JP5466229B2 - バンドを固定するための方法および装置 - Google Patents
バンドを固定するための方法および装置 Download PDFInfo
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- JP5466229B2 JP5466229B2 JP2011512721A JP2011512721A JP5466229B2 JP 5466229 B2 JP5466229 B2 JP 5466229B2 JP 2011512721 A JP2011512721 A JP 2011512721A JP 2011512721 A JP2011512721 A JP 2011512721A JP 5466229 B2 JP5466229 B2 JP 5466229B2
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- roller
- tether
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- roller element
- tightening mechanism
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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
- A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
-
- 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
-
- 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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/842—Flexible wires, bands or straps
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8869—Tensioning devices
-
- 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
- A61B17/7053—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with parts attached to bones or to each other by flexible wires, straps, sutures or cables
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurology (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
重要な特許および公開出願には、米国特許第3648691号、第4643178号、第4743260号、第4966600号、第5011494号、第5092866号、第5116340号、第5180393号、第5282863号、第5395374号、第5415658号、第5415661号、第5449361号、第5456722号、第5462542号、第5496318号、第5540698号、第5562737号、第5609634号、第5628756号、第5645599号、第5725582号、第5902305号、第Re36221号、第5928232号、第5935133号、第5964769号、第5989256号、第6053921号、第6248106号、第6312431号、第6364883号、第6378289号、第6391030号、第6468309号、第6436099号、第6451019号、第6582433号、第6605091号、第6626944号、第6629975号、第6652527号、第6652585号、第6656185号、第6669729号、第6682533号、第6689140号、第6712819号、第6689168号、第6695852号、第6716245号、第6761720号、第6835205号、第7029475号、第7163558号、公開米国特許出願第US2002/0151978号、第US2004/0024458号、第US2004/0106995号、第US2004/0116927号、第US2004/0117017号、第US2004/0127989号、第US2004/0172132号、第US2004/0243239号、第US2005/0033435号、第US2005/0049708号、第2005/0192581号、第2005/0216017号、第US2006/0069447号、第US2006/0136060号、第US2006/0240533号、第US2007/0213829号、第US2007/0233096号、公開PCT出願第WO01/28442A1号、第WO02/03882A2号、第WO02/051326A1号、第WO02/071960A1号、第WO03/045262A1号、第WO2004/052246A1号、第WO2004/073532A1号、および公開外国出願第EP0322334A1号およびFR2681525A1号が含まれている。脊柱分節に加えられる可撓拘束の機械的な特性は、Pappら(1997)のSpine22:151−155、Dickmanら(1997)のSpine22:596−604、およびGarnerら(2002)のEur.Spine J.S186−S191、Al Bazら(1995)のSpine20、No.11,1241−1244、Heller(1997)のArch.Orthopedic and Trauma Surgery、117、No.1−2:96−99、Leahyら(2000)のProc.Inst.Mech.Eng.Part H:J.Eng.Med.214、No.5:489−495、Minnsら(1997)のSpine22No.16:1819−1825、Miyasakaら(2000)のSpine25、No.6:732−737、Shepherdら(2000)のSpine25、No.3:319−323、Shepherd(2001)のMedical Eng.Phys.23、No.2:135−141、およびVoydevilleら(1992)のOrthop Traumatol 2:259−264に記載されている。
53 入口開口; 57 出口開口; 58 ハウジング;
102 テザー; 106 締付け機構。
Claims (18)
- 中央通路が貫通し、入口開口を有する第1の側表面、出口開口を有する第2の側表面を有するハウジングと、
ローラ開口が貫通している側壁を有し、前記入口開口および出口開口が少なくとも部分的に前記ローラ開口と整列し、それによりテザーの通過が許容されるよう、少なくとも部分的に前記中央通路の中にスライド可能に配置されたローラ・エレメントと、
前記ハウジングまたは前記ローラ・エレメントのいずれかに動作可能に接続され、前記中央通路内における前記ローラの回転を防止するように構成されるとともに、前記ローラからの前記テザーの解放を防止するように構成された固定機構と、
から構成され、
前記ローラ・エレメントの第1の方向の回転により、前記ローラ・エレメントの周囲に前記テザーが巻き付けられ、それにより前記ローラ・エレメント、前記ハウジングおよび前記テザーの間に摩擦界面が生成されることを特徴とする、植込み可能テザーを解放可能に固定するための外科的締付け機構。 - 前記ローラ・エレメントは前記ハウジングにねじ込み可能に係合されることを特徴とする請求項1に記載の締付け機構。
- 前記ローラ・エレメント上または前記ハウジング上のいずれかのねじ山が部分的に変形し、それにより前記ローラ・エレメントは前記ハウジングにさらに固着されることを特徴とする請求項2に記載の締付け機構。
- 前記ローラ・エレメントは、前記ローラ開口を前記ハウジング内の前記第1および第2の側開口に整列させるように適用されるアライメント特徴を備えることを特徴とする請求項1に記載の締付け機構。
- 前記ローラ・エレメントは、前記ハウジングに対する前記ローラ・エレメントの回転を制限するように適用されるアライメント特徴を備えることを特徴とする請求項1に記載の締付け機構。
- 前記固定機構は、前記ローラ・エレメントと前記ハウジングの間に摩擦ばめを備えることを特徴とする請求項1に記載の締付け機構。
- 前記固定機構は、前記ハウジングにねじ込み可能に係合される止めねじを備えることを特徴とする請求項1に記載の締付け機構。
- 前記固定機構は前記ローラおよび前記ハウジングに摩擦係合されることを特徴とする請求項1に記載の締付け機構。
- 前記ローラは前記ハウジングに摩擦係合されることを特徴とする請求項1に記載の締付け機構。
- 前記ハウジングは、前記ローラ開口を前記ハウジング内の前記第1および第2の側開口に整列させるように適用されるアライメント特徴を備えることを特徴とする請求項1に記載の締付け機構。
- 前記ローラ・エレメントは、所望の長さの前記テザーを前記ハウジングの中に後退させるように、選択された量だけ回転するように構成されることを特徴とする請求項1に記載の締付け機構。
- 前記ローラの回転によって、前記テザーが前記第1の側開口と第2の側開口の間を通過する際に、前記テザーのための曲がりくねった経路が生成されることを特徴とする請求項1に記載の締付け機構。
- 前記ローラの回転によって前記テザーが固定され、それにより前記ハウジングに対する前記テザーの位置が固定されることを特徴とする請求項1に記載の締付け機構。
- 前記ローラの回転によって前記テザーの動作端および尾部端の両方が前記ローラに向かって内側に後退することを特徴とする請求項1に記載の締付け機構。
- 前記第1の方向とは逆の第2の方向の前記ローラ・エレメントの回転によって前記テザーが前記ローラからほどかれ、それにより前記ローラ・エレメントと前記ハウジングの間の締りばめが小さくなることを特徴とする請求項1に記載の締付け機構。
- 前記ハウジングに対する前記ローラの相対位置に関する視覚、触覚または可聴フィードバックを手術者にもたらすように構成される位置指示器をさらに備えることを特徴とする請求項1に記載の締付け機構。
- 前記テザーは、前記テザーが位置している平面に沿って非変形状態を維持し、また、前記テザーは、前記テザーが位置している平面に対して横方向の平面に沿ってのみ変形することを特徴とする請求項1に記載の締付け機構。
- 前記植込み可能テザーは、隣接する棘状突起間、または棘状突起と仙骨の間の屈曲を制限するように構成された棘状突起拘束デバイスを備えることを特徴とする請求項1に記載の締付け機構。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US5953808P | 2008-06-06 | 2008-06-06 | |
US61/059,538 | 2008-06-06 | ||
PCT/US2009/046501 WO2009149414A1 (en) | 2008-06-06 | 2009-06-05 | Methods and apparatus for locking a band |
Related Child Applications (1)
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JP2014010455A Division JP5807078B2 (ja) | 2008-06-06 | 2014-01-23 | バンドを固定するための方法および装置 |
Publications (3)
Publication Number | Publication Date |
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JP2011522630A JP2011522630A (ja) | 2011-08-04 |
JP2011522630A5 JP2011522630A5 (ja) | 2012-07-19 |
JP5466229B2 true JP5466229B2 (ja) | 2014-04-09 |
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JP2011512721A Expired - Fee Related JP5466229B2 (ja) | 2008-06-06 | 2009-06-05 | バンドを固定するための方法および装置 |
JP2014010455A Active JP5807078B2 (ja) | 2008-06-06 | 2014-01-23 | バンドを固定するための方法および装置 |
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JP2014010455A Active JP5807078B2 (ja) | 2008-06-06 | 2014-01-23 | バンドを固定するための方法および装置 |
Country Status (4)
Country | Link |
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US (2) | US8308771B2 (ja) |
EP (1) | EP2326267B1 (ja) |
JP (2) | JP5466229B2 (ja) |
WO (1) | WO2009149414A1 (ja) |
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- 2009-06-05 WO PCT/US2009/046501 patent/WO2009149414A1/en active Application Filing
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JP2014140748A (ja) | 2014-08-07 |
US20100023060A1 (en) | 2010-01-28 |
EP2326267B1 (en) | 2018-04-25 |
US20130274748A1 (en) | 2013-10-17 |
US8308771B2 (en) | 2012-11-13 |
WO2009149414A1 (en) | 2009-12-10 |
EP2326267A1 (en) | 2011-06-01 |
EP2326267A4 (en) | 2014-01-22 |
JP2011522630A (ja) | 2011-08-04 |
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