JP2012517320A - 展開可能な係合アームを有する棘突起間インプラント - Google Patents
展開可能な係合アームを有する棘突起間インプラント Download PDFInfo
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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
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7065—Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools therefor
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/025—Joint distractors
- A61B2017/0256—Joint distractors for the spine
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- Orthopedic Medicine & Surgery (AREA)
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Abstract
【選択図】図11
Description
本出願は、2007年11月1日に出願された米国特許出願第61/001,430号、2007年10月29日に出願された米国特許出願第61/000,831号、2007年7月24日に出願された米国特許出願第60/961,780号、2007年7月16日に出願された米国特許出シリアル願第60/959,799号、および2007年5月1日に出願された米国特許出願第61/007,916号の優先権を主張する、2008年1月30日に出願された米国特許出願第12/011,905号の一部継続出願であり、その優先権の利益を主張する、2009年8月7日に出願された米国特許出願第12/538,068号の優先権の利益を主張する。本出願はまた、2009年2月11日に出願された米国特許出願第61/207,339号の優先権の利益も主張する。前述した特許出願のそれぞれは、参照することによりその全体が本明細書に組み込まれる。
関連技術の説明
Claims (21)
- 棘突起間空隙に経皮導入するように寸法決定および構成される伸長したねじ山付き本体部分を備える、脊椎インプラント。
- 前記ねじ山付き本体部分が、内部空洞を含み、かつ前記内部空洞内に後退した格納位置と、前記棘突起と係合するために前記本体の前記内部空洞から延在した展開位置との間を縦に動くように適合および構成される、展開可能な係合部材をさらに備える、請求項1に記載の脊椎インプラント。
- 前記格納位置から前記展開位置に前記係合部材を縦に選択的に動かすために、前記ねじ山付き本体部分の前記内部空洞内に延在する駆動アセンブリをさらに備える、請求項2に記載の脊椎インプラント。
- 前記展開位置に前記係合部材を選択的に係止するために、前記駆動アセンブリに動作可能に関連付けられる、手段をさらに備える、請求項3に記載の脊椎インプラント。
- 前記駆動アセンブリが、前記本体部分の長手方向軸に沿って前記本体部分の前記内部空洞内に延在する、主要駆動シャフトを含む、請求項2に記載の脊椎インプラント。
- 前記棘突起と係合するための2つの係合部材が提供され、それぞれの係合部材が、中央ハブから径方向に外向きに延在する1組の湾曲した係合アームを含む、請求項2に記載の脊椎インプラント。
- それぞれの係合アームが、前記棘突起と係合するための複数の異種歯を有する遠位鉤爪部分を含む、請求項6に記載の脊椎インプラント。
- 前記ねじ山付き本体部分が、その遠位前端部分で軸方向に内向きに先細になり、前記インプラントを前記棘突起間空隙に挿入する間、隣接した棘突起を徐々に伸延させるように構成される、外側輪郭を含む、請求項1に記載の脊椎インプラント。
- 前記本体部分上にねじ山が提供され、その前記前端部分上に少なくとも部分的に延在する、請求項8に記載の脊椎インプラント。
- 前記遠位前端部分が、その長手方向軸に対して約30度の角度で、前記本体部分の中央領域に対して軸方向に内向きに先細になる、請求項9に記載の脊椎インプラント。
- 前記脊椎インプラントを剛体化させるように適合および構成される、内部コア部分をさらに備える、請求項1に記載の脊椎インプラント。
- 前記コア部分が、前記インプラントの前記遠位端に配設された、統合先端部分を含む、請求項11に記載の脊椎インプラント。
- 前記本体部分が、前記本体部分の中央部分が形成される材料とは異種の材料で形成される、別々に形成された近位部分を含む、請求項1に記載の脊椎インプラント。
- 前記近位部分が、金属材料で形成され、前記本体部分の前記中央部分が、ポリマー材料で形成される、請求項13に記載の脊椎インプラント。
- a) 棘突起間空隙に経皮導入するように寸法決定および構成され、かつ内部空洞を有する、伸長した本体部分と、
b) 前記本体部分の前記内部空洞内に後退した格納位置と、前記棘突起と係合するために前記本体の前記内部空洞から延在した展開位置との間を縦に動くように適合および構成される、展開可能な係合部材と、
c) 前記格納位置から前記展開位置に前記係合部材を縦に選択的に動かすために、その前記長手方向軸に沿って前記ねじ山付き本体部分の前記内部空洞内に延在する、回転可能な駆動シャフトと、を備える、脊椎インプラント。 - 前記展開位置に前記係合部材を選択的に係止するために、前記回転可能な駆動シャフトおよび前記本体部分に動作可能に関連付けられる、係止キャップを備える、請求項15に記載の脊椎インプラント。
- 前記棘突起と係合するための2つの係合部材が提供され、それぞれの係合部材が、中央ハブから径方向に外向きに延在する1組の湾曲した係合アームを含む、請求項15に記載の脊椎インプラント。
- それぞれの係合アームが、前記棘突起と係合するための複数の異種歯を有する遠位鉤爪部分を含む、請求項17に記載の脊椎インプラント。
- 棘突起間空隙への脊椎インプラントの側方挿入の方法であって、
a)前記インプラントが設置される、標的棘突起間空隙の側方の患者の皮膚に切開を形成するステップと、
b)進入経路を形成するために、内部撮像技術を使用して、前記標的棘突起間空隙の側方に、前記切開を通じて探り針を挿入するステップと、
c)前記切開と前記標的棘突起間空隙との間の軟組織を拡張するために、前記進入経路に沿って、順次1つ以上の拡張器を挿入するステップと、
d)前記進入経路を通じてスリーブを挿入するステップと、
e)所望の量の棘間伸延に適切な大きさを有するインプラントを選択するステップと、
f)前記標的棘突起間空隙まで、前記スリーブを通じて挿入デバイスにより保持して、前記インプラントを挿入するステップと、
g)前記インプラントを前記棘突起間空隙内に前進させるステップと、を備える、方法。 - 前記前進させるステップが、前記インプラントの軸方向の前進を、その外表面上に形成されるねじ山によってもたらすように、その長手方向軸に沿って前記インプラントを回転させることを含む、請求項19に記載の棘突起間空隙への脊椎インプラントの側方挿入の方法。
- 前記インプラントが、隣接した棘突起を前記標的棘突起間空隙と係合するための複数の係合部材を含み、前記方法は、係合部材を展開するステップをさらに含む、請求項19に記載の棘突起間空隙への脊椎インプラントの側方挿入の方法。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US20733909P | 2009-02-11 | 2009-02-11 | |
US61/207,339 | 2009-02-11 | ||
US12/538,068 | 2009-08-07 | ||
US12/538,068 US8142479B2 (en) | 2007-05-01 | 2009-08-07 | Interspinous process implants having deployable engagement arms |
PCT/US2009/006730 WO2010093353A1 (en) | 2009-02-11 | 2009-12-29 | Interspinous process implants having deployable engagement arms |
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JP2014160103A Division JP5899284B2 (ja) | 2009-02-11 | 2014-08-06 | 展開可能な係合アームを有する棘突起間インプラント |
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JP2012517320A true JP2012517320A (ja) | 2012-08-02 |
JP2012517320A5 JP2012517320A5 (ja) | 2013-01-24 |
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JP2011550103A Pending JP2012517320A (ja) | 2009-02-11 | 2009-12-29 | 展開可能な係合アームを有する棘突起間インプラント |
JP2014160103A Active JP5899284B2 (ja) | 2009-02-11 | 2014-08-06 | 展開可能な係合アームを有する棘突起間インプラント |
JP2015192654A Active JP6062520B2 (ja) | 2009-02-11 | 2015-09-30 | 展開可能な係合アームを有する棘突起間インプラント |
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JP2015192654A Active JP6062520B2 (ja) | 2009-02-11 | 2015-09-30 | 展開可能な係合アームを有する棘突起間インプラント |
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US (2) | US8142479B2 (ja) |
EP (1) | EP2395925B1 (ja) |
JP (3) | JP2012517320A (ja) |
KR (1) | KR101713347B1 (ja) |
CN (1) | CN102481148B (ja) |
AU (1) | AU2009340030B2 (ja) |
BR (1) | BRPI0924311B8 (ja) |
ES (1) | ES2658118T3 (ja) |
HK (1) | HK1171354A1 (ja) |
IL (1) | IL214489A (ja) |
MX (1) | MX2011008410A (ja) |
WO (1) | WO2010093353A1 (ja) |
ZA (1) | ZA201106422B (ja) |
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Also Published As
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CN102481148B (zh) | 2015-04-15 |
ZA201106422B (en) | 2013-03-27 |
EP2395925B1 (en) | 2017-09-27 |
AU2009340030B2 (en) | 2016-02-18 |
IL214489A (en) | 2014-11-30 |
EP2395925A1 (en) | 2011-12-21 |
US8142479B2 (en) | 2012-03-27 |
BRPI0924311B1 (pt) | 2021-01-12 |
MX2011008410A (es) | 2011-10-28 |
CN102481148A (zh) | 2012-05-30 |
US8523909B2 (en) | 2013-09-03 |
IL214489A0 (en) | 2011-09-27 |
KR101713347B1 (ko) | 2017-03-07 |
WO2010093353A1 (en) | 2010-08-19 |
JP6062520B2 (ja) | 2017-01-18 |
US20090292316A1 (en) | 2009-11-26 |
JP2015027462A (ja) | 2015-02-12 |
HK1171354A1 (en) | 2013-03-28 |
KR20110117202A (ko) | 2011-10-26 |
AU2009340030A1 (en) | 2011-09-01 |
BRPI0924311A2 (pt) | 2019-09-24 |
ES2658118T3 (es) | 2018-03-08 |
BRPI0924311B8 (pt) | 2021-06-22 |
US20120150229A1 (en) | 2012-06-14 |
JP5899284B2 (ja) | 2016-04-06 |
JP2016025941A (ja) | 2016-02-12 |
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