JPH01136655A - 人工椎間板 - Google Patents

人工椎間板

Info

Publication number
JPH01136655A
JPH01136655A JP62295811A JP29581187A JPH01136655A JP H01136655 A JPH01136655 A JP H01136655A JP 62295811 A JP62295811 A JP 62295811A JP 29581187 A JP29581187 A JP 29581187A JP H01136655 A JPH01136655 A JP H01136655A
Authority
JP
Japan
Prior art keywords
end part
bodies
projection
titanium
vertebral body
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP62295811A
Other languages
English (en)
Other versions
JPH0363898B2 (ja
Inventor
Yasuhiko Hirayama
平山 泰彦
Akiko Igata
伊形 明子
Satoshi Kojima
聡 小島
Hiromi Matsuzaki
松崎 浩巳
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Pentax Corp
Original Assignee
Asahi Kogaku Kogyo Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Asahi Kogaku Kogyo Co Ltd filed Critical Asahi Kogaku Kogyo Co Ltd
Priority to JP62295811A priority Critical patent/JPH01136655A/ja
Priority to US07/274,960 priority patent/US4946378A/en
Priority to DE8888119477T priority patent/DE3869340D1/de
Priority to EP88119477A priority patent/EP0317972B1/en
Publication of JPH01136655A publication Critical patent/JPH01136655A/ja
Publication of JPH0363898B2 publication Critical patent/JPH0363898B2/ja
Granted legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30138Convex polygonal shapes
    • A61F2002/30153Convex polygonal shapes rectangular
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30159Concave polygonal shapes
    • A61F2002/30164Concave polygonal shapes dovetail-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/30199Three-dimensional shapes
    • A61F2002/30261Three-dimensional shapes parallelepipedal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30405Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30563Special structural features of bone or joint prostheses not otherwise provided for having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30879Ribs
    • A61F2002/30883Ribs dovetail-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0017Angular shapes
    • A61F2230/0019Angular shapes rectangular
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028Shapes in the form of latin or greek characters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0082Three-dimensional shapes parallelepipedal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00017Iron- or Fe-based alloys, e.g. stainless steel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00023Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00592Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
    • A61F2310/00796Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00Surgery
    • Y10S606/907Composed of particular material or coated
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00Surgery
    • Y10S606/907Composed of particular material or coated
    • Y10S606/91Polymer

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。

Description

【発明の詳細な説明】 「技術分野」 本発明は、椎間板ヘルニアを外科的に治療する場合に、
椎間板の切除部に移植される椎体スペーサに関する。
「従来技術およびその間通点」 椎間板ヘルニアは、椎間板の退向変性によって中央の髄
核が逸出してを髄神経を圧迫し、激痛を起こすことで良
く知られている。最も一般的には、腰部椎間板ヘルニア
が知られているが、頚部の椎間板ヘルニアも転落、交通
事故等、外傷によって起こり、また日中あるいは夜間突
然発症することもある。
椎間板ヘルニアは、軽い症状であれば、固定することに
より治療可能であるが、重い症状の場合には、手術治療
を行なう。従来の手術では、病変椎間板を切除した上で
、上下の椎体の間に骨移植を行なう。骨移植には、患者
自身の腰骨の一部を移植するか、またはアルミナ、アパ
タイト等の人工骨を移植する方法がある。しかしながら
、これらの方法では、いずれにしても、本来可動性であ
る椎体が完全に固定されてしまう。
したがって、椎体の間で可動な移植物の開発が望まれて
いる。
「発明の目的」 本発明は、上記従来技術の欠点を解消し、椎体の間に容
易に移植でき、移植後に椎体の動きを可能ならしめ、異
和感を与えず、生体親和性の椎体スペーサを提供するこ
とを目的とする。
「発明の概要」 本発明の椎体スペーサは、外側表面にアパタイト層を有
する一対の端部体の間に、医療用合成ゴム成形体が結合
部材を介して挟持されていることを特徴とする。
本発明の椎体スペーサは、強度を持たせるため、端部体
は金属材料から作成するが、これを生体親和性とするた
めに、その表面にアパタイト層を設ける。このアパタイ
ト層は例えば溶射にょって設けることができる。このた
めアパタイトと金属とが同等の熱膨張率を有することが
望ましく、そのような金属としてチタンを用いることが
好ましい。
そしてこの端部体は、椎体に適切に嵌合し、かつ外れな
いように、突出部を有することが望ましい。
本発明において、医療用合成ゴムとしては、生体親和性
を有するゴムであればよく、例えばシリコーンゴム、ポ
リビニルアルコール、ポリウレタン等を使用することが
できる。
端部体と合成ゴムを結合する結合部材は、チタン、ステ
ンレス鋼等、適当な強度を有する任意の材料から形成さ
れていてよいが、チタンは高価であり、結合部材は合成
ゴム成形体中に埋め込まれてしまうので、ステンレス鋼
から形成するのが実際的である。
「発明の実施例」 以下図示実施例について本発明を説明する。本発明の椎
体スペーサは、一対の端部体1の間に、結合部材2によ
フて合成ゴム成形体3を挟持してなり、端部体1の外表
面にはアパタイト層4が設けられている。
チタンからなる端部体1は、偏平な直方体状をなしてい
て、その中心に外方に向かう逆円錐体状の突起1aを有
している。この突起1aは、手術によフて、隣り合う椎
体に対向させて形成した孔内に埋め込まれる。逆円錐体
の突起1aは、椎体から外れるのを防止するために効果
的である。
チタンまたはステンレス鋼からなる結合部材2は、端部
体1よりやや小さい偏平直方体状の埋込部2aと、この
埋込体2aの中心部に設けられ、端部体1に当接する円
柱状突起2bと、この円柱状突起2bに設けられ、端部
体1に螺合されるねじ2Cとを有している。
この椎体スペーサの端部体1の外表面に設けるアパタイ
ト層4は、例えば溶射によって形成される。アパタイト
層4の厚さは、一般に0.1〜0.5mmである。
結合部材2とねじ2Cによって結合された一対の端部体
1は、適切な間隔を置いて対向して型内に設置される。
そしてその間に合成ゴムラテックスを流し込み、常法に
より硬化させると、内部に結合部材2を埋め込んだ合成
ゴム成形体3が形成され、本椎体スペーサが得られる。
合成ゴム成形体3は、結合部材2の埋込部2aと端部体
1との間に進入し、埋込部2aは、端部体1とほぼ相似
形で、これより僅かに小さいだけなので、端部体1と強
固に結合され、椎間板に埋め込まれた後も剥離するおそ
れがない。
本発明の椎体スペーサの可動性は、ゴムの柔軟性を利用
するので、合成ゴム成形体3はある程度の厚さを必要と
し、スペーサ全体の大きさや結合部材2の大きさによっ
ても左右されるが、一般に5〜35IIIm、好ましく
は、10〜30IIImの厚さとするのがよい。
なお端部体1および結合部材2の形状は、種々変形が可
能であり、図示した形状に限定されるものではない。
「発明の効果」 本発明による椎体スペーサは、柔軟性を有する合成ゴム
成形体が端部体の間に挟まれてし)るので、椎体の動き
に適合して弾性変形する。したかって本発明の椎体スペ
ーサを移植したを鎖部分は固定されず、自由に運動する
ことができ、健常な椎体に影響を及ぼさない。この可動
式椎体スペーサは、特に頚部に移植した場合に好適であ
り、患者はそれ程異和感を感じることなく首を動かすこ
とができる。さらに本発明の椎体スペーサは、端部体の
外表面にアパタイト層を設けて生体親和性とし、ゴム成
形体として医療用合成ゴムを用いているので、生体組織
に害を及ぼさない。
【図面の簡単な説明】
図は本発明の椎体スペーサの実施例を示すもので、第1
図は第2図のI−I線に沿う断面図、第2図は平面図で
ある。 1・・・端部体、2・・・結合部材、3・・・合成ゴム
成形体、4・・・アパタイト層。 第2図

Claims (5)

    【特許請求の範囲】
  1. (1)外側表面にアパタイト層を有する一対の端部体の
    間に、医療用合成ゴム成形体が結合部材を介して挟持さ
    れていることを特徴とする可動式椎体スペーサ。
  2. (2)特許請求の範囲第1項において、端部体はチタン
    からなっている可動式椎体スペーサ。
  3. (3)特許請求の範囲第1項または第2項において、結
    合部材がチタンまたはステンレス鋼からなり、端部体に
    ねじ結合されている可動式椎体スペーサ。
  4. (4)特許請求の範囲第1項ないし第3項のいずれか一
    において、端部体は椎体と係合する突出部を有する可動
    式椎体スペーサ。
  5. (5)特許請求の範囲第1項ないし第4項のいずれか一
    において、医療用合成ゴムがシリコーンゴム、ポリビニ
    ルアルコール、ポリウレタンから選択されたものである
    可動式椎体スペーサ。
JP62295811A 1987-11-24 1987-11-24 人工椎間板 Granted JPH01136655A (ja)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP62295811A JPH01136655A (ja) 1987-11-24 1987-11-24 人工椎間板
US07/274,960 US4946378A (en) 1987-11-24 1988-11-22 Artificial intervertebral disc
DE8888119477T DE3869340D1 (de) 1987-11-24 1988-11-23 Kuenstliche zwischenwirbelscheibe.
EP88119477A EP0317972B1 (en) 1987-11-24 1988-11-23 Artificial intervertebral disc

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP62295811A JPH01136655A (ja) 1987-11-24 1987-11-24 人工椎間板

Publications (2)

Publication Number Publication Date
JPH01136655A true JPH01136655A (ja) 1989-05-29
JPH0363898B2 JPH0363898B2 (ja) 1991-10-03

Family

ID=17825472

Family Applications (1)

Application Number Title Priority Date Filing Date
JP62295811A Granted JPH01136655A (ja) 1987-11-24 1987-11-24 人工椎間板

Country Status (4)

Country Link
US (1) US4946378A (ja)
EP (1) EP0317972B1 (ja)
JP (1) JPH01136655A (ja)
DE (1) DE3869340D1 (ja)

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Also Published As

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DE3869340D1 (de) 1992-04-23
US4946378A (en) 1990-08-07
EP0317972B1 (en) 1992-03-18
JPH0363898B2 (ja) 1991-10-03
EP0317972A1 (en) 1989-05-31

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