JP6908594B2 - 外科的開創のための装置及びシステム - Google Patents
外科的開創のための装置及びシステム Download PDFInfo
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- JP6908594B2 JP6908594B2 JP2018508732A JP2018508732A JP6908594B2 JP 6908594 B2 JP6908594 B2 JP 6908594B2 JP 2018508732 A JP2018508732 A JP 2018508732A JP 2018508732 A JP2018508732 A JP 2018508732A JP 6908594 B2 JP6908594 B2 JP 6908594B2
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- retractor
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
-
- 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
- A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
- A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
- A61B17/7077—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for moving bone anchors attached to vertebrae, thereby displacing the vertebrae
- A61B17/708—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for moving bone anchors attached to vertebrae, thereby displacing the vertebrae with tubular extensions coaxially mounted on the bone anchors
-
- 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
- A61B17/0206—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements
-
- 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
- A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
- A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
- A61B17/7082—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws
-
- 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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts 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
- A61B17/70—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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8605—Heads, i.e. proximal ends projecting from bone
-
- 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
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Neurology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
Claims (18)
- 開創器本体と、
前記開創器本体に係合するように構成された近位端、及び軟組織を開創するように構成された遠位端を有する少なくとも1つの開創器ブレードと、
前記開創器ブレードの前記遠位端に取り外し可能に接続可能なヘッド部、及び骨に係合するように構成されたシャフト部を有する少なくとも1つの椎弓根スクリューと、
延長部、外側球状部、及び前記外側球状部内に回転可能に受容された内側球状部を有する少なくとも1つのシムであって、前記延長部が、前記開創器ブレードに係合するように構成され、前記内側球状部が、側方でのローディングによって前記少なくとも1つの椎弓根スクリューの前記ヘッド部を横方向に受容するように構成され、前記内側球状部が、前記少なくとも1つの椎弓根スクリューの前記ヘッド部を前記少なくとも1つのシム内で保持するために係止解除位置から係止位置に回転する、シムと、を備える開創器アセンブリ。 - 前記延長部が、前記開創器ブレード上の少なくとも1つの対応するレールに摺動可能に係合するように構成された少なくとも1つのレールを含む、請求項1に記載の開創器アセンブリ。
- 前記延長部が、前記少なくとも1つの開創器ブレードの一方の端部または両端部を取り囲むように構成された少なくとも1つの縁を含む、請求項1に記載の開創器アセンブリ。
- 前記少なくとも1つの開創器ブレードが、前記少なくとも1つの開創器ブレードの少なくとも一部に沿って画定された1つ以上の溝を有する概ね湾曲した内側部を含み、前記1つ以上の溝が、前記少なくとも1つのシムの前記延長部の1つ以上の対応する舌部に摺動可能に係合されるように構成される、請求項1に記載の開創器アセンブリ。
- 前記内側球状部の頂部が、前記外側球状部の開口を通して延び、前記頂部が、前記内側球状部を前記係止解除位置から前記係止位置に回転させるために、ドライバによって係合されるように構成される、請求項1に記載の開創器アセンブリ。
- 前記外側球状部及び前記内側球状部が、位置合わせされると、前記椎弓根スクリューが前記シムの中に前記椎弓根スクリューの縦軸に対して側方でローディングされることを可能にする開口を各々含む、請求項1に記載の開創器アセンブリ。
- 前記少なくとも1つの椎弓根スクリューが、前記少なくとも1つのシムの中で多軸方向に回転するように構成される、請求項1に記載の開創器アセンブリ。
- ドライバをさらに備え、前記ドライバが、前記少なくとも1つのシムの前記延長部上の前記少なくとも1つのレールに係合するように構成された少なくとも1つのトラックを含む、請求項1に記載の開創器アセンブリ。
- 開創器本体に係合するように構成された近位端及び、軟組織を開創するように構成された遠位端を有する開創器ブレードと、
前記開創器ブレードの前記遠位端に取り外し可能に接続可能なヘッド部、及び骨に係合するように構成されたシャフト部を有するスクリューと、
延長部及び接続部を有するシムであって、前記延長部が、前記開創器ブレードに係合するように構成され、前記接続部が、側方でのローディングによって前記スクリューの少なくとも一部を前記スクリューの縦軸に対して横方向に受容するように構成され、前記接続部が、前記スクリューを前記シム内で保持するために係止解除位置から係止位置に可動である、シムと、を備える、開創器ブレードアセンブリ。 - 前記延長部が、前記開創器ブレード上の少なくとも1つの対応するレールに摺動可能に係合するように構成された少なくとも1つのレールを含む、請求項9に記載の開創器ブレードアセンブリ。
- 前記延長部が、前記開創器ブレードの一方の端部または両端部を取り囲むように構成された少なくとも1つの縁を含む、請求項9に記載の開創器ブレードアセンブリ。
- 前記開創器ブレードが、前記開創器ブレードの少なくとも一部に沿って画定された1つ以上の溝を有する概ね湾曲した内側部を含み、前記1つ以上の溝が、前記シムの前記延長部の1つ以上の対応する舌部に摺動可能に係合されるように構成される、請求項9に記載の開創器ブレードアセンブリ。
- 前記接続部が、前記開創器ブレードに対して回転するように構成される、請求項9に記載の開創器ブレードアセンブリ。
- 前記シムが、前記シムの長さに沿って長手方向に延びる細長スロットを含む、請求項9に記載の開創器ブレードアセンブリ。
- 前記接続部が、前記スクリューの前記ヘッド部を少なくとも部分的に取り囲むように構成された少なくとも部分的リングを含む、請求項9に記載の開創器ブレードアセンブリ。
- 前記接続部が、外側球状部及び内側球状部を含み、前記内側球状部の頂部が、前記外側球状部の開口を通して延び、前記頂部が、前記内側球状部を前記係止解除位置から前記係止位置に回転させるために、ドライバによって係合されるように構成される、請求項9に記載の開創器ブレードアセンブリ。
- 前記スクリューが、前記シムの中に側方でローディングされる、請求項9に記載の開創器ブレードアセンブリ。
- 1つ以上の係止部が、前記開創器ブレードの一方または両方の外縁に沿って位置付けられ、前記シムが摺動して前記開創器ブレードから外れることを阻止する、請求項9に記載の開創器ブレードアセンブリ。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US14/828,695 | 2015-08-18 | ||
US14/828,695 US9700293B2 (en) | 2015-08-18 | 2015-08-18 | Devices and systems for surgical retraction |
PCT/US2016/047505 WO2017031287A1 (en) | 2015-08-18 | 2016-08-18 | Devices and systems for surgical retraction |
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JP2018527075A JP2018527075A (ja) | 2018-09-20 |
JP6908594B2 true JP6908594B2 (ja) | 2021-07-28 |
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JP2018508732A Active JP6908594B2 (ja) | 2015-08-18 | 2016-08-18 | 外科的開創のための装置及びシステム |
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US (3) | US9700293B2 (ja) |
EP (1) | EP3337406B1 (ja) |
JP (1) | JP6908594B2 (ja) |
WO (1) | WO2017031287A1 (ja) |
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US20170265850A1 (en) | 2017-09-21 |
EP3337406A1 (en) | 2018-06-27 |
WO2017031287A1 (en) | 2017-02-23 |
JP2018527075A (ja) | 2018-09-20 |
EP3337406A4 (en) | 2018-08-01 |
US9700293B2 (en) | 2017-07-11 |
EP3337406B1 (en) | 2019-03-27 |
US20170049428A1 (en) | 2017-02-23 |
US20190000438A1 (en) | 2019-01-03 |
US10603026B2 (en) | 2020-03-31 |
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