JP2001508343A - 長手支持体を小柄状ねじと結合するための装置 - Google Patents
長手支持体を小柄状ねじと結合するための装置Info
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- JP2001508343A JP2001508343A JP53144898A JP53144898A JP2001508343A JP 2001508343 A JP2001508343 A JP 2001508343A JP 53144898 A JP53144898 A JP 53144898A JP 53144898 A JP53144898 A JP 53144898A JP 2001508343 A JP2001508343 A JP 2001508343A
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- collet
- longitudinal support
- passage opening
- screw
- petite
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- 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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
- A61B17/7037—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
-
- 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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
-
- 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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
- A61B17/7034—Screws or hooks with U-shaped head or back through which longitudinal rods pass characterised by a lateral opening
-
- 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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
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)
- Surgical Instruments (AREA)
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1. 脊柱固定機構の内部で長手支持体(1)を小柄状ねじ(2)と結合する ための装置において、 A)上方の端部(23)と、下方の端部(24)と、軸線(4)を有していて 少なくとも下方に開放する孔(25)と、前記軸線(4)に対して横方向に前記 孔(25)を通って形成された通路開口部(6)とを備えている一体の部材(3 )が設けられており、前記の通路開口部を通って、軸線(4)に対して横方向に 延びる長手支持体(1)が差し込み可能であり; B)前記部材(3)の内部に同軸的に前記軸線(4)に沿って滑動可能に配置 されたコレット(7)が設けられており、このコレットは、部材(3)の通路開 口部(6)に対して一列に置かれた通路開口部(17)と、前記軸線(4)に対 して弾性的に構成された舌片(8)によって制限された少なくとも下方に向かう 室(19)とを備えており、この室内に、下方から小柄状ねじ(2)のヘッド( 9)がばね弾性的にスナップ係合可能である; ことを特徴とする、長手支持体を小柄状ねじと結合するための装置。 2. 前記室(19)が、中空球状の窩洞として構成されていることを特徴と する請求項1に記載の装置。 3. 前記コレット(7)が、中空球状の窩洞として構成されている室(19 )の範囲の外側で、下方へ向かって拡開されて円錐状に構成されていることを特 徴とする請求項2に記載の装置。 4. 調節ねじ(12)は、前記調節ねじが下方へ回す際に長手支持体(1) をロックするように、前記コレット(7)内に、あるいは締付け部材(91)内 に組み込まれていることを特徴とする請求項1から3までのいずれか1つに記載 の装置。 5. 前記コレット(7)が、回転対称的に構成されていることを特徴とする 請求項1から4までのいずれか1つに記載の装置。 6. 前記部材(3)が、回転対称的に構成されていることを特徴とする請求 項1から5までのいずれか1つに記載の装置。 7. 前記部材(3)が、上方部材(53)と下方部材(52)とに分割され ており、この場合、分割面が、軸線(4)に対して横方向に前記通路開口部(6 )の範囲において延びており、かつ前記孔(25)が、少なくとも下方部材(5 2)において連続して構成されていることを特徴とする請求項1から6までのい ずれか1つに記載の装置。 8. 前記部材(3)をコレット(7)に対して相対的に運動させることがで きるような締付け部材(12;26;56;91)が設けられていることを特徴 とする請求項1から7までのいずれか1つに記載の装置。 9. 前記締付け部材(12;56)が長手支持体(1)を押しており、それ によって、コレット(7)が部材(3)内に引っ張られ、かつこれによって小柄 状ねじ(2)のヘッド(9)と長手支持体(1)とが固く締め付けられることを 特徴とする請求項8に記載の装置。 10. 前記の締付け部材(26)が、部材(3)の上方部材(53)を介し て長手支持体(1)を押していることを特徴とする請求項1から8までのいずれ か1つに記載の装置。 11. 前記通路開口部(6)の高さは、締付け部材(12;26;56)の それぞれの位置において長手支持体(1)が常にこの通路開口部(6)の下方の 縁の上に載るように設計されていることを特徴とする請求項1から10までのい ずれか1つに記載の装置。 12. 前記の部材(3)とコレット(7)とが、互いに相対回動不能に、し かし、軸方向で移動可能に配置されていることを特徴とする請求項1から11ま でのいずれか1つに記載の装置。 13. 前記コレット(7)が、プレスばめを介して部材(3)内に配置され ており、かつ締付け部材(12;26;56;91)を締める場合に初めて、前 記部材(3)から分離されることを特徴とする請求項1から12までのいずれか 1つに記載の装置。 14. 調節ねじ(12)を受容するために、前記コレット(7)の上方部分 に、付加的に、内ねじ山(11)を備えた孔(10)を有しており、前記調節ね じは、装置内に差し込まれた長手支持体(1)に力を及ぼすことができ、それに よって、長手支持体が部材(3)に対して相対的に軸方向及び回転方向でロック 可能であることを特徴とする請求項1から13までのいずれか1つに記載の装置 。 15. 前記の室(19)及び孔(10)が、上方から下方へ連続して構成さ れていることを特徴とする請求項14に記載の装置。 16. 前記コレット(7)は、装置内に導入された、小柄状ねじ(2)の有 利には球状のヘッド(9)が、同時に長手支持体(1)が装置内に差し込まれて いる場合に、回転方向でロック可能であるように、構成されていることを特徴と する請求項1から15までのいずれか1つに記載の装置。 17. 前記コレット(7)は、小柄状ねじ(2)の、有利には球状のヘッド (9)に接続されたねじシャフト(13)が、軸線(4)に対して−25°〜+ 25°の角度αでロック可能であるように、構成されていることを特徴とする請 求項16に記載の装置。 18. 前記部材(3)が、その下方端部(24)において下方へ拡開された 円錐状の内周面(14)を有しており、この内周面に対して、コレット(7)の 舌片(8)の自由端部における相応して形成された円錐状の外周面(18)が滑 動可能に当接されることを特徴とする請求項1から17までのいずれか1つに記 載の装置。 19. 前記コレット(7)は、部材(3)との接触範囲において、このコレ ットが前記部材(3)の下方へ拡開された円錐状の内周面(14)の上に接線方 向で載るように、構成されていることを特徴とする請求項1から18までのいず れか1つに記載の装置。 20. 付加的に、有利には球状のヘッド(9)を備えた小柄状ねじ(2)を 有していることを特徴とする請求項1から19までのいずれか1つに記載の装置 。 21. 前記小柄状ねじ(2)のヘッド(9)が、有利には横方向みぞもしく は横方向リブの形の構造部(15)を備えていることを特徴とする請求項20に 記載の装置。 22. 前記小柄状ねじ(2)のヘッド(9)が、内側六角縁(16)を備え ていることを特徴とする請求項20または21に記載の装置。 23. 前記室(19)が、有利には、小柄状ねじ(2)の受容されるヘッド (9)の形状に相補的な形状を有している、中空球状の窩洞として構成されてい ることを特徴とする請求項1から22までのいずれか1つに記載の装置。 24. 前記室(19)が、有利には横方向みぞもしくは横方向リブの形の構 造部(21)を備えていることを特徴とする請求項1から23までのいずれか1 つに記載の装置。 25. 前記部材(3)が中空円筒状のスリーブとして構成されていることを 特徴とする請求項1から24までのいずれか1つに記載の装置。 26. 前記部材(3)が一体であることを特徴とする請求項25に記載の装 置。 27. 前記部材(3)が、下方部材(52)と上方部材(53)とから成っ ていることを特徴とする請求項25に記載の装置。 28. 前記の下方部材(52)と上方部材(53)との分割が、通路開口部 (6)の範囲で行われることを特徴とする請求項27に記載の装置。 29. 前記部材(3)の通路開口部(6;80;81)が、コレット(7; 71;72;73;74;75;76;77)の通路開口部(17;42;54 )に対して、長手支持体(1)が部材(3)の通路開口部(6;80;81)の 下方の縁の上に載るように位置決めされていることを特徴とする請求項1から2 8までのいずれか1つに記載の装置。 30. 前記部材(3)の通路開口部(6;80;81)が、コレット(7; 71;72;73;74;75;76;77)の通路開口部(17;42;54 )に対して、長手支持体(1)がコレット(7)の通路開口部(17;42;5 4)の下方の縁の上に載るように位置決めされていることを特徴とする請求項1 から28までのいずれか1つに記載の装置。 31. 前記部材(3)の上方部材(53)が長手支持体(1)の上に載るこ とを特徴とする請求項27から30までのいずれか1つに記載の装置。 32. 前記部材(3)の通路開口部(6;80;81)の上方の縁が、長手 支持体の上に位置しないことを特徴とする請求項26から30までのいずれか1 つに記載の装置。 33. 長手支持体(1)を受容するために、コレット(74;76)に側方 に開放する通路(42)が形成されていることを特徴とする請求項1から31ま でのいずれか1つに記載の装置。 34. 長手支持体(1)を受容するために、コレット(72;75;77) に上方に開放する通路(54)が形成されていることを特徴とする請求項1から 31までのいずれか1つに記載の装置。 35. 前記コレット(71;72;73;74;76;77)が、上方端部 において外ねじ山(27)を備えていることを特徴とする請求項1から34まで のいずれか1つに記載の装置。 36. 小柄状ねじ(2)と長手支持体(1)とを固定するために調節ナット (26)が使用されることを特徴とする請求項35に記載の装置。 37. 前記コレット(7;75)が、上方端部において内ねじ山(11)を 備えていることを特徴とする請求項1から34までのいずれか1つに記載の装置 。 38. 小柄状ねじ(2)と長手支持体(1)とを固定するために調節ねじ( 12;56)が使用されることを特徴とする請求項37に記載の装置。 39. 前記コレット(75)が、上方端部においてショルダー(63)を有 しており、かつ部材(3)の上方部材(53)が、前記ショルダー(63)の上 に起立していて、これによって、調節ねじ(56)を締める際にコレット(75 )の拡開を阻止していることを特徴とする請求項38に記載の装置。 40. 前記の締付け部材として、外ねじ山(57)を備えている調節ねじ( 56)が使用されることを特徴とする請求項39に記載の装置。 41. 前記調節ねじ(56)が、部材(3)の内径より有利には大きい外径 を有するフランジ(58)を備えていることを特徴とする請求項40に記載の装 置。 42. 前記コレット(73;76;77)が、上方端部において内ねじ山( 11)を備えていることを特徴とする請求項35に記載の装置。 43. 前記部材(3)における通路開口部(6;80;81)が、コレット (7;73;76;77)における通路開口部(17;42;54)に対して相 対的に、締付け部材(26)を締める際に球状ヘッド(9)のみがロックされる ように、位置決めされていることを特徴とする請求項42に記載の装置。 44. 前記部材(3)における通路開口部(6;80;81)が、コレット (7)における通路開口部(17;42;54)に対して相対的に、締付け部材 (91)を締める際に球状ヘッド(9)のみがロックされるように、位置決めさ れていることを特徴とする請求項37に記載の装置。 45. 前記部材(3)が一体であることを特徴とする請求項43から44ま でのいずれか1つに記載の装置。 46. 前記部材(3)が、下方部材(52)と上方部材(53)とから成っ ていることを特徴とする請求項43に記載の装置。 47. 前記部材(3)における通路開口部(6;80;81)が、コレット (7;71;72;74;75)における通路開口部(17;42;54)に対 して相対的に、締付け部材(26;91)を締める前及び締めた後に長手支持体 (1)が通路開口部(6;80;81)の下方の縁の上に載るように、位置決め されていることを特徴とする請求項43から46までのいずれか1つに記載の装 置。 48. 前記部材(3)における通路開口部(6;80;81)が、コレット (7;73;76;77)における通路開口部(17;42;54)に対して相 対的に、締付け部材(26;91)を締めた後にも長手支持体(1)がコレット (7;73;76;77)における通路開口部(17;42;54)の下方の縁 の上に載るように、位置決めされていることを特徴とする請求項43から46ま でのいずれか1つに記載の装置。 49. 前記通路開口部(80)が側方に開放していることを特徴とする請求 項43から48までのいずれか1つに記載の装置。 50. 前記通路開口部(81)が上方に開放していることを特徴とする請求 項43から48までのいずれか1つに記載の装置。 51. 前記調節ねじ(12)は、この調節ねじが下方へ回す際に長手支持体 (1)をロックするように、締付け部材(26;91)内に組み込まれているこ とを特徴とする請求項43から50までのいずれか1つに記載の装置。 52. 前記部材(3)は、締付け部材(26;91)が妨げられずにねじ込 まれかつ逆にねじ回されることができ、かつ締付け部材(26;91)を逆にね じ回す際に部材(3)が引き戻され、かつこれによってコレット(7;73;7 6;77)が再び自由にされるように、有利には転削部(94)を介して引っ張 りに強くかつ圧縮に強く締付け部材(26;91)と結合されていることを特徴 とする請求項51に記載の装置。 53. 前記コレット(7;73;76;77)が、上方端部において内ねじ 山(11)を備えており、長手支持体(1)を別個にロックするために、前記内 ねじ山の中に調節ねじ(12)がねじ込まれることができることを特徴とする請 求項43から50までのいずれか1つに記載の装置。 54. 前記通路開口部(6)が、上方部材(53)が長手支持体(1)の上 には配置しないように、変形されていることを特徴とする請求項48から51ま でのいずれか1つに記載の装置。 55. ピン(55)は、通路(54)によって弱体化されたコレット(72 )の衰弱を、調節ねじ(26)を締める際に阻止しており、かつこのピン(55 )が、有利には外ねじ山を備えていてかつコレット(72)内に捩じ込まれるこ とを特徴とする請求項36に記載の装置。 56. 前記部材(3)における孔(25)が、下方から上方へ連続して構成 されていることを特徴とする請求項1から55までのいずれか1つに記載の装置 。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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PCT/CH1997/000019 WO1998032386A1 (de) | 1997-01-22 | 1997-01-22 | Vorrichtung zur verbindung eines längsträgers mit einer pedikelschraube |
Publications (2)
Publication Number | Publication Date |
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JP2001508343A true JP2001508343A (ja) | 2001-06-26 |
JP3766108B2 JP3766108B2 (ja) | 2006-04-12 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP53144898A Expired - Fee Related JP3766108B2 (ja) | 1997-01-22 | 1997-01-22 | 長手支持体を小柄状ねじと結合するための装置 |
Country Status (7)
Country | Link |
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US (3) | US6371957B1 (ja) |
EP (1) | EP0954247B1 (ja) |
JP (1) | JP3766108B2 (ja) |
AT (1) | ATE310455T1 (ja) |
AU (1) | AU725487B2 (ja) |
DE (1) | DE59712497D1 (ja) |
WO (1) | WO1998032386A1 (ja) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2008515487A (ja) * | 2004-10-05 | 2008-05-15 | ウォーソー・オーソペディック・インコーポレーテッド | 脊椎インプラントのための多軸留め具組立体および方法 |
JP2008515488A (ja) * | 2004-10-05 | 2008-05-15 | ウォーソー・オーソペディック・インコーポレーテッド | 広範な多軸留め具組立体を備えた脊椎インプラント |
Families Citing this family (377)
Publication number | Priority date | Publication date | Assignee | Title |
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1997
- 1997-01-22 WO PCT/CH1997/000019 patent/WO1998032386A1/de active IP Right Grant
- 1997-01-22 US US09/341,963 patent/US6371957B1/en not_active Expired - Lifetime
- 1997-01-22 DE DE59712497T patent/DE59712497D1/de not_active Expired - Lifetime
- 1997-01-22 EP EP97900190A patent/EP0954247B1/de not_active Expired - Lifetime
- 1997-01-22 AT AT97900190T patent/ATE310455T1/de active
- 1997-01-22 JP JP53144898A patent/JP3766108B2/ja not_active Expired - Fee Related
- 1997-01-22 AU AU13643/97A patent/AU725487B2/en not_active Ceased
-
2002
- 2002-04-16 US US10/122,405 patent/US7022122B2/en not_active Expired - Lifetime
-
2006
- 2006-02-02 US US11/347,548 patent/US20060149244A1/en not_active Abandoned
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2008515487A (ja) * | 2004-10-05 | 2008-05-15 | ウォーソー・オーソペディック・インコーポレーテッド | 脊椎インプラントのための多軸留め具組立体および方法 |
JP2008515488A (ja) * | 2004-10-05 | 2008-05-15 | ウォーソー・オーソペディック・インコーポレーテッド | 広範な多軸留め具組立体を備えた脊椎インプラント |
Also Published As
Publication number | Publication date |
---|---|
JP3766108B2 (ja) | 2006-04-12 |
WO1998032386A1 (de) | 1998-07-30 |
US7022122B2 (en) | 2006-04-04 |
DE59712497D1 (de) | 2005-12-29 |
US6371957B1 (en) | 2002-04-16 |
US20060149244A1 (en) | 2006-07-06 |
EP0954247B1 (de) | 2005-11-23 |
AU1364397A (en) | 1998-08-18 |
EP0954247A1 (de) | 1999-11-10 |
AU725487B2 (en) | 2000-10-12 |
US20030023240A1 (en) | 2003-01-30 |
ATE310455T1 (de) | 2005-12-15 |
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