JP2014061410A - プロテーゼの取り外し - Google Patents
プロテーゼの取り外し Download PDFInfo
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- JP2014061410A JP2014061410A JP2013229863A JP2013229863A JP2014061410A JP 2014061410 A JP2014061410 A JP 2014061410A JP 2013229863 A JP2013229863 A JP 2013229863A JP 2013229863 A JP2013229863 A JP 2013229863A JP 2014061410 A JP2014061410 A JP 2014061410A
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- 239000007943 implant Substances 0.000 claims abstract description 114
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 12
- 238000000034 method Methods 0.000 claims description 14
- 238000005452 bending Methods 0.000 claims description 10
- 230000001939 inductive effect Effects 0.000 claims description 2
- 230000000149 penetrating effect Effects 0.000 claims description 2
- 230000008878 coupling Effects 0.000 abstract description 19
- 238000010168 coupling process Methods 0.000 abstract description 19
- 238000005859 coupling reaction Methods 0.000 abstract description 19
- 238000013016 damping Methods 0.000 abstract 1
- 230000010355 oscillation Effects 0.000 abstract 1
- 239000004568 cement Substances 0.000 description 10
- 230000004927 fusion Effects 0.000 description 6
- 230000005540 biological transmission Effects 0.000 description 4
- 230000005484 gravity Effects 0.000 description 2
- 230000033001 locomotion Effects 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 238000002604 ultrasonography Methods 0.000 description 2
- 0 CN(*)C1CC1 Chemical compound CN(*)C1CC1 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 239000002639 bone cement Substances 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 210000004197 pelvis Anatomy 0.000 description 1
- 230000000737 periodic effect Effects 0.000 description 1
- 229920003229 poly(methyl methacrylate) Polymers 0.000 description 1
- 239000004926 polymethyl methacrylate Substances 0.000 description 1
- 210000003625 skull Anatomy 0.000 description 1
- 238000000527 sonication Methods 0.000 description 1
- 230000003313 weakening effect Effects 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—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
-
- 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
- A61F2/4603—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
- A61F2/4611—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 of spinal prostheses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
-
- 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
- A61B17/8847—Equipment for handling bone cement or other fluid fillers for removing cement from a bone cavity
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320098—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with transverse or torsional motion
-
- 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
- A61F2/4603—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
- A61F2002/4619—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 for extraction
-
- 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
- A61F2002/4681—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor by applying mechanical shocks, e.g. by hammering
- A61F2002/4683—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor by applying mechanical shocks, e.g. by hammering by applying ultrasonic vibrations
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Physical Education & Sports Medicine (AREA)
- Neurology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
【解決手段】インプラント2の近位端9と係合するアダプタ55と、アダプタ55に対して前記係合された端部9を優れた音響接触において保持するクランプねじ56と、ねじりまたは縦モードの超音波振動のための発振器と、超音波振動をアダプタ手段55に送り、その後インプラント2に送るカップリングリンク61と、を有し、インプラント2の近位端9が、インプラント内に誘導された曲げモードの振動が弱まるのを防ぐために、クランプねじ56の円錐形の先端57と、アダプタ55の隆起部分41と、の間に把持される構成とする。
【選択図】図8
Description
Claims (17)
- 骨からのプロテーゼインプラントの取り外しを補助する装置であって、
前記インプラントの近位端と係合可能なアダプタ手段と、
前記アダプタ手段に対して前記係合された端部を保持するクランプ手段と、
超音波振動を生成する手段と、
前記振動を前記アダプタに送り、その後前記インプラントに送る手段と、
を具備する装置。 - 脊椎からのインプラントの取り外しを補助するように構成されている、請求項1に記載の装置。
- 前記アダプタ手段は、前記インプラントの前記近位端に置かれることが可能である(locatable)ので、前記超音波振動は、前記インプラントにおいて曲げモードの振動を誘導する、請求項1または請求項2に記載の装置。
- 前記アダプタ手段は、前記インプラントの埋め込まれた部分の縦軸から間隔をあけられている部分において前記近位端に取り付け可能である、請求項1ないし3のいずれか1つに記載の装置。
- 前記アダプタ手段は、前記近位端を受け入れるように構成されている凹部手段(recess means)を備え、
前記凹部手段は、前記アダプタ手段の胴体に延在しているスロット手段を具備する、請求項1ないし4のいずれか1つに記載の装置。 - 前記アダプタ手段は、
前記アダプタ手段を貫通して前記凹部手段に延在し、動作可能なように前記クランプ手段を受け入れるように構成されている、ボア手段を備える、請求項5に記載の装置。 - 前記ボア手段と、前記クランプ手段と、は協働可能にねじ込まれている、請求項6に記載の装置。
- 前記アダプタ手段にある前記凹部手段は、前記ボア手段の開口部に隣接して延在している締付手段を備えている、請求項6または請求項7のいずれかに記載の装置。
- 前記締付手段は、前記開口部の向かい側にある前記凹部手段の表面に渡って延在している、請求項8に記載の装置。
- 前記締付手段は、前記ボア手段を貫通しているクランプ手段と協働するように置かれており、間にある前記インプラントの前記近位端を把持する、請求項8または請求項9に記載の装置。
- 前記締付手段は、前記クランプ手段と係合する前に、場所を定めて(locatingly)前記インプラントの前記近位端を受け入れるように構成されている、請求項8ないし10のいずれか1つに記載の装置。
- 前記インプラントをほぼ一点で把持するように構成されている、請求項1ないし11のいずれか1つに記載の装置。
- 前記クランプ手段は、随意に、貫通して(penetratingly)、前記インプラントの前記近位端と係合するように構成されている先細の先端部手段とともに第1の端部に備えられている、請求項1ないし12のいずれか1つに記載の装置。
- 骨に接合されているプロテーゼインプラントを取り外す方法であって、
請求項1ないし13のいずれか1つに記載の装置を提供するステップと、
前記インプラントの近位端の周りにアダプタ手段を取り付けるステップと、
前記インプラントと音響接触するように、係合して(engagingly)前記アダプタ手段にクランプ手段を挿入するステップと、
前記アダプタに超音波振動エネルギーを適用させ、その後インプラントに適用させるステップと、を具備する方法。 - 前記インプラントにおいて曲げモードの振動を誘導するステップを具備する、請求項14に記載の方法。
- 前記インプラントの埋め込まれた部分の縦軸から間隔をあけられている部分にある前記近位端に、前記アダプタ手段を取り付けるステップを具備する、請求項14または請求項15に記載の方法。
- 前記近位端がほぼ一点で把持されるように、前記近位端に前記アダプタ手段を取り付けるステップを具備する、請求項14ないし16のいずれか1つに記載の方法。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB0703249.3 | 2007-02-20 | ||
GBGB0703249.3A GB0703249D0 (en) | 2007-02-20 | 2007-02-20 | Removal of spinal prostheses |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009550753A Division JP2010518955A (ja) | 2007-02-20 | 2008-02-19 | プロテーゼの取り外し |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2014061410A true JP2014061410A (ja) | 2014-04-10 |
JP5866327B2 JP5866327B2 (ja) | 2016-02-17 |
Family
ID=37908930
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009550753A Pending JP2010518955A (ja) | 2007-02-20 | 2008-02-19 | プロテーゼの取り外し |
JP2013229863A Active JP5866327B2 (ja) | 2007-02-20 | 2013-11-05 | プロテーゼの取り外し |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009550753A Pending JP2010518955A (ja) | 2007-02-20 | 2008-02-19 | プロテーゼの取り外し |
Country Status (9)
Country | Link |
---|---|
US (1) | US8852194B2 (ja) |
EP (1) | EP2124838B1 (ja) |
JP (2) | JP2010518955A (ja) |
CN (1) | CN101588774B (ja) |
AU (1) | AU2008217593B2 (ja) |
CA (1) | CA2675654C (ja) |
GB (2) | GB0703249D0 (ja) |
WO (1) | WO2008102135A1 (ja) |
ZA (1) | ZA200904673B (ja) |
Families Citing this family (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8136711B2 (en) * | 2006-09-08 | 2012-03-20 | Tyco Healthcare Group Lp | Dissection tip and introducer for surgical instrument |
EP2571459A2 (de) * | 2010-05-21 | 2013-03-27 | Universität Bern | Vorrichtung zum lösen und explantieren von knochenimplantaten |
GB201015998D0 (en) * | 2010-09-22 | 2010-11-03 | Orthosonics Ltd | Improved femoral implant revision tool |
EP2839806A1 (en) | 2013-08-23 | 2015-02-25 | Rolf G. Winnen | Device for the controlled removal of osseointegrated implants and improved osseodisintegratable implants |
US10610379B2 (en) | 2013-12-29 | 2020-04-07 | Kambiz Behzadi | Prosthesis installation systems and methods |
US10172722B2 (en) | 2013-12-29 | 2019-01-08 | Kambiz Behzadi | Prosthesis installation systems and methods |
US10245162B2 (en) | 2013-12-29 | 2019-04-02 | Kambiz Behzadi | Prosthesis installation systems and methods |
US10456271B2 (en) | 2013-12-29 | 2019-10-29 | Kambiz Behzadi | Prosthesis revision systems and methods |
US10478318B2 (en) | 2013-12-29 | 2019-11-19 | Kambiz Behzadi | Prosthesis installation systems and methods |
US10245160B2 (en) | 2013-12-29 | 2019-04-02 | Kambiz Behzadi | Prosthesis installation systems and methods |
GB201411381D0 (en) * | 2014-06-26 | 2014-08-13 | Sra Dev Ltd | Torsional revision tool |
US10729415B2 (en) * | 2016-05-20 | 2020-08-04 | Cook Medical Technologies Llc | Vibrating medical device assembly and method of retrieving embedded implantable device |
WO2018000102A1 (en) | 2016-07-01 | 2018-01-04 | Swan Cytologics Inc. | Method and apparatus for extracting and delivery of entities |
CN107116296A (zh) * | 2017-02-20 | 2017-09-01 | 广州市水无沙生物科技有限公司 | 医用超声焊接机 |
US10980587B2 (en) * | 2018-01-25 | 2021-04-20 | Medtronic Holding Company Sàrl | Adaptor for use with a driver, a drill, and a cannula for drilling into bone |
Citations (3)
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US5330481A (en) * | 1989-01-31 | 1994-07-19 | Advanced Osseous Technologies, Inc. | Apparatus for implantation and extraction of osteal prostheses |
JPH0747094A (ja) * | 1993-03-26 | 1995-02-21 | Michael J R Young | 人工装具を除去するための装置及び方法 |
US20060058791A1 (en) * | 2004-08-18 | 2006-03-16 | Richard Broman | Implantable spinal device revision system |
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US5045054A (en) * | 1990-02-06 | 1991-09-03 | Advanced Osseous Technologies Inc. | Apparatus for implantation and extraction of osteal prostheses |
US5318570A (en) * | 1989-01-31 | 1994-06-07 | Advanced Osseous Technologies, Inc. | Ultrasonic tool |
US5324297A (en) * | 1989-01-31 | 1994-06-28 | Advanced Osseous Technologies, Inc. | Ultrasonic tool connector |
US5300021A (en) * | 1992-08-20 | 1994-04-05 | Sonokinetics Group | Apparatus for removing cores of thermoplastic and elastomeric material |
US5536272A (en) * | 1993-03-26 | 1996-07-16 | Orthosonics Ltd. | Method for removal of osteal prostheses |
GB2277448A (en) | 1993-04-19 | 1994-11-02 | Paul Albert Thodiyil | Ultrasound apparatus and method for securing or removing a prosthesis |
GB2288120A (en) * | 1994-03-29 | 1995-10-11 | Michael John Radley Young | Ultrasonic apparatus for removal of osteal prosthesis |
FR2749501B1 (fr) * | 1996-06-05 | 1998-08-07 | Sferic | Dispositif d'extraction de tiges medullaires |
US6932308B2 (en) * | 2000-10-25 | 2005-08-23 | Exogen, Inc. | Transducer mounting assembly |
WO2006020803A2 (en) * | 2004-08-10 | 2006-02-23 | The Johns Hopkins University | Implant extractor device and methods of use |
US20060100548A1 (en) * | 2004-11-09 | 2006-05-11 | Sdgi Holdings, Inc. | Ultrasonic implant revision instrument |
CA2622854A1 (en) * | 2005-09-21 | 2007-03-29 | Children's Hospital Medical Center | Endoscopic instruments and method for the delivery of spinal implant |
US7967820B2 (en) * | 2006-02-07 | 2011-06-28 | P Tech, Llc. | Methods and devices for trauma welding |
US8496657B2 (en) * | 2006-02-07 | 2013-07-30 | P Tech, Llc. | Methods for utilizing vibratory energy to weld, stake and/or remove implants |
-
2007
- 2007-02-20 GB GBGB0703249.3A patent/GB0703249D0/en not_active Ceased
-
2008
- 2008-02-19 CN CN2008800031638A patent/CN101588774B/zh active Active
- 2008-02-19 AU AU2008217593A patent/AU2008217593B2/en active Active
- 2008-02-19 EP EP08709473.6A patent/EP2124838B1/en active Active
- 2008-02-19 JP JP2009550753A patent/JP2010518955A/ja active Pending
- 2008-02-19 WO PCT/GB2008/000588 patent/WO2008102135A1/en active Application Filing
- 2008-02-19 US US12/525,617 patent/US8852194B2/en active Active
- 2008-02-19 CA CA2675654A patent/CA2675654C/en active Active
- 2008-02-20 GB GB0803077.7A patent/GB2446944B/en active Active
-
2009
- 2009-07-03 ZA ZA200904673A patent/ZA200904673B/xx unknown
-
2013
- 2013-11-05 JP JP2013229863A patent/JP5866327B2/ja active Active
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5330481A (en) * | 1989-01-31 | 1994-07-19 | Advanced Osseous Technologies, Inc. | Apparatus for implantation and extraction of osteal prostheses |
JPH0747094A (ja) * | 1993-03-26 | 1995-02-21 | Michael J R Young | 人工装具を除去するための装置及び方法 |
US20060058791A1 (en) * | 2004-08-18 | 2006-03-16 | Richard Broman | Implantable spinal device revision system |
Also Published As
Publication number | Publication date |
---|---|
US8852194B2 (en) | 2014-10-07 |
EP2124838A1 (en) | 2009-12-02 |
GB0803077D0 (en) | 2008-03-26 |
AU2008217593A1 (en) | 2008-08-28 |
JP2010518955A (ja) | 2010-06-03 |
CA2675654C (en) | 2015-06-16 |
WO2008102135A1 (en) | 2008-08-28 |
EP2124838B1 (en) | 2015-03-25 |
GB2446944B (en) | 2012-02-22 |
AU2008217593B2 (en) | 2013-08-15 |
GB0703249D0 (en) | 2007-03-28 |
JP5866327B2 (ja) | 2016-02-17 |
GB2446944A (en) | 2008-08-27 |
ZA200904673B (en) | 2010-04-28 |
CN101588774A (zh) | 2009-11-25 |
CN101588774B (zh) | 2013-12-18 |
CA2675654A1 (en) | 2008-08-28 |
US20100100139A1 (en) | 2010-04-22 |
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