3/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/14—Surgical saws
    • A61B17/15—Guides therefor
    • A61B17/154—Guides therefor for preparing bone for knee prosthesis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
    • 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
    • A61F2/4684—Trial or dummy prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/14—Surgical saws
    • A61B17/15—Guides therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/14—Surgical saws
    • A61B17/15—Guides therefor
    • A61B17/154—Guides therefor for preparing bone for knee prosthesis
    • A61B17/157—Cutting tibia
    • 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
    • A61F2/38—Joints for elbows or knees
    • A61F2/3886—Joints for elbows or knees for stabilising knees against anterior or lateral dislocations
    • 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
    • A61F2/38—Joints for elbows or knees
    • A61F2/389—Tibial components

Definitions

  • the present invention relates to surgical apparatus.
  • Surgery in relation to the resurfacing or replacement of joints of the human body following wear or damage is well known.
  • hip replacement, knee replacement, ankle replacement and shoulder replacement may be mentioned.
  • Such surgery involves not only prosthetic implants, but also a number of re-usable pieces of equipment, including trial implants , alignment jigs, cutting jigs and alignment rods. These are made of metal and are sterilised before re-use.
  • the present inventor has identified that there are problems associated with this setup.
  • a container filled with the equipment is heavy, causing health and safety issues with its lifting.
  • a number of different sized pieces of equipment will be included, to take account of the fact that patients have different sized joints .
  • the present invention provides , in a first aspect, a single use cutting jig for use in cutting a bone in orthopaedic surgery, the cutting jig having: a first face shaped to receive the end of the bone to be cut, a second face provided with one or more cutting slot, the or each slot extending through the cutting jig from the second face to the first face and being shaped for receiving a cutting device,
  • Such a cutting jig is beneficial in that it is lightweight as compared to metal jigs and can be disposed of after use rather than requiring sterilisation. Further, it avoids any problems of loss of accuracy due to repeated use, and thus wearing down, of the surfaces of the cutting slots .
  • a benefit of the jig is that it can have a greater depth, i.e. the distance between the first face and the second face without being unduly heavy. This means that the cutting slots have a longer length, which in turn provides greater accuracy for cutting the bone in preparation for the implant.
  • the depth of the jig is 15mm or more, such as 20mm or more, e.g. 25mm or more.
  • the jig may have a depth of from 25mm to 50 mm.
  • the cutting slots are suitably rectangular in cross section.
  • the cutting jig may also suitably be provided with one or more alignment holes on the second face, the or each hole extending through the cutting jig from the second face to the first face and being shaped for receiving an alignment rod.
  • the surface of the or each alignment slot is provided with a metal coating.
  • the alignment holes are suitably circular in cross section.
  • the cutting jig is suitably injection molded from plastic and therefore the moldable plastic used for the cutting jig is suitably a plastic that can be injection molded.
  • the plastic is a recyclable plastic. This will then permit the cutting jig, once used, to be recycled.
  • the metal coatings on the surfaces of the cutting slots and any alignment holes can readily be separated from the plastic material, thus leaving the plastic material to be recycled for use in non medical applications.
  • plastics examples include polyaryletherketones (e.g. polyether ether ketones (PEEK)) , polyphenylsulfones (e.g. Radel ® PPSU) , polyacetals and acetal copolymers (e.g. Pomalux ® ) , nylons, polycarbonates, poly methyl methacrylates (PMMA) .
  • PEEK polyether ether ketones
  • PEEK polyether ether ketones
  • PEEK polyphenylsulfones
  • Radel ® PPSU polyphenylsulfones
  • polyacetals and acetal copolymers e.g. Pomalux ®
  • nylons polycarbonates
  • PMMA poly methyl methacrylates
  • PMMA poly methyl methacrylates
  • metal that is used as the coating on the surfaces of the cutting slots and any alignment holes can be any metal suitable for use in medical applications.
  • references to metals include metal alloys. Suitable metals include
  • the metal coating can be applied to the surfaces of the cutting slots and any alignment holes by any suitable technique.
  • the metal coating is applied by insert injection molding or flow injection molding.
  • the metal coating is provided as a pre-formed metal component that can be attached to the jig so as to cover the required surface.
  • the pre-formed metal component may be connected onto the jig in the required area by having corresponding male and female connecting components , such as lugs and correspondingly shaped holes, on the pre-formed metal component and the jig.
  • the pre-formed metal component may press fit into the plastic molded cutting jig at each end of the cutting slot.
  • the pre-formed metal component could be a simple box section with a protruding section (or “tooth") at each end which would stop the component coming off the plastic jig.
  • the pre-formed metal component can fit into recesses at the start and end of the cutting slots such that the internal surface of the component lines up with the internal surface of the slot. This ensures that the cutting device, e.g. saw, does not get jammed when passing through the slot.
  • the jig is a cutting jig for use in knee surgery or hip surgery.
  • the jig is for use in knee surgery, for example it may be a cutting jig for use in preparing the femur.
  • the cutting jig may be for the left hand side of the body or the right hand side of the body. For example, it may be for a left knee or a right knee.
  • the invention also provides, in a second aspect, a single use alignment jig for use in creating alignment marks on a bone in orthopaedic surgery, the alignment jig having:
  • first face shaped to receive the end of the bone to be cut
  • second face provided with one or more alignment drilling hole, the or each hole extending through the alignment jig from the second face to the first face and being shaped for receiving a drilling device
  • alignment jig is molded from plastic
  • Such an alignment jig is beneficial in that it is lightweight as compared to metal jigs and can be disposed of after use rather than requiring sterilisation. Further, it avoids any problems of loss of accuracy due to repeated use, and thus wearing down, of the surfaces of the drilling holes.
  • a benefit of the jig is that it can have a greater depth, i.e. the distance between the first face and the second face without being unduly heavy. This means that the drilling holes have a longer length, which in turn provides greater accuracy for drilling the alignment marks .
  • the depth of the jig is 15mm or more, such as 20mm or more, e.g. 25mm or more.
  • the jig may have a depth of from 25mm to 50 mm.
  • the drilling holes are suitably circular in cross section.
  • the alignment jig is suitably injection molded from plastic and therefore the mouldable plastic used for the alignment jig is suitably a plastic that can be injection molded.
  • the plastic is a recyclable plastic. This will then permit the alignment jig, once used, to be recycled.
  • the metal coatings on the surfaces of the drilling holes can readily be separated from the plastic material, thus leaving the plastic material to be recycled for use in non medical applications. Examples of suitable plastics that can be used are as described above in relation to the first aspect.
  • the metal that is used as the coating on the surfaces of the drilling slots can be any metal that is suitable for use in medical applications .
  • it may be any of the metals as described above in relation to the first aspect.
  • the metal coating can be applied to the surfaces of the drilling holes by any suitable technique.
  • the metal coating is applied by insert injection molding or flow injection molding.
  • the jig is an alignment jig for use in knee surgery or hip surgery.
  • the jig is for use in knee surgery, for example it may be an alignment jig for use in preparing the femur.
  • the alignment jig may be for the left hand side of the body or the right hand side of the body. For example, it may be for a left knee or a right knee.
  • the invention also provides, in a third aspect, a kit for use in orthopaedic surgery, the kit comprising:
  • the kit includes a cutting jig for the left side or the right side of the body. In one embodiment, the kit is for the left side only. In another embodiment, the kit is for the right side only. In another embodiment, the kit includes a cutting jig for the left side of the body and a cutting jig for the right side of the body.
  • the cutting device may suitably be a saw.
  • the kit further comprises :
  • the or each alignment rod may, in a preferred embodiment, be molded from plastic.
  • the plastic may be a plastic as described above in relation to the first aspect.
  • the alignment rods are molded from the same plastic as the cutting jig.
  • the kit further comprises :
  • the kit When the kit includes a cutting jig for the left side of the body, the alignment jig is also for the left side of the body. When the kit includes a cutting jig for the right side of the body, the alignment jig is also for the right side of the body. When the kit includes a cutting jig for the left side of the body and a cutting jig for the right side of the body, the kit suitably includes an alignment jig for the left side of the body and an alignment jig for the right side of the body. In one embodiment, the kit further comprises :
  • the kit further comprises :
  • the or each alignment pin may, in a preferred embodiment, be molded from plastic.
  • the plastic may be a plastic as described above in relation to the first aspect.
  • the invention also provides, in a fourth aspect, a kit for use in orthopaedic surgery, the kit comprising:
  • the kit includes an alignment jig for the left side or the right side of the body. In one embodiment, the kit is for the left side only. In another embodiment, the kit is for the right side only. In another embodiment, the kit includes an alignment jig for the left side of the body and an alignment jig for the right side of the body. In one embodiment, the kit further comprises :
  • the kit further comprises :
  • the cutting jig is also for the left side of the body.
  • the cutting jig is also for the right side of the body.
  • the kit suitably includes a cutting jig for the left side of the body and a cutting jig for the right side of the body.
  • the kit further comprises :
  • the kit further comprises :
  • the or each alignment rod may, in a preferred embodiment, be molded from plastic.
  • the plastic may be a plastic as described above in relation to the first aspect.
  • the invention also provides , in a fifth aspect, a trial tibial implant kit, for use in determining the correct size of tibial implant for a patient during knee resurfacing or replacement surgery, the kit comprising: (1) a trial tibial implant base unit, that has a proximal surface and a distal surface, and that has a medial portion for location over the medial tibial condyle of a tibia, and a lateral portion for location over the lateral tibial condyle of said tibia; (2) one or more trial tibial extension unit, each unit having a proximal surface and a distal surface and each unit having a medial portion for location over the medial tibial condyle of a tibia, and a lateral portion for location over the lateral tibial condyle of said tibia;
  • the proximal surface is shaped as the bearing surface of the tibia, which can engage and articulate with a femoral component, and the distal surface is shaped for releasably receiving and securing the proximal surface of a tibial tray or the proximal surface of a tibial tray extension unit;
  • the proximal surface is shaped for being received and releasably secured to the distal surface of the trial tibial tray base unit or the distal surface of another trial tibial extension unit and the distal surface is shaped for releasably receiving and securing the proximal surface of a tibial tray or the proximal surface of another trial tibial extension unit;
  • the base unit on its own, or when attached to one or more extension units forms a trial tibial implant that has a medial portion for location over the medial tibial condyle of a tibia, and a lateral portion for location over the lateral tibial condyle of said tibia, and a proximal face that is shaped to engage and articulate with a femoral component, and a distal face, opposite the proximal face, shaped to fit with the proximal face of a tibial tray.
  • the trial tibial implant kit is beneficial because one or more tibial tray extension units can be built up on the base unit to create the correct size of trial tibial implant for a given patient. This means that various different sized trial tibial implants do not need to be used - and thus contaminated during the exercise of the surgeon establishing the correct size of implant. Rather, the surgeon can initially use the base unit on its own and then add one or more extension units until the correct size is achieved.
  • the base unit and extension units are molded from plastic.
  • suitable plastics are as described above in relation to the first aspect. If the units are made from plastic then they can be disposed of after a single use rather than needing to be sterilised. It also reduces the weight of any kit containing the units .
  • the kit may further comprise: a tibial tray that has a medial portion for location over the medial tibial condyle of a tibia, and a lateral portion for location over the lateral tibial condyle of said tibia, the tray having a proximal surface and a distal surface, the proximal surface being shaped for being received and releasably secured on the distal surface of the trial tibial implant base unit or a trial tibial extension unit and the distal surface being shaped for receiving and securing the proximal surface of the tibia.
  • the tibial tray is molded from plastic.
  • suitable plastics are as described above in relation to the first aspect.
  • the trial tibial implant base unit has a depth of 10mm and therefore corresponds to the smallest size of tibial implant.
  • the extension units suitably each have a depth of 2mm. Therefore, for example, a kit with one base unit and three extension units allows tibial implant sizes of 10, 12, 14, and 16mm to be assessed, whilst a kit with one base unit and five extension units allows tibial implant sizes of 10, 12, 14, 16, 18 and 20mm to be assessed. Therefore a preferred kit includes two or more, three or more, four or more, such as five, extension units . In one embodiment, each extension unit is the same shape and size.
  • the trial tibial implant base unit has a depth of 10mm and therefore corresponds to the smallest size of tibial implant, and there are three extension units with depths of 2mm, 4mm and 6mm.
  • further extension units may be provided if this is desired, for example an extension unit with a depth of 8mm could be provided or a second 2mm depth extension unit could be provided.
  • the proximal surface of the trial tibial implant base unit and the distal surface of the trial tibial extension unit are provided with corresponding attachment components, for example corresponding male and female attachment components, such as lugs and correspondingly shaped holes .
  • the male attachment components e.g. lugs
  • the female attachment components e.g. holes
  • the proximal surface of the trial tibial extension unit and the distal surface of the trial tibial extension unit are provided with corresponding attachment components, such that a first extension unit can be placed on and secured to a second such extension unit.
  • corresponding male and female attachment components such as lugs and correspondingly shaped holes, may be used.
  • the male attachment components e.g. lugs
  • the female attachment components e.g. holes
  • the trial tibial implant base unit has a proximal surface that is shaped as the bearing surface of the tibia, which can engage and articulate with a femoral component, and a distal surface that is provided with holes for receiving correspondingly shaped lugs .
  • the or each trial tibial extension unit has a proximal surface that is provided with lugs, and a distal surface that is provided with holes for receiving correspondingly shaped lugs .
  • each extension unit There may be one or more lug on the proximal surface of each extension unit and one or more hole on the distal surface of the base unit and the distal surface of each extension unit.
  • each extension unit there is one or more lug located on the medial portion and one or more lug located on the lateral portion of the proximal surface of each extension unit.
  • the holes on the base unit are the same size and are arranged in the same layout as the holes on the or each extension unit. This enables the lugs provided on the proximal surface of the extension unit(s) to fit into the holes on the distal surface of the base unit and to fit into the holes on the distal surface of another extension unit.
  • the tibial tray may have one or more lugs provided on its proximal surface to fit with the holes on the distal surface of the base unit and to fit into the holes on the distal surface of an extension unit.
  • the tibial tray has the same number, size and layout of lugs as the or each extension unit.
  • Figure 1 shows a femoral cutting jig in accordance with the invention
  • Figure 2 shows a femoral alignment jig in accordance with the invention
  • Figure 3 shows a trial tibial tray kit in accordance with the invention
  • Figure 4 shows a pre-formed metal component that can be used to provide the metal surface on the cutting slot of a cutting jig, such as the jig of Figure 1.
  • Figure 1 shows a single use femoral cutting jig 10 for use in cutting a femur in knee replacement surgery.
  • the cutting jig has a first face 11 shaped to receive the end of the femur and a second face 12.
  • the second face 12 is provided with a cutting slot 13 extending through the cutting jig from the second face to the first face.
  • the cutting slot is rectangular in cross section and is shaped for receiving a cutting saw.
  • the interior surface of the cutting slot 13 is provided with a metal coating, such as stainless steel.
  • the cutting jig is injection molded from medical grade plastic.
  • Figure 2 shows a single use femoral alignment jig 20 for use in creating alignment marks on the femur in knee surgery.
  • the alignment jig 20 has a first face 21 shaped to contact the end of the bone to be cut and a second face 22.
  • the second face 22 is provided with an alignment drilling hole 23 that is circular in cross section.
  • the hole 23 extends through the alignment jig from the second face to the first face and is shaped for receiving a drilling device.
  • the interior surface of the alignment hole 23 is provided with a metal coating, such as stainless steel.
  • the alignment jig is injection molded from medical grade plastic.
  • Figure 3 shows a trial tibial implant kit, for use in determining the correct size of tibial implant for a patient during knee resurfacing or replacement surgery.
  • the kit includes a trial tibial implant base unit 31 and a number of trial tibial extension units 32. In the kit shown there are three extension units 32 but the kit could include more or less of these extension units.
  • the trial tibial implant base unit 31 has a medial portion for location over the medial tibial condyle of a tibia, and a lateral portion for location over the lateral tibial condyle of said tibia.
  • the base unit 31 has a proximal surface 31a and a distal surface 31b.
  • the proximal surface 31a is shaped as the bearing surface of the tibia, which can engage and articulate with a femoral component.
  • the distal surface 31b is provided with a number of holes 33. In the unit shown there are two holes 33 , but the unit could have more or fewer of these holes .
  • the trial tibial extension units 32 also have a medial portion for location over the medial tibial condyle of a tibia, and a lateral portion for location over the lateral tibial condyle of said tibia.
  • the extension units 32 have a proximal surface 32a and a distal surface 32b.
  • the proximal surface 32a is provided with a number of lugs 34. In each of the extension units shown there are two lugs 34, but the unit could have more or fewer of these lugs.
  • One lug 34 is provided in the medial portion and the second lug 34 is provided in the lateral portion.
  • the distal surface 32b is provided with a number of holes 33.
  • each extension unit shown there are two holes 33 , but the units could have more or fewer of these holes .
  • One hole 33 is provided in the medial portion and the other hole 33 is provided in the lateral portion.
  • the lugs 34 are shaped, sized and located so as to be received in the holes 33.
  • the base unit 31 on its own, or when attached to one or more extension units 32, forms a trial tibial implant that has a medial portion for location over the medial tibial condyle of a tibia, and a lateral portion for location over the lateral tibial condyle of said tibia, and a proximal face 31a that is shaped to engage and articulate with a femoral component, and a distal face 32b, opposite the proximal face, shaped to fit with the proximal face of a tibial tray.
  • Figure 4 shows a pre-formed metal component 40 that can be used to provide the metal coating for the cutting slots of a cutting jig, such as that of Figure 1.
  • the pre-formed metal component 40 can be press fitted onto the plastic molded cutting jig.

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

Abstract

Un gabarit de coupe à usage unique, destiné à être utilisé pour découper un os en chirurgie orthopédique, comprend : une première face configurée de façon à recevoir l'extrémité de l'os à découper, une seconde face pourvue d'une ou plusieurs fentes de coupe, chaque fente s'étendant dans le gabarit de coupe, de la seconde vers la première face, et étant configurée pour recevoir un dispositif de coupe. Le gabarit de coupe est moulé dans une matière plastique, et sur la surface intérieure de chaque fente de coupe est appliqué un revêtement métallique.
PCT/GB2010/052065 2009-12-11 2010-12-09 Appareil chirurgical WO2011070367A2 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US13/515,033 US20120303131A1 (en) 2009-12-11 2010-12-09 Surgical apparatus
CA2783885A CA2783885A1 (fr) 2009-12-11 2010-12-09 Appareil chirurgical
EP10800989A EP2509516A2 (fr) 2009-12-11 2010-12-09 Appareil chirurgical
AU2010329643A AU2010329643A1 (en) 2009-12-11 2010-12-09 Surgical apparatus

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US28585009P 2009-12-11 2009-12-11
GBGB0921719.1A GB0921719D0 (en) 2009-12-11 2009-12-11 Surgical apparatus
US61/285,850 2009-12-11
GB0921719.1 2009-12-11

Publications (2)

Publication Number Publication Date
WO2011070367A2 true WO2011070367A2 (fr) 2011-06-16
WO2011070367A3 WO2011070367A3 (fr) 2011-09-01

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2010/052065 WO2011070367A2 (fr) 2009-12-11 2010-12-09 Appareil chirurgical

Country Status (6)

Country Link
US (1) US20120303131A1 (fr)
EP (1) EP2509516A2 (fr)
AU (1) AU2010329643A1 (fr)
CA (1) CA2783885A1 (fr)
GB (1) GB0921719D0 (fr)
WO (1) WO2011070367A2 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2013165559A1 (fr) * 2012-05-03 2013-11-07 DePuy Synthes Products, LLC Guide chirurgical ayant des inserts résistant à la coupe
US9411939B2 (en) 2012-09-12 2016-08-09 DePuy Synthes Products, Inc. Method for producing patient-specific plate

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10874404B2 (en) * 2016-12-30 2020-12-29 DePuy Synthes Products, Inc. Customized patient-specific surgical instruments and method
US10716581B2 (en) 2018-01-24 2020-07-21 DePuy Synthes Products, Inc. Method of designing and manufacturing low-profile customized patient-specific orthopaedic surgical instruments
US10537343B2 (en) 2018-01-24 2020-01-21 DePuy Synthes Products, Inc. Low-profile metallic customized patient-specific orthopaedic surgical instruments
US10631878B2 (en) 2018-01-24 2020-04-28 DePuy Synthes Products, Inc. Customized patient-specific anterior-posterior chamfer block and method

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5702464A (en) * 1996-02-20 1997-12-30 Smith & Nephew Inc. Modular trial tibial insert
US7306588B2 (en) * 2002-04-22 2007-12-11 Trimedyne, Inc. Devices and methods for directed, interstitial ablation of tissue
US20050240196A1 (en) * 2004-03-09 2005-10-27 Davis Kenneth P Apparatus for use in orthopaedic surgery
US7704253B2 (en) * 2006-03-06 2010-04-27 Howmedica Osteonics Corp. Single use resection guide
ITVI20060280A1 (it) * 2006-09-21 2008-03-22 Comeg Tecnologie Srl Dima, utensile ed attrezzatura per la realizzazione di impianti di protesi
US8460302B2 (en) * 2006-12-18 2013-06-11 Otismed Corporation Arthroplasty devices and related methods
PL2142110T3 (pl) * 2006-12-26 2012-11-30 Solvay Specialty Polymers Usa Narzędzie ortopedyczne wykonane z tworzywa sztucznego
US8628560B2 (en) * 2007-03-08 2014-01-14 DePuy Synthes Products, LLC Orthopaedic instrumentation with integral load-bearing members
WO2008157412A2 (fr) * 2007-06-13 2008-12-24 Conformis, Inc. Guide d'incision chirurgical
US8197486B2 (en) * 2007-09-20 2012-06-12 Depuy Products, Inc. Surgical cutting guide

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
None

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108272486A (zh) * 2012-05-03 2018-07-13 新特斯有限责任公司 切除引导架
US10467356B2 (en) 2012-05-03 2019-11-05 DePuy Synthes Products, Inc. Surgical guide with cut resistant insert
KR20150008157A (ko) 2012-05-03 2015-01-21 신세스 게엠바하 내절단성 삽입체를 갖는 외과용 가이드
US9317634B2 (en) 2012-05-03 2016-04-19 DePuy Synthes Products, Inc. Surgical guide with cut resistant inserts
US9317631B2 (en) 2012-05-03 2016-04-19 DePuy Synthes Products, Inc. Surgical guide with cut resistant inserts
US9361410B2 (en) 2012-05-03 2016-06-07 DePuy Synthes Products, Inc. Surgical guides from scanned implant data
US20130296872A1 (en) * 2012-05-03 2013-11-07 Andrew Charles Davison Surgical Guide with Cut Resistant Inserts
EP3305219A1 (fr) * 2012-05-03 2018-04-11 Synthes GmbH Guide chirurgical comportant des inserts résistant aux coupures
KR102164761B1 (ko) 2012-05-03 2020-10-14 신세스 게엠바하 내절단성 삽입체를 갖는 외과용 가이드
WO2013165559A1 (fr) * 2012-05-03 2013-11-07 DePuy Synthes Products, LLC Guide chirurgical ayant des inserts résistant à la coupe
US9707044B2 (en) 2012-05-03 2017-07-18 DePuy Synthes Products, Inc. Surgical guides from scanned implant data
KR20200075026A (ko) 2012-05-03 2020-06-25 신세스 게엠바하 내절단성 삽입체를 갖는 외과용 가이드
KR102125194B1 (ko) 2012-05-03 2020-06-23 신세스 게엠바하 내절단성 삽입체를 갖는 외과용 가이드
US10548668B2 (en) 2012-09-12 2020-02-04 DePuy Synthes Products, Inc. Method for producing patient-specific plate
US9411939B2 (en) 2012-09-12 2016-08-09 DePuy Synthes Products, Inc. Method for producing patient-specific plate

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EP2509516A2 (fr) 2012-10-17
WO2011070367A3 (fr) 2011-09-01
US20120303131A1 (en) 2012-11-29
GB0921719D0 (en) 2010-01-27
CA2783885A1 (fr) 2011-06-16

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