JP5988175B2 - 大腿骨骨折の予防措置または治療措置のためのインプラント装置、その付属品 - Google Patents
大腿骨骨折の予防措置または治療措置のためのインプラント装置、その付属品 Download PDFInfo
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- JP5988175B2 JP5988175B2 JP2013539313A JP2013539313A JP5988175B2 JP 5988175 B2 JP5988175 B2 JP 5988175B2 JP 2013539313 A JP2013539313 A JP 2013539313A JP 2013539313 A JP2013539313 A JP 2013539313A JP 5988175 B2 JP5988175 B2 JP 5988175B2
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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
- A61B17/74—Devices for the head or neck or trochanter of the femur
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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
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
-
- 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
-
- 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
- A61B17/1721—Guides or aligning means for drills, mills, pins or wires for applying pins along or parallel to the axis of the femoral neck
-
- 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
- A61B17/7097—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
- A61B17/7098—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants wherein the implant is permeable or has openings, e.g. fenestrated screw
-
- 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
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
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- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Neurology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Dentistry (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
− 孔の外面に分散する注入材料を用いて埋め込んだ領域の周囲にある海綿質を強化すること、
− 接触面積を拡大することによって、骨材料内でインプラントが動かないようにすること、および
− 2つのインプラントの固定連結部40を交点Sでロックすること。
Claims (12)
- 長手軸XX’を規定する長骨(28)を備える大腿骨(10)の骨折の予防措置と、大腿骨頭(14)及び前記長手軸XX’と角度αで交わる長手軸を有する大腿骨頸(22)を備える股関節(12)の骨折の予防措置のためのインプラント装置であって、
− 長手軸YY’、遠位端Y、及び近位端Y’を有し、前記長手軸YY’が、前記大腿骨頸(22)の前記長手軸に沿って配置され、前記遠位端Yが前記大腿骨頭(14)の中に配置され、前記近位端Y’が前記長骨(28)の皮質骨の外側に配置されている、第1のインプラント(36)、
− 長手軸ZZ’、遠位端Z、及び近位端Z’を有し、前記長手軸ZZ’が、前記長手軸YY’と交点Sで交わり、及び前記長手軸XX’と交わるように配置され、前記遠位端Zが、前記近位端Z’よりも前記交点Sから近い位置に配置され、前記近位端Z’ が前記長骨(28)の皮質骨の外側に配置され、前記近位端Z’は、前記近位端Y’よりも前記股関節(12)から離れた位置に配置される、第2のインプラント(38)、および
−前記第1のインプラント(36)、及び前記第2のインプラント(38)を前記交点Sで固定する固定連結部(40)
を備えることを特徴とする、装置。 - 前記第1のインプラント(36)の前記長手軸YY’は、前記長手軸XX’と角度βを作り、前記第2のインプラント(38)の前記長手軸ZZ’は、前記長手軸XX’と角度θを作り、前記角度θの角度値は、前記角度βの角度値よりも大きい角度値であることを特徴とする、請求項1に記載の大腿骨骨折と股関節骨折の予防措置のための装置。
- 前記角度βの角度値および前記角度θの角度値は、左大腿骨では91から179°の間であり、右大腿骨では181から269°の間であることを特徴とする、請求項1又は2に記載の大腿骨骨折と股関節骨折の予防措置のための装置。
- 前記交点Sでの前記固定連結(40)は、前記第1のインプラント(36)の前記第2のインプラント(38)への挿入であることを特徴とする、請求項1〜3のうちいずれか一項に記載の大腿骨骨折と股関節骨折の予防措置のための装置。
- 前記交点Sでの前記固定連結(40)は、前記第2のインプラント(38)の前記第1のインプラント(36)への挿入であることを特徴とする、請求項1〜4のうちいずれか一項に記載の大腿骨骨折と股関節骨折の予防措置のための装置。
- 前記交点Sの前記固定連結部(40)は、第2のインプラント(38)に施されたネジ山(44)および前記第1のインプラント(36)の本体部に設けられたネジを切った孔(46)ならびに回転して広がる動きを相殺し、安定して支持するリングを備える、機械的ロックを有する連結部であることを特徴とする、請求項1〜5のうちいずれか一項に記載の大腿骨骨折と股関節骨折の予防措置のための装置。
- 前記インプラント(36、38)は、中実、中空または部分的に中空のチューブであり、前記チューブの断面の直径は、前記チューブの長さよりも短いことを特徴とする、請求項1〜6のうちいずれか一項に記載の大腿骨骨折と股関節骨折の予防措置のための装置。
- 少なくとも部分的に中空のチューブから作製された各インプラント(36、38)は、前記インプラント(36、38)を設置した時点で、アクセス可能な近位端から生体適合性のあるセメントタイプの注入可能な組成物を注入するための少なくとも1つの孔(50)を備えることを特徴とする、請求項1〜7のうちいずれか一項に記載の大腿骨骨折と股関節骨折の予防措置のための装置。
- 各インプラントを構成するチューブの断面は、全長または部分的に円形、楕円形、正方形、六角形、星形、円錐形であり、全長または部分的にネジを切ったもの、あるいはまたこれらを組み合わせた形であることを特徴とする、請求項7または8のうちいずれか一項に記載の大腿骨骨折と股関節骨折の予防措置のための装置。
- 前記インプラント(36、38)の少なくとも一方は、その場で長さを調整できるように変更可能な長さであることを特徴とする、請求項1〜9のうちいずれか一項に記載の大腿骨骨折と股関節骨折の予防措置のための装置。
- 前記インプラント(36、38)の表面は、生体適合性および組織細胞の発達を向上させるために、コーティングを備える、または表面処理を施され得ることを特徴とする、請求項1〜10のうちいずれか一項に記載の大腿骨骨折と股関節骨折の予防措置のための装置。
- 請求項1〜11のうちいずれか一項に記載の大腿骨骨折と股関節骨折の予防措置のための装置を設置するための付属品であって、
− 様々な周辺部およびインプラント(36、38)を位置決めするための位置決め手段(54)であって、
・ 設置する第1のインプラント(36)の前記長手軸YY’に沿って、第1のガイドチューブ(58)が具体的に示す第1の標的ラインおよび
・ 設置する第2のインプラント(38)の前記長手軸ZZ’に沿って、第2のガイドチューブ(60)が具体的に示す第2の標的ライン
を有する本体部(56)を備える位置決め手段(54)、
− インプラント(36、38)を並進移動させ回転させる可動式固定手段を備える、チューブ形態の捕捉部(64)、
− 前記捕捉部(64)の内部で共軸となるように取り付けられるロッド形態の向き調整部(68)であって、前記捕捉部(64)内で自由に回転し、並進移動し、操作用の柄(66)を有する向き調整部(68)、および
− 前記捕捉部(64)と前記向き調整部(68)との間で取り外し可能なように回転させる駆動手段
を備えることを特徴とする、付属品。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP10306265.9A EP2455014B1 (fr) | 2010-11-17 | 2010-11-17 | Dispositif implantable pour le traitement préventif ou curatif de fractures du fémur, ancillaire associé |
EP10306265.9 | 2010-11-17 | ||
US12/952,834 | 2010-11-23 | ||
US12/952,834 US10405899B2 (en) | 2010-11-17 | 2010-11-23 | Devices, methods and systems for remedying or preventing fractures |
PCT/FR2011/052664 WO2012066236A1 (fr) | 2010-11-17 | 2011-11-16 | Dispositif implantable pour le traitement preventif ou curatif de fractures du femur, ancillaire associe |
Publications (2)
Publication Number | Publication Date |
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JP2014500765A JP2014500765A (ja) | 2014-01-16 |
JP5988175B2 true JP5988175B2 (ja) | 2016-09-07 |
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JP2013539313A Active JP5988175B2 (ja) | 2010-11-17 | 2011-11-16 | 大腿骨骨折の予防措置または治療措置のためのインプラント装置、その付属品 |
Country Status (13)
Country | Link |
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US (3) | US10405899B2 (ja) |
EP (1) | EP2455014B1 (ja) |
JP (1) | JP5988175B2 (ja) |
KR (1) | KR101926703B1 (ja) |
CN (1) | CN103269651B (ja) |
AU (1) | AU2011330998B2 (ja) |
BR (1) | BR112013012210B1 (ja) |
ES (1) | ES2552254T3 (ja) |
MX (1) | MX362316B (ja) |
RU (1) | RU2585732C2 (ja) |
TW (1) | TWI566740B (ja) |
WO (1) | WO2012066236A1 (ja) |
ZA (1) | ZA201303529B (ja) |
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-
2010
- 2010-11-17 ES ES10306265.9T patent/ES2552254T3/es active Active
- 2010-11-17 EP EP10306265.9A patent/EP2455014B1/fr active Active
- 2010-11-23 US US12/952,834 patent/US10405899B2/en active Active
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- 2011-11-16 KR KR1020137015169A patent/KR101926703B1/ko active IP Right Grant
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Also Published As
Publication number | Publication date |
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WO2012066236A1 (fr) | 2012-05-24 |
ES2552254T3 (es) | 2015-11-26 |
TW201225941A (en) | 2012-07-01 |
BR112013012210A2 (pt) | 2021-03-16 |
TWI566740B (zh) | 2017-01-21 |
MX2013005563A (es) | 2013-12-06 |
KR20130103776A (ko) | 2013-09-24 |
EP2455014B1 (fr) | 2015-08-12 |
US20220168027A1 (en) | 2022-06-02 |
US20200187995A1 (en) | 2020-06-18 |
CN103269651B (zh) | 2016-09-21 |
US20120123415A1 (en) | 2012-05-17 |
CN103269651A (zh) | 2013-08-28 |
RU2585732C2 (ru) | 2016-06-10 |
RU2013126951A (ru) | 2014-12-27 |
MX362316B (es) | 2019-01-07 |
AU2011330998A1 (en) | 2013-05-30 |
BR112013012210B1 (pt) | 2021-09-28 |
JP2014500765A (ja) | 2014-01-16 |
EP2455014A1 (fr) | 2012-05-23 |
AU2011330998B2 (en) | 2016-01-21 |
US10405899B2 (en) | 2019-09-10 |
KR101926703B1 (ko) | 2018-12-07 |
ZA201303529B (en) | 2014-01-29 |
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