JP6017468B2 - 修正関節窩装置及び方法 - Google Patents
修正関節窩装置及び方法 Download PDFInfo
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- 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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- 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
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- 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
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- 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
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- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
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- 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
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- 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
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- 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
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- 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
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- 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
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- 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
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Description
本願は、2011年3月18日に出願された「Circular Glenoid Method for Shoulder Arthroscopy」と題された米国特許出願第13/051,011号、同様に2011年3月18日に出願された「Combination Reamer/Drill Bit for Shoulder Arthroscopy」と題された米国特許出願第13/051,026号、及び同様に2011年3月18日に出願された「Device and Method for Retroversion Correction Cone for Shoulder Arthroscopy」と題された米国特許出願第13/051,041号に関連し、これらの特許出願の内容はそれぞれ参照により本明細書に組み込まれる。
本発明は、一般的には整形外科学の分野に関し、より詳細には肩関節形成術用の関節窩コンポーネント装置及びその使用方法に関する。
(1) 修正肩関節形成術(revision shoulder arthroplasty)に使用されるキットであって、
第1の円形外周を画定するリップと、第2の円形外周を画定する底部表面とを含む基部コンポーネントを有する少なくとも1つの修正関節窩コンポーネントと、
関節窩内に空洞を準備するためのリーマーであって、前記リーマーにより前記関節窩内に空洞が形成された場合、前記基部コンポーネントが前記空洞内に圧入されることなく前記空洞内に適合するように、前記基部コンポーネントに相補的な形状を有し、かつ前記基部コンポーネントよりも僅かに大きいリーマー部分を含む、リーマーと、を含む、キット。
(2) 前記リップがレセプタクルを画定し、
前記キットが複数の関節コンポーネントを含み、前記複数の関節コンポーネントのそれぞれが、前記レセプタクルと結合するように構成された結合部分を含み、
前記少なくとも1つの修正コンポーネントが、前記基部コンポーネントと、前記複数の関節コンポーネントのうちの選択された1つとを含む、実施態様1に記載のキット。
(3) 前記複数の関節コンポーネントが、
第1の直径を有する球状の関節面を含む第1の関節コンポーネントと、
第2の直径を有する球状の関節面を含む第2の関節コンポーネントであって、前記第2の直径が前記第1の直径よりも大きい、第2の関節コンポーネントと、を含む、実施態様2に記載のキット。
(4) 前記レセプタクルが中心軸線を画定し、
前記複数の関節コンポーネントが、最下点を画定する球状の関節表面を有する第1の関節コンポーネントを含み、前記基部コンポーネント及び前記第1の関節コンポーネントが、前記第1の関節コンポーネントが前記基部コンポーネントと結合された際、前記最下点が前記中心軸線と整合されるように構成されている、実施態様2に記載のキット。
(5) 前記レセプタクルが中心軸線を画定し、
前記複数の関節コンポーネントが、最下点を画定する球状の関節表面を有する第1の関節コンポーネントを含み、前記基部コンポーネント及び前記第1の関節コンポーネントが、前記第1の関節コンポーネントが前記基部コンポーネントと結合された場合、前記最下点が前記中心軸線からずれるように構成されている、実施態様2に記載のキット。
(7) 前記レセプタクルが中心軸線を画定し、
基部コンポーネント案内穴が、前記レセプタクルから前記底部表面に延び、前記中心軸線と整合される、実施態様2に記載のキット。
(8) 前記基部コンポーネントが、
複数の締結具孔を更に含み、前記複数の締結具孔のそれぞれが、前記レセプタクルから前記底部表面に延び、前記中心軸線からずれている、実施態様7に記載のキット。
(9) 前記リーマーが、
前記リーマー部分を通して延びるリーマー案内穴と、
前記リーマー部分の外側に位置する平滑化部分と、を含む、実施態様7に記載のキット。
(10) 管状コンパクターであって、前記コンパクターを使用して前記関節窩内に空洞が形成された場合、前記基部コンポーネントが、前記空洞内に圧入されることなく、前記管状コンパクターを使用して形成された前記空洞内に適合するように、前記基部コンポーネントに相補的な形状を有し、かつ前記基部コンポーネントよりも僅かに大きい空洞を形成するように構成されている、管状コンパクターを更に含む、実施態様9に記載のキット。
Claims (10)
- 修正肩関節形成術に使用されるキットであって、
第1の円形外周を画定するリップと、第2の円形外周を画定する底部表面とを含む基部コンポーネントを有する少なくとも1つの修正関節窩コンポーネントと、
シャフトと作動部分とを有するリーミング装置であって、前記作動部分は、中央に位置して関節窩に円形空洞をリーミングするリーマー部分と、外側に位置してリーミングされた円形空洞の周囲の関節窩の表面を平滑化する平滑化部分とを有し、前記リーマー部分は、前記リーミング装置により前記関節窩内に空洞が形成された場合、前記基部コンポーネントが前記空洞内に圧入されることなく前記空洞内に適合するように、前記基部コンポーネントに相補的で、かつ前記基部コンポーネントよりも僅かに大きい形状を有する、リーミング装置と、を含む、キット。 - 前記リップがレセプタクルを画定し、
前記キットが複数の関節コンポーネントを含み、前記複数の関節コンポーネントのそれぞれが、前記レセプタクルと結合するように構成された結合部分を含み、
前記少なくとも1つの修正コンポーネントが、前記基部コンポーネントと、前記複数の関節コンポーネントのうちの選択された1つとを含む、請求項1に記載のキット。 - 前記複数の関節コンポーネントが、
第1の直径を有する球状の関節面を含む第1の関節コンポーネントと、
第2の直径を有する球状の関節面を含む第2の関節コンポーネントであって、前記第2の直径が前記第1の直径よりも大きい、第2の関節コンポーネントと、を含む、請求項2に記載のキット。 - 前記レセプタクルが中心軸線を画定し、
前記複数の関節コンポーネントが、最下点を画定する球状の関節表面を有する第1の関節コンポーネントを含み、前記基部コンポーネント及び前記第1の関節コンポーネントが、前記第1の関節コンポーネントが前記基部コンポーネントと結合された際、前記最下点が前記中心軸線と整合されるように構成されている、請求項2に記載のキット。 - 前記レセプタクルが中心軸線を画定し、
前記複数の関節コンポーネントが、最下点を画定する球状の関節表面を有する第1の関節コンポーネントを含み、前記基部コンポーネント及び前記第1の関節コンポーネントが、前記第1の関節コンポーネントが前記基部コンポーネントと結合された場合、前記最下点が前記中心軸線からずれるように構成されている、請求項2に記載のキット。 - 前記基部コンポーネント及び前記第1の関節コンポーネントが、前記第1の関節コンポーネントが前記基部コンポーネントと結合された場合、前記最下点が前記中心軸線から約1.1ミリメートルずれるように構成されている、請求項5に記載のキット。
- 前記レセプタクルが中心軸線を画定し、
基部コンポーネント案内穴が、前記レセプタクルから前記底部表面に延び、前記中心軸線と整合される、請求項2に記載のキット。 - 前記基部コンポーネントが、
複数の締結具孔を更に含み、前記複数の締結具孔のそれぞれが、前記レセプタクルから前記底部表面に延び、前記中心軸線からずれている、請求項7に記載のキット。 - 前記リーミング装置が、
前記リーマー部分を通して延びるリーマー案内穴を含む、請求項7に記載のキット。 - 管状コンパクターであって、前記コンパクターを使用して前記関節窩内に空洞が形成された場合、前記基部コンポーネントが、前記空洞内に圧入されることなく、前記管状コンパクターを使用して形成された前記空洞内に適合するように、前記基部コンポーネントに相補的な形状を有し、かつ前記基部コンポーネントよりも僅かに大きい空洞を形成するように構成されている、管状コンパクターを更に含む、請求項9に記載のキット。
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US13/051,062 US8551177B2 (en) | 2011-03-18 | 2011-03-18 | Revision glenoid kit |
US13/051,062 | 2011-03-18 | ||
PCT/US2012/029034 WO2012129021A1 (en) | 2011-03-18 | 2012-03-14 | Revision glenoid device and method |
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