JP2017529910A - 椎間インプラント及び関連する使用方法 - Google Patents
椎間インプラント及び関連する使用方法 Download PDFInfo
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- JP2017529910A JP2017529910A JP2017512353A JP2017512353A JP2017529910A JP 2017529910 A JP2017529910 A JP 2017529910A JP 2017512353 A JP2017512353 A JP 2017512353A JP 2017512353 A JP2017512353 A JP 2017512353A JP 2017529910 A JP2017529910 A JP 2017529910A
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- anchor
- channel
- vertebral
- guide member
- longitudinal axis
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- 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
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- 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
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- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
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- A61F2/4465—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 having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
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- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
- A61F2002/4627—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Neurology (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physical Education & Sports Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims (20)
- 椎骨アンカーを椎体に挿入するためのシステムであって、
1つ以上の細長いチャネルを画定する後端ハウジングと、
1つ以上のアンカーチャネルを画定するアンカーハウジングであって、第1のアンカーチャネルは第1の軌道に沿って前記アンカーハウジングの遠位面から椎体を付勢するように構成されているアンカーハウジングと、
第1の細長いチャネル及び前記第1のアンカーチャネルを通って延在するように構成されたガイド部材であって、前記第1の細長いチャネル及び前記第1のアンカーチャネル内に配置されたときに第1の長手方向軸に沿って移動し、前記第1のアンカーチャネル内に配置された椎骨アンカーに当接するように構成されたガイド部材と、を備え、前記第1の長手方向軸と前記第1の軌道は互いに交差する、システム。 - 前記第1のアンカーチャネルは、前記第1のアンカーチャネルの長さにわたって可変の断面を有する、請求項1に記載のシステム。
- 凹面が前記第1のアンカーチャネルを少なくとも部分的に画定する、請求項1に記載のシステム。
- 前記1つ以上の細長いチャネルの各々を対応するアンカーチャネルに位置合わせするように構成された位置合わせシャフトをさらに含む、請求項1に記載のシステム。
- 1つ以上の位置決め部材をさらに含み、各位置決め部材は、関連するアンカーチャネルを少なくとも部分的に画定し、各位置決め部材は、前記関連するアンカーチャネル内に椎骨アンカーを固定するように構成された延長部を含む、請求項1に記載のシステム。
- 各位置決め部材は、前記アンカーハウジングの先端部分において前記アンカーハウジングに結合されている、請求項5に記載のシステム。
- 各位置決め部材は、前記ガイド部材の遠位端によって係合されるように構成された傾斜部を含む、請求項5に記載のシステム。
- 前記ガイド部材の前記遠位端は、前記位置決め部材の前記傾斜部を横切って摺動して、前記位置決め部材の前記延長部を前記延長部に固定された椎骨アンカーから係脱させるように構成されている、請求項7に記載のシステム。
- 前記アンカーハウジングの遠位面は、椎間スペーサーに解放可能に係合するように構成された1つ以上の機能を有する、請求項1に記載のシステム。
- 前記1つ以上の機能がスナップ嵌め接続ピースを含む、請求項9に記載のシステム。
- 前記第1の軌道とは異なる第2の軌道に沿って椎骨アンカーを付勢するように構成された第2のアンカーチャネルをさらに含む、請求項1に記載のシステム。
- 前記第2の軌道とは異なる第3の軌道に沿って椎骨アンカーを付勢するように構成された第3のアンカーチャネルをさらに含む、請求項11に記載のシステム。
- 前記第1及び第3の軌道は、互いに平行である、請求項12に記載のシステム。
- 椎骨アンカーを患者に挿入するためのシステムであって、
第1の細長いチャネル及び第2の細長いチャネルを画定する後端ハウジングと、
第1のアンカーチャネル及び第2のアンカーチャネルを画定するアンカーハウジングであって、前記第1のアンカーチャネルは、ガイド部材が前記第1の細長いチャネル及び前記第1のアンカーチャネルを通って第1の長手方向軸に沿って延在することができるように、前記第1の細長いチャネルと位置合わせし、前記第2の細長いチャネルは、ガイド部材が第2の長手方向軸に沿って前記第2の細長いチャネル及び前記第2のアンカーチャネルを通って延在することができるように、前記第2のアンカーチャネルと位置合わせし、前記第1及び第2の長手方向軸は互いに平行である、アンカーハウジングと、を備え、
前記第1のアンカーチャネルは、第1の椎骨アンカーを、椎間腔を画定する第1の椎体の中に付勢するように構成され、前記第2のアンカーチャネルは、第2の椎骨アンカーを、椎間腔を画定する第2の椎体の中に付勢するように構成されている、システム。 - 第3の細長いチャネル及び第3のアンカーチャネルをさらに備え、前記第3のアンカーチャネルは、ガイド部材が前記第3の細長いチャネル及び前記第3のアンカーチャネルを通って、前記第1及び第2の長手方向軸と並行である第3の長手方向軸に沿って延在することができるように、前記第3の細長いチャネルと位置合わせし、前記第3のアンカーチャネルは、第3の椎骨アンカーを前記第1の椎体の中に付勢するように構成されている、請求項14に記載のシステム。
- 椎間スペーサーを移植する方法であって、
第1の椎体と第2の椎体との間に画定された椎間腔内に、プレートに結合された前記椎間スペーサーを位置決めすることであって、前記椎間スペーサーは複数のボアを備え、前記複数のボアの各々は、線状締結要素または曲線状締結要素のいずれかを受容するように構成されている、位置決めすることと、
第1のガイド部材の先端を第1の椎骨アンカーに位置合わせすることと、
第1の長手方向軸に沿って前記第1のガイド部材に力を加えて、前記第1の椎骨アンカーを、前記プレートを通して前記第1の長手方向軸と交差する軌道に沿って前記第1の椎体に嵌入させることと、を含む、方法。 - 前記第1のガイド部材または第2のガイド部材を第2の椎骨アンカーに位置合わせさせることと、第2の長手方向軸と交差する第2の軌道に沿って、前記第2の椎骨アンカーを、前記プレートを通して前記第2の椎体に嵌入させるために、前記第2の長手方向軸に沿って前記第1または第2のガイド部材に力を加えることと、をさらに含む、請求項16に記載の方法。
- 前記第1のガイド部材または第3のガイド部材を第3の椎骨アンカーに位置合わせさせることと、第3の長手方向軸と交差する第3の軌道に沿って、前記第3の椎骨アンカーを、前記プレートを通して前記第1の椎体に嵌入させるために、前記第3の長手方向軸に沿って前記第1または第3のガイド部材に力を加えることと、をさらに含む、請求項17に記載の方法。
- 第1及び第3の軌道は、互いに実質的に平行である、請求項18に記載の方法。
- 第1、第2、及び第3の長手方向軸は、互いに平行である、請求項18に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US14/476,376 US20160058564A1 (en) | 2014-09-03 | 2014-09-03 | Intervertebral Implants and Related Methods of Use |
US14/476,376 | 2014-09-03 | ||
PCT/US2015/048284 WO2016036929A1 (en) | 2014-09-03 | 2015-09-03 | Intervertebral implants and related methods of use |
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JP2017529910A true JP2017529910A (ja) | 2017-10-12 |
JP6767967B2 JP6767967B2 (ja) | 2020-10-14 |
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US (2) | US20160058564A1 (ja) |
EP (1) | EP3188679A4 (ja) |
JP (1) | JP6767967B2 (ja) |
WO (1) | WO2016036929A1 (ja) |
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US11369489B2 (en) | 2017-04-05 | 2022-06-28 | Globus Medical, Inc. | Decoupled spacer and plate and method of installing the same |
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-
2014
- 2014-09-03 US US14/476,376 patent/US20160058564A1/en not_active Abandoned
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2015
- 2015-09-03 JP JP2017512353A patent/JP6767967B2/ja active Active
- 2015-09-03 EP EP15838554.2A patent/EP3188679A4/en active Pending
- 2015-09-03 WO PCT/US2015/048284 patent/WO2016036929A1/en active Application Filing
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2021
- 2021-11-29 US US17/536,540 patent/US20220079774A1/en active Pending
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Publication number | Priority date | Publication date | Assignee | Title |
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US11285015B2 (en) | 2017-04-05 | 2022-03-29 | Globus Medical, Inc. | Decoupled spacer and plate and method of installing the same |
US11369489B2 (en) | 2017-04-05 | 2022-06-28 | Globus Medical, Inc. | Decoupled spacer and plate and method of installing the same |
US11452608B2 (en) | 2017-04-05 | 2022-09-27 | Globus Medical, Inc. | Decoupled spacer and plate and method of installing the same |
US11678998B2 (en) | 2017-04-05 | 2023-06-20 | Globus Medical Inc. | Decoupled spacer and plate and method of installing the same |
Also Published As
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EP3188679A4 (en) | 2017-09-27 |
EP3188679A1 (en) | 2017-07-12 |
JP6767967B2 (ja) | 2020-10-14 |
US20220079774A1 (en) | 2022-03-17 |
WO2016036929A1 (en) | 2016-03-10 |
US20160058564A1 (en) | 2016-03-03 |
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