JP6431031B2 - 背骨固定のための装置およびその使用方法 - Google Patents
背骨固定のための装置およびその使用方法 Download PDFInfo
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- JP6431031B2 JP6431031B2 JP2016500490A JP2016500490A JP6431031B2 JP 6431031 B2 JP6431031 B2 JP 6431031B2 JP 2016500490 A JP2016500490 A JP 2016500490A JP 2016500490 A JP2016500490 A JP 2016500490A JP 6431031 B2 JP6431031 B2 JP 6431031B2
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- Prior art keywords
- band
- bone
- fastener
- flexible
- anchor
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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
- A61B17/7068—Devices comprising separate rigid parts, assembled in situ, to bear on each side of spinous processes; 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
- A61B17/70—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)
- Neurology (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
本願は、同日出願の「Flexible Elongate Member with a Portion to Receive a Bone Anchor」と題された米国特許出願番号第29/448,946号に関連する。
4 脊椎骨
4A 第1の脊椎
4B 第2の脊椎
6 椎間板
8 本体
10 アーチ
12 椎弓根
14 薄板
16 棘状突起
16A 関節突起
16B 関節突起
18 横突起
20 上突起
22 下関節突起
24 面
26 面
28 面関節
30 横断面
32 正面
140 フレキシブルな先細本体
145 本体部分
148 末端部分
150 アタッチメントコネクション
180 アンカ
185 ファスナ
240 フレキシブルな先細本体
245 本体部分
247 ギアラック
248 末端部分
250 ファスナ部材
262 ラチェット
264 ギア
266 ラチェット
340 フレキシブルな先細本体
345 本体部分
348 末端部分
350 ファスナメカニズム
351 第1の刻み
352 第2の刻み
354 スペーサ
356 第1の側壁
358 第2の側壁
359 チャネル
362 ラチェット
366 ルーメン
380 アンカ
385 ファスナ
440 バンド
445 本体部分
447 ギアラック
448 末端部分
450 ファスナメカニズム
454 スペーサ
462 ラチェット
464 ギア
466 ルーメン
480 アンカ部分
482 開口部
485 ファスナ
540 バンド
545 本体部分
547 ギアラック
548 末端部分
550 ファスナメカニズム
554 スペーサ
562 ラチェット
564 ギア
566 ルーメン
580 アンカ部分
582 開口部
585 ファスナ
640 バンド
645 本体部分
650 ファスナメカニズム
654 スペーサ
659 ルーメン
X1 領域
X2 領域
X3 領域
X4 領域
Claims (16)
- 末端部分と、線形本体部分と、前記末端部分を受容するように構成されたアタッチメントコネクションと、を含むフレキシブルな線形先細本体であって、前記アタッチメントコネクションは、前記末端部分及び/又は前記線形本体部分が第1の方向において前記アタッチメントコネクションを通じて進むこと、及び、前記第1の方向と反対側の第2の方向において、前記末端部分及び/又は前記線形本体部分の移動を制限することを可能にするように構成され、前記線形本体部分が前記アタッチメントコネクションと前記末端部分との間に延在する、フレキシブルな線形先細本体と、
ファスナを受容するように構成された開口部を備えるアンカであって、前記ファスナは、前記フレキシブルな線形先細本体を、前記アンカを介して第1の骨部分へ固定するように構成された、アンカと、
を備え、
前記フレキシブルな線形先細本体の前記線形本体部分が、第1の骨部分と接触して、および第2の骨部分と接触して配置されている場合、前記アタッチメントコネクションは、前記フレキシブルな線形先細本体の前記末端部分を受容するように構成された、装置。 - 前記アンカは、前記フレキシブルな線形先細本体と一体的に形成された側面突出部である、請求項1に記載の装置。
- 前記アンカは、前記フレキシブルな線形先細本体から分離して形成され、前記フレキシブルな線形先細本体の前記線形本体部分の周囲に配置されるように構成される、請求項1に記載の装置。
- 前記ファスナはステープルである、請求項1に記載の装置。
- 前記第1の骨部分の形状を相補するように形作られた第1の面を有するインプラントをさらに備え、
前記インプラントは、前記第2の骨部分の形状を相補するように形作られた第2の面を有し、
前記インプラントは、前記第1の面の縁から、前記第2の面の縁へ延びる第3の面を有し、前記第3の面は、前記フレキシブルな線形先細本体の前記線形本体部分が前記第1の骨部分に沿って滑ることを阻止するように構成された障壁を有する、請求項1に記載の装置。 - ファスナと、
前記ファスナを受容するように構成された、事前形成された開口部を備えるインターフェース部分を有するフレキシブルバンドと、
を備えるキットであって、
前記フレキシブルバンドは、末端部分と、本体部分と、前記末端部分を受容するように構成されたアタッチメントコネクションと、を含み、
前記末端部分、前記本体部分、及び前記アタッチメントコネクションは長手方向軸に沿って同軸上にあり、
前記アタッチメントコネクションは、前記末端部分及び/又は前記本体部分が第1の方向において前記アタッチメントコネクションを通じて進むこと、及び、前記第1の方向と反対側の第2の方向において、前記末端部分及び/又は前記本体部分の移動を制限することを可能にするように構成され、
前記ファスナは、前記開口部を通じて進められた場合に、前記フレキシブルバンドを第1の骨部分へつなぎ留めるように構成される、キット。 - 前記ファスナはボルトである、請求項6に記載のキット。
- 前記本体部分は、前記アタッチメントコネクションと一体的に形成される、請求項6に記載のキット。
- 前記フレキシブルバンドは、前記インターフェース部分を含む側面突出部を含む、請求項6に記載のキット。
- 前記第1の骨部分に対する前記フレキシブルバンドの一部分の移動を制限するように構成された突出部を有するインプラントをさらに備える、請求項6に記載のキット。
- 前記第1の骨部分の形状を相補するように形作られた第1の面を有するインプラントをさらに備え、
前記インプラントは、第2の骨部分の形状を相補するように形作られた第2の面を有し、
前記インプラントは、前記第1の面の縁から、前記第2の面の縁へ延びるチャネルを有し、
前記チャネルは、前記フレキシブルバンドの少なくとも一部を受容するように構成された、請求項6に記載のキット。 - 前記アンカは、前記フレキシブルな線形先細本体の側面から延びる側面突出部である、請求項1に記載の装置。
- 前記フレキシブルな線形先細本体は、長方形の断面形状を備える、請求項1に記載の装置。
- 第1の側壁および第2の側壁を備えるスペーサをさらに備え、
前記第1の側壁及び前記第2の側壁は、チャネルをそれぞれ規定するように構成されており、前記チャネルは、前記フレキシブルな線形先細本体の一部を受容することができる、請求項1に記載の装置。 - 前記線形本体部分は、ギアラックを備える、請求項1に記載の装置。
- 前記アタッチメントコネクションは、ラチェットを備え、
前記ラチェットは、前記線形本体部分を前記第1の方向に前記アタッチメントコネクションを通じて移動させることを可能にし、前記第1の方向と反対側の第2の方向において前記線形本体部分の移動を制限する、請求項15に記載の装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/804,407 US9820784B2 (en) | 2013-03-14 | 2013-03-14 | Apparatus for spinal fixation and methods of use |
US13/804,407 | 2013-03-14 | ||
PCT/US2014/019302 WO2014158690A2 (en) | 2013-03-14 | 2014-02-28 | Apparatus for spinal fixation and methods of use |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2016510668A JP2016510668A (ja) | 2016-04-11 |
JP2016510668A5 JP2016510668A5 (ja) | 2017-03-16 |
JP6431031B2 true JP6431031B2 (ja) | 2018-11-28 |
Family
ID=51531118
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016500490A Active JP6431031B2 (ja) | 2013-03-14 | 2014-02-28 | 背骨固定のための装置およびその使用方法 |
Country Status (6)
Country | Link |
---|---|
US (3) | US9820784B2 (ja) |
EP (2) | EP2967681B1 (ja) |
JP (1) | JP6431031B2 (ja) |
AU (3) | AU2014241989B2 (ja) |
CA (1) | CA2903999C (ja) |
WO (1) | WO2014158690A2 (ja) |
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WO2014158690A2 (en) | 2014-10-02 |
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AU2021202409A1 (en) | 2021-05-20 |
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JP2016510668A (ja) | 2016-04-11 |
EP2967681B1 (en) | 2022-08-10 |
EP4129221A1 (en) | 2023-02-08 |
WO2014158690A3 (en) | 2015-07-16 |
US20140277142A1 (en) | 2014-09-18 |
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Free format text: JAPANESE INTERMEDIATE CODE: R250 |