JP2020011062A - 骨安定化システム - Google Patents
骨安定化システム Download PDFInfo
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Abstract
Description
本出願は、2018年3月20日に出願された米国特許出願第15/925,846号の一部継続出願であり、これは、2017年9月13日に出願された米国特許出願第15/703,345号の一部継続出願であり、その全体がすべての目的のために参照により本明細書に組み入れられる。
本開示は、外科手術用装置、より具体的には、例えば外傷応用のためのプレートを含む安定化システムに関する。
骨折はプレートシステムを使用して治癒することができる。治療中、一つ以上のねじが骨折の両側に配置され、それによって骨折の圧縮および治癒がなされる。プレートシステムの改善とプレートシステムの正確な使用のための機構の必要性がある。
アプリケーションによれば、一部の実施形態では、骨折を治療するためのシステムが提供される。システムは、骨と噛み合うよう構成されている骨プレートを備え、骨プレートは近位部分、シャフトおよび遠位部分を含み、ここで近位部分は先細り先端を含み、またシャフトは一つ以上の孔を含み、また遠位部分は一つ以上の遠位孔および後側と前側を含み、遠位部分の後側は遠位部分の前側に対して***している。システムはさらに、シャフトの一つ以上の孔を通して受けられる少なくとも一つのファスナーと、遠位部分の一つ以上の遠位孔を通して受けられる少なくとも一つのファスナーとを備える。
[図面の簡単な説明]
本発明、及び付随するその利点及び特徴のより完全な理解は、添付の図面とともに考慮された場合、以下の詳細な説明を参照することによって、さらに容易に理解されよう。
本出願の実施形態は、一般に、骨安定化のための装置、システムおよび方法を対象とする。特に、実施形態は、骨部位を横切って延びて、一つ以上の骨折を治療する骨プレートを対象とする。
Claims (20)
- 骨プレートに接続するために構成された照準ガイドシステムであって、前記骨プレートが縦軸に沿って延在し、近位部分と、シャフトと、遠位部分とを備え、前記骨プレートがシャフトに沿って複数の第一のねじ孔と、前記遠位部分における複数の第二のねじ孔と、前記遠位部分に近接した取付けねじ孔と、を画定する照準ガイドシステムであって、
近位端から遠位端まで延在する剛直な本体を有し、前記剛直な本体を通ってその前記近位端と前記遠位端との間で画定された複数の照準孔を有し、前記遠位端が前記本体を通って取付けスロットを画定する、照準アームと、
前記複数の照準孔のそれぞれが、前記第一のねじ孔のそれぞれ一つに整列した状態で、前記照準アームが前記骨プレートに対して所定位置に固定されるよう、前記取付けねじ孔と前記取付けスロットとに係合するよう構成された接続アセンブリと、を備える、照準ガイドシステム。 - 前記接続アセンブリが、嵌合面から延在する方向付けボスを有する第一の端を有する取付けポストを含み、前記方向付けボスが、前記照準アームが前記嵌合面上に置かれ、適切な配向で維持されるように、前記取付けスロットで受けられるように構成された、請求項1に記載のシステム。
- 前記方向付けボスおよび前記取付けスロットが、前記照準アームが適切に配向されたときにのみ嵌合するように構成された相補的構成を有する、請求項2に記載のシステム。
- 前記方向付けボスが、それから延在するキー部材を有し、前記取付けスロットが、前記照準アームが適切に配向されたときに前記キー部材を受けるように構成された溝を有する、請求項3に記載のシステム。
- 前記取付けポストが、第二の端に取付けブロックを含み、前記取付けブロックが複数のボール端ピンを画定する遠位面を有し、前記各ボール端ピンが、前記取付けねじ孔周りの前記プレート面上のそれぞれのくぼみに受けられるように構成され、前記くぼみ内の前記ボール端ピンの位置決めが、前記プレートに対して前記取付けポストを適切に整列させる、請求項2に記載のシステム。
- 前記取付けポストが、前記取付けポストおよび照準アームが前記第二のねじ孔に重ならないように、前記骨プレートに対して傾斜角で延在するように構成される、請求項2に記載のシステム。
- 前記接続アセンブリが、第一と第二の端との間に延在するシャフト本体を有するねじ山シャフトをさらに含み、各端が複数のねじ山を含み、前記ねじ山シャフトが、前記シャフト本体の前記第一および第二の端の少なくとも一つの前記ねじ山が前記取付けねじ孔に螺合するよう構成された状態で、前記取付けポストの貫通穴を通って延在する、請求項2に記載のシステム。
- 前記接続アセンブリが、前記ねじ山シャフトの少なくとも一つの前記ねじ山を螺合して、前記照準アームと骨プレートとの間に前記取付けポストを固定するよう構成されたファスナーをさらに備える、請求項7に記載のシステム。
- 前記ファスナーが、ワッシャーであって、その一方の側に画定される接触面と、その反対側に画定される半球形シートとを有するワッシャーと、球形ナットであって、前記シートの構成を相補する半球形構成を有するボール部分を有し、前記ボール部分が、前記ねじ山シャフトの少なくとも一つの端で螺合可能に受けられるよう構成されたねじ山穴を画定する球形ナットと、を含む、請求項8に記載のシステム。
- 前記ねじ山付きナットの締付け中に、前記ボール部分と前記半球形シートとの間の係合により、前記ワッシャーを、前記取付けポストの前記嵌合面と略平行な前記接触面に自己整列させる、請求項9に記載のシステム。
- 突出部が照準アーム本体の少なくとも一つの側面から延在し、前記突出部が、前記骨プレートのキックスタンドねじ孔と整列するように構成された、角度付けられた照準孔を画定する、請求項1に記載のシステム。
- 組織保護スリーブが前記照準ガイドから前記第一のねじ孔のそれぞれの一つまでの貫通穴を画定するように、前記複数の照射孔のうち一つを通して位置付けられるよう構成された、少なくとも一つの前記組織保護スリーブをさらに備える、請求項1に記載のシステム。
- 前記組織保護スリーブが、その近接端にヘッド部材を有し、前記ヘッド部材が、前記組織保護スリーブを所望の配向で保持するために、前記照準孔によって画定される凹部内に受けられるように構成される、請求項12に記載のシステム。
- 前記組織保護スリーブに沿った解除可能なロック用タブが、前記照準孔のアンダーカットと係合して、前記組織保護スリーブを前記照準アームに取り外し可能に固定するよう構成される、請求項13に記載のシステム。
- 組織保護スリーブを通して配置されるように構成された少なくとも一つのドリルスリーブをさらに備え、前記少なくとも一つのドリルスリーブが、内側スリーブ本体がコレットに係合し、前記第一のねじ孔のうちの一つとの接続した前記コレットを維持するように、折り畳み可能な前記コレットをその遠位端に有する前記外側スリーブ本体と、前記外側スリーブ本体内に拡張可能な前記内側スリーブ本体と、を有する、請求項12に記載のシステム。
- 組織保護スリーブを通して位置付けられるよう構成された、少なくとも一つの動的圧縮スリーブをさらに備え、前記少なくとも一つの動的圧縮スリーブが、前記動的圧縮スリーブの中心軸からずれた貫通穴を有する、請求項12に記載のシステム。
- 前記照準アームが可逆的である、請求項1に記載のシステム。
- 骨プレートに接続するために構成された照準ガイドシステムであって、前記骨プレートが縦軸に沿って延在し、近位部分と、シャフトと、遠位部分とを備え、前記骨プレートがシャフトに沿って複数の第一のねじ孔と、前記遠位部分における複数の第二のねじ孔と、前記遠位部分に近接した取付けねじ孔と、を画定する照準ガイドシステムであって、
近位端から遠位端まで延在する剛直な本体を有し、前記剛直な本体を通ってその前記近位端と前記遠位端との間で画定された複数の照準孔を有し、前記遠位端が前記本体を通って取付けスロットを画定する、照準アームと、
前記複数の照準孔のそれぞれが前記第一のねじ孔のそれぞれ一つに整列した状態で、前記照準アームが前記骨プレートに対して所定位置に固定されるよう、前記取付けねじ孔と前記取付けスロットとに係合するよう構成された接続アセンブリであって、
嵌合面から延在する方向付けボスを備えた第一の端であって、前記方向付けボスが、前記照準アームが前記嵌合面上に置かれ、適切な配向で維持されるように、取付けスロットで受けられるように構成された第一の端と、前記取付けブロックを有する第二の端であって、前記取付けブロックが複数のボール端ピンを画定する遠位面を有し、前記各ボール端ピンが、前記取付けねじ孔周りの前記プレート面のそれぞれのくぼみに受けられるように構成された第二の端と、を有する取付けポストと、
第一と第二の端との間に延在するシャフト本体を有するねじ山シャフトであって、各端が複数のねじ山を含み、前記ねじ山シャフトが、前記シャフト本体の前記第一および第二の端の少なくとも一つの前記ねじ山が前記取付けねじ孔に螺合するよう構成された状態で、前記取付けポストの貫通穴を通って延在する、ねじ山シャフトと、
前記ねじ山シャフトの少なくとも一つの前記ねじ山を螺合して、前記照準アームと骨プレートとの間に前記取付けポストを固定するよう構成されたファスナーと、を備える、接続アセンブリと、を備える、照準ガイドシステム。 - 前記ファスナーが、ワッシャーであって、その一方の側に画定される接触面と、その反対側に画定される半球形シートとを有するワッシャーと、球形ナットであって、前記シートの構成を相補する半球形構成を有するボール部分を有し、前記ボール部分が、前記ねじ山シャフトの少なくとも一つの端で螺合可能に受けられるよう構成されたねじ山穴を画定する球形ナットと、を含む、請求項18に記載のシステム。
- 照準ガイドアームを骨プレートに対して固定する方法であって、近位端から遠位端まで延在する剛直な本体を有し、前記剛直な本体を通ってその前記近位端と前記遠位端との間で画定された複数の照準孔を有し、前記遠位端が前記本体を通って取付けスロットを画定し、前記骨プレートが縦軸に沿って延在し、近位部分と、シャフトと、遠位部分と、を備え、前記骨プレートがシャフトに沿って複数の第一のねじ孔と、前記遠位部分における複数の第二のねじ孔と、前記遠位部分に近接した取付けねじ孔と、前記取付けねじ孔周りに複数のくぼみと、を画定し、前記方法が、
前記ねじ山シャフトが傾斜角で前記骨プレートから延在するように、前記ねじ山シャフトの第一の端を前記取付けねじ孔に螺合することと、
取付けポストの一方の端にある、取付けブロックから延在するボール端ピンが前記骨プレート上の前記くぼみ内に着座するよう、前記ねじ山シャフトの上で前記取付けポストを摺動させることであって、前記取付けポストの反対端が、嵌合面から延在する方向付けボスを有する、摺動することと、
前記照準ガイドアームの第一の面が前記嵌合面上に着座した状態の前記取付けスロットを通って延在する前記方向付けボスを有する前記照準ガイドアームを位置付けることと、
ファスナーを前記ねじ山シャフトの第二の端に固定することであって、前記ファスナーが前記第一の面の反対の前記照準ガイドの前記本体の第二の面と係合して、前記骨プレートに対して前記照準ガイドの前記本体を固定された配向に固定する、固定することと、を含む、方法。
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EP3593741A3 (en) | 2020-04-08 |
US11096730B2 (en) | 2021-08-24 |
EP3593741A2 (en) | 2020-01-15 |
JP6794506B2 (ja) | 2020-12-02 |
EP3593741B1 (en) | 2024-04-10 |
US11871970B2 (en) | 2024-01-16 |
US20210353339A1 (en) | 2021-11-18 |
US20190076174A1 (en) | 2019-03-14 |
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