JP2008520269A - 円板のような組み立てられる補綴物 - Google Patents
円板のような組み立てられる補綴物 Download PDFInfo
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- JP2008520269A JP2008520269A JP2007540834A JP2007540834A JP2008520269A JP 2008520269 A JP2008520269 A JP 2008520269A JP 2007540834 A JP2007540834 A JP 2007540834A JP 2007540834 A JP2007540834 A JP 2007540834A JP 2008520269 A JP2008520269 A JP 2008520269A
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- disc
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- prosthesis
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- 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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Abstract
【選択図】 図1
Description
円板領域への通路を形成する;
前記円板領域に第一円板部分を与える;
前記円板領域に第二円板部分を与える;そして
前記円板領域において前記第二円板部分と前記第一円板部分を組み立てる。
任意選択的に、最後に与えられる円板部分は、二つの予め与えられた隣接する円板部分とインターロックする。代替的に又は追加的に、前記第一円板部分を与えること及び前記第二円板部分を与えることは、前記円板部分の一つと各々結合された送出要素を整合させることを含む。任意選択的に、前記方法は、第三円板部分が第三送出要素を使用して与えられるとき、前記第一部分と結合された送出要素を除去するが、前記第二部分と結合された要素を除去しないことを含む。
脊椎板と接触するように適応された少なくとも一つの板;及び
前記板の配置の後、前記板の方へ延びるように適応された少なくとも一つの突起。
任意選択的に、前記突起は、前記円板が現場で組み立てられた後に自動展開する。代替的に、前記少なくとも一つの突起は、その開放によって展開することができる。
第一装置部分へ取り付けるように適応された第一の細長い要素であって、体の外側に残るように適応された第一外部指示区域を含む第一の細長い要素;及び、
第二装置部分へ取り付けるように適応された第二の細長い要素であって、体の外側に残るように適応された第二外部指示区域を含む第二の細長い要素
を含み、
前記外部指示区域は、前記装置部分の相互関係を指示する方法で相互に関係づけるように構成される。任意選択的に、前記装置は、円板補綴物である。
本発明の幾つかの例示的実施態様は、添付図面を参照してさらに記載されるであろう。図中、同じ番号表示は各要素のための図面全体にわたって維持される。
Claims (45)
- 現場で組み立てられるように適応された複数の相互連結要素を含む、人工円板装置。
- 前記相互連結要素は、一方の側を他方の側に相互連結するように適応されている、請求項1に記載の装置。
- 前記相互連結要素は、少なくとも対でインターロックするように適応されている、請求項1に記載の装置。
- 二つの対向する板を含み、それらの各々の板は、板が挿入される患者の脊柱の軸に沿って、対向する脊椎板の近くに配置されるように適応されている、請求項3に記載の装置。
- 前記板は、それらの間にボールジョイントを規定する、請求項4に記載の装置。
- 前記ボールジョイントは、ボールとソケットを含み、前記ボールは前記板の一方と一体である、請求項5に記載の装置。
- 前記ボールは、いずれの板とも一体でない、請求項5に記載の装置。
- 前記装置は、前記装置へと組み立てられる少なくとも4つの別個の要素を含む、請求項3に記載の装置。
- 選択的に展開して脊椎板と係合するように適応されている少なくとも一つの突起を含む、請求項3に記載の装置。
- 前記突起は、展開の準備が完了すると展開するように適応されている、請求項9に記載の装置。
- 前記突起は、自動展開する、請求項9に記載の装置。
- 少なくとも前記複数の相互連結要素は、前記板の各々を組み立てるために使用される、請求項4に記載の装置。
- 前記インターロックする要素は、前記インターロック後、相対運動のいくらかの自由度を有する、請求項3に記載の装置。
- 前記インターロックする要素は、自動ロッキング機構を使用してインターロックする、請求項13に記載の装置。
- 前記インターロックする要素は、適合部品の形で整合部分を含む、請求項3に記載の装置。
- 前記整合部分は、雌雄適合部分を含む、請求項15に記載の装置。
- 前記相互連結要素の少なくとも二つへ取り付けられた送出システムを含む、請求項3に記載の装置。
- 前記送出システムは、各々が異なるインターロック要素へ取り付けられている少なくとも二つの送出要素を含む、請求項17に記載の装置。
- 前記送出要素は、それらが取り付けられている前記要素の整合と適合する方法で互いに整合するように構成される、請求項18に記載の装置。
- 単一の送出要素は、前記装置の二つの非インターロック部分を形成する二つの対応する要素へ取り付けられている、請求項18に記載の装置。
- 前記板は、金属から形成されている、請求項4に記載の装置。
- 骨と一体になる外部層を有する、請求項1に記載の装置。
- 以下の工程を含む、円板補綴物を展開する方法:
円板領域への通路を形成する;
前記円板領域に第一円板部分を与える;
前記円板領域に第二円板部分を与える;そして
前記円板領域において前記第二円板部分と前記第一円板部分を組み立てる。 - 最後に与えられる円板部分は、二つの予め与えられた隣接する円板部分とインターロックする、請求項23に記載の方法。
- 前記第一円板部分を与えること及び前記第二円板部分を与えることは、前記円板部分の一つと各々結合された送出要素を整合させることを含む、請求項23に記載の方法。
- 第三円板部分が第三送出要素を使用して与えられるとき、前記第一部分と結合された送出要素を除去するが、前記第二部分と結合された要素を除去しないことを含む、請求項25に記載の方法。
- 少なくとも一つの突起を開放して隣接する脊椎板と接触させることを含む、請求項23に記載の方法。
- 前記開放は、前記組み立ての後に実行される、請求項27に記載の方法。
- 前記開放は、前記組み立て時に実行される、請求項27に記載の方法。
- 前記少なくとも一つの円板部分を体内へ与えた後、少なくとも一つの脊椎板係合器具と前記円板部分の少なくとも一つを組み立てることを含む、請求項23に記載の方法。
- 前記通路は、硬膜の側へ向かっている、請求項23に記載の方法。
- 前記通路は、体の後側からのアクセスのためである、請求項23に記載の方法。
- 前記通路は、20mm未満の最大直径を有する、請求項23に記載の方法。
- 前記通路は、15mm未満の最大直径を有する、請求項23に記載の方法。
- 前記通路を形成することは、前記円板部分を与えることのためにカニューレを挿入することを含む、請求項23に記載の方法。
- 前記組み立てることはインターロックすることを含む、請求項23に記載の方法。
- 前記部分は各々、複数の非インターロック円板部分を含む、請求項23に記載の方法。
- 以下のものを含む、円板補綴物:
脊椎板と接触するように適応された少なくとも一つの板;及び
前記板の配置後、前記板の方へ延びるように適応された少なくとも一つの突起。 - 前記突起は、前記円板が現場で組み立てられた後に自動展開する、請求項38に記載の補綴物。
- 前記少なくとも一つの突起は、その開放によって展開することができる、請求項38に記載の補綴物。
- 前記補綴物と一体である展開制限要素を含む、請求項38に記載の補綴物。
- 現場で装置を組み立てるための送出システムであって、前記送出システムは:
第一装置部分へ取り付けるように適応された第一の細長い要素であって、体の外側に残るように適応された第一外部指示区域を含む第一の細長い要素;及び、
第二装置部分へ取り付けるように適応された第二の細長い要素であって、体の外側に残るように適応された第二外部指示区域を含む第二の細長い要素
を含み、
前記外部指示区域は、前記装置部分の相互関係を指示する方法で相互に関係づけるように構成される、送出システム。 - 前記装置は、円板補綴物である、請求項42に記載のシステム。
- 前記部分の少なくとも一つは、前記装置の脱ジョイント組立部分を含む、請求項42に記載のシステム。
- 前記システムは、少なくとも三つの要素を含み、前記指示区域は単一の方法でのみ相互連結できるように構成される、請求項43に記載のシステム。
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US62714104P | 2004-11-15 | 2004-11-15 | |
PCT/IL2005/001198 WO2006051547A2 (en) | 2004-11-15 | 2005-11-15 | Assembled prosthesis such as a disc |
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JP2007540834A Pending JP2008520269A (ja) | 2004-11-15 | 2005-11-15 | 円板のような組み立てられる補綴物 |
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EP (1) | EP1814492A2 (ja) |
JP (1) | JP2008520269A (ja) |
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US20080133017A1 (en) | 2008-06-05 |
WO2006051547A3 (en) | 2006-06-22 |
WO2006051547A2 (en) | 2006-05-18 |
CN101098667A (zh) | 2008-01-02 |
CA2629407A1 (en) | 2006-05-18 |
EP1814492A2 (en) | 2007-08-08 |
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