JP2020519339A - 拡張可能なケージ - Google Patents
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- JP2020519339A JP2020519339A JP2019561227A JP2019561227A JP2020519339A JP 2020519339 A JP2020519339 A JP 2020519339A JP 2019561227 A JP2019561227 A JP 2019561227A JP 2019561227 A JP2019561227 A JP 2019561227A JP 2020519339 A JP2020519339 A JP 2020519339A
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Neurology (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
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Abstract
Description
(1) 畳み込まれた構成と拡張された構成とを繰り返すように構成された椎間インプラントであって、
第1の方向に沿って互いに離間配置された第1の板及び第2の板であって、前記第1の板が、第1の骨接触面を画定し、前記第2の板が、前記第1の方向に沿って前記第1の骨接触面から離れる方を向く第2の骨接触面を画定する、第1の板及び第2の板と、
前記第1の方向に関して前記第1の板と前記第2の板との間に配設された拡張アセンブリであって、
前記第1の板を支持する第1の支持楔であって、第1の傾斜面を画定する、第1の支持楔と、
前記第2の板を支持する第2の支持楔であって、第2の傾斜面及び第3の傾斜面を画定する、第2の支持楔と、
第4の傾斜面を画定する拡張楔と、を備え、
前記第1、第2、第3、及び第4の傾斜面の各々が、前記第1の方向に対して略垂直な第2の方向に関して傾斜しており、前記第1及び第2の支持楔のうちの少なくとも一方が、前記それぞれの支持された第1又は第2の板に沿って摺動可能である、拡張アセンブリと、
アクチュエータであって、1)前記第1の骨接触面と前記第2の骨接触面との間の距離を前記第1の方向に沿って増加させるように、前記第4の傾斜面を前記第3の傾斜面に沿って乗せ、かつ2)前記第2の傾斜面を前記第1の傾斜面に沿って乗せ、それにより前記距離を更に増加させ、それにより前記インプラントに前記畳み込まれた構成から前記拡張された構成まで繰り返させるように、前記拡張楔に駆動力を印加するように構成された、アクチュエータと、を備える、椎間インプラント。
(2) 前記距離が、前記畳み込まれた構成と前記拡張された構成との間で少なくとも2.0の倍率で増加する、実施態様1に記載のインプラント。
(3) 前記第1、第2、第3、及び第4の傾斜面の各々が、約10度〜約60度の範囲内の傾斜角で傾斜している、実施態様1に記載のインプラント。
(4) 前記拡張楔が、前記駆動力に応答して前記第1の傾斜面に沿って乗るように構成された追加の傾斜面を画定し、前記追加の傾斜面が、約20度〜約50度の範囲内の角度で傾斜している、実施態様3に記載のインプラント。
(5) 前記インプラントが前記畳み込まれた構成にあるとき、前記第1の支持楔の全体は、前記第2の方向に関して前記拡張楔の全体から離間配置され、前記第2の支持楔の少なくとも一部分は、前記第2の方向に関して前記第1の支持楔と前記拡張楔との間に配設され、
前記インプラントが前記拡張された構成にあるとき、前記第1の支持楔は、前記第1の方向に関して前記拡張楔の全体の下に横たわり、前記第2の支持楔の全体は、前記第1の方向に関して前記第1の支持楔の全体から離間配置されている、実施態様1に記載のインプラント。
(7) 前記第1のチャネルが、前記第2の方向と、前記第1及び第2の方向に対して垂直である第3の方向と、に沿って延在する第1の基部表面を画定し、
前記第2のチャネルが、前記第2及び第3の方向に沿って延在する第2の基部表面を画定し、前記第1及び第2の基部表面が、互いに向き合い、
前記第2の支持楔が、前記畳み込まれた構成と前記拡張された構成との間での前記インプラントの拡張中に、前記第2の基部表面に沿って摺動するように構成されている楔基部表面を画定し、
前記拡張楔が、前記インプラントの拡張中に、前記第1の基部表面に沿って乗るように構成されている別の楔基部表面を画定する、実施態様6に記載のインプラント。
(8) 前記拡張楔が、前記第2の方向に関して傾斜している追加の傾斜面を更に画定し、前記インプラントは、前記インプラントの第1の拡張段階中に、
前記第2の傾斜面が前記第1の傾斜面に沿って乗る間、前記追加の傾斜面が、前記第2の方向に関して前記第1の傾斜面から離れ、
前記第4の傾斜面が、前記第3の傾斜面に沿って乗り、かつ
前記別の楔基部表面が、前記第1の基部表面に沿って乗る、ように構成されている、実施態様7に記載のインプラント。
(9) 前記インプラントは、前記インプラントの第2の拡張段階中に、1)前記追加の傾斜面が、前記第1の傾斜面に沿って乗り、かつ2)前記第2の傾斜面が、前記第1の傾斜面から離れている、ように構成されている、実施態様8に記載のインプラント。
(10) 前記アクチュエータは、前記第2の方向に沿って向けられた軸を中心に回転可能であり、前記アクチュエータは、前記第4の傾斜面が前記第3の傾斜面に沿って乗るにつれて、前記拡張楔を駆動して前記第2の方向に沿って並進させる、実施態様1に記載のインプラント。
(12) 前記拡張アセンブリが、第1の拡張アセンブリであり、
前記インプラントが、前記第1の方向に関して前記第1の板と前記第2の板との間に配設された第2の拡張アセンブリを更に備え、前記第2の拡張アセンブリが、前記第2の方向に沿って前記第1の拡張アセンブリから離間配置され、前記第2の拡張アセンブリが、
前記第1の板を支持する第3の支持楔であって、第5の傾斜面を画定する、第3の支持楔と、
前記第2の板を支持する第4の支持楔であって、前記第2の支持楔が、第6の傾斜面及び第7の傾斜面を画定する、第4の支持楔と、
第8の傾斜面を画定する第2の拡張楔と、を含み、
前記第5、第6、第7、及び第8の傾斜面の各々が、前記第2の方向に関して傾斜しており、前記第3及び第4の支持楔のうちの少なくとも一方が、前記それぞれの支持された第1又は第2の板に沿って摺動可能であり、
前記アクチュエータは、1)前記第1の板と前記第2の板との間の前記距離を前記第1の方向に沿って集合的に増加させるように、前記第4の傾斜面が前記第3の傾斜面に沿って乗るにつれて、前記第8の傾斜面を前記第7の傾斜面に沿って乗せ、かつ2)前記第1の板と前記第2の板との間の前記距離を前記第1の方向に沿って集合的に更に増加させるように、前記第2の傾斜面が前記第1の傾斜面に沿って乗るにつれて、前記第6の傾斜面を前記第5の傾斜面に沿って乗せ、それにより前記インプラントに前記畳み込まれた構成から前記拡張された構成まで繰り返させるように、前記第2の拡張楔に第2の駆動力を印加するように構成されている、実施態様1に記載のインプラント。
(13) 前記拡張された構成が、第1の拡張された構成であり、拡張アセンブリが、第1の拡張アセンブリであり、前記距離が、第1の距離であり、前記インプラントが、
第1の側及び第2の側であって、前記第2の側が、前記第1及び第2の方向に対して略垂直である第3の方向に沿って前記第1の側から離間配置され、前記第1の距離が、前記インプラントの前記第1の側で測定可能である、第1の側及び第2の側と、
前記第1の方向に関して前記第1の板と前記第2の板との間に配設された第2の拡張アセンブリであって、前記第3の方向に沿って前記第1の拡張アセンブリから離間配置され、
前記第1の板を支持する第3の支持楔であって、第5の傾斜面を画定する、第3の支持楔と、
前記第2の板を支持する第4の支持楔であって、前記第2の支持楔が、第6の傾斜面及び第7の傾斜面を画定する、第4の支持楔と、
第8の傾斜面を画定する第2の拡張楔と、を含み、
前記第5、第6、第7、及び第8の傾斜面の各々が、前記第2の方向に関して傾斜しており、前記第3及び第4の支持楔のうちの少なくとも一方が、前記第3及び第4の支持楔のうちの前記一方によって支持された前記それぞれの板に沿って摺動可能である、第2の拡張アセンブリと、
第2のアクチュエータであって、1)前記第2の側で測定可能である、前記第1の板と前記第2の板との間の第2の距離を前記第1の方向に沿って増加させるように、前記第8の傾斜面を前記第7の傾斜面に沿って乗せ、かつ2)前記第1の板と前記第2の板との間の前記第2の距離を前記第1の方向に沿って更に増加させるように、前記第6の傾斜面を前記第5の傾斜面に沿って乗せ、それにより前記インプラントに前記畳み込まれた構成から前記第2の拡張された構成まで繰り返させるように、前記第2の拡張楔に第2の駆動力を印加するように構成され、前記第2の拡張された構成において、前記第2の距離は、前記第1及び第2の板のうちの一方が、前記第1及び第2の板のうちの他方に関して傾いているように、前記第1の距離とは異なっている、第2のアクチュエータと、を更に備える、実施態様1に記載のインプラント。
(14) 椎間腔への横方向挿入のためのインプラントであって、
垂直方向に関して第1の終板と第2の終板との間に配設された拡張機構を備え、前記第1の終板が、第1の骨接触面を画定し、前記第2の終板が、前記垂直方向に沿って前記第1の骨接触面から離れる方を向く第2の骨接触面を画定し、前記拡張機構が、
第1の軸に沿って配置された前方作動アセンブリと、
第2の軸に沿って配置された後方作動アセンブリと、を備え、前記第1及び第2の軸が各々、前記垂直方向に対して略垂直である長手方向に沿って向けられ、前記第1及び前記第2の軸が、前記垂直方向及び前記長手方向に対して略垂直である横断方向に沿って互いに離間配置され、前記垂直方向に沿った前記第1の骨接触面と前記第2の骨接触面との間の第1の距離が、前記第1の軸と交差し、前記垂直方向に沿った前記第1の骨接触面と前記第2の骨接触面との間の第2の距離が、前記第2の軸と交差し、前記前方及び後方作動アセンブリが各々、
前記第1の終板を支持する第1の支持楔と、
前記第2の終板を支持する第2の支持楔であって、前記第1の支持楔に対して摺動可能である、第2の支持楔と、
前記第2の支持楔に対して摺動可能である拡張楔と、
前記拡張楔に連結された駆動シャフトであって、1)前記拡張楔を前記第2の支持楔に沿って乗せ、かつ2)前記第2の支持楔を前記第1の支持楔に沿って乗せ、それにより前記それぞれの第1又は第2の距離を変化させるように、前記それぞれの第1又は第2の軸を中心に回転可能である、駆動シャフトと、を備え、
前記前方及び後方作動アセンブリの前記駆動シャフトは、前記第1の距離と前記第2の距離との間に差異を提供するように、互いに独立して回転可能である、インプラント。
(15) 各拡張楔が、第1の部材及び第2の部材を備え、前記第1の部材が、前記第2の部材に対して前記それぞれの第1又は第2の軸を中心に回転可能であり、前記第1の部材が、前記それぞれの駆動シャフトの回転に応答して前記それぞれの第2の支持楔に沿って乗るように構成され、前記第2の部材が、前記それぞれの駆動シャフトの回転に応答して前記それぞれの第1の支持楔に沿って乗るように構成されている、実施態様14に記載のインプラント。
各第2の支持楔が、前記第2の終板の前記それぞれの前方又は後方ガイド機構に沿って乗るように構成されたガイド要素を含み、
各拡張楔の前記第2の部材が、前記第1の終板の前記それぞれの前方又は後方ガイド機構に沿って乗るように構成されたガイド要素を含む、実施態様15に記載のインプラント。
(17) 各第2の支持楔が、ガイド機構を更に含み、各拡張楔の前記第1の部材が、前記それぞれの第2の支持楔の前記ガイド機構内に乗るように構成されたガイド要素を画定する、実施態様16に記載のインプラント。
(18) 各第1の支持楔が、ガイド機構を画定し、前記それぞれの第2の部材の前記ガイド要素が、前記それぞれの第1の支持楔の前記ガイド機構に沿って乗るように更に構成されている、実施態様17に記載のインプラント。
(19) 前記ガイド機構の各々が、ガイド溝であり、前記ガイド要素の各々が、関連する前記ガイド溝内に延在し、かつ該関連するガイド溝に沿って乗るように構成されたガイド突出部である、実施態様18に記載のインプラント。
(20) 前記第2の終板の前記ガイド溝及び前記第2の支持楔の前記それぞれのガイド突出部が、前記第2の終板を、前記それぞれの第1又は第2の軸を中心とした回転に関して前記第2の支持楔の各々に回転式で連動させるように、協働的に成形され、
前記第2の支持楔の前記ガイド溝及び前記第1の部材の前記それぞれのガイド突出部が、前記第2の支持楔を、前記それぞれの第1又は第2の軸を中心とした回転に関して前記それぞれの第1の部材に回転式で連動させるように、協働的に成形されている、実施態様19に記載のインプラント。
各第2の部材の前記ガイド突出部及び前記第1の終板の前記それぞれのガイド溝は、関連する前記第2の部材の前記ガイド突出部が前記それぞれのガイド溝内に延在するとき、前記第1の終板を関連する前記第2の部材に回転式で連動させるように、協働的に成形され、
各第2の部材の前記ガイド突出部及び前記それぞれの第1の支持楔の前記ガイド溝は、関連する前記第1の部材の前記ガイド突出部が関連する前記第1の支持楔の前記ガイド溝内に延在するとき、各第1の支持楔を関連する前記第1の部材に回転式で連動させるように、協働的に成形されている、実施態様20に記載のインプラント。
Claims (21)
- 畳み込まれた構成と拡張された構成とを繰り返すように構成された椎間インプラントであって、
第1の方向に沿って互いに離間配置された第1の板及び第2の板であって、前記第1の板が、第1の骨接触面を画定し、前記第2の板が、前記第1の方向に沿って前記第1の骨接触面から離れる方を向く第2の骨接触面を画定する、第1の板及び第2の板と、
前記第1の方向に関して前記第1の板と前記第2の板との間に配設された拡張アセンブリであって、
前記第1の板を支持する第1の支持楔であって、第1の傾斜面を画定する、第1の支持楔と、
前記第2の板を支持する第2の支持楔であって、第2の傾斜面及び第3の傾斜面を画定する、第2の支持楔と、
第4の傾斜面を画定する拡張楔と、を備え、
前記第1、第2、第3、及び第4の傾斜面の各々が、前記第1の方向に対して略垂直な第2の方向に関して傾斜しており、前記第1及び第2の支持楔のうちの少なくとも一方が、前記それぞれの支持された第1又は第2の板に沿って摺動可能である、拡張アセンブリと、
アクチュエータであって、1)前記第1の骨接触面と前記第2の骨接触面との間の距離を前記第1の方向に沿って増加させるように、前記第4の傾斜面を前記第3の傾斜面に沿って乗せ、かつ2)前記第2の傾斜面を前記第1の傾斜面に沿って乗せ、それにより前記距離を更に増加させ、それにより前記インプラントに前記畳み込まれた構成から前記拡張された構成まで繰り返させるように、前記拡張楔に駆動力を印加するように構成された、アクチュエータと、を備える、椎間インプラント。 - 前記距離が、前記畳み込まれた構成と前記拡張された構成との間で少なくとも2.0の倍率で増加する、請求項1に記載のインプラント。
- 前記第1、第2、第3、及び第4の傾斜面の各々が、約10度〜約60度の範囲内の傾斜角で傾斜している、請求項1に記載のインプラント。
- 前記拡張楔が、前記駆動力に応答して前記第1の傾斜面に沿って乗るように構成された追加の傾斜面を画定し、前記追加の傾斜面が、約20度〜約50度の範囲内の角度で傾斜している、請求項3に記載のインプラント。
- 前記インプラントが前記畳み込まれた構成にあるとき、前記第1の支持楔の全体は、前記第2の方向に関して前記拡張楔の全体から離間配置され、前記第2の支持楔の少なくとも一部分は、前記第2の方向に関して前記第1の支持楔と前記拡張楔との間に配設され、
前記インプラントが前記拡張された構成にあるとき、前記第1の支持楔は、前記第1の方向に関して前記拡張楔の全体の下に横たわり、前記第2の支持楔の全体は、前記第1の方向に関して前記第1の支持楔の全体から離間配置されている、請求項1に記載のインプラント。 - 前記第1の板が、前記第2の方向に沿って細長い第1のチャネルを画定し、前記第2の板が、前記第2の方向に沿って細長い第2のチャネルを画定し、前記第1及び第2のチャネルは、互いに向かって開放しており、コンパートメントを画定するように互いの上に横たわり、前記楔の各々は、前記インプラントが前記畳み込まれた構成にあるとき、前記コンパートメント内に収容されている、請求項5に記載のインプラント。
- 前記第1のチャネルが、前記第2の方向と、前記第1及び第2の方向に対して垂直である第3の方向と、に沿って延在する第1の基部表面を画定し、
前記第2のチャネルが、前記第2及び第3の方向に沿って延在する第2の基部表面を画定し、前記第1及び第2の基部表面が、互いに向き合い、
前記第2の支持楔が、前記畳み込まれた構成と前記拡張された構成との間での前記インプラントの拡張中に、前記第2の基部表面に沿って摺動するように構成されている楔基部表面を画定し、
前記拡張楔が、前記インプラントの拡張中に、前記第1の基部表面に沿って乗るように構成されている別の楔基部表面を画定する、請求項6に記載のインプラント。 - 前記拡張楔が、前記第2の方向に関して傾斜している追加の傾斜面を更に画定し、前記インプラントは、前記インプラントの第1の拡張段階中に、
前記第2の傾斜面が前記第1の傾斜面に沿って乗る間、前記追加の傾斜面が、前記第2の方向に関して前記第1の傾斜面から離れ、
前記第4の傾斜面が、前記第3の傾斜面に沿って乗り、かつ
前記別の楔基部表面が、前記第1の基部表面に沿って乗る、ように構成されている、請求項7に記載のインプラント。 - 前記インプラントは、前記インプラントの第2の拡張段階中に、1)前記追加の傾斜面が、前記第1の傾斜面に沿って乗り、かつ2)前記第2の傾斜面が、前記第1の傾斜面から離れている、ように構成されている、請求項8に記載のインプラント。
- 前記アクチュエータは、前記第2の方向に沿って向けられた軸を中心に回転可能であり、前記アクチュエータは、前記第4の傾斜面が前記第3の傾斜面に沿って乗るにつれて、前記拡張楔を駆動して前記第2の方向に沿って並進させる、請求項1に記載のインプラント。
- 前記アクチュエータは、前記軸を中心とした前記アクチュエータの回転が、前記拡張楔を前記アクチュエータに沿ってねじ方式で並進させるように、前記拡張楔にねじ方式で連結されている、請求項1に記載のインプラント。
- 前記拡張アセンブリが、第1の拡張アセンブリであり、
前記インプラントが、前記第1の方向に関して前記第1の板と前記第2の板との間に配設された第2の拡張アセンブリを更に備え、前記第2の拡張アセンブリが、前記第2の方向に沿って前記第1の拡張アセンブリから離間配置され、前記第2の拡張アセンブリが、
前記第1の板を支持する第3の支持楔であって、第5の傾斜面を画定する、第3の支持楔と、
前記第2の板を支持する第4の支持楔であって、前記第2の支持楔が、第6の傾斜面及び第7の傾斜面を画定する、第4の支持楔と、
第8の傾斜面を画定する第2の拡張楔と、を含み、
前記第5、第6、第7、及び第8の傾斜面の各々が、前記第2の方向に関して傾斜しており、前記第3及び第4の支持楔のうちの少なくとも一方が、前記それぞれの支持された第1又は第2の板に沿って摺動可能であり、
前記アクチュエータは、1)前記第1の板と前記第2の板との間の前記距離を前記第1の方向に沿って集合的に増加させるように、前記第4の傾斜面が前記第3の傾斜面に沿って乗るにつれて、前記第8の傾斜面を前記第7の傾斜面に沿って乗せ、かつ2)前記第1の板と前記第2の板との間の前記距離を前記第1の方向に沿って集合的に更に増加させるように、前記第2の傾斜面が前記第1の傾斜面に沿って乗るにつれて、前記第6の傾斜面を前記第5の傾斜面に沿って乗せ、それにより前記インプラントに前記畳み込まれた構成から前記拡張された構成まで繰り返させるように、前記第2の拡張楔に第2の駆動力を印加するように構成されている、請求項1に記載のインプラント。 - 前記拡張された構成が、第1の拡張された構成であり、拡張アセンブリが、第1の拡張アセンブリであり、前記距離が、第1の距離であり、前記インプラントが、
第1の側及び第2の側であって、前記第2の側が、前記第1及び第2の方向に対して略垂直である第3の方向に沿って前記第1の側から離間配置され、前記第1の距離が、前記インプラントの前記第1の側で測定可能である、第1の側及び第2の側と、
前記第1の方向に関して前記第1の板と前記第2の板との間に配設された第2の拡張アセンブリであって、前記第3の方向に沿って前記第1の拡張アセンブリから離間配置され、
前記第1の板を支持する第3の支持楔であって、第5の傾斜面を画定する、第3の支持楔と、
前記第2の板を支持する第4の支持楔であって、前記第2の支持楔が、第6の傾斜面及び第7の傾斜面を画定する、第4の支持楔と、
第8の傾斜面を画定する第2の拡張楔と、を含み、
前記第5、第6、第7、及び第8の傾斜面の各々が、前記第2の方向に関して傾斜しており、前記第3及び第4の支持楔のうちの少なくとも一方が、前記第3及び第4の支持楔のうちの前記一方によって支持された前記それぞれの板に沿って摺動可能である、第2の拡張アセンブリと、
第2のアクチュエータであって、1)前記第2の側で測定可能である、前記第1の板と前記第2の板との間の第2の距離を前記第1の方向に沿って増加させるように、前記第8の傾斜面を前記第7の傾斜面に沿って乗せ、かつ2)前記第1の板と前記第2の板との間の前記第2の距離を前記第1の方向に沿って更に増加させるように、前記第6の傾斜面を前記第5の傾斜面に沿って乗せ、それにより前記インプラントに前記畳み込まれた構成から前記第2の拡張された構成まで繰り返させるように、前記第2の拡張楔に第2の駆動力を印加するように構成され、前記第2の拡張された構成において、前記第2の距離は、前記第1及び第2の板のうちの一方が、前記第1及び第2の板のうちの他方に関して傾いているように、前記第1の距離とは異なっている、第2のアクチュエータと、を更に備える、請求項1に記載のインプラント。 - 椎間腔への横方向挿入のためのインプラントであって、
垂直方向に関して第1の終板と第2の終板との間に配設された拡張機構を備え、前記第1の終板が、第1の骨接触面を画定し、前記第2の終板が、前記垂直方向に沿って前記第1の骨接触面から離れる方を向く第2の骨接触面を画定し、前記拡張機構が、
第1の軸に沿って配置された前方作動アセンブリと、
第2の軸に沿って配置された後方作動アセンブリと、を備え、前記第1及び第2の軸が各々、前記垂直方向に対して略垂直である長手方向に沿って向けられ、前記第1及び前記第2の軸が、前記垂直方向及び前記長手方向に対して略垂直である横断方向に沿って互いに離間配置され、前記垂直方向に沿った前記第1の骨接触面と前記第2の骨接触面との間の第1の距離が、前記第1の軸と交差し、前記垂直方向に沿った前記第1の骨接触面と前記第2の骨接触面との間の第2の距離が、前記第2の軸と交差し、前記前方及び後方作動アセンブリが各々、
前記第1の終板を支持する第1の支持楔と、
前記第2の終板を支持する第2の支持楔であって、前記第1の支持楔に対して摺動可能である、第2の支持楔と、
前記第2の支持楔に対して摺動可能である拡張楔と、
前記拡張楔に連結された駆動シャフトであって、1)前記拡張楔を前記第2の支持楔に沿って乗せ、かつ2)前記第2の支持楔を前記第1の支持楔に沿って乗せ、それにより前記それぞれの第1又は第2の距離を変化させるように、前記それぞれの第1又は第2の軸を中心に回転可能である、駆動シャフトと、を備え、
前記前方及び後方作動アセンブリの前記駆動シャフトは、前記第1の距離と前記第2の距離との間に差異を提供するように、互いに独立して回転可能である、インプラント。 - 各拡張楔が、第1の部材及び第2の部材を備え、前記第1の部材が、前記第2の部材に対して前記それぞれの第1又は第2の軸を中心に回転可能であり、前記第1の部材が、前記それぞれの駆動シャフトの回転に応答して前記それぞれの第2の支持楔に沿って乗るように構成され、前記第2の部材が、前記それぞれの駆動シャフトの回転に応答して前記それぞれの第1の支持楔に沿って乗るように構成されている、請求項14に記載のインプラント。
- 各終板が、前方ガイド機構及び後方ガイド機構を画定し、前記前方ガイド機構及び前記後方ガイド機構の各々が、前記長手方向に沿って延在し、
各第2の支持楔が、前記第2の終板の前記それぞれの前方又は後方ガイド機構に沿って乗るように構成されたガイド要素を含み、
各拡張楔の前記第2の部材が、前記第1の終板の前記それぞれの前方又は後方ガイド機構に沿って乗るように構成されたガイド要素を含む、請求項15に記載のインプラント。 - 各第2の支持楔が、ガイド機構を更に含み、各拡張楔の前記第1の部材が、前記それぞれの第2の支持楔の前記ガイド機構内に乗るように構成されたガイド要素を画定する、請求項16に記載のインプラント。
- 各第1の支持楔が、ガイド機構を画定し、前記それぞれの第2の部材の前記ガイド要素が、前記それぞれの第1の支持楔の前記ガイド機構に沿って乗るように更に構成されている、請求項17に記載のインプラント。
- 前記ガイド機構の各々が、ガイド溝であり、前記ガイド要素の各々が、関連する前記ガイド溝内に延在し、かつ該関連するガイド溝に沿って乗るように構成されたガイド突出部である、請求項18に記載のインプラント。
- 前記第2の終板の前記ガイド溝及び前記第2の支持楔の前記それぞれのガイド突出部が、前記第2の終板を、前記それぞれの第1又は第2の軸を中心とした回転に関して前記第2の支持楔の各々に回転式で連動させるように、協働的に成形され、
前記第2の支持楔の前記ガイド溝及び前記第1の部材の前記それぞれのガイド突出部が、前記第2の支持楔を、前記それぞれの第1又は第2の軸を中心とした回転に関して前記それぞれの第1の部材に回転式で連動させるように、協働的に成形されている、請求項19に記載のインプラント。 - 各第1の支持楔が、前記それぞれの第1又は第2の軸を中心とした回転に関して前記第1の終板に固定され、
各第2の部材の前記ガイド突出部及び前記第1の終板の前記それぞれのガイド溝は、関連する前記第2の部材の前記ガイド突出部が前記それぞれのガイド溝内に延在するとき、前記第1の終板を関連する前記第2の部材に回転式で連動させるように、協働的に成形され、
各第2の部材の前記ガイド突出部及び前記それぞれの第1の支持楔の前記ガイド溝は、関連する前記第1の部材の前記ガイド突出部が関連する前記第1の支持楔の前記ガイド溝内に延在するとき、各第1の支持楔を関連する前記第1の部材に回転式で連動させるように、協働的に成形されている、請求項20に記載のインプラント。
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AU2018264872A1 (en) | 2019-11-07 |
WO2018208583A1 (en) | 2018-11-15 |
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