JP5777882B2 - プロテーゼデバイスのために骨を前処理するための装置 - Google Patents
プロテーゼデバイスのために骨を前処理するための装置 Download PDFInfo
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- JP5777882B2 JP5777882B2 JP2010528106A JP2010528106A JP5777882B2 JP 5777882 B2 JP5777882 B2 JP 5777882B2 JP 2010528106 A JP2010528106 A JP 2010528106A JP 2010528106 A JP2010528106 A JP 2010528106A JP 5777882 B2 JP5777882 B2 JP 5777882B2
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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
- A61B17/1664—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
-
- 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
- A61B17/164—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans intramedullary
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
-
- 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
- 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
- A61F2/0095—Packages or dispensers for prostheses or other implants
-
- 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
- A61F2/40—Joints for shoulders
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
- A61F2002/30616—Sets comprising a plurality of prosthetic parts of different sizes or orientations
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
- A61F2002/3071—Identification means; Administration of patients
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
- A61F2002/3625—Necks
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0085—Identification means; Administration of patients
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- 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)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Oral & Maxillofacial Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Transplantation (AREA)
- Dentistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Physical Education & Sports Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
12 遠位切削器具
14 近位切削器具
16 切削エッジ
18 シャフト部
20 機械的停止機構
22 切削エッジ
24 シャフト部
26 孔
28 トライアリングシステム
30 近位トライアルスペーサ
32 トライアルネック体アセンブリ
34 ネジ部分
36 係合機構
38 インターフェース面
40 クイックコネクトアセンブリ
42 内側円筒体
44 外側円筒体
46 フランジ
50 ドリルコネクター
60 切欠き部
62 ネック孔
64 キャップ
70 インサート
80 大腿骨
96 中間サイズ遠位リーマ
100,102 近位リーマ
108 トライアルスペーサ
110 近位大腿骨凹部
120 ネックセグメント
122 ヘッド
130 スペーサ
140 エクステンダー
144 遠位リーマ
150 スターター近位リーマ
Claims (7)
- プロテーゼのために、長軸線を有する長尺な骨を前処理するためのシステムであって、
a.骨の遠位部分から骨を除去するよう構成された遠位器具であって、前記長尺な骨の前記長軸線に沿って骨を除去するよう構成された骨除去部分と、前記長尺な骨の前記長軸線に沿って前記骨除去部分から延在するシャフトと、を有する遠位器具と、
b.骨の近位部分から骨を除去するよう構成された近位器具であって、この近位器具は、前記長尺な骨の前記長軸線に沿って骨を除去するよう構成された骨除去部分と、前記長尺な骨の前記長軸線に沿って前記骨除去部分から延在するシャフトと、を有し、前記近位器具はさらに、前記遠位器具の前記シャフトが、前記遠位器具が前記長尺な骨の前記遠位部分を前処理してしまった後、前記長尺な骨の前記近位部分を前処理するために、前記近位器具をガイドするように、前記長尺な骨内で前記遠位器具の前記シャフトを受けかつ重なるよう構成されている近位器具と、
c.前記遠位器具および前記近位器具の少なくとも一方に対して連結されるよう構成されたトライアルネック体と、
を具備し、
前記システムは、前記トライアルネック体を前記遠位器具から離間させるよう構成されたトライアルスペーサを、さらに具備してなることを特徴とするシステム。 - 前記遠位器具はリーマであることを特徴とする請求項1に記載のシステム。
- 前記近位器具はリーマであることを特徴とする請求項1または請求項2に記載のシステム。
- 前記トライアルスペーサおよび前記トライアルネック体は、半径方向ポジションを調整可能に適合させるよう構成された係合機構を具備してなることを特徴とする請求項1ないし請求項3のいずれか1項に記載のシステム。
- 前記係合機構は漸進的に調整可能であることを特徴とする請求項4に記載のシステム。
- 前記係合機構はロック可能であることを特徴とする請求項4または請求項5に記載のシステム。
- モジュラー式トライアルネックセグメントを、さらに具備してなり、前記モジュラー式トライアルネックセグメントは、トライアルコンポーネントのオフセット、転位および高さのうちの少なくとも一つを調整できるよう構成されていることを特徴とする請求項1ないし請求項6のいずれか1項に記載のシステム。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US97669707P | 2007-10-01 | 2007-10-01 | |
US97671707P | 2007-10-01 | 2007-10-01 | |
US60/976,717 | 2007-10-01 | ||
US60/976,697 | 2007-10-01 | ||
PCT/US2008/078470 WO2009046121A2 (en) | 2007-10-01 | 2008-10-01 | Method and apparatus for preparing bone for a prosthetic device |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015098279A Division JP6181104B2 (ja) | 2007-10-01 | 2015-05-13 | プロテーゼデバイスのために骨を前処理するための方法ならびに装置 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2010540179A JP2010540179A (ja) | 2010-12-24 |
JP5777882B2 true JP5777882B2 (ja) | 2015-09-09 |
Family
ID=40526656
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010528106A Active JP5777882B2 (ja) | 2007-10-01 | 2008-10-01 | プロテーゼデバイスのために骨を前処理するための装置 |
JP2010528116A Pending JP2010540182A (ja) | 2007-10-01 | 2008-10-01 | 整形装置のためのモジュール式ネック |
JP2015098279A Active JP6181104B2 (ja) | 2007-10-01 | 2015-05-13 | プロテーゼデバイスのために骨を前処理するための方法ならびに装置 |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010528116A Pending JP2010540182A (ja) | 2007-10-01 | 2008-10-01 | 整形装置のためのモジュール式ネック |
JP2015098279A Active JP6181104B2 (ja) | 2007-10-01 | 2015-05-13 | プロテーゼデバイスのために骨を前処理するための方法ならびに装置 |
Country Status (9)
Country | Link |
---|---|
US (3) | US8690875B2 (ja) |
EP (2) | EP2214594B1 (ja) |
JP (3) | JP5777882B2 (ja) |
KR (1) | KR20100085048A (ja) |
CN (2) | CN101883540A (ja) |
AU (2) | AU2008308759B2 (ja) |
CA (2) | CA2701393C (ja) |
ES (1) | ES2622452T3 (ja) |
WO (2) | WO2009046121A2 (ja) |
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CA2701393A1 (en) | 2009-04-09 |
ES2622452T3 (es) | 2017-07-06 |
AU2008308759A1 (en) | 2009-04-09 |
WO2009046152A1 (en) | 2009-04-09 |
EP2214594A4 (en) | 2014-05-14 |
AU2008308702A1 (en) | 2009-04-09 |
EP2217177A1 (en) | 2010-08-18 |
JP2010540182A (ja) | 2010-12-24 |
CN101883541A (zh) | 2010-11-10 |
AU2008308759B2 (en) | 2014-10-23 |
US8690875B2 (en) | 2014-04-08 |
WO2009046121A2 (en) | 2009-04-09 |
CN101883540A (zh) | 2010-11-10 |
EP2217177A4 (en) | 2013-11-27 |
EP2214594B1 (en) | 2017-01-18 |
CA2701393C (en) | 2016-05-10 |
US20100249943A1 (en) | 2010-09-30 |
CA2701416A1 (en) | 2009-04-09 |
WO2009046121A3 (en) | 2009-05-28 |
EP2214594A2 (en) | 2010-08-11 |
US20140121664A1 (en) | 2014-05-01 |
JP2010540179A (ja) | 2010-12-24 |
KR20100085048A (ko) | 2010-07-28 |
CN101883541B (zh) | 2015-04-01 |
JP2015142834A (ja) | 2015-08-06 |
JP6181104B2 (ja) | 2017-08-16 |
US20100217267A1 (en) | 2010-08-26 |
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