JP4277136B2 - 椎間の診断用および処置用機器 - Google Patents
椎間の診断用および処置用機器 Download PDFInfo
- Publication number
- JP4277136B2 JP4277136B2 JP2003504824A JP2003504824A JP4277136B2 JP 4277136 B2 JP4277136 B2 JP 4277136B2 JP 2003504824 A JP2003504824 A JP 2003504824A JP 2003504824 A JP2003504824 A JP 2003504824A JP 4277136 B2 JP4277136 B2 JP 4277136B2
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- Prior art keywords
- probe
- tip
- cannula
- annulus
- instrument
- 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 - Lifetime
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- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00179—Ceramics or ceramic-like structures
- A61F2310/00293—Ceramics or ceramic-like structures containing a phosphorus-containing compound, e.g. apatite
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00365—Proteins; Polypeptides; Degradation products thereof
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/0097—Coating or prosthesis-covering structure made of pharmaceutical products, e.g. antibiotics
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00976—Coating or prosthesis-covering structure made of proteins or of polypeptides, e.g. of bone morphogenic proteins BMP or of transforming growth factors TGF
Description
Claims (14)
- 遠位端および近位端を有する中空の送出カニューレであって、線維輪内の医原性の孔または自然に生じた病変に適合するよう寸法決めされた中空の送出カニューレと、
前記カニューレに収容されたプローブ部材に結合された前進器であって、前記プローブ部材が、前記前進器に接続された近位端と、プローブチップに接続された遠位端とを有し、前記プローブ部材が、前記カニューレの前記遠位端から外向きに前進することができるものである前進器と、
前記カニューレの前記遠位端内にある湾曲した通路であって、前記プローブ部材が、前記通路内を移動し、そこからカニューレの縦軸に対して約30〜150度の角度で外向きに前進することができる、湾曲した通路と、を備え、
前記通路が、前記カニューレの軸に対して垂直方向に前記プローブ部材の進行を制限し、それによって当該プローブ部材が他の方向に移動するのが抑制され、
前記プローブチップは、カニューレの縦軸に面する凹形の湾曲面を有するようにカーブしており、前記プローブ部材の後退時に前記チップによって椎間板組織が除去される、機器。 - プローブが前進した距離を測定する手段であって、前記前進器に結合された手段と、
前記カニューレに結合された、前記輪状切除部または前記病変内をカニューレが前進した距離を測定するための手段と
をさらに含む、請求項1に記載の機器。 - 前記プローブ部材が非円形断面幾何形状を有する、請求項1に記載の機器。
- 前記プローブ部材が、前記チップの近くで前記プローブ部材に結合されたアブレーション要素を有する、請求項1に記載の機器。
- 前記プローブ部材がニチノールを含む、請求項1に記載の機器。
- 前記チップが、非鋭利形状のチップ、鋭利なチップ、鋭匙形状のチップ、およびのみ形状のチップからなる群から選択される、請求項1に記載の機器。
- 前記チップが、椎間板の内部に面するように後ろ向きに湾曲している、請求項1に記載の機器。
- 前記プローブチップが、縦軸に対して下向きに湾曲し、プローブが展開するときに椎間板の内面が湾曲面にのみ曝されるよう、挿入機器に面するまで廻り込んでいる、請求項1に記載の機器。
- 縦軸を有する細長いガイドと、
前記ガイドに支持された、軸方向に移動可能なアクチュエータと、
前記アクチュエータと共に移動可能なプローブと、
前記ガイドに支持された逸らせ曲面と、
前記曲面に隣接する通路とを含み、
前記アクチュエータの軸方向の動きによって、プローブが、前記縦軸からある角度で前記通路を通過して逸らせ曲面に沿って前進し、前記通路は前記プローブが他の方向に移動するのを抑制し、
前記プローブの端部には、プローブチップが連結されており、当該プローブチップは、ガイドの縦軸に面する凹形の湾曲面を有するようにカーブしており、前記プローブの後退時に前記プローブチップによって椎間板組織が除去される、脊椎を治療するための機器。 - 前記ガイドが、内部を延びる少なくとも1つの内腔を有する細長い管状本体を含む、請求項9に記載の脊椎を治療するための機器。
- 前記アクチュエータが、前記ガイドの少なくとも一部の内部を延びる、請求項10に記載の脊椎を治療するための機器。
- 前記プローブが、前記アクチュエータに取着された細長い柔軟な本体を含む、請求項9に記載の脊椎を治療するための機器。
- 前記プローブが、非線形形状にバイアスされる、請求項12に記載の脊椎を治療するための機器。
- 前記プローブがニッケルチタン合金を含む、請求項12に記載の脊椎を治療するための機器。
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US29860501P | 2001-06-14 | 2001-06-14 | |
US10/020,507 US6821276B2 (en) | 1999-08-18 | 2001-12-11 | Intervertebral diagnostic and manipulation device |
PCT/US2002/019228 WO2002102233A2 (en) | 2001-06-14 | 2002-06-13 | Intervertebral diagnostic and manipulation device |
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JP4277136B2 true JP4277136B2 (ja) | 2009-06-10 |
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JP2006284312A Pending JP2007111538A (ja) | 2001-06-14 | 2006-10-18 | 椎間の診断用および処置用機器 |
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US (3) | US6821276B2 (ja) |
EP (1) | EP1404240A4 (ja) |
JP (2) | JP4277136B2 (ja) |
KR (1) | KR100604194B1 (ja) |
CA (1) | CA2448493C (ja) |
WO (1) | WO2002102233A2 (ja) |
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