JP2020503156A - 可撓性骨ドリルのためのガイドおよび骨切除器具 - Google Patents
可撓性骨ドリルのためのガイドおよび骨切除器具 Download PDFInfo
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- JP2020503156A JP2020503156A JP2019555082A JP2019555082A JP2020503156A JP 2020503156 A JP2020503156 A JP 2020503156A JP 2019555082 A JP2019555082 A JP 2019555082A JP 2019555082 A JP2019555082 A JP 2019555082A JP 2020503156 A JP2020503156 A JP 2020503156A
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- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 24
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- 230000000452 restraining effect Effects 0.000 claims description 2
- 238000010586 diagram Methods 0.000 abstract 1
- 230000035515 penetration Effects 0.000 abstract 1
- 238000001356 surgical procedure Methods 0.000 description 11
- 210000000588 acetabulum Anatomy 0.000 description 8
- 210000001624 hip Anatomy 0.000 description 7
- 208000008558 Osteophyte Diseases 0.000 description 6
- 230000002159 abnormal effect Effects 0.000 description 2
- 210000002436 femur neck Anatomy 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 210000000689 upper leg Anatomy 0.000 description 2
- 208000036487 Arthropathies Diseases 0.000 description 1
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- 208000027205 Congenital disease Diseases 0.000 description 1
- 208000029767 Congenital, Hereditary, and Neonatal Diseases and Abnormalities Diseases 0.000 description 1
- 208000012659 Joint disease Diseases 0.000 description 1
- 208000037919 acquired disease Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
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- 230000006835 compression Effects 0.000 description 1
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- 230000001419 dependent effect Effects 0.000 description 1
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- 238000009434 installation Methods 0.000 description 1
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- 230000003902 lesion Effects 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
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- 201000010318 shoulder impingement syndrome Diseases 0.000 description 1
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
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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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- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
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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
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
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- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
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- A61B17/1613—Component parts
- A61B17/1615—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
- A61B17/1617—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material with mobile or detachable parts
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- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
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- A—HUMAN NECESSITIES
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- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
- A61B17/1666—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the acetabulum
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- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1684—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the shoulder
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
- 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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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1778—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the shoulder
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
- A61B2090/035—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself preventing further rotation
Abstract
Description
Claims (15)
- 貫通チャネル(4)を内部に備える第1の本体(2)と、前記第1の本体(2)を挿入することができる内部が中空の第2の本体(3)と、を備える可撓性骨ドリルのためのガイドであって、前記第2の本体(3)には、前記第1の本体(2)の前記内部貫通チャネル(4)と流体接続するように配置されるのに適した貫通孔(6)が設けられており、前記第2の本体(3)と前記第1の本体(2)とが互いにスライドして、前記貫通チャネル(4)に対する前記孔(6)の相対位置を変える、ガイド。
- 前記内部貫通チャネル(4)が、少なくとも部分的に前記第1の本体(2)の長手方向軸(2a)に沿って、前記第1の本体(2)の第1の自由端(2’)から前記長手方向軸に沿った中間点(5)まで、延びる軸方向部分(41)と、前記長手方向軸(2a)に沿った前記中間点(5)から前記第1の本体(2)の側壁(2c)に向かって延びる横方向部分(42)とを備える、請求項1に記載のガイド。
- 前記横方向部分(42)が、前記第1の本体(2)の前記長手方向軸(2a)に対して30°から80°、好ましくは40°から60°の角度(β)で傾斜している、請求項2に記載のガイド。
- 前記軸方向部分(41)および前記横方向部分(42)は連通し、連続しており、外部環境と流体接続している、請求項2または3に記載のガイド。
- 前記軸方向部分(41)が、前記第1の本体(2)の前記第1の自由端(2')を通して外側に通じ、前記横方向部分(42)が、前記第1の本体(2)の側壁(2c)から外側に通じている、請求項2から4の1項に記載のガイド。
- 前記第1の本体と前記第2の本体との間の軸方向および回転方向の両方向の相対移動を制限し制御するのに適した移動制限手段(7)を備える、請求項1から5の1項に記載のガイド。
- 前記移動制限手段(7)が、前記第1の本体(2)と前記第2の本体(3)との間のあらゆる相対回転を防止するように、前記第1の本体(2)の側壁(2c)から外側に突出するピン(8)と、前記第2の本体(3)の側壁(3c)に形成された、前記ピン(8)が収容されるスロット(9)とを備える回転防止装置(20)を備える、請求項6に記載のガイド。
- 前記回転防止装置(20)が、前記第1の本体(2)を前記第2の本体(3)に接続するためのバヨネット型継手を構成する、請求項7に記載のガイド。
- 前記移動制限手段(7)が、前記第1の本体(2)と前記第2の本体(3)とが互いから完全に外れることを防止し、前記第1の本体(2)と前記第2の本体(3)の間の制限された相対的な軸方向並進を可能にする拘束装置(300)を備える、請求項6に記載のガイド。
- 前記拘束装置(300)が、前記第1の本体(2)から半径方向に延び、前記第2の本体(3)の外側に配置され前記第2の本体(3)に接続されたスリーブ(11)の内側に得られるハウジング(12)内で移動可能である環状フランジ(200)を備え、前記ハウジング(12)は、前記スリーブ(11)の端部(11')と前記第2の本体(3)の第1の端部(3')との間に延在する、請求項9に記載のガイド。
- 前記制限手段(7)が、前記環状フランジ(200)と前記第2の本体(3)の前記第1の端部(3')との間に配置された弾性要素(13)を備え、前記弾性要素(13)は、前記第2の本体(3)内での前記第1の本体(2)の軸方向の移動を制御および制限し、前記第2の本体(3)からの前記第1の本体(2)の部分的な引き抜きを促進する、請求項10に記載のガイド。
- 前記ガイド(1)を作動させて制御された態様で前記第2の本体(3)に対して前記第1の本体(2)を軸方向に移動させるために、前記第1の本体(2)および前記第2の本体(3)の周囲に配置されたスリーブ(11)を備える制御装置(15)を備える、請求項1から11の1項に記載のガイド。
- 前記制御装置(15)が、前記第2の本体(3)の周囲に配置され、前記スリーブ(11)の第2の雌ねじ(16)と係合することができる第1のねじ山(14)をさらに備え、前記スリーブ(11)は、その端部(11')を介して前記第1の本体(2)を動かすように前記第2の本体(3)の前記ねじ山(14)にねじ込み、前記第1の本体(2)を前記第2の本体(3)の内側に押す、請求項12に記載のガイド。
- 請求項1から13の1つまたは複数に記載の可撓性骨ドリルのガイドと、前記ガイド(1)に挿入することができる可撓性回転掻き取り要素(10)とを備え、前記可撓性掻き取り要素(10)は、前記ガイド(1)の前記第1の本体(2)と前記第2の本体(3)との間の相対位置に従って前記ガイド(1)からの出口角度(α)を変えることができる、骨切除器具。
- 前記可撓性掻き取り要素(10)の前記出口角度(α)は、前記第2の本体(3)の前記貫通孔(6)の中心軸(6a)に対して60°から90°の間で変化する、請求項14に記載の骨切除器具。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
IT102016000132039 | 2016-12-29 | ||
IT102016000132039A IT201600132039A1 (it) | 2016-12-29 | 2016-12-29 | Guida per fresa ossea flessibile e strumento di resezione ossea |
PCT/IB2017/058191 WO2018122687A1 (en) | 2016-12-29 | 2017-12-20 | Guide for flexible bone drill and bone resection instrument |
Publications (2)
Publication Number | Publication Date |
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JP2020503156A true JP2020503156A (ja) | 2020-01-30 |
JP6826211B2 JP6826211B2 (ja) | 2021-02-03 |
Family
ID=58671758
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2019555082A Active JP6826211B2 (ja) | 2016-12-29 | 2017-12-20 | 可撓性骨ドリルのためのガイドおよび骨切除器具 |
Country Status (6)
Country | Link |
---|---|
US (1) | US11141173B2 (ja) |
EP (1) | EP3562412B1 (ja) |
JP (1) | JP6826211B2 (ja) |
AU (1) | AU2017385064B2 (ja) |
IT (1) | IT201600132039A1 (ja) |
WO (1) | WO2018122687A1 (ja) |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2000505665A (ja) * | 1996-03-01 | 2000-05-16 | メタジェン エル.エル.シー. | 可撓性切削工具およびその使用方法 |
JP2010508070A (ja) * | 2006-10-30 | 2010-03-18 | ディージーアイメド オーソ, インコーポレイテッド | 手術用切断デバイスおよび方法 |
US20100298832A1 (en) * | 2009-05-20 | 2010-11-25 | Osseon Therapeutics, Inc. | Steerable curvable vertebroplasty drill |
JP2013500786A (ja) * | 2009-07-30 | 2013-01-10 | スミス アンド ネフュー インコーポレーテッド | 骨中微小破壊発生用器具 |
JP2014516261A (ja) * | 2011-03-21 | 2014-07-10 | オウル ウュリオピスト | 骨ドリル |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5895389A (en) * | 1997-05-29 | 1999-04-20 | Synthes (U.S.A.) | Drilling guide and measuring instrumentation |
JP6139418B2 (ja) * | 2011-03-11 | 2017-05-31 | スミス アンド ネフュー インコーポレイテッド | トレフィン |
-
2016
- 2016-12-29 IT IT102016000132039A patent/IT201600132039A1/it unknown
-
2017
- 2017-12-20 AU AU2017385064A patent/AU2017385064B2/en active Active
- 2017-12-20 WO PCT/IB2017/058191 patent/WO2018122687A1/en unknown
- 2017-12-20 EP EP17832558.5A patent/EP3562412B1/en active Active
- 2017-12-20 US US16/475,015 patent/US11141173B2/en active Active
- 2017-12-20 JP JP2019555082A patent/JP6826211B2/ja active Active
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2000505665A (ja) * | 1996-03-01 | 2000-05-16 | メタジェン エル.エル.シー. | 可撓性切削工具およびその使用方法 |
JP2010508070A (ja) * | 2006-10-30 | 2010-03-18 | ディージーアイメド オーソ, インコーポレイテッド | 手術用切断デバイスおよび方法 |
US20100298832A1 (en) * | 2009-05-20 | 2010-11-25 | Osseon Therapeutics, Inc. | Steerable curvable vertebroplasty drill |
JP2013500786A (ja) * | 2009-07-30 | 2013-01-10 | スミス アンド ネフュー インコーポレーテッド | 骨中微小破壊発生用器具 |
JP2014516261A (ja) * | 2011-03-21 | 2014-07-10 | オウル ウュリオピスト | 骨ドリル |
Also Published As
Publication number | Publication date |
---|---|
AU2017385064B2 (en) | 2020-09-10 |
IT201600132039A1 (it) | 2018-06-29 |
EP3562412A1 (en) | 2019-11-06 |
US20200000481A1 (en) | 2020-01-02 |
WO2018122687A1 (en) | 2018-07-05 |
JP6826211B2 (ja) | 2021-02-03 |
US11141173B2 (en) | 2021-10-12 |
EP3562412B1 (en) | 2024-01-24 |
AU2017385064A1 (en) | 2019-07-11 |
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