JP5318423B2 - 関節修復のための方法及びシステム - Google Patents
関節修復のための方法及びシステム Download PDFInfo
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- JP5318423B2 JP5318423B2 JP2007556418A JP2007556418A JP5318423B2 JP 5318423 B2 JP5318423 B2 JP 5318423B2 JP 2007556418 A JP2007556418 A JP 2007556418A JP 2007556418 A JP2007556418 A JP 2007556418A JP 5318423 B2 JP5318423 B2 JP 5318423B2
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- mold
- joint
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- defect
- repair
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- A61F2002/30948—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using computerized tomography, i.e. CT scans
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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
- A61F2/3094—Designing or manufacturing processes
- A61F2002/30971—Laminates, i.e. layered products
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4657—Measuring instruments used for implanting artificial joints
- A61F2002/4658—Measuring instruments used for implanting artificial joints for measuring dimensions, e.g. length
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4657—Measuring instruments used for implanting artificial joints
- A61F2002/467—Measuring instruments used for implanting artificial joints for measuring fluid pressure
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2002/4685—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor by means of vacuum
-
- 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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0004—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof bioabsorbable
-
- 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
- A61F2250/0067—Means for introducing or releasing pharmaceutical products into the body
- A61F2250/0068—Means for introducing or releasing pharmaceutical products into the body the pharmaceutical product being in a reservoir
-
- 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
- A61F2250/0091—Additional features; Implant or prostheses properties not otherwise provided for transparent or translucent
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00179—Ceramics or ceramic-like structures
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Physical Education & Sports Medicine (AREA)
- Rheumatology (AREA)
- Prostheses (AREA)
- Application Of Or Painting With Fluid Materials (AREA)
- Mounting, Exchange, And Manufacturing Of Dies (AREA)
Description
Claims (16)
- 膝関節の関節面の欠損部を修復するシステムであって、前記システムが、
第1の面及び第2の面を有する型であって、前記第1の面が、非侵襲式の画像処理により決定されて前記膝関節の関節面の元の形状を成し、型の周囲が前記欠損部を囲み、前記型が前記欠損部を完全に覆うように前記膝関節の中に設置されるよう構成された型と、
前記型の第1の面と前記欠損部との間に注入されて、前記膝関節の中に修復部位を形成する修復材と、
を具えており、
前記型が押し潰し且つ伸長可能であることを特徴とするシステム。 - 前記型の形状が、前記関節面の健常部に沿って湾曲したものであることを特徴とする請求項1に記載のシステム。
- 前記型が、前記関節面の健常部に前記型を取り外し可能に取り付ける取り付け手段を有することを特徴とする請求項1に記載のシステム。
- 前記型が弾性率の異なる材料を具えることを特徴とする請求項1に記載のシステム。
- 前記型が、特定の関節寸法のために全体的に成型された中心形状を有することを特徴とする請求項1に記載のシステム。
- 前記型が全体として半透明であることを特徴とする請求項1に記載のシステム。
- 前記型の第1及び第2の面の少なくとも一方が全体として堅いことを特徴とする請求項1に記載のシステム。
- 前記型が、前記型の第1及び第2の面の少なくとも一方に連通する真空ポートを有することを特徴とする請求項1に記載のシステム。
- 前記型が、前記型の第1及び第2の面の少なくとも一方に連通する充填ポートを有することを特徴とする請求項1に記載のシステム。
- 前記型が、前記欠損部の充填を判断するためのセンサを有することを特徴とする請求項1に記載のシステム。
- 前記型が、前記関節の中に放出すべき薬物を貯蔵するよう構成されたリザーバを有することを特徴とする請求項1に記載のシステム。
- 前記型が散光器を有することを特徴とする請求項1に記載のシステム。
- 前記修復材が、気泡材料又は活物質のうちの少なくとも一方を有することを特徴とする請求項1に記載のシステム。
- 前記修復材が、全体として骨に似た性質を具えた第1の部品及び全体として軟骨に似た性質を具えた第2の部品を有する2段階の材料であることを特徴とする請求項1に記載のシステム。
- 前記型の第1及び第2の面の一方が、第1の関節面と接触するよう構成され、
前記型の第1及び第2の面の他方が、対向する第2の関節面と接触するよう構成されたことを特徴とする請求項1に記載のシステム。 - さらに、前記関節の中に配置するよう構成されたスペーサ人工器官を具えることを特徴とする請求項1に記載のシステム。
Applications Claiming Priority (5)
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US65505005P | 2005-02-22 | 2005-02-22 | |
US60/655,050 | 2005-02-22 | ||
US11/361,878 US8828080B2 (en) | 2005-02-22 | 2006-02-21 | Method and system for knee joint repair |
US11/361,878 | 2006-02-21 | ||
PCT/US2006/006260 WO2006091660A2 (en) | 2005-02-22 | 2006-02-22 | Method and system for joint repair |
Publications (3)
Publication Number | Publication Date |
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JP2008531090A JP2008531090A (ja) | 2008-08-14 |
JP2008531090A5 JP2008531090A5 (ja) | 2009-03-05 |
JP5318423B2 true JP5318423B2 (ja) | 2013-10-16 |
Family
ID=36913811
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JP2007556418A Active JP5318423B2 (ja) | 2005-02-22 | 2006-02-22 | 関節修復のための方法及びシステム |
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US (2) | US8828080B2 (ja) |
EP (1) | EP1850771B1 (ja) |
JP (1) | JP5318423B2 (ja) |
WO (1) | WO2006091660A2 (ja) |
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WO2006091660A2 (en) | 2006-08-31 |
EP1850771A2 (en) | 2007-11-07 |
JP2008531090A (ja) | 2008-08-14 |
WO2006091660A3 (en) | 2007-05-10 |
US9750611B2 (en) | 2017-09-05 |
EP1850771B1 (en) | 2018-10-03 |
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