JP6005645B2 - 骨の表面を変更するためのシステムおよび方法 - Google Patents
骨の表面を変更するためのシステムおよび方法 Download PDFInfo
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- JP6005645B2 JP6005645B2 JP2013524926A JP2013524926A JP6005645B2 JP 6005645 B2 JP6005645 B2 JP 6005645B2 JP 2013524926 A JP2013524926 A JP 2013524926A JP 2013524926 A JP2013524926 A JP 2013524926A JP 6005645 B2 JP6005645 B2 JP 6005645B2
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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
-
- 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
-
- 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
- A61B17/1659—Surgical rasps, files, planes, or scrapers
-
- 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
-
- 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
- A61B17/1703—Guides or aligning means for drills, mills, pins or wires using imaging means, e.g. by X-rays
-
- 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
- A61B17/1746—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip for the acetabulum
-
- 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
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
-
- 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
- A61F2/32—Joints for the hip
- A61F2/34—Acetabular cups
-
- 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
-
- 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
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/108—Computer aided selection or customisation of medical implants or cutting guides
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Radiology & Medical Imaging (AREA)
- Pathology (AREA)
- Robotics (AREA)
- Physical Education & Sports Medicine (AREA)
- Surgical Instruments (AREA)
Description
本出願は、2010年8月16日に出願された米国特許仮出願第61/373,967号の優先権の利益を主張するものであり、その開示の全体を参照により本明細書に組み込む。
101 大腿骨頭
102 衝突領域、インピンジメント領域
104 寛骨臼
105 寛骨臼縁
106 大腿骨
107 領域
200 切削ブロック
201 長手方向軸
202 カラー
202a 近位端
202b 遠位端
203 チャネル軸
204 内側骨対合面、内側対合面
204a 滑らかな面
204b 第1の凹形領域
205 下側開口部
206 壁
208 壁
210 上側境界面
210a 近位端
210b 遠位端
212 ガイドチャネル
212a 内部チャネル
212b 内部チャネル
212c 内部チャネル
212d 内部チャネル
212e 内部チャネル
213 上側肩部
214a 滑らかな輪郭面
214b 大腿骨の隆起した領域
216 入口ポート
220 残部
222 空所
224 傾斜した表面
250 フライス加工具、切削工具
252 フライス加工ヘッド
254 シャフト
256 下側肩部
300 切削ブロック
301 長手方向軸
302 内側骨対合面
303 上側表面壁
304 チャネル
305 チャネル軸
306 フランジ
310 バーリングまたはフライス加工具
311 側壁
312a 支持アーム
312b 支持アーム
312c 支持アーム
322 ディスク、支持面
318a ピン孔
318b ピン孔
318c ピン孔
318d ピン孔
400 切削ガイドシステム
401 内側面
402 第1の切削ブロック
404 第2の切削ブロック
410 開口部
412 開口部
430 切削ガイドシステム
432 下側ブロック
432a 深さ
434 上側ブロック
435a 固定孔
435b 固定孔
436 上側面
438 上側境界面
442 開口部
444 開口部
446 棚部
448 突起部
450 上側ブロックの延長部
452 下側ブロックの延長部
460 切削工具
462 ディスク
464 バー切削遠位先端、切削バーセクション
466 滑らかなシャフト
468 骨
470 所定の深さ
472 領域
502 骨境界面
510 切削ブロック
510a 下側面
510b 上側境界面
512a 上側部分
512b 下側部分
513 切削ガイドトラック
514 ワッシャ挿入物
515 内側開口部
516 ワッシャ挿入物
517 内側開口部
518 ワッシャ挿入物
519 内側開口部
530 スロット
532 矢印
534 矢印
540a 側壁
540b 側壁
542a 内壁
542b 内壁
550 骨
580 幅
Claims (10)
- 骨表面の変更を案内するための切削ブロックであって、
長手方向軸を有するハウジングであって、前記長手方向軸に沿って設けられた遠位端、近位端、および骨対合内側面を有するカラー、ならびに該カラーの上に、上側境界面へと延びる複数の壁であって、該壁の1つは前記ブロックの外側面を形成した側壁であり、且つ前記上側境界面は所望の骨の表面構成に対応した輪郭構成を備えた、複数の壁を有するハウジングと、
前記骨対合面に設けられた複数の表面領域であって、前記骨における各表面形状構成に対応する複数の表面特徴を有する、複数の表面領域と、
前記上側境界面と前記骨対合内側面との間で延びる、前記複数の壁によって形成された、チャネルを有する切削ガイドと、
前記側壁を通じて延びる入口ポートであって、該入口ポートは切削工具を受容するように構成され、且つ前記チャネルは、前記入口ポートを通じて前記切削工具の第1の部分を受容するように構成された、入口ポートと、
を備える切削ブロック。 - 前記カラーが、該カラーの前記近位端から前記遠位端へと延びる底面開口部を有する、請求項1に記載のブロック。
- 前記上側境界面が、前記ハウジングの前記近位端から前記ハウジングの前記遠位端へと傾斜している、請求項1に記載のブロック。
- 前記チャネルが、複数の横方向に延びるチャネルを有する、請求項1に記載のブロック。
- 前記上側境界の前記表面が、前記複数のチャネルを露出する開口部を有する、請求項4に記載のブロック。
- 前記骨対合面が、前記骨の対応する表面形状構成に適合する事前に形成された輪郭を有する、請求項1に記載のブロック。
- 前記ハウジングに設けられた複数の固定孔を備える、請求項1に記載のブロック。
- 請求項1から3のいずれか一項に記載の切削ブロックを備える、骨の表面を変更するためのシステム。
- 選択された骨表面の事前に形成された画像と、前記チャネル内に嵌合する部分を有する切削工具とを備える、請求項8に記載のシステム。
- 前記切削工具が第1の長さを有し、また前記チャネルが、前記第1の長さと実質的に同じである長さを有する、請求項9に記載のシステム。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US37396710P | 2010-08-16 | 2010-08-16 | |
PCT/US2011/047907 WO2012024289A2 (en) | 2010-08-16 | 2011-08-16 | Systems and methods for altering the surface of a bone |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016123442A Division JP6272953B2 (ja) | 2016-06-22 | 2016-06-22 | 骨の表面を変更するためのシステムおよび方法 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2013539995A JP2013539995A (ja) | 2013-10-31 |
JP6005645B2 true JP6005645B2 (ja) | 2016-10-19 |
Family
ID=45605631
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2013524926A Expired - Fee Related JP6005645B2 (ja) | 2010-08-16 | 2011-10-13 | 骨の表面を変更するためのシステムおよび方法 |
Country Status (10)
Country | Link |
---|---|
US (2) | US9345495B2 (ja) |
EP (1) | EP2605713B1 (ja) |
JP (1) | JP6005645B2 (ja) |
KR (1) | KR101901851B1 (ja) |
CN (1) | CN103458804B (ja) |
AU (1) | AU2011292151B9 (ja) |
BR (1) | BR112013003592A2 (ja) |
MX (1) | MX349175B (ja) |
RU (1) | RU2013109813A (ja) |
WO (1) | WO2012024289A2 (ja) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2016185359A (ja) * | 2016-06-22 | 2016-10-27 | スミス アンド ネフュー インコーポレイテッド | 骨の表面を変更するためのシステムおよび方法 |
US10292717B2 (en) | 2010-08-16 | 2019-05-21 | Smith & Nephew, Inc. | Systems and methods for altering the surface of a bone |
Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2014137876A2 (en) * | 2013-03-08 | 2014-09-12 | Stryker Corporation | Bone pads |
DE102013112497A1 (de) | 2013-11-13 | 2015-05-13 | Aesculap Ag | Medizinisches Instrumentarium |
CN103735298A (zh) * | 2013-12-31 | 2014-04-23 | 张文涛 | 髋臼截骨装置、组合式取骨刀及磨削模具 |
CA3043744A1 (en) | 2016-11-18 | 2018-05-24 | Stryker Corp. | Method and apparatus for treating a joint, including the treatment of cam-type femoroacetabular impingement in a hip joint and pincer-type femoroacetabular impingement in a hip joint |
US11464569B2 (en) | 2018-01-29 | 2022-10-11 | Stryker Corporation | Systems and methods for pre-operative visualization of a joint |
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US9345495B2 (en) * | 2010-08-16 | 2016-05-24 | Smith & Nephew, Inc. | Systems and methods for altering the surface of a bone |
-
2011
- 2011-08-16 US US13/816,166 patent/US9345495B2/en active Active
- 2011-08-16 WO PCT/US2011/047907 patent/WO2012024289A2/en active Application Filing
- 2011-08-16 CN CN201180050038.4A patent/CN103458804B/zh not_active Expired - Fee Related
- 2011-08-16 AU AU2011292151A patent/AU2011292151B9/en not_active Ceased
- 2011-08-16 EP EP11818659.2A patent/EP2605713B1/en active Active
- 2011-08-16 MX MX2013001952A patent/MX349175B/es active IP Right Grant
- 2011-08-16 BR BR112013003592A patent/BR112013003592A2/pt not_active Application Discontinuation
- 2011-08-16 RU RU2013109813/14A patent/RU2013109813A/ru not_active Application Discontinuation
- 2011-10-13 KR KR1020137006749A patent/KR101901851B1/ko active IP Right Grant
- 2011-10-13 JP JP2013524926A patent/JP6005645B2/ja not_active Expired - Fee Related
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2016
- 2016-05-24 US US15/163,354 patent/US10292717B2/en active Active
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10292717B2 (en) | 2010-08-16 | 2019-05-21 | Smith & Nephew, Inc. | Systems and methods for altering the surface of a bone |
JP2016185359A (ja) * | 2016-06-22 | 2016-10-27 | スミス アンド ネフュー インコーポレイテッド | 骨の表面を変更するためのシステムおよび方法 |
Also Published As
Publication number | Publication date |
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EP2605713A4 (en) | 2016-06-01 |
US20160262772A1 (en) | 2016-09-15 |
CN103458804A (zh) | 2013-12-18 |
BR112013003592A2 (pt) | 2016-05-31 |
JP2013539995A (ja) | 2013-10-31 |
EP2605713B1 (en) | 2023-10-11 |
US10292717B2 (en) | 2019-05-21 |
AU2011292151B2 (en) | 2015-04-30 |
CN103458804B (zh) | 2016-12-21 |
AU2011292151A1 (en) | 2013-03-14 |
AU2011292151B9 (en) | 2015-06-04 |
RU2013109813A (ru) | 2014-09-27 |
MX349175B (es) | 2017-07-14 |
US20140128874A1 (en) | 2014-05-08 |
KR20130136982A (ko) | 2013-12-13 |
EP2605713A2 (en) | 2013-06-26 |
WO2012024289A2 (en) | 2012-02-23 |
WO2012024289A3 (en) | 2012-05-10 |
MX2013001952A (es) | 2013-05-30 |
US9345495B2 (en) | 2016-05-24 |
KR101901851B1 (ko) | 2018-11-07 |
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