JP5548709B2 - 棘突起間インプラントおよび融合ケージスペーサー - Google Patents
棘突起間インプラントおよび融合ケージスペーサー Download PDFInfo
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- JP5548709B2 JP5548709B2 JP2011554022A JP2011554022A JP5548709B2 JP 5548709 B2 JP5548709 B2 JP 5548709B2 JP 2011554022 A JP2011554022 A JP 2011554022A JP 2011554022 A JP2011554022 A JP 2011554022A JP 5548709 B2 JP5548709 B2 JP 5548709B2
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Images
Classifications
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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
- A61B17/7071—Implants for expanding or repairing the vertebral arch or wedged between laminae or pedicles; Tools 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
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—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
- A61B17/56—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
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7065—Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools 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
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7067—Devices bearing against one or more spinous processes and also attached to another part of the spine; Tools 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
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7068—Devices comprising separate rigid parts, assembled in situ, to bear on each side of spinous processes; Tools 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
- A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
-
- 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
- A61B2017/564—Methods for bone or joint treatment
-
- 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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- 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
- A61F2/4465—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 having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Neurology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
Claims (3)
- a)2つの隣接する棘突起間の、標的棘突起間の間隙に配置するために、スペーサーとして機能するように寸法決定され、構成される、長尺本体と、
b)前記長尺本体の遠位端に結合される、遠位アンカーと、
c)前記遠位アンカーから離間する第1の位置と前記遠位アンカーに接近する第2の位置との間で前記長尺本体に沿って長手方向に移動するように装着され、前記遠位アンカーに連動して前記2つの隣接する棘突起を圧迫するように適合される、近位アンカーと、
を含み、
前記長尺本体および前記近位アンカーが、前記第1の位置と前記第2の位置との間の、前記長尺本体に沿う前記近位アンカーの長手方向移動を容易にするために、相互に螺合される、脊椎インプラント。 - a)2つの隣接する棘突起間の、標的棘突起間の間隙に配置するために、スペーサーとして機能するように寸法決定され、構成される、長尺本体と、
b)前記長尺本体の遠位端に結合される、遠位アンカーと、
c)前記遠位アンカーから離間する第1の位置と前記遠位アンカーに接近する第2の位置との間で前記長尺本体に沿って長手方向に移動するように装着され、前記遠位アンカーに連動して前記2つの隣接する棘突起を圧迫するように適合される、近位アンカーと、
を含み、
前記遠位アンカーが、テーパーヘッドを含み、前記テーパーヘッドが、その中立的状態で、前記長尺本体の直径より大きい最大直径を有し、かつ、前記遠位アンカーと前記近位アンカーとが互いに接近する際に、前記棘突起に係合するための、円周方向に離間して近位で対向する複数のスパイクを有し、
前記テーパーヘッドが、前記テーパーヘッドが前記2つの隣接する棘突起間に挿入される際に、放射状に拡張した状態と放射状に圧迫された状態との間を運動するように適合され、構成される、追従スカート区分を有する、脊椎インプラント。 - a)2つの隣接する棘突起間の、標的棘突起間の間隙に配置するために、スペーサーとして機能するように寸法決定され、構成される、長尺本体と、
b)前記長尺本体の遠位端に結合される、遠位アンカーと、
c)前記遠位アンカーから離間する第1の位置と前記遠位アンカーに接近する第2の位置との間で前記長尺本体に沿って長手方向に移動するように装着され、前記遠位アンカーに連動して前記2つの隣接する棘突起を圧迫するように適合される、近位アンカーと、
を含み、
前記遠位アンカーが、テーパーヘッドを含み、前記テーパーヘッドが、その中立的状態で、前記長尺本体の直径より大きい最大直径を有し、かつ、前記遠位アンカーと前記近位アンカーとが互いに接近する際に、前記棘突起に係合するための、円周方向に離間して近位で対向する複数のスパイクを有し、
前記テーパーヘッドが、前記テーパーヘッドが前記2つの隣接する棘突起間に挿入される際に、放射状に拡張した状態と放射状に圧迫された状態との間を運動するように適合され、構成される、追従スカート区分を有し、
前記テーパーヘッドの前記追従スカート区分が、前記放射状に拡張した状態に付勢される、円周方向に離間する複数のヒンジによって連結される複数のプリーツを含む、脊椎インプラント。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US20999709P | 2009-03-13 | 2009-03-13 | |
US61/209,997 | 2009-03-13 | ||
US12/554,922 | 2009-09-07 | ||
US12/554,922 US8945184B2 (en) | 2009-03-13 | 2009-09-07 | Interspinous process implant and fusion cage spacer |
PCT/US2009/006742 WO2010104496A1 (en) | 2009-03-13 | 2009-12-30 | Interspinous process implant and fusion cage spacer |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2012520120A JP2012520120A (ja) | 2012-09-06 |
JP2012520120A5 JP2012520120A5 (ja) | 2013-01-24 |
JP5548709B2 true JP5548709B2 (ja) | 2014-07-16 |
Family
ID=41683475
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011554022A Active JP5548709B2 (ja) | 2009-03-13 | 2009-12-30 | 棘突起間インプラントおよび融合ケージスペーサー |
Country Status (12)
Country | Link |
---|---|
US (3) | US8945184B2 (ja) |
EP (1) | EP2405836B1 (ja) |
JP (1) | JP5548709B2 (ja) |
KR (1) | KR101687977B1 (ja) |
CN (1) | CN102438536B (ja) |
AU (1) | AU2009341811B2 (ja) |
CA (1) | CA2755431C (ja) |
HK (1) | HK1170140A1 (ja) |
IL (2) | IL215006A (ja) |
MX (1) | MX2011009399A (ja) |
WO (1) | WO2010104496A1 (ja) |
ZA (1) | ZA201106825B (ja) |
Families Citing this family (92)
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WO2009009049A2 (en) | 2004-10-20 | 2009-01-15 | Vertiflex, Inc. | Interspinous spacer |
US8123807B2 (en) | 2004-10-20 | 2012-02-28 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US9023084B2 (en) | 2004-10-20 | 2015-05-05 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for stabilizing the motion or adjusting the position of the spine |
US8317864B2 (en) | 2004-10-20 | 2012-11-27 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US8292922B2 (en) | 2004-10-20 | 2012-10-23 | Vertiflex, Inc. | Interspinous spacer |
US8425559B2 (en) | 2004-10-20 | 2013-04-23 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US8128662B2 (en) | 2004-10-20 | 2012-03-06 | Vertiflex, Inc. | Minimally invasive tooling for delivery of interspinous spacer |
US8167944B2 (en) | 2004-10-20 | 2012-05-01 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US9119680B2 (en) | 2004-10-20 | 2015-09-01 | Vertiflex, Inc. | Interspinous spacer |
US7763074B2 (en) | 2004-10-20 | 2010-07-27 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US9161783B2 (en) | 2004-10-20 | 2015-10-20 | Vertiflex, Inc. | Interspinous spacer |
US8152837B2 (en) | 2004-10-20 | 2012-04-10 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US8409282B2 (en) | 2004-10-20 | 2013-04-02 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
EP1814474B1 (en) | 2004-11-24 | 2011-09-14 | Samy Abdou | Devices for inter-vertebral orthopedic device placement |
AU2008343092B2 (en) | 2004-12-06 | 2014-09-11 | Vertiflex, Inc. | Spacer insertion instrument |
US8845726B2 (en) | 2006-10-18 | 2014-09-30 | Vertiflex, Inc. | Dilator |
WO2014106246A1 (en) | 2012-12-31 | 2014-07-03 | Lanx, Inc. | Interspinous implants with deployable wing |
EP2244670B1 (en) | 2008-01-15 | 2017-09-13 | Vertiflex, Inc. | Interspinous spacer |
US8192466B2 (en) * | 2008-08-27 | 2012-06-05 | Alphatec Spine, Inc. | Conical interspinous apparatus and a method of performing interspinous distraction |
US9757164B2 (en) * | 2013-01-07 | 2017-09-12 | Spinal Simplicity Llc | Interspinous process implant having deployable anchor blades |
US9861399B2 (en) | 2009-03-13 | 2018-01-09 | Spinal Simplicity, Llc | Interspinous process implant having a body with a removable end portion |
US8945184B2 (en) * | 2009-03-13 | 2015-02-03 | Spinal Simplicity Llc. | Interspinous process implant and fusion cage spacer |
US9179944B2 (en) * | 2009-09-11 | 2015-11-10 | Globus Medical, Inc. | Spinous process fusion devices |
US8795335B1 (en) | 2009-11-06 | 2014-08-05 | Samy Abdou | Spinal fixation devices and methods of use |
US8702757B2 (en) | 2009-11-06 | 2014-04-22 | DePuy Synthes Products, LLC | Minimally invasive interspinous process spacer implants and methods |
US8764806B2 (en) | 2009-12-07 | 2014-07-01 | Samy Abdou | Devices and methods for minimally invasive spinal stabilization and instrumentation |
US8740948B2 (en) | 2009-12-15 | 2014-06-03 | Vertiflex, Inc. | Spinal spacer for cervical and other vertebra, and associated systems and methods |
WO2011111301A1 (ja) * | 2010-03-09 | 2011-09-15 | 国立大学法人神戸大学 | 棘突起間インプラント |
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IL215006A0 (en) | 2011-11-30 |
ZA201106825B (en) | 2012-08-28 |
US8945184B2 (en) | 2015-02-03 |
CN102438536B (zh) | 2015-05-20 |
KR20120001759A (ko) | 2012-01-04 |
IL233289A (en) | 2015-05-31 |
EP2405836B1 (en) | 2016-09-07 |
HK1170140A1 (en) | 2013-02-22 |
CA2755431C (en) | 2016-04-26 |
KR101687977B1 (ko) | 2017-01-02 |
US20160206352A1 (en) | 2016-07-21 |
AU2009341811B2 (en) | 2015-11-12 |
IL215006A (en) | 2014-07-31 |
WO2010104496A1 (en) | 2010-09-16 |
AU2009341811A1 (en) | 2011-10-06 |
US20100234889A1 (en) | 2010-09-16 |
CN102438536A (zh) | 2012-05-02 |
CA2755431A1 (en) | 2010-09-16 |
MX2011009399A (es) | 2012-01-12 |
IL233289A0 (en) | 2014-08-31 |
US20150112387A1 (en) | 2015-04-23 |
JP2012520120A (ja) | 2012-09-06 |
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