JP4995097B2 - 遠位大腿骨用トライアル及び取り外し可能な切断ガイド - Google Patents
遠位大腿骨用トライアル及び取り外し可能な切断ガイド Download PDFInfo
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- JP4995097B2 JP4995097B2 JP2007548480A JP2007548480A JP4995097B2 JP 4995097 B2 JP4995097 B2 JP 4995097B2 JP 2007548480 A JP2007548480 A JP 2007548480A JP 2007548480 A JP2007548480 A JP 2007548480A JP 4995097 B2 JP4995097 B2 JP 4995097B2
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- Prior art keywords
- cutting guide
- trial
- femoral trial
- cutting
- opening
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4684—Trial or dummy prostheses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
- A61B17/154—Guides therefor for preparing bone for knee prosthesis
- A61B17/155—Cutting femur
-
- 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
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1675—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 knee
-
- 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
- A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/3859—Femoral components
-
- 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
- A61B2017/1602—Mills
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/3859—Femoral components
- A61F2002/3863—Condyles fitted on an anchored base
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Dentistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Transplantation (AREA)
- Physical Education & Sports Medicine (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
本出願は、発明の名称が「遠位大腿骨の人工トライアル及び切除ガイド」(Distal-Femoral Prosthetic Trial and Resection Guide)とされる、2004年12月21日出願の米国特許出願第60/638,185号明細書の優先権を主張するものである。この出願の全内容が、参照により本明細書に組み込まれている。
12 トライアル
14 顆状領域
16 開口部
18 中央部
20 配向スロット
22 最前部
24 開口部の側縁部
26 固定穴
28 受容部
30 ネジ部
34 前方膝蓋骨領域
36 関節表面
50 切断ガイド
52 基部
54 内部箱
56 方向制限スロット
80 保持ボルト
82 ネジ部
84 カニューレ
86 柱状部
88 ヘッド
112 トライアル
114 切断スロット
116 前方当接部
118 ピン受容部
150 切断ガイド
152 ピン
154 部材
156 バネ
200 インプラント
202 カム部
204 人工補助具の突起状パンチ穴
210 リーマ
212 カラー
Claims (10)
- (a)中央部に、最前部及び開口部側縁部を有する開口部が形成され、該開口部によって分割された顆状領域を備えている大腿骨用トライアルの構成部品と、
(b)前記開口部の最前部に対して調整可能に前記開口部によって受容され、且つ前記開口部内に固定されるように適合している取り外し可能な切断ガイドと、
(c)前記切断ガイドを前記大腿骨用トライアルの構成部品に固定するための保持ボルトと、
を備えており、
前記大腿骨用トライアルの構成部品に、前記保持ボルトを受容するように適合された受容部が形成され、
前記切断ガイドに、前記保持ボルトを挿通させる方向制限スロットが形成され、
該方向制限スロットが前後方向に延在し、該方向制限スロットによって、前記切断ガイドが前記大腿骨用トライアルの構成部品に対して前後方向に沿って調整可能とされる
ことを特徴とする大腿骨用トライアル及び切断ガイドからなる組立体。 - 前記大腿骨用トライアルの構成部品は、前方当接部を有し、前記切断ガイドは、当該切断ガイドを前記大腿骨用トライアルの構成部品に対して所定位置に固定するために前記前方当接部によって受容されるように適合されているピンを有しており、
前記切断ガイドは、前記ピンが前記切断ガイドに対して上下動し、前記大腿骨用トライアルの構成部品に対して所定位置に固定可能とされるようにバネを動作させる伸縮部材を有していることを特徴とする、請求項1に記載の組立体。 - 前記切断ガイドは前方当接部材を有し、前記切断ガイドは、前記最前部と前記前方当接部材とが係合することで、前記開口部内における所定位置で固定されるように適合されており、前記最前部と前記前方当接部材との係合によって、前記切断ガイドが前記大腿骨用トライアルの構成部品に対して動くことを防止すると共に、前記切断ガイドの前後方向の動作を制限することを特徴とする、請求項1に記載の組立体。
- 前記切断ガイドは、該切断ガイドによって案内される切断器具を後方側から捕捉する後方捕捉部を有していることを特徴とする請求項1から3の何れか一項に記載の組立体。
- 前記開口部の側縁部は、前記切断ガイドの基部を受容する配向スロットを備えていることを特徴とする請求項1から4の何れか一項に記載の組立体。
- カニューレが前記保持ボルトに挿入されていることを特徴とする請求項1から5の何れか一項に記載の組立体。
- 前記切断ガイドは、前記大腿骨用トライアルの方向制限の範囲内に前記切断ガイドを保持するために、前記大腿骨用トライアル内の段付部に滑入する可動式の固定ピンを有していることを特徴とする請求項1から6の何れか一項に記載の組立体。
- 前記大腿骨用トライアルは、それ自体を手術された遠位大腿骨に固定することができる1つ以上の固定穴を有していることを特徴とする請求項1から7の何れか一項に記載の組立体。
- 前記切断ガイドは、切断器具を受容し且つ停止させるように適合されている内部捕捉部を有していることを特徴とする請求項1から8の何れか一項に記載の組立体。
- 前記組立体は、異なる深さ及び前後方向長さのオプションを提供するために複数の異なる大きさの前記切断ガイドを備えていることを特徴とする請求項1から9の何れか一項に記載の組立体。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US63818504P | 2004-12-21 | 2004-12-21 | |
US60/638,185 | 2004-12-21 | ||
PCT/US2005/046658 WO2006069260A1 (en) | 2004-12-21 | 2005-12-21 | Distal femoral trial with removable cutting guide |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2008523962A JP2008523962A (ja) | 2008-07-10 |
JP4995097B2 true JP4995097B2 (ja) | 2012-08-08 |
Family
ID=36123185
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2007548480A Expired - Fee Related JP4995097B2 (ja) | 2004-12-21 | 2005-12-21 | 遠位大腿骨用トライアル及び取り外し可能な切断ガイド |
Country Status (7)
Country | Link |
---|---|
US (4) | US7963968B2 (ja) |
EP (1) | EP1845869B1 (ja) |
JP (1) | JP4995097B2 (ja) |
CN (1) | CN101083944B (ja) |
AU (1) | AU2005319139B2 (ja) |
CA (1) | CA2591977C (ja) |
WO (1) | WO2006069260A1 (ja) |
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AU2005319139A1 (en) | 2006-06-29 |
WO2006069260A1 (en) | 2006-06-29 |
US20060173463A1 (en) | 2006-08-03 |
CN101083944B (zh) | 2013-01-02 |
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