JP5815407B2 - 脊椎安定化及び誘導固定システム - Google Patents
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7041—Screws or hooks combined with longitudinal elements which do not contact vertebrae with single longitudinal rod offset laterally from single row of screws or hooks
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- A61B2017/00831—Material properties
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Description
本出願は、2008年9月12日に出願された名称「SPINAL FIXATION SYSTEM(脊髄固定システム)」の米国特許仮出願第61/096453号に対する利益を主張するものであり、本特許の内容は引用により全体が本明細書に組み込まれる。
7 脊柱
8 棘状突起
10、10’、10’’、10’’ 脊髄ロッド
15 骨固定要素
1、2 上椎骨
3、4 中間の椎骨
5、6 下椎骨
20 誘導コネクタ
40 ロッド誘導部
30 骨接続部
35 スクリュー
37 スクリューシャフト部
50 支持要素
52、54 ボア
55、57 チャンネル
42、44 通路
58 部材
62 ケーブルタイ
Claims (14)
- 第1の椎骨と第2の椎骨とを有する脊柱の成長を安定化及び誘導するシステムであって、
ケーブルと、
長手方向に沿って延び、且つ外面を有する細長支持部材と、
骨接続部及び誘導部とを有する少なくとも1つの誘導コネクタであって、前記骨接続部が前記第1の椎骨に堅固に前記誘導コネクタを固定するようになっており、前記誘導部が、内面を有する第1通路及び内面を有する第2通路を形成する支持要素を有し、前記第2通路は前記第1通路とほぼ平行であり、前記第1通路及び前記第2通路の各々は選択的に前記細長支持部材の第1の部分を摺動可能に受けるように形成され、前記誘導部は前記第1通路と前記骨接続部との間に位置決めされた横断開口部を有し、前記横断開口部は前記ケーブルを受けるように形成され、前記ケーブルが所定位置にロックされることにより前記誘導コネクタ上に前記細長支持部材を保持し、前記支持要素が、前記第1通路内の前記細長支持部材の相対的な摺動運動を許容している、前記誘導コネクタと、
前記細長支持部材の第2の部分は、前記長手方向に沿って前記第1の部分から間をあけられ、前記細長支持部材の前記第2の部分を受け入れるように形成された細長支持部材受け入れチャンネルと、ロック機構と、骨係止部とを有している少なくとも1つの骨固定要素であって、前記骨係止部は、前記骨固定要素を前記第2の椎骨に堅固な係止点をもたらすように堅固に固定するように構成され、前記ロック機構は、前記チャンネル内に前記細長支持部材の前記第2の部分を堅固に固定するように構成されている、少なくとも1つの骨固定要素と、を備え、
前記誘導コネクタは、1)少なくとも1つの前記誘導コネクタが前記第1の椎骨に固定される場合、2)少なくとも1つの前記骨固定要素が前記第2の椎骨に固定される場合、及び、3)前記細長支持部材が前記チャンネル内に堅固に固定される場合に、前記細長支持部材に沿って移動可能に形成され、
前記誘導部は少なくとも1つの可撓性翼部を有するプラットフォーム部材を備え、前記誘導部は、さらに、前記プラットフォーム部材を前記骨接続部に回転可能に取り付ける接続部を有し、少なくとも1つの前記翼部は、前記支持要素の少なくとも一部を形成するよう前記細長支持部材の周りに屈曲可能であり、前記ケーブルは、前記少なくとも1つの可撓性の翼部の前記外面の周りに延びて、少なくとも1つの可撓性翼部により形成可能な前記支持要素内に前記細長支持部材を固定するようにしている、システム。 - 前記誘導コネクタは、前記細長支持部材に沿って移動可能であり、所定の経路に沿って脊柱の成長を許容して制御するように構成され、この所定の経路は前記細長支持部材によって形成される請求項1に記載のシステム。
- 少なくとも1つの前記誘導コネクタの骨接続部が、フック、ピン、タック、ステーク、釘、刃、ネジ、及びクランプの群のうちの少なくとも1つを有する請求項1に記載のシステム。
- 前記少なくとも1つの可撓性の翼部は、内面と外面を有し、前記ケーブルは、前記少なくとも1つの可撓性の翼部の前記外面の周りに延び且つ前記横断開口部を延通して、前記少なくとも1つの可撓性の翼部により形成された前記支持要素内に前記細長支持部材を固定するように構成される、請求項1に記載のシステム。
- 前記少なくとも1つの可撓性の翼部は、内面と外面を有する、請求項1に記載のシステム。
- 前記プラットフォーム部材が、更に、突出部材と少なくとも2つの可撓性翼部とを有し、前記突出部材及び翼部が、前記細長支持部材のために前記支持要素の少なくとも一部を形成している、請求項5に記載のシステム。
- 第1細長支持部材を摺動可能に受け入れるように形成された誘導コネクタであって、前記誘導コネクタが骨接続部と誘導部とを備え、前記骨接続部は、中央軸に沿って細長く形成され、前記誘導コネクタを椎骨に堅固に固定するように形成され、
前記誘導部は、前記骨接続部の近傍に位置決めされ、さらに、プラットフォーム部材と、このプラットフォーム部材の第1側部から延び、且つこの第1側部に物理的に接続される第1の可撓性翼部であって、前記第1の可撓性翼部は、前記プラットフォーム部材の第1側部と反対の端部と、内面と、この内面と反対の外面とを有している、前記第1の可撓性翼部と、前記プラットフォーム部材を前記骨接続部に取り付ける接続部とを備え、
前記第1の可撓性翼部は、前記第1の可撓性翼部が前記プラットフォーム部材から外側に離れるように延びる延伸形態と、前記第1の可撓性翼部の内面が前記第1細長支持部材に沿って受け入れられ且つ摺動可能に形成されている第1通路の少なくとも一部を形成するように、前記第1の可撓性翼部が屈曲される湾曲形態と、の間で前記プラットフォーム部材に対して屈曲可能であり、前記第1通路は前記中央軸からずらされ且つ前記中央軸と交差しない前記第1通路軸を形成し、
さらに、前記プラットフォーム部材の第2側部から延び、且つこの第2側部に物理的に接続される第2の可撓性翼部であって、前記第2の可撓性翼部は、前記プラットフォーム部材の第2側部と反対の端部と、内面と、この内面と反対の外面とを有し、前記第2側部は前記プラットフォーム部材の前記第1側部と反対向きである、前記第2の可撓性翼部を備え、前記第2の可撓性翼部は、前記第2の可撓性翼部が前記プラットフォーム部材から外側に離れるように延びる延伸形態と、前記第2の可撓性翼部の内面が第2細長支持部材を受け入れ且つ前記第2細長支持部材に沿って摺動可能に形成されている第2通路の少なくとも一部を形成するように、前記第2の可撓性翼部が屈曲される湾曲形態と、の間で前記プラットフォーム部材に対して屈曲可能である、誘導コネクタ。 - 前記誘導コネクタの前記骨接続部は、フック、ピン、タック、ステーク、釘、刃、ネジ、及びクランプの群のうちの少なくとも1つを有する請求項7に記載の誘導コネクタ。
- さらに、前記接続部によって、少なくとも一部に形成され、且つ前記プラットフォーム部材と、前記接続部との間に位置決めされ、前記第1の可撓性翼部及び前記第2の可撓性翼部と平行に延びる横断開口と、
第1及び第2の端部を有する可撓性ケーブル部材と、を備え、
前記ケーブル部材は、前記横断開口を通って延び、且つ前記第1の可撓性翼部の外面と隣接して位置決めすることができ、さらに、前記第1の可撓性翼部の端部を超えて延びるように寸法合わせされ且つ形成される請求項7に記載の誘導コネクタ。 - 前記誘導部は、停止部材を備え、前記ケーブル部材が前記停止部材の外へ延びるように形成され、前記ケーブル部材は、前記ケーブル部材における張力を調整するために前記停止部材に調整可能に固定できるように形成されている請求項9に記載の誘導コネクタ。
- 前記誘導部は、前記プラットフォーム部材を前記骨接続部に回転可能に取り付ける請求項7に記載の誘導コネクタ。
- 前記プラットフォーム部材は、さらに、突出部材を備え、前記第1の可撓性翼部は、前記突出部材とともに前記第1通路を形成するように屈曲されて形成される請求項11に記載の誘導コネクタ。
- 第1の椎骨と第2の椎骨とを有する脊柱の成長を安定化及び誘導するシステムであって、
第1及び第2の端部を有する可撓性ケーブルと、
細長支持部材と、
前記細長支持部材を摺動可能に受け入れるように形成された誘導コネクタであって、前記誘導コネクタは、前記誘導コネクタを前記第1の椎骨に固定するためのねじシャフトを有している骨接続部と、誘導部とを備え、
前記誘導部が、
プラットフォーム部材と、
このプラットフォーム部材の第1側部に物理的に接続される第1の可撓性翼部と、
前記プラットフォーム部材の第2側部に物理的に接続される第2の可撓性翼部と、を備え、前記第2側部は前記第1側部と反対向きであり、前記第1の可撓性翼部と前記第2の可撓性翼部との各々は、端部と、内面と、外面とを有している、前記誘導コネクタと、
前記プラットフォーム部材を前記骨接続部に取り付ける接続部であって、前記接続部は、前記接続部と、前記プラットフォーム部材との間に位置決めされ、前記可撓性ケーブルを受け入れるように形成されている横断軸通路を一部分において形成している、前記接続部と、
前記可撓性ケーブルが前記横断軸通路内に配置されるとき、前記可撓性ケーブルが、前記第1の可撓性翼部及び前記第2の可撓性翼部の両方の外面に隣接し、前記第1の可撓性翼部及び前記第2の可撓性翼部と平行に延び、前記可撓性ケーブルは、前記第1の可撓性翼部及び前記第2の可撓性翼部が前記プラットフォーム部材から外側に離れるように延びる延伸形態から、前記プラットフォーム部材と関連する前記第1の可撓性翼部が、前記第1の可撓性翼部の内面によって一部分が形成される第1通路を形成し、さらに、前記プラットフォーム部材と関連する前記第2の可撓性翼部が、前記第2の可撓性翼部の内面によって一部分が形成される第2通路を形成している湾曲形態まで、前記可撓性ケーブルが前記第1の可撓性翼部及び前記第2の可撓性翼部を締め且つ屈曲させることができるように、可撓性にされ、
前記第1通路及び前記第2通路は、前記細長支持部材を受け入れ且つ前記細長支持部材に沿って摺動可能であるように形成されている、システム。 - 前記第1通路は、第1の挿入中心軸を形成し、前記第2通路は、第2の挿入中心軸を形成し、前記第1の挿入中心軸は前記第2の挿入中心軸とほぼ平行であり、前記第1の挿入中心軸は前記骨接続部の前記ねじシャフトとほぼ垂直である請求項13に記載のシステム。
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2009
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- 2009-09-11 US US13/063,323 patent/US9241739B2/en active Active
- 2009-09-11 CA CA2736616A patent/CA2736616A1/en active Pending
- 2009-09-11 AT AT09792473T patent/ATE548982T1/de active
- 2009-09-11 PL PL09792473T patent/PL2337512T3/pl unknown
- 2009-09-11 ES ES09792473T patent/ES2384311T3/es active Active
- 2009-09-11 KR KR20117005567A patent/KR20110073438A/ko not_active Application Discontinuation
- 2009-09-11 EP EP20090792473 patent/EP2337512B1/en active Active
- 2009-09-11 JP JP2011527001A patent/JP5815407B2/ja active Active
- 2009-09-11 WO PCT/US2009/056692 patent/WO2010030906A1/en active Application Filing
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Also Published As
Publication number | Publication date |
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JP2012501808A (ja) | 2012-01-26 |
WO2010030906A1 (en) | 2010-03-18 |
US9241739B2 (en) | 2016-01-26 |
US20210378713A1 (en) | 2021-12-09 |
US9974571B2 (en) | 2018-05-22 |
US20180235664A1 (en) | 2018-08-23 |
PL2337512T3 (pl) | 2012-09-28 |
EP2337512B1 (en) | 2012-03-14 |
CA2736616A1 (en) | 2010-03-18 |
JP2015186649A (ja) | 2015-10-29 |
KR20110073438A (ko) | 2011-06-29 |
US20160095629A1 (en) | 2016-04-07 |
ES2384311T3 (es) | 2012-07-03 |
CN102149342B (zh) | 2017-04-12 |
EP2337512A1 (en) | 2011-06-29 |
CN102149342A (zh) | 2011-08-10 |
US20110270314A1 (en) | 2011-11-03 |
US11890037B2 (en) | 2024-02-06 |
ATE548982T1 (de) | 2012-03-15 |
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