JP2008539032A - 後部脊椎固定装置 - Google Patents
後部脊椎固定装置 Download PDFInfo
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- JP2008539032A JP2008539032A JP2008509115A JP2008509115A JP2008539032A JP 2008539032 A JP2008539032 A JP 2008539032A JP 2008509115 A JP2008509115 A JP 2008509115A JP 2008509115 A JP2008509115 A JP 2008509115A JP 2008539032 A JP2008539032 A JP 2008539032A
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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
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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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
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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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
- A61B17/7031—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other made wholly or partly of flexible material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
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- Orthopedic Medicine & Surgery (AREA)
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- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
【選択図】図1
Description
Claims (41)
- 活性物質送達構成要素を備えている後部脊椎固定装置又は動的脊椎安定化装置において、前記活性物質送達構成要素は、活性物質が、中に吸収されるか、上に吸着されるか、又は別のやり方で中に入れられており、且つ、前記装置が患者に植え込まれた後で、前記活性物質を局所的に放出するように作られている、装置。
- 前記装置は、隣接する棘突起の間に、隣接する横突起の間に、又は他の後部椎骨要素の間に、設置するように作られている動的安定化装置である、請求項1に記載の装置。
- 前記装置は、棘突起間動的安定化装置又は棘突起固定装置である、請求項1に記載の装置。
- 前記装置は、横突起間動的安定化装置である、請求項1に記載の装置。
- 前記装置は、アンカーを基にした安定化又は固定システムである、請求項1に記載の装置。
- 前記装置は、脊椎安定化を提供するように作られている少なくとも1つの構造的構成要素を備えており、前記構造的構成要素の少なくとも1つの少なくとも一部は、前記活性物質が、中に含浸されるか又は上に吸着されている、請求項1に記載の装置。
- 前記装置は、外鞘内に入れられた内部構造構成要素を備えており、前記外鞘は、前記活性物質が中に含浸されるか又は上に吸着されている吸収性又は吸着性又は生物分解性の材料を備えている、請求項6に記載の装置。
- 前記装置は、脊椎安定化を提供するように作られている少なくとも1つの構造的構成要素と、前記構造的構成要素に保持されている少なくとも1つの活性物質送達構成要素と、を備えている、請求項1に記載の装置。
- 前記装置は、外鞘内に入れられた内部構造構成要素を備えており、前記活性物質送達構成要素は、前記内部構造構成要素と前記外鞘の間に配置された吸収性又は吸着性又は生物分解性の層を備えている、請求項8に記載の装置。
- 前記装置は、外面を有しており、前記活性物質送達構成要素は、前記外面の少なくとも一部に貼り付けられた活性物質送達層を備えている、請求項8に記載の装置。
- 前記構造的構成要素は、少なくとも1つの孔を画定しており、前記活性物質送達構成要素は、前記孔の中に配置するように作られた挿入物である、請求項8に記載の装置。
- 前記挿入物は、微小精密機械を備えている、請求項11に記載の装置。
- 前記活性物質は、同化剤、凝固防止剤、抗感染症薬、抗炎症薬、抗新生物薬、解熱薬、鎮痛薬、鎮痙薬、抗血栓剤、抗ヒスタミン剤、生物学的製剤、骨形成蛋白質、診断用薬、神経筋薬物、栄養剤、血管拡張剤、及びプロドラッグから成る群より選択される、請求項1に記載の装置。
- 前記装置を植え込んだ後で、前記装置は前記活性物質を持続放出式に放出する、請求項1に記載の装置。
- 前記活性物質送達構成要素は、前記活性物質が中に吸収されるか又は上に吸着されている弾性材料を備えている、請求項1に記載の装置。
- 前記装置は、前記装置を植え込んだ後で、或る投与量の前記活性物質を、前記活性物質送達構成要素を圧縮することにより、又は前記構成要素を引き伸ばすことにより、又は前記構成要素にトルクを掛けることにより、放出させるか又は速めた速度で放出させるように作られている、請求項15に記載の装置。
- 前記装置は、棘突起間動的安定化装置であり、前記装置は、植え込んだ後で、脊柱の伸展、脊柱の屈曲、脊柱の曲げ、又は脊柱の回転の結果としての椎骨の運動によって、前記活性物質送達構成要素に、圧縮圧力、引き伸ばし、又はトルクを働かせるように作られている、請求項16に記載の装置。
- 前記装置は、横突起間動的安定化装置であり、前記装置は、植え込んだ後で、脊柱の伸展、脊柱の屈曲、脊柱の曲げ、又は脊柱の回転の結果としての椎骨の運動によって、前記活性物質送達構成要素に、圧縮圧力、引き伸ばし、又はトルクを働かせるように作られている、請求項16に記載の装置。
- 前記装置は、アンカーを基にした安定化又は固定システムであり、前記装置は、植え込んだ後で、脊柱の伸展、脊柱の屈曲、脊柱の曲げ、又は脊柱の回転の結果としての椎骨の運動によって、前記活性物質送達構成要素に、圧縮圧力、引き伸ばし、又はトルクを働かせるように作られている、請求項16に記載の装置。
- 活性物質送達構成要素を備えている整形外科用インプラント装置において、前記活性物質送達構成要素は、前記活性物質が中に吸収されるか又は上に吸着されている弾性材料を備えており、前記装置は、患者に植え込まれた後で、前記活性物質を局所的に放出するように作られており、前記装置は、或る投与量の前記活性物質を、(a)前記活性物質送達構成要素を圧縮することにより、(b)前記構成要素を引き伸ばすことにより、又は(c)前記構成要素にトルクを掛けることにより、放出するか又は速めた速度で放出するように作られている、装置。
- 前記装置は、アンカーを基にした安定化又は固定システムである、請求項20に記載の装置。
- 前記装置は、動的脊椎安定化装置である、請求項20に記載の装置。
- 前記動的安定化装置は、隣接する棘突起、隣接する横突起、又は他の後部椎骨要素の間に設置するように作られている、請求項22に記載の装置。
- 前記装置は、棘突起間動的安定化装置である、請求項23に記載の装置。
- 前記装置は、植え込んだ後で、脊柱の伸展、脊柱の屈曲、脊柱の曲げ、又は脊柱の回転の結果としての椎骨の運動によって、前記活性物質送達構成要素に、圧縮圧力、引き伸ばし、又はトルクを働かせて、前記装置に、或る投与量の前記活性物質を放出させるか又は速めた速度で放出させるように作られている、請求項24に記載の装置。
- 前記装置は、アンカーを基にする安定化又は固定システムである、請求項23に記載の装置。
- 前記装置は、棘突起間動的安定化装置である、請求項23に記載の装置。
- 前記装置は、植え込んだ後で、脊柱の伸展、脊柱の屈曲、脊柱の曲げ、又は脊柱の回転の結果としての椎骨の運動によって、前記活性物質送達構成要素に、圧縮圧力、引き伸ばし、又はトルクを働かせるように作られている、請求項27に記載の装置。
- 前記装置は、動的脊椎安定化を提供するように作られている少なくとも1つの構造的構成要素と、前記構造的構成要素により保持される少なくとも1つの活性物質送達構成要素を備えている、請求項22に記載の装置。
- 前記構造的構成要素の少なくとも1つの少なくとも一部分は、前記活性物質が中に含浸されるか又は上に吸着されている、請求項22に記載の装置。
- 前記装置は、外鞘内に配置されている内部構造構成要素を備えており、前記外鞘は、前記活性物質が中に含浸されるか又は上に吸着されている吸収性又は吸着性又は生物分解性の材料を備えている、請求項30に記載の装置。
- 前記装置は、外鞘内に配置されている内部構造構成要素を備えており、前記活性物質送達構成要素は、前期内部構造構成要素と前期外鞘の間に配置された吸収性又は吸着性又は生物分解性の層を備えている、請求項29に記載の装置。
- 前記装置は、外面を有しており、前記活性物質送達構成要素は、前記外面の少なくとも一部に貼り付けられた活性物質送達層を備えている、請求項29に記載の装置。
- 前記少なくとも1つの構造的構成要素は、少なくとも1つの孔を画定しており、前記活性物質送達構成要素は、前記孔の中に配置するように作られた挿入物である、請求項29に記載の装置。
- 前記挿入物は、微小精密機械を備えている、請求項34に記載の装置。
- 前記活性物質は、同化剤、凝固防止剤、抗感染症薬、抗炎症薬、抗新生物薬、解熱薬、鎮痛薬、鎮痙薬、抗血栓剤、抗ヒスタミン剤、生物学的製剤、骨形成蛋白質、診断用薬、神経筋薬物、栄養剤、血管拡張剤、及びプロドラッグから成る群より選択される、請求項22に記載の装置。
- 前記装置を植え込んだ後で、前記装置は、前記活性物質を持続放出式に放出する、請求項22に記載の装置。
- 隣接する骨部分に沿って前記骨部分の間の空間の外側に配置することができる骨安定化部材と、活性物質送達構成要素と、を備えている整形外科用インプラント装置において、前記装置は、患者に植え込まれた後で、前記活性物質を局所的に放出するように作られている、装置。
- 患者の、整形外科用インプラント装置に隣接する位置に、活性物質を送達する方法において、
活性物質送達構成要素を備えている整形外科用インプラント装置を提供する段階であって、前記活性物質送達構成要素は、活性物質が、中に含浸されるか、上に吸着されるか、又は別のやり方で中に入れられており、前記装置が患者に植え込まれた後で、前記活性物質を局所的に放出するように作られている、装置を提供する段階と、
前記装置を後部脊椎位置に外科的に植え込む段階と、から成る方法。 - 活性物質送達構成要素は、前記活性物質が中に吸収されるか又は上に吸着されている弾性材料を備えており、前記方法は、前記植え込む段階の後に、或る投与量の前記活性物質を、(a)前記活性物質送達構成要素を圧縮することにより、(b)前記活性物質送達構成要素を引き伸ばすことにより、又は(c)活性物質送達構成要素にトルクを掛けることにより、放出させるか又は速めた速度で放出させる段階を更に含んでいる、請求項39に記載の方法。
- インプラント装置は、後部脊椎固定装置又は動的脊椎安定化装置を備えている、請求項39に記載の方法。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/117,891 US20060247623A1 (en) | 2005-04-29 | 2005-04-29 | Local delivery of an active agent from an orthopedic implant |
PCT/US2006/016017 WO2006118945A2 (en) | 2005-04-29 | 2006-04-27 | Local delivery of an active agent from an orthopedic implant |
Publications (2)
Publication Number | Publication Date |
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JP2008539032A true JP2008539032A (ja) | 2008-11-13 |
JP2008539032A5 JP2008539032A5 (ja) | 2009-05-07 |
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Application Number | Title | Priority Date | Filing Date |
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JP2008509115A Pending JP2008539032A (ja) | 2005-04-29 | 2006-04-27 | 後部脊椎固定装置 |
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US (2) | US20060247623A1 (ja) |
EP (1) | EP1903964A2 (ja) |
JP (1) | JP2008539032A (ja) |
AU (1) | AU2006242532A1 (ja) |
CA (1) | CA2605685A1 (ja) |
WO (1) | WO2006118945A2 (ja) |
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Also Published As
Publication number | Publication date |
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WO2006118945A8 (en) | 2006-12-21 |
WO2006118945A2 (en) | 2006-11-09 |
AU2006242532A1 (en) | 2006-11-09 |
WO2006118945A3 (en) | 2007-06-21 |
US20110022091A1 (en) | 2011-01-27 |
CA2605685A1 (en) | 2006-11-09 |
US20060247623A1 (en) | 2006-11-02 |
EP1903964A2 (en) | 2008-04-02 |
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