JP5746636B2 - 医療用ワイヤ - Google Patents
医療用ワイヤ Download PDFInfo
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- JP5746636B2 JP5746636B2 JP2011545976A JP2011545976A JP5746636B2 JP 5746636 B2 JP5746636 B2 JP 5746636B2 JP 2011545976 A JP2011545976 A JP 2011545976A JP 2011545976 A JP2011545976 A JP 2011545976A JP 5746636 B2 JP5746636 B2 JP 5746636B2
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- bone
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- 210000000988 bone and bone Anatomy 0.000 claims description 52
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- 206010050296 Intervertebral disc protrusion Diseases 0.000 description 3
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- 101001002987 Homo sapiens Ferritin heavy chain Proteins 0.000 description 2
- 206010021639 Incontinence Diseases 0.000 description 2
- 208000018650 Intervertebral disc disease Diseases 0.000 description 2
- 210000001185 bone marrow Anatomy 0.000 description 2
- 238000006073 displacement reaction Methods 0.000 description 2
- 210000001035 gastrointestinal tract Anatomy 0.000 description 2
- 210000004394 hip joint Anatomy 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
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- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 229920003023 plastic Polymers 0.000 description 2
- 229920003229 poly(methyl methacrylate) Polymers 0.000 description 2
- 239000004926 polymethyl methacrylate Substances 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 1
- 206010016042 Facial bones fracture Diseases 0.000 description 1
- 206010027476 Metastases Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 206010029174 Nerve compression Diseases 0.000 description 1
- 208000028389 Nerve injury Diseases 0.000 description 1
- 208000007825 Orbital Fractures Diseases 0.000 description 1
- 208000001132 Osteoporosis Diseases 0.000 description 1
- 206010041541 Spinal compression fracture Diseases 0.000 description 1
- 208000020307 Spinal disease Diseases 0.000 description 1
- 206010041591 Spinal osteoarthritis Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 238000011882 arthroplasty Methods 0.000 description 1
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- 238000012937 correction Methods 0.000 description 1
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- 210000003205 muscle Anatomy 0.000 description 1
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- 210000000944 nerve tissue Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 210000000574 retroperitoneal space Anatomy 0.000 description 1
- 229910001285 shape-memory alloy Inorganic materials 0.000 description 1
- 208000005801 spondylosis Diseases 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
- 230000003966 vascular damage Effects 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
-
- 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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/846—Nails or pins, i.e. anchors without movable parts, holding by friction only, with or without structured surface
- A61B17/848—Kirschner wires, i.e. thin, long nails
-
- 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
- A61B17/8897—Guide wires or guide pins
-
- 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
- A61B17/885—Tools for expanding or compacting bones or discs or cavities therein
- A61B17/8852—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc
- A61B17/8855—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc inflatable, e.g. kyphoplasty balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M2025/09133—Guide wires having specific material compositions or coatings; Materials with specific mechanical behaviours, e.g. stiffness, strength to transmit torque
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M2025/09175—Guide wires having specific characteristics at the distal tip
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Hematology (AREA)
- Pulmonology (AREA)
- Biophysics (AREA)
- Anesthesiology (AREA)
- Neurology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
本出願は、2009年4月27日付で出願した米国特許仮出願61/213,001号に基づく優先権を主張するものであり、その開示は本願に援用される。
本発明の医療用ワイヤは、先端部が骨内を前進する時に変形して抵抗を増し、骨から後退する時に元に近い形状に戻るように構成されているものであれば、限定されない。以下、その構成の実施形態を説明する。
本発明の実施形態におけるガイドワイヤは、骨にカニューレやスクリューなどの中空の器具を刺入するために用いられてもよい。具体的には、針などの第1の中空の器具を骨に刺入する。ついで、ガイドワイヤを、第1の中空の器具の中を通して、骨内に押し込む。こうしてガイドワイヤを押し進める事によって、ワイヤの先端部を骨内で抵抗を増すように変形させることができる。例えば、編組ワイヤ、撚りワイヤ、束ワイヤ、又は医療用ワイヤの先端部のコイルがほどけて、変形しても良い。ガイドワイヤを所定の位置まで押し込むと、第1の中空の器具を抜去する。次いで、ガイドワイヤを通しながら、カニューレやスクリューなどの第2の中空の器具を骨に刺入する。第2の中空の器具を所定の位置まで押し込むと、ガイドワイヤを少し後退させることによって、ガイドワイヤの先端部を元に近い形状に戻すことができる。引き続き、ガイドワイヤを後退させることによって、骨から抜去する。ここで、骨の種類、位置などは特に限定されないが、脊椎の椎体であることが好ましい。
Claims (8)
- 骨内に挿入される先端部を有する、骨を固定するための医療用ワイヤであって、
前記先端部は、
ワイヤ本体より細い複数の素線を含み、前記複数の素線が、編組されているか、撚られているか、又は、束ねられており、
露出した状態で前記先端部の先端が広がっておらず、
骨内を前進する間に変形して抵抗を増す、医療用ワイヤ。 - 骨内に挿入される先端部を有する、骨を固定するための医療用ワイヤであって、
前記先端部が、ワイヤ本体より細い複数の素線を含み、前記素線が、コイル状であって、
露出した状態で前記先端部の先端が広がっておらず、
骨内を前進する間に変形して抵抗を増す、医療用ワイヤ。 - 前記ワイヤ本体の外径が1〜5mmである、請求項1または2に記載の医療用ワイヤ。
- 前記ワイヤがパイプ状の中空ワイヤであって、前記素線が前記中空ワイヤの先端に挿入されていることを特徴とする請求項1から3のいずれか1項に記載の医療用ワイヤ。
- 前記医療用ワイヤが、脊椎手術に用いられることを特徴とする請求項1から4のいずれか1項に記載の医療用ワイヤ。
- 前記医療用ワイヤが、骨折治療における内部/外部固定材の設置の際に用いられることを特徴とする請求項1から4のいずれか1項に記載の医療用ワイヤ。
- 前記医療用ワイヤが、椎体形成術に用いられることを特徴とする請求項1から4のいずれか1項に記載の医療用ワイヤ。
- 前記椎体形成術が、vertebroplasty、kyphoplasty、または脊椎増強であることを特徴とする請求項7に記載の医療用ワイヤ。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US21300109P | 2009-04-27 | 2009-04-27 | |
US61/213,001 | 2009-04-27 | ||
PCT/JP2010/003025 WO2010125808A1 (en) | 2009-04-27 | 2010-04-27 | Medical wire |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2012525160A JP2012525160A (ja) | 2012-10-22 |
JP5746636B2 true JP5746636B2 (ja) | 2015-07-08 |
Family
ID=43031966
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011545976A Expired - Fee Related JP5746636B2 (ja) | 2009-04-27 | 2010-04-27 | 医療用ワイヤ |
Country Status (4)
Country | Link |
---|---|
US (1) | US20120065695A1 (ja) |
EP (1) | EP2429430A4 (ja) |
JP (1) | JP5746636B2 (ja) |
WO (1) | WO2010125808A1 (ja) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP3038549B1 (en) | 2013-09-27 | 2019-08-07 | Release Medical, Inc. | Tissue incision device |
WO2024151956A1 (en) * | 2023-01-12 | 2024-07-18 | Orthofundamentals, Llc | Guidewire and method for performing si joint fusion |
Family Cites Families (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5509919A (en) * | 1993-09-24 | 1996-04-23 | Young; Merry A. | Apparatus for guiding a reaming instrument |
US6248110B1 (en) * | 1994-01-26 | 2001-06-19 | Kyphon, Inc. | Systems and methods for treating fractured or diseased bone using expandable bodies |
US5695513A (en) * | 1996-03-01 | 1997-12-09 | Metagen, Llc | Flexible cutting tool and methods for its use |
US6019776A (en) * | 1997-10-14 | 2000-02-01 | Parallax Medical, Inc. | Precision depth guided instruments for use in vertebroplasty |
US6440138B1 (en) * | 1998-04-06 | 2002-08-27 | Kyphon Inc. | Structures and methods for creating cavities in interior body regions |
JP4567918B2 (ja) * | 2001-07-02 | 2010-10-27 | テルモ株式会社 | 血管内異物除去用ワイヤおよび医療器具 |
EP1567069A4 (en) * | 2002-11-08 | 2008-11-12 | Warsaw Orthopedic Inc | METHODS AND DEVICES FOR TRANSPARENCY ACCESS TO INTERVERTEBRAL DISCS |
US6875219B2 (en) * | 2003-02-14 | 2005-04-05 | Yves P. Arramon | Bone access system |
US7137985B2 (en) * | 2003-09-24 | 2006-11-21 | N Spine, Inc. | Marking and guidance method and system for flexible fixation of a spine |
CA2543295A1 (en) * | 2003-10-23 | 2005-05-06 | Trans1 Inc. | Tools and tool kits for performing minimally invasive procedures on the spine |
US7632277B2 (en) * | 2004-03-29 | 2009-12-15 | Woll Bioorthopedics Llc | Orthopedic intramedullary fixation system |
ES2394029T3 (es) * | 2004-10-04 | 2013-01-15 | Saint Louis University | Dispositivo de clavo intramedular para reparar un hueso largo |
CA2625054A1 (en) * | 2005-10-12 | 2007-04-26 | Synthes (U.S.A.) | Apparatus and methods for vertebral augmentation |
US8002799B2 (en) * | 2006-07-21 | 2011-08-23 | Spinefrontier Lls | System and method for spine fixation |
ES2366053T3 (es) | 2007-05-03 | 2011-10-14 | Medartis Ag | Dispositivo de fijación, combinación de un dispositivo de fijación con un elemento longitudinal, sistema con una combinación de esta clase así como un kit de osteosíntesis. |
-
2010
- 2010-04-27 US US13/264,887 patent/US20120065695A1/en not_active Abandoned
- 2010-04-27 WO PCT/JP2010/003025 patent/WO2010125808A1/en active Application Filing
- 2010-04-27 EP EP20100769508 patent/EP2429430A4/en not_active Withdrawn
- 2010-04-27 JP JP2011545976A patent/JP5746636B2/ja not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
WO2010125808A1 (en) | 2010-11-04 |
US20120065695A1 (en) | 2012-03-15 |
EP2429430A1 (en) | 2012-03-21 |
EP2429430A4 (en) | 2015-02-25 |
JP2012525160A (ja) | 2012-10-22 |
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