JP2015164554A - 骨成長装置および方法 - Google Patents
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
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Abstract
【解決手段】髄内延長装置110は、ハウジング112と伸延シャフト114とを具え、(装置を挿入するため既に分離されているかあるいは意図的に分離されている)2つの骨部分102、104の空胴の中に配置される。髄内延長装置の伸延シャフトは、1以上の取付ねじ118を用いて骨部分の1つ102に取り付けら、髄内延長装置のハウジングは、1以上の取付ねじ116を用いて第2の骨部分104に取り付けられる。治療期間にわたり、骨が絶えず引き伸ばされ、新しい分離部を生成してこの中に骨形成を発生させることができる。髄内延長装置は、アクチュエータと延長ロッドとを具える。
【選択図】図1
Description
本出願は、2009年9月4日提出の米国仮出願第61/240,071号と、2010年7月13日提出の米国仮出願第61/363,986号との優先権を主張し、これらの開示を本書に援用する。本書で十分説明するように、’071号と’986号の仮特許出願を参照して援用する。
Claims (13)
- 第1と第2の別個の部分を有する骨の髄内管の内部に配置するよう構成された延長装置において、
前記第1と第2の別個の骨部分の一方に取り付けるよう構成されたハウジングと、
自身の長さに沿って内部空洞を有し、前記第1と第2の別個の骨部分の他方に取り付けるよう構成された伸延シャフトと、
前記ハウジング内に配設され、回転するよう構成され、少なくとも2つの極を有する永久磁石であって、サンギヤを具える軸に連結された永久磁石と、
前記ハウジング内に配設された複数のプラネタリギヤを具える第1のプラネタリギヤセットであって、前記軸の前記サンギヤが前記第1のプラネタリギヤセットの複数のギヤと接続する、第1のプラネタリギヤセットと、
前記第1のプラネタリギヤセットと隣接して、前記ハウジング内に配設された複数のプラネタリギヤを具える第2のプラネタリギヤセットであって、前記第1のプラネタリギヤセットの出力部が前記第2のプラネタリギヤセットの複数のギヤと接続する、第2のプラネタリギヤセットと、
前記第2のプラネタリギヤセットの複数のギヤに動作可能に連結され、主ねじに動作可能に連結される出力軸であって、前記主ねじは前記伸延シャフトの内部空洞のねじ山部分に接続する、出力軸と、
を具えることを特徴とする装置。 - 請求項1に記載の延長装置がさらに、前記ハウジング内に配設されたスラスト軸受を具え、前記出力軸が前記スラスト軸受を通って延在することを特徴とする装置。
- 請求項2に記載の延長装置において、前記スラスト軸受が前記ハウジングの内面に配設された近位側と遠位側のアバットメントの間に挟まれることを特徴とする装置。
- 請求項1に記載の延長装置がさらに、少なくとも1つの回転可能な永久磁石を具える外部調整装置を具えることを特徴とする装置。
- 請求項4に記載の延長装置において、前記外部調整装置が2つの回転可能な永久磁石を具えることを特徴とする装置。
- 請求項4に記載の延長装置において、前記外部調整装置の動作は、前記延長装置から2インチの隙間で300ポンドより大きい伸延力を生成することを特徴とする装置。
- 第1と第2の別個の部分を有する骨の髄内管の内部に配置するよう構成された調整装置において、
前記第1と第2の別個の骨部分の一方に取り付けるよう構成されたハウジングであって、当該ハウジングの長軸に対して横方向に延在する第1と第2のアバットメントを有する内面を具える、ハウジングと、
自身の長さに沿って内部空洞を有し、前記第1と第2の別個の骨部分の他方に取り付けるよう構成されたシャフトと、
前記ハウジング内に配設され、回転するよう構成され、少なくとも2つの極を有する永久磁石であって、サンギヤを具える軸に連結された永久磁石と、
前記ハウジング内に連続的に配置された複数のプラネタリギヤセットであって、第1のプラネタリギヤセットは入力部として前記軸の前記サンギヤを受け、最後のプラネタリギヤセットは主ねじに動作可能に連結された出力軸で終端し、前記主ねじは前記シャフトの内部空洞のねじ山部分に接続する、プラネタリギヤセットと、
前記ハウジング内に配設され、前記主ねじと前記永久磁石の間に置かれたスラスト軸受であって、前記第1と第2のアバットメントの間に挟まれたスラスト軸受と、
を具えることを特徴とする装置。 - 請求項7に記載の調整装置において、複数の回転を介した第1の方向の前記永久磁石の回転が前記主ねじを圧縮状態にさせ、第1の軸方向に前記スラスト軸受を移動させようとするかあるいは実際に移動させて前記第1のアバットメントに接触させ、複数の回転を介した第2の方向の前記永久磁石の回転が前記主ねじを伸張状態にさせ、第1の軸方向とは反対の第2の軸方向に前記スラスト軸受を移動させようとするかあるいは実際に移動させて前記第2のアバットメントに接触させることを特徴とする装置。
- 請求項7に記載の調整装置において、前記複数のプラネタリギヤセットが、前記永久磁石と前記スラスト軸受の間に配置されることを特徴とする装置。
- 請求項7に記載の調整装置において、前記スラスト軸受が、前記永久磁石と前記複数のギヤセットに大きな圧縮応力あるいは引張応力が掛かるのを妨げるよう構成されていることを特徴とする装置。
- 請求項7に記載の調整装置がさらに、少なくとも1つの回転可能な永久磁石を具える外部調整装置を具えることを特徴とする装置。
- 請求項11に記載の調整装置において、当該調整装置が伸延するよう構成されていることを特徴とする装置。
- 請求項12に記載の調整装置において、前記外部調整装置の動作は、前記延長装置から2インチの隙間で300ポンドより大きい伸延力を生成することを特徴とする装置。
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US24007109P | 2009-09-04 | 2009-09-04 | |
US61/240,071 | 2009-09-04 | ||
US36398610P | 2010-07-13 | 2010-07-13 | |
US61/363,986 | 2010-07-13 |
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JP2015164554A5 JP2015164554A5 (ja) | 2015-11-19 |
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JP2015098790A Pending JP2015164554A (ja) | 2009-09-04 | 2015-05-14 | 骨成長装置および方法 |
JP2017115828A Pending JP2017185262A (ja) | 2009-09-04 | 2017-06-13 | 骨成長装置および方法 |
JP2018074673A Active JP6616444B2 (ja) | 2009-09-04 | 2018-04-09 | 骨成長装置および方法 |
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US (5) | US8449543B2 (ja) |
EP (2) | EP2473116B1 (ja) |
JP (5) | JP5751642B2 (ja) |
KR (3) | KR101792472B1 (ja) |
CN (1) | CN102905625B (ja) |
AU (4) | AU2010289288B2 (ja) |
DK (1) | DK2473116T3 (ja) |
ES (1) | ES2761267T3 (ja) |
RU (1) | RU2016101629A (ja) |
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JP2019503801A (ja) * | 2016-01-28 | 2019-02-14 | ニューベイシブ スペシャライズド オーソペディックス,インコーポレイテッド | 骨移動のためのシステム |
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