(19)
(11)EP 3 119 300 B1

(12)EUROPEAN PATENT SPECIFICATION

(45)Mention of the grant of the patent:
04.12.2019 Bulletin 2019/49

(21)Application number: 15721362.0

(22)Date of filing:  19.03.2015
(51)Int. Cl.: 
A61B 17/72  (2006.01)
(86)International application number:
PCT/US2015/021393
(87)International publication number:
WO 2015/143112 (24.09.2015 Gazette  2015/38)

(54)

INTRAMEDULLARY DEVICE WITH COMPOUND FASTENER TRAJECTORIES

INTRAMEDULLÄRE VORRICHTUNG MIT ZUSAMMENGESETZTEN BEFESTIGERTRAJEKTORIEN

DISPOSITIF INTRAMÉDULLAIRE AYANT DES TRAJECTOIRES DE FIXATION COMPOSÉES


(84)Designated Contracting States:
AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

(30)Priority: 21.03.2014 US 201461968636 P
12.12.2014 US 201414568535

(43)Date of publication of application:
25.01.2017 Bulletin 2017/04

(73)Proprietor: Biomet C.V.
Warsaw IN 46580 (US)

(72)Inventors:
  • SEMS, Stephen Andrew
    Rochester, Minnesota 55905 (US)
  • HORWITZ, Daniel
    Danville, Pennsylvania 17821 (US)
  • WATSON, Tracy
    Town and Country, Missouri 63131 (US)
  • WICH, Michael
    14163 Berlin (DE)
  • GOHRING, Greg
    Wabash, Indiana 46992 (US)
  • GRANGER, Daren
    Warsaw, Indiana 46580 (US)
  • O'REILLY, Joseph Michael
    Granger, Indiana 46530 (US)

(74)Representative: Mays, Julie et al
Venner Shipley LLP 200 Aldersgate
London, EC1A 4HD
London, EC1A 4HD (GB)


(56)References cited: : 
WO-A1-96/13220
US-A1- 2011 282 347
US-A1- 2006 111 716
US-A1- 2012 143 192
  
      
    Note: Within nine months from the publication of the mention of the grant of the European patent, any person may give notice to the European Patent Office of opposition to the European patent granted. Notice of opposition shall be filed in a written reasoned statement. It shall not be deemed to have been filed until the opposition fee has been paid. (Art. 99(1) European Patent Convention).


    Description

    FIELD



    [0001] The present disclosure relates to an intramedullary device, and more particularly to an intramedullary fixation device with compound trajectories.

    BACKGROUND



    [0002] This section provides background information related to the present disclosure which is not necessarily prior art.

    [0003] Various types of surgical procedures may require the use of an intramedullary fixation device, such as a rod or pin, to anchor or interconnect a first portion of a bone to a second portion of the bone. Intramedullary fixation devices may include a cannulated or non-cannulated tubular body. The tubular body may include a plurality of through-bores disposed at various angles relative to each other, in order to obtain angular stability, improve retention within the bone, and optimize the placement of the intramedullary fixation device within the bone. Screws, or other bone fixation devices, may be placed within the through-bores to secure the intramedullary fixation device within the bone. US 2006/0111716 and US 2012/0143192 disclose intramedullary nails with through holes.

    [0004] While known intramedullary fixation devices have proven to be acceptable for their intended purposes, a continued need for improvement in the art remains.

    SUMMARY



    [0005] The present invention provides an intramedullary device as defined by claim 1. Preferred embodiments are defined by the dependent claims.

    [0006] Further areas of applicability will become apparent from the description provided herein. The description and specific examples in this summary are intended for purposes of illustration only and are not intended to limit the scope of the present disclosure.

    DRAWINGS



    [0007] The drawings described herein are for illustrative purposes only of selected embodiments and not all possible implementations, and are not intended to limit the scope of the present disclosure.

    Figure 1 is an environmental view illustrating an intramedullary device in accordance with the principles of the present disclosure, the intramedullary device shown operatively implanted within a femur.

    Figure 2A is a side view of a first end of the intramedullary device of Figure 1.

    Figure 2B is a side view of another configuration of a first end of the intramedullary device of Figure 1.

    Figure 3 is a top view of a first end of the intramedullary device of Figure 1.

    Figure 4 is a cross-sectional view of a first end of the intramedullary device of Figure 1, taken through the line 4-4 of Figure 3.

    Figure 5 is a side view of a second end of the intramedullary device of Figure 1.

    Figure 6 is a perspective view of a second end of the intramedullary device of Figure 1.



    [0008] Corresponding reference numerals indicate corresponding parts throughout the several views of the drawings.

    DETAILED DESCRIPTION



    [0009] Example embodiments will now be described more fully with reference to the accompanying drawings.

    [0010] With reference to Figures 1-4, an intramedullary device constructed in accordance with the principles of the present disclosure is illustrated and identified at reference character 10. The intramedullary device 10 may be inserted into a bone 12, generally along a longitudinal axis 14 thereof. The device 10 may be fixed to or otherwise secured within the bone 12 using a plurality of fasteners 16, such as bone screws, nails, or other suitable mechanical fastening devices. According to one exemplary use, the device 10 may be inserted into a femur or a tibia from a knee joint, and upward toward a hip or downward toward an ankle, respectively. It will also be appreciated, however, that the intramedullary device 10 may be adapted for insertion into other bones and/or tissues, and similarly inserted from different ends of the bones.

    [0011] The intramedullary device 10 may be a rod-like member having a substantially cylindrical construct extending from a proximal end 18 to a distal end 20 along a longitudinal axis 21. In one configuration, the proximal end 18 may be a driving end. In this regard, a force may be applied to the proximal end 18 of the device 10, via a hammer, mallet, or other suitable driving apparatus (not shown), for securing the device 10 within the bone 12. In other configurations, the distal end 20 may be a driving end. As illustrated in Figure 2A, the longitudinal axis 21 may extend in a direction substantially parallel to the X-axis. In an assembled configuration, the longitudinal axis 21 of the device 10 may be substantially aligned with the longitudinal axis 14 of the bone 12. As illustrated in Figure 4, in one configuration the intramedullary device 10 may include a cylindrical cavity 22 extending between the proximal end 18 and the distal end 20 along the longitudinal axis 21, such that the device 10 defines a generally cannulated construct along a substantial portion or an entirety of the device. It will also be appreciated that in other configurations, the intramedullary device 10, or portions thereof, may be a substantially solid construct.

    [0012] The device 10 may include a plurality of bores 24 disposed at multiple or compound angles and/or trajectories in a first region 11 a of the device 10. In one configuration, the device 10 may include a first bore 24a, a second bore 24b, a third bore 24c, a fourth bore 24d, and a fifth bore 24e. The bores 24a-24e may be disposed generally in the distal end 20 of the device 10. At least one of the bores 24a-24e may be a threaded bore, operable to receive and mate with a threaded fastener. As will be explained in more detail below, the cavity 22 and the first through fifth bores 24a-24e may be disposed in the intramedullary device 10 such that the cavity 22 is in communication with, or otherwise opens into, each of the bores 24a-24e.

    [0013] As illustrated in Figure 3, the first and second bores 24a, 24b may define longitudinal axes 26a, 26b, respectively. The first and second bores 24a, 24b may extend radially through the device 10 such that the longitudinal axes 26a, 26b are substantially perpendicular to the longitudinal axis 21 of the device 10, and generally parallel to the Z-axis. In one configuration, the first bore 24a includes a substantially circular cross section, and the second bore 24b includes an oblong or oval cross section. The oblong or oval cross section of the second bore 24b allows the user to vary an angle α formed by the longitudinal axis 21 of the device 10 and a longitudinal axis 28 of the fastener 16a. The oblong or oval cross section of the second bore 24b also allows the user to vary a distance between the fastener 16a and the distal end 20 of the device 10. It will also be appreciated that the cross-sectional area of the first and second bores 24a, 24b may include other shapes within the scope of the present disclosure.

    [0014] The third bore 24c may define a longitudinal axis 26c. The third bore 24c may extend through the device 10 such that the axis 26c is substantially perpendicular to the longitudinal axis 21 of the device 10, and substantially perpendicular to the longitudinal axes 26a, 26b of the first and second bores 24a, 24b, respectively. In this regard, it will be appreciated that the axis 26c may extend in a direction generally parallel to the Y-axis, as illustrated in Figure 2A. In one configuration, the third bore 24c includes an oblong or oval cross section. The oblong or oval cross section of the third bore 24c allows the user to vary an angle β formed by the longitudinal axis 21 of the device 10 and a longitudinal axis 30 of the fastener 16c. The oblong or oval cross section of the third bore 24c also allows the user to vary a distance between the fastener 16c and the distal end 20 of the device 10. It will also be appreciated that the cross-sectional area of the third bore 24c may include other shapes within the scope of the present disclosure.

    [0015] In one configuration, the fourth and fifth bores 24d, 24e may be located between the second and third bores 24b, 24c (Figure 2A). In another configuration, the fourth and fifth bores 24d, 24e may be located between the second bore 24c and the distal end 20 of the intramedullary device 10 (Figure 2B). In other configurations, the fourth and fifth bores 24d, 24e may be located in other positions with respect to the first, second and third bores 24a-24c.

    [0016] The fourth and fifth bores 24d, 24e may define longitudinal axes 26d, 26e, respectively. The fourth and fifth bores 24d, 24e may extend through the device 10 such that the longitudinal axes 26d, 26e are substantially perpendicular to the X-Z plane. In this regard, the fourth and fifth bores 24d, 24e may extend in the X-Y plane. As illustrated in Figure 2A, the axes 26d, 26e may form angles θd, θe, respectively, relative to the longitudinal axis 21 of the device 10. The angle θd may be between forty degrees and sixty degrees. The angle θe may be between one hundred twenty degrees and one hundred sixty degrees. In one configuration, the angle θd may be substantially equal to forty-five degrees (45º) and the angle θe may be substantially equal to one hundred thirty-five degrees (135º).

    [0017] The fourth and fifth bores 24d, 24e may extend through the device such that the fourth bore 24d includes a first opening 34 and a second opening 36, and the fifth bore 24e includes the first opening 34 and a third opening 38. As illustrated in Figure 1, in one configuration a fastener 16d may be inserted through the fourth bore 24d such that a head 40 of the fastener 16d is disposed at, or extends from, the second opening 36 and a stem 42 of the fastener 16d extends from the first opening 34. Likewise, the fastener 16d may be inserted through the fifth bore 24e such that the head 40 of the fastener 16d is disposed at, or extends from, the third opening 38 and the stem 42 of the fastener 16d extends from the first opening 34. In other configurations, the fastener 16d may be disposed within the fourth or fifth bores 24d, 24e, respectively, such that the head 40 of the fastener 16d is disposed at, or extends from, the first opening 34, and the stem 42 of the fastener 16d extends from the second opening or third opening 36, 38. Accordingly, it will be appreciated that the configuration of the bores 24d, 24e, including the first opening 34 and the angles θd, θe, may improve the interchangeability of the intramedullary device 10 with respect to multiple bones 12 (e.g., a left femur and a right femur). It will also be appreciated that the configuration of the fourth and fifth bores 24d, 24e, including the first opening 34 and the angles θd, θe, can allow for fewer openings or holes in the intramedullary device 10, and can thus improve the strength and integrity of the intramedullary device 10.

    [0018] As shown in Figure 2A, the first opening 34 may have a substantially circular or oval shape. It will be appreciated, however, that the first opening 34 may have other shapes, including a figure eight shape, within the scope of the present disclosure.

    [0019] With reference to Figures 5 and 6, the intramedullary device 10 may also include a sixth bore 24f, a seventh bore 24g, an eighth bore 24h, and a ninth bore 24i. The bores 24f-24i may be disposed in a second region 11b of the device 10, generally opposite the first region 11a of the device. In this regard, the first region 11a may include the distal end 20 and the second region 11b may include the proximal end 18. A mid region 11c may extend from and between the first and second regions 11a, 11b, and may include one or more additional fasteners 16.

    [0020] In one configuration, at least one of the bores 24f-24i may be a threaded bore, operable to receive and mate with a threaded fastener. It will be appreciated that, while the first through ninth bores 24a-24i are generally shown and described as being disposed in the intramedullary device 10, the intramedullary devices 10 may include any combination of the first through ninth bores 24a-24i. As will be explained in more detail below, the cylindrical cavity 22 and the sixth through ninth bores 24f-24i may be disposed in the intramedullary device 10 such that the cylindrical cavity 22 is in communication with, or otherwise opens into, each of the bores 24f-24i.

    [0021] The sixth and seventh bores 24f, 24g may define longitudinal axes 26f, 26g, respectively. The sixth and seventh bores 24f, 24g may extend through the device 10 such that the longitudinal axes 26f, 26g are substantially perpendicular to the longitudinal axis 21 of the device 10, and generally parallel to the Y-axis, as illustrated in Figure 5. In this regard, the longitudinal axes 26f, 26g may be oriented in the X-Y plane. As illustrated, in one configuration the sixth and seventh bores 24f, 24g may include a substantially circular cross section. It will be appreciated, however, that the sixth and seventh bores 24f, 24g may include other cross sections (e.g., an oblong or oval cross section) within the scope of the present disclosure.

    [0022] As illustrated in Figure 5, in one configuration, the eighth and ninth bores 24h, 24i may be located between the sixth and seventh bores 24f, 24g. In another configuration, the eighth and ninth bores 24h, 24i may be located between the seventh bore 24g and the distal end 20 of the intramedullary device 10. In other configurations, the eighth and ninth bores 24h, 24i may be located in other positions with respect to the sixth and seventh bores 24f, 24g.

    [0023] The eighth and ninth bores 24h, 24i may define longitudinal axes 26h, 26i, respectively. The eighth and ninth bores 24h, 24i may extend through the device 10 such that the longitudinal axes 26h, 26i define an angle δ therebetween, and further define angles Ωh, Ωi, respectively, relative to the X-Y plane. The angle δ may be between fifteen degrees and seventy-five degrees. In one configuration, the angle δ may be substantially equal to forty-five degrees. The angles Ωh, Ωi may be between five degrees and forty degrees. In one configuration, the angle Ωh may be substantially equal to ten degrees and the angle Ωi may be substantially equal to eighty degrees. In this regard, it will be appreciated that the longitudinal axes 26h, 26i may be non-coplanar.

    [0024] The eighth and ninth axes 24h, 24i also define angles βh, βi, respectively, relative to the longitudinal axis 21 of the device. The angles βh, βi may be between fifteen degrees and seventy-five degrees. In one configuration the angles βh, βi may be substantially equal to forty-five degrees. The configuration of the angles Ωh, Ωi and βh, βi may be such that the eighth bore 24h includes a first opening 50 and a second opening 52, and the ninth bore 24i includes the first opening 50 and a third opening 54. As shown in Figure 6, the first opening 50 may have a substantially "8"-shaped profile. For example, the first opening 50 may define a perimeter including a first lobe portion 50a and a second lobe portion 50b that collectively form a figure eight shape. The first and second lobe portions 50a, 50b may each define substantially circular or oval portions, depending on the desired angles for the fasteners 16.

    [0025] As illustrated in Figure 1, in one configuration, a fastener 16h may be inserted through the eighth bore 24h such that a head 56 of the fastener 16h is disposed at, or extends from, the first lobe 50a of the first opening 50, and a stem (not shown) of the fastener 16h extends from the second opening 52. Likewise, a fastener 16i may be inserted through the ninth bore 24i such that a head 60 of the fastener 16i is disposed at, or extends from, the second lobe 50b of the first opening 50, and a stem 62 of the fastener 16i extends from the third opening 54. In other configurations, the fasteners 16h and 16i may be disposed within the eighth and ninth bores 24h, 24i, respectively, such that the head 56 of the fastener 16h is disposed at, or extends from, the second opening 52 and/or the head 60 of the fastener 16i is disposed at, or extends from, the third opening 54. Accordingly, it will be appreciated that the configuration of the bores 24h, 24i, including the first opening 50 and the angles Ωh, Ωi and βh, βi, may improve the interchangeability of the intramedullary device 10 with respect to multiple bones (e.g., a left tibia and a right tibia).

    [0026] Example embodiments are provided so that this disclosure will be thorough, and will fully convey the scope to those who are skilled in the art. Numerous specific details are set forth such as examples of specific components, devices, and methods, to provide a thorough understanding of embodiments of the present disclosure. It will be apparent to those skilled in the art that specific details need not be employed, that example embodiments may be embodied in many different forms and that neither should be construed to limit the scope of the disclosure. In some example embodiments, well-known processes, well-known device structures, and well-known technologies are not described in detail.

    [0027] The terminology used herein is for the purpose of describing particular example embodiments only and is not intended to be limiting. As used herein, the singular forms "a," "an," and "the" may be intended to include the plural forms as well, unless the context clearly indicates otherwise. The terms "comprises," "comprising," "including," and "having," are inclusive and therefore specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof. The method steps, processes, and operations described herein are not to be construed as necessarily requiring their performance in the particular order discussed or illustrated, unless specifically identified as an order of performance. It is also to be understood that additional or alternative steps may be employed.

    [0028] When an element or layer is referred to as being "on," "engaged to," "connected to," or "coupled to" another element or layer, it may be directly on, engaged, connected or coupled to the other element or layer, or intervening elements or layers may be present. In contrast, when an element is referred to as being "directly on," "directly engaged to," "directly connected to," or "directly coupled to" another element or layer, there may be no intervening elements or layers present. Other words used to describe the relationship between elements should be interpreted in a like fashion (e.g., "between" versus "directly between," "adjacent" versus "directly adjacent," etc.). As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.

    [0029] Although the terms first, second, third, etc. may be used herein to describe various elements, components, regions, layers and/or sections, these elements, components, regions, layers and/or sections should not be limited by these terms. These terms may be only used to distinguish one element, component, region, layer or section from another region, layer or section. Terms such as "first," "second," and other numerical terms when used herein do not imply a sequence or order unless clearly indicated by the context. Thus, a first element, component, region, layer or section discussed below could be termed a second element, component, region, layer or section without departing from the teachings of the example embodiments.

    [0030] Spatially relative terms, such as "inner," "outer," "beneath," "below," "lower," "above," "upper," and the like, may be used herein for ease of description to describe one element or feature's relationship to another element(s) or feature(s) as illustrated in the figures. Spatially relative terms may be intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. For example, if the device in the figures is turned over, elements described as "below" or "beneath" other elements or features would then be oriented "above" the other elements or features. Thus, the example term "below" can encompass both an orientation of above and below. The device may be otherwise oriented (rotated 90 degrees or at other orientations) and the spatially relative descriptors used herein interpreted accordingly.

    [0031] The foregoing description of the embodiments has been provided for purposes of illustration and description. It is not intended to be exhaustive or to limit the disclosure. Individual elements or features of a particular embodiment are generally not limited to that particular embodiment, but, where applicable, are interchangeable and can be used in a selected embodiment, even if not specifically shown or described. The same may also be varied in many ways. Such variations are not to be regarded as a departure from the disclosure, and all such modifications are intended to be included within the scope of the disclosure.


    Claims

    1. An intramedullary device (10) having a first longitudinal axis (21) extending between a proximal end (18) and a distal end (20) thereof, the intramedullary device (10) comprising:

    a first bore (24h) having a second longitudinal axis (26h) that defines a first angle (βh)

    with the first longitudinal axis (21), the first bore (24h) extending through the intramedullary device (10) between a first opening (50) and a second opening (52); and

    a second bore (24i) having a third longitudinal axis (26i) that defines a second angle (βi) with the first longitudinal axis (21), the second bore (26i) extending through the intramedullary device (10) between the first opening (50) and a third opening (54),

    wherein the second and third longitudinal axes (26h, 26i) are non-coplanar,

    characterized in that

    the first opening (50) defines a perimeter and includes a first lobe portion (50a) and a second lobe portion (50b),

    wherein the first bore (24h) is configured to receive a first fastener (16h) and the second bore (24i) is configured to receive a second fastener (16i), such that

    the first fastener passes through the first lobe portion and the second fastener passes through the second lobe portion and the first and second fasteners (16h, 16i) can extend through the intramedullary device (10) concurrently.


     
    2. The intramedullary device (10) of claim 1, wherein the first angle (βh) and the second angle (βi) are between fifteen degrees and seventy-five degrees.
     
    3. The intramedullary device (10) of claim 2, wherein the first and second angles (βh, βi) are substantially equal to forty-five degrees.
     
    4. The intramedullary device (10) of claim 1, further comprising a cavity (22) having a fourth longitudinal axis extending in a direction substantially parallel to the first longitudinal axis (21).
     
    5. The intramedullary device (10) of claim 1, wherein the first lobe portion (50a) and the second lobe portion (50b) collectively form a substantially figure eight shaped profile.
     
    6. The intramedullary device of claim 1, further comprising:

    a third bore (24a) having a fourth longitudinal axis (26a) extending in a direction substantially perpendicular to the first longitudinal axis (21); and

    a fourth bore (24b) having a fifth longitudinal axis (26b) extending in a direction substantially perpendicular to the first longitudinal axis (21) and substantially parallel to the fourth longitudinal axis (26a).


     


    Ansprüche

    1. Intramedulläre Vorrichtung (10) mit einer ersten Längsachse (21), die sich zwischen einem proximalen Ende (18) und einem distalen Ende (20) davon erstreckt, wobei die intramedulläre Vorrichtung (10) umfasst:

    eine erste Bohrung (24h) mit einer zweiten Längsachse (26h), die einen ersten Winkel (βh) zur ersten Längsachse (21) definiert, wobei sich die erste Bohrung (24h) durch die intramedulläre Vorrichtung (10) zwischen einer ersten Öffnung (50) und einer zweiten Öffnung (52) erstreckt; und eine zweite Bohrung (24i) mit einer dritten Längsachse (26i), die einen zweiten Winkel (βi) zur ersten Längsachse (21) definiert, wobei sich die zweite Bohrung (26i) durch die intramedulläre Vorrichtung (10) zwischen der ersten Öffnung (50) und einer dritten Öffnung (54) erstreckt, wobei die zweite und dritte Längsachse (26h, 26i) nicht koplanar sind, dadurch gekennzeichnet, dass

    die erste Öffnung (50) einen Umfang definiert und einen ersten Lappenabschnitt (50a) und einen zweiten Lappenabschnitt (50b) enthält,

    wobei die erste Bohrung (24h) konfiguriert ist, um einen ersten Befestiger (16h) aufzunehmen und die

    zweite Bohrung (24i) konfiguriert ist, um einen zweiten Befestiger (16i) aufzunehmen, so dass

    der erste Befestiger durch den ersten Lappenabschnitt passiert und der zweite Befestiger durch den

    zweiten Lappenabschnitt passiert und der erste und

    zweite Befestiger (16h, 16i) sich gleichzeitig durch die intramedulläre Vorrichtung (10) erstrecken können.


     
    2. Intramedulläre Vorrichtung (10) nach Anspruch 1, wobei der erste Winkel (βh) und der zweite Winkel (βi) zwischen fünfzehn Grad und fünfundsiebzig Grad sind.
     
    3. Intramedulläre Vorrichtung (10) nach Anspruch 2, wobei der erste und zweite Winkel (βh, βi) im Wesentlichen gleich fünfundvierzig Grad sind.
     
    4. Intramedulläre Vorrichtung (10) nach Anspruch 1, ferner umfassend einen Hohlraum (22) mit einer vierten Längsachse, die sich in einer Richtung erstreckt, die im Wesentlichen parallel zur ersten Längsachse (21) ist.
     
    5. Intramedulläre Vorrichtung (10) nach Anspruch 1, wobei der erste Lappenabschnitt (50a) und der zweite Lappenabschnitt (50b) gemeinsam im Wesentlichen ein Profil in Form der Zahl Acht formen.
     
    6. Intramedulläre Vorrichtung nach Anspruch 1, ferner umfassend: eine dritte Bohrung (24a) mit einer vierten Längsachse (26a), die sich in einer Richtung erstreckt, die im Wesentlichen senkrecht zur ersten Längsachse (21) ist; und eine vierte Bohrung (24b) mit einer fünften Längsachse (26b), die sich in einer Richtung erstreckt, die im Wesentlichen senkrecht zur ersten Längsachse (21) und im Wesentlichen parallel zur vierten Längsachse (26a) ist.
     


    Revendications

    1. Dispositif intramédullaire (10) possédant un premier axe longitudinal (21) s'étendant entre une extrémité proximale (18) et une extrémité distale (20) de celui-ci, le dispositif intramédullaire (10) comprenant :

    un premier alésage (24h) possédant un deuxième axe longitudinal (26h) qui définit un premier angle (βh) avec le premier axe longitudinal (21), le premier alésage (24h) s'étendant à travers le dispositif intramédullaire (10) entre une première ouverture (50) et une deuxième ouverture (52) ; et un deuxième alésage (24i) possédant un troisième axe longitudinal (26i) qui définit un second angle (βi) avec le premier axe longitudinal (21), le deuxième alésage (26i) s'étendant à travers le dispositif intramédullaire (10) entre la première ouverture (50) et une troisième ouverture (54), lesdits deuxième et troisième axes longitudinaux (26h, 26i) étant non coplanaires, caractérisé en ce que

    la première ouverture (50) définit un périmètre et comprend une première partie lobe (50a) et une seconde partie lobe (50b),

    ledit premier alésage (24h) étant conçu pour recevoir un premier élément de fixation (16h) et

    le deuxième alésage (24i) étant conçu pour recevoir un second élément de fixation (16i), de sorte que

    le premier élément de fixation passe à travers la première partie lobe et le second élément de fixation passe à travers

    la seconde partie lobe et les premier et

    second éléments de fixation (16h, 16i) puissent s'étendre à travers le dispositif intramédullaire (10) simultanément.


     
    2. Dispositif intramédullaire (10) selon la revendication 1, ledit premier angle (βh) et ledit second angle (βi) étant compris entre quinze degrés et soixante-quinze degrés.
     
    3. Dispositif intramédullaire (10) selon la revendication 2, lesdits premier et second angles (βh, βi) étant sensiblement égaux à quarante-cinq degrés.
     
    4. Dispositif intramédullaire (10) selon la revendication 1, comprenant en outre une cavité (22) possédant un quatrième axe longitudinal s'étendant selon une direction sensiblement parallèle au premier axe longitudinal (21).
     
    5. Dispositif intramédullaire (10) selon la revendication 1, ladite première partie lobe (50a) et ladite seconde partie lobe (50b) formant collectivement un profil sensiblement en forme de huit.
     
    6. Dispositif intramédullaire selon la revendication 1, comprenant en outre : un troisième alésage (24a) possédant un quatrième axe longitudinal (26a) s'étendant selon une direction sensiblement perpendiculaire au premier axe longitudinal (21) ; et un quatrième alésage (24b) possédant un cinquième axe longitudinal (26b) s'étendant selon une direction sensiblement perpendiculaire au premier axe longitudinal (21) et sensiblement parallèle au quatrième axe longitudinal (26a).
     




    Drawing















    REFERENCES CITED IN THE DESCRIPTION



    This list of references cited by the applicant is for the reader's convenience only. It does not form part of the European patent document. Even though great care has been taken in compiling the references, errors or omissions cannot be excluded and the EPO disclaims all liability in this regard.

    Patent documents cited in the description