Resorptive intramedullary implant between two bones or two bone fragments

• US 8,414,583 B2
• Filed: 09/02/2009
• Issued: 04/09/2013
• Est. Priority Date: 09/09/2008
• Status: Active Grant

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation)
• Original Assignee: Memometal Technologies SA (Stryker Corporation)
• Inventors: Prandi, Bernard, Augoyard, Marc, Ledermann, Thomas, Meusnier, Tristan, Peyrot, Jacques, Fellmann, Judith
• Primary Examiner(s): Hammond, Ellen C
• Application Number:
  US12/918,105
• Publication Number:
  US 20110144644A1
• Time in Patent Office: 1,315 Days
• Field of Search: 606/62, 606/63, 606 65- 67, 606/76, 606/77, 606/86.R, 606/300, 606/301, 606/305, 606/307, 606/308, 606/319, 623/21.11, 623 2115- 2117, 623 21- 19, 623/23.39, 623/21.9
• US Class Current: 606/62
• CPC Class Codes: A61B 17/1655 for tapping
• CPC Class Codes: A61B 17/68 Internal fixation devices , including fasteners and spinal fixators, even if a part thereof projects from the skin bone staples A61B17/0642
• CPC Class Codes: A61B 17/7208 Flexible pins, e.g. ENDER pins
• CPC Class Codes: A61B 17/7225 for bone compression
• CPC Class Codes: A61B 17/7233 with special means of locking the nail to the bone
• CPC Class Codes: A61B 17/7266 with fingers moving radially outwardly
• CPC Class Codes: A61B 17/7283 with special cross-section of the nail
• CPC Class Codes: A61B 17/8605 Heads, i.e. proximal ends projecting from bone
• CPC Class Codes: A61B 17/88 Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices A61B17/7074 takes precedence
• CPC Class Codes: A61B 2017/00862 elastic or resilient for sutures A61B2017/0618
• CPC Class Codes: A61B 2017/681 Alignment, compression, or distraction mechanisms
• CPC Class Codes: A61B 2017/8655 with special features for locking in the bone
• CPC Class Codes: A61F 2/4225 for feet, e.g. toes
• CPC Class Codes: A61F 2/4241 for hands, e.g. fingers
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/30563 having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
• CPC Class Codes: A61F 2002/30622 Implant for fusing a joint or bone material
• CPC Class Codes: A61F 2002/3085 with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/30878 with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
• CPC Class Codes: A61F 2210/0004 bioabsorbable

Abstract

The invention relates to an intramedullary implant for use between two bones or two bone fragments. The implant includes a single-piece body having a generally elongate shape and having, at each end, areas for anchoring to the bone portions in question, characterized in that one of said areas has a generally cylindrical shape while the other area has a flat cross-section.

Claims

1. An intramedullary implant for use between two bones or bone fragments, the implant comprising:

a one-piece body having an elongated shape, the body having opposing first and second ends, each of the ends having a longitudinal axis therethrough and an anchor zone for anchoring to a respective bone part,

wherein the anchor zone of the first end is threaded and has a generally cylindrical shape and the anchor zone of the second end has a flat cross-section in a direction perpendicular to the longitudinal axis thereof, and

wherein the anchor zone of the second end has a plurality of outwardly projecting teeth forming a portion of the flat cross-section thereof, at least a first tooth of the plurality of teeth being spaced from a second tooth of the plurality of teeth in a direction along the longitudinal axis of the second end, and at least the first tooth facing in a direction opposite a third tooth of the plurality of teeth and the second tooth facing in a direction opposite a fourth tooth of the plurality of teeth.

2. The implant according to claim 1, wherein the zone of flat cross-section has substantially in its median portion an opening adapted to allow elastic deformation of the flat zone.

3. The implant according to claim 2, wherein the opening defines at least two anchor arms.

4. The implant according to claim 1 wherein, the body has a central transition zone between the two anchor zones adapted to resist shear and flexion forces occurring in the area of the bone site, the central transition zone including a step having a face defining a plane perpendicular to the longitudinal axis of the first end adapted to serve as an abutment preventing overinsertion of the implant into the respective bone part.

5. The implant according to claim 1 wherein the anchor zones are coaxial.

6. The implant according to claim 1, wherein the anchor zones are angularly offset.

7. The implant according to claim 6, wherein the anchor zones are angularly offset by between 1°

and 30°

.

8. The implant according to claim 6 wherein the angular offset between the anchor zones is located so as to correspond substantially to an arthrodesis line of the bones being considered.

9. The implant according to claim 1 wherein the body is adapted to be elastically deformed.

10. The intramedullary implant according to claim 1, wherein the body is made of resorptive material.

11. The implant according to claim 1, wherein the entire anchor zone of the first end tapers in a direction along the longitudinal axis thereof away from the second end.

12. An intramedullary implant for use between two bone parts, the implant having an elongated one-piece body with:

one end of generally cylindrical shape and having an external screwthread;

an opposite end formed as a split flat metal bar having two spreadable and elastically deformable legs;

a longitudinal axis extending through the end of generally cylindrical shape; and

a step having a flat face defining a plane perpendicular to the longitudinal axis and forming an abutment between the opposing ends, the abutment adapted to prevent overinsertion of the end of generally cylindrical shape into the respective bone part.

13. The intramedullary implant according to claim 12, wherein the body is made of resorptive material.

14. The implant according to claim 12, wherein the ends are angularly offset.

15. The implant according to claim 12, wherein the one end of generally cylindrical shape tapers in a direction away from the opposite end.

16. An intramedullary implant for use between two bones or bone fragments, the implant comprising:

a one-piece body having an elongated shape, the body having (i) opposing first and second ends, each of the ends having a longitudinal axis and an anchor zone for anchoring to a respective bone part, and (ii) a step having a flat face defining a plane perpendicular to the longitudinal axis of the first end and forming an abutment between the anchor zones of the first and second ends, the abutment preventing overinsertion of the anchor zone into the respective bone or bone fragment,

wherein the anchor zone of the first end is threaded and has a generally cylindrical shape and the anchor zone of the second end has a flat cross-section in a direction perpendicular to the longitudinal axis thereof, and wherein the anchor zone of the second end has a plurality of outwardly projecting teeth forming a portion of the flat cross-section thereof, at least a first tooth of the plurality of teeth being spaced from a second tooth of the plurality of teeth along the longitudinal axis of the first end, and at least the first tooth facing in a direction opposite a third tooth of the plurality of teeth and the second tooth facing in a direction opposite a fourth tooth of the plurality of teeth.

17. The implant according to claim 16, wherein the anchor zone of the second end includes at least two anchor arms, the arms being elastically deformable relative to each other.

18. The implant according to claim 16, wherein the body is made of resorptive material.