JP2007517634A - 骨折治療デバイス - Google Patents
骨折治療デバイス 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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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
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/725—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with locking pins or screws of special form
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
- A61B17/7266—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with fingers moving radially outwardly
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- 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
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
- A61B17/744—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to an intramedullary nail
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- 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
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
-
- 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
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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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
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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
- A61B17/686—Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw
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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
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7283—Intramedullary pins, nails or other devices with special cross-section of the nail
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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
- A61F2/0077—Special surfaces of prostheses, e.g. for improving ingrowth
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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
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- A61F2/32—Joints for the hip
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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
- A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
- A61F2/446—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
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- 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
- 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
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30579—Special structural features of bone or joint prostheses not otherwise provided for with mechanically expandable devices, e.g. fixation devices
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Abstract
【解決手段】 筒状壁(125、225、454)と、この筒状壁内に延在するルーメン(126、226、564)と、前記筒状壁を通る開口と、この開口に隣接し、前記シャフトルーメン内に始動力が存在する場合に前記開口の外で展開することができるアンカーエレメント(128、228、452、520、554、612、614、714)を有するシャフト(120、220、450、502、552、602、604、702)を具える骨治療デバイス。この骨治療デバイスは、更に、前記シャフトルーメン内に収納されるように構成され、前記開口の外で前記アンカーエレメントを展開させるように構成されたアクチュエータ(130、230、300、400、730)を具える。
【選択図】 図9B
Description
本発明は、一般的に医療デバイスに関し、特に、骨折した骨の安定化及び/又は骨に物体を固定するデバイスに関する。
四肢の骨の骨折は、骨の表面にあてがったプレートと、骨折した骨の髄管内部を通る釘、及び/又は、骨折した骨の両端に取り付けたスクリュなどの内部固定デバイスで治療していた。これらの内部固定デバイスは、骨細胞を刺激するために必要ないくらかの緊張と妥協することなく、骨折した骨に適度な構造上の剛性及び/又は安定性を提供するものである。
本発明の一実施例によれば、骨治療シャフトが、筒状壁と、当該筒状壁内を延在するルーメンを具える。一の実施例では、筒状壁は、治療を行う骨の髄管内に延在するように構成されているが、代替として、長骨、扁平骨、不規則形骨では、海綿骨質あるいは皮質領域内、あるいはその双方内で、治療を行う骨内に横方向に延在ようなサイズであっても良い。本発明の実施例は、最小限に侵襲性である外科的方法を用いてインプラントするように意図されたものであるが、伝統的な開放手術でインプラントするようにしても良い。
図1及び2を参照して、本発明の一実施例による骨治療キット100を以下に説明する。キット100は、一般的に骨治療シャフト120と、骨の髄管に沿って骨治療シャフト120の固定を容易にするアクチュエータ130と、を具える。骨シャフト120は、第1の端部122と、第2の端部124と、第1及び第2の端部122、124間に延在するルーメン126を規定する筒状壁125とを具える。アクチュエータ130は、第1の端部132と第2の端部134を具える。アクチュエータ130は、使用中に骨シャフト120のルーメン126内に挿入することができるようなサイズである。骨シャフト120とアクチュエータ130とは、プラスチック、ポリマ、金属、合金、あるいはセラミックスなど、様々な生体適合材料で作ることができる。骨シャフト120とアクチュエータ130とは、生体吸収性材料、組織再生(ティッシュエンジニアード)材料、ニチノールなどの形状記憶合金またはポリマ、あるいはステンレススチールやチタン合金などのその他の弾力的な材料、または生体吸収性材料、または、組織再生材料と、非生体吸収性材料との組み合わせでできていても良い。好ましくは、骨シャフト120は、シャフトが固定される骨折した骨に安定性を提供するのに、あるいはこの骨に別の構造体を適切に固定するための構造的な剛性を提供するべく、十分に剛性である。
Claims (19)
- 骨治療デバイスにおいて:
骨内に少なくとも部分的に延在するように構成された細長の生体適合性筒状壁と;
前記筒状壁内に延在するルーメンと;
前記筒状壁を通る複数の開口と;
各開口に隣接して前記筒状壁にヒンジで連結された複数の骨アンカーエレメントを具え、前記アンカーエレメントが、前記ルーメン内に始動力が存在するときに前記開口の外に少なくとも部分的にヒンジ連結されるように構成されていること;
を特徴とする骨治療デバイス。 - 請求項1に記載のデバイスにおいて、前記筒状壁が実質的に連続した面であることを特徴とするデバイス。
- 請求項1に記載のデバイスにおいて、前記筒状壁がメッシュでできていることを特徴とするデバイス。
- 請求項1に記載のデバイスにおいて、前記筒状壁が硬質であることを特徴とするデバイス。
- 請求項1に記載のデバイスにおいて、前記アンカーエレメントと筒状壁が一体構造として形成されていることを特徴とするデバイス。
- 請求項1に記載のデバイスにおいて、前記開口が前記筒状壁に沿って軸方向に配置されていることを特徴とするデバイス。
- 請求項1ないし6のいずれかに記載のデバイスにおいて、前記アンカーエレメントの各々が外側に向けて延在する、鋭い先端を有することを特徴とするデバイス。
- 請求項1ないし6のいずれかに記載のデバイスにおいて、前記アンカーエレメントの各々が、外側に向けて延在する、鈍い先端を有することを特徴とするデバイス。
- 請求項1ないし8のいずれかに記載のデバイスにおいて、前記アンカーエレメントの各々が、少なくとも部分的に、塑性的に変形可能であることを特徴とするデバイス。
- 請求項1ないし9のいずれかに記載のデバイスにおいて、前記アンカーエレメントと前記それぞれの開口の形状が、幾何学的に同様であることを特徴とするデバイス。
- 請求項1ないし10のいずれかに記載のデバイスにおいて、前記複数の開口が、前記筒状壁の端部に配置されていることを特徴とするデバイス。
- 骨治療キットにおいて:
筒状壁と、前記筒状壁内に延在するルーメンと、前記筒状壁を通る少なくとも一の開口と、前記少なくとも一の開口に隣接して前記筒状壁に連結した少なくとも一の骨アンカーエレメントと、を具える生体適合性のシャフトと;
前記シャフトルーメン内に収納されるように構成され、前記少なくとも一のアンカーエレメントを前記少なくとも一の開口の外へ展開させるアクチュエータと;
を具えることを特徴とするキット。 - 請求項12に記載のキットにおいて、前記少なくとも一のアンカーエレメントが、前記筒状壁にヒンジで連結されており、前記アクチュエータが、前記少なくとも一の開口の外へ前記少なくとも一のアンカーエレメントをヒンジ結合で展開するように構成されていることを特徴とするキット。
- 請求項12に記載のキットにおいて、前記アクチュエータが、前記シャフトルーメン内で拡張するように構成され、前記少なくとも一の開口の外で前記少なくとも一のアンカーエレメントを展開させるように構成された部材を具えることを特徴とするキット。
- 請求項12に記載のキットにおいて、前記アクチュエータが、前記シャフトルーメン内を摺動して、前記少なくとも一の開口の外で前記少なくとも一のアンカーエレメントを展開させるように構成された部材を具えることを特徴とするキット。
- 請求項12に記載のキットにおいて、前記アクチュエータが小球形状の部材を具えることを特徴とするキット。
- 請求項12に記載のキットにおいて、前記アクチュエータが、前記シャフトルーメン内に配置したらせん状チューブを具え、前記部材が、前記らせん状チューブを介して摺動して、前記シャフトルーメン内で前記らせん状チューブを拡張するように構成されていることを特徴とするキット。
- 請求項12に記載のキットにおいて、前記アクチュエータが前記シャフトルーメン内に配置された第1のチューブと、前記第1のチューブのルーメン内に配置された第2のチューブとを、具えることを特徴とするキット。
- 請求項12に記載のキットにおいて、前記アクチュエータが、前記少なくとも一のアンカーエレメントによって摺動するときに、前記少なくとも一のアンカーエレメントを展開させない第1の回転方向と、前記少なくとも一のアンカーエレメントによって摺動するときに、前記少なくとも一のアンカーエレメントを展開させる第2の回転方向内に配置されるように構成した部材を具えることを特徴とするキット。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US53691804P | 2004-01-16 | 2004-01-16 | |
PCT/US2005/001272 WO2005070314A1 (en) | 2004-01-16 | 2005-01-13 | Bone fracture treatment devices |
Publications (1)
Publication Number | Publication Date |
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JP2007517634A true JP2007517634A (ja) | 2007-07-05 |
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JP2006549634A Pending JP2007517634A (ja) | 2004-01-16 | 2005-01-13 | 骨折治療デバイス |
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US (2) | US7828802B2 (ja) |
EP (1) | EP1708632A1 (ja) |
JP (1) | JP2007517634A (ja) |
CN (1) | CN1909848B (ja) |
AU (1) | AU2005206175A1 (ja) |
CA (1) | CA2552727A1 (ja) |
WO (1) | WO2005070314A1 (ja) |
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US20050159749A1 (en) | 2005-07-21 |
CN1909848A (zh) | 2007-02-07 |
US7828802B2 (en) | 2010-11-09 |
US20100331841A1 (en) | 2010-12-30 |
EP1708632A1 (en) | 2006-10-11 |
US8029506B2 (en) | 2011-10-04 |
CN1909848B (zh) | 2012-05-23 |
AU2005206175A1 (en) | 2005-08-04 |
WO2005070314A1 (en) | 2005-08-04 |
CA2552727A1 (en) | 2005-08-04 |
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