JP6845583B2 - 脊椎手術用の装置、所属の案内スリーブ、および案内スリーブを備えるセット - Google Patents
脊椎手術用の装置、所属の案内スリーブ、および案内スリーブを備えるセット Download PDFInfo
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- JP6845583B2 JP6845583B2 JP2018508211A JP2018508211A JP6845583B2 JP 6845583 B2 JP6845583 B2 JP 6845583B2 JP 2018508211 A JP2018508211 A JP 2018508211A JP 2018508211 A JP2018508211 A JP 2018508211A JP 6845583 B2 JP6845583 B2 JP 6845583B2
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- 238000001356 surgical procedure Methods 0.000 title claims description 22
- 230000007704 transition Effects 0.000 claims description 5
- 210000001519 tissue Anatomy 0.000 description 4
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 210000000988 bone and bone Anatomy 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000010339 dilation Effects 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
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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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
-
- 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
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
- A61B2017/0256—Joint distractors for the spine
-
- 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
- A61F2002/30108—Shapes
- A61F2002/3011—Cross-sections or two-dimensional shapes
- A61F2002/30112—Rounded shapes, e.g. with rounded corners
- A61F2002/30125—Rounded shapes, e.g. with rounded corners elliptical or oval
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2002/4687—Mechanical guides for implantation instruments
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Neurology (AREA)
- Transplantation (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Physical Education & Sports Medicine (AREA)
- Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
Claims (19)
- 脊椎手術用の装置であって、
前記装置は、1つの案内スリーブ(3)と、1つの拡張器(4)とを備え、
前記案内スリーブ(3)の内輪郭に対応する外輪郭を有する前記拡張器(4)が前記案内スリーブ(3)内に配置され、前記拡張器(4)を介して前記案内スリーブ(3)はスライドされ、
前記案内スリーブ(3)は非シリンダ状の外套(3.1)を有し、
前記非シリンダ状の外套(3.1)は、前記非シリンダ状の外套(3.1)の長手軸に垂直な断面において互いに対向する2つの長辺(3.3、3.4)と前記2つの長辺(3.3、3.4)を接続する2つの短辺(3.5、3.6)を有し、前記2つの長辺(3.3、3.4)は前記2つの短辺(3.5、3.6)よりも幅が大きく、
前記2つの長辺(3.3、3.4)の一方は平坦であり、もう一方は外方に向かって凸状に湾曲しており、
前記2つの長辺(3.3、3.4)と前記2つの短辺(3.5、3.6)との間の移行部の曲率半径は、3から4.5mmの間である、
ことを特徴とする装置。 - 外に向かって凸状に湾曲している前記長辺(3.3,3.4)の一方は、11から12.5mmの曲率半径(R)を有する、ことを特徴とする請求項1に記載の装置。
- 前記短辺(3.5,3.6)は遠位に、前記長辺(3.3,3.4)を超えて突き出る突起(3.7)を有する、ことを特徴とする請求項1または2に記載の装置。
- 前記突起(3.7)は、前記案内スリーブ(3)の自由端部に向かって先細になっており、前記自由端部において丸められている、ことを特徴とする請求項3に記載の装置。
- 前記短辺(3.5,3.6)は、前記長辺(3.3,3.4)よりも大きな厚さを有し、好ましくは前記長辺(3.3、3.4)の厚さは0.8mmから1.2mmであり、および/または前記短辺(3.5,3.6)の厚さは1.2mmから1.7mm超である、ことを特徴とする請求項1から4のいずれか一項に記載の装置。
- 前記案内スリーブ(3)は、前記案内スリーブ(3)の長手軸に対して垂直に延在する溝(4.2)を、前記案内スリーブ(3)の外側の近位領域の前記短辺(3.5、3.6)に有する、ことを特徴とする請求項1から5のいずれか一項に記載の装置。
- 前記案内スリーブ(3)の外側の近位領域の2つの前記短辺(3.5、3.6)に互いに対向する開口部(3.9)を有する、ことを特徴とする請求項1から6のいずれか一項に記載の装置。
- 請求項1から7のいずれか一項に記載の装置を有する脊椎手術用のセットであって、
前記拡張器(4)の内腔はシリンダ状に構成されている、ことを特徴とするセット。 - 請求項1から7のいずれか一項に記載の装置の一部材としての、脊椎手術用の案内スリーブ(3)において、非シリンダ状の外套(3.1)を特徴とする案内スリーブ。
- 互いに対向する2つの前記長辺(3.3,3.4)は、前記長辺(3.3,3.4)を接続する前記短辺(3.5,3.6)の幅よりも大きい幅を有する、ことを特徴とする請求項9に記載の案内スリーブ。
- 前記長辺(3.3,3.4)の一方は平坦である、ことを特徴とする請求項9または10に記載の案内スリーブ。
- 前記長辺(3.3,3.4)の一方は外に向かって凸状に湾曲しており、11から12.5mmの曲率半径(R)を有する、ことを特徴とする請求項9から11のいずれか一項に記載の案内スリーブ。
- 前記長辺(3.3,3.4)と短辺(3.5,3.6)との間の移行部の曲率半径は、3から4.5mmの間である、ことを特徴とする請求項9から12のいずれか一項に記載の案内スリーブ。
- 前記短辺(3.5,3.6)は遠位に、前記長辺(3.3,3.4)を超えて突き出る前記突起(3.7)を有する、ことを特徴とする請求項9から13のいずれか一項に記載の案内スリーブ。
- 前記突起(3.7)は、前記案内スリーブ(3)の自由端部に向かって先細になっており、前記自由端部において丸められている、ことを特徴とする請求項14に記載の案内スリーブ。
- 前記短辺(3.5,3.6)は、長辺(3.3,3.4)よりも大きな厚さを有し、前記長辺(3.3、3.4)の厚さは0.8mmから1.2mmであり、および/または短辺(3.5,3.6)の厚さは1.2mmから1.7mm超である、ことを特徴とする請求項9から15のいずれか一項に記載の案内スリーブ。
- 前記案内スリーブ(3)は、前記案内スリーブ(3)の長手軸に対して垂直に延在する溝(4.2)を、前記案内スリーブ(3)の外側の近位領域の前記短辺(3.5,3.6)に有する、ことを特徴とする請求項9から16のいずれか一項に記載の案内スリーブ。
- 前記案内スリーブ(3)は、前記案内スリーブ(3)の外側の近位領域の2つの前記短辺(3.5、3.6)に互いに対向する開口部(3.9)を有することを特徴とする、請求項9から17のいずれか一項に記載の案内スリーブ。
- 請求項9から請求項18のいずれか一項に記載の案内スリーブ(3)と、前記案内スリーブ(3)によって位置決めされる椎間ケージ(2)とから成る脊椎手術用のセットにおいて、
前記案内スリーブ(3)の内腔は、前記椎間ケージ(2)の最大断面輪郭に適合されている、ことを特徴とするセット。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102015012171.5A DE102015012171A1 (de) | 2015-09-23 | 2015-09-23 | Führungshülse und Sets mit Führungshülse für Wirbelsäuleneingriffe |
DE102015012171.5 | 2015-09-23 | ||
PCT/EP2016/001342 WO2017050410A1 (de) | 2015-09-23 | 2016-08-04 | Vorrichtung für wirbelsäuleneingriffe, zugehörige führungshülse und set mit führungshülse |
Publications (3)
Publication Number | Publication Date |
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JP2018527986A JP2018527986A (ja) | 2018-09-27 |
JP2018527986A5 JP2018527986A5 (ja) | 2021-01-28 |
JP6845583B2 true JP6845583B2 (ja) | 2021-03-17 |
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Application Number | Title | Priority Date | Filing Date |
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JP2018508211A Active JP6845583B2 (ja) | 2015-09-23 | 2016-08-04 | 脊椎手術用の装置、所属の案内スリーブ、および案内スリーブを備えるセット |
Country Status (8)
Country | Link |
---|---|
US (1) | US10390968B2 (ja) |
EP (1) | EP3352709B1 (ja) |
JP (1) | JP6845583B2 (ja) |
KR (1) | KR20180056644A (ja) |
CN (1) | CN108135708B (ja) |
DE (1) | DE102015012171A1 (ja) |
ES (1) | ES2898549T3 (ja) |
WO (1) | WO2017050410A1 (ja) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
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KR102365883B1 (ko) * | 2020-07-07 | 2022-02-23 | 김현성 | 척추내시경 수술용 보형물 삽입 가이드 장치 |
Family Cites Families (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA2327501A1 (en) * | 1998-04-09 | 1999-10-21 | Sdgi Holdings, Inc. | Method and instrumentation for vertebral interbody fusion |
ES2223801T3 (es) | 2000-02-22 | 2005-03-01 | Sdgi Holdings, Inc. | Instrumentos que sirven para preparar un espacio discal. |
FR2836373B1 (fr) * | 2002-02-26 | 2005-03-25 | Materiel Orthopedique En Abreg | Implants intersomatiques connectables pour l'insertion d'un greffon osseux pour la realisation d'une fusion intervertebrale, instruments pour la connexion de ces implants |
US7083625B2 (en) * | 2002-06-28 | 2006-08-01 | Sdgi Holdings, Inc. | Instruments and techniques for spinal disc space preparation |
US7727279B2 (en) * | 2005-06-03 | 2010-06-01 | Zipnick Richard I | Minimally invasive apparatus to manipulate and revitalize spinal column disc |
US20120143341A1 (en) * | 2006-12-12 | 2012-06-07 | Arthrodisc, L.L.C. | Devices and methods for visual differentiation of intervertebral spaces |
US8025664B2 (en) * | 2006-11-03 | 2011-09-27 | Innovative Spine, Llc | System and method for providing surgical access to a spine |
JP5271281B2 (ja) * | 2007-02-09 | 2013-08-21 | アルファテック スパイン, インコーポレイテッド | 曲線状脊椎アクセス方法およびデバイス |
US9211140B2 (en) * | 2010-11-24 | 2015-12-15 | Kyphon Sarl | Dynamically expandable cannulae and systems and methods for performing percutaneous surgical procedures employing same |
US8518087B2 (en) * | 2011-03-10 | 2013-08-27 | Interventional Spine, Inc. | Method and apparatus for minimally invasive insertion of intervertebral implants |
US8394129B2 (en) * | 2011-03-10 | 2013-03-12 | Interventional Spine, Inc. | Method and apparatus for minimally invasive insertion of intervertebral implants |
US9119732B2 (en) | 2013-03-15 | 2015-09-01 | Orthocision, Inc. | Method and implant system for sacroiliac joint fixation and fusion |
DE102013004964B4 (de) | 2013-03-22 | 2016-11-03 | Joimax Gmbh | Instrumentenset und Verfahren zum Einbringen eines Körbchens in das Bandscheibenfach zwischen zwei Wirbelkörpern |
DE202014003441U1 (de) * | 2013-08-14 | 2014-11-18 | Joimax Gmbh | Zwischenwirbel-Körbchen |
-
2015
- 2015-09-23 DE DE102015012171.5A patent/DE102015012171A1/de not_active Withdrawn
-
2016
- 2016-08-04 KR KR1020187007050A patent/KR20180056644A/ko not_active Application Discontinuation
- 2016-08-04 WO PCT/EP2016/001342 patent/WO2017050410A1/de unknown
- 2016-08-04 ES ES16753246T patent/ES2898549T3/es active Active
- 2016-08-04 EP EP16753246.4A patent/EP3352709B1/de active Active
- 2016-08-04 JP JP2018508211A patent/JP6845583B2/ja active Active
- 2016-08-04 US US15/761,625 patent/US10390968B2/en active Active
- 2016-08-04 CN CN201680055219.9A patent/CN108135708B/zh active Active
Also Published As
Publication number | Publication date |
---|---|
EP3352709A1 (de) | 2018-08-01 |
ES2898549T3 (es) | 2022-03-07 |
WO2017050410A1 (de) | 2017-03-30 |
CN108135708B (zh) | 2020-11-03 |
US10390968B2 (en) | 2019-08-27 |
EP3352709B1 (de) | 2021-09-29 |
DE102015012171A1 (de) | 2017-03-23 |
KR20180056644A (ko) | 2018-05-29 |
US20180344480A1 (en) | 2018-12-06 |
JP2018527986A (ja) | 2018-09-27 |
CN108135708A (zh) | 2018-06-08 |
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