JP2019093106A - イン・ビトロアライメント装置付き骨切り術器械 - Google Patents
イン・ビトロアライメント装置付き骨切り術器械 Download PDFInfo
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- JP2019093106A JP2019093106A JP2018128854A JP2018128854A JP2019093106A JP 2019093106 A JP2019093106 A JP 2019093106A JP 2018128854 A JP2018128854 A JP 2018128854A JP 2018128854 A JP2018128854 A JP 2018128854A JP 2019093106 A JP2019093106 A JP 2019093106A
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- 238000000338 in vitro Methods 0.000 title claims abstract description 74
- 210000000988 bone and bone Anatomy 0.000 claims description 29
- 238000012937 correction Methods 0.000 claims description 17
- 230000010339 dilation Effects 0.000 claims description 5
- 238000012790 confirmation Methods 0.000 abstract 1
- 210000002303 tibia Anatomy 0.000 description 19
- 238000001356 surgical procedure Methods 0.000 description 13
- 238000000034 method Methods 0.000 description 12
- 210000000629 knee joint Anatomy 0.000 description 8
- 238000010146 3D printing Methods 0.000 description 5
- 238000011156 evaluation Methods 0.000 description 5
- 201000008482 osteoarthritis Diseases 0.000 description 5
- 210000000689 upper leg Anatomy 0.000 description 4
- 210000000845 cartilage Anatomy 0.000 description 3
- 210000003109 clavicle Anatomy 0.000 description 3
- 238000002224 dissection Methods 0.000 description 3
- 210000002758 humerus Anatomy 0.000 description 3
- 239000007943 implant Substances 0.000 description 3
- 210000000614 rib Anatomy 0.000 description 3
- 210000001991 scapula Anatomy 0.000 description 3
- 210000000623 ulna Anatomy 0.000 description 3
- 230000032683 aging Effects 0.000 description 2
- 210000000459 calcaneus Anatomy 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000001503 joint Anatomy 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 208000006820 Arthralgia Diseases 0.000 description 1
- 208000006386 Bone Resorption Diseases 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- 208000003947 Knee Osteoarthritis Diseases 0.000 description 1
- 208000003076 Osteolysis Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 206010067268 Post procedural infection Diseases 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 206010003246 arthritis Diseases 0.000 description 1
- 210000001188 articular cartilage Anatomy 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 230000024279 bone resorption Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000013150 knee replacement Methods 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 208000029791 lytic metastatic bone lesion Diseases 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 210000004417 patella Anatomy 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 238000007639 printing Methods 0.000 description 1
- 210000002320 radius Anatomy 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
Classifications
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- A61B17/152—Guides therefor for corrective osteotomy for removing a wedge-shaped piece of bone
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- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
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- A—HUMAN NECESSITIES
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- 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
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
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- 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
- A61B17/8095—Wedge osteotomy devices
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- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
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- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
- A61B17/154—Guides therefor for preparing bone for knee prosthesis
- A61B17/157—Cutting tibia
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
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- A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
- A61B17/1767—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee for the patella
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- 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
- A61B17/809—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with bone-penetrating elements, e.g. blades or prongs
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- A—HUMAN NECESSITIES
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- 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
- A61B17/8897—Guide wires or guide pins
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- A—HUMAN NECESSITIES
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- A61B90/03—Automatic limiting or abutting means, e.g. for safety
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- A—HUMAN NECESSITIES
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- 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
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- A61F2/4657—Measuring instruments used for implanting artificial joints
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Physical Education & Sports Medicine (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Abstract
Description
110 上案内辺
120 サイド案内辺
130 第1位置合わせ貫通孔
140 第1孔軸線
150 第1ロッド部材
200 第2本体部材
210 下案内辺
220 延伸ガードプレート
230 第2位置合わせ貫通孔
240 第2孔軸線
250 第2ロッド部材
300 イン・ビトロアライメント装置
310 係合部
320 角度固定孔
322 角度固定骨針
330 アライメント孔
332 アライメント骨針
400 案内溝
500 接続部
600 位置合わせロッド部材
700 固定溝孔
710 固定骨針
L 矯正夾角
M 矯正角度
Claims (5)
- イン・ビトロアライメント装置付き骨切り術器械であって、
上案内辺を備え、切開経路を形成するための第1本体部材と、
下案内辺を備えるとともに当該上案内辺の下方に設けられ、当該上案内辺と当該下案内辺の間にソーによる切開を案内する案内溝が形成され、当該案内溝内に当該上案内辺と当該下案内辺を接続する接続部が備えられる第2本体部材と、
係合部及び少なくとも1つのアライメント孔を備え、当該係合部が当該接続部に係合されるとともに、当該アライメント孔が切開方向の確認に用いられるイン・ビトロアライメント装置と、を含む骨切り術器械。 - 当該第1本体部材は、当該上案内辺の基端に設けられて切開経路を形成するサイド案内辺を更に含み、当該第2本体部材は、当該下案内辺の基端に設けられてソーによる当該サイド案内辺での切開時の切り過ぎを防止する延伸ガードプレートを更に含む請求項1に記載のイン・ビトロアライメント装置付き骨切り術器械。
- 当該イン・ビトロアライメント装置は、更に、当該係合部に設けられる角度固定孔であって、角度固定骨針が貫設されることで骨格に対する当該イン・ビトロアライメント装置付き骨切り術器械の角度を固定する角度固定孔を含む請求項1に記載のイン・ビトロアライメント装置付き骨切り術器械。
- 当該第1本体部材は第1位置合わせ貫通孔を更に含み、当該第1位置合わせ貫通孔は第1ロッド部材を介して当該第1本体部材に接続され、当該第2本体部材は第2位置合わせ貫通孔を更に含み、当該第2位置合わせ貫通孔は第2ロッド部材を介して当該第2本体部材に接続され、当該第1位置合わせ貫通孔の第1孔軸線と当該第2位置合わせ貫通孔の第2孔軸線の間には矯正夾角を形成可能であり、骨切りによる切口の拡張角度が術前に計画された矯正角度と一致すると、当該第1位置合わせ貫通孔の当該第1孔軸線と当該第2位置合わせ貫通孔の当該第2孔軸線が重畳して位置合わせロッド部材を挿通可能となる請求項1に記載のイン・ビトロアライメント装置付き骨切り術器械。
- 当該アライメント孔には、切開の方向を確認するよう少なくとも1つのアライメント骨針が貫設され、当該第1本体部材と当該第2本体部材の表面には、少なくとも1つの固定骨針を貫設することで当該イン・ビトロアライメント装置付き骨切り術器械を骨格の表面に固定可能とする複数の固定溝孔が備わっている請求項1に記載のイン・ビトロアライメント装置付き骨切り術器械。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
TW106140619A TWI638633B (zh) | 2017-11-22 | 2017-11-22 | 具體外瞄準器之截骨手術器械 |
TW106140619 | 2017-11-22 |
Publications (2)
Publication Number | Publication Date |
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JP2019093106A true JP2019093106A (ja) | 2019-06-20 |
JP6722374B2 JP6722374B2 (ja) | 2020-07-15 |
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JP2018128854A Active JP6722374B2 (ja) | 2017-11-22 | 2018-07-06 | イン・ビトロアライメント装置付き骨切り術器械 |
Country Status (7)
Country | Link |
---|---|
US (2) | US10772639B2 (ja) |
EP (1) | EP3488799B1 (ja) |
JP (1) | JP6722374B2 (ja) |
KR (1) | KR102140052B1 (ja) |
CN (1) | CN108618823B (ja) |
ES (1) | ES2959749T3 (ja) |
TW (1) | TWI638633B (ja) |
Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
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EP2838458B1 (en) * | 2012-04-18 | 2018-09-12 | Materialise N.V. | Orthopedic bone fixation systems and methods |
JP7297926B2 (ja) * | 2019-04-12 | 2023-06-26 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 骨切りガイド |
CN111714184B (zh) * | 2020-06-29 | 2021-09-07 | 中国人民解放军总医院 | 一种用于胫骨高位截骨术的截骨双导板系统 |
US11857272B2 (en) * | 2021-05-17 | 2024-01-02 | Si-Restore Llc | Implanted article physical referencing apparatus |
CN117224290B (zh) * | 2023-11-16 | 2024-02-02 | 北京贝思达生物技术有限公司 | 一种桡骨小头关节重建翻修系统 |
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2017
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JP2002360595A (ja) * | 2001-05-21 | 2002-12-17 | Nemco Medical Ltd | ひざの関節丘を切削するための方法と、その方法に用いる切削案内具 |
JP2014515650A (ja) * | 2011-03-17 | 2014-07-03 | バイオメット ユーケイ ヘルスケア リミテッド | 膝蓋大腿関節の切除用案内ツール |
US20170100132A1 (en) * | 2015-10-08 | 2017-04-13 | Howmedica Osteonics Corp. | Globalized total knee instrumentation |
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CN108618823B (zh) | 2019-04-30 |
JP6722374B2 (ja) | 2020-07-15 |
TWI638633B (zh) | 2018-10-21 |
TW201822719A (zh) | 2018-07-01 |
KR102140052B1 (ko) | 2020-08-03 |
KR20200068003A (ko) | 2020-06-15 |
CN108618823A (zh) | 2018-10-09 |
EP3488799A1 (en) | 2019-05-29 |
US20190150944A1 (en) | 2019-05-23 |
US20190150943A1 (en) | 2019-05-23 |
ES2959749T3 (es) | 2024-02-28 |
US10772639B2 (en) | 2020-09-15 |
EP3488799B1 (en) | 2023-07-26 |
US10849632B2 (en) | 2020-12-01 |
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