JP2004181236A - ドリルガイド、骨たがね、並びに関節面インプラント - Google Patents
ドリルガイド、骨たがね、並びに関節面インプラント Download PDFInfo
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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
- 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
- A61F2/30721—Accessories
-
- 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
- A61B17/1604—Chisels; Rongeurs; Punches; Stamps
-
- 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
- A61B17/1675—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 knee
-
- 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
- A61B17/1764—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
- 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
- A61F2/30721—Accessories
- A61F2/30749—Fixation appliances for connecting prostheses to the body
-
- 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
- A61F2/38—Joints for elbows or knees
- A61F2/389—Tibial components
-
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
- A61F2002/30354—Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
-
- 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
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
-
- 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
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/3085—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
-
- 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
- A61F2/38—Joints for elbows or knees
- A61F2002/3895—Joints for elbows or knees unicompartimental
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
Abstract
【解決手段】 脛骨を通り、かつ上位脛骨面を通る軸線に沿ってドリルを位置させるためのドリルガイドによって解決される。軸線は脛骨の長軸に対して斜めになっており、しかも上位脛骨面は膝の半月板によって少なくとも部分的に拘束されている。このドリルガイドは、膝の半月板によって拘束された上位脛骨面と等しいか、あるいはそれよりも小さな、少なくとも一つの寸法サイズを有する標的リング部を具備している。
【選択図】 図1
Description
3 アーム部
4 標的リング
5A,5B 円筒形ブリット
6 歯
7 ラチェット
8 屈曲したブーム
8B 中空チャック
12 ラック
14 爪
15 ドリル
17A たがね
20 屈曲した支持面
21 中間マウント
22 固定部材
23 雄型テーパー凸部
24A,24B 噛み合い部
24A’ 中間マウントの穴
25A オフセンター凸部
26 貫通孔
26D テーパー孔
26P 六角形の穴
30 溝あるいはリング
35 スタンドオフポスト
38 ワイヤー部
100,110,110’ ドリルガイド
112 有孔部
114 軸線
116 中央部
118 カラーテーパー
130 インプラント
Claims (25)
- 脛骨を通り、かつ上位脛骨面を通る軸線に沿ってドリルを位置させるためのドリルガイドであって、前記軸線は前記脛骨の長軸に対して斜めになっており、前記上位脛骨面は膝の半月板によって少なくとも部分的に拘束されており、
前記膝の前記半月板によって拘束された前記上位脛骨面と等しいか、あるいはそれよりも小さな、少なくとも一つの寸法サイズを有する標的リング部を具備してなることを特徴とするドリルガイド。 - 前記標的リング部は開口を有する楕円形のリング部材を具備し、前記軸線も前記開口を通ることを特徴とする請求項1に記載のドリルガイド。
- 第1の端部および骨切削端部を有する長尺な管状構造体を具備し、楕円形の骨切削面が形成されるよう、前記骨切削端部は横向きの角度で終わりをなしていることを特徴とする骨たがね。
- 前記骨切削端部の少なくとも一部は、ベベルチップを具備してなることを特徴とする請求項3に記載の骨たがね。
- 第1の端部および第2の端部を有する円柱状部材を備えた屈曲した支持部材を具備し、前記第1の端部は、それが楕円面となるよう斜めに形成されており、前記第1の端部は、関節面の荷重支持面となることを特徴とする関節面インプラント。
- 前記楕円面は耐久性のあるポリウレタンからなることを特徴とする請求項5に記載のインプラント。
- 前記楕円面はヒドロゲルからなることを特徴とする請求項5に記載のインプラント。
- 前記屈曲した支持部材の前記第2の端部との連結に適合する中間マウント部材をさらに具備してなることを特徴とする請求項5に記載のインプラント。
- 前記中間マウント部材との連結に適合し、かつ骨に掛止するのに適合する固定部材をさらに具備し、前記中間マウント部材は、前記固定部材に関係なく前記中間マウントを回転させるための駆動具との係合に適合することを特徴とする請求項8に記載のインプラント。
- 屈曲した支持部材と、
骨に掛止するのに適合する固定部材と、
前記屈曲した支持部材を前記固定部材に連結するのに適合する中間マウント部材と
を具備してなることを特徴とする関節面インプラント。 - 前記屈曲した支持部材は第1の端部および第2の端部を具備し、前記第1の端部は、それが楕円面となるよう斜めに形成されてなることを特徴とする請求項10に記載の関節面インプラント。
- 前記第2の端部は、その表面から延びるポストを具備し、前記ポストは前記中間マウントとの係合に適合することを特徴とする請求項11に記載の関節面インプラント。
- 前記第2の端部は、それが楕円面となるよう斜めに形成されており、前記第2の端部はさらにその表面から延びるポストを具備し、前記ポストは前記中間マウントとの係合に適合することを特徴とする請求項11に記載の関節面インプラント。
- 前記屈曲した支持部材はさらに、その外周の少なくとも一部に沿って延びる起伏部を具備し、前記起伏部は骨に掛止するのに適合することを特徴とする請求項10に記載の関節面インプラント。
- 前記中間マウント部材は第1の端部および第2の端部を具備し、前記第1の端部は、この第1の端部に形成され、前記屈曲した支持部材との係合に適合するキー部を有することを特徴とする請求項10に記載の関節面インプラント。
- 前記第1の端部は、それが楕円面となるよう斜めに形成されており、前記第2の端部はその表面から延びるポストを具備し、前記ポストは前記固定部材との係合に適合することを特徴とする請求項15に記載の関節面インプラント。
- 前記ポストは、前記固定部材に関係なく前記中間マウントを回転させるための駆動具との係合に適合することを特徴とする請求項16に記載の関節面インプラント。
- 前記屈曲した支持部材および前記中間マウント部材は相互連結されるのに適合し、かつ前記中間マウントは、前記固定部材に関係なく前記中間マウントおよび前記屈曲した支持部材を回転させるための駆動具との係合に適合することを特徴とする請求項10に記載の関節面インプラント。
- 前記固定部材は、前記中間マウントとの係合に適合する第1の端部、および前記固定部材の外側の少なくとも一部に形成されたネジ山を具備し、前記ネジ山は骨に掛止するのに適合することを特徴とする請求項10に記載の関節面インプラント。
- 前記中間マウント部材は、ポーラスベースが形成されるように形作られたワイヤーからなるベースを具備し、前記屈曲した支持部材は前記ベースに設けられることを特徴とする請求項10に記載の関節面インプラント。
- 前記屈曲した支持部材はポリウレタンおよび/またはヒドロゲル材料から形成されることを特徴とする請求項20に記載の関節面インプラント。
- 前記標的リング部に対して斜めに連結された屈曲したブーム部と、
前記屈曲したブーム部に連結されたアーム部と、
前記アーム部に連結され、かつ中空路となる有孔部とをさらに具備し、
前記屈曲したブーム部は、少なくとも前記標的リングから前記膝の前記半月板のポイントあるいはそれを越えたポイントまで延びる長さを有し、
前記アーム部は前記屈曲したブーム部から外側および下側に延び、
前記有孔部は、前記中空路が前記脛骨を通る前記軸線となるよう前記アーム部に対して斜めに連結されてなることを特徴とする請求項1に記載のドリルガイド。 - 前記楕円面はUHMWPE材料からなることを特徴とする請求項5に記載のインプラント。
- 第1の端部および第2の端部を有する円柱状部材を備えた屈曲した支持部材を具備し、前記第1の端部は、それが楕円面となるよう斜めに形成され、前記第1の端部は関節面の荷重支持面となり、前記円柱状部材は、この円柱状部材に形成された、骨に掛止するための手段を有することを特徴とする関節面インプラント。
- 第1の端部および第2の端部を有する円柱状部材を備えた屈曲した支持部材と、
前記屈曲した支持部材との連結に適合し、かつ骨に掛止するのに適合した固定部材とを具備し、
前記第1の端部は、それが楕円面となるよう斜めに形成され、前記第1の端部は関節面の荷重支持面となることを特徴とする関節面インプラント。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/308,718 US7163541B2 (en) | 2002-12-03 | 2002-12-03 | Tibial resurfacing system |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2009298376A Division JP2010099496A (ja) | 2002-12-03 | 2009-12-28 | 関節面インプラント |
Publications (1)
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JP2004181236A true JP2004181236A (ja) | 2004-07-02 |
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Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP2003394702A Pending JP2004181236A (ja) | 2002-12-03 | 2003-11-25 | ドリルガイド、骨たがね、並びに関節面インプラント |
JP2009298376A Ceased JP2010099496A (ja) | 2002-12-03 | 2009-12-28 | 関節面インプラント |
Family Applications After (1)
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JP2009298376A Ceased JP2010099496A (ja) | 2002-12-03 | 2009-12-28 | 関節面インプラント |
Country Status (8)
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US (2) | US7163541B2 (ja) |
EP (1) | EP1426013B1 (ja) |
JP (2) | JP2004181236A (ja) |
AT (1) | ATE333241T1 (ja) |
AU (1) | AU2003262428B2 (ja) |
DE (1) | DE60306873T2 (ja) |
DK (1) | DK1426013T3 (ja) |
ES (1) | ES2268256T3 (ja) |
Cited By (19)
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JP2008510526A (ja) * | 2004-08-20 | 2008-04-10 | アースロサーフィス・インコーポレーテッド | 逆行処置用のシステムおよび方法 |
JP2016034589A (ja) * | 2010-08-18 | 2016-03-17 | スパイナル・エレメンツ・インコーポレーテッド | 椎間関節ドリルならびにその使用方法 |
US9675387B2 (en) | 2004-02-06 | 2017-06-13 | Spinal Elements, Inc. | Vertebral facet joint prosthesis and method of fixation |
KR101764518B1 (ko) | 2013-03-05 | 2017-08-02 | 발데마르 링크 게엠베하 운트 코.카게 | 의료 공구 시스템 |
US9743937B2 (en) | 2007-02-22 | 2017-08-29 | Spinal Elements, Inc. | Vertebral facet joint drill and method of use |
US9808294B2 (en) | 2011-02-24 | 2017-11-07 | Spinal Elements, Inc. | Methods and apparatus for stabilizing bone |
US9820784B2 (en) | 2013-03-14 | 2017-11-21 | Spinal Elements, Inc. | Apparatus for spinal fixation and methods of use |
US9839450B2 (en) | 2013-09-27 | 2017-12-12 | Spinal Elements, Inc. | Device and method for reinforcement of a facet |
USD810942S1 (en) | 2011-10-26 | 2018-02-20 | Spinal Elements, Inc. | Interbody bone implant |
USD812754S1 (en) | 2013-03-14 | 2018-03-13 | Spinal Elements, Inc. | Flexible elongate member with a portion configured to receive a bone anchor |
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Also Published As
Publication number | Publication date |
---|---|
EP1426013B1 (en) | 2006-07-19 |
AU2003262428B2 (en) | 2009-04-30 |
AU2003262428A1 (en) | 2004-06-24 |
ATE333241T1 (de) | 2006-08-15 |
ES2268256T3 (es) | 2007-03-16 |
DE60306873T2 (de) | 2007-01-18 |
JP2010099496A (ja) | 2010-05-06 |
EP1426013A1 (en) | 2004-06-09 |
DK1426013T3 (da) | 2006-10-30 |
US7163541B2 (en) | 2007-01-16 |
US20070118136A1 (en) | 2007-05-24 |
US20040106928A1 (en) | 2004-06-03 |
DE60306873D1 (de) | 2006-08-31 |
US8523872B2 (en) | 2013-09-03 |
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