JP4589968B2 - 感圧部を備える動的膝バランサー - Google Patents
感圧部を備える動的膝バランサー Download PDFInfo
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- JP4589968B2 JP4589968B2 JP2007538901A JP2007538901A JP4589968B2 JP 4589968 B2 JP4589968 B2 JP 4589968B2 JP 2007538901 A JP2007538901 A JP 2007538901A JP 2007538901 A JP2007538901 A JP 2007538901A JP 4589968 B2 JP4589968 B2 JP 4589968B2
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- 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
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- 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
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- 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
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- 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
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- A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
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- 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
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- 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
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- 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
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- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30565—Special structural features of bone or joint prostheses not otherwise provided for having spring elements
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Description
本出願は、2004年2月6日に出願され、その開示は全て本明細書に参照として組入れられている、米国特許出願第10/773,608号(代理人整理番号021976-000200US)の一部継続出願である。
本発明は概して、医療/手術の装置、システムおよび方法に関する。より詳細に述べると、本発明は、膝の外科的手技を強化する装置、システムおよび方法に関する。
本発明は、膝の手術手技、より具体的には人工膝関節置換手技(全膝関節形成術、"TKA")を強化する装置、システムおよび方法を提供する。様々な態様は一般に、大腿骨部分、脛骨部分、ならびに大腿骨部分および脛骨部分により互いに対して働いた圧力または力を感知するための、1個または複数のセンサーを備える。大腿骨部分は、調節可能であり、使用者が膝に隣接する軟組織の張力を調節することを可能にし、その結果感知された圧力または力に変化を生じる。調節可能な大腿骨部分は、膝プロテーゼの少なくとも一部の位置決めを使用者が決定することも補助する。
先に説明されたように、本発明は、人工膝関節形成術(TKA)の外科的手技を強化するために主に意図された装置、システムおよび方法を提供する。これらの装置、システムおよび方法は主にTKAにおいて使用されるが、一部の態様は、他の膝手術手技または肘関節などの他の関節に対する外科的手技を強化するために使用することができる。
Claims (9)
- 膝への外科的手技を実行するための膝調節装置であって:
遠位大腿骨に可撤性に取り付け可能な固定式大腿骨部材;
膝に隣接する軟組織の張力を調節するために、該固定式部材に可撤性に連結された、調節可能な大腿骨部分であって、該大腿骨部分が、該固定式部材に対して該大腿骨部分を移動させて、大腿骨遠位端上の大腿骨プロテーゼの位置決めを補助するように適合された少なくとも1個の位置決め機能を有し、該固定式部材と該調節可能な部分が回転可能に連結されている、大腿骨部分;
大腿骨部分および脛骨部分を膝から除去することなく、膝が可動域を通じて移動できるように、脛骨近位端と可撤性に連結し、および大腿骨部分と可動性に連結している、脛骨部分;および
大腿骨部分および脛骨部分により互いに対して働いた圧力または力を感知するために、大腿骨部分または脛骨部分の少なくとも一方へ連結された、少なくとも1個のセンサー;を備える、装置であり、該調節可能な大腿骨部分が、膝に隣接している外側及び内側の側副靭帯の動的張力を個別に調節するために、大腿骨の長軸に関する回転方向、及び/又は、膝調節装置の大腿骨部分の前/後方向の少なくとも一つの調節を可能にするように適合されている、装置。 - 少なくとも1個のセンサーが、脛骨部分に連結されている、請求項1記載の装置。
- 少なくとも1個のセンサーが、大腿骨部分に連結されている、請求項1記載の装置。
- 該装置の内側に配置された第一のセンサー及び該装置の外側に配置された第二のセンサーを備え、少なくとも一個のセンサーが、遠位大腿骨または近位脛骨に接触するように、大腿骨部分または脛骨部分の表面に沿って配置された圧力感知材料の層を備える、請求項1〜3のいずれか一項に記載の装置。
- 大腿骨部分または脛骨部分と連結され、ならびに少なくとも1個のセンサーを収容するように適合された、センサーハウジングプレートを更に備え、該センサーハウジングプレートは、大腿骨部分または脛骨部分と可撤性に連結されており、かつセンサーハウジングプレートを大腿骨部分または脛骨部分へ連結するためのコネクタプレートを更に備える、請求項1〜4のいずれか一項に記載の装置。
- 少なくとも1個のセンサーが、圧電センサー、感圧抵抗体素子、歪ゲージおよびロードセルからなる群より選択され、感知した圧力または力のデータを使用者へ提供される使用可能なデータへ処理するための少なくとも1個のセンサーに連結されたプロセッサと、使用可能なデータを表示するための、プロセッサに連結された画像表示装置を更に備え、該画像表示装置が、膝の外側および内側の圧力または力を表す使用可能なデータを個別に表示し、かつ、該画像表示装置が、大腿骨部分または脛骨部分に直接取付けられる、請求項1〜5のいずれか一項に記載の装置。
- 少なくとも1個のセンサーと大腿骨部分に連結された少なくとも1個の圧力選択部材を更に備え、該圧力選択部材は、使用者が大腿骨部分と脛骨部分の間に働く所望の量の圧力を選択し、および選択された量の圧力を実現するために大腿骨部分を自動的に調節することができるように適合され、該圧力選択部材は、膝の内側および外側で大腿骨部分と脛骨部分の間に働く所望の圧力を、使用者が個別に選択することができるように適合される、請求項1〜6のいずれか一項に記載の装置。
- 大腿骨部分が以下を含む、請求項1〜7のいずれか一項に記載の装置:
大腿骨遠位端へ固定された位置で可撤性に取付けるための固定式大腿骨部材;および
膝に隣接した軟組織の張力を調節するために、固定式大腿骨部材に可動性に連結された、移動性大腿骨部材であって、該移動性大腿骨部材が、大腿骨部分の横向き対側で個別に調節可能であって、対側に対する一方の外側上の調節が、移動性大腿骨部材に遠位大腿骨に対する回転を引き起こす、部材。 - 調節可能な大腿骨部材の少なくとも1個の位置決め機能が、アパーチャ、ドリルビットガイド、表面マーカー、表面機能、計測装置、埋込み式マーカー、基準、トランスポンダ、トランシーバおよびセンサーからなる群より選択され、少なくとも1個の位置決め機能が、骨切断を行うために遠位大腿骨上に切断ガイドを配置すること、遠位大腿骨上に1個もしくは複数の骨切断を行うこと、または遠位大腿骨上の大腿骨プロテーゼ部品を位置決めすることの少なくともひとつを促進し、該脛骨部分が、少なくとも1個のシム、パドル、プレート、バー、プラットフォームまたはロッドを備え、該脛骨部分が、異なる厚さまたは高さを有する複数の脛骨シムを備え、複数の脛骨シムのいずれかひとつは、膝に隣接する該軟組織に所望の量の張力を提供するために、脛骨近位端に嵌入するように選択されうる、請求項1〜8のいずれか一項に記載の装置。
Applications Claiming Priority (2)
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US10/973,936 US7578821B2 (en) | 2004-02-06 | 2004-10-25 | Dynamic knee balancer with pressure sensing |
PCT/US2005/031127 WO2006047005A2 (en) | 2004-02-06 | 2005-08-31 | Dynamic knee balancer with pressure sensing |
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JP2008517708A JP2008517708A (ja) | 2008-05-29 |
JP2008517708A5 JP2008517708A5 (ja) | 2008-08-21 |
JP4589968B2 true JP4589968B2 (ja) | 2010-12-01 |
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JP2007538901A Expired - Fee Related JP4589968B2 (ja) | 2004-10-25 | 2005-08-31 | 感圧部を備える動的膝バランサー |
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EP (1) | EP1814471B1 (ja) |
JP (1) | JP4589968B2 (ja) |
KR (1) | KR101158952B1 (ja) |
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AU (1) | AU2005300099B2 (ja) |
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US8758355B2 (en) | 2004-02-06 | 2014-06-24 | Synvasive Technology, Inc. | Dynamic knee balancer with pressure sensing |
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AU2009282789A1 (en) * | 2008-08-20 | 2010-02-25 | Synvasive Technology, Inc. | Sensing force during partial and total knee replacement surgery |
US8551023B2 (en) * | 2009-03-31 | 2013-10-08 | Depuy (Ireland) | Device and method for determining force of a knee joint |
US8556830B2 (en) * | 2009-03-31 | 2013-10-15 | Depuy | Device and method for displaying joint force data |
US8740817B2 (en) * | 2009-03-31 | 2014-06-03 | Depuy (Ireland) | Device and method for determining forces of a patient's joint |
EP2775966B1 (en) | 2011-10-24 | 2015-09-16 | Synvasive Technology, Inc. | Knee balancing systems |
US9545459B2 (en) | 2012-03-31 | 2017-01-17 | Depuy Ireland Unlimited Company | Container for surgical instruments and system including same |
JP2015517361A (ja) | 2012-05-18 | 2015-06-22 | オースアライン・インコーポレイテッド | 膝関節形成術用の装置および方法 |
SG11201507270VA (en) | 2013-03-15 | 2015-10-29 | William L Hunter | Devices, systems and methods for monitoring hip replacements |
CA2953097C (en) * | 2013-06-23 | 2024-01-09 | William L. Hunter | Devices, systems and methods for monitoring knee replacements |
EP3160393A4 (en) | 2014-06-25 | 2018-12-12 | Canary Medical Inc. | Devices, systems and methods for using and monitoring implants |
EP3160331A4 (en) | 2014-06-25 | 2018-09-12 | Canary Medical Inc. | Devices, systems and methods for using and monitoring orthopedic hardware |
SG11201702153YA (en) | 2014-09-17 | 2017-04-27 | Canary Medical Inc | Devices, systems and methods for using and monitoring medical devices |
KR102455911B1 (ko) | 2016-03-23 | 2022-10-19 | 카나리 메디칼 아이엔씨. | 경보 임플란트를 위한 이식 가능한 리포팅 프로세서 |
US11191479B2 (en) | 2016-03-23 | 2021-12-07 | Canary Medical Inc. | Implantable reporting processor for an alert implant |
US10136952B2 (en) * | 2016-06-16 | 2018-11-27 | Zimmer, Inc. | Soft tissue balancing in articular surgery |
US11229489B2 (en) | 2016-06-16 | 2022-01-25 | Zimmer, Inc. | Soft tissue balancing in articular surgery |
US10863995B2 (en) | 2017-03-14 | 2020-12-15 | OrthAlign, Inc. | Soft tissue measurement and balancing systems and methods |
KR102019889B1 (ko) | 2017-08-24 | 2019-09-10 | 주식회사 코렌텍 | 스마트 인공관절 치환술용 수술기기 |
CN113407445B (zh) * | 2021-06-03 | 2022-11-22 | 拉扎斯网络科技(上海)有限公司 | 端到端自动化测试方法、装置及电子设备 |
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US5470354A (en) | 1991-11-12 | 1995-11-28 | Biomet Inc. | Force sensing apparatus and method for orthopaedic joint reconstruction |
US5464406A (en) * | 1992-12-09 | 1995-11-07 | Ritter; Merrill A. | Instrumentation for revision surgery |
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JP2005520630A (ja) * | 2002-03-19 | 2005-07-14 | ザ・ボード・オブ・トラスティーズ・オブ・ザ・ユニバーシティ・オブ・イリノイ | 関節に取り付けられてつり合っている人工器官のためのシステム及び方法 |
US7632283B2 (en) * | 2002-09-30 | 2009-12-15 | Depuy Products, Inc. | Modified system and method for intraoperative tension assessment during joint arthroplasty |
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ATE459300T1 (de) | 2010-03-15 |
CA2877645C (en) | 2017-07-25 |
KR101158952B1 (ko) | 2012-07-09 |
EP1814471A2 (en) | 2007-08-08 |
CA2585862C (en) | 2015-04-07 |
CA2877645A1 (en) | 2006-05-04 |
AU2005300099B2 (en) | 2011-03-03 |
AU2005300099A1 (en) | 2006-05-04 |
KR20070085451A (ko) | 2007-08-27 |
JP2008517708A (ja) | 2008-05-29 |
ES2341267T3 (es) | 2010-06-17 |
DE602005019772D1 (de) | 2010-04-15 |
EP1814471B1 (en) | 2010-03-03 |
CA2585862A1 (en) | 2006-05-04 |
EP1814471A4 (en) | 2008-02-06 |
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