JP4002613B2 - 隣接する椎骨間にスペースを確保するミリング装置 - Google Patents
隣接する椎骨間にスペースを確保するミリング装置 Download PDFInfo
- Publication number
- JP4002613B2 JP4002613B2 JP50896298A JP50896298A JP4002613B2 JP 4002613 B2 JP4002613 B2 JP 4002613B2 JP 50896298 A JP50896298 A JP 50896298A JP 50896298 A JP50896298 A JP 50896298A JP 4002613 B2 JP4002613 B2 JP 4002613B2
- Authority
- JP
- Japan
- Prior art keywords
- milling block
- milling
- space
- distractor
- adjacent
- 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.)
- Expired - Fee Related
Links
- 238000003801 milling Methods 0.000 title claims description 315
- 238000001356 surgical procedure Methods 0.000 claims abstract description 14
- 210000000988 bone and bone Anatomy 0.000 claims description 106
- 239000007943 implant Substances 0.000 claims description 59
- 238000003780 insertion Methods 0.000 claims description 23
- 230000037431 insertion Effects 0.000 claims description 23
- 238000002513 implantation Methods 0.000 claims description 8
- 238000002271 resection Methods 0.000 claims description 5
- 239000000463 material Substances 0.000 claims description 4
- 230000002188 osteogenic effect Effects 0.000 claims description 3
- 229910052588 hydroxylapatite Inorganic materials 0.000 claims description 2
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 claims description 2
- 238000000034 method Methods 0.000 description 39
- 238000005259 measurement Methods 0.000 description 21
- 239000002131 composite material Substances 0.000 description 9
- 230000004927 fusion Effects 0.000 description 9
- 210000004705 lumbosacral region Anatomy 0.000 description 7
- 230000035515 penetration Effects 0.000 description 4
- 230000008439 repair process Effects 0.000 description 4
- 238000004873 anchoring Methods 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
- 230000008878 coupling Effects 0.000 description 3
- 238000010168 coupling process Methods 0.000 description 3
- 238000005859 coupling reaction Methods 0.000 description 3
- 239000000126 substance Substances 0.000 description 3
- 208000007623 Lordosis Diseases 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000001965 increasing effect Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 210000000278 spinal cord Anatomy 0.000 description 2
- KLCWZYAIXXNWQH-UHFFFAOYSA-N C1C2=CC1CC2 Chemical compound C1C2=CC1CC2 KLCWZYAIXXNWQH-UHFFFAOYSA-N 0.000 description 1
- 240000006829 Ficus sundaica Species 0.000 description 1
- 206010033799 Paralysis Diseases 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 230000037396 body weight Effects 0.000 description 1
- 206010008118 cerebral infarction Diseases 0.000 description 1
- 208000026106 cerebrovascular disease Diseases 0.000 description 1
- 230000000295 complement effect Effects 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 210000002414 leg Anatomy 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 230000002503 metabolic effect Effects 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 238000005498 polishing Methods 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000007790 scraping Methods 0.000 description 1
- 230000009291 secondary effect Effects 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 210000002385 vertebral artery Anatomy 0.000 description 1
- 230000002618 waking effect Effects 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/025—Joint distractors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the spine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; 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
- A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/025—Joint distractors
- A61B2017/0256—Joint distractors for the spine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B2017/1602—Mills
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30108—Shapes
- A61F2002/3011—Cross-sections or two-dimensional shapes
- A61F2002/30138—Convex polygonal shapes
- A61F2002/30153—Convex polygonal shapes rectangular
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0017—Angular shapes
- A61F2230/0019—Angular shapes rectangular
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
- Magnetic Resonance Imaging Apparatus (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US08/688,758 | 1996-07-31 | ||
| US08/688,758 US6159214A (en) | 1996-07-31 | 1996-07-31 | Milling instrumentation and method for preparing a space between adjacent vertebral bodies |
| PCT/US1997/012956 WO1998004202A1 (en) | 1996-07-31 | 1997-07-31 | Milling instrumentation and method for preparing a space between adjacent vertebral bodies |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2000516114A JP2000516114A (ja) | 2000-12-05 |
| JP2000516114A5 JP2000516114A5 (enExample) | 2005-05-12 |
| JP4002613B2 true JP4002613B2 (ja) | 2007-11-07 |
Family
ID=24765657
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP50896298A Expired - Fee Related JP4002613B2 (ja) | 1996-07-31 | 1997-07-31 | 隣接する椎骨間にスペースを確保するミリング装置 |
Country Status (9)
| Country | Link |
|---|---|
| US (6) | US6159214A (enExample) |
| EP (1) | EP1006910B1 (enExample) |
| JP (1) | JP4002613B2 (enExample) |
| AT (1) | ATE414476T1 (enExample) |
| AU (1) | AU738161B2 (enExample) |
| CA (1) | CA2261654C (enExample) |
| DE (1) | DE69739124D1 (enExample) |
| ES (1) | ES2317654T3 (enExample) |
| WO (1) | WO1998004202A1 (enExample) |
Families Citing this family (364)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5609635A (en) | 1988-06-28 | 1997-03-11 | Michelson; Gary K. | Lordotic interbody spinal fusion implants |
| US6159214A (en) * | 1996-07-31 | 2000-12-12 | Michelson; Gary K. | Milling instrumentation and method for preparing a space between adjacent vertebral bodies |
| US20080215058A1 (en) | 1997-01-02 | 2008-09-04 | Zucherman James F | Spine distraction implant and method |
| FR2767675B1 (fr) * | 1997-08-26 | 1999-12-03 | Materiel Orthopedique En Abreg | Implant intersomatique et ancillaire de preparation adapte pour permettre sa pose |
| US7331963B2 (en) * | 1997-10-06 | 2008-02-19 | Warsaw Orthopedic, Inc. | Drill head for use in placing an intervertebral disc device |
| US6428541B1 (en) | 1998-04-09 | 2002-08-06 | Sdgi Holdings, Inc. | Method and instrumentation for vertebral interbody fusion |
| US6241729B1 (en) * | 1998-04-09 | 2001-06-05 | Sdgi Holdings, Inc. | Method and instrumentation for posterior interbody fusion |
| CA2327501A1 (en) * | 1998-04-09 | 1999-10-21 | Sdgi Holdings, Inc. | Method and instrumentation for vertebral interbody fusion |
| US7776046B2 (en) | 1998-04-09 | 2010-08-17 | Warsaw Orthopedic, Inc. | Method and instrumentation for vertebral interbody fusion |
| US6083228A (en) | 1998-06-09 | 2000-07-04 | Michelson; Gary K. | Device and method for preparing a space between adjacent vertebrae to receive an insert |
| EP1681021A3 (en) | 1998-06-09 | 2009-04-15 | Warsaw Orthopedic, Inc. | Abrading element for preparing a space between adjacent vertebral bodies |
| DE29814174U1 (de) | 1998-08-07 | 1999-12-16 | Howmedica GmbH, 24232 Schönkirchen | Instrumentarium für das Einbringen eines Implantats in die menschliche Wirbelsäule |
| US6228022B1 (en) | 1998-10-28 | 2001-05-08 | Sdgi Holdings, Inc. | Methods and instruments for spinal surgery |
| ATE464847T1 (de) * | 1999-01-25 | 2010-05-15 | Warsaw Orthopedic Inc | Instrument zur schaffung eines zwischenwirbelraumes für die aufnahme eines implantates |
| US6743234B2 (en) | 1999-02-04 | 2004-06-01 | Sdgi Holdings, Inc. | Methods and instrumentation for vertebral interbody fusion |
| US6648895B2 (en) * | 2000-02-04 | 2003-11-18 | Sdgi Holdings, Inc. | Methods and instrumentation for vertebral interbody fusion |
| EP1152697A1 (en) | 1999-02-04 | 2001-11-14 | SDGI Holdings, Inc. | Methods and instrumentation for vertebral interbody fusion |
| US6241770B1 (en) | 1999-03-05 | 2001-06-05 | Gary K. Michelson | Interbody spinal fusion implant having an anatomically conformed trailing end |
| CA2363254C (en) * | 1999-03-07 | 2009-05-05 | Discure Ltd. | Method and apparatus for computerized surgery |
| US6332887B1 (en) * | 1999-04-06 | 2001-12-25 | Benjamin D. Knox | Spinal fusion instrumentation system |
| WO2000066044A1 (en) | 1999-05-05 | 2000-11-09 | Michelson Gary K | Nested interbody spinal fusion implants |
| EP1211985B1 (en) | 1999-08-26 | 2006-09-27 | SDGI Holdings, Inc. | Device for implanting fusion cages |
| US20050273111A1 (en) * | 1999-10-08 | 2005-12-08 | Ferree Bret A | Methods and apparatus for intervertebral disc removal and endplate preparation |
| DE60005037T2 (de) * | 1999-10-19 | 2004-06-17 | SDGI Holding, Inc., Wilmington | Schneidwerkzeug-vorbereitungszubehör zum einsetzen des implantats |
| JP4326134B2 (ja) | 1999-10-20 | 2009-09-02 | ウォーソー・オーソペディック・インコーポレーテッド | 外科的手順を実行する方法及び装置 |
| US6500180B1 (en) | 1999-10-20 | 2002-12-31 | Sdgi Holdings, Inc. | Methods and instrumentation for distraction of a disc space |
| US6461359B1 (en) | 1999-11-10 | 2002-10-08 | Clifford Tribus | Spine stabilization device |
| DE10003967A1 (de) * | 2000-01-25 | 2001-08-09 | Biomet Merck Deutschland Gmbh | Führungsvorrichtung |
| EP1645248B8 (en) | 2000-02-04 | 2010-06-16 | Warsaw Orthopedic, Inc. | Expandable interbody spinal fusion implant having pivotally attached blocker |
| US6814756B1 (en) | 2000-02-04 | 2004-11-09 | Gary K. Michelson | Expandable threaded arcuate interbody spinal fusion implant with lordotic configuration during insertion |
| DE60104286T2 (de) * | 2000-02-22 | 2005-07-28 | SDGI Holdings, Inc., Wilmington | Besteck zur vorbereitung des zwischenwirbelraums |
| US7169183B2 (en) * | 2000-03-14 | 2007-01-30 | Warsaw Orthopedic, Inc. | Vertebral implant for promoting arthrodesis of the spine |
| US6514260B1 (en) | 2000-03-15 | 2003-02-04 | Sdgi Holdings, Inc. | Methods and instruments for laparoscopic spinal surgery |
| US7462195B1 (en) | 2000-04-19 | 2008-12-09 | Warsaw Orthopedic, Inc. | Artificial lumbar interbody spinal implant having an asymmetrical leading end |
| US6350283B1 (en) | 2000-04-19 | 2002-02-26 | Gary K. Michelson | Bone hemi-lumbar interbody spinal implant having an asymmetrical leading end and method of installation thereof |
| US6579318B2 (en) | 2000-06-12 | 2003-06-17 | Ortho Development Corporation | Intervertebral spacer |
| USD501555S1 (en) | 2000-06-12 | 2005-02-01 | Ortho Development Corporation | Implant |
| US20020111680A1 (en) * | 2000-06-13 | 2002-08-15 | Michelson Gary K. | Ratcheted bone dowel |
| WO2001095837A1 (en) * | 2000-06-13 | 2001-12-20 | Michelson Gary K | Manufactured major long bone ring implant shaped to conform to a prepared intervertebral implantation space |
| AU2001273356A1 (en) | 2000-07-10 | 2002-01-21 | Gary K. Michelson | Flanged interbody spinal fusion implants |
| US6692501B2 (en) * | 2000-12-14 | 2004-02-17 | Gary K. Michelson | Spinal interspace shaper |
| US7153304B2 (en) * | 2000-12-29 | 2006-12-26 | Zimmer Trabecular Metal Technology, Inc. | Instrument system for preparing a disc space between adjacent vertebral bodies to receive a repair device |
| US6972019B2 (en) | 2001-01-23 | 2005-12-06 | Michelson Gary K | Interbody spinal implant with trailing end adapted to receive bone screws |
| DE60201945T2 (de) * | 2001-02-04 | 2005-12-01 | Michelson, Gary Karlin, Los Angeles | Instrument zum Einführen und Spreiten eines Zwischenwirbelfusionsimplantats |
| US6929647B2 (en) * | 2001-02-21 | 2005-08-16 | Howmedica Osteonics Corp. | Instrumentation and method for implant insertion |
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| JP4301944B2 (ja) * | 2001-08-31 | 2009-07-22 | ウォーソー・オーソペディック・インコーポレーテッド | 椎骨体間融合方法及び器具 |
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| JP4339698B2 (ja) * | 2002-03-11 | 2009-10-07 | ジンマー・スパイン・オースチン・インコーポレイテツド | 脊柱インプラント装置をインプラントするための器具および方法 |
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| US20040176764A1 (en) * | 2003-03-03 | 2004-09-09 | Centerpulse Spine-Tech, Inc. | Apparatus and method for spinal distraction using a flip-up portal |
| US6908484B2 (en) | 2003-03-06 | 2005-06-21 | Spinecore, Inc. | Cervical disc replacement |
| US8100976B2 (en) * | 2003-04-21 | 2012-01-24 | Rsb Spine Llc | Implant subsidence control |
| US7674265B2 (en) * | 2003-04-24 | 2010-03-09 | Warsaw Orthopedic, Inc. | Minimally invasive instruments and methods for preparing vertebral endplates |
| US7491204B2 (en) | 2003-04-28 | 2009-02-17 | Spine Solutions, Inc. | Instruments and method for preparing an intervertebral space for receiving an artificial disc implant |
| US10052211B2 (en) | 2003-05-27 | 2018-08-21 | Simplify Medical Pty Ltd. | Prosthetic disc for intervertebral insertion |
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| US7575599B2 (en) | 2004-07-30 | 2009-08-18 | Spinalmotion, Inc. | Intervertebral prosthetic disc with metallic core |
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| EP1006910B1 (en) | 2008-11-19 |
| US20110264225A1 (en) | 2011-10-27 |
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