AU2009241686B2 - Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus - Google Patents
Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus Download PDFInfo
- Publication number
- AU2009241686B2 AU2009241686B2 AU2009241686A AU2009241686A AU2009241686B2 AU 2009241686 B2 AU2009241686 B2 AU 2009241686B2 AU 2009241686 A AU2009241686 A AU 2009241686A AU 2009241686 A AU2009241686 A AU 2009241686A AU 2009241686 B2 AU2009241686 B2 AU 2009241686B2
- Authority
- AU
- Australia
- Prior art keywords
- component
- implanting
- joint
- base
- patient
- Prior art date
- Legal status (The legal status 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 status listed.)
- Ceased
Links
- 238000000034 method Methods 0.000 title claims abstract description 63
- 238000002513 implantation Methods 0.000 title claims abstract description 19
- 239000006096 absorbing agent Substances 0.000 claims description 53
- 210000000689 upper leg Anatomy 0.000 claims description 25
- 230000006835 compression Effects 0.000 claims description 19
- 238000007906 compression Methods 0.000 claims description 19
- 210000002414 leg Anatomy 0.000 claims description 19
- 210000002303 tibia Anatomy 0.000 claims description 13
- 238000010521 absorption reaction Methods 0.000 claims description 12
- 210000000629 knee joint Anatomy 0.000 claims description 11
- 238000005520 cutting process Methods 0.000 claims description 7
- 238000003384 imaging method Methods 0.000 claims description 7
- 210000001699 lower leg Anatomy 0.000 claims description 4
- 206010011985 Decubitus ulcer Diseases 0.000 claims description 3
- 239000003381 stabilizer Substances 0.000 claims description 3
- 238000007920 subcutaneous administration Methods 0.000 claims description 2
- 238000013459 approach Methods 0.000 abstract description 60
- 210000003484 anatomy Anatomy 0.000 abstract description 28
- 210000000988 bone and bone Anatomy 0.000 description 115
- 210000001503 joint Anatomy 0.000 description 45
- 210000003127 knee Anatomy 0.000 description 38
- 201000008482 osteoarthritis Diseases 0.000 description 36
- 210000000845 cartilage Anatomy 0.000 description 26
- 230000033001 locomotion Effects 0.000 description 24
- 210000001519 tissue Anatomy 0.000 description 21
- 208000002193 Pain Diseases 0.000 description 19
- 238000011282 treatment Methods 0.000 description 17
- 210000003491 skin Anatomy 0.000 description 14
- 230000000638 stimulation Effects 0.000 description 14
- 238000011882 arthroplasty Methods 0.000 description 13
- 238000004513 sizing Methods 0.000 description 12
- 239000007943 implant Substances 0.000 description 11
- 230000006870 function Effects 0.000 description 10
- 230000036961 partial effect Effects 0.000 description 10
- 230000005641 tunneling Effects 0.000 description 10
- 208000006735 Periostitis Diseases 0.000 description 9
- 210000003460 periosteum Anatomy 0.000 description 9
- 206010003246 arthritis Diseases 0.000 description 8
- 238000002594 fluoroscopy Methods 0.000 description 8
- 210000003414 extremity Anatomy 0.000 description 7
- 239000000126 substance Substances 0.000 description 7
- 238000001356 surgical procedure Methods 0.000 description 7
- 210000001367 artery Anatomy 0.000 description 6
- 230000000295 complement effect Effects 0.000 description 6
- 210000003205 muscle Anatomy 0.000 description 6
- 230000035882 stress Effects 0.000 description 6
- 208000027418 Wounds and injury Diseases 0.000 description 5
- 210000001612 chondrocyte Anatomy 0.000 description 5
- 238000006073 displacement reaction Methods 0.000 description 5
- 238000002224 dissection Methods 0.000 description 5
- 238000013152 interventional procedure Methods 0.000 description 5
- 210000000281 joint capsule Anatomy 0.000 description 5
- 239000000463 material Substances 0.000 description 5
- 210000002832 shoulder Anatomy 0.000 description 5
- 210000000278 spinal cord Anatomy 0.000 description 5
- 230000002889 sympathetic effect Effects 0.000 description 5
- 210000002435 tendon Anatomy 0.000 description 5
- 238000012546 transfer Methods 0.000 description 5
- 241001522301 Apogonichthyoides nigripinnis Species 0.000 description 4
- 206010052428 Wound Diseases 0.000 description 4
- 210000001188 articular cartilage Anatomy 0.000 description 4
- 210000004556 brain Anatomy 0.000 description 4
- 210000003792 cranial nerve Anatomy 0.000 description 4
- 230000003247 decreasing effect Effects 0.000 description 4
- 230000007547 defect Effects 0.000 description 4
- 239000003814 drug Substances 0.000 description 4
- 229940079593 drug Drugs 0.000 description 4
- 210000003811 finger Anatomy 0.000 description 4
- 210000002683 foot Anatomy 0.000 description 4
- 238000003780 insertion Methods 0.000 description 4
- 230000037431 insertion Effects 0.000 description 4
- 230000037230 mobility Effects 0.000 description 4
- 230000003349 osteoarthritic effect Effects 0.000 description 4
- 210000000578 peripheral nerve Anatomy 0.000 description 4
- 238000002360 preparation method Methods 0.000 description 4
- 210000004872 soft tissue Anatomy 0.000 description 4
- 238000012795 verification Methods 0.000 description 4
- 241000469816 Varus Species 0.000 description 3
- 210000003423 ankle Anatomy 0.000 description 3
- 230000002917 arthritic effect Effects 0.000 description 3
- 230000000712 assembly Effects 0.000 description 3
- 238000000429 assembly Methods 0.000 description 3
- 230000008901 benefit Effects 0.000 description 3
- 210000004027 cell Anatomy 0.000 description 3
- 125000004122 cyclic group Chemical group 0.000 description 3
- 230000006378 damage Effects 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 210000000968 fibrocartilage Anatomy 0.000 description 3
- 239000012530 fluid Substances 0.000 description 3
- 125000001153 fluoro group Chemical group F* 0.000 description 3
- 210000003016 hypothalamus Anatomy 0.000 description 3
- 238000011065 in-situ storage Methods 0.000 description 3
- 230000000977 initiatory effect Effects 0.000 description 3
- 238000007689 inspection Methods 0.000 description 3
- 210000003041 ligament Anatomy 0.000 description 3
- 239000003550 marker Substances 0.000 description 3
- 239000011159 matrix material Substances 0.000 description 3
- 210000000337 motor cortex Anatomy 0.000 description 3
- 210000005036 nerve Anatomy 0.000 description 3
- 239000011236 particulate material Substances 0.000 description 3
- 238000011084 recovery Methods 0.000 description 3
- 230000009467 reduction Effects 0.000 description 3
- 206010039073 rheumatoid arthritis Diseases 0.000 description 3
- 230000035807 sensation Effects 0.000 description 3
- 230000000392 somatic effect Effects 0.000 description 3
- 210000001179 synovial fluid Anatomy 0.000 description 3
- 210000001103 thalamus Anatomy 0.000 description 3
- 210000000707 wrist Anatomy 0.000 description 3
- 241000156948 Aphantopus hyperantus Species 0.000 description 2
- 241000112853 Arthrodes Species 0.000 description 2
- 102000008186 Collagen Human genes 0.000 description 2
- 108010035532 Collagen Proteins 0.000 description 2
- 241000282412 Homo Species 0.000 description 2
- 206010061218 Inflammation Diseases 0.000 description 2
- 241000124008 Mammalia Species 0.000 description 2
- 241001227561 Valgus Species 0.000 description 2
- 241000251539 Vertebrata <Metazoa> Species 0.000 description 2
- 230000004913 activation Effects 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 230000036770 blood supply Effects 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 2
- 230000001413 cellular effect Effects 0.000 description 2
- 229920001436 collagen Polymers 0.000 description 2
- 210000002808 connective tissue Anatomy 0.000 description 2
- 230000001054 cortical effect Effects 0.000 description 2
- 239000000835 fiber Substances 0.000 description 2
- 210000004209 hair Anatomy 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 210000003035 hyaline cartilage Anatomy 0.000 description 2
- 230000002706 hydrostatic effect Effects 0.000 description 2
- 230000004054 inflammatory process Effects 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 210000004373 mandible Anatomy 0.000 description 2
- 230000000877 morphologic effect Effects 0.000 description 2
- 230000003387 muscular Effects 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 238000012829 orthopaedic surgery Methods 0.000 description 2
- 230000000399 orthopedic effect Effects 0.000 description 2
- 238000004806 packaging method and process Methods 0.000 description 2
- 238000002559 palpation Methods 0.000 description 2
- 230000037361 pathway Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000000272 proprioceptive effect Effects 0.000 description 2
- 230000004044 response Effects 0.000 description 2
- 230000006641 stabilisation Effects 0.000 description 2
- 238000011105 stabilization Methods 0.000 description 2
- 238000004659 sterilization and disinfection Methods 0.000 description 2
- 210000000331 sympathetic ganglia Anatomy 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 210000001258 synovial membrane Anatomy 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 239000010936 titanium Substances 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- PGOOBECODWQEAB-UHFFFAOYSA-N (E)-clothianidin Chemical compound [O-][N+](=O)\N=C(/NC)NCC1=CN=C(Cl)S1 PGOOBECODWQEAB-UHFFFAOYSA-N 0.000 description 1
- 241000153246 Anteros Species 0.000 description 1
- 208000006820 Arthralgia Diseases 0.000 description 1
- 206010053555 Arthritis bacterial Diseases 0.000 description 1
- 206010060968 Arthritis infective Diseases 0.000 description 1
- 206010003694 Atrophy Diseases 0.000 description 1
- 208000023275 Autoimmune disease Diseases 0.000 description 1
- 206010006784 Burning sensation Diseases 0.000 description 1
- 241000251730 Chondrichthyes Species 0.000 description 1
- 208000000094 Chronic Pain Diseases 0.000 description 1
- 229910000684 Cobalt-chrome Inorganic materials 0.000 description 1
- 241000252210 Cyprinidae Species 0.000 description 1
- 102000016942 Elastin Human genes 0.000 description 1
- 108010014258 Elastin Proteins 0.000 description 1
- 201000005569 Gout Diseases 0.000 description 1
- 206010018634 Gouty Arthritis Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 208000004575 Infectious Arthritis Diseases 0.000 description 1
- 208000012659 Joint disease Diseases 0.000 description 1
- 208000007101 Muscle Cramp Diseases 0.000 description 1
- 235000010627 Phaseolus vulgaris Nutrition 0.000 description 1
- 244000046052 Phaseolus vulgaris Species 0.000 description 1
- 206010063188 Post procedural haematoma Diseases 0.000 description 1
- 102000016611 Proteoglycans Human genes 0.000 description 1
- 108010067787 Proteoglycans Proteins 0.000 description 1
- 201000001263 Psoriatic Arthritis Diseases 0.000 description 1
- 208000036824 Psoriatic arthropathy Diseases 0.000 description 1
- 208000005392 Spasm Diseases 0.000 description 1
- 201000010814 Synostosis Diseases 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 239000004775 Tyvek Substances 0.000 description 1
- 229920000690 Tyvek Polymers 0.000 description 1
- LEHOTFFKMJEONL-UHFFFAOYSA-N Uric Acid Chemical group N1C(=O)NC(=O)C2=C1NC(=O)N2 LEHOTFFKMJEONL-UHFFFAOYSA-N 0.000 description 1
- TVWHNULVHGKJHS-UHFFFAOYSA-N Uric acid Natural products N1C(=O)NC(=O)C2NC(=O)NC21 TVWHNULVHGKJHS-UHFFFAOYSA-N 0.000 description 1
- 206010047139 Vasoconstriction Diseases 0.000 description 1
- 230000005856 abnormality Effects 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 230000006907 apoptotic process Effects 0.000 description 1
- 230000037444 atrophy Effects 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 230000001851 biosynthetic effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000010256 bone deposition Effects 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 230000005779 cell damage Effects 0.000 description 1
- 230000030833 cell death Effects 0.000 description 1
- 239000000919 ceramic Substances 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 239000010952 cobalt-chrome Substances 0.000 description 1
- 230000001010 compromised effect Effects 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 239000002537 cosmetic Substances 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 239000013078 crystal Substances 0.000 description 1
- 238000001804 debridement Methods 0.000 description 1
- 230000003412 degenerative effect Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 230000008021 deposition Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 230000000916 dilatatory effect Effects 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 210000001162 elastic cartilage Anatomy 0.000 description 1
- 229920002549 elastin Polymers 0.000 description 1
- 210000001513 elbow Anatomy 0.000 description 1
- 238000004146 energy storage Methods 0.000 description 1
- 229920000295 expanded polytetrafluoroethylene Polymers 0.000 description 1
- 210000003108 foot joint Anatomy 0.000 description 1
- 230000009760 functional impairment Effects 0.000 description 1
- 230000005021 gait Effects 0.000 description 1
- 210000002478 hand joint Anatomy 0.000 description 1
- 230000011132 hemopoiesis Effects 0.000 description 1
- 210000001624 hip Anatomy 0.000 description 1
- 229910052588 hydroxylapatite Inorganic materials 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000002757 inflammatory effect Effects 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- 208000024765 knee pain Diseases 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 230000007257 malfunction Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 210000002050 maxilla Anatomy 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 230000005499 meniscus Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 235000015097 nutrients Nutrition 0.000 description 1
- 206010033675 panniculitis Diseases 0.000 description 1
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 1
- 230000008447 perception Effects 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 238000011205 postoperative examination Methods 0.000 description 1
- 238000004321 preservation Methods 0.000 description 1
- 230000009023 proprioceptive sensation Effects 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 238000007634 remodeling Methods 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 230000003252 repetitive effect Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 201000001223 septic arthritis Diseases 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- 210000003625 skull Anatomy 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 210000004304 subcutaneous tissue Anatomy 0.000 description 1
- 230000001502 supplementing effect Effects 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 230000008685 targeting Effects 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 238000011287 therapeutic dose Methods 0.000 description 1
- 210000003813 thumb Anatomy 0.000 description 1
- 210000003906 tibiofibular joint Anatomy 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000011277 treatment modality Methods 0.000 description 1
- 210000000623 ulna Anatomy 0.000 description 1
- 229940116269 uric acid Drugs 0.000 description 1
- 230000025033 vasoconstriction Effects 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
Classifications
-
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
-
- 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
- A61B17/1728—Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
- A61B17/64—Devices extending alongside the bones to be positioned
- A61B17/6425—Devices extending alongside the bones to be positioned specially adapted to be fitted across a bone joint
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
- A61B17/7023—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a pivot joint
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
- A61N1/36071—Pain
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Neurology (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Applications Claiming Priority (11)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US4940308P | 2008-04-30 | 2008-04-30 | |
| US12/113,162 US8425616B2 (en) | 2007-07-09 | 2008-04-30 | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
| US12/113,162 | 2008-04-30 | ||
| US12/113,164 US20090018665A1 (en) | 2007-07-09 | 2008-04-30 | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
| US61/049,403 | 2008-04-30 | ||
| US12/113,160 | 2008-04-30 | ||
| US12/113,160 US7632310B2 (en) | 2007-07-09 | 2008-04-30 | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
| US12/113,157 US7846211B2 (en) | 2007-07-09 | 2008-04-30 | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
| US12/113,164 | 2008-04-30 | ||
| US12/113,157 | 2008-04-30 | ||
| PCT/US2009/002722 WO2009134446A2 (en) | 2007-07-09 | 2009-04-30 | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| AU2009241686A1 AU2009241686A1 (en) | 2009-11-05 |
| AU2009241686A2 AU2009241686A2 (en) | 2010-12-23 |
| AU2009241686B2 true AU2009241686B2 (en) | 2015-01-22 |
Family
ID=43333148
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2009241686A Ceased AU2009241686B2 (en) | 2008-04-30 | 2009-04-30 | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
Country Status (4)
| Country | Link |
|---|---|
| EP (1) | EP2273941B1 (enExample) |
| JP (1) | JP2011519304A (enExample) |
| AU (1) | AU2009241686B2 (enExample) |
| CA (1) | CA2725389A1 (enExample) |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20110112639A1 (en) * | 2009-11-06 | 2011-05-12 | Moximed, Inc. | Positioning Systems and Methods for Implanting an Energy Absorbing System |
| JP7257016B2 (ja) * | 2017-12-07 | 2023-04-13 | アルスロデザイン株式会社 | 患者適合型ガイド設置用器具 |
| CN113763340B (zh) * | 2021-08-25 | 2024-07-02 | 中国人民解放军空军军医大学 | 基于多任务深度学习强直性脊柱炎的自动分级方法 |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2003039330A2 (en) * | 2001-11-05 | 2003-05-15 | Sdgi Holdings, Inc. | Devices and methods to correct spinal deformities |
Family Cites Families (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4246660A (en) * | 1978-12-26 | 1981-01-27 | Queen's University At Kingston | Artificial ligament |
| JP2532346B2 (ja) * | 1993-10-12 | 1996-09-11 | 良二 城 | 体外式人工関節 |
| SE510125C2 (sv) * | 1996-01-22 | 1999-04-19 | Handevelop Ab | Ledersättningsanordning |
| EP2001382B1 (en) * | 2006-04-06 | 2015-07-29 | Synthes GmbH | Remotely adjustable tissue displacement device |
| US20080275567A1 (en) * | 2007-05-01 | 2008-11-06 | Exploramed Nc4, Inc. | Extra-Articular Implantable Mechanical Energy Absorbing Systems |
-
2009
- 2009-04-30 AU AU2009241686A patent/AU2009241686B2/en not_active Ceased
- 2009-04-30 CA CA2725389A patent/CA2725389A1/en not_active Abandoned
- 2009-04-30 EP EP09739249.2A patent/EP2273941B1/en not_active Not-in-force
- 2009-04-30 JP JP2011507473A patent/JP2011519304A/ja active Pending
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2003039330A2 (en) * | 2001-11-05 | 2003-05-15 | Sdgi Holdings, Inc. | Devices and methods to correct spinal deformities |
Also Published As
| Publication number | Publication date |
|---|---|
| EP2273941B1 (en) | 2020-09-02 |
| AU2009241686A1 (en) | 2009-11-05 |
| AU2009241686A2 (en) | 2010-12-23 |
| CA2725389A1 (en) | 2009-11-05 |
| JP2011519304A (ja) | 2011-07-07 |
| EP2273941A2 (en) | 2011-01-19 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US7846211B2 (en) | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus | |
| US8425616B2 (en) | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus | |
| US7632310B2 (en) | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus | |
| US20090018665A1 (en) | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus | |
| AU2008275070B2 (en) | Extra-articular implantable mechanical energy absorbing systems and implantation method | |
| US9532804B2 (en) | Implantation approach and instrumentality for an energy absorbing system | |
| US9060867B2 (en) | Extra-articular implantable mechanical energy absorbing assemblies having a tension member, and methods | |
| AU2009241686B2 (en) | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus | |
| AU2014200703A1 (en) | Extra-articular implantable mechanical energy absorbing systems and implantation method |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| DA3 | Amendments made section 104 |
Free format text: THE NATURE OF THE AMENDMENT IS AS SHOWN IN THE STATEMENT(S) FILED 26 NOV 2010 |
|
| FGA | Letters patent sealed or granted (standard patent) | ||
| MK14 | Patent ceased section 143(a) (annual fees not paid) or expired |