JP2006504485A - 脊椎移植片 - Google Patents
脊椎移植片 Download PDFInfo
- Publication number
- JP2006504485A JP2006504485A JP2004550134A JP2004550134A JP2006504485A JP 2006504485 A JP2006504485 A JP 2006504485A JP 2004550134 A JP2004550134 A JP 2004550134A JP 2004550134 A JP2004550134 A JP 2004550134A JP 2006504485 A JP2006504485 A JP 2006504485A
- Authority
- JP
- Japan
- Prior art keywords
- wing
- spinal implant
- shaft
- cage
- wings
- 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.)
- Granted
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Classifications
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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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
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- A—HUMAN NECESSITIES
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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
- A61F2/4603—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
- A61F2/4611—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 spinal prostheses
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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
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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
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- A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
- A61F2/447—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
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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
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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
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- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30405—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves
- A61F2002/30411—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves having two threaded end parts connected by a threaded central part with opposite threads at its opposite ends, i.e. for adjusting the distance between both end parts by rotating the central part
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- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
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- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
- A61F2250/0009—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting thickness
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Cardiology (AREA)
- Public Health (AREA)
- Physical Education & Sports Medicine (AREA)
- Prostheses (AREA)
- Toys (AREA)
- Materials For Medical Uses (AREA)
- Alcoholic Beverages (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims (37)
- 内部空洞を画定するケージと、
前記ケージの前記空洞内に入っている拡張機構と、
前記拡張機構に作動的に連結された一対のウイングであって、それぞれ、対向する椎骨と係合するように作られた互いに反対側の椎骨係合面を有しているウイングと、を備えており、
前記拡張機構は、前記ウイングを、前記ウイングの少なくとも大部分が前記ケージの前記空洞内に入っているコンパクト形態から、前記ウイングが前記ケージから伸張して前記各ウイングの前記椎骨係合面が椎骨に係合している拡張形態へと、前記椎骨の間で横方向に動かすことができる、脊椎移植片。 - 前記拡張機構は、前記ウイングに螺合するねじ部が両端部に設けられたシャフトを含んでいる、請求項1に記載の脊椎移植片。
- 前記シャフトには、シャフトを回転させるためのギヤが、前記ねじ部の間に設けられている、請求項2に記載の脊椎移植片。
- 前記両ねじ部は反対方向にねじが切られており、等しいねじピッチを有している、請求項2に記載の脊椎移植片。
- 前記ウイングを前記拡張形態に係止させることのできる係止機構を更に備えている、請求項2に記載の脊椎移植片。
- 前記係止機構は、前記ウイング内に画定された複数の係止空洞を含んでおり、
前記係止空洞は、前記シャフトが前記係止空洞内に配置されているときは、前記シャフトの回転を防ぐように作られている、請求項5に記載の脊椎移植片。 - 前記各係止空洞の一部分にのみねじが切られている、請求項6に記載の脊椎移植片。
- 前記係止機構は、前記ケージに係合する板ばねを含んでおり、前記板ばねは、少なくとも前記シャフトの一方向への回転を防止するように作動する、請求項5に記載の脊椎移植片。
- 前記シャフトは、前記板ばねと係合可能なギヤを含んでいる、請求項8に記載の脊椎移植片。
- 前記ウイングを拡張形態に係止するための係止機構を更に含んでいる、請求項1に記載の脊椎移植片。
- 前記係止機構は、前記ウイングを前記拡張形態に係止するように構築され配置された係止空洞を含んでいる、請求項10に記載の脊椎移植片。
- 前記係止機構は、前記ケージに連結された板ばねを含んでいる、請求項10に記載の脊椎移植片。
- 前記ケージは、概ね矩形の断面形状を有している、請求項1に記載の脊椎移植片。
- 前記ケージは、前記空洞にアクセスできるようにする工具用開口部を画定している、請求項1に記載の脊椎移植片。
- 前記ケージは、前記ウイングが滑動可能に入れられる複数のウイング用開口部を、前記ケージの互いに反対側に画定している、請求項1に記載の脊椎移植片。
- 前記ウイング用開口部の少なくとも一つは、ガイドチャネルを画定し、
前記ウイングの少なくとも一つは、前記ガイドチャネルに滑動可能に入るガイド部材を有している、請求項15に記載の脊椎移植片。 - 前記ガイド部材は、あり継ぎのための断面形状を有している、請求項16に記載の脊椎移植片。
- 前記ガイド部材は、前記ウイングの伸張の間に、前記椎骨の一方に切り込むことのできる切刃を有している、請求項17に記載の脊椎移植片。
- 前記ガイド部材は、前記ウイングの伸張の間に、前記椎骨の一方に切り込むことのできる切刃を有している、請求項16に記載の脊椎移植片。
- 前記椎骨は骨端環を有しており、
前記ウイングは、前記椎骨の前記骨端環の形状に一致する略アーチ状の形状を有している、請求項1に記載の脊椎移植片。 - 前記ケージは、前記椎骨に係合するように作られた互いに反対側の面を有している、請求項1に記載の脊椎移植片。
- 前記互いに反対側の面は、前記移植片が抜け出るのを防ぐテクスチャー加工された面である、請求項21に記載の脊椎移植片。
- 前記テクスチャー加工された面はリッジを含んでいる、請求項22に記載の脊椎移植片。
- 前記ウイングの前記椎骨係合面は、形状が前記椎骨と対応するように輪郭付けられている、請求項1に記載の脊椎移植片。
- 前記ウイングの少なくとも一方は、前記ケージに画定されたガイドレールチャネル内に入るガイドレールを有している、請求項1に記載の脊椎移植片。
- 前記ガイドレールは、あり継ぎのための断面形状を有している、請求項25に記載の脊椎移植片。
- 前記ガイドレールは、前記ウイングの伸張の間に前記椎骨に切り込むように構築され配置された外側の切刃を有している、請求項25に記載の脊椎移植片。
- 前記ケージは、互いに反対側に向いている椎骨係合面を有しており、前記内部空洞は、前記ケージの前記椎骨係合面の間に伸張している、請求項1に記載の脊椎移植片。
- 前記ウイングは、前記ウイングが前記コンパクト形態にあるときに、前記拡張機構にアクセスできるようにするためのアクセス用開口部を画定している、請求項1に記載の脊椎移植片。
- 円板空間を画定している対向する椎骨の間に移植するための融合装置において、
中央部材と、
前記中央部材に滑動可能に連結された少なくとも一対の横部材と、
前記横部材を、前記中央部材から前記椎骨の間の円板空間内へ伸張させ、前記横部材それぞれが前記両椎骨に係合した状態にするための手段と、を備えている融合装置。 - 前記横部材を伸張させるための前記手段は、前記横部材に連結されたねじ部を備えているシャフトを含んでいる、請求項30に記載の融合装置。
- 脊椎移植片を備えている装置において、
前記脊椎移植片は、
内部空洞を画定している中央部材であって、前記中央部材の両側面には、前記内部空洞に開口する一対の開口部が形成されている中央部材と、
前記中央部材の前記開口部に滑動可能に入っている一対のウイングと、
前記ウイングに連結されているシャフトであって、前記ウイングの少なくとも一方と螺合する少なくとも1つのねじ部を有するシャフトと、を含んでいる、装置。 - 前記開口部はガイドチャネルを有し、
前記ウイングは前記ガイドチャネル内に滑動可能に入るガイドレールを有している、請求項32に記載の装置。 - 前記少なくとも1つのねじ部は、前記シャフトの両端部に一対の対向するねじ部を有している、請求項32に記載の装置。
- 前記ウイングを伸張させるために前記移植片に係合される挿入器を更に含んでいる、請求項32に記載の装置。
- 前記脊椎移植片の前記シャフトはギヤを含んでいる、請求項35に記載の装置。
- 前記挿入器は、
作動ノブと、
前記ノブに連結された駆動シャフトと、
前記駆動シャフトに連結された駆動ギヤと、
前記駆動ギヤと、前記脊椎移植片の前記シャフト上の前記ギヤとを係合させる中間ギヤと、を含んでいる、請求項36に記載の装置。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US10/285,723 US6723126B1 (en) | 2002-11-01 | 2002-11-01 | Laterally expandable cage |
PCT/US2003/034052 WO2004041130A1 (en) | 2002-11-01 | 2003-10-27 | Laterally expandable cage |
Publications (2)
Publication Number | Publication Date |
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JP2006504485A true JP2006504485A (ja) | 2006-02-09 |
JP4358745B2 JP4358745B2 (ja) | 2009-11-04 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2004550134A Expired - Fee Related JP4358745B2 (ja) | 2002-11-01 | 2003-10-27 | 脊椎移植片 |
Country Status (8)
Country | Link |
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US (2) | US6723126B1 (ja) |
EP (1) | EP1567096B1 (ja) |
JP (1) | JP4358745B2 (ja) |
AT (1) | ATE402673T1 (ja) |
AU (1) | AU2003286706A1 (ja) |
CA (1) | CA2504584A1 (ja) |
DE (1) | DE60322572D1 (ja) |
WO (1) | WO2004041130A1 (ja) |
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- 2003-10-27 WO PCT/US2003/034052 patent/WO2004041130A1/en active Application Filing
- 2003-10-27 JP JP2004550134A patent/JP4358745B2/ja not_active Expired - Fee Related
- 2003-10-27 CA CA002504584A patent/CA2504584A1/en not_active Abandoned
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JP2000513263A (ja) * | 1998-02-20 | 2000-10-10 | ビーダーマン・モテーク・ゲゼルシャフト・ミット・ベシュレンクタ・ハフツング | 椎間インプラント |
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Publication number | Publication date |
---|---|
JP4358745B2 (ja) | 2009-11-04 |
CA2504584A1 (en) | 2004-05-21 |
US6953477B2 (en) | 2005-10-11 |
EP1567096B1 (en) | 2008-07-30 |
US6723126B1 (en) | 2004-04-20 |
WO2004041130A1 (en) | 2004-05-21 |
AU2003286706A1 (en) | 2004-06-07 |
ATE402673T1 (de) | 2008-08-15 |
DE60322572D1 (de) | 2008-09-11 |
US20040088054A1 (en) | 2004-05-06 |
EP1567096A1 (en) | 2005-08-31 |
US20040172134A1 (en) | 2004-09-02 |
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