JP2009534062A - モジュール式の腰部インプラント - Google Patents
モジュール式の腰部インプラント Download PDFInfo
- Publication number
- JP2009534062A JP2009534062A JP2009505771A JP2009505771A JP2009534062A JP 2009534062 A JP2009534062 A JP 2009534062A JP 2009505771 A JP2009505771 A JP 2009505771A JP 2009505771 A JP2009505771 A JP 2009505771A JP 2009534062 A JP2009534062 A JP 2009534062A
- Authority
- JP
- Japan
- Prior art keywords
- cup
- base member
- lumbar implant
- lumbar
- implant according
- 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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Classifications
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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
- A61F2/30—Joints
- A61F2/30721—Accessories
- A61F2/30744—End caps, e.g. for closing an endoprosthetic cavity
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- A—HUMAN NECESSITIES
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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
- A61F2/30—Joints
- A61F2/32—Joints for the hip
- A61F2/34—Acetabular cups
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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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- A61F2/4637—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for connecting or disconnecting two parts of a prosthesis
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- 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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
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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
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- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
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- Health & Medical Sciences (AREA)
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Abstract
【選択図】 図1
Description
1.骨移植片の一次の安定な固定、
2.寛骨臼カップまたは支持カップの一次の安定な固定、
3.解剖学的な腰部回転中心の再建、および
4.いわゆる角度の勾配(inclination)および前傾(anteversion)でのカップの正確な傾斜
である。
Claims (51)
- 骨盤骨(2)への取り付けのためのベース部材(1)と、人工股関節を収容するためのカップ(4)とを備えており、
前記ベース部材(1)が、骨盤骨(2)へと取り付け可能であって、前記カップ(4)のための収容部(3)を備えており、
前記カップ(4)が、前記収容部(3)に対して相補的な外形を有しており、前記ベース部材に取り付け可能であり、
前記ベース部材(1)および前記カップ(4)が、前記カップ(4)を前記ベース部材(1)に対して位置変更可能に配置するための調節手段を備えている、
モジュール式の腰部インプラントにおいて、
前記調節手段が、前記ベース部材(1)および前記カップ(4)に形成された案内手段を備えていることを特徴とする、腰部インプラント。 - 前記収容部(3)が、両側において開いている球状の殻として形成されていることを特徴とする、請求項1に記載の腰部インプラント。
- 前記カップ(4)が、球状の殻として形成され、特には半球状の殻として形成されていることを特徴とする、請求項1または2に記載の腰部インプラント。
- 前記カップ(4)および/または前記収容部(3)が、複数の穴(8、9)を備えていることを特徴とする、請求項1〜3のいずれか一項に記載の腰部インプラント。
- 前記穴(8、9)の少なくとも1つが、内側のねじ山を備えていることを特徴とする、請求項4に記載の腰部インプラント。
- 前記穴(8、9)が、異なる直径を有していることを特徴とする、請求項4または5に記載の腰部インプラント。
- 前記カップ(4)および前記収容部(3)の対応する穴(8、9)を、前記カップ(4)を前記案内手段に沿って動かすことによって互いに整列させることができることを特徴とする、請求項4〜6のいずれか一項に記載の腰部インプラント。
- 前記カップ(4)を、前記穴(8、9)を貫くねじ接続によって前記ベース部材(1)の前記収容部(3)に固定することができることを特徴とする、請求項4〜7のいずれか一項に記載の腰部インプラント。
- 前記カップ(4)の外側が、前記カップ(4)をセメント層によって前記ベース部材(1)へと固定できるように形成されていることを特徴とする、請求項1〜8のいずれか一項に記載の腰部インプラント。
- 骨盤骨(2)への取り付けのためのベース部材(1)と、人工股関節を収容するためのカップ(4)とを備えており、
前記ベース部材(1)が、骨盤骨(2)へと取り付け可能であって、前記カップ(4)のための収容部(3)を備えており、
前記カップ(4)が、前記収容部(3)に対して相補的な外形を有している
モジュール式の腰部インプラントにおいて、
前記カップ(4)が、開口(22)を有する第1の部位(20)と、第2の部位(21)とを備えており、前記第2の部位(21)を、前記第1の部位(20)の前記開口(22)を通って案内して、前記ベース部材(1)へと取り付けることができ、前記第2の部位(21)が、前記第1の部位(20)を前記ベース部材(1)に対して固定するように構成されていることを特徴とする、腰部インプラント。 - 前記ベース部材(1)および前記カップ(4)の前記第2の部位(21)が、互いに対応する取り付け手段を有していることを特徴とする、請求項10に記載の腰部インプラント。
- 前記取り付け手段が、前記ベース部材(1)の雌ねじ(29)と、前記雌ねじ(29)に対応する前記カップの前記第2の部位(21)の雄ねじ(26)とを含んでいることを特徴とする、請求項11に記載の腰部インプラント。
- 前記雌ねじが、前記ベース部材(1)に形成され、前記雌ねじ(29)に対応する前記雄ねじ(26)が、細かいねじ山として前記カップの前記第2の部位(21)に形成されていることを特徴とする、請求項12に記載の腰部インプラント。
- 前記ベース部材が、少なくとも1つの穴(8’’)を備えており、前記少なくとも1つの穴(8’’)の軸が、前記ベース部材(1)の前記雌ねじ(29)の軸(107)に平行に配置されていることを特徴とする、請求項12または13に記載の腰部インプラント。
- 前記カップ(4)の前記第2の部位(21)を、セメント層によって前記ベース部材(1)へと取り付けることができることを特徴とする、請求項10に記載の腰部インプラント。
- 前記カップ(4)の前記第2の部位(21)が、骨盤骨(2)へと接続可能なねじを収容すべく形成された1つ以上の穴(9)を備えていることを特徴とする、請求項10〜15のいずれか一項に記載の腰部インプラント。
- 前記収容部(3)が、両側において開いている球状の殻として形成されていることを特徴とする、請求項10〜16のいずれか一項に記載の腰部インプラント。
- 前記カップ(4)の前記第1の部位(20)が、両側において開いている球状の殻として形成されていることを特徴とする、請求項10〜17のいずれか一項に記載の腰部インプラント。
- 前記カップ(4)の前記第2の部位(21)が、球状の殻として形成されていることを特徴とする、請求項10〜18のいずれか一項に記載の腰部インプラント。
- 前記カップ(4)の前記第1の部位(20)を、前記ベース部材(1)に対する複数の位置に固定することができることを特徴とする、請求項10〜19のいずれか一項に記載の腰部インプラント。
- 前記カップ(4)の前記第1の部位(20)および前記ベース部材(1)が、前記カップ(4)の前記第1の部位(20)を前記ベース部材(1)に対する複数の位置に前もって固定するための手段(23’、24’)を備えていることを特徴とする、請求項20に記載の腰部インプラント。
- 前記カップ(4)の前記第1の部位(20)を前もって固定するための前記手段(23’、24’)が、バヨネット式の固定具を含んでいることを特徴とする、請求項21に記載の腰部インプラント。
- 前記カップ(4)の前記第1の部位(20)および前記ベース部材(1)が、協働する案内手段を備えていることを特徴とする、請求項20〜22のいずれか一項に記載の腰部インプラント。
- 前記案内手段が、溝(15)および突起(16)を備えていることを特徴とする、請求項1または23に記載の腰部インプラント。
- 前記案内手段が、勾配および前傾の両方を同時に調節できるように配置されていることを特徴とする、請求項1、21、および22のいずれか一項に記載の腰部インプラント。
- 前記勾配および前傾を、前記ベース部材(1)において前記カップ(4)を回転させること、および/または前記カップ(4)を前記ベース部材(1)へと特別なラッチ位置にずらして挿入することによって、所定のやり方で調節することができることを特徴とする、請求項25に記載の腰部インプラント。
- 前記溝(15)が、前記収容部(3)の内表面に形成され、前記突起(16)が、前記カップ(4)の外側に形成されていることを特徴とする、請求項26に記載の腰部インプラント。
- 前記突起(16)または前記溝(15)が、円環の様相に形成されていることを特徴とする、請求項24または27に記載の腰部インプラント。
- 前記カップ(4)が、縁(19)を有しており、前記縁(19)が、1つの平面に位置していることを特徴とする、請求項1〜28のいずれか一項に記載の腰部インプラント。
- 前記縁(19)が、1つの平面に位置しており、前記平面の法線(17)と前記突起(16)を通る1つの平面の法線(18)とがなす角度αが0°〜20°の間、さらに好ましくは10°〜12°の間、あるいはさらに好ましくは約17°であることを特徴とする、請求項29に記載の腰部インプラント。
- 前記ベース部材(1)が、上縁(50)を有しており、前記上縁(50)が位置する平面の法線と前記溝(16)を通る平面の法線とがなす角度βが、0°〜30°の間、とくに好ましくは5°〜25°の間、さらにとくに好ましくは10°〜22°の間、あるいはさらに好ましくは約20°であることを特徴とする、請求項29または30に記載の腰部インプラント。
- 前記カップ(4)および/または前記ベース部材(1)が、少なくとも部分的に、好ましくは完全に、チタニウムまたはチタニウム化合物またはチタニウム合金で構成されていることを特徴とする、請求項1〜31のいずれか一項に記載の腰部インプラント。
- 前記ベース部材(1)が、隣接して放射状に突き出している2つのフラップ(10)および前記フラップ(10)に対向する舌(11)を備えていることを特徴とする、請求項1〜32のいずれか一項に記載の腰部インプラント。
- 前記フラップ(10)が、穴(8)を備えていることを特徴とする、請求項33に記載の腰部インプラント。
- 1つ以上の穴(8、9)を備えていることを特徴とする、請求項1または10に記載の腰部インプラント。
- 前記穴(8、9)が、前記ベース部材(1)を骨盤骨(2)に接続するねじ接続を収容するように構成されていることを特徴とする、請求項35に記載の腰部インプラント。
- 前記穴(8、9)を閉じることができることを特徴とする、請求項35または36に記載の腰部インプラント。
- 前記穴(8、9)を、ねじおよび/またはプラグによって閉じることができることを特徴とする、請求項37に記載の腰部インプラント。
- 前記穴(8、9)が、角度安定なねじを収容するように構成された内側のねじ山を備えていることを特徴とする、請求項35〜38のいずれか一項に記載の腰部インプラント。
- 前記ねじが、ドームねじ(7)を含んでいることを特徴とする、請求項39に記載の腰部インプラント。
- 骨盤骨(2)へと取り付けることができるベース部材(1)を備えており、前記ベース部材(1)が、人工股関節の支承インサートに対して相補的である内側形状を有する収容部(3)を備えているモジュール式の腰部インプラントにおいて、
前記収容部(3)が、閉じ部材(40)によって閉じることができる開口(27)を備えており、前記閉じ部材(40)を、前記ベース部材(1)へと取り付けることができることを特徴とする、モジュール式の腰部インプラント。 - 前記閉じ部材(40)が、前記収容部(3)に面する側に、人工股関節の支承インサートに対して相補的である形状を有していることを特徴とする、請求項41に記載のモジュール式の腰部インプラント。
- 前記ベース部材(1)および前記閉じ部材(40)が、互いに対応する取り付け手段を備えていることを特徴とする、請求項41または42に記載のモジュール式の腰部インプラント。
- 前記取り付け手段が、前記ベース部材の雌ねじ(1)と、前記ベース部材の雌ねじに対応する前記閉じ部材(40)の雄ねじとを含んでいることを特徴とする、請求項43に記載のモジュール式の腰部インプラント。
- 前記閉じ部材(40)が、前記人工股関節の前記支承インサートに対して相補的である内側形状を有する凹所を形成するために、前記収容部(3)を補うように構成されていることを特徴とする、請求項40〜44のいずれか一項に記載のモジュール式の腰部インプラント。
- 前記収容部(3)が、両側において開いている球状の殻として形成されていることを特徴とする、請求項42または45に記載のモジュール式の腰部インプラント。
- 前記閉じ部材(40)が、球状の殻として形成されていることを特徴とする、請求項46に記載のモジュール式の腰部インプラント。
- 骨盤骨へと取り付けることができるベース部材(1)と、前記ベース部材(1)に設けられたねじ山(29)へとねじ込まれるように構成された部品(21)とを有しており、前記ベース部材(1)に、前記ベース部材(1)に設けられた前記ねじ山(29)の軸(107)に平行な軸(80)を有する少なくとも1つの穴(8’’)が設けられているモジュール式の腰部インプラントに関し、前記腰部インプラントを組み立てるための工具(100)において、
前記ベース部材(1)の前記穴(8’’)へと挿入することができる案内棒(101)と、
前記案内棒(101)に沿って変位することができる案内スリーブ(102)と、
前記案内スリーブ(102)へと接続されたねじ込み器具(104)とを備え、
前記ねじ込み器具(104)の軸が、前記案内棒に平行に配置されている工具(100)。 - 前記案内棒(101)が、前記ベース部材(1)の前記穴(8’’)の内側のねじ山に螺合するように構成された外側のねじ山を端部に備えていることを特徴とする、請求項48に記載の工具。
- 前記ねじ込み器具(104)が、前記案内棒(101)を中心にして枢動可能であることを特徴とする、請求項48または49に記載の工具(100)。
- 前記ねじ込み器具(104)が、前記ねじ込み器具(104)に腰部インプラントの前記部品(21)を着脱可能に取り付けるための手段を備えていることを特徴とする、請求項48〜50のいずれか一項に記載の工具(100)。
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DE200620006349 DE202006006349U1 (de) | 2006-04-19 | 2006-04-19 | Modulares Hüftimplantat |
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PCT/EP2007/003408 WO2007118708A2 (de) | 2006-04-19 | 2007-04-18 | Modulares hüftimplantat |
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Publication number | Publication date |
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BRPI0709519A2 (pt) | 2011-07-19 |
WO2007118708A2 (de) | 2007-10-25 |
ES2390059T3 (es) | 2012-11-06 |
JP5408783B2 (ja) | 2014-02-05 |
BRPI0709519B1 (pt) | 2019-06-04 |
EP2010107B1 (de) | 2012-08-15 |
HK1132447A1 (en) | 2010-02-26 |
US20090088865A1 (en) | 2009-04-02 |
US9005302B2 (en) | 2015-04-14 |
BRPI0709519B8 (pt) | 2021-06-22 |
EP2010107A2 (de) | 2009-01-07 |
WO2007118708A3 (de) | 2009-02-19 |
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