JP2009279413A - 人工椎間板を植え込む際に使用するための器具類、方法、および機能 - Google Patents
人工椎間板を植え込む際に使用するための器具類、方法、および機能 Download PDFInfo
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- JP2009279413A JP2009279413A JP2009151399A JP2009151399A JP2009279413A JP 2009279413 A JP2009279413 A JP 2009279413A JP 2009151399 A JP2009151399 A JP 2009151399A JP 2009151399 A JP2009151399 A JP 2009151399A JP 2009279413 A JP2009279413 A JP 2009279413A
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- Prior art keywords
- engagement holes
- base plate
- engagement
- holes
- pair
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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- A—HUMAN NECESSITIES
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- 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
- A61F2/4611—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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- 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
- A61F2220/0058—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements soldered or brazed or welded
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0028—Shapes in the form of latin or greek characters
- A61F2230/0034—D-shaped
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0028—Shapes in the form of latin or greek characters
- A61F2230/005—Rosette-shaped, e.g. star-shaped
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0065—Three-dimensional shapes toroidal, e.g. ring-shaped, doughnut-shaped
-
- 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
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
- A61F2250/0006—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting angular orientation
-
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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
- 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
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- 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
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- A—HUMAN NECESSITIES
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- 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
- A61F2310/00365—Proteins; Polypeptides; Degradation products thereof
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
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- Y10S606/00—Surgery
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Abstract
【解決手段】人工椎間板を植え込むための器具類には、植え込まれる人工椎間板の適切なサイズを決定するための静的トライアル100および動的トライアル、静的トライアル100を操作するための静的トライアルホルダ、静的トライアル100を挿入および抜去するため、および人工椎間板を挿入するためのインサータ/インパクタ、静的トライアル100もしくは人工椎間板を再配置および摘出するためのリポジショナ/エクストラクタ、ならびに人工椎間板の適正な位置を設定するためのレベラが含まれる。
【選択図】図1a−1c
Description
本出願は、「Instrumentation and Methods for use in Implanting an Artificial Intervertebral Disc」と題する米国特許出願(「USPASN」)第10/282,356号(‘356号出願)(2002年10月29日出願)の継続出願および「Static Trials and Related Instruments and Methods for use in Implanting an Artificial Intervertebral Disc」と題する米国特許出願第10/309,585号(‘585号出願)(2002年12月4日出願)の継続出願および「Wedge Plate Inserter/lmpactor and Related Methods for use in Implanting an Artificial Intervertebral Disc」と題する米国特許出願第10/425,267号(‘267号出願)(2003年4月29日出願)の継続出願である。‘356号出願は、「Artificial Intervertebral Disc Having Limited Rotation Using a Captured Ball and Socket Joint With a Solid Ball and Compression Locking Post」と題する米国特許出願第10/256,160号(‘160号出願)(2002年9月26日出願)の継続出願であり、前記出願は「Axially Compressible Artificial Intervertebral Disc Having Limited Rotation Using a Captured Ball and Socket Joint With a Solid Ball and Compression Locking Post」と題する米国特許出願第10/642,528号(‘528号出願)(2003年8月15日出願)の親出願および「Artificial Intervertebral Disc Utilizing a Ball Joint Coupling」と題する米国特許出願第10/175,417号(2002年6月19日出願)の継続出願であり、前記出願は「Tension Bearing Artificial Disc Providing a Centroid of Motion Centrally Located Within an Intervertebral Space」と題する米国特許出願第10/151,280号(2002年5月20日出願)の継続出願であり、前記出願は「Intervertebral Spacer Device Utilizing a Spirally Slotted Belleville Washer Having Radially Extending Grooves」と題する米国特許出願第09/970,479号(2001年10月4日出願)ならびに「Artificial Intervertebral Disc Having a Flexible Wire Mesh Vertebral Body Contact Element」と題する米国特許出願第10/140,153号(2002年5月7日出願)両方の継続出願であり、前者出願は「Intervertebral Spacer Device Utilizing a Belleville Washer Having Radially Extending Grooves」と題する米国特許出願第09/968,046号(2001年10月1日出願)の継続出願であり、後者出願は米国特許出願第09/970,479号(上記)ならびに「Intervertebral Spacer Having a Flexible Wire Mesh Vertebral Body Contact Element」と題する米国特許出願第10/128,619号(2002年4月23日出願)両方の継続出願であり、前記出願は「Trial Intervertebral Distraction Spacers」と題する米国特許出願第09/906,119号(2001年7月16日出願)ならびに「Intervertebral Spacer Device Having Arch Shaped Spring Elements」と題する米国特許出願第09/982,148号(2001年10月18日出願)両方の継続出願である。上記で言及した特許出願は全て、それら各々の全体が参照して本明細書に組み込まれる。
本発明は、一般に脊椎関節形成術に使用するためのシステムおよび方法、およびより詳細には椎間腔を伸延し、試験用人工椎間板を挿入および抜去するため、ならびに人工椎間板を挿入、圧入、再配置、水平調節および摘出するための器具類、およびそれらの使用方法、さらにより詳細にはそれにより操作するために適合するようにさせる機能を有する椎間スペーサ器具および人工椎間板に関する。
102,1020 凹所
104,1040 環状溝
106,1060 円筒状胴部
160 人工椎間板
200,2000 トライアルホルダ
202,2020 ハンドル
204,2040 伸長部
206,2060 スリーブ
208,2080 シャフト
218,2180 ボア
300 動的トライアル
302 シャフト
304 分岐型トライアル
318 コントロールノブ
320 マーキング
322 ファインコントロールノブ
400,4000 インサータ/インパクタ
408,4080 保持ピン
412,4120 ノブ
Claims (45)
- 第1および第2ベースプレートが相互に対して関節作動可能であるように相互に取付けられた第1および第2ベースプレートを有する椎間スペーサ器具であって、少なくとも一方のベースプレートが少なくとも一方のベースプレートの周囲領域上に少なくとも1つの係合穴を有する椎間スペーサ器具と、
前記少なくとも一方のベースプレートが前記操作ツールを使用して操作可能であるように、伸長したときに前記係合穴と係合可能であり、引き戻したときにそのように係合しながら前記ベースプレートを前記操作ツールに接触させて保持する伸長可能、かつ引き戻し可能なポストを支持する遠位端を有する操作ツールと、
を含む脊椎整形外科用器具およびツールセット。 - 前記少なくとも一方のベースプレートが複数の係合穴を有し、前記ポストが前記複数の係合穴のいずれかと係合可能である、請求項1の脊椎整形外科用器具およびツールセット。
- 前記少なくとも一方のベースプレートが少なくとも1対の係合穴を有し、少なくとも1対の各穴が1つの長さを有する間隔によって前記少なくとも1対の他の穴から分離されており、そして前記脊椎整形外科用器具およびツールセットがさらに第2操作ツールを含み、前記第2操作ツールが1対の係合ポストを支持する遠位端を有し、前記対の各ポストは1つの長さを有する間隔によって前記対の他のポストから分離されているので、前記対の係合ポストは前記少なくとも1対の係合穴の中に位置決め可能であり、前記操作ツールの遠位端に対する前記少なくとも一方のベースプレートの移動は前記係合ポストと前記係合した係合穴との衝突によって制限されるので、前記少なくとも一方のベースプレートが前記操作ツールを使用して操作可能である、請求項2の脊椎整形外科用器具およびツールセット。
- 前記複数の係合穴の各々が前記少なくとも一方のベースプレートの各所望の外科的アプローチ面にある、請求項2の脊椎整形外科用器具およびツールセット。
- 各ベースプレートが1つの内向面および1つの外向面を有し、前記内向面は相互に面し、前記外向面は相互に面していないように前記ベースプレートが相互に取付けられ、前記内向面の1つが前記複数の係合穴を有する、請求項4の脊椎整形外科用器具およびツールセット。
- 前記所望の外科的アプローチ面の1つが前記少なくとも一方のベースプレートの前向面である、請求項4の脊椎整形外科用器具およびツールセット。
- 前記少なくとも1つの所望の外科的アプローチ面が前記少なくとも一方のベースプレートの前外側向面である、請求項4の脊椎整形外科用器具およびツールセット。
- 前記少なくとも一方のベースプレートが3つの係合穴を有し、前記ポストが前記3つの係合穴のいずれかと係合可能である、請求項1の脊椎整形外科用器具およびツールセット。
- 前記3つの係合穴の各々が前記少なくとも一方のベースプレートの各所望の外科的アプローチ面にある、請求項8の脊椎整形外科用器具およびツールセット。
- 前記所望の外科的アプローチ面の1つが前記少なくとも一方のベースプレートの前向面である、請求項9の脊椎整形外科用器具およびツールセット。
- 各ベースプレートが1つの内向面および1つの外向面を有し、前記内向面は相互に面し、前記外向面は相互に面していないように前記ベースプレートが相互に取付けられ、前記内向面の1つが前記複数の係合穴を有する、請求項10の脊椎整形外科用器具およびツールセット。
- 前記その他の所望の外科的アプローチ面が前記少なくとも一方のベースプレートの左前外側向面および右前外側向面である、請求項10の脊椎整形外科用器具およびツールセット。
- 前記少なくとも1つの係合穴が前記椎間スペーサ器具の前後面および左右面両方に平行な長手軸を有する、請求項1の脊椎整形外科用器具およびツールセット。
- 第1および第2ベースプレートが相互に対して関節作動可能であるように相互に取付けられた第1および第2ベースプレートを有する椎間スペーサ器具であって、少なくとも一方のベースプレートが少なくとも1対の係合穴を有し、前記少なくとも1対の各穴が1つの長さを有する間隔によって少なくとも1対の他の穴から分離されている椎間スペーサ器具と、
1対の係合ポストを支持する遠位端を有する操作ツールであって、前記対の各ポストは1つの長さを有する間隔によって前記対の他のポストから分離されているので、前記対の係合ポストは前記少なくとも1対の係合穴の中に位置決め可能であり、前記操作ツールの遠位端に対する前記少なくとも一方のベースプレートの移動は前記係合ポストと前記係合した係合穴との衝突によって制限されるので、前記少なくとも一方のベースプレートが前記操作ツールを使用して操作可能である操作ツールと、
を含む脊椎整形外科用器具およびツールセット。 - 前記少なくとも一方のベースプレートが少なくとも2対の係合穴を有し、前記対の係合ポストが前記少なくとも2対の係合穴のいずれかの対の中に位置決め可能である、請求項14の脊椎整形外科用器具およびツールセット。
- 前記少なくとも2対の係合穴が3つの係合穴を含み、前記3つの係合穴の第1が1つの長さを有するスペースによって前記3つの係合穴の第2から分離されており、前記3つの係合穴の第2が前記長さを有するスペースによって前記3つの係合穴の第3から分離されている、請求項15の脊椎整形外科用器具およびツールセット。
- 前記少なくとも一方のベースプレートが少なくとも3対の係合穴を有し、前記対の係合ポストが前記少なくとも3対の係合穴のいずれかの対の中に位置決め可能である、請求項15の脊椎整形外科用器具およびツールセット。
- 前記少なくとも3対の係合穴が4つの係合穴を含み、前記4つの係合穴の第1が1つの長さを有するスペースによって前記4つの係合穴の第2から分離されており、前記4つの係合穴の第2が前記長さを有するスペースによって前記4つの係合穴の第3から分離されており、前記4つの係合穴の第3が前記長さを有するスペースによって前記4つの係合穴の第4から分離されている、請求項17の脊椎整形外科用器具およびツールセット。
- 前記少なくとも1対の係合穴の各々が前記椎間スペーサ器具の前後面および左右面両方に平行な長手軸を有する、請求項14の脊椎整形外科用器具およびツールセット。
- 各ベースプレートが1つの内向面および1つの外向面を有し、前記内向面は相互に面し、前記外向面は相互に面していないように前記ベースプレートが相互に取付けられ、前記内向面の1つが少なくとも1対の前記少なくとも1対の係合穴を有する、請求項14の脊椎整形外科用器具およびツールセット。
- 前記第1ベースプレートの前記内向面が前記少なくとも1対の係合穴の少なくとも1対を有し、前記第2ベースプレートの内向面が前記少なくとも1対の係合穴の少なくとも1つの他の対を有する、請求項20の脊椎整形外科用器具およびツールセット。
- 前記第1ベースプレートの内向面が3対の係合穴を有し、前記第2ベースプレートの前記内向面が2対の係合穴を有し、前記対の係合ポストが前記対の係合穴のいずれかの中に位置決め可能である、請求項14の脊椎整形外科用器具およびツールセット。
- 前記3対の係合穴が4つの係合穴を含み、前記4つの係合穴の第1が前記長さを有するスペースによって前記4つの係合穴の第2から分離されており、前記4つの係合穴の第1が前記長さを有するスペースによって前記4つの係合穴の第3から分離されており、前記4つの係合穴の第2が前記長さを有するスペースによって前記4つの係合穴の第4から分離されている、請求項22の脊椎整形外科用器具およびツールセット。
- 前記2対の係合穴が3つの係合穴を含み、前記3つの係合穴の第1が前記長さを有するスペースによって前記3つの係合穴の第2から分離されており、前記3つの係合穴の第1が前記長さを有するスペースによって前記3つの係合穴の第3から分離されている、請求項23の脊椎整形外科用器具およびツールセット。
- 前記4つの係合穴の第1および第2係合穴が前記第1ベースプレートの内向面の前向面の周囲で一様に分布しており、前記4つの係合穴の第1および第3係合穴が前記第1ベースプレートの内向面の左前外側向面の周囲で一様に分布しており、前記4つの係合穴の第2および第4係合穴が前記第1ベースプレートの内向面の右前外側向面の周囲で一様に分布しており、前記3つの係合穴の第1係合穴が前記第2ベースプレートの内向面の前向面では中央にあり、前記3つの係合穴の第2係合穴が前記第2ベースプレートの内向面の左前外側向面では中央にあり、前記3つの係合穴の第3係合穴が前記第2ベースプレートの内向面の右前外側向面では中央にある、請求項24の脊椎整形外科用器具およびツールセット。
- 前記第1ベースプレートの内向面の前向面および前記第2ベースプレートの内向面の前向面が同一平面上にあり、前記第1ベースプレートの内向面の左前外側向面および前記第2ベースプレートの内向面の左前外側向面が同一平面上にあり、前記第1ベースプレートの内向面の右前外側向面および前記第2ベースプレートの内向面の右前外側向面が同一平面上にある、請求項25の脊椎整形外科用器具およびツールセット。
- 前記少なくとも1対の係合穴が、前記少なくとも1対の係合穴が前記少なくとも一方のベースプレートの第1の所望の外科的アプローチ面では中央にあり、少なくとも1つの係合穴が前記少なくとも一方のベースプレートの第2の所望の外科的アプローチ面では中央にあることを含む、請求項14の脊椎整形外科用器具およびツールセット。
- 前記第1の所望の外科的アプローチ面が前記少なくとも一方のベースプレートの前方アプローチであり、前記第2の所望の外科的アプローチ面が前記少なくとも一方のベースプレートの前外側向面である、請求項27の脊椎整形外科用器具およびツールセット。
- 前記少なくとも1対の係合穴が2対の係合穴を含み、前記2対の係合穴が3つの係合穴を含み、前記3つの係合穴の第1は前記長さを有するスペースによって前記3つの係合穴の第2から分離されており、前記3つの係合穴の第2は前記長さを有するスペースによって前記3つの係合穴の第3から分離されており、前記少なくとも一方のベースプレートの第2の所望の外科的アプローチ面では前記3つの係合穴の第2係合穴が中心にあり、前記少なくとも一方のベースプレートの第1の所望の外科的アプローチ面に前記3つの係合穴の第1係合穴が位置決めし、そして前記少なくとも一方のベースプレートの第3の所望の外科的アプローチ面に前記3つの係合穴の第3係合穴が位置決めされる、請求項27の脊椎整形外科用器具およびツールセット。
- 前記第1の所望の外科的アプローチ面が前記少なくとも一方のベースプレートの前向面であり、前記第2の所望の外科的アプローチ面が前記少なくとも一方のベースプレートの左前外側向面であり、そして前記第3の所望の外科的アプローチ面が前記少なくとも一方のベースプレートの右前外側向面である、請求項29の脊椎整形外科用器具およびツールセット。
- 前記少なくとも1対の係合穴が、前記少なくとも一方のベースプレートの所望の外科的アプローチ面の周囲で一様に分布している第1および第2係合穴を含む、請求項14の脊椎整形外科用器具およびツールセット。
- 前記所望の外科的アプローチ面が前記少なくとも一方のベースプレートの前向面である、請求項31の脊椎整形外科用器具およびツールセット。
- 前記所望の外科的アプローチ面が第1の所望の外科的アプローチ面であり、前記少なくとも1対の係合穴が少なくとも3対の係合穴を含み、前記少なくとも3対の係合穴が4つの係合穴を含み、前記4つの係合穴が前記少なくとも一方のベースプレートの前記第1の所望の外科的アプローチ面の周囲で一様に分布した第1および第2係合穴を含み、前記4つの係合穴がさらに、第1係合穴および第3係合穴が前記少なくとも一方のベースプレートの第2の所望の外科的アプローチ面の周囲で一様に分布しているように位置決めされた第3係合穴を含み、前記4つの係合穴がさらに、第2係合穴および第4係合穴が前記少なくとも一方のベースプレートの第3の所望の外科的アプローチ面の周囲で一様に分布しているように位置決めされた第4係合穴を含む、請求項32の脊椎整形外科用器具およびツールセット。
- 前記第1の所望の外科的アプローチ面が前記少なくとも一方のベースプレートの前向面であり、前記第2の所望の外科的アプローチ面が前記少なくとも一方のベースプレートの左前外側向面であり、そして前記第3の所望の外科的アプローチ面が前記少なくとも一方のベースプレートの右前外側向面である、請求項33の脊椎整形外科用器具およびツールセット。
- 前記4つの係合穴の第1が前記長さを有するスペースによって前記4つの係合穴の第2から分離されており、前記4つの係合穴の第1が前記長さを有するスペースによって前記4つの係合穴の第3から分離されており、そして前記4つの係合穴の第2が前記長さを有するスペースによって前記4つの係合穴の第4から分離される、請求項33の脊椎整形外科用器具およびツールセット。
- 前記第1および第2ベースプレートが相互に対して関節作動可能であるように相互に対して取り付けられている第1および第2ベースプレートを有する椎間スペーサ器具であって、前記ベースプレートの周囲領域が1つの幅を有する間隔によって分離されており、前記周囲領域が、前記ベースプレートの前記周囲領域がより大きな幅を有する間隔によって分離されている前記ベースプレート間でアクセス容積を画定する壁を有する少なくとも1対の対向する凹所を有している椎間スペーサ器具と、
遠位シャフトを有する操作ツールであって、前記遠位シャフトは前記アクセス容積においてのみ前記ベースプレートの周囲領域間に適応するように前記幅より大きいが前記より大きな幅よりは大きくない適切な寸法を有するので、前記操作ツールの前記遠位シャフトがそのように適応していると、前記操作ツールの遠位シャフトに比較した椎間スペーサ器具の移動は遠位シャフトと凹所の壁との間の衝突によって制限されるので、前記椎間スペーサ器具が前記操作ツールを使用して操作可能である操作ツールと、
を含む脊椎整形外科用器具およびツールセット。 - 前記周囲領域が複数の対向する凹所対を有する、請求項36の脊椎整形外科用器具およびツールセット。
- 各アクセス容積が所望の外科的アプローチ方向と整列している、請求項36の脊椎整形外科用器具およびツールセット。
- 前記少なくとも1つの外科的アプローチ方向が前方アプローチ方向である、請求項38の脊椎整形外科用器具およびツールセット。
- 前記周囲領域が3つの対向する凹所対を有し、各々が第1、第2、および第3アクセス容積を各々画定し、各々が前方アプローチ方向、左前側方アプローチ方向、および右前側方アプローチ方向と各々整列している、請求項38101の脊椎整形外科用器具およびツールセット。
- 前記第1および第2ベースプレートが相互に対して関節作動可能であるように相互に対して取り付けられている第1および第2ベースプレートを有する椎間スペーサ器具であって、前記ベースプレートの周囲領域が1つの幅を有する間隔によって分離されており、前記少なくとも1つの周囲領域が前記他の周囲領域の反対側の凹所を有し、前記凹所が前記ベースプレートの前記周囲領域がより大きな幅を有する間隔によって分離されている前記ベースプレート間でアクセス容積を画定する壁を有し、
遠位シャフトを有する操作ツールであって、前記遠位シャフトは前記アクセス容積においてのみ前記ベースプレートの周囲領域間に適応するように前記幅より大きいが前記より大きな幅よりは大きくない適切な寸法を有するので、前記操作ツールの前記遠位シャフトがそのように適応していると、前記操作ツールの遠位シャフトに比較した椎間スペーサ器具の移動は遠位シャフトと凹所の壁との間の衝突によって制限されるので、前記椎間スペーサ器具が前記操作ツールを使用して操作可能である操作ツールと、を含む脊椎整形外科用器具およびツールセット。 - 前記少なくとも1つの周囲領域が複数の凹所を有し、各々が各アクセス容積を画定する、請求項41の脊椎整形外科用器具およびツールセット。
- 各アクセス容積が所望の外科的アプローチ方向と整列している、請求項41の脊椎整形外科用器具およびツールセット。
- 前記少なくとも1つの外科的アプローチ方向が前方アプローチ方向である、請求項43の脊椎整形外科用器具およびツールセット。
- 前記少なくとも1つの周囲領域が3つの凹所を有し、各々が第1、第2、および第3アクセス容積を各々画定し、各々が前方アプローチ方向、左前側方アプローチ方向、および右前側方アプローチ方向と各々整列している、請求項44の脊椎整形外科用器具およびツールセット。
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US10/282,356 US7169182B2 (en) | 2001-07-16 | 2002-10-29 | Implanting an artificial intervertebral disc |
US10/309,585 US7115132B2 (en) | 2001-07-16 | 2002-12-04 | Static trials and related instruments and methods for use in implanting an artificial intervertebral disc |
US10/309,585 | 2002-12-04 | ||
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US20090326542A9 (en) | 2009-12-31 |
JP4979741B2 (ja) | 2012-07-18 |
US8357167B2 (en) | 2013-01-22 |
US20040167534A1 (en) | 2004-08-26 |
US7842043B2 (en) | 2010-11-30 |
US8636804B2 (en) | 2014-01-28 |
US20050055095A1 (en) | 2005-03-10 |
US20030069586A1 (en) | 2003-04-10 |
US20050038445A1 (en) | 2005-02-17 |
US20040167536A1 (en) | 2004-08-26 |
CA2632125A1 (en) | 2004-05-13 |
CA2632115C (en) | 2010-02-23 |
CA2632115A1 (en) | 2004-05-13 |
US8758358B2 (en) | 2014-06-24 |
US7169182B2 (en) | 2007-01-30 |
US20100174371A9 (en) | 2010-07-08 |
US7632281B2 (en) | 2009-12-15 |
CA2632125C (en) | 2010-02-23 |
US20040167535A1 (en) | 2004-08-26 |
US7811289B2 (en) | 2010-10-12 |
US20040167537A1 (en) | 2004-08-26 |
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