JP2009516543A - 手首プロテーゼの埋込用器具 - Google Patents
手首プロテーゼの埋込用器具 Download PDFInfo
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- JP2009516543A JP2009516543A JP2008541413A JP2008541413A JP2009516543A JP 2009516543 A JP2009516543 A JP 2009516543A JP 2008541413 A JP2008541413 A JP 2008541413A JP 2008541413 A JP2008541413 A JP 2008541413A JP 2009516543 A JP2009516543 A JP 2009516543A
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- Prior art keywords
- rib
- block
- carpal
- instrument
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- 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.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- 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
- A61B17/1686—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 hand or wrist
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- 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
- A61B17/1782—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hand or wrist
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B2017/1602—Mills
-
- 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
- A61F2/30—Joints
- A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
- A61F2/4261—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for wrists
-
- 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
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—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
- A61F2/4606—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 wrists or ankles; of hands, e.g. fingers; of feet, e.g. toes
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Dentistry (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Prostheses (AREA)
Abstract
Description
Claims (22)
- a.橈骨の第2傾斜面と整列するように構成された第1傾斜面を含む橈側ブロックと、
b.手根骨と整列するように構成され、前記橈側ブロックに当接するように構成されたスペーサとを備える手首プロテーゼの埋込用器具。 - 前記スペーサがタブおよびスペーサ本体を備える、請求項1に記載の器具。
- 前記タブが、前記手根骨と整列するように構成された、請求項2に記載の器具。
- 前記手根骨が月状骨である、請求項1に記載の器具。
- 前記第1傾斜面が、前記橈側ブロックの背側面に対して約40度から約50度の角度を有する、請求項1に記載の器具。
- ハンドルと止めねじとをさらに備える、請求項1に記載の器具。
- 前記橈側ブロック構成部品が、背側/掌側軸を通る少なくとも1つの開口部をさらに備える、請求項1に記載の器具。
- 前記少なくとも1つの開口部が留め具を収容する、請求項7に記載の器具。
- 前記留め具が、kワイヤ、ねじ、ピン、ロッド、ポスト、およびステープルからなる群から選択される、請求項8に記載の器具。
- 前記橈側ブロックが、追加の器具を収容するように構成される、請求項1に記載の器具。
- 前記追加の器具が、手根骨切断ガイド、橈骨フライス、および橈骨ブローチガイドピンからなる群から選択される、請求項10に記載の器具。
- 前記橈骨の前記傾斜面が、前記橈骨の橈骨側に配置される、請求項1に記載の器具。
- a.橈骨の第2傾斜面と整列するように構成された第1傾斜面を備え、前記第1傾斜面が、橈側ブロックの背側面に対して約40度から約50度の角度を有する橈側ブロックと、
b.スペーサ本体およびタブを備え、前記タブが月状骨と整列するように構成され、前記スペーサ本体が前記橈側ブロックに当接するように構成されるスペーサと、
c.ハンドルおよび止めねじであって、前記ハンドルが前記止めねじを収容するように構成され、前記止めねじが、前記ハンドルと前記橈側ブロックとを連結するように構成される、ハンドルおよび止めねじと、
d.近位端部、遠位端部、および手根骨切断ジグを備え、前記近位端部が、前記スペーサによって収容され、前記手根骨切断ジグが前記スペーサに当接し、前記遠位端部が第3中手骨と整列する手根骨切断ガイドとを備えた、手首プロテーゼの埋込用器具。 - 橈骨と手根骨との間に手首プロテーゼを埋め込みする方法であって、
a.第1傾斜面が前記橈骨の橈骨側の第2傾斜面に当接するように、前記橈骨の背側に前記第1傾斜面を備える橈側ブロックを配置するステップと、
b.スペーサが、前記橈骨と前記手根骨との間に方向付けられ、前記手根骨と整列するように、前記橈側ブロックに対して前記スペーサを配置するステップとを含む方法。 - kワイヤ、ねじ、ピン、ロッド、ポスト、およびステープルからなる群から選択される留め具で、前記橈側ブロックを前記橈骨に固定するステップをさらに含む、請求項14に記載の方法。
- 手根骨切断ガイドを前記橈側ブロックに取り付け、前記手根骨を前記手根骨切断ガイドを用いて切断するステップをさらに含む、請求項14に記載の方法。
- 橈骨フライスを前記橈側ブロックに取り付け、前記橈骨フライスで前記橈骨をフライス削りするステップをさらに含む、請求項14に記載の方法。
- 橈骨ブローチガイドピンを前記橈側ブロックに取り付け、前記橈骨ブローチガイドピンを用いて前記橈骨をブローチ削りするステップをさらに含む、請求項14に記載の方法。
- 前記手首インプラントの橈骨側部分を前記橈骨の中に挿入するステップをさらに含む、請求項14に記載の方法。
- 前記手根骨が月状骨である、請求項14に記載の方法。
- 前記スペーサが、前記手根骨と整列するタブと、前記橈側ブロックに当接するスペーサ本体とを備える、請求項14に記載の方法。
- 前記第1傾斜面が、前記橈側ブロックの背側面に対して約40度から約50度の角度を有する、請求項14に記載の方法。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US73827605P | 2005-11-18 | 2005-11-18 | |
PCT/US2006/044963 WO2007061983A2 (en) | 2005-11-18 | 2006-11-20 | Instrument for implanting a wrist prosthesis |
Publications (1)
Publication Number | Publication Date |
---|---|
JP2009516543A true JP2009516543A (ja) | 2009-04-23 |
Family
ID=38067836
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008541413A Pending JP2009516543A (ja) | 2005-11-18 | 2006-11-20 | 手首プロテーゼの埋込用器具 |
Country Status (5)
Country | Link |
---|---|
US (1) | US20090198244A1 (ja) |
EP (1) | EP1959848A2 (ja) |
JP (1) | JP2009516543A (ja) |
AU (1) | AU2006318616A1 (ja) |
WO (1) | WO2007061983A2 (ja) |
Families Citing this family (35)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7625408B2 (en) | 2003-07-22 | 2009-12-01 | Avanta Orthopaedics, Llc | Prosthetic wrist implant |
US7160331B2 (en) | 2004-12-01 | 2007-01-09 | Mayo Foundation For Medical Research And Education | Sigmoid notch implant |
US8808303B2 (en) | 2009-02-24 | 2014-08-19 | Microport Orthopedics Holdings Inc. | Orthopedic surgical guide |
US9017334B2 (en) | 2009-02-24 | 2015-04-28 | Microport Orthopedics Holdings Inc. | Patient specific surgical guide locator and mount |
US8808297B2 (en) | 2009-02-24 | 2014-08-19 | Microport Orthopedics Holdings Inc. | Orthopedic surgical guide |
US8911445B2 (en) | 2011-01-28 | 2014-12-16 | DePuy Sysnthes Products, LLC | Reamer guide systems and methods of use |
EP2667798B1 (en) * | 2011-01-28 | 2015-07-29 | Synthes GmbH | Reamer guide systems |
AU2012253444B2 (en) | 2011-05-12 | 2016-02-18 | Howmedica Osteonics Corp. | Wrist implant for carpal hemiarthroplasty |
CN102727279B (zh) * | 2012-07-16 | 2014-02-19 | 徐永清 | 一种腕舟骨固定器定位及钻孔辅助装置 |
US20160015426A1 (en) | 2014-07-15 | 2016-01-21 | Treace Medical Concepts, Inc. | Bone positioning and cutting system and method |
US9687250B2 (en) | 2015-01-07 | 2017-06-27 | Treace Medical Concepts, Inc. | Bone cutting guide systems and methods |
US10849631B2 (en) | 2015-02-18 | 2020-12-01 | Treace Medical Concepts, Inc. | Pivotable bone cutting guide useful for bone realignment and compression techniques |
US10653467B2 (en) | 2015-05-06 | 2020-05-19 | Treace Medical Concepts, Inc. | Intra-osseous plate system and method |
JP6985248B2 (ja) | 2015-07-14 | 2021-12-22 | トリース メディカル コンセプツ,インコーポレイティド | 骨位置付けガイド |
US10849663B2 (en) | 2015-07-14 | 2020-12-01 | Treace Medical Concepts, Inc. | Bone cutting guide systems and methods |
US9622805B2 (en) | 2015-08-14 | 2017-04-18 | Treace Medical Concepts, Inc. | Bone positioning and preparing guide systems and methods |
AU2016308483B2 (en) | 2015-08-14 | 2021-05-13 | Treace Medical Concepts, Inc. | Tarsal-metatarsal joint procedure utilizing fulcrum |
US11278337B2 (en) | 2015-08-14 | 2022-03-22 | Treace Medical Concepts, Inc. | Tarsal-metatarsal joint procedure utilizing fulcrum |
EP3349674A4 (en) | 2015-09-18 | 2019-05-22 | Treace Medical Concepts, Inc. | SYSTEMS AND METHODS FOR JOINT SPACING |
ES2962833T3 (es) * | 2016-03-24 | 2024-03-21 | Skeletal Holdings Llc | Prótesis total de muñeca |
CA2969998A1 (en) * | 2016-06-17 | 2017-12-17 | Socovar, L.P. | Limb sparing in mammals using patient-specific endoprostheses and cutting guides |
US10512470B1 (en) | 2016-08-26 | 2019-12-24 | Treace Medical Concepts, Inc. | Osteotomy procedure for correcting bone misalignment |
US10582936B1 (en) | 2016-11-11 | 2020-03-10 | Treace Medical Concepts, Inc. | Devices and techniques for performing an osteotomy procedure on a first metatarsal to correct a bone misalignment |
US10939939B1 (en) | 2017-02-26 | 2021-03-09 | Treace Medical Concepts, Inc. | Fulcrum for tarsal-metatarsal joint procedure |
US11596443B2 (en) | 2018-07-11 | 2023-03-07 | Treace Medical Concepts, Inc. | Compressor-distractor for angularly realigning bone portions |
WO2020014660A1 (en) | 2018-07-12 | 2020-01-16 | Treace Medical Concepts, Inc. | Multi-diameter bone pin for installing and aligning bone fixation plate while minimizing bone damage |
US11607250B2 (en) | 2019-02-13 | 2023-03-21 | Treace Medical Concepts, Inc. | Tarsal-metatarsal joint procedure utilizing compressor-distractor and instrument providing sliding surface |
AU2020325303A1 (en) | 2019-08-07 | 2022-02-24 | Treace Medical Concepts, Inc. | Bi-planar instrument for bone cutting and joint realignment procedure |
US11889998B1 (en) | 2019-09-12 | 2024-02-06 | Treace Medical Concepts, Inc. | Surgical pin positioning lock |
EP4027922A4 (en) | 2019-09-13 | 2023-10-04 | MIOS Marketing LLC, DBA RedPoint Medical 3D | PATIENT-SPECIFIC SURGICAL PROCEDURES AND INSTRUMENTS |
US11890039B1 (en) | 2019-09-13 | 2024-02-06 | Treace Medical Concepts, Inc. | Multi-diameter K-wire for orthopedic applications |
US11986251B2 (en) | 2019-09-13 | 2024-05-21 | Treace Medical Concepts, Inc. | Patient-specific osteotomy instrumentation |
US11638648B2 (en) * | 2020-01-22 | 2023-05-02 | Acumed Llc | Wrist arthroplasty system and method |
WO2021155269A1 (en) | 2020-01-31 | 2021-08-05 | Treace Medical Concepts, Inc. | Metatarsophalangeal joint preparation and metatarsal realignment for fusion |
USD1011524S1 (en) | 2022-02-23 | 2024-01-16 | Treace Medical Concepts, Inc. | Compressor-distractor for the foot |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
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US20040117025A1 (en) * | 2002-09-18 | 2004-06-17 | Reindel Eric S. | Wrist implant apparatus and method |
JP2004275762A (ja) * | 2003-02-28 | 2004-10-07 | Keisei Ika Kogyo Kk | 創外固定器 |
US6827741B2 (en) * | 2003-01-09 | 2004-12-07 | Zimmer Technology, Inc. | Method for preparing radial and carpal bones for a wrist prosthesis |
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WO2005041823A1 (en) * | 2003-10-02 | 2005-05-12 | Concepts In Medicine Iii, Llc | Ankle joint prosthesis |
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US5002545A (en) * | 1989-01-30 | 1991-03-26 | Dow Corning Wright Corporation | Tibial surface shaping guide for knee implants |
US5423826A (en) * | 1993-02-05 | 1995-06-13 | Danek Medical, Inc. | Anterior cervical plate holder/drill guide and method of use |
US5586985A (en) * | 1994-10-26 | 1996-12-24 | Regents Of The University Of Minnesota | Method and apparatus for fixation of distal radius fractures |
FR2808181B1 (fr) * | 2000-04-28 | 2002-06-14 | Fixano | Fixateur externe pour l'immobilisation de fragments d'os, notamment au niveau du poignet |
US6793659B2 (en) * | 2001-10-12 | 2004-09-21 | Regents Of The University Of Minnesota | Intramedullary rod for wrist fixation |
US6755831B2 (en) * | 2001-11-30 | 2004-06-29 | Regents Of The University Of Minnesota | Wrist surgery devices and techniques |
US7625408B2 (en) * | 2003-07-22 | 2009-12-01 | Avanta Orthopaedics, Llc | Prosthetic wrist implant |
-
2006
- 2006-11-20 AU AU2006318616A patent/AU2006318616A1/en not_active Abandoned
- 2006-11-20 JP JP2008541413A patent/JP2009516543A/ja active Pending
- 2006-11-20 WO PCT/US2006/044963 patent/WO2007061983A2/en active Search and Examination
- 2006-11-20 EP EP06844449A patent/EP1959848A2/en not_active Withdrawn
- 2006-11-20 US US12/085,119 patent/US20090198244A1/en not_active Abandoned
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20040117025A1 (en) * | 2002-09-18 | 2004-06-17 | Reindel Eric S. | Wrist implant apparatus and method |
US6827741B2 (en) * | 2003-01-09 | 2004-12-07 | Zimmer Technology, Inc. | Method for preparing radial and carpal bones for a wrist prosthesis |
JP2004275762A (ja) * | 2003-02-28 | 2004-10-07 | Keisei Ika Kogyo Kk | 創外固定器 |
JP2005052629A (ja) * | 2003-08-06 | 2005-03-03 | Depuy France | 総合的中足指節骨プロテーゼおよびこのプロテーゼを係合させるための補助装置 |
WO2005041823A1 (en) * | 2003-10-02 | 2005-05-12 | Concepts In Medicine Iii, Llc | Ankle joint prosthesis |
Also Published As
Publication number | Publication date |
---|---|
AU2006318616A1 (en) | 2007-05-31 |
WO2007061983A3 (en) | 2009-01-22 |
US20090198244A1 (en) | 2009-08-06 |
WO2007061983A2 (en) | 2007-05-31 |
EP1959848A2 (en) | 2008-08-27 |
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