JP2014521384A - 患者の組織に基準指標を与えるための装置及び方法 - Google Patents
患者の組織に基準指標を与えるための装置及び方法 Download PDFInfo
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Abstract
Description
本出願は、2011年5月19日出願の米国特許仮出願第61/487908号に基づく優先権を主張し、その内容は参照することにより全体が本出願に組み込まれる。
Claims (30)
- 患者の組織に基準指標を与えるための装置であって、
前記患者の組織の一部と接合接触するための輪郭を有する患者固有の一次接合面と、少なくとも1つの取付け形体とを含む一次位置決めブロックであって、前記一次接合面が、前記患者の組織の術前画像化に対応する予め定められた一次接合配向で前記患者の組織と接合するように特注構成される、一次位置決めブロックと、
前記一次位置決めブロックと選択的に係合するように構成された少なくとも1つの二次アイテムであって、該二次アイテムが、非特注製作の汎用二次アイテムと患者固有の二次アイテムの少なくとも一方であり、前記二次アイテムが前記患者の組織の少なくとも一部に基準指標を与える、二次アイテムと、を備え、
前記一次位置決めブロックの前記取付け形体は、少なくとも1つの二次アイテムと予め定められた二次取付け関係で係合するように構成され、前記二次取付け関係が、前記患者の組織の術前画像化に対応して前記患者の組織のために特注構成される、装置。 - 前記二次取付け関係が、前記取付け形体の構成によって患者固有のものとされる、請求項1に記載の装置。
- 前記二次取付け関係が、前記二次アイテムの構成によって患者固有のものとされる、請求項1に記載の装置。
- 前記二次アイテムが、前記患者の組織の切除とトリミングの少なくとも一方を実施する切削器具との間の案内関係のための切削指標体を含む、請求項1に記載の装置。
- 前記二次アイテムが、前記患者の組織内へ侵入器具を案内するためのドリルガイドを含む、請求項1に記載の装置。
- 前記二次アイテムが、前記患者の組織に対する前記装置の少なくとも一部の位置を確認するための位置付け指標体を含む、請求項1に記載の装置。
- 前記位置付け指標体が二次接合面を含み、該二次接合面が、前記患者の組織の術前画像化に対応する予め定められた二次接合配向で前記患者の組織と接合するように特注構成され、前記二次接合配向が、前記一次接合配向と一致しない、請求項6に記載の装置。
- 前記一次位置決めブロックが、前記一次接合配向で、前記患者の組織に対する前記一次位置決めブロックの固定、安定性及び位置指示の少なくとも1つを与えるための少なくとも1つの固着形体を含む、請求項1に記載の装置。
- 前記固着形体が、予め定められた場所及び軌跡で前記患者の組織内へアンカーピンを案内するように構成された固着構造体を含み、前記アンカーピンが、前記一次接合配向で、前記患者の組織に対する前記一次位置決めブロックの固定、安定性及び位置指示の少なくとも1つを与えるように作用する、請求項8に記載の装置。
- 前記二次アイテムが、前記一次位置決めブロックの前記取付け形体と前記予め定められた二次取付け関係で係合するための二次取付け形体を含む、請求項1に記載の装置。
- 前記二次アイテムが、前記患者の組織の切除、再位置付け、穿孔、トリミング及び立体配置確認の少なくとも1つを容易にする、請求項1に記載の装置。
- 患者の組織へ基準指標を与える方法であって、
前記患者の組織の一部と接合接触するための輪郭を有する患者固有の一次接合面と、少なくとも1つの取付け形体と、を含む一次位置決めブロックを用意するステップと、
少なくとも部分的に前記患者の組織の術前画像化に対応して予め定められた一次接合配向で前記一次接合面を前記患者の組織と接合するステップと、
前記一次位置決めブロックと選択的に係合するように構成された少なくとも1つの二次アイテムを用意するステップであって、前記二次アイテムが、非特注製作の汎用二次アイテムと患者固有の二次アイテムの少なくとも一方である、ステップと、
前記一次位置決めブロックの前記取付け形体を少なくとも1つの二次アイテムと予め定められた二次取付け関係で係合するステップであって、前記二次取付け関係が、前記患者の組織の術前画像化に対応して前記患者の組織のために特注構成される、ステップと、
前記二次アイテムを用いて前記患者の組織の少なくとも一部に基準指標を与えるステップと、を含む、方法。 - 前記取付け形体の構成によって前記二次取付け関係を患者固有のものとするステップを含む、請求項12に記載の方法。
- 前記二次アイテムの構成によって前記二次取付け関係を患者固有のものとするステップを含む、請求項12に記載の方法。
- 前記二次アイテムが切削指標体を含み、且つ、当該方法が、前記切削指標体を前記患者の組織の切除とトリミングの少なくとも一方を実施する切削器具との間で案内関係になるように配置するステップを含む、請求項12に記載の方法。
- 前記二次アイテムが位置付け指標体を含み、且つ、当該方法が、前記位置付け指標体を用いて前記患者の組織に対する前記装置の少なくとも一部の位置を確認するステップを含む、請求項12に記載の方法。
- 前記位置付け指標体が、二次接合面を含み、且つ、当該方法が、少なくとも部分的に前記患者の組織の術前画像化に対応して予め定められた二次接合配向で前記二次接合面を前記患者の少なくとも一部と接合するステップを含み、前記二次接合配向が前記一次接合配向と一致しない、請求項16に記載の方法。
- 固着形体を用いて前記一次接合配向で前記患者の組織に対する前記一次位置付けブロックの固定、安定性及び位置指示の少なくとも1つを与えるステップを含む、請求項12に記載の方法。
- 前記二次アイテムが二次取付け形体を含み、且つ、当該方法が、前記二次取付け形体を前記一次位置決めブロックの前記取付け形体と前記予め定められた二次取付け関係で係合させるステップを含む、請求項12に記載の方法。
- 長骨における患者の組織の切除、再位置付け、穿孔、トリミング及び立体配置確認の少なくとも1つを容易にするシステムであって、
前記長骨の非標的部に接合接触するための輪郭を有する患者固有の一次接合面と、少なくとも1つの取付け形体とを含む一次位置決めブロックであって、前記一次接合面が前記長骨の術前画像化に対応する予め定められた一次接合配向で前記患者の組織の非標的部と接合するように特注構成される、一次位置決めブロックと、
前記一次位置決めブロックと選択的に係合するように構成された少なくとも1つの二次アイテムであって、該二次アイテムが、非特注製作の汎用二次アイテムと患者固有の二次アイテムの少なくとも一方であり、前記二次アイテムが、長骨の標的部の切除、再位置付け、穿孔、トリミング及び立体配置確認の少なくとも1つを容易にするために前記長骨の少なくとも一部に基準指標を与える、二次アイテムと、を備え、
前記一次位置決めブロックの前記取付け形体は、少なくとも1つの二次アイテムと予め定められた二次取付け関係で係合するように構成され、前記二次取付け関係が、前記長骨の術前画像化に対応して前記長骨のために特注構成される、システム。 - 前記長骨の前記非標的部が、前記長骨の骨幹の少なくとも一部を含み、且つ前記長骨の前記標的部が、前記長骨の骨端の少なくとも一部を含む、請求項20に記載のシステム。
- 前記二次取付け関係が、前記取付け形体の構成によって患者固有のものとされる、請求項20に記載のシステム。
- 前記二次取付け関係が、前記二次アイテムの構成によって患者固有のものとされる、請求項20に記載のシステム。
- 前記二次アイテムが、前記長骨の前記標的部の切除とトリミングの少なくとも一方を実施する切削器具との間の案内関係のための切削指標体を含む、請求項20に記載のシステム。
- 前記二次アイテムが、前記長骨の前記標的部の中へ侵入器具を案内するためのドリルガイドを含む、請求項20に記載のシステム。
- 前記二次アイテムが、前記長骨に対する前記装置の少なくとも一部の位置を確認するための位置付け指標体を含む、請求項20に記載のシステム。
- 前記位置付け指標体が二次接合面を含み、該二次接合面が、前記長骨の術前画像化に対応する予め定められた二次接合配向で前記長骨の前記標的部と接合するように特注構成される、請求項26に記載のシステム。
- 前記一次位置決めブロックが、前記一次接合配向で前記長骨に対する前記一次位置決めブロックの固定、安定性及び位置指示の少なくとも1つを与えるための少なくとも1つの固着形体を含む、請求項20に記載のシステム。
- 前記固着形体が、予め定められた場所及び軌跡で前記長骨内へアンカーピンを案内するように構成された固着構造体を含み、前記アンカーピンが、前記一次接合配向で前記長骨に対する前記一次位置決めブロックの固定、安定性及び位置指示の少なくとも1つを与えるように作用する、請求項28に記載のシステム。
- 前記二次アイテムが、前記一次位置決めブロックの前記取付け形体と前記予め定められた二次取付け関係で係合するための二次取付け形体を含む、請求項20に記載のシステム。
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US20160213385A1 (en) | 2016-07-28 |
EP3141196B1 (en) | 2020-04-08 |
CA2836535C (en) | 2019-09-24 |
AU2012255850A1 (en) | 2014-01-16 |
US9326781B2 (en) | 2016-05-03 |
US8992539B2 (en) | 2015-03-31 |
US20120296339A1 (en) | 2012-11-22 |
US20150164520A1 (en) | 2015-06-18 |
EP3141196A1 (en) | 2017-03-15 |
JP6526966B2 (ja) | 2019-06-05 |
CA2836535A1 (en) | 2012-11-22 |
WO2012158754A1 (en) | 2012-11-22 |
EP2712301B1 (en) | 2016-09-28 |
EP2712301A1 (en) | 2014-04-02 |
CN103732160A (zh) | 2014-04-16 |
AU2012255850B2 (en) | 2016-05-19 |
CN103732160B (zh) | 2016-05-11 |
US10307174B2 (en) | 2019-06-04 |
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