CA2345918A1 - Approche transiliaque pour acceder a l'espace intervertebral d'un sujet - Google Patents
Approche transiliaque pour acceder a l'espace intervertebral d'un sujet Download PDFInfo
- Publication number
- CA2345918A1 CA2345918A1 CA002345918A CA2345918A CA2345918A1 CA 2345918 A1 CA2345918 A1 CA 2345918A1 CA 002345918 A CA002345918 A CA 002345918A CA 2345918 A CA2345918 A CA 2345918A CA 2345918 A1 CA2345918 A1 CA 2345918A1
- Authority
- CA
- Canada
- Prior art keywords
- cannula
- ilium
- patient
- bone
- fastening element
- 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.)
- Abandoned
Links
- 210000003692 ilium Anatomy 0.000 claims abstract description 58
- 238000000034 method Methods 0.000 claims abstract description 25
- 210000000988 bone and bone Anatomy 0.000 claims description 53
- 239000001993 wax Substances 0.000 claims description 10
- 238000000151 deposition Methods 0.000 claims description 3
- 239000012188 paraffin wax Substances 0.000 claims description 3
- 238000005553 drilling Methods 0.000 claims description 2
- 239000007943 implant Substances 0.000 claims 1
- 210000005036 nerve Anatomy 0.000 description 4
- 210000003041 ligament Anatomy 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 230000010355 oscillation Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010051077 Post procedural haemorrhage Diseases 0.000 description 1
- 206010071229 Procedural haemorrhage Diseases 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 210000003164 cauda equina Anatomy 0.000 description 1
- 230000008021 deposition Effects 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 210000001621 ilium bone Anatomy 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000012856 packing 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, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1637—Hollow drills or saws producing a curved cut, e.g. cylindrical
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; 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
- A61B17/1742—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; 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
- A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
- A61B2017/22034—Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
L'invention concerne des procédés permettant d'accéder par voie percutanée à l'espace intervertébral (18) d'un sujet en créant un orifice d'accès (30) traversant l'ilion (16) et pénétrant dans l'espace intervertébral (18). Cet orifice d'accès (30) se situe de préférence à un angle postéro-latéral, (de préférence dans une fourchette de 40 à 90 degrés par rapport à un axe antérieur-postérieur traversant le sujet), ce qui constitue l'angle d'approche optimal de l'espace intervertébral (18) pour les vertèbres inférieures L5/S1. L'invention concerne également des procédés permettant d'introduire, par le passage créé, des instruments chirurgicaux dans l'espace intervertébral (18).
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US8866398P | 1998-06-09 | 1998-06-09 | |
US60/088,663 | 1998-06-09 | ||
US60/120,663 | 1998-06-09 | ||
US12066399P | 1999-02-19 | 1999-02-19 | |
US12970399P | 1999-04-16 | 1999-04-16 | |
US60/129,703 | 1999-04-16 | ||
PCT/US1999/012610 WO2000048521A1 (fr) | 1998-06-09 | 1999-06-04 | Approche transiliaque pour acceder a l'espace intervertebral d'un sujet |
Publications (1)
Publication Number | Publication Date |
---|---|
CA2345918A1 true CA2345918A1 (fr) | 2000-08-24 |
Family
ID=36917374
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002345918A Abandoned CA2345918A1 (fr) | 1998-06-09 | 1999-06-04 | Approche transiliaque pour acceder a l'espace intervertebral d'un sujet |
Country Status (4)
Country | Link |
---|---|
JP (1) | JP2002537014A (fr) |
KR (1) | KR20010078730A (fr) |
CA (1) | CA2345918A1 (fr) |
WO (1) | WO2000048521A1 (fr) |
Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP5160438B2 (ja) | 2005-11-23 | 2013-03-13 | トリニティ・オーソペディックス・リミテッド・ライアビリティ・カンパニー | 経皮的経椎弓根アクセス、癒着、椎間板切除、及び安定化システム及び外科手術用キット |
US8439925B2 (en) | 2009-05-11 | 2013-05-14 | Trinity Orthopedics, Llc | Transiliac-transsacral method of performing lumbar spinal interventions |
FR2960764B1 (fr) * | 2010-06-04 | 2012-06-08 | Spineart Sa | Instruments pour la chirurgie rachidienne mini-invasive et leurs applications |
US8834508B2 (en) | 2011-05-27 | 2014-09-16 | Spinefrontier Inc | Methods, tools and devices for percutaneous access in minimally invasive spinal surgeries |
KR101990207B1 (ko) * | 2017-11-10 | 2019-09-30 | 경북대학교 산학협력단 | 뼈 수술용 내시경 엔드 이펙터 |
Family Cites Families (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5484437A (en) * | 1988-06-13 | 1996-01-16 | Michelson; Gary K. | Apparatus and method of inserting spinal implants |
DE69420947T2 (de) * | 1993-02-10 | 2000-05-18 | Sulzer Spine Tech Inc | Werkzeugsatz zur stabilisierung der wirbelsäule |
US5632747A (en) * | 1995-03-15 | 1997-05-27 | Osteotech, Inc. | Bone dowel cutter |
-
1999
- 1999-06-04 JP JP2000599316A patent/JP2002537014A/ja not_active Withdrawn
- 1999-06-04 CA CA002345918A patent/CA2345918A1/fr not_active Abandoned
- 1999-06-04 WO PCT/US1999/012610 patent/WO2000048521A1/fr not_active Application Discontinuation
- 1999-06-04 KR KR1020007013958A patent/KR20010078730A/ko not_active Application Discontinuation
Also Published As
Publication number | Publication date |
---|---|
WO2000048521A1 (fr) | 2000-08-24 |
KR20010078730A (ko) | 2001-08-21 |
JP2002537014A (ja) | 2002-11-05 |
WO2000048521A8 (fr) | 2001-08-16 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
FZDE | Discontinued | ||
FZDE | Discontinued |
Effective date: 20030604 |