JP2010527271A - 外科手術で移植可能な拘束キール付人工膝関節 - Google Patents
外科手術で移植可能な拘束キール付人工膝関節 Download PDFInfo
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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
- A61F2/38—Joints for elbows or knees
- A61F2/389—Tibial components
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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
- A61F2/38—Joints for elbows or knees
- A61F2/3836—Special connection between upper and lower leg, e.g. constrained
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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
- A61F2/38—Joints for elbows or knees
- A61F2/3886—Joints for elbows or knees for stabilising knees against anterior or lateral dislocations
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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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30108—Shapes
- A61F2002/3011—Cross-sections or two-dimensional shapes
- A61F2002/30112—Rounded shapes, e.g. with rounded corners
- A61F2002/30125—Rounded shapes, e.g. with rounded corners elliptical or oval
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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
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
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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
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
- A61F2002/30884—Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
-
- 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
- A61F2/38—Joints for elbows or knees
- A61F2002/3895—Joints for elbows or knees unicompartimental
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Physical Education & Sports Medicine (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
【選択図】なし
Description
本願は2007年5月15日出願の継続中の米国仮特許出願第60/938,012号の利益を主張するものであり、これは参照により本書に組み込まれる。
D188=Length
D29=0.367*D188
D76=0.224*D188
D95=0.510*D188
D97=0.694*D188
D103=0.061*D188
D104=0.061*D188
D176=0.204*D188
D177=0.510*D188
D178=0.735*D188
D181=0.041*D188
D182=0.061*D188
D189=0.551*D188
D183=0.429*D188
D186=0.429*D188
D175=0.200*D188
Claims (37)
- 大腿顆と対応する脛骨プラトーとの間の膝関節に移植される人工単顆膝関節であって、当該人工関節が:
対向する大腿骨面と脛骨面とを有する概ね楕円形の本体であって、前端部と後端部とを有する本体と;
概ね前後配置を有する前記脛骨面に設けられ、前端部と後端部とを有するキールであって、当該キールの後端部が、キール後端部の近位後方部分と比べて、前記本体後端部に向かってさらに延在する遠位後方部分を含むキールとを具えることを特徴とする人工関節。 - 請求項1に記載の人工関節において、前記キール後端部の遠位後方部分が丸いことを特徴とする人工関節。
- 請求項1に記載の人工関節において、前記キール後端部が前記キール後端部で約90度の角度を形成するよう階段状であることを特徴とする人工関節。
- 請求項1に記載の人工関節において、キールの遠位端部がキールの近位端部より長いことを特徴とする人工関節。
- 請求項1に記載の人工関節において、前記キール前端部は、キール前端部の遠位前方部分と比べて、前記本体前端部に向かってさらに延在している近位前方部分を含むことを特徴とする人工関節。
- 請求項5に記載の人工関節において、前記キール前端部の遠位前方部分が丸いことを特徴とする人工関節。
- 請求項5に記載の人工関節において、前記キール前端部の遠位前方部分が面取りされていることを特徴とする人工関節。
- 請求項1に記載の人工関節において、前記キール前端部は、キール前端部の近位前方部分と比べて、前記本体前端部に向かってさらに延在している遠位前方部分を含むことを特徴とする人工関節。
- 請求項8に記載の人工関節において、前記キール前端部が前記キール前端部で約90度の角度を形成するよう階段状であることを特徴とする人工関節。
- 請求項1に記載の人工関節において、前記キール後端部が前記キール後端部で鈍角を形成するカギ状であることを特徴とする人工関節。
- 請求項1に記載の人工関節において、前記キール前端部は、前記キール後端部と比べて、遠位に長く延在していることを特徴とする人工関節。
- 請求項1に記載の人工関節において、前記キール後端部は、前記キール前端部と比べて、遠位に長く延在していることを特徴とする人工関節。
- 請求項1に記載の人工関節において、キールの近位端部がキールの遠位端部より幅広くなるよう前記キールは、テーパしていることを特徴とする人工関節。
- 請求項1に記載の人工関節がさらに、前記脛骨面と前記大腿面の少なくとも一面に設けられる表面形成コンポーネントを具えることを特徴とする人工関節。
- 請求項1に記載の人工関節がさらに、概ね内外配向(medial-lateral orientation)を有するクロスキールを具えることを特徴とする人工関節。
- 請求項15に記載の人工関節において、前記キールは、前記クロスキールと比べて、遠位に長く延在していることを特徴とする人工関節。
- 請求項15に記載の人工関節において、前記クロスキールが前記キールと概ね同じ遠位深さに延在していることを特徴とする人工関節。
- 請求項15に記載の人工関節において、前記クロスキールの遠位部分は、クロスキールの近位部分と比べて、前記本体後端部に向かってより遠くに延在していることを特徴とする人工関節。
- 請求項15に記載の人工関節において、前記クロスキールが前記脛骨面から遠位に、概ね直交して延在していることを特徴とする人工関節。
- 請求項15に記載の人工関節において、前記クロスキールが前記キール前端部に沿って遠位に延在していることを特徴とする人工関節。
- 請求項1に記載の人工関節であって、前記キールがさらに、そこから突出して概ね内外配向を有する少なくとも一の突起部材を具え、前記突起部材は、当該突起部材の近位部分と比べて、前記本体前端部に向かってより遠くに延在している遠位部分を有することを特徴とする人工関節。
- 請求項21に記載の人工関節において、前記少なくとも一の突起部材は、キールに近い端部が前記キールから取り外された端部と比べて広くなるようテーパしていることを特徴とする人工関節。
- 請求項1に記載の人工関節がさらに、前記本体後端部から遠位に延在しているタブを具えることを特徴とする人工関節。
- 請求項1に記載の人工関節において、前記キールが概ね内外方向に拡張可能な部分を含むことを特徴とする人工関節。
- 請求項24に記載の人工関節において、前記拡張可能な部分が前記キール前端部に隣接して設けられていることを特徴とする人工関節。
- 請求項1に記載の人工関節において、前記本体が留め具を受けるよう配置されていることを特徴とする人工関節。
- 請求項1に記載の人工関節において、前記キールが変形可能な材料から構成されていることを特徴とする人工関節。
- 請求項1に記載の人工関節において、前記人工関節がこれに付随する生物学的または薬学的活性材を含むことを特徴とする人工関節。
- 請求項28に記載の人工関節において、前記生物学的または薬学的活性材が前記キールに付随する血管拡張剤であることを特徴とする人工関節。
- 請求項28に記載の人工関節において、前記生物学的または薬学的活性剤が前記キールに付随する神経標的剤であることを特徴とする人工関節。
- 請求項1に記載の人工関節がさらに、前記本体から前記キールへの内部導管を具えることを特徴とする人工関節。
- 大腿顆と対応する脛骨プラトー間の膝関節に移植する人工単顆膝関節であって、当該人工関節が:
対向する大腿骨面と脛骨面とを有する概ね楕円形の本体であって、前端部と後端部とを有する本体と;
概ね前後配置を有する前記脛骨面に設けられ、前端部と後端部とを有するキールであって、当該キール後端部が、キール後端部の近位後方部分と比べて、前記本体後端部に向かってより遠くに延在する遠位後方部分を含み、前記キール前端部が、キール前端部の遠位前方部分と比べて、前記本体前端部に向かってより遠くに延在する近位前方部分を含むことを特徴とする人工関節。 - 大腿顆と対応する脛骨プラトーとの間の膝関節に人工単顆膝関節を移植する方法であって、当該方法が:
対向する大腿骨面と脛骨面とを有する概ね楕円形の本体であって、前端部と後端部とを有し、前記人工関節が概ね前後配置を有する前記脛骨面に設けられるキールを含み、当該キールが前端部と後端部とを有し、前記キール後端部が前記キール後端部の近位後方部分と比べて、前記本体後端部に向かってより遠くに延在している遠位後方部分を含む本体を提供するステップと;
前記脛骨プラトーに、前記キールを少なくとも部分的に受けるよう構成される切込を作成するステップとを具えることを特徴とする方法。 - 請求項33に記載の方法において、前記脛骨プラトーの大部分の軟骨下骨が損なわれていないことを特徴とする方法。
- 請求項33に記載の方法がさらに、前記キールを前記脛骨プラトーの軟骨下骨の下側より下に届くよう配置するステップを具え、これにより前記人工関節を拘束することを特徴とする方法。
- 請求項33に記載の方法がさらに、生物学的または薬学的活性材を前記人工関節に結合させるステップを具えることを特徴とする方法。
- 請求項36に記載の方法がさらに、前記本体と前記キール間の内部導管経由で、前記人工関節に前記活性材を注入するステップを具えることを特徴とする方法。
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US93801207P | 2007-05-15 | 2007-05-15 | |
US60/938,012 | 2007-05-15 | ||
PCT/US2008/063712 WO2008144393A1 (en) | 2007-05-15 | 2008-05-15 | Surgically implantable knee prosthesis with captured keel |
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JP2010527271A true JP2010527271A (ja) | 2010-08-12 |
JP2010527271A5 JP2010527271A5 (ja) | 2011-04-07 |
JP5584115B2 JP5584115B2 (ja) | 2014-09-03 |
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US (2) | US20100249941A1 (ja) |
EP (1) | EP2155120B1 (ja) |
JP (1) | JP5584115B2 (ja) |
AU (1) | AU2008255048B2 (ja) |
CA (1) | CA2684759C (ja) |
WO (1) | WO2008144393A1 (ja) |
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AU2008255048B2 (en) | 2007-05-15 | 2014-05-01 | Barry M. Fell | Surgically implantable knee prosthesis with captured keel |
JP6161900B2 (ja) * | 2010-01-29 | 2017-07-12 | スミス アンド ネフュー インコーポレイテッド | 十字靭帯温存型人工膝関節 |
GB201004068D0 (en) * | 2010-03-11 | 2010-04-28 | Goodfellow John | Tibial prosthetic component for a partial or unicondylar meniscal bearing knee replacement,method of selecting such a tibial prosthetic component |
EP2685936B1 (en) * | 2011-03-18 | 2016-05-11 | Smith & Nephew Orthopaedics AG | A tibial tray for a knee joint prosthesis and a knee joint prosthesis including same |
US20140277530A1 (en) * | 2013-03-15 | 2014-09-18 | Smed-Ta/Td, Llc | Fixation of bone implants |
US9744044B2 (en) * | 2013-03-15 | 2017-08-29 | Mako Surgical Corp. | Unicondylar tibial knee implant |
DE102013227136B4 (de) * | 2013-12-23 | 2020-12-31 | Mathys Ag Bettlach | Beschichtetes Hemiprothesen-Implantat |
EP3056171B1 (en) * | 2015-02-13 | 2019-03-13 | InnoLux Corporation | Knee joint prosthesis and tibial component and femoral component thereof |
CA2988052A1 (en) * | 2016-12-06 | 2018-06-06 | Smed-Ta/Td, Llc | Orthopaedic implant with fixation feature and a method of implanting thereof |
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Publication number | Publication date |
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US20100249941A1 (en) | 2010-09-30 |
JP5584115B2 (ja) | 2014-09-03 |
CA2684759C (en) | 2015-11-03 |
US20170105842A1 (en) | 2017-04-20 |
EP2155120B1 (en) | 2015-09-16 |
CA2684759A1 (en) | 2008-11-27 |
US10052208B2 (en) | 2018-08-21 |
AU2008255048A1 (en) | 2008-11-27 |
WO2008144393A1 (en) | 2008-11-27 |
EP2155120A4 (en) | 2013-05-15 |
EP2155120A1 (en) | 2010-02-24 |
AU2008255048B2 (en) | 2014-05-01 |
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