JPWO2020187444A5 - - Google Patents
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- JPWO2020187444A5 JPWO2020187444A5 JP2021556919A JP2021556919A JPWO2020187444A5 JP WO2020187444 A5 JPWO2020187444 A5 JP WO2020187444A5 JP 2021556919 A JP2021556919 A JP 2021556919A JP 2021556919 A JP2021556919 A JP 2021556919A JP WO2020187444 A5 JPWO2020187444 A5 JP WO2020187444A5
- Authority
- JP
- Japan
- Prior art keywords
- applies
- set according
- sleeve
- applicator sleeve
- tip
- 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.)
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- 239000007943 implant Substances 0.000 claims 8
- 210000000282 Nails Anatomy 0.000 claims 5
- 229920002674 hyaluronan Polymers 0.000 claims 2
- 239000000463 material Substances 0.000 claims 2
- 102100001249 ALB Human genes 0.000 claims 1
- 101710027066 ALB Proteins 0.000 claims 1
- 229920000936 Agarose Polymers 0.000 claims 1
- 102000008186 Collagen Human genes 0.000 claims 1
- 108010035532 Collagen Proteins 0.000 claims 1
- 229950003499 FIBRIN Drugs 0.000 claims 1
- 210000003195 Fascia Anatomy 0.000 claims 1
- 102000009123 Fibrin Human genes 0.000 claims 1
- 108010073385 Fibrin Proteins 0.000 claims 1
- 229940099552 Hyaluronan Drugs 0.000 claims 1
- 229920000954 Polyglycolide Polymers 0.000 claims 1
- 229940050528 albumin Drugs 0.000 claims 1
- 229940072056 alginate Drugs 0.000 claims 1
- 229920000615 alginic acid Polymers 0.000 claims 1
- 235000010443 alginic acid Nutrition 0.000 claims 1
- 238000004873 anchoring Methods 0.000 claims 1
- 229920001436 collagen Polymers 0.000 claims 1
- 229960005188 collagen Drugs 0.000 claims 1
- 229920001577 copolymer Polymers 0.000 claims 1
- 238000005553 drilling Methods 0.000 claims 1
- 150000004676 glycans Polymers 0.000 claims 1
- 229960003160 hyaluronic acid Drugs 0.000 claims 1
- 238000003780 insertion Methods 0.000 claims 1
- 239000012528 membrane Substances 0.000 claims 1
- 239000000203 mixture Substances 0.000 claims 1
- 229920000747 poly(lactic acid) polymer Polymers 0.000 claims 1
- 229920001610 polycaprolactone Polymers 0.000 claims 1
- 239000004632 polycaprolactone Substances 0.000 claims 1
- 239000004633 polyglycolic acid Substances 0.000 claims 1
- 239000004626 polylactic acid Substances 0.000 claims 1
- 229920001282 polysaccharide Polymers 0.000 claims 1
- 239000005017 polysaccharide Substances 0.000 claims 1
- 150000004804 polysaccharides Polymers 0.000 claims 1
- MAKUBRYLFHZREJ-JWBQXVCJSA-M sodium;(2S,3S,4R,5R,6R)-3-[(2S,3R,5S,6R)-3-acetamido-5-hydroxy-6-(hydroxymethyl)oxan-2-yl]oxy-4,5,6-trihydroxyoxane-2-carboxylate Chemical compound [Na+].CC(=O)N[C@@H]1C[C@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](C([O-])=O)O[C@@H](O)[C@H](O)[C@H]1O MAKUBRYLFHZREJ-JWBQXVCJSA-M 0.000 claims 1
- 230000001954 sterilising Effects 0.000 claims 1
- 238000004659 sterilization and disinfection Methods 0.000 claims 1
Claims (18)
内視鏡を介して椎間板に挿入可能であり、インプラントを、通過させて椎間板欠陥部に挿入可能なアプリケータスリーブ(1)と、
前記アプリケータスリーブ(1)に挿入可能なサイズであるドリルワイヤガイドスリーブ(2)と、
釘又はピンを用いてインプラントを前記椎間板に固定する際に衝撃を伝達する押し具であって、前記アプリケータスリーブ(1)に挿入可能なサイズである押し具(3)と、を備え、
椎体の骨部分に前記インプラントを通して穴を事前に開けるためのドリルワイヤをさらに備える、セット。 A set for endoscopically securing an implant to an intervertebral disc using nails or pins, comprising:
an applicator sleeve (1) insertable into the intervertebral disc via an endoscope and through which an implant can be inserted into the intervertebral disc defect;
a drill wire guide sleeve (2) sized to be inserted into the applicator sleeve (1);
a pusher (3) that transmits impact when the implant is fixed to the intervertebral disc using a nail or pin, and is sized to be inserted into the applicator sleeve (1) ;
The set further comprising a drill wire for pre-drilling a bony portion of a vertebral body through said implant .
前記アプリケータスリーブ(1)の前記先端部(11)が、前記アプリケータスリーブ(1)の長手方向の軸(X)に対して、回転非対称に傾斜している、請求項1又は2に記載のセット。 the beveled tip (11) has two tip ends (21, 22) formed by cavities (17, 18) of said applicator sleeve (1); and/or
3. The claim 1 or 2, wherein the tip (11) of the applicator sleeve (1) is rotationally asymmetrically inclined with respect to the longitudinal axis (X) of the applicator sleeve (1). set of.
前記2つの先端端部(21,22)と、それらを通って延び、前記アプリケータスリーブ(1)の前記長手方向の軸(X)への少なくとも1本の平行線とが、少なくとも1つの先端面(E1,E2)を規定しており、
前記先端面(E1)に関して、前記先端部(11)の上部傾斜(14)が、前記先端面(E1)に対して上部先端角αで傾斜した上部面(14)を有する切断によって幾何学的に記述されており、及び/又は、
同一又は別の先端面(E2)に関して、前記先端部(11)の下部傾斜(15)が、前記先端面(E2)に対して下部先端角βで傾斜した下部面(15)を有する切断によって幾何学的に記述されている、請求項2又は3に記載のセット。 The beveled tip (11) is rotationally asymmetrically beveled with respect to the longitudinal axis (X) of the applicator sleeve (1) and has two tip ends (21, 22). and
Said two tip ends (21, 22) and at least one line extending through them and parallel to said longitudinal axis (X) of said applicator sleeve (1) define at least one tip. defines faces (E1, E2),
With respect to said apical surface (E1), the upper slope (14) of said tip (11) is geometrically shaped by a cut having an upper surface (14) inclined at an upper apex angle α with respect to said apical surface (E1). and/or
With respect to the same or another apical surface (E2), by cutting the lower slope (15) of said tip (11) with a lower surface (15) inclined at a lower apex angle β with respect to said apical surface (E2) 4. A set according to claim 2 or 3, characterized geometrically.
前記下部先端角βに、20°≦β≦30°が適用される、請求項4に記載のセット。 20°≦α≦30 ° is applied to the upper tip angle α, and/or
5. The set according to claim 4, wherein 20[deg.]≤[beta]≤30[deg .] applies to the lower tip angle [beta].
0.5mm≦h≦1.5mm
が適用される、請求項3~5のいずれか一項に記載のセット。 The two tip ends (21, 22) have a height h perpendicular to the longitudinal axis (X) of the applicator sleeve (1), at which height
0.5mm≤h≤1.5mm
A set according to any one of claims 3 to 5, wherein is applied.
前記押し具(3)の長手方向の軸(Z)に沿った前記押し具ヘッド部(303)の長さLSKに、13mm≦LSK≦17mmが適用され、及び/又は、
前記押し具ヘッド部(303)の外径DSKに、
8mm≦DSK≦12mmが適用され、及び/又は、
前記押し具(3)の前記長手方向の軸(Z)に沿った前記突出部(301)の長さLDに、
1.9mm≦LD≦2.1mmが適用され、及び/又は、
前記突出部(301)の外径DDに、
0.9mm≦DD≦1.1mmが適用される、請求項1~7のいずれか一項に記載のセット。 said pusher (3) optionally has a protrusion (301) at its proximal end, a cylindrical body (302) and a pusher head (303) at its distal end, and / or
13 mm≦LSK≦17 mm applies to the length LSK of the pusher head (303) along the longitudinal axis (Z) of the pusher (3), and/or
The outer diameter DSK of the pushing tool head (303),
8 mm ≤ DSK ≤ 12 mm applies and/or
the length LD of the protrusion (301) along the longitudinal axis (Z) of the pusher (3),
1.9 mm ≤ LD ≤ 2.1 mm applies and/or
At the outer diameter DD of the protrusion (301),
A set according to any one of the preceding claims, wherein 0.9 mm ≤ DD ≤ 1.1 mm applies.
3.9mm≦DA≦4.1mmが適用され、及び、
前記アプリケータスリーブ(1)の内径dAに、
3.3mm≦dA≦3.5mmが適用され、及び、
前記ドリルワイヤガイドスリーブ(2)の外径DBに、
2.9mm≦DB≦3.1mmが適用され、及び、
前記ドリルワイヤガイドスリーブ(2)の内径dBに、
2.3mm≦dB≦2.5mmが適用され、及び、
前記押し具(3)の外径DSに、
2.9mm≦DS≦3.1mmが適用される、請求項1~8のいずれか一項に記載のセット。 The outer diameter DA of said applicator sleeve (1),
3.9 mm ≤ DA ≤ 4.1 mm applies, and
In the inner diameter dA of said applicator sleeve (1),
3.3 mm ≤ dA ≤ 3.5 mm applies, and
Outer diameter DB of said drill wire guide sleeve (2),
2.9 mm≦DB≦3.1 mm applies, and
In the inner diameter dB of said drill wire guide sleeve (2),
2.3 mm ≤ dB ≤ 2.5 mm applies, and
The outer diameter DS of the pushing tool (3),
A set according to any one of the preceding claims, wherein 2.9 mm ≤ DS ≤ 3.1 mm applies.
215mm≦LA≦290mmが適用され、及び、
前記ドリルワイヤガイドスリーブ(2)の長さLBに、
210mm≦LB≦285mmが適用され、及び、
前記押し具(3)の長さLSに、
220mm≦LS≦305mmが適用され、及び、
さらに、LB<LA<LSが適用され、及び、
指定された長さLA、LB、LSは、それぞれの部品(1、2、3)にフランジ状の末端部(13、202)又はヘッド部(303)がある場合において、それぞれの前記フランジ状の末端部(13、202)又は前記ヘッド部(303)を除いて、決定される、請求項1~9のいずれか一項に記載のセット。 on the length LA of said applicator sleeve (1),
215 mm≦LA≦290 mm applies, and
on the length LB of said drill wire guide sleeve (2),
210 mm ≤ LB ≤ 285 mm applies, and
The length LS of the pushing tool (3),
220 mm≦LS≦305 mm applies, and
Furthermore, LB<LA<LS applies, and
The specified lengths LA, LB, LS are the lengths of the flanged ends (13, 202) or head (303) of the respective parts (1, 2, 3), respectively. A set according to any one of the preceding claims, determined excluding the end portion (13, 202) or the head portion (303).
前記ドリルワイヤガイドスリーブ(2)の主軸(Y)に沿った前記ドリルワイヤガイドスリーブ(2)のフランジ状の末端部(202)の長さLFBに、及び、前記ドリルワイヤガイドスリーブ(2)の前記フランジ状の末端部(202)の外径DFBに、LFB=LFA±0.1mmが適用され、また、DFB≧DFAが適用される、請求項1~10のいずれか一項に記載のセット。 on the length LFA of the flanged end (13) of the applicator sleeve (1) along the main axis (X) of the applicator sleeve (1) and on the flanged end of the applicator sleeve (1). 2.9 mm ≤ LFA ≤ 3.1 mm , and 9 mm ≤ DFA ≤ 11 mm , and/or
to the length LFB of the flanged distal end (202) of the drill wire guide sleeve (2) along the main axis (Y) of the drill wire guide sleeve (2); The outer diameter DFB of the flange-like end (202) applies LFB=LFA±0.1 mm and also applies DFB≧ DFA. set of.
-コラーゲン;
-ヒアルロナン(ヒアルロン酸);
-ポリグリコール酸、ポリ乳酸、及び/又は、それらの共重合体;
-ポリカプロラクトン:
-天然の膜、軟骨膜、及び/又は、筋膜、それらの改変体;
-アルギン酸塩;
-アガロース;
-フィブリン;
-アルブミン含有材料;
-多糖類;
及び、それらの組み合わせ;
のうちの少なくとも1つを有する、請求項1~14のいずれか一項に記載のセット。 The implant comprises the following materials: collagen;
- hyaluronan (hyaluronic acid);
- polyglycolic acid, polylactic acid and/or copolymers thereof;
- Polycaprolactone:
- native membranes, perichondrium and/or fascia, variants thereof;
- alginate;
- agarose;
- fibrin;
- an albumin-containing material;
- polysaccharides;
and combinations thereof;
A set according to any preceding claim, comprising at least one of
再吸収性及び/又は放射線不透過性の前記釘又はピンは、適用される、10mm≦LN≦30mmの長さLNを有する、請求項16に記載のセット。 Said nail or pin, preferably resorbable, has an applied diameter DN of 1.4 mm≦DN≦1.6 mm and/or
17. The set of claim 16 , wherein the resorbable and/or radiopaque nail or pin has an applied length LN of 10 mm < LN < 30 mm.
内視鏡と前記アプリケータスリーブ(1)との接続に、さらなる固定が必要でなく、及び/又は、
前記アプリケータスリーブ(1)は、個別のホルダ又は取っ手を有さない、請求項1~17のいずれか一項に記載のセット。 The applicator sleeve (1) is attachable to an endoscope and/or
the connection between the endoscope and said applicator sleeve (1) does not require further fixation and/or
Set according to any one of the preceding claims, wherein the applicator sleeve (1) does not have a separate holder or handle .
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP19163831.1A EP3711687B1 (en) | 2019-03-19 | 2019-03-19 | Set for endoscopic fixing of an implant in an intervertebral disc with a nail or pin |
EP19163831.1 | 2019-03-19 | ||
PCT/EP2020/000073 WO2020187444A1 (en) | 2019-03-19 | 2020-03-19 | Set for endoscopic fixation of an implant in an intervertebral disc by means of a nail or pin |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2022531646A JP2022531646A (en) | 2022-07-08 |
JPWO2020187444A5 true JPWO2020187444A5 (en) | 2022-12-05 |
JP7532398B2 JP7532398B2 (en) | 2024-08-13 |
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