JP7023877B2 - 拡張可能かつ角度調節可能な関節運動式の椎間ケージ - Google Patents
拡張可能かつ角度調節可能な関節運動式の椎間ケージ Download PDFInfo
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- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
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- 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
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- 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
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- 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
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- 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
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- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
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- 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
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- 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
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- 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
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- 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
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Description
本出願は、本明細書において参照により援用されている2016年6月28日出願の米国特許仮出願第62/355,619号の利益を主張するものである。
本開示は、整形外科用の埋込み型デバイスに関し、より具体的には、脊椎を安定化させるための埋込み型デバイスに関する。更に具体的に言えば、本開示は、縮小されたサイズを有する第1の挿入構成から、拡張されたサイズを有する第2の埋込み構成への拡張を可能にする関節運動式機構を備える、拡張可能かつ角度調節可能な椎間ケージに関する。椎間ケージは、脊椎の矢状面バランス及びアライメントを復元させながら、前弯角度、特により大きな前弯角度を調節し適合させるように構成されている。
(1) 拡張可能な脊椎移植片であって、
第1の椎体の終板に対して配置されるように構成された上部プレート構成要素、及び隣接する第2の椎体の終板に対して配置されるように構成された下部プレート構成要素と、
前記上部プレート構成要素と前記下部プレート構成要素とを互いに連結する関節運動式機構であって、アクチュエータピンを受容するための内部キャビティを有する中間案内構成要素を備える、関節運動式機構と、
シャフトと拡大ヘッド部分とを備えるアクチュエータピンであって、前記拡張可能な脊椎移植片の角度調節を実現するために前記中間案内構成要素内で移動するように構成されている、アクチュエータピンと、を備える、拡張可能な脊椎移植片。
(2) 前記アクチュエータピンを含む前記脊椎移植片は、付加生産技法によって製造されている、実施態様1に記載の拡張可能な脊椎移植片。
(3) 前記アクチュエータピンは、前記拡張可能な脊椎移植片の前記上部及び下部プレート構成要素並びに中間案内構成要素の内側に存在するように製造されている、実施態様1に記載の拡張可能な脊椎移植片。
(4) 前記上部プレート構成要素及び前記下部プレート構成要素の各々は一対の延長された側壁を備え、各側壁は、内部表面上に案内表面を備える肉厚部分を有する、実施態様1に記載の拡張可能な脊椎移植片。
(5) 前記上部及び下部プレート構成要素の前記案内表面は、前記中間案内構成要素上の案内キャビティに対して移動するように構成されている、実施態様4に記載の拡張可能な脊椎移植片。
(7) 前記上部及び下部プレート構成要素の前記歯は、互いに噛み合うように構成されている、実施態様6に記載の拡張可能な脊椎移植片。
(8) 前記関節運動式機構は、前記上部及び下部プレート構成要素の互いに対する転動移動を可能にする、実施態様1に記載の拡張可能な脊椎移植片。
(9) 前記上部プレート構成要素及び前記下部プレート構成要素の各々は内部に転動表面を含み、前記転動表面は、前記中間案内構成要素の頂部又は底部表面の上でスムーズに滑動するように構成されている、実施態様1に記載の拡張可能な脊椎移植片。
(10) 前記上部プレート構成要素及び前記下部プレート構成要素の各々は内部に一連の歯を含み、前記歯は、前記中間案内構成要素の前記頂部又は底部表面の上の一連の歯の上をラチェットで動くように構成されている、実施態様1に記載の拡張可能な脊椎移植片。
(12) 前記上部及び下部プレート構成要素は、それらの自由端部の一方において先細になっている、実施態様1に記載の拡張可能な脊椎移植片。
(13) ケージの後方端部は、器具インターフェースを備えて構成されている、実施態様1に記載の拡張可能な脊椎移植片。
(14) 前記中間案内構成要素は、前記上部及び下部プレート構成要素上の細長スロットに対してスライドするように構成されている、実施態様1に記載の拡張可能な脊椎移植片。
(15) 前記中間案内構成要素は、前記上部及び下部プレート構成要素内のキャビティとスナップ嵌め係合するように構成されている隆起突出部を含む、実施態様1に記載の拡張可能な脊椎移植片。
(17) 前記プレート構成要素が前記脊椎移植片の前方部分において互いに向かって角度をなしている、第1の構成を更に有する、実施態様1に記載の拡張可能な脊椎移植片。
(18) 前記プレート構成要素が互いに対して平行である、中間構成を更に有する、実施態様1に記載の拡張可能な脊椎移植片。
(19) 前記プレートが互いにロックされかつ前記脊椎移植片の後方部分において互いに向かって角度をなしている、第2の構成を更に有する、実施態様14に記載の拡張可能な脊椎移植片。
(20) 前記第2の構成において、前記移植片は、前弯の角度を調節する、実施態様19に記載の拡張可能な脊椎移植片。
Claims (21)
- 拡張可能な脊椎移植片であって、
第1の椎体の終板に対して配置されるように構成された上部プレート構成要素、及び隣接する第2の椎体の終板に対して配置されるように構成された下部プレート構成要素と、
前記上部プレート構成要素と前記下部プレート構成要素とを互いに連結する関節運動式機構であって、アクチュエータピンを受容するための内部キャビティを有する中間案内構成要素を備える、関節運動式機構と、
シャフトと拡大ヘッド部分とを備えるアクチュエータピンであって、前記拡張可能な脊椎移植片の角度調節を実現するために前記中間案内構成要素内で移動するように構成されている、アクチュエータピンと、を備えており、
前記アクチュエータピンは、前記拡張可能な脊椎移植片の前記上部及び下部プレート構成要素並びに中間案内構成要素の内側に存在するように製造されている、拡張可能な脊椎移植片。 - 前記アクチュエータピンを含む前記脊椎移植片は、付加生産技法によって製造されている、請求項1に記載の拡張可能な脊椎移植片。
- 拡張可能な脊椎移植片であって、
第1の椎体の終板に対して配置されるように構成された上部プレート構成要素、及び隣接する第2の椎体の終板に対して配置されるように構成された下部プレート構成要素と、
前記上部プレート構成要素と前記下部プレート構成要素とを互いに連結する関節運動式機構であって、アクチュエータピンを受容するための内部キャビティを有する中間案内構成要素を備える、関節運動式機構と、
シャフトと拡大ヘッド部分とを備えるアクチュエータピンであって、前記拡張可能な脊椎移植片の角度調節を実現するために前記中間案内構成要素内で移動するように構成されている、アクチュエータピンと、を備えており、
前記上部プレート構成要素及び前記下部プレート構成要素の各々は一対の延長された側壁を備え、各側壁は、内部表面上に案内表面を備える肉厚部分を有する、拡張可能な脊椎移植片。 - 前記上部及び下部プレート構成要素の前記案内表面は、前記中間案内構成要素上の案内キャビティに対して移動するように構成されている、請求項3に記載の拡張可能な脊椎移植片。
- 前記肉厚部分の各々は、その一部分に1つ又は2つ以上の歯を含む、請求項3に記載の拡張可能な脊椎移植片。
- 前記上部及び下部プレート構成要素の前記歯は、互いに噛み合うように構成されている、請求項5に記載の拡張可能な脊椎移植片。
- 拡張可能な脊椎移植片であって、
第1の椎体の終板に対して配置されるように構成された上部プレート構成要素、及び隣接する第2の椎体の終板に対して配置されるように構成された下部プレート構成要素と、
前記上部プレート構成要素と前記下部プレート構成要素とを互いに連結する関節運動式機構であって、アクチュエータピンを受容するための内部キャビティを有する中間案内構成要素を備える、関節運動式機構と、
シャフトと拡大ヘッド部分とを備えるアクチュエータピンであって、前記拡張可能な脊椎移植片の角度調節を実現するために前記中間案内構成要素内で移動するように構成されている、アクチュエータピンと、を備えており、
前記上部プレート構成要素及び前記下部プレート構成要素の各々は内部に一連の歯を含み、
前記歯は、互いに噛み合うように、または、前記中間案内構成要素の歯と噛み合うように構成されている、拡張可能な脊椎移植片。 - 前記関節運動式機構は、前記上部及び下部プレート構成要素の互いに対する転動移動を可能にする、請求項1に記載の拡張可能な脊椎移植片。
- 前記上部プレート構成要素及び前記下部プレート構成要素の各々は内部に転動表面を含み、前記転動表面は、前記中間案内構成要素の頂部又は底部表面の上で滑動するように構成されている、請求項1に記載の拡張可能な脊椎移植片。
- 拡張可能な脊椎移植片であって、
第1の椎体の終板に対して配置されるように構成された上部プレート構成要素、及び隣接する第2の椎体の終板に対して配置されるように構成された下部プレート構成要素と、
前記上部プレート構成要素と前記下部プレート構成要素とを互いに連結する関節運動式機構であって、アクチュエータピンを受容するための内部キャビティを有する中間案内構成要素を備える、関節運動式機構と、
シャフトと拡大ヘッド部分とを備えるアクチュエータピンであって、前記拡張可能な脊椎移植片の角度調節を実現するために前記中間案内構成要素内で移動するように構成されている、アクチュエータピンと、を備えており、
前記上部プレート構成要素及び前記下部プレート構成要素の各々は内部に一連の歯を含み、前記歯は、前記中間案内構成要素の頂部又は底部表面の上の一連の歯の上をラチェットで動くように構成されている、拡張可能な脊椎移植片。 - 前記アクチュエータピンは、前記上部及び下部プレート構成要素を最前方の位置で互いにロックする、請求項1に記載の拡張可能な脊椎移植片。
- 拡張可能な脊椎移植片であって、
第1の椎体の終板に対して配置されるように構成された上部プレート構成要素、及び隣接する第2の椎体の終板に対して配置されるように構成された下部プレート構成要素と、
前記上部プレート構成要素と前記下部プレート構成要素とを互いに連結する関節運動式機構であって、アクチュエータピンを受容するための内部キャビティを有する中間案内構成要素を備える、関節運動式機構と、
シャフトと拡大ヘッド部分とを備えるアクチュエータピンであって、前記拡張可能な脊椎移植片の角度調節を実現するために前記中間案内構成要素内で移動するように構成されている、アクチュエータピンと、を備えており、
前記上部及び下部プレート構成要素は、それらの自由端部の一方において先細になっている、拡張可能な脊椎移植片。 - ケージの後方端部は、器具インターフェースを備えて構成されている、請求項1に記載の拡張可能な脊椎移植片。
- 拡張可能な脊椎移植片であって、
第1の椎体の終板に対して配置されるように構成された上部プレート構成要素、及び隣接する第2の椎体の終板に対して配置されるように構成された下部プレート構成要素と、
前記上部プレート構成要素と前記下部プレート構成要素とを互いに連結する関節運動式機構であって、アクチュエータピンを受容するための内部キャビティを有する中間案内構成要素を備える、関節運動式機構と、
シャフトと拡大ヘッド部分とを備えるアクチュエータピンであって、前記拡張可能な脊椎移植片の角度調節を実現するために前記中間案内構成要素内で移動するように構成されている、アクチュエータピンと、を備えており、
前記中間案内構成要素は、前記上部及び下部プレート構成要素上の細長スロットに対してスライドするように構成されている、拡張可能な脊椎移植片。 - 拡張可能な脊椎移植片であって、
第1の椎体の終板に対して配置されるように構成された上部プレート構成要素、及び隣接する第2の椎体の終板に対して配置されるように構成された下部プレート構成要素と、
前記上部プレート構成要素と前記下部プレート構成要素とを互いに連結する関節運動式機構であって、アクチュエータピンを受容するための内部キャビティを有する中間案内構成要素を備える、関節運動式機構と、
シャフトと拡大ヘッド部分とを備えるアクチュエータピンであって、前記拡張可能な脊椎移植片の角度調節を実現するために前記中間案内構成要素内で移動するように構成されている、アクチュエータピンと、を備えており、
前記中間案内構成要素は、前記上部及び下部プレート構成要素内のキャビティとスナップ嵌め係合するように構成されている隆起突出部を含む、拡張可能な脊椎移植片。 - PLIFケージとして更に構成されている、請求項1に記載の拡張可能な脊椎移植片。
- 拡張可能な脊椎移植片であって、
第1の椎体の終板に対して配置されるように構成された上部プレート構成要素、及び隣接する第2の椎体の終板に対して配置されるように構成された下部プレート構成要素と、
前記上部プレート構成要素と前記下部プレート構成要素とを互いに連結する関節運動式機構であって、アクチュエータピンを受容するための内部キャビティを有する中間案内構成要素を備える、関節運動式機構と、
シャフトと拡大ヘッド部分とを備えるアクチュエータピンであって、前記拡張可能な脊椎移植片の角度調節を実現するために前記中間案内構成要素内で移動するように構成されている、アクチュエータピンと、を備えており、
拡張可能な脊椎移植片が、前記上部プレート構成要素と前記下部プレート構成要素が前記脊椎移植片の前方部分において互いに向かって角度をなしている、第1の構成を更に有する、拡張可能な脊椎移植片。 - 前記上部プレート構成要素と前記下部プレート構成要素が互いに対して平行である、中間構成を更に有する、請求項1に記載の拡張可能な脊椎移植片。
- 前記上部プレート構成要素と前記下部プレート構成要素が互いにロックされかつ前記脊椎移植片の後方部分において互いに向かって角度をなしている、第2の構成を更に有する、請求項14に記載の拡張可能な脊椎移植片。
- 前記第2の構成において、前記脊椎移植片は、前弯の角度を調節する、請求項19に記載の拡張可能な脊椎移植片。
- 前記第2の構成において、脊椎の矢状面バランス及びアライメントが回復されている、請求項19に記載の拡張可能な脊椎移植片。
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