JP2018530394A - 椎間脊椎融合用固定デバイスの展開用デバイス及び方法 - Google Patents
椎間脊椎融合用固定デバイスの展開用デバイス及び方法 Download PDFInfo
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- JP2018530394A JP2018530394A JP2018518719A JP2018518719A JP2018530394A JP 2018530394 A JP2018530394 A JP 2018530394A JP 2018518719 A JP2018518719 A JP 2018518719A JP 2018518719 A JP2018518719 A JP 2018518719A JP 2018530394 A JP2018530394 A JP 2018530394A
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- Prior art keywords
- anchor
- spacer
- anchors
- intervertebral fusion
- fusion device
- 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
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- 238000000034 method Methods 0.000 title abstract description 9
- 125000006850 spacer group Chemical group 0.000 claims abstract description 149
- 238000002513 implantation Methods 0.000 claims description 9
- 239000007943 implant Substances 0.000 description 32
- 239000004696 Poly ether ether ketone Substances 0.000 description 6
- 229920002530 polyetherether ketone Polymers 0.000 description 6
- 229910001069 Ti alloy Inorganic materials 0.000 description 5
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- 239000000560 biocompatible material Substances 0.000 description 3
- 210000000988 bone and bone Anatomy 0.000 description 3
- 229910052751 metal Inorganic materials 0.000 description 3
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- 235000004035 Cryptotaenia japonica Nutrition 0.000 description 2
- 102000007641 Trefoil Factors Human genes 0.000 description 2
- 235000015724 Trifolium pratense Nutrition 0.000 description 2
- 230000021615 conjugation Effects 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 230000006641 stabilisation Effects 0.000 description 2
- 238000011105 stabilization Methods 0.000 description 2
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Abstract
Description
本特許出願は、2015年5月21日に出願された米国特許出願第14/718,514号の一部継続出願であり、その全体が本明細書に組み込まれる。
Claims (20)
- 椎間融合デバイスであって、
上部椎体と下部椎体との間に埋め込まれるように適合されているスペーサと、
前記スペーサ内に位置付けられた第1のアンカー及び第2のアンカーと、
前記スペーサ内に位置付けられ、前記第1のアンカー及び前記第2のアンカーと係合するように適合されている作動部材と、を備え、
前記作動部材が第1の方向で作動されると、前記第1のアンカーが移動して前記上部椎体と係合し、前記第2のアンカーが移動して前記下部椎体と係合し、前記第1のアンカー及び前記第2のアンカーが同時に移動される、椎間融合デバイス。 - 非展開状態の前記第1及び第2のアンカーが、全体的に前記スペーサ内に配設される、請求項1に記載の椎間融合デバイス。
- 前記スペーサが、前記第1及び第2のアンカーの、それらのそれぞれの椎体内への展開を、それぞれ誘導するように適合されている上部ガイド及び下部ガイドを有する、請求項1に記載の椎間融合デバイス。
- 前記第1及び第2のアンカーが、前記第1及び第2のアンカーに力が加えられたときに、それらのそれぞれの上部及び下部ガイドに沿って互いに独立して移動する個別の要素である、請求項3に記載の椎間融合デバイス。
- 前記上部及び下部ガイドのそれぞれが、前記第1及び第2のアンカーのそれぞれ1つを圧迫して、それらをそれらのそれぞれの椎体内へ展開させる傾斜表面を有する、請求項3に記載の椎間融合デバイス。
- 前記第1及び第2のアンカーが、前記上部及び下部ガイドの前記傾斜表面と実質的に同じである傾斜縁をそれぞれ有する、請求項5に記載の椎間融合デバイス。
- 前記作動部材がねじである、請求項1に記載の椎間融合デバイス。
- 前記第1のアンカー及び第2のアンカーが、前記作動部材のねじ山と相互接続する部分的なねじ山を有する、請求項7に記載の椎間融合デバイス。
- 前記スペーサが、前記上部及び下部ガイド内に位置付けられている第1の窓及び第2の窓を含む、請求項3に記載の椎間融合デバイス。
- 前記第1のアンカー及び前記第2のアンカーが、それぞれ第1及び第2の突起を含み、前記第1及び第2の突起は、前記第1及び第2の窓内に位置付けられている、請求項9に記載の椎間融合デバイス。
- 前記スペーサが、移植用器具のグリッパを受容するために対向に位置付けられた側部のスロットの対を含む、請求項1に記載の椎間融合デバイス。
- 椎間融合デバイスであって、
上部椎体と下部椎体との間に埋め込まれるように適合されているスペーサと、
前記スペーサ内に位置付けられた第1のアンカー及び第2のアンカーと、
前記スペーサ内に位置付けられ、前記第1のアンカー及び前記第2のアンカーと係合するように適合されている作動部材と、を備え、
前記作動部材が第1の方向で作動されると、前記第1のアンカーが移動して前記上部椎体と係合し、前記第2のアンカーが移動して前記下部椎体と係合し、
前記第1のアンカー及び前記第2のアンカーが、偏菱形プロファイルで構成される、椎間融合デバイス。 - 非展開状態の前記第1及び第2のアンカーが、全体的に前記スペーサ内に配設される、請求項12に記載の椎間融合デバイス。
- 前記スペーサが、前記第1及び第2のアンカーの、それらのそれぞれの椎体内への展開を、それぞれ誘導するように適合されている上部ガイド及び下部ガイドを有する、請求項1に記載の椎間融合デバイス。
- 前記第1及び第2のアンカーが、前記第1及び第2のアンカーに力が加えられたときに、それらのそれぞれの上部及び下部ガイドに沿って互いに独立して移動する個別の要素である、請求項14に記載の椎間融合デバイス。
- 前記上部及び下部ガイドのそれぞれが、前記第1及び第2のアンカーのそれぞれ1つを圧迫して、それらをそれらのそれぞれの椎体内へ展開させる傾斜表面を有する、請求項14に記載の椎間融合デバイス。
- 前記第1及び第2のアンカーが、前記上部及び下部ガイドの前記傾斜表面と実質的に同じである傾斜縁をそれぞれ有する、請求項16に記載の椎間融合デバイス。
- 前記作動部材がねじである、請求項12に記載の椎間融合デバイス。
- 前記第1のアンカー及び第2のアンカーが、前記作動部材のねじ山と相互接続する部分的なねじ山を有する、請求項18に記載の椎間融合デバイス。
- 椎間融合デバイスであって、
上部椎体と下部椎体との間に埋め込まれるように適合されているスペーサと、
前記スペーサ内に位置付けられた第1のアンカー及び第2のアンカーと、
前記スペーサ内に位置付けられ、前記第1のアンカー及び前記第2のアンカーと係合するように適合されているねじと、を備え、
前記作動部材が第1の方向で作動されると、前記第1のアンカーが移動して前記上部椎体と係合し、前記第2のアンカーが移動して前記下部椎体と係合し、
前記ねじのねじ山が、前記第1及び第2のアンカーのねじ山と相互接続される、椎間融合デバイス。
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US14/881,703 US10137005B2 (en) | 2015-05-21 | 2015-10-13 | Device and method for deployment of an anchoring device for intervertebral spinal fusion |
US14/881,703 | 2015-10-13 | ||
PCT/US2016/056729 WO2017066375A1 (en) | 2015-10-13 | 2016-10-13 | Device and method for deployment of an anchoring device for intervertebral spinal fusion |
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Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4599086A (en) * | 1985-06-07 | 1986-07-08 | Doty James R | Spine stabilization device and method |
JP2003503155A (ja) * | 1999-07-01 | 2003-01-28 | スピネヴィジョン エス.エー. | 脊柱固定体部間ケージ |
US20100137989A1 (en) * | 2008-12-02 | 2010-06-03 | Warsaw Orthopedic, Inc. | Intervertebral implant with fixation mechanism |
US20100160984A1 (en) * | 2008-12-19 | 2010-06-24 | Amicus, Llc | Insertion tool for Inter-body Vertebral Prosthetic Device With Self-Deploying Screws |
JP2013505073A (ja) * | 2009-09-17 | 2013-02-14 | ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング | 拡張可能な骨固定部材を有する椎間インプラント |
JP2015507989A (ja) * | 2012-02-24 | 2015-03-16 | エル・デ・エール・メデイカル | 椎間インプラント用のアンカー装置およびシステム、椎間インプラント、および移植器具 |
JP2015510817A (ja) * | 2012-03-19 | 2015-04-13 | アミカス デザイン グループ、エルエルシー | 自己展開アンカーを用いた椎体間脊椎補綴整形固定デバイス |
Family Cites Families (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6770096B2 (en) * | 1999-07-01 | 2004-08-03 | Spinevision S.A. | Interbody spinal stabilization cage and spinal stabilization method |
US20070270960A1 (en) | 2006-04-24 | 2007-11-22 | Sdgi Holdings, Inc. | Extendable anchor in a vertebral implant and methods of use |
US8142479B2 (en) * | 2007-05-01 | 2012-03-27 | Spinal Simplicity Llc | Interspinous process implants having deployable engagement arms |
US8267997B2 (en) * | 2007-11-12 | 2012-09-18 | Theken Spine, Llc | Vertebral interbody compression implant |
-
2016
- 2016-10-13 EP EP16856143.9A patent/EP3361998B1/en active Active
- 2016-10-13 JP JP2018518719A patent/JP6849674B2/ja active Active
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Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4599086A (en) * | 1985-06-07 | 1986-07-08 | Doty James R | Spine stabilization device and method |
JP2003503155A (ja) * | 1999-07-01 | 2003-01-28 | スピネヴィジョン エス.エー. | 脊柱固定体部間ケージ |
US20100137989A1 (en) * | 2008-12-02 | 2010-06-03 | Warsaw Orthopedic, Inc. | Intervertebral implant with fixation mechanism |
US20100160984A1 (en) * | 2008-12-19 | 2010-06-24 | Amicus, Llc | Insertion tool for Inter-body Vertebral Prosthetic Device With Self-Deploying Screws |
JP2013505073A (ja) * | 2009-09-17 | 2013-02-14 | ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング | 拡張可能な骨固定部材を有する椎間インプラント |
JP2015507989A (ja) * | 2012-02-24 | 2015-03-16 | エル・デ・エール・メデイカル | 椎間インプラント用のアンカー装置およびシステム、椎間インプラント、および移植器具 |
JP2015510817A (ja) * | 2012-03-19 | 2015-04-13 | アミカス デザイン グループ、エルエルシー | 自己展開アンカーを用いた椎体間脊椎補綴整形固定デバイス |
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JP6849674B2 (ja) | 2021-03-24 |
EP3361998B1 (en) | 2020-01-08 |
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