JP2008503260A - 多軸骨取付け組立体 - Google Patents
多軸骨取付け組立体 Download PDFInfo
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- JP2008503260A JP2008503260A JP2007516715A JP2007516715A JP2008503260A JP 2008503260 A JP2008503260 A JP 2008503260A JP 2007516715 A JP2007516715 A JP 2007516715A JP 2007516715 A JP2007516715 A JP 2007516715A JP 2008503260 A JP2008503260 A JP 2008503260A
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- assembly
- threaded
- saddle member
- set screw
- saddle
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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
-
- 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
- A61B17/7037—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
-
- 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
-
- 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
- A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
- A61B2090/035—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself preventing further rotation
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Neurology (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
Description
Claims (39)
- 頭部およびアンカー部を有する骨アンカー部材と、
複数の直立部を有するサドル部材であって、前記複数の直立部が細長ロッドを受けられるように該サドル部材内を通るチャネルを画定し、前記直立部がねじ部を含み、前記サドル部材が、該サドル部材を貫通し前記骨アンカー部材がその中に挿入されることができる、内壁に囲まれた穴をさらに含み、前記穴が、前記骨アンカー部材の前記頭が通り抜けるのを阻止するように前記骨アンカー部材の前記頭に係合する下側開口を、前記サドル部材内に形成し、前記下側開口が、前記サドル部材の長手方向軸の周りに対称に配置された複数の角度の付いた切欠を含む、サドル部材と、
前記複数の直立部の前記ねじ部にねじ係合するための止めねじであって、前記細長ロッドに係合するための係合部をさらに含む止めねじと
を備える、多軸骨取付け組立体。 - 前記直立部には雌ねじが切られ、前記止めねじには雄ねじが切られている、請求項1に記載の組立体。
- 前記ねじ部が逆向きの角度のねじ山を有する、請求項2に記載の組立体。
- 前記直立部には雄ねじが切られ、前記止めねじには雌ねじが切られている、請求項1に記載の組立体。
- 前記止めねじが凸形に丸みのつけられた上面を含む、請求項4に記載の組立体。
- 前記ねじ部が逆向きの角度のねじ山を有する、請求項4に記載の組立体。
- 前記アンカー部材が骨ねじである、請求項1に記載の組立体。
- 前記骨ねじが、凸形の底面を有する頭部を含む、請求項7に記載の組立体。
- 前記凸形の底面が球形である、請求項8に記載の組立体。
- 前記止めねじが前記複数の直立部内に完全にねじ係合されたときに、前記ねじ部が前記細長ロッドの上方に位置する、請求項1に記載の組立体。
- 前記内壁が前記ねじ部に隣接する逃げ溝を含む、請求項10に記載の組立体。
- 前記細長ロッドを収めるための座金であって、前記サドル部材の前記穴内および前記骨アンカー部材の最上部に嵌合する座金をさらに含む、請求項1に記載の組立体。
- 前記座金が前記細長ロッドを収めるための凹部を含む、請求項12に記載の組立体。
- 前記内壁が溝を含み、前記組立体が、前記座金を前記サドル部材の前記穴に保持するために前記溝に嵌合する止め輪をさらに含む、請求項13に記載の組立体。
- 前記各直立部が、その中に画定された1つまたは複数のトラフを有し、前記座金が、前記ロッドと前記凹部の位置ずれを最小限に抑えるために前記トラフと噛み合う1つまたは複数の整合部材を含む、請求項13に記載の組立体。
- 前記直立部には雌ねじが切られ、前記止めねじには雄ねじが切られている、請求項15に記載の組立体。
- 前記直立部には雄ねじが切られ、前記止めねじには雌ねじが切られている、請求項15に記載の組立体。
- 前記止めねじが前記複数の直立部内に完全にねじ係合されたときに、前記ねじ部が前記細長ロッドの上方に位置する、請求項12に記載の組立体。
- 前記内壁が前記ねじ部に隣接する逃げ溝を含む、請求項18に記載の組立体。
- 頭部およびアンカー部を有する骨アンカー部材と、
複数の直立部を有するサドル部材であって、前記複数の直立部が細長ロッドを受けられるように該サドル部材内を通るチャネルを画定し、前記直立部がねじ部を含み、前記サドル部材が、該サドル部材を貫通し前記骨アンカー部材がその中に挿入されることができる、内壁に囲まれた穴をさらに含み、前記穴が、前記骨アンカー部材の前記頭が通り抜けるのを阻止するように前記骨アンカー部材の前記頭に係合する円形の下側開口を、前記サドル部材内に形成し、前記下側開口が、前記サドル部材の長手方向軸の周りに対称に配置された複数の角度の付いた切欠を含む、サドル部材と、
前記複数の直立部の前記ねじ部にねじ係合するための止めねじであって、前記細長ロッドに係合するための係合部をさらに含む止めねじと
を備える、多軸骨取付け組立体。 - 前記円形の開口が平面状であり、前記サドル部材の前記長手方向軸に対して実質的に垂直である、請求項20に記載の組立体。
- 前記直立部には雌ねじが切られ、前記止めねじには雄ねじが切られている、請求項20に記載の組立体。
- 前記ねじ部が逆向きの角度のねじ山を有する、請求項22に記載の組立体。
- 前記直立部には雄ねじが切られ、前記止めねじには雌ねじが切られている、請求項20に記載の組立体。
- 前記止めねじが凸形に丸みのつけられた上面を含む、請求項24に記載の組立体。
- 前記ねじ部が逆向きの角度のねじ山を有する、請求項24に記載の組立体。
- 前記アンカー部材が骨ねじである、請求項20に記載の組立体。
- 前記骨ねじが、凸形の底面を有する頭部を含む、請求項27に記載の組立体。
- 前記凸形の底面が球形である、請求項28に記載の組立体。
- 前記止めねじが前記複数の直立部内に完全にねじ係合されたときに、前記ねじ部が前記細長ロッドの上方に位置する、請求項20に記載の組立体。
- 前記内壁が前記ねじ部に隣接する逃げ溝を含む、請求項30に記載の組立体。
- 前記細長ロッドを収めるための座金であって、前記サドル部材の前記穴内および前記骨アンカー部材の最上部に嵌合する座金をさらに含む、請求項20に記載の組立体。
- 前記座金が前記細長ロッドを収めるための凹部を含む、請求項32に記載の組立体。
- 前記内壁が溝を含み、前記組立体が、前記座金を前記サドル部材の前記穴に保持するために前記溝に嵌合する止め輪をさらに含む、請求項33に記載の組立体。
- 前記各直立部が、その中に画定された1つまたは複数のトラフを有し、前記座金が、前記ロッドと前記凹部の位置ずれを最小限に抑えるために前記トラフと噛み合う1つまたは複数の整合部材を含む、請求項34に記載の組立体。
- 前記直立部には雌ねじが切られ、前記止めねじには雄ねじが切られている、請求項35に記載の組立体。
- 前記直立部には雄ねじが切られ、前記止めねじには雌ねじが切られている、請求項35に記載の組立体。
- 前記止めねじが前記複数の直立部内に完全にねじ係合されたときに、前記ねじ部が前記細長ロッドの上方に位置する、請求項32に記載の組立体。
- 前記内壁が前記ねじ部に隣接する逃げ溝を含む、請求項38に記載の組立体。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/870,011 US7264621B2 (en) | 2004-06-17 | 2004-06-17 | Multi-axial bone attachment assembly |
US10/870,011 | 2004-06-17 | ||
PCT/US2005/021227 WO2006009753A1 (en) | 2004-06-17 | 2005-06-16 | Multi-axial bone attachment assembly |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2008503260A true JP2008503260A (ja) | 2008-02-07 |
JP2008503260A5 JP2008503260A5 (ja) | 2008-07-17 |
JP4814227B2 JP4814227B2 (ja) | 2011-11-16 |
Family
ID=35106641
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2007516715A Expired - Fee Related JP4814227B2 (ja) | 2004-06-17 | 2005-06-16 | 多軸骨取付け組立体 |
Country Status (8)
Country | Link |
---|---|
US (1) | US7264621B2 (ja) |
EP (1) | EP1768587B1 (ja) |
JP (1) | JP4814227B2 (ja) |
KR (1) | KR100816975B1 (ja) |
CN (1) | CN101389279B (ja) |
AU (1) | AU2005265015B2 (ja) |
CA (1) | CA2572794A1 (ja) |
WO (1) | WO2006009753A1 (ja) |
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US10258382B2 (en) | 2007-01-18 | 2019-04-16 | Roger P. Jackson | Rod-cord dynamic connection assemblies with slidable bone anchor attachment members along the cord |
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US11224464B2 (en) | 2002-05-09 | 2022-01-18 | Roger P. Jackson | Threaded closure with inwardly-facing tool engaging concave radiused structures and axial through-aperture |
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JP2002529136A (ja) * | 1998-11-09 | 2002-09-10 | エスディージーアイ・ホールディングス・インコーポレーテッド | 医療機器 |
US6280442B1 (en) * | 1999-09-01 | 2001-08-28 | Sdgi Holdings, Inc. | Multi-axial bone screw assembly |
US6485491B1 (en) * | 2000-09-15 | 2002-11-26 | Sdgi Holdings, Inc. | Posterior fixation system |
US20030032957A1 (en) * | 2001-08-13 | 2003-02-13 | Mckinley Laurence M. | Vertebral alignment and fixation assembly |
Also Published As
Publication number | Publication date |
---|---|
JP4814227B2 (ja) | 2011-11-16 |
EP1768587B1 (en) | 2014-09-03 |
WO2006009753A1 (en) | 2006-01-26 |
CA2572794A1 (en) | 2006-01-26 |
CN101389279B (zh) | 2011-05-25 |
KR20070041722A (ko) | 2007-04-19 |
US7264621B2 (en) | 2007-09-04 |
EP1768587A1 (en) | 2007-04-04 |
AU2005265015B2 (en) | 2010-09-23 |
CN101389279A (zh) | 2009-03-18 |
US20050283157A1 (en) | 2005-12-22 |
KR100816975B1 (ko) | 2008-03-25 |
AU2005265015A1 (en) | 2006-01-26 |
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