JP5172709B2 - 経椎間孔椎体間ケージおよびケージを埋め込むための器具 - Google Patents
経椎間孔椎体間ケージおよびケージを埋め込むための器具 Download PDFInfo
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- JP5172709B2 JP5172709B2 JP2008554874A JP2008554874A JP5172709B2 JP 5172709 B2 JP5172709 B2 JP 5172709B2 JP 2008554874 A JP2008554874 A JP 2008554874A JP 2008554874 A JP2008554874 A JP 2008554874A JP 5172709 B2 JP5172709 B2 JP 5172709B2
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- Prior art keywords
- cage
- interbody cage
- interbody
- rod
- hole
- 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.)
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- 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
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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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physical Education & Sports Medicine (AREA)
- Prostheses (AREA)
Description
側方凹面と、
側方凸面と、
略横方向の上面と、
略横方向の下面と、
埋込み機器のロッドの保持端部を受けるように構成され、本体によって画成された弧に対して略接線方向に向けられた端部穴を有する、本体の第1の長手先端にある端壁と、
前記端壁と反対側の前記本体の第2の長手先端にある内側に曲がった戻り部分とを備える。
端部穴内に挿入するように構成された保持端部を備えたロッドと、
椎体間ケージを把持するための把持端部と、を備え、把持端部は、
基部を有し、本体によって画成された弧と相補的な弧を全体的に画成している支持べらと、
ロッドが内部に摺動可能に配置され、且つ支持べらの基部がそれに取り付けられた案内管とを備え、案内管は開口部を備え、その開口部を通ってロッドの保持端部が端部穴への挿入のために移動することができ、機器はさらに、
機器を操作するための操縦端部と、を備える。
側方凹面と、
側方凸面と、
略横方向の上面と、
略横方向の下面と、
埋込み機器のロッドの保持端部を受けるように構成され、本体によって画成された弧に対して略接線方向に向けられた端部穴を備えた本体の第1の長手先端にある端壁と、
端壁と反対側の本体の第2の長手先端にある内側に曲がった戻り部分であって、戻り部分は戻り穴を備え、戻り穴は、本体によって画成される弧に対して略接線方向に向けられ、埋込み機器の端部を受けるように構成された戻り部分と、を備え、前記方法はさらに、
機器を提供するステップを含み、この機器は、
端部穴内に挿入するように構成された保持端部を備えるロッドと、
椎体間ケージを把持するための把持端部であって、把持端部が支持べらを備え、支持べらが基部を備え、本体によって画成された弧と相補的な弧を全体的に画成し、支持べらが椎体間ケージの戻り穴に挿入されるように構成された、基部の遠位にある端部を備えた、把持端部と、
ロッドが内部に摺動可能に配置され、支持べらの基部がそれに取り付けられた案内管であって、前記案内管が開口部を備え、前記開口部を通ってロッドの保持端部が端部穴への挿入のためにそこを通って移動することができる、案内管と、
機器を操作するための操縦端部と、を備え、前記方法はさらに、
脊柱にアクセスするための切開部を作るステップと、
輪を切除し、核を椎間板腔から除去するステップと、
へらの端部を、椎体間ケージの戻り穴内に挿入するステップと、
本体によって画成される弧を、へらによって画成された弧の近位に配置するステップと、
ロッドの保持端部を端部穴内に挿入することによって、椎体間ケージを機器上に固定するステップと、
椎体間ケージを弧運動によって椎間板腔内に配置するステップと、
ロッドの保持端部を端部穴から取り外すことによって、椎体間ケージを機器から解放するステップと、
機器を椎間板腔から取り出すステップと、
輪および皮膚を縫合するステップと、を含む。
4 アンカ
5 機器
10 側方凹面
11 側方凸面
12 直線状上面
13 直線状下面
14 端壁
15 戻り部分
16 面取り部
20 刻み
21 開口部
22 開口部
23 横断部材
30 穴
31 凹部
32 穴
33 スリット
40 プレート
41 戻り部分
42 切欠
43 可撓性タブ
52 案内管
53 ロッド
54 ピン
55 端部
56 へら
57 可動部分
58 係止管
59 照準管
60 係止リング
61 ボタン
62 ハンドル
571 球形凹部
574 刻み
575 縁部
576 縁部
592 球
593 くり抜かれた部分
610 溝
Claims (35)
- 全体的に弧を画成する本体を有する、椎間癒合移植片用の椎体間ケージであって、該本体が、
側方凹面と、
側方凸面と、
略横方向の上面と、
略横方向の下面と、
埋込み機器のロッドの保持端部を受けるように構成され、前記本体によって画成された前記弧に対して略接線方向に向けられた、前記本体の第1の長手先端にある端壁と、
前記端壁と反対側の前記本体の第2の長手先端であって、当該ケージを推体間で枢動するための挿入装置のへらを受ける筐体を備える、内側に曲がった戻り部分を備える第2の長手先端と、
を備えている椎間癒合移植片用の椎体間ケージ。 - 前記端壁が埋込み機器のピンを受けるように構成された凹部を備えている、請求項1に
記載の椎体間ケージ。 - 前記戻り部分が戻り穴を備え、該戻り穴が前記本体によって画成された前記弧に対して略接線方向に向けられて、且つ埋込み機器の端部を受けるように構成されている、請求項1に記載の椎体間ケージ。
- 前記端部穴、前記凹部、前記戻り穴は、前記埋込み機器による前記椎体間ケージの把持を固定するために、それぞれロッドの保持端部、ピン、および埋込み機器の端部と協働するように構成されている、請求項3に記載の椎体間ケージ。
- 前記本体の前記上面および下面の少なくとも一方が、椎骨間への前記椎体間ケージの埋込みに続いた前記椎体間ケージの運動に対向するように向けられた刻みを備えている、請求項1に記載の椎体間ケージ。
- 前記戻り部分が前記本体のそれぞれ前記上面および下面を延長している上面および下面を備え、前記戻り部分の前記上面および下面の少なくとも一方が、椎骨間への前記椎体間ケージの埋込み後の、前記椎体間ケージの前記運動に対向するように構成された刻みを備えている、請求項1に記載の椎体間ケージ。
- 前記戻り部分が前記本体の前記上面および下面をそれぞれ延長している上面および下面を備え、前記戻り部分の前記上面および下面の少なくとも一方が、前記椎体間ケージの前記椎骨間への埋込みを促進するように構成された面取り部を備えている、請求項1に記載の椎体間ケージ。
- 前記本体の前記第1および第2の長手方向の先端が前記椎体間ケージの長手軸を画成し、
前記刻みの少なくともいくつかが、前記椎体間ケージの前記長手軸に対して略平行に向けられている、請求項5に記載の椎体間ケージ。 - 前記本体の前記第1および第2の長手方向の先端が前記椎体間ケージの長手軸を画成し、
前記刻みの少なくともいくつかが、前記椎体間ケージの前記長手軸に対して略垂直に向けられている、請求項5に記載の椎体間ケージ。 - 前記本体の前記第1および第2の長手方向の先端が前記椎体間ケージの長手軸を画成し、
前記刻みの少なくともいくつかが、前記椎体間ケージの前記長手軸に対して略垂直な軸の周りに山形構成で配置されている、請求項5に記載の椎体間ケージ。 - 前記本体の前記第1および第2の長手方向の先端が前記椎体間ケージの長手軸を画成し、
前記刻みの少なくともいくつかが同心円弧を画成し、該同心円弧がそれぞれ前記椎体間ケージの前記長手軸に対して略平行な対象軸に関して、前記本体によって画成された前記弧に対して対称に配置されている、請求項5に記載の椎体間ケージ。 - 前記刻みの少なくともいくつかが前記本体によって画成された前記弧に対して略垂直に向けられる、請求項5に記載の椎体間ケージ。
- 前記椎体間ケージの前記上面および下面上のすべての前記刻みが、実質的に同じ向きを有している、請求項5に記載の椎体間ケージ。
- 前記椎体間ケージの前記上面または下面上の前記刻みのいくつかが、前記椎体間ケージの同じ表面上の他の刻みと同じ向きを有していない、請求項5に記載の椎体間ケージ。
- 前記椎体間ケージの前記上面および下面それぞれの上の刻みが、同じ向きを有している、請求項5に記載の椎体間ケージ。
- 前記椎体間ケージの前記上面上の前記刻みが前記椎体間ケージの前記下面上の前記刻みの向きと異なる向きを有している、請求項5に記載の椎体間ケージ。
- 前記本体がX線像内で前記椎体間ケージを確認するために構成された放射線不透過性マーカを備えている、請求項1に記載の椎体間ケージ。
- 前記ケージの前記上面および下面によって画成された平均平面が、互いに略平行である、請求項1に記載の椎体間ケージ。
- 前記ケージの前記上面および下面によって画成された前記平均平面が、脊椎の欠陥を修正することを可能にする角度を形成している、請求項1に記載の椎体間ケージ。
- 前記ケージの少なくとも1つの前記表面が、骨移植片または代用物の成長を可能にする少なくとも1つの開口部を備えている、請求項1に記載の椎体間ケージ。
- 少なくとも1つのスリットが前記ケージの前記本体を貫通し、且つ前記ケージの少なくとも1つの前記表面から別の表面へと延びた溝管を形成し、該スリットが、前記ケージが接触する椎体内に嵌め込まれることが意図された平坦なアンカプレートアンカを受けるように構成されている、請求項1に記載の椎体間ケージ。
- 全体的に円弧を画成する本体を有する椎間癒合移植片用の、椎体間ケージを埋め込むための機器であって、前記本体が、
側方凹面と、
側方凸面と、
略横方向の上面と、
略横方向の下面と、
前記本体によって画成される前記円弧に対して略接線方向に向けられた端部穴を有する前記本体の第1の長手先端にある端壁と、
を備え、前記機器が、
前記端部穴内に挿入するように構成された保持端部を備えるロッドと、
前記椎体間ケージを把持するための把持端部と、を備え、
該把持端部が、
基部を備えて且つ前記本体によって画成された前記円弧と相補的な弧を全体的に画成している支持べらと、
前記ロッドが内部に摺動可能に配置され且つ前記支持べらの前記基部がそれに取り付けられた案内管であって、該案内管が開口部を備えて、該開口部を通って前記ロッドの前記保持端部が前記端部穴への挿入のために移動することができる案内管と、を備え、
前記機器がさらに、
前記機器を操作するための操縦端部を備え、
前記支持べらは、前記ケージを椎間内で枢動するための前記ケージの筐体と協働するように構成されている機器。 - 前記ロッドが、前記機器の前記操縦端部の実質的に付近に延びている、請求項22に記載の機器。
- 前記ロッドに取り付けられたボタンと、該ボタンが通って突出する溝とを備え、前記ボタンが、前記ロッドの前記保持端部の位置を前記案内管の前記開口部に対して調整するために、ロッドを摺動させるように構成されている、請求項22に記載の機器。
- 前記案内管が、前記椎体間ケージの前記端壁上に配置された凹部に係合するように構成されたピンを備えている、請求項22に記載の機器。
- 前記支持べらが前記基部から遠位にある端部を備え、前記端部が、前記椎体間ケージの内側に曲がった戻り部分上に配置された戻り穴に挿入されるように構成され、前記戻り穴が、前記本体によって画成された前記円弧に対して略接線方向に向けられている、請求項22に記載の機器。
- 前記案内管が、前記椎体間ケージの前記端壁上に配置された凹部に係合するように構成されたピンを備え、前記ロッドの前記保持端部、前記ピン、および前記埋込み機器の前記
端部は、前記埋込み機器による前記椎体間ケージの把持を固定するために、且つ前記ロッドの前記保持端部を前記端部穴から取り外すことによって前記椎体間ケージの埋込みに続いた前記機器の前記抜出しを促進するために、それぞれ前記端部穴、前記凹部、および前記戻り穴と協働するように構成されている、請求項26に記載の機器。 - 前記機器の前記操縦端部の実質的に付近に延びた照準管をさらに備え、前記案内管が可動部分を備え、前記可動部分が前記照準管に対して少なくとも第1の枢動方向に枢動し、該第1の枢動方向が実質的に前記支持べらによって画成された前記弧がある平面内にあり、前記照準管に対する前記可動部分の位置が枢動角度を規定している、請求項22に記載の機器。
- 前記可動部分または前記照準管の一方が略球形の端部を備え、前記可動部分または前記照準管のもう一方が該球形の端部の形状および寸法と相補的な形状および寸法を有する凹状の端部を備え、前記該球形の端部および凹状の端部がそれぞれ球面継手のボール構成要素およびソケット構成要素として構成されている、請求項28に記載の機器。
- 前記ソケット構成要素が開いた縁部を備え、前記縁部のうちの1つが前記支持べらの近位にあり、且つ少なくとも前記第1の枢動方向で前記照準管に対する前記可動部分のさらなる枢動を可能にするように、前記他の開いた縁部より少なく前記ボール構成要素を取り囲むように構成されている、請求項29に記載の機器。
- 前記ロッドが可撓性であり、且つ前記ボール構成要素および前記ソケット構成要素の中心に配置されたチャネルを通って前記球面継手を摺動可能に移動し、前記チャネルが前記支持べらの近位の中空部分を有し、前記中空部分は、前記可動部分が前記照準管に対して枢動させられるときでも、前記ロッドが前記球面継手を通って摺動することを可能にするように構成されている、請求項29に記載の機器。
- 前記機器が前記照準管に沿って摺動可能に配置された係止部をさらに備え、前記係止部が前方位置を有し、前記係止部が前記前方位置内に配置されるときに、前記案内管の前記可動部分を選択された枢動角度で固定するように構成されている、請求項28に記載の機器。
- 前記可動部分が刻みを備え、前記刻みは前記案内管の前記可動部を前記係止部によって固定することができる最大枢動角度を増大し、所定の枢動角度をもたらすように構成されている、請求項32に記載の機器。
- 前記刻みが前記係止部を前記前方位置に配置せずに前記係止部と係合するように構成され、前記係合が所定の枢動角度を確立し、前記可動部分の枢動を防止している、請求項33に記載の機器。
- 前記機器の前記操縦端部がハンドルを備え、前記ハンドルが前記機器の前記操作を可能にし、前記椎骨間への前記椎体間ケージの前記埋込みを促進するように構成されている、請求項22に記載の機器。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR0601315A FR2897259B1 (fr) | 2006-02-15 | 2006-02-15 | Cage intersomatique transforaminale a greffon de fusion intervetebrale et instrument d'implantation de la cage |
FR06/01315 | 2006-02-15 | ||
PCT/IB2007/000367 WO2007093900A2 (en) | 2006-02-15 | 2007-02-15 | Transforaminal intersomatic cage and an instrument for implanting the cage |
Publications (2)
Publication Number | Publication Date |
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JP2009532075A JP2009532075A (ja) | 2009-09-10 |
JP5172709B2 true JP5172709B2 (ja) | 2013-03-27 |
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JP2008554874A Expired - Fee Related JP5172709B2 (ja) | 2006-02-15 | 2007-02-15 | 経椎間孔椎体間ケージおよびケージを埋め込むための器具 |
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US (6) | US8409288B2 (ja) |
EP (1) | EP1996127B1 (ja) |
JP (1) | JP5172709B2 (ja) |
KR (1) | KR101358560B1 (ja) |
CN (1) | CN101394814B (ja) |
BR (1) | BRPI0707919A2 (ja) |
FR (1) | FR2897259B1 (ja) |
WO (1) | WO2007093900A2 (ja) |
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EP1996127A2 (en) | 2008-12-03 |
US10758363B2 (en) | 2020-09-01 |
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US20180008430A1 (en) | 2018-01-11 |
JP2009532075A (ja) | 2009-09-10 |
EP1996127B1 (en) | 2019-07-03 |
CN101394814B (zh) | 2012-08-22 |
US8241359B2 (en) | 2012-08-14 |
WO2007093900A3 (en) | 2007-12-27 |
US20090222092A1 (en) | 2009-09-03 |
US20120310356A1 (en) | 2012-12-06 |
FR2897259B1 (fr) | 2008-05-09 |
KR101358560B1 (ko) | 2014-02-05 |
US8409288B2 (en) | 2013-04-02 |
FR2897259A1 (fr) | 2007-08-17 |
BRPI0707919A2 (pt) | 2011-05-17 |
US20070270951A1 (en) | 2007-11-22 |
CN101394814A (zh) | 2009-03-25 |
US20140135932A1 (en) | 2014-05-15 |
US20170252183A1 (en) | 2017-09-07 |
KR20080113029A (ko) | 2008-12-26 |
US9713535B2 (en) | 2017-07-25 |
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