JP2012532691A - 可撓性を有する椎体間装置 - Google Patents
可撓性を有する椎体間装置 Download PDFInfo
- Publication number
- JP2012532691A JP2012532691A JP2012519766A JP2012519766A JP2012532691A JP 2012532691 A JP2012532691 A JP 2012532691A JP 2012519766 A JP2012519766 A JP 2012519766A JP 2012519766 A JP2012519766 A JP 2012519766A JP 2012532691 A JP2012532691 A JP 2012532691A
- Authority
- JP
- Japan
- Prior art keywords
- interbody device
- insertion tube
- vertebrae
- handle
- distal end
- 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
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- A61F2002/4627—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
-
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- 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
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Abstract
Description
Claims (31)
- 隣接する椎骨間の椎間が輪切除部を介して処理可能となり、椎間板が前記椎間から椎間切除術によって取り除かれ、前記椎骨に複数の椎弓根スクリューが固定され、中央軸とこれに固定されたハンドルを有する第1のブルノーズ(600)を含む椎間に椎体間装置(20)を挿入するためのシステムにおいて、
前記第1ブルノーズ(600)が前記椎間を開大するように形成された遠位端を有し、さらに前記システムが、
前記輪切除部内の設置のための湾曲した外側壁を有する遠位端および中空のハンドル(120)とこのハンドルと近位端との間に位置するチャネルとを含む近位端を有する挿入管(100)および
前記椎間内を進行するように形成された遠位端、長手軸およびハンドルに係合する形状を有する遠位端を有し、前記挿入管(100)のチャネルを介して受けられる大きさの第2のブルノーズ(600)を含むことを特徴とするシステム。 - 前記椎体間装置(20)を前記椎間に挿入しやすくするために真っ直ぐな内側壁を有する遠位端を有する挿入管(100)を含むことを特徴とする請求項1記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記椎体間装置(20)を前記椎間に挿入しやすくするために一組の対向する上下壁および一組の対向する内外側壁を含み、所定の長さの湾曲した外側壁(112)およびこれより短い真っ直ぐな内側壁を有する遠位端を有する挿入管(100)を含むことを特徴とする請求項1に記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 近位端に中空のハンドルを有する挿入管(100)を含み、このハンドルは、挿入管と連通し、このハンドルを介して前記ブルノーズ(600)と前記椎体間装置(20)が挿入されることを特徴とする請求項1に記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記中空のハンドル(120)の近位端に係止フランジ(122)を有し、これに対応する係止フランジと係合するようにした挿入管(100)を含むことを特徴とする請求項4記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記遠位端近傍の外面に深さを示す複数の印を有する挿入管(100)を含み、挿入管(100)の前記椎間内の深さを測定することを特徴とする請求項2記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 椎間に前記挿入管(100)を介して挿入して椎体間装置(20)の適切な大きさを調べるために連接腕部に固定されたトライアルインプラント(400)を含むことを特徴とする請求項1記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 椎間に挿入して椎体間装置(20)の適切な大きさを調べるために複数の長さ、高さおよび幅を有する複数のトライアルインプラント(400)を含むことを特徴とする請求項2記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 椎体間装置(20)を操作するために使用される縫合糸を受けるために前記長手軸の1つの側に近位端から遠位端に配された長手方向に延びた溝(612)を有する第2のブルノーズ(600)を含むことを特徴とする請求項1記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 椎体間装置(20)を椎間内に進行するように形成された遠位端を有する第2ブルノーズ(600)を含むことを特徴とする請求項1記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記椎間内を進行するように形成された遠位端、長手軸、ハンドルに係合するように形成された近位端および椎体間装置(20)に固定された縫合糸のための隙間として前記シャフトの両側に沿って延びた一組の対向する溝(612)を有する第2ブルノーズ(600)を含むことを特徴とする請求項1記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記椎間を開大するために複数の異なる高さの遠位端を有する複数のブルノーズ(600)を含むことを特徴とする請求項1記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記複数のブルノーズ(600)の遠位端が挿入深さを示す複数の印を含むことを特徴とする請求項12記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 椎間内を進行するように形成された先端(710)と、この先端から長手方向に間隔をおいて位置する一組の対向する切断縁部(714)を含む遠位端を有する頭部を有するボックスカッター(700)を含み、このボックスカッターが前記輪切除部を通って進行する際に前記隣接する椎骨の後部端板を削ることを特徴とする請求項1記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記第1および第2ブルノーズ(600)の近位端に係合するトライアルハンドル(510)を含み、このトライアルハンドルが前記挿入管ハンドル(120)に固定されるようになっていることを特徴とする請求項5記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 遠位端に係止フランジを有するトライアルハンドル(510)を含み、このフランジが前記挿入管ハンドル(120)と係合し、これに前記トライアルハンドルを固定し、前記ブルノーズ(600)の1つが前記トライアルハンドルに固定され、前記挿入管(100)に挿入され、前記挿入管ハンドルに固定されることを特徴とする請求項5記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 遠位端と、長手方向に延びたスロットを有する近位端を有する連接腕部(430)と、
中央ヒンジによって連結された遠位端と近位端を有し、この近位端が前記連接腕部(430)の遠位端に回転自在に固定されたトライアルインプラント(400)と、
一組の間隔をおいて位置する遠位先端部および挿入ツールに固定するための近位端を有し、これら遠位先端部がその近位端でヒンジピンによって連結されたトライアルインプラントロッド(420)とを含み、前記連接腕部(430)のスロットが前記ヒンジピンに係合し、前記椎間内に設置するために前記トライアルインプラント(400)が前記中央ヒンジ、前記連接腕部(430)の遠位端および前記連接腕部の近位端を中心に枢動することを特徴とする請求項7記載の椎間に椎体間装置(20)を挿入するためのシステム。 - 椎間に挿入して椎体間装置(20)の適切な大きさを調べるために複数の長さ、高さおよび幅を有する複数のトライアルインプラント(400)を含むことを特徴とする請求項17記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記トライアルインプラントロッド(420)に固定される遠位端および近位端を有する挿入ツール(500)と、
前記第1挿入ツール(500)のシャフトの近位端と係合するためのトライアルハンドル(510)とを含み、このトライアルハンドルが前記挿入管(100)のハンドルに規定されるようになっていることを特徴とする請求項17記載の椎間に椎体間装置(20)を挿入するためのシステム。 - 内部に開口部を有し、前記挿入管(100)を介して前記椎間に骨移植材を送るために前記挿入管(100)の中空のハンドル(120)に固定される骨移植片用漏斗(800)を含む請求項4記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 遠位部に可撓性の角度が付けられた先端部(822)およびこの先端部に接続されたプランジャーシャフトを有し、骨移植材を前記椎間に強制的に押し込むために前記挿入管(100)を介して挿入可能である骨移植プランジャー(820)を含むことを特徴とする請求項1記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記可撓性の角度が付けられた先端部(822)が前記挿入管(100)にきつく嵌るように形成され、すべての骨移植片材を前記椎間内に強制的に押し込むことを特徴とする請求項21記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記可撓性の角度が付けられた先端部(822)がエラストマーから構成されていることを特徴とする請求項21記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記プランジャーシャフトがエラストマーから構成されていることを特徴とする請求項21記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記可撓性の角度が付けられた先端部(822)が前記椎間内に進行するように長尺になっており、力が加わっていない状態で湾曲していることを特徴とする請求項21記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記骨移植プランジャー(820)が可撓性の金属合金で構成されていることを特徴とする請求項21記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 遠位端および近位端を有する長尺の胴体を有し、その遠位端で前記椎弓根スクリュー(9)の少なくとも1つに固定されるようになっており、さらに前記挿入管(100)を固定するために近位端に固定されたクランプ(920)を有する延長腕部(900)を含むことを特徴とする請求項1記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 遠位端および近位端を有する長尺の胴体を有し、その遠位端で前記椎弓根スクリュー(9)の少なくとも1つに固定されるようになっており、さらに前記挿入管(100)のハンドルを固定するために近位端に固定されたクランプ(920)を有する延長腕部(900)を含むことを特徴とする請求項4記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 遠位端および近位端を有し、遠位端で前記椎弓根スクリュー(9)の少なくとも1つに固定される長尺のチャネルおよび調節自在なクランプ案内部(930)に固定されたクランプ(920)を有する延長腕部(900)を含み、このクランプ案内部が前記クランプをその一点で固定するために前記チャネルに沿って移動可能であり、前記クランプが前記挿入管(100)を前記延長腕部(900)に正確な位置に固定することを特徴とする請求項1記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 遠位端および近位端を有し、遠位端で前記椎弓根スクリュー(9)の少なくとも1つに固定される長尺のチャネルおよび調節自在なクランプ案内部(930)に固定されたクランプ(920)を有する延長腕部(900)を含み、このクランプ案内部が前記クランプをその一点で固定するために前記チャネルに沿って移動可能であり、前記クランプが前記挿入管(100)を前記延長腕部(900)に正確な位置に固定することを特徴とする請求項4記載の椎間に椎体間装置(20)を挿入するためのシステム。
- 前記挿入管内に挿入でき、前記椎間内を進行することができる可撓性のスリーブ(140)を含むことを特徴とする請求項1記載の椎間に椎体間装置(20)を挿入するためのシステム。
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BRPI1012883B1 (pt) | 2020-10-13 |
US9814599B2 (en) | 2017-11-14 |
US20110009969A1 (en) | 2011-01-13 |
JP5699143B2 (ja) | 2015-04-08 |
US9877844B2 (en) | 2018-01-30 |
WO2011006077A1 (en) | 2011-01-13 |
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BRPI1012883A2 (pt) | 2018-06-12 |
EP2451403B1 (en) | 2016-04-27 |
US20140330384A1 (en) | 2014-11-06 |
BRPI1012883B8 (pt) | 2021-06-22 |
US20180133026A1 (en) | 2018-05-17 |
BRPI1012942B8 (pt) | 2021-06-22 |
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