JP7168171B2 - 側頭下顎関節の人工補綴 - Google Patents
側頭下顎関節の人工補綴 Download PDFInfo
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- JP7168171B2 JP7168171B2 JP2019565619A JP2019565619A JP7168171B2 JP 7168171 B2 JP7168171 B2 JP 7168171B2 JP 2019565619 A JP2019565619 A JP 2019565619A JP 2019565619 A JP2019565619 A JP 2019565619A JP 7168171 B2 JP7168171 B2 JP 7168171B2
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- glenoid
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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
- A61F2/30988—Other joints not covered by any of the groups A61F2/32 - A61F2/4425
- A61F2/3099—Other joints not covered by any of the groups A61F2/32 - A61F2/4425 for temporo-mandibular [TM, TMJ] joints
-
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
-
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30383—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
-
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30383—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
- A61F2002/3039—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove with possibility of relative movement of the rib within the groove
-
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30383—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
- A61F2002/3039—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove with possibility of relative movement of the rib within the groove
- A61F2002/30398—Sliding
-
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30383—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
- A61F2002/3039—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove with possibility of relative movement of the rib within the groove
- A61F2002/30398—Sliding
- A61F2002/30401—Sliding with additional means for preventing or locking said sliding
-
- 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
- A61F2/30988—Other joints not covered by any of the groups A61F2/32 - A61F2/4425
- A61F2/3099—Other joints not covered by any of the groups A61F2/32 - A61F2/4425 for temporo-mandibular [TM, TMJ] joints
- A61F2002/30991—Mandibular 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
- A61F2/30988—Other joints not covered by any of the groups A61F2/32 - A61F2/4425
- A61F2/3099—Other joints not covered by any of the groups A61F2/32 - A61F2/4425 for temporo-mandibular [TM, TMJ] joints
- A61F2002/30993—Temporal 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0041—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels or rivets, e.g. connecting screws
-
- 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
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
Landscapes
- Health & Medical Sciences (AREA)
- Plastic & Reconstructive Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (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
「患者」は、本発明に従う人工補綴を受ける生体、特に人間、である。
「備えている」は、特に明記されていない限り、その広い且つ非限定的な意味で理解されるべきである。
Claims (12)
- 関節窩部(12)と、使用位置において前記関節窩部に相対的に関節接合されるよう意図された顆部(14)とを備えている、側頭下顎関節の人工補綴であって、前記使用位置で前記関節窩部及び前記顆部はそれぞれ患者の側頭骨及び下顎骨に堅固に固定されており、
前記関節窩部は、
金属材料で作られた関節窩支持体(18)と、
非金属材料で作られ、且つ前記関節接合を規定する為に前記顆部(14)のヘッド(56)の座部を規定するところの関節窩挿入体(20)と、
を備え、
前記関節窩支持体(18)は、前記関節窩挿入体(20)が開口部(28)を通じてハウジング中に挿入可能であるところの前記開口部(28)を有する前記ハウジング(26)を規定し、前記開口部(28)は、前記関節窩支持体(18)の外側(E)に開口し、前記外側とは、前記使用位置において前記患者の皮膚に向けてかつ前記患者の口の中央から離れる方に配位される、前記関節窩支持体の側であり、
前記関節窩支持体(18)は、タブ(40)が前記関節窩挿入体(20)の前記ハウジングへの挿入及び前記ハウジングからの抜き取りをそれぞれ許容及び禁止するところの受動位置に且つ能動位置に設定可能な前記タブ(40)を備えており、
前記タブ(40)が、前記受動位置と前記能動位置との間で塑性変形可能である、
前記側頭下顎関節の人工補綴。 - 前記関節窩支持体(18)が、前記タブ(40)の前記受動位置で前記関節窩挿入体(20)の前記ハウジング内及び外へのスライドを案内するように構成されたスライドガイド(32)を備えている、請求項1に記載の人工補綴。
- 前記スライドガイドがレールである、請求項2に記載の人工補綴。
- 前記関節窩支持体が、前記関節窩挿入体(20)の前記ハウジング(26)への挿入を制限する底部(30)を備えている、請求項1~3のいずれか1項に記載の人工補綴。
- 前記関節窩挿入体(20)が挿入体ねじ穴(48)を備え、前記関節窩支持体が支持体ねじ穴(50)を備え、前記挿入体ねじ穴及び支持体ねじ穴は、前記関節窩挿入体が前記ハウジング内にあって前記底部(30)と接触しているときに、組立ねじが前記挿入体ねじ穴(48)及び前記支持体ねじ穴(50)を通って前記関節窩挿入体と前記関節窩支持体を組み立てるように構成された、請求項4に記載の人工補綴。
- 前記挿入体ねじ穴(48)は、前記使用位置において前記患者の皮膚に面しかつ前記患者の口の中央から離れる方に面する、前記挿入体の面(51)に開口する、請求項5に記載の人工補綴。
- 前記タブ(40)は、手動で変形可能である、請求項1~6のいずれか1項に記載の人工補綴。
- 前記タブ(40)が、前記能動位置で前記開口部(28)を少なくとも部分的に閉鎖する、請求項1~7のいずれか1項に記載の人工補綴。
- 前記関節窩支持体(18)が、骨細胞によるコロニー形成をより容易にするように、前記使用位置で前記側頭骨と接触するように構成された格子状体を備えている、請求項1~8のいずれか1項に記載の人工補綴。
- 前記関節窩支持体がチタン若しくはチタン合金製であり、及び/又は前記関節窩挿入体がポリエチレン製である、請求項1~9のいずれか1項に記載の人工補綴。
- 前記顆部が、前記患者の下顎の頚状部(N)を圧迫するように構成された第1のストッパ(60)、及び/又は前記下顎骨の枝(R)を圧迫するように構成された第2のストッパ(62)を備えている、請求項1~10のいずれか1項に記載の人工補綴。
- 前記関節窩支持体(18)は、側頭骨に固定されることを意図された支持体アンカー板(22)を備え、上記タブ(40)は上記支持体アンカー板(22)と一体的に形成されている、請求項1~11のいずれか1項に記載の人工補綴。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP17305178.0 | 2017-02-17 | ||
EP17305178 | 2017-02-17 | ||
PCT/EP2018/053619 WO2018149849A1 (en) | 2017-02-17 | 2018-02-14 | Temporo-mandibular prosthesis |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2020507442A JP2020507442A (ja) | 2020-03-12 |
JP7168171B2 true JP7168171B2 (ja) | 2022-11-09 |
Family
ID=58185457
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2019565619A Active JP7168171B2 (ja) | 2017-02-17 | 2018-02-14 | 側頭下顎関節の人工補綴 |
Country Status (9)
Country | Link |
---|---|
US (1) | US10842635B2 (ja) |
EP (1) | EP3582723B1 (ja) |
JP (1) | JP7168171B2 (ja) |
CN (1) | CN110494100B (ja) |
BR (1) | BR112019017141B1 (ja) |
CA (1) | CA3053415A1 (ja) |
ES (1) | ES2881467T3 (ja) |
HU (1) | HUE055578T2 (ja) |
WO (1) | WO2018149849A1 (ja) |
Families Citing this family (5)
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WO2017195022A1 (en) * | 2016-05-12 | 2017-11-16 | Cadskills Bvba | Prosthesis for a temporomandibular joint |
DE102020211582A1 (de) * | 2020-09-16 | 2022-03-17 | Karl Leibinger Medizintechnik Gmbh & Co. Kg | Implantierbare Kiefergelenksprothese und entsprechendes Herstellungsverfahren |
CN112137769A (zh) * | 2020-09-22 | 2020-12-29 | 北京中安泰华科技有限公司 | 一种颞下颌关节假体 |
BR102021004520A8 (pt) * | 2021-03-10 | 2023-04-11 | M3 Health Ind E Comercio De Produtos Medicos Odontologicos E Correlatos S A | Prótese para artroplastia total da articulação temporomandibular e processo de fabricação para dita prótese |
KR102285173B1 (ko) * | 2021-04-09 | 2021-08-04 | (주)메디쎄이 | 환자 맞춤형 인공 측두하악관절 |
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WO2014043452A1 (en) | 2012-09-13 | 2014-03-20 | The Uab Research Foundation | Temporomandibular joint implants |
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2018
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- 2018-02-14 US US16/486,594 patent/US10842635B2/en active Active
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JP2005526550A (ja) | 2002-03-12 | 2005-09-08 | サービテック・インコーポレイテッド | 椎間プロテーゼ |
JP2009533177A (ja) | 2006-04-11 | 2009-09-17 | ジンマー テクノロジー,インコーポレイティド | 可とう性のセグメント化軸受インプラント |
WO2014043452A1 (en) | 2012-09-13 | 2014-03-20 | The Uab Research Foundation | Temporomandibular joint implants |
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JP2020507442A (ja) | 2020-03-12 |
BR112019017141B1 (pt) | 2023-11-28 |
CN110494100A (zh) | 2019-11-22 |
US10842635B2 (en) | 2020-11-24 |
CN110494100B (zh) | 2022-05-13 |
CA3053415A1 (en) | 2018-08-23 |
EP3582723B1 (en) | 2021-05-12 |
ES2881467T3 (es) | 2021-11-29 |
US20200008945A1 (en) | 2020-01-09 |
WO2018149849A1 (en) | 2018-08-23 |
EP3582723A1 (en) | 2019-12-25 |
HUE055578T2 (hu) | 2021-12-28 |
BR112019017141A2 (pt) | 2020-04-14 |
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