JP2015517345A - 手術中の脊椎の位置合わせのためのデバイスおよび方法 - Google Patents

手術中の脊椎の位置合わせのためのデバイスおよび方法 Download PDF

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Publication number
JP2015517345A
JP2015517345A JP2015511582A JP2015511582A JP2015517345A JP 2015517345 A JP2015517345 A JP 2015517345A JP 2015511582 A JP2015511582 A JP 2015511582A JP 2015511582 A JP2015511582 A JP 2015511582A JP 2015517345 A JP2015517345 A JP 2015517345A
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Japan
Prior art keywords
pedicle screw
navigation system
vertebra
reference device
navigator
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JP2015511582A
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English (en)
Japanese (ja)
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JP2015517345A5 (enExample
Inventor
ニコラス・ヴァン・ダー・ウォルト
ジョナサン・ニールセン
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オースアライン・インコーポレイテッド
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Publication of JP2015517345A publication Critical patent/JP2015517345A/ja
Publication of JP2015517345A5 publication Critical patent/JP2015517345A5/ja
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • A61B17/7077Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for moving bone anchors attached to vertebrae, thereby displacing the vertebrae
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • A61B17/7082Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2048Tracking techniques using an accelerometer or inertia sensor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/067Measuring instruments not otherwise provided for for measuring angles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/363Use of fiducial points
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/372Details of monitor hardware
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25User interfaces for surgical systems

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Neurology (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Robotics (AREA)
  • Surgical Instruments (AREA)
JP2015511582A 2012-05-08 2013-05-06 手術中の脊椎の位置合わせのためのデバイスおよび方法 Pending JP2015517345A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201261643979P 2012-05-08 2012-05-08
US61/643,979 2012-05-08
PCT/US2013/039770 WO2013169674A1 (en) 2012-05-08 2013-05-06 Devices and methods for intra-operative spinal allignment

Publications (2)

Publication Number Publication Date
JP2015517345A true JP2015517345A (ja) 2015-06-22
JP2015517345A5 JP2015517345A5 (enExample) 2016-06-09

Family

ID=49551195

Family Applications (1)

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JP2015511582A Pending JP2015517345A (ja) 2012-05-08 2013-05-06 手術中の脊椎の位置合わせのためのデバイスおよび方法

Country Status (6)

Country Link
US (2) US20150150569A1 (enExample)
EP (1) EP2846719A4 (enExample)
JP (1) JP2015517345A (enExample)
AU (1) AU2013259803A1 (enExample)
CA (1) CA2872629A1 (enExample)
WO (1) WO2013169674A1 (enExample)

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US7559931B2 (en) 2003-06-09 2009-07-14 OrthAlign, Inc. Surgical orientation system and method
US10758283B2 (en) 2016-08-11 2020-09-01 Mighty Oak Medical, Inc. Fixation devices having fenestrations and methods for using the same
US20100064216A1 (en) 2008-07-24 2010-03-11 OrthAlign, Inc. Systems and methods for joint replacement
WO2010030809A1 (en) 2008-09-10 2010-03-18 Orthalign, Inc Hip surgery systems and methods
US8118815B2 (en) 2009-07-24 2012-02-21 OrthAlign, Inc. Systems and methods for joint replacement
US10869771B2 (en) 2009-07-24 2020-12-22 OrthAlign, Inc. Systems and methods for joint replacement
AU2011341678B2 (en) 2010-01-21 2014-12-11 OrthAlign, Inc. Systems and methods for joint replacement
US11806197B2 (en) 2010-06-29 2023-11-07 Mighty Oak Medical, Inc. Patient-matched apparatus for use in spine related surgical procedures and methods for using the same
US12357413B2 (en) 2010-06-29 2025-07-15 Mighty Oak Medical, Inc. Patient-matched apparatus for use in spine related surgical procedures and methods for using the same
US11039889B2 (en) 2010-06-29 2021-06-22 Mighty Oak Medical, Inc. Patient-matched apparatus and methods for performing surgical procedures
US11376073B2 (en) 2010-06-29 2022-07-05 Mighty Oak Medical Inc. Patient-matched apparatus and methods for performing surgical procedures
US11633254B2 (en) 2018-06-04 2023-04-25 Mighty Oak Medical, Inc. Patient-matched apparatus for use in augmented reality assisted surgical procedures and methods for using the same
KR102072870B1 (ko) 2011-09-29 2020-02-03 알쓰로메다, 인코포레이티드 고관절 치환술용 삽입물의 정밀 배치 시스템 및 방법
AU2013262624B2 (en) 2012-05-18 2018-03-01 OrthAlign, Inc. Devices and methods for knee arthroplasty
US9649160B2 (en) 2012-08-14 2017-05-16 OrthAlign, Inc. Hip replacement navigation system and method
US9241742B2 (en) 2013-03-14 2016-01-26 DePuy Synthes Products, Inc. Methods and devices for polyaxial screw alignment
EP2973220A4 (en) 2013-03-15 2016-10-19 Arthromeda Inc SYSTEMS AND METHODS OF IMPLEMENTING ALIGNMENT DURING TOTAL KNEE ARTHROPLASTY
CN105078563A (zh) * 2014-05-19 2015-11-25 中国人民解放军南京军区南京总医院 一种提高骨科等骨骼进钉质量的手术模块导航方法
US10524723B2 (en) * 2014-07-23 2020-01-07 Alphatec Spine, Inc. Method for measuring the displacements of a vertebral column
US9993177B2 (en) 2014-08-28 2018-06-12 DePuy Synthes Products, Inc. Systems and methods for intraoperatively measuring anatomical orientation
US10363149B2 (en) 2015-02-20 2019-07-30 OrthAlign, Inc. Hip replacement navigation system and method
US10335241B2 (en) 2015-12-30 2019-07-02 DePuy Synthes Products, Inc. Method and apparatus for intraoperative measurements of anatomical orientation
US9554411B1 (en) 2015-12-30 2017-01-24 DePuy Synthes Products, Inc. Systems and methods for wirelessly powering or communicating with sterile-packed devices
WO2017139556A1 (en) * 2016-02-12 2017-08-17 Medos International Sarl Systems and methods for intraoperatively measuring anatomical orientation
US12016573B2 (en) 2016-08-11 2024-06-25 Mighty Oak Medical, Inc. Drill apparatus and surgical fixation devices and methods for using the same
US10743890B2 (en) 2016-08-11 2020-08-18 Mighty Oak Medical, Inc. Drill apparatus and surgical fixation devices and methods for using the same
US10820835B2 (en) 2016-09-12 2020-11-03 Medos International Sarl Systems and methods for anatomical alignment
US20200237446A1 (en) 2016-10-26 2020-07-30 Prichard Medical, LLC Surgical instrument with led lighting and absolute orientation
EP3595554A4 (en) 2017-03-14 2021-01-06 OrthAlign, Inc. HIP REPLACEMENT NAVIGATION SYSTEM AND PROCEDURE
JP7344122B2 (ja) 2017-03-14 2023-09-13 オースアライン・インコーポレイテッド 軟部組織の測定およびバランシングを行うシステムおよび方法
US11089975B2 (en) 2017-03-31 2021-08-17 DePuy Synthes Products, Inc. Systems, devices and methods for enhancing operative accuracy using inertial measurement units
USD948717S1 (en) 2018-06-04 2022-04-12 Mighty Oak Medical, Inc. Sacro-iliac guide
USD895111S1 (en) 2018-06-04 2020-09-01 Mighty Oak Medical, Inc. Sacro-iliac guide
US11278358B2 (en) 2019-05-14 2022-03-22 Medos International Sarl Assembly for coupling a patient reference array to a medical implant such as a pedicle screw
US10806539B1 (en) 2019-05-15 2020-10-20 Medos International Sarl Adjustable patient reference array
EP4192382B1 (en) 2020-08-04 2025-12-17 Stryker Corporation Systems for visualizing a trajectory with a surgical instrument
US10952775B1 (en) 2020-12-14 2021-03-23 Prichard Medical, LLC Surgical instrument with orientation sensor having a user identified heading
USD992114S1 (en) 2021-08-12 2023-07-11 Mighty Oak Medical, Inc. Surgical guide
US12408955B2 (en) 2021-12-28 2025-09-09 Nuvasive, Inc. Adapter for patient reference array and bone anchor assembly
US12440276B2 (en) 2023-03-14 2025-10-14 Mighty Oak Medical, Inc. Systems and methods for presurgical planning
US20250057546A1 (en) * 2023-08-16 2025-02-20 Ariel Eli Bialik Pedicle Fusion Device

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JP2008537496A (ja) * 2005-03-07 2008-09-18 パチェコ,ヘクター,オー. 後湾形成、椎骨形成、椎体生検、またはスクリューの配置のための椎体に進入する改良されたシステムおよび方法
JP2009511136A (ja) * 2005-10-10 2009-03-19 シンセス ゲゼルシャフト ミット ベシュレンクテル ハフツング 照準装置
US20100023018A1 (en) * 2008-07-23 2010-01-28 Theofilos Charles S Spinous process fixated bilateral drilling guide
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US20110218543A1 (en) * 2009-07-24 2011-09-08 OrthAlign, Inc. Systems and methods for joint replacement
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JP2008537496A (ja) * 2005-03-07 2008-09-18 パチェコ,ヘクター,オー. 後湾形成、椎骨形成、椎体生検、またはスクリューの配置のための椎体に進入する改良されたシステムおよび方法
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US20110218546A1 (en) * 2008-10-22 2011-09-08 Blue Ortho Device for controlled adjustment of a surgical positioning unit
US20110218543A1 (en) * 2009-07-24 2011-09-08 OrthAlign, Inc. Systems and methods for joint replacement
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Also Published As

Publication number Publication date
EP2846719A4 (en) 2015-09-09
US20180206860A1 (en) 2018-07-26
WO2013169674A1 (en) 2013-11-14
EP2846719A1 (en) 2015-03-18
US20150150569A1 (en) 2015-06-04
CA2872629A1 (en) 2013-11-14
AU2013259803A1 (en) 2015-01-22

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