JP2005253967A - ステム状整形外科インプラント用の被誘導挿入器 - Google Patents
ステム状整形外科インプラント用の被誘導挿入器 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4607—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of hip femoral endoprostheses
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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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
-
- 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
- A61F2002/30332—Conically- or frustoconically-shaped protrusion and recess
-
- 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
- A61F2002/30795—Blind bores, e.g. of circular cross-section
-
- 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
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
- A61F2002/3625—Necks
-
- 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
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
- A61F2002/4627—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
-
- 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
- A61F2002/4632—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor using computer-controlled surgery, e.g. robotic surgery
-
- 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
- A61F2002/4662—Measuring instruments used for implanting artificial joints for measuring penetration depth
-
- 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
- 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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- Health & Medical Sciences (AREA)
- Transplantation (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Physical Education & Sports Medicine (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
【解決手段】 挿入器150は、ステム状整形外科インプラント100と固定した相対的配置で係合可能なステム係合部材200と、手術ナビゲーションシステムによって追跡可能な基準部材550とを備える。基準部材550は、手術ナビゲーションシステムが基準部材550の位置及び姿勢を検出し基準部材550とステム状整形外科インプラント100との間の既知の関係からステム状整形外科インプラント550の位置及び姿勢を求めることによって骨に対するステム状整形外科インプラント550の相対的な位置及び姿勢を決定できるように、ステム状整形外科インプラント550に対して既知の固定した関係で支持されるようになっている。
【選択図】 図2
Description
104 ネック部
150 挿入器
200 ステム係合部材
202 リング形状ヘッド
300 ステムロック部材
550 基準部材
Claims (18)
- 関節置換手術の際にステム状整形外科インプラント及び手術ナビゲーションシステムと共に骨に対して使用するためのステム状インプラント用の被誘導挿入器であって、
前記ステム状整形外科インプラントと固定した相対的配置で係合可能なステム係合部材と、
前記手術ナビゲーションシステムによって追跡可能な基準部材と、
を備え、前記基準部材は、前記手術ナビゲーションシステムが前記基準部材の位置及び姿勢を検出し前記基準部材と前記ステム状整形外科インプラントとの間の既知の関係から前記ステム状整形外科インプラントの位置及び姿勢を求めることによって前記骨に対する前記ステム状整形外科インプラントの相対的な位置及び姿勢を決定できるように、前記ステム状整形外科インプラントに対して既知の固定した関係で支持されるようになっているステム状インプラント用の被誘導挿入器。 - 前記基準部材は、電磁気的検出技術と音響的検出技術と画像的検出技術とから成るグループから選択される検出技術を用いて検出可能である、請求項1に記載のステム状インプラント用の被誘導挿入器。
- 前記基準部材は、前記手術ナビゲーションシステムによって検出可能な信号を能動的に生成する、請求項2に記載のステム状インプラント用の被誘導挿入器。
- 前記基準部材は、前記手術ナビゲーションシステムによって受動的に検出される、請求項2に記載のステム状インプラント用の被誘導挿入器。
- 前記手術ナビゲーションシステムは、深さと回転と前後方向の傾斜と内外方向の傾斜とから成るリストから選択される前記骨に対する前記ステム状整形外科インプラントの一つ又は二つ以上の相対位置パラメータを求めて表示することができる、請求項1に記載のステム状インプラント用の被誘導挿入器。
- 前記ステム係合部材は、前記ステム状整形外科インプラントのネック部を受容するために穴軸線を有する穴を有したリング形状ヘッドを含む、請求項1に記載のステム状インプラント用の被誘導挿入器。
- 前記ヘッドは、前記ステム状整形外科インプラントを前記ヘッドから分離するために前記穴内に配置されるスリーブを含む、請求項6に記載のステム状インプラント用の被誘導挿入器。
- 前記スリーブは重合体からなる、請求項7に記載のステム状インプラント用の被誘導挿入器。
- 前記穴内に前記スリーブを保持するために前記スリーブに被せて配置される保持プレートをさらに備える、請求項7に記載のステム状インプラント用の被誘導挿入器。
- 前記挿入器は、前記ヘッドの前記穴の穴軸線を横切るステムロック軸線に沿って並進移動するように前記挿入器に取り付けられたステムロック部材をさらに備え、該ステムロック部材が、前記ステム状整形外科インプラントの前記ネック部を前記ヘッドとの係合から解除させることができる第1の位置と前記ネック部が前記ヘッドとの係合から解除されるのを防止する第2の位置との間で移動可能である、請求項6に記載のステム状インプラント用の被誘導挿入器。
- 前記挿入器は、前記ステムロック軸線周りに回転し且つ前記ステムロック軸線に沿って並進移動するように前記挿入器に取り付けられたアクチュエータをさらに備え、該アクチュエータが該アクチュエータに対する回転入力を直線運動に変換して、前記ステムロック部材を前記第1の位置から前記第2の位置に動かすことができる、請求項10に記載のステム状インプラント用の被誘導挿入器。
- 前記ステムロック部材と前記アクチュエータが相互に同軸に整列する別個の細長い部材であり、前記挿入器が、前記ステムロック部材を前記アクチュエータに向けて付勢するために前記ステムロック部材に隣接して取り付けられるばねをさらに備える、請求項11に記載のステム状インプラント用の被誘導挿入器。
- 前記アクチュエータはロックリング当接部を含み、前記ステム状インプラント用の被誘導挿入器は該挿入器に螺着されるロックリングをさらに備え、該ロックリングは、該ロックリングが前記ロックリング当接部から離間した第1の位置と前記ロックリングが前記ロックリング当接部に当接する第2の位置との間で移動可能である、請求項11に記載のステム状インプラント用の被誘導挿入器。
- 前記ロックリング当接部は半径方向に延びるフランジを備える、請求項13に記載のステム状インプラント用の被誘導挿入器。
- 前記挿入器は、ステムロック軸線を横切って取り付けられる補助ハンドルをさらに備える、請求項11に記載のステム状インプラント用の被誘導挿入器。
- 前記挿入器は、アクチュエータ軸線を横切る複数の位置に前記ハンドルを取り付けられるように、複数のハンドル取付部をさらに備える、請求項15に記載のステム状インプラント用の被誘導挿入器。
- 前記挿入器は、前記基準部材を複数の位置に取り付けられるように複数の基準部材取付部を含む、請求項1に記載のステム状インプラント用の被誘導挿入器。
- 突出したネック部を含んだ股関節ステムインプラントを挿入するために股関節置換手術の際に手術ナビゲーションシステムと共に大腿骨に対して使用するための大腿骨ステム用の被誘導挿入器であって、
穴軸線を有する穴を有したリング形状ヘッドを含み、該穴が前記股関節ステムインプラントの前記ネック部と係合可能になっているステム係合部材と、
前記穴軸線を横切る軸線に沿って並進移動するように前記挿入器に取り付けられており、前記ネック部を前記穴との係合から解除させることができる第1の位置と前記ネック部が前記穴との係合から解除されるのを防止する第2の位置との間で移動可能になっているステムロック部材と、
前記手術ナビゲーションシステムによって追跡可能な基準部材と、
を備え、該基準部材は、前記手術ナビゲーションシステムが前記基準部材の位置及び姿勢を検出して前記基準部材と前記股関節ステムインプラントとの間の既知の関係から前記股関節ステムインプラントの位置及び姿勢を求めることによって、前記大腿骨に対する前記股関節ステムインプラントの相対的な位置及び姿勢を決定できるように、前記ステムロック部材が前記第2の位置にあるときに前記股関節ステムインプラントに対して既知の固定した関係で支持されるようになっていることを特徴とする大腿骨ステム用の被誘導挿入器。
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US10/795,837 US20050203539A1 (en) | 2004-03-08 | 2004-03-08 | Navigated stemmed orthopaedic implant inserter |
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JP2005253967A5 JP2005253967A5 (ja) | 2008-03-06 |
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US (1) | US20050203539A1 (ja) |
EP (1) | EP1574186B1 (ja) |
JP (1) | JP2005253967A (ja) |
AT (1) | ATE397428T1 (ja) |
AU (1) | AU2005200970A1 (ja) |
CA (1) | CA2491792C (ja) |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR100745841B1 (ko) | 2006-06-14 | 2007-08-02 | 주식회사 사이버메드 | 수술용 항법 장치를 위한 유니버설 트랙커 어댑터 |
JP2009537230A (ja) * | 2006-05-19 | 2009-10-29 | マコ サージカル コーポレーション | 外科装置の較正を検証するためのシステムおよび方法 |
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Also Published As
Publication number | Publication date |
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EP1574186B1 (en) | 2008-06-04 |
CA2491792A1 (en) | 2005-09-08 |
EP1574186A1 (en) | 2005-09-14 |
DE602005007282D1 (de) | 2008-07-17 |
ATE397428T1 (de) | 2008-06-15 |
CA2491792C (en) | 2011-03-15 |
US20050203539A1 (en) | 2005-09-15 |
AU2005200970A1 (en) | 2005-09-22 |
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