JP2012532659A - 股関節装置および方法 - Google Patents
股関節装置および方法 Download PDFInfo
- Publication number
- JP2012532659A JP2012532659A JP2012519509A JP2012519509A JP2012532659A JP 2012532659 A JP2012532659 A JP 2012532659A JP 2012519509 A JP2012519509 A JP 2012519509A JP 2012519509 A JP2012519509 A JP 2012519509A JP 2012532659 A JP2012532659 A JP 2012532659A
- Authority
- JP
- Japan
- Prior art keywords
- medical device
- head
- femoral neck
- bone
- femur
- 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
- 238000000034 method Methods 0.000 title claims description 40
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 209
- 210000002436 femur neck Anatomy 0.000 claims abstract description 179
- 210000000689 upper leg Anatomy 0.000 claims abstract description 132
- 210000004394 hip joint Anatomy 0.000 claims abstract description 109
- 210000004197 pelvis Anatomy 0.000 claims abstract description 73
- 210000000588 acetabulum Anatomy 0.000 claims abstract description 50
- 238000002054 transplantation Methods 0.000 claims abstract 2
- 230000001054 cortical effect Effects 0.000 claims description 84
- 239000000853 adhesive Substances 0.000 claims description 23
- 230000001070 adhesive effect Effects 0.000 claims description 23
- 239000010410 layer Substances 0.000 claims description 18
- 238000004873 anchoring Methods 0.000 claims description 16
- 239000000463 material Substances 0.000 claims description 16
- 239000002344 surface layer Substances 0.000 claims description 16
- 210000001072 colon Anatomy 0.000 claims description 14
- 229920001971 elastomer Polymers 0.000 claims description 10
- 239000012237 artificial material Substances 0.000 claims description 9
- 229920001296 polysiloxane Polymers 0.000 claims description 9
- 229920002635 polyurethane Polymers 0.000 claims description 9
- 239000004814 polyurethane Substances 0.000 claims description 9
- 229920000642 polymer Polymers 0.000 claims description 8
- 230000008859 change Effects 0.000 claims description 7
- 229920000052 poly(p-xylylene) Polymers 0.000 claims description 6
- 239000007943 implant Substances 0.000 claims description 3
- 230000006641 stabilisation Effects 0.000 claims description 3
- 238000011105 stabilization Methods 0.000 claims description 3
- 230000000452 restraining effect Effects 0.000 claims 1
- 230000000087 stabilizing effect Effects 0.000 claims 1
- 210000001981 hip bone Anatomy 0.000 abstract 1
- 210000001624 hip Anatomy 0.000 description 30
- 239000002775 capsule Substances 0.000 description 9
- 239000002639 bone cement Substances 0.000 description 8
- 210000001015 abdomen Anatomy 0.000 description 7
- 238000005520 cutting process Methods 0.000 description 6
- 239000012530 fluid Substances 0.000 description 6
- 238000001356 surgical procedure Methods 0.000 description 6
- -1 Polytetrafluoroethylene Polymers 0.000 description 5
- 238000003780 insertion Methods 0.000 description 5
- 230000037431 insertion Effects 0.000 description 5
- 210000003205 muscle Anatomy 0.000 description 5
- 210000001519 tissue Anatomy 0.000 description 5
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 4
- 210000001188 articular cartilage Anatomy 0.000 description 4
- 210000000527 greater trochanter Anatomy 0.000 description 4
- 201000008482 osteoarthritis Diseases 0.000 description 4
- 210000004303 peritoneum Anatomy 0.000 description 4
- 239000004033 plastic Substances 0.000 description 4
- 229920003023 plastic Polymers 0.000 description 4
- 239000010936 titanium Substances 0.000 description 4
- 239000004812 Fluorinated ethylene propylene Substances 0.000 description 3
- 208000007353 Hip Osteoarthritis Diseases 0.000 description 3
- 239000004698 Polyethylene Substances 0.000 description 3
- 210000003815 abdominal wall Anatomy 0.000 description 3
- 239000011248 coating agent Substances 0.000 description 3
- 238000000576 coating method Methods 0.000 description 3
- 210000003195 fascia Anatomy 0.000 description 3
- 229910052588 hydroxylapatite Inorganic materials 0.000 description 3
- 210000001503 joint Anatomy 0.000 description 3
- 229910052751 metal Inorganic materials 0.000 description 3
- 210000000056 organ Anatomy 0.000 description 3
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 3
- 229920009441 perflouroethylene propylene Polymers 0.000 description 3
- 210000001139 rectus abdominis Anatomy 0.000 description 3
- 230000035939 shock Effects 0.000 description 3
- 238000003892 spreading Methods 0.000 description 3
- 230000007480 spreading Effects 0.000 description 3
- 229910052719 titanium Inorganic materials 0.000 description 3
- KIUKXJAPPMFGSW-DNGZLQJQSA-N (2S,3S,4S,5R,6R)-6-[(2S,3R,4R,5S,6R)-3-Acetamido-2-[(2S,3S,4R,5R,6R)-6-[(2R,3R,4R,5S,6R)-3-acetamido-2,5-dihydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-2-carboxy-4,5-dihydroxyoxan-3-yl]oxy-5-hydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-3,4,5-trihydroxyoxane-2-carboxylic acid Chemical compound CC(=O)N[C@H]1[C@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](O[C@H]3[C@@H]([C@@H](O)[C@H](O)[C@H](O3)C(O)=O)O)[C@H](O)[C@@H](CO)O2)NC(C)=O)[C@@H](C(O)=O)O1 KIUKXJAPPMFGSW-DNGZLQJQSA-N 0.000 description 2
- 206010061218 Inflammation Diseases 0.000 description 2
- 229920001774 Perfluoroether Polymers 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 2
- 230000002159 abnormal effect Effects 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 210000001217 buttock Anatomy 0.000 description 2
- 210000000845 cartilage Anatomy 0.000 description 2
- 238000006073 displacement reaction Methods 0.000 description 2
- 230000036541 health Effects 0.000 description 2
- 229920002674 hyaluronan Polymers 0.000 description 2
- 229960003160 hyaluronic acid Drugs 0.000 description 2
- 230000004054 inflammatory process Effects 0.000 description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 238000003754 machining Methods 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 239000007769 metal material Substances 0.000 description 2
- 239000002086 nanomaterial Substances 0.000 description 2
- 239000003921 oil Substances 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 229920000058 polyacrylate Polymers 0.000 description 2
- 229920000573 polyethylene Polymers 0.000 description 2
- 239000000843 powder Substances 0.000 description 2
- 238000002360 preparation method Methods 0.000 description 2
- 238000003825 pressing Methods 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 210000001179 synovial fluid Anatomy 0.000 description 2
- 210000001258 synovial membrane Anatomy 0.000 description 2
- PNEYBMLMFCGWSK-UHFFFAOYSA-N Alumina Chemical compound [O-2].[O-2].[O-2].[Al+3].[Al+3] PNEYBMLMFCGWSK-UHFFFAOYSA-N 0.000 description 1
- ZOXJGFHDIHLPTG-UHFFFAOYSA-N Boron Chemical compound [B] ZOXJGFHDIHLPTG-UHFFFAOYSA-N 0.000 description 1
- JAOCGMQPCLLBMR-BYQIUVESSA-N CC(C1)[C@@H](C)[C@@H](C)C23C11C2(C)[C@@]31C Chemical compound CC(C1)[C@@H](C)[C@@H](C)C23C11C2(C)[C@@]31C JAOCGMQPCLLBMR-BYQIUVESSA-N 0.000 description 1
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 229920000049 Carbon (fiber) Polymers 0.000 description 1
- 229910001200 Ferrotitanium Inorganic materials 0.000 description 1
- 208000037273 Pathologic Processes Diseases 0.000 description 1
- 201000004681 Psoriasis Diseases 0.000 description 1
- QCWXUUIWCKQGHC-UHFFFAOYSA-N Zirconium Chemical compound [Zr] QCWXUUIWCKQGHC-UHFFFAOYSA-N 0.000 description 1
- MCMNRKCIXSYSNV-UHFFFAOYSA-N ZrO2 Inorganic materials O=[Zr]=O MCMNRKCIXSYSNV-UHFFFAOYSA-N 0.000 description 1
- MTHLBYMFGWSRME-UHFFFAOYSA-N [Cr].[Co].[Mo] Chemical compound [Cr].[Co].[Mo] MTHLBYMFGWSRME-UHFFFAOYSA-N 0.000 description 1
- 239000006096 absorbing agent Substances 0.000 description 1
- DHKHKXVYLBGOIT-UHFFFAOYSA-N acetaldehyde Diethyl Acetal Natural products CCOC(C)OCC DHKHKXVYLBGOIT-UHFFFAOYSA-N 0.000 description 1
- 150000001241 acetals Chemical class 0.000 description 1
- 230000003044 adaptive effect Effects 0.000 description 1
- 206010003246 arthritis Diseases 0.000 description 1
- 230000003190 augmentative effect Effects 0.000 description 1
- 229910052796 boron Inorganic materials 0.000 description 1
- 229910052799 carbon Inorganic materials 0.000 description 1
- 239000004917 carbon fiber Substances 0.000 description 1
- 239000003575 carbonaceous material Substances 0.000 description 1
- 239000000919 ceramic Substances 0.000 description 1
- 229910010293 ceramic material Inorganic materials 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 229920003020 cross-linked polyethylene Polymers 0.000 description 1
- 239000004703 cross-linked polyethylene Substances 0.000 description 1
- 230000001934 delay Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- HQQADJVZYDDRJT-UHFFFAOYSA-N ethene;prop-1-ene Chemical group C=C.CC=C HQQADJVZYDDRJT-UHFFFAOYSA-N 0.000 description 1
- 230000005713 exacerbation Effects 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 239000003862 glucocorticoid Substances 0.000 description 1
- 230000036449 good health Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 208000012285 hip pain Diseases 0.000 description 1
- 210000001621 ilium bone Anatomy 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 229910052741 iridium Inorganic materials 0.000 description 1
- GKOZUEZYRPOHIO-UHFFFAOYSA-N iridium atom Chemical compound [Ir] GKOZUEZYRPOHIO-UHFFFAOYSA-N 0.000 description 1
- 210000000281 joint capsule Anatomy 0.000 description 1
- 230000008407 joint function Effects 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 230000001050 lubricating effect Effects 0.000 description 1
- 239000010687 lubricating oil Substances 0.000 description 1
- 238000005461 lubrication Methods 0.000 description 1
- 210000002540 macrophage Anatomy 0.000 description 1
- 229910001092 metal group alloy Inorganic materials 0.000 description 1
- VNWKTOKETHGBQD-UHFFFAOYSA-N methane Chemical compound C VNWKTOKETHGBQD-UHFFFAOYSA-N 0.000 description 1
- 238000003801 milling Methods 0.000 description 1
- 210000003739 neck Anatomy 0.000 description 1
- RVTZCBVAJQQJTK-UHFFFAOYSA-N oxygen(2-);zirconium(4+) Chemical compound [O-2].[O-2].[Zr+4] RVTZCBVAJQQJTK-UHFFFAOYSA-N 0.000 description 1
- 230000009054 pathological process Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 238000007750 plasma spraying Methods 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 238000004663 powder metallurgy Methods 0.000 description 1
- 210000001991 scapula Anatomy 0.000 description 1
- 210000003625 skull Anatomy 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
- 229940037128 systemic glucocorticoids Drugs 0.000 description 1
- 238000011282 treatment Methods 0.000 description 1
- 229910001928 zirconium oxide Inorganic materials 0.000 description 1
Images
Classifications
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3607—Femoral heads ; Femoral endoprostheses including proximal or total replacement of the femur
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1637—Hollow drills or saws producing a curved cut, e.g. cylindrical
-
- 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
- A61F2/32—Joints for the hip
-
- 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
- A61F2/32—Joints for the hip
- A61F2/34—Acetabular cups
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3601—Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3601—Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices
- A61F2/3603—Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices implanted without ablation of the whole natural femoral head
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
-
- 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
- A61B17/74—Devices for the head or neck or trochanter of the femur
-
- 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
- A61B17/86—Pins or screws or threaded wires; nuts 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30471—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
-
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
- A61F2002/30507—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a threaded locking member, e.g. a locking screw or a set screw
-
- 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
- A61F2002/30558—Force-limiting means
-
- 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
- A61F2002/30563—Special structural features of bone or joint prostheses not otherwise provided for having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
-
- 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
- A61F2002/30565—Special structural features of bone or joint prostheses not otherwise provided for having spring elements
-
- 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
- A61F2002/30579—Special structural features of bone or joint prostheses not otherwise provided for with mechanically expandable devices, e.g. fixation devices
-
- 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
-
- 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
- A61F2002/30886—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 externally-threaded
-
- 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
- A61F2/32—Joints for the hip
- A61F2002/3241—Joints for the hip having a ring, e.g. for locking the femoral head into the acetabular cup
-
- 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
- A61F2/32—Joints for the hip
- A61F2/34—Acetabular cups
- A61F2002/348—Additional features
- A61F2002/3483—Additional features having a convex shape, e.g. hemispherical heads
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
- A61F2002/3611—Heads or epiphyseal parts of femur
- A61F2002/3615—Heads or epiphyseal parts of femur having a concave shape, e.g. hemispherical cups
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
- A61F2002/3625—Necks
- A61F2002/3631—Necks with an integral complete or partial peripheral collar or bearing shoulder at its base
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
- A61F2002/365—Connections of heads to necks
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2002/4631—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor the prosthesis being specially adapted for being cemented
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2002/4635—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor using minimally invasive surgery
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2002/4677—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor using a guide wire
-
- 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
- A61F2240/00—Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2240/001—Designing or manufacturing processes
- A61F2240/002—Designing or making customized prostheses
Abstract
【選択図】図6d
Description
滑液ジョイントは、哺乳類のジョイントで最も一般のタイプであって、ほとんど全ての肢関節を代表する。接触させることは浮上する前記、大腿骨の骨(頭大腿骨)の骨盤、寛骨臼および接触表面は滑らかで丸くて、関節軟骨によってカバーした。滑液膜はジョイントをカプセル化する。そして、股関節腔を形成する。そして、それは滑液流体を含む。外側で、滑液膜は繊維のカプセルおよび靭帯である。そして、関節カプセルを形成する。
大腿骨頸部の皮質骨、大腿骨頸部の海綿状骨および大腿骨頸部に注射される人工素材。
図面において、参照番号の様に、数桁の全体にわたって同一であるか対応する要素を示す。これらの図が例示目的のためにあって、本発明の範囲をいかなる形であれ制限していないことはいうまでもない。このように、方向のいかなる参照も、例えば「上へ」または、「下って」図に示される方向に関連しているだけである。また、いかなる寸法もなど。図において、目的は、説明のために示される。
股関節カプセル12に損害を与えることのない股関節手術を実行することによって、自然なある者に可能であるように、患者は完全に回復することができて、圧力の等しい量を人工関節に配置することができる。
頭大腿骨および大腿骨頸部6の部を広げることは、主に海綿状骨において実行される、しかしながら、それは、可能性を無視しないいくつかの頭大腿骨5または大腿骨頸部6の皮質骨において実行される広げている必要。
医療装置がどのケースでありえたかというチタン(ステンレス鋼、Corian、PEまたは他のアクリル系ポリマ)が、股関節の挿入の後、油をさされるために適応させた。
Claims (66)
- 股関節の中央の方の凸面股関節面を有する大腿骨の骨の近位の部としてのボール形の頭大腿骨を有する自然の股関節および股関節の中央の方の凹股関節面を有する骨盤の一部としてのボウル形の寛骨臼、頭大腿骨は、大腿骨頸部(頭および大腿骨頸部のセンター軸と定義される)に合わせられて、頭および大腿骨頸部の中央を通って延びて、中央に配置された縦の拡張を有し、
植設されるときに、人工寛骨臼は、股関節の中央の方へ凹面から成って、そこにおいて、人工凹寛骨臼が
a. ヒト患者の大腿骨の骨に固定する、そして、
b. 患者の骨盤に固定する人工頭大腿骨との移動可能な関係に配置される、
ことを特徴とするヒト患者の股関節の移植のための医療装置。 - 頭大腿骨の皮質骨によって安定させる、頭大腿骨の内部から、または、大腿骨頸部の内部から大腿骨頸部の皮質骨によって安定して、少なくとも、頭および大腿骨頸部のある者は外科的に修正され、開かれることを特徴とする請求項1記載の医療装置。
- 実質的に頭大腿骨の皮質骨の近位の側から、頭大腿骨の皮質骨によって安定するか、または大腿骨頸部の皮質骨の近位の側から実質的に大腿骨頸部の皮質骨によって安定して、少なくとも一つの前記頭および大腿骨頸部が皮質部による切断を有する外科的に修正されるときに、前記固定している部分を支持している頭または大腿骨頸部の中でじりじり進むことを特徴とする請求項1記載の医療装置。
- 頭大腿骨の皮質骨によって安定させる、頭大腿骨の外側から、または、大腿骨頸部の外側から、大腿骨頸部の皮質骨によって安定させることを特徴とする請求項1記載の医療装置。
- 頭大腿骨または大腿骨頸部の皮質骨によって安定して、実質的に外科的に修正された皮質骨の近位の側から、そして、頭大腿骨または大腿骨頸部の内部から、または、頭および大腿骨頸部の少なくとも1つは、外科的に修正されて、開かれることを特徴とする請求項3記載の医療装置。
- 頭または大腿骨頸部の皮質骨によって安定して、実質的に近位のものから、外科的に修正された皮質骨の中で、頭または大腿骨頸部の外側から側に立つことを特徴とする請求項3記載の医療装置。
- 頭または大腿骨頸部の内部から、そして、頭または大腿骨頸部の外側から、頭または大腿骨頸部の皮質骨によって安定するために適応する固定している部分から成ることを特徴とする請求項2記載の医療装置。
- 前記固定している部分が機械式固定部材を受けるために適応する少なくとも一つの空腔から成ることを特徴とする請求項2乃至7のいずれかに記載の医療装置。
- 挿入されるとき、頭または大腿骨頸部の皮質骨内部の前記少なくとも一つの空腔に置かれるように構成された機械式固定部材から更に成ることを特徴とする請求項8記載の医療装置。
- 前記機械式固定部材が頭大腿骨の内部から頭または大腿骨頸部の皮質骨の中に配置されるように構成されることを特徴とする請求項9記載の医療装置。
- 前記機械式固定部材が頭大腿骨の外側から頭または大腿骨頸部の皮質骨の中に配置されるように構成されることを特徴とする請求項9記載の医療装置。
- 実質的に頭大腿骨の近位の側から、前記機械式固定部材が頭または大腿骨頸部の皮質骨の中に配置されるように構成されることを特徴とする請求項9記載の医療装置。
- 前記医療装置が一部の大腿骨の骨を受けるように構成された凹部を備えることを特徴とする請求項1乃至12のいずれかに記載の医療装置。
- 前記機械式固定部材は、前記凹部の第1側部上、前記医療装置の第1部分の中、部分的に前記凹部に置かれる大腿骨の骨の部分の中、そして、部分的に、前記凹部の第2の反対側、前記凹部の大腿骨の骨の部分を抑制するための前記医療装置の第2部分の中に部分的に配置されるように構成されることを特徴とする請求項13記載の医療装置。
- 前記医療装置が医療装置を安定させるためにその近位の側から大腿骨頸部に置かれるように構成されることを特徴とする請求項1乃至14のいずれかに記載の医療装置。
- 前記伸長素子が雌ねじ部を有し、前記雌ねじ部による医療装置は、大腿骨頸部の皮質骨、大腿骨頸部の網状骨および大腿骨頸部に注射される人工素材のうち、少なくとも1つと係合するように構成されることを特徴とする請求項15記載の医療装置。
- 前記伸長素はアンカー部分を有し、前記アンカー部分は、大腿骨頸部の皮質骨、大腿骨頸部の網状骨および大腿骨頸部に注射される人工素材のうち少なくと1つに係合するように構成されることを特徴とする請求項15記載の医療装置。
- 前記アンカー部分は、第一および第2の状態にあり、前記第2の状態では前記アンカリング)は、大腿骨頸部の皮質骨、大腿骨頸部の網状骨および大腿骨頸部に注射される人工素材の少なくとも1つに係合し、前記医療装置を大腿骨の骨に対し固定していることを特徴とする請求項17記載の医療装置。
- 挿入される時、前記固定している部分はその少なくとも一つの部分に沿ってループ形の固定している要素を安定させるように構成された少なくとも一つの溝を有することを特徴とする請求項1乃至19のいずれかに記載の医療装置。
- 前記医療装置は、大腿骨の骨に更に医療装置を安定させるように構成されたループ形の固定要素をさらに含むことを特徴とする請求項1乃至19のいずれかに記載の医療装置。
- 前記ループ形の固定要素は弾力的であることを特徴とする請求項20記載の医療装置。
- 前記ループ形の固定要素には弾力的な部分が設けられていることを特徴とする請求項20記載の医療装置。
- 前記弾力的な部分は一部の大腿骨の骨を握って、このことにより大腿骨の骨に医療装置を固定させるように構成されることを特徴とする請求項22記載の医療装置。
- 植設されるときに、人工頭大腿骨を握った状態で、医療装置に配置される人工頭大腿骨の赤道の向こうに通過するように構成されることを特徴とする請求項23記載の医療装置。
- 人工頭大腿骨を医療装置に固定するためのロック部材をさらに有することを特徴とする請求項1乃至24のいずれかに記載の医療装置。
- 前記ロック部材は弾力的な部分を有することを特徴とする請求項25記載の医療装置。
- 前記弾力的な部分は、前記人工頭大腿骨を囲むように構成された輪ゴムであることを特徴とする請求項26記載の医療装置。
- 前記医療装置は前記第1の状態と第2の状態を有し、前記第1の状態では前記医療装置は人工頭大腿骨を固定され、前記第2の状態では医療装置から人工頭大腿骨を解除することを特徴とする請求項1乃至27のいずれかに記載の医療装置。
- 予め定められた圧力が前記医療装置に配置されるときに、医療装置が前記第1の状態から前記第2の状態に変化するように構成されることを特徴とする請求項28記載の医療装置。
- 前記医療装置はゴムまたは可撓部分から成るロック部材を有し、前記ロック部材は、最初に前記医療装置を前記ものから前記ロック部材の前記ゴムまたは可撓部分の弾力または柔軟性を用いている前記第2の状態に変えるように構成されることを特徴とする請求項29記載の医療装置。
- 前記第1の状態において、前記弾力部分は前記人工頭大腿骨を囲むように構成された輪ゴムであることを特徴とする請求項30記載の医療装置。
- 植設されるときに、前記医療装置は大腿骨の骨の皮質であるか網状骨と接触して配置されるように構成された表層を有し、前記表層は接着剤を用いて、皮質または網状骨に付着することを特徴とする請求項1乃至31のいずれかに記載の医療装置。
- 前記医療装置が大腿骨の骨に前記医療装置を固定させるための骨組織の成長を中で促進するために適応する表層を備えることを特徴とする請求項1乃至32のいずれかに記載の医療装置。
- 前記表層は多孔質マイクロ構造を有することを特徴とする請求項32または33に記載の医療装置。
- 大腿骨の骨に医療装置を安定させるための前記固定部分は、弾力的または可撓性であることを特徴とする請求項32または33に記載の医療装置。
- 前記医療装置は弾力的または可撓部分を備えることを特徴とする請求項1乃至35のいずれかに記載の医療装置。
- 前記ゴムまたは可撓部分は、頭または大腿骨頸部の皮質骨の外側から一部の大腿骨の骨を握って、大腿骨の骨に医療装置を固定させるように構成されることを特徴とする請求項36記載の医療装置。
- 固定部分は頭または大腿骨頸部の皮質骨の外側から大腿骨の骨の少なくとも一つの部分を握ることにより、少なくとも大腿骨の骨に部分的に医療装置を固定させるとを特徴とする請求項4に記載の医療装置。
- 植設して、外科的に修正された頭大腿骨を係合するときに、固定部分は頭および大腿部頸部のセンター軸上にある大腿骨を頭の赤道の向こうまで貫通し、医療インプラントを安定させるために外科的に修正された頭大腿骨を握るように構成されることを特徴とする請求項38記載の医療装置。
- 外科的に修正された頭または大腿骨頸部は最も近位部分を有し、前記固定部分は、その外側に、その最も近位部分を越えて通過するように構成され、部分的に、外科的に修正された頭または大腿骨頸部で最も近位部分より遠端で配置されることを特徴とする請求項4記載の医療装置。
- 頭または大腿骨頸部の一部は、頭および大腿骨頸部センター軸から最大の距離で配置され、一部の前記固定部分は頭および結腸煙突センター軸から少し離れて配置されるように構成され、頭および大腿骨頸部センター軸から頭または大腿骨頸部までの最大の距離より短いことを特徴とする請求項40記載の医療装置。
- 前記固定部分は、前記固定部分または大腿骨頸部の一部を握るように構成され、頭または大腿骨頸部への医療装置の固定を援助していることを特徴とする請求項1乃至41のいずれかに記載の医療装置。
- 前記頭または結腸煙突センター軸までの前記固定している部分から最も近い距離が頭大腿骨の前記中心の軸および赤道の間の距離より短いことを特徴とする請求項40記載の医療装置。
- 大腿骨の骨から輪止めを吸収するように構成された粘弾性層をさらに有することを特徴とする請求項1乃至43のいずれかに記載の医療装置。
- 挿入されるとき、前記粘弾性層は大腿骨の骨および医療装置の間に配置されることを特徴とする請求項43記載の医療装置。
- 前記粘弾性層は、弾力的なポリマ層であることを特徴とする請求項45記載の医療装置。
- 前記弾力的なポリマ層は、
a. ポリウレタン
b. シリコーン
c. ポリウレタンおよびシリコーンの組合せ
d. パリレン・コートのシリコーン
e. パリレン・コートのポリウレタン
f. ポリウレタンおよびシリコーンのパリレン・コートの組合せ
のグループから選択されたポリマ層であることを特徴とする医療装置。 - 自然の股関節を人工股関節に置き換える方法は
g. 頭大腿骨を露出させること、
h. 頭大腿骨を開いて、頭大腿骨の皮質で網状骨を露出させること
i. 頭大腿骨の人工の凹寛骨臼面から成る医療装置を配置すること
j. 頭大腿骨または大腿骨頸部に医療装置を固定させること、
から成ることを特徴とする方法。 - 頭または大腿骨頸部に医療装置を固定させるステップは、頭または大腿骨頸部の内部から、皮質骨に医療装置を固定させるステップが含まれることを特徴とする請求項48に記載の方法。
- 頭または大腿骨頸部に医療装置を固定させるステップは、頭または大腿骨頸部の外側から皮質骨に医療装置を固定させるステップが含まれることを特徴とする請求項48に記載の方法。
- 頭または大腿骨頸部に医療装置を固定させるステップは、頭または大腿骨頸部の近位の側から皮質骨に医療装置を固定させるステップが含まれることを特徴とする請求項48に記載の方法。
- 医療装置を固定させるステップは、頭または大腿骨頸部の外側から皮質骨に医療装置を固定させるステップを含むことを特徴とする請求項49に記載の方法。
- 医療装置を固定させるステップは、頭または大腿骨頸部の近位の側から皮質骨に医療装置を固定させることを特徴とする請求項49に記載の方法。
- 医療装置を固定させるステップは、頭または大腿骨頸部の近位の側から皮質骨に医療装置を固定させるステップを更に含むことを特徴とする請求項50に記載の方法。
- 弾力的部分を含む医療装置を固定させるステップには、弾力的な部分を用いている頭大腿骨を握ることによって頭大腿骨に前記医療装置を固定させるステップを更に含むことを特徴とする請求項48に記載の方法。
- 頭および大腿骨頸部センター軸に実質的一直線上にあり、長形部材、そして装置が大腿骨頸部の長形部材を配置して固定させるステップを更に含み、
前記長形部材は大腿骨頸部の網状骨、大腿骨頸部の皮質骨および大腿骨頸部の中に配置される人工素材のうち少なくとも1つと結合していることを特徴とする請求項48乃至55のいずれかに記載の方法。 - 長形部材は雌ねじ部を有し、大腿骨頸部の長形部材を配置するステップは、大腿骨頸部に前記長形部材をねじで固定するステップが設けられていることを特徴とする請求項56に記載の方法。
- 長形部材はアンカー部分を有し、大腿骨頸部の長形部材を配置するステップは、アンカー部分が大腿骨頸部の網状骨、大腿骨頸部の皮質骨および大腿骨頸部の中に配置される人工素材のうち少なくとも1つと係合するように、アンカー部分を配置するステップが設けられていることを特徴とする請求項56に記載の方法。
- アンカー部分が第1および第2の状態を有し、第2の状態において、前記アンカリングは、医療装置を安定させるために、大腿骨頸部の網状骨、大腿骨頸部の皮質骨および人工素材、大腿骨頸部の内部のうち少なくとも1つに係合するように構成されることを特徴とする請求項58に記載の方法。
- 医療装置を固定させるステップは、接着剤を頭または大腿骨頸部の内部の表層に適用して、前記接着剤と接触する医療装置を配置するステップを更に含み、前記接着剤は医療装置に付着することを特徴とする請求項48に記載の方法。
- 医療装置を固定させるステップは、頭または大腿骨頸部の皮質骨を係合するように構成された機械式固定部材を用いた、医療装置を固定させるステップを有することを特徴とする請求項48に記載の方法。
- 医療装置を固定させるステップは、頭または大腿骨頸部の皮質骨を係合するように構成された機械式固定部材を用いた、医療装置を固定させるステップを有することを特徴とする請求項48に記載の方法。
- 医療装置を固定させるステップは、医療装置と関連した機械式固定部材を配置して、医療装置を固定して、頭大腿骨に医療装置を固定させるステップを有することを特徴とする請求項48に記載の方法。
- 機械式固定部材を配置するステップは、医療装置と頭大腿骨を囲む機械的なループ状の固定要素を配置するステップを有することを特徴とする請求項63に記載の方法。
- 頭または大腿骨頸部に医療装置を固定させるステップは、外側、内部で最も近い切られた頭または大腿骨頸部のうち少なくとも一つから大腿骨頸部頭または皮質骨に医療装置を固定させるステップと、頭または大腿骨頸部の皮質骨の固定を調整するように医療装置を作動するステップが設けられることを特徴とする請求項48に記載の方法。
- 前記固定部分は、頭または大腿骨頸部の内部、頭または大腿骨頸部の外側および頭または大腿骨頸部の切られた近位の側のうち少なくとも1つから、頭または大腿骨頸部の皮質骨の方向へ医療装置の安定化を調整するように操作可能であることを特徴とする請求項2乃至7に記載の医療装置。
Applications Claiming Priority (69)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SE0900973 | 2009-07-10 | ||
SE0900976 | 2009-07-10 | ||
SE0900957 | 2009-07-10 | ||
SE0900965-5 | 2009-07-10 | ||
SE0900968-9 | 2009-07-10 | ||
SE0900974 | 2009-07-10 | ||
SE0900970-5 | 2009-07-10 | ||
SE0900973-9 | 2009-07-10 | ||
SE0900978 | 2009-07-10 | ||
SE0900970 | 2009-07-10 | ||
SE0900981 | 2009-07-10 | ||
SE0900972-1 | 2009-07-10 | ||
SE0900962-2 | 2009-07-10 | ||
SE0900960-6 | 2009-07-10 | ||
SE0900966 | 2009-07-10 | ||
SE0900969 | 2009-07-10 | ||
SE0900965 | 2009-07-10 | ||
SE0900974-7 | 2009-07-10 | ||
SE0900959 | 2009-07-10 | ||
SE0900968 | 2009-07-10 | ||
SE0900972 | 2009-07-10 | ||
SE0900981-2 | 2009-07-10 | ||
SE0900969-7 | 2009-07-10 | ||
SE0900966-3 | 2009-07-10 | ||
SE0900963-0 | 2009-07-10 | ||
SE0900960 | 2009-07-10 | ||
SE0900978-8 | 2009-07-10 | ||
SE0900959-8 | 2009-07-10 | ||
SE0900958-0 | 2009-07-10 | ||
SE0900958 | 2009-07-10 | ||
SE0900962 | 2009-07-10 | ||
SE0900976-2 | 2009-07-10 | ||
SE0900957-2 | 2009-07-10 | ||
SE0900963 | 2009-07-10 | ||
US22973909P | 2009-07-30 | 2009-07-30 | |
US22974709P | 2009-07-30 | 2009-07-30 | |
US22976709P | 2009-07-30 | 2009-07-30 | |
US22973809P | 2009-07-30 | 2009-07-30 | |
US22973509P | 2009-07-30 | 2009-07-30 | |
US22974809P | 2009-07-30 | 2009-07-30 | |
US22975209P | 2009-07-30 | 2009-07-30 | |
US22975509P | 2009-07-30 | 2009-07-30 | |
US22978909P | 2009-07-30 | 2009-07-30 | |
US22979609P | 2009-07-30 | 2009-07-30 | |
US22976109P | 2009-07-30 | 2009-07-30 | |
US22975109P | 2009-07-30 | 2009-07-30 | |
US22978609P | 2009-07-30 | 2009-07-30 | |
US22974509P | 2009-07-30 | 2009-07-30 | |
US22974609P | 2009-07-30 | 2009-07-30 | |
US22977809P | 2009-07-30 | 2009-07-30 | |
US22974309P | 2009-07-30 | 2009-07-30 | |
US61/229,786 | 2009-07-30 | ||
US61/229,747 | 2009-07-30 | ||
US61/229,778 | 2009-07-30 | ||
US61/229,796 | 2009-07-30 | ||
US61/229,752 | 2009-07-30 | ||
US61/229,755 | 2009-07-30 | ||
US61/229,746 | 2009-07-30 | ||
US61/229,739 | 2009-07-30 | ||
US61/229,789 | 2009-07-30 | ||
US61/229,761 | 2009-07-30 | ||
US61/229,738 | 2009-07-30 | ||
US61/229,745 | 2009-07-30 | ||
US61/229,767 | 2009-07-30 | ||
US61/229,751 | 2009-07-30 | ||
US61/229,748 | 2009-07-30 | ||
US61/229,735 | 2009-07-30 | ||
US61/229,743 | 2009-07-30 | ||
PCT/SE2010/050803 WO2011005187A1 (en) | 2009-07-10 | 2010-07-12 | Hip joint device and method |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016019929A Division JP6265444B2 (ja) | 2009-07-10 | 2016-02-04 | 患者の股関節に移植する際に使用する医療装置 |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2012532659A true JP2012532659A (ja) | 2012-12-20 |
JP2012532659A5 JP2012532659A5 (ja) | 2013-08-29 |
JP5882894B2 JP5882894B2 (ja) | 2016-03-09 |
Family
ID=56291178
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012519509A Active JP5882894B2 (ja) | 2009-07-10 | 2010-07-12 | 患者の股関節に移植する際に使用する医療装置 |
Country Status (7)
Country | Link |
---|---|
US (1) | US11103355B2 (ja) |
EP (1) | EP2451390B1 (ja) |
JP (1) | JP5882894B2 (ja) |
AU (4) | AU2010269152B2 (ja) |
BR (1) | BR112012000643B8 (ja) |
MX (2) | MX2012000519A (ja) |
WO (1) | WO2011005187A1 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2016195824A (ja) * | 2009-07-10 | 2016-11-24 | ミルックス・ホールディング・エスエイ | 患者の股関節内への移植される医療器具 |
Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA3158964A1 (en) * | 2009-07-10 | 2011-01-13 | Implantica Patent Ltd. | Hip joint device and method |
WO2011005186A1 (en) * | 2009-07-10 | 2011-01-13 | Milux Holding S.A. | Hip joint device |
US9474613B2 (en) * | 2013-03-14 | 2016-10-25 | William B. Kurtz | Acetabular fixation system and method |
CN111839819A (zh) * | 2020-09-03 | 2020-10-30 | 赵晓辉 | 一种组合式髋关节假体的快速组装及翻修方法 |
Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3896504A (en) * | 1972-10-14 | 1975-07-29 | Artur Fischer | Hip joint prosthesis |
JPH01175846A (ja) * | 1987-12-28 | 1989-07-12 | Shirubian Rukureerusekiyu | 人工関節 |
US6010535A (en) * | 1998-04-30 | 2000-01-04 | Shah; Mrugesh K. | Joint replacement system |
US20020143402A1 (en) * | 1995-09-04 | 2002-10-03 | Limber Ltd. | Hip joint prostheses |
JP2004073854A (ja) * | 2002-07-05 | 2004-03-11 | Tornier | 肩又は股関節用プロテーゼ |
EP1421919A1 (de) * | 2002-11-05 | 2004-05-26 | ESKA Implants GmbH & Co. | Set zur Erstellung eines künstlichen Hüftgelenks |
US20060190089A1 (en) * | 2005-02-18 | 2006-08-24 | Howmedica Osteonics Corp. | Internal adaptor for hip acetabular cage |
US20080294268A1 (en) * | 2005-11-18 | 2008-11-27 | Zimmer Gmbh | Base Platform for an Artificial Joint |
US20090287309A1 (en) * | 2007-01-30 | 2009-11-19 | Tornier Sas | Intra-articular joint replacement |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2668531A (en) * | 1952-02-15 | 1954-02-09 | Edward J Haboush | Prosthesis for hip joint |
FR2061466A5 (ja) * | 1970-09-09 | 1971-06-18 | Muller Jean Nicolas | |
US3916451A (en) * | 1974-10-25 | 1975-11-04 | Frederick F Buechel | Floating center prosthetic joint |
US4846840A (en) * | 1986-09-09 | 1989-07-11 | Sylvain Leclercq | Joint prosthesis |
GB2251795B (en) * | 1991-01-17 | 1995-02-08 | Minnesota Mining & Mfg | Orthopaedic implant |
EP1566154A1 (de) * | 2004-02-20 | 2005-08-24 | Argomedical AG | Prothese zum Oberflächenersatz im Bereich der Kugel von Kugelgelenken |
US9168065B2 (en) * | 2008-04-30 | 2015-10-27 | Moximed, Inc. | Ball and socket assembly |
-
2010
- 2010-07-12 MX MX2012000519A patent/MX2012000519A/es active IP Right Grant
- 2010-07-12 EP EP10797394.3A patent/EP2451390B1/en active Active
- 2010-07-12 BR BR112012000643A patent/BR112012000643B8/pt active IP Right Grant
- 2010-07-12 MX MX2012000522A patent/MX336424B/es unknown
- 2010-07-12 US US13/382,643 patent/US11103355B2/en active Active
- 2010-07-12 WO PCT/SE2010/050803 patent/WO2011005187A1/en active Application Filing
- 2010-07-12 AU AU2010269152A patent/AU2010269152B2/en active Active
- 2010-07-12 JP JP2012519509A patent/JP5882894B2/ja active Active
-
2016
- 2016-06-24 AU AU2016204364A patent/AU2016204364B2/en active Active
-
2018
- 2018-05-16 AU AU2018203460A patent/AU2018203460B2/en active Active
-
2020
- 2020-01-17 AU AU2020200347A patent/AU2020200347B2/en active Active
Patent Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3896504A (en) * | 1972-10-14 | 1975-07-29 | Artur Fischer | Hip joint prosthesis |
JPH01175846A (ja) * | 1987-12-28 | 1989-07-12 | Shirubian Rukureerusekiyu | 人工関節 |
US20020143402A1 (en) * | 1995-09-04 | 2002-10-03 | Limber Ltd. | Hip joint prostheses |
US6010535A (en) * | 1998-04-30 | 2000-01-04 | Shah; Mrugesh K. | Joint replacement system |
JP2004073854A (ja) * | 2002-07-05 | 2004-03-11 | Tornier | 肩又は股関節用プロテーゼ |
EP1421919A1 (de) * | 2002-11-05 | 2004-05-26 | ESKA Implants GmbH & Co. | Set zur Erstellung eines künstlichen Hüftgelenks |
US20060190089A1 (en) * | 2005-02-18 | 2006-08-24 | Howmedica Osteonics Corp. | Internal adaptor for hip acetabular cage |
US20080294268A1 (en) * | 2005-11-18 | 2008-11-27 | Zimmer Gmbh | Base Platform for an Artificial Joint |
US20090287309A1 (en) * | 2007-01-30 | 2009-11-19 | Tornier Sas | Intra-articular joint replacement |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2016195824A (ja) * | 2009-07-10 | 2016-11-24 | ミルックス・ホールディング・エスエイ | 患者の股関節内への移植される医療器具 |
Also Published As
Publication number | Publication date |
---|---|
MX336424B (es) | 2016-01-19 |
AU2016204364A1 (en) | 2016-07-14 |
BR112012000643B1 (pt) | 2020-12-01 |
AU2020200347B2 (en) | 2021-11-11 |
US11103355B2 (en) | 2021-08-31 |
AU2010269152A1 (en) | 2012-03-01 |
MX2012000519A (es) | 2012-06-28 |
AU2020200347A1 (en) | 2020-02-06 |
EP2451390A4 (en) | 2013-04-10 |
US20120101588A1 (en) | 2012-04-26 |
BR112012000643A2 (pt) | 2016-11-16 |
JP5882894B2 (ja) | 2016-03-09 |
AU2018203460A1 (en) | 2018-06-07 |
WO2011005187A1 (en) | 2011-01-13 |
AU2010269152B2 (en) | 2016-03-24 |
EP2451390B1 (en) | 2015-08-26 |
EP2451390A1 (en) | 2012-05-16 |
AU2018203460B2 (en) | 2019-10-17 |
BR112012000643B8 (pt) | 2021-06-22 |
AU2016204364B2 (en) | 2018-02-22 |
MX2012000522A (es) | 2012-06-28 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6265444B2 (ja) | 患者の股関節に移植する際に使用する医療装置 | |
AU2018203460B2 (en) | Hip joint device and method | |
US11123195B2 (en) | Hip joint device, system and method | |
US11207186B2 (en) | Hip joint device and method | |
US9180014B2 (en) | Hip joint device and method | |
JP2020037025A (ja) | 患者の股関節に移植する際に使用する医療装置 | |
US20230329873A1 (en) | Hip joint device and method | |
US20160346092A1 (en) | Hip Joint Device, System and Method | |
US20220087825A1 (en) | Hip joint device and method | |
KR101831342B1 (ko) | 고관절 장치 및 방법 | |
US20120150315A1 (en) | Hip joint device and method | |
US20220079766A1 (en) | Hip joint device and method | |
KR101754173B1 (ko) | 고관절 장치 및 방법 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20130711 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20130711 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20140228 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20140430 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20140730 |
|
A602 | Written permission of extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A602 Effective date: 20140806 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20140901 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20150203 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20150507 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20150603 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20150703 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20150803 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20160105 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20160204 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 5882894 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
S111 | Request for change of ownership or part of ownership |
Free format text: JAPANESE INTERMEDIATE CODE: R313113 |
|
R350 | Written notification of registration of transfer |
Free format text: JAPANESE INTERMEDIATE CODE: R350 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |