JP5818438B2 - 多数ポータルガイド - Google Patents
多数ポータルガイド Download PDFInfo
- Publication number
- JP5818438B2 JP5818438B2 JP2010539524A JP2010539524A JP5818438B2 JP 5818438 B2 JP5818438 B2 JP 5818438B2 JP 2010539524 A JP2010539524 A JP 2010539524A JP 2010539524 A JP2010539524 A JP 2010539524A JP 5818438 B2 JP5818438 B2 JP 5818438B2
- Authority
- JP
- Japan
- Prior art keywords
- surgical device
- cannula
- guide
- guide assembly
- endoscope
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 230000007246 mechanism Effects 0.000 claims description 7
- 238000000034 method Methods 0.000 description 18
- 230000008878 coupling Effects 0.000 description 16
- 238000010168 coupling process Methods 0.000 description 16
- 238000005859 coupling reaction Methods 0.000 description 16
- 238000001356 surgical procedure Methods 0.000 description 13
- 210000001624 hip Anatomy 0.000 description 8
- 210000004394 hip joint Anatomy 0.000 description 7
- 239000002775 capsule Substances 0.000 description 5
- 210000001519 tissue Anatomy 0.000 description 5
- 210000001503 joint Anatomy 0.000 description 4
- 239000004606 Fillers/Extenders Substances 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 2
- 238000013459 approach Methods 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 210000002436 femur neck Anatomy 0.000 description 2
- 238000002594 fluoroscopy Methods 0.000 description 2
- 238000005286 illumination Methods 0.000 description 2
- 230000002262 irrigation Effects 0.000 description 2
- 238000003973 irrigation Methods 0.000 description 2
- 239000007769 metal material Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000003287 optical effect Effects 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 241001631457 Cannula Species 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 210000001188 articular cartilage Anatomy 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 230000001627 detrimental effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000003801 milling Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 210000000323 shoulder joint Anatomy 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
-
- 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
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1742—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip
- A61B17/175—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip for preparing the femur for hip prosthesis insertion
-
- 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
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1714—Guides or aligning means for drills, mills, pins or wires for applying tendons or ligaments
-
- 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
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
- A61B2017/0275—Joint distractors for the hip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Endoscopes (AREA)
- Surgical Instruments (AREA)
Description
本出願は、2007年12月21日に出願された米国特許出願第61/015,811号のPCT国際出願であり、該出願の開示は、参照によりその全体として本明細書に組み込まれる。
11 本体
12 第1の端部
13 第2の端部
13a 第1のアーム
13b 第2のアーム
13a' 端部
13b' 端部
13c スロット
13e フック
13f アーム
13f' スロット
13f" 開口
14 貫通穴
15 長手方向軸
20 外科器具、内視鏡
21 第1の端部
22 第2の端部
23 光学中心
24 照明ポスト
31 第1のポータル
32 身体
33 第2のポータル
34 第2の外科デバイス、第2のカニューレ
35 部位
36 部位
37 視認方向
38 深度停止部
38b 第2の端部
39 針
39a 第1の端部
39b 第2の端部
40 カニューレ
41 第1の端部
42 第2の端部
43 先鋭チップ
45 結合部分
45a 穴
45b 突出部
46 結合部分
46a チャネル
46b 突出部
46c 背面
47 アダプタ
49 結合部分
50 灌注エクステンダ
60 ガイド
61 本体
62 第1の端部
63 第2の端部
64 ジョイント
65 貫通穴
66 長手方向軸
67 開口
70 ガイド
71 本体
72 第1の端部
73 第2の端部
74 ジョイント
75 貫通穴
76 長手方向軸
77 機構、ロッキングナット
80 ガイド
81 本体
81a 第1の端部
81b 第2の端部
81c スロット
84 ジョイント
85 貫通穴
86 長手方向軸
87 機構、ロッキングナット
88 第1の装着部分、回転防止ロック
88a 上部表面
88b 下部表面
88c レバーアーム
88d 枢動ピン、ねじ
88e ばね
89 第2の装着部分
89a プロング
89b プロング
89c 開口
90 平面
90 針
90a 第1の端部
90b 第2の端部
90c 深度停止部
100 ガイド
104 貫通穴
200 第1の外科デバイス、エイマアーム
200a 近位端部
200b 遠位端部
200c チップ
201 長手方向軸
300 股関節
300a 大腿骨頸部
300b 後部領域
400 カニューレ
401 長手方向軸
L 長さ
α 角度
β 角度
d 距離
Claims (18)
- 本体(81)、および少なくとも1つの貫通穴(85)を備えるジョイント(84)を備え、前記ジョイント(84)は、前記本体(81)の長さ(L)にわたって摺動するように構成される、ガイド(80)と、
第1の外科デバイスと、
を備え、前記ガイド(80)は回転防止ロック(88)を備え、前記ガイド(80)が該回転防止ロック(88)を通じて前記第1の外科デバイスに結合され、前記貫通穴(85)の長手方向軸が、前記第1の外科デバイスの端部に対して同心放射状であり、
前記本体は、前記本体の第1の端部に配置された第1の装着部分と、前記本体の第2の端部の付近に配置された第2の装着部分(89)とを備え、前記第1の装着部分および前記第2の装着部分(89)は、前記第1の外科デバイス(20)に前記本体を結合させるように構成され、
前記第1の装着部分は、前記第1の装着部分に前記第1の外科デバイス(20)を結合するように構成されたレバーアーム(88c)を備える、ガイドアセンブリ。 - 前記本体(81)に沿って定位置に前記ジョイント(84)をロックするための機構(87)をさらに備える、請求項1に記載のガイドアセンブリ。
- 前記貫通穴(85)内に配設される第2の外科デバイス(34)をさらに備え、前記第2の外科デバイス(34)は、前記第1の外科デバイスの前記端部に対して同心放射状である長手方向軸を備える、請求項1に記載のガイドアセンブリ。
- 前記第1の外科デバイスは、前記第1の外科デバイスの前記端部が第1のカニューレ(40)の端部を貫通して突出するように、前記第1のカニューレ(40)内に配設される、請求項1に記載のガイドアセンブリ。
- 前記貫通穴の前記長手方向軸は、前記第1の外科デバイスの前記端部からある距離だけ偏倚された点に対して同心放射状である、請求項1に記載のガイドアセンブリ。
- 前記第1のカニューレの前記端部は、先鋭チップを備え、前記先鋭チップは、前記第1の外科デバイスの前記端部からある距離だけ偏倚される、請求項4に記載のガイドアセンブリ。
- 前記第1の外科デバイスは、内視鏡(20)を含み、前記点又は前記先鋭チップは、前記内視鏡の視認方向においてある距離だけ偏倚される、請求項5又は6に記載のガイドアセンブリ。
- 前記距離は、約1cmである、請求項5〜7のいずれか一項に記載のガイドアセンブリ。
- 前記ガイド(80)は、前記第1のカニューレ(40)に結合される、請求項4に記載のガイドアセンブリ。
- 前記第2の外科デバイス(34)は、第2のカニューレを含む、請求項3に記載のガイドアセンブリ。
- 前記第2のカニューレは、針(90)を備え、前記針(90)は、第1の端部および第2の端部を有し、第2のカニューレ内において摺動自在に配設される、請求項10に記載のガイドアセンブリ。
- 前記第2の端部は、前記第1の外科デバイスの前記端部と交差する、請求項11に記載のガイドアセンブリ。
- 前記第1の端部は、深度停止部(90c)を備える、請求項11に記載のガイドアセンブリ。
- 前記本体の前記第2の端部は、前記第2の装着部分と前記第1の外科デバイスの長手方向軸との間に配置された平面を越えて延在しない、請求項1に記載のガイドアセンブリ。
- 前記第1の外科デバイスの前記長手方向軸と前記平面との間に、約60°の角度βが存在する、請求項14に記載のガイドアセンブリ。
- 前記レバーアーム(88c)は、前記第1の装着部分に対して、第1の位置と第2の位置との間において移動可能である、請求項1に記載のガイドアセンブリ。
- 前記第1の外科デバイスは、前記レバーアームが第2の位置に位置する場合に、前記第1の装着部分に結合される、請求項16に記載のガイドアセンブリ。
- 前記針の前記第2の端部は、前記第1の外科デバイスの前記端部を通過して進まない、請求項13に記載のガイドアセンブリ。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US1581107P | 2007-12-21 | 2007-12-21 | |
US61/015,811 | 2007-12-21 | ||
PCT/US2008/054079 WO2009082497A1 (en) | 2007-12-21 | 2008-02-15 | Multiple portal guide |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2011520475A JP2011520475A (ja) | 2011-07-21 |
JP5818438B2 true JP5818438B2 (ja) | 2015-11-18 |
Family
ID=39743797
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010539524A Expired - Fee Related JP5818438B2 (ja) | 2007-12-21 | 2008-02-15 | 多数ポータルガイド |
Country Status (5)
Country | Link |
---|---|
US (2) | US8956278B2 (ja) |
EP (1) | EP2231035B1 (ja) |
JP (1) | JP5818438B2 (ja) |
AU (1) | AU2008341062B2 (ja) |
WO (1) | WO2009082497A1 (ja) |
Families Citing this family (17)
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EP2231035B1 (en) | 2007-12-21 | 2019-08-07 | Smith & Nephew, Inc. | Multiple portal guide |
US9826992B2 (en) * | 2007-12-21 | 2017-11-28 | Smith & Nephew, Inc. | Multiple portal guide |
FR2958841B1 (fr) * | 2010-04-14 | 2012-05-18 | Pierre Imbert | Systeme ancillaire pour la pose d'un transplant ligamentaire a l'aide de broches |
MX2013003496A (es) | 2010-09-27 | 2013-12-02 | Smith & Nephew Inc | Dispositivo y metodos para su uso durante cirugia artroscopica. |
WO2012061639A1 (en) | 2010-11-03 | 2012-05-10 | Smith & Nephew, Inc. | Drill guide |
US8979826B2 (en) * | 2010-12-29 | 2015-03-17 | Boston Scientific Scimed, Inc. | Instrument holder |
US8690885B2 (en) | 2011-01-28 | 2014-04-08 | Smith & Nephew, Inc. | Surgical aiming device |
BR112013022723A2 (pt) * | 2011-03-09 | 2017-11-14 | Smith & Nephew Inc | guia de múltiplos portais |
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US20140277450A1 (en) * | 2013-03-14 | 2014-09-18 | Mark J. Warburton | Apparatus and methods for aol and drl reconstruction of cmc joints |
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US10307173B2 (en) | 2014-09-30 | 2019-06-04 | Medos International Sàrl | Gage for limiting distal travel of drill pin |
US10045789B2 (en) | 2014-09-30 | 2018-08-14 | Medos International Sàrl | Universal surgical guide systems and methods |
US10098646B2 (en) | 2014-09-30 | 2018-10-16 | Medos International Sàrl | Surgical guide for use in ligament repair procedures |
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- 2008-02-15 US US12/032,168 patent/US8956278B2/en active Active
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US20090163766A1 (en) | 2009-06-25 |
US9913636B2 (en) | 2018-03-13 |
US20150126817A1 (en) | 2015-05-07 |
EP2231035B1 (en) | 2019-08-07 |
US8956278B2 (en) | 2015-02-17 |
AU2008341062A1 (en) | 2009-07-02 |
WO2009082497A1 (en) | 2009-07-02 |
JP2011520475A (ja) | 2011-07-21 |
EP2231035A1 (en) | 2010-09-29 |
AU2008341062B2 (en) | 2014-12-18 |
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