JP5133586B2 - 低侵襲脊椎手術のための経皮的な位置合せおよびアクセスツール - Google Patents
低侵襲脊椎手術のための経皮的な位置合せおよびアクセスツール Download PDFInfo
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- JP5133586B2 JP5133586B2 JP2007104366A JP2007104366A JP5133586B2 JP 5133586 B2 JP5133586 B2 JP 5133586B2 JP 2007104366 A JP2007104366 A JP 2007104366A JP 2007104366 A JP2007104366 A JP 2007104366A JP 5133586 B2 JP5133586 B2 JP 5133586B2
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
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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
- A61B17/56—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
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00261—Discectomy
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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
- A61B2017/00831—Material properties
- A61B2017/00902—Material properties transparent or translucent
- A61B2017/00915—Material properties transparent or translucent for radioactive radiation
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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
- A61B17/34—Trocars; Puncturing needles
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
- A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
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- A61B2017/3488—Fixation to inner organ or inner body tissue
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- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
- A61B2090/3916—Bone tissue
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
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- Pathology (AREA)
- Surgical Instruments (AREA)
Description
例示的な経皮的脊椎位置合せおよびアクセスツール
図1〜図3は、腰椎椎弓根スクリュー固定を伴う低侵襲脊椎手術のための、例示的な経皮的椎骨位置合せおよびアクセスツール100を示す複数の図である。図1〜図3では、ツール100の同一の部品を参照するために、同一の参照番号を使用する。議論の目的で、ツール100を、図1〜図3を参照して説明する。
動作時の経皮的脊椎位置合せおよびアクセスツール
図4〜図7は、動作時の例示的な経皮的椎骨位置合せおよびアクセスツール100を示す。議論する目的で、ツール100の使用を、図1〜図3、および図4〜図7を参照しながら説明する。同様に議論の目的で、特定の構成要素を、特定の機能を果たすものとして示すが、その他の構成要素(または構成要素の組合せ)が、その特定の機能を果たす可能性がある。
その他の応用例、実装形態、および詳細
ここでの議論は、腰椎椎弓根スクリュー固定を伴う低侵襲脊椎手術の詳細に焦点を当てる。ただし、ツールは、多くの別の外科手技において使用することができる。それらのいくつかとして(しかし限定ではなく)、経皮的椎弓根スクリュー埋込みおよび固定法、圧迫骨折セメント固定、椎体形成術, 骨髄穿刺、骨生検、微小内視鏡椎間板切除術、ならびに、椎体間固定のためのその他のMIS脊椎埋込みが挙げられ、この椎体間固定は、PLIF、TLIF、ファセットスクリュー、および、様々な装置インプラントまたは切除ツールのための椎体間隙への将来的なアプローチを含む。
110 近位端
112 円形近位リム
114 指保持部
120 管状本体
130 遠位端
132 フランジ
134 フランジ
Claims (6)
- 低侵襲脊椎手術のための経皮的脊椎位置合せおよびアクセスツール(100)であって、
近位端(110)および遠位端(130)を有し両端部が開いている、円錐形の管状本体(120)と、
前記管状本体(120)の前記遠位端(130)にある、1組の少なくとも2つのフランジ(132および134)とを備え、前記フランジ(132および134)が、前記組のフランジ(132および134)の間に把持領域を形成するようにばね偏倚され、
前記管状本体(120)が、前記近位端(110)から前記遠位端(130)へと先細になり、
前記管状本体(120)が、椎骨の棘突起の球根状端部を捉えるように構成された空洞を画成し、
前記フランジ(132および134)が、ばね偏倚された前記フランジ(132および134)の間で前記棘突起を把持し、前記ツール(100)を下から安定させる、ツール。 - 前記フランジ(132および134)がさらに、経皮的切開部から抜き出されるときに、それらの前記棘突起の把持を解放するように構成される、請求項1記載のツール(100)。
- 前記管状本体(120)から外側へと延びる指保持部(114)をさらに備え、前記指保持部(114)が、人間の外科医の手による手動の保持を容易にするように構成される、請求項1または2に記載のツール(100)。
- 少なくともいくらかの放射線透過材料を備える、請求項1乃至3のいずれかに記載のツール(100)。
- 低侵襲脊椎手術のためのツール(100)であって、
円筒形カニューレ(120)と、
前記カニューレ(120)にある1組の少なくとも2つのフランジ(132および134)とを備え、前記組のフランジ(132および134)が、前記組のフランジ(132および134)の間に椎骨の棘突起の球根状端部の補足領域を形成し、
前記管状本体(120)が、前記近位端(110)から前記遠位端(130)へと先細になり、
前記フランジ(132および134)が、ばね偏倚された前記フランジ(132および134)の間で前記棘突起を把持し、前記ツール(100)を下から安定させる、
ツール。 - 前記カニューレ(120)が円錐形である、請求項5記載のツール(100)。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/279,719 US8114085B2 (en) | 2006-04-13 | 2006-04-13 | Percutaneous registration-and-access tool for minimally invasive spinal surgery |
US11/279,719 | 2006-04-13 |
Publications (2)
Publication Number | Publication Date |
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JP2007283101A JP2007283101A (ja) | 2007-11-01 |
JP5133586B2 true JP5133586B2 (ja) | 2013-01-30 |
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Application Number | Title | Priority Date | Filing Date |
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JP2007104366A Active JP5133586B2 (ja) | 2006-04-13 | 2007-04-12 | 低侵襲脊椎手術のための経皮的な位置合せおよびアクセスツール |
Country Status (3)
Country | Link |
---|---|
US (1) | US8114085B2 (ja) |
JP (1) | JP5133586B2 (ja) |
GB (1) | GB2437159B (ja) |
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CN103110438B (zh) * | 2013-02-20 | 2015-06-24 | 南京医科大学第一附属医院 | 一种用于脊柱后路微创置钉小切口的撑开维持装置 |
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2006
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2007
- 2007-04-04 GB GB0706621A patent/GB2437159B/en not_active Expired - Fee Related
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US20070270866A1 (en) | 2007-11-22 |
GB2437159B (en) | 2011-07-06 |
GB2437159A (en) | 2007-10-17 |
US8114085B2 (en) | 2012-02-14 |
JP2007283101A (ja) | 2007-11-01 |
GB0706621D0 (en) | 2007-05-16 |
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