JP5883786B2 - 髄内管内に空洞を切削するための手術器具 - Google Patents
髄内管内に空洞を切削するための手術器具 Download PDFInfo
- Publication number
- JP5883786B2 JP5883786B2 JP2012521806A JP2012521806A JP5883786B2 JP 5883786 B2 JP5883786 B2 JP 5883786B2 JP 2012521806 A JP2012521806 A JP 2012521806A JP 2012521806 A JP2012521806 A JP 2012521806A JP 5883786 B2 JP5883786 B2 JP 5883786B2
- Authority
- JP
- Japan
- Prior art keywords
- cutting
- instrument
- shaft
- flexible
- bone
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
-
- 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
- A61B17/1613—Component parts
- A61B17/1615—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
- A61B17/1617—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material with mobile or detachable parts
-
- 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
- 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
- A61B17/1613—Component parts
- A61B17/1631—Special drive shafts, e.g. flexible shafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
- A61B17/320725—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00526—Methods of manufacturing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
- A61B2017/320032—Details of the rotating or oscillating shaft, e.g. using a flexible shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/007—Auxiliary appliance with irrigation system
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Description
本出願は、2009年7月24日出願の「髄内管内に空洞を切削するための手術器具(Surgical Instruments For Cutting Cavities in Intramedullary Canals)」という名称の米国仮特許出願第61/228,252号の優先権およびその完全な利益を主張し、その内容全体を参照により本明細書に組み込む。
21〜21c シャフト
22 近位端
23 遠位端
24 ドリル
25〜25c 切削装置
26〜26c 切削アーム
27 遠位鼻区間
28 遠位シャフト区間
29 基部
31 カラー
32 遠位カラー
33 切削縁部
35 板ばね
41 入口ポート
42 皮質骨
43 管腔
46 髄内管
47 骨折部位
51 外側管腔
52 リザーバ
53 吸引ポンプ
54 両方向矢印
31c カラー
32c カラー
33c カラー
Claims (10)
- 骨の髄内管内に空洞を切削するための手術器具であって、
近位端と、複数の可撓性切削アームと、遠位鼻区間とを有するシャフトを備え、
前記可撓性の切削アームが、形状記憶材料で形成され、前記シャフトおよび前記遠位鼻区間の有効な外径よりも大きい緩められた有効な外径を画成し、前記可撓性の切削アームが、前記シャフトおよび遠位鼻区間の前記有効な外径とほぼ等しいまたはそれより小さい圧縮された有効な外径まで径方向に圧縮可能であり、
それぞれの可撓性切削アームが、螺旋状である、器具。 - 前記遠位鼻区間が、ドリル先端を備える、請求項1に記載の器具。
- 前記形状記憶材料が、形状記憶合金である、請求項1又は請求項2に記載の器具。
- 前記可撓性の切削アームが、幅、厚さを有し、5:1から2:1の範囲の幅対厚さの比を特徴とする、請求項1から3のいずれか一項に記載の器具。
- 前記可撓性の切削アームが、海綿骨を切削するように構成され、実質的に皮質骨を切削しないように構成される、請求項1から4のいずれか一項に記載の器具。
- 前記切削アームが前記圧縮された有効な外径から前記緩められた有効な外径へと解放されるときに、前記切削アームによってかけられる拡張力が、4.45Nから35.59N(1.0lbfから8.0lbf)の範囲である、請求項1から5のいずれか一項に記載の器具。
- それぞれの可撓性切削アームが、螺旋状であり、前記器具の長手軸から-60°から60°の角度で回転する、請求項1に記載の器具。
- 前記可撓性の切削アームが、左ねじりの螺旋状である、請求項1又は請求項7に記載の器具。
- 前記シャフトが、生体適合性ポリマー、鋼線、および撚線のうちの少なくとも1つを備える、請求項1に記載の器具。
- 前記シャフトの遠位端が、複数の可撓性の螺旋状切削アームに結合され、前記複数の可撓性螺旋状切削アームが、前記シャフトを前記遠位鼻区間に結合させる、請求項1から9のいずれか一項に記載の器具。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US22825209P | 2009-07-24 | 2009-07-24 | |
US61/228,252 | 2009-07-24 | ||
PCT/US2010/043018 WO2011011664A2 (en) | 2009-07-24 | 2010-07-23 | Surgical instruments for cutting cavities in intramedullary canals |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2013500073A JP2013500073A (ja) | 2013-01-07 |
JP2013500073A5 JP2013500073A5 (ja) | 2013-09-05 |
JP5883786B2 true JP5883786B2 (ja) | 2016-03-15 |
Family
ID=43499667
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012521806A Expired - Fee Related JP5883786B2 (ja) | 2009-07-24 | 2010-07-23 | 髄内管内に空洞を切削するための手術器具 |
Country Status (9)
Country | Link |
---|---|
US (1) | US9381031B2 (ja) |
EP (1) | EP2456368B1 (ja) |
JP (1) | JP5883786B2 (ja) |
CN (1) | CN102469999B (ja) |
AU (1) | AU2010275510B2 (ja) |
BR (1) | BR112012001467A2 (ja) |
CA (1) | CA2766506C (ja) |
RU (1) | RU2012105452A (ja) |
WO (1) | WO2011011664A2 (ja) |
Families Citing this family (23)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103271761B (zh) | 2008-01-14 | 2015-10-28 | 康文图斯整形外科公司 | 用于骨折修补的装置和方法 |
WO2011088172A1 (en) | 2010-01-15 | 2011-07-21 | Brenzel Michael P | Rotary-rigid orthopaedic rod |
JP5926688B2 (ja) | 2010-01-20 | 2016-05-25 | コンベンタス オーソピディックス, インコーポレイテッド | 骨へのアクセスおよび空洞設備のための装置および方法 |
WO2011112615A1 (en) | 2010-03-08 | 2011-09-15 | Krinke Todd A | Apparatus and methods for securing a bone implant |
US20130165935A1 (en) * | 2011-12-27 | 2013-06-27 | Jerry R. Griffiths | Expandable retrograde drill |
US10357259B2 (en) * | 2012-12-05 | 2019-07-23 | Smith & Nephew, Inc. | Surgical instrument |
US10076349B2 (en) | 2013-03-15 | 2018-09-18 | Misonix, Inc. | Ultrasonic surgical drill and associated surgical method |
KR101344570B1 (ko) * | 2013-06-14 | 2013-12-26 | 김형우 | 치아 신경치료용 엔도파일 |
US11219466B2 (en) * | 2018-06-06 | 2022-01-11 | Acumed Llc | Orthopedic reamer with expandable cutting head |
CN105939677A (zh) | 2013-12-12 | 2016-09-14 | 康文图斯整形外科公司 | 组织移位工具和方法 |
TWI528938B (zh) * | 2014-03-21 | 2016-04-11 | Spirit Spine Holdings Corp Inc | Bone fixation device |
US9795395B2 (en) | 2014-06-10 | 2017-10-24 | Medos International Sarl | Retro-cutting instrument with adjustable limit setting |
USD868253S1 (en) | 2014-10-13 | 2019-11-26 | Boston Scientific Scimed, Inc. | Macerator wire |
US10441297B2 (en) | 2015-05-29 | 2019-10-15 | Zimmer, Inc. | Sounder for sizing bone implant |
KR101717084B1 (ko) | 2015-08-31 | 2017-03-20 | 주식회사 제노스 | 치아 임플란트 식립용 드릴링 드라이버 |
US20170071788A1 (en) * | 2015-09-15 | 2017-03-16 | Novartis Ag | Curved vitrectomy probe |
US10918426B2 (en) | 2017-07-04 | 2021-02-16 | Conventus Orthopaedics, Inc. | Apparatus and methods for treatment of a bone |
US11793540B2 (en) * | 2017-08-29 | 2023-10-24 | Boston Scientific Scimed, Inc. | Medical device with a flow controller |
WO2019164634A1 (en) * | 2018-01-26 | 2019-08-29 | Dsm Ip Assets, B.V. | Radially expanding debridement tools |
US11000295B2 (en) * | 2018-09-27 | 2021-05-11 | Acumed Llc | Bone harvesting system |
IT201900020274A1 (it) | 2019-11-04 | 2021-05-04 | Hpf S R L | Punta per chirurgia e metodo di realizzazione |
CN111466995A (zh) * | 2020-05-28 | 2020-07-31 | 四川大学华西医院 | 股骨头扩髓工具 |
WO2024057311A1 (en) * | 2022-09-13 | 2024-03-21 | Marrow Wiz Ltd. | Needle system |
Family Cites Families (42)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US18003A (en) * | 1857-08-11 | Asa weeks | ||
US450323A (en) * | 1891-04-14 | Gun-tool | ||
US1562327A (en) * | 1925-11-17 | Karl hedeen | ||
US3278964A (en) * | 1966-10-18 | Porthole reamer | ||
US1038914A (en) * | 1911-12-18 | 1912-09-17 | John R Long | Pipe-reaming machine. |
US1126961A (en) * | 1914-03-09 | 1915-02-02 | J B Little Metal Wheel Company | Expansible tool. |
US1424268A (en) * | 1921-01-03 | 1922-08-01 | Anton M Vedoe | Reamer |
US1685380A (en) * | 1926-09-09 | 1928-09-25 | Pilley Packing & Flue Brush Mf | Scraping tool |
US1721106A (en) * | 1927-03-14 | 1929-07-16 | William J Fischbeck | Drain-pipe cleaner |
US1733827A (en) * | 1927-08-30 | 1929-10-29 | Keystone Reamer & Tool Co | Reamer |
US1786520A (en) * | 1929-04-11 | 1930-12-30 | Louis H Darling | Gun cleaner |
US2599077A (en) * | 1948-09-04 | 1952-06-03 | Charles E Sturgis | Rotary tool for scraping tube interiors |
US3076254A (en) * | 1960-10-31 | 1963-02-05 | Ernest A Ricci | De-burring tool |
US3320957A (en) * | 1964-05-21 | 1967-05-23 | Sokolik Edward | Surgical instrument |
US3442162A (en) * | 1965-01-06 | 1969-05-06 | Glen H Cogsdill | Deburring tool |
US3917429A (en) * | 1974-04-11 | 1975-11-04 | Holmes E Ertley | Thin wall tubing deburring tool |
DE7529790U (de) | 1975-09-20 | 1976-02-19 | Lysell, Ralf, 2340 Kappeln | Vorrichtung zum Vorbearbeiten eines Knochenkanales, in welchem ein Implantat einzementiert werden soll |
US4256510A (en) * | 1978-08-11 | 1981-03-17 | Thompson David E | Method of scraping corners |
US4473070A (en) * | 1983-01-05 | 1984-09-25 | Regents Of The University Of Michigan | Intramedullary reamer |
DE4000403A1 (de) * | 1990-01-09 | 1991-07-11 | Bosch Gmbh Robert | Werkzeug zur bearbeitung von bohrungen |
CH687228A5 (de) * | 1993-09-15 | 1996-10-31 | Synthes Ag | Markraumbohrkopf. |
JP2980822B2 (ja) * | 1995-01-27 | 1999-11-22 | トクデンコスモ株式会社 | 穴明け工具 |
FR2744661B1 (fr) * | 1996-02-08 | 1998-04-03 | Deckner Andre Georges | Alesoir helicoidal inverse |
US5885258A (en) * | 1996-02-23 | 1999-03-23 | Memory Medical Systems, Inc. | Medical instrument with slotted memory metal tube |
US6440138B1 (en) * | 1998-04-06 | 2002-08-27 | Kyphon Inc. | Structures and methods for creating cavities in interior body regions |
US5938379A (en) * | 1998-04-29 | 1999-08-17 | Tseng; Shao-Chien | Countersink reamer for three-dimensional interior/exterior rims of a small bore |
US6152814A (en) * | 1999-09-16 | 2000-11-28 | Rp Abrasives & Machine Co. Inc. | Expandable abrasive belt for use with inflatable tool |
US7544196B2 (en) | 2001-02-20 | 2009-06-09 | Orthovita, Inc. | System and kit for delivery of restorative materials |
US20050240193A1 (en) | 2003-09-03 | 2005-10-27 | Kyphon Inc. | Devices for creating voids in interior body regions and related methods |
US20050113836A1 (en) * | 2003-11-25 | 2005-05-26 | Lozier Antony J. | Expandable reamer |
US8784421B2 (en) * | 2004-03-03 | 2014-07-22 | Boston Scientific Scimed, Inc. | Apparatus and methods for removing vertebral bone and disc tissue |
US20060184192A1 (en) * | 2005-02-11 | 2006-08-17 | Markworth Aaron D | Systems and methods for providing cavities in interior body regions |
US7523946B2 (en) * | 2005-06-20 | 2009-04-28 | Xerox Corporation | Expandable chuck |
WO2007008611A2 (en) * | 2005-07-11 | 2007-01-18 | Kyphon Inc. | Curette system |
US20070049860A1 (en) * | 2005-09-01 | 2007-03-01 | Robert Seminara | Apparatus and method for using a surgical instrument with an expandable sponge |
WO2007057903A2 (en) * | 2005-11-18 | 2007-05-24 | Apexum Ltd. | Method of treating dental periapical lesions |
US9089347B2 (en) * | 2006-07-07 | 2015-07-28 | Orthophoenix, Llc | Medical device with dual expansion mechanism |
US8114084B2 (en) * | 2007-03-07 | 2012-02-14 | Vertech, Inc. | Expandable blade device for stabilizing compression fractures |
US20090177206A1 (en) * | 2008-01-08 | 2009-07-09 | Zimmer Spine, Inc. | Instruments, implants, and methods for fixation of vertebral compression fractures |
CN103271761B (zh) * | 2008-01-14 | 2015-10-28 | 康文图斯整形外科公司 | 用于骨折修补的装置和方法 |
US9226763B2 (en) * | 2009-04-17 | 2016-01-05 | Spine View, Inc. | Blade debrider |
US10582935B2 (en) * | 2012-01-05 | 2020-03-10 | Stryker Puerto Rico Limited | Flexible drill bit |
-
2010
- 2010-07-23 RU RU2012105452/14A patent/RU2012105452A/ru not_active Application Discontinuation
- 2010-07-23 CA CA2766506A patent/CA2766506C/en active Active
- 2010-07-23 EP EP10802938.0A patent/EP2456368B1/en active Active
- 2010-07-23 CN CN201080032964.4A patent/CN102469999B/zh not_active Expired - Fee Related
- 2010-07-23 WO PCT/US2010/043018 patent/WO2011011664A2/en active Application Filing
- 2010-07-23 JP JP2012521806A patent/JP5883786B2/ja not_active Expired - Fee Related
- 2010-07-23 AU AU2010275510A patent/AU2010275510B2/en not_active Ceased
- 2010-07-23 US US13/386,779 patent/US9381031B2/en active Active
- 2010-07-23 BR BR112012001467A patent/BR112012001467A2/pt not_active IP Right Cessation
Also Published As
Publication number | Publication date |
---|---|
RU2012105452A (ru) | 2013-08-27 |
WO2011011664A2 (en) | 2011-01-27 |
US9381031B2 (en) | 2016-07-05 |
CA2766506A1 (en) | 2011-01-27 |
CN102469999B (zh) | 2016-03-09 |
EP2456368B1 (en) | 2018-06-06 |
BR112012001467A2 (pt) | 2016-03-15 |
EP2456368A4 (en) | 2013-10-09 |
WO2011011664A3 (en) | 2011-05-19 |
CA2766506C (en) | 2019-01-08 |
US20120179161A1 (en) | 2012-07-12 |
EP2456368A2 (en) | 2012-05-30 |
JP2013500073A (ja) | 2013-01-07 |
AU2010275510A1 (en) | 2012-02-02 |
CN102469999A (zh) | 2012-05-23 |
AU2010275510B2 (en) | 2015-12-17 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP5883786B2 (ja) | 髄内管内に空洞を切削するための手術器具 | |
US9216049B2 (en) | Systems and methods for implant removal | |
JP6063979B2 (ja) | 骨へのアクセスおよび空洞設備のための装置および方法 | |
EP2206467B1 (en) | Device with inflatable member for reducing a vertebral compression fracture and tentacle for delivering bone cement | |
JP5815522B2 (ja) | 骨中微小破壊発生用器具 | |
US11523835B2 (en) | Arthroscopic drill blade and arthroscopic drill access system made therefrom | |
US20060106393A1 (en) | Bone reamer | |
US20100241123A1 (en) | Tissue Cavitation Device and Method | |
JP2010510042A (ja) | 骨修復装置の配置に使用するための用具 | |
WO2006026323A2 (en) | Tissue cavitation device |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20130719 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20130719 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20140306 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20140317 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20140617 |
|
A602 | Written permission of extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A602 Effective date: 20140624 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20140916 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20150309 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20150609 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20150709 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20150807 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20160108 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20160208 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 5883786 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
LAPS | Cancellation because of no payment of annual fees |