JP2012509740A - 粘弾性面関節インプラント - Google Patents
粘弾性面関節インプラント Download PDFInfo
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- 239000007943 implant Substances 0.000 title claims abstract description 168
- 210000002517 zygapophyseal joint Anatomy 0.000 title claims abstract description 104
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 57
- 238000004873 anchoring Methods 0.000 claims abstract description 35
- 238000003780 insertion Methods 0.000 claims abstract description 14
- 230000037431 insertion Effects 0.000 claims abstract description 14
- 238000000034 method Methods 0.000 claims description 42
- 230000008569 process Effects 0.000 claims description 39
- 239000003190 viscoelastic substance Substances 0.000 claims description 16
- 229920001692 polycarbonate urethane Polymers 0.000 claims description 12
- 229920001296 polysiloxane Polymers 0.000 claims description 8
- 238000002347 injection Methods 0.000 claims description 6
- 239000007924 injection Substances 0.000 claims description 6
- 239000002184 metal Substances 0.000 claims description 3
- 125000006850 spacer group Chemical group 0.000 description 9
- 230000004927 fusion Effects 0.000 description 8
- 230000033001 locomotion Effects 0.000 description 8
- 208000002193 Pain Diseases 0.000 description 6
- 210000000845 cartilage Anatomy 0.000 description 6
- 210000003041 ligament Anatomy 0.000 description 6
- 230000007850 degeneration Effects 0.000 description 5
- 230000003416 augmentation Effects 0.000 description 4
- 230000000740 bleeding effect Effects 0.000 description 4
- 239000008280 blood Substances 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 230000008468 bone growth Effects 0.000 description 4
- 239000002775 capsule Substances 0.000 description 4
- 238000002513 implantation Methods 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 230000002146 bilateral effect Effects 0.000 description 3
- 238000010348 incorporation Methods 0.000 description 3
- 210000001188 articular cartilage Anatomy 0.000 description 2
- 230000003190 augmentative effect Effects 0.000 description 2
- 210000000281 joint capsule Anatomy 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000000087 stabilizing effect Effects 0.000 description 2
- 208000006820 Arthralgia Diseases 0.000 description 1
- 208000008035 Back Pain Diseases 0.000 description 1
- 206010054813 Facet joint syndrome Diseases 0.000 description 1
- 206010020880 Hypertrophy Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000012659 Joint disease Diseases 0.000 description 1
- 208000008558 Osteophyte Diseases 0.000 description 1
- 208000012868 Overgrowth Diseases 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 230000002917 arthritic effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000003139 buffering effect Effects 0.000 description 1
- 238000013016 damping Methods 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 238000005553 drilling Methods 0.000 description 1
- 210000000887 face Anatomy 0.000 description 1
- 230000001815 facial effect Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 230000028709 inflammatory response Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 238000002684 laminectomy Methods 0.000 description 1
- 210000002414 leg Anatomy 0.000 description 1
- 210000004705 lumbosacral region Anatomy 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 201000008482 osteoarthritis Diseases 0.000 description 1
- 229920000747 poly(lactic acid) Polymers 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 230000035882 stress Effects 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
Images
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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/4405—Joints for the spine, e.g. vertebrae, spinal discs for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes
-
- 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
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7064—Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
-
- 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
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30576—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs
- A61F2002/30578—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs having apertures, e.g. for receiving fixation screws
-
- 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
- A61F2002/3092—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth having an open-celled or open-pored structure
-
- 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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2002/449—Joints for the spine, e.g. vertebrae, spinal discs comprising multiple spinal implants located in different intervertebral spaces or in different vertebrae
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Neurology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Prostheses (AREA)
Abstract
【選択図】 図2
Description
本出願は、「粘弾性関節間スペーサによる面関節増強(FACAT JOINT AUGMENTATION WITH VISCO−ELASTIC INTER−ARTICULAR SPACER)」という名称の2008年11月25日出願の米国特許仮出願第61/117,622号明細書の恩典を主張し、その内容は、本明細書においてその全内容が引用により組み込まれている。
20、30 粘弾性インプラント要素
22 第1の端部
24 中間部分
26 第2の端部
50 骨固定要素
V 上及び/又は下椎体
Claims (22)
- 上椎体上に形成された下方小関節面と下椎体上に形成された上方小関節面との間の面関節に挿入するための面関節インプラントであって、
この面関節インプラントは、1つ又はそれよりも多くの骨固定要素を通じて前記上椎体と係合するための第1の端部と、前記面関節を通過するための中間部分と、第2の端部とを有する第1のインプラント要素を備え、前記インプラント要素は、前記椎体の身体構造に適応可能である粘弾性材料の細長ストリップから製造される、ことを特徴とする面関節インプラント。 - 前記粘弾性材料は、ポリカーボネート−ウレタン及びシリコンの一方ら選択されることを特徴とする請求項1に記載の面関節インプラント。
- 前記粘弾性インプラント要素は、可撓性形状に射出成形されることを特徴とする請求項1に記載の面関節インプラント。
- 前記1つ又はそれよりも多くの骨固定要素は、前記上椎体の層状アーチに固定されることを特徴とする請求項1に記載の面関節インプラント。
- 前記第1の端部は、前記1つ又はそれよりも多くの骨固定要素を受け取るための1つ又はそれよりも多くの小穴を有することを特徴とする請求項1に記載の面関節インプラント。
- 前記1つ又はそれよりも多くの小穴は、金属から製造されることを特徴とする請求項5に記載の面関節インプラント。
- 前記1つ又はそれよりも多くの小穴は、前記第1のインプラント要素内に射出成形されることを特徴とする請求項5に記載の面関節インプラント。
- 前記第2の端部は、1つ又はそれよりも多くの骨固定要素を通じて前記下椎体と係合することを特徴とする請求項1に記載の面関節インプラント。
- 前記第2の端部は、前記1つ又はそれよりも多くの骨固定要素を受け取るための1つ又はそれよりも多くの小穴を有することを特徴とする請求項8に記載の面関節インプラント。
- 前記インプラント要素の前記第2の端部を通過する前記1つ又はそれよりも多くの骨固定要素は、前記下椎体の層状アーチに固定されることを特徴とする請求項8に記載の面関節インプラント。
- 隣接する前記上椎体と下椎体の間の第2の面関節を通過するための第2のインプラント要素を更に備え、前記第2の面関節は、前記第1の面関節から棘状突起の反対側に位置することを特徴とする請求項1に記載の面関節インプラント。
- 前記第1及び第2のインプラント要素は、一体的に形成され、かつ棘突起間隙を通過するための上部を含むことを特徴とする請求項11に記載の面関節インプラント。
- 前記第1のインプラント要素の前記中間部分は、延長部を有し、前記延長部は、前記第1のインプラント要素を埋め込み位置で前記面関節の側面に沿って配置することができるように前記面関節を通過することを特徴とする請求項1に記載の面関節インプラント。
- 前記中間部分及び前記第2の端部は、前記上椎体上に形成された前記下方小関節面の少なくとも一部分を取り囲むためのキャップの形態であることを特徴とする請求項1に記載の面関節インプラント。
- 上椎体上と下椎体の間の第1及び第2の面関節に挿入するための面関節インプラントであって、前記第1及び第2の面関節は、棘状突起の両側に位置し、
この面関節インプラントは、1つ又はそれよりも多くの骨固定要素を通じて前記下椎体と係合するための第1の下端と、前記第1の面関節を通過するための中間部分と、前記上椎体と係合するための第1の上端と、棘突起間隙を通過するための中間上部と、棘状突起の反対側で前記上椎体と係合するための第2の上端と、前記第2の面関節を通過するための第2の中間部分と、1つ又はそれよりも多くの骨固定要素を通じて前記下椎体と係合するための第2の下端とを備え、このインプラントは、前記椎体の身体構造に適応可能である粘弾性材料の細長ストリップから製造される、ことを特徴とする面関節インプラント。 - 前記第1及び第2の上端は、1つ又はそれよりも多くの骨固定要素を通じて前記上椎体と係合することを特徴とする請求項15に記載の面関節インプラント。
- 前記粘弾性材料は、ポリカーボネート−ウレタン及びシリコンの一方ら選択されることを特徴とする請求項15に記載の面関節インプラント。
- この粘弾性インプラントは、可撓性形状に射出成形されることを特徴とする請求項15に記載の面関節インプラント。
- 前記1つ又はそれよりも多くの骨固定要素は、前記下椎体の層状アーチに固定されることを特徴とする請求項15に記載の面関節インプラント。
- 前記1つ又はそれよりも多くの骨固定要素を受け取るための1つ又はそれよりも多くの小穴を更に備えることを特徴とする請求項15に記載の面関節インプラント。
- 前記1つ又はそれよりも多くの小穴は、金属から製造されることを特徴とする請求項20に記載の面関節インプラント。
- 前記1つ又はそれよりも多くの小穴は、このインプラント内に射出成形されることを特徴とする請求項20に記載の面関節インプラント。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11762208P | 2008-11-25 | 2008-11-25 | |
US61/117,622 | 2008-11-25 | ||
PCT/US2009/064598 WO2010065277A1 (en) | 2008-11-25 | 2009-11-16 | Visco-elastic facet joint implant |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2012509740A true JP2012509740A (ja) | 2012-04-26 |
JP5416217B2 JP5416217B2 (ja) | 2014-02-12 |
Family
ID=41721894
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011538628A Active JP5416217B2 (ja) | 2008-11-25 | 2009-11-16 | 粘弾性面関節インプラント |
Country Status (4)
Country | Link |
---|---|
US (1) | US9089436B2 (ja) |
EP (1) | EP2367507B1 (ja) |
JP (1) | JP5416217B2 (ja) |
WO (1) | WO2010065277A1 (ja) |
Cited By (12)
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JP2015057091A (ja) * | 2013-09-14 | 2015-03-26 | 寶楠生技股▲分▼有限公司 | 棘突起固定器 |
JP2016531615A (ja) * | 2013-09-27 | 2016-10-13 | スパイナル・エレメンツ・インコーポレーテッド | 小関節面の補強のためのデバイス及び方法 |
US10251679B2 (en) | 2013-03-14 | 2019-04-09 | Spinal Elements, Inc. | Apparatus for bone stabilization and distraction and methods of use |
US10368921B2 (en) | 2011-02-24 | 2019-08-06 | Spinal Elements, Inc. | Methods and apparatus for stabilizing bone |
USD857900S1 (en) | 2011-10-26 | 2019-08-27 | Spinal Elements, Inc. | Interbody bone implant |
US10426524B2 (en) | 2013-03-14 | 2019-10-01 | Spinal Elements, Inc. | Apparatus for spinal fixation and methods of use |
US10758361B2 (en) | 2015-01-27 | 2020-09-01 | Spinal Elements, Inc. | Facet joint implant |
US11304733B2 (en) | 2020-02-14 | 2022-04-19 | Spinal Elements, Inc. | Bone tie methods |
US11457959B2 (en) | 2019-05-22 | 2022-10-04 | Spinal Elements, Inc. | Bone tie and bone tie inserter |
US11464552B2 (en) | 2019-05-22 | 2022-10-11 | Spinal Elements, Inc. | Bone tie and bone tie inserter |
US11478275B2 (en) | 2014-09-17 | 2022-10-25 | Spinal Elements, Inc. | Flexible fastening band connector |
US11517354B2 (en) | 2013-09-27 | 2022-12-06 | Spinal Elements, Inc. | Method of placing an implant between bone portions |
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US7846183B2 (en) | 2004-02-06 | 2010-12-07 | Spinal Elements, Inc. | Vertebral facet joint prosthesis and method of fixation |
US9504583B2 (en) | 2004-06-10 | 2016-11-29 | Spinal Elements, Inc. | Implant and method for facet immobilization |
US8696707B2 (en) | 2005-03-08 | 2014-04-15 | Zyga Technology, Inc. | Facet joint stabilization |
EP2813190B1 (en) | 2007-02-22 | 2017-04-26 | Spinal Elements, Inc. | Vertebral facet joint drill |
US8343189B2 (en) | 2007-09-25 | 2013-01-01 | Zyga Technology, Inc. | Method and apparatus for facet joint stabilization |
FR2930718B1 (fr) * | 2008-05-02 | 2010-05-14 | Warsaw Orthopedic Inc | Element de liaison d'un dispositif d'osteosynthese vertebrale, et dispositif d'osteosynthese vertebrale le comprenant |
EP2346422A1 (en) * | 2008-08-08 | 2011-07-27 | Alphatec Spine, Inc. | Spinous process device and method of use |
US8394125B2 (en) | 2009-07-24 | 2013-03-12 | Zyga Technology, Inc. | Systems and methods for facet joint treatment |
US8834568B2 (en) * | 2010-02-04 | 2014-09-16 | Paul S. Shapiro | Surgical technique using a contoured allograft cartilage as a spacer of the carpo-metacarpal joint of the thumb or tarso-metatarsal joint of the toe |
US9233006B2 (en) | 2010-06-15 | 2016-01-12 | Zyga Technology, Inc. | Systems and methods for facet joint treatment |
US8663293B2 (en) | 2010-06-15 | 2014-03-04 | Zyga Technology, Inc. | Systems and methods for facet joint treatment |
JP2014511225A (ja) * | 2011-02-06 | 2014-05-15 | パラダイム・スパイン・リミテッド・ライアビリティ・カンパニー | 経椎弓棘突起間安定化システム |
US9271765B2 (en) | 2011-02-24 | 2016-03-01 | Spinal Elements, Inc. | Vertebral facet joint fusion implant and method for fusion |
DE102011001590A1 (de) * | 2011-03-28 | 2012-10-04 | Aesculap Ag | Facettengelenkimplantat |
US9119683B2 (en) | 2012-01-18 | 2015-09-01 | Warsaw Orthopedic, Inc. | Interspinous implant with overlapping arms |
US9138325B2 (en) * | 2012-07-11 | 2015-09-22 | Globus Medical, Inc. | Lamina implant and method |
WO2014032118A1 (en) * | 2012-08-31 | 2014-03-06 | Newsouth Innovations Pty Limited | Bone stabilization device and methods of use |
DE102012220808A1 (de) | 2012-11-14 | 2014-05-15 | Charité - Universitätsmedizin Berlin | Facettengelenkprothese |
EP2919717A1 (en) | 2012-11-15 | 2015-09-23 | Zyga Technology, Inc. | Systems and methods for facet joint treatment |
USD765853S1 (en) | 2013-03-14 | 2016-09-06 | Spinal Elements, Inc. | Flexible elongate member with a portion configured to receive a bone anchor |
US9451996B2 (en) | 2013-03-14 | 2016-09-27 | Thunder Road Properties, Lp | Facet lamina plate system |
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Citations (2)
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Also Published As
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EP2367507A1 (en) | 2011-09-28 |
EP2367507B1 (en) | 2017-05-31 |
US20100131008A1 (en) | 2010-05-27 |
US9089436B2 (en) | 2015-07-28 |
WO2010065277A1 (en) | 2010-06-10 |
JP5416217B2 (ja) | 2014-02-12 |
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