JP2004202232A - モジュール式股関節ステム装置を試行するための器具および関連の方法 - Google Patents
モジュール式股関節ステム装置を試行するための器具および関連の方法 Download PDFInfo
- Publication number
- JP2004202232A JP2004202232A JP2003422863A JP2003422863A JP2004202232A JP 2004202232 A JP2004202232 A JP 2004202232A JP 2003422863 A JP2003422863 A JP 2003422863A JP 2003422863 A JP2003422863 A JP 2003422863A JP 2004202232 A JP2004202232 A JP 2004202232A
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- trial
- stem
- stem portion
- implant
- neck
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- Granted
Links
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- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3662—Femoral shafts
- A61F2/3672—Intermediate parts of shafts
- A61F2002/3674—Connections of proximal parts to distal parts
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3662—Femoral shafts
- A61F2002/3678—Geometrical features
- A61F2002/3686—Geometrical features bent
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4657—Measuring instruments used for implanting artificial joints
- A61F2002/4668—Measuring instruments used for implanting artificial joints for measuring angles
-
- 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
-
- 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
-
- 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
- A61F2220/0041—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels or rivets, e.g. connecting screws
Abstract
【解決手段】 この試行品(100)は一定の長い骨(107)の管(105)内における一定のキャビティ(103)に嵌合して関節形成術を行なう場合における一定の試行の整復を行なうことを補助する。この試行品(100)は一定のステム部分(102)および当該ステム部分(102)に対して複数の選択可能な位置において当該ステム部分(102)に固定して接続している一定のネック部分を備えている。
【選択図】 図1
Description
以下の特許出願に対してクロス−リファレンスが行なわれている。本明細書に参考文献として含まれる本特許出願と同時に出願されている「アジャスタブル・バイオメカニカル・テンプレーテイング・アンド・リセクション・インストルメント・アンド・アソシエイテド・メソッド(Adjustable Biomechanical Templating & Resection Instrument And Associated Method)」を発明の名称とするDEP644、「アラインメント・デバイス・フォー・モジュラー・インプランツ・アンド・メソッド(ALIGNMENT DEVICE FOR MODULAR IMPLANTS AND METHOD)」を発明の名称とするDEP666、および「モジュラー・ヒップ・ステムズ・アンド・アソシエイテド・メソッド・オブ・トライアリング(MODULAR HIP STEMS AND ASSOCIATED METHOD OF TRIALING)」を発明の名称とするDEP5004。
本発明は一般に整形外科の分野に関連しており、特に、関節形成において使用するための一定の移植片に関連している。
(1)前記ステム部分が一定の遠位側ステム部および一定の近位側本体部分を有している請求項1に記載の試行品。
(2)前記遠位側ステム部および近位側本体部分が別々の部品であり、前記ステム部分がこれらの別々の部品の一定の組立体を含む実施態様(1)に記載の試行品。
(3)前記近位側本体部分が一定のキー付きの部材、スプライン部材、リングおよびスリーブを含む一定の組立体を含む実施態様(1)に記載の試行品。
(4)前記ステム部組立体が一定の屈曲状の部分を含む請求項1に記載の試行品。
(5)前記ステム部分がその一定の長手軸を定めており、前記ネック部分がその中における一定の開口部を定めており、この開口部がその一定の長手軸を定めており、この開口部の長手軸が前記ステム部分の長手軸に一致しており、前記ネック部分が前記ステム部分の長手軸の回りに当該ステム部分に対して回転可能に接続している請求項1に記載の試行品。
(7)さらに、前記ステム部分の外周部分に配置されている一定のスリーブを備えている請求項1に記載の試行品。
(8)さらに、前記ステム部分および前記ネック部分の少なくとも1個に付随している一定の位置決め用の特徴部分を備えている請求項1に記載の試行品。
(9)前記位置決め用の特徴部分が前記ステム部分に付随しており、前記ネック部分が第2の位置決め用の特徴部分を有しており、前記両方の位置決め用の特徴部分が前記試行品の近位側端部から接近可能である実施態様(8)に記載の試行品。
(10)前記ネック部分が複数の分離している位置を示す一定の指示機構により前記ステム部分に固定して接続している請求項1に記載の試行品。
(12)さらに、前記試行用のステム部分を前記ネック部分に固定して接続するための一定のコネクタを含む請求項2に記載のキット。
(13)さらに、前記ステム部分の外周部分に配置されている一定のスリーブを含む請求項2に記載のキット。
(14)さらに、一定の工具を含み、当該工具および前記キットにおける複数の部品が係合用のキーおよびキー溝を有している請求項2に記載のキット。
(15)さらに、前記ステム部分を前記ネック部分に固定して接続するための一定のコネクタを備えている請求項3に記載の試行品。
(17)前記ネック部分が当該ネック部分を前記ステム部分に対して選択的に位置決めするための一定の配向位置決め用の特徴部分を有している請求項3に記載の試行品。
(18)前記ネック部分および前記ステム部分の内の少なくとも1個が当該ステム部分に対する前記ネック部分の選択された位置に対応している指示手段をその上部に有している請求項3に記載の試行品。
(19)前記ステム部分が一定の細長い弓形で棒状形状の外周部分を有しており、当該弓形で棒状形状の外周部分が前記大腿骨の骨髄管に一致している請求項3に記載の試行品。
(20)前記ステム部分が一定の遠位側ステム部および一定の近位側本体部分を有している請求項3に記載の試行品。
(22)前記近位側本体部分が一定のキー付きの部材、スプライン部材、リングおよびスリーブを含む一定の組立体を含む実施態様(20)に記載の試行品。
(23)前記近位側本体部分が一定のテーパー状の外周部分を有する一定の部分を含み、前記遠位側部品が一定のテーパー状の内周部分を有する一定の部分を含む請求項4に記載のキット。
(24)さらに、前記ステム部分を前記ネック部分に固定して接続するための一定のコネクタを含む請求項4に記載のキット。
(25)さらに、前記ステム部分の外周部分に配置されている一定のスリーブを含む請求項4に記載のキット。
(27)前記試行品を供給する工程が一定の細長い弓形で棒状形状の外周部分を有する一定のステム部分を有する一定の試行品を供給する工程を含み、この弓形で棒状形状の外周部分が前記大腿骨の骨髄管に一定しており、前記複数の選択可能な位置の内の1個を選択する工程が一定のプロテーゼにおける所望の前傾状態に基いて前記複数の選択可能な位置の内の1個を選択する工程を含む請求項5に記載の方法。
102 ステム部分
103 キャビティ
104 ステム部分の長手軸
105 管
106 ネック部分
107 長い骨
108 近位側ステム部分
109 開口部
110 遠位側ステム部分
111 ネック部分の長手軸
114 近位側本体部分
116 ピン
120 指示機構
122 第1のギア
124 第2のギア
126 コネクタ・ナット
130 外側スリーブ
136 歯部
142 ネック部中心線
144 ステム部中心線
146 本体部分位置決め用特徴部分
148 ステム部位置決め用特徴部分
150 ばね
152 リブ
153 ショルダー部分
156 キー型部品
158 ナット
162 おねじ部
164 内側スリーブ
172 スプライン部材
174 リング
176 おねじ部
190 ピン
192 スロット
Claims (7)
- 関節形成術を行なう場合に使用するための試行品において、当該試行品が一定の長い骨の管内における一定のキャビティに嵌合するために適合しており、さらに、
一定のステム部分、および
前記ステム部分に対して複数の選択可能な位置において当該ステム部分に固定して接続している一定のネック部分を備えている試行品。 - 関節形成術を行なう場合に使用するためのキットにおいて、当該キットが
関節形成術を行なう場合に使用するための一定の試行品を含み、当該試行品が一定の長い骨の管内における一定のキャビティに嵌合して関節形成術を行なう場合に一定の試行の整復を行なうことを補助するために適合しており、前記試行品が一定のステム部分および当該ステム部分に対して複数の選択可能な位置において当該ステム部分に選択可能に且つ操作可能に接続している一定のネック部分を有しており、さらに
関節形成術を行なう場合に使用するための一定の移植片を含み、当該移植片が一定の長い骨の管内における一定のキャビティに嵌合して関節形成術を行なうことを補助するために適合しており、前記移植片が一定のステム部分および当該ステム部分に対して複数の選択可能な位置において当該ステム部分に選択可能に且つ操作可能に接続している一定の近位側本体部分を有しているキット。 - 股関節全置換術を行なう場合に使用するための試行品において、当該試行品が一定の大腿骨の大腿管内における一定のキャビティに嵌合することに適合しており、さらに
一定のステム部分を有しており、当該ステム部分がその一定の長手軸を定めており、さらに
前記ステム部分に対して選択可能に且つ回転可能に接続していて当該ステム部分の長手軸の回りにおいて当該ステム部分に対して複数の選択可能な位置において固定して接続可能な一定のネック部分を有している試行品。 - 股関節形成術を行なう場合に使用するためのキットにおいて、
関節形成術を行なう場合に使用するための一定の試行品を含み、当該試行品が一定の長い骨の管内における一定のキャビティに嵌合して関節形成術を行なう場合に一定の試行の整復を行なうことを補助するために適合しており、前記試行品が一定のステム部分および当該ステム部分に対して複数の選択可能な位置において当該ステム部分に選択可能に且つ操作可能に接続している一定のネック部分を有しており、さらに
複数の近位側本体部分および遠位側部品を含む一定の移植片組立体を含み、一定の移植可能な移植片がこれらの近位側本体部分の内の1個および遠位側部品の内の1個から選択され、前記移植可能な移植片が一定の長い骨のキャビティの中に位置決めされることに適合しており、前記近位側本体部分の内の1個および遠位側部品の内の1個が組み立てられて当該遠位側部品を前記キャビティから除去することなく一定の股関節大腿骨部品組立体が形成可能であり、前記移植可能な移植片が前記移植片組立体により組み立て可能であるキット。 - 関節形成術を行なうための方法において、
一定の長い骨を切除する工程、
前記長い骨の骨髄管の中に一定のキャビティを調製する工程、
一定のステム部分および当該ステム部分に対して複数の選択可能な位置において当該ステム部分に調節可能に固定して接続している一定のネック部分を有する一定の試行品を供給する工程を含み、当該ステム部分が一定の患者における一定の骨の境界標識と共に協働する一定の特徴部分を有しており、さらに
前記複数の選択可能な位置の内の1個を選択する工程、
前記試行品を用いて一定の試行の整復を行なう工程、
前記ステム部分に対する前記ネック部分の最適な位置を決定する工程、
前記ステム部分に対する前記ネック部分の最適な位置を伴う一定の移植片を選択する工程、および
前記キャビティの中に一定の選択された移植片を移植する工程を含む方法。 - 関節形成術を行なうための方法において、
一定の長い骨を切除する工程、
前記長い骨の骨髄管の中に一定のキャビティを調製する工程、
少なくとも2個の部分を有する一定の試行品を供給する工程を含み、これらの部分が互いに対して回転可能であり、さらに
少なくとも2個の部分を有する一定の移植片を供給する工程を含み、これらの部分が互いに対して回転可能であり、さらに
一定の工具を供給する工程を含み、前記試行品の各部分および前記移植片の各部分が当該試行品および移植片の各部分の相対的な回転位置を決定するための係合用のキーおよびキー溝をそれぞれ有している方法。 - 関節形成術を行なう方法において、この場合に、前記関節が一定の屈曲部分および一定のネック部および一定の屈曲部分を有する一定の骨髄内管を有する一定の長い骨を含み、
前記長い骨の屈曲部分および骨髄内管を通る一定の平面の位置を決定する工程、
前記屈曲部分の平面の位置および前記ネック部の位置から解剖学的な前傾角度を決定する工程、
一定のステム部分および当該ステム部分に対して複数の選択可能な位置において当該ステム部分に調節可能に固定して接続している一定のネック部分を有する一定の試行品を供給する工程を含み、前記ステム部分が前記骨髄内管の屈曲部分の中に嵌合するための一定の屈曲部分を有しており、さらに
前記ネック部分を前記解剖学的な前傾角度に基いている一定の試行用の前傾角度において前記ステム部分に位置決めする工程、
一定のステム部分および当該ステム部分に対して複数の選択可能な位置において当該ステム部分に調節可能に固定して接続している一定の近位側部分を有する一定の移植片を供給する工程を含み、このステム部分が前記骨髄内管の屈曲部分の中に嵌合するための一定の屈曲部分を有しており、さらに
前記近位側部分を前記試行用の前傾角度に基いている一定のプロテーゼ用の前傾角度において前記移植片のステム部分に位置決めする工程を含む方法。
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US10/327,527 US7854737B2 (en) | 2002-12-20 | 2002-12-20 | Instrument and associated method of trailing for modular hip stems |
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US (2) | US7854737B2 (ja) |
EP (2) | EP2241292B1 (ja) |
JP (1) | JP4334993B2 (ja) |
AT (1) | ATE478633T1 (ja) |
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Cited By (8)
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US6981991B2 (en) * | 2002-06-27 | 2006-01-03 | Ferree Bret A | Arthroplasty devices configured to reduce shear stress |
JP2007061618A (ja) * | 2005-08-30 | 2007-03-15 | Depuy Products Inc | 整形外科インプラント、ステム、および関連方法 |
JP2011512926A (ja) * | 2008-02-29 | 2011-04-28 | デピュー インターナショナル リミテッド | 関節置換処置に使用される器具 |
KR101234754B1 (ko) | 2005-10-31 | 2013-02-19 | 쿄세라 메디칼 가부시키가이샤 | 인공고관절용 대퇴골 스템 및 그것을 포함하는 인공고관절 |
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DE20014377U1 (de) | 2000-08-19 | 2002-01-10 | Stratec Medical Ag Oberdorf | Vorrichtung zur Optimierung einer Knie-Endoprothese |
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2002
- 2002-12-20 US US10/327,527 patent/US7854737B2/en not_active Expired - Lifetime
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2003
- 2003-12-12 AT AT03257813T patent/ATE478633T1/de not_active IP Right Cessation
- 2003-12-12 DE DE60333894T patent/DE60333894D1/de not_active Expired - Lifetime
- 2003-12-12 EP EP10170057.3A patent/EP2241292B1/en not_active Expired - Lifetime
- 2003-12-12 EP EP03257813A patent/EP1435223B1/en not_active Expired - Lifetime
- 2003-12-15 AU AU2003268843A patent/AU2003268843B2/en not_active Ceased
- 2003-12-19 JP JP2003422863A patent/JP4334993B2/ja not_active Expired - Fee Related
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Cited By (9)
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US6981991B2 (en) * | 2002-06-27 | 2006-01-03 | Ferree Bret A | Arthroplasty devices configured to reduce shear stress |
JP2007061618A (ja) * | 2005-08-30 | 2007-03-15 | Depuy Products Inc | 整形外科インプラント、ステム、および関連方法 |
JP2007061620A (ja) * | 2005-08-30 | 2007-03-15 | Depuy Products Inc | 整形外科インプラントキット、整形外科キット、および関連方法 |
KR101234754B1 (ko) | 2005-10-31 | 2013-02-19 | 쿄세라 메디칼 가부시키가이샤 | 인공고관절용 대퇴골 스템 및 그것을 포함하는 인공고관절 |
JP2011512926A (ja) * | 2008-02-29 | 2011-04-28 | デピュー インターナショナル リミテッド | 関節置換処置に使用される器具 |
US9949839B2 (en) | 2013-03-13 | 2018-04-24 | Wright Medical Technology, Inc. | Revision implant augments, systems, and methods |
JP2015521951A (ja) * | 2014-03-25 | 2015-08-03 | ライト メディカル テクノロジー インコーポレイテッドWright Medical Technology, Inc. | 矯正インプラント補強物、システム、および方法 |
JP2019506956A (ja) * | 2016-02-29 | 2019-03-14 | スミス アンド ネフュー インコーポレイテッド | 整形外科用トライアル装置 |
US10136998B2 (en) | 2016-08-30 | 2018-11-27 | Wright Medical Technology, Inc. | Revision total ankle implants |
Also Published As
Publication number | Publication date |
---|---|
AU2003268843A1 (en) | 2004-07-08 |
US7854737B2 (en) | 2010-12-21 |
EP1435223B1 (en) | 2010-08-25 |
US8529578B2 (en) | 2013-09-10 |
DE60333894D1 (de) | 2010-10-07 |
US20110046745A1 (en) | 2011-02-24 |
EP2241292B1 (en) | 2015-09-16 |
EP1435223A1 (en) | 2004-07-07 |
ATE478633T1 (de) | 2010-09-15 |
AU2003268843B2 (en) | 2009-03-26 |
JP4334993B2 (ja) | 2009-09-30 |
US20040122440A1 (en) | 2004-06-24 |
EP2241292A1 (en) | 2010-10-20 |
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