JP2016511073A - 拡張式コイル脊椎インプラント - Google Patents
拡張式コイル脊椎インプラント Download PDFInfo
- Publication number
- JP2016511073A JP2016511073A JP2016500741A JP2016500741A JP2016511073A JP 2016511073 A JP2016511073 A JP 2016511073A JP 2016500741 A JP2016500741 A JP 2016500741A JP 2016500741 A JP2016500741 A JP 2016500741A JP 2016511073 A JP2016511073 A JP 2016511073A
- Authority
- JP
- Japan
- Prior art keywords
- implant
- balloon
- spinal implant
- height
- spinal
- 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
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Images
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Abstract
Description
(1) 脊椎インプラントであって、第1端部、第2端部、内腔部を画定する側壁、及び前記側壁を貫く複数の開孔部を有する中空管を備える拡張式コイルであって、前記中空管が垂直方向に隣接する環の下部側壁と上部側壁との間に空間を有する複数の環に形成された、拡張式コイルと、垂直方向に隣接する環の間の前記空間のうちの少なくともいくつかに存在する少なくとも1つのバルーンと、を備え、前記コイルが拡張されたときに、前記インプラントが椎間板の高さ、椎体の高さ、又は脊椎運動セグメントの高さと近似する高さを有する、脊椎インプラント。
(2) 前記中空管が、ニッケル、チタン、鋼鉄、アルミニウム、又はこれらの合金を含む、実施態様1に記載の脊椎インプラント。
(3) 前記合金が、ニチノールを含む、実施態様2に記載の脊椎インプラント。
(4) 前記少なくとも1つのバルーンが、単一のチャンバを含む、実施態様1に記載の脊椎インプラント。
(5) 前記少なくとも1つのバルーンが、複数のチャンバを含む、実施態様1に記載の脊椎インプラント。
(7) 前記複数のチャンバが、水、生理食塩水、放射線不透過造影剤、ヒドロゲル、及び骨セメントからなる群から選択される流体を含む、実施態様5に記載の脊椎インプラント。
(8) 前記少なくとも1つのバルーンが、柔軟又は半柔軟バルーンである、実施態様1に記載の脊椎インプラント。
(9) 前記少なくとも1つのバルーンが、非柔軟バルーンである、実施態様1に記載の脊椎インプラント。
(10) 脊椎インプラントであって、第1端部、第2端部、内腔部を画定する側壁、及び前記第1端部から前記第2端部に延在する前記側壁を貫く間隙を有する中空管を備える拡張式コイルであって、前記中空管が垂直方向に隣接する環の下部側壁と上部側壁との間に空間を有する複数の環に形成される、拡張式コイルと、前記内腔部に存在する少なくとも1つのバルーンと、を備え、前記コイルが拡張されたとき、前記インプラントが、椎間板の高さ、椎体の高さ、又は脊椎運動セグメントの高さと近似する高さを有する、脊椎インプラント。
(12) 前記合金が、ニチノールを含む、実施態様11に記載の脊椎インプラント。
(13) 前記少なくとも1つのバルーンが、単一のチャンバを含む、実施態様10に記載の脊椎インプラント。
(14) 前記少なくとも1つのバルーンが、複数のチャンバを含む、実施態様10に記載の脊椎インプラント。
(15) 前記チャンバが、水、生理食塩水、放射線不透過造影剤、ヒドロゲル、及び骨セメントからなる群から選択される流体を含む、実施態様13に記載の脊椎インプラント。
(17) 前記少なくとも1つのバルーンが、柔軟又は半柔軟バルーンである、実施態様10に記載の脊椎インプラント。
(18) 前記少なくとも1つのバルーンが、非柔軟バルーンである、実施態様10に記載の脊椎インプラント。
(19) 実施態様1に記載のインプラントを椎体に移植することと、少なくとも1つのバルーンを、コイルを拡張させ、かつ前記インプラントの高さを増加させるのに十分な量の流体で充填することと、任意で骨移植材料又は骨セメントを複数の開孔部から前記椎体に配置することと、任意で前記椎体から前記拡張式コイルを除去することと、を含む、椎体再建方法。
(20) 実施態様1に記載のインプラントを椎間板の少なくとも1部分が除去された椎間腔に移植することと、少なくとも1つのバルーンを、コイルを拡張させ、かつ前記インプラントの高さを増加させるのに十分な量の流体で充填することと、任意で骨移植材料又は骨セメントを複数の開孔部から前記椎間腔に配置することと、任意で前記椎間から前記拡張式コイルを除去することと、を含む、椎間板の交換方法。
(22) 実施態様10に記載のインプラントを、椎間板の少なくとも1部分が除去された椎間腔に移植することと、少なくとも1つのバルーンを間隙から、垂直方向に隣接する環の下部側壁と上部側壁との間の空間に配置するのに十分な量の流体で、前記少なくとも1つのバルーンを充填して、それによってコイルを拡張させ前記インプラントの高さを増加させることと、任意で骨移植材料又は骨セメントを前記間隙から前記椎間腔に配置することと、任意で前記椎間腔から前記拡張式コイルを除去することと、を含む、椎間板の交換方法。
(23) 実施態様1に記載のインプラントを、従前は2つの椎体のうちの少なくとも1部分及び少なくとも1つの椎間板によって占められていた空隙に移植することと、前記少なくとも1つのバルーンを、コイルを拡張させ、かつ前記インプラントの高さを増加させるのに十分な量の流体で充填することと、任意で骨移植材料又は骨セメントを間隙から前記空隙に配置することと、任意で前記空隙から前記拡張式コイルを除去することと、を含む、脊椎運動セグメントの再建方法。
(24) 実施態様10に記載のインプラントを、従前は2つの椎体のうちの少なくとも1部分及び少なくとも1つの椎間板によって占められていた空隙に移植することと、少なくとも1つのバルーンを間隙から、垂直方向に隣接する環の下部側壁と上部側壁との間の空間に配置するのに十分な量の流体で、前記少なくとも1つのバルーンを充填して、それによってコイルを拡張させて前記インプラントの高さを増加させることと、任意で骨移植材料又は骨セメントを前記間隙から前記空隙に配置することと、任意で前記空隙から前記拡張式コイルを除去することと、を含む、脊椎運動セグメントの再建方法。
Claims (18)
- 脊椎インプラントであって、第1端部、第2端部、内腔部を画定する側壁、及び前記側壁を貫く複数の開孔部を有する中空管を備える拡張式コイルであって、前記中空管が垂直方向に隣接する環の下部側壁と上部側壁との間に空間を有する複数の環に形成された、拡張式コイルと、垂直方向に隣接する環の間の前記空間のうちの少なくともいくつかに存在する少なくとも1つのバルーンと、を備え、前記コイルが拡張されたときに、前記インプラントが椎間板の高さ、椎体の高さ、又は脊椎運動セグメントの高さと近似する高さを有する、脊椎インプラント。
- 前記中空管が、ニッケル、チタン、鋼鉄、アルミニウム、又はこれらの合金を含む、請求項1に記載の脊椎インプラント。
- 前記合金が、ニチノールを含む、請求項2に記載の脊椎インプラント。
- 前記少なくとも1つのバルーンが、単一のチャンバを含む、請求項1に記載の脊椎インプラント。
- 前記少なくとも1つのバルーンが、複数のチャンバを含む、請求項1に記載の脊椎インプラント。
- 前記チャンバが、水、生理食塩水、放射線不透過造影剤、ヒドロゲル、及び骨セメントからなる群から選択される流体を含む、請求項4に記載の脊椎インプラント。
- 前記複数のチャンバが、水、生理食塩水、放射線不透過造影剤、ヒドロゲル、及び骨セメントからなる群から選択される流体を含む、請求項5に記載の脊椎インプラント。
- 前記少なくとも1つのバルーンが、柔軟又は半柔軟バルーンである、請求項1に記載の脊椎インプラント。
- 前記少なくとも1つのバルーンが、非柔軟バルーンである、請求項1に記載の脊椎インプラント。
- 脊椎インプラントであって、第1端部、第2端部、内腔部を画定する側壁、及び前記第1端部から前記第2端部に延在する前記側壁を貫く間隙を有する中空管を備える拡張式コイルであって、前記中空管が垂直方向に隣接する環の下部側壁と上部側壁との間に空間を有する複数の環に形成される、拡張式コイルと、前記内腔部に存在する少なくとも1つのバルーンと、を備え、前記コイルが拡張されたとき、前記インプラントが、椎間板の高さ、椎体の高さ、又は脊椎運動セグメントの高さと近似する高さを有する、脊椎インプラント。
- 前記中空管が、チタン、鋼鉄、アルミニウム、又はこれらの合金を含む、請求項10に記載の脊椎インプラント。
- 前記合金が、ニチノールを含む、請求項11に記載の脊椎インプラント。
- 前記少なくとも1つのバルーンが、単一のチャンバを含む、請求項10に記載の脊椎インプラント。
- 前記少なくとも1つのバルーンが、複数のチャンバを含む、請求項10に記載の脊椎インプラント。
- 前記チャンバが、水、生理食塩水、放射線不透過造影剤、ヒドロゲル、及び骨セメントからなる群から選択される流体を含む、請求項13に記載の脊椎インプラント。
- 前記複数のチャンバが、水、生理食塩水、放射線不透過造影剤、ヒドロゲル、及び骨セメントからなる群から選択される流体を含む、請求項14に記載の脊椎インプラント。
- 前記少なくとも1つのバルーンが、柔軟又は半柔軟バルーンである、請求項10に記載の脊椎インプラント。
- 前記少なくとも1つのバルーンが、非柔軟バルーンである、請求項10に記載の脊椎インプラント。
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US13/804,336 US9358120B2 (en) | 2013-03-14 | 2013-03-14 | Expandable coil spinal implant |
PCT/US2014/021248 WO2014158980A1 (en) | 2013-03-14 | 2014-03-06 | Expandable coil spinal implant |
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EP (1) | EP2967897B1 (ja) |
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US9889015B2 (en) | 2018-02-13 |
AU2014241509A1 (en) | 2015-10-29 |
US20140277464A1 (en) | 2014-09-18 |
US10864085B2 (en) | 2020-12-15 |
WO2014158980A1 (en) | 2014-10-02 |
JP6430476B2 (ja) | 2018-11-28 |
US20180116813A1 (en) | 2018-05-03 |
EP2967897A1 (en) | 2016-01-20 |
US20160250032A1 (en) | 2016-09-01 |
CN105188614A (zh) | 2015-12-23 |
AU2014241509B2 (en) | 2018-07-05 |
EP2967897B1 (en) | 2017-11-22 |
US9358120B2 (en) | 2016-06-07 |
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