JP2013538076A - 仙腸骨安定化のためのシステム - Google Patents
仙腸骨安定化のためのシステム Download PDFInfo
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- JP2013538076A JP2013538076A JP2013521956A JP2013521956A JP2013538076A JP 2013538076 A JP2013538076 A JP 2013538076A JP 2013521956 A JP2013521956 A JP 2013521956A JP 2013521956 A JP2013521956 A JP 2013521956A JP 2013538076 A JP2013538076 A JP 2013538076A
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Abstract
Description
本発明は、概して、骨格系の隣接する骨構造の安定化および/または固定に関し、より具体的には、ヒトの仙腸関節を安定化および/または固定するための低侵襲的なシステムに関する。
背痛は、脊柱の仙腸(「SI」)関節等の身体のある骨格関節の安定化または癒合を介
して減少または排除され得る。図1Aを参照すると、SI関節(6)は、骨盤の上骨である腸骨(4)と、脊柱の基底部である仙骨(2)との関節運動部に位置する。仙腸関節(6)は、限定された可動範囲を有するが、関節の機能障害は、ある場合には、通常の活動に及ぼす非常に有意な悪影響を有すると確認され、それらと関連付けられている。靭帯、血管、および神経等の重要な軟組織構造が、SI関節を囲繞し、介入を困難にしている。重要な周囲軟組織構造を侵害しないアプローチから、そのような介入を要求する、患者内のSI関節を低侵襲的に安定化および/または固定するための手段を有することは、貴重となるであろう。
Claims (12)
- SI関節を安定化させるためのシステムであって、
該システムは、
a.欠陥生成ツールアセンブリであって、該ツールアセンブリは、後方アプローチから、患者の仙骨と腸骨構造との間に画定されるSI接合部の中に前進させられるように構成され、該ツールアセンブリは、該仙骨と該腸骨との両方の部分によって少なくとも部分的に画定される欠陥を生成するように構成され、該欠陥は、3次元形状を有し、該3次元形状は、該ツールアセンブリの長手軸に実質的に垂直な平面における少なくとも1つの円形でない断面形状によって部分的に画定される、ツールアセンブリと、
b.該ツールアセンブリによって生成される該欠陥の中に適合するように構成されるプロテーゼと
を含む、システム。 - 前記ツールアセンブリは、1つ以上の除心デバイスを含み、該除心デバイスは、前記仙骨、腸骨、または両方の1つ以上の部分を除去および摘出するように構成される、請求項1に記載のシステム。
- ツールアセンブリ前進デバイスをさらに含み、該ツールアセンブリ前進デバイスは、ハンマー、ドリル、ソレノイド、およびピストンから成る群から選択される、請求項1に記載のシステム。
- 画像捕捉デバイスをさらに含み、該画像捕捉デバイスは、術中に、前記仙骨および腸骨の部分と関連する前記ツールアセンブリの画像を捕捉するように構成される、請求項1に記載のシステム。
- 前記画像捕捉デバイスは、X線透視装置、CTシステム、超音波システム、X線撮影システム、および磁気共鳴画像診断システムから成る群から選択される、請求項4に記載のシステム。
- 固定触媒をさらに含み、該固定触媒は、前記プロテーゼとともに前記欠陥の中に適合するように構成され、該触媒は、脱灰骨基質、自家移植骨材料、同種移植骨材料、ポリメタクリル酸メチル、カルシウム系骨空洞充填材材料、および骨形態形成蛋白質から成る群から選択される、請求項1に記載のシステム。
- 骨形態形成蛋白質は、BMP−1、BMP−7、およびOP−1から成る群から選択される、請求項6に記載のシステム。
- 前記少なくとも1つの円形でない断面形状は、卵形形状、楕円形形状、多葉性形状、「H」形状、「弓状H」形状、長方形形状、および正方形形状から成る群から選択される、請求項7に記載のシステム。
- 前記少なくとも1つの円形でない断面形状は、該円形でない断面形状から離れるように延在する1つ以上の脚部分をさらに含む、請求項8に記載のシステム。
- 前記脚部分のうちの1つ以上は、直線脚、弓状脚、および多重分割脚から成る群から選択される形状を含む、請求項9に記載のシステム。
- 前記ツールアセンブリは、該ツールアセンブリの長手軸に対して断面が変化する欠陥形状を生成するように構成される、請求項1に記載のシステム。
- 前記ツールアセンブリは、対応する遠位断面形状よりも面積が大きい近位断面形状を有する欠陥を生成するように構成される、請求項11に記載のシステム。
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2015
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2016
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JP2018161547A (ja) | 2018-10-18 |
JP2016013461A (ja) | 2016-01-28 |
US20130218215A1 (en) | 2013-08-22 |
AU2011282746A1 (en) | 2013-02-21 |
AU2015261589A1 (en) | 2015-12-17 |
US11147675B2 (en) | 2021-10-19 |
BR112013002081A2 (pt) | 2018-01-30 |
EP2598061A1 (en) | 2013-06-05 |
US20170245999A1 (en) | 2017-08-31 |
WO2012015976A1 (en) | 2012-02-02 |
CA2806755C (en) | 2018-07-10 |
AU2015261589B2 (en) | 2017-08-24 |
US20120083883A1 (en) | 2012-04-05 |
EP3372179A1 (en) | 2018-09-12 |
IL224414B (en) | 2018-04-30 |
US11273042B2 (en) | 2022-03-15 |
CA2806755A1 (en) | 2012-02-02 |
US20130231746A1 (en) | 2013-09-05 |
US9492284B2 (en) | 2016-11-15 |
AU2015261589B9 (en) | 2017-09-28 |
JP7108488B2 (ja) | 2022-07-28 |
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