JP5108060B2 - 骨構造体の安定化用器具及び方法 - Google Patents
骨構造体の安定化用器具及び方法 Download PDFInfo
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- JP5108060B2 JP5108060B2 JP2010149625A JP2010149625A JP5108060B2 JP 5108060 B2 JP5108060 B2 JP 5108060B2 JP 2010149625 A JP2010149625 A JP 2010149625A JP 2010149625 A JP2010149625 A JP 2010149625A JP 5108060 B2 JP5108060 B2 JP 5108060B2
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- anchor
- support
- anchors
- instrument
- pair
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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
- A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
- A61B17/7083—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements
- A61B17/7086—Rod reducers, i.e. devices providing a mechanical advantage to allow a user to force a rod into or onto an anchor head other than by means of a rod-to-bone anchor locking element; rod removers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the spine
-
- 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
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
- A61B17/7038—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other to a different extent in different directions, e.g. within one plane only
-
- 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
- A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
- A61B17/7083—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements
- A61B17/7089—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements wherein insertion is along an arcuate path
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8872—Instruments for putting said fixation devices against or away from the bone
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8897—Guide wires or guide pins
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
-
- 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
- A61B2017/681—Alignment, compression, or distraction mechanisms
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Neurology (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
- Auxiliary Devices For Music (AREA)
Description
Claims (14)
- 動物の被検者にて外科的方法を行うときに使用される装置において、
動物の被検者に固着された一対のアンカーと、
前記一対のアンカーと関係付けられた装着器具であって、前記一対のアンカーに対して一定の幾何学的関係にて可動である前記装着器具と、
該装着器具に接続された接続要素であって、前記装着器具により前記一対のアンカーにより近接する位置まで移動される前記接続要素とを備え、
前記装着器具が、
前記一対のアンカーの対応する1つに取り付けられている一対のアンカー伸長部と、
前記一対のアンカー伸長部の対応する1つに連結されている一対の支持アームと、
前記支持アームに枢動可能に連結された、枢動する挿入器とを有し、
前記接続要素は前記挿入器に取り付け可能である、装置。 - 前記接続要素が前記位置まで経皮的に移動される、請求項1に記載の装置。
- 前記装着器具が経皮的に取り付けられている、請求項1に記載の装置。
- 前記アンカーが夫々、動物の被検者の骨構造体に係合している、請求項1に記載の装置。
- 前記骨構造体が椎骨体である、請求項4に記載の装置。
- 前記支持アームが前記アンカー伸長部に対して枢動可能に連結されている、請求項1に記載の装置。
- 前記装置は前記支持アームの間で伸びるクランプ止めバーを有し、前記クランプ止めバーが前記支持アームの間で前記アンカー伸長部を解放可能にクランプ止めをしている、請求項6に記載の装置。
- 前記アンカーが夫々通路を有し、前記接続要素が前記通路内に移動される、請求項1に記載の装置。
- 前記アンカーが夫々前記通路内の前記接続要素を前記アンカーに固定するための止めねじを有する、請求項8に記載の装置。
- 各前記止めねじが前記挿入器具に解放可能に固定されている、請求項9に記載の装置。
- 前記アンカーが多軸骨ねじである、請求項1に記載の装置。
- 前記挿入器具が円弧に沿って前記接続要素を移動する、請求項1に記載の装置。
- 前記円弧の湾曲の中心が前記挿入器具の枢動軸によって画定されている、請求項12に記載の装置。
- 前記装着器具は、前記一対のアンカーに取り付けられている、請求項1に記載の装置。
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US16048999P | 1999-10-20 | 1999-10-20 | |
US60/160,489 | 1999-10-20 | ||
US18672900P | 2000-03-03 | 2000-03-03 | |
US60/186,729 | 2000-03-03 | ||
US09/616,581 | 2000-07-14 | ||
US09/616,581 US6530929B1 (en) | 1999-10-20 | 2000-07-14 | Instruments for stabilization of bony structures |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2001531035A Division JP4574931B2 (ja) | 1999-10-20 | 2000-10-11 | 骨構造体の安定化用器具及び方法 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2010264256A JP2010264256A (ja) | 2010-11-25 |
JP5108060B2 true JP5108060B2 (ja) | 2012-12-26 |
Family
ID=27388464
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2001531035A Expired - Fee Related JP4574931B2 (ja) | 1999-10-20 | 2000-10-11 | 骨構造体の安定化用器具及び方法 |
JP2010149630A Expired - Lifetime JP5108061B2 (ja) | 1999-10-20 | 2010-06-30 | 骨構造体の安定化用器具及び方法 |
JP2010149625A Expired - Lifetime JP5108060B2 (ja) | 1999-10-20 | 2010-06-30 | 骨構造体の安定化用器具及び方法 |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2001531035A Expired - Fee Related JP4574931B2 (ja) | 1999-10-20 | 2000-10-11 | 骨構造体の安定化用器具及び方法 |
JP2010149630A Expired - Lifetime JP5108061B2 (ja) | 1999-10-20 | 2010-06-30 | 骨構造体の安定化用器具及び方法 |
Country Status (11)
Country | Link |
---|---|
US (15) | US6530929B1 (ja) |
EP (1) | EP1221901B1 (ja) |
JP (3) | JP4574931B2 (ja) |
KR (1) | KR100795649B1 (ja) |
AT (1) | ATE354315T1 (ja) |
AU (1) | AU778956B2 (ja) |
BR (1) | BR0014936B1 (ja) |
CA (2) | CA2387733C (ja) |
DE (1) | DE60033541T2 (ja) |
ES (1) | ES2280253T3 (ja) |
WO (1) | WO2001028436A1 (ja) |
Families Citing this family (649)
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