JP4309397B2 - 侵襲性が低い膝部切除のための方法並びに装置 - Google Patents
侵襲性が低い膝部切除のための方法並びに装置 Download PDFInfo
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- JP4309397B2 JP4309397B2 JP2005518807A JP2005518807A JP4309397B2 JP 4309397 B2 JP4309397 B2 JP 4309397B2 JP 2005518807 A JP2005518807 A JP 2005518807A JP 2005518807 A JP2005518807 A JP 2005518807A JP 4309397 B2 JP4309397 B2 JP 4309397B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
- A61B17/154—Guides therefor for preparing bone for knee prosthesis
- A61B17/155—Cutting femur
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/142—Surgical saws ; Accessories therefor with reciprocating saw blades, e.g. with cutting edges at the distal end of the saw blades
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
- A61B17/154—Guides therefor for preparing bone for knee prosthesis
- A61B17/157—Cutting tibia
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
Description
Claims (44)
- 人体構造の所定の部分に対してツールをガイドする手助けをするシステムであって、
軌道移動部を有する軌道部材と、
この軌道部材に対して移動するようにこの軌道部材にこの軌道部材の長手方向に沿って摺動可能に接続された移動部材と、
前記人体構造に対して前記軌道部材と移動部材の少なくとも1つを関連させるように動作可能な位置付け部材とを具備し、
前記移動部材は、ガイド部を備えた切断ブロックを有し、このガイド部は、移動部材が軌道部材に対して摺動している間、前記軌道移動部に対して相互作用を果たし、また、
前記軌道部材は、前記人体構造に所定の関連位置で固定されるように動作可能である、システム。 - 前記軌道部材は、
この軌道部材を骨組織に固定するための固定部を有し、
前記軌道移動部とガイド部とは、軌道部材が単一の位置に留まる間、前記切断ブロックが第1の切断部を形成する第1の位置と、この第1の位置から離れ、第2の切断部を形成する第2の位置との間で選択的に位置され得るように、切断ブロックが軌道部材に対して移動され得るように相互作用する請求項1のシステム。 - 前記固定部は、骨組織中に挿入されるように軌道部材から延びたポストを有している請求項2のシステム。
- ねじ部を更に具備し、
前記固定部は、軌道部材によって規定された孔を有し、
前記ねじ部が、軌道部材を骨組織に選択的に固定するために前記孔内に配置され得る、請求項2のシステム。 - . 前記軌道移動部は、前記軌道部材から延びた雄型のV字形継手と、前記軌道部材から延びた雄型の“T字”部と、これらの組み合わせとの内の少なくとも1を有している請求項1のシステム。
- 少なくとも2つの固定部の間で延びた支持部材を更に具備し、
前記軌道移動部は、固定部から離れる方向に支持部材から延びている請求項1のシステム。 - 切断部材を更に具備し、
この切断部材は、首部と切断ヘッドとを備えた細長い鋸部を有し、
前記首部は、使用中に切断ヘッドをガイドするように前記ガイド部内に動作可能に係合されており、
前記首部は、切断部材がほぼT字形を有するように、切断ヘッドよりも幅を狭くされている、請求項1のシステム。 - 前記ガイド部は、切断ブロックが軌道部材に対して移動可能となるように軌道移動部と動作可能に係合するように雌型のV字形継手と、切断ブロックが軌道部材に対して移動可能となるように軌道移動部と動作可能に係合するように雌型の“T字”部と、これらの組み合わせとの内の少なくとも1を有している、請求項1のシステム。
- 前記軌道部材は、骨組織の単一の位置に選択的に固定され、
前記軌道移動部とガイド部とは、切断ブロックが骨組織に対して動かされるように動作する、請求項1のシステム。 - ロック部材を更に具備し、このロック部材は、切断ブロックを軌道部材に対して選択的に固定する、請求項1のシステム。
- 前記軌道移動部は、スロットとレールとの一方から選択され、
前記ガイド部は、前記スロットとレールとの他方から選択されている、請求項1のシステム。 - ロック部材を更に具備し、
前記軌道部材は、このロック部材によって選択的に係合される動作可能な複数のロック部を更に有し、
前記切断ブロックは、前記ロック部材が前記複数のロック部の少なくとも1つに係合されたときに、軌道部材に対して固定される、請求項1のシステム。 - 前記軌道部材は、膝の切除を可能にするように動作可能な形で膝の骨組織の表面に固定される、請求項1のシステム。
- 前記軌道移動部は、選択的に、軌道部材と一体的に形成されているか、切断ブロックと一体的に形成されているか、軌道部材に動作可能に固定されているか、または、切断ブロックに動作可能に固定されている、請求項1のシステム。
- 前記ガイド部は、選択的に、軌道部材と一体的に形成されているか、切断ブロックと一体的に形成されているか、軌道部材に動作可能に固定されているか、または、切断ブロックに動作可能に固定されている、請求項1のシステム。
- 前記軌道移動部は、軌道部材によって規定された凹部を有している、請求項1のシステム。
- 前記凹部は、雌型のV字形継手、雌型の“T字”部、または、多角形部を有するグループから選択されている請求項16のガイドブロックアセンブリ。
- 前記軌道部材は、軌道部材を前記人体構造と相互接続させるように動作可能な第1の部分と、前記移動部材と係合するように動作可能な第2の部分とを有している、請求項1のシステム。
- 前記第2の部分は、前記移動部材と係合するように動作可能な軌道部を有しており、前記移動部材は、第2の部分に沿って軌道部材に対して移動するように動作可能である、請求項18のシステム。
- 前記軌道部材を人体構造と相互接続させるように動作可能な部材を更に具備し、
前記第1の部分は、第1の部分を通って延びた孔を規定し、前記部材は、この孔を通るように動作可能である、請求項18のシステム。 - 前記移動部材は、この移動部材が軌道部材に対して移動する形で動作可能となるように軌道部材と係合するための第1の部分と、ツールを人体構造に対してガイドするように動作可能なガイド部とを有している、請求項1のシステム。
- 前記位置付け部材は、前記人体構造に対して、軌道部材もしくは移動部材の少なくとも1の内反もしくは外反の位置の少なくとも1を選択する、請求項1のシステム。
- 前記移動部材は、ツールを大腿骨に対してガイドするように動作可能なガイド面を有している、請求項1のシステム。
- 前記移動部材は、大腿骨のディメンションよりも小さいディメンションを有している、請求項23のシステム。
- 前記人体構造の少なくとも一部分の代わりとなるように動作可能なプロテーゼを更に具備している請求項1のシステム。
- 切断ヘッドと首部とを備えた少なくとも1つの鋸歯と、
軌道部材と切断ブロックとを備えたガイドブロックアセンブリとを具備している、人体構造の所定の部分を切除するためのセットであって、
前記軌道部材は、軌道移動部を有し、前記切断ブロックは、前記移動部材が軌道部材に対して摺動している間、前記軌道移動部に対して相互作用を果たすこのガイド部を有し、
前記軌道部材は、切断ブロックが軌道部材に対して移動可能となるように前記人体構造の所定の部分に選択的に固定される、セット。 - 前記軌道部材は、
前記軌道部材を所定の構造に固定させる固定部を有し、
前記切断ブロックは、ガイド部を有し、
前記軌道移動部とガイド部とは、切断ブロックが軌道部材に対して移動可能となるように動作可能に係合している、請求項26のセット。 - 前記少なくとも1つの鋸歯は、
第1の長手方向の軸に沿って延びているツール係合部を備えた第1の端部と、
複数の切断歯部を形成し第2の長手方向の軸に沿って延びている切断ヘッドを備えた第2の端部と、
前記切断ヘッドとツール係合部とを相互接続させている首部とを有し、前記第1および第2の長手方向の軸は、首部で交差しており、
前記第1の軸と第2の軸とは、切断ヘッドがツール係合部から横方向にオフセットされるように配置されている鋸歯を含んでいる、請求項26のセット。 - 前記第1の軸と第2の軸とは、互いに対して所定の角度をなすように形成されている、請求項28のセット。
- 前記少なくとも1つの鋸歯は、
モータと動作可能に係合するためのツール係合部と、
第1の幅を有する切断ヘッドと、
第2の幅を有する首部とを有し、
前記首部は、切断ヘッドとツール係合部とを相互接続させている鋸歯を含んでおり、
前記第1の幅は、第2の幅よりも大きい、請求項26のセット。 - 前記第1の幅は、第2の幅の少なくとも2倍の大きさである、請求項28のセット。
- 前記固定部は、解剖学的な所定の構造中に挿入されるように軌道部材から延びたポストを有している、請求項26のセット。
- ねじ部を更に具備し、
前記固定部は、軌道部材によって規定された孔を有しており、
前記ねじ部は、軌道部材を前記人体構造に選択的に固定させるために、前記孔内に配置され得る、請求項26のセット。 - 前記軌道移動部は、切断ブロックが軌道部材に対して移動可能となるようにガイド部と動作可能に係合するための突出部材を有している、請求項26のセット。
- 前記軌道移動部は、切断ブロックが軌道部材に対して移動可能となるようにガイド部と動作可能に係合するための凹部を規定している、請求項26のセット。
- 前記ガイド部は、前記人体構造の所定の部分を切除するために前記鋸歯が軌道部材から離れる方向にガイドされるように、切断ブロックを通って延びた孔を有している、請求項26のセット。
- 前記軌道部材は、前記人体構造の単一の位置に選択的に固定され、
前記軌道移動部とガイド部とは、切断ブロックを人体構造に対して移動可能とするように動作可能である、請求項26のセット。 - 前記切断ブロックは、軌道部材に対する複数の位置に鋸歯をガイドする、請求項37のセット。
- 前記鋸歯の1つは、平らな切断部材を規定し、前記ガイド部は、前記切断プロックの外端に対して一定の角度で前記切断部材を案内する請求項27のセット。
- 前記切断部材は、切断部材の全切断面を規定した切断ヘッドと、この切断ヘッドから延びた首部とを有し、この切断ヘッドの第1の幅は、前記首部の第2の幅よりも広く、
前記切断ヘッドと首部とでT字形をなしている請求項39のセット。 - 前記軌道移動部は、移動方向に離間した第1の端面と第2の端面とを有し、これら端面間の第1のディメンションは、前記切断ブロックの移動方向の幅よりも長い請求項27のセット。
- 平らな切断部材を更に具備し、
前記ガイド部は、前記切断プロックの外端に対して一定の角度で前記切断部材を案内する請求項2のシステム。 - 前記切断部材は、切断部材の全切断面を規定した切断ヘッドと、この切断ヘッドから延びた首部とを有し、この切断ヘッドの第1の幅は、前記首部の第2の幅よりも広く、
前記切断ヘッドと首部とでT字形をなしている請求項42のシステム。 - 前記軌道移動部は、移動方向に離間した第1の端面と第2の端面とを有し、これら端面間の第1のディメンションは、前記切断ブロックの移動方向の幅よりも長い請求項2のシステム。
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Application Number | Priority Date | Filing Date | Title |
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US10/345,102 US7837690B2 (en) | 2003-01-15 | 2003-01-15 | Method and apparatus for less invasive knee resection |
PCT/US2004/000953 WO2004064621A2 (en) | 2003-01-15 | 2004-01-14 | Method and apparatus for less invasive knee resection |
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JP2009057755A Division JP5180123B2 (ja) | 2003-01-15 | 2009-03-11 | 人体構造の所定の部分を切除するための鋸歯 |
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JP2006514575A JP2006514575A (ja) | 2006-05-11 |
JP4309397B2 true JP4309397B2 (ja) | 2009-08-05 |
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JP2005518807A Expired - Fee Related JP4309397B2 (ja) | 2003-01-15 | 2004-01-14 | 侵襲性が低い膝部切除のための方法並びに装置 |
JP2009057755A Expired - Fee Related JP5180123B2 (ja) | 2003-01-15 | 2009-03-11 | 人体構造の所定の部分を切除するための鋸歯 |
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EP (2) | EP2540235B1 (ja) |
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WO (1) | WO2004064621A2 (ja) |
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US8870883B2 (en) | 2003-01-15 | 2014-10-28 | Biomet Manufacturing, Llc | Method for less invasive knee resection |
US9023053B2 (en) | 2003-01-15 | 2015-05-05 | Biomet Manufacturing, Llc | Instrumentation for knee resection |
US9693788B2 (en) | 2003-01-15 | 2017-07-04 | Biomet Manufacturing, Llc | Instrumentation for knee resection |
US8834486B2 (en) | 2003-12-08 | 2014-09-16 | Biomet Manufacturing, Llc | Femoral guide for implanting a femoral knee prosthesis |
Also Published As
Publication number | Publication date |
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EP1587425A4 (en) | 2010-05-26 |
WO2004064621A3 (en) | 2005-07-21 |
WO2004064621A2 (en) | 2004-08-05 |
JP2009160422A (ja) | 2009-07-23 |
EP1587425B1 (en) | 2015-09-02 |
EP1587425A2 (en) | 2005-10-26 |
JP2006514575A (ja) | 2006-05-11 |
US7837690B2 (en) | 2010-11-23 |
EP2540235A1 (en) | 2013-01-02 |
EP2540235B1 (en) | 2014-03-19 |
US20040138670A1 (en) | 2004-07-15 |
JP5180123B2 (ja) | 2013-04-10 |
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