KR100795649B1 - 골 구조물 안정화용 기구 및 방법 - Google Patents
골 구조물 안정화용 기구 및 방법 Download PDFInfo
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- KR100795649B1 KR100795649B1 KR1020027005118A KR20027005118A KR100795649B1 KR 100795649 B1 KR100795649 B1 KR 100795649B1 KR 1020027005118 A KR1020027005118 A KR 1020027005118A KR 20027005118 A KR20027005118 A KR 20027005118A KR 100795649 B1 KR100795649 B1 KR 100795649B1
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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
- A61B17/7083—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements
- A61B17/7086—Rod reducers, i.e. devices providing a mechanical advantage to allow a user to force a rod into or onto an anchor head other than by means of a rod-to-bone anchor locking element; rod removers
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the spine
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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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
- A61B17/7038—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other to a different extent in different directions, e.g. within one plane only
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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
- A61B17/7083—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements
- A61B17/7089—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements wherein insertion is along an arcuate path
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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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
-
- 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
- A61B17/8872—Instruments for putting said fixation devices against or away from the bone
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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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8897—Guide wires or guide pins
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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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
-
- 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
- A61B2017/681—Alignment, compression, or distraction mechanisms
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- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
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Abstract
Description
Claims (164)
- 다음을 포함하는 브레이스 설치기구(brace installation instrument):제 1 및 제 2 앵커연장부로서, 각각이 적어도 하나의 근위 말단 및 골 구조물에 고정된 대응되는 앵커를 장착하기 위한 적어도 하나의 원위 말단을 구비한 앵커연장부; 및선회하는(pivoting) 브레이스 삽입기로서, 근위 말단 및 원위 말단을 구비하고, 상기 앵커연장부의 근위 말단에 인접하여 장착된 지지팔 및 상기 삽입기의 원위 말단에 있는 브레이스 장착 부위에 이르는 피봇팔을 포함하며, 상기 앵커에 대하여 피봇축을 중심으로 선회가능한 브레이스 삽입기.
- 제 1항에 있어서, 상기 앵커연장부 각각이 대응되는 앵커에 피봇식으로 장착되고, 상기 브레이스 삽입기가 상기 지지팔에 피봇식으로 고정되는 것을 특징으로 하는 브레이스 설치기구.
- 제 1항에 있어서, 각각의 지지팔이 대응되는 앵커연장부에 피봇식으로 고정되는 것을 특징으로 하는 브레이스 설치기구.
- 제 3항에 있어서, 상기 앵커연장부들은 그들의 근위 말단 부근에서 서로 연결되는 것을 특징으로 하는 브레이스 설치기구.
- 제 1항에 있어서, 상기 삽입기가 상기 지지팔 사이에 위치하는 것을 특징으로 하는 브레이스 설치기구.
- 제 1항에 있어서,상기 브레이스 장착 부위가 상기 피봇축으로부터 선결된 반경 내에 위치하고;상기 브레이스 장착 부위에 장착된 브레이스가 상기 브레이스 장착 부위로부터 상기 피봇축에 대하여 일정한 반경으로 곡선을 그리며 연장되는 것을 특징으로 하는 브레이스 설치기구.
- 제 1항에 있어서, 브레이스를 상기 삽입기에 선택적으로 결합 및 분리하도록 조작가능한 브레이스 커플러를 추가로 포함하는 것을 특징으로 하는 브레이스 설치기구.
- 제 7항에 있어서, 상기 브레이스가 원형 봉(circular rod)인 것을 특징으로 하는 브레이스 설치기구.
- 제 7항에 있어서, 상기 브레이스가 2개의 말단을 가지며, 한 말단은 상기 브레이스 커플러에 연결가능하고, 다른 한 말단은 동물 신체의 연조직을 천공하는데 적합하게 되어 있으며, 상기 브레이스가 상기 피봇축에 대하여 한 반경으로 휘어있는 것을 특징으로 하는 브레이스 설치기구.
- 제 9항에 있어서, 상기 브레이스 삽입기가 상기 피봇축에 중심을 두고 상기 반경을 갖는 원을 그리는 만곡 부위를 포함하고, 상기 브레이스가 상기 브레이스 커플러에 연결될 때 상기 원에 일치하도록 배향되는 것을 특징으로 하는 브레이스 설치기구.
- 제 10항에 있어서,상기 브레이스가 상기 피봇축에 평행한 방향으로 측정된 최대 치수를 가지고;상기 만곡부위가 상기 피봇축에 평행한 방향으로 측정된 상기 브레이스의 최대 치수의 두배 이상인 최대 치수로 점점 가늘어져서, 브레이스 설치 도중 상기 피봇축 둘레의 호를 따라 상기 브레이스를 움직일 때 상기 만곡부위가 연조직을 용이하게 관통하도록 해주는 것을 특징으로 하는 브레이스 설치기구.
- 제 9항에 있어서, 상기 브레이스의 원위 말단이 동물의 피부 및 연조직을 용이하게 천공할 수 있도록 끝이 뾰족한 것을 특징으로 하는 브레이스 설치기구.
- 제 1항에 있어서, 각 앵커가 다축나사를 포함하고, 상기 앵커연장부가 피봇식으로 회전가능하게 상기 다축나사에 장착되는 것을 특징으로 하는 브레이스 설치기구.
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- 다음을 포함하는 브레이스 설치기구:제 1 및 제 2 앵커연장부로서, 각각이 적어도 하나의 근위 말단 및 골 구조물에 고정가능한 앵커를 장착하기 위한 적어도 하나의 원위 말단을 구비한 앵커연장부;근위 말단 및 원위 말단을 구비한 브레이스 삽입기로서, 상기 제 1 및 제 2 앵커연장부의 근위 말단에 장착되고 피봇축을 중심으로 이동가능한 브레이스 삽입기; 및상기 브레이스 삽입기의 원위 말단에 착탈가능하게 결합된 브레이스.
- 제 53항에 있어서, 상기 브레이스 삽입기가 원위 말단에 상기 브레이스를 수용하는 브레이스 장착 부위를 구비한 팔을 포함하는 것을 특징으로 하는 브레이스 설치기구.
- 제 53항에 있어서, 상기 브레이스 삽입기가 대응되는 앵커연장부 상에 장착된 한 쌍의 지지팔을 포함하는 것을 특징으로 하는 브레이스 설치기구.
- 제 55항에 있어서, 상기 지지팔이 상기 앵커연장부에 피봇식으로 장착되는 것을 특징으로 하는 브레이스 설치기구.
- 제 55항에 있어서, 상기 브레이스 삽입기가 상기 지지팔에 피봇식으로 장착된 피봇팔을 포함하는 것을 특징으로 하는 브레이스 설치기구.
- 다음을 포함하는 동물 대상의 외과수술에 사용하기 위한 장치:동물 대상에 고정된 적어도 하나의 앵커로서, 브레이크-오프 부위를 구비한 멈춤나사를 포함하는 앵커; 및상기 앵커 상에 장착된, 브레이스를 상기 앵커로 배치하기 위해 이동가능한 기구로서, 상기 브레이크-오프 부위가 상기 멈춤나사로부터 절단될 때 상기 앵커로부터 분리되는 기구.
- 제 58항에 있어서, 상기 기구가 상기 멈춤나사 브레이크-오프 부위에의 접근을 허용하는 공구구멍을 포함하는 것을 특징으로 하는 동물 대상의 외과수술에 사용하기 위한 장치.
- 제 58항에 있어서, 상기 적어도 하나의 앵커가 커넥터에 피봇식으로 장착된 동물대상에 고정된 뼈나사를 포함하고, 상기 멈춤나사가 상기 커넥터 내에 나사식으로 수용되는 것을 특징으로 하는 동물 대상의 외과수술에 사용하기 위한 장치.
- 제 60항에 있어서, 상기 앵커가 상기 뼈나사와 상기 멈춤나사 사이의 상기 커넥터를 관통하는 통로를 포함하고, 상기 기구가 상기 통로에 상기 브레이스를 배치하도록 이동가능한 것을 특징으로 하는 동물 대상의 외과수술에 사용하기 위한 장치.
- 제 61항에 있어서, 상기 멈춤나사가 상기 브레이크-오프 부위가 절단될 때까지 상기 커넥터 통로 내로 조여져 상기 브레이스를 상기 앵커에 고정하는 것을 특징으로 하는 동물 대상의 외과수술에 사용하기 위한 장치.
- 제 61항에 있어서, 상기 기구가 피봇축을 중심으로 회전되어 상기 브레이스를 상기 통로 내에 배치하는 것을 특징으로 하는 동물 대상의 외과수술에 사용하기 위한 장치.
- 제 58항에 있어서, 다음을 추가로 포함하는 것을 특징으로 하는 동물 대상의 외과수술에 사용하기 위한 장치:동물 대상에 고정된 제 2 앵커로서, 브레이크-오프 부위를 구비한 제 2 멈춤나사를 포함하는 것을 특징으로 하는 앵커; 및상기 제 2 앵커에 장착되고 상기 브레이스를 상기 앵커 및 상기 제 2 앵커에 대해 배치하기 위해 이동가능한 기구로서, 상기 브레이크-오프 부위가 상기 제 2 멈춤나사로부터 절단될 때 상기 제 2 앵커로부터 분리되는 기구.
- 제 64항에 있어서, 상기 앵커 및 상기 제 2 앵커 각각이 커넥터에 피봇식으로 장착된 동물 대상에 고정된 뼈나사를 포함하며, 상기 앵커의 멈춤나사가 상기 커넥터 내에 나사식으로 수용되는 것을 특징으로 하는 동물 대상의 외과수술에 사용하기 위한 장치.
- 제 65항에 있어서, 상기 앵커 및 상기 제 2 앵커 각각이 상기 뼈나사와 상기 멈춤나사 사이의 상기 커넥터를 관통하는 통로를 포함하며, 상기 기구가 상기 브레이스를 상기 커넥터의 통로 내에 배치하기 위해 이동가능한 것을 특징으로 하는 동물 대상의 외과수술에 사용하기 위한 장치.
- 제 66항에 있어서, 상기 기구가 피봇축을 중심으로 회전되어 상기 브레이스를 상기 앵커 및 상기 제 2 앵커의 통로 내에 배치하는 것을 특징으로 하는 동물 대상의 외과수술에 사용하기 위한 장치.
- 제 67항에 있어서, 상기 멈춤나사가 상기 브레이크-오프 부위가 절단될 때까지 상기 커넥터의 통로 내로 조여져 상기 브레이스를 상기 앵커에 고정하는 것을 특징으로 하는 동물 대상의 외과수술에 사용하기 위한 장치.
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US16048999P | 1999-10-20 | 1999-10-20 | |
US60/160,489 | 1999-10-20 | ||
US18672900P | 2000-03-03 | 2000-03-03 | |
US60/186,729 | 2000-03-03 | ||
US09/616,581 US6530929B1 (en) | 1999-10-20 | 2000-07-14 | Instruments for stabilization of bony structures |
US09/616,581 | 2000-07-14 |
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KR20020065486A KR20020065486A (ko) | 2002-08-13 |
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JP (3) | JP4574931B2 (ko) |
KR (1) | KR100795649B1 (ko) |
AT (1) | ATE354315T1 (ko) |
AU (1) | AU778956B2 (ko) |
BR (1) | BR0014936B1 (ko) |
CA (2) | CA2660920C (ko) |
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