JP5674785B2 - 位置合わせ可能な補綴装置、システム、及び方法 - Google Patents
位置合わせ可能な補綴装置、システム、及び方法 Download PDFInfo
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- JP5674785B2 JP5674785B2 JP2012523977A JP2012523977A JP5674785B2 JP 5674785 B2 JP5674785 B2 JP 5674785B2 JP 2012523977 A JP2012523977 A JP 2012523977A JP 2012523977 A JP2012523977 A JP 2012523977A JP 5674785 B2 JP5674785 B2 JP 5674785B2
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- 238000000034 method Methods 0.000 title description 18
- 210000000245 forearm Anatomy 0.000 claims description 13
- 210000000988 bone and bone Anatomy 0.000 claims description 10
- 210000003739 neck Anatomy 0.000 description 50
- 210000000623 ulna Anatomy 0.000 description 14
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 6
- 210000002310 elbow joint Anatomy 0.000 description 6
- 238000001356 surgical procedure Methods 0.000 description 6
- 239000010936 titanium Substances 0.000 description 6
- 229910052719 titanium Inorganic materials 0.000 description 6
- 210000004095 humeral head Anatomy 0.000 description 5
- 230000003993 interaction Effects 0.000 description 4
- 210000001503 joint Anatomy 0.000 description 4
- 210000000707 wrist Anatomy 0.000 description 4
- 229910000684 Cobalt-chrome Inorganic materials 0.000 description 3
- 239000010952 cobalt-chrome Substances 0.000 description 3
- 239000007943 implant Substances 0.000 description 3
- 229910052751 metal Inorganic materials 0.000 description 3
- 239000002184 metal Substances 0.000 description 3
- 238000000576 coating method Methods 0.000 description 2
- 210000002758 humerus Anatomy 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 238000004513 sizing Methods 0.000 description 2
- 239000007921 spray Substances 0.000 description 2
- 206010023204 Joint dislocation Diseases 0.000 description 1
- 230000037237 body shape Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- -1 cobalt chrome Chemical compound 0.000 description 1
- 230000000295 complement effect Effects 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 210000003857 wrist joint Anatomy 0.000 description 1
Images
Classifications
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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
- A61F2/38—Joints for elbows or knees
- A61F2/3804—Joints for elbows or knees for elbows
-
- 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
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4605—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of elbows
-
- 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
- A61F2/4637—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for connecting or disconnecting two parts of a prosthesis
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30621—Features concerning the anatomical functioning or articulation of the prosthetic joint
- A61F2002/30649—Ball-and-socket joints
-
- 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
- A61F2/38—Joints for elbows or knees
- A61F2/3804—Joints for elbows or knees for elbows
- A61F2002/3827—Radial components
-
- 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
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4622—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof having the shape of a forceps or a clamp
-
- 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
- A61F2002/4687—Mechanical guides for implantation instruments
Description
Claims (13)
- 位置合わせ可能な関節補綴システムであって、
関節補綴具であり、
関節面、位置合わせ部、及びチャンバを含むヘッドと、
骨内に定着するよう構成されるアンカー部及び前記ヘッドと嵌合するよう構成されるネック部を含むステムとを有し、
前記ネック部は球状突起を含み、
前記チャンバは前記球状突起を収容するよう構成され、
前記チャンバは前記球状突起を収容すると該球状突起の周りでの前記ヘッドの自由回転を可能にするようさらに構成され、
前記チャンバ内での前記球状突起のさらなる回転を妨げるよう構成される止めねじと
を含む前記関節補綴具と、
治具であり、
前記ヘッドの前記位置合わせ部と係合し、該位置合わせ部と係合した状態で前記ヘッドを前記ネック部に対して特定の向きで保持するよう構成されている把持部を含み、該把持部の中心は、第1の長手方向軸上の第1点を規定するハンドル部と、
延長部及びブレースを含み、該ブレースは該第1の長手方向軸上の第2点を規定するテールピース部と、
スペーシングバーであって、該スペーシングバーの長さに沿う第2の長手方向軸を規定し、該ハンドル部は該スペーシングバーの第1端に結合可能であり、該テールピース部は該スペーシングバーの第2端に結合可能であり、該テールピース部の延長部は、該第1の長手方向軸を該第2の長手方向軸に平行とされるように規定される前記スペーシングバーとを有し、
前記把持部は、該把持部が該位置合わせ部と係合した状態で、該ヘッドの位置合わせ部を、該ヘッドの関節面の底に対して接線方向の仮想平面が前記第1の長手方向軸に垂直に保持される位置に整列されるように構成される前記治具と、
を備える、位置合わせ可能な関節補綴システム。 - 請求項1に記載の位置合わせ可能な関節補綴システムにおいて、前記球状突起は、前記ヘッドの側壁を通過して前記チャンバに入る、位置合わせ可能な関節補綴システム。
- 請求項1に記載の位置合わせ可能な関節補綴システムにおいて、前記アンカー部及び前記ネック部は、単一部品として形成されている、位置合わせ可能な関節補綴システム。
- 請求項1に記載の位置合わせ可能な関節補綴システムにおいて、前記アンカー部及び前記ネック部は、別個の部品として形成され、相互に嵌合して前記ステムを形成する、位置合わせ可能な関節補綴システム。
- 請求項1に記載の位置合わせ可能な関節補綴システムにおいて、前記ステムは、橈骨の髄腔内に収容されるよう構成され、前記ヘッドは、橈骨頭を置換するサイズを有する、位置合わせ可能な関節補綴システム。
- 請求項1に記載の位置合わせ可能な関節補綴システムにおいて、前記チャンバは、前記球状突起が前記チャンバ内に配置されると前記球状突起に係合する複数のスプラインを含む、位置合わせ可能な関節補綴システム。
- 請求項1に記載の位置合わせ可能な関節補綴システムにおいて、前記止めねじは尖状遠位端を有する、位置合わせ可能な関節補綴システム。
- 請求項1に記載の位置合わせ可能な関節補綴システムにおいて、前記ステムは、前記アンカー部の上部にフランジを含み、該フランジの上面は、前記ステムの長さに沿った軸に対して垂直な平面内に配置されている、位置合わせ可能な関節補綴システム。
- 請求項1に記載の位置合わせ可能な関節補綴システムにおいて、前記把持部は、前記位置合わせ部の窪みと係合するよう構成されているラグを含む挟持部を備える、位置合わせ可能な関節補綴システム。
- 請求項1に記載の位置合わせ可能な関節補綴システムにおいて、前記把持部は、前記位置合わせ部の対応する形状のダブテール側壁と係合するよう構成されている2つの平行プロングを含む、位置合わせ可能な関節補綴システム。
- 請求項1に記載の位置合わせ可能な関節補綴システムにおいて、前記テールピース部の前記ブレースはKワイヤを収容可能なスリーブとして構成され、該スリーブの軸は前記第1の長手方向軸と同一である、位置合わせ可能な関節補綴システム。
- 請求項1に記載の位置合わせ可能な関節補綴システムにおいて、前記ブレースは、患者の前腕に載るよう構成され、前記第1の長手方向軸上の第2点は、該ブレースの曲率によって規定される弧の中心点とされる、位置合わせ可能な関節補綴システム。
- 請求項1に記載の位置合わせ可能な関節補綴システムにおいて、前記テールピース部は、前記スペーシングバーに沿って移動可能であり、また該スペーシングバーに対して係止可能である、位置合わせ可能な関節補綴システム。
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US23185909P | 2009-08-06 | 2009-08-06 | |
US61/231,859 | 2009-08-06 | ||
US23846309P | 2009-08-31 | 2009-08-31 | |
US61/238,463 | 2009-08-31 | ||
PCT/US2010/044719 WO2011017620A2 (en) | 2009-08-06 | 2010-08-06 | Alignable prostheses device, system and method |
US12/852,035 US8388689B2 (en) | 2009-08-06 | 2010-08-06 | Alignable prostheses system and method |
US12/852,035 | 2010-08-06 |
Publications (3)
Publication Number | Publication Date |
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JP2013500841A JP2013500841A (ja) | 2013-01-10 |
JP2013500841A5 JP2013500841A5 (ja) | 2013-09-12 |
JP5674785B2 true JP5674785B2 (ja) | 2015-02-25 |
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JP2012523977A Active JP5674785B2 (ja) | 2009-08-06 | 2010-08-06 | 位置合わせ可能な補綴装置、システム、及び方法 |
Country Status (6)
Country | Link |
---|---|
US (1) | US8388689B2 (ja) |
EP (1) | EP2461769B1 (ja) |
JP (1) | JP5674785B2 (ja) |
CA (1) | CA2770496C (ja) |
ES (1) | ES2671056T3 (ja) |
WO (1) | WO2011017620A2 (ja) |
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US10327817B2 (en) | 2008-08-01 | 2019-06-25 | Skeletal Dynamics Llc | Internal joint stabilizer device, system and method of use |
ES2658119T3 (es) * | 2008-08-01 | 2018-03-08 | Skeletal Dynamics, Llc | Dispositivo estabilizador interno de articulaciones |
US8840673B2 (en) * | 2011-09-21 | 2014-09-23 | Linares Medical Devices, Llc | Implantable elbow joint assembly with spherical inter-support |
US9901452B2 (en) | 2013-03-14 | 2018-02-27 | Imds Corporation | Radial head implant |
US10357372B2 (en) | 2013-03-28 | 2019-07-23 | Mayo Foundation For Medical Education And Research | Radial head trials |
WO2018077421A1 (en) * | 2016-10-28 | 2018-05-03 | Swemac Innovation Ab | Prosthesis for reconstruction of distal and proximal radioulnar joints. |
US10940023B2 (en) | 2016-12-15 | 2021-03-09 | Stryker European Holdings I, Llc | Bone plate trial |
CN110709034A (zh) * | 2017-06-02 | 2020-01-17 | Ot医疗技术股份有限公司 | 桡骨头植入物 |
US11813166B2 (en) * | 2018-03-05 | 2023-11-14 | Synthes Gmbh | Trial radial head implant |
US11129719B2 (en) | 2018-03-05 | 2021-09-28 | Synthes Gmbh | Trial radial head implant |
CA3144607A1 (en) * | 2019-06-24 | 2020-12-30 | Skeletal Dynamics, Inc. | Distal radioulnar joint prosthesis system and method of use |
US20210290401A1 (en) * | 2020-03-18 | 2021-09-23 | In2Bones Usa, Llc | Radial head fracture treatment system |
CN117224290B (zh) * | 2023-11-16 | 2024-02-02 | 北京贝思达生物技术有限公司 | 一种桡骨小头关节重建翻修系统 |
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-
2010
- 2010-08-06 CA CA2770496A patent/CA2770496C/en active Active
- 2010-08-06 EP EP10807236.4A patent/EP2461769B1/en active Active
- 2010-08-06 JP JP2012523977A patent/JP5674785B2/ja active Active
- 2010-08-06 ES ES10807236.4T patent/ES2671056T3/es active Active
- 2010-08-06 WO PCT/US2010/044719 patent/WO2011017620A2/en active Application Filing
- 2010-08-06 US US12/852,035 patent/US8388689B2/en active Active
Also Published As
Publication number | Publication date |
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EP2461769A4 (en) | 2014-09-10 |
EP2461769B1 (en) | 2018-03-28 |
CA2770496A1 (en) | 2011-02-10 |
US20110035016A1 (en) | 2011-02-10 |
CA2770496C (en) | 2017-12-05 |
WO2011017620A3 (en) | 2011-08-18 |
US8388689B2 (en) | 2013-03-05 |
JP2013500841A (ja) | 2013-01-10 |
EP2461769A2 (en) | 2012-06-13 |
WO2011017620A2 (en) | 2011-02-10 |
ES2671056T3 (es) | 2018-06-04 |
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