JP2007501076A - 人工器官 - Google Patents
人工器官 Download PDFInfo
- Publication number
- JP2007501076A JP2007501076A JP2006522743A JP2006522743A JP2007501076A JP 2007501076 A JP2007501076 A JP 2007501076A JP 2006522743 A JP2006522743 A JP 2006522743A JP 2006522743 A JP2006522743 A JP 2006522743A JP 2007501076 A JP2007501076 A JP 2007501076A
- Authority
- JP
- Japan
- Prior art keywords
- replacement device
- prosthesis
- surface replacement
- articular surface
- lamina
- 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
- 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
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7064—Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
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- A—HUMAN NECESSITIES
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- 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
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7067—Devices bearing against one or more spinous processes and also attached to another part of the spine; Tools therefor
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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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- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/4405—Joints for the spine, e.g. vertebrae, spinal discs for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes
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- 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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- 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
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- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
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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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
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- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
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Abstract
【解決手段】人工器官は、切除された椎弓板に置き換えるための下部分を有する椎弓板ブリッジと、切除された下関節突起に置き換えるために、椎弓板ブリッジの下部分に接続されている少なくとも1つの下関節面置換装置と、切除された上関節突起に置き換えるための少なくとも1つの上関節面置換装置と、を備えている。少なくとも1つの上関節面置換装置は、少なくとも1つの下関節面置換装置と関節運動を行う。
【選択図】図1
Description
Claims (21)
- 1つ又は複数の椎骨後部構造体が切除されて残った空間に間置するための人工器官において、
切除された椎弓板に置き換えるための、下部分を有する椎弓板ブリッジと、
前記椎弓板ブリッジの前記下部分に接続されている、少なくとも1つの下関節面置換装置と、
少なくとも1つの上関節面置換装置と、を備えており、
前記少なくとも1つの上関節面置換装置は、前記少なくとも1つの下関節面置換装置と関節運動を行う、人工器官。 - 前記少なくとも1つの下関節面置換装置は、前記椎弓板ブリッジと一体に接続されている、請求項1に記載の人工器官。
- 前記少なくとも1つの下関節面置換装置は、前記椎弓板ブリッジと螺合接続されている、請求項1に記載の人工器官。
- 前記少なくとも1つの下関節面置換装置は、前記少なくとも1つの上関節面置換装置と接触する球状部分を備えている、請求項1に記載の人工器官。
- 前記少なくとも1つの下関節面装置と前記少なくとも1つの上関節面装置の間の関節運動範囲を制御するための動作拘束機構を更に備えている、請求項1に記載の人工器官。
- 前記動作拘束機構は、前記少なくとも1つの下間接面置換装置と前記少なくとも1つの上関節面置換装置の間を伸張する係留紐を備えている、請求項5に記載の人工器官。
- 前記動作拘束機構は、前記少なくとも1つの下関節面置換装置と前記少なくとも1つの上関節面置換装置を少なくとも部分的には覆って伸張する鞘を備えている、請求項5に記載の人工器官。
- 前記動作拘束機構は、ヒドロゲル含んでいる、請求項5に記載の人工器官。
- 前記椎弓板ブリッジに固定的に接続され、少なくとも1つの隣接する椎骨に可動的に接続されている、可撓性を有するバンパを更に備えている、請求項1に記載の人工器官。
- 前記可撓性を有するバンパは、前記少なくとも1つの隣接する椎骨に可動的に接続させるための少なくとも1つのノッチを備えている、請求項9に記載の人工器官。
- 前記可撓性を有するバンパは、ヒドロゲルで形成されている、請求項9に記載の人工器官。
- 前記バンパと前記少なくとも1つの隣接する椎骨の間の動作を拘束するために、前記可撓性を有するバンパを通して伸張するバンパ取り付け装置を更に備えている、請求項9に記載の人工器官。
- 前記椎弓板ブリッジを椎骨に固定するための少なくとも1つの椎弓根ねじを更に備えている、請求項1に記載の人工器官。
- 少なくとも2つの隣接する椎骨から1つ又は複数の椎骨後部構造体が切除されて残った空間に間置するための複数レベルの人工器官において、
少なくとも1つの第1下関節面置換装置に接続されている第1椎弓板ブリッジと、
少なくとも1つの上関節面伸張部に接続されている第2椎弓板ブリッジと、を備えており、
前記少なくとも1つの下関節面置換装置は、前記少なくとも1つの上関節面伸張部と関節運動を行う、複数レベルの人工器官。 - 少なくとも1つの上関節面置換装置を更に備えており、前記第2椎弓板ブリッジは少なくとも1つの第2下関節面置換装置に接続され、前記少なくとも1つの第2下関節面置換装置は、前記少なくとも1つの上関節面置換装置と関節運動を行う、請求項14に記載の複数レベルの人工器官。
- 前記第1椎弓板ブリッジに固定的に接続されている第1の可撓性を有するバンパと、
前記第2椎弓板ブリッジに固定的に接続されている第2の可撓性を有するバンパと、を備えており、
前記第1の可撓性を有するバンパは、前記第2の可撓性を有するバンパと可動的に接続されている、請求項14に記載の複数レベルの人工器官。 - 1つ又は複数の関節面が切除されて残った空間に間置するための人工器官において、
第1の椎骨の椎弓板を通して伸張可能で、且つこれに接続されている少なくとも1つの経椎弓板ファスナと、
前記経椎弓板ファスナに接続された少なくとも1つの下関節面置換装置と、を備えている人工器官。 - 第2の椎骨に接続された少なくとも1つの上関節面置換装置を更に備えており、前記少なくとも1つの上関節面置換装置は、前記少なくとも1つの下関節面置換装置と関節運動を行う、請求項17に記載の人工器官。
- 前記少なくとも1つの経椎弓板ファスナには第1の雄ねじ部が設けられ、前記少なくとも1つの下関節面置換装置には雌ねじ部が設けられており、且つ、前記経椎弓板ファスナは前記少なくとも1つの下関節面置換装置に螺合接続されている、請求項17に記載の人工器官。
- 前記少なくとも1つの経椎弓板ファスナには、前記第1の椎骨の椎弓板に螺合接続させるための第2の雄ねじ部が設けられている、請求項19に記載の人工器官。
- 少なくとも1つの経椎弓板ファスナと少なくとも1つの下関節面置換装置とを有する関節面人工器官を、脊柱への侵襲性をできる限り抑えながら設置するための装置において、
前記少なくとも1つの経椎弓板ファスナを脊柱の1つの椎骨の椎弓板の近くに前進させ、前記少なくとも1つの経椎弓板ファスナを前記椎弓板内へと伸張させるための第1の管状部材であって、前記少なくとも1つの経椎弓板ファスナの接続部分は前記椎弓板を通って伸張している、第1の管状部材と、
前記少なくとも1つの下関節面置換装置を、前記少なくとも1つの経椎弓板ファスナの前記接続部分に接続するための第2の管状部材と、を備えている装置。
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US10/635,622 US7377942B2 (en) | 2003-08-06 | 2003-08-06 | Posterior elements motion restoring device |
PCT/US2004/025402 WO2005013864A2 (en) | 2003-08-06 | 2004-08-06 | Devices for replacing posterior elements of the spine |
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Also Published As
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AU2004263125A1 (en) | 2005-02-17 |
JP4500311B2 (ja) | 2010-07-14 |
EP1659995A2 (en) | 2006-05-31 |
CN1863492A (zh) | 2006-11-15 |
US20050033434A1 (en) | 2005-02-10 |
WO2005013864A3 (en) | 2005-06-30 |
CA2534992A1 (en) | 2005-02-17 |
WO2005013864A2 (en) | 2005-02-17 |
US7377942B2 (en) | 2008-05-27 |
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