JP5215553B2 - 骨または椎骨の動的安定化のための可撓性安定化装置 - Google Patents
骨または椎骨の動的安定化のための可撓性安定化装置 Download PDFInfo
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- JP5215553B2 JP5215553B2 JP2006336131A JP2006336131A JP5215553B2 JP 5215553 B2 JP5215553 B2 JP 5215553B2 JP 2006336131 A JP2006336131 A JP 2006336131A JP 2006336131 A JP2006336131 A JP 2006336131A JP 5215553 B2 JP5215553 B2 JP 5215553B2
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- rod
- sleeve
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- stabilization device
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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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
- A61B17/702—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other having a core or insert, and a sleeve, whereby a screw or hook can move along the core or in the sleeve
-
- 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
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
- A61B17/7031—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other made wholly or partly of flexible material
-
- 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
-
- 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
-
- 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
- A61B17/7037—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
-
- 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
- A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
-
- 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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts 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
- 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
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7004—Longitudinal elements, e.g. rods with a cross-section which varies along its length
-
- 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
- A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
Description
ことにより、該構造体の動作制御の下で、椎骨分節の動きが調和する。その結果として、骨ねじの緩みを防止することが可能となる。さらなる利点は、内部ロッドおよびスリーブの長さを調節できる点である。よって、手術時の調整が可能なモジュールシステムが提供される。多軸ねじとの組合せにより、調整の可能性はさらに高まる。
部6に挿入される。好ましくは、2つの隣接する椎骨のバランスが取れた位置で、スリーブは受部と接触する。
る。ロッドおよびスリーブは、高い可撓性を有するように形成してもよいし、またはほとんど可撓性がないように形成してもよい。
この発明は、骨固定要素としてのねじに限定されず、骨フックまたはその他任意の骨固定要素でも実現できる。
さらに、ロッドは、複数の接続部と、該複数の接続部の間の複数のスリーブとを含んでもよい。
Claims (8)
- 骨または椎骨の動的安定化のための可撓性安定化装置であって、
ロッド構造体(20、40、200、400、201、401)を含み、該ロッド構造体は、
エラストマー材料から作られるロッド(20、200、201)を含み、該ロッドは、第1の接続部(20a)と、第2の接続部(20b)と、該第1の接続部と第2の接続部との間の第3の部分(20c)とを有し、該第1および第2の接続部(20a、20b)はそれぞれ、骨安定化装置と接続可能であり、ロッド(20、200、201)は、曲げ弾性、圧縮弾性および引張り弾性を示すものであり、該ロッド構造体は、
ロッドの第3の部分(20c)の少なくとも一部に設けられるスリーブ(40、400、401)をさらに含み、それによって、少なくとも第1および第2の接続部(20a、20b)は露出される、可撓性安定化装置。 - スリーブ(40、400、401)はエラストマー材料から作られる、請求項1に記載の可撓性安定化装置。
- ロッドおよびスリーブの弾性は異なる、請求項2に記載の可撓性安定化装置。
- エラストマー材料は、ポリウレタンまたはポリシリコンなどの生体適合性プラスチック材料である、請求項1から3のうち1つに記載の可撓性安定化装置。
- スリーブの内壁はロッドの表面と接触している、請求項1から4のうち1つに記載の可撓性安定化装置。
- スリーブ(401)の内壁は、ロッド(201)の表面上の構造と係合する構造(300)を有する、請求項1から5のうち1つに記載の可撓性安定化装置。
- ロッド構造体と接続される、少なくとも第1および第2の骨固定装置(1)をさらに含む、請求項1から6のうち1つに記載の可撓性安定化装置。
- 骨固定装置の少なくとも1つは、シャンク(2)とロッド(20)との間の多軸の接続を可能にするように構成される、請求項7に記載の可撓性安定化装置。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US75362005P | 2005-12-23 | 2005-12-23 | |
EP05028283A EP1800613B1 (en) | 2005-12-23 | 2005-12-23 | Flexible stabilization device for dynamic stabilization of bones or vertebrae |
EP05028283.9 | 2005-12-23 | ||
US60/753,620 | 2005-12-23 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2007167642A JP2007167642A (ja) | 2007-07-05 |
JP5215553B2 true JP5215553B2 (ja) | 2013-06-19 |
Family
ID=36177294
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2006336131A Expired - Fee Related JP5215553B2 (ja) | 2005-12-23 | 2006-12-13 | 骨または椎骨の動的安定化のための可撓性安定化装置 |
Country Status (8)
Country | Link |
---|---|
US (3) | US8157843B2 (ja) |
EP (1) | EP1800613B1 (ja) |
JP (1) | JP5215553B2 (ja) |
KR (1) | KR101279085B1 (ja) |
CN (1) | CN1985770A (ja) |
DE (1) | DE602005008265D1 (ja) |
ES (1) | ES2309646T3 (ja) |
TW (1) | TWI432171B (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8768649B2 (en) | 2008-11-20 | 2014-07-01 | Asahi Kasei Microdevices Corporation | Physical amount measuring device and physical amount measuring method |
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EP1800613B1 (en) | 2008-07-16 |
ES2309646T3 (es) | 2008-12-16 |
KR101279085B1 (ko) | 2013-06-26 |
US8157843B2 (en) | 2012-04-17 |
EP1800613A1 (en) | 2007-06-27 |
US20140031868A1 (en) | 2014-01-30 |
JP2007167642A (ja) | 2007-07-05 |
CN1985770A (zh) | 2007-06-27 |
TWI432171B (zh) | 2014-04-01 |
DE602005008265D1 (de) | 2008-08-28 |
KR20070066877A (ko) | 2007-06-27 |
US20070233085A1 (en) | 2007-10-04 |
TW200726429A (en) | 2007-07-16 |
US20120265247A1 (en) | 2012-10-18 |
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