JP5087108B2 - 椎間板置換装置を備えたシステム - Google Patents
椎間板置換装置を備えたシステム Download PDFInfo
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- JP5087108B2 JP5087108B2 JP2010132938A JP2010132938A JP5087108B2 JP 5087108 B2 JP5087108 B2 JP 5087108B2 JP 2010132938 A JP2010132938 A JP 2010132938A JP 2010132938 A JP2010132938 A JP 2010132938A JP 5087108 B2 JP5087108 B2 JP 5087108B2
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- disc replacement
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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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
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- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
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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
- A61B17/80—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
- A61B17/8042—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 the additional component being a cover over the screw head
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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
- A61F2/02—Prostheses implantable into the body
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- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
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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
- A61F2002/30576—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs
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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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Description
挿入プッシャー900のシャフト902は、好ましくは、長手方向穴804と同一の長さ(又は、例えば、少なくとも同一の長さ)を有している。従って、挿入ハンドルのシャフト802を挿入板700から取外すために、挿入プッシャー900のシャフト902が、挿入ハンドルのシャフト802の長手方向穴804内に挿入され、プッシャーシャフト902の丸い遠位端904が挿入板700のテーパ付きステム706の近位端と衝突するまで、長手方向穴804内において平行移動されることになる。挿入プッシャー900のシャフト902が挿入ハンドルのシャフト802の長手方向穴804と同一の長さを有しているので、挿入ハンドル800のフランジ810と挿入プッシャー900のフランジ908は、挿入ハンドルのシャフト802の遠位端806に係止されているステム706の部分の長さに相当する距離だけ離れている(図7dと図7eを参照)。従って、(例えば、外科医がフランジ810,908を互いに対して締め付けることによって)、フランジ810,908を重ねれば、挿入ハンドルのシャフト802の遠位端806と挿入板700のステム706との間の摩擦係止を解除し、治療領域内における頚椎椎間板置換装置400と挿入板700の組立体の配置を乱すことなく、挿入ハンドルのシャフト802を挿入板700から離脱させることが可能になる。
Claims (11)
- システムであって、
第1取付け穴(509)と第1骨ネジ穴(508a,508b)とを有する上側要素(500)と、
第2取付け穴(609)と第2骨ネジ穴(608a,608b)とを有する下側要素(600)と、
挿入板(700)と、を備え、前記挿入板(700)は、
上下に延びるフランジ(704a,704b)を有する基部(702)と、
前記上側要素(500)の前記第1取付け穴(509)に係合するように操作可能な前記基部(702)の第1取付け穴(712a)と、
前記下側要素(600)の前記第2取付け穴(609)に係合するように操作可能な前記基部(702)の第2取付け穴(712b)であって、前記基部(702)の前記第1及び第2取付け穴(712a,712b)が、前記上側要素(500)及び前記下側要素(600)を脊柱の椎間腔内へ同時に挿入するために、前記上側要素(500)及び前記下側要素(600)に係合して前記上側要素(500)及び前記下側要素(600)を配列するとき、前記フランジ(704a,704b)は前記第1及び第2骨ネジ穴(508a,508b,608a,608b)を越えて延在しない、第2取付け穴(712b)と、
前記基部(702)の前向き面から離れるように延在するステム(706)であって、前記上側要素(500)及び前記下側要素(600)が、前記挿入板(700)を前記システム内の前記上側要素(500)及び前記下側要素(600)に係合させると、互いに対する配列を実質的に変化させることなく、前記椎間腔への挿入及び前記椎間腔内での移動の少なくとも1つを行ない得るようなステム(706)であり、前記ステム(706)は、挿入ハンドル(800)と係合するような寸法と形状に形成され、前記挿入ハンドル(800)は穴(804)を有し、前記ステム(706)は前記穴(804)に摩擦で係合するテーパ付きシャフトを有しているステム(706)と、
を備えていることを特徴とする、システム。 - 前記上側要素(500)及び前記下側要素(600)の各々は、軸受面(512,612)を有し、
前記挿入板(700)は、前記軸受面(512,612)を前記椎間腔内へ同時に挿入するために、前記軸受面(512,612)を実質的に互いに整合した状態に配列するようになっていることを特徴とする、請求項1に記載のシステム。 - 前記基部(702)の前記第1及び第2取付け穴(712a,712b)は、前記上側要素(500)及び前記下側要素(600)の前記第1及び第2取付け穴(509,609)に前記フランジ(704a,704b)を結合させる固定装置を受け入れるようになっていることを特徴とする、請求項1に記載のシステム。
- 前記固定装置は、前記上側要素(500)及び前記下側要素(600)の前記第1及び第2取付け穴(509,609)と係合するように操作可能な取付けネジ(714a,714b)であり、前記第1及び第2取付け穴(509,609)は、ネジ穴を有していることを特徴とする、請求項3に記載のシステム。
- 前記基部(702)の後向き面から延在する棚状突起部材(716)をさらに備え、前記棚状突起部材(716)は、その突起の平坦な上面を前記上側要素(500)及び前記下側要素(600)の内向き面の前部に接触させて、前記上側要素(500)及び前記下側要素(600)の内向き面の前部間の間隔を維持すべく、前記上側要素(500)及び前記下側要素(600)間を少なくとも部分的に延在するような寸法と形状に形成されていることを特徴とする、請求項1に記載のシステム。
- 前記棚状突起部材(716)は、互いに離間された第1及び第2面を有し、前記棚状突起部材(716)の前記互いに離間された第1及び第2面は、前記上側要素(500)及び前記下側要素(500)のそれぞれの面に係合するように形成されており、前記棚状突起部材(716)の前記第1面は湾曲しており、前記棚状突起部材(716)の前記第2面は平坦であることを特徴とする、請求項5に記載のシステム。
- 前記基部(702)の前記第1及び第2取付け穴(712a,712b)の各々は、フランジに形成され、前記基部(702)の前記取付け穴(712a,712b)は、前記上側要素(500)及び前記下側要素(600)の前記第1及び第2取付け穴(509,609)のそれぞれの穴に前記フランジを結合させるそれぞれの固定装置を受け入れ、
前記取付け穴(509,609)は、前記脊柱の長軸に実質的に平行な方向に配列され、
前記棚状突起部材(716)は、前記脊柱の前記長軸に対して実質的に横断する前記基部(702)の前記後向き面に沿った方向に延在している、
ことを特徴とする、請求項5に記載のシステム。 - 前記基部(702)は、前記上側要素(500)及び前記下側要素(600)を前記椎間腔内へ同時に挿入するために、前記上側要素(500)及び前記下側要素(600)の実質的に整列された配列を維持するようになっていることを特徴とする、請求項1に記載のシステム。
- 脊柱の椎間板の少なくとも一部を置換するシステムであって、
上側要素(500)及び下側要素(600)であって、前記上側要素(500)は第1取付け穴(509)と第1骨ネジ穴(508a,508b)とを有し、前記下側要素(600)は第2取付け穴(609)と第2骨ネジ穴(608a,608b)とを有し、前記上側要素(500)及び前記下側要素(600)は、互いに係合可能である、上側要素(500)及び下側要素(600)と、
挿入板(700)を通って挿入される固定装置を介して前記上側要素(500)及び前記下側要素(600)の前記第1及び第2取付け穴(509,609)の各々に離脱可能に結合し、かつ前記上側要素(500)及び前記下側要素(600)を、隣接する椎骨のそれぞれの終板によって画成される前記脊柱の前記椎間腔内へ同時に挿入するために配列するように操作可能である挿入板(700)とを備え、前記挿入板(700)は、
上下に延びるフランジ(704a,704b)を有する基部(702)と、
前記上側要素(500)の前記第1取付け穴(509)に係合するように操作可能な前記基部(702)の第1取付け穴(712a)と、
前記下側要素(600)の前記第2取付け穴(609)に係合するように操作可能な前記基部(702)の第2取付け穴(712b)であって、前記基部(702)の前記第1及び第2取付け穴(712a,712b)が、前記上側要素(500)及び前記下側要素(600)を脊柱の椎間腔内へ同時に挿入するために前記上側要素(500)及び前記下側要素(600)に係合して前記上側要素(500)及び前記下側要素(600)を前方から見て脊椎融合板の形態と実質的に同様の形態で配列するとき、前記フランジ(704a,704b)は前記第1及び第2骨ネジ穴(508a,508b,608a,608b)を越えて延在しない、第2取付け穴(712b)と、
前記基部(702)の前向き面から離れるように延在するステム(706)であって、前記上側要素(500)及び前記下側要素(600)が、互いに対する配列を実質的に変化させることなく、前記椎間腔への挿入及び前記椎間腔内での移動の少なくとも1つを行ない得るように操作可能なステム(706)であり、前記ステム(706)は、挿入ハンドル(800)と係合するような寸法と形状に形成され、前記挿入ハンドル(800)は穴(804)を有し、前記ステム(706)は前記穴(804)に摩擦で係合するテーパ付きシャフトを有している、ステム(706)と
を備えていることを特徴とする、システム。 - 少なくとも前記上側要素(500)及び前記下側要素(600)と前記挿入板(700)は、密封されたパッケージに配置されている複合殺菌キットの一部であることを特徴とする、請求項9に記載のシステム。
- 前記挿入ハンドル(800)のシャフト(802)の遠位端(806)は、軸方向の回転を阻止するキー溝(814a,814b)を有し、該キー溝(814a,814b)は、前記ステム(706)と前記基部(702)の接合点におけるキーフランジ(708a,708b)を受け入れるように形作られていることを特徴とする、請求項1または9に記載のシステム。
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US10/688,632 US6896676B2 (en) | 2003-03-06 | 2003-10-17 | Instrumentation and methods for use in implanting a cervical disc replacement device |
US10/782,131 | 2004-02-19 | ||
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Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20080249569A1 (en) * | 2007-04-03 | 2008-10-09 | Warsaw Orthopedic, Inc. | Implant Face Plates |
US20090088851A1 (en) * | 2007-10-02 | 2009-04-02 | Warsaw Orthopedic, Inc. | Combination plate and disc prosthesis |
WO2012074809A1 (en) * | 2010-11-30 | 2012-06-07 | Depuy Spine Inc. | Lateral spondylolisthesis reduction cage |
US8998905B2 (en) * | 2011-04-29 | 2015-04-07 | Warsaw Orthopedic, Inc. | Methods and instruments for use in vertebral treatment |
US11123117B1 (en) | 2011-11-01 | 2021-09-21 | Nuvasive, Inc. | Surgical fixation system and related methods |
GB201416867D0 (en) * | 2014-09-24 | 2014-11-05 | Fitzbionics Ltd | A prosthetic intervertebral disc joint assembly |
KR102364016B1 (ko) * | 2021-08-10 | 2022-02-17 | 주식회사 제일메디칼코퍼레이션 | 나사 이탈 방지용 클립을 구비하는 자립형 추간체 유합 보형재 |
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Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2724109A1 (fr) * | 1994-09-05 | 1996-03-08 | Medinov Sa | Prothese rachidienne intervertebrale a glissement notamment cervicale |
WO1998048718A1 (en) * | 1997-04-25 | 1998-11-05 | Tegementa, L.L.C. | Threaded fusion cage anchoring device and method |
US6113637A (en) * | 1998-10-22 | 2000-09-05 | Sofamor Danek Holdings, Inc. | Artificial intervertebral joint permitting translational and rotational motion |
DE69836834T2 (de) * | 1998-10-22 | 2007-09-20 | Warsaw Orthopedic, Inc., Minneapolis | Translations- und rotations-bewegung erlaubendes künstliches zwischenwirbelgelenk |
US6039763A (en) * | 1998-10-27 | 2000-03-21 | Disc Replacement Technologies, Inc. | Articulating spinal disc prosthesis |
US6579318B2 (en) * | 2000-06-12 | 2003-06-17 | Ortho Development Corporation | Intervertebral spacer |
WO2002003885A2 (en) * | 2000-07-10 | 2002-01-17 | Michelson Gary K | Flanged interbody spinal fusion implants |
US6638310B2 (en) * | 2000-07-26 | 2003-10-28 | Osteotech, Inc. | Intervertebral spacer and implant insertion instrumentation |
US6814738B2 (en) * | 2001-01-23 | 2004-11-09 | Depuy Acromed, Inc. | Medical impacting device and system |
US6607559B2 (en) * | 2001-07-16 | 2003-08-19 | Spine Care, Inc. | Trial intervertebral distraction spacers |
US7115132B2 (en) * | 2001-07-16 | 2006-10-03 | Spinecore, Inc. | Static trials and related instruments and methods for use in implanting an artificial intervertebral disc |
US7169182B2 (en) * | 2001-07-16 | 2007-01-30 | Spinecore, Inc. | Implanting an artificial intervertebral disc |
WO2002085261A1 (en) * | 2001-04-20 | 2002-10-31 | Douglas Stafford Maclennan | Intervertebral disc implant device |
US6719794B2 (en) * | 2001-05-03 | 2004-04-13 | Synthes (U.S.A.) | Intervertebral implant for transforaminal posterior lumbar interbody fusion procedure |
FR2824261B1 (fr) * | 2001-05-04 | 2004-05-28 | Ldr Medical | Prothese de disque intervertebral et procede et outils de mise en place |
US6436102B1 (en) * | 2001-07-16 | 2002-08-20 | Third Millennium Engineering, Llc | Method of distracting vertebral bones |
US7238203B2 (en) * | 2001-12-12 | 2007-07-03 | Vita Special Purpose Corporation | Bioactive spinal implants and method of manufacture thereof |
US6682563B2 (en) * | 2002-03-04 | 2004-01-27 | Michael S. Scharf | Spinal fixation device |
ATE363251T1 (de) * | 2002-03-11 | 2007-06-15 | Spinal Concepts Inc | Einrichtung zum einsetzen von wirbelsäulenimplantaten |
US6706068B2 (en) * | 2002-04-23 | 2004-03-16 | Bret A. Ferree | Artificial disc replacements with natural kinematics |
JP4654125B2 (ja) * | 2002-10-29 | 2011-03-16 | スパインコア,インコーポレイテッド | 人工椎間板を植え込む際に使用するための器具類、方法、および機能 |
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