FR2681525A1 - Dispositif de stabilisation souple ou semi rigide du rachis notamment humain par voie posterieure. - Google Patents

Dispositif de stabilisation souple ou semi rigide du rachis notamment humain par voie posterieure. Download PDF

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Publication number
FR2681525A1
FR2681525A1 FR9111544A FR9111544A FR2681525A1 FR 2681525 A1 FR2681525 A1 FR 2681525A1 FR 9111544 A FR9111544 A FR 9111544A FR 9111544 A FR9111544 A FR 9111544A FR 2681525 A1 FR2681525 A1 FR 2681525A1
Authority
FR
France
Prior art keywords
spine
fact
mechanical systems
flexible
semi
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.)
Withdrawn
Application number
FR9111544A
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English (en)
Inventor
Elberg Jean-Francois
Robine Dominique
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MEDICAL OP
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MEDICAL OP
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by MEDICAL OP filed Critical MEDICAL OP
Priority to FR9111544A priority Critical patent/FR2681525A1/fr
Publication of FR2681525A1 publication Critical patent/FR2681525A1/fr
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—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, setting implements or the like
    • 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 ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30563—Special structural features of bone or joint prostheses not otherwise provided for having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Neurology (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (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)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

L'invention concerne un dispositif de stabilisation dynamique souple ou semi rigide du rachis notamment humain par voie postérieure associant deux systèmes mécaniques placés de part et d'autre des faces latérales hautes et basses des épineuses reliés entre eux par un système amortisseur. Le but de ce système étant après pose de corriger les déficiences discales et musculo ligamentaires et de ce fait limiter les douleurs. La technique de pose est simple et le geste chirurgical rapide.

Description

La présente invention concerne un matériel de stabilisation dynamique du rachis par voie postérieure.
I1 existe sur le marché une multitude de systèmes stabilisateurs du rachis par voie postérieure dont la technique est basée sur le système de vissage pédiculaire, associé de plaques rigides ou de ligaments artificiels nécessitant une chirurgie lourde.
Aussi un des buts de la présente invention est-il de fournir un dispositif mécanique permettant d'éviter le positionnement d'un système rigide de stabilisation du rachis par voie postérieure.
Le système suivant l'invention permet dans le cas de déficience : discale, des ligaments inter et sous épineux de compenser cette déficience par l'adjonction d'un système dynamique souple et semi rigide.
Les essais en laboratoire ont permis de montrer qu'un tel système dynamique monté sur une pièce anatomique (celle-ci étant placée dans un contexte identique à celui du rachis notamment humain) permet de pallier aux déficiences discales et musculo ligamentaires qui entralnent douleurs et instabilité.
Un autre but de l'invention est de fournir un dispositif de ce type qui est de pose aisée.
Ces buts, ainsi que d'autres qui apparaîtront par la suite sont atteints par un dispositif de stabilisation dynamique du rachis notamment humain par voie postérieure comprenant d'une part, un système mécanique qui s'applique de part et d'autre de la partie basse et haute des épineuses, d'autre part d'un système dynamique souple et élastique relié au système mécanique, que nous nommerons amortisseur.
1) PARTIE ANATOMIQUE DORSO-LOMBAIRE
La figure 1 représente le système mécanique en contact avec le rebord bas de l'épineuse. Les parties (2) et (3) sont en contact avec les bords latéraux de l'épineuse. La partie (4) est en contact avec le bas de l'épineuse. L'épineuse est donc après position du système mécanique (1) totalement solidaire de ce dit système.
Les parties (2) et (3) forment un angle réciproque sur les faces internes du système mécanique pour un meilleur positionnement et contact avec les faces latérales de l'épineuse.
A l'extrémité distale du système mécanique est positionné un petit cylindre ou téton (5) de forme conique inverséepermettant de fixer l'amortisseur souple ou semi-rigide (9), de tailles différentes. La forme conique du téton (5) solidarise totalement l'amortisseur au système mécanique.
La figure 2 représente le système mécanique en contact avec le rebord haut de l'épineuse de la vertèbre inférieure.
Les parties (6) et (7) forment un angle réciproque par rapport à l'axe horizontal du système mécanique ce qui permet après positionnement du système mécanique bas une parfaite jonction en regard de l'anatomie vertébrale.
Un ligament synthétique de renfort passe par l'axe de l'amortisseur qui a pour but après pose de celui ci, de pratiquer un lavage inter épineux ce qul augmente le maintien et la stabilité de l'ensemble du système.
2) PARTIE ANATOMIQUE LOMBO-SACREE
La figure 4 représente le système mécanique suivant l'invention qui se localise au niveau sacré.
Sur la partie proximale est positionné un téton (12) permettant de recevoir l'amortisseur souple ou semi-rigide de la même manière que décrit en regard du descriptif effectué par la figure 1.
Les parties (9) et (10) sont profilées en forme d'hélices applaties pour s'adapter à la morphologie du sacrum.
Les trous (14) sont disposés dans l'axe de chaque hélice leurs formes permettent lorsque la vis est en place, une angulation d'environ 300.
Ces deux hélices sont jointives en formant un arc de cercle (13) qui sera en contact de l'épineuse de la première vertèbre sacrée.

Claims (4)

REVENDICATIONS
1/ Dispositif de stabilisation dynamique du rachis notamment
humain par voie posterieure comprenant d'une part au moins
deux systemes mecaniques, et d'autre part,un amortisseur
cooperant avec les deux systemes mecaniques.Caracterise par
le fait que chaque systeme mecanique est profile de facon
a s' adapter parfaitement a l'anatomie du rachis lombaire
ou sacre.
2/ Dispositif selon la revendication 1 car- > cterise par le fait
que les parties en contact avec les rebords bas de l'epineuse
2 et 3 d'un des systemes mecaniques forment un angle
réciproque sur les faces internes du systeme, d'autre part
possede a sont extremite distale un teton (5) de forme
conique inverse.
3/ Dispositif selon la revendication 2 caracterise par le fait
que les parties en contact avec les reborts bas de l'epineuse
2 et 3 d'un des systemes mecaniques font un ensemble(l)
munit a son extremite distale d'un teton conique inverse
permettant de solidariser l'amortisseur -(9) a l'ensemble
(1) 4/ Dispositif caracterise par le fait qe chaque helice (9)
et (10) sont munies de receptacles pour vis passant par
l'axe XX' de chaque helice (9) et (10) que ces recep-tacles
presentent une inclinaison de 30 degres par rapport a la
perpendiculaire de l'axe de la vis XX'.
5/ Dispositif selon l'une des- quelconques revendications 1 4
caracterise du fait que l'amortisseur (9) est de taille
multiple.
FR9111544A 1991-09-19 1991-09-19 Dispositif de stabilisation souple ou semi rigide du rachis notamment humain par voie posterieure. Withdrawn FR2681525A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR9111544A FR2681525A1 (fr) 1991-09-19 1991-09-19 Dispositif de stabilisation souple ou semi rigide du rachis notamment humain par voie posterieure.

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR9111544A FR2681525A1 (fr) 1991-09-19 1991-09-19 Dispositif de stabilisation souple ou semi rigide du rachis notamment humain par voie posterieure.

Publications (1)

Publication Number Publication Date
FR2681525A1 true FR2681525A1 (fr) 1993-03-26

Family

ID=9417094

Family Applications (1)

Application Number Title Priority Date Filing Date
FR9111544A Withdrawn FR2681525A1 (fr) 1991-09-19 1991-09-19 Dispositif de stabilisation souple ou semi rigide du rachis notamment humain par voie posterieure.

Country Status (1)

Country Link
FR (1) FR2681525A1 (fr)

Cited By (169)

* Cited by examiner, † Cited by third party
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FR2717675A1 (fr) * 1994-03-24 1995-09-29 Taylor Jean Cale inter-épineuse.
FR2722088A1 (fr) * 1994-07-08 1996-01-12 Cahlik Marc Andre Implant chirurgical de stabilisation de l'espace intervertebral
FR2722087A1 (fr) * 1994-07-08 1996-01-12 Cahlik Marc Andre Implant chirurgical intervetebral pour stabilisation et limitation des mouvements relatifs des vertebres
FR2722980A1 (fr) * 1994-07-26 1996-02-02 Samani Jacques Implant vertebral inter-epineux
FR2728158A1 (fr) * 1994-12-14 1996-06-21 Elberg Jean Francois Modelisation d'une prothese notamment intervertebrale
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US5860977A (en) * 1997-01-02 1999-01-19 Saint Francis Medical Technologies, Llc Spine distraction implant and method
FR2774581A1 (fr) * 1998-02-10 1999-08-13 Dimso Sa Stabilisateur interepineux a fixer a des apophyses epineuses de deux vertebres
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