JP4465251B2 - 骨固着要素を接続するためのロッド型の要素、骨固着要素を有する骨用の安定化装置、およびロッド型の要素を製造するための方法 - Google Patents
骨固着要素を接続するためのロッド型の要素、骨固着要素を有する骨用の安定化装置、およびロッド型の要素を製造するための方法 Download PDFInfo
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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
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
- A61B17/7026—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a part that is flexible due to its form
- A61B17/7028—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a part that is flexible due to its form the flexible part being a coil spring
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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
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
- A61B17/64—Devices extending alongside the bones to be positioned
- A61B17/645—Devices extending alongside the bones to be positioned comprising a framework
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7004—Longitudinal elements, e.g. rods with a cross-section which varies along its length
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
- A61B17/7037—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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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
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
- A61B2017/606—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors with resilient spring element
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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
- 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
- A61F2/4465—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 having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
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- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
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- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
、または三角形の断面が選択されてよい。ロッドの軸に対して垂直な面上に存在する2本の垂直な軸(または少なくとも2つの異なる方向)において、断面が異なる寸法を有することが重要である。このようにして、方向に依存した撓み強度が得られる。
び10b内に固定されている例を示すが、たとえば固定のために、他の実施例と同様に、側面からねじ締めされるねじを設けるか、または第2のボア内で頭部受け部材の圧力嵌めを行なうこともできる。
Claims (11)
- 少なくとも2つの骨固着要素(2,3,20)を接続するためのロッド型の要素であって、前記少なくとも2つの骨固着要素の各々は、骨内に固着されるべき固着部(12)と、ロッド型の要素(1,100,101,102,103,300)に接続されるべき受け部材(13,13′)とを含み、前記ロッド型の要素は、
前記受け部材(13,13′)内に配置され得るように寸法が決定される少なくとも1つの剛性部(7,8,307,308)を備え、さらに、前記剛性部に隣接する可撓性部(9,90,900,902,309)を備え、前記剛性部および前記可撓性部は単一のロッドから一体的に形成され、
前記ロッド型の要素は、前記可撓性部(902)を通って延びるコア(110,120,130)を含み、このコア(110,120,130)は前記ロッド型の要素の長手方向軸の方向に限られた許容差を有して前記ロッド型の要素内に摺動可能に収容され、前記ロッド型の部材の予め定められた延長または縮小が生じたときにのみ、前記コアが前記ロッド型の要素の前記長手方向軸の方向に効果を発揮する、ロッド型の要素。 - 前記可撓性部がコイルばねとして形成されることを特徴とする、請求項1に記載のロッド型の要素。
- 前記可撓性部が、ロッド型の要素の外面におけるスロット状の開口部によって形成され、スロットが半径方向に内側に延びることを特徴とする、請求項1または請求項2に記載のロッド型の要素。
- 前記剛性部に対向して配置される第2の剛性部が、前記可撓性部の端部に隣接して設けられることを特徴とする、請求項1から請求項3のいずれかに記載のロッド型の要素。
- 前記可撓性部の外径が、少なくとも1つの地点において前記剛性部の外径と異なることを特徴とする、先行する請求項1から請求項4のいずれかに記載のロッド型の要素。
- 前記可撓性部は、少なくとも部分的に、ロッドの軸に対して垂直な特定の方向において他の方向よりもより小さいか、またはより大きな外径を有することを特徴とする、請求項1から請求項5のいずれかに記載のロッド型の要素。
- 前記可撓性部の外径が、前記可撓性部の長さに沿って変化することを特徴とする、請求
項1から請求項6のいずれかに記載のロッド型の要素。 - 前記ロッド型の要素の全体に延びる同軸ボアが設けられることを特徴とする、請求項1から請求項7のいずれかに記載のロッド型の要素。
- 少なくとも2つの骨固着要素を有する骨用の安定化装置であって、前記少なくとも2つの骨固着要素の各々は、骨内に固着されるべき骨固着部と、受け部材とを含み、前記安定化装置は、請求項1から請求項8のいずれかに記載のロッド型の要素を備え、前記ロッド型の要素は、前記骨固着要素の1つに接続されるべきである、安定化装置。
- 前記骨固着要素が単軸または多軸の骨ねじであることを特徴とする、請求項9に記載の骨用の安定化装置。
- 前記コアは、前記可撓性部の少なくとも一部において異方性の形状を有する断面を有する、請求項1〜請求項8のいずれかに記載のロッド型の要素。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US51211303P | 2003-10-17 | 2003-10-17 | |
DE10348329A DE10348329B3 (de) | 2003-10-17 | 2003-10-17 | Stabförmiges Element für die Anwendung in der Wirbelsäulen- oder Unfallchirurgie,Stabilisierungseinrichtung mit einem solchen stabförmigen Element und Herstellungsverfahren für das stabförmige Element |
US51846903P | 2003-11-07 | 2003-11-07 | |
US10/966,921 US7621912B2 (en) | 2003-10-17 | 2004-10-15 | Rod-shaped implant element with flexible section |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009208425A Division JP2009285492A (ja) | 2003-10-17 | 2009-09-09 | 骨用の安定化装置 |
Publications (2)
Publication Number | Publication Date |
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JP2005118569A JP2005118569A (ja) | 2005-05-12 |
JP4465251B2 true JP4465251B2 (ja) | 2010-05-19 |
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Application Number | Title | Priority Date | Filing Date |
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JP2004301448A Active JP4465251B2 (ja) | 2003-10-17 | 2004-10-15 | 骨固着要素を接続するためのロッド型の要素、骨固着要素を有する骨用の安定化装置、およびロッド型の要素を製造するための方法 |
Country Status (4)
Country | Link |
---|---|
US (3) | US7621912B2 (ja) |
EP (1) | EP1523949B1 (ja) |
JP (1) | JP4465251B2 (ja) |
DE (1) | DE10348329B3 (ja) |
Cited By (1)
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US8974497B2 (en) | 2006-12-21 | 2015-03-10 | Ldr Medical | Vertebral support device |
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US10314620B2 (en) | 2006-12-21 | 2019-06-11 | Ldr Medical | Vertebral support device |
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DE10348329B3 (de) | 2005-02-17 |
EP1523949B1 (de) | 2007-06-20 |
US7621912B2 (en) | 2009-11-24 |
US20100042156A1 (en) | 2010-02-18 |
US9326794B2 (en) | 2016-05-03 |
US20050085815A1 (en) | 2005-04-21 |
US8721690B2 (en) | 2014-05-13 |
EP1523949A1 (de) | 2005-04-20 |
JP2005118569A (ja) | 2005-05-12 |
US20140316469A1 (en) | 2014-10-23 |
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