JP2008540057A - 膝蓋大腿関節インプラント及び器具 - Google Patents
膝蓋大腿関節インプラント及び器具 Download PDFInfo
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- 210000000689 upper leg Anatomy 0.000 claims description 76
- 210000002414 leg Anatomy 0.000 claims description 18
- 210000004285 patellofemoral joint Anatomy 0.000 claims description 10
- 230000007246 mechanism Effects 0.000 claims description 3
- 210000004417 patella Anatomy 0.000 description 32
- 210000000988 bone and bone Anatomy 0.000 description 17
- 210000003127 knee Anatomy 0.000 description 17
- 238000000034 method Methods 0.000 description 13
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- 210000002303 tibia Anatomy 0.000 description 9
- 210000000845 cartilage Anatomy 0.000 description 6
- 230000008901 benefit Effects 0.000 description 5
- 238000013150 knee replacement Methods 0.000 description 5
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- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- WAIPAZQMEIHHTJ-UHFFFAOYSA-N [Cr].[Co] Chemical compound [Cr].[Co] WAIPAZQMEIHHTJ-UHFFFAOYSA-N 0.000 description 1
- DHKHKXVYLBGOIT-UHFFFAOYSA-N acetaldehyde Diethyl Acetal Natural products CCOC(C)OCC DHKHKXVYLBGOIT-UHFFFAOYSA-N 0.000 description 1
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- 229910052751 metal Inorganic materials 0.000 description 1
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- 229960000907 methylthioninium chloride Drugs 0.000 description 1
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- RVTZCBVAJQQJTK-UHFFFAOYSA-N oxygen(2-);zirconium(4+) Chemical compound [O-2].[O-2].[Zr+4] RVTZCBVAJQQJTK-UHFFFAOYSA-N 0.000 description 1
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- 229920000573 polyethylene Polymers 0.000 description 1
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- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 238000011883 total knee arthroplasty Methods 0.000 description 1
- 238000013519 translation Methods 0.000 description 1
- 229910001928 zirconium oxide Inorganic materials 0.000 description 1
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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
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- A61F2/3877—Patellae or trochleae
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- A61B17/14—Surgical saws ; Accessories therefor
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- A61B17/154—Guides therefor for preparing bone for knee prosthesis
- A61B17/155—Cutting femur
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- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1604—Chisels; Rongeurs; Punches; Stamps
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- A—HUMAN NECESSITIES
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- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1675—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee
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- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
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- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
- A61B17/1767—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee for the patella
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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
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- 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
- A61F2/461—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 knees
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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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- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4657—Measuring instruments used for implanting artificial joints
- A61F2002/4662—Measuring instruments used for implanting artificial joints for measuring penetration depth
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00029—Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
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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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00035—Other metals or alloys
- A61F2310/00089—Zirconium or Zr-based alloys
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Dentistry (AREA)
- Transplantation (AREA)
- Physical Education & Sports Medicine (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
Description
本願は、2005年5月20日出願の米国仮特許出願第60/683289号の優先権を主張する。
11 顆間窩部
12 溝(膝蓋大腿溝)
13 内側部
14 上面
15 ディンプル
16 前方下面(後方面)
17 側方部
18 前方釘
19 遠位釘
20 リーマガイド
21,71 第1弓形部
22 半球形を超える凹部
23,73 第2弓形部
24 位置決部材
25,75 壁
26,76 遠位頂部
27,77 突起部
28 脚部
30,40 リーマ
31,49 コネクタ
32,47 第1端部
34 支持部
36,48 第2端部
38,44 歯(縦溝)
42 軸
43 平坦面
45 リーマ組立体
46 チャネル(溝)
50 スリーブ(リーマスリーブ)
54 アーム
52 本体
56,61,65 プラットフォーム
58 把持部
62 小型のリーマスリーブ
64 大型のリーマスリーブ
70 リーマガイド
72 凹部(カップ)
74 第1脚部
78 第2脚部
79 スロット
80 縁部
82 第1穴
84 第2穴
86 第3穴
88 第4穴
90 第5穴
92 第6穴
96 近位部(近位領域)
98 遠位部(遠位領域)
100 大腿骨
104 髄内ドリルガイド
110 前方切断ガイド
108 髄内棒
102 大腿骨髄外位置決棒
111 つまみ
112 脛骨
114 髄外上方棒
116 ハンドル
118 鋸ガイド
120 位置決棒組立体
122 把持部
124 第1位置決棒
126 第2位置決棒
128 位置決棒クリップ
130 髄外ガイド組立体
132 脛骨髄外ガイドプラットフォーム
134 髄外脛骨下方棒
136 踝クランプ
140 第1パンチ
142 第1ピン
144 前方針
146 固定ハンドル(ドライバ)
148 先端部
150 膝蓋大腿ドリルガイド
151 標識
152 第1ピン穴
154 第2ピン穴
156 第3ピン穴
158 第4ピン穴
160 第1ドリルガイド穴
162 第2ドリルガイド穴
164 第3ドリルガイド穴
166 第4ドリルガイド穴
168 受口(受部)
170 第2ピン
172 第1ピンドライバ
176 第2ピンドライバ
178 第3固定ピン
190 前方切断部(前方面)
208 第3ピン
210 第4ピン
242 深さゲージ
252,254 ドリルガイド位置決柱
300 試行品
310 インパクタ
312 インパクタハンドル
314 バンパー
Claims (12)
- 切除された大腿骨の滑車領域を作成するシステムであって、
a.第1弓形部(21、71)、第2弓形部(23、73)、前記第1弓形部と前記第2弓形部との間に延在する壁(25、75)、前記壁に連結された突起部(27、77)、前記第1弓形部(21、71)または前記第2弓形部(23、73)の一方に連結された少なくとも1つの脚部(28、74、78)、及び前記少なくとも1つの脚部(28、74、78)に連結された遠位頂部(26、76)を有するリーマガイド(20、70)と、
b.前記リーマガイドの前記遠位頂部(26、76)に回転可能に連結されるように構成され、第1端部(32、47)、第2端部(36、48)、及び少なくとも1つの縦溝(38、44)を有するリーマ(30、40)と、
を備えるシステム。 - 前記壁が縁部(80)をさらに備える請求項1に記載のシステム。
- 膝蓋大腿ドリルガイド(150)をさらに備える請求項1に記載のシステム。
- 深さゲージ(242)をさらに備える請求項1に記載のシステム。
- 前記遠位頂部(26、76)が、半球形を超える凹部(22、72)をさらに備える請求項1に記載のシステム。
- 前記リーマ(30、40)が、コネクタ(31、49)をさらに備える請求項1に記載のシステム。
- 前記リーマガイド(20、70)を前記切除された大腿骨に一時的に固定する少なくとも1つの固定機構をさらに備える請求項1に記載のシステム。
- 前記突起部(27、77)が、少なくとも1つのスロット(79)を含む請求項1に記載のシステム。
- 前記リーマ(30、40)が、軸(42)及び溝(46)をさらに備える請求項1に記載のシステム。
- 少なくとも1つのアーム(54)、把持部(58)及びプラットフォーム(56、61、65)を有するスリーブ(50、60、64)をさらに備える請求項1または9に記載のシステム。
- a.顆間窩部(11)、近位部(96)、及び遠位部(98)と、
b.前記顆間窩部(11)から前記近位部(96)へと延在し、内側部(13)及び側方部(17)を有する上面(14)と、
c.前記内側部(13)と前記側方部(17)との間に湾曲した外面を形成する外側の溝(12)と、
d.前記顆間窩部(11)に連結され、前記上面(14)の反対側にあるほぼ平坦な下面(16)と、
e.前記ほぼ平坦な下面(16)に連結された少なくとも1つの前方釘(18)と、
f.前記ほぼ平坦な下面(16)に連結された少なくとも1つの遠位釘(19)と、
を備える膝蓋大腿関節インプラント。 - 窪み(15)をさらに備える請求項11に記載の膝蓋大腿関節インプラント。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US68328905P | 2005-05-20 | 2005-05-20 | |
US60/683,289 | 2005-05-20 | ||
PCT/US2006/019512 WO2006127486A2 (en) | 2005-05-20 | 2006-05-19 | Patello-femoral joint implant and instrumentation |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011148241A Division JP2011224389A (ja) | 2005-05-20 | 2011-07-04 | 膝蓋大腿関節インプラント及び器具 |
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- 2006-05-19 AU AU2006251751A patent/AU2006251751B2/en not_active Ceased
- 2006-05-19 WO PCT/US2006/019512 patent/WO2006127486A2/en active Application Filing
- 2006-05-19 JP JP2008512553A patent/JP4944103B2/ja not_active Expired - Fee Related
- 2006-05-19 CA CA2609144A patent/CA2609144C/en not_active Expired - Fee Related
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2007
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JP2013526385A (ja) * | 2010-05-24 | 2013-06-24 | エピサーフ メディカル エービー | インプラント及び器具のセットを含む、軟骨治療用外科手術キット |
US8644973B2 (en) | 2010-05-24 | 2014-02-04 | Episurf Ip-Management Ab | Method of designing a surgical kit for cartilage repair in a joint |
US8655468B2 (en) | 2010-05-24 | 2014-02-18 | Episurf Ip-Management Ab | System of manufacturing a surgical kit for cartilage repair in a joint |
US8657822B2 (en) | 2010-05-24 | 2014-02-25 | Episurf Ip-Management Ab | Surgical kit for cartilage repair comprising implant and a set of tools |
US10470885B2 (en) | 2010-05-24 | 2019-11-12 | Episurf Ip-Management Ab | Implant for cartilage repair |
JP2014515650A (ja) * | 2011-03-17 | 2014-07-03 | バイオメット ユーケイ ヘルスケア リミテッド | 膝蓋大腿関節の切除用案内ツール |
US9675367B2 (en) | 2011-03-17 | 2017-06-13 | Biomet Uk Healthcare Limited | Guide tool for resection of patellofemoral joint |
KR101911570B1 (ko) | 2011-03-17 | 2018-10-24 | 바이오멧 유케이 헬스케어 리미티드 | 슬개대퇴 관절의 절제용 가이드 공구 |
US11529237B2 (en) | 2018-04-27 | 2022-12-20 | Episurf Ip-Management Ab | Method of manufacturing an implant and an implant with two coatings |
Also Published As
Publication number | Publication date |
---|---|
EP1881791A2 (en) | 2008-01-30 |
US20120259335A1 (en) | 2012-10-11 |
WO2006127486A3 (en) | 2007-06-21 |
AU2006251751A1 (en) | 2006-11-30 |
US8523869B2 (en) | 2013-09-03 |
WO2006127486A2 (en) | 2006-11-30 |
CA2609144C (en) | 2014-03-18 |
JP2011224389A (ja) | 2011-11-10 |
AU2006251751B2 (en) | 2012-09-13 |
CA2609144A1 (en) | 2006-11-30 |
JP4944103B2 (ja) | 2012-05-30 |
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