JP2006525102A - 骨アンカー - Google Patents
骨アンカー Download PDFInfo
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- JP2006525102A JP2006525102A JP2006514329A JP2006514329A JP2006525102A JP 2006525102 A JP2006525102 A JP 2006525102A JP 2006514329 A JP2006514329 A JP 2006514329A JP 2006514329 A JP2006514329 A JP 2006514329A JP 2006525102 A JP2006525102 A JP 2006525102A
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- bone
- engaging portion
- bone anchor
- bone engaging
- molded
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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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
- A61B17/8886—Screwdrivers, spanners or wrenches holding the screw head
- A61B17/8888—Screwdrivers, spanners or wrenches holding the screw head at its central region
-
- 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
- A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
- A61B17/8615—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the central region of the screw head
-
- 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
- A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8802—Equipment for handling bone cement or other fluid fillers
- A61B17/8805—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
- A61B17/8811—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it characterised by the introducer tip, i.e. the part inserted into or onto the bone
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8802—Equipment for handling bone cement or other fluid fillers
- A61B17/8805—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
- A61B17/8816—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it characterised by the conduit, e.g. tube, along which fluid flows into the body or by conduit connections
-
- 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
- A61B17/7097—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
- A61B17/7098—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants wherein the implant is permeable or has openings, e.g. fenestrated screw
Abstract
Description
Claims (34)
- 骨アンカーにおいて、
近位端部と遠位端部を有する骨係合部であって、前記近位端部から前記遠位端部に向けて少なくとも部分的には内部を通って伸張するカニューレ通路と、前記カニューレ通路と連通する少なくとも1つの横穴と、を含んでいる骨係合部と、
前記骨係合部の前記近位端部から伸張しており、装置を案内して前記骨係合部に係合させるようになっている細長いガイド部と、を備えている骨アンカー。 - 前記カニューレ通路は、前記骨係合部を部分的に通って伸張している、請求項1に記載の骨アンカー。
- 前記少なくとも1つの横穴のそれぞれは、前記骨係合部の遠位端部に沿って配置されている、請求項1に記載の骨アンカー。
- 前記少なくとも1つの横穴のそれぞれは、前記骨係合部の最遠位端から3分の1の部分に沿って配置されている、請求項3に記載の骨アンカー。
- 前記骨係合部には、前記カニューレ通路と連通している前記少なくとも1つの横穴が複数個形成されている、請求項1に記載の骨アンカー。
- 前記細長いガイド部は、前記細長いガイド部を前記骨係合部から選択的に取り外すことができるように、前記骨係合部に解除可能に係合するように構成されている、請求項1に記載の骨アンカー。
- 前記細長いガイド部は、前記骨係合部と螺合するように構成されている、請求項6に記載の骨アンカー。
- 前記細長いガイド部は、前記細長いガイド部を前記骨係合部に対して角度方向に変位させることができるように、前記骨係合部と係合するように構成されている、請求項1に記載の骨アンカー。
- 前記細長いガイド部には、内部を貫通して伸張し前記カニューレ通路と連通する軸方向通路が形成されており、
前記軸方向通路から前記カニューレ通路に送り込まれ、前記少なくとも1つの横穴から外へ放出される物質を更に備えている、請求項1に記載の骨アンカー。 - 前記骨係合部と前記細長いガイド部の一方には、成形された端部があり、もう一方には、前記成形された端部を受け入れるために作られた成形された陥凹部がある、請求項1に記載の骨アンカー。
- 前記成形された端部と前記形成された陥凹部は、それぞれ、少なくとも部分的には球状の形状を有している、請求項10に記載の骨アンカー。
- 前記成形された端部と前記成形された陥凹部は、それぞれ、少なくとも部分的には円筒状の形状を有している、請求項10に記載の骨アンカー。
- 前記成形された端部は、球状形状のボールを備えており、前記成形された陥凹部は球状形状のソケットを備えている、請求項10に記載の骨アンカー。
- 前記球状形状のボールは、前記球状形状のソケットに圧入装着され、前記細長いガイド部を前記骨係合部に解除可能に係合している、請求項13に記載の骨アンカー。
- 前記カニューレ通路に送出し、前記少なくとも1つの横穴から放出することのできる物質を更に備えている、請求項1に記載の骨アンカー。
- 前記物質は骨セメントを含んでいる、請求項15に記載の骨アンカー。
- 前記物質は骨成長促進物質を含んでいる、請求項15に記載の骨アンカー。
- 前記骨成長促進物質は骨形成タンパク質を含んでいる、請求項17に記載の骨アンカー。
- 前記装置は、前記物質を前記カニューレ通路に注入して、前記少なくとも1つの横穴から放出できるようになっている注射器を含んでいる、請求項15に記載の骨アンカー。
- 前記装置は、前記物質を前記カニューレ通路に搬入して、前記少なくとも1つの横穴から放出できるようになっている管状部材を含んでいる、請求項15に記載の骨アンカー。
- 前記管状部材は、前記骨係合部の前記近位端部に螺合するようになっている、請求項20に記載の骨アンカー。
- 前記装置は外科処置器具を含んでいる、請求項1に記載の骨アンカー。
- 前記装置は脊椎移植片を含んでいる、請求項1に記載の骨アンカー。
- 前記細長いガイド部は、前記骨係合部が骨に係合されたとき、患者の身体の外側に伸張する寸法に作られている、請求項1に記載の骨アンカー。
- 骨アンカーにおいて、
近位端部と遠位端部を有する骨係合部であって、前記近位端部から前記骨係合部の横方向に隣接する箇所まで物質を送出するための手段を含んでいる骨係合部と、
装置を案内して前記骨係合部に係合させるための手段と、を備えている骨アンカー。 - 前記骨係合部まで案内するための前記手段を解除可能に係合させ、選択的に取り外しができるようにするための手段を更に備えている、請求項25に記載の骨アンカー。
- 前記案内するための手段と前記骨係合部の間で角度方向の変位ができるようにするための手段を更に備えている、請求項25に記載の骨アンカー。
- 前記骨係合部の前記近位端部に物質を搬送するための手段を更に備えている、請求項25に記載の骨アンカー。
- 前記案内するための手段は、前記骨係合部が骨に係合されたとき、患者の身体の外側に伸張する、請求項25に記載の骨アンカー。
- 骨アンカーにおいて、
近位端部と遠位端部を有する骨係合部と、
前記骨係合部に対して角度方向に変位できるように、前記骨係合部の前記近位端部と係合するように作られている細長いガイド部であって、装置を案内して前記骨係合部と係合させるように作られている細長いガイド部と、を備えている骨アンカー。 - 前記骨係合部と前記細長いガイド部の一方には、成形された端部があり、もう一方には、前記成形された端部を受け入れて前記角度方向に変位できるように作られた成形された陥凹部がある、請求項30に記載の骨アンカー。
- 前記成形された端部と前記形成された陥凹部は、それぞれ、少なくとも部分的には球状の形状を有している、請求項31に記載の骨アンカー。
- 前記成形された端部は、前記細長いガイド部を前記骨係合部から選択的に分離させることができるように、前記成形された陥凹部の中に解除可能に係合させることができるように作られている、請求項31に記載の骨アンカー。
- 前記骨係合部は、前記近位端部から前記遠位端部に向けて少なくとも部分的には内部を通って伸張するカニューレ通路と、前記カニューレ通路と連通する少なくとも1つの横穴と、を含んでいる、請求項30に記載の骨アンカー。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/429,430 US7354442B2 (en) | 2003-05-05 | 2003-05-05 | Bone anchor and methods of using the same |
PCT/US2004/014415 WO2004098425A2 (en) | 2003-05-05 | 2004-05-05 | Bone screw with means for guiding a screwdriver |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2006525102A true JP2006525102A (ja) | 2006-11-09 |
JP4597977B2 JP4597977B2 (ja) | 2010-12-15 |
Family
ID=33416046
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2006514329A Expired - Fee Related JP4597977B2 (ja) | 2003-05-05 | 2004-05-05 | 骨アンカー |
Country Status (8)
Country | Link |
---|---|
US (1) | US7354442B2 (ja) |
EP (1) | EP1622529B1 (ja) |
JP (1) | JP4597977B2 (ja) |
CN (1) | CN1805715B (ja) |
AT (1) | ATE538743T1 (ja) |
AU (1) | AU2004235821B2 (ja) |
CA (1) | CA2524797C (ja) |
WO (1) | WO2004098425A2 (ja) |
Cited By (14)
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JP2012507369A (ja) * | 2008-10-30 | 2012-03-29 | デピュイ・スパイン・インコーポレイテッド | 骨アンカーに骨セメントを送達するためのシステム及び方法 |
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Also Published As
Publication number | Publication date |
---|---|
AU2004235821A1 (en) | 2004-11-18 |
ATE538743T1 (de) | 2012-01-15 |
EP1622529A2 (en) | 2006-02-08 |
CA2524797A1 (en) | 2004-11-18 |
US20040225292A1 (en) | 2004-11-11 |
WO2004098425A3 (en) | 2005-04-14 |
JP4597977B2 (ja) | 2010-12-15 |
CN1805715A (zh) | 2006-07-19 |
CA2524797C (en) | 2011-11-08 |
CN1805715B (zh) | 2010-08-04 |
EP1622529B1 (en) | 2011-12-28 |
US7354442B2 (en) | 2008-04-08 |
AU2004235821B2 (en) | 2009-09-24 |
WO2004098425A2 (en) | 2004-11-18 |
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