JP6833736B2 - 拡張式インプラント - Google Patents
拡張式インプラント Download PDFInfo
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- JP6833736B2 JP6833736B2 JP2017568019A JP2017568019A JP6833736B2 JP 6833736 B2 JP6833736 B2 JP 6833736B2 JP 2017568019 A JP2017568019 A JP 2017568019A JP 2017568019 A JP2017568019 A JP 2017568019A JP 6833736 B2 JP6833736 B2 JP 6833736B2
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- 239000007943 implant Substances 0.000 title claims description 234
- 230000007246 mechanism Effects 0.000 claims description 153
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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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
-
- 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
- A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
- A61F2/447—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
- A61F2002/3055—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting length
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
- A61F2002/30556—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting thickness
-
- 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
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
- A61F2002/443—Intervertebral or spinal discs, e.g. resilient made of articulated components having two transversal endplates and at least one intermediate component
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
- A61F2250/0008—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting a position by translation along an axis or two perpendicular axes
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Description
(1) インプラントであって、
端部部材、及び第1の枢軸を中心にして前記端部部材に枢動可能に連結されている中間部材、を備えるフレームと、
前記第1の枢軸に実質的に垂直な第2の枢軸を中心にして前記フレームに枢動可能に連結された第1の椎骨接触部材であって、第1の椎骨に係合するように構成された面を画定している、第1の椎骨接触部材と、
前記フレームに連結された第2の椎骨接触部材であって、第2の椎骨と係合するように構成された面を画定している、第2の椎骨接触部材と、を備え、
前記フレームが、1)前記第1の枢軸を中心にして前記端部部材に対して前記中間部材を枢動させることによって、前記第2の枢軸に実質的に平行である方向に対して、前記第1の椎骨接触部材と前記第2の椎骨接触部材との間の幅が変化し、かつ、2)前記フレームに対して前記第2の枢軸を中心にして前記第1の椎骨接触部材を枢動させることにより、前記第1の枢軸に実質的に平行である方向に対して、前記第1の椎骨接触部材と前記第2の椎骨接触部材との間の高さが変化する、ように構成されている、インプラント。
(2) 前記第2の椎骨接触部材が、前記第2の枢軸に実質的に平行である第3の枢軸を中心にして前記フレームに枢動可能に連結され、前記フレームは、前記第2の椎骨接触部材を前記フレームに対して前記第3の枢軸を中心にして枢動させることにより、前記第1の枢軸に実質的に平行である前記方向に対して前記第1の椎骨接触部材と前記第2の椎骨接触部材との間の前記高さが変化するように構成されている、実施態様1に記載のインプラント。
(3) 前記端部部材は第1の端部部材であり、前記中間部材は第1の中間部材であり、前記フレームは、第2の端部部材、及び前記第1の枢軸に実質的に平行である第4の枢軸を中心にして前記第2の端部部材に枢動可能に連結されている第2の中間部材、を備え、前記フレームは、前記第4の枢軸を中心にして前記第2の端部部材に対して前記第2の中間部材を枢動させることにより、前記第1の枢軸に実質的に平行である前記方向に対して、前記第1の椎骨接触部材と前記第2の椎骨接触部材との間の前記幅が変化するように構成されている、実施態様2に記載のインプラント。
(4) 前記第1の椎骨接触部材は、第1の椎骨接触構成要素と、前記第2の枢軸に実質的に平行である前記方向に対して前記第1の椎骨接触構成要素から分離されている第2の椎骨接触構成要素と、を備え、前記第1の椎骨接触構成要素は、前記第2の枢軸を中心にして前記フレームに枢動可能に連結され、前記第2の椎骨接触構成要素は、前記第2の枢軸に実質的に平行である第5の枢軸を中心にして前記フレームに枢動可能に連結されており、前記フレームが、1)前記第2の枢軸を中心にして前記フレームに対して前記第1の椎骨接触構成要素を枢動させることにより、前記第1の枢軸に実質的に平行である前記方向に対して前記第1の椎骨接触構成要素と前記第2の椎骨接触部材との間の第1の高さが変化し、2)前記第5の枢軸を中心にして前記フレームに対して前記第2の椎骨接触構成要素を枢動させることにより、前記第1の枢軸に実質的に平行である前記方向に対して前記第2の椎骨接触構成要素と前記第2の椎骨接触部材との間の第2の高さが変化する、ように構成されている、実施態様3に記載のインプラント。
(5) 前記第1の高さが前記第2の高さに等しい、実施態様4に記載のインプラント。
(7) 前記第1の高さが前記第2の高さとは異なる、実施態様6に記載のインプラント。
(8) 前記第1の枢軸を中心にして前記第1の端部部材に枢動可能に連結され、前記第1の枢軸に実質的に平行である第7の枢軸を中心にして前記第1の中間部材に枢動可能に連結されている第1の連結機構と、
前記第2の枢軸を中心にして前記第1の中間部材に枢動可能に連結され、前記第2の枢軸に実質的に平行である第8の枢軸を中心にして前記第1の椎骨接触部材に枢動可能に連結されている、第2の連結機構と、
前記第3の枢軸を中心にして前記第1の中間部材に枢動可能に連結され、前記第3の枢軸に実質的に平行である第9の枢軸を中心にして前記第2の椎骨接触部材に枢動可能に連結されている、第3の連結機構と、
前記第4の枢軸を中心にして前記第2の端部部材に枢動可能に連結され、前記第4の枢軸に実質的に平行である第10の枢軸を中心にして前記第2の中間部材に枢動可能に連結されている、第4の連結機構と、
前記第5の枢軸を中心にして前記第2の中間部材に枢動可能に連結され、前記第5の枢軸に実質的に平行である第11の枢軸を中心にして前記第1の椎骨接触部材に枢動可能に連結されている、第5の連結機構と、
前記第6の枢軸を中心にして前記第2の中間部材に枢動可能に連結され、前記第6の枢軸に実質的に平行である第12の枢軸を中心にして前記第2の椎骨接触部材に枢動可能に連結されている、第6の連結機構と、を更に備える、実施態様6に記載のインプラント。
(9) 前記第1の中間部材は、第1の中間構成要素と、前記第2の枢軸に実質的に平行である前記方向に沿って、前記第1の中間構成要素から分離された第2の中間構成要素と、を備え、前記第2の中間部材は、第1の中間構成要素と、前記第2の枢軸に実質的に平行である前記方向に沿って前記第2の中間部材の前記第1の中間構成要素から分離された第2の中間構成要素と、を備える、実施態様8に記載のインプラント。
(10) 前記第1の連結機構は、1)前記第1の枢軸を中心にして、前記第1の端部部材に枢動可能に連結され、かつ2)前記第7の枢軸を中心にして、前記第1の中間部材の前記第1の中間構成要素に枢動可能に連結されている、第1の連結部を備え、
前記第2の連結機構は、1)前記第2の枢軸を中心にして、前記第1の中間部材の前記第1の中間構成要素に枢動可能に連結され、かつ、2)前記第8の枢軸を中心にして、前記第1の椎骨接触部材の前記第1の椎骨接触構成要素に枢動可能に連結されている、第1の連結部を備え、
前記第3の連結機構は、1)前記第3の枢軸を中心にして、前記第2の中間部材の前記第1の中間構成要素に枢動可能に連結され、かつ2)前記第9の枢軸を中心にして、前記第2の椎骨接触部材の前記第1の椎骨接触構成要素に枢動可能に連結されている、第1の連結部を備え、
前記第4の連結機構は、1)前記第4の枢軸を中心にして、前記第2の端部部材に枢動可能に連結され、かつ2)前記第10の枢軸を中心にして、前記第2の中間部材の前記第1の中間構成要素に枢動可能に連結されている、第1の連結部を備え、
前記第5の連結機構は、1)前記第5の枢軸を中心にして、前記第2の中間部材の前記第1の中間構成要素に枢動可能に連結され、かつ2)前記第11の枢軸を中心にして、前記第1の椎骨接触部材の前記第1の椎骨接触構成要素に枢動可能に連結されている、第1の連結部を備え、
前記第6の連結機構は、1)前記第6の枢軸を中心にして、前記第2の中間部材の前記第1の中間構成要素に枢動可能に連結され、かつ2)前記第12の枢軸を中心にして、前記第2の椎骨接触部材の前記第1の椎骨接触構成要素に枢動可能に連結されている、第1の連結部を備える、実施態様9に記載のインプラント。
前記第2の連結機構は、1)前記第2の枢軸に実質的に平行である第15の枢軸を中心にして、前記第1の中間部材の前記第2の中間構成要素に枢動可能に連結され、かつ2)前記第2の枢軸に実質的に平行である第16の枢軸を中心にして、前記第1の椎骨接触部材の前記第2の椎骨接触構成要素に枢動可能に連結されている、第2の連結部を備え、
前記第3の連結機構は、1)前記第2の枢軸に実質的に平行である第17の枢軸を中心にして、前記第2の中間部材の前記第2の中間構成要素に枢動可能に連結され、かつ、2)前記第2の枢軸に実質的に平行である第18の枢軸を中心にして、前記第2の椎骨接触部材の前記第2の椎骨接触構成要素に枢動可能に連結されている、第2の連結部を備え、
前記第4の連結機構は、1)前記第1の枢軸に実質的に平行である第19の枢軸を中心にして、前記第2の端部部材に枢動可能に連結され、かつ2)前記第1の枢軸に実質的に平行である第20の枢軸を中心にして、前記第2の中間部材の前記第2の中間構成要素に枢動可能に連結されている、第2の連結部を備え、
前記第5の連結機構は、1)前記第2の枢軸に実質的に平行である第21の枢軸を中心にして、前記第2の中間部材の前記第2の中間構成要素に枢動可能に連結され、かつ、2)前記第2の枢軸に実質的に平行である第22の枢軸を中心にして、前記第1の椎骨接触部材の前記第2の椎骨接触構成要素に枢動可能に連結されている、第2の連結部を備え、
前記第6の連結機構は、1)前記第2の枢軸に実質的に平行である第23の枢軸を中心にして、前記第2の中間部材の前記第2の中間構成要素に枢動可能に連結され、かつ2)前記第2の枢軸に実質的に平行である第24の枢軸を中心にして、前記第2の椎骨接触部材の前記第2の椎骨接触構成要素に枢動可能に連結されている、第2の連結部を備える、実施態様10に記載のインプラント。
(12) 前記連結部の各々は、ピンによって前記それぞれの構成要素に枢動可能に連結され、前記枢軸の各々は、前記ピンのうちの1つの中心を通過する、実施態様11に記載のインプラント。
(13) 前記連結部の各々は、弱化部分によって前記それぞれの構成要素に枢動可能に連結されている、実施態様11に記載のインプラント。
(14) アクチュエータを更に備え、前記アクチュエータは、前記アクチュエータの作動が、1)前記第1の枢軸を中心にして前記端部部材に対して前記中間部材を枢動させ、かつ2)前記第2の枢軸を中心にして前記フレームに対して前記第1の椎骨接触部材を枢動させるように構成されている、実施態様1に記載のインプラント。
(15) 前記アクチュエータが、ねじ山付きスクリュであり、前記ねじ山付きスクリュは、前記スクリュの中心軸を中心にして前記スクリュを回転させることによって作動される、実施態様14に記載のインプラント。
(17) インプラントであって、
端部部材、及び第1の枢軸を中心にして前記端部部材に枢動可能に連結されている中間部材、を備えるフレームと、
前記第1の枢軸に実質的に垂直な第2の枢軸を中心にして前記フレームに枢動可能に連結された第1の椎骨接触部材であって、第1の椎骨に係合するように構成された面を画定している、第1の椎骨接触部材と、
前記フレームに連結された第2の椎骨接触部材であって、第2の椎骨と係合するように構成された面を画定している、第2の椎骨接触部材と、を備え、
前記フレームは、1)前記第1の枢軸を中心にして、前記端部部材に対して前記中間部材を枢動させることによって、前記第2の枢軸に実質的に平行な直線に沿って測定された前記第1の椎骨接触部材の幅が変化し、かつ2)前記第2の枢軸を中心にして、前記フレームに対して前記第1の椎骨接触部材を枢動させることにより、前記第1の枢軸に実質的に平行である直線に沿って、前記第1の椎骨接触部材の前記面から前記第2の椎骨接触部材の前記面まで測定された高さが変化するように構成されている、インプラント。
(18) 前記第2の椎骨接触部材は、前記第2の枢軸に実質的に平行である第3の枢軸を中心にして前記フレームに枢動可能に連結され、前記フレームは、前記第3の枢軸を中心にして、前記フレームに対して前記第2の椎骨接触部材を枢動させることによって前記高さが変化するように構成されている、実施態様17に記載のインプラント。
(19) インプラントであって、
第1の椎骨と係合するように構成された面を画定する第1の椎骨接触部材と、
第2の椎骨と係合するように構成された面を画定する第2の椎骨接触部材と、
端部部材、中間部材、前記端部部材及び前記中間部材が互いに対して平行である第1の対の枢軸を中心にして互いに対して枢動可能であるように、前記端部部材を前記中間部材に枢動可能に連結している第1の連結機構、並びに前記中間部材及び前記第1の椎骨接触部材が互いに対して平行であり、かつ前記第1の対の枢軸に対して垂直である第2の対の枢軸を中心にして互いに対して枢動可能であるように、前記中間部材を前記第1の椎骨接触部材に枢動可能に連結している第2の連結機構を含むフレームと、を備え、
前記第1の対の枢軸は、前記第2の対の枢軸に実質的に平行である直線に沿って測定される第1の距離分離れており、前記第2の対の枢軸は、前記第1の対の枢軸に実質的に平行である直線に沿って測定される第2の距離分離れており、前記第1の距離は前記第2の距離よりも長い、インプラント。
(20) 前記端部部材によって画定されている停止面が前記中間部材によって画定されている停止面に当接するまで、前記端部部材が前記中間部材に対して枢動するように作動されるように構成されたアクチュエータを更に備え、
前記インプラントは、前記端部部材によって画定されている前記停止面が前記中間部材によって画定されている前記停止面に当接した後、前記アクチュエータの更なる作動が前記中間部材に対して前記第1の椎骨接触部材を枢動させるように構成されている、実施態様19に記載のインプラント。
Claims (14)
- インプラントであって、
(a)第1の端部部材と、(b)第2の端部部材と、(c)第1の枢軸を中心にして前記第1の端部部材に枢動可能に連結されている第1の連結機構に枢動可能に連結されている第1の中間構成要素と、前記第1の枢軸に実質的に平行である第13の枢軸を中心にして前記第1の端部部材に枢動可能に連結されている前記第1の連結機構に枢動可能に連結され、前記第1の枢軸に実質的に垂直な方向に沿って前記第1の中間構成要素から分離されている第2の中間構成要素と、を有する第1の中間部材と、(d)前記第1の枢軸に実質的に平行である第4の枢軸を中心にして前記第2の端部部材に枢動可能に連結されている第4の連結機構に枢動可能に連結されている第1の中間構成要素と、前記第1の枢軸に実質的に平行である第19の枢軸を中心にして前記第2の端部部材に枢動可能に連結されている前記第4の連結機構に枢動可能に連結され、前記第1の枢軸に実質的に垂直な前記方向に沿って前記第1の中間構成要素から分離されている第2の中間構成要素と、を有する第2の中間部材と、を備えるフレームと、
(a)前記第1の枢軸に実質的に垂直な第2の枢軸を中心にして前記第1の中間部材の前記第1の中間構成要素に枢動可能に連結された第2の連結機構に枢動可能に連結され、かつ、前記第2の枢軸に実質的に平行である第5の枢軸を中心にして前記第2の中間部材の前記第1の中間構成要素に枢動可能に連結された第5の連結機構に枢動可能に連結された第1の椎骨接触構成要素と、(b)前記第2の枢軸に実質的に平行である第15の枢軸を中心にして前記第1の中間部材の前記第2の中間構成要素に枢動可能に連結された前記第2の連結機構に枢動可能に連結され、かつ、前記第2の枢軸に実質的に平行である第21の枢軸を中心にして前記第2の中間部材の前記第2の中間構成要素に枢動可能に連結された前記第5の連結機構に枢動可能に連結され、前記第2の枢軸に実質的に平行である方向に対して前記第1の椎骨接触構成要素から分離されている第2の椎骨接触構成要素と、を有する第1の椎骨接触部材であって、第1の椎骨に係合するように構成された面を画定している、第1の椎骨接触部材と、
(a)前記第2の枢軸に実質的に平行である第3の枢軸を中心にして前記第1の中間部材の前記第1の中間構成要素に枢動可能に連結された第3の連結機構に枢動可能に連結され、かつ、前記第2の枢軸に実質的に平行である第6の枢軸を中心にして前記第2の中間部材の前記第1の中間構成要素に枢動可能に連結された第6の連結機構に枢動可能に連結された第1の椎骨接触構成要素と、(b)前記第2の枢軸に実質的に平行である第17の枢軸を中心にして前記第1の中間部材の前記第2の中間構成要素に枢動可能に連結された前記第3の連結機構に枢動可能に連結され、かつ、前記第2の枢軸に実質的に平行である第23の枢軸を中心にして前記第2の中間部材の前記第2の中間構成要素に枢動可能に連結された前記第6の連結機構に枢動可能に連結され、前記第2の枢軸に実質的に平行である前記方向に対して前記第1の椎骨接触構成要素から分離されている第2の椎骨接触構成要素と、を有する第2の椎骨接触部材であって、第2の椎骨と係合するように構成された面を画定している、第2の椎骨接触部材と、を備え、
前記フレームが、1)前記第1の枢軸および前記第13の枢軸を中心にして前記第1の端部部材に対して前記第1の連結機構を枢動させ、および、前記第4の枢軸および前記第19の枢軸を中心にして前記第2の端部部材に対して前記第4の連結機構を枢動させることによって、前記第2の枢軸に実質的に平行である前記方向に対して、前記第1の椎骨接触部材の前記第1の椎骨接触構成要素と前記第2の椎骨接触構成要素との間の幅および前記第2の椎骨接触部材の前記第1の椎骨接触構成要素と前記第2の椎骨接触構成要素との間の幅が変化し、かつ、2)前記第2の枢軸および前記第15の枢軸を中心にして前記第1の中間部材に対して前記第2の連結機構を枢動させ、前記第3の枢軸および前記第17の枢軸を中心にして前記第1の中間部材に対して前記第3の連結機構を枢動させ、前記第5の枢軸および前記第21の枢軸を中心にして前記第2の中間部材に対して前記第5の連結機構を枢動させ、および、前記第6の枢軸および前記第23の枢軸を中心にして前記第2の中間部材に対して前記第6の連結機構を枢動させることにより、前記第1の枢軸に実質的に平行である方向に対して、前記第1の椎骨接触部材と前記第2の椎骨接触部材との間の高さが変化する、ように構成されている、インプラント。 - 前記フレームが、1)前記第2の枢軸を中心にして前記第1の中間部材の前記第1の中間構成要素に対して前記第2の連結機構を枢動させ、前記第3の枢軸を中心にして前記第1の中間部材の前記第1の中間構成要素に対して前記第3の連結機構を枢動させ、前記第5の枢軸を中心にして前記第2の中間部材の前記第1の中間構成要素に対して前記第5の連結機構を枢動させ、および、前記第6の枢軸を中心にして前記第2の中間部材の前記第1の中間構成要素に対して前記第6の連結機構を枢動させることにより、前記第1の枢軸に実質的に平行である前記方向に対して前記第1の椎骨接触部材の前記第1の椎骨接触構成要素と前記第2の椎骨接触部材の前記第1の椎骨接触構成要素との間の第1の高さが変化し、2)前記第15の枢軸を中心にして前記第1の中間部材の前記第2の中間構成要素に対して前記第2の連結機構を枢動させ、前記第17の枢軸を中心にして前記第1の中間部材の前記第2の中間構成要素に対して前記第3の連結機構を枢動させ、前記第21の枢軸を中心にして前記第2の中間部材の前記第2の中間構成要素に対して前記第5の連結機構を枢動させ、および、前記第23の枢軸を中心にして前記第2の中間部材の前記第2の中間構成要素に対して前記第6の連結機構を枢動させることにより、前記第1の枢軸に実質的に平行である前記方向に対して前記第1の椎骨接触部材の前記第2の椎骨接触構成要素と前記第2の椎骨接触部材の前記第2の椎骨接触構成要素との間の第2の高さが変化する、ように構成されている、請求項1に記載のインプラント。
- 前記第1の高さが前記第2の高さに等しい、請求項2に記載のインプラント。
- 前記第1の高さが前記第2の高さとは異なる、請求項2に記載のインプラント。
- 前記第1の連結機構は、1)前記第1の枢軸を中心にして、前記第1の端部部材に枢動可能に連結され、かつ2)前記第1の枢軸に実質的に平行である第7の枢軸を中心にして、前記第1の中間部材の前記第1の中間構成要素に枢動可能に連結されている、第1の連結部を備え、
前記第2の連結機構は、1)前記第2の枢軸を中心にして、前記第1の中間部材の前記第1の中間構成要素に枢動可能に連結され、かつ2)前記第2の枢軸に実質的に平行である第8の枢軸を中心にして、前記第1の椎骨接触部材の前記第1の椎骨接触構成要素に枢動可能に連結されている、第1の連結部を備え、
前記第3の連結機構は、1)前記第3の枢軸を中心にして、前記第2の中間部材の前記第1の中間構成要素に枢動可能に連結され、かつ2)前記第3の枢軸に実質的に平行である第9の枢軸を中心にして、前記第2の椎骨接触部材の前記第1の椎骨接触構成要素に枢動可能に連結されている、第1の連結部を備え、
前記第4の連結機構は、1)前記第4の枢軸を中心にして、前記第2の端部部材に枢動可能に連結され、かつ2)前記第4の枢軸に実質的に平行である第10の枢軸を中心にして、前記第2の中間部材の前記第1の中間構成要素に枢動可能に連結されている、第1の連結部を備え、
前記第5の連結機構は、1)前記第5の枢軸を中心にして、前記第2の中間部材の前記第1の中間構成要素に枢動可能に連結され、かつ2)前記第5の枢軸に実質的に平行である第11の枢軸を中心にして、前記第1の椎骨接触部材の前記第1の椎骨接触構成要素に枢動可能に連結されている、第1の連結部を備え、
前記第6の連結機構は、1)前記第6の枢軸を中心にして、前記第2の中間部材の前記第1の中間構成要素に枢動可能に連結され、かつ2)前記第6の枢軸に実質的に平行である第12の枢軸を中心にして、前記第2の椎骨接触部材の前記第1の椎骨接触構成要素に枢動可能に連結されている、第1の連結部を備える、請求項1に記載のインプラント。 - 前記第1の連結機構は、1)前記第13の枢軸を中心にして、前記第1の端部部材に枢動可能に連結され、かつ2)前記第1の枢軸に実質的に平行である第14の枢軸を中心にして、前記第1の中間部材の前記第2の中間構成要素に枢動可能に連結されている、第2の連結部を備え、
前記第2の連結機構は、1)前記第15の枢軸を中心にして、前記第1の中間部材の前記第2の中間構成要素に枢動可能に連結され、かつ2)前記第2の枢軸に実質的に平行である第16の枢軸を中心にして、前記第1の椎骨接触部材の前記第2の椎骨接触構成要素に枢動可能に連結されている、第2の連結部を備え、
前記第3の連結機構は、1)前記第17の枢軸を中心にして、前記第2の中間部材の前記第2の中間構成要素に枢動可能に連結され、かつ2)前記第2の枢軸に実質的に平行である第18の枢軸を中心にして、前記第2の椎骨接触部材の前記第2の椎骨接触構成要素に枢動可能に連結されている、第2の連結部を備え、
前記第4の連結機構は、1)前記第19の枢軸を中心にして、前記第2の端部部材に枢動可能に連結され、かつ2)前記第1の枢軸に実質的に平行である第20の枢軸を中心にして、前記第2の中間部材の前記第2の中間構成要素に枢動可能に連結されている、第2の連結部を備え、
前記第5の連結機構は、1)前記第21の枢軸を中心にして、前記第2の中間部材の前記第2の中間構成要素に枢動可能に連結され、かつ2)前記第2の枢軸に実質的に平行である第22の枢軸を中心にして、前記第1の椎骨接触部材の前記第2の椎骨接触構成要素に枢動可能に連結されている、第2の連結部を備え、
前記第6の連結機構は、1)前記第23の枢軸を中心にして、前記第2の中間部材の前記第2の中間構成要素に枢動可能に連結され、かつ2)前記第2の枢軸に実質的に平行である第24の枢軸を中心にして、前記第2の椎骨接触部材の前記第2の椎骨接触構成要素に枢動可能に連結されている、第2の連結部を備える、請求項5に記載のインプラント。 - 前記連結部の各々は、ピンによって前記それぞれの構成要素に枢動可能に連結され、前記枢軸の各々は、前記ピンのうちの1つの中心を通過する、請求項6に記載のインプラント。
- 前記連結部の各々は、弱化部分によって前記それぞれの構成要素に枢動可能に連結されている、請求項6に記載のインプラント。
- アクチュエータを更に備え、前記アクチュエータは、前記アクチュエータの作動が、1)前記第1の枢軸および前記第13の枢軸を中心にして前記第1の端部部材に対して前記第1の連結機構を枢動させ、および、前記第4の枢軸および前記第19の枢軸を中心にして前記第2の端部部材に対して前記第4の連結機構を枢動させ、かつ、2)前記第2の枢軸および前記第15の枢軸を中心にして前記第1の中間部材に対して前記第2の連結機構を枢動させ、前記第3の枢軸および前記第17の枢軸を中心にして前記第1の中間部材に対して前記第3の連結機構を枢動させ、前記第5の枢軸および前記第21の枢軸を中心にして前記第2の中間部材に対して前記第5の連結機構を枢動させ、および、前記第6の枢軸および前記第23の枢軸を中心にして前記第2の中間部材に対して前記第6の連結機構を枢動させるように構成されている、請求項1に記載のインプラント。
- 前記アクチュエータが、ねじ山付きスクリュであり、前記ねじ山付きスクリュは、前記ねじ山付きスクリュの中心軸を中心にして前記ねじ山付きスクリュを回転させることによって作動される、請求項9に記載のインプラント。
- 前記アクチュエータの作動が少なくとも1つの方向で防止されるように、前記アクチュエータと係合するように構成された錠止機構を更に備える、請求項9に記載のインプラント。
- 前記フレームは、1)前記第1の枢軸および前記第13の枢軸を中心にして前記第1の端部部材に対して前記第1の連結機構を枢動させ、および、前記第4の枢軸および前記第19の枢軸を中心にして前記第2の端部部材に対して前記第4の連結機構を枢動させることによって、前記第2の枢軸に実質的に平行な直線に沿って測定された、前記第1の椎骨接触部材の前記第1の椎骨接触構成要素と前記第2の椎骨接触構成要素との間の幅および前記第2の椎骨接触部材の前記第1の椎骨接触構成要素と前記第2の椎骨接触構成要素との間の幅が変化し、かつ2)前記第2の枢軸および前記第15の枢軸を中心にして前記第1の中間部材に対して前記第2の連結機構を枢動させ、前記第3の枢軸および前記第17の枢軸を中心にして前記第1の中間部材に対して前記第3の連結機構を枢動させ、前記第5の枢軸および前記第21の枢軸を中心にして前記第2の中間部材に対して前記第5の連結機構を枢動させ、および、前記第6の枢軸および前記第23の枢軸を中心にして前記第2の中間部材に対して前記第6の連結機構を枢動させることにより、前記第1の枢軸に実質的に平行である直線に沿って、前記第1の椎骨接触部材の前記面から前記第2の椎骨接触部材の前記面まで測定された高さが変化するように構成されている、請求項1に記載のインプラント。
- 前記第1および第13の枢軸、並びに、前記第4および第19の枢軸は、前記第2の枢軸に実質的に平行である直線に沿って測定される第1の距離分離れており、前記第2および第3の枢軸、前記第5および第6の枢軸、前記第15および第17の枢軸、並びに、前記第21および第23の枢軸は、前記第1の枢軸に実質的に平行である直線に沿って測定される第2の距離分離れており、前記第1の距離は前記第2の距離よりも長い、請求項1に記載のインプラント。
- 前記第1の端部部材によって画定されている停止面が前記第1の中間部材の前記第1の中間構成要素および前記第2の中間構成要素によって画定されている停止面に当接するまで、前記第1の端部部材に対して前記第1の連結機構が枢動し、かつ、前記第2の端部部材によって画定されている停止面が前記第2の中間部材の前記第1の中間構成要素および前記第2の中間構成要素によって画定されている停止面に当接するまで、前記第2の端部部材に対して前記第4の連結機構が枢動するように作動されるように構成されたアクチュエータを更に備え、
前記インプラントは、前記第1の端部部材によって画定されている前記停止面が前記第1の中間部材の前記第1の中間構成要素および前記第2の中間構成要素によって画定されている前記停止面に当接し、かつ、前記第2の端部部材によって画定されている停止面が前記第2の中間部材の前記第1の中間構成要素および前記第2の中間構成要素によって画定されている停止面に当接した後、前記アクチュエータの更なる作動が前記第1の中間部材に対して前記第2の連結機構および前記第3の連結機構を枢動させ、かつ、前記第2の中間部材に対して前記第5の連結機構および前記第6の連結機構を枢動させるように構成されている、請求項13に記載のインプラント。
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US14/790,866 US9913727B2 (en) | 2015-07-02 | 2015-07-02 | Expandable implant |
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WO2017004503A1 (en) | 2017-01-05 |
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