JP5160438B2 - 経皮的経椎弓根アクセス、癒着、椎間板切除、及び安定化システム及び外科手術用キット - Google Patents
経皮的経椎弓根アクセス、癒着、椎間板切除、及び安定化システム及び外科手術用キット Download PDFInfo
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- JP5160438B2 JP5160438B2 JP2008542442A JP2008542442A JP5160438B2 JP 5160438 B2 JP5160438 B2 JP 5160438B2 JP 2008542442 A JP2008542442 A JP 2008542442A JP 2008542442 A JP2008542442 A JP 2008542442A JP 5160438 B2 JP5160438 B2 JP 5160438B2
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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
- A61B17/1637—Hollow drills or saws producing a curved cut, e.g. cylindrical
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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
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—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 spine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—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
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Dentistry (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
21 上位脊椎骨
22 椎間板空間
24 椎弓根
30 ガイドピン
32 サポートスリーブ
34 カニューレ
36 栓塞子
38 カニューレ挿入リーマ
39 穴
42 カニューレ挿入スポットフェイサ
44 椎弓根穴
46 スロット付きカニューレ
50 経椎弓根経路調整器具
52 オフセットガイドポート
54 ノーマルポート
56 オフセットガイドピン
58 オフセットサポートスリーブ
61 力ベクトル
62 カニューレ挿入リーマ
63 骨粒材
64 カニューレ
65 駆動材
66 経椎弓根経路
67 栓塞子
68 スロット付きカニューレ
70 カニューレ挿入圧縮散乱ねじ
72 先端ねじ
74 基端ねじ
76 ねじなし中央部
78 ロックポート
80 融解構造
82 先端
84 基端
90 第2径椎弓根経路調整器具
92 ノーマルポート
94 オフセットガイドポート
200 径椎弓根経路調整及びアクセス器具システム
210 カニューレ
216 スロット
220 カニューレオフセット器具
223 第1カニューレ経路
224 ガイドワイヤ解放スロット
228 穴
229 セットピン又はねじ
230 ハンドル
232 ハンドル伸長
234 先端部
240 伸長又は長さ調整ノブ
242 タブ
Claims (12)
- 第1長手軸を有する第1経路(223)と第2長手軸を有する第2経路(222)とを有し、前記第1経路(223)は、第1外側縁に位置するポートを有し、反対側の第2外側縁まで延び、前記第2経路(222)は、前記第1経路(223)の前記ポートから一定距離離れて位置する前記第1外側縁上のポートを有し、反対側の前記第2外側縁まで延び、前記第1長手軸は前記第2長手軸から所定角度オフセットしているオフセットガイド(220)と、
前記第1外側縁上の前記第1経路(223)の前記ポートを通って、前記第1長手軸に沿って延びるカニューレ(210)とを有し、
前記カニューレは、
前記オフセットガイド(220)と係合する基端と、
前記第1長手軸と同一平面上にあって前記カニューレの先端から基端領域に向かってある長さで延びるスロット(216)を有する先端と、
前記基端と前記先端の間で延びる長さとを有し、
前記第1長手軸は、椎弓根の侵入部位で、かつ、前記スロット(216)内で、前記第2長手軸と交差するシステム。 - 第1長手軸を有する第1経路(223)と第2長手軸を有する第2経路(222)とを有し、前記第1経路(223)は、第1外側縁に位置するポートを有し、反対側の第2外側縁まで延び、前記第2経路(222)は、前記第1経路(223)の前記ポートから一定距離離れて位置する前記第1外側縁上のポートを有し、反対側の前記第2外側縁まで延び、前記第1長手軸は前記第2長手軸から所定角度オフセットしているオフセットガイド(220)と、
前記第1外側縁上の前記第1経路(223)の前記ポートを通って、前記第1長手軸に沿って延びるカニューレ(210)とを有し、
前記カニューレは、
前記オフセットガイド(220)と係合する基端と、
前記第1長手軸と同一平面上にあって前記カニューレの先端から基端領域に向かってある長さで延びるスロット(216)を有する先端と、
前記基端と前記先端の間で延びる長さとを有し、
前記第1長手軸は、椎弓根の侵入部位で、かつ、前記スロット(216)内で、前記第2長手軸と交差し、
長手軸を有し、前記第1経路内に挿入することができるガイドワイヤ(32)をさらに有する外科手術キット。 - 前記カニューレ(210)が前記オフセットガイド(220)の前記第1経路(223)内で前記第1長手軸に沿って線形的に平行移動するように回転する構成とされている回転可能ノブ(240)をさらに有する請求項1に記載のシステム。
- 前記第2経路(222)を通って前記第2長手軸に沿って延び、前記カニューレ(210)の前記スロット(216)を通過する構成とされた長さを有するガイドワイヤ(56)をさらに有する請求項1に記載のシステム。
- 前記ガイドワイヤ(56)は、前記オフセットガイド(220)と基端で係合する第2カニューレ(58)により拘束されている請求項4に記載のシステム。
- 前記第2カニューレ(58)は、前記第2長手軸に沿って延び、椎間板腔内で終わっている請求項5に記載のシステム。
- 前記第2カニューレ(58)は、前記第2長手軸に沿って延び、隣接椎骨内で終わっている請求項5に記載のシステム。
- 前記カニューレ(210)が前記オフセットガイド(220)の前記第1経路内(223)で前記第1長手軸に沿って線形的に平行移動するように回転する構成とされている回転可能ノブ(240)をさらに有する請求項2に記載のキット。
- 前記ガイドワイヤ(32)は、前記第2経路(222)を通って前記第2長手軸に沿って延び、前記カニューレ(210)の前記スロット(216)を通過する構成とされた長さを有する請求項2に記載のキット。
- 前記ガイドワイヤ(32)は、前記オフセットガイド(220)と基端で係合する第2カニューレ(58)により拘束されている請求項9に記載のキット。
- 前記第2カニューレ(58)は、前記第2長手軸に沿って延び、椎間板腔内で終わっている請求項10載のキット。
- 前記第2カニューレ(58)は、前記第2長手軸に沿って延び、隣接椎骨内で終わっている請求項10載のキット。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US73927405P | 2005-11-23 | 2005-11-23 | |
US60/739,274 | 2005-11-23 | ||
US84748006P | 2006-09-26 | 2006-09-26 | |
US60/847,480 | 2006-09-26 | ||
PCT/US2006/045224 WO2007062132A2 (en) | 2005-11-23 | 2006-11-22 | Percutaneous transpedicular access, fusion, discectomy, and stabilization system and method |
Publications (3)
Publication Number | Publication Date |
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JP2009519733A JP2009519733A (ja) | 2009-05-21 |
JP2009519733A5 JP2009519733A5 (ja) | 2010-01-14 |
JP5160438B2 true JP5160438B2 (ja) | 2013-03-13 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2008542442A Expired - Fee Related JP5160438B2 (ja) | 2005-11-23 | 2006-11-22 | 経皮的経椎弓根アクセス、癒着、椎間板切除、及び安定化システム及び外科手術用キット |
Country Status (5)
Country | Link |
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US (2) | US7963970B2 (ja) |
EP (1) | EP1951159B1 (ja) |
JP (1) | JP5160438B2 (ja) |
CA (1) | CA2628962C (ja) |
WO (1) | WO2007062132A2 (ja) |
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US6358254B1 (en) * | 2000-09-11 | 2002-03-19 | D. Greg Anderson | Method and implant for expanding a spinal canal |
US20030212400A1 (en) * | 2002-03-12 | 2003-11-13 | Aesculap Ag & Co. Kg | Methods for treating spinal stenosis by pedicle distraction |
CA2505069A1 (en) * | 2002-11-08 | 2004-05-27 | Vertelink Corporation | Transpedicular intervertebral disk access methods and devices |
US20050125066A1 (en) * | 2003-12-08 | 2005-06-09 | Innovative Spinal Technologies | Nucleus replacement securing device and method |
US20050187556A1 (en) * | 2004-02-25 | 2005-08-25 | Synecor, Llc | Universal percutaneous spinal access system |
US7600915B2 (en) * | 2004-12-01 | 2009-10-13 | Trinity Orthopedics, Llc | Imager based object positioner system and method |
US7780706B2 (en) | 2005-04-27 | 2010-08-24 | Trinity Orthopedics, Llc | Mono-planar pedicle screw method, system and kit |
EP1951159B1 (en) | 2005-11-23 | 2015-08-19 | Trinity Orthopedics | Percutaneous transpedicular access, fusion, discectomy, and stabilization system |
EP1952678A4 (en) * | 2005-11-23 | 2010-04-28 | Trinity Orthopedics | METHOD AND SYSTEM FOR GUIDANCE SYSTEM POSITIONER |
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2006
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2011
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CA2628962A1 (en) | 2007-05-31 |
JP2009519733A (ja) | 2009-05-21 |
WO2007062132A2 (en) | 2007-05-31 |
US20110245838A1 (en) | 2011-10-06 |
WO2007062132A3 (en) | 2009-04-16 |
US20070162044A1 (en) | 2007-07-12 |
EP1951159B1 (en) | 2015-08-19 |
EP1951159A4 (en) | 2012-04-25 |
CA2628962C (en) | 2014-05-27 |
US8777957B2 (en) | 2014-07-15 |
US7963970B2 (en) | 2011-06-21 |
EP1951159A2 (en) | 2008-08-06 |
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