JP2010508964A - 内部骨固定のためのシステム及び方法 - Google Patents
内部骨固定のためのシステム及び方法 Download PDFInfo
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Images
Classifications
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- 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
- A61B17/7097—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
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- 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
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- 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
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- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
- A61B17/7275—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with expanding cylindrical parts
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Abstract
Description
典型的には高強度及び高衝撃に対しては典型的である方法/手段、すなわち、引張強度、引張係数、引張強度試験、極限係数、ポアッソン比、降伏強度や靱性を測定するビッカースやシャルピー衝撃値のような硬度測定値を含むがこれらには限定されない方法/手段を使用して決定することができる。
101 細長いシャフト
102 基端
103 従順部材、バルーン部
104 末端
105 補強部材
107 スリップスリーブ
110 デリバリカテーテル
111 ライトパイプ導管
113 空隙
115 アダプタ
116 プッシャー又はスタビライザー
117 外面
121 末端
122 外面
123 基端
124 内面
130 放射線不透過マーカ又はバンド
133 放射線不透過インクビード
150 光源
152 ライトパイプ
154 光学レンズ
160 シリンジ
602 折れた骨
604 骨片
605 骨折部
606 骨片
610 アクセスホール
620 硬質緻密外層
625 網状組織
700 手
702 中手骨
704 骨片
705 骨折部
706 骨片
710 指
Claims (20)
- 従順部材と、
前記従順部材内に収容される少なくとも1つの補強材料とからなり、
前記少なくとも1つの補強材料が前記従順部材に付与されると、前記従順部材は収縮状態から膨張状態に移動する、内部骨固定装置。 - 前記従順部材はポリマー材料から構成されている請求項1に記載の内部骨固定装置。
- さらに前記従順部材に少なくとも1つの放射線不透過性材料を有する請求項1に記載の内部骨固定装置。
- 少なくとも2つの骨片に折れた骨を修復するのに使用する請求項1に記載の内部骨固定装置。
- 前記従順部材は前記少なくとも2つの骨片の内部空洞内に存在し、前記少なくとも2つの骨片に対するサポートを提供し、治癒を促進する請求項4に記載の内部骨固定装置。
- 前記従順部材は膨張状態にあるとき、前記少なくとも2つの骨片の内部空洞の壁に均一の接触する請求項5に記載の内部骨固定装置。
- 基端、末端、及びこれらの間の長手軸を備えた細長いシャフトを有し、少なくとも1つの補強材料の通路となる内部空洞と、光源の通路となる内部ルーメンとを有するデリバリカテーテルと、
前記デリバリカテーテルの末端に解放可能に係合し、前記少なくとも1つの補強材料が送出されたときに収縮状態から膨張状態に移動する従順部材と、
前記光源と前記少なくとも1つの補強材料を受け入れるために、前記デリバリカテーテルの基端に解放可能に係合するアダプタと、
からなる折れた骨を修復する装置。 - 前記デリバリカテーテルの細長いシャフトを包囲する補強部材と、
前記補強部材を包囲するスリップスリーブと、
前記デリバリカテーテル上の少なくとも1つの放射線不透過材料とをさらに有する請求項7に記載の装置。 - 前記少なくとも1つの補強材料はUV硬化性接着剤である請求項7に記載の装置。
- 前記光源はライトパイプと光学レンズを含む請求項7に記載の装置。
- 前記ライトパイプは、前記光学レンズを通してエネルギーを放出し、該エネルギーを前記従順部材に案内する請求項10に記載の装置。
- 前記ライトパイプから放出されるエネルギーは前記従順部材内の前記少なくとも1つの補強材料を硬化させる請求項11に記載の装置。
- 前記従順部材はポリマー材料から構成されている請求項7に記載の装置。
- 折れた骨の内部空洞にアクセスし、
折れた骨を修復するのに使用する装置を準備し、
前記装置は、デリバリカテーテルに解放可能に係合する従順部材からなり、前記デリバリカテーテルは、前記従順部材への少なくとも1つの補強材料の通路のための内部空洞と、前記従順部材への光源の通路のための内部ルーメンとを有し、
前記従順部材を前記折れた骨の少なくとも2つの骨片に跨るように位置決めし、
前記装置の内部ルーメンに光源を挿入し、
少なくとも1つの補強材料を前記装置の内部空洞に付与し、
前記デリバリカテーテルの内部空洞を通して、前記従順部材に前記少なくとも1つの補強材料を注入し、前記従順部材を初期収縮状態から最終膨張状態に移動させ、
前記光源を活性化して前記膨張した従順部材内の前記少なくとも1つの補強部材を硬化し、
前記硬化した従順部材を前記デリバリカテーテルから解放する、
折れた骨を修復する方法。 - 前記硬化した従順部材は前記折れた骨の内部空洞に残り、前記折れた骨を支持し、治癒を促進する請求項14に記載の方法。
- さらに、アダプタを前記デリバリカテーテルの基端に解放可能に係合し、光源と少なくとも1つの補強材料を受け入れる、請求項14に記載の方法。
- 前記デリバリカテーテルはさらに、
前記デリバリカテーテルの細長いシャフトを包囲する補強部材と、
前記補強部材を包囲するスリップスリーブと、
前記デリバリカテーテル上の少なくとも1つの放射線不透過性材料と、
からなる請求項14に記載の方法。 - 前記光源は、
ライトパイプと、
光学レンズとからなり、
前記ライトパイプは、前記光学レンズを通してエネルギーを放出し、該エネルギーを前記従順部材に案内し、前記少なくとも1つの補強部材が硬化されるようにする請求項14に記載の方法。 - 前記従順部材はポリマー材料から構成されている請求項14に記載の方法。
- 前記少なくとも1つの補強材料はUV硬化性接着剤である請求項14に記載の方法。
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