JP5636051B2 - 骨を増強する方法及び装置 - Google Patents
骨を増強する方法及び装置 Download PDFInfo
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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
- A61B17/7097—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
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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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1642—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for producing a curved bore
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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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the spine
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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
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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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
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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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8872—Instruments for putting said fixation devices against or away from the bone
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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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
-
- 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
- A61F2/441—Joints for the spine, e.g. vertebrae, spinal discs made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
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- Heart & Thoracic Surgery (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Neurology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Chemical & Material Sciences (AREA)
- Dispersion Chemistry (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
本出願は、2009年8月19日出願の米国特許仮出願第61/235,196号の恩典を請求するものであり、この特許の開示内容は、あたかも本明細書で全体が示されるように引用により本明細書に組み込まれている。
定義
ε 歪み
σ 引張強度
A 棒の断面積
Ai 0.4mm2
Ao 0.2mm2
l 棒の長さ
li 8mm
lo 10mm
E 弾性率 フィノックス:203〜400Mpa
伸長:Δl=ε・l
一方、歪みは、ε=σ/E
Δl=σ・l/E
σi=F/Ai=120N/0.2mm2=600[N/mm2]
σo=F/Ao=120N/0.4mm2=300[N/mm2]
Δli=σi・li/E=300MPa・8mm/203’400MPa=0.011mm
Δlo=σo・lo/E=600MPa・10mm/203’400MPa=0.030mm
18 拡張可能インプラントシステム
20 主拡張可能インプラント
21 椎骨の椎体部分
110 補助インプラント
Claims (23)
- 骨折したターゲット骨の高さを増大するように構成された拡張可能インプラントシステムであって、この拡張可能インプラントシステムが、
挿入構成から拡張構成に移行するように構成された主インプラント本体を有する主インプラントであって、この主インプラント本体が、中心軸に沿って長形であり、且つ、この中心軸に垂直な半径方向を更に形成し、尚且つ、内部空隙を形成する内側面を有する、前記主インプラントと、
前記主インプラント本体の前記内部空隙に配置され、かつ潰れた構成から拡張構成に拡張するように構成された補助インプラントと、を有し、
前記補助インプラントは、前記中心軸を通って延びる中心本体部分を形成し、この中心本体部分は、前記半径方向に沿って互いに離間されて対向する第1及び第2の外側端部を有し、
前記補助インプラントは、前記中心本体部分の前記第1の外側端部から出て延びる第1の結節と、前記中心本体部分の前記第2の外側端部から出て延びる第2の結節とを更に形成し、これら第1及び第2の結節は、各々の接触面を形成し、これらの接触面は、前記主インプラントの前記内側面に当接するように構成され、
前記中心本体部分、前記第1の結節及び前記第2の結節は、前記第1の結節と前記第2の結節との間を延びる少なくとも1つのポケットを少なくとも部分的に形成するように、拡張するよう構成され、
前記補助インプラントが、前記主インプラントの前記内部空隙内に配置されている間に拡張構成へと拡張された時に、前記第1及び第2の結節の各々の前記接触面は、前記主インプラントの前記内側面に当接し、それにより、前記主インプラントを前記拡張構成で支持するように、前記主インプラントの前記内側面に力を付与する、拡張可能インプラントシステム。 - 前記主インプラント本体は、少なくとも1つの環状の横列を形成するように複数のリンケージを有し、このリンケージは、対応する第1及び第2の端部部分によって接続された第1及び第2の対向する側部部分を形成し、この第1及び第2の側部部分は、その間に距離が第1の距離から第2の距離まで増大するような距離を定め、この第2の距離は、このリンケージがこの本体を前記拡張構成まで拡張させる拡張力を受けた時にこの第1の距離よりも大きい請求項1に記載の拡張可能インプラントシステム。
- 前記複数のリンケージは、少なくとも第1及び第2のリンクを有し、
前記第1のリンクの前記側部部分は、前記第2のリンクの前記側部部分よりも長い、
請求項2に記載の拡張可能インプラントシステム。 - 前記主インプラント本体は、前記主インプラントが前記拡張構成にある時に非対称形状である請求項1に記載の拡張可能インプラントシステム。
- 前記主インプラント本体は、この主インプラント本体が前記拡張構成にある時に曲げられる請求項4に記載の拡張可能インプラントシステム。
- 前記主インプラント本体は、前記主インプラントが前記拡張構成にある時に実質的に対称形状である請求項1に記載の拡張可能インプラントシステム。
- 前記主インプラント本体は、前記主インプラントが前記拡張構成にある時に実質的に円筒形である請求項6に記載の拡張可能インプラントシステム。
- 前記主インプラント本体は、中心軸に沿って軸線方向に延び、かつ軸線方向に沿って湾曲している請求項6に記載の拡張可能インプラントシステム。
- 前記少なくとも1つのポケット内に挿入されるように構成された骨刺激材料を更に有する請求項1に記載の拡張可能インプラントシステム。
- 第2の主インプラントと、他方の主インプラント及び補助インプラントに隣接する位置で前記ターゲット骨内のこの第2の主インプラントの内側で拡大されるように構成された第2の補助インプラントとを更に有する請求項1に記載の拡張可能インプラントシステム。
- 前記主インプラントの前記内部空隙に嵌合され、かつ拡張させることができる拡張本体を更に有し、
前記拡張本体の拡張が、前記主インプラントをその拡張構成まで拡張させる、
請求項1に記載の拡張可能インプラントシステム。 - 前記補助インプラントは、前記主インプラントの前記内部空隙に挿入され、かつ前記拡張本体がこの内部空隙から除去された後にその拡張構成まで拡張される請求項11に記載の拡張可能インプラントシステム。
- 1対のポケットを少なくとも部分的に形成する少なくとも1対の前記第1及び第2の結節を更に有し、前記補助インプラントは、前記対のポケットを互いに流体連通させて接合する前記補助インプラント本体を通って延びる少なくとも1つのチャンネルを形成する請求項1に記載の拡張可能インプラントシステム。
- 前記補助インプラントは、実質的にI字形である請求項1に記載の拡張可能インプラントシステム。
- 前記補助インプラントは、実質的に二重I字形である請求項1に記載の拡張可能インプラントシステム。
- 前記補助インプラントは、対応する頂点を形成する実質的に三角形であり、前記少なくとも1つの結節は、この頂点から出て延びる請求項1に記載の拡張可能インプラントシステム。
- 前記補助インプラントは、実質的にx字形である請求項1に記載の拡張可能インプラントシステム。
- 前記主インプラント及び前記補助インプラントを前記ターゲット骨の中に挿入するように構成された挿入アセンブリを更に有し、この挿入アセンブリは、カニューレ本体と、このカニューレ本体の内側に適合し、かつこのターゲット骨の内部に挿入チャンネルを生成するようにこのターゲット骨を切り開くように構成された切れ刃を呈する開口デバイスとを有する請求項1に記載の拡張可能インプラントシステム。
- 前記開口デバイスは、前記ターゲット骨の前記内部に湾曲挿入チャンネルを生成するように構成された湾曲遠位端を形成する請求項18に記載の拡張可能インプラントシステム。
- 前記開口デバイスは、前記ターゲット骨の前記内部に実質的に真っ直ぐな挿入チャンネルを生成するように構成された実質的に真っ直ぐな遠位端を形成する請求項18に記載の拡張可能インプラントシステム。
- 前記ターゲット骨は、椎骨の椎体部分を含む請求項1に記載の拡張可能インプラントシステム。
- 前記補助インプラントは、前記圧縮構成から前記拡張構成まで拡張された時に実質的に延伸しない請求項1に記載の拡張可能インプラントシステム。
- 前記補助インプラントは、前記圧縮構成から前記拡張構成まで拡張された時に実質的に延伸する請求項1に記載の拡張可能インプラントシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US23519609P | 2009-08-19 | 2009-08-19 | |
US61/235,196 | 2009-08-19 | ||
PCT/US2010/046008 WO2011041038A2 (en) | 2009-08-19 | 2010-08-19 | Method and apparatus for augmenting bone |
Publications (3)
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JP2013502282A JP2013502282A (ja) | 2013-01-24 |
JP2013502282A5 JP2013502282A5 (ja) | 2013-10-03 |
JP5636051B2 true JP5636051B2 (ja) | 2014-12-03 |
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JP2012525687A Active JP5636051B2 (ja) | 2009-08-19 | 2010-08-19 | 骨を増強する方法及び装置 |
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US (5) | US9247970B2 (ja) |
EP (1) | EP2467099B1 (ja) |
JP (1) | JP5636051B2 (ja) |
KR (1) | KR101721279B1 (ja) |
CN (1) | CN102548511B (ja) |
CA (1) | CA2771386A1 (ja) |
WO (1) | WO2011041038A2 (ja) |
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CA2771386A1 (en) | 2011-04-07 |
EP2467099A2 (en) | 2012-06-27 |
CN102548511B (zh) | 2015-07-15 |
CN102548511A (zh) | 2012-07-04 |
US20200000500A1 (en) | 2020-01-02 |
KR20120065351A (ko) | 2012-06-20 |
WO2011041038A3 (en) | 2011-05-26 |
US9987055B2 (en) | 2018-06-05 |
JP2013502282A (ja) | 2013-01-24 |
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