JP2004298638A - 関節面置換プロテーゼ - Google Patents
関節面置換プロテーゼ Download PDFInfo
- Publication number
- JP2004298638A JP2004298638A JP2004099913A JP2004099913A JP2004298638A JP 2004298638 A JP2004298638 A JP 2004298638A JP 2004099913 A JP2004099913 A JP 2004099913A JP 2004099913 A JP2004099913 A JP 2004099913A JP 2004298638 A JP2004298638 A JP 2004298638A
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- JP
- Japan
- Prior art keywords
- prosthesis
- spacer
- support surface
- stem
- bone
- 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.)
- Pending
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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
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- A61F2/3603—Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices implanted without ablation of the whole natural femoral head
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- 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
- A61F2002/4658—Measuring instruments used for implanting artificial joints for measuring dimensions, e.g. length
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- 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
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- 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
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- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
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- A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
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- A—HUMAN NECESSITIES
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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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
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- A—HUMAN NECESSITIES
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- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
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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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00029—Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00179—Ceramics or ceramic-like structures
Abstract
【解決手段】 関節置換術に用いるためのプロテーゼ(10)を提供する。プロテーゼ(10)を長骨(4)に適合している。プロテーゼ(10)は、関節面(22)及びその関節面(22)とは反対側の支持面(34)を有する本体(20)を含む。支持面(34)は、長骨(4)の準備した表面(18)と密着するように適合されている。
【選択図】 図1
Description
本願は、本願と同時出願の代理人整理番号DEP755(名称:「関節形成術サイジング・ゲージ(ARTHROPLASTY SIZING gauge)」)、DEP789(名称:「モジュラー関節面置換プロテーゼ(MODULAR ARTICULATING SURFACE REPLACEMENT PROSTHESIS)」)、DEP5041(名称:「関節形成術器具及びこれに関連した方法(ARTHROPLASTY INSTRUMENT AND ASSOCIATED METHOD)」)、DEP5042(名称:「拡大関節整形外科インプラント及びこれに関連した方法(EXTENDED ARTICULATION ORTHOPAEDIC IMPLANT AND ASSOCIATED METHOD)」)、及びDEP5052(名称:人工インプラント、トライアル、及びこれらに関連した方法「PROSTHETIC IMPLANT, TRIAL AND ASSOCIATED METHOD」)に関連し、言及することを以ってこれらの内容を本明細書の一部とする。
(1)前記本体がスペーサーを含み、そのスペーサーが前記支持面を有することを特徴とする請求項1に記載のプロテーゼ。
(2)前記支持面の少なくとも一部が概ね平面であることを特徴とする請求項1に記載のプロテーゼ。
(3)更に、前記関節面と反対側の方向に前記本体から延びたステムを含むことを特徴とする請求項1に記載のプロテーゼ。
(4)前記ステムが前記本体と一体であることを特徴とする実施態様(3)に記載のプロテーゼ。
(5)前記本体及び前記スペーサーの少なくとも一方が、前記スペーサーを前記本体に結合するためのコネクタを含むことを特徴とする実施態様(1)に記載のプロテーゼ。
(7)前記本体の一部が、骨の成長を促進するコーティングを有することを特徴とする請求項1に記載のプロテーゼ。
(8)前記本体が、半球状カップ、及びその半球状カップの内周面に一致する部分を有するプラグを含み、前記プロテーゼが更に、前記プラグに結合されたステムを含むことを特徴とする請求項1に記載のプロテーゼ。
(9)前記長骨が大腿骨及び上腕骨の一方であり、前記プロテーゼが、股関節プロテーゼ及び肩関節プロテーゼの一方を含むことを特徴とする請求項1に記載のプロテーゼ。
(10)更に、第2のプロテーゼ部材関節面、及びその第2のプロテーゼ部材関節面と反対側の第2のプロテーゼ部材支持面を有する第2のプロテーゼ部材を含むことを特徴とする請求項2に記載のキット。
(12)更に、第2のプロテーゼ部材、第1のゲージ、第2のゲージを含み、前記第2のプロテーゼ部材が前記骨と接触する第2の支持面を含み、前記第1のプロテーゼ部材の寸法とは異なる少なくとも1つの寸法を有しており、前記第1のゲージが、前記骨と接触させる第1のゲージ接触部分を有する第1のゲージ本体を含み、前記第1のゲージ接触部分が、前記第1のプロテーゼ部材の前記支持面に一致する形状であり、前記第2のゲージが、前記骨と接触する第2のゲージ接触部分を有する第2のゲージ本体を含み、前記第2のゲージ接触部分が、前記第2のプロテーゼ部材の前記支持面に一致する形状であることを特徴とする請求項2に記載のキット。
(13)前記プロテーゼ部材が、半球状のカップ、及びそのカップの内周面に一致する部分を有するプラグを含むことを特徴とする請求項2に記載のキット。
(14)更に、第2の半球状カップ及び第2のプラグの少なくとも1つを含むことを特徴とする実施態様(13)に記載のキット。
(15)更に、前記関節面とは反対側の方向に前記プロテーゼ部材から延びたステムを含むことを特徴とする請求項2に記載のキット。
(17)前記プロテーゼ部材、前記第1のスペーサー、及び前記第2のスペーサーの少なくとも1つが、前記第1のスペーサー、及び前記第2のスペーサーの1つを前記プロテーゼ部材に結合するためのコネクタを含むことを特徴とする請求項2に記載のキット。
(18)前記コネクタが、ねじ結合、プレス嵌め結合、テーパ結合、及びねじファスナーの少なくとも1つを含むことを特徴とする実施態様(17)に記載のキット。
(19)前記骨が大腿骨及び上腕骨の一方であり、前記プロテーゼが、股関節プロテーゼ及び肩関節プロテーゼの一方を含むことを特徴とする請求項2に記載のキット。
(20)更に、長骨の外形を測定するためのゲージを用意するステップと、前記測定するステップが、前記ゲージを用いて長骨の外形を測定することを含むことを特徴とする請求項3に記載の方法。
(21)更に、前記第1のプロテーゼ部材の寸法とは異なった少なくとも1つの寸法を有する第2のプロテーゼ部材を用意するステップと、前記外形の測定に基づいて、前記複数のプロテーゼ部材から1つのプロテーゼ部材を選択するステップとを含むことを特徴とする請求項3に記載の方法。
12 上腕骨
14 骨欠損
16 切除面
18 準備した表面
20 本体
22 関節面
24 関節窩
26 支持面
30 第1の方向
32 第2の方向
34 弧状支持面
36 平面部分
40 ステム
42 海綿骨
Claims (3)
- 関節形成術に用いる長骨に適合したプロテーゼであって、
関節面及びその関節面の反対側の支持面を有する本体を含み、
前記支持面が、前記長骨の用意した表面と密着するように適合されていることを特徴とするプロテーゼ。 - 骨に対して関節形成術を実施する際に用いるキットであって、
関節面、及びその関節面と反対側の支持面を有するプロテーゼ部材と、
前記骨と前記プロテーゼ部材の前記支持面との間に配置可能な第1のスペーサーと、
前記骨と前記プロテーゼ部材の前記支持面との間に配置可能な第2のスペーサーとを含み、
前記プロテーゼ部材を、前記第1のスペーサー及び前記第2のスペーサーの少なくとも1つと組み合わせて、前記関節形成術を実施するのに適した大きさのプロテーゼを形成できることを特徴とするキット。 - 関節形成術を行うための方法であって、
プロテーゼ部材を用意するステップと、
複数のスペーサーを用意するステップと、
長骨の外形を測定するステップと、
前記外形の測定に基づいて前記複数のスペーサーから1つのスペーサーを選択するステップと、
前記プロテーゼ部材と前記選択した1つのスペーサーを前記長骨に移植するステップとを含むことを特徴とする方法。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/403,750 US20040193278A1 (en) | 2003-03-31 | 2003-03-31 | Articulating surface replacement prosthesis |
Publications (1)
Publication Number | Publication Date |
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JP2004298638A true JP2004298638A (ja) | 2004-10-28 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2004099913A Pending JP2004298638A (ja) | 2003-03-31 | 2004-03-30 | 関節面置換プロテーゼ |
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US (2) | US20040193278A1 (ja) |
EP (1) | EP1470802A1 (ja) |
JP (1) | JP2004298638A (ja) |
AU (1) | AU2004201199A1 (ja) |
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Also Published As
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AU2004201199A1 (en) | 2004-10-21 |
US20090254188A1 (en) | 2009-10-08 |
EP1470802A1 (en) | 2004-10-27 |
US20040193278A1 (en) | 2004-09-30 |
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