JP2022502232A - 患者固有のナビゲーションガイド - Google Patents
患者固有のナビゲーションガイド Download PDFInfo
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- JP2022502232A JP2022502232A JP2021543598A JP2021543598A JP2022502232A JP 2022502232 A JP2022502232 A JP 2022502232A JP 2021543598 A JP2021543598 A JP 2021543598A JP 2021543598 A JP2021543598 A JP 2021543598A JP 2022502232 A JP2022502232 A JP 2022502232A
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- 238000001356 surgical procedure Methods 0.000 claims abstract description 14
- 238000000034 method Methods 0.000 claims description 14
- 230000000149 penetrating effect Effects 0.000 claims 1
- 238000003780 insertion Methods 0.000 description 5
- 230000037431 insertion Effects 0.000 description 5
- 206010052428 Wound Diseases 0.000 description 4
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 210000000988 bone and bone Anatomy 0.000 description 4
- 238000002324 minimally invasive surgery Methods 0.000 description 3
- 208000007103 Spondylolisthesis Diseases 0.000 description 2
- 238000005553 drilling Methods 0.000 description 2
- 210000004705 lumbosacral region Anatomy 0.000 description 2
- 230000000399 orthopedic effect Effects 0.000 description 2
- 208000007623 Lordosis Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 238000002591 computed tomography Methods 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
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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
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
-
- 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
- A61B17/7055—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant connected to sacrum, pelvis or skull
-
- 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
- A61B17/7067—Devices bearing against one or more spinous processes and also attached to another part of the spine; Tools 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
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
-
- 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
- A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Neurology (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Neurosurgery (AREA)
- Surgical Instruments (AREA)
Abstract
Description
概要
本発明の第1の態様は、脊椎手術で使用するための患者固有のナビゲーションガイドを含み、当該ナビゲーションガイドは第1および第2のガイド部材を含み、第1および第2のガイド部材の両方とも、支持フレームと一体であり且つ患者の第一椎骨に手術器具をガイドするために近位開口部から遠位開口部までそれぞれの長手方向の進展軸に沿って延びる。ガイドはまた、患者の椎骨に対する患者固有のナビゲーションガイドの固有の結合構成を規定するために、患者の椎骨上の対応する複数の接触領域に一致するように設計された接触部材を含む。第1および第2のガイド部材は、2つのガイド部材の長手方向軸を結ぶ直線に直交する正中面と実質的に反対である。
Claims (9)
- 脊椎手術で使用するための患者固有のナビゲーションガイド(1)であって、
第1のガイド部材(2)および第2のガイド部材(3)であって、当該第1のガイド部材(2)および当該第2のガイド部材(3)の両方ともが支持フレーム(4)と一体であり且つ患者の第一椎骨(100)に手術器具を案内するために、それぞれの長手方向の展開軸(2a、3a)に沿って、近位開口部(2p、3p)から遠位開口部(2d、3d)まで延びる、第1のガイド部材(2)および第2のガイド部材(3)と、
前記患者の椎骨(100、200)への前記患者固有のナビゲーションガイド(1)の単一の結合構成を規定するために、前記患者の第一椎骨(100)および第二椎骨(200)の対応する複数の接触領域(101、102、103)と一致するように設計された接触部材(14、15、16)と、を備え、
前記第1のガイド部材(2)および前記第2のガイド部材(3)が、前記第1のガイド部材(2)および前記第2のガイド部材(3)の前記長手方向軸(2a、3a)を結ぶ直線に直交する正中面(X)に対して実質的に反対であり、
全体で3つのガイド部材のみが存在するように、前記ガイド(1)が、前記第一椎骨(100)に隣接して且つ連続する第二椎骨(200)に当接するように適合された第3のガイド部材(6)を含み、
前記第3のガイド部材(6)は、前記第1のガイド部材(2)または前記第2のガイド部材(3)に接続されたプレート(8)を介して前記支持フレーム(4)と一体である、ナビゲーションガイド(1)。 - 使用構成にある前記ガイドを考慮する場合に、前記プレート(8)が前記支持フレーム(4)からカウダル方向に延びる、請求項1に記載のガイド。
- 前記ガイド部材(2、3、6)が管状である、請求項1または2に記載のガイド。
- 隣接する前記第二椎骨(200)上に手術器具をガイドするために、前記第3のガイド部材(6)が、その長手方向の展開軸(6a)に沿って、近位開口部(6p)から遠位開口部(6d)まで延びており、前記長手方向の展開軸(6a)は、前記正中面(X)を横切り、且つ前記第1のガイド部材(2)および前記第2のガイド部材(3)の前記長手方向の展開軸(2a、3a)に対して傾斜している、請求項1から3のいずれか1項に記載の患者固有のナビゲーションガイド(1)。
- 前記プレート(8)が、その近位面(8p)において、前記患者の前記第二椎骨(200)の椎弓板との接触面(103)を規定する、請求項1に記載の患者固有のナビゲーションガイド(1)。
- 前記支持フレーム(4)が、前記第1のガイド部材(2)および第2のガイド部材(3)を接続するブリッジ(9)を備え、前記ブリッジ(9)は、前記第一椎骨(100)の棘突起または仙骨頂(12)に結合されるように適合された主接触部材(10)を備える、請求項1から5のいずれか1項に記載の患者固有のナビゲーションガイド(1)。
- 前記ブリッジ(9)が、前記主接触部材(10)の実質的に上方にある把持要素(17)を備える、請求項6に記載の患者固有のナビゲーションガイド(1)。
- 前記仙骨頂を収容するように適合されたノッチ(11)が、前記ブリッジ(9)の前記接触部材(10)の下に存在する、請求項6または7に記載の患者固有のナビゲーションガイド(1)。
- 請求項1から9のいずれか1項に記載の2つのナビゲーションガイドを含む患者固有のナビゲーションガイドキット(20)であって、前記第1のガイド(1’)が、第二椎骨(200)の第1の側を貫通させるために、前記プレート(8)を介して前記第1のガイド部材(2)にのみ接続された前記第3のガイド部材(6)を有し、前記第2のガイド(1’’)は、前記第一椎骨(100)および第二椎骨(200)が属する脊柱の長手方向線とは反対側の前記第二椎骨(200)の第2の側を貫通させるために、前記プレート(8)を介して前記第2のガイド部材(3)にのみ接続された第3のガイド部材(6)を有する、ナビゲーションガイドキット(20)。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
IT102018000009227 | 2018-10-08 | ||
IT201800009227 | 2018-10-08 | ||
PCT/IB2019/058162 WO2020074990A1 (en) | 2018-10-08 | 2019-09-26 | Patient-specific navigation guide |
Publications (1)
Publication Number | Publication Date |
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JP2022502232A true JP2022502232A (ja) | 2022-01-11 |
Family
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Application Number | Title | Priority Date | Filing Date |
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JP2021543598A Pending JP2022502232A (ja) | 2018-10-08 | 2019-09-26 | 患者固有のナビゲーションガイド |
Country Status (5)
Country | Link |
---|---|
US (1) | US11517332B2 (ja) |
EP (1) | EP3863532B1 (ja) |
JP (1) | JP2022502232A (ja) |
AU (1) | AU2019356219B2 (ja) |
WO (1) | WO2020074990A1 (ja) |
Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11723721B2 (en) * | 2016-12-16 | 2023-08-15 | University Of Ulsan Foundation For Industry Cooperation | Apparatus and method for manufacturing surgical guide, and surgical guide |
WO2020168269A1 (en) | 2019-02-14 | 2020-08-20 | Si-Bone Inc. | Implants for spinal fixation and or fusion |
IT202000020794A1 (it) | 2020-09-01 | 2022-03-01 | Medacta Int Sa | Guida di taglio per osteotomia spinale |
AU2021397743A1 (en) | 2020-12-09 | 2023-06-22 | Si-Bone Inc. | Sacro-iliac joint stabilizing implants and methods of implantation |
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WO2014090908A1 (en) * | 2012-12-14 | 2014-06-19 | Materialise N.V. | Surgical guiding tools for orthopedic surgery and systems and methods of manufacturing the same |
EP2749235A1 (en) * | 2012-12-31 | 2014-07-02 | Medacta International S.A. | Patient specific operative guide for use in spinal surgery |
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2019
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- 2019-09-26 AU AU2019356219A patent/AU2019356219B2/en active Active
- 2019-09-26 EP EP19790070.7A patent/EP3863532B1/en active Active
- 2019-09-26 WO PCT/IB2019/058162 patent/WO2020074990A1/en unknown
- 2019-09-26 JP JP2021543598A patent/JP2022502232A/ja active Pending
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Also Published As
Publication number | Publication date |
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AU2019356219B2 (en) | 2022-12-01 |
US11517332B2 (en) | 2022-12-06 |
US20210346038A1 (en) | 2021-11-11 |
WO2020074990A1 (en) | 2020-04-16 |
AU2019356219A1 (en) | 2021-05-13 |
EP3863532B1 (en) | 2024-01-24 |
EP3863532A1 (en) | 2021-08-18 |
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