JP6294039B2 - 膝蓋骨ドリルガイド及び試行手術器具 - Google Patents
膝蓋骨ドリルガイド及び試行手術器具 Download PDFInfo
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- 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
- A61B17/1767—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee for the patella
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
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- 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
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- A61F2/38—Joints for elbows or knees
- A61F2/3877—Patellae or trochleae
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- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- A61B17/14—Surgical saws ; Accessories therefor
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- A61B17/154—Guides therefor for preparing bone for knee prosthesis
- A61B17/158—Cutting patella
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- A—HUMAN NECESSITIES
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- 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
- A61B17/1675—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee
- A61B17/1677—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee for the patella
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- 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
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- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
- A61F2002/30891—Plurality of protrusions
- A61F2002/30892—Plurality of protrusions parallel
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Description
Jennifer B.Cleverらによる発明の名称「ORTHOPAEDIC SURGICAL INSTRUMENT ASSEMBLY FOR IMPLANTING A PROSTHETIC PATELLA COMPONENT」である、同時係属米国特許出願第13/630,935号(代理人整理番号265280−221030、DEP6595USNP)、Matthew S.Wallaceらによる発明の名称「PATELLA DRILL GUIDE AND TRIAL SURGICAL INSTRUMENT HAVING AN ALIGNMENT BORE FORMED THEREIN AND METHOD OF USING THE SAME」である、同時係属米国特許出願第13/630,924号(代理人整理番号265280−221031、DEP6596USNP)、及びJennifer B.Cleverらによる発明の名称「METHOD FOR SURGICALLY IMPLANTING A PROSTHETIC PATELLA COMPONENT」である、同時係属米国特許出願第13/630,965号(代理人整理番号265280−222653、DEP6613USNP)のそれぞれに対して、相互参照が行われる。これらの同時係属出願のそれぞれは、本出願と同一の譲渡人に譲渡され、ここで同時に出願され、参照により本明細書に組み込まれる。
本開示は、概して、整形外科用手術器具に関し、より具体的には、膝蓋骨手術器具に関する。
(1) 膝蓋骨ドリルガイド及び試行器具であって、
人工大腿骨コンポーネントの顆表面と関節接合をなすように構成された後方試行軸受表面であって、前記膝蓋骨ドリルガイド及び試行器具の最後方表面を画定する湾曲したピーク表面を備える、後方試行軸受表面と、
前方表面であって、そこから外側に延在するいくつかのスパイクを有する、前方表面と、
前記膝蓋骨ドリルガイド及び試行器具を通じて前記後方試行軸受表面から前記前方表面に延在する、いくつかのドリルガイド穴と、
を備える、膝蓋骨ドリルガイド及び試行器具。
(2) 前記後方軸受表面が、
人工大腿骨コンポーネントの内側顆表面と関節接合をなすように構成された内側試行関節接合表面と、
前記人工大腿骨コンポーネントの外側顆表面と関節接合をなすように構成された外側試行関節接合表面と、
を備える、実施態様1に記載の膝蓋骨ドリルガイド及び試行器具。
(3) 想像線が、前記前方表面を前記内側/外側方向に二等分し、
前記いくつかのスパイクのそれぞれの中心が、前記想像線の内側に位置決めされる、実施態様1に記載の膝蓋骨ドリルガイド及び試行器具。
(4) 前記いくつかのスパイクが、中心スパイク、上スパイク、及び下スパイクを含み、
上/下想像線が、前記前方表面を前記上/下方向に二等分し、
前記中心スパイクの中心が、前記上/下想像線上に位置し、
前記上スパイクの中心が、前記上/下想像線の上方に位置決めされ、
前記下スパイクの中心が、前記上/下想像線の下方に位置決めされる、実施態様1に記載の膝蓋骨ドリルガイド及び試行器具。
(5) 前記中心スパイクが、前記上スパイク及び前記下スパイクより長い、実施態様4に記載の膝蓋骨ドリルガイド及び試行器具。
前記中心スパイク、上スパイク、及び下スパイクのそれぞれの中心が、前記内側/外側想像線の内側に位置決めされる、実施態様5に記載の膝蓋骨ドリルガイド及び試行器具。
(7) 前記いくつかのドリルガイド穴が、座ぐり穴である、実施態様1に記載の膝蓋骨ドリルガイド及び試行器具。
(8) 前記後方試行軸受表面と前記前方表面との間に位置決めされた接続スロットを更に備え、前記接続スロットが、前記膝蓋骨ドリルガイド及び試行器具を取り外し可能な締め具に固定するように、前記取り外し可能な締め具の接続舌部を受容するように構成される、実施態様1に記載の膝蓋骨ドリルガイド及び試行器具。
(9) 前記後方試行軸受表面及び前記前方表面が、モノリシック本体を構成する、実施態様1に記載の膝蓋骨ドリルガイド及び試行器具。
(10) 前記後方試行軸受表面及び前記前方表面が、モノリシックポリマー本体を構成し、前記いくつかのドリルガイド穴のそれぞれに挿入された金属スリーブを更に備える、実施態様1に記載の膝蓋骨ドリルガイド及び試行器具。
人工大腿骨コンポーネントの顆表面と関節接合をなすように構成される、後方試行軸受表面であって、前記膝蓋骨ドリルガイド及び試行器具の最後方表面を画定する湾曲したピーク表面を備える、後方試行軸受表面と、
前方表面であって、中心スパイクと、前記前方表面から外側に延在するいくつかの周縁スパイクと、を有し、(i)上/下想像線が、前記前方表面を前記上/下方向に二等分し、(ii)前記中心スパイクの中心が、前記上/下想像線上に位置し、(iii)前記中心スパイクが、前記周縁スパイクより長い、前方表面と、
前記膝蓋骨ドリルガイド及び試行器具を通じて前記後方試行軸受表面から前記前方表面に延在する、いくつかのドリルガイド穴と、
を備える、膝蓋骨ドリルガイド及び試行器具。
(12) 前記後方軸受表面が、
人工大腿骨コンポーネントの内側顆表面と関節接合をなすように構成された内側試行関節接合表面と、
前記人工大腿骨コンポーネントの外側顆表面と関節接合をなすように構成された外側試行関節接合表面と、
を備える、実施態様11に記載の膝蓋骨ドリルガイド及び試行器具。
(13) 想像線が、前記前方表面を前記内側/外側方向に二等分し、
前記中心スパイク及び前記いくつかの周縁スパイクのそれぞれの中心が、前記想像線の内側に位置決めされる、実施態様11に記載の膝蓋骨ドリルガイド及び試行器具。
(14) 前記いくつかの周縁スパイクが、上スパイク及び下スパイクを含み、
前記上スパイクの中心が、前記上/下想像線の上方に位置決めされ、
前記下スパイクの中心が、前記上/下想像線の下方に位置決めされる、実施態様11に記載の膝蓋骨ドリルガイド及び試行器具。
(15) 内側/外側想像線が、前記前方表面を前記内側/外側方向に二等分し、
前記中心スパイク、上スパイク、及び下スパイクのいずれの中心も、前記内側/外側想像線の内側に位置決めされる、実施態様11に記載の膝蓋骨ドリルガイド及び試行器具。
(17) 前記後方試行軸受表面と前記前方表面との間に位置決めされた接続スロットを更に備え、前記接続スロットが、前記膝蓋骨ドリルガイド及び試行器具を取り外し可能な締め具に固定するように、前記取り外し可能な締め具の接続舌部を受容するように構成される、実施態様11に記載の膝蓋骨ドリルガイド及び試行器具。
(18) 前記後方試行軸受表面及び前記前方表面が、モノリシック本体を構成する、実施態様11に記載の膝蓋骨ドリルガイド及び試行器具。
(19) 前記後方試行軸受表面及び前記前方表面が、モノリシックポリマー本体を構成し、前記いくつかのドリルガイド穴のそれぞれに挿入された金属スリーブを更に備える、実施態様11に記載の膝蓋骨ドリルガイド及び試行器具。
Claims (9)
- 膝蓋骨ドリルガイド及び試行器具であって、
人工大腿骨コンポーネントの顆表面と関節接合をなすように構成された後方試行軸受表面であって、前記膝蓋骨ドリルガイド及び試行器具の最後方表面を画定する湾曲したピーク表面を備える、後方試行軸受表面と、
前方表面であって、そこから外側に延在するいくつかのスパイクを有する、前方表面と、
前記膝蓋骨ドリルガイド及び試行器具を通じて前記後方試行軸受表面から前記前方表面に延在する、いくつかのドリルガイド穴と、
を備え、
前記後方試行軸受表面と前記前方表面との間に位置決めされた接続スロットを更に備え、前記接続スロットが、前記膝蓋骨ドリルガイド及び試行器具を取り外し可能な締め具に固定するように、前記取り外し可能な締め具の接続舌部を受容するように構成される、膝蓋骨ドリルガイド及び試行器具。 - 前記後方試行軸受表面が、
人工大腿骨コンポーネントの内側顆表面と関節接合をなすように構成された内側試行関節接合表面と、
前記人工大腿骨コンポーネントの外側顆表面と関節接合をなすように構成された外側試行関節接合表面と、
を備える、請求項1に記載の膝蓋骨ドリルガイド及び試行器具。 - 想像線が、前記前方表面を内側/外側方向に二等分し、
前記いくつかのスパイクのそれぞれの中心が、前記想像線の内側に位置決めされる、請求項1に記載の膝蓋骨ドリルガイド及び試行器具。 - 前記いくつかのスパイクが、中心スパイク、上スパイク、及び下スパイクを含み、
上/下想像線が、前記前方表面を上/下方向に二等分し、
前記中心スパイクの中心が、前記上/下想像線上に位置し、
前記上スパイクの中心が、前記上/下想像線の上方に位置決めされ、
前記下スパイクの中心が、前記上/下想像線の下方に位置決めされる、請求項1に記載の膝蓋骨ドリルガイド及び試行器具。 - 前記中心スパイクが、前記上スパイク及び前記下スパイクより長い、請求項4に記載の膝蓋骨ドリルガイド及び試行器具。
- 内側/外側想像線が、前記前方表面を内側/外側方向に二等分し、
前記中心スパイク、上スパイク、及び下スパイクのそれぞれの中心が、前記内側/外側想像線の内側に位置決めされる、請求項5に記載の膝蓋骨ドリルガイド及び試行器具。 - 前記いくつかのドリルガイド穴が、座ぐり穴である、請求項1に記載の膝蓋骨ドリルガイド及び試行器具。
- 前記後方試行軸受表面及び前記前方表面が、モノリシック本体を構成する、請求項1に記載の膝蓋骨ドリルガイド及び試行器具。
- 前記後方試行軸受表面及び前記前方表面が、モノリシックポリマー本体を構成し、前記いくつかのドリルガイド穴のそれぞれに挿入された金属スリーブを更に備える、請求項1に記載の膝蓋骨ドリルガイド及び試行器具。
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US13/630,951 US9554813B2 (en) | 2012-09-28 | 2012-09-28 | Patella drill guide and trial surgical instrument |
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JP2013201509A Active JP6324693B2 (ja) | 2012-09-28 | 2013-09-27 | 人工膝蓋骨コンポーネントを埋め込むための整形外科用手術器具アセンブリ |
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EP2815727A1 (en) | 2014-12-24 |
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AU2018204204B2 (en) | 2019-11-07 |
AU2013234367A1 (en) | 2014-04-17 |
US9855065B2 (en) | 2018-01-02 |
CN103705293A (zh) | 2014-04-09 |
JP2014076353A (ja) | 2014-05-01 |
CN103705288A (zh) | 2014-04-09 |
AU2018204092A1 (en) | 2018-06-28 |
US20140094813A1 (en) | 2014-04-03 |
US20140094819A1 (en) | 2014-04-03 |
AU2018204204A1 (en) | 2018-07-05 |
US20140094820A1 (en) | 2014-04-03 |
EP2712588A1 (en) | 2014-04-02 |
CN103705293B (zh) | 2017-08-01 |
US9700330B2 (en) | 2017-07-11 |
AU2013234369A1 (en) | 2014-04-17 |
US9554813B2 (en) | 2017-01-31 |
JP2014069082A (ja) | 2014-04-21 |
AU2018204092B2 (en) | 2019-12-05 |
EP2712588B1 (en) | 2015-03-25 |
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R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
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R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |