JP2006508770A - 複数ロッドの骨取り付け部材 - Google Patents
複数ロッドの骨取り付け部材 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8605—Heads, i.e. proximal ends projecting from bone
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
- A61B17/7034—Screws or hooks with U-shaped head or back through which longitudinal rods pass characterised by a lateral opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
- A61B17/7037—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7044—Screws or hooks combined with longitudinal elements which do not contact vertebrae also having plates, staples or washers bearing on the vertebrae
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
Description
Claims (35)
- 1つまたは複数の溝を有する一部品として構成されるヘッド部分であって、前記溝が、1つまたは複数の前記溝を介して複数の細長い部材を前記ヘッドに連結することができるように構成されている、ヘッド部分と、
前記ヘッド部分に連結され、前記細長い部材の少なくとも1本を前記それぞれの溝内で保持する、少なくとも1つのホルダと、
前記ヘッド部分に連結されている、前記ヘッド部分を骨に結合するための取り付け部分と
を備える器具。 - 前記溝の1つまたは複数が、(a)前記ヘッド部分の背部にある開口および(b)前記ヘッド部分の側部にある開口の一方に向けられている、請求項1に記載の器具。
- 前記ヘッド部分が2つの溝を有する、請求項1に記載の器具。
- 前記溝がほぼ平行であり、前記ヘッド部分がほぼW字形である、請求項3に記載の器具。
- 前記溝それぞれが、ほぼ同じ幅または半径を有する、請求項4に記載の器具。
- 前記溝の一方が、他方よりも大きな幅または半径を有する、請求項4に記載の器具。
- 雌ねじが前記溝それぞれの内側にあり、前記少なくとも1つのホルダが、前記溝の一方にあるねじ山と適合する第1の止めねじおよび前記溝の他方にあるねじ山と適合する第2の止めねじを備える、請求項3に記載の器具。
- 前記取り付け部分が、前記ヘッド部分と一体化されている、請求項1に記載の器具。
- 前記取り付け部分が、前記ヘッド部分と移動可能に連結される、請求項1に記載の器具。
- 前記取り付け部分が、前記ヘッド部分と回転可能および多軸的の少なくとも一方で連結される、請求項9に記載の器具。
- 前記ヘッド部分が、上側端部、下側端部および前記下側端部付近にある開口を含み、前記取り付け部分が、ねじ切り遠位部分および近位駆動部分を含み、前記駆動部分の少なくとも一部が前記開口に嵌合するような寸法にされている、請求項10に記載の器具。
- 前記開口がほぼ円筒形の部分を有し、前記ヘッド部分が前記ほぼ円筒形の部分の少なくとも一部のまわりに溝をさらに含み、前記器具が、前記溝内に嵌合される止め輪をさらに備え、前記止め輪が、前記取り付け部分の前記近位駆動部分の直径よりも小さく構成されている内径および前記止め輪に応力がかけられていないとき前記溝の直径よりも小さくないように構成されている外径を有する、請求項11に記載の器具。
- 前記ヘッド部分内に位置する前記取り付け部分の前記近位駆動部分上にあるクラウン部材を更に備え、前記クラウン部材上に押し下げることにより前記ヘッド部分および前記取り付け部分が共に係止されることができる、請求項12に記載の器具。
- 前記取り付け部材の前記近位駆動部分が、フランジを含む、請求項12に記載の器具。
- 前記ヘッド部分に連結される、骨と結合する第2の取り付け部分をさらに備える、請求項1に記載の器具。
- 前記第2の取り付け部分が、骨と係合するねじ山を含む、請求項15に記載の器具。
- 前記第2の取り付け部分が、前記ヘッド部分に移動可能に結合される、請求項15に記載の器具。
- 前記第2の取り付け部分が、前記ヘッド部分に回転可能および多軸的の少なくとも一方で連結される、請求項15に記載の器具。
- 前記第2の取り付け部分が、骨と係合する固定ピンを含む、請求項15に記載の器具。
- 前記ヘッド部分が、下側端部および上側端部を有し、前記下側端部が、骨の解剖学的屈曲部に近似するように湾曲されている、請求項1に記載の器具。
- 前記ヘッド部分が中心軸を有し、前記取り付け部分が前記中心軸に沿って位置する、請求項1に記載の器具。
- 前記ヘッド部分が中心軸を有し、前記取り付け部分が前記中心軸の片側に位置する、請求項1に記載の器具。
- 前記取り付け部分が、ねじ切り取り付け部分およびフック取り付け部分の一方である、請求項1に記載の器具。
- 上側ヘッド部分および少なくとも1つの下側取り付け部分を有し、前記ヘッド部分が複数の細長い部材を受けることができるように複数の溝を有する、骨係合器具を提供するステップと、
前記器具の前記取り付け部分を骨に結合するステップと、
細長い部材を前記溝の1つに挿入するステップと、
前記細長い部材を前記溝内で保持するように前記ヘッド部分にホルダを連結するステップと
を含む方法。 - 前記ホルダを連結するステップが、止めねじによって前記ヘッド部分に対して前記細長い部材が係止されるのに十分な圧締力が前記細長い部材上にかけられるまで、前記細長い部材が挿入された溝に止めねじをねじ込むステップを含む、請求項24に記載の方法。
- 第2の細長い部材を前記溝の1つに挿入するステップをさらに含む、請求項24に記載の方法。
- 前記第2の細長い部材が、ある細長い部材によってあらかじめ占有されていない溝に挿入される、請求項26に記載の方法。
- 前記第2の細長い部材を前記溝内で保持するようにホルダを前記ヘッド部分に連結するステップをさらに含む、請求項27に記載の方法。
- 前記ホルダを連結するステップが、止めねじによって前記第2の細長い部材上に圧締力がかけられるまで前記第2の細長い部材が挿入されている溝に止めねじをねじ込むステップを含む、請求項28に記載の方法。
- 前記第1の細長い部材の挿入前に骨を調整するステップと、
前記第2の細長い部材の挿入前に骨をさらに調整するステップと
をさらに含む、請求項27に記載の方法。 - 前記第2の細長い部材が、ある細長い部材によってあらかじめ占有されている溝に挿入される、請求項26に記載の方法。
- 前記細長い部材が前記器具に対して係止されるときより前に前記取り付け部分および前記ヘッド部分の相対位置を調整するステップをさらに含む、請求項24に記載の方法。
- 第1および第2の外側脚部、前記脚部の間にある少なくとも1本のポスト部、前記第1の脚部と前記ポスト部との間にある第1の溝、前記第2の脚部と前記ポスト部との間にある第2の溝、前記第1の脚部および前記ポスト部上に形成されている第1のねじ山、および前記第2の脚部および前記ポスト部上に形成されている第2のねじ山を有する、ヘッド部分と、
第1および第2の止めねじであって、前記第1の止めねじが前記第1の溝を閉鎖するように前記第1のねじ山にねじ込まれるようになされ、前記第2の止めねじが前記第2の溝を閉鎖するように前記第2のねじ山にねじ込まれるようになされている、第1および第2の止めねじと、
前記ヘッド部分に連結され、それによって器具が骨に結合される、骨結合部分と
を備える器具。 - 少なくとも第1の細長い部材をさらに備え、前記第1の細長い部材の少なくとも一部が前記第1の溝の少なくとも一部を占め、前記第1の止めねじが前記ヘッド部分に対して前記細長い部材を保持するように圧締力をもたらす、請求項33に記載の器具。
- 少なくとも第2の細長い部材をさらに備え、前記第2の細長い部材の少なくとも一部が前記第2の溝の少なくとも一部を占め、前記第2の止めねじが前記ヘッド部分に対して前記細長い部材を保持するように圧締力をもたらす、請求項34に記載の器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/313,171 US20040111088A1 (en) | 2002-12-06 | 2002-12-06 | Multi-rod bone attachment member |
PCT/US2003/038956 WO2004052217A2 (en) | 2002-12-06 | 2003-12-08 | Multi-rod bone attachment |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2006508770A true JP2006508770A (ja) | 2006-03-16 |
JP4441407B2 JP4441407B2 (ja) | 2010-03-31 |
Family
ID=32468170
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004559426A Expired - Fee Related JP4441407B2 (ja) | 2002-12-06 | 2003-12-08 | 複数ロッドの骨取り付け部材 |
Country Status (8)
Country | Link |
---|---|
US (3) | US20040111088A1 (ja) |
EP (1) | EP1572016B1 (ja) |
JP (1) | JP4441407B2 (ja) |
AT (1) | ATE429866T1 (ja) |
AU (1) | AU2003291207B2 (ja) |
CA (1) | CA2508558A1 (ja) |
DE (1) | DE60327464D1 (ja) |
WO (1) | WO2004052217A2 (ja) |
Cited By (1)
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JP2019195631A (ja) * | 2018-05-09 | 2019-11-14 | グローバス メディカル インコーポレイティッド | 整形外科用固定装置およびその取付け方法 |
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DE60327464D1 (de) | 2009-06-10 |
CA2508558A1 (en) | 2004-06-24 |
JP4441407B2 (ja) | 2010-03-31 |
US10463412B2 (en) | 2019-11-05 |
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AU2003291207B2 (en) | 2009-07-16 |
ATE429866T1 (de) | 2009-05-15 |
WO2004052217A3 (en) | 2004-10-28 |
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