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    • 8. 发明申请
    • ASSEMBLIES FOR THE REDUCTION OF A FRACTURE
    • 组装减少破裂
    • WO2007089637A3
    • 2008-01-17
    • PCT/US2007002257
    • 2007-01-26
    • SMITH & NEPHEW INCRITCHEY NICHOLAS SGRUSIN NATHANIEL KELLEYAUSTIN GENE EDWARD
    • RITCHEY NICHOLAS SGRUSIN NATHANIEL KELLEYAUSTIN GENE EDWARD
    • A61B17/66A61B17/72A61B17/80
    • A61B17/66A61B17/1725A61B17/7225A61B17/7291A61B17/8019
    • A controlled removable fracture-reducing assembly (10) for reducing a bone fracture. According to one embodiment of the present invention, a controlled removable fracture reducing assembly (10) includes an implant (12), a reducer (14), a buttress (16), and a locking device (18) that engage a proximal bone fragment (2) and a distal bone fragment (4). The implant (12) is secured to the distal bone fragment (4) by the locking device (18). The buttress (16) engages the implant (12) through an opening (30). The reducer (14) contains a compressing screw (24) that applies a force (60) on the buttress (16), reducing the fracture. According to another embodiment of the invention, the reducer (114) contains a cam mechanism (124) which applies a force (186) on the buttress (116), which does not engage the implant (112), that pushes the proximal bone fragment (102) to reduce the fracture. According to another embodiment of the invention, the reducer (214) is a jacking mechanism that pushes the proximal bone fragment (202) while pulling the implant (212) and distal fragment (204) to reduce the fracture.
    • 一种用于减少骨折的受控的可移除的骨折减少组件(10)。 根据本发明的一个实施例,受控的可移除的断裂减少组件(10)包括植入物(12),减速器(14),支撑件(16)和锁定装置(18),其接合近端骨片 (2)和远端骨碎片(4)。 植入物(12)通过锁定装置(18)固定到远端骨碎片(4)。 支撑件(16)通过开口(30)与植入物(12)接合。 减速器(14)包含在支撑件(16)上施加力(60)的压缩螺钉(24),从而减少了断裂。 根据本发明的另一个实施例,减速器(114)包含凸轮机构(124),该凸轮机构(124)在不与植入物(112)接合的支撑件(116)上施加力(186),推动近端骨片 (102)以减少骨折。 根据本发明的另一个实施例,减速器(214)是顶起机构,其在拉动植入物(212)和远端碎片(204)的同时推动近端骨片(202)以减少骨折。
    • 9. 发明专利
    • ORTHOPAEDIC IMPLANT AND FASTENER ASSEMBLY
    • CA2673894C
    • 2019-03-19
    • CA2673894
    • 2009-07-24
    • SMITH & NEPHEW INC
    • GRUSIN NATHANIEL KELLEY
    • A61B17/72
    • Treating fractures using one or both of an implant, such as an intramedullary nail, and a fastening assembly, such as a lag screw and compression screw assembly. The implant in some embodiments has a proximal section with a transverse aperture having a non-circular cross-section that may be shaped to selectively constrain the fastening assembly within the transverse aperture. Two or more components of the fastening assembly may be received to slide, in a controlled way, in the transverse aperture of the implant, and to cooperate to resist a force moment applied thereto. Without the presence of one of the components, such as the lag screw, another component, such as the compression screw may not resist a force moment applied thereto. In some implementations, an engaging member and a compression device of the fastening assembly are configured so that the compression device interacts with a portion of the implant and a portion of the engaging member to enable controlled movement between first and second bone fragments. This configuration is useful for, among other things, compressing a fracture.