JP2012020153A - 脊柱組織伸延装置 - Google Patents
脊柱組織伸延装置 Download PDFInfo
- Publication number
- JP2012020153A JP2012020153A JP2011201882A JP2011201882A JP2012020153A JP 2012020153 A JP2012020153 A JP 2012020153A JP 2011201882 A JP2011201882 A JP 2011201882A JP 2011201882 A JP2011201882 A JP 2011201882A JP 2012020153 A JP2012020153 A JP 2012020153A
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- JP
- Japan
- Prior art keywords
- distraction device
- item
- support structure
- distraction
- elongate member
- 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
Links
- ZQVRACDRCQNBGK-GKAPJAKFSA-N C1CC2C=CCC[C@H]2C1 Chemical compound C1CC2C=CCC[C@H]2C1 ZQVRACDRCQNBGK-GKAPJAKFSA-N 0.000 description 1
- XDTMQSROBMDMFD-UHFFFAOYSA-N C1CCCCC1 Chemical compound C1CCCCC1 XDTMQSROBMDMFD-UHFFFAOYSA-N 0.000 description 1
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Abstract
【解決手段】組織層の間への挿入のための展開前構成と、脊柱組織の層を分離し支持するために、細長い部材が構成の変化により支持構造141を形成する展開構成とを有する細長い部材を含む、脊柱組織伸延装置136である。伸延装置136はまた、流動性を有する材料の動きを制限し導いて、管外遊出を実質的に減少させ得る。展開構成において、細長い部材は、構成の変化により、組織層の間に内在容積を含む支持構造141を形成する。好ましくは、細長い部材は、支持構造141の形状を形成する本来の傾向を有する形状記憶材料から構成される。さらに、支持構造141は、組織の間の方向に、細長い部材が組織層の間に挿入されるにつれて増大する範囲を有する。
【選択図】図13
Description
本発明は、概して低侵襲外科的処置において用いられる器具および方法に関し、より具体的には、組織層を伸延し、または分離する、整形外科的処置におけるこのような器具および方法に関する。
より特定すれば、本願発明は以下の項目に関し得る。
(項目1)
ヒトの脊柱を治療する伸延装置であって、
組織層の間に挿入するように適合された展開前構成と、上記組織層を分離し、支持し、または分離および支持する展開構成であって、細長い部材の少なくとも部分が、構成の変化により、内在容積を含む支持構造を上記組織層の間に形成する、展開構成とを有する少なくとも1つの概して細長い部材を含み、上記支持構造は、上記細長い部材が上記組織層の間に挿入されるにつれて、上記組織の間の方向に増大する範囲を有する、伸延装置。
(項目2)
上記展開前構成は、概して線状である、項目1に記載の伸延装置。
(項目3)
上記細長い部材は、形状を変化させて、複数の屈曲を有する概してコイル形状の支持構造を規定する、項目1に記載の伸延装置。
(項目4)
各屈曲が、すぐ隣の屈曲に実質的に接触する、項目3に記載の伸延装置。
(項目5)
上記細長い部材は、上記支持構造の形状を保持することを支援する断面形状を有する、項目1に記載の伸延装置。
(項目6)
上記細長い部材は、上記支持構造の形状を保持することを支援する干渉表面を含む、項目1に記載の伸延装置。
(項目7)
上記支持構造は、実質的に剛である、項目1に記載の伸延装置。
(項目8)
上記細長い部材は、上記支持構造を形成する本来の傾向を有する、項目1に記載の伸延装置。
(項目9)
上記細長い部材は、形状記憶材料を含む、項目8に記載の伸延装置。
(項目10)
上記支持構造は、上記内在容積に通じる通路を含む、項目1に記載の伸延装置。
(項目11)
上記少なくとも1つの細長い部材は、第1の細長い部材と第2の細長い部材とを含み、上記第1の細長い部材によって規定される上記支持構造と上記第2の細長い部材によって規定される上記支持構造とは、並んで配置される、項目1に記載の伸延装置。
(項目12)
上記少なくとも1つの細長い部材は、第1の細長い部材と第2の細長い部材から構成されており、上記第1の細長い部材によって規定される上記支持構造と上記第2の細長い部材によって規定される上記支持構造とは順に積み重ねられる、項目1に記載の伸延装置。
(項目13)
上記少なくとも1つの細長い部材は、第1の細長い部材と、第2の細長い部材と、第3の細長い部材と、第4の細長い部材とを含み、上記細長い部材によって規定される上記支持構造は、並んで積み重ねられた配置に配置される、項目1に記載の伸延装置。
(項目14)
上記細長い部材に動作可能に接続されて、上記細長い部材を組織層の間に挿入することを支援する超音波振動を生じさせるエネルギー源をさらに含む、項目1に記載の伸延装置。
(項目15)
ヒトの脊柱を治療する伸延システムであって、
近位端部分と、遠位端部分と、その間に延在する管腔とを有するカニューレであって、上記遠位端部分は、組織の層に隣接してまたはその間に配置されるように構成されるカニューレと、
上記カニューレの上記管腔を通過し、上記カニューレの上記遠位端部分から組織層の間の位置に出るのに適している展開前構成と、上記組織層を分離し、支持し、または分離および支持する展開構成とを有する少なくとも1つの概して細長い部材であって、上記細長い部材の少なくとも部分は、上記部分が上記カニューレの上記遠位端部分から出る時に構成の変化によって内在容積を含む支持構造を規定し、上記支持構造は、上記組織の間の方向に、上記細長い部材が上記カニューレの上記遠位端部分から出るにつれて増大する範囲を有する、少なくとも1つの概して細長い部材と
を含む、伸延システム。
(項目16)
上記細長い部材は、形状を変化させて、複数の屈曲を有する概してコイル形状の支持構造を規定する、項目15に記載の伸延システム。
(項目17)
各屈曲が、すぐ隣の屈曲に実質的に接触する、項目16に記載の伸延システム。
(項目18)
上記細長い部材は、上記支持構造の形状を保持することを支援する断面形状を有する、項目15に記載の伸延システム。
(項目19)
上記細長い部材は、上記支持構造の形状を保持することを支援する干渉表面を含む、項目15に記載の伸延システム。
(項目20)
上記支持構造は、実質的に剛である、項目15に記載の伸延システム。
(項目21)
上記細長い部材は、上記支持構造を形成する本来の傾向を有する、項目15に記載の伸延システム。
(項目22)
上記細長い部材は、形状記憶材料を含む、項目21に記載の伸延システム。
(項目23)
上記支持構造は、上記内在容積に通じる通路を含む、項目15に記載の伸延システム。
(項目24)
上記少なくとも1つの細長い部材は、第1の細長い部材と第2の細長い部材とを含み、上記第1の細長い部材によって規定される上記支持構造と上記第2の細長い部材によって規定される上記支持構造とは、並んで配置される、項目15に記載の伸延システム。
(項目25)
上記少なくとも1つの細長い部材は、第1の細長い部材と第2の細長い部材とを含み、上記第1の細長い部材によって規定される上記支持構造と上記第2の細長い部材によって規定される上記支持構造とは順に積み重ねられる、項目15に記載の伸延システム。
(項目26)
上記少なくとも1つの細長い部材は、第1の細長い部材と、第2の細長い部材と、第3の細長い部材と、第4の細長い部材とを含み、上記細長い部材によって規定される上記支持構造は、並んで積み重ねられた配置に配置される、項目15に記載の伸延システム。
(項目27)
上記細長い部材に動作可能に接続されて、組織層の間に上記細長い部材を挿入することを支援する超音波振動を生じさせるエネルギー源をさらに含む、項目15に記載の伸延システム。
(項目28)
椎体の上端板と下端板との間に挿入可能である脊椎内伸延装置であって、
上記椎体内に挿入するように適合されている展開前構成を有する少なくとも1つの概して細長い部材と、上記細長い部材の少なくとも部分が構成の変化により、上記部分が上記椎体内に配置されるときに、上記上端板と上記下端板とを分離し、支持し、または分離および支持する支持構造を規定する展開構成とを有し、上記支持構造は常在の容積を含む、伸延装置。
(項目29)
上記展開前構成は、概して線状である、項目28に記載の伸延装置。
(項目30)
上記細長い部材は、形状を変化させて、複数の屈曲を有する概してコイル形状の支持構造を規定する、項目28に記載の伸延装置。
(項目31)
各屈曲が、すぐ隣の屈曲に実質的に接触する、項目30に記載の伸延装置。
(項目32)
上記支持構造は、上記分離された上端板と下端板との方向に範囲を有し、上記範囲は、上記細長い部材が上記椎体内に挿入されるにつれて増大する、項目28に記載の伸延装置。
(項目33)
上記細長い部材は、上記支持構造の形状を保持することを支援する断面形状を有する、項目28に記載の伸延装置。
(項目34)
上記細長い部材は、上記支持構造の形状を保持することを支援する干渉表面を含む、項目28に記載の伸延装置。
(項目35)
上記支持構造は実質的に剛である、項目28に記載の伸延装置。
(項目36)
上記細長い部材は、上記支持構造を形成する本来の傾向を有する、項目28に記載の伸延装置。
(項目37)
上記細長い部材は、形状記憶材料を含む、項目36に記載の伸延装置。
(項目38)
上記支持構造は、上記内在容積に通じる通路を含む、項目28に記載の伸延装置。
(項目39)
上記少なくとも1つの細長い部材は、第1の細長い部材と第2の細長い部材とを含み、上記第1の細長い部材によって規定される上記支持構造と上記第2の細長い部材によって規定される上記支持構造とは、並んで配置される、項目28に記載の伸延装置。
(項目40)
上記少なくとも1つの細長い部材は、第1の細長い部材と第2の細長い部材とを含み、上記第1の細長い部材によって規定される上記支持構造と上記第2の細長い部材によって規定される上記支持構造とは順に積み重ねられる、項目28に記載の伸延装置。
(項目41)
上記少なくとも1つの細長い部材は、第1の細長い部材と、第2の細長い部材と、第3の細長い部材と、第4の細長い部材とを含み、上記細長い部材によって規定される上記支持構造は、並んで積み重ねられた配置に配置される、項目28に記載の伸延装置。
(項目42)
上記細長い部材に動作可能に接続されて、上記細長い部材を上記椎体内に挿入することを支援する超音波振動を生じさせるエネルギー源をさらに含む、項目28に記載の伸延装置。
(項目43)
椎体の上端板と下端板との間に、その間の網状骨組織内に空洞を形成することなく挿入可能である脊椎内伸延装置であって、
上記椎体内に挿入するように適合されている展開前構成を有する少なくとも1つの概して細長い部材を含み、上記細長い部材は、上記椎体内の網状骨組織を横切り、構成の変化によって、上端板と下端板とを上記端板間の網状骨組織に空洞を作ることなく、分離し、支持し、または分離および支持する支持構造を形成するように適合されている、伸延装置。
(項目44)
上記展開前形構成は、概して線状である、項目43に記載の伸延装置。
(項目45)
上記細長い部材は、形状を変化させて、複数の屈曲を有する概してコイル形状の支持構造を規定する、項目43に記載の伸延装置。
(項目46)
各屈曲が、すぐ隣の屈曲に実質的に接触する、項目45に記載の伸延装置。
(項目47)
上記支持構造は、上記端板の分離の方向に測定される範囲を有し、上記範囲は、上記細長い部材が上記椎体内に挿入されるにつれて増大する、項目43に記載の伸延装置。
(項目48)
上記細長い部材は、上記支持構造の形状を保持することを支援する断面形状を有する、項目43に記載の伸延装置。
(項目49)
上記細長い部材は、上記支持構造の形状を保持することを支援する干渉表面を含む、項目43に記載の伸延装置。
(項目50)
上記支持構造は、実質的に剛である、項目43に記載の伸延装置。
(項目51)
上記細長い部材は、上記支持構造の形状を形成する本来の傾向を有する、項目43に記載の伸延装置。
(項目52)
上記細長い部材は、形状記憶材料を含む、項目51に記載の伸延装置。
(項目53)
上記支持構造は、内在容積を含み、上記内在容積に通じる通路を含む、項目43に記載の伸延装置。
(項目54)
上記少なくとも1つの細長い部材は、第1の細長い部材と第2の細長い部材とを含み、上記第1の細長い部材によって規定される上記支持構造と上記第2の細長い部材によって規定される上記支持構造とは、並んで配置される、項目43に記載の伸延装置。
(項目55)
上記少なくとも1つの細長い部材は、第1の細長い部材と第2の細長い部材とを含み、上記第1の細長い部材によって規定される上記支持構造と上記第2の細長い部材によって規定される上記支持構造とは順に積み重ねられる、項目43に記載の伸延装置。
(項目56)
上記少なくとも1つの細長い部材は、第1の細長い部材と、第2の細長い部材と、第3の細長い部材と、第4の細長い部材とを含み、上記細長い部材によって規定される支持構造は、並んで積み重ねられた配置に配置される、項目43に記載の伸延装置。
(項目57)
上記細長い部材に運転可能に接続されて、上記細長い部材を上記上椎骨と上記下椎骨との間に挿入することを支援する超音波振動を生じさせるエネルギー源をさらに含む、項目43に記載の伸延装置。
(項目58)
上椎骨と下椎骨との端板の間に挿入可能である椎間内伸延装置であって、
上椎骨と下椎骨との間に挿入されるように適合されている展開前構成と、細長い部材の少なくとも部分は構成の変化により、上記上椎骨と上記下椎骨とを分離し、支持し、または分離および支持する支持構造を規定する展開構成とを有する、少なくとも1つの概して細長い部材であって、上記支持構造は、椎骨間の方向に、上記細長い部材が上記上椎骨と上記下椎骨との間に挿入されるにつれて増大する範囲を有する、少なくと1つの細長い部材を含む、伸延装置。
(項目59)
上記細長い部材は、形状を変化させて、複数の屈曲を有する概してコイル形状の支持構造を規定する、項目58に記載の伸延装置。
(項目60)
各屈曲が、すぐ隣の屈曲に実質的に接触する、項目59に記載の伸延装置。
(項目61)
上記細長い部材は、上記支持構造の形状を保持することを支援する断面形状を有する、項目58に記載の伸延装置。
(項目62)
上記細長い部材は、上記支持構造の形状を保持することを支援する干渉表面を含む、項目58に記載の伸延装置。
(項目63)
上記支持構造は、実質的に剛である、項目58に記載の伸延装置。
(項目64)
上記細長い部材は、上記支持構造の形状を形成する本来の傾向を有する、項目58に記載の伸延装置。
(項目65)
上記細長い部材は、形状記憶材料を含む、項目64に記載の伸延装置。
(項目66)
上記少なくとも1つの細長い部材は、第1の細長い部材と第2の細長い部材とを含み、上記第1の細長い部材によって規定される上記支持構造と上記第2の細長い部材によって規定される上記支持構造とは、並んで配置される、項目58に記載の伸延装置。
(項目67)
上記少なくとも1つの細長い部材は、第1の細長い部材と第2の細長い部材とを含み、上記第1の細長い部材によって規定される上記支持構造と上記第2の細長い部材によって規定される上記支持構造とは、順に積み重ねられる、項目58に記載の伸延装置。
(項目68)
上記少なくとも1つの細長い部材は、第1の細長い部材と、第2の細長い部材と、第3の細長い部材と、第4の細長い部材とを含み、上記細長い部材によって規定される上記支持構造は、並んで積み重ねられた配置に配置される、項目58に記載の伸延装置。
(項目69)
上記細長い部材に運転可能に接続されて、上記細長い部材を上記椎体に挿入することを支援する超音波振動を生じさせるエネルギー源をさらに含む、項目58に記載の伸延装置。
(項目70)
椎体内に挿入し、椎体の対向する端板を分離する脊椎内伸延装置であって、
ヒトの椎体の対向する端板の間の上記ヒトの椎体本体に挿入するように適合された展開前構成と、細長い部材がその間に挿入されるにつれて上記端板の間の範囲が増大する、積み重ねられた複数の屈曲を含む展開構成とを有する、少なくとも1つの概して細長い部材を含み、上記細長い部材は、上記椎体に挿入された際に上記展開構成を形成する傾向がある、伸延装置。
(項目71)
上記展開前構成は、概して線状である、項目70に記載の伸延装置。
(項目72)
上記細長い部材は、上記支持構造の形状を保持することを支援する断面形状を有する、項目70に記載の伸延装置。
(項目73)
上記細長い部材は、上記支持構造の形状を保持することを支援する干渉表面を含む、項目70に記載の伸延装置。
(項目74)
上記細長い部材は、形状記憶材料を含む、項目70に記載の伸延装置。
(項目75)
ヒトの脊柱内の密閉された空間内に形成されるように適合された三次元支持構造であって、
上記三次元支持構造は、アクセス開口を通って密閉された空間内に挿入するのに適した展開前構成を有する部材を含む上記支持構造内に小さなアクセス開口を有し、上記部材は、上記密閉された空間内に挿入された際に上記三次元支持構造を形成するように適合されている、三次元支持構造。
(項目76)
ヒトの脊椎を治療する伸延システムであって、
概して細長い部材を、脊柱の組織層の間の位置に案内する少なくとも1つの案内部材であって、上記案内部材は近位端部分と遠位端部分とを有し、上記遠位端部分は上記組織層の間への挿入に適し、所望の支持構造の形状を規定する、案内部材と、
上記組織層の間への挿入のために上記細長い部材を上記案内部材に沿って遠位に進める上記案内部材上にスライド可能に取り付けられた上記細長い部材であって、上記案内部材の上記遠位端部分によって規定された形状に実質的に一致して、上記組織層を分離し、支持し、または分離および支持する支持構造を形成する、上記細長い部材と
を含む、伸延システム。
(項目77)
上記案内部材は、上記遠位端部分を上記組織層の間に挿入するための展開前構成と、上記案内部材の上記遠位端部分が構成の変化により上記所望の維持構造の形状を形成する展開構成とを有する、項目76に記載の伸延システム。
(項目78)
上記案内部材の上記展開前構成は、概して線状である、項目77に記載の伸延装置。
(項目79)
上記案内部材の上記遠位端部分は、上記展開構成を自ら形成する、項目77に記載の伸延システム。
(項目80)
上記案内部材の少なくとも上記遠位端部分は、形状記憶材料を含む、項目79に記載の伸延システム。
(項目81)
上記案内部材の上記遠位端部分によって形成される上記所望の支持構造の形状は、複数の隣接する屈曲を含むコイル形状である、項目76に記載の伸延システム。
(項目82)
上記案内部材の上記遠位端部分によって形成される上記所望の構造の形状は、らせん形状である、項目76に記載の伸延システム。
(項目83)
上記案内部材の上記遠位端部分を組織層の間の位置に挿入することを支援するカニューレをさらに含む、項目76に記載の伸延システム。
(項目84)
上記案内部材に運転可能に接続され、上記案内部材の上記遠位端部分の組織層の間の位置への挿入を援助する超音波振動を生じさせるエネルギー源をさらに含む、項目76に記載の伸延システム。
(項目85)
上記案内部材は、上記支持構造が形成された後に上記細長い部材から除去されるよう構成された、項目76に記載の伸延システム。
(項目86)
上記細長い部材は、上記支持構造の形状を保持することを支援する断面形状を有する、項目76に記載の伸延システム。
(項目87)
上記細長い部材は、上記支持構造の形状を保持することを支援する干渉表面を含む、項目76に記載の伸延システム。
(項目88)
ヒトの脊柱を治療する伸延システムであって、
伸延装置を脊柱の組織層の間の位置に案内する少なくとも1つの案内部材であって、上記案内部材は近位端部分と遠位端部分とを有し、上記遠位端部分は上記組織層の間への挿入に適しており、多段支持構造の形状を規定する、案内部材と、
上記組織層の間への挿入のために上記案内部材に沿って上記伸延装置を遠位に進める上記案内部材上にスライド可能に取り付けられる上記伸延装置であって、上記組織層を分離し、支持し、または分離および支持する、上記案内部材の上記遠位端部分によって規定されて多段支持構造を形成する形状に実質的に一致する、上記伸延装置と
を含む、伸延システム。
(項目89)
上記案内部材は、組織層の間への上記遠位端部分の挿入のための展開前構成と、上記案内部材の上記遠位端部分が構成の変化により所望の支持構造の形状を形成する展開構成とを有する、項目88に記載の伸延システム。
(項目90)
上記案内部材の上記展開前構成は、概して線状である、項目89に記載の伸延システム。
(項目91)
上記案内部材の上記遠位端部分が上記展開構成を自ら形成する、項目89に記載の伸延システム。
(項目92)
上記案内部材の少なくとも上記遠位端部分が、形状記憶材料を含む、項目91に記載の伸延システム。
(項目93)
上記案内部材の上記遠位端によって形成される所望の支持構造の形状は、複数の屈曲を含むコイル形状である、項目88に記載の伸延システム。
(項目94)
上記案内部材の上記遠位端を組織層の間の位置に挿入することを支援するカニューレをさらに含む、項目88に記載の伸延システム。
(項目95)
上記案内部材に運転可能に接続されて、上記案内部材の上記遠位端部分の組織層の間の位置への挿入を支援する超音波振動を生じさせるエネルギー源をさらに含む、項目88に記載の伸延システム。
(項目96)
上記案内部材は、上記支持構造が形成された後に上記伸延装置から除去されるよう構成される、項目88に記載の伸延システム。
(項目97)
上記伸延装置は、細長い部材を含む、項目88に記載の伸延システム。
(項目98)
上記伸延装置は、複数の伸延要素を含む、項目88に記載の伸延システム。
(項目99)
上記伸延装置は、上記支持構造の形状を保持することを支援する断面形状を有する、項目88に記載の伸延システム。
(項目100)
上記伸延装置は、上記支持構造の形状を保持することを支援する干渉表面を含む、項目88に記載の伸延システム。
(項目101)
椎体の上端板と下端板との間に挿入可能である脊椎内伸延システムであって、
伸延装置を上記椎体内の位置に案内する少なくとも1つの案内部材であって、上記案内部材は近位端部分と遠位端部分とを有し、上記遠位端部分は上記椎体への挿入に適し、所望の支持構造の形状を規定する、案内部材と、
上記椎体内への挿入のために上記案内部材に沿って上記伸延装置を遠位に進める上記案内部材上にスライド可能に取り付けられる上記伸延装置であって、上記案内部材の上記遠位端部分によって規定される形状に実質的に一致して、上端板と下端板とを分離し、支持し、または分離および支持する支持構成を形成する、上記伸延装置と
を含む、伸延システム。
(項目102)
上記案内部材は、上記遠位端部分の上記椎体への挿入のための展開前構成と、上記案内部材の上記遠位端部分が構成の変化により上記所望の支持構造の形状を形成する展開構成とを有する、項目101に記載の伸延システム。
(項目103)
上記案内部材の上記展開前構成は、概して線状である、項目102に記載の伸延システム。
(項目104)
上記案内部材の上記遠位端部分は、上記展開構成を自ら形成する、項目102に記載の伸延システム。
(項目105)
上記案内部材の少なくとも上記遠位端部分は、形状記憶材料を含む、項目104に記載の伸延システム。
(項目106)
上記案内部材の上記遠位端部分によって形成される上記所望の支持構造の形状は、複数の隣接する屈曲を含むコイル形状である、項目101に記載の伸延システム。
(項目107)
上記案内部材の上記遠位端部分によって形成される上記所望の支持構造の形状は、らせん形状である、項目101に記載の伸延システム。
(項目108)
上記案内部材の上記遠位端部分の組織層の間の位置への挿入を支援するカニューレをさらに含む、項目101に記載の伸延システム。
(項目109)
上記案内部材に運転可能に接続されて、上記案内部材の上記遠位端部分の組織層の間の位置への挿入を援助する超音波振動を生じさせるエネルギー源をさらに含む、項目101に記載の伸延システム。
(項目110)
上記案内部材は、上記支持構造が形成された後に上記伸延装置から除去されるよう構成される、項目101に記載の伸延システム。
(項目111)
上記伸延装置は、細長い部材を含む、項目101に記載の伸延システム。
(項目112)
上記伸延装置は、複数の伸延要素を含む、項目101に記載の伸延システム。
(項目113)
上記伸延装置は、上記支持構造の形状を保持することを支援する断面形状を有する、項目101に記載の伸延システム。
(項目114)
上記伸延装置は、上記支持構造の形状を保持することを支援する干渉表面を含む、項目101に記載の伸延システム。
(項目115)
上椎骨と下椎骨との端板の間に挿入可能である椎間内伸延システムであって、
伸延装置を上記上椎骨と上記下椎骨との間の位置に案内する少なくとも1つの案内部材であって、上記案内部材は近位端部分と遠位端部分とを有し、上記遠位端部分は上記上椎骨と上記下椎骨との間への挿入に適し、所望の多段支持構造の形状を規定する、少なくとも1つの案内部材と、
上記上椎骨と上記下椎骨との間への挿入のために、上記伸延装置を上記案内部材に沿って遠位に進める上記案内部材上にスライド可能に取り付けられる上記伸延装置であって、上記案内部材の上記遠位端部分によって規定される形状に実質的に一致して、上記上椎骨と上記下椎骨とを分離し、支持し、または分離および支持する支持構造を形成する、上記伸延装置と
を含む、伸延システム。
(項目116)
上記案内部材は、上記上椎骨と上記下椎骨との間への上記遠位端部分の挿入のための展開前構成と、上記案内部材の上記遠位端部分が構成の変化により上記所望の支持構造の形状を形成する展開構成とを有する、項目115に記載の伸延システム。
(項目117)
上記案内部材の展開前構成は、概して線状である、項目116に記載の伸延システム。
(項目118)
上記案内部材の上記遠位端部分は、展開構成を自ら形成する、項目116に記載の伸延システム。
(項目119)
案内部材の少なくとも遠位端部分は、形状記憶材料を含む、項目119に記載の方法。
(項目120)
上記案内部材の上記遠位端部分によって形成される上記所望の支持構造の形状は、複数の屈曲を含むコイル形状である、項目115に記載の伸延システム。
(項目121)
上記案内部材の上記遠位端部分の上記上椎骨と上記下椎骨の間の位置への挿入を支援するカニューレをさらに含む、項目115に記載の伸延システム。
(項目122)
上記案内部材に運転可能に接続され、上記案内部材の上記遠位端部分の組織層の間の位置への挿入を支援する超音波振動を生じさせるエネルギー源をさらに含む、項目115に記載の伸延システム。
(項目123)
上記案内部材は、上記支持構造が形成された後に、上記伸延装置から除去されるように構成される、項目115に記載の伸延システム。
(項目124)
上記伸延装置は、細長い部材を含む、項目115に記載の伸延システム。
(項目125)
上記伸延装置は、複数の伸延要素を含む、項目115に記載の伸延システム。
(項目126)
上記伸延装置は、上記支持構造の形状を保持することを支援する断面形状を有する、項目115に記載の伸延システム。
(項目127)
上記伸延装置は、上記支持構造の形状を保持することを支援する干渉表面を含む、項目115に記載の伸延システム。
(項目128)
ヒトの脊柱の組織層の中または間に導入される流動性を有する材料の動きを制限または誘導する装置であって、
上記ヒトの脊柱の組織層の中または間への挿入に適している展開前構成と、細長い部材が上記組織層の中または間に導入される流動性を有する材料の動きを制限または誘導する障壁を形成する第2の展開構成とを有する、少なくとも1つの概して細長い部材とを含む、装置。
(項目129)
上記障壁が、上記流動性を有する材料の、周囲の脊髄組織への所望でない管外遊出を減少させる、項目128に記載の装置。
(項目130)
上記障壁が、上記流動性を有する材料の動きを、上記組織層内または間の所望の位置だけに実質的に制限する、項目128に記載の装置。
(項目131)
上記細長い部材は、上記流動性を有する材料の動きを導くのに適している少なくとも1つの通路を含む、項目128に記載の装置。
(項目132)
上記障壁は、内在容積を含む、項目128に記載の装置。
(項目133)
上記障壁の上記内在容積に導入された流動性を有する材料は、上記内在容積に実質的に含まれる、項目132に記載の装置。
(項目134)
上記障壁の上記内在容積の外側に導入される流動性を有する材料は、上記内在容積に流入することを実質的に防止される、項目132に記載の装置。
(項目135)
上記障壁は、流動性を有する材料が導入されることができる少なくとも1つの通路を含み、上記通路は、上記流動性を有する材料を上記内在容積へ導くよう構成される、項目132に記載の装置。
(項目136)
上記障壁は、それを通る少なくとも1つの通路を有する壁を含み、上記通路は、上記流動性を有する材料の動きを導くよう構成される、項目128に記載の装置。
(項目137)
上記通路は、上記流動性を有する材料の動きを、上記組織層の中または間の所望の位置のみに制限する、項目136に記載の装置。
(項目138)
上記通路は、上記細長い部材に沿って配置される溝から形成される、項目136に記載の装置。
(項目139)
上記細長い部材の上記展開構成は、複数の積み重ねられた屈曲を有するらせん構成から構成される、項目128に記載の装置。
(項目140)
上記細長い部材は、上記障壁を形成する本来の傾向を有する、項目128に記載の装置。
(項目141)
細長い部材は、形状記憶物質から構成される、項目140に記載の装置。
(項目142)
上記展開前構成は、概して線状である、項目128に記載の装置。
(項目143)
ヒトの椎骨の椎体に導入される流動性を有する材料の動きを制限または誘導する装置であって、
椎体への挿入に適している展開前構成と、細長い部材が、上記椎体へ導入される流動性を有する材料の動きを制限または誘導する障壁を形成する展開構成とを有する、少なくとも1つの概して細長い部材を含む、装置。
(項目144)
上記障壁は、上記流動性を有する材料の、周囲の脊椎組織への所望でない管外遊出を縮小させる、項目143に記載の装置。
(項目145)
上記障壁は、上記流動性を有する材料の動きを、上記椎体内の所望の位置のみに実質的に制限する、項目143に記載の装置。
(項目146)
上記細長い部材は、上記流動性を有する材料の動きを導くのに適している、少なくとも1つの通路を含む、項目143に記載の装置。
(項目147)
上記障壁は、内在容積を含む、項目143に記載の装置。
(項目148)
上記障壁の上記内在容積内へ導入される流動性を有する材料は、上記内在容積に実質的に含まれる、項目147に記載の装置。
(項目149)
上記障壁の上記内在容積の外側に導入される流動性を有する材料は、上記内在容積へ流入することを実質的に防止される、項目147に記載の装置。
(項目150)
上記障壁は、流動性を有する材料が導入されることができる少なくとも1つの通路を含み、上記通路は、上記流動性のある材料を内在容積へ導くよう構成された、項目147に記載の装置。
(項目151)
上記障壁は、それを通る少なくとも1つの通路を有する壁を含み、上記通路は、上記流動性を有する材料の動きを導くよう構成される、項目143に記載の装置。
(項目152)
上記通路は、上記流動性を有する材料の動きを、上記椎体内の所望の位置のみに制限する、項目151に記載の装置。
(項目153)
上記通路は、上記細長い部材に沿って配置される溝から形成される、項目151に記載の装置。
(項目154)
上記細長い部材の上記展開構成は、複数の積み重ねられた屈曲を有するらせん構成から構成される、項目143に記載の装置。
(項目155)
上記展開前構成は、概して線状である、項目143に記載の装置。
(項目156)
上記細長い部材は、上記障壁を形成する本来の傾向を有する、項目143に記載の装置。
(項目157)
上記細長い部材は、形状記憶材料を含む、項目156に記載の装置。
(項目158)
上椎骨と下椎骨との間に導入される流動性を有する材料の動きを制限または誘導する装置であって、
上椎骨と下椎骨との間の挿入に適合されている展開前構成と、細長い部材が上記上椎骨と上記下椎骨との間に導入される流動性を有する材料の上記動きを制限または誘導する障壁を形成する展開構成とを有する、少なくとも1つの概して細長い部材を含む、装置。
(項目159)
上記障壁は、上記流動性を有する材料の、周囲の脊椎組織への所望でない管外遊出を減少させる、項目158に記載の装置。
(項目160)
上記障壁は、上記流動性を有する材料の動きを、上記上椎骨と上記下椎骨との間の所望の位置のみに実質的に制限する、項目158に記載の装置。
(項目161)
上記細長い部材は、上記流動性を有する材料の動きを導くよう構成された少なくとも1つの通路を含む、項目158に記載の装置。
(項目162)
上記障壁は、内在容積を含む、項目158に記載の装置。
(項目163)
上記障壁の上記内在容積へ導入される流動性を有する材料は、上記内在容積に実質的に含まれる、項目162に記載の装置。
(項目164)
上記障壁の上記内在容積の外側に導入される流動性を有する材料は、上記内在容積に流入することを実質的に防止される、項目162に記載の装置。
(項目165)
上記障壁は、流動性を有する材料がその中に導入されることができる少なくとも1つの通路を含み、上記通路は上記流動性を有する材料を上記内在容積に導くよう構成される、項目162に記載の装置。
(項目166)
上記障壁は、それを通る少なくとも1つの通路を有する壁を含み、上記通路は、上記流動性を有する材料の動きを導くよう構成される、項目158に記載の装置。
(項目167)
上記通路は、上記流動性を有する材料の動きを、上記上椎体と下椎体との間の所望の位置のみに制限する、項目166に記載の装置。
(項目168)
上記通路は、上記細長い部材に沿って配置される溝から形成される、項目166に記載の装置。
(項目169)
上記細長い部材の上記展開構成は、複数の積み重ねられた屈曲を有するらせん構成から構成される、項目158に記載の装置。
(項目170)
上記細長い部材は、上記障壁を形成する本来の傾向を有する、項目158に記載の装置。
(項目171)
上記細長い部材は、形状記憶材料を含む、項目170に記載の装置。
(項目172)
上記展開前構成は、概して線状である、項目158に記載の装置。
(項目173)
ヒトの椎骨の椎体に導入される流動性を有する材料の動きを制限または誘導する装置であって、
概して細長い部材を上記椎体に案内する少なくとも1つの案内部材であって、上記案内部材は近位端部分と遠位端部分とを有し、上記遠位端部分は上記椎体への挿入に適し、所望の障壁の形状をその中に規定する、案内部材と、
上記椎体への挿入のために上記細長い部材を上記案内部材に沿って遠位に進める上記案内部材上にスライド可能に取り付けられる上記細長い部材であって、上記案内部材の上記遠位端部分によって規定されて、上記椎体に導入される流動性を有する材料の動きを制限または誘導するように適合された障壁を形成する形状に実質的に一致する、上記細長い部材と
を含む、装置。
(項目174)
上記障壁は、上記流動性を有する材料の脊椎組織への所望でない管外遊出を減少させる、項目173に記載の装置。
(項目175)
上記障壁は、上記流動性を有する材料の動きを、上記椎体内の所望の位置のみに実質的に制限する、項目173に記載の装置。
(項目176)
上記細長い部材は、上記流動性を有する材料の動きを導くように適合された少なくとも1つの通路を含む、項目173に記載の装置。
(項目177)
上記障壁は、内在容積を有する、項目173に記載の装置。
(項目178)
上記障壁の上記内在容積に導入される流動性を有する材料は、上記内在容積に実質的に含まれる、項目177に記載の装置。
(項目179)
上記障壁の上記内在容積の外側に導入される流動性を有する材料は、上記内在容積に流入することを実質的に防止される、項目177に記載の装置。
(項目180)
上記障壁は、流動性を有する材料が導入されることができる少なくとも1つの通路を含み、上記通路は、上記流動性を有する材料を上記内在容積へ導くよう構成される、項目177に記載の装置。
(項目181)
上記障壁は、それを通る少なくとも1つの通路を有する壁を含み、上記通路は、上記流動性を有する材料の動きを導くよう構成される、項目173に記載の装置。
(項目182)
上記通路は、上記流動性を有する材料の動きを、上記椎体内の所望の位置のみに制限する、項目181に記載の装置。
(項目183)
上記通路は、上記細長い部材に沿って配置される溝から形成される、項目181に記載の装置。
(項目184)
案内部材は、上記遠位端部分の組織層の間への挿入のための展開前構成と、上記案内部材の上記遠位端部分が構成の変化により上記所望の障壁の形状を形成する展開構成とを有する、項目173に記載の装置。
(項目185)
上記展開前構成は、概して線状である、項目184に記載の装置。
(項目186)
上記案内部材の上記遠位端は、上記展開構成を自ら形成する、項目184に記載の装置。
(項目187)
上記案内部材の少なくとも上記遠位端部分は、形状記憶材料を含む、項目186に記載の装置。
Claims (11)
- ヒト脊椎を処置するための伸延システムであって:
ほぼ細長い部材を該脊椎の組織層間の位置に案内するための少なくとも1つの案内部材であって、近位端部分および遠位端部分を有し、該遠位端部分が該組織間の挿入に適し、そして所望の支持構造の形状を規定する、案内部材を備え;そして
該細長い部材は、該組織層間の挿入のために該案内部材に沿って遠位方向に進行するために該案内部材上にスライド可能に置かれ、該細長い部材が、該案内部材の遠位端部分によって規定される形状に実質的に一致し、該組織層を分離し、支持し、または分離および支持の両方を行う支持構造を形成する、伸延システム。 - 前記案内部材が、組織層間への該案内部材の遠位端部分の挿入のための実質的に直線状の展開前形態、および該案内部材の遠位端部分、形態の変化により、所望の支持構造の形状を形成する展開形態を有する、請求項1に記載の伸延システム。
- 前記案内部材の遠位端部分が、前記展開形態に自己形成する、請求項2に記載の伸延システム。
- 前記案内部材の遠位端部分によって形成される所望の支持構造の形状が、複数の隣接する屈曲を含むらせん形状である、請求項1に記載の伸延システム。
- 前記細長い部材が、伸延装置を前記案内部材に沿って遠位方向に進行するために該案内部材をスライド可能に受容する管腔を含む、請求項1に記載の伸延システム。
- 前記細長い部材によって形成される支持構造が、内部の内在容積を規定する、請求項1に記載の伸延システム。
- 前記細長い部材が、その中に管腔を含み、該管腔が前記内部の内在容積と連通し、そして流動可能な材料を該内部の内在容積中に移動するように適合されている、請求項6に記載の伸延システム。
- 前記支持構造が前記内部の内在容積からの流動可能な材料の移動を制限または防ぐ、請求項7に記載の伸延システム。
- 前記内部の内在容積が、乱されない組織を含むように適合されている、請求項6に記載の伸延システム。
- 前記案内部材が、前記支持構造が形成された後に前記細長い部材から取り除かれるよう適合されている、請求項1に記載の伸延システム。
- 明細書に記載の発明。
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US70869105P | 2005-08-16 | 2005-08-16 | |
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US73843205P | 2005-11-21 | 2005-11-21 | |
US60/738,432 | 2005-11-21 | ||
US78418506P | 2006-03-21 | 2006-03-21 | |
US60/784,185 | 2006-03-21 |
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