JP6328819B2 - 股関節手術中にピン配置を決定するための方法及び装置 - Google Patents
股関節手術中にピン配置を決定するための方法及び装置 Download PDFInfo
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- JP6328819B2 JP6328819B2 JP2017081344A JP2017081344A JP6328819B2 JP 6328819 B2 JP6328819 B2 JP 6328819B2 JP 2017081344 A JP2017081344 A JP 2017081344A JP 2017081344 A JP2017081344 A JP 2017081344A JP 6328819 B2 JP6328819 B2 JP 6328819B2
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- femoral head
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Classifications
-
- 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
-
- 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
- A61B17/1664—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 hip
- A61B17/1666—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 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
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—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 hip
- A61B17/1668—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 hip for the upper femur
-
- 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
- A61B17/14—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
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
-
- 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
Description
102 モールド
104 大腿骨頭
106 独特な輪郭を描く表面
108 アンカーピン
110 ピン配置開口
112 開口
114 大腿骨頚
116 スロット又はガイド
118 アンカーピン
Claims (20)
- 大腿骨頭におけるピン配置を決定するための装置であって、
前記大腿骨頭の形状を示すデータから形成されたモールドを備え、
該モールドは、前記大腿骨頭に適合する起伏を有する接触表面を含み、
前記モールドは、第1の開口を画定することを特徴とする装置。 - 前記起伏を有する接触表面は、ただ1つの所定の位置で、前記大腿骨頭の露出した部分に適合されることを特徴とする請求項1に記載の装置。
- 前記起伏を有する接触表面は、前記第1の開口が大腿骨頚と一直線とされた大腿骨頭における軸と実質的に位置合わせされるように、ただ1つの所定の位置で、前記大腿骨頭の露出した部分にフィットするように適合されることを特徴とする請求項1に記載の装置。
- 前記モールドは、切断装置のためのガイドを画定し、
前記ガイドは、前記大腿骨頭内への切り込みのための角度及び位置を画定するように、前記大腿骨頭と位置合わせされていることを特徴とする請求項1に記載の装置。 - 第1のピンを前記大腿骨頭に前記モールドを固定するように位置付けるための第2の開口をさらに画定していることを特徴とする請求項1に記載の装置。
- 第2のピンを前記大腿骨頭に前記モールドを固定するように位置付けるための第3の開口を画定していることを特徴とする請求項5に記載の装置。
- 前記モールドは少なくとも部分的にプラスチックからなることを特徴とする請求項1に記載の装置。
- 前記第1の開口は、前記大腿骨頭に孔をあけるためのドリルを受け入れるように構成されていることを特徴とする請求項1に記載の装置。
- 大腿骨頭に関する外科的手技をガイドするための装置であって、
ただ1つの所定の位置で特定の患者の大腿骨頭の一部に合うように構成された少なくとも1つの起伏を有する接触表面を含むモールドと、
前記モールドが前記ただ1つの所定の位置にあるときに、前記特定の患者の前記大腿骨頚と一直線になる前記大腿骨頭における軸と一直線に前記モールドを貫通して延びる第1の開口と、
を備える装置。 - 前記モールドは切断装置のためのガイドを画定し、
前記起伏を有する接触表面は、前記ガイドが前記特定の患者の前記大腿骨頭と実質的に位置合わせされて前記大腿骨頭内への切り込みのための角度及び位置を画定するように、前記ただ1つの所定の位置で前記大腿骨頭の露出した部分にフィットするように構成されていることを特徴とする請求項9に記載の装置。 - 前記起伏を有する接触表面は、前記大腿骨頭の少なくとも反対側に接触することによって、前記ただ1つの所定の位置において前記特定の患者の大腿骨頭の前記一部に合うように構成されていることを特徴とする請求項9に記載の装置。
- 大腿骨頭の表面置換を容易化するための装置であって、
前記大腿骨頭の少なくとも反対側に接触することによって、ただ1つの所定の位置において特定の患者の大腿骨頭の一部に合うように構成された少なくとも1つの起伏を有する接触表面を含むモールドであって、該モールドが第1の開口を画定する、モールドと、
前記第1の開口中に挿入するためのガイドピンであって、前記ガイドピンが骨表面置換器具をガイドするように構成されている、ガイドピンと、
を備える、装置。 - 前記起伏を有する接触表面は、前記第1の開口が大腿骨頚の軸と略平行に延びるように、前記ただ1つの所定の位置において前記特定の患者の大腿骨頭の位置に合うように構成されていることを特徴とする請求項12に記載の装置。
- 前記少なくとも1つの起伏を有する接触表面は、略上方に面する部分を含むことを特徴とする請求項12に記載の装置。
- 前記少なくとも1つの起伏を有する接触表面は、略前方に面する部分を含むことを特徴とする請求項14に記載の装置。
- 前記少なくとも1つの起伏を有する接触表面は、前記特定の患者の大腿骨頭の前方に面する面、後方に面する面、上方に面する面、下方に面する面、及び内側に面する面のうちの2つ以上に合うように構成されていることを特徴とする請求項12に記載の装置。
- 前記少なくとも1つの起伏を有する接触表面は、前記特定の患者の大腿骨頭の前方に面する面、後方に面する面、上方に面する面、下方に面する面、及び内側に面する面のうちの3つ以上に合うように構成されていることを特徴とする請求項16に記載の装置。
- 前記モールドは切断装置のためのガイドを画定し、該ガイドは、前記大腿骨頭内への切り込みのための角度及び位置を画定するように、前記大腿骨頭に位置合わせされていることを特徴とする請求項12に記載の装置。
- 前記モールドを前記大腿骨頭に固定するように第1のピンを位置決めするための第2の開口をさらに画定することを特徴とする請求項12に記載の装置。
- 前記モールドを前記大腿骨頭に固定するように第2のピンを位置決めするための第3の開口をさらに備えることを特徴とする請求項19に記載の装置。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
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US94913507P | 2007-07-11 | 2007-07-11 | |
US60/949,135 | 2007-07-11 | ||
US99087207P | 2007-11-28 | 2007-11-28 | |
US60/990,872 | 2007-11-28 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2015236603A Division JP2016028788A (ja) | 2007-07-11 | 2015-12-03 | 股関節手術中にピン配置を決定するための方法及び装置 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2017127674A JP2017127674A (ja) | 2017-07-27 |
JP6328819B2 true JP6328819B2 (ja) | 2018-05-23 |
Family
ID=40229058
Family Applications (4)
Application Number | Title | Priority Date | Filing Date |
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JP2010516241A Expired - Fee Related JP5755445B2 (ja) | 2007-07-11 | 2008-07-10 | 股関節手術中にピン配置を決定するための方法及び装置 |
JP2013231865A Expired - Fee Related JP6040361B2 (ja) | 2007-07-11 | 2013-11-08 | 股関節手術中にピン配置を決定するための方法及び装置 |
JP2015236603A Pending JP2016028788A (ja) | 2007-07-11 | 2015-12-03 | 股関節手術中にピン配置を決定するための方法及び装置 |
JP2017081344A Expired - Fee Related JP6328819B2 (ja) | 2007-07-11 | 2017-04-17 | 股関節手術中にピン配置を決定するための方法及び装置 |
Family Applications Before (3)
Application Number | Title | Priority Date | Filing Date |
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JP2010516241A Expired - Fee Related JP5755445B2 (ja) | 2007-07-11 | 2008-07-10 | 股関節手術中にピン配置を決定するための方法及び装置 |
JP2013231865A Expired - Fee Related JP6040361B2 (ja) | 2007-07-11 | 2013-11-08 | 股関節手術中にピン配置を決定するための方法及び装置 |
JP2015236603A Pending JP2016028788A (ja) | 2007-07-11 | 2015-12-03 | 股関節手術中にピン配置を決定するための方法及び装置 |
Country Status (8)
Country | Link |
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US (3) | US8882780B2 (ja) |
EP (2) | EP2182893B1 (ja) |
JP (4) | JP5755445B2 (ja) |
CN (2) | CN101854885B (ja) |
AU (1) | AU2008275015B2 (ja) |
CA (1) | CA2692889A1 (ja) |
ES (1) | ES2662643T3 (ja) |
WO (1) | WO2009009660A1 (ja) |
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CN101854885B (zh) | 2016-09-14 |
CN101854885A (zh) | 2010-10-06 |
JP2010533043A (ja) | 2010-10-21 |
JP2016028788A (ja) | 2016-03-03 |
JP2017127674A (ja) | 2017-07-27 |
JP6040361B2 (ja) | 2016-12-07 |
ES2662643T3 (es) | 2018-04-09 |
EP2182893A1 (en) | 2010-05-12 |
EP3363412B1 (en) | 2022-07-06 |
JP2014061415A (ja) | 2014-04-10 |
AU2008275015B2 (en) | 2014-08-14 |
AU2008275015A1 (en) | 2009-01-15 |
US8882780B2 (en) | 2014-11-11 |
US8998916B2 (en) | 2015-04-07 |
CN106214215A (zh) | 2016-12-14 |
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