JP6684823B2 - 脊椎インプラントシステム及び使用方法 - Google Patents
脊椎インプラントシステム及び使用方法 Download PDFInfo
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- JP6684823B2 JP6684823B2 JP2017553069A JP2017553069A JP6684823B2 JP 6684823 B2 JP6684823 B2 JP 6684823B2 JP 2017553069 A JP2017553069 A JP 2017553069A JP 2017553069 A JP2017553069 A JP 2017553069A JP 6684823 B2 JP6684823 B2 JP 6684823B2
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- vertebral
- screw
- cage
- spinal implant
- fastener
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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
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30772—Apertures or holes, e.g. of circular cross section
- A61F2002/30784—Plurality of holes
- A61F2002/30787—Plurality of holes inclined obliquely with respect to each other
-
- 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
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30772—Apertures or holes, e.g. of circular cross section
- A61F2002/3079—Stepped or enlarged apertures, e.g. having discrete diameter changes
-
- 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
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30904—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves serrated profile, i.e. saw-toothed
-
- 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
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2002/3093—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth for promoting ingrowth of bone tissue
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
12、12a 椎体間ケージ
13 本体
14 前面
16 後面
18、20 椎骨係合面
22 面
29a 前方窓
30 スロット
32 骨ねじ
34 ねじの切られた部分
36 クラウン
40 軸方向スロット
44 ねじの切られた部分
50 球状頭部
52 シャフト
54 係合部分
56 手術器械
60 壁
62、64 面
66 フランジ
70 エクステンダー椎弓根ねじ
112 椎体間ケージ
130a、130b スロット
140a、140b スロット
212 椎体間ケージ
221 歯
229 室
230、230a 球関節部
231 延長された室
312 椎体間ケージ
314 前面
316 後面
318、320 面
330、340 スロット
412 椎体間ケージ
430a、430b、440a、440b スロット
512 椎体間ケージ
514 前面
516 後面
518、520 面
530、540 スロット
550 球関節部
560 プレート
562、564 プレートの一部分
566 開口部
570 ステップボルトねじ
572 頭部
574 柱部
576 ナット
A1 身体の前方部分
P1 身体の後方部分
V 椎骨
C2、C3、L3、L4、L5、S1 椎骨レベル
E1、E2 終板
I 手術器械
A2、A3 スロットの軸
C、D 回転方向
α、α2 角度方位
β1、β2 角度範囲、軸方位
Claims (9)
- 第1の椎骨係合面及び第2の椎骨係合面を含んでいて、前記第1の椎骨係合面が前記第2の椎骨係合面に対して選択された角度方位に配置されている本体であって、
当該本体は少なくとも1つの開口部を画定している、本体と、
前記少なくとも1つの開口部に配置されている少なくとも1つの締結具であって、
当該少なくとも1つの締結具は、前記本体と係合可能であり、当該少なくとも1つの締結具が前記本体に対して複数の軸方位へ動けるようになっている第1の構成と当該少なくとも1つの締結具が前記本体に対して固定されている第2の構成の間で椎骨組織に固定される、少なくとも1つの締結具と、
前記本体へ接続されている前方プレートとを備え、
前記前方プレートは、当該前方プレートと係合できるようになっていて前記本体に対して複数の軸方位へ動けるようになっている第1の構成と前記本体に対して固定されている第2の構成との間で前記本体に固定されるねじ、を介して前記本体へ接続されている脊椎インプラント。 - 前記少なくとも1つの締結具は、前記椎骨組織からの当該少なくとも1つの締結具のバックアウトを食い止める及び/又は防止するように前記本体と係合される、請求項1に記載の脊椎インプラント。
- 前記少なくとも1つの締結具は、前記第1の構成では前記少なくとも1つの開口部内で回転できるようになっている球状頭部を含んでいる、請求項1に記載の脊椎インプラント。
- 前記少なくとも1つの開口部は軸方向スロットを備えている、請求項1に記載の脊椎インプラント。
- 前記本体は前記軸方向スロットを画定している面を含んでおり、前記本体の前記面は前記椎骨組織からの前記少なくとも1つの締結具のバックアウトを食い止める及び/又は防止するように当該少なくとも1つの締結具に係合する、請求項4に記載の脊椎インプラント。
- 前記少なくとも1つの開口部に配置されていて前記少なくとも1つの締結具を支持するように構成されているクラウン、を更に備えている請求項1に記載の脊椎インプラント。
- 前記クラウンは、前記本体に固定されるねじの切られた面を含んでいて、前記少なくとも1つの締結具と滑動可能に係合できるようになっている、請求項6に記載の脊椎インプラント。
- 前記少なくとも1つの開口部は軸を画定しており、前記少なくとも1つの締結具は前記軸に対する0度から25度の範囲内での前記複数の軸方位へ動けるようになっている、請求項1に記載の脊椎インプラント。
- 前面と後面の間を延びていて、第1の椎骨係合面及び第2の椎骨係合面を含み、前記第1の椎骨係合面が前記第2の椎骨係合面に対して1つ又はそれ以上の椎骨の分節前弯を実現するための選択された角度方位に配置されている本体であって、
椎間板空間を画定している第1の椎骨面と整列して配置される第1の開口部と、椎間板空間を画定している第2の椎骨面と整列して配置される第2の開口部と、を画定している本体と、
前記第1の開口部に配置される頭部と、前記第1の椎骨面に定着されるように構成されているねじの切られたシャフトと、を含む第1の複軸骨ねじ、及び
前記第2の開口部に配置される頭部と、前記第2の椎骨面に定着されるように構成されているねじの切られたシャフトと、を含む第2の複軸骨ねじ、であって、
当該ねじの各々は、当該ねじが前記本体に対して複数の軸方位へ動けるようになっている第1の構成と当該ねじが前記本体に対して固定されている第2の構成の間で、前記本体と係合できるようになっている、第1及び第2の複軸骨ねじと、
前記本体へ接続されている前方プレートとを備え、
前記前方プレートは、当該前方プレートと係合できるようになっていて前記本体に対して複数の軸方位へ動けるようになっている第1の構成と前記本体に対して固定されている第2の構成の間で前記本体に固定されるねじ、を介して前記本体へ接続されている椎体間ケージ。
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US14/692,463 | 2015-04-21 | ||
US14/692,463 US9901461B2 (en) | 2015-04-21 | 2015-04-21 | Spinal implant system and method of use |
PCT/US2016/026171 WO2016171906A1 (en) | 2015-04-21 | 2016-04-06 | Spinal implant system and method of use |
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JP2018516620A JP2018516620A (ja) | 2018-06-28 |
JP6684823B2 true JP6684823B2 (ja) | 2020-04-22 |
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US (2) | US9901461B2 (ja) |
EP (1) | EP3285666B1 (ja) |
JP (1) | JP6684823B2 (ja) |
CN (1) | CN107530112A (ja) |
WO (1) | WO2016171906A1 (ja) |
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-
2015
- 2015-04-21 US US14/692,463 patent/US9901461B2/en active Active
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2016
- 2016-04-06 WO PCT/US2016/026171 patent/WO2016171906A1/en active Application Filing
- 2016-04-06 JP JP2017553069A patent/JP6684823B2/ja active Active
- 2016-04-06 CN CN201680022149.7A patent/CN107530112A/zh active Pending
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WO2016171906A1 (en) | 2016-10-27 |
EP3285666A4 (en) | 2019-01-02 |
EP3285666A1 (en) | 2018-02-28 |
US9901461B2 (en) | 2018-02-27 |
US20160310289A1 (en) | 2016-10-27 |
JP2018516620A (ja) | 2018-06-28 |
US10327914B2 (en) | 2019-06-25 |
CN107530112A (zh) | 2018-01-02 |
EP3285666B1 (en) | 2022-06-01 |
US20180000608A1 (en) | 2018-01-04 |
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