JP2014516267A - 一直線上に単一部品定着具を有する融合ケージ - Google Patents
一直線上に単一部品定着具を有する融合ケージ Download PDFInfo
- Publication number
- JP2014516267A JP2014516267A JP2014501177A JP2014501177A JP2014516267A JP 2014516267 A JP2014516267 A JP 2014516267A JP 2014501177 A JP2014501177 A JP 2014501177A JP 2014501177 A JP2014501177 A JP 2014501177A JP 2014516267 A JP2014516267 A JP 2014516267A
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- Prior art keywords
- cage
- tines
- staple
- crossbar
- wall
- 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
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- 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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
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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
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
- A61F2/4465—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
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- A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
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- 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
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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
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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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- 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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- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
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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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- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
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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
- 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
- A61F2002/4625—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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
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- 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
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- 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
- A61F2310/00029—Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
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- 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
- A61F2310/00161—Carbon; Graphite
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Abstract
Description
a)中に凹部7を有する前面5を有する前壁3と、後壁9と、前壁及び後壁を接続する一対の側壁11と、上面13と、下面14と、上面から下面へ延在する通り穴15とを備え、前端17を有する、椎間融合ケージ1と、
b)第1のクロスバー23と、そこから延在する第1の尖叉25及び第2の尖叉27とを備えるステープル21と、を備え、
ステープルの第1のクロスバーの少なくとも一部分が、前壁の前面内の凹部内に配設され、
第1の尖叉が、ケージの上面の上方に延在し、第2の尖叉が、ケージの底面の下方に延在し、
前面が、ケージの前端である、ゼロプロファイル椎間融合装置が提供される(請求項1)。
a)中に凹部を有する前面を有する前壁と、後壁と、前壁及び後壁を接続する一対の側壁と、上面と、下面と、上面から下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、一体式ステープルと、を備え、
ステープルの第1のクロスバーの少なくとも一部分が、前壁の前面内の凹部内に配設され、
第1の尖叉が、ケージの上面の上方に延在し、かつ第2の尖叉が、ケージの底面の下方に延在する、二部分からなる椎間融合装置が提供される(請求項10)。
a)40〜99%(より好ましくは、60〜80容積%)のポリアリールエチルケトン(PAEK)と、
b)1〜60%(より好ましくは、20〜40容積%)の炭素繊維と、を含み、
ポリアリールエチルケトン(PAEK)は、ポリエーテルエーテルケトン(PEEK)、ポリエーテルケトンケトン(PEKK)、及びポリエーテルケトン(PEK)からなる群から選択される。
(1) 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える椎間融合ケージであって、前端を有する、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルと、を備え、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記前面が、前記ケージの前記前端である、椎間融合装置。
(2) 各尖叉が複数の歯を備える、実施態様1に記載の装置。
(3) 前記ステープルが、形状記憶材料を含む、実施態様1に記載の装置。
(4) 前記尖叉が、歪曲された配向で配設される、実施態様1に記載の装置。
(5) 少なくとも1つの尖叉が、前記第1のクロスバーから鈍角で前記第1のクロスバーから延在する、実施態様1に記載の装置。
(7) 前記2つのクロスバーが、実質的に環を形成する、実施態様6に記載の装置。
(8) c)前記環を通過し、前記前壁の前記前面内の前記凹部内に完全に配設される止めねじを更に備える、実施態様7に記載の装置。
(9) 少なくとも1つの尖叉が、前記前壁から鈍角で、前記第1のクロスバーから延在する、実施態様1に記載の装置。
(10) 二部分からなる椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルと、からなり、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が前記ケージの前記底面の下方に延在する、二部分からなる椎間融合装置。
(12) 前記ステープルが、形状記憶材料を含み、またマルテンサイト構成及びオーステナイト構成を有し、少なくとも1つの尖叉が、前記マルテンサイト構成にて前記クロスバーと第1の角度を、前記オーステナイト構成にて前記クロスバーと第2の角度を形成する、実施態様10に記載の装置。
(13) 前記第1の角度が、前記第2の角度より大きい、実施態様12に記載の装置。
(14) 前記ステープルが、2つのクロスバーを備える、実施態様10に記載の装置。
(15) 前記2つのクロスバーが、実質的に環を形成する、実施態様14に記載の装置。
(17) c)前記通り穴内部に配設される骨グラフト材料を更に備える、実施態様10に記載の装置。
(18) 各尖叉が、内側へ湾曲する遠位端部分を有する、実施態様10に記載の装置。
(19) 前記前壁内の前記凹部が、前記ケージの前記上面から前記下面へ延在する、実施態様10に記載の装置。
(20) 各尖叉が、前記前壁の前記前面の完全に後方に配設される、実施態様10に記載の装置。
(22) 前記前壁が後面を有し、前記第1及び第2の尖叉が、前記前壁の前記後面を通って延在する、実施態様10に記載の装置。
(23) 前記凹部が、前記前壁を通って延在する上部穴と、前記前壁を通って延在する下部穴と、を画定し、前記尖叉が、前記上部穴及び下部穴を通って延在する、実施態様10に記載の装置。
(24) 少なくとも1つの尖叉が、前記通り穴の中へ延在する、実施態様10に記載の装置。
(25) 椎間融合装置であって、
a)前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、単一のステープルと、を備え、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記ステープルが、第1の構成及び第2の構成を画定する形状記憶材料を含み、少なくとも1つの尖叉が、前記第1の構成にて前記クロスバーと第1の角度を、前記第2の構成にて前記クロスバーと第2の角度を形成し、
前記第2の角度が前記第1の角度より小さい、椎間融合装置。
前記ステープルが、前記第2の構成にて前記骨グラフトの圧縮を提供する、実施態様25に記載の装置。
(27) 椎間融合装置であって、
a)前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、単一のステープルと、を備え、
前記ステープルの前記第1のクロスバーが、前記ケージの前記前壁に接続され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記第1の尖叉の近位部分が、第1の方向に延在し、前記第1の尖叉の遠位部分が、第2の方向に延在し、前記第2の方向が、前記ケージの前記上面に対して前記第1の方向より平行である、椎間融合装置。
(28) 椎間融合装置であって、
a)前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、単一のステープルと、を備え、
前記ステープルの前記第1のクロスバーが、前記ケージの前記前壁に接続され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記第1の尖叉の近位部分が前記ケージから離れて延在し、前記第1の尖叉の遠位部分が前記ケージに向かって延在する、椎間融合装置。
(29) 椎間融合装置であって、
a)前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルであって、各尖叉が遠位端を有する、ステープルと、を備え、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記ステープルが、第1の構成及び第2の構成を画定する形状記憶材料を含み、
前記第1の構成における前記尖叉の前記遠位端が、第1の距離だけ分離され、前記第2の構成における前記尖叉の前記遠位端が、第2の距離だけ分離され、
前記第2の距離が、前記第1の距離より小さい、椎間融合装置。
(30) 前記ケージが、少なくとも1つの凹部を有し、前記第2の構成が、凹部外形又はカバープレートによって決定付けられる、実施態様29に記載の装置。
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルであって、前記クロスバーが中間部分を備える、ステープルと、
c)前記ステープルを通過する止めねじと、を備え、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記止めねじ及び前記ステープルの前記第1のクロスバーの前記中間部分の双方が、前記前壁の前記前面内の前記凹部内に完全に配設される、椎間融合装置。
(32) 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルであって、前記第1のクロスバーが後面を有する、ステープルと、を備え、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記クロスバーの前記後面が、鋭利なブレードを形成する、椎間融合装置。
(33) 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える椎間融合ケージであって、前端を有する、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルであって、各尖叉が、近位部分と遠位部分とを有する、ステープルと、を備え、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
各尖叉の前記遠位部分が、拡大されたヘッドを形成する、椎間融合装置。
(34) 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える椎間融合ケージであって、前端を有する、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルであって、各尖叉が、近位部分と遠位部分とを有する、ステープルと、を備え、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
各尖叉の前記遠位部分が、複数の歯を形成する、椎間融合装置。
(35) 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える椎間融合ケージであって、前端を有する、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルであって、各尖叉が、近位部分と遠位部分とを有する、ステープルと、を備え、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記第1及び第2の尖叉が、歪曲された関係にある、椎間融合装置。
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える椎間融合ケージであって、前端を有する、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルと、を備え、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記クロスバーが、挿入器具に連結するように適合される凹部を中に有する前面を備える、椎間融合装置。
(37) 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える椎間融合ケージであって、前端を有する、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備えるステープルと、からなり、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が前記ケージの前記底面の下方に延在する、椎間融合装置。
(38) 融合装置を患者の椎間板腔内へ挿入する方法であって、
a)中に凹部を有する前面を有する前壁を有する融合ケージを選択する工程と、
b)前記前面が前方に面するように前記ケージを前記円板腔(disc space)へ挿入する工程と、
c)ステープルを前記前面内の前記凹部内に定置して、ゼロプロファイル装置を作出する工程と、を含む、方法。
Claims (37)
- 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える椎間融合ケージであって、前端を有する、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルと、を備え、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記前面が、前記ケージの前記前端である、椎間融合装置。 - 各尖叉が複数の歯を備える、請求項1に記載の装置。
- 前記ステープルが、形状記憶材料を含む、請求項1に記載の装置。
- 前記尖叉が、歪曲された配向で配設される、請求項1に記載の装置。
- 少なくとも1つの尖叉が、前記第1のクロスバーから鈍角で前記第1のクロスバーから延在する、請求項1に記載の装置。
- 前記ステープルが、前記尖叉間に延在する少なくとも2つのクロスバーを備える、請求項1に記載の装置。
- 前記2つのクロスバーが、実質的に環を形成する、請求項6に記載の装置。
- c)前記環を通過し、前記前壁の前記前面内の前記凹部内に完全に配設される止めねじを更に備える、請求項7に記載の装置。
- 少なくとも1つの尖叉が、前記前壁から鈍角で、前記第1のクロスバーから延在する、請求項1に記載の装置。
- 二部分からなる椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルと、からなり、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が前記ケージの前記底面の下方に延在する、二部分からなる椎間融合装置。 - 少なくとも1つの尖叉が、幅及び高さを有し、前記少なくとも1つの尖叉の前記幅が前記高さの少なくとも2倍である、請求項10に記載の装置。
- 前記ステープルが、形状記憶材料を含み、またマルテンサイト構成及びオーステナイト構成を有し、少なくとも1つの尖叉が、前記マルテンサイト構成にて前記クロスバーと第1の角度を、前記オーステナイト構成にて前記クロスバーと第2の角度を形成する、請求項10に記載の装置。
- 前記第1の角度が、前記第2の角度より大きい、請求項12に記載の装置。
- 前記ステープルが、2つのクロスバーを備える、請求項10に記載の装置。
- 前記2つのクロスバーが、実質的に環を形成する、請求項14に記載の装置。
- 前記ステープルが、骨グラフト材料の圧縮を提供する、請求項10に記載の装置。
- c)前記通り穴内部に配設される骨グラフト材料を更に備える、請求項10に記載の装置。
- 各尖叉が、内側へ湾曲する遠位端部分を有する、請求項10に記載の装置。
- 前記前壁内の前記凹部が、前記ケージの前記上面から前記下面へ延在する、請求項10に記載の装置。
- 各尖叉が、前記前壁の前記前面の完全に後方に配設される、請求項10に記載の装置。
- 前記ステープルが、前記ケージの前記上面を通り、かつ前記ケージの前記底面を通って延在する、請求項10に記載の装置。
- 前記前壁が後面を有し、前記第1及び第2の尖叉が、前記前壁の前記後面を通って延在する、請求項10に記載の装置。
- 前記凹部が、前記前壁を通って延在する上部穴と、前記前壁を通って延在する下部穴と、を画定し、前記尖叉が、前記上部穴及び下部穴を通って延在する、請求項10に記載の装置。
- 少なくとも1つの尖叉が、前記通り穴の中へ延在する、請求項10に記載の装置。
- 椎間融合装置であって、
a)前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、単一のステープルと、を備え、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記ステープルが、第1の構成及び第2の構成を画定する形状記憶材料を含み、少なくとも1つの尖叉が、前記第1の構成にて前記クロスバーと第1の角度を、前記第2の構成にて前記クロスバーと第2の角度を形成し、
前記第2の角度が前記第1の角度より小さい、椎間融合装置。 - c)前記通り穴の内部に配設される骨グラフト材料を更に備え、
前記ステープルが、前記第2の構成にて前記骨グラフトの圧縮を提供する、請求項25に記載の装置。 - 椎間融合装置であって、
a)前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、単一のステープルと、を備え、
前記ステープルの前記第1のクロスバーが、前記ケージの前記前壁に接続され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記第1の尖叉の近位部分が、第1の方向に延在し、前記第1の尖叉の遠位部分が、第2の方向に延在し、前記第2の方向が、前記ケージの前記上面に対して前記第1の方向より平行である、椎間融合装置。 - 椎間融合装置であって、
a)前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、単一のステープルと、を備え、
前記ステープルの前記第1のクロスバーが、前記ケージの前記前壁に接続され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記第1の尖叉の近位部分が前記ケージから離れて延在し、前記第1の尖叉の遠位部分が前記ケージに向かって延在する、椎間融合装置。 - 椎間融合装置であって、
a)前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルであって、各尖叉が遠位端を有する、ステープルと、を備え、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記ステープルが、第1の構成及び第2の構成を画定する形状記憶材料を含み、
前記第1の構成における前記尖叉の前記遠位端が、第1の距離だけ分離され、前記第2の構成における前記尖叉の前記遠位端が、第2の距離だけ分離され、
前記第2の距離が、前記第1の距離より小さい、椎間融合装置。 - 前記ケージが、少なくとも1つの凹部を有し、前記第2の構成が、凹部外形又はカバープレートによって決定付けられる、請求項29に記載の装置。
- 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルであって、前記クロスバーが中間部分を備える、ステープルと、
c)前記ステープルを通過する止めねじと、を備え、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記止めねじ及び前記ステープルの前記第1のクロスバーの前記中間部分の双方が、前記前壁の前記前面内の前記凹部内に完全に配設される、椎間融合装置。 - 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルであって、前記第1のクロスバーが後面を有する、ステープルと、を備え、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記クロスバーの前記後面が、鋭利なブレードを形成する、椎間融合装置。 - 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える椎間融合ケージであって、前端を有する、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルであって、各尖叉が、近位部分と遠位部分とを有する、ステープルと、を備え、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
各尖叉の前記遠位部分が、拡大されたヘッドを形成する、椎間融合装置。 - 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える椎間融合ケージであって、前端を有する、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルであって、各尖叉が、近位部分と遠位部分とを有する、ステープルと、を備え、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
各尖叉の前記遠位部分が、複数の歯を形成する、椎間融合装置。 - 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える椎間融合ケージであって、前端を有する、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルであって、各尖叉が、近位部分と遠位部分とを有する、ステープルと、を備え、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記第1及び第2の尖叉が、歪曲された関係にある、椎間融合装置。 - 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える椎間融合ケージであって、前端を有する、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備える、ステープルと、を備え、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が、前記ケージの前記底面の下方に延在し、
前記クロスバーが、挿入器具に連結するように適合される凹部を中に有する前面を備える、椎間融合装置。 - 椎間融合装置であって、
a)中に凹部を有する前面を有する前壁と、後壁と、前記前壁及び後壁を接続する一対の側壁と、上面と、下面と、前記上面から前記下面へ延在する通り穴とを備える椎間融合ケージであって、前端を有する、椎間融合ケージと、
b)第1のクロスバーと、そこから延在する第1及び第2の尖叉とを備えるステープルと、からなり、
前記ステープルの前記第1のクロスバーの少なくとも一部分が、前記前壁の前記前面内の前記凹部内に配設され、
前記第1の尖叉が、前記ケージの前記上面の上方に延在し、前記第2の尖叉が前記ケージの前記底面の下方に延在する、椎間融合装置。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161466321P | 2011-03-22 | 2011-03-22 | |
US61/466,321 | 2011-03-22 | ||
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PCT/US2012/029760 WO2012129205A1 (en) | 2011-03-22 | 2012-03-20 | Fusion cage with in-line single piece fixation |
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CN (1) | CN103561690A (ja) |
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WO2012129205A8 (en) | 2013-10-31 |
KR20140012142A (ko) | 2014-01-29 |
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EP2688521B1 (en) | 2019-07-31 |
AU2012231116A1 (en) | 2013-10-17 |
JP6121398B2 (ja) | 2017-04-26 |
US20120078371A1 (en) | 2012-03-29 |
AU2012231116B2 (en) | 2016-07-28 |
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US11529241B2 (en) | 2022-12-20 |
EP2688521A4 (en) | 2014-08-20 |
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