JP2013208445A - プロテーゼ装置およびその使用方法 - Google Patents
プロテーゼ装置およびその使用方法 Download PDFInfo
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- JP2013208445A JP2013208445A JP2013099793A JP2013099793A JP2013208445A JP 2013208445 A JP2013208445 A JP 2013208445A JP 2013099793 A JP2013099793 A JP 2013099793A JP 2013099793 A JP2013099793 A JP 2013099793A JP 2013208445 A JP2013208445 A JP 2013208445A
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- 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
- A61B17/562—Implants for placement in joint gaps without restricting joint motion, e.g. to reduce arthritic pain
-
- 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
- A61F2/40—Joints for shoulders
-
- 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
- A61B17/7061—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant for stabilising vertebrae or discs by improving the condition of their tissues, e.g. using implanted medication or fluid exchange
-
- 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
- A61B17/7097—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
-
- 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
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
- A61B17/7275—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with expanding cylindrical parts
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/885—Tools for expanding or compacting bones or discs or cavities therein
- A61B17/8852—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc
- A61B17/8855—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc inflatable, e.g. kyphoplasty balloons
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8802—Equipment for handling bone cement or other fluid fillers
- A61B17/8805—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas
Abstract
【解決手段】管204と、管の周りに摺動自在に取り付けられ、かつ流体が前記剛性リング412と前記管との交差部を介して逸出しないように前記管上にぴったりと適合する剛性リングとを含むプロテーゼ植込み装置と、前記剛性リングの内径より大きい直径を有し、前記剛性リングを通過することを防止するプラグ402と、空洞を有するように構成され、かつプロテーゼ中に注入された流体が前記プロテーゼと前記剛性リングとの交差部を介して逸出しないように前記剛性リングの外面に取り付けられているプロテーゼ202と、を備え、前記プラグは、前記プロテーゼの空洞を密閉するために前記剛性リングの方向に前記管を引っ張ることによって前記剛性リングの内腔に係止するように構成されている。
【選択図】図1
Description
本出願は、米国特許仮出願第60/918051号(2007年3月15日出願)の米国特許法第119条(e)項に基づく特典を主張し、この仮出願の開示は、参考として本明細書中に援用される。
本発明は、一般的に医療装置および医療装置を用いた人間の医学的状態の治療の分野に関する。さらに詳しくは、本発明は、回旋腱板損傷、骨折および/または陥没骨折、体内の感染症および/または炎症をはじめ、種々の状態を治療するために使用される拡張可能なプロテーゼ装置を含む。
Claims (13)
- プロテーゼを植込むためのシステムであって、
管と、管の周りに摺動自在に取り付けられた剛性リングとを含むプロテーゼ植込み装置と、ただし、前記剛性リングは、流体が前記剛性リングと前記管との交差部を介して逸出しないように前記管上にぴったりと適合する、
前記剛性リングの内径より大きい直径を有し、それによりプラグが前記剛性リングを通過することを防止するプラグと、
空洞を有するように構成されたプロテーゼと、ただし、前記プロテーゼは、前記プロテーゼ中に注入された流体が前記プロテーゼと前記剛性リングとの交差部を介して逸出しないように前記剛性リングの外面に取り付けられている、
を備え、前記プラグは、前記プロテーゼの空洞を密閉するために前記剛性リングの方向に前記管を引っ張ることによって前記剛性リングの内腔に係止するように構成されている、システム。 - 前記プラグは、前記管の一端に取り付けられている、請求項1に記載のシステム。
- 前記プラグは、前記剛性リングの方向に前記管を継続的に引っ張ることによってプラグの一部分が折り取られるように構成されている、請求項1または2に記載のシステム。
- 前記プラグは、前記管の上に鋳造成形されている、請求項1〜3のいずれかに記載のシステム。
- 前記プラグおよび前記プロテーゼは、同一の生物分解性材料から構成されている、請求項1〜4のいずれかに記載のシステム。
- 前記プロテーゼは、膨張可能であり、前記プロテーゼ植込み装置も、膨張装置として構成されている、請求項1〜5のいずれかに記載のシステム。
- 前記プラグの一部分は、前記剛性リングの前記内腔に係止するときに部分的に変性されるようになる、請求項1〜6のいずれかに記載のシステム。
- 前記プラグは、前記プロテーゼの空洞内に延入する、請求項1〜7のいずれかに記載のシステム。
- プロテーゼを密閉する方法であって、
空洞を有するように構成されたプロテーゼを準備するステップと、ただし、前記プロテーゼは、前記プロテーゼ中に注入された流体が前記プロテーゼと剛性リングとの交差部を介して逸出しないように前記剛性リングの外面に取り付けられており、前記剛性リングは、植込み装置の管の周りに摺動自在に取り付けられており、前記剛性リングは、流体が前記剛性リングと前記管との交差部を介して逸出しないように前記管上にぴったりと適合し、前記プラグは、プロテーゼの空洞内に延入し、前記プラグは、前記剛性リングの内径より大きい直径を有する、
前記プラグが前記剛性リングの内腔に係止し、それにより前記プロテーゼの空洞を密閉するように前記剛性リングの方向に前記管を引っ張るステップと
を含む方法。 - 前記剛性リングの方向に前記管を継続的に引っ張ることによって、プロテーゼから前記植込み装置を分離するステップをさらに含み、前記プラグは、前記剛性リングの内腔に係止されたときに前記管から折り取られる、請求項9に記載の方法。
- 肩の上腕骨と肩甲骨の間の自然に存在する包の大きさまたは形状の少なくとも1つを模倣するように適応された部材を含む、身体の軟組織の損傷を軽減するためのプロテーゼであって、前記部材が、前記自然に存在する包の展性および圧縮性のうちの少なくとも一つの特性を模倣するように膨張可能である、プロテーゼ。
- 前記部材は、軟組織の他の組織に対する少なくとも多少の運動を可能にしながら、軟組織の他の組織に対する摺擦を軽減するのに充分なだけ膨張する、請求項11に記載のプロテーゼ。
- 回旋腱板の損傷を軽減するように適応される、請求項11または12に記載のプロテーゼ。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US91805107P | 2007-03-15 | 2007-03-15 | |
US60/918,051 | 2007-03-15 |
Related Parent Applications (1)
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JP2009553278A Division JP5271288B2 (ja) | 2007-03-15 | 2008-03-13 | プロテーゼ装置およびその使用方法 |
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JP2013208445A true JP2013208445A (ja) | 2013-10-10 |
JP6030993B2 JP6030993B2 (ja) | 2016-11-24 |
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JP2009553278A Expired - Fee Related JP5271288B2 (ja) | 2007-03-15 | 2008-03-13 | プロテーゼ装置およびその使用方法 |
JP2013099793A Active JP6030993B2 (ja) | 2007-03-15 | 2013-05-10 | プロテーゼ装置およびその使用方法 |
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JP2009553278A Expired - Fee Related JP5271288B2 (ja) | 2007-03-15 | 2008-03-13 | プロテーゼ装置およびその使用方法 |
Country Status (11)
Country | Link |
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US (3) | US8753390B2 (ja) |
EP (2) | EP3111869B1 (ja) |
JP (2) | JP5271288B2 (ja) |
CN (2) | CN104473704B (ja) |
AU (1) | AU2008224435B2 (ja) |
CA (1) | CA2680812C (ja) |
DK (1) | DK3111869T3 (ja) |
ES (2) | ES2593085T3 (ja) |
IL (1) | IL200939A (ja) |
PL (1) | PL2124831T3 (ja) |
WO (1) | WO2008111073A2 (ja) |
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EP2124831B1 (en) | 2016-07-06 |
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JP6030993B2 (ja) | 2016-11-24 |
EP2124831A4 (en) | 2013-06-05 |
JP5271288B2 (ja) | 2013-08-21 |
EP3111869B1 (en) | 2017-09-20 |
WO2008111073A3 (en) | 2010-02-18 |
CN101854886A (zh) | 2010-10-06 |
CN101854886B (zh) | 2014-12-24 |
US11033398B2 (en) | 2021-06-15 |
CN104473704A (zh) | 2015-04-01 |
JP2010521214A (ja) | 2010-06-24 |
ES2645409T3 (es) | 2017-12-05 |
US20140296987A1 (en) | 2014-10-02 |
AU2008224435B2 (en) | 2014-01-09 |
EP2124831A2 (en) | 2009-12-02 |
DK3111869T3 (da) | 2017-11-20 |
EP3111869A1 (en) | 2017-01-04 |
AU2008224435A1 (en) | 2008-09-18 |
CA2680812A1 (en) | 2008-09-18 |
IL200939A0 (en) | 2010-05-17 |
CN104473704B (zh) | 2017-06-16 |
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