JP2007530181A - モジュラー脊椎間インプラントまたはモジュラー椎間板プロテーゼ - Google Patents
モジュラー脊椎間インプラントまたはモジュラー椎間板プロテーゼ Download PDFInfo
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- JP2007530181A JP2007530181A JP2007505351A JP2007505351A JP2007530181A JP 2007530181 A JP2007530181 A JP 2007530181A JP 2007505351 A JP2007505351 A JP 2007505351A JP 2007505351 A JP2007505351 A JP 2007505351A JP 2007530181 A JP2007530181 A JP 2007530181A
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
- A61F2/44—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
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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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
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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
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
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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
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
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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
- A61F2/30721—Accessories
- A61F2/30742—Bellows or hose-like seals; Sealing membranes
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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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/30004—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
- A61F2002/30014—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis differing in elasticity, stiffness or compressibility
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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
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
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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
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30426—Bayonet coupling
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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
- 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
- A61F2002/30565—Special structural features of bone or joint prostheses not otherwise provided for having spring elements
- A61F2002/30566—Helical springs
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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
- 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
- A61F2002/30565—Special structural features of bone or joint prostheses not otherwise provided for having spring elements
- A61F2002/30571—Leaf springs
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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
- 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
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
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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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
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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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
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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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/0018—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in elasticity, stiffness or compressibility
Abstract
【選択図】 図1
Description
本発明によって達成される実利は本質的に、解剖学的に様々な脊椎、例えば仙骨1と腰椎5番(S1/L5)に対応できることにある。
− ばね距離の第一部分領域が450N/mmと550N/mmの間、好ましくは500N/mm、のばね定数を持つ0mmと0.5mmのばね距離を有すため、中央部は40〜65kgの体重の患者に適する。
− ばね距離の第二部分領域が1400N/mmと1600N/mmの間、好ましくは1500N/mm、のばね定数を持つ0.5mmと1.0mmのばね距離を有すため、中央部は60〜100kgの体重の患者に適する。
− ばね距離の第三部分領域が2500N/mmと3500N/mmの間、好ましくは3000N/mm、のばね定数を持つ1.0mmと1.5mmのばね距離を有すため、中央部は100〜140kgの体重の患者に適する。
図1は、発明による中央部のある実施形態の断面図である。
図2は、図1の線A−Aの断面図である。
図3は、中央部の上部に固定可能な、発明による同格板を備えた実施形態である。
図4は、中央部の下部に固定可能な、発明による同格板の図3に示した実施形態である。
図5は、発明による中央部の図1および図2に示した実施形態の平面図である。
図6は、発明によるモジュラー椎間板の透視図である。
図1、2および5は中央部1の実施形態、本質的に第一端部23、第二端部24、縦軸15に同軸に配置された、中空円筒状の弾性手段20、蛇腹21として形成された同軸の外殻22、軸終端に縦軸15に直角に配置された終端板12、13および弾性手段20の中空空間26に配置され、終端板12、13に配置されたバヨネット交止の嵌合のための軸方向弾性嵌合手段27である。
10 雌的部品 11 雄的部品 12 終端板 13 終端板
Claims (17)
- モジュラー脊椎間インプラントまたはモジュラー椎間板プロテーゼのための中央部(1)であって、椎体の基板または覆板の同格として好適な同格板(3)に緩嵌する手段(2)を備えることを特徴とする中央部。
- 上端部および下端部(23、24)を有し、両端部(23、24)に前記同格板(3)に緩嵌する手段(2)を備えることを特徴とする請求項1に記載の中央部(1)。
- 上下端部(23、24)を切断する縦軸(15)を有すること、および前記手段(2)が前記縦軸(15)に平行に同格板(3)に噛合可能であることを特徴とする請求項1または2に記載の中央部(1)。
- 手段(2)が縦軸(15)に同軸の中央部(1)の同格板(3)に対する相対回動によって連結可能であることを特徴とする請求項3に記載の中央部(1)。
- 縦軸(15)を有し、それに平行して弾性であり、および累進的なばね特性曲線を示すことを特徴とする請求項1から4のいずれか一項に記載の中央部(1)。
- ばね特性曲線fが、第一部分領域において450N/mmと550N/mmの間のばね定数を示し、第二の部分領域において1400N/mmと1600N/mmの間のばね定数を示すことを特徴とする請求項5に記載の中央部(1)。
- ばね特性曲線fが、部分領域において2500N/mmと3500N/mmの間のばね定数を示すことを特徴とする請求項5または6に記載の中央部(1)。
- 手段(2)がバヨネット交止の雌的または雄的部品(10、11)の形状を成すことを特徴とする請求項1から7のいずれか一項に記載の中央部(1)。
- バヨネット交止が回動交止として形成されていることを特徴とする請求項8に記載の中央部(1)。
- 中央部(1)が軸端部にそれぞれ縦軸(10)に直角に配置され、それぞれ軸上に伸びたバヨネット交止の雌的部品(10)を有す終端板(11、12)を含むことを特徴とする請求項8または9に記載の中央部(1)。
- 椎体の基板または覆板の同格に好適な外表面(5)および手段(4)を備えた内表面(6)を備えることを特徴とする請求項1から10のいずれか一項に記載の中央部(1)への緩嵌の手段(4)を備えた同格板(3)。
- 前記外表面(5)が凸状に外側に折り上げていることを特徴とする請求項11に記載の同格板(3)。
- 外表面(5)が内表面(6)に相対的に鋭角α、好ましくは2°から7°、を含むことを特徴とする請求項11または12に記載の同格板(3)。
- 外表面(5)が三次元構造を有することを特徴とする請求項1から13のいずれか一項に記載の同格板(3)。
- 手段(2、4)が相互に一致することを特徴とする請求項1から10のいずれか一項に記載の中央部(1)および請求項11から14のいずれか一項に記載の2枚の同格板(3)を備えたモジュラー脊椎間インプラント(40)またはモジュラー椎間板プロテーゼ。
- n≧2およびm≧4、好ましくはn≧3およびm≧6、であることを特徴とする請求項1から10のいずれか一項に記載のn中央部(1)および請求項11から14のいずれか一項に記載のm同格板を備えるモジュラーユニットシステム。
- m同格板の少なくとも2つが、異なる高さを有することを特徴とする請求項16に記載のモジュラーユニットシステム。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/CH2004/000209 WO2005094732A1 (de) | 2004-04-02 | 2004-04-02 | Modulares zwischenwirbelimplantat oder bandscheibenprothese |
Publications (2)
Publication Number | Publication Date |
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JP2007530181A true JP2007530181A (ja) | 2007-11-01 |
JP4734320B2 JP4734320B2 (ja) | 2011-07-27 |
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Application Number | Title | Priority Date | Filing Date |
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JP2007505351A Expired - Lifetime JP4734320B2 (ja) | 2004-04-02 | 2004-04-02 | モジュラー脊椎間インプラントまたはモジュラー椎間板プロテーゼ |
Country Status (14)
Country | Link |
---|---|
US (1) | US7758645B2 (ja) |
EP (1) | EP1729690B1 (ja) |
JP (1) | JP4734320B2 (ja) |
KR (1) | KR101165866B1 (ja) |
CN (1) | CN100594856C (ja) |
AT (1) | ATE456940T1 (ja) |
AU (1) | AU2004318050A1 (ja) |
BR (1) | BRPI0418711A (ja) |
CA (1) | CA2561882C (ja) |
DE (1) | DE502004010725D1 (ja) |
ES (1) | ES2337688T3 (ja) |
NZ (1) | NZ550178A (ja) |
PL (1) | PL1729690T3 (ja) |
WO (1) | WO2005094732A1 (ja) |
Families Citing this family (45)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7153325B2 (en) * | 2003-08-01 | 2006-12-26 | Ultra-Kinetics, Inc. | Prosthetic intervertebral disc and methods for using the same |
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Also Published As
Publication number | Publication date |
---|---|
CA2561882C (en) | 2011-03-15 |
BRPI0418711A (pt) | 2007-09-11 |
CN100594856C (zh) | 2010-03-24 |
DE502004010725D1 (de) | 2010-03-25 |
US7758645B2 (en) | 2010-07-20 |
PL1729690T3 (pl) | 2010-06-30 |
AU2004318050A1 (en) | 2005-10-13 |
EP1729690A1 (de) | 2006-12-13 |
JP4734320B2 (ja) | 2011-07-27 |
KR101165866B1 (ko) | 2012-07-13 |
EP1729690B1 (de) | 2010-02-03 |
WO2005094732A1 (de) | 2005-10-13 |
CN1925815A (zh) | 2007-03-07 |
ATE456940T1 (de) | 2010-02-15 |
ES2337688T3 (es) | 2010-04-28 |
US20070067037A1 (en) | 2007-03-22 |
NZ550178A (en) | 2009-03-31 |
KR20070026492A (ko) | 2007-03-08 |
CA2561882A1 (en) | 2005-10-13 |
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