JP2014519870A - 整形外科デバイスのランドマークのターゲティング - Google Patents
整形外科デバイスのランドマークのターゲティング Download PDFInfo
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Abstract
Description
本出願は、内容全体が参照により本明細書に組み込まれている、2011年5月6日出願の「Targeting Landmarks of Orthopaedic Devices」という名称の米国仮特許出願第61/483,228号の優先権および完全な利益を主張するものである。
0.5(D/2+A/2)<X<1.0(D/2+A/2)
別の実装形態によれば、直径Dは短軸Bより小さい。直径Dは、以下の条件を満たすことができる。
0.75B≦D≦1.1B
10 システム
12 制御ユニット
14 モニタ
16 磁界生成器
18 ランドマーク識別子
20 センサ
21 通信モジュール
22 鋸歯状の先端部
24 管
25 通信モジュール
26 ハンドル
28 整形外科インプラントアセンブリ
30 インプラント
31 貫通孔
32 センサ、電磁界センサ
33 スロット孔
34 溝
35 連結孔
35a 円形部分
35b 細長い部分
36 ポケット
37 外面
38 カバー
39 第2の開口
40 挿入ハンドル
41 内面
42 カニューレ挿入
50 リード
52 第1のコネクタ
54 第2のコネクタ
60 骨折
110 手持ち式のランドマーク識別子
110a 電磁界生成器
111 ケーブル
112 結合部材
113 筐体
113a 第1のカバーリング
113b 第2のカバーリング
116 ドリルガイド
116a 鋸歯状の先端部
200 ターゲティングシステム
210 制御ユニット
210a ユーザインターフェース
215 UPの矢印
217 DOWNの矢印
220 挿入ハンドル
244a 第1の識別子要素
244b 第2の識別子要素
244c 第3の識別子要素
246a ランドマーク要素
300 骨プレート
331 貫通孔
335 連結孔
335a 円形部分
335b 細長い部分
350 中心
360 中心
A 長軸
B 短軸
C1 第1の中心点
C2 第2の中心点
D 直径
X 距離
Claims (63)
整形外科インプラントに対して既知の位置に配置された磁気センサから信号を受け取ることであって、整形外科インプラントが、貫通要素を受ける孔を画定し、前記孔が、前記孔の中の2つ以上のターゲティング場所で貫通要素を受けるように画定される、受け取ることと、
前記2つ以上のターゲティング場所のうちの第1のターゲティング場所を選択することと、
前記信号に基づいて、前記第1のターゲティング場所に対するランドマーク識別子の位置を確定することと、
前記第1のターゲティング場所に対する前記ランドマーク識別子の前記位置を示すこととを含む、
装置。
前記整形外科インプラントの特性に関する情報にアクセスすることと、
前記整形外科インプラントに対する前記磁気センサの前記位置に関する情報にアクセスすることとを含み、
前記第1のターゲティング場所に対する前記ランドマーク識別子の前記位置を確定することが、前記整形外科インプラントの前記特性および前記整形外科インプラントに対する前記磁気センサの前記位置に関する前記情報にさらに基づいて行われる、
請求項1に記載の装置。
前記磁気センサから第2の信号を受け取ることと、
前記第2の信号に基づいて、前記2つ以上のターゲティング場所のうちの第2のターゲティング場所に対する前記ランドマーク識別子の位置を確定することと、
前記第2のターゲティング場所に対する前記ランドマーク識別子の前記位置を示すことと
をさらに含む、請求項1に記載の装置。
前記第2のターゲティング場所に対する前記ランドマーク識別子の前記位置を示すことが、ロックファスナを設置するための場所を示すことを含む、
請求項4に記載の装置。
前記磁気センサから第2の信号を受け取ることと、
前記第2の信号に基づいて、第2の孔の中の第2のターゲティング場所に対する前記ランドマーク識別子の位置を確定することと、
前記第2のターゲティング場所に対する前記ランドマーク識別子の前記位置を示すことと
をさらに含む、請求項1に記載の装置。
ユーザ入力を受け取ることと、
前記ユーザ入力に基づいて前記第1のターゲティング場所を選択することと
を含む、請求項1に記載の装置。
骨圧迫量を示す情報にアクセスすることと、
貫通要素の挿入により前記骨圧迫量が生じる場所を前記第1のターゲティング場所として選択することと
を含む、請求項1に記載の装置。
電磁ターゲティングシステムを使用してターゲット場所に対する計器の位置を確定するステップであって、前記ターゲット場所が、整形外科インプラント内に画定された孔の中に配置され、前記孔が、前記孔の中の2つ以上の場所で貫通要素を受けるように画定される、ステップと、
前記整形外科インプラント、前記孔、および前記ターゲット場所の図を表示デバイス上に表示するステップと、
前記ターゲット場所に対する前記計器の前記位置を前記表示デバイス上に示すステップと、
前記ターゲット場所に対応する骨折への圧迫量を前記表示デバイス上に示すステップと
を含む、方法。
前記ユーザ入力を受け取ったことに応答して、前記ターゲット場所を前記2つ以上の場所のうちの第1の場所から前記2つ以上の場所のうちの第2の場所へ変更するステップと
をさらに含む、請求項13に記載の方法。
前記ターゲット場所を前記2つ以上の場所のうちの第1の場所から前記2つ以上の場所のうちの第2の場所へ変更するステップが、
貫通要素の挿入により前記指定の骨圧迫量が生じる場所を前記第2の場所として確定するステップと、
前記第2の場所に対する前記計器の前記位置を前記表示デバイス上に示すステップと
を含む、請求項14に記載の方法。
貫通要素を受けるための2つ以上のターゲティング場所を画定する少なくとも1つの孔を画定する整形外科インプラントであって、前記2つ以上の場所のうちの少なくとも1つに対して既知の場所に配置された磁気センサを有する整形外科インプラントと、
ランドマーク識別子と、
制御ユニットとを備え、前記制御ユニットが、
前記2つ以上の場所のうちの1つをターゲット場所として選択し、
前記磁気センサから信号を受け取り、
受け取った前記信号に基づいて前記ターゲット場所に対する前記ランドマーク識別子の位置を確定し、
前記ターゲット場所に対する前記ランドマーク識別子の前記位置を示すように構成される、
システム。
ターゲティングするための2つ以上の場所を画定する少なくとも1つのランドマーク、および前記2つ以上の場所のうちの少なくとも1つから既知の距離を隔てたところに配置された第1の磁気センサを有する前記整形外科インプラントを、身体内に移植するステップと、
第2の磁気センサおよび磁界生成器のうちの少なくとも1つを有するランドマーク識別子を使用して、前記場所のうちの1つを識別するステップと、
前記少なくとも1つのランドマーク内に貫通要素を設置するステップと、
前記ランドマーク識別子を使用して第2の場所を識別するステップと
を含む、方法。
ターゲティングするための2つ以上の場所を画定する少なくとも1つの孔を画定する骨プレート、および前記2つ以上の場所のうちの少なくとも1つから既知の距離を隔てたところに配置された第1の磁気センサを含む前記整形外科インプラントを、身体内に移植するステップと、
第2の磁気センサおよび磁界生成器のうちの少なくとも1つを有するランドマーク識別子を使用して、前記場所のうちの1つを識別するステップと、
前記場所のうちの前記1つにノンロックファスナを設置するステップと、
前記ランドマーク識別子を使用して前記少なくとも1つの孔の第2の場所を識別するステップと、
前記少なくとも1つの孔の前記第2の場所にロックファスナを設置するステップと
を含む、方法。
ターゲティングするための2つ以上の孔位置、細長い部分、および部分的にねじ切りされた円形部分を画定する少なくとも1つの孔を画定する整形外科プレートおよび髄内ネイルのうちの少なくとも1つ、ならびに前記孔位置のうちの少なくとも1つから既知の距離を隔てたところに配置された第1の磁気センサを備える整形外科インプラントを、患者内に移植するステップと、
第2の磁気センサおよび磁界生成器のうちの少なくとも1つを備えるランドマーク識別子を使用して、前記細長い部分内の前記孔位置のうちの少なくとも1つを識別するステップと、
前記細長い部分内の前記孔位置のうちの前記少なくとも1つにノンロックねじを設置するステップと、
前記ランドマーク識別子を使用して前記円形部分内の前記孔位置のうちの少なくとも1つを識別するステップと、
前記円形部分内の前記孔位置のうちの前記少なくとも1つにロックねじを設置するステップと
を含む、方法。
ターゲティングするための2つ以上の孔位置ならびに細長い部分およびねじ切りされた円形部分を画定する少なくとも1つの第1の孔、第2の孔、ならびに第3の孔を画定する整形外科プレート、ならびに前記孔位置、前記第2の孔、および前記第3の孔のうちの少なくとも1つから既知の距離を隔てたところに配置された第1の磁気センサを有する整形外科インプラントアセンブリを設けるステップと、
前記第2の孔と前記第3の孔がそれぞれ骨折の両側に位置決めされるように、前記整形外科インプラントアセンブリを患者内に移植するステップと、
骨に係合するように前記第2の孔および前記第3の孔のうちの一方の中に第1の貫通要素を設置するステップと、
第2の磁気センサおよび磁界生成器のうちの少なくとも1つを有するランドマーク識別子を使用して、前記細長い部分内の前記孔位置のうちの少なくとも1つを識別するステップと、
前記細長い部分内の前記孔位置のうちの前記少なくとも1つにノンロックねじを設置するステップと、
前記ねじ切りされた円形部分ならびに前記第2の孔および前記第3の孔のうちの他方の中に第2の貫通要素を設置するステップと
を含む、方法。
少なくとも1つの特徴および関連する第1の磁気センサを備える整形外科インプラントを、患者内に移植するステップと、
第2の磁気センサおよび磁界生成器のうちの少なくとも1つを備えるランドマーク識別子を使用して、前記特徴内の特定の位置を識別するステップと、
前記特徴内の前記特定の位置に貫通要素を設置するステップと
を含む、方法。
少なくとも第1の非楕円形の孔、第2の非楕円形の孔、および関連する第1の磁気センサを備える整形外科インプラントを、患者内に移植するステップと、
第2の磁気センサおよび磁界生成器のうちの少なくとも1つを備えるランドマーク識別子を使用して、前記第1の非楕円形の孔の中心点から距離を隔てた位置を識別するステップと、
前記骨折を圧迫するように前記位置に第1の貫通要素を設置するステップと、
前記ランドマーク識別子を使用して、前記第2の非楕円形の孔の中心点から距離を隔てた第2の位置を識別するステップと、
前記骨折をさらに圧迫するように前記第2の位置に第2の貫通要素を設置するステップとを含む、方法。
整形外科インプラント、前記インプラントに関連する少なくとも1つのランドマーク、および前記ランドマークに関連する少なくとも1つのターゲットの画像を表示デバイス上に表示するステップと、
骨折への圧迫量を調整するための画面上の制御部および骨折への圧迫量を示す値のうちの少なくとも1つを前記表示デバイス上に表示するステップと
を含む、方法。
前記入力値に基づいて前記ターゲットの位置を変更するステップと
をさらに含む、請求項52に記載の方法。
前記1つまたは複数の画面上制御部とのユーザの対話を示すデータを受け取るステップと、
前記画面上制御部との前記ユーザの対話に基づいて前記ターゲットの位置を変更するステップと
をさらに含む、請求項52に記載の方法。
細長い部分およびねじ切りされた部分を含む孔ならびにスロットのうちの少なくとも1つを備える整形外科インプラントのグラフィカル描写を表示するステップと、
ユーザが前記細長い部分および前記スロットのうちの少なくとも1つの長手方向軸に沿ってノンロックねじのターゲット場所を動かすことを可能にする少なくとも1つのグラフィカル特徴を表示するステップと
を含む、方法。
骨折への圧迫量を示す値
のうちの少なくとも1つを表示するステップをさらに含む、請求項61に記載の方法。
前記1つまたは複数の制御部とのユーザの対話を示すデータを受け取るステップと、
前記1つまたは複数の制御部との前記ユーザの対話に応答して、前記細長い部分または前記スロットに対する前記ノンロックねじの前記ターゲット位置を変更し、それによって前記骨折に加えられる前記圧迫量を変更するステップと
をさらに含む、請求項61に記載の方法。
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BR112013028627A2 (pt) | 2017-01-24 |
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