JP6751949B2 - 動的靭帯バランシングシステム - Google Patents

動的靭帯バランシングシステム Download PDF

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Publication number
JP6751949B2
JP6751949B2 JP2018556967A JP2018556967A JP6751949B2 JP 6751949 B2 JP6751949 B2 JP 6751949B2 JP 2018556967 A JP2018556967 A JP 2018556967A JP 2018556967 A JP2018556967 A JP 2018556967A JP 6751949 B2 JP6751949 B2 JP 6751949B2
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JP
Japan
Prior art keywords
prosthesis
knee
heights
platform
tension
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
JP2018556967A
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English (en)
Japanese (ja)
Other versions
JP2019519268A (ja
JP2019519268A5 (enExample
Inventor
パスジクスニエク,トーマス
Original Assignee
メドフィット ベラタングス−ウンド ベタイリグンスゲス.エム.ビー.エイチ
メドフィット ベラタングス−ウンド ベタイリグンスゲス.エム.ビー.エイチ
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Application filed by メドフィット ベラタングス−ウンド ベタイリグンスゲス.エム.ビー.エイチ, メドフィット ベラタングス−ウンド ベタイリグンスゲス.エム.ビー.エイチ filed Critical メドフィット ベラタングス−ウンド ベタイリグンスゲス.エム.ビー.エイチ
Publication of JP2019519268A publication Critical patent/JP2019519268A/ja
Publication of JP2019519268A5 publication Critical patent/JP2019519268A5/ja
Application granted granted Critical
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Expired - Fee Related legal-status Critical Current
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools for implanting artificial joints
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025Joint distractors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1121Determining geometric values, e.g. centre of rotation or angular range of movement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4538Evaluating a particular part of the muscoloskeletal system or a particular medical condition
    • A61B5/4585Evaluating the knee
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4851Prosthesis assessment or monitoring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient; User input means
    • A61B5/742Details of notification to user or communication with user or patient; User input means using visual displays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/06Measuring instruments not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025Joint distractors
    • A61B2017/0268Joint distractors for the knee
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools for implanting artificial joints
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4666Measuring instruments used for implanting artificial joints for measuring force, pressure or mechanical tension
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools for implanting artificial joints
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4668Measuring instruments used for implanting artificial joints for measuring angles

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Transplantation (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Vascular Medicine (AREA)
  • Dentistry (AREA)
  • Cardiology (AREA)
  • Rheumatology (AREA)
  • Geometry (AREA)
  • Physiology (AREA)
  • Robotics (AREA)
  • Prostheses (AREA)
  • Force Measurement Appropriate To Specific Purposes (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
JP2018556967A 2016-04-28 2017-04-26 動的靭帯バランシングシステム Expired - Fee Related JP6751949B2 (ja)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
PCT/AT2016/000043 WO2017185108A2 (de) 2016-04-28 2016-04-28 Dynamic ligament balancing system (dlb)
US15/403,624 US10722385B2 (en) 2016-04-28 2017-01-11 Dynamic ligament balancing system
US15/403,624 2017-01-11
PCT/IB2017/001037 WO2017195046A2 (en) 2016-04-28 2017-04-26 Dynamic ligament balancing system

Publications (3)

Publication Number Publication Date
JP2019519268A JP2019519268A (ja) 2019-07-11
JP2019519268A5 JP2019519268A5 (enExample) 2020-05-28
JP6751949B2 true JP6751949B2 (ja) 2020-09-09

Family

ID=60157297

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2018556967A Expired - Fee Related JP6751949B2 (ja) 2016-04-28 2017-04-26 動的靭帯バランシングシステム

Country Status (11)

Country Link
US (2) US10722385B2 (enExample)
EP (1) EP3448267B1 (enExample)
JP (1) JP6751949B2 (enExample)
KR (1) KR102502593B1 (enExample)
AU (1) AU2017263178B2 (enExample)
BR (1) BR112018072115B1 (enExample)
CA (1) CA3022330A1 (enExample)
IL (1) IL262618B (enExample)
MX (1) MX2018013226A (enExample)
WO (2) WO2017185108A2 (enExample)
ZA (1) ZA201807873B (enExample)

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US11229489B2 (en) 2016-06-16 2022-01-25 Zimmer, Inc. Soft tissue balancing in articular surgery
US11185425B2 (en) 2016-12-22 2021-11-30 Orthosensor Inc. Surgical tensor configured to distribute loading through at least two pivot points
US11129605B2 (en) 2016-12-22 2021-09-28 Orthosensor Inc. Surgical apparatus to support installation of a prosthetic component and method therefore
US11291437B2 (en) 2016-12-22 2022-04-05 Orthosensor Inc. Tilting surgical tensor to support at least one bone cut
US11266512B2 (en) 2016-12-22 2022-03-08 Orthosensor Inc. Surgical apparatus to support installation of a prosthetic component and method therefore
US11284873B2 (en) 2016-12-22 2022-03-29 Orthosensor Inc. Surgical tensor where each distraction mechanism is supported and aligned by at least two guide shafts
JP7214665B2 (ja) * 2017-03-07 2023-01-30 ディーエスビー・シーオー・ピーティーワイ・リミテッド 手術装置
CN107802382A (zh) * 2017-11-23 2018-03-16 吴小玲 全膝关节置换术中膝关节平衡检测系统及其平衡判别方法
WO2019115744A1 (en) * 2017-12-15 2019-06-20 Depuy Ireland Unlimited Company A knee balancing instrument
KR20200130691A (ko) * 2018-03-07 2020-11-19 미트 엔트비크룽스 게엠베하 환자 특정 관절성형 시스템
US11000382B1 (en) 2018-11-15 2021-05-11 Little Engine, LLC Apparatus and method for joint characterization and treatment
US10772617B2 (en) * 2018-11-15 2020-09-15 Little Engine, LLC Knee flexion and extension gap tensioning and measuring apparatus
US20210145458A1 (en) 2019-11-19 2021-05-20 Thomas Paszicsnyek Three-dimensional orientation system and method for orthopedic surgery
US20210228377A1 (en) 2020-01-29 2021-07-29 Howmedica Osteonics Corp. Load Sensor Balancer Instruments
WO2021158972A1 (en) * 2020-02-07 2021-08-12 New York Society For The Relief Of The Ruptured And Crippled, Maintaining The Hospital For Special Surgery System and method for quantifying gap assessment examination
AU2021369671A1 (en) 2020-10-30 2023-06-15 Mako Surgical Corp. Robotic surgical system with slingshot prevention
USD1044829S1 (en) 2021-07-29 2024-10-01 Mako Surgical Corp. Display screen or portion thereof with graphical user interface
US11612421B1 (en) 2021-09-20 2023-03-28 Little Engine, LLC Tensioner-balancer for knee joint
US20230329876A1 (en) * 2022-04-15 2023-10-19 Exactech, Inc. Mechanical ligament balancing devices, kits, and methods
US11839550B1 (en) 2022-06-07 2023-12-12 Little Engine, LLC Machine learning based joint evaluation method
US11612503B1 (en) 2022-06-07 2023-03-28 Little Engine, LLC Joint soft tissue evaluation method
US11642118B1 (en) * 2022-06-07 2023-05-09 Little Engine, LLC Knee tensioner-balancer and method
CN116553433B (zh) * 2023-04-25 2025-10-03 诺力智能装备股份有限公司 搬运车、装载物装载到位判断方法、装载物初始装载判断方法、装载物信息识别方法及搬运车控制装置
US12485025B2 (en) 2023-09-04 2025-12-02 Jae S. Son Devices and methods for use during knee replacement surgery
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US12303405B2 (en) 2023-11-01 2025-05-20 Dynamic Balancer Systems Llc Knee arthroplasty method

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Also Published As

Publication number Publication date
IL262618B (en) 2020-09-30
CA3022330A1 (en) 2017-11-16
JP2019519268A (ja) 2019-07-11
MX2018013226A (es) 2019-04-22
WO2017185108A2 (de) 2017-11-02
AU2017263178A1 (en) 2018-12-13
KR102502593B1 (ko) 2023-02-23
US20200375760A1 (en) 2020-12-03
WO2017195046A2 (en) 2017-11-16
BR112018072115B1 (pt) 2023-02-07
ZA201807873B (en) 2020-05-27
IL262618A (en) 2018-12-31
EP3448267A2 (en) 2019-03-06
US20170312099A1 (en) 2017-11-02
US10722385B2 (en) 2020-07-28
AU2017263178B2 (en) 2020-11-12
WO2017185108A3 (de) 2018-01-25
EP3448267B1 (en) 2021-06-02
KR20190004723A (ko) 2019-01-14
BR112018072115A2 (pt) 2019-02-12
WO2017195046A3 (en) 2018-01-04

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