JP4624052B2 - 肩の関節窩のためのプロテーゼ - Google Patents
肩の関節窩のためのプロテーゼ Download PDFInfo
- Publication number
- JP4624052B2 JP4624052B2 JP2004285137A JP2004285137A JP4624052B2 JP 4624052 B2 JP4624052 B2 JP 4624052B2 JP 2004285137 A JP2004285137 A JP 2004285137A JP 2004285137 A JP2004285137 A JP 2004285137A JP 4624052 B2 JP4624052 B2 JP 4624052B2
- Authority
- JP
- Japan
- Prior art keywords
- prosthesis
- shoulder
- glenoid
- seat
- intended
- 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
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Classifications
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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
- A61F2/40—Joints for shoulders
- A61F2/4081—Glenoid components, e.g. cups
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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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
- A61B17/8047—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers wherein the additional element surrounds the screw head in the plate hole
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- 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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
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- A61F2/02—Prostheses implantable into the body
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- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
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Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Description
−シートに設けられている周縁リムの外面が、オス型インサートに対して係合し得る円錐台形状の留め金コーンの形態とされ、この場合、オス型インサートには、相補形状をなす当接面が設けられ、
−シートのプレートには、メス型インサートと係合することを意図した手段が設けられ、これにより、クリップ止めによってメス型インサートを固定し得るようになっている、
ことを特徴としている。
2 プレート
4 貫通穴
5 アンカー止めネジ
6 ステム
7 穴
8 穴
9 膨出形状
10 メス型インサート
11 切欠
12 ピン
17 オス型インサート
22 ブラインド孔
23 フラット領域
24 膨張ソケット
25 リング
28 スタッド
29 凹所
30 前後方向領域
Claims (12)
- 肩の関節窩のためのプロテーゼであって、
アンカー止めネジ(5)を使用することによって、処置対象をなす患者の関節窩に対して固定することを意図した座(1)を具備し、
この座(1)が、オス型インサート(17)を受領し得るプレート(2)を備え、
前記座(1)が、メス型インサート(10)を受領し得るものとされ、
前記インサート(10,17)が、処置対象をなす肩関節の上腕骨ヘッドに対して係合するものであり、あるいは、処置対象をなす領域に設置された上腕骨インプラントに対して係合するものであり、
このようなプロテーゼにおいて、
−前記座(1)に設けられている周縁リムの外面が、オス型インサート(17)に対して係合し得る円錐台形状の形態とされ、この場合、前記オス型インサート(17)には、相補形状をなす当接面が設けられ、
−前記座(1)の前記プレート(2)には、メス型インサート(10)と係合することを意図した手段(22)が設けられ、これにより、クリップ止めによって前記メス型インサート(10)を固定し得るようになっていることを特徴とする肩の関節窩のためのプロテーゼ。 - 請求項1記載の肩の関節窩のためのプロテーゼにおいて、
前記プレート(2)には、2つの貫通穴(4)が形成され、
各貫通穴(4)が、前記プレートが全体的になす平面に対して、20°〜35°という角度でもって傾斜しており、
各貫通穴(4)が、関節窩内へと前記アンカー止めネジ(5)を挿通させることを意図したものとされていることを特徴とする肩の関節窩のためのプロテーゼ。 - 請求項1または2記載の肩の関節窩のためのプロテーゼにおいて、
前記座のうちの、関節窩に対して係合することを意図した背面が、膨出した形状(9)とされ、
前記背面には、関節窩内へと埋設されることを意図したステム(6)が設けられていることを特徴とする肩の関節窩のためのプロテーゼ。 - 請求項3記載の肩の関節窩のためのプロテーゼにおいて、
前記座のうちの、関節窩に対して係合することを意図した背面が、2つのフラット領域(23)を備え、
これらフラット領域(23)が、前記膨出形状(9)の両サイドに配置され、
これらフラット領域(23)が、関節窩の内部に当接することを意図したものとされていることを特徴とする肩の関節窩のためのプロテーゼ。 - 請求項3または4記載の肩の関節窩のためのプロテーゼにおいて、
前記座の前記背面から延出された前記ステム(6)には、穴(7,8)が設けられ、これにより、骨成長または骨移動による前記プロテーゼの二次的固定が助長されることを特徴とする肩の関節窩のためのプロテーゼ。 - 請求項1〜5のいずれか1項に記載の肩の関節窩のためのプロテーゼにおいて、
前記メス型インサート(10)と係合するとともに前記メス型インサート(10)を前記座(1)の前記プレート(2)に対して固定するための手段が、前記メス型インサート(10)の下部から突出した適切な直径のピン(12)と係合し得るブラインド孔(22)から構成されている、あるいは、前記メス型インサートのベース部から突出した対応直径の突起と係合し得るものとされて前記座の内周縁上に配置された凹所から構成されていることを特徴とする肩の関節窩のためのプロテーゼ。 - 請求項1〜6のいずれか1項に記載の肩の関節窩のためのプロテーゼにおいて、
前記プレート(2)の前記貫通穴(4)の各々には、膨張ソケット(24)が設けられ、
各膨張ソケット(24)が、前記アンカー止めネジ(5)と係合し得るものとされ、なおかつ、外科医によって選択された向きでもって前記アンカー止めネジを不動化することを意図したものとされていることを特徴とする肩の関節窩のためのプロテーゼ。 - 請求項1〜7のいずれか1項に記載の肩の関節窩のためのプロテーゼにおいて、
前記アンカー止めネジ(5)が、セルフドリリングネジまたはセルフタッピングネジまたはレトロカッティングネジとされていることを特徴とする肩の関節窩のためのプロテーゼ。 - 請求項7記載の肩の関節窩のためのプロテーゼにおいて、
前記膨張ソケット(24)には、外周縁から突出した周縁スタッド(28)が設けられ、
これらスタッド(28)が、前記貫通穴(4)内に溶接されたリング(25)内に形成された対応凹所(29)内に受領されることを意図したものとされていることを特徴とする肩の関節窩のためのプロテーゼ。 - 請求項6〜9のいずれか1項に記載の肩の関節窩のためのプロテーゼにおいて、
前記メス型インサート(10)には、2つの固定ピン(12)が設けられ、
これら固定ピン(12)が、前記座(1)の前記プレート内に形成された孔(22)内にクリップ止めされることを意図したものとされ、
前記メス型インサート(10)の下面には、前記アンカー止めネジ(5)のヘッドの通過を可能とする切欠(11)が設けられていることを特徴とする肩の関節窩のためのプロテーゼ。 - 請求項6〜10のいずれか1項に記載の肩の関節窩のためのプロテーゼにおいて、
前記メス型インサート(10)が、前後方向領域(30)に突出形状を有していることを特徴とする肩の関節窩のためのプロテーゼ。 - 請求項1〜11のいずれか1項に記載の肩の関節窩のためのプロテーゼにおいて、
前記アンカー止めネジ(5)が、前記プレート(2)の前記貫通穴(4)の内部において、12°という角度の分だけ配向することができることを特徴とする肩の関節窩のためのプロテーゼ。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR0311511A FR2860426B1 (fr) | 2003-10-01 | 2003-10-01 | Prothese de cavite glenoide de la scapula |
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JP2005103286A JP2005103286A (ja) | 2005-04-21 |
JP4624052B2 true JP4624052B2 (ja) | 2011-02-02 |
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JP2004285137A Expired - Fee Related JP4624052B2 (ja) | 2003-10-01 | 2004-09-29 | 肩の関節窩のためのプロテーゼ |
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EP (1) | EP1520561B1 (ja) |
JP (1) | JP4624052B2 (ja) |
AT (1) | ATE456338T1 (ja) |
AU (1) | AU2004216605B2 (ja) |
DE (1) | DE602004025317D1 (ja) |
ES (1) | ES2340926T3 (ja) |
FR (1) | FR2860426B1 (ja) |
ZA (1) | ZA200407372B (ja) |
Families Citing this family (11)
Publication number | Priority date | Publication date | Assignee | Title |
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GB2431354A (en) * | 2005-10-24 | 2007-04-25 | Benoist Girard Sas | A prosthetic glenoid component with soft bearing surface |
BRPI0618305A2 (pt) | 2005-11-07 | 2011-08-23 | Exactech Inc | sistema de montagem e método para aumentar a fixação do implante ao osso |
GB0603572D0 (en) * | 2006-02-23 | 2006-04-05 | Depuy Ireland Ltd | A glenoid component of a shoulder joint prosthesis |
JP5180953B2 (ja) | 2006-03-23 | 2013-04-10 | イグザクテック・インコーポレイテッド | 逆型肩関節用浅窩プレートおよびプロテーゼ |
DE102006041551B4 (de) * | 2006-05-22 | 2018-07-19 | Mathys Ag Bettlach | Schulterprothese |
DE102006041550B4 (de) * | 2006-05-22 | 2018-07-19 | Mathys Ag Bettlach | Schulterprothese mit Vorsprung an der Grundplatte |
DE102008021110A1 (de) | 2008-04-28 | 2009-10-29 | Smith & Nephew Orthopaedics Ag | Scapulare Komponente einer Schultergelenkprothese |
CA2847519C (en) | 2011-09-14 | 2019-06-18 | Zimmer Gmbh | Bone fixing apparatus |
FR2990844B1 (fr) * | 2012-05-22 | 2014-06-13 | Fx Solutions | Implant d'omoplate de prothese d'epaule |
US10595886B2 (en) * | 2018-03-04 | 2020-03-24 | Joint Innovation Technology, Llc | Arthroscopic shoulder arthroplasty and method thereof |
CN111281620A (zh) * | 2020-03-30 | 2020-06-16 | 北京市春立正达医疗器械股份有限公司 | 一种全肩关节置换术中应用到的关节盂假体 |
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US4550450A (en) * | 1984-07-24 | 1985-11-05 | Kinnett James G | Total shoulder prosthesis system |
JP2000005205A (ja) * | 1998-06-09 | 2000-01-11 | Depuy Orthopaedics Inc | モジュ―ル型関節窩アセンブリ― |
WO2003051238A1 (de) * | 2001-12-14 | 2003-06-26 | Mathys Orthopädie GmbH | Hüft- und schultergelenk-endoprothese |
Family Cites Families (12)
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FR2610515A1 (fr) * | 1987-02-09 | 1988-08-12 | Jean Lannelongue | Prothese d'epaule |
US5080673A (en) * | 1988-02-03 | 1992-01-14 | Intermedics Orthopedics, Inc. | Glenoid prosthesis and method of use |
FR2652498B1 (fr) | 1989-10-04 | 1997-12-26 | Medinov | Ensemble modulaire pour prothese de l'epaule. |
FR2683142B1 (fr) | 1991-10-31 | 1995-12-15 | Deux C T | Prothese pour la glenne humerale. |
FR2695313B1 (fr) * | 1992-09-08 | 1994-10-28 | Fabrication Etu Realisa Implan | Implant glénoïdien. |
FR2704747B1 (fr) * | 1993-05-06 | 1995-07-21 | Medinov Sa | Support destiné à recevoir un organe glénoïdien. |
FR2727857B1 (fr) * | 1994-12-08 | 1997-01-24 | Cedior | Prothese totale d'epaule |
US5888204A (en) * | 1996-04-15 | 1999-03-30 | Fastenetix, Llc | Acetabular cup having capped polyaxial locking screws |
FR2737107B1 (fr) * | 1995-07-26 | 1997-09-05 | Medinov Sa | Dispositif d'assemblage entre deux parties d'un element prothetique notamment |
FR2802799B1 (fr) * | 1999-12-23 | 2002-08-16 | Depuy France | Ensemble de prothese d'epaule |
US20030055507A1 (en) * | 2001-09-11 | 2003-03-20 | Incumed, Incorporated | Modular prosthesis and insertion tool for bone structures |
FR2836039B1 (fr) * | 2002-02-15 | 2004-10-01 | Tornier Sa | Composant glenoidien de prothese d'epaule et prothese totale d'epaule incorporant un tel composant |
-
2003
- 2003-10-01 FR FR0311511A patent/FR2860426B1/fr not_active Expired - Fee Related
-
2004
- 2004-09-14 ZA ZA2004/07372A patent/ZA200407372B/en unknown
- 2004-09-23 ES ES04300619T patent/ES2340926T3/es active Active
- 2004-09-23 EP EP04300619A patent/EP1520561B1/fr not_active Not-in-force
- 2004-09-23 AT AT04300619T patent/ATE456338T1/de not_active IP Right Cessation
- 2004-09-23 DE DE602004025317T patent/DE602004025317D1/de active Active
- 2004-09-29 AU AU2004216605A patent/AU2004216605B2/en not_active Ceased
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Patent Citations (3)
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US4550450A (en) * | 1984-07-24 | 1985-11-05 | Kinnett James G | Total shoulder prosthesis system |
JP2000005205A (ja) * | 1998-06-09 | 2000-01-11 | Depuy Orthopaedics Inc | モジュ―ル型関節窩アセンブリ― |
WO2003051238A1 (de) * | 2001-12-14 | 2003-06-26 | Mathys Orthopädie GmbH | Hüft- und schultergelenk-endoprothese |
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ZA200407372B (en) | 2005-08-31 |
EP1520561B1 (fr) | 2010-01-27 |
AU2004216605B2 (en) | 2010-06-17 |
FR2860426B1 (fr) | 2006-05-26 |
JP2005103286A (ja) | 2005-04-21 |
FR2860426A1 (fr) | 2005-04-08 |
AU2004216605A1 (en) | 2005-04-21 |
EP1520561A1 (fr) | 2005-04-06 |
DE602004025317D1 (de) | 2010-03-18 |
ATE456338T1 (de) | 2010-02-15 |
ES2340926T3 (es) | 2010-06-11 |
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