JP2007530243A - 関節形成用脊椎プロテーゼ及び挿入装置 - Google Patents
関節形成用脊椎プロテーゼ及び挿入装置 Download PDFInfo
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- JP2007530243A JP2007530243A JP2007506427A JP2007506427A JP2007530243A JP 2007530243 A JP2007530243 A JP 2007530243A JP 2007506427 A JP2007506427 A JP 2007506427A JP 2007506427 A JP2007506427 A JP 2007506427A JP 2007530243 A JP2007530243 A JP 2007530243A
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- A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
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- A61F2230/0065—Three-dimensional shapes toroidal, e.g. ring-shaped, doughnut-shaped
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- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00395—Coating or prosthesis-covering structure made of metals or of alloys
- A61F2310/00407—Coating made of titanium or of Ti-based alloys
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00592—Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
- A61F2310/00796—Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00976—Coating or prosthesis-covering structure made of proteins or of polypeptides, e.g. of bone morphogenic proteins BMP or of transforming growth factors TGF
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Abstract
Description
Claims (24)
- 関節形成用のプロテーゼであって、
対向し且つ関節連結される骨に係合するように構成された第1の骨接触部材及び第2の骨接触部材と、
第1の骨接触部材及び第2の骨接触部材と支持関係をなして連結された関節部材と、を有し、
前記関節部材は、それらの間の相対的なピボット運動及び並進運動を、前後方向及び横方向のピボット軸線及び前後方向及び横方向の並進軸線にわたって可能にし、
前記関節部材は、前記ピボット運動とは実質的に無関係な前記並進運動を可能にするように構成される、プロテーゼ。 - 前記関節部材は、両方向の並進軸線に沿った前記並進運動を所定の範囲に制限するように構成される、請求項1に記載のプロテーゼ。
- 前記関節部材は、両方向のピボット軸線に沿った前記ピボット運動を所定の範囲に制限するように構成される、請求項2に記載のプロテーゼ。
- 前記並進軸線の少なくとも一方が、前記ピボット軸線の少なくとも一方と実質的に一致する、請求項1に記載のプロテーゼ。
- 両方向の並進軸線が、両方向のピボット軸線と実質的に一致する、請求項4に記載のプロテーゼ。
- 前記第1の骨接触部材は、前記関節部材を中心とした第1のピボット軸線を有し、前記第2の骨接触部材は、前記関節部材を中心とした第2のピボット軸線を有し、前記関節部材は、前記第1のピボット軸線及び前記第2のピボット軸線を互いに対して並進させるように構成される、請求項1に記載のプロテーゼ。
- 前記関節部材は、第1の骨接触部材及び第2の骨接触部材の間の相対的な軸線方向の回転を可能にするように構成される、請求項1に記載のプロテーゼ。
- 更に、前記接触部材間に配置されるプロテーゼ本体部分を有し、前記関節部材は、前記プロテーゼ本体部分を、前記第1の骨接触部材及び第2の骨接触部材の各々と関節を構成するように連結させる第1の関節部分及び第2の関節部分を有し、前記プロテーゼは、互いに分離し且つ対向した椎骨に係合させるために、椎骨の高さと2つの隣接した椎間板に対応する軸線方向の高さを有する、請求項1に記載のプロテーゼ。
- 前記関節部材は、前記並進軸線の少なくとも一方に沿った相対的な並進運動を付与するように、互いに対して並進可能な第1の部分及び第2の部分を有する、請求項1に記載のプロテーゼ。
- 前記第1の骨接触部材は、前記第1の関節部分にピボット運動可能に取付けられ、前記第2の骨接触部材は、前記第2の関節部分にピボット運動可能に取付けられる、請求項9に記載のプロテーゼ。
- 前記第1の関節部分及び前記第1の骨接触部材をピボット運動可能に連結させるために、前記第1の関節部分及び前記第1の骨接触部材の一方が突出部を有し、その他方が、前記突出部を受入れる凹部を有し、
前記第2の関節部分及び前記第2の接触部材をピボット運動可能に連結させるために、前記第2の関節部分及び前記第2の接触部材の一方が突出部を有し、その他方が、前記突出部を受入れる凹部を有する、請求項9に記載のプロテーゼ。 - 前記関節部分は、互いに当接して前記並進運動を制限するための阻止部材を有し、この阻止部材は、前記接触部材間を軸線方向に延びる脊椎軸に対して半径方向に並置される、請求項9に記載のプロテーゼ。
- 第1の関節部分及び第2の関節部分は、中空の中心部を有するリング形状のものであり、前記プロテーゼは、前記関節部分と前記接触部材とを連結状態に保持するために、接触部材と連結され且つ前記関節部分の前記中空の中心部の中に延びる保持部材を更に有する、請求項9に記載のプロテーゼ。
- 前記第1の関節部分及び第2の関節部分の少なくとも1つが、中空の中心部を有するリング形状のものであり、前記骨接触部材の少なくとも1つが、前記少なくとも1つの関節部分を前記少なくとも1つの接触部材と連結状態に保持するための、前記中空の中心部内に延びる支柱を有する、請求項9に記載のプロテーゼ。
- 前記軸線方向の骨格の対向する第1の骨及び第2の骨に係合するように構成された、第1の骨接触部材及び第2の骨接触部材を備え、
前記第1の接触部材は、骨用ファスナを取付けるように構成されたファスナ取付け部分を有し、
前記骨用ファスナをそれが前記骨端リングを貫くように前記ファスナ取付け部分から取付けて、前記第1の接触部材を前記第1の骨に取付けるために、前記第1の接触部材は、第1の骨の第1の椎体骨端リングを取付け位置においてファスナ取付け部分に対して位置決めするように配置され且つ配向された椎骨接触面を有する脊椎プロテーゼ。 - 更に、第1の椎骨及び第2の椎骨が互いに対して関節を構成することを可能にするように、前記第1の骨接触部材及び第2の骨接触部材を関節を構成するように連結する関節を有し、
前記第2の接触部材は、骨用ファスナを取付けるように構成されたファスナ取付け部分を有し、
前記骨用ファスナをそれが前記骨端リングを貫くように前記ファスナ取付け部分から取付けて、前記第1の接触部材を前記第2の骨に取付けるために、前記第2の接触部材は、第2の骨の第2の椎体骨端リングを取付け位置においてファスナ取付け部分に対して位置決めするように配置され且つ配向された椎骨接触面を有する、請求項15に記載の脊椎プロテーゼ。 - 前記椎骨接触面は、前記骨端リングを前記取付け位置に配置するために、前記椎体の軸線方向面及び半径方向面を捕捉するように配向され、
前記ファスナ取付け部分は、ネジ山付きの外科用骨用ファスナを受入れ且つ前記骨用ファスナを前記骨端リングに挿入するように配向された開口を有する、請求項15に記載の脊椎プロテーゼ。 - 前記椎骨接触面は、前記第1の椎体の軸線方向面に当接し且つそれを支持するように配向された軸線方向接触面と、前記第1の椎骨の半径方向面に当接するように構成された半径方向接触面と、を有し、
更に、前記骨端リングを受入れるように、前記軸線方向接触面と前記半径方向接触面との間に構成された骨端溝を有し、
前記ファスナ取付け部分は、前記骨用ファスナを前記骨端溝内に差し向けるように構成される、請求項17に記載の脊椎プロテーゼ。 - 接触部材を含む椎骨間プロテーゼであって、
第1の椎体の軸線方向面に当接し且つそれを支持するように配向された軸線方向接触面と、
前記第1の椎体の半径方向面に当接するように構成された半径方向接触面と、
前記軸線方向接触面と前記半径方向接触面との間に位置する骨端受入れ領域と、を有し、
前記骨端受入れ領域は、椎体の前記骨端リングを受入れるように配置され且つ構成された骨端溝を有する、椎骨間プロテーゼ。 - 関節形成用の脊椎プロテーゼであって、
軸線方向の骨格の対向する骨に係合するように構成された第1の骨接触部材及び第2の骨接触部材と、
前記骨接触部材をそれが関節を構成するように連結させて、椎骨が関節を構成することを可能にするために、前記第1の骨接触部材及び第2の骨接触部材と支持関係をなして連結された関節部材と、
縫合開口を貫いて延び、前記接触部材及び前記関節部材を組立て状態に保持する縫合糸と、を有し、
前記接触部材及び関節部材の少なくとも1つが放射線透過性材料で作られる、脊椎プロテーゼ。 - 関節形成用のプロテーゼであって、
対向し且つ関節を構成する骨に係合するように構成された第1の骨接触部材及び第2の骨接触部材を有し、骨接触部材の各々は、縫合糸を受入れるための少なくとも1つの縫合開口を有し、
更に、前記骨接触部材をそれが関節を構成するように連結させて、椎骨が関節を構成することを可能にするために、前記第1の骨接触部材及び第2の骨接触部材と支持関係をなして連結された関節部材と、
縫合開口を貫いて延び、前記接触部材及び前記関節部材を組立て状態に保持する縫合糸と、を有する、プロテーゼ。 - 軸線方向の骨格の2つの隣接していない骨の間の移植部位に移植するための関節形成用のプロテーゼであって、
患者の少なくとも椎体を置き換えるように構成されたプロテーゼ椎体部分と、
前記椎骨の置き換えられた部分に隣接して配置された2つの椎間板の少なくとも一部分を置き換えるように構成された上プロテーゼディスク部分及びび下プロテーゼディスク部分と、を有し、これらのプロテーゼディスク部分は、前記移植部位に隣接した軸線方向の骸骨に接触し且つそれを支持するように構成され、プロテーゼ椎体部分と関節を構成し、
前記プロテーゼ椎体部分及びプロテーゼディスク部分は、前記移植部位における脊椎の負荷を協働して支持するように連結される、プロテーゼ。 - 移植部位における移植のための関節形成用の脊椎プロテーゼであって、
第1の骨接触部材及び第2の骨接触部材を有し、その少なくとも一方が、抗生物質、タンパク質、又は生物活性物質を有し且つそれを前記移植部位に配送するように構成され、
更に、第1の骨接触部材及び第2の骨接触部材と支持関係をなして連結された関節部材を有し、この関節部材は、骨が関節を構成することを可能にするために、前記骨接触部材と関節を構成するように連結される、脊椎プロテーゼ。 - 脊椎プロテーゼを移植するためのプロテーゼ挿入装置であって、
保持位置を有する第1の保持部分及び第2の保持部分を有し、これらの保持部分は、保持位置において、協働して脊椎プロテーゼを積極的に保持するように構成され、
更に、前記保持部分を前記保持位置内に選択的に維持するために及び前記保持部分をそこから解放するために、前記保持部分と連結された連結部材を有し、
前記保持部分は、脊椎プロテーゼが前記保持部分から外れるのを防止するのに十分、及び、脊椎プロテーゼの関節構成部分間の所定の配向を維持するのに十分、協働して脊椎プロテーゼを前記保持位置に捕捉するように構成され、また、前記保持部分は、それが保持位置から解放されたとき、脊椎プロテーゼを解放するように構成される、プロテーゼ挿入装置。
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- 2004-03-29 US US10/810,610 patent/US8070816B2/en not_active Expired - Fee Related
-
2005
- 2005-03-28 EP EP05730913A patent/EP1729694A4/en not_active Withdrawn
- 2005-03-28 JP JP2007506427A patent/JP4547420B2/ja not_active Expired - Fee Related
- 2005-03-28 WO PCT/US2005/010304 patent/WO2005094297A2/en not_active Application Discontinuation
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2011
- 2011-12-05 US US13/373,907 patent/US20120130497A1/en not_active Abandoned
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Also Published As
Publication number | Publication date |
---|---|
US8070816B2 (en) | 2011-12-06 |
US20120130497A1 (en) | 2012-05-24 |
EP1729694A2 (en) | 2006-12-13 |
WO2005094297A2 (en) | 2005-10-13 |
EP1729694A4 (en) | 2012-04-25 |
WO2005094297A3 (en) | 2006-01-19 |
JP4547420B2 (ja) | 2010-09-22 |
US20050216081A1 (en) | 2005-09-29 |
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