JP5383669B2 - 股関節の伸延 - Google Patents
股関節の伸延 Download PDFInfo
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- JP5383669B2 JP5383669B2 JP2010510430A JP2010510430A JP5383669B2 JP 5383669 B2 JP5383669 B2 JP 5383669B2 JP 2010510430 A JP2010510430 A JP 2010510430A JP 2010510430 A JP2010510430 A JP 2010510430A JP 5383669 B2 JP5383669 B2 JP 5383669B2
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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
- A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
- A61B17/66—Alignment, compression or distraction mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/0036—Orthopaedic operating tables
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/0036—Orthopaedic operating tables
- A61G13/0081—Orthopaedic operating tables specially adapted for hip surgeries
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/123—Lower body, e.g. pelvis, hip, buttocks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/128—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations
- A61G13/1295—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations having alignment devices for the patient's body
-
- 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
- A61B2017/564—Methods for bone or joint treatment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/1245—Knees, upper or lower legs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/125—Ankles or feet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2200/00—Information related to the kind of patient or his position
- A61G2200/30—Specific positions of the patient
- A61G2200/32—Specific positions of the patient lying
- A61G2200/322—Specific positions of the patient lying lateral
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/30—General characteristics of devices characterised by sensor means
- A61G2203/32—General characteristics of devices characterised by sensor means for force
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2210/00—Devices for specific treatment or diagnosis
- A61G2210/50—Devices for specific treatment or diagnosis for radiography
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
- Surgical Instruments (AREA)
Description
12 標準的な手術台、手術室台、手術台
14 レールクランプ
16 足セクション
18 側部レール
100 伸延器アセンブリ
102 桁状部
104 玉継手
106 近位端部、骨盤端部
108 連結器
110 スライダ
112 足取付具
114 ロック可能玉継手
116 固定アーム
118 ノブ
120 遠位端部、足端部
122 足ホルダ
122a 足ホルダ
122b 足ホルダ
130 ヨーク
132 水平方向延在側部アーム
150 D字形状長手方向貫通ボア
152 ねじ山付き側方貫通ボア
154a ハンドル
154b ハンドル
156 基部
158 ねじ山付きロッド、ねじ棒
160 回転ハンドル
162 ヨーク
164 ねじ山付きボア
180 ブーツ
182 脛支持具
184 支持バー
186 足ハウジング
188 締付けクラスプ
190 ソール
192 U字型連結器
194 ストラップ
202a 脚部
202b 脚部
204a 開口
204b 開口
206a 足載置具連結器
206b 足載置具連結器
208 脛取付具
220 台拡張部
222 フレーム
224 クロスバー
226 斜角ストラット
228 Y字型ヨーク
230 垂直方向ストラット
232 プラットフォーム
234a アーム
234b アーム
236a 雌ソケット
236b 雌ソケット
240a 貫通ホール
240b 貫通ホール
242 ポスト
244 会陰パッド
244a プラグ
244b プラグ
246 パッド
248 切欠部
260 非被手術脚ホルダアセンブリ、脚部ホルダ、
262 桁状部
264 足取付具
266 ロック可能スライダ
268 ブーツ
280 U字形状会陰バー
282 パッド
284 ソケット
286 切欠部
301 ピボット
310 桁状部
320 ブーツアセンブリ
344 会陰パッド
360 クランク
380 ねじ山付きロッド
400 伸縮式桁状部アセンブリ
410 チューブ
420 バー
430 ストラップ
440 支持具
444 会陰パッド
450 面
500 システム
538 フォーク状ポスト
540a 支持ポスト
540b 支持ポスト
542 中央ポスト
544 連結器プレート
546 パッド
548 切欠部
F1 小さな内転力
F2 軸方向力
Z 垂直方向軸
Claims (20)
- 一対の伸延器アセンブリと、
手術台の側部レールに固定されるように構成された支持具と、
一対の継手であって、それぞれが前記一対の伸延器アセンブリのうちの1つの伸延器アセンブリを前記支持具に連結し、前記支持具は、前記一対の継手に連結するための少なくとも2つの取付具を備える、一対の継手と、
一対の支持ポストおよび中央ポストを備えるフォーク状ポストと、
を備える、装置。 - 前記中央ポストによって支持される会陰パッドをさらに備える、請求項1に記載の装置。
- 前記支持具は、一対の貫通ホールをさらに備え、各支持ポストは、前記ホールの一方の中に受容される、請求項1に記載の装置。
- 前記支持具は、一対の外方プラグをさらに備え、各支持ポストは、前記一対の外方プラグのうちの一の外方プラグを覆って受容される、請求項1に記載の装置。
- 摺動係合およびねじ式係合の両方により、前記一対の伸延器アセンブリのうちの一の伸延器アセンブリに対して移動するために前記一対の伸延器アセンブリのうちの前記一の伸延器アセンブリに連結される脚部取付具をさらに備える、請求項1に記載の装置。
- 摺動係合およびねじ式係合の両方により、前記一対の伸延器アセンブリのうちの他の伸延器アセンブリに対して移動するために前記一対の伸延器アセンブリのうちの前記他の伸延器アセンブリに連結される第2の脚部取付具をさらに備える、請求項5に記載の装置。
- 前記一対の継手のうちの一の継手をロックするための機構であって、前記継手がロック可能である機構と、
前記継手から隔たった位置に配置される前記機構用のアクチュエータと
をさらに備える、請求項1に記載の装置。 - 前記手術台により完全に支持されるように構成された、請求項1に記載の装置。
- 前記一対の伸延器アセンブリは、患者に対して伸延荷重をかけるように構成され、各継手により、対応するアセンブリの垂直方向角度調節および水平方向角度調節が可能となる、請求項1に記載の装置。
- 各継手は、水平方向から20°以上の垂直方向角度調節を可能にし、20°以上の垂直方向角度調節の全範囲を可能にする、請求項9に記載の装置。
- 各継手は、水平方向から45°以上の垂直方向角度調節を可能にし、45°以上の垂直方向角度調節の全範囲を可能にする、請求項9に記載の装置。
- 各継手は玉継手である、請求項1に記載の装置。
- 少なくとも1つの継手は自在継手である、請求項1に記載の装置。
- 前記手術台によって完全に支持されるように構成された、請求項1に記載の装置。
- 患者の脚部を一対の伸延器アセンブリに連結するステップであって、前記伸延器アセンブリそれぞれは、対応する前記伸延器アセンブリを手術台に結合するための2つのアームを有する継手を備える、ステップと、
前記一対の伸延器アセンブリの少なくとも1つの伸延器アセンブリの垂直方向角度および水平方向角度を同時に調節するステップと、
を含む、方法。 - 前記垂直方向角度を調節するステップは、水平方向から20°以上前記伸延器アセンブリを回転させるステップを含む、請求項15に記載の方法。
- 前記水平方向角度を調節するステップは、20°以上前記伸延器アセンブリを回転させるステップを含む、請求項15に記載の方法。
- 前記一対の伸延器アセンブリを支持するために手術台に支持具を固定するステップをさらに含む、請求項15に記載の方法。
- 前記一対の伸延器アセンブリの少なくとも1つの伸延器アセンブリの前記垂直方向角度および前記水平方向角度を遠隔的にロックするステップをさらに含む、請求項15に記載の方法。
- 前記継手の少なくとも1つを操作し、対応する脚の足部位から遠位のアクチュエータを1つだけ操作することによって対応する前記伸延器アセンブリの前記垂直方向角度および前記水平方向角度を同時に調整するステップと、
同じアクチュエータを操作することによって対応する前記伸延器アセンブリの位置をロックするステップと、
をさらに含む、請求項15に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/754,853 | 2007-05-29 | ||
US11/754,853 US7947006B2 (en) | 2005-11-30 | 2007-05-29 | Hip distraction |
PCT/US2008/064611 WO2008150731A1 (en) | 2007-05-29 | 2008-05-23 | Hip distraction |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2011512166A JP2011512166A (ja) | 2011-04-21 |
JP5383669B2 true JP5383669B2 (ja) | 2014-01-08 |
Family
ID=39691202
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010510430A Active JP5383669B2 (ja) | 2007-05-29 | 2008-05-23 | 股関節の伸延 |
Country Status (5)
Country | Link |
---|---|
US (3) | US7947006B2 (ja) |
EP (1) | EP2152219B1 (ja) |
JP (1) | JP5383669B2 (ja) |
AU (1) | AU2008260279B2 (ja) |
WO (1) | WO2008150731A1 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2015511135A (ja) * | 2012-01-26 | 2015-04-16 | アメリカン ステリライザー カンパニー | 医療台用仙骨パッド |
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US7947006B2 (en) | 2011-05-24 |
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