JP6760953B2 - 椎弓形成術用スペーサ - Google Patents
椎弓形成術用スペーサ Download PDFInfo
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- JP6760953B2 JP6760953B2 JP2017545512A JP2017545512A JP6760953B2 JP 6760953 B2 JP6760953 B2 JP 6760953B2 JP 2017545512 A JP2017545512 A JP 2017545512A JP 2017545512 A JP2017545512 A JP 2017545512A JP 6760953 B2 JP6760953 B2 JP 6760953B2
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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
-
- 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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
-
- 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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
-
- 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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7044—Screws or hooks combined with longitudinal elements which do not contact vertebrae also having plates, staples or washers bearing on the vertebrae
-
- 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
- A61B17/7071—Implants for expanding or repairing the vertebral arch or wedged between laminae or pedicles; 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8023—Variable length plates adjustable in both directions
-
- 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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/02—Inorganic materials
- A61L27/04—Metals or alloys
- A61L27/06—Titanium or titanium alloys
-
- 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8004—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
- A61B17/8009—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones the plate having a ratchet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2430/00—Materials or treatment for tissue regeneration
- A61L2430/38—Materials or treatment for tissue regeneration for reconstruction of the spine, vertebrae or intervertebral discs
Description
また、下部拡張結合部は、固定部の固定板に所定角度で延長形成されて下側面にラチェットが陽刻形成されたラチェット片と、ラチェット片の下側面に形成されて上部拡張結合部が挿入及びガイドされるようにするガイド空間を提供するガイド腰部体と、及びガイド腰部体の下側面に貫通形成されてガイド腰部体に挿入される上部拡張結合部の挿脱を防止する固定バーが貫通される結合孔を含むことが望ましい。
Claims (8)
- 切開された頚椎1の椎弓板10のうち上部椎弓板11の切開面11aが安着支持されるようにした状態で上部椎弓板11に固定される第1スペーサ100であって、拡張孔133を有する上部拡張結合部130を備える前記第1スペーサ100と、
前記切開された頚椎1の椎弓板10のうち下部椎弓板12の切開面12aが接触支持されるように下部椎弓板12に固定される第2スペーサ200であって、結合孔223を有する下部拡張結合部220を備える前記第2スペーサ200と、
前記拡張孔133および前記結合孔223の両方に挿入されている固定バー300であって、前記拡張孔133内での移動時にも前記結合孔223内で固定されているように挿入されている固定バー300を含んで、
第1スペーサ100と第2スペーサ200は、相互間長さが拡張可能な状態を有して前記固定バー300によって相互間分離されない結合状態を有することを特徴とする椎弓形成術用スペーサ。 - 第1スペーサ100は、
上部椎弓板11の上側面に接触された状態でスクリューが貫通された後上部椎弓板11に植立されることを通じて上部椎弓板11に固定される固定部110と、
固定部110に垂直するように構成されて上部椎弓板11の切開面11aが安着支持されるようにする安着部120と、及び
固定部110と安着部120の連結部位から延長形成されて第2スペーサ200に拡張可能な状態で結合される前記上部拡張結合部130を含むことを特徴とする請求項1に記載の椎弓形成術用スペーサ。 - 安着部120は、
固定部110の固定板112から所定角度を有しながら折曲延長されて上部椎弓板11の切開面11aが安着支持されるようにする安着用シェルフ(shelf)121と、
安着用シェルフ121の端部から所定角度を有しながら延長されて上部椎弓板11の下側面一部を支持する支持用フランジ122を含むことを特徴とする請求項2に記載の椎弓形成術用スペーサ。 - 上部拡張結合部130は、
固定板112から所定角度で折曲されるように延長形成されて上側面に複数個のラチェット131aが一定間隔で陰刻形成されたラチェット片131と、
ラチェット片131の下側面に形成されるガイドブロック132と、及び
ラチェット片131とガイドブロック132に貫通された状態で長さ方向に楕円形状を有しながら形成される拡張孔133を含むことを特徴とする請求項2に記載の椎弓形成術用スペーサ。 - 第2スペーサ200は、下部椎弓板12の上側面に接触された状態でスクリューが貫通された後下部椎弓板12に植立されることを通じて下部椎弓板12に固定される固定部210と、
固定部210から所定角度を有しながら延長形成されて第1スペーサ100の上部拡張結合部130に拡張可能な状態で結合される前記下部拡張結合部220と、及び
下部拡張結合部220に形成されて下部椎弓板12の切開面12aが接触支持されるようにする接触部230を含むことを特徴とする請求項2に記載の椎弓形成術用スペーサ。 - 下部拡張結合部220は、
固定部210の固定板211に所定角度で延長形成されて下側面にラチェット221aが陽刻形成されたラチェット片221と、
ラチェット片221の下側面側に形成されて上部拡張結合部130が挿入及びガイドされるようにするガイド空間222aを提供するガイド腰部体222と、及び
ガイド腰部体222に下側面に貫通形成されてガイド腰部体222に挿入される上部拡張結合部130の挿脱を防止する固定バー300が貫通される結合孔223を含むことを特徴とする請求項5に記載の椎弓形成術用スペーサ。 - 接触部230は、
固定板211に垂直な角度を有するようにガイド腰部体222に形成されて下部椎弓板12の切開面12aが接触支持されるようにする接触面231を含むことを特徴とする請求項6に記載の椎弓形成術用スペーサ。 - 前記上部拡張結合部130は、
固定板112から所定角度で折曲されるように延長形成されて上側面に複数個のラチェット131aが一定間隔で陰刻形成されたラチェット片131と、
ラチェット片131の下側面に形成されるガイドブロック132と、及び
ラチェット片131とガイドブロック132に貫通された状態で長さ方向に楕円形状を有しながら形成される拡張孔133を含み、
固定バー300は、
下部拡張結合部220の結合孔223下側部から結合孔223に貫通され、その一端がガイド腰部体222のガイド空間222aに挿入された上部拡張結合部130のガイドブロック132とラチェット片131の拡張孔133に位置された状態で他端が結合孔223に強制嵌めまたは溶接結合されたことを特徴とする請求項6に記載の椎弓形成術用スペーサ。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
KR10-2014-0159814 | 2014-11-17 | ||
KR1020140159814A KR101651591B1 (ko) | 2014-11-17 | 2014-11-17 | 후궁성형술용 스페이서 |
PCT/KR2015/011129 WO2016080661A1 (ko) | 2014-11-17 | 2015-10-21 | 후궁성형술용 스페이서 |
Publications (2)
Publication Number | Publication Date |
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JP2017534430A JP2017534430A (ja) | 2017-11-24 |
JP6760953B2 true JP6760953B2 (ja) | 2020-09-23 |
Family
ID=56014146
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2017545512A Active JP6760953B2 (ja) | 2014-11-17 | 2015-10-21 | 椎弓形成術用スペーサ |
Country Status (6)
Country | Link |
---|---|
US (1) | US20170311994A1 (ja) |
EP (1) | EP3222230A4 (ja) |
JP (1) | JP6760953B2 (ja) |
KR (1) | KR101651591B1 (ja) |
CN (1) | CN107106216A (ja) |
WO (1) | WO2016080661A1 (ja) |
Families Citing this family (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107684455A (zh) * | 2017-09-25 | 2018-02-13 | 苏州优贝特医疗器械有限公司 | 一种可调锁定型金属接骨板系统 |
CN107693170A (zh) * | 2017-09-30 | 2018-02-16 | 北京爱康宜诚医疗器材有限公司 | 椎板假体 |
CN108056806B (zh) * | 2017-12-19 | 2023-11-14 | 杨晋才 | 一种椎体钢板 |
KR102107606B1 (ko) * | 2018-04-30 | 2020-05-07 | 가톨릭대학교 산학협력단 | 삽입 각도 조절이 가능한 사측방 경유 추간체 유합술용 임플란트 케이지 |
USD958990S1 (en) * | 2018-06-29 | 2022-07-26 | Choice Spine, Llc | Laminoplasty spacer |
CN109142036B (zh) * | 2018-10-19 | 2020-11-06 | 浙江德康医疗器械有限公司 | 一种椎板固定板系统静态压缩弯曲试验方法 |
KR102176240B1 (ko) * | 2020-02-20 | 2020-11-09 | 가톨릭대학교 산학협력단 | 삽입 각도 조절이 가능한 사측방 경유 추간체 유합술용 임플란트 케이지 |
KR102362366B1 (ko) | 2021-07-29 | 2022-02-14 | (주)메디쎄이 | 환자 맞춤형 후궁성형술용 후궁 절단부 벌림 유지장치 |
Family Cites Families (21)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6126660A (en) * | 1998-07-29 | 2000-10-03 | Sofamor Danek Holdings, Inc. | Spinal compression and distraction devices and surgical methods |
CA2443425C (en) * | 2001-06-04 | 2009-09-15 | Gary Karlin Michelson | Dynamic anterior cervical plate system having moveable segments and instrumentation therefor |
US20030125738A1 (en) * | 2002-01-03 | 2003-07-03 | Khanna Rohit Kumar | Laminoplasty with laminar stabilization method and system |
US9480503B2 (en) * | 2002-01-03 | 2016-11-01 | Rohit Khanna | Universal laminoplasty implant |
US9101422B2 (en) * | 2002-02-01 | 2015-08-11 | Zimmer Spine, Inc. | Spinal plate system for stabilizing a portion of a spine |
US8105366B2 (en) * | 2002-05-30 | 2012-01-31 | Warsaw Orthopedic, Inc. | Laminoplasty plate with flanges |
WO2005041752A2 (en) * | 2003-10-20 | 2005-05-12 | Blackstone Medical, Inc. | Bone plate and method for using bone plate |
US7264620B2 (en) * | 2004-06-04 | 2007-09-04 | Depuy Spine, Inc. | Variable laminoplasty implant |
JP4819871B2 (ja) * | 2005-03-29 | 2011-11-24 | ブラックストーン メディカル,インコーポレイティド | 骨プレートと骨プレート使用方法 |
US7749256B2 (en) * | 2005-04-05 | 2010-07-06 | Warsaw Orthopedic, Inc. | Ratcheting fixation plate |
US7638861B2 (en) * | 2005-12-08 | 2009-12-29 | Fairchild Semiconductor Corporation | Flip chip MLP with conductive ink |
US8926664B1 (en) * | 2006-11-07 | 2015-01-06 | Globus Medical, Inc. | Laminoplasty fixaction devices |
US20100057127A1 (en) * | 2008-08-26 | 2010-03-04 | Mcguire Brian | Expandable Laminoplasty Fixation System |
US8470003B2 (en) * | 2009-10-30 | 2013-06-25 | DePuy Synthes Products, LLC | Laminoplasty plates and methods of expanding the spinal canal |
US8636774B2 (en) * | 2010-12-17 | 2014-01-28 | Spinal Usa, Inc. | Spinal implant apparatuses and methods of implanting and using same |
US9095387B2 (en) * | 2011-04-13 | 2015-08-04 | Globus Medical, Inc. | Spine stabilization |
US10226284B2 (en) * | 2011-09-01 | 2019-03-12 | Globus Medical, Inc. | Laminoplasty plates, systems, and devices, and methods relating to the same |
KR101300760B1 (ko) * | 2011-09-21 | 2013-08-29 | (주) 서한케어 | 후궁성형술용 스페이서 및 후궁성형술용 임플란트 |
US8562681B2 (en) * | 2012-01-31 | 2013-10-22 | Styker Spine | Laminoplasty implant, method and instrumentation |
US9295387B2 (en) * | 2013-04-03 | 2016-03-29 | Kabushiki Kaisha Topcon | Ophthalmologic apparatus |
CN104287818B (zh) * | 2014-10-29 | 2017-04-19 | 刘忠军 | 一种长度可调的椎板 |
-
2014
- 2014-11-17 KR KR1020140159814A patent/KR101651591B1/ko active IP Right Grant
-
2015
- 2015-10-21 CN CN201580062247.9A patent/CN107106216A/zh active Pending
- 2015-10-21 JP JP2017545512A patent/JP6760953B2/ja active Active
- 2015-10-21 EP EP15860544.4A patent/EP3222230A4/en not_active Withdrawn
- 2015-10-21 WO PCT/KR2015/011129 patent/WO2016080661A1/ko active Application Filing
- 2015-10-21 US US15/523,018 patent/US20170311994A1/en not_active Abandoned
Also Published As
Publication number | Publication date |
---|---|
WO2016080661A1 (ko) | 2016-05-26 |
EP3222230A4 (en) | 2018-07-25 |
EP3222230A1 (en) | 2017-09-27 |
CN107106216A (zh) | 2017-08-29 |
KR20160059014A (ko) | 2016-05-26 |
US20170311994A1 (en) | 2017-11-02 |
KR101651591B1 (ko) | 2016-08-30 |
JP2017534430A (ja) | 2017-11-24 |
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