JP2007517628A - ユニバーサル締り嵌めクリート - Google Patents
ユニバーサル締り嵌めクリート Download PDFInfo
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- JP2007517628A JP2007517628A JP2006549586A JP2006549586A JP2007517628A JP 2007517628 A JP2007517628 A JP 2007517628A JP 2006549586 A JP2006549586 A JP 2006549586A JP 2006549586 A JP2006549586 A JP 2006549586A JP 2007517628 A JP2007517628 A JP 2007517628A
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- vertebral
- cleat assembly
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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
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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
- A61F2/28—Bones
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- A—HUMAN NECESSITIES
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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
- 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
- A61F2/30721—Accessories
- A61F2/30728—Collars; Bone edge protectors
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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
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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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- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
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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
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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
- A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
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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
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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
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- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
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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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
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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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- A61F2310/00011—Metals or alloys
- A61F2310/00035—Other metals or alloys
- A61F2310/00131—Tantalum or Ta-based alloys
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
【選択図】図2
Description
Claims (24)
- 2つの椎骨終板の間に位置決めされる椎骨インプラントであって、
前記2つの椎骨終板の間に嵌まるように寸法設定される管状本体と、
それぞれが外側端壁、内側端壁および中空穴を画成する側壁を備える一対の輪状クリートアセンブリと
を備え、
1つまたは複数のスパイクが、各外側端壁から延び、
各中空穴が、前記管状本体の端部上に嵌まり且つ前記管状本体の前記端部からその長さの少なくとも一部に沿って摺動可能に動くように寸法設定される、
椎骨インプラント。 - 前記管状本体が、前記2つの椎骨終板の間における位置決めの前に前記クリートアセンブリのそれぞれの前記中空穴に摺動可能に通され、各外側端壁上の前記スパイクが、互いに離れる方向に向けられ、前記管状本体の両端から先に延びることなく前記管状本体の前記両端の方に延びる、請求項1に記載の椎骨インプラント。
- 前記管状本体を前記クリートアセンブリに取り付ける取り付けアセンブリをさらに備え、
該取り付けアセンブリは、前記クリートアセンブリのそれぞれの前記側壁を通って延びる1つまたは複数の孔と、前記1つまたは複数の孔の1つを通って前記管状本体と接触するように延びることができる取り付け部材とを備える、請求項1に記載の椎骨インプラント。 - 前記1つまたは複数の孔がねじ切りされ、前記取り付け部材が押しねじである、請求項3に記載の椎骨インプラント。
- 1つまたは複数の開口部が、前記クリートアセンブリのそれぞれの前記側壁を通って延び、前記中空穴への移植片材料の注入を可能にするように寸法設定される、請求項1に記載の椎骨インプラント。
- 前記クリートアセンブリのそれぞれの前記内側端壁が、前記クリートアセンブリの整列および位置決めのための1つまたは複数のアライメント位置を備える、請求項1に記載の椎骨インプラント。
- 前記クリートアセンブリの少なくとも1つについて、前記外側端壁が、前記内側端壁に対して角度がつけられている、請求項1に記載の椎骨インプラント。
- 前記クリートアセンブリの前記端壁に溝が付けられている、請求項1に記載の椎骨インプラント。
- 各クリートアセンブリの前記中空穴が滑らかである、請求項1に記載の椎骨インプラント。
- 前記中空穴の直径が13mm乃至25mmである、請求項1に記載の椎骨インプラント。
- 前記外側端壁と前記内側端壁の間の角度が4度乃至15度である、請求項7に記載の椎骨インプラント。
- 2つの椎骨終板の間に位置決めされる椎骨インプラントであって、
前記2つの椎骨終板の間に嵌まるように寸法設定される生物学的支柱と、
それぞれが外側端壁、内側端壁、および中空穴を画成する側壁を備える一対の輪状クリートアセンブリと、
を備え、
1つまたは複数のスパイクが、各外側端壁から延び、
各中空穴が、前記生物学的支柱の端部上に嵌まり且つ前記生物学的支柱の前記端部からその長さの少なくとも一部に沿って摺動可能に動くように寸法設定される、
椎骨インプラント。 - 各側壁を通る少なくとも1つのねじ付き孔、および各孔を通って延びることができ且つ前記生物学的支柱を前記クリートアセンブリに固定する押しねじをさらに含む、請求項12に記載の椎骨インプラント。
- 伸延力によって前記クリートアセンブリが引き離されて所望の椎骨アライメントが達成された後、前記押しねじが各孔を通って延ばされる、請求項12に記載の椎骨インプラント。
- 所望の椎骨アライメントを作り出すように2つの椎骨終板の間の可変空間内に位置決めする椎骨インプラントシステムであって、
第1の反対端部および第2の反対端部を有し、前記椎骨終板間の空間の少なくとも一部にわたるように寸法設定される管状本体と、
第1のクリートアセンブリであって、該第1のクリートアセンブリを前記椎骨終板の一方に取り付けるための第1のスパイク付きの端壁、および前記第1の反対端部を第1のクリートアセンブリに摺動可能に通すための第1の中空穴を画成する第1の側壁を備える、第1のクリートアセンブリと、
第2のクリートアセンブリであって、該第2のクリートアセンブリを前記椎骨終板の他方に取り付けるための第2のスパイク付きの端壁、および前記第2の反対端部を第2のクリートアセンブリに摺動可能に通すための第2の中空穴を画成する第2の側壁を備える、第2のクリートアセンブリと
を備える、椎骨インプラントシステム。 - 前記第1のクリートアセンブリおよび第2のクリートアセンブリが前記椎骨終板に取り付けられた後に前記第1のクリートアセンブリおよび第2のクリートアセンブリを前記管状本体に固定する取り付けシステムをさらに備える、請求項15に記載の椎骨インプラントシステム。
- 前記取り付けシステムが、前記第1の側壁および第2の側壁のそれぞれにある少なくとも1つのねじ付き孔、および前記ねじ付き孔のそれぞれを通って延びることができる押しねじを備える、請求項16に記載の椎骨インプラントシステム。
- 伸延力によって椎骨終板間の空間が変えられて所望の椎骨アライメントが作り出された後、前記押しねじが前記ねじ付き孔のそれぞれを通って延ばされる、請求項17に記載の椎骨インプラントシステム。
- 前記第1のスパイク付き端壁が前記第1の反対端部の方に向けられ且つ前記第2のスパイク付き端壁が前記第2の反対端部の方に向けられる状態で、前記第1のクリートアセンブリが前記第1の反対端部上を摺動可能に動かされ、前記第2のクリートアセンブリが前記第2の反対端部上を摺動可能に動かされ、
前記スパイク付き端壁が前記第1の反対端部および第2の反対端部を越えて延びない、請求項15に記載の椎骨インプラントシステム。 - 1つまたは複数の開口部が、前記第1の中空穴への移植片材料の注入を可能にするように寸法設定され、前記第1の側壁を通って延びる、請求項15に記載の椎骨インプラントシステム。
- 一対のクリートアセンブリおよび管状本体を備える椎骨インプラントを2つの椎骨終板の間に挿入する方法であって、
前記クリートアセンブリを前記管状本体上に摺動させるステップと、
前記椎骨インプラントを前記椎骨終板の間に挿入するステップと、
伸延装置を前記クリートアセンブリの間に挿置するステップと、
前記伸延装置で伸延力をかけ、それによって前記クリートアセンブリの少なくとも1つが前記椎骨終板の少なくとも1つに係合されるステップと
を含む、方法。 - 前記伸延力に応答して、前記2つの椎骨終板の間の空間が広げられるステップと、
前記広げられた空間を維持するように取り付け機構によって各クリートアセンブリを前記管状本体に取り付けるステップと
をさらに含む、請求項21に記載の方法。 - 前記取り付け機構が押しねじである、請求項22に記載の方法。
- 前記椎骨インプラントの挿入の間、前記クリートアセンブリが前記管状本体の両端を越えて延びない、請求項21に記載の方法。
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US10/758,365 US7238205B2 (en) | 2004-01-15 | 2004-01-15 | Universal interference cleat |
PCT/US2005/001067 WO2005070348A1 (en) | 2004-01-15 | 2005-01-12 | Universal interference cleat for vertebral prosthesis |
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JP2007517628A true JP2007517628A (ja) | 2007-07-05 |
JP2007517628A5 JP2007517628A5 (ja) | 2008-02-14 |
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US (2) | US7238205B2 (ja) |
EP (1) | EP1720491B1 (ja) |
JP (1) | JP4579255B2 (ja) |
CN (1) | CN100594857C (ja) |
AU (1) | AU2005206157B2 (ja) |
CA (1) | CA2552703A1 (ja) |
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- 2005-01-12 EP EP05705632.7A patent/EP1720491B1/en not_active Not-in-force
- 2005-01-12 JP JP2006549586A patent/JP4579255B2/ja not_active Expired - Fee Related
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2007
- 2007-06-05 US US11/758,495 patent/US7998214B2/en not_active Expired - Fee Related
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JPH0856971A (ja) * | 1994-07-02 | 1996-03-05 | Ulrich Heinrich | スペース保持部材として脊柱の椎体間に装入する生体埋め込み部材 |
JPH10510181A (ja) * | 1994-12-09 | 1998-10-06 | ソファモーア・デインク・グループ・インコーポレーテッド | 可調節型の椎骨体代替物 |
JP2002503135A (ja) * | 1997-06-11 | 2002-01-29 | エスディージーアイ・ホールディングス・インコーポレーテッド | 補強された骨移植片代替物 |
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JP2006513795A (ja) * | 2003-04-11 | 2006-04-27 | マシーズ メディツィナルテヒニク アクチエンゲゼルシャフト | 椎間インプラント用の固定手段 |
Also Published As
Publication number | Publication date |
---|---|
AU2005206157A1 (en) | 2005-08-04 |
CN100594857C (zh) | 2010-03-24 |
US7998214B2 (en) | 2011-08-16 |
CN1909857A (zh) | 2007-02-07 |
AU2005206157B2 (en) | 2011-05-12 |
JP4579255B2 (ja) | 2010-11-10 |
EP1720491B1 (en) | 2013-07-03 |
US20080234821A1 (en) | 2008-09-25 |
WO2005070348A1 (en) | 2005-08-04 |
US7238205B2 (en) | 2007-07-03 |
CA2552703A1 (en) | 2005-08-04 |
US20050159814A1 (en) | 2005-07-21 |
EP1720491A1 (en) | 2006-11-15 |
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