JP2020037025A - 患者の股関節に移植する際に使用する医療装置 - Google Patents
患者の股関節に移植する際に使用する医療装置 Download PDFInfo
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- JP2020037025A JP2020037025A JP2019225217A JP2019225217A JP2020037025A JP 2020037025 A JP2020037025 A JP 2020037025A JP 2019225217 A JP2019225217 A JP 2019225217A JP 2019225217 A JP2019225217 A JP 2019225217A JP 2020037025 A JP2020037025 A JP 2020037025A
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- medical device
- pelvis
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- artificial
- bone
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
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- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/04—Macromolecular materials
- A61L31/043—Proteins; Polypeptides; Degradation products thereof
- A61L31/046—Fibrin; Fibrinogen
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- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L31/148—Materials at least partially resorbable by the body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
- A61M5/14276—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body specially adapted for implantation
- A61M2005/14284—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body specially adapted for implantation with needle insertion means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
- A61M5/14276—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body specially adapted for implantation
Abstract
Description
央を通って延びる。そして、大腿骨頸部に合わせられる。そして、頭および大腿骨頸部センター軸として定義される。
および/または頭または大腿骨頸部の近位の側から医療装置を固定させるステップから成る。
質骨の方へ医療装置の安定化を調整するように操作可能であるために適応する。頭または大腿骨頸部の内部、頭または大腿骨頸部の外側および頭または大腿骨頸部の切られた近位の側。
図面において、参照番号の様に、数桁の全体にわたって同一であるか対応する要素を示す。これらの図が例示目的のためにあって、本発明の範囲をいかなる形であれ制限していないことはいうまでもない。このように、方向のいかなる参照も、例えば「上へ」または、「下って」図に示される方向に関連しているだけである。また、いかなる寸法もなど。図において、目的は、説明のために示される。
考えられもする。接触部は蝋様変性のポリマー(例えばFIFE、FFA、FEP、FEおよびUHMWfEまたは潤滑油を吹き込まれることができる粉末冶金素材)のような自己油をさされた素材でできていることがありえた。そして、それは好ましくは生物学的適合性の潤滑油(例えばHyaluronic酸派生物)である。本願明細書において医療装置の部または表層を接触させる素材が常に、または、断続的に油をさされるために適応することは、考えられもする。若干の実施例によれば、医療装置の部または部分は、金属素材および/または炭素繊維および/またはホウ素の組合せ、金属およびプラスチック材料の組合せ、金属およびカーボンを主成分とする素材の組合せ、カーボンおよびプラスチックを主成分とする素材の組合せ、可撓性で固い素材の組合せ、弾性でより少ない弾性体の組合せ、Corianまたはアクリル系ポリマから成ることができる。
股関節カプセル12に損害を与えることのない股関節手術を実行することによって、自然なある者に可能であるように、患者は完全に回復することができて、圧力の等しい量を人工関節に配置することができる。
れる)に提供されるときに、図6aは大腿骨の骨7を示す。医療装置は、頭および大腿骨頸部センター軸に合わせられて配置されるネジ121を用いていて、頭大腿骨の皮質骨に刺さっている大腿骨の骨7に固定した。
てやるときに、人工の寛骨臼面がつくられる断面の表層に配置される部分に達する二つ実施例が皮質骨に刺さっているネジを用いることを固定させたことを示すが、第二実施形態で、人工の接触表面はネジなしで固定する。そして、例えば接着剤を用いる。
け桿菌113に固定する。
れるのに適しているフランジ1315が設けられている。
および腹膜に通すヒト患者の腹壁において作られること、中で人体の特許Mの腹部に、腹膜の下で、切開2がそうである第二実施形態は、骨盤領域に、腹直筋で、そして、中で伝導した。第三実施態様によれば、切開3は、Illiumおよび周囲組織(骨盤が筋膜および筋組織のごくわずかな浸透にしかよって切開されないことを可能にすることができる切開3)との間に正当で実行される。第四実施態様によれば、切開4は、鼠蹊部チャネルにおいて作られる。4つの実施例の全てにおいて寛骨臼の反対側に領域の骨盤9を囲んでいる組織が取り出されるかまたは突き通られること、外科医は骨盤9に達することができる。記載されている方法両方が結合されるかもしれないかまたは寛骨臼の反対側に骨盤を切開するために同じ目的に達して変えられるかもしれないことは、明らかである。
めに適応する。医療装置はナット120から成る。そして、骨盤9に安全に医療装置を固定させるためのスレッドから成る。医療装置は、医療装置が118が骨盤9と接触してあるために適応する部材119を支持して成る補綴部患者の体内に挿入されたあと、18が骨盤9においてつくった穴を占めて、標準のヒト患者の重量から医療装置に配置される負荷を担持する際に援助するために適応する補綴第118部から更に成る用いる。人が自然の股関節を用いるように、通常の使用は定められる。更に、医療装置は、人工の凸面股関節面112と接触してあるために適応する表層117から成っているロック部材116から成る。ロック部材116は頭大腿骨5または大腿骨頸部6にロック部材116の固定を援助するために適応する部材115を固定させることを更に含む。そして、ターンのそれは人工の凸面股関節面112を固定させる。人工の凸面股関節面112は、補綴第118部と関連してナット120のスレッドに対応するスレッド114から成っている取付け桿菌113に固定する。
頭大腿骨および大腿骨頸部6の部を広げることは、主に海綿状骨において実行される、しかしながら、それは、可能性を無視しないいくつかの頭大腿骨5または大腿骨頸部6の皮質骨において実行される広げている必要。
図面において、参照番号の様に、数桁の全体にわたって同一であるか対応する要素を示す。これらの図が例示目的のためにあって、本発明の範囲をいかなる形であれ制限していないことはいうまでもない。
股関節カプセル12に損害を与えることのない股関節手術を実行することによって、患者は完全に回復することができて、自然な関節で可能であるように、圧力の等しい量を人工関節に配置することができる。
Claims (16)
- 患者の股関節に移植される医療装置であって、健康な股関節は、ボール型の大腿骨頭と寛骨臼との間で前記股関節の中心部位に向かって凸形の股関節面を有する大腿骨の近位の部としてのボール型の大腿骨頭と、凹形の股関節表面を有する骨盤の一部としての前記ボール型の寛骨臼とを有し、前記医療装置は、凸形の表面を有し長手方向に伸びる人工大腿骨頭を備え、前記人工大腿骨頭は、移植されると、
前記患者の前記骨盤に移動不可能に固定され、且つ
前記患者の前記大腿骨に固定された人工寛骨臼と移動可能に接続され、それによってボールとソケット継ぎ手を形成し、前記医療装置は、前記人工大腿骨頭に接続され、前記人工大腿骨頭の前記長手方向に対して横方向に伸長し、且つ前記骨盤の腹部側に固定されるように構成された固定要素を更に備えるように構成されることを特徴とする医療装置。 - 前記人工寛骨臼は、前記股関節の回転中心に向かう凹形の表面を備え、移植されると、前記患者の大腿骨に固定されるように構成され、且つ、前記患者の前記骨盤に固定された前記人工大腿骨頭の凸形の表面と移動可能に接続され、且つ、前記医療装置は、前記大腿骨頭または大腿骨頸部と接触するように構成された固定面を有する固定部分を更に備え、前記固定部分は、前記人工寛骨臼を前記大腿骨に固定するように構成されることを特徴とする請求項1に記載の医療装置。
- 前記固定要素は、機械式固定要素を受け入れるように構成される少なくとも1つの穴を有することを特徴とする請求項1に記載の医療装置。
- 前記固定要素は、前記医療装置が前記股関節に移植される時に、前記寛骨臼の表面と接触し且つ前記固定要素と前記寛骨臼の前記表面との間に配置される接着剤を使用して前記医療装置を前記骨盤に固定するように構成される凸形の固定面を更に備えることを特徴とする請求項1に記載の医療装置。
- 前記固定要素は、長形部材を含み、前記長形部材は、
a.前記長形部材が、
i.前記骨盤の内部、及び
ii.前記骨盤の腹部側
の少なくとも一方に部分的に配置されるように構成されるように、前記骨盤の穴を通して嵌入され、
b.移植される時に、前記長形部材が、前記骨盤に前記固定要素を固定するように構成されると共に前記長形部材の内部に前記骨盤を接触させるように構成されるように、前記骨盤の内部で構造的に変化するように構成されることを特徴とする請求項1に記載の医療装置。 - 前記長形部材は、拡張可能部分を含み、前記拡張可能部分は、
第1の、非膨張された状態で、実質的に前記長形部材の長さ軸に沿って、前記骨盤の前記穴を通して嵌入され、
前記長形部材が前記骨盤の内部で前記骨盤に前記固定要素を固定する膨張された状態で配置されるように、前記長さ軸の方向以外の少なくとも1つの方向に拡張するように構成されることを特徴とする請求項5に記載の医療装置。 - 前記長形部材は、拡張可能部分を含み、前記拡張可能部分は、
第1の、非膨張された状態で、実質的に前記長形部材の長さ軸に沿って、前記骨盤の前記穴を通して嵌入され、
前記長形部材が前記骨盤に前記固定要素を固定する膨張された状態で配置されるように、前記長さ軸から離れる少なくとも1つの方向に拡張するように構成されることを特徴とする請求項5に記載の医療装置。 - 前記拡張可能部分は、アンビル部材と関連する2つ以上の拡張要素を備え、前記2つ以上の拡張要素が、前記長形部材の前記長さ軸に対して実質的に垂直な少なくとも一つの方向に拡張するように、前記アンビル部材は、前記拡張要素を押圧するように構成されることを特徴とする請求項7に記載の医療装置。
- 前記長形部材の前記拡張可能部分は、
前記医療装置が移植される時に、前記拡張可能部分が前記拡張可能部分に働く回転運動に触れることに応答して前記長さ軸から離れる少なくとも1方向に拡張するように構成されることを特徴とする請求項7に記載の医療装置。 - 前記アンビル部材は、前記長形部材の前記長さ軸に沿って実質的に延びるねじ部材に接続し、前記医療装置は、対応するねじ部分を更に備え、且つ前記アンビル部材との接続によって前記2つ以上の拡張要素を押圧するように、前記対応するねじ部分が回転された時に、前記骨盤の前記腹部側の方向に前記ねじ部材が引っ張れるように構成されることを特徴とする請求項8に記載の医療装置。
- 前記長形部材は、第1および第2の状態を有するように構成された可動ロック部分を含み、前記可動ロック部分は、第1の状態で、前記骨盤の穴に嵌入されるように構成され、そして前記第2の状態で、前記可動ロック部分が前記骨盤の前記腹部側の前記表面に接触するによって、前記骨盤の前記穴を通過することを前記長形部材が防ぐように構成されることを特徴とする請求項5に記載の医療装置。
- 前記可動ロック部分は、前記長形部材に枢動可能に配置されることを特徴とする請求項11に記載の医療装置。
- 前記人工大腿骨頭は対応するねじ部材に係合するように構成されたねじ部分を備え、前記人工大腿骨頭は前記ねじ部分に関して前記人工大腿骨頭の回転運動によって前記骨盤に更に固定されるように構成されることを特徴とする請求項1に記載の医療装置。
- 前記固定要素は、前記固定要素の表面に2つ以上の穴に配置されるように構成された2つ以上の長形部材を備え、前記長形部材は
前記長形部材が前記骨盤の前記腹部側に部分的に配置されるように前記骨盤の穴を通して嵌入され、且つ
前記長形部材が前記固定要素を前記骨盤に固定するように前記骨盤の前記腹部側で構造的に変化されるように更に構成されることを特徴とする請求項1に記載の医療装置。 - 拡張可能部分を備えた長形部材を更に備え、
前記拡張可能部分は、
拡張されていない状態で、前記長形部材の長さ軸に沿って、前記大腿骨の穴を通して嵌入され、且つ
前記長さ軸から離れる少なくとも1方向に拡張するように構成され、それによって、
前記長形部材が、拡張された状態で配置され、前記大腿骨の内部から前記大腿骨に前記固定部分を固定することを特徴とする請求項2に記載の医療装置。 - 前記固定部分は、前記人工大腿骨頭の赤道を通過するように構成され、前記人工寛骨臼に前記人工大腿骨頭を固定するために、前記人工大腿骨頭を留める少なくとも1つの部分を備えることを特徴とする請求項2に記載の医療装置。
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JP2019225217A Pending JP2020037025A (ja) | 2009-07-10 | 2019-12-13 | 患者の股関節に移植する際に使用する医療装置 |
JP2020016088A Active JP7173999B2 (ja) | 2009-07-10 | 2020-02-03 | 患者の股関節内への移植される医療器具 |
JP2021012945A Pending JP2021072940A (ja) | 2009-07-10 | 2021-01-29 | 股関節装置および方法 |
JP2022177214A Pending JP2022190125A (ja) | 2009-07-10 | 2022-11-04 | 患者の股関節内への移植される医療器具 |
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JP2017239455A Pending JP2018064971A (ja) | 2009-07-10 | 2017-12-14 | 患者の股関節に移植する際に使用する医療装置 |
JP2018000175A Pending JP2018051366A (ja) | 2009-07-10 | 2018-01-04 | 患者の股関節内への移植される医療器具 |
JP2018141293A Pending JP2018187429A (ja) | 2009-07-10 | 2018-07-27 | 患者に移植されるシステム |
JP2018232193A Pending JP2019055275A (ja) | 2009-07-10 | 2018-12-12 | 股関節装置および方法 |
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JP2020016088A Active JP7173999B2 (ja) | 2009-07-10 | 2020-02-03 | 患者の股関節内への移植される医療器具 |
JP2021012945A Pending JP2021072940A (ja) | 2009-07-10 | 2021-01-29 | 股関節装置および方法 |
JP2022177214A Pending JP2022190125A (ja) | 2009-07-10 | 2022-11-04 | 患者の股関節内への移植される医療器具 |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN111544751A (zh) * | 2020-05-14 | 2020-08-18 | 山东大学齐鲁医院(青岛) | 一种乳腺外科病人使用的自动护理装置 |
Families Citing this family (1)
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HRP20211214T1 (hr) * | 2009-07-10 | 2021-12-24 | Implantica Patent Ltd. | Uređaj za zglob kuka |
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- 2010-07-12 ES ES16173330T patent/ES2949284T3/es active Active
- 2010-07-12 LT LTEP15181455.5T patent/LT3066996T/lt unknown
- 2010-07-12 ES ES16163226T patent/ES2899803T3/es active Active
- 2010-07-12 CA CA3158964A patent/CA3158964A1/en active Pending
- 2010-07-12 CA CA3043393A patent/CA3043393C/en active Active
- 2010-07-12 CA CA3192404A patent/CA3192404A1/en active Pending
- 2010-07-12 ES ES15181455T patent/ES2883148T3/es active Active
- 2010-07-12 ES ES16162582T patent/ES2968158T3/es active Active
- 2010-07-12 PT PT151814555T patent/PT3066996T/pt unknown
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2012
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2019
- 2019-12-13 JP JP2019225217A patent/JP2020037025A/ja active Pending
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- 2020-02-03 JP JP2020016088A patent/JP7173999B2/ja active Active
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2021
- 2021-01-29 JP JP2021012945A patent/JP2021072940A/ja active Pending
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ES2949284T3 (es) | 2023-09-27 |
CA3043393A1 (en) | 2011-01-13 |
ES2864177T3 (es) | 2021-10-13 |
RU2020130866A (ru) | 2022-03-30 |
MX2021007788A (es) | 2021-09-21 |
JP2018051366A (ja) | 2018-04-05 |
CA3192404A1 (en) | 2011-01-13 |
JP2019055275A (ja) | 2019-04-11 |
ES2883148T3 (es) | 2021-12-07 |
HRP20211214T1 (hr) | 2021-12-24 |
LT3066996T (lt) | 2021-09-27 |
CA3158964A1 (en) | 2011-01-13 |
JP7173999B2 (ja) | 2022-11-17 |
MX2021007750A (es) | 2021-09-21 |
ES2899803T3 (es) | 2022-03-14 |
MX2021007789A (es) | 2021-09-30 |
JP2018187429A (ja) | 2018-11-29 |
JP2020075159A (ja) | 2020-05-21 |
PT3066996T (pt) | 2021-08-11 |
JP2021072940A (ja) | 2021-05-13 |
US20220304810A1 (en) | 2022-09-29 |
JP2018064971A (ja) | 2018-04-26 |
JP2022190125A (ja) | 2022-12-22 |
ES2968158T3 (es) | 2024-05-08 |
CA3043393C (en) | 2022-02-22 |
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