JP7041735B2 - 脊椎インプラントシステムおよび方法 - Google Patents
脊椎インプラントシステムおよび方法 Download PDFInfo
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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
- A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
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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
- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
- A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
-
- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
- A61B17/7083—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements
-
- A—HUMAN NECESSITIES
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- 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
- A61B17/7091—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for applying, tightening or removing longitudinal element-to-bone anchor locking elements, e.g. caps, set screws, nuts or wedges
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
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- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
- A61B17/8877—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit
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- A—HUMAN NECESSITIES
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- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
- A61B17/8886—Screwdrivers, spanners or wrenches holding the screw head
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
- A61B17/8886—Screwdrivers, spanners or wrenches holding the screw head
- A61B17/8888—Screwdrivers, spanners or wrenches holding the screw head at its central region
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
- A61B17/8894—Screwdrivers, spanners or wrenches holding the implant into or through which the screw is to be inserted
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
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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
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- A—HUMAN NECESSITIES
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- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
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- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
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- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Robotics (AREA)
- Pathology (AREA)
- Transplantation (AREA)
- Physical Education & Sports Medicine (AREA)
- Cardiology (AREA)
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Description
Claims (14)
- 手術器具であって、
骨固定具の第1の合わせ面に係合可能な駆動部を含む第1の部材と、
前記第1の部材に対して回転可能であり、前記骨固定具の第2の合わせ面に係合可能な要素を含む、第2の部材と、
前記第2の部材に接続され、前記要素と前記第2の合わせ面との係合の視覚表示を含む、アクチュエータと、
を含み、
前記アクチュエータは、非ロック構成の視覚表示を提供するように前記第1の部材に対して軸方向に平行移動可能である、
手術器具。 - 前記アクチュエータは、ロック構成の視覚表示を提供するように前記第1の部材に対して軸方向に平行移動可能である、請求項1に記載の手術器具。
- 前記視覚表示は、前記アクチュエータと前記第1の部材との間に配置された間隙を含む、請求項1に記載の手術器具。
- 前記視覚表示は、非ロック構成の視覚表示を提供するように前記第1の部材に対して近位位置に配置される前記アクチュエータを含む、請求項1に記載の手術器具。
- 前記視覚表示は、ロック構成の視覚表示を提供するように前記第1の部材に対して遠位位置に配置される前記アクチュエータを含む、請求項1に記載の手術器具。
- 前記アクチュエータおよび前記要素は、回転および軸方向の平行移動において前記第2の部材に固定される、請求項1に記載の手術器具。
- 前記視覚表示は、前記第1の部材に対する前記アクチュエータの位置を含む、請求項1に記載の手術器具。
- 前記第1の部材は、前記第1の部材に対する前記アクチュエータの軸方向の平行移動の範囲を画定する、請求項1に記載の手術器具。
- 前記第1の部材は、非ロック構成の視覚表示を提供するための前記第1の部材に対する近位位置と、ロック構成の視覚表示を提供するための前記第1の部材に対する遠位位置との間で、前記アクチュエータの軸方向の平行移動の範囲を画定する、請求項1に記載の手術器具。
- 前記駆動部は、前記第1の部材の遠位先端部を含み、前記第1の合わせ面は、骨固定具シャフトの駆動部ソケットを含む、請求項1に記載の手術器具。
- 前記第1の部材は、前記第2の部材の内側シャフトを配置するように構成された内部空洞を画定する外側スリーブを含む、請求項1に記載の手術器具。
- 前記アクチュエータは、回転可能であり、前記内側シャフトとともに回転するように前記内側シャフトに係合可能な内面を有するローレットホイールを含む、請求項11に記載の手術器具。
- 前記要素は、前記第2の合わせ面と接続可能な雄ねじ面を有するスクリューを含む、請求項1に記載の手術器具。
- 手術器具であって、
近位端と、骨固定具シャフトの駆動部ソケットに係合可能な駆動部を含む遠位端との間に延在する外側管状スリーブと、
前記スリーブに対して回転可能であり、骨固定具受け部の雌ねじ面と接続可能なスクリューを含む、内側シャフトと、
前記内側シャフトに接続され、前記雌ねじ面との非ロック構成およびロック構成の視覚表示を含む、回転可能なアクチュエータと、を含み、
前記アクチュエータは、非ロック構成の視覚表示を提供するように前記外側管状スリーブに対して軸方向に平行移動可能である、
手術器具。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/661,962 US10463404B2 (en) | 2017-07-27 | 2017-07-27 | Spinal implant system and method |
US15/661,962 | 2017-07-27 | ||
PCT/US2018/043216 WO2019023089A1 (en) | 2017-07-27 | 2018-07-23 | SYSTEM AND METHOD FOR SPINAL IMPLANT |
Publications (2)
Publication Number | Publication Date |
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JP2020528775A JP2020528775A (ja) | 2020-10-01 |
JP7041735B2 true JP7041735B2 (ja) | 2022-03-24 |
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Application Number | Title | Priority Date | Filing Date |
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JP2020501807A Active JP7041735B2 (ja) | 2017-07-27 | 2018-07-23 | 脊椎インプラントシステムおよび方法 |
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Country | Link |
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US (3) | US10463404B2 (ja) |
EP (1) | EP3658049A4 (ja) |
JP (1) | JP7041735B2 (ja) |
KR (1) | KR20200023652A (ja) |
CN (1) | CN110913780A (ja) |
AU (1) | AU2018307506A1 (ja) |
WO (1) | WO2019023089A1 (ja) |
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US10779893B2 (en) * | 2018-10-18 | 2020-09-22 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US10799300B2 (en) * | 2018-10-18 | 2020-10-13 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US11633223B2 (en) * | 2018-12-20 | 2023-04-25 | Integrity Implants Inc. | Surgical guidance device |
US11065065B2 (en) * | 2019-02-22 | 2021-07-20 | Warsaw Orthopedic, Inc. | Spinal implant system and methods of use |
US11278358B2 (en) * | 2019-05-14 | 2022-03-22 | Medos International Sarl | Assembly for coupling a patient reference array to a medical implant such as a pedicle screw |
US11344354B2 (en) * | 2019-09-09 | 2022-05-31 | Warsaw Orthopedic, Inc. | Surgical instrument and method |
US11191574B2 (en) | 2020-03-17 | 2021-12-07 | Warsaw Orthopedic, Inc. | Set screw reducer for modular reduction screws |
US12004782B2 (en) | 2020-03-26 | 2024-06-11 | Warsaw Orthopedic, Inc. | Instrument for locking orthopedic screws |
US11627998B2 (en) | 2020-12-11 | 2023-04-18 | Warsaw Orthopedic, Inc. | Head position and driver combination instrument |
US11291477B1 (en) | 2021-05-04 | 2022-04-05 | Warsaw Orthopedic, Inc. | Dorsal adjusting implant and methods of use |
US11432848B1 (en) | 2021-05-12 | 2022-09-06 | Warsaw Orthopedic, Inc. | Top loading quick lock construct |
US11712270B2 (en) | 2021-05-17 | 2023-08-01 | Warsaw Orthopedic, Inc. | Quick lock clamp constructs and associated methods |
US20240197370A1 (en) * | 2021-06-02 | 2024-06-20 | Shanghai DroidSurg Medical Co., Ltd. | Operation method for bone tissue and operation system for bone tissue |
US11957391B2 (en) | 2021-11-01 | 2024-04-16 | Warsaw Orthopedic, Inc. | Bone screw having an overmold of a shank |
US11547454B1 (en) | 2021-11-16 | 2023-01-10 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US11779376B2 (en) | 2021-11-16 | 2023-10-10 | Warsaw Orthopedic, Inc. | Surgical instrument and method |
US11751920B2 (en) | 2021-11-16 | 2023-09-12 | Warsaw Orthopedic, Inc. | Surgical instrument and method |
US11559338B1 (en) | 2021-11-16 | 2023-01-24 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US11490934B1 (en) | 2021-11-16 | 2022-11-08 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US11839414B1 (en) * | 2022-12-22 | 2023-12-12 | Masal Inc. | Spinal stability system |
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AU2018307506A1 (en) | 2020-02-20 |
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CN110913780A (zh) | 2020-03-24 |
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US10463404B2 (en) | 2019-11-05 |
KR20200023652A (ko) | 2020-03-05 |
JP2020528775A (ja) | 2020-10-01 |
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