JP4248968B2 - 関節の人工器官、股関節の人工器官、関節の人工器官用のベアリング - Google Patents
関節の人工器官、股関節の人工器官、関節の人工器官用のベアリング Download PDFInfo
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- JP4248968B2 JP4248968B2 JP2003295411A JP2003295411A JP4248968B2 JP 4248968 B2 JP4248968 B2 JP 4248968B2 JP 2003295411 A JP2003295411 A JP 2003295411A JP 2003295411 A JP2003295411 A JP 2003295411A JP 4248968 B2 JP4248968 B2 JP 4248968B2
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- bearing
- stem
- long bone
- bone
- cavity
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
- A61B17/1668—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the upper femur
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- A61B17/164—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans intramedullary
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Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Dentistry (AREA)
- Neurology (AREA)
- Prostheses (AREA)
Description
(A)関節形成術に用いるための長骨および第2の骨と共に動作する関節の人工器官であって、上記長骨内には上記長骨の内壁によって画定されたキャビティが形成されていて、上記関節の人工器官は、上記長骨の上記キャビティ内に少なくとも部分的に配置されて上記長骨に固定されるための遠位の部分を含み、長手方向の軸を画定するステムコンポーネントと、上記ステムコンポーネントの上記遠位の部分が上記長骨の上記内壁から間隔を置いて配置されるように上記キャビティ内の上記ステムコンポーネントおよび上記長骨の間に配置されるベアリングとを有する、関節の人工器官。
(B)関節形成術に用いるための大腿骨と共に動作する股関節の人工器官であって、上記大腿骨内には上記大腿骨の内壁によって画定されたキャビティが形成されていて、上記股関節の人工器官は、上記大腿骨の上記キャビティ内に少なくとも部分的に配置されて上記大腿骨に固定されるための大腿コンポーネントの部分を含み、長手方向の軸を画定する大腿コンポーネントと、寛骨臼に取り付けられて上記大腿コンポーネントと共に動作するカップと、上記大腿コンポーネントの遠位の部分が上記大腿骨の上記内壁から間隔を置いて配置されるように上記キャビティ内の上記大腿コンポーネントおよび上記大腿骨の間に配置されるベアリングとを有する、股関節の人工器官。
(C)関節形成術に用いるための長骨と共に動作するステムコンポーネントであって、上記長骨内にはキャビティが形成されていて、上記ステムコンポーネントは、上記長骨の上記キャビティ内に少なくとも部分的に配置されるステムコンポーネントの部分を有すると共に長手方向の軸を画定し、上記ステムコンポーネントの遠位の部分は上記長骨から間隔を置いて配置されている、ステムコンポーネント。
(D)関節形成術に用いるための関節の人工器官用のベアリングであって、上記ベアリングは、長骨内に形成された上記長骨の内壁によって画定されたキャビティ内に少なくとも部分的に配置されるステムコンポーネントと共に動作し、上記ベアリングは、上記ステムコンポーネントの遠位の部分が上記長骨の上記内壁から間隔を置いて配置されるように上記キャビティ内で上記ステムコンポーネントおよび上記長骨の間に配置されるように適合されている、関節の人工器官用のベアリング。
(E)長骨の内壁によって画定されたキャビティを上記長骨の髄間内に準備する過程と、上記キャビティ内に移植するためのベアリングを提供する過程と、上記キャビティ内に上記ベアリングを据付ける過程と、上記キャビティ内に少なくとも部分的に移植するためのステムを提供する過程と、上記ステムの遠位の部分が上記長骨の上記内壁から間隔を置いて配置されるように上記ステムを上記ベアリングに据付ける過程とを有する、関節形成術を実施するための方法。
(1)ベアリングが、ステムコンポーネントの長手方向の軸に沿って上記ステムコンポーネントが長骨に対して角度をなして動くのを許容するように適合されている、実施態様(A)記載の関節の人工器官。
(2)ベアリングから間隔を置いて配置された第2のベアリングをさらに有する、実施態様(A)記載の関節の人工器官。
(3)ベアリングが、長骨と共に動作する外側リングと、ステムコンポーネントと共に動作する内側リングとを有し、上記内側リングが、上記ステムコンポーネントの長手方向の軸に沿って上記外側リングに対して角度をなすように動く、実施態様(A)記載の関節の人工器官。
(4)内側リングが球形の外側周縁部を画定し、外側リングが球形の内側周縁部を画定し、上記外側周縁部および上記内側周縁部が互いの間の回動運動を定義する、実施態様(3)記載の関節の人工器官。
(5)ステムコンポーネントの遠位の部分が略円筒形であると共にステムの直径を画定し、キャビティの遠位の部分が略円筒形であると共にキャビティの直径を画定し、上記ステムの直径が上記キャビティの直径の70%未満である、実施態様(A)記載の関節の人工器官。
(7)ベアリングが、円筒形の外側周縁部および凸状の内側周縁部を備えたリングからなる、実施態様(A)記載の関節の人工器官。
(8)ベアリングが、大腿コンポーネントの長手方向の軸に沿って上記大腿コンポーネントが大腿骨に対して角度をなして動くのを許容するように適合されている、実施態様(B)記載の股関節の人工器官。
(9)ベアリングから間隔を置いて配置された第2のベアリングをさらに有する、実施態様(B)記載の股関節の人工器官。
(10)ベアリングが、大腿骨と共に動作する外側リングと、大腿コンポーネントと共に動作する内側リングとを有し、上記内側リングが、上記大腿コンポーネントの長手方向の軸に沿って上記外側リングに対して角度をなすように動く、実施態様(B)記載の股関節の人工器官。
(12)大腿コンポーネントの遠位の部分が略円筒形であると共にステムの直径を画定し、キャビティの遠位の部分が略円筒形であると共にキャビティの直径を画定し、上記ステムの直径が上記キャビティの直径の70%未満である、実施態様(B)記載の股関節の人工器官。
(13)ベアリングが割りリングからなる、実施態様(B)記載の股関節の人工器官。
(14)ベアリングが、円筒形の外側周縁部および凸状の内側周縁部を備えたリングからなる、実施態様(B)記載の股関節の人工器官。
(15)ステムコンポーネントの遠位の部分が略円筒形であると共にステムの直径を画定し、キャビティの遠位の部分が略円筒形であると共にキャビティの直径を画定し、上記ステムの直径が上記キャビティの直径の70%未満である、参考例(C)記載のステムコンポーネント。
(17)ベアリングが、長骨と共に動作する外側リングと、ステムコンポーネントと共に動作する内側リングとを有し、上記内側リングが、上記ステムコンポーネントの長手方向の軸に沿って上記外側リングに対して角度をなすように動く、実施態様(D)記載のベアリング。
(18)内側リングが球形の外側周縁部を画定し、外側リングが球形の内側周縁部を画定し、上記外側周縁部および上記内側周縁部が互いの間の回動運動を定義する、実施態様(17)記載のベアリング。
(19)ベアリングが割りリングからなる、実施態様(D)記載のベアリング。
(20)ベアリングが、円筒形の外側周縁部および凸状の内側周縁部を備えたリングからなる、実施態様(D)記載のベアリング。
(22)ベアリングを据付ける過程が、ベアリングを圧縮する過程と、上記ベアリングを圧縮された状態でキャビティ内に挿入する過程と、上記ベアリングを拡張させる過程とを有する、参考例(E)記載の方法。
(23)骨管を穴あけしてベアリングを据付ける位置を提供する過程をさらに有する、参考例(E)記載の方法。
12 長骨
14 切除線
16 骨端
20 キャビティ
22 海綿骨
24 髄管
26 第2の骨
30 内壁
32 ステムコンポーネント
34 遠位の部分
36 長手方向の軸
40 ベアリング
42 カップ
44 ライナー
46 ステム部分
50 ヘッド部分
52 オス型先細り部分
54 メス型先細り部分
56 近位の部分
60 ネック部分
62 矢印
64 第2のベアリング
65 外側面
66 内側面
70 開口
72 特徴部
74 中心線
76 長手方向の軸
80 胴
82 矢印
90 ベアリング座
92 骨
100 ホーン装置
102 シャフト
104 ホーン器具
106 矢印
108 矢印
110 本体
112 モーター
114 歯車
210 髄内釘アセンブリ
224 骨管
230 内壁
232 髄内ロッド
240 第1のベアリング
264 第2のベアリング
265 外側周縁部
266 内径
292 骨折
294 第1の部分
296 第2の部分
310 関節の人工器官
312 長骨
318 外側リング
320 キャビティ
324 骨管
328 内側リング
330 内壁
332 ステムコンポーネント
334 遠位の部分
336 長手方向の軸
338 外側周縁部
340 ベアリング
342 カップ
344 ライナー
348 内側周縁部
350 ヘッド
356 本体部分
360 ネック部分
364 第2のベアリング
364’ 外側面
368 矢印
372 特徴部
378 矢印
388 矢印
392 湾曲した部分
393 湾曲した部分
395 遠位の端部
510 関節の人工器官
512 長骨
520 開口
524 キャビティ
530 内壁
532 ステムコンポーネント
536 遠位の部分
540 第1のベアリング
550 ヘッド
564 第2のベアリング
593 関節窩コンポーネント
595 関節窩
Claims (19)
- 関節形成術に用いるための長骨および第2の骨と共に動作する関節の人工器官であって、上記長骨内には上記長骨の内壁によって画定されたキャビティが形成されていて、上記関節の人工器官は、
上記長骨の上記キャビティ内に少なくとも部分的に配置されて上記長骨に固定されるための遠位の部分を含み、長手方向の軸を画定するステムコンポーネントと、
上記ステムコンポーネントの上記遠位の部分が上記長骨の上記内壁から間隔を置いて配置されるように上記キャビティ内の上記ステムコンポーネントおよび上記長骨の間に配置されるベアリングと
を有し、
上記ベアリングが、上記ステムコンポーネントの長手方向の軸に沿って上記ステムコンポーネントが上記長骨に対して角度をなして動くのを許容するように適合されている、関節の人工器官。 - 上記ベアリングから間隔を置いて配置された、第2のベアリングをさらに有する、請求項1記載の関節の人工器官。
- 上記ベアリングが、上記長骨と共に動作する外側リングと、上記ステムコンポーネントと共に動作する内側リングとを有し、上記内側リングが、上記ステムコンポーネントの長手方向の軸に沿って上記外側リングに対して角度をなすように動く、請求項1又は2記載の関節の人工器官。
- 上記内側リングが球形の外側周縁部を画定し、上記外側リングが球形の内側周縁部を画定し、上記外側周縁部および上記内側周縁部が互いの間の回動運動を定義する、請求項3記載の関節の人工器官。
- 上記ステムコンポーネントの遠位の部分が略円筒形であると共に上記ステムの直径を画定し、上記キャビティの遠位の部分が略円筒形であると共に上記キャビティの直径を画定し、上記ステムの直径が上記キャビティの直径の70%未満である、請求項1から4のいずれか1つに記載の関節の人工器官。
- 上記ベアリングが割りリングからなる、請求項1から5のいずれか1つに記載の関節の人工器官。
- 上記ベアリングが、円筒形の外側周縁部および凸状の内側周縁部を備えたリングからなる、請求項1から5のいずれか1つに記載の関節の人工器官。
- 関節形成術に用いるための大腿骨と共に動作する股関節の人工器官であって、上記大腿骨内には上記大腿骨の内壁によって画定されたキャビティが形成されていて、上記股関節の人工器官は、
上記大腿骨の上記キャビティ内に少なくとも部分的に配置されて上記大腿骨に固定されるための大腿コンポーネントの部分を含み、長手方向の軸を画定する大腿コンポーネントと、
寛骨臼に取り付けられて上記大腿コンポーネントと共に動作するカップと、
上記大腿コンポーネントの遠位の部分が上記大腿骨の上記内壁から間隔を置いて配置されるように上記キャビティ内の上記大腿コンポーネントおよび上記大腿骨の間に配置されるベアリングと
を有し、
上記ベアリングが、上記大腿コンポーネントの長手方向の軸に沿って上記大腿コンポーネントが上記大腿骨に対して角度をなして動くのを許容するように適合されている、股関節の人工器官。 - 上記ベアリングから間隔を置いて配置された、第2のベアリングをさらに有する、請求項8記載の股関節の人工器官。
- 上記ベアリングが、上記大腿骨と共に動作する外側リングと、上記大腿コンポーネントと共に動作する内側リングとを有し、上記内側リングが、上記大腿コンポーネントの長手方向の軸に沿って上記外側リングに対して角度をなすように動く、請求項8又は9記載の股関節の人工器官。
- 上記内側リングが球形の外側周縁部を画定し、上記外側リングが球形の内側周縁部を画定する、請求項10記載の股関節の人工器官。
- 上記大腿コンポーネントの遠位の部分が略円筒形であると共に上記ステムの直径を画定し、上記キャビティの遠位の部分が略円筒形であると共に上記キャビティの直径を画定し、上記ステムの直径が上記キャビティの直径の70%未満である、請求項8から11のいずれか1つに記載の股関節の人工器官。
- 上記ベアリングが割りリングからなる、請求項8から12のいずれか1つに記載の股関節の人工器官。
- 上記ベアリングが、円筒形の外側周縁部および凸状の内側周縁部を備えたリングからなる、請求項8から12のいずれか1つに記載の股関節の人工器官。
- 関節形成術に用いるための関節の人工器官用のベアリングであって、
上記ベアリングは、長骨内に形成された上記長骨の内壁によって画定されたキャビティ内に少なくとも部分的に配置されるステムコンポーネントと共に動作し、
上記ベアリングは、上記ステムコンポーネントの遠位の部分が上記長骨の上記内壁から間隔を置いて配置されるように上記キャビティ内で上記ステムコンポーネントおよび上記長骨の間に配置されるように適合され、
上記ベアリングが、上記ステムコンポーネントの長手方向の軸に沿って上記ステムコンポーネントが上記長骨に対して角度をなすように動くのを許容するように適合されている、関節の人工器官用のベアリング。 - 上記ベアリングが、長骨と共に動作する外側リングと、ステムコンポーネントと共に動作する内側リングとを有し、上記内側リングが、上記ステムコンポーネントの長手方向の軸に沿って上記外側リングに対して角度をなすように動く、請求項15記載のベアリング。
- 上記内側リングが球形の外側周縁部を画定し、上記外側リングが球形の内側周縁部を画定し、上記外側周縁部および上記内側周縁部が互いの間の回動運動を定義する、請求項16に記載のベアリング。
- 上記ベアリングが割りリングからなる、請求項15から17のいずれか1つに記載のベアリング。
- 上記ベアリングが、円筒形の外側周縁部および凸状の内側周縁部を備えたリングからなる、請求項15から17のいずれか1つ記載のベアリング。
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-
2002
- 2002-08-20 US US10/224,009 patent/US6755866B2/en not_active Expired - Fee Related
-
2003
- 2003-08-19 EP EP03255120A patent/EP1391187A1/en not_active Withdrawn
- 2003-08-19 AU AU2003235084A patent/AU2003235084B2/en not_active Ceased
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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US10285933B2 (en) | 2004-10-13 | 2019-05-14 | Arch Personal Care Products L.P. | Personal care composition containing ozone-stressed yeast lysates |
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AU2003235084B2 (en) | 2008-11-13 |
US6755866B2 (en) | 2004-06-29 |
EP1391187A1 (en) | 2004-02-25 |
JP2004130108A (ja) | 2004-04-30 |
US20040039451A1 (en) | 2004-02-26 |
AU2003235084A1 (en) | 2004-03-11 |
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