JP6286563B2 - 手術装置、および、手術ロケータ装置を含むシステム - Google Patents
手術装置、および、手術ロケータ装置を含むシステム Download PDFInfo
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- JP6286563B2 JP6286563B2 JP2016544422A JP2016544422A JP6286563B2 JP 6286563 B2 JP6286563 B2 JP 6286563B2 JP 2016544422 A JP2016544422 A JP 2016544422A JP 2016544422 A JP2016544422 A JP 2016544422A JP 6286563 B2 JP6286563 B2 JP 6286563B2
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- 210000000988 bone and bone Anatomy 0.000 claims description 58
- 210000000845 cartilage Anatomy 0.000 claims description 25
- 230000000295 complement effect Effects 0.000 claims description 25
- 238000001356 surgical procedure Methods 0.000 claims description 15
- 238000003780 insertion Methods 0.000 claims description 10
- 230000037431 insertion Effects 0.000 claims description 10
- 239000000463 material Substances 0.000 claims description 10
- 238000000034 method Methods 0.000 description 38
- 210000004233 talus Anatomy 0.000 description 28
- 210000002303 tibia Anatomy 0.000 description 28
- 210000003423 ankle Anatomy 0.000 description 9
- 230000000399 orthopedic effect Effects 0.000 description 9
- 210000003484 anatomy Anatomy 0.000 description 6
- 210000000544 articulatio talocruralis Anatomy 0.000 description 6
- 238000002679 ablation Methods 0.000 description 5
- 238000002059 diagnostic imaging Methods 0.000 description 5
- 238000002594 fluoroscopy Methods 0.000 description 5
- 230000004927 fusion Effects 0.000 description 5
- 239000007943 implant Substances 0.000 description 4
- 238000002595 magnetic resonance imaging Methods 0.000 description 4
- 239000002639 bone cement Substances 0.000 description 3
- 230000008878 coupling Effects 0.000 description 3
- 238000010168 coupling process Methods 0.000 description 3
- 238000005859 coupling reaction Methods 0.000 description 3
- 230000005865 ionizing radiation Effects 0.000 description 3
- 210000001503 joint Anatomy 0.000 description 3
- 238000002271 resection Methods 0.000 description 3
- 238000012876 topography Methods 0.000 description 3
- 238000004458 analytical method Methods 0.000 description 2
- 210000001185 bone marrow Anatomy 0.000 description 2
- 210000001513 elbow Anatomy 0.000 description 2
- 210000001624 hip Anatomy 0.000 description 2
- 210000003127 knee Anatomy 0.000 description 2
- 210000002832 shoulder Anatomy 0.000 description 2
- 206010017577 Gait disturbance Diseases 0.000 description 1
- 238000002591 computed tomography Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 210000002683 foot Anatomy 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 210000004394 hip joint Anatomy 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 210000002414 leg Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000009877 rendering Methods 0.000 description 1
- 238000000110 selective laser sintering Methods 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
- 210000000707 wrist Anatomy 0.000 description 1
Classifications
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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
- 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
- A61B17/1775—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the foot or ankle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides 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
- A61B17/1796—Guides or aligning means for drills, mills, pins or wires for holes for sutures or flexible 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
- 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
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Dentistry (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
Claims (7)
- 患者の手術前の映像に基づいて患者内に配置される異物の表面に相補的な第1表面を含む第1側面を有する本体を含む手術装置であって、
前記第1側面は、患者の第1骨および第1軟骨質表面のうち少なくとも一つに相補的な第2表面と、患者の第2骨および第2軟骨質表面のうち少なくとも一つに相補的な第3表面とを含み、
前記本体は、異物に対する所定の位置に細長い装置の挿入を容易にするために前記本体に対して配置される、前記本体の上部により規定される第1対のホールを規定し、
前記本体はさらに、前記第1対のホールから離れて配置される、前記本体の下部により規定される第2対のホールを規定し、前記本体は、前記第1対のホールと前記第2対のホールとの間に位置される開口部を規定し、前記第2対のホールは、第2骨、第2軟骨質表面、または異物のうち少なくとも一つ内の所定の第2位置に第2対の細長い装置の挿入を容易にするために本体に対して配置される、手術装置。 - 前記第1骨は、第2骨とは異なる、請求項1に記載の手術装置。
- 前記第1骨および前記第2骨が共に少なくとも1つの関節部位を規定し、前記本体は、少なくとも前記関節部位を横切って延びるように、前記関節部位に対して形状寸法が決定される、請求項1に記載の手術装置。
- 前記本体の第2側面は、ベースから外側に延びるタブを含み、前記タブは、その中に放射線不透過性物質を受容するためにサイズ設定および構成されるホールをその中に規定する、請求項1に記載の手術装置。
- 手術ロケータ装置と、第1ガイドとを備えるシステムであって、
前記手術ロケータ装置は、第1側面および第2側面を有する本体と、開口部とを含み、
前記第1側面は、患者の手術前の映像に基づいて患者内に配置される異物の表面に相補的な第1表面と、前記患者の第1骨または第1軟骨質表面のうち少なくとも一つに相補的な第2表面と、前記患者の第2骨または第2軟骨質表面のうち少なくとも一つに相補的な第3表面とを含み、前記第1骨および前記第2骨が共に少なくとも1つの関節部位を規定し、前記手術ロケータ装置の本体は、少なくとも前記関節部位を横切って延びるように、前記関節部位に対して形状寸法が決定され、
前記本体は、前記異物に対して第1対の細長い装置の挿入を容易にするために前記本体に対して配置され前記手術ロケータ装置の本体の上部により規定される、第1対のホールを規定し、前記手術ロケータ装置の本体は、前記第1対のホールから離れて配置され、かつ前記手術ロケータ装置の本体の下部により規定される第3対のホールを規定し、前記第3対のホールは、第2骨、第2軟骨質表面、または異物のうち少なくとも一つ内の所定の第2位置に第2対の細長い装置の挿入を容易にするために前記手術ロケータ装置の本体に対して配置され、前記開口部は前記第1対のホールと前記第3対のホールとの間に位置され、
前記第1ガイドは、前記異物に対して前記第1ガイドを位置させるためにその中に前記第1対の細長い装置を受容するようにサイズ設定および構成される第2対のホールを規定する、システム。 - 前記第2骨、第2軟骨質表面、または異物のうち少なくとも一つに対して第2ガイドを位置させるためにその中に前記第2対の細長い装置を受容するようにサイズ設定および構成される第4対のホールを規定する第2ガイドをさらに含む、請求項5に記載のシステム。
- 前記本体の第2側面は、ベースから外側に延びるタブを含み、前記タブは、その中に放射線不透過性物質を受容するようにサイズ設定および構成されるホールをその中に規定する、請求項5に記載のシステム。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/US2015/020414 WO2016148675A1 (en) | 2015-03-13 | 2015-03-13 | Patient-specific surgical devices, systems, and methods |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2017511160A JP2017511160A (ja) | 2017-04-20 |
JP6286563B2 true JP6286563B2 (ja) | 2018-02-28 |
Family
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Application Number | Title | Priority Date | Filing Date |
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JP2016544422A Active JP6286563B2 (ja) | 2015-03-13 | 2015-03-13 | 手術装置、および、手術ロケータ装置を含むシステム |
Country Status (8)
Country | Link |
---|---|
US (4) | US10413308B2 (ja) |
EP (1) | EP3267911A4 (ja) |
JP (1) | JP6286563B2 (ja) |
CN (2) | CN111643148A (ja) |
AU (5) | AU2015202252B2 (ja) |
BR (1) | BR112017001156A2 (ja) |
CA (2) | CA2981340C (ja) |
WO (1) | WO2016148675A1 (ja) |
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2015
- 2015-03-13 CA CA2981340A patent/CA2981340C/en active Active
- 2015-03-13 WO PCT/US2015/020414 patent/WO2016148675A1/en active Application Filing
- 2015-03-13 JP JP2016544422A patent/JP6286563B2/ja active Active
- 2015-03-13 US US14/442,595 patent/US10413308B2/en active Active
- 2015-03-13 BR BR112017001156A patent/BR112017001156A2/pt not_active Application Discontinuation
- 2015-03-13 AU AU2015202252A patent/AU2015202252B2/en active Active
- 2015-03-13 EP EP15721110.3A patent/EP3267911A4/en active Pending
- 2015-03-13 CN CN202010526142.7A patent/CN111643148A/zh active Pending
- 2015-03-13 CN CN201580001470.2A patent/CN106456190B/zh active Active
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Also Published As
Publication number | Publication date |
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AU2020260459A1 (en) | 2020-11-26 |
CN111643148A (zh) | 2020-09-11 |
CA2896958A1 (en) | 2016-09-13 |
CA2981340C (en) | 2022-04-12 |
AU2015202252B2 (en) | 2017-06-01 |
CN106456190A (zh) | 2017-02-22 |
AU2020260459B2 (en) | 2021-09-23 |
EP3267911A4 (en) | 2019-04-17 |
AU2017221820A1 (en) | 2017-09-21 |
US11826063B2 (en) | 2023-11-28 |
EP3267911A1 (en) | 2018-01-17 |
CN106456190B (zh) | 2020-06-26 |
US10413308B2 (en) | 2019-09-17 |
AU2021290278A1 (en) | 2022-01-27 |
JP2017511160A (ja) | 2017-04-20 |
US20180177513A1 (en) | 2018-06-28 |
AU2019250241B2 (en) | 2020-08-06 |
AU2017221820B2 (en) | 2019-09-26 |
US20190350602A1 (en) | 2019-11-21 |
AU2019250241A1 (en) | 2019-11-07 |
WO2016148675A1 (en) | 2016-09-22 |
US11399850B2 (en) | 2022-08-02 |
US20220323086A1 (en) | 2022-10-13 |
CA2981340A1 (en) | 2016-09-13 |
BR112017001156A2 (pt) | 2018-01-30 |
US20240041479A1 (en) | 2024-02-08 |
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CA2896958C (en) | 2017-10-24 |
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