JP2013523387A - 弓状固定部材及び椎間インプラント - Google Patents
弓状固定部材及び椎間インプラント Download PDFInfo
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- JP2013523387A JP2013523387A JP2013504912A JP2013504912A JP2013523387A JP 2013523387 A JP2013523387 A JP 2013523387A JP 2013504912 A JP2013504912 A JP 2013504912A JP 2013504912 A JP2013504912 A JP 2013504912A JP 2013523387 A JP2013523387 A JP 2013523387A
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- Prior art keywords
- intervertebral implant
- spacer
- insert
- wall
- bone
- Prior art date
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- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00035—Other metals or alloys
- A61F2310/00131—Tantalum or Ta-based alloys
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00359—Bone or bony tissue
Abstract
【選択図】 図14A
Description
本特許出願は、その開示が引用によりその全体が本明細書に示されるかのようにこれによって組み込まれる2010年4月15日出願の米国特許出願第12/761,101号に対する優先権を請求するものである。
132 遮断プレート
138 ロッキングスクリュー
316 スペーサ
350 インサートプレート
400 椎間インプラント
Claims (61)
- 椎体に挿入されるように構成された骨固定部材であって、この骨固定部材が、
対向する近位端及び遠位端を有し、この近位端と骨の中に切り込むように構成された先端を形成する遠位端との間を延びる湾曲中間部分を有する固定本体、を有し、
前記固定本体は、前記先端の近くに配置されて前記近位端に向けて延びる案内部材を有し、この案内部材は、この固定部材が椎体の中に挿入される時にこの先端を挿入軌道に沿って案内するように構成される、骨固定部材。 - 前記案内部材は、前記先端によって形成された縦溝を有し、この縦溝は、前記挿入軌道と実質的に平行に延びる請求項1に記載の骨固定部材。
- 前記案内部材は、前記先端によって形成された複数の縦溝を有する請求項2に記載の骨固定部材。
- 前記縦溝は、互いに実質的に平行に延びる請求項3に記載の骨固定部材。
- 前記案内部材は、前記遠位端から延びる突起を有する請求項1に記載の骨固定部材。
- 前記突起は、キールを含む請求項5に記載の骨固定部材。
- 前記案内部材は、更に、縦溝が前記キールと少なくとも1つの翼の間に配置されるようにこのキールに隣接して配置された少なくとも1つの翼を有する請求項6に記載の骨固定部材。
- 前記案内部材は、更に、前記キールが翼の間に配置されるようにこのキールに隣接して配置された第2の翼を有する請求項7に記載の骨固定部材。
- 縦溝が、前記キールと前記それぞれの翼の各々との間に形成される請求項8に記載の骨固定部材。
- 前記キールは、実質的に前記翼の間の中心に配置される請求項8に記載の骨固定部材。
- 前記案内部材は、少なくとも1つのオフセット翼を有する請求項5に記載の骨固定部材。
- 前記案内部材は、更に、1対のオフセット翼を有する請求項11に記載の骨固定部材。
- 前記案内部材は、更に、前記翼の間に配置されたキールを有する請求項12に記載の骨固定部材。
- 前記翼と前記キールの間に配置された1対の縦溝を更に形成する請求項13に記載の骨固定部材。
- 前記案内部材は、前記本体の前記中間部分の前記先端に近接して終端する請求項1に記載の骨固定部材。
- 前記本体は、この固定部材を椎体内の挿入位置に保持するように構成された把持構造体を有する請求項1に記載の骨固定部材。
- 前記把持構造体は、前記本体の前記中間部分に形成された複数の歯を有する請求項16に記載の骨固定部材。
- 前記複数の歯は、前記本体の前記中間部分の対向する側面上に列で形成される請求項17に記載の骨固定部材。
- 椎間腔の中に埋め込まれるように構成されたスペーサ本体であって、このスペーサ本体の中に延びる少なくとも第1の開口を形成する外側壁を有する前記スペーサ本体と、
前記スペーサ本体に結合されるように構成され、プレートを形成するインサートであって、このインサートとこのスペーサ本体の前記外側壁とがそれらの間に第2の開口を形成する前記インサートと、
を有する椎間インプラント。 - 前記スペーサ本体は、更に、前記第1の開口を1対の開口に分割する内側壁を有する請求項19に記載の椎間インプラント。
- 前記スペーサ本体は、対向する上側及び下側骨係合面を形成し、前記第1の開口は、これらの骨係合面を通って延びる請求項19に記載の椎間インプラント。
- 前記上側及び下側骨係合面の少なくとも一部分には、緩衝溝が形成され、この緩衝溝は、そこにそれぞれの湾曲固定部材を部分的に受け入れるように構成される請求項21に記載の椎間インプラント。
- 前記スペーサ本体及び前記インサートは、それぞれの上側及び下側骨係合面を形成し、このそれぞれの上側及び下側骨係合面の少なくとも一部分には、複数の把持構造体が形成され、この把持構造体は、椎間インプラントが椎間腔の中に挿入される時に隣接椎体と係合するように構成される請求項20に記載の椎間インプラント。
- 前記外側壁は、前記スペーサ本体を取り囲む周囲を形成する請求項21に記載の椎間インプラント。
- 前記外側壁は、後壁及びこの後壁の反対側の前壁を有し、
前記第2の開口は、前記インサートと前記前壁の間に形成される、
請求項22に記載の椎間インプラント。 - 前記スペーサ本体は、更に、前記第1の開口を1対の開口に分割する内側壁を有する請求項21に記載の椎間インプラント。
- 前記インサートは、それを通って延びる少なくとも1つの案内開口を形成し、この少なくとも1つの案内開口は、骨固定部材を受け入れるように構成される請求項19に記載の椎間インプラント。
- 椎間インプラントが、更に、前記少なくとも1つの案内開口内に受け入れられるように構成された少なくとも1つの湾曲固定部材を有し、この少なくとも1つの湾曲固定部材は、椎体の中に切り込むように構成された先端と、この先端をこの少なくとも1つの案内開口を通してこの椎体の中に推し進めることができるようなこの少なくとも1つの案内開口よりも大きい長さとを有する請求項27に記載の椎間インプラント。
- 前記少なくとも1つの案内開口は、実質的に真っ直ぐに延び、前記骨固定部材は、湾曲している請求項27に記載の椎間インプラント。
- 前記外側壁は、そこに少なくとも1つの空洞を形成する内面を形成する請求項19に記載の椎間インプラント。
- 前記少なくとも1つの空洞は、前記第1の開口に対して開いている請求項30に記載の椎間インプラント。
- 前記スペーサ本体は、前記外側壁を通って延びる少なくとも1つの開口部を形成する請求項19に記載の椎間インプラント。
- 前記少なくとも1つの開口部は、前記第1及び第2の開口の間を延びる請求項32に記載の椎間インプラント。
- 前記スペーサ本体は、前記第1の開口を1対の開口に分割する内側壁を形成する請求項33に記載の椎間インプラント。
- 前記スペーサ本体は、前記1対の開口を前記第2の開口と連通して置くために前記外側壁を通って延びる1対の開口部を形成する請求項33に記載の椎間インプラント。
- 前記外側壁は、前記プレートに面する前壁を有し、この前壁の少なくとも一部分は、前記インサートが前記スペーサ本体に結合される時にこのプレートから離れるように湾曲している請求項19に記載の椎間インプラント。
- 前記インサートは、前記スペーサ本体の少なくとも一部分とは異なる高さを有する請求項19に記載の椎間インプラント。
- 前記インサートの前記高さは、椎間インプラントによって形成される前湾角が、前記スペーサ本体によって形成されるものよりも大きいように、このスペーサ本体の前記少なくとも一部分よりも高い請求項37に記載の椎間インプラント。
- 前記インサート及び前記スペーサ本体の各々は、更に、このインサートがこのスペーサ本体に結合される時にこのインサートをこのスペーサ本体に固定するように構成されたそれぞれの連結部材を有する請求項19に記載の椎間インプラント。
- 椎間腔の中に埋め込まれるように構成され、上側プレート及び下側プレート、及びこの上側及び下側プレートの間を延びる外側壁を有し、この上側及び下側プレートの各々を通って延びる複数の開口を形成するスペーサ本体と、
前記スペーサ本体に結合されるように構成され、プレートを形成し、前記外側壁の少なくとも一部分の反対側に配置されるインサートと、
を有する椎間インプラント。 - 前記上側プレートを通って延びる前記開口は、前記下側プレートを通って延びる前記開口と整列する請求項40に記載の椎間インプラント。
- 外側壁が、前記スペーサ本体の少なくとも後側端部を形成し、
前記スペーサ本体は、前記後側端部の反対側である開放前側端部を形成する、
請求項40に記載の椎間インプラント。 - 前記開放前側端部は、前記前側端部と前記インサートの間に配置される請求項42に記載の椎間インプラント。
- 前記インサートは、それを通って延びる少なくとも1つの案内開口を形成し、この案内開口は、骨固定部材を受け入れるように構成される請求項40に記載の椎間インプラント。
- 椎間インプラントが、更に、前記少なくとも1つの案内開口内に受け入れられるように構成された少なくとも1つの湾曲固定部材を有し、この少なくとも1つの湾曲固定部材は、椎体の中に切り込むように構成された先端と、この先端をこの少なくとも1つの案内開口を通してこの椎体の中に推し進めることができるようなこの少なくとも1つの案内開口よりも大きい長さとを有する請求項40に記載の椎間インプラント。
- 前記少なくとも1つの案内開口は、実質的に真っ直ぐに延び、前記骨固定部材は、湾曲している請求項44に記載の椎間インプラント。
- 前記スペーサ本体は、前記外側壁を通って延びる複数のスロットを形成する請求項40に記載の椎間インプラント。
- 前記スロットは、前記上側及び下側プレートの間の方向に沿って細長い請求項47に記載の椎間インプラント。
- 前記上側及び下側プレートは、それぞれの骨係合面を形成する請求項40に記載の椎間インプラント。
- 前記スペーサ本体及び前記インサートは、それぞれの上側及び下側骨係合面を形成し、このそれぞれの上側及び下側骨係合面の少なくとも一部分には、その上に複数の把持構造体が形成され、この把持構造体は、椎間インプラントが椎間腔の中に挿入される時に隣接椎体と係合するように構成される請求項40に記載の椎間インプラント。
- 前記インサートは、前記スペーサ本体の少なくとも一部分とは異なる高さを定める請求項40に記載の椎間インプラント。
- 前記インサートの前記高さは、椎間インプラントによって形成される前湾角が、前記スペーサ本体によって形成されるものよりも大きいように、このスペーサ本体の前記少なくとも一部分よりも高い請求項51に記載の椎間インプラント。
- 前記インサート及び前記スペーサ本体の各々は、更に、このインサートがこのスペーサ部材に結合される時にこのインサートをこのスペーサ部材に固定するように構成されたそれぞれの連結部材を有する請求項40に記載の椎間インプラント。
- スペーサ本体の少なくとも1対が大きさ及び形状のうちの少なくとも一方の異なるものを定める複数のスペーサ本体と、
インサートの少なくとも1つが前記複数のスペーサ本体のいずれかに結合されるように構成された複数のインサートと、
複数の湾曲固定部材であって、各湾曲固定部材が近位端及びこの近位端の反対側の遠位端を有し、この遠位端が椎体の中に切り込むように構成された先端を有する前記複数の湾曲固定部材と、
を有する椎間インプラントキット。 - 前記複数のスペーサ本体のうちの前記少なくとも2つは、異なる前湾角を形成する請求項54に記載の椎間インプラントキット。
- 前記複数のインサートのうちの少なくとも1つが、前記複数のスペーサ本体のうちの1つの少なくとも一部分とは異なる高さを有する請求項54に記載の椎間インプラントキット。
- 前記複数のインサートのうちの前記少なくとも1つの高さが、この複数のインサートのうちの第2のものよりも高い請求項54に記載の椎間インプラントキット。
- 前記複数のインサートのうちの少なくとも1つが、前記プレートの対向する端部から延びる1対の側壁を形成する請求項54に記載の椎間インプラントキット。
- 前記複数のインサートのうちの少なくとも1つが、それを通って形成された複数の案内開口を有する請求項54に記載の椎間インプラントキット。
- 前記複数のスペーサのうちの少なくとも1つの一部分が、この複数のスペーサのうちの第2のものの対応する部分とは異なる高さを有する請求項54に記載の椎間インプラントキット。
- 前記複数のスペーサのうちの少なくとも1つが、この複数のスペーサのうちの第2のものによって形成されるものとは異なる周囲を形成する請求項54に記載の椎間インプラントキット。
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US12/761,101 US9408715B2 (en) | 2009-04-15 | 2010-04-15 | Arcuate fixation member |
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PCT/US2011/029738 WO2011129973A1 (en) | 2010-04-15 | 2011-03-24 | Arcuate fixation member and intervertebral implant |
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US10716680B2 (en) | 2020-07-21 |
JP5975530B2 (ja) | 2016-08-23 |
US9408715B2 (en) | 2016-08-09 |
WO2011129973A1 (en) | 2011-10-20 |
US20200337854A1 (en) | 2020-10-29 |
CN105232132A (zh) | 2016-01-13 |
US10105236B2 (en) | 2018-10-23 |
US20160338853A1 (en) | 2016-11-24 |
US20110098747A1 (en) | 2011-04-28 |
CN102843995A (zh) | 2012-12-26 |
CN102843995B (zh) | 2015-09-09 |
EP2558036A1 (en) | 2013-02-20 |
BR112012024806A2 (pt) | 2016-12-06 |
KR20130058668A (ko) | 2013-06-04 |
US20190015219A1 (en) | 2019-01-17 |
CA2789803A1 (en) | 2011-10-20 |
EP2558036B1 (en) | 2017-08-23 |
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