JP2005522267A - 股関節置換人工補装具に適用する生物学的再吸収性寛骨臼拘束体および物質ならびに股関節置換における安定性と機能を増強するための生体再吸収性物質 - Google Patents
股関節置換人工補装具に適用する生物学的再吸収性寛骨臼拘束体および物質ならびに股関節置換における安定性と機能を増強するための生体再吸収性物質 Download PDFInfo
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Abstract
Description
本件出願は、「股関節置換人工補装具に適用する生物学的吸収性寛骨臼拘束体および物質ならびに股関節置換における安定性と機能を増強するための生体吸収性物質(BIOLOGICALLY ABSORBABLE ACETABULULAR CONSTRAINING COMPONENTS AND MATERIALSFOR USE WITH A HIP REPLACEMENT PROSTHESIS AND BIOABSORBABLE MATERIALS TOAUGMENT HIP REPLACEMENT STABILITY AND FUNCTION)」の名称で2002年4月9日に出願された米国仮特許出願第60/371,058号と、「股関節置換人工補装具に適用する生物学的吸収性寛骨臼拘束体および物質ならびに股関節置換における安定性と機能を増強するための生体吸収性物質(BIOLOGICALLY ABSORBABLE ACETABULULAR CONSTRAINING COMPONENTS AND MATERIALS FOR USE WITH A HIP REPLACEMENT PROSTHESIS AND BIOABSORBABLE MATERIALS TO AUGMENT HIP REPLACEMENT STABILITY AND FUNCTION)」の名称で2003年3月20日に出願された通常の米国特許出願第10/392,553号の利益を主張する。参考のために、上記両出願の開示は、本明細書中に援用される。
(発明の分野)
本発明は、人体の関節に適用する拘束部材に関する。その関節の例として、股関節、肩関節、肘関節および足関節が挙げられる。更に詳しく述べれば、本発明の局面は、修復外科手術後または置換外科手術後の関節の安定性と機能を少なくとも一時的に増強するための生物学的寛骨臼拘束部材および生物学的再吸収性寛骨臼拘束部材に関する。
図1は従来の股関節置換人工補装具を説明したもので、その補装具は、患者の骨盤12に接合させた寛骨臼陥凹/円胴10と、患者の大腿部16に接合させた大腿部材14または大腿幹部を含み、寛骨臼陥凹/円胴10と大腿部材14が球継手型連結体18で一体に連結されている。図2は、患者の骨盤12に接合させた寛骨臼円胴10の側面図を示す。その寛骨臼円胴は内部に着座した、ポリエチレン、金属またはセラミックで形成したインサート20を含む。
本発明は、外科手術後に人工股関節の球体面が位置ずれを起こすような場合、位置ずれ抑制を手助けできる拘束装置に関する。本発明の局面の一部は、股関節人工補装具の寛骨臼陥凹と大腿部材の相互間に付着させる生物学的物質および/または生物学的再吸収性物質から形成した人工股関節移植片に対して、拘束機構を適用することに関する。更に、本発明の局面は、組織形成(瘢痕組織形成などの)の速度を高めるとともに、股関節置換全体に対する宿主側の安定性に要する時間を増やすために、生物学的物質および/または生物学的再吸収性物質を適用することに関する。更には、本発明の局面は、瘢痕組織形成の速度を高めるのと同時に、股関節置換完了後の股関節に対する宿主側の安定性を高めるために、生物学的性状および/または生物学的再吸収性のペースト物質またはグルー物質(単独での使用または上記の何れかの局面との併用)を適用することに関する。更には、本発明の局面は、上記生物学的物質と生物学的再吸収性物質の何れかの物質に対して、凝固剤、瘢痕剤、造骨予防薬(抗異所骨化)、非ステロイド抗炎症薬(NSAID)および/または抗生物質などの有用薬剤を含浸させることに関する。更には、本発明の局面は、生物学的性状および/または生物学的再吸収性の安定剤の適用に関する。その安定剤は、単独での使用または前述の他の何れかの局面と併用した場合、寛骨臼から大腿部材の頚部に懸架して固定し、輪ゴム様に作用して大腿部材を運動させることができると同時に、結局のところ、瘢痕化を導いて永久に安定性を与える。更には、本発明の局面は、拘束機構を寛骨臼陥凹/円胴に取り付けるために、生物学的再吸収性のネジまたは他種固定部材(単独での使用または上記の何れかの局面との併用)を適用することに関する。更には、本発明の局面は、生物学的再吸収性の網目材またはウェブ材の適用に関する。その網目材やウェブ材は、単独で使用するか、または、上記の何れかの局面と併用した場合、大腿部材を寛骨臼または寛骨臼陥凹/円胴部材に保持させる。
本明細書中に記載する代表的実施態様は、股関節置換手術に適用される拘束装置、物質、および技術に関連する。当然のことだが、本明細書中に開示の装置、物質、技術が他形式の移植片や整形外科手術にも有用であることは当業者には明かである。
Claims (108)
- 患者の骨盤に接合するのに適した寛骨臼陥凹組立体と、患者の大腿部に接合するのに適した大腿幹部であって、該寛骨臼陥凹組立体の内部に収受された近位端部に、球継手型連結体を形成するための球部材を備えた大腿幹部とを含む、股関節置換人工補装具に適用される人工補装具拘束装置であって、該拘束装置は、
中心開口部を有する環状体を具備し、該大腿幹部が中心開口部を貫通するように、該環状体が該寛骨臼陥凹組立体の周縁へ装着させるのに適し、該環状体が該寛骨臼陥凹組立体と該大腿幹部の相互間での球継手型連結体の保持を助けるように、該中心開口部が該大腿幹部の近位端部上の球部材に比べて小さい直径を有し、
該環状体が、生物学的物質、生物学的再吸収性物質、および、生物学的物質と生物学的再吸収性物質との複合体からなる群から選ばれた1種の環状体物質を含む、人工補装具拘束装置。 - 前記人工補装具拘束装置が更に、前記環状体を前記寛骨臼陥凹組立体の周縁へ装着させるための複数の固定部材を具備し、該固定部材が、生物学的物質、生物学的再吸収性物質、および、生物学的物質と生物学的再吸収性物質との複合体からなる群から選ばれた1種の固定部材物質を含む、請求項第1項に記載の人工補装具拘束装置。
- 固定部材物質が、
ポリ−L−乳酸物質
およびコラーゲン
のうちの少なくとも1種またはその等価物を含む、請求項第2項に記載の人工補装具拘束装置。 - 前記固定部材が、ネジ、スナップ、縫合、クリップおよびリベットからなる群から選ばれる、請求項第2項に記載の人工補装具拘束装置。
- 前記環状体物質が、
細胞外基質(ECM)、
ポリグレカプロン25、
ポリジオキサノン、
外科用腸線縫合糸(SGS)、
腸線、
ポリグラクチン910、
ヒト自家移植腱物質、
コラーゲン線維、
ポリ−L−乳酸(PLLA)、
ポリ乳酸(PLA)、
ポリラクチド(Pla)、
ラセミ体ポリラクチド(D,L−Pla)、
ポリ(L−ラクチド−コ−D,L−ラクチド)、
ポリグリコリド(PGa)、
ポリグリコール酸(PGA)、
ポリカプロラクトン(PCL)、
ポリジオキサノン(PDS)、
ポリヒドロキシ酸
および吸収性板材料
の少なくとも1種またはその等価物を含む、請求項第1項に記載の人工補装具拘束装置。 - 細胞外基質(ECM)が、
ブタ小腸粘膜下組織(SIS)、
異種小腸粘膜下組織(xSIS)、
膀胱粘膜下組織(UBS)、
積層腸粘膜下組織
およびグルタルアルデヒド処理ウシ心膜(GLBP)
のうちの少なくとも1種を含む、請求項第5項に記載の人工補装具拘束装置。 - 前記環状体が、前記大腿幹部の角運動範囲を増大させるために、該環状体に半径方向に延びる少なくとも第一凹部を備えた遠位面を含む、請求項第1項に記載の人工補装具拘束装置。
- 前記環状体を寛骨臼陥凹組立体に装着した場合、前記第一凹部が該環状体の前方/上部領域と後方/上部領域のうちの少なくとも一方に位置する、請求項第7項に記載の人工補装具拘束装置。
- 前記環状体の遠位面が、少なくとも二つの方向で前記大腿幹部の角運動範囲を増大させるために、該環状体に半径方向に延びる少なくとも第二凹部を有する、請求項第8項に記載の人工補装具拘束装置。
- 前記環状体を前記寛骨臼陥凹組立体に装着した場合、前記第一凹部が環状体の前方/上部領域に位置し、前記第二凹部が環状体の後方/上部領域に位置する、請求項第9項に記載の人工補装具拘束装置。
- 前記開口部が略ドーム型の内面を含み、該内面が前記環状体の近位面からの距離に従って狭窄した直径を有する、請求項第10項に記載の人工補装具拘束装置。
- 前記第一凹部の円周幅が、前記大腿幹部の頚部の直径よりも少なくとも僅かに大きい、請求項第7項に記載の人工器官拘束装置。
- 前記環状体の遠位面が更に隆起部を含み、隆起部の半径方向において前記大腿幹部の角運動を減少させる、請求項第7項に記載の人工補装具拘束装置。
- 前記拘束装置を前記寛骨臼陥凹組立体に装着した場合、前記隆起部が前記環状体の後方領域に位置する、請求項第13項に記載の人工補装具拘束装置。
- 前記開口部が略ドーム型の内面を含み、該内面が前記環状体の近位面からの距離に従って狭窄した直径を有する、請求項第7項に記載の人工補装具拘束装置。
- 前記環状体物質に、瘢痕組織の形成を促進する薬剤が加えられている、請求項第1項に記載の人工補装具拘束装置。
- 前記環状体物質に、抗菌剤が加えられている、請求項第1項に記載の人工補装具拘束装置。
- 前記環状体物質に、骨組織の形成を制限する薬剤が加えられている、請求項第1項に記載の人工補装具拘束装置。
- 前記環状体物質に、結合組織幹細胞と結合組織幹細胞前駆細胞のうちの少なくとも1種が加えられている、請求項第1項に記載の人工補装具拘束装置。
- 前記結合組織幹細胞と結合組織幹細胞前駆細胞が、繊維芽コロニー形成細胞、繊維性コロニー形成単位(CFU−F)、骨髄間質性細胞、間葉幹細胞(MSC)および血管周皮組織からなる群から選ばれる、請求項第19項に記載の人工補装具拘束装置。
- 前記環状体物質に、増殖刺激因子が加えられている、請求項第1項に記載の人工補装具拘束装置。
- 前記増殖刺激因子が、増殖因子ベータ(GFB−b)、塩基性繊維芽細胞増殖因子(bFGF)、繊維芽細胞増殖因子(FGF)、上皮増殖因子(EFG)、トランスホーミング増殖因子−β1(TGF−b1)、血管内皮増殖因子(VEGF)、結合組織増殖因子(CTGF)、血小板由来増殖因子(PDGF)、直接細胞遺伝子導入、繊維芽仲介遺伝子導入、筋芽仲介遺伝子導入、TGB−b細胞遺伝子ファミリー、アデノウイルス仲介遺伝子導入、組み換えアデノウイルス誘導腱癒着形成、BMP−12、骨形成蛋白質−2遺伝子導入、増殖分化因子−5(GDF−5)およびインスリン様増殖因子(IFG)からなる群から選ばれる、請求項第21項に記載の人工補装具拘束装置。
- 前記環状体物質に、前記造血幹細胞と造血幹細胞前駆細胞のうちの少なくとも一方が加えられている、請求項第1項に記載の人工補装具拘束装置。
- 前記人工補装具拘束装置が更に、前記環状体に作動自在に連結された浮嚢を具備する、請求項第1項に記載の人工補装具拘束装置。
- 前記浮嚢が多孔質で、かつ、凝固剤、抗生物質および瘢痕組織促進剤の少なくとも1種を含有するのに適している、請求項第24項に記載の人工補装具拘束装置。
- 前記浮嚢が再吸収自在であり、かつ、凝固剤、抗生物質および瘢痕組織促進剤の少なくとも1種を含有する、請求項第24項に記載の人工補装具拘束装置。
- 人口股関節補装具であって、以下:
患者の骨盤に接合するのに適した寛骨臼陥凹組立体と、
患者の大腿部に接合するのに適し、該寛骨臼陥凹組立体の内部に収受された近位端部に、球継手型連結体を形成するための球部材を含む大腿幹部と、
中心開口部を有する拘束環状体とを具備し、該大腿幹部が中心開口部を貫通するように、該拘束環状体が該寛骨臼陥凹組立体の周縁に装着され、該環状体が該寛骨臼陥凹組立体と該大腿幹部の相互間での球継手型連結体の保持を助けるように、該中心開口部が該大腿幹部の近位端部上の球部材に比べて小さい直径を有し、
該拘束環状体が、生物学的物質、生物学的再吸収性物質、および、生物学的物質と生物学的再吸収性物質との複合体からなる群から選ばれた1種の環状体物質を含む、人口股関節補装具。 - 前記人口股関節補装具が更に、拘束環状体を寛骨臼陥凹組立体の周縁へ装着させるための複数の固定部材を具備し、固定部材が、生物学的物質、生物学的再吸収性物質、および、生物学的物質と生物学的再吸収性物質との複合体からなる群から選ばれた1種の固定部材物質を含む、請求項第27項に記載の人工股関節補装具。
- 前記拘束環状体が、前記大腿幹部の角運動範囲を増大させるために、該環状体に半径方向に延びる少なくとも第一凹部を有する遠位面を備えた、請求項第27項に記載の人工股関節補装具。
- 前記第一凹部が拘束環状体の前方/上部領域と後方/上部領域の少なくとも一方に位置する、請求項第29項に記載の人工股関節補装具。
- 前記拘束環状体の遠位面が、少なくとも二つの方向で前記大腿幹部の角運動範囲を増大させるために、該拘束環状体に半径方向に延びる少なくとも第二凹部を有する、請求項第30項に記載の人工股関節補装具。
- 前記第一凹部が前記拘束環状体の前方/上部領域に位置し、前記第二凹部が該拘束環状体の後方/上部領域に位置する、請求項第31項に記載の人工股関節補装具。
- 前記開口部が略ドーム型の内面を含み、該内面が拘束環状体の近位面からの距離に従って狭窄した直径を有する、請求項第32項に記載の人工股関節補装具。
- 前記拘束環状体の遠位面が更に隆起部を含み、該隆起部の半径方向において前記大腿幹部の角運動を減少させる、請求項第27項に記載の人工股関節補装具。
- 前記隆起部が前記拘束環状体の後方領域に位置する、請求項第34項に記載の人工股関節補装具。
- 前記拘束環状体物質に、瘢痕組織の形成を促進する薬剤が加えられている、請求項第27項に記載の人工股関節補装具。
- 前記拘束環状体物質に、抗菌剤が加えられている、請求項第27項に記載の人工股関節補装具。
- 前記拘束環状体物質に、骨組織の形成を制限する薬剤が加えられえている、請求項第27項に記載の人工股関節補装具。
- 股関節に隣接して移植する人工補装具拘束装置であって、その拘束装置が、大腿部材を延出させる中心開口部を規定する弓状本体を具備し、該弓状本体が、該大腿部材の角運動範囲を増大させるために、弓状本体に半径方向に延びる少なくとも一つの凹部を有する遠位面を含み、かつ、大腿部材の大腿頭部が開口部を遠位方向に完全に通過させないようにするために、寛骨臼人口補装具、寛骨臼骨および無名骨の少なくとも一つに装着するのに適した近位面を備えている、人工補装具拘束装置。
- 前記拘束装置を前記寛骨臼人工補装具、寛骨臼骨および無名骨の一つに装着した場合、前記凹部が、前記弓状本体の前方/上位領域と後方/上位領域の少なくとも一方に位置する、請求項第39項に記載の拘束装置。
- 前記遠位面が、少なくとも二つの方向で前記大腿部材の角運動範囲を増大させるために、前記拘束装置に半径方向に延びる少なくとも二つの凹部を有する、請求項第40項に記載の拘束装置。
- 前記拘束装置を前記寛骨臼人工補装具、寛骨臼骨および無名骨の一つに装着した場合、前記第一凹部が前記弓状本体の前方/上位領域に位置し、前記第二凹部が該弓状本体の後方/上位領域に位置する、請求項第41項に記載の拘束装置。
- 前記弓状本体が略輪状である、請求項第41項に記載の拘束装置。
- 前記開口部が略ドーム型の内面を含み、該内面が前記拘束環状体の近位面からの距離に従って狭窄した直径を有する、請求項第43項に記載の拘束装置。
- 前記凹部が、前記弓状本体の遠位面に対して高さを変えた段部を含む、請求項第44項に記載の拘束装置。
- 前記弓状本体の近位面が前記寛骨臼人工補装部材へ装着するのに適し、該弓状本体を構成する材料組成と寛骨臼人工補装具材が実質的に同じである、請求項第39項に記載の拘束装置。
- 前記凹部の円周幅が、前記大腿幹部の頚部の直径よりも少なくとも僅かに大きい、請求項第39項に記載の拘束装置。
- 前記弓状本体の遠位面が更に隆起部を含み、該隆起部の半径方向において前記大腿部材の角運動を減少させる、請求項第39項に記載の拘束装置。
- 前記拘束装置を前記寛骨臼人工補装具、寛骨臼骨および無名骨の一つに装着した場合、前記隆起部が前記弓状本体の後方領域に位置する、請求項第48項に記載の拘束装置。
- 前記弓状本体が略輪状である、請求項第39項に記載の拘束装置。
- 前記開口部が略ドーム型の内面を含み、該内面が前記弓状本体の近位面からの距離に従って狭窄した直径を有する、請求項第39項に記載の拘束装置。
- 前記弓状本体の近位面が前記寛骨臼人工補装部材へ装着するのに適し、該弓状本体および寛骨臼人工補装具材を構成する材料組成が実質的に同じである、請求項第39項に記載の拘束装置。
- 人工大腿幹部材と、人口股関節組立体の寛骨臼人工補装部材を少なくとも一時的に係合させた状態で保持する拘束装置であって、その拘束装置が、生物学的物質、生物学的再吸収性物質、および、生物学的物質と生物学的再吸収性物質との複合体からなる群から選ばれた1種の物質を含むことを特徴とする拘束装置。
- 前記物質が、
細胞外基質(ECM)、
ポリグレカプロン25、
ポリジオキサノン、
外科用腸線縫合糸(SGS)、
腸線、
ポリグラクチン910、
ヒト自家移植腱物質、
コラーゲン線維、
ポリ−L−乳酸(PLLA)、
ポリ乳酸(PLA)、
ポリラクチド(Pla)、
ラセミ体ポリラクチド(D,L−Pla)、
ポリ(L−ラクチド−コ−D,L−ラクチド)、
ポリグリコリド(PGa)、
ポリグリコール酸(PGA)、
ポリカプロラクトン(PCL)、
ポリジオキサノン(PDS)、
ポリヒドロキシ酸
および吸収性板材料
の少なくとも1種またはその等価物を含む、請求項第53項に記載の拘束装置。 - 前記細胞外基質(ECM)が、
ブタ小腸粘膜下組織(SIS)、
異種小腸粘膜下組織(xSIS)、
膀胱粘膜下組織(UBS)、
積層腸粘膜下組織
およびグルタルアルデヒド処理ウシ心膜(GLBP)
のうちの少なくとも1種を含む、請求項第54項に記載の拘束装置。 - 前記物質が、前記寛骨臼人工補装部材を寛骨臼陥凹組立体の周縁へ装着させるのに適した拘束環状体の形状である、請求項第53項に記載の拘束装置。
- 前記物質が、前記寛骨臼人工補装部材と前記人工大腿幹部材の間に装着させるのに適した網目形状である、請求項第53項に記載の拘束装置。
- 前記物質が、前記寛骨臼人工補装部材と前記人工大腿幹部材の間に装着させるのに適したウェブ形状である、請求項第53項に記載の拘束装置。
- 前記物質が、前記寛骨臼人工補装部材と前記人工大腿幹部材の間に装着させるのに適した帯形状である、請求項第53項に記載の拘束装置。
- 前記物質が、移植後に患者の体内に実質的に吸収されるのに適し、かつ、瘢痕組織により実質的に交換されるのに適する、請求項第53項に記載の拘束装置。
- 前記物質が、移植後約6か月以内に瘢痕組織により実質的に吸収、交換されるのに適する、請求項第60項に記載の拘束装置。
- 前記物質に、抗菌剤が加えられている、請求項第53項に記載の拘束装置。
- 前記物質に、凝固剤が加えられている、請求項第53項に記載の拘束装置。
- 股関節を少なくとも一時的に完全な状態に保持する移植自在な拘束装置であって、該拘束装置は、生物学的物質、生物学的再吸収性物質、および、生物学的物質と生物学的再吸収性物質との複合体からなる群から選ばれた1種の物質を含む、移植自在拘束装置。
- 前記物質が、前記寛骨と前記大腿部の間に装着させるのに適した網目形状である、請求項第64項に記載の拘束装置。
- 前記物質が、前記寛骨と前記大腿部の間に装着させるのに適したウェブ形状である、請求項第64項に記載の拘束装置。
- 前記物質が、前記寛骨と前記大腿部の間に装着させるのに適した帯形状である、請求項第64項に記載の拘束装置。
- 前記物質が、移植後に患者の体内に実質的に吸収されるのに適し、かつ、瘢痕組織により実質的に交換されるのに適する、請求項第64項に記載の拘束装置。
- 前記物質が、移植後約6か月以内に瘢痕組織により実質的に吸収および交換されるのに適する、請求項第68項に記載の拘束装置。
- 前記物質に、抗菌剤が加えられている、請求項第64項に記載の拘束装置。
- 前記物質に、凝固剤が加えられている、請求項第64項に記載の拘束装置。
- 前記物質に、瘢痕組織の形成を促進する薬剤が加えられている、請求項第64に記載の拘束装置。
- 前記物質に、骨組織の形成を制限する薬剤が加えられている、請求項第64に記載の拘束装置。
- 前記物質に、結合組織幹細胞と結合組織幹細胞前駆細胞の少なくとも一つが加えられている、請求項第64項に記載の人工補装具拘束装置。
- 前記結合組織幹細胞と結合組織幹細胞前駆細胞が、繊維芽コロニー形成細胞、繊維性コロニー形成単位(CFU−F)、骨髄間質性細胞、間葉幹細胞(MSC)および血管周皮組織からなる群から選ばれる、請求項第74項に記載の人工補装具拘束装置。
- 前記物質に、増殖刺激因子が加えられている、請求項第64項に記載の人工補装具拘束装置。
- 前記増殖刺激因子が、増殖因子ベータ(GFB−b)、塩基性繊維芽細胞増殖因子(bFGF)、繊維芽細胞増殖因子(FGF)、上皮増殖因子(EFG)トランスホーミング増殖因子−β1(TGF−β1)、血管内皮増殖因子(VEGF)、結合組織増殖因子(CTGF)、血小板由来増殖因子(PDGF)、直接細胞遺伝子導入、繊維芽仲介遺伝子導入、筋芽仲介遺伝子導入、TGB−b細胞遺伝子ファミリー、アデノウイルス仲介遺伝子導入、組み換えアデノウイルス誘導腱癒着形成、BMP−12、骨形成蛋白質−2遺伝子導入、増殖分化因子−5(GDF−5)およびインスリン様増殖因子(IFG)からなる群から選ばれる、請求項第76項に記載の人工補装具拘束装置。
- 前記物質に、造血幹細胞と造血幹細胞前駆細胞の少なくとも一つが加えられている、請求項第64項に記載の人工補装具拘束装置。
- 股関節に隣接して移植する拘束装置であって、該拘束装置は、少なくとも1種の生物学的再吸収性物質を含み、かつ、大腿部材を延出させるための開口部を有する板部材を具備し、該板部材が、該大腿部材の角運動範囲を増大させる少なくとも一つの凹部を有する遠位面と、該大腿部材の大腿頭部が開口部を遠位方向に完全に通過させないように抑制するために、寛骨臼人工補装具、寛骨臼骨および無名骨の少なくとも一つに装着するのに適した近位面を含む、拘束装置。
- 前記拘束装置が更に、第一位置にて前記大腿部材に隣接して装着され、かつ、第二位置にて前記寛骨臼人工補装具、寛骨臼骨および無名骨の少なくとも一つに隣接して装着された生物学的再吸収性網目物質を含む、請求項第79項に記載の拘束装置。
- 前記生物学的再吸収性物質に、凝固剤が加えられている、請求項第79項に記載の拘束装置。
- 前記生物学的再吸収性物質に、抗生物質が加えられている、請求項第79項に記載の拘束装置。
- 前記生物学的再吸収性物質に、瘢痕組織の形成を促進する薬剤が加えられている、請求項第79項に記載の拘束装置。
- 前記生物学的再吸収性物質に、骨組織の形成を制限する薬剤が加えられている、請求項第79項に記載の拘束装置。
- 前記生物学的再吸収性物質に、結合組織幹細胞と結合組織幹細胞前駆細胞のうちの少なくとも一つが加えられている、請求項第79項に記載の人工補装具拘束装置。
- 前記結合組織幹細胞と結合組織幹細胞前駆細胞は、繊維芽コロニー形成細胞、繊維性コロニー形成単位(CFU−F)、骨髄間質性細胞、間葉幹細胞(MSC)および血管周皮組織からなる群から選ばれる、請求項第85項に記載の人工器官拘束装置。
- 前記生物学的再吸収性物質に、増殖刺激因子が加えられている、請求項第79項に記載の人工補装具拘束装置。
- 前記増殖刺激因子が、増殖因子ベータ(GFB−b)、塩基性繊維芽細胞増殖因子(bFGF)、繊維芽細胞増殖因子(FGF)、上皮増殖因子(EFG)、トランスホーミング増殖因子−β1(TGF−β1)、血管内皮増殖因子(VEGF)、結合組織増殖因子(CTGF)、血小板由来増殖因子(PDGF)、直接細胞遺伝子導入、繊維芽仲介遺伝子導入、筋芽仲介遺伝子導入、TGB−b細胞遺伝子ファミリー、アデノウイルス仲介遺伝子導入、組み換えアデノウイルス誘導腱癒着形成、BMP−12、骨形成蛋白質−2遺伝子導入、増殖分化因子−5(GDF−5)およびインスリン様増殖因子(IFG)からなる群から選ばれる、請求項第87項に記載の人工補装具拘束装置。
- 前記生物学的再吸収性物質に、造血幹細胞と造血幹細胞前駆細胞のうちの少なくとも一方が加えられている、請求項第79項に記載の人工補装具拘束装置。
- 患者の骨盤に接合された寛骨臼陥凹組立体と、患者の大腿部に接合された大腿幹部であって、該寛骨臼陥凹組立体の内部に収受された近位端部に、球継手型連結体を形成するための球部材を含む大腿幹部とを備えた人工股関節に対して、少なくとも一時的に安定性を付与する方法であって、該方法は、
人工股関節に安定性を付与するために、拘束装置を人工股関節に装着させる工程を包含し、拘束装置が生物学的物質、生物学的再吸収性物質、および、生物学的物質と生物学的再吸収性物質との複合体からなる群から選ばれた1種の物質を含む、少なくとも一時的に人工股関節に安定性を付与する方法。 - 前記拘束装置が、開口部を規定する実質的に輪状の本体を有し、前記大腿幹部が開口部を貫通するように、装着工程が拘束装置を人工寛骨臼組立体の周縁に装着させる工程を含む、請求項第90項に記載の方法。
- 前記装着工程が、生物学的物質、生物学的再吸収性物質、および、生物学的物質と生物学的再吸収性物質との複合体からなる群から選ばれた1種の物質を含む固定部材を使用することで、拘束装置を寛骨臼陥凹組立体の周縁に固定させる工程を包含する、請求項第91項に記載の方法。
- 前記固定部材は、ネジ、スナップ、縫合線、クリップおよびリベットからなる群から選ばれる、請求項第92項に記載の方法。
- 前記物質に、瘢痕組織の形成を促進する薬剤、凝固剤および抗菌剤の少なくとも1種を加える、請求項第90項に記載の方法。
- 前記物質が、装着工程後に患者の体内に実質的に吸収されるのに適し、かつ、瘢痕組織により実質的に交換されるのに適する、請求項第90項に記載の方法。
- 前記拘束装置が網目形状であって、前記装着工程が、
前記網目材を前記患者の大腿部と大腿幹部の少なくとも一方に取り付ける工程と、
該網目材を該患者の骨盤と寛骨臼陥凹組立体の少なくとも一方に取り付ける工程を含む、請求項第90項に記載の方法。 - 前記拘束装置がウェブ形状であって、前記装着工程が、
前記ウェブ材を前記患者の大腿部と大腿幹部の少なくとも一方に取り付ける工程と、
該ウェブ材を該患者の骨盤と寛骨臼陥凹組立体の少なくとも一方に取り付ける工程を含む、請求項第90項に記載の方法。 - 前記拘束装置が帯形状であって、前記装着工程が、
前記帯材を前記患者の大腿部と大腿幹部の少なくとも一方に取り付ける工程と、
該帯材を該患者の骨盤と寛骨臼陥凹組立体の少なくとも一方に取り付ける工程を含む、請求項第90項に記載の方法。 - 前記拘束装置がペースト形状であって、前記装着工程が、ペースト材を患者の人工股関節の少なくとも一部分に塗布する工程を含む、請求項第90項に記載の方法。
- 前記物質に、瘢痕組織の形成を促進する薬剤、凝固剤および抗菌剤の少なくとも1種を加える、請求項第99項に記載の方法。
- 前記物質が、前記装着工程後に患者の体内に実質的に吸収されるのに適し、かつ、瘢痕組織により実質的に交換されるのに適する、請求項第100項に記載の方法。
- 前記拘束装置が、再吸収性物質と非再吸収性物質のうちの少なくとも1種を含んだ浮嚢を具備する、請求項第90項に記載の方法。
- 前記拘束装置が、凝固剤、抗生剤および瘢痕組織促進剤の少なくとも1種を含んだ浮嚢を具備する、請求項第102項に記載の方法。
- 前記物質に、結合組織幹細胞と結合組織幹細胞前駆細胞の少なくとも一つが加えられている、請求項第90項に記載の人工補装具拘束装置。
- 前記結合組織幹細胞と結合組織幹細胞前駆細胞が、繊維芽コロニー形成細胞、繊維性コロニー形成単位(CFU−F)、骨髄間質性細胞、間葉幹細胞(MSC)および血管周皮組織からなる群から選ばれる、請求項第104項に記載の人工補装具拘束装置。
- 前記物質に、増殖刺激因子が加えられている、請求項第90項に記載の人工補装具拘束装置。
- 前記増殖刺激因子が、増殖因子ベータ(GFB−b)、塩基性繊維芽細胞増殖因子(bFGF)、繊維芽細胞増殖因子(FGF)、上皮増殖因子(EFG)、トランスホーミング増殖因子−β1(TGF−β1)、血管内皮増殖因子(VEGF)、結合組織増殖因子(CTGF)、血小板由来増殖因子(PDGF)、直接細胞遺伝子導入、繊維芽仲介遺伝子導入、筋芽仲介遺伝子導入、TGB−b遺伝子ファミリー、アデノウイルス仲介遺伝子導入、組み換えアデノウイルス誘導腱癒着形成、BMP−12、骨形成蛋白質−2遺伝子導入、増殖分化因子−5(GDF−5)およびインスリン様増殖因子(IFG)からなる群から選ばれる、請求項第106項に記載の人工補装具拘束装置。
- 前記物質に、造血幹細胞と造血幹細胞前駆細胞のうちの少なくとも一つが加えられている、請求項第90項に記載の人工補装具拘束装置。
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-
2003
- 2003-03-20 US US10/392,553 patent/US6923833B2/en not_active Expired - Lifetime
- 2003-04-09 WO PCT/US2003/010950 patent/WO2003086243A2/en active IP Right Grant
- 2003-04-09 EP EP03718296A patent/EP1494625B1/en not_active Expired - Lifetime
- 2003-04-09 JP JP2003583270A patent/JP4383894B2/ja not_active Expired - Fee Related
- 2003-04-09 CA CA002481374A patent/CA2481374C/en not_active Expired - Fee Related
- 2003-04-09 AU AU2003221716A patent/AU2003221716B2/en not_active Ceased
- 2003-04-09 ES ES03718296T patent/ES2270003T3/es not_active Expired - Lifetime
- 2003-04-09 DE DE60307809T patent/DE60307809T2/de not_active Expired - Lifetime
- 2003-04-09 AT AT03718296T patent/ATE336968T1/de not_active IP Right Cessation
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ES2270003T3 (es) | 2007-04-01 |
CA2481374C (en) | 2009-12-08 |
US6923833B2 (en) | 2005-08-02 |
WO2003086243A2 (en) | 2003-10-23 |
JP4383894B2 (ja) | 2009-12-16 |
AU2003221716B2 (en) | 2008-09-18 |
EP1494625A2 (en) | 2005-01-12 |
CA2481374A1 (en) | 2003-10-23 |
US7615083B2 (en) | 2009-11-10 |
DE60307809T2 (de) | 2007-08-23 |
AU2003221716A1 (en) | 2003-10-27 |
WO2003086243A3 (en) | 2004-01-22 |
EP1494625B1 (en) | 2006-08-23 |
ATE336968T1 (de) | 2006-09-15 |
US20030191537A1 (en) | 2003-10-09 |
DE60307809D1 (de) | 2006-10-05 |
US20050216091A1 (en) | 2005-09-29 |
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