JP7434177B2 - 骨アンカーを骨プレートに固着するためのねじ付き係止構造体 - Google Patents
骨アンカーを骨プレートに固着するためのねじ付き係止構造体 Download PDFInfo
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Description
本出願は、Bosshardらの名で、2018年3月20日に出願された米国特許出願第15/926,390号、及びBosshardらの名で2018年3月29日に出願された米国特許出願第15/940,761号に関連し、これらのそれぞれの開示は、本明細書にその全体が記載されているかのように、参照により本明細書に組み込まれる。
本発明は、骨プレート及び骨プレートに結合するための骨アンカーに関し、特に、骨アンカーの頭部と係止するための骨プレートの固定孔内に画定されたねじ付き係止構造体に関する。
(1) 骨プレートであって、
骨から離れる方向に面するように構成された上面と、前記骨に面するように構成された反対側の下面と、
中心孔軸に沿って前記骨プレートを通って前記上面から前記下面まで延在する少なくとも1つの孔と、を含み、前記中心孔軸は軸方向に沿って配向され、前記少なくとも1つの孔は前記骨プレートの内面によって画定され、前記内面は、前記内面の周囲に順次配置された複数の列と、前記列の間に周方向に位置する複数の凹部と、を更に画定し、前記列のそれぞれは、複数のねじ山セグメントを画定し、
前記ねじ山セグメントのそれぞれは、谷底と、前記谷底から第1の頂部まで延在する第1のねじ山表面と、前記谷底から第2の頂部まで延在する第2のねじ山表面と、を画定し、前記第1のねじ山表面及び前記第2のねじ山表面の少なくとも一部分は、ねじ山角度で互いにオフセットされ、
前記ねじ山セグメントのうちの少なくとも1つの前記ねじ山角度は、約5度~約59度の範囲である、骨プレート。
(2) 前記ねじ山角度は約25度~約35度の範囲である、実施態様1に記載の骨プレート。
(3) 前記ねじ山セグメントの少なくとも大部分の前記ねじ山頂部は、前記少なくとも列の中心線と一致し、前記中心線は、前記中心孔軸を含む平面に沿って延在する、実施態様2に記載の骨プレート。
(4) 前記中心線は、前記中心孔軸に対して第1の角度で配向され、前記第1の角度は、約10度~約20度の範囲である、実施態様3に記載の骨プレート。
(5) 前記列の前記複数のねじ山セグメントは、1つ以上の螺旋状経路に沿って延在する、実施態様3に記載の骨プレート。
(7) 前記ねじ山セグメントのうちの少なくとも1つは、前記軸方向に沿ってそれぞれの前記第1の頂部と前記第2の頂部との間にねじ山ピッチを画定し、それぞれの前記第1の頂部及び前記第2の頂部の一方又は両方は、前記ねじ山ピッチの半分に等しい前記軸方向に沿った距離まで、非破壊的に撓むように構成されている、実施態様6に記載の骨プレート。
(8) 前記1つ以上の螺旋状経路は、各ねじ山セグメントの前記第1の頂部及び前記第2の頂部のうちの少なくとも1つと一致し、各ねじ山セグメントの前記谷底は、前記中心孔軸の周りの第2の経路に沿って延在し、前記第2の経路の曲率半径は、前記列から離れた位置においてよりも前記列において大きい、実施態様5に記載の骨プレート。
(9) 前記第1のねじ山表面及び前記第2のねじ山表面はそれぞれ、第1の部分及び第2の部分を画定し、前記第1の部分は、前記谷底から前記第2の部分に向かって延在し、前記第2の部分は、前記第1の部分からそれぞれの前記第1の頂部又は前記第2の頂部に向かって延在し、
前記ねじ山角度は、それぞれの前記第1の部分の間で測定された第1のねじ山角度であり、
それぞれの前記第2の部分は、前記第1のねじ山角度とは異なる第2のねじ山角度で互いにオフセットされている、実施態様2に記載の骨プレート。
(10) 前記第2のねじ山角度は約45度~約90度の範囲である、実施態様9に記載の骨プレート。
(12) 前記第1のねじ山表面及び前記第2のねじ山表面はそれぞれ、前記第2の部分から前記それぞれの第1の頂部又は第2の頂部まで延在する第3の部分を画定し、
それぞれの前記第3の部分は、前記第2のねじ山角度とは異なる第3のねじ山角度で互いにオフセットされている、実施態様9に記載の骨プレート。
(13) 前記第3のねじ山角度は約70度~約179度の範囲である、実施態様12に記載の骨プレート。
(14) 前記第1のねじ山角度は約30度であり、前記第2のねじ山角度は約60度であり、前記第3のねじ山角度は約90度である、実施態様12に記載の骨プレート。
(15) 前記第1のねじ山表面及び前記第2のねじ山表面はそれぞれ、前記谷底と前記それぞれの第1の頂部又は第2の頂部との間のそれぞれのインボリュート曲線に沿って延在し、前記第1のねじ山表面及び前記第2のねじ山表面は、前記第1のねじ山表面及び前記第2のねじ山表面とそれぞれ交差する、一対の接線の間で測定される様々なねじ山角度を画定し、前記様々なねじ山角度は、前記谷底に隣接する約5度から前記頂部における179度の範囲で変化する、実施態様12に記載の骨プレート。
(17) 前記複数の列は3つの列を含み、前記複数の凹部は3つの凹部を含む、実施態様1に記載の骨プレート。
(18) 前記凹部のそれぞれは、前記中心孔軸から前記軸方向に垂直な径方向に沿って離間した凹部軸を画定し、各凹部軸は前記中心孔軸と平行である、実施態様17に記載の骨プレート。
(19) 前記凹部軸は前記中心孔軸から等距離であり、各凹部は、それぞれの前記凹部軸と一致する中心円錐軸を有する円錐台形形状の一部分を画定し、前記円錐台形形状は、直円錐の前記錐台である、実施態様18に記載の骨プレート。
(20) 前記少なくとも1つの孔は、別の孔と交差し、前記少なくとも1つの孔及び前記別の孔は、組み合わせ孔を共同で画定する、実施態様19に記載の骨プレート。
Claims (19)
- 骨プレートであって、
骨から離れる方向に面するように構成された上面と、前記骨に面するように構成された反対側の下面と、
中心孔軸に沿って前記骨プレートを通って前記上面から前記下面まで延在する少なくとも1つの孔と、を含み、前記中心孔軸は、前記中心孔軸の軸方向に沿って配向され、前記少なくとも1つの孔は前記骨プレートの内面によって画定され、前記内面は、前記内面の周囲に順次配置された複数の列と、前記列の間に周方向に位置する複数の凹部と、を更に画定し、前記列のそれぞれは、複数のねじ山セグメントを画定し、
前記ねじ山セグメントのそれぞれは、谷底と、前記谷底から第1の頂部まで延在する第1のねじ山表面と、前記谷底から第2の頂部まで延在する第2のねじ山表面と、を画定し、前記第1のねじ山表面及び前記第2のねじ山表面の少なくとも一部分は、ねじ山角度で互いにオフセットされ、
前記ねじ山セグメントのうちの少なくとも1つの前記ねじ山角度は30度であり、
前記ねじ山セグメントのうちの少なくとも1つは、前記軸方向に沿ってそれぞれの前記第1の頂部と前記第2の頂部との間にねじ山ピッチを画定し、それぞれの前記第1の頂部及び前記第2の頂部の一方又は両方は、非破壊的に撓むように構成されている、骨プレート。 - 前記ねじ山セグメントの少なくとも大部分のねじ山頂部は、前記列の中心線と一致し、前記中心線は、前記中心孔軸を含む平面に沿って延在する、請求項1に記載の骨プレート。
- 前記中心線は、前記中心孔軸に対して第1の角度で配向され、前記第1の角度は、10度~20度の範囲である、請求項2に記載の骨プレート。
- 前記列の前記複数のねじ山セグメントは、1つ以上の螺旋状経路に沿って延在する、請求項2に記載の骨プレート。
- 前記1つ以上の螺旋状経路は、ダブルリード螺旋状経路を含む、請求項4に記載の骨プレート。
- それぞれの前記第1の頂部及び前記第2の頂部の一方又は両方は、前記ねじ山ピッチの半分に等しい前記軸方向に沿った距離まで、非破壊的に撓むように構成されている、請求項5に記載の骨プレート。
- 骨プレートであって、
骨から離れる方向に面するように構成された上面と、前記骨に面するように構成された反対側の下面と、
中心孔軸に沿って前記骨プレートを通って前記上面から前記下面まで延在する少なくとも1つの孔と、を含み、前記中心孔軸は、前記中心孔軸の軸方向に沿って配向され、前記少なくとも1つの孔は前記骨プレートの内面によって画定され、前記内面は、前記内面の周囲に順次配置された複数の列と、前記列の間に周方向に位置する複数の凹部と、を更に画定し、前記列のそれぞれは、複数のねじ山セグメントを画定し、
前記ねじ山セグメントのそれぞれは、谷底と、前記谷底から第1の頂部まで延在する第1のねじ山表面と、前記谷底から第2の頂部まで延在する第2のねじ山表面と、を画定し、前記第1のねじ山表面及び前記第2のねじ山表面の少なくとも一部分は、ねじ山角度で互いにオフセットされ、
前記ねじ山セグメントのうちの少なくとも1つの前記ねじ山角度は、25度~35度の範囲であり、
前記ねじ山セグメントのうちの少なくとも1つは、前記軸方向に沿ってそれぞれの前記第1の頂部と前記第2の頂部との間にねじ山ピッチを画定し、それぞれの前記第1の頂部及び前記第2の頂部の一方又は両方は、非破壊的に撓むように構成されており、
前記ねじ山セグメントの少なくとも大部分のねじ山頂部は、前記列の中心線と一致し、前記中心線は、前記中心孔軸を含む平面に沿って延在し、
前記列の前記複数のねじ山セグメントは、1つ以上の螺旋状経路に沿って延在し、
前記1つ以上の螺旋状経路は、各ねじ山セグメントの前記第1の頂部及び前記第2の頂部のうちの少なくとも1つと一致し、各ねじ山セグメントの前記谷底は、前記中心孔軸の周りの第2の経路に沿って延在し、前記第2の経路の曲率半径は、前記列から離れた位置にある前記複数の凹部の曲率半径よりも大きい、骨プレート。 - 前記第1のねじ山表面及び前記第2のねじ山表面はそれぞれ、第1の部分及び第2の部分を画定し、前記第1の部分は、前記谷底から前記第2の部分に向かって延在し、前記第2の部分は、前記第1の部分からそれぞれの前記第1の頂部又は前記第2の頂部に向かって延在し、
前記ねじ山角度は、それぞれの前記第1の部分の間で測定された第1のねじ山角度であり、
それぞれの前記第2の部分は、前記第1のねじ山角度とは異なる第2のねじ山角度で互いにオフセットされている、請求項1に記載の骨プレート。 - 前記第2のねじ山角度は45度~90度の範囲である、請求項8に記載の骨プレート。
- 前記第2のねじ山角度は60度である、請求項8に記載の骨プレート。
- 前記第1のねじ山表面及び前記第2のねじ山表面はそれぞれ、前記第2の部分から前記それぞれの第1の頂部又は第2の頂部まで延在する第3の部分を画定し、
それぞれの前記第3の部分は、前記第2のねじ山角度とは異なる第3のねじ山角度で互いにオフセットされている、請求項8に記載の骨プレート。 - 前記第3のねじ山角度は70度~179度の範囲である、請求項11に記載の骨プレート。
- 前記第2のねじ山角度は60度であり、前記第3のねじ山角度は90度である、請求項11に記載の骨プレート。
- 前記第1のねじ山表面及び前記第2のねじ山表面はそれぞれ、前記谷底と前記それぞれの第1の頂部又は第2の頂部との間のそれぞれのインボリュート曲線に沿って延在し、前記第1のねじ山表面及び前記第2のねじ山表面は、前記第1のねじ山表面及び前記第2のねじ山表面とそれぞれ交差する、一対の接線の間で測定される様々なねじ山角度を画定し、前記様々なねじ山角度は、前記谷底に隣接する5度から前記第1の頂部又は第2の頂部における179度の範囲で変化する、請求項11に記載の骨プレート。
- 各列の前記第1の頂部及び前記第2の頂部のうち少なくとも1つの頂部は、前記少なくとも1つの孔に挿入された係止ねじの少なくとも1つのねじ山とねじ係合することに応答して、前記中心孔軸から前記軸方向に垂直な径方向に沿って外向きに変形するように構成されている、請求項1に記載の骨プレート。
- 前記複数の列は3つの列を含み、前記複数の凹部は3つの凹部を含む、請求項1に記載の骨プレート。
- 前記凹部のそれぞれは、前記中心孔軸から前記軸方向に垂直な径方向に沿って離間した凹部軸を画定し、各凹部軸は前記中心孔軸と平行である、請求項16に記載の骨プレート。
- 前記凹部軸は前記中心孔軸から等距離であり、各凹部は、それぞれの前記凹部軸と一致する中心円錐軸を有する円錐台形形状の一部分を画定し、前記円錐台形形状は、直円錐の錐台である、請求項17に記載の骨プレート。
- 前記少なくとも1つの孔は、別の孔と交差し、前記少なくとも1つの孔及び前記別の孔は、組み合わせ孔を共同で画定する、請求項18に記載の骨プレート。
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Application Number | Priority Date | Filing Date | Title |
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US15/966,047 US11013541B2 (en) | 2018-04-30 | 2018-04-30 | Threaded locking structures for affixing bone anchors to a bone plate, and related systems and methods |
US15/966,047 | 2018-04-30 | ||
PCT/IB2019/052952 WO2019211681A1 (en) | 2018-04-30 | 2019-04-10 | Threaded locking structures for affixing bone anchors to a bone plate |
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JP2021522008A JP2021522008A (ja) | 2021-08-30 |
JP7434177B2 true JP7434177B2 (ja) | 2024-02-20 |
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US (1) | US11013541B2 (ja) |
EP (1) | EP3787536B1 (ja) |
JP (1) | JP7434177B2 (ja) |
CN (1) | CN112087974B (ja) |
AU (1) | AU2019264045B2 (ja) |
BR (1) | BR112020020477B1 (ja) |
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CN112087974B (zh) | 2022-09-27 |
US20190328430A1 (en) | 2019-10-31 |
BR112020020477B1 (pt) | 2023-04-11 |
JP2021522008A (ja) | 2021-08-30 |
EP3787536B1 (en) | 2023-12-06 |
BR112020020477A2 (pt) | 2021-01-12 |
US11013541B2 (en) | 2021-05-25 |
EP3787536A1 (en) | 2021-03-10 |
WO2019211681A1 (en) | 2019-11-07 |
AU2019264045A1 (en) | 2020-10-15 |
EP3787536C0 (en) | 2023-12-06 |
CN112087974A (zh) | 2020-12-15 |
AU2019264045B2 (en) | 2024-03-14 |
CA3098800A1 (en) | 2019-11-07 |
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