JP2015520645A - セルフロック機構およびアンロック機構を備えた脊椎インプラント - Google Patents
セルフロック機構およびアンロック機構を備えた脊椎インプラント Download PDFInfo
- Publication number
- JP2015520645A JP2015520645A JP2015513253A JP2015513253A JP2015520645A JP 2015520645 A JP2015520645 A JP 2015520645A JP 2015513253 A JP2015513253 A JP 2015513253A JP 2015513253 A JP2015513253 A JP 2015513253A JP 2015520645 A JP2015520645 A JP 2015520645A
- Authority
- JP
- Japan
- Prior art keywords
- screw
- spinal implant
- well
- cage
- head
- 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
Links
- 239000007943 implant Substances 0.000 title claims abstract description 98
- 230000007246 mechanism Effects 0.000 title description 7
- 238000003860 storage Methods 0.000 claims description 38
- 210000000988 bone and bone Anatomy 0.000 claims description 11
- 239000000463 material Substances 0.000 claims description 11
- 238000003825 pressing Methods 0.000 claims description 11
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 7
- 229910052719 titanium Inorganic materials 0.000 claims description 7
- 239000010936 titanium Substances 0.000 claims description 7
- 238000000034 method Methods 0.000 claims description 5
- 239000004696 Poly ether ether ketone Substances 0.000 claims description 4
- 229920001652 poly(etherketoneketone) Polymers 0.000 claims description 4
- 229920002530 polyetherether ketone Polymers 0.000 claims description 4
- 230000000295 complement effect Effects 0.000 claims description 3
- 230000006835 compression Effects 0.000 claims description 3
- 238000007906 compression Methods 0.000 claims description 3
- 239000011148 porous material Substances 0.000 claims description 3
- 229920000049 Carbon (fiber) Polymers 0.000 claims description 2
- 239000004917 carbon fiber Substances 0.000 claims description 2
- 230000008859 change Effects 0.000 claims description 2
- 238000002844 melting Methods 0.000 claims description 2
- 230000008018 melting Effects 0.000 claims description 2
- VNWKTOKETHGBQD-UHFFFAOYSA-N methane Chemical compound C VNWKTOKETHGBQD-UHFFFAOYSA-N 0.000 claims description 2
- 238000005119 centrifugation Methods 0.000 claims 2
- 230000000750 progressive effect Effects 0.000 claims 2
- 230000000284 resting effect Effects 0.000 claims 2
- 230000009471 action Effects 0.000 description 6
- 230000000087 stabilizing effect Effects 0.000 description 6
- 230000001965 increasing effect Effects 0.000 description 5
- 230000009975 flexible effect Effects 0.000 description 3
- 230000006641 stabilisation Effects 0.000 description 3
- 238000011105 stabilization Methods 0.000 description 3
- 238000011477 surgical intervention Methods 0.000 description 3
- 238000013459 approach Methods 0.000 description 2
- 239000011796 hollow space material Substances 0.000 description 2
- 230000001939 inductive effect Effects 0.000 description 2
- 230000014759 maintenance of location Effects 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 206010010214 Compression fracture Diseases 0.000 description 1
- 208000007623 Lordosis Diseases 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 238000007596 consolidation process Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 230000001627 detrimental effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 230000002138 osteoinductive effect Effects 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 206010039722 scoliosis Diseases 0.000 description 1
- 206010041569 spinal fracture Diseases 0.000 description 1
- 238000005728 strengthening Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
-
- 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
-
- 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
- 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
- A61F2/447—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 substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
-
- 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
-
- 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
- A61F2/3094—Designing or manufacturing processes
- A61F2/30965—Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/30004—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
- A61F2002/30011—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis differing in porosity
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/30004—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
- A61F2002/30014—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis differing in elasticity, stiffness or compressibility
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/30062—(bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30108—Shapes
- A61F2002/30199—Three-dimensional shapes
- A61F2002/30261—Three-dimensional shapes parallelepipedal
- A61F2002/30266—Three-dimensional shapes parallelepipedal wedge-shaped parallelepipeds
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30383—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
- A61F2002/3039—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove with possibility of relative movement of the rib within the groove
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30405—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves
- A61F2002/30411—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves having two threaded end parts connected by a threaded central part with opposite threads at its opposite ends, i.e. for adjusting the distance between both end parts by rotating the central part
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30451—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements soldered or brazed or welded
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
- A61F2002/30492—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a locking pin
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30518—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
- A61F2002/30523—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts by means of meshing gear teeth
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
- A61F2002/30556—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting thickness
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30579—Special structural features of bone or joint prostheses not otherwise provided for with mechanically expandable devices, e.g. fixation devices
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30593—Special structural features of bone or joint prostheses not otherwise provided for hollow
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30599—Special structural features of bone or joint prostheses not otherwise provided for stackable
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
- A61F2002/30616—Sets comprising a plurality of prosthetic parts of different sizes or orientations
-
- 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
- A61F2/30767—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
- A61F2002/30772—Apertures or holes, e.g. of circular cross section
- A61F2002/30774—Apertures or holes, e.g. of circular cross section internally-threaded
-
- 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
- A61F2/30767—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
- A61F2002/30772—Apertures or holes, e.g. of circular cross section
- A61F2002/30782—Apertures or holes, e.g. of circular cross section inclined obliquely
-
- 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
- A61F2/30767—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
- A61F2002/30772—Apertures or holes, e.g. of circular cross section
- A61F2002/3079—Stepped or enlarged apertures, e.g. having discrete diameter changes
-
- 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
- A61F2/30767—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
- A61F2002/30904—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves serrated profile, i.e. saw-toothed
-
- 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
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2002/3092—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth having an open-celled or open-pored structure
-
- 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
- A61F2/3094—Designing or manufacturing processes
- A61F2002/3097—Designing or manufacturing processes using laser
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0008—Fixation appliances for connecting prostheses to the body
- A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
-
- 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
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00395—Coating or prosthesis-covering structure made of metals or of alloys
- A61F2310/00407—Coating made of titanium or of Ti-based alloys
Abstract
Description
体腔内ケージ2と少なくとも1つの固定ネジ10を含む脊椎インプラント1を、患者の体腔内の空間に、頸部の位置または腰部の位置において設置することを可能にする種々のステップがここでは説明される。
Claims (28)
- 患者の体腔内の空間に植え込まれる脊椎インプラント(1)であって、
体腔内のケージ(2)と、
前記体腔内の空間内において前記ケージ(2)の位置を安定させるように当該ケージ(2)のウェル(7)を通して骨性の塊にネジ止めされる少なくとも1つの固定するネジ(10)と、を含み、
前記ウェル(7)および前記ネジ(10)は、前記ネジ(10)のセルフロック用のシステムを前記ウェル(7)に形成し、
前記システムは、前記ネジ(10)と一体の雄型部材と、前記ウェル(7)の複数のウォール(72)によって形成される雌型部材と、を含み、
前記雄型部材および前記雌型部材は、前記ウェル(7)を通して骨性の塊に前記ネジ(10)をネジ止めする間において、前記雄型部材および前記雌型部材が互いにリリースされる前記ネジ(10)の最終的なロック位置に達するまで、前記雄型部材および前記雌型部材の漸進的かつ相互の押圧を可能にする相対的な柔軟性を備えて取り付けられ、
前記雄型部材は、前記雌型部材によって位置がロックされ、
前記ネジ(10)は、少なくともヘッド(11)と、本体部(20)と、を含み、
前記雌型部材は固定され、前記雄型部材は可動であるとともに、ネジ止めの間において、前記雄型部材と前記雌型部材との間の相対的な柔軟性を与える、前記ヘッド(11)の周囲を調整する格納システムを含む、脊椎インプラント(1)。 - 前記雄型部材および前記雌型部材は、前記雌型部材から前記雄型部材をアンロックするまで、前記最終的な位置から前記ネジ(10)がゆるむ間において、前記雄型部材および前記雌型部材の相互の押圧を可能にする相対的な柔軟性を備えて取り付けられる、請求項1に記載の脊椎インプラント(1)。
- 前記ウェル(7)の前記複数のウォール(72)は、前記ウェル(7)の開口部(71)からネジ止めの方向において、前記ウェル(7)の断面積を増加させるショルダー(73)に至るまで、前記格納システムの径方向であって中心に向かう方向の圧縮を可能にする、前記ウェル(7)の断面積が減少する第1領域を形成するとともに、前記格納システムの径方向であって遠心する方向の拡張を可能にする第2領域を定め、
前記ショルダー(73)は、ネジ止め方向に対して垂直であって、かつ、径方向に拡張するときに前記格納システムに接触する、円形のベアリング部(74)を形成する、請求項1または請求項2に記載の脊椎インプラント(1)。 - 前記格納システムは、ベース部(15)によって前記ヘッド(11)に接続されるとともに前記ヘッド(11)のまわりに放射状に延伸する少なくとも1つの花弁を形成する少なくとも1つの長手方向のタブ(14)によって形成され、
前記少なくとも1つのタブ(14)は、弾性的に可動式に取り付けられるとともに弾性的な静止位置を有する、請求項1〜3のいずれか1項に記載の脊椎インプラント(1)。 - 前記ネジ(10)は、前記ヘッド(11)のまわりに配置される3つの長手方向のタブ(14)を含む、請求項4に記載の脊椎インプラント(1)。
- 前記長手方向のタブ(14)は、前記弾性的な静止位置において、0°と25°との間に構成される角度(δ)、好ましくは、0°と9°との間に構成される角度(δ)だけ、前記ネジ(10)の回転軸(ω)から離間されている、請求項4または請求項5に記載の脊椎インプラント(1)。
- 前記ウェル(7)は、前記ケージの水方な中央面(πh)に対して、0°と45°との間に構成される角度(α)、より好ましくは、20°と40°との間に構成される角度(α)を形成する回転軸(Ω)を備える、請求項1〜6のいずれか1項に記載の脊椎インプラント(1)。
- 複数のネジ(10)および複数のウェル(7)、好ましくは、3つのネジ(10)および3つのウェル(7)を含む、請求項1〜7のいずれか1項に記載の脊椎インプラント(1)。
- 前記ケージ(2)は、当該ケージの把持を確実にするための、特別な補助具の形状に適合する1つまたは複数のノッチを含む、請求項1〜8のいずれか1項に記載の脊椎インプラント(1)。
- 前記ネジ(10)は、少なくともヘッド(11)と、本体部(20)と、を含み、
前記雄型部材は、前記ヘッド(11)によって形成され、
前記ウェル(7)のウォール(72)は、前記ウェル(7)の周囲の調整が、ネジ止めの間において、前記雄型部材と前記雌型部材との間の相対的な柔軟性を与えることを可能にする可動部を含む、請求項1または請求項2に記載の脊椎インプラント(1)。 - 種々の要素が、チタン、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)、カーボンファイバー、または、再吸収可能な材料から作られる、請求項1〜10のいずれか1項に記載の脊椎インプラント(1)。
- 前記ケージ(2)は、前記ケージ(2)と外部との間の交換面を増加させる細孔を備えるチタンをベースとする材料から作られ、
前記細孔は、チタンレーザー溶融技術によって形成される、請求項1〜11のいずれか1項に記載の脊椎インプラント(1)。 - 前記ケージ(2)の高さを調節する調節部材(100)を含む、請求項1〜12のいずれか1項に記載の脊椎インプラント(1)。
- 前記調節部材(100)は、前記ケージ(2)の水平な中央面(πh)の近くに配置されるとともに上側部分(101)と下側部分(102)とを分ける長尺部材(103)を含み、
前記長尺部材(103)の動作は、前記ケージ(2)の高さを変化させるように、前記上側の部分(101)を前記下側の部分(102)から移動させることを可能にするとともに、前記上側の部分(101)を前記下側の部分(102)から所定の距離に保持することを可能にする、請求項1〜13のいずれか1項に記載の脊椎インプラント(1)。 - 前記ケージ(2)はモジュール式の組立品であり複数の分離可能なモジュールを含む、請求項1〜14のいずれか1項に記載の脊椎インプラント(1)。
- 前記ケージ(2)は、少なくとも2つの分離可能なモジュールを含み、
一方で、上側のモジュール(110)が雄型の接続部材(112)を含み、他方で、下側のモジュール(111)が雌型の接続部材(113)を含み、
前記雌型の接続部材(113)は、前記ケージ(2)を形成するように前記上側のモジュール(110)を前記下側のモジュール(111)に組み合わせるために、前記雄型の接続部材(112)と協働するように設計される、請求項1〜15のいずれか1項に記載の脊椎インプラント(1)。 - 前記雄型の接続部材(112)はL字形状のスライド部を含み、
前記雌型の接続部材(113)は、前記L字形状のスライド部に対して相補的な形状のL字形状の溝を含み、
前記スライド部と前記溝は、前記下側のモジュール(111)と前記上側のモジュール(110)の組み立てがスライド動作によってなされるように、互いにスライド式に協働する、請求項1〜16のいずれか1項に記載の脊椎インプラント(1)。 - 好ましくは患者の脊椎の柱の2つの骨の間において、好ましくは頸部の位置または腰部の位置において植え込まれる、請求項1〜17のいずれか1項に記載の脊椎インプラント(1)。
- 患者の体腔内の空間に沿って植え込まれる脊椎インプラント(1)であって、
体腔内のプレート(120)と、
前記体腔内の空間に沿って前記プレート(120)の位置を安定させるように、前記プレート(120)のウェル(7)を通して骨性の塊にネジ止めされる少なくとも1つの固定するネジ(10)と、を含み、
前記ウェル(7)および前記ネジ(10)は、前記ネジ(10)をセルフロックするシステムを前記ウェル(7)に形成し、
前記システムは、前記ネジ(10)と一体の雄型部材と、前記ウェル(7)の複数のウォール(72)によって形成される雌型部材と、を含み、
前記雄型部材および前記雌型部材は、前記ウェル(7)を通して骨性の塊に前記ネジ(10)をネジ止めする間において、前記雄型部材および前記雌型部材が互いにリリースされる前記ネジ(10)の最終的なロック位置に達するまで、前記雄型部材および前記雌型部材の漸進的かつ相互の押圧を可能にする相対的な柔軟性を備えて取り付けられ、
前記雄型部材は、前記雌型部材によって位置がロックされ、
前記ネジ(10)は、少なくともヘッド(11)と、本体部(20)と、を含み、
前記雌型部材は固定され、前記雄型部材は、可動であるとともに、ネジ止めの間において、前記雄型部材と前記雌型部材との間の相対的な柔軟性を与える、前記ヘッド(11)の周囲を調整する格納システムを含む、脊椎インプラント(1)。 - 前記雄型部材および前記雌型部材は、前記雌型部材から前記雄型部材をゆるめるまで、前記最終的な位置から前記ネジ(10)がゆるむ間において、前記雄型部材および前記雌型部材の相互の押圧を可能にする相対的な柔軟性を備えて取り付けられる、請求項19に記載の脊椎インプラント(1)。
- 前記ウェル(7)の前記複数のウォール(72)は、前記ウェル(7)の開口部(71)からネジ止めの方向において、前記ウェル(7)の断面積を増加させるショルダー(73)に至るまで、前記格納システムの径方向であって中心に向かう方向の圧縮を可能にする、前記ウェル(7)の断面積が減少する第1領域を形成するとともに、前記格納システムの径方向であって遠心する方向の拡張を可能にする第2領域を定め、
前記ショルダー(73)は、ネジ止め方向に対して垂直であって、かつ、径方向に拡張するときに前記格納システムに接触する、円形のベアリング部(74)を形成する、請求項19または請求項20に記載の脊椎インプラント(1)。 - 前記格納システムは、ベース(15)によって前記ヘッド(11)に接続されるとともに前記ヘッド(11)のまわりに放射状に広がる少なくとも1つの花弁を形成する少なくとも1つの長手方向のタブ(14)によって形成され、
前記少なくとも1つのタブ(14)は、弾性的に可動式に取り付けられるとともに弾性的な静止位置を有する、請求項19〜21のいずれか1項に記載の脊椎インプラント(1)。 - 前記ネジ(10)は、当該ネジ(10)の前記ヘッド(11)まわりに配置される3つの長手方向のタブ(14)を含む、請求項22に記載の脊椎インプラント(1)。
- 前記長手方向のタブ(14)は、弾性的な静止位置において、0°と25°との間に構成される角度(δ)、好ましくは、0°と9°との間に構成される角度(δ)だけ、前記ネジ(10)の回転軸(ω)から離間されている、請求項22または請求項23に記載の脊椎インプラント(1)。
- 複数のネジ(10)および複数のウェル(7)、好ましくは、3つのネジ(10)および3つのウェル(7)を含む、請求項19〜24のいずれか1項に記載の脊椎インプラント(1)。
- 前記ネジ(10)は、少なくともヘッド(11)と、本体部(20)と、を含み、
前記雄型部材は、前記ヘッド(11)によって形成され、
前記ウェル(7)のウォール(72)は、前記ウェル(7)の周囲の調整を可能にする可動部を含み、ネジ止めの間において、前記雄型部材と前記雌型部材との間の相対的な柔軟性を与える、請求項19または請求項20に記載の脊椎インプラント(1)。 - 前記ウェル(7)は、前記ネジのヘッドスレッド(122)と協働する内側スレッド(121)を含み、
前記ヘッドスレッド(122)は、前記ネジの前記ヘッド(11)に配置される、請求項19〜26のいずれか1項に記載の脊椎インプラント(1)。 - 請求項1〜27のいずれか1項に記載の脊椎インプラント(1)によって形成される医療キットと、
患者の体腔内の空間に当該脊椎インプラントを設置するための補助具。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR1254831A FR2990845B1 (fr) | 2012-05-25 | 2012-05-25 | Implant vertebral dote d'un moyen autonome de verrouillage et de deverrouillage |
FR1254831 | 2012-05-25 | ||
PCT/FR2013/051153 WO2013175147A1 (fr) | 2012-05-25 | 2013-05-24 | Implant vertebral dote d'un moyen autonome de verrouillage et de deverrouillage |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2015520645A true JP2015520645A (ja) | 2015-07-23 |
JP6240173B2 JP6240173B2 (ja) | 2017-11-29 |
Family
ID=46785597
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015513253A Active JP6240173B2 (ja) | 2012-05-25 | 2013-05-24 | セルフロック機構およびアンロック機構を備えた脊椎インプラント |
Country Status (7)
Country | Link |
---|---|
US (1) | US9693871B2 (ja) |
EP (1) | EP2854714B1 (ja) |
JP (1) | JP6240173B2 (ja) |
BR (1) | BR112014029230B1 (ja) |
ES (1) | ES2844152T3 (ja) |
FR (1) | FR2990845B1 (ja) |
WO (1) | WO2013175147A1 (ja) |
Families Citing this family (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
AU2011227293A1 (en) | 2010-03-16 | 2012-11-08 | Pinnacle Spine Group, Llc | Intervertebral implants and graft delivery systems and methods |
US9380932B1 (en) | 2011-11-02 | 2016-07-05 | Pinnacle Spine Group, Llc | Retractor devices for minimally invasive access to the spine |
WO2014159739A1 (en) | 2013-03-14 | 2014-10-02 | Pinnacle Spine Group, Llc | Interbody implants and graft delivery systems |
US10206720B2 (en) | 2014-09-03 | 2019-02-19 | Aesculap Implant Systems, Llc | Fastener, spinal interbody system including same and method |
US9820867B2 (en) * | 2015-05-13 | 2017-11-21 | Gil Tepper | Three column spinal fixation implants and associated surgical methods |
EP3389570B1 (en) | 2015-12-16 | 2024-04-17 | Nuvasive, Inc. | Porous spinal fusion implant |
US11806250B2 (en) | 2018-02-22 | 2023-11-07 | Warsaw Orthopedic, Inc. | Expandable spinal implant system and method of using same |
CN108577911A (zh) * | 2018-05-22 | 2018-09-28 | 黄建明 | 一种用于固定高强度缝线的铆钉装置 |
FR3082115B1 (fr) * | 2018-06-06 | 2022-07-15 | Medicrea Int | Materiel d'osteosynthese vertebrale |
US11596521B2 (en) * | 2019-07-03 | 2023-03-07 | DePuy Synthes Products, Inc. | Intervertebral implant for quadrupeds |
US11395743B1 (en) | 2021-05-04 | 2022-07-26 | Warsaw Orthopedic, Inc. | Externally driven expandable interbody and related methods |
US11517443B2 (en) | 2020-11-05 | 2022-12-06 | Warsaw Orthopedic, Inc. | Dual wedge expandable implant, system and method of use |
US11291554B1 (en) | 2021-05-03 | 2022-04-05 | Medtronic, Inc. | Unibody dual expanding interbody implant |
US11376134B1 (en) | 2020-11-05 | 2022-07-05 | Warsaw Orthopedic, Inc. | Dual expanding spinal implant, system, and method of use |
US11963881B2 (en) | 2020-11-05 | 2024-04-23 | Warsaw Orthopedic, Inc. | Expandable inter-body device, system, and method |
US11285014B1 (en) | 2020-11-05 | 2022-03-29 | Warsaw Orthopedic, Inc. | Expandable inter-body device, system, and method |
US11833059B2 (en) | 2020-11-05 | 2023-12-05 | Warsaw Orthopedic, Inc. | Expandable inter-body device, expandable plate system, and associated methods |
US11638653B2 (en) | 2020-11-05 | 2023-05-02 | Warsaw Orthopedic, Inc. | Surgery instruments with a movable handle |
US11517363B2 (en) | 2020-11-05 | 2022-12-06 | Warsaw Orthopedic, Inc. | Screw driver and complimentary screws |
US11612499B2 (en) | 2021-06-24 | 2023-03-28 | Warsaw Orthopedic, Inc. | Expandable interbody implant |
US11730608B2 (en) | 2021-07-13 | 2023-08-22 | Warsaw Orthopedic, Inc. | Monoblock expandable interbody implant |
US20230075024A1 (en) * | 2021-09-09 | 2023-03-09 | Warsaw Orthopedic, Inc. | End cap and bone screw for use therewith |
US11850163B2 (en) | 2022-02-01 | 2023-12-26 | Warsaw Orthopedic, Inc. | Interbody implant with adjusting shims |
Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2002542887A (ja) * | 1999-05-05 | 2002-12-17 | ケイ.ミチェルソン ゲアリー | 入れ子状椎体間脊椎固定インプラント |
JP2006524513A (ja) * | 2003-04-28 | 2006-11-02 | ジンテーズ アクチエンゲゼルシャフト クール | 椎間インプラント |
JP2006527616A (ja) * | 2003-06-17 | 2006-12-07 | シアンティクス | 骨接合要素からの繋止ネジの脱落を防止するデバイス |
JP2010503442A (ja) * | 2006-09-14 | 2010-02-04 | ニュークリップ テクニック | 特に頚椎用の埋め込み型整形外科装置 |
WO2010019394A1 (en) * | 2008-08-12 | 2010-02-18 | Warsaw Orthopedic, Inc. | Self-locking surgical fastener |
US20110313528A1 (en) * | 2010-06-17 | 2011-12-22 | Aesculap Implant Systems, Llc | Standalone interbody fusion device with locking and release mechanism |
US20110319999A1 (en) * | 2010-06-24 | 2011-12-29 | O'neil Michael J | Lateral Spondylolisthesis Reduction Cage |
JP2012501744A (ja) * | 2008-09-02 | 2012-01-26 | グローバス メディカル インコーポレイティッド | 椎間融合インプラント |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6258089B1 (en) * | 1998-05-19 | 2001-07-10 | Alphatec Manufacturing, Inc. | Anterior cervical plate and fixation system |
WO2000066045A1 (en) * | 1999-05-05 | 2000-11-09 | Michelson Gary K | Spinal fusion implants with opposed locking screws |
US7309340B2 (en) * | 2003-06-20 | 2007-12-18 | Medicinelodge, Inc. | Method and apparatus for bone plating |
DE602004011178D1 (de) * | 2004-02-04 | 2008-02-21 | Bone & Joint Res S A | Verbindungselement mit elastischem Kopf |
US7963982B2 (en) * | 2007-07-16 | 2011-06-21 | X-Spine Systems, Inc. | Implant plate screw locking system and screw having a locking member |
US8535356B2 (en) * | 2009-11-04 | 2013-09-17 | X-Spine Systems, Inc. | Screw implant and system and method for locking a screw in an implant plate |
US20130110248A1 (en) * | 2011-11-02 | 2013-05-02 | Arthrodisc, L.L.C. | Lockable implant members |
-
2012
- 2012-05-25 FR FR1254831A patent/FR2990845B1/fr active Active
-
2013
- 2013-05-24 JP JP2015513253A patent/JP6240173B2/ja active Active
- 2013-05-24 EP EP13728488.1A patent/EP2854714B1/fr active Active
- 2013-05-24 BR BR112014029230-2A patent/BR112014029230B1/pt active IP Right Grant
- 2013-05-24 WO PCT/FR2013/051153 patent/WO2013175147A1/fr active Application Filing
- 2013-05-24 US US14/403,431 patent/US9693871B2/en active Active
- 2013-05-24 ES ES13728488T patent/ES2844152T3/es active Active
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2002542887A (ja) * | 1999-05-05 | 2002-12-17 | ケイ.ミチェルソン ゲアリー | 入れ子状椎体間脊椎固定インプラント |
JP2006524513A (ja) * | 2003-04-28 | 2006-11-02 | ジンテーズ アクチエンゲゼルシャフト クール | 椎間インプラント |
JP2006527616A (ja) * | 2003-06-17 | 2006-12-07 | シアンティクス | 骨接合要素からの繋止ネジの脱落を防止するデバイス |
JP2010503442A (ja) * | 2006-09-14 | 2010-02-04 | ニュークリップ テクニック | 特に頚椎用の埋め込み型整形外科装置 |
WO2010019394A1 (en) * | 2008-08-12 | 2010-02-18 | Warsaw Orthopedic, Inc. | Self-locking surgical fastener |
JP2012501744A (ja) * | 2008-09-02 | 2012-01-26 | グローバス メディカル インコーポレイティッド | 椎間融合インプラント |
US20110313528A1 (en) * | 2010-06-17 | 2011-12-22 | Aesculap Implant Systems, Llc | Standalone interbody fusion device with locking and release mechanism |
US20110319999A1 (en) * | 2010-06-24 | 2011-12-29 | O'neil Michael J | Lateral Spondylolisthesis Reduction Cage |
Also Published As
Publication number | Publication date |
---|---|
WO2013175147A9 (fr) | 2014-12-04 |
ES2844152T3 (es) | 2021-07-21 |
FR2990845A1 (fr) | 2013-11-29 |
US9693871B2 (en) | 2017-07-04 |
EP2854714B1 (fr) | 2020-10-21 |
BR112014029230A2 (pt) | 2017-06-27 |
BR112014029230B1 (pt) | 2021-08-10 |
EP2854714A1 (fr) | 2015-04-08 |
WO2013175147A1 (fr) | 2013-11-28 |
US20150142115A1 (en) | 2015-05-21 |
JP6240173B2 (ja) | 2017-11-29 |
FR2990845B1 (fr) | 2015-04-24 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6240173B2 (ja) | セルフロック機構およびアンロック機構を備えた脊椎インプラント | |
US11850164B2 (en) | Intervertebral implant | |
US11583419B2 (en) | Steerable implant, installer, and method of installation | |
US9943349B2 (en) | Orthopedic devices with a locking mechanism | |
US20190388232A1 (en) | Expandable cage | |
EP2958525B1 (en) | Expandable intervertebral implant | |
EP2477579B1 (en) | Intervertebral implant having extendable bone fixation members | |
EP2967903B1 (en) | Medical implant for fixation and integration with hard tissue | |
US20120010668A1 (en) | Expandable surgical implant | |
US9707096B2 (en) | Spinal fixation device | |
CN104010595A (zh) | 具有格子结构的融合笼植入件 | |
WO2011153537A1 (en) | Intervertebral implant and face plate combination | |
CN102860888B (zh) | 一体化腰椎椎间钛板融合器 | |
US20200093610A1 (en) | Spinal Implant | |
US9968460B2 (en) | Dynamic spinal segment replacement | |
US20190038329A1 (en) | Pelvic wedge | |
WO2018234977A1 (en) | PLIERS IMPLANT FOR ARC POSTERIOR OF ATLAS | |
KR102364016B1 (ko) | 나사 이탈 방지용 클립을 구비하는 자립형 추간체 유합 보형재 | |
CN113952087A (zh) | 一种可调节角度的椎间融合器 | |
CN113747862A (zh) | 脊柱植入物系统和方法 | |
CZ31303U1 (cs) | Nastavitelná náhrada meziobratlové bederní ploténky |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20151016 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20160509 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20170321 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20170317 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20170619 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20170814 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20170921 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20171010 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20171102 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6240173 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
S111 | Request for change of ownership or part of ownership |
Free format text: JAPANESE INTERMEDIATE CODE: R313113 |
|
R350 | Written notification of registration of transfer |
Free format text: JAPANESE INTERMEDIATE CODE: R350 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |