JP2009502336A - 多軸プレートを使用するためのシステムおよび方法 - Google Patents
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Abstract
Description
(a)下面、上面、および、下面から上面へと延びる少なくとも1つの開口部を備える骨プレートと、
(b)開口部を通して挿入可能なファスナと、
(c)開口内またはファスナ上に配置された複数の突出するフィンを含む、開口部とファスナとの間の少なくとも1つの協働部材とを備える、多軸骨固定アセンブリを提供することができる。
(a)輪郭づけられた、直線状の、または平坦な、
(b)特定の骨表面と一致するように輪郭づけられた頭部部分、
(c)L字形、T字形、またはY字形を形成するように広がる頭部、および
(d)それらの何らかの組合せのうちの、1つ以上のフィーチャを備える骨プレートを有する。
(a)ねじ切りされた開口部、
(b)ねじ切りされない開口部、
(c)係止または非係止ファスナを受けるようになされた開口部、
(d)組合せスロット、
(e)それらの何らかの組合せのうちの、1つ以上の開口部を備える骨プレートを提供する。
(a)骨プレートを提供するステップであって、骨プレートが、下面、上面、および、下面から上面へと延びる少なくとも1つの開口部を備え、開口部が、ねじ切りされない内部表面を有し、1つ以上の突出するフィンが、内部表面上に配置される、骨プレートを提供するステップと、
(b)軸部および頭部を有するファスナを提供するステップであって、頭部が、突出するフィンと協働するようになされた少なくとも1組のねじ山を有する、ファスナを提供するステップと、
(c)ファスナを骨プレートの開口部内へと挿入し、プレートのフィンに少なくとも1組のねじ山が係合することを可能にするステップと、
(d)骨プレートを骨に固定するステップと、を含む、多軸固定を用いて骨プレートを骨に固定するための方法を提供する。
(a)骨プレートを提供するステップであって、骨プレートが、下面、上面、および、下面から上面へと延びる少なくとも1つの開口部を備え、開口部が、1つ以上のねじ山を有する、骨プレートを提供するステップと、
(b)軸部および頭部を有するファスナを提供するステップであって、頭部が、プレートのねじ山と協働するようになされた少なくとも1組のフィンを有する、ファスナを提供するステップと、
(c)ファスナを骨プレートの開口部内へと挿入し、ファスナ頭部のフィンに1つ以上のねじ山が係合することを可能にするステップと、
(d)骨プレートを骨に固定するステップと、を含む、多軸固定を用いて骨プレートを骨に固定するための方法を提供する。
12 骨プレート
14 下面
16 上面
18 開口部
20 中心軸
22 内部表面
24 フィン
26 基部
28 凹部
30 周縁
36 周縁
46 開口部
52 側部
54 縁部
56 頂端領域
58 開口部
60 後部
62 開口部
64 仮のピン開口部
70 頭部
80 ファスナ
82 軸部
84 頭部
86 長手軸
88 ねじ山
102 ファスナ
104 フィン付き頭部
106 受容ボア
108 上方部分
110 延長フィン
111 縁部
112 主部
114 軸部
120 骨プレート
122 開口部
124 ねじ山
126 縁部
130 中心軸
Claims (24)
- (a)下面、上面、および、前記下面から前記上面へと延びる少なくとも1つの開口部を備える骨プレートと、
(b)前記開口部を通して挿入可能なファスナと、
(c)前記開口部内または前記ファスナ上に配置された複数の突出するフィンを含んだ、前記開口部と前記ファスナとの間の少なくとも1つの協働部材とを備えていることを特徴とする、多軸骨固定アセンブリ。 - 前記開口部がねじ切りされていない内部表面を有し、前記フィンが前記内部表面上に配置されていることを特徴とする、請求項1に記載の多軸骨固定アセンブリ。
- 前記フィンがファスナのねじ切りされた頭部を様々な角度で定位置に固定するようになされた、凹状にへこみ内側に突出する一連のフィンとして設けられていることを特徴とする、請求項2に記載の多軸骨固定アセンブリ。
- 前記開口部が前記上面にて丸い周縁によってさらに画成され、ジグザグの周縁が前記突出するフィンによって前記下面にて形成されていることを特徴とする、請求項2または3に記載の多軸骨固定アセンブリ。
- 前記突出するフィンが前記内部表面の凹部を形成していることを特徴とする、請求項2から4のいずれか一項に記載の多軸骨固定アセンブリ。
- 前記突出するフィンが前記内部表面とほぼ同一平面内で接触する基部を有していることを特徴とする、請求項2から5のいずれか一項に記載の多軸骨固定アセンブリ。
- 前記ファスナが、前記突出するフィンに係合するようになされるねじ切りされた頭部を有していることを特徴とする、請求項2から6のいずれか一項に記載の多軸骨固定アセンブリ。
- 前記フィンが、先細形状、直線形状、矩形形状、または三角形状を有していることを特徴とする、請求項2から7のいずれか一項に記載の多軸骨固定アセンブリ。
- 前記骨プレートが、大腿骨、遠位脛骨、近位脛骨、近位上腕骨、遠位上腕骨、鎖骨、腓骨、尺骨、橈骨、足の骨、または手の骨と接触するように適合されていることを特徴とする、請求項2から8のいずれか一項に記載の多軸骨固定アセンブリ。
- 前記骨プレートが、以下の
(a)輪郭づけられた、直線状の、または平坦な、
(b)特定の骨表面と一致するように輪郭づけられた頭部部分、
(c)L字形、T字形、またはY字形を形成するように広がる頭部、および
(d)それらの何らかの組合せのうちの、1つ以上のフィーチャを有していることを特徴とする、請求項2から9のいずれか一項に記載の多軸骨固定アセンブリ。 - 前記骨プレートが頭部を有し、前記頭部上に前記開口部が配置されていることを特徴とする、請求項2から10のいずれか一項に記載の多軸骨固定アセンブリ。
- 前記骨プレートが、以下の
(a)ねじ切りされた開口部、
(b)ねじ切りされない開口部、
(c)係止または非係止ファスナを受けるようになされた開口部、
(d)組合せスロット、
(e)それらの何らかの組合せのうちの、1つ以上の開口部を有していることを特徴とする、請求項2から11のいずれか一項に記載の多軸骨固定アセンブリ。 - 前記ファスナがフィンを備える頭部を有し、前記フィンが骨プレート内のねじ山と協働するようになされていることを特徴とする、請求項1に記載の多軸骨固定アセンブリ。
- 前記フィンが1つより多い層として設けられていることを特徴とする、請求項13に記載の多軸骨固定アセンブリ。
- 前記骨プレート内の前記開口部が、1つ以上の矩形ねじ山を備えていることを特徴とする、請求項13または14に記載の多軸骨固定アセンブリ。
- 前記フィンが、台形形状、丸形、楕円形、矩形、湾曲、菱形、ダイヤ形、または三角形であることを特徴とする、請求項13から15のいずれか一項に記載の多軸骨固定アセンブリ。
- フィンの縁部が内側または外側へと先細になり、あるいは互いにほぼ平行であることを特徴とする、請求項13から16のいずれか一項に記載の多軸骨固定アセンブリ。
- 前記骨プレートが、大腿骨、遠位脛骨、近位脛骨、近位上腕骨、遠位上腕骨、鎖骨、腓骨、尺骨、橈骨、足の骨、または手の骨と接触するように適合されていることを特徴とする、請求項13から17のいずれか一項に記載の多軸骨固定アセンブリ。
- 前記骨プレートが、以下の
(a)輪郭づけられた、または平坦な、
(b)直線状の、または関節周囲にある、
(c)L字形、T字形、またはY字形を形成するように広がる頭部、または
(d)それらの何らかの組合せのうちの、1つ以上のフィーチャを有していることを特徴とする、請求項13から18のいずれか一項に記載の多軸骨固定アセンブリ。 - 前記骨プレートが、以下の
(a)ねじ切りされた開口部、
(b)ねじ切りされない開口部、
(c)係止または非係止ファスナを受けるようになされた開口部、
(d)組合せスロット、
(e)フィンを有する開口部、または
(f)それらの何らかの組合せのうちの、1つ以上の開口部を有していることを特徴とする、請求項13から19のいずれか一項に記載の多軸骨固定アセンブリ。 - (a)骨プレートを提供するステップであって、前記骨プレートが、下面、上面、および、前記下面から前記上面へと延びる少なくとも1つの開口部を備え、前記開口部が、ねじ切りされない内部表面を有し、1つ以上の突出したフィンが、前記内部表面上に配置されている骨プレートを提供するステップと、
(b)軸部および頭部を有するファスナを提供するステップであって、前記頭部が、前記突出したフィンと協働するようになされた少なくとも1組のねじ山を有しているファスナを提供するステップと、
(c)前記ファスナを前記骨プレートの前記開口部内へと挿入し、前記プレートの前記フィンに前記少なくとも1組のねじ山が係合することを可能にするステップと、
(d)前記骨プレートを骨に固定するステップと、を含んでいることを特徴とする、多軸固定を用いて骨プレートを骨に固定するための方法。 - (a)骨プレートを提供するステップであって、前記骨プレートが、下面、上面、および前記下面から前記上面へと延びる少なくとも1つの開口部を備え、前記開口部が、1つ以上のねじ山を有している骨プレートを提供するステップと、
(b)軸部および頭部を有するファスナを提供するステップであって、前記頭部が、前記プレートのねじ山と協働するようになされた少なくとも1組のフィンを有しているファスナを提供するステップと、
(c)前記ファスナを前記骨プレートの前記開口部内へと挿入し、前記ファスナ頭部の前記フィンに前記1つ以上のねじ山が係合することを可能にするステップと、
(d)前記骨プレートを骨に固定するステップと、を含んでいることを特徴とする、多軸固定を用いて骨プレートを骨に固定するための方法。 - 前記ファスナを前記骨プレート内の前記開口部内へと挿入する前記ステップ(c)が、骨断片を位置合せするよう引き込むために、多軸固定を用いるステップをさらに含んでいることを特徴とする、請求項21または22に記載の方法。
- 前記骨プレート内に係止ねじまたは非係止ねじを挿入するステップをさらに含んでいることを特徴とする、請求項21から23のいずれか一項に記載の方法。
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WO2007014192A2 (en) | 2007-02-01 |
JP2019048124A (ja) | 2019-03-28 |
ES2523435T3 (es) | 2014-11-25 |
WO2007014192A3 (en) | 2007-05-31 |
US20090143824A1 (en) | 2009-06-04 |
AU2006272646C1 (en) | 2018-06-21 |
JP2013144121A (ja) | 2013-07-25 |
US8940028B2 (en) | 2015-01-27 |
US20150142063A1 (en) | 2015-05-21 |
US11896270B2 (en) | 2024-02-13 |
EP1919385B1 (en) | 2014-08-20 |
AU2006272646A1 (en) | 2007-02-01 |
EP1919385A2 (en) | 2008-05-14 |
JP6567459B2 (ja) | 2019-08-28 |
CA2616798A1 (en) | 2007-02-01 |
CN101272743A (zh) | 2008-09-24 |
US20200323570A1 (en) | 2020-10-15 |
CN101272743B (zh) | 2011-01-26 |
JP5270339B2 (ja) | 2013-08-21 |
JP2016165488A (ja) | 2016-09-15 |
US10080598B2 (en) | 2018-09-25 |
CA2616798C (en) | 2014-01-28 |
AU2006272646B2 (en) | 2013-01-24 |
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