JP2018502689A - 整形外科用の衝撃を付与する電気モータ駆動式器具 - Google Patents
整形外科用の衝撃を付与する電気モータ駆動式器具 Download PDFInfo
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- JP2018502689A JP2018502689A JP2017555442A JP2017555442A JP2018502689A JP 2018502689 A JP2018502689 A JP 2018502689A JP 2017555442 A JP2017555442 A JP 2017555442A JP 2017555442 A JP2017555442 A JP 2017555442A JP 2018502689 A JP2018502689 A JP 2018502689A
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- instrument
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- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/92—Impactors or extractors, e.g. for removing intramedullary 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
- 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
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
- B25D—PERCUSSIVE TOOLS
- B25D11/00—Portable percussive tools with electromotor or other motor drive
- B25D11/06—Means for driving the impulse member
- B25D11/066—Means for driving the impulse member using centrifugal or rotary impact elements
- B25D11/068—Means for driving the impulse member using centrifugal or rotary impact elements in which the tool bit or anvil is hit by a rotary impulse member
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
- B25D—PERCUSSIVE TOOLS
- B25D11/00—Portable percussive tools with electromotor or other motor drive
- B25D11/06—Means for driving the impulse member
- B25D11/12—Means for driving the impulse member comprising a crank mechanism
- B25D11/125—Means for driving the impulse member comprising a crank mechanism with a fluid cushion between the crank drive and the striking body
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
- A61B2017/922—Devices for impaction, impact element
- A61B2017/924—Impact element driving means
-
- 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
- A61F2/46—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
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2002/4681—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor by applying mechanical shocks, e.g. by hammering
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2002/4688—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means
- A61F2002/469—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means electrical
Abstract
Description
Claims (20)
- 対向する方向に手術器具の動作を促すために反復可能かつ制御された接触力によって対象物を打撃するための外科用打撃器具であって、
前記外科用打撃器具は、
ガススプリング組立体を備える駆動機構と、
前記反復可能かつ制御された接触力を生じさせるために、前記駆動機構からエネルギー貯蔵機構に出力されるエネルギーの貯蔵及び放出を制御する制御回路と、
前記対象物と相互作用する手術器具を受け入れるように構成されたアダプタと、
前記反復可能かつ制御可能な接触力を前記アダプタに提供するために、移動体に伝達される前記反復可能かつ制御された接触力に基づいて少なくとも2つの異なる衝撃面に接触するように動作可能な移動体と、
を含み、
第1衝撃面に対する前記反復可能かつ制御可能な接触力の提供は、第1方向に前記アダプタを押し、
第2衝撃面に対する前記反復可能かつ制御可能な接触力の提供は、前記第1方向とは反対の方向に前記アダプタを押す、外科用打撃器具。 - 前記少なくとも2つの表面の選択は、前記打撃器具に加えられるユーザの付勢力に基づく、請求項1に記載の打撃器具。
- 前記対象物の方向の前記ユーザの付勢力は、前記移動体を前記第1衝撃面に接触させる、請求項2に記載の打撃器具。
- 前記対象物から遠ざかる方向の前記ユーザの付勢力は、前記移動体を前記第2衝撃面に接触させる、請求項2に記載の打撃器具。
- 前記ガススプリング組立体は、ガススプリング、ガススプリングピストン、カム、モータ、及びギヤボックスを含む、請求項1に記載の打撃器具。
- 前記ガススプリングピストンと前記移動体との全移動質量に対するガスピストン質量の比率が50%未満である、請求項5に記載の打撃器具。
- 前記ガススプリングの圧縮比率は50%未満である、請求項5に記載の打撃器具。
- 前記カムは、前記ガススプリングピストンを変位させるために使用される、請求項5に記載の打撃器具。
- 前記ガススプリングピストンは、300から3000psiの範囲の圧力下で動作するガス室を含む、請求項5に記載の打撃器具。
- 前記移動体は、前記ガススプリングピストンと移動質量とを含む、請求項1に記載の打撃器具。
- 前記移動体は、移動質量を含む、請求項1に記載の打撃器具。
- 前記移動質量は、鋼で構成される、請求項11に記載の打撃器具。
- 患者の外形に従って、前記移動体から前記アダプタに伝達される衝撃エネルギーを調節するエネルギー調節機構を含む、請求項1に記載の打撃器具。
- 前記アダプタは、前記手術器具に解放可能に接続するように構成される、請求項1に記載の打撃器具。
- 前記移動体は、前記少なくとも2つの衝撃面を有するアンビルによって前記アダプタに動作可能に連結される、請求項1に記載の打撃器具。
- 前記アダプタは、前記アンビルに後方への力を加えるレバーアームによって前記第1方向とは反対の方向に推進される、請求項15に記載の打撃器具。
- 前記カムは、前記移動体が前記少なくとも2つの異なる衝撃面と接触する前に前記ガススプリングピストンと係合し、前記カムは、前記少なくとも2つの異なる衝撃面と接触するように前記移動体を押すために前記カムから前記ガススプリングピストンを解放させる、請求項5に記載の打撃器具。
- 前記移動質量は、前記少なくとも2つの異なる衝撃面と接触する前に前記ガススプリングピストンの面に取り付けられる、請求項10に記載の打撃器具。
- 前記移動質量は、前記少なくとも2つの異なる衝撃面と少なくとも一部接触する間に、前記ガススプリングピストンの前記面から分離する、請求項18に記載の打撃器具。
- 対向する方向に手術器具の動作を促すために反復可能かつ制御された接触力によって対象物を打撃するための外科用打撃器具であって、
前記外科用打撃器具は、
ガススプリングピストンを含むガススプリング組立体で前記打撃器具を駆動させる手段と、
前記打撃器具を駆動させる手段の制御回路であって、前記反復可能かつ制御された接触力を生じさせるために、エネルギーの貯蔵及びエネルギー蓄積装置へのエネルギーの放出を制御する制御回路と、
手術器具を受容する器具マウントと、
前記反復可能かつ制御された接触力を前記器具マウントに提供するために、移動体に伝達される前記反復可能かつ制御可能な接触力に基づいて少なくとも2つの異なる衝撃面に接触するように動作可能な移動体と、
を含み、
第1衝撃面に対する前記反復可能かつ制御可能な接触力の提供は、第1方向に前記器具マウントを押し、
第2衝撃面に対する前記反復可能かつ制御可能な接触力の提供は、前記第1方向とは反対の方向に前記器具マウントを押す、外科用打撃器具。
Applications Claiming Priority (3)
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US201562101416P | 2015-01-09 | 2015-01-09 | |
US62/101,416 | 2015-01-09 | ||
PCT/US2016/012917 WO2016112397A1 (en) | 2015-01-09 | 2016-01-11 | Electric motor driven tool for orthopedic impacting |
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JP2020128969A Division JP7164569B2 (ja) | 2015-01-09 | 2020-07-30 | 整形外科用の衝撃を付与する電気モータ駆動式器具 |
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JP2018502689A true JP2018502689A (ja) | 2018-02-01 |
JP7010701B2 JP7010701B2 (ja) | 2022-01-26 |
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JP2020128969A Active JP7164569B2 (ja) | 2015-01-09 | 2020-07-30 | 整形外科用の衝撃を付与する電気モータ駆動式器具 |
JP2022167807A Pending JP2023003425A (ja) | 2015-01-09 | 2022-10-19 | 整形外科用の衝撃を付与する電気モータ駆動式器具 |
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JP2022167807A Pending JP2023003425A (ja) | 2015-01-09 | 2022-10-19 | 整形外科用の衝撃を付与する電気モータ駆動式器具 |
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US (3) | US10342591B2 (ja) |
EP (1) | EP3242618B1 (ja) |
JP (3) | JP7010701B2 (ja) |
KR (1) | KR102564585B1 (ja) |
CN (2) | CN107635495B (ja) |
AU (3) | AU2016205046B2 (ja) |
CA (1) | CA2973470C (ja) |
HK (1) | HK1246129A1 (ja) |
WO (1) | WO2016112397A1 (ja) |
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JP7404463B2 (ja) | 2017-05-26 | 2023-12-25 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 制御された反復可能な衝撃を送達する整形外科用装置 |
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JP2023003425A (ja) | 2023-01-11 |
JP7164569B2 (ja) | 2022-11-01 |
CA2973470A1 (en) | 2016-07-14 |
AU2021277672A1 (en) | 2021-12-23 |
AU2021277672B2 (en) | 2023-05-04 |
CN112120779A (zh) | 2020-12-25 |
AU2020200771A1 (en) | 2020-02-20 |
US20220054179A1 (en) | 2022-02-24 |
AU2016205046A1 (en) | 2017-07-20 |
EP3242618C0 (en) | 2023-12-13 |
AU2016205046B2 (en) | 2019-11-14 |
US20190282286A1 (en) | 2019-09-19 |
KR102564585B1 (ko) | 2023-08-09 |
KR20170107475A (ko) | 2017-09-25 |
EP3242618A1 (en) | 2017-11-15 |
CN107635495A (zh) | 2018-01-26 |
US10342591B2 (en) | 2019-07-09 |
CA2973470C (en) | 2023-03-28 |
JP7010701B2 (ja) | 2022-01-26 |
CN107635495B (zh) | 2020-05-01 |
JP2020185421A (ja) | 2020-11-19 |
US20160199199A1 (en) | 2016-07-14 |
WO2016112397A1 (en) | 2016-07-14 |
HK1246129A1 (zh) | 2018-09-07 |
US11197706B2 (en) | 2021-12-14 |
EP3242618B1 (en) | 2023-12-13 |
AU2020200771B2 (en) | 2021-09-30 |
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