JP6066930B2 - 骨を安定させるための方法および装置 - Google Patents
骨を安定させるための方法および装置 Download PDFInfo
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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
- A61B17/56—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
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7064—Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—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
- A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
-
- 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
- A61B17/842—Flexible wires, bands or straps
-
- 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
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7053—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with parts attached to bones or to each other by flexible wires, straps, sutures or cables
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
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- Heart & Thoracic Surgery (AREA)
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Description
本出願は、参照によりその内容全体が本明細書に組み込まれている、2011年2月24日に出願された「骨安定化装置および方法(METHODS AND APPARATUS FOR STABILIZING BONE)」と題する米国特許非仮出願第13/033,791号の優先権を主張するものであり、その継続出願である。
および近位端部分142の少なくとも1つは、遠位端部分148、第2の部分146、第1の部分144、および近位端部分142の他のものとは別個に形成することができる。別の言い方をすれば、例として、遠位端部分148、第1の部分144、および近位端部分142を共に一体に形成することができるが、第2の部分146を別個に形成することもできる。このように、バンド140は、交換用の第2の部分146と交換するように、かつ/または覆われるように構成された最初の第2の部分146を含むことができる。第1の例として、最初の第2の部分146は、第1の部分144と一体に形成することができ、交換用の第2の部分146は、最初の第2の部分146の上に摺動可能に配置することができる。第2の例として、最初の第2の部分146を第1の部分144とは別個に形成することができ、バンド140から取り外すことができ、交換用の第2の部分146を第1の部分144の上に摺動可能に配置することができる。第3の例として、最初の第2の部分146は、第1の部分144とは別個に形成されても、または一体に形成されてもよく、交換用の第2の部分146は、第1の部分144および最初の第2の部分146の上に摺動可能に配置することができる。いくつかの実施形態では、最初の第2の部分146および交換用の第2の部分146は、同じ形状を有することができるが、例えば、最初の第2の部分146は、実質的に円筒形状を含むことができ、交換用の第2の部分146も実質的に円筒形状を含むことができる。いくつかの実施形態では、最初の第2の部分146および交換用の第2の部分146は、異なる形状を有することができるが、例えば、最初の第2の部分146は、実質的に直方体形状を含むことができ、交換用の第2の部分146は、実質的に円筒形状を含むことができる。
4 椎骨
6 繊維性の円板
8 本体
10 弓状部
12 椎弓根
14 椎弓板
16 棘突起
18 横関節突起
20 上関節突起
22 下関節突起
24 小関節面
26 小関節面
28 椎間関節
30 横平面
32 前平面
140 可撓性のある締結バンド
142 近位端部分
144 第1の部分
146 第2の部分
148 遠位端部分
150 締結機構
240 可撓性のある締結バンド
242 近位端部分
244 第1の部分
246 第2の部分
247 ギヤラック
248 遠位端部分
250 締結機構
264 ギヤ
340 バンド
440 可撓性のある締結バンド
442 近位端部分
444 第1の部分
446 第2の部分
447 ギヤラック
448 遠位端部分
449 第3の部分
450 締結機構
464 ギヤ
540 可撓性のある締結バンド
544 第1の部分
546 第2の部分
548 遠位端部分
549 第3の部分
550 締結機構
640 可撓性のある締結バンド
642 近位端部分
644 第1の部分
648 遠位端部分
650 締結機構
654 スペーサ
656 第1の側
658 第2の側
740 可撓性のある締結バンド
754 スペーサ
840 バンド
842 近位端部分
844 第1の部分
846 第2の部分
847 ギヤラック
848 遠位端部分
850 締結機構
862 ラチェット
864 ギヤ
866 管腔
940 可撓性のある締結バンド
942 近位端部分
944 第1の部分
946 第2の部分
947 ギヤラック
948 遠位端部分
950 締結機構
962 ラチェット
964 ギヤ
966 管腔
1040 可撓性のある締結バンド
1044 第1の部分
1046 第2の部分
1047 ギヤラック
1048 遠位端部分
1050 締結機構
1062 ラチェット
1072 補強部品
1074 支持部材
1076 穴
1140 可撓性のある締結バンド
1142 近位端部分
1144 第1の部分
1146 第2の部分
1147 ギヤラック
1148 遠位部分
1150 締結機構
1162 ラチェット
1164 ギヤ
1240 可撓性のある締結バンド
1242 近位端部分
1244 第1の部分
1246 第2の部分
1248 遠位端部分
1250 締結機構
1340 可撓性のある締結バンド
1342 近位端部分
1344 第1の部分
1348 遠位端部分
1350 締結機構
1354 スペーサ
1440 可撓性のある締結バンド
1442 近位端部分
1444 第1の部分
1450 締結機構
1448 遠位端部分
1454 スペーサ
V1 椎骨
V2 椎骨
V3 椎骨
V4 椎骨
V5 椎骨
V6 椎骨
V11 椎骨
V12 椎骨
V13 椎骨
V14 椎骨
IAP1A 下関節突起
IAP1B 下関節突起
IAP3A 下関節突起
IAP3B 下関節突起
IAP5A 下関節突起
IAP5B 下関節突起
IAP11A 下関節突起
IAP11B 下関節突起
IAP13A 下関節突起
IAP13B 下関節突起
SAP2A 上関節突起
SAP2B 上関節突起
SAP4A 上関節突起
SAP4B 上関節突起
SAP6A 上関節突起
SAP6B 上関節突起
SAP12A 上関節突起
SAP12B 上関節突起
SAP14A 上関節突起
SAP14B 上関節突起
Claims (17)
- 近位端部分、第1の部分、第2の部分、第3の部分、補強部分、および遠位端部分を含む、可撓性のある細長い本体を備え、
前記可撓性のある細長い本体の前記遠位端部分が、前記近位端部分および前記第1の部分を受け入れるように構成された締結具を含み、
前記第2の部分が第1の材料を含み、
前記第3の部分が前記第2の部分と前記遠位端部分との間に配置されていると共に、第1の形状を有し、
前記補強部分が、前記第1の材料とは異なる、前記第1の材料よりも強度のある第2の材料を含み、かつ前記可撓性のある細長い本体の少なくとも一部の内部に配置されており、
前記補強部分が実質的に一様且つ平坦な形状を有する装置。 - 前記補強部分が、長さ方法に沿って分布させた複数の穴を画定し、前記補強部分は、前記長さ方法の長さが、幅方向の長さまたは高さ方向の長さよりも大きい請求項1に記載の装置。
- 前記補強部分が、前記遠位端部分の一部の内部に配置された請求項1に記載の装置。
- 前記第1の部分が、実質的に直方体状である、実質的に一様な第1の形状を有し、かつ前記第2の部分が、実質的に円筒形状である、実質的に一様な第2の形状を有する請求項1に記載の装置。
- 前記締結具が、前記第2の部分の断面積より小さい断面積を有する管腔を画定する請求項1に記載の装置。
- 近位端部分、第1の部分、前記第1の部分とは相互に排他的であると共に遠位にある第2の部分、第3の部分、および遠位端部分を含む、可撓性のある細長い本体と、
前記近位端部分および前記第1の部分を受け入れるように構成された締結具と、
を備え、
前記可撓性のある細長い本体の前記第1の部分が、長さと、実質的に一様な第1の形状と、を有し、
前記可撓性のある細長い本体の前記第2の部分が、長さと、第1の骨部分の形状および第2の骨部分の形状を実質的に補完するように構成された、前記第1の形状とは異なる実質的に一様な第2の形状と、を有し、
前記第3の部分が前記第2の部分と前記遠位端部分との間に配置されていると共に、前記第1の形状を有し、
前記締結具が、前記可撓性のある細長い本体の前記第2の部分を、前記第1の骨部分と接触させて、かつ前記第2の骨部分と接触させて配置したとき、前記可撓性のある細長い本体の前記第1の部分を受け入れるように構成されており、
補強部分が、前記可撓性のある細長い本体の少なくとも一部の内部に配置されており、
前記補強部分が実質的に一様且つ平坦な形状を有する装置。 - 前記締結具は、前記可撓性のある細長い本体の前記第1の部分が、前記締結具を通って一方向にだけ移動できるように構成された請求項6に記載の装置。
- 前記可撓性のある細長い本体および前記締結具が、一体に形成された請求項6に記載の装置。
- 前記可撓性のある細長い本体の前記第1の部分の長さが、前記可撓性のある細長い本体の前記第2の部分の長さの2倍を超える請求項6に記載の装置。
- 前記第1の形状が実質的に直方体状であり、かつ前記第2の形状が実質的に円筒形状である請求項6に記載の装置。
- 前記可撓性のある細長い本体の前記第2の部分の断面積が、前記可撓性のある細長い本体の前記第1の部分の断面積よりも大きい請求項6に記載の装置。
- 前記可撓性のある細長い本体の前記第2の部分が、前記可撓性のある細長い本体の前記第1の部分とは別個に形成された請求項6に記載の装置。
- 前記可撓性のある細長い本体の前記第2の部分が、前記第1の形状を有する管腔を画定し、前記可撓性のある細長い本体の前記第1の部分が、前記可撓性のある細長い本体の前記第2の部分の前記管腔中に摺動可能に配置されるように構成されている請求項6に記載の装置。
- 前記締結具が、前記可撓性のある細長い本体の前記第2の部分の断面積より小さい断面積を有する管腔を画定する請求項6に記載の装置。
- 前記可撓性のある細長い本体の前記第2の部分の周りに配置されたスペーサをさらに含む請求項6に記載の装置。
- 前記スペーサが、接着剤または薬品の一方を放出するように構成されている請求項15に記載の装置。
- 前記締結具が、前記可撓性のある細長い本体とは別個に形成された請求項6に記載の装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US13/033,791 | 2011-02-24 | ||
US13/033,791 US8740949B2 (en) | 2011-02-24 | 2011-02-24 | Methods and apparatus for stabilizing bone |
PCT/US2012/026470 WO2012116266A1 (en) | 2011-02-24 | 2012-02-24 | Methods and apparatus for stabilizing bone |
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JP2016246368A Division JP6379168B2 (ja) | 2011-02-24 | 2016-12-20 | 骨を安定させるための装置 |
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JP2014513583A JP2014513583A (ja) | 2014-06-05 |
JP2014513583A5 JP2014513583A5 (ja) | 2016-07-28 |
JP6066930B2 true JP6066930B2 (ja) | 2017-01-25 |
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JP2016246368A Active JP6379168B2 (ja) | 2011-02-24 | 2016-12-20 | 骨を安定させるための装置 |
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US (7) | US8740949B2 (ja) |
EP (1) | EP2677948B1 (ja) |
JP (2) | JP6066930B2 (ja) |
AU (1) | AU2012222229C1 (ja) |
WO (1) | WO2012116266A1 (ja) |
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US11337741B2 (en) | 2020-05-01 | 2022-05-24 | Sergio Lenchig | Laterally deployed kyphoplasty balloon tamponade |
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US7846183B2 (en) | 2004-02-06 | 2010-12-07 | Spinal Elements, Inc. | Vertebral facet joint prosthesis and method of fixation |
US9504583B2 (en) | 2004-06-10 | 2016-11-29 | Spinal Elements, Inc. | Implant and method for facet immobilization |
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