JP2007014796A - 後方固定システム - Google Patents
後方固定システム 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
- A61B17/70—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
- A61B17/7002—Longitudinal elements, e.g. rods
-
- 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
-
- 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
- A61B17/7041—Screws or hooks combined with longitudinal elements which do not contact vertebrae with single longitudinal rod offset laterally from single row of screws or hooks
-
- 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
-
- 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
- A61B17/7049—Connectors, not bearing on the vertebrae, for linking longitudinal elements together
-
- 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
- A61B17/7049—Connectors, not bearing on the vertebrae, for linking longitudinal elements together
- A61B17/705—Connectors, not bearing on the vertebrae, for linking longitudinal elements together for linking adjacent ends of longitudinal elements
-
- 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
- A61B17/7055—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant connected to sacrum, pelvis or skull
-
- 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
- A61B17/7059—Cortical plates
Abstract
【課題】脊柱インプラントにおいて多数の治療方法と身体部位に適した治療法を可能にするモジュラー式固定システムを提供する。
【解決手段】多軸骨アンカー組立体20はサドル部材22と、定着部材24と、後頭部板と、後頭部ロッド36と、クロスリンクコネクタとを備えている。定着部材24は1つの通路34を画成する1対の直立部分32を備えているサドル部材22に定着する。サドル部材22は定着部材24を受け入れる穴を有するサドル部材22及び定着部材24は多軸方向に移動するのを可能にし得るように結合することができる。ロッド36の接続は1対の結合部分を共に結合する一体に形成された円筒状部材を有するクロスリンクコネクタと接続する。ロッドを頭蓋の後頭骨に固着する後頭部板は、板に画成された複数の開口を有するクロス形状板と、板に結合された少なくとも1つのサドル部材22とを有している。
【選択図】図1
Description
非限定的な任意の距離の位置に横方向に配置することができる。更に、ロッド(図1のロッド36のような)又は偏心コネクタ164を通路34b又は横穴166の何れと結合することも可能であるから、サドル部材162は二重に有用である。
Claims (62)
- 多軸骨取り付け組立体において、
サドル部材であって、該サドル部材を貫通する通路を画成する複数の直立部分を有し、内壁により境が設定された貫通穴を更に有し、該穴が該サドル部材に下側開口部を形成する前記サドル部材と、
前記開口部を貫通して伸びて、頭部分と、定着部分とを有する骨定着部材と、
整形外科用ロッドを受け入れる凹状部分と、半径方向に伸びる突起とを有し、前記サドル部材の前記穴内に且つ前記骨定着部材の頂部に装着される座金とを備える、多軸骨取り付け組立体。 - 請求項1の組立体において、前記内壁が溝を有し、前記穴内で且つ前記座金の上方で装着され前記座金を前記サドル部材の前記穴内に保持するスナップリングを更に備える、組立体。
- 請求項2の組立体において、前記直立部分が、ねじ付き部分を有し、該ねじ付き部分と係合するねじ付き部材を更に備える、組立体。
- 請求項3の組立体において、前記直立部分が内ねじ付きであり、前記ねじ付き部材が外ねじ付きの止めねじである、組立体。
- 請求項4の組立体において、前記止めねじが凸状に丸味を付けた上面を有する、組立体。
- 請求項3の組立体において、前記ねじ付き部分が逆角度ねじ部を有する、組立体。
- 請求項1の組立体において、前記座金が上側部分及び下側部分を有し、前記凹状部分が前記上側部分の一部であり、前記突起が前記下側部分の一部である、組立体。
- 請求項7の組立体において、前記内壁が溝を有し、前記溝内で且つ前記座金の前記下側部分の上方で装着され前記座金を前記サドル部材の前記穴内に保持するスナップリングを更に備える、組立体。
- 請求項7の組立体において、前記座金の前記上側部分が複数の凹状部分を有する、組立体。
- 請求項7の組立体において、前記座金の前記下側部分が複数の突起を有する、組立体。
- 請求項1の組立体において、前記上側部分がねじ付き部分を有し、該ねじ付き部分と係合するねじ付き部材を更に備える、組立体。
- 請求項1の組立体において、前記定着部材が骨ねじである、組立体。
- 請求項12の組立体において、前記骨ねじが凸型下側部を有する頭部分を備える、組立体。
- 請求項13の組立体において、前記凸型下側部が球状である、組立体。
- 請求項14の組立体において、前記骨ねじが荷重側面と、基部面とを持つねじ部を有する一部分を備え、前記荷重側面と前記基部面との間の角度が鋭角である、組立体。
- 請求項15の組立体において、前記角度が約86゜である、組立体。
- 請求項1の組立体において、前記定着部材が鉤状部材である、組立体。
- 請求項17の組立体において、前記定着部分が前記頭部分に接続された湾曲部分と、該湾曲部分に接続された直線状部分とを有し、前記頭部分が前記定着部材を前記サドル部材に結合する複数の球状部分を有する、組立体。
- 請求項1の組立体において、
前記直立部分の各々が、該直立部分に画成された樋状部を有し、
前記座金が、各々前記樋状部の1つに提供される複数の突起を有する、組立体。 - 請求項1の組立体において、前記下側開口部が、前記骨定着部材が斜め方向に移動するのを可能にする凹型壁部分と、円錐形壁部分とを有する、組立体。
- 脊柱インプラントシステムにおいて、
サドル部材であって、該サドル部材を貫通する通路を画成する複数の直立部分を有し、前記直立部分に画成され、前記通路に対して直角の横穴を更に有する前記サドル部材と、
前記サドル部材を骨に定着し得るように前記サドル部材と結合された骨定着部材と、
整形外科用ロッドに結合し得るようにされた偏心部材であって、前記ロッドに結合し得るようにされた本体と、該本体から前記直立部分の前記横穴を通って伸びる結合部材とを有する前記偏心部材とを備える、脊柱インプラントシステム。 - 請求項21のシステムにおいて、前記直立部分がねじ付き部分を備え、該ねじ付き部分と係合するねじ付き部材を更に備える、システム。
- 請求項22のシステムにおいて、前記直立部分が内ねじ付きであり、前記ねじ付き部材が外ねじ付きの止めねじを有する、システム。
- 請求項22のシステムにおいて、前記ねじ付き部分が逆角度ねじ部を有する、システム。
- 請求項21のシステムにおいて、前記定着部材が鉤状部材を有する、システム。
- 請求項21のシステムにおいて、前記偏心部材が、前記ロッドを受け入れ得るように前記本体に画成されたロッド受け入れ通路を有する、システム。
- 請求項26のシステムにおいて、前記偏心部材が、前記ロッド受け入れ通路に直交するねじ付き穴と、該ねじ付き穴内に設けられたねじ付き止めねじとを有する、システム。
- 請求項26のシステムにおいて、前記ロッド受け入れ通路に画成されたスロットを更に備える、システム。
- 請求項21のシステムにおいて、前記本体が、前記ロッドを受け入れ得るように前記本体に通路を画成する1対の本体部材を有する、システム。
- 請求項29のシステムにおいて、前記偏心部材が、前記結合部材に沿って伸びる長手方向軸を有し、前記本体部材が該長手方向軸に対し平行に伸びる、システム。
- 請求項29のシステムにおいて、前記偏心部材が、前記結合部材に沿って伸びる長手方向軸を有し、前記本体部材が該長手方向軸に対し垂直に伸びる、システム。
- 請求項29のシステムにおいて、前記本体部材の1つが内部に画成されたねじ付き穴と、該ねじ付き穴内に設けられたねじ付き止めねじとを有する、システム。
- 請求項21のシステムにおいて、前記整形外科用ロッドを受け入れ得るようにされた凹状部分と、半径方向に伸びる突起とを有する座金を更に備え、該座金が前記サドル部材内に装着される、システム。
- 請求項33のシステムにおいて、前記座金を前記サドル部材内に固着し得るように前記サドル内に設けられたスナップリングを更に備える、システム。
- 請求項21のシステムにおいて、前記偏心部材に結合された前記整形外科用ロッドを更に備える、システム。
- 請求項35のシステムにおいて、前記整形外科用ロッドが後頭部ロッドを有する、システム。
- 請求項35のシステムにおいて、前記ロッドに結合された後頭部板を更に備え、該板が、
第一及び第二の長手方向端部を接続する長手方向軸と、第一及び第二の横端部を接続する横方向軸と、複数の貫通開口とを有するクロス形状部材と、
該クロス形状部材に結合された板サドル部材であって、該板サドル部材を貫通する通路を画成する複数の直立部分を有し、前記ロッドが前記通路内に結合された前記板サドル部材とを備える、システム。 - 請求項37のシステムにおいて、各々がロッドに結合し得るようにされた1対の結合端部と、前記結合端部の間に設けられた円筒状部材とを有するクロスリンクコネクタを更に備え、前記結合端部の一方が前記ロッドに結合される、システム。
- 整形外科用固定板において、
第一及び第二の長手方向端部を接続する長手方向軸と、第一及び第二の横端部を接続する横方向軸と、複数の貫通開口とを有するクロス形状部材と、
該クロス形状部材に結合されたサドル部材であって、該サドル部材を貫通する通路を画成する複数の直立部分を有する前記サドル部材とを備える、整形外科用固定板。 - 請求項39の板において、前記クロス形状部材に取り付けられた複数のサドル部材を備え、該サドル部材の各々が該サドル部材を貫通するそれぞれの通路を画成する複数の直立部分を有する、板。
- 請求項39の板において、前記サドル部材が前記クロス部材と一体である、板。
- 請求項39の板において、前記サドル部材が前記クロス部材と枢動可能に結合される、板。
- 請求項39の板において、前記サドル部材が前記第一及び第二の長手方向端部の一方に配置される、板。
- 請求項39の板において、前記サドル部材の前記通路が軸を有し、該通路の軸が前記クロス形状部材の前記長手方向軸に対しほぼ垂直である、板。
- 請求項39の板において、前記クロス部材が、該クロス部材の前記第一及び第二の横端部の各々に前記開口の少なくとも1つを有する、板。
- 請求項39の板において、前記開口が円錐形部分を有する1つの面により境が設定される、板。
- 請求項46の板において、前記面が円錐形上側部分と円錐形下側部分とを有する、板。
- 請求項39の板において、前記クロス形状部材が湾曲している、板。
- 請求項39の板において、前記クロス形状部材が湾曲しており、前記長手方向軸が湾曲部分を有し、前記横方向軸がほぼ直線状である、板。
- クロスリンクコネクタにおいて、
各々が整形外科用ロッドに結合し得るようにされた複数の結合端部と、
該結合端部に一体に接続された円筒状部材であって、該円筒状部材が多軸方向に曲がるのを可能にする円筒状の形状を有する前記円筒状部材とを備える、クロスリンクコネクタ。 - 請求項50のクロスリンクコネクタにおいて、前記結合端部の各々が、前記ロッドを受け入れ得るようにされたキャビティを画成する湾曲部材を有する、クロスリンクコネクタ。
- 請求項51のクロスリンクコネクタにおいて、前記結合端部の各々が、ねじ付き穴と、前記ロッドを固着すべく該穴内に受け入れられた止めねじとを有する、クロスリンクコネクタ。
- 請求項50のクロスリンクコネクタにおいて、前記円筒状部材が前記結合端部の間でアーチ状に形成される、クロスリンクコネクタ。
- 多軸骨取り付け組立体において、
サドル部材であって、該サドル部材を貫通する通路を画成する複数の直立部分と、内壁により境が設定された貫通穴とを更に有し、該穴が前記サドル部材に下側開口部を形成する前記サドル部材と、
前記開口部を貫通して伸びる骨定着部材であって、該定着部材が多軸方向に移動するのを可能にし得るように前記穴内に形成された結合部分及び定着部分を有する前記骨定着部材と、
前記結合部分を膨張させ、前記定着部材を所要位置に係止すべく前記定着部材に結合された膨張部材とを備える、多軸骨取り付け組立体。 - 請求項54の組立体において、前記定着部分が鉤状部材を備える、組立体。
- 請求項54の組立体において、前記結合部分がほぼ球状の形状を有する、組立体。
- 請求項54の組立体において、前記結合部分が複数の部分球状部材を有する、組立体。
- 請求項57の組立体において、前記膨張部材が前記部分球状部材の間で前記定着部材に結合される、組立体。
- 請求項54の組立体において、前記膨張部材が止めねじを有する、組立体。
- 請求項54の組立体において、前記膨張部材が、工具係合部分と、前記結合部材と係合されたねじ付き部分と、前記工具係合部分と前記ねじ付き部分との間に設けられた円錐形状の膨張部分とを有する、組立体。
- 請求項54の組立体において、前記直立部分がねじ付き部分を有し、該ねじ付き部分と係合するねじ付き部材を更に備える、組立体。
- 請求項61の組立体において、前記ねじ付き部分が逆角度のねじ部を有する、組立体。
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US09/663,638 US6485491B1 (en) | 2000-09-15 | 2000-09-15 | Posterior fixation system |
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JP2011067628A (ja) * | 2009-09-25 | 2011-04-07 | Biedermann Motech Gmbh & Co Kg | 骨固定装置およびモジュール式システム |
US8764810B2 (en) | 2009-09-25 | 2014-07-01 | Biedermann Technologies Gmbh & Co. Kg | Bone anchoring device |
US9149300B2 (en) | 2009-09-25 | 2015-10-06 | Biedermann Technologies Gmbh & Co. Kg | Bone anchoring device |
JP2013533755A (ja) * | 2010-05-12 | 2013-08-29 | ロジャー・ピー・ジャクソン | 多軸骨用ねじ組立体 |
Also Published As
Publication number | Publication date |
---|---|
EP1317215B1 (en) | 2005-12-14 |
US20030004512A1 (en) | 2003-01-02 |
DE60121060T2 (de) | 2006-11-30 |
ATE312563T1 (de) | 2005-12-15 |
JP2004508130A (ja) | 2004-03-18 |
JP2011235124A (ja) | 2011-11-24 |
AU2001289108B2 (en) | 2004-07-01 |
WO2002022030A2 (en) | 2002-03-21 |
DE60115920T2 (de) | 2006-08-10 |
DE60115920D1 (de) | 2006-01-19 |
WO2002022030A3 (en) | 2002-09-06 |
EP1459690A1 (en) | 2004-09-22 |
US6485491B1 (en) | 2002-11-26 |
EP1459690B1 (en) | 2006-06-21 |
ES2254487T3 (es) | 2006-06-16 |
DE60121060D1 (de) | 2006-08-03 |
JP2011251132A (ja) | 2011-12-15 |
CA2422311C (en) | 2007-06-05 |
ES2266962T3 (es) | 2007-03-01 |
AU8910801A (en) | 2002-03-26 |
US7699872B2 (en) | 2010-04-20 |
EP1317215A2 (en) | 2003-06-11 |
CA2422311A1 (en) | 2002-03-21 |
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