JP2010506694A - 複数の脊椎分節拘束用の方法およびシステム - Google Patents
複数の脊椎分節拘束用の方法およびシステム Download PDFInfo
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- JP2010506694A JP2010506694A JP2009533535A JP2009533535A JP2010506694A JP 2010506694 A JP2010506694 A JP 2010506694A JP 2009533535 A JP2009533535 A JP 2009533535A JP 2009533535 A JP2009533535 A JP 2009533535A JP 2010506694 A JP2010506694 A JP 2010506694A
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- spinous process
- sacrum
- adjacent
- spinous
- anchoring structure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7053—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with parts attached to bones or to each other by flexible wires, straps, sutures or cables
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7055—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant connected to sacrum, pelvis or skull
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61B17/842—Flexible wires, bands or straps
Abstract
Description
本発明は、概して、医療の方法および装置に関する。特に、本発明は、背痛または他の背骨の状態を有する患者の脊椎の屈曲を制限する方法および装置に関する。
特許文献2については、上記において説明した。着目される他の特許および出願公開として以下が挙げられる。特許文献3、特許文献4、特許文献5、特許文献6、特許文献7、特許文献8、特許文献9、特許文献10、特許文献11、特許文献12、特許文献13、特許文献14、特許文献15、特許文献16、特許文献17、特許文献18、特許文献19、Re.36,221、特許文献20、特許文献21、特許文献22、特許文献23、特許文献24、特許文献25、特許文献26、特許文献27、特許文献28、特許文献29、特許文献30、特許文献31、特許文献32、特許文献33、特許文献34、特許文献35、特許文献36、特許文献37、特許文献38、特許文献39、特許文献40、特許文献41、特許文献42、特許文献43、特許文献44、特許文献45、特許文献46、特許文献47、特許文献48、特許文献49、特許文献50、特許文献51、特許文献52、特許文献53、特許文献54、特許文献55、特許文献56、特許文献57、特許文献58、特許文献59、特許文献60、特許文献61、特許文献62、特許文献63、特許文献64、特許文献65、および特許文献66。
Claims (18)
- 2つ以上の隣接する脊椎分節の屈曲を弾性的に制限するために、棘突起を拘束する方法であって、
少なくとも3つの隣接する椎体の棘突起、または2つの隣接する椎体の棘突起と仙骨と、に係留構造を配置することであって、該構造が上側の棘突起と、下側の棘突起または仙骨とを弾性的に結合することを含む、方法。 - 前記係留構造は、上側の棘突起と、下側の棘突起または仙骨とを弾性的に結合し、少なくとも1つの中間の棘突起を結合しない、請求項1に記載の方法。
- 前記係留構造は、上側の棘突起と、下側の棘突起または仙骨と、中間の少なくとも1つの棘突起とを弾性的に結合する、請求項1に記載の方法。
- 上側の棘突起と、中間の棘突起と、下側の棘突起または仙骨とが、単一の連続係留構造によって結合される、請求項3に記載の方法。
- 前記上側の棘突起と、中間の棘突起と、下側の棘突起または仙骨とが、少なくとも2つの連続係留構造によって結合される、請求項3に記載の方法。
- 前記椎体のうちの下側の椎体が、L4、L5、および前記仙骨から成る群から選択される、請求項1に記載の方法。
- 前記隣接する椎体間の空間が、伸延を抑制する構造から自由である、請求項1に記載の方法。
- 前記係留構造は、1つ以上の追従性部材と直列に1つ以上のバンド要素を備える、請求項1に記載の方法。
- 前記係留構造は、少なくとも2つの追従性部材を備え、該追従性部材を前記棘突起の対向する側に対称的に配置することをさらに含む、請求項1に記載の方法。
- 前記係留構造は、少なくとも4つの追従性部材を備え、該追従性部材を前記棘突起の対向する側に対称的に配置することをさらに含む、請求項1に記載の方法。
- 少なくとも2つの隣接しない棘突起、または仙骨上のアンカー位置と1つの隣接しない棘突起とを束縛するように適合される連続係留構造を備える脊椎インプラントであって、該隣接する棘突起間、または棘突起と隣接しない仙骨との間、の脊椎分節の屈曲によってもたらされる伸延力に応じて、該係留構造の少なくとも一部が伸延に対する弾性抵抗を提供する、脊椎インプラント。
- 前記棘突起の対向する側に位置するように、対称的に配置された少なくとも2つの追従性部材をさらに備える、請求項11に記載の脊椎インプラント。
- 前記棘突起の対向する側に位置するように、対称的に配置された少なくとも4つの追従性部材をさらに備える、請求項11に記載の脊椎インプラント。
- 前記連続係留構造は、切れ目がなく前記複数の隣接しない棘突起上で輪になっている、請求項11に記載の脊椎インプラント。
- 前記連続係留構造は、切れ目があり、かつ、2つの端を有し、各端は骨への取り付け用アンカーを有する、請求項11に記載の脊椎インプラント。
- 請求項11に記載の脊椎インプラントと、2つの隣接する棘突起、または隣接しない棘突起または仙骨を束縛するように適合されている少なくとも1つの追加の連続係留構造とを備えるシステム。
- 前記追加の連続係留構造は、切れ目がなく前記複数の隣接しない棘突起上で輪になっている、請求項16に記載のシステム。
- 前記追加の連続係留構造は、切れ目があり、かつ、2つの端を有し、各端は骨への取り付け用アンカーを有する、請求項16に記載のシステム。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US86208506P | 2006-10-19 | 2006-10-19 | |
PCT/US2007/081822 WO2008051802A2 (en) | 2006-10-19 | 2007-10-18 | Methods and systems for constraint of multiple spine segments |
Publications (2)
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JP2010506694A true JP2010506694A (ja) | 2010-03-04 |
JP2010506694A5 JP2010506694A5 (ja) | 2010-11-25 |
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JP2009533535A Pending JP2010506694A (ja) | 2006-10-19 | 2007-10-18 | 複数の脊椎分節拘束用の方法およびシステム |
JP2009533532A Pending JP2010506693A (ja) | 2006-10-19 | 2007-10-18 | 単一コネクタを用いて棘突起を拘束する構造および方法 |
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JP2009533532A Pending JP2010506693A (ja) | 2006-10-19 | 2007-10-18 | 単一コネクタを用いて棘突起を拘束する構造および方法 |
Country Status (5)
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US (1) | US20080108993A1 (ja) |
EP (2) | EP2083701A4 (ja) |
JP (2) | JP2010506694A (ja) |
ES (2) | ES2364417T3 (ja) |
WO (2) | WO2008051801A2 (ja) |
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- 2007-10-18 JP JP2009533532A patent/JP2010506693A/ja active Pending
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EP2081509A2 (en) | 2009-07-29 |
EP2083701A4 (en) | 2013-06-12 |
JP2010506693A (ja) | 2010-03-04 |
ES2364417T3 (es) | 2011-09-01 |
ES2400535T3 (es) | 2013-04-10 |
US20080108993A1 (en) | 2008-05-08 |
WO2008051802A2 (en) | 2008-05-02 |
WO2008051801A2 (en) | 2008-05-02 |
EP2081509B1 (en) | 2013-01-23 |
EP2083701A2 (en) | 2009-08-05 |
EP2081509A4 (en) | 2009-11-11 |
WO2008051801A3 (en) | 2008-08-21 |
WO2008051802A3 (en) | 2008-07-10 |
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