JP6073232B2 - 患者適合器具および方法 - Google Patents
患者適合器具および方法 Download PDFInfo
- Publication number
- JP6073232B2 JP6073232B2 JP2013534038A JP2013534038A JP6073232B2 JP 6073232 B2 JP6073232 B2 JP 6073232B2 JP 2013534038 A JP2013534038 A JP 2013534038A JP 2013534038 A JP2013534038 A JP 2013534038A JP 6073232 B2 JP6073232 B2 JP 6073232B2
- Authority
- JP
- Japan
- Prior art keywords
- patient
- guide
- instrument
- cutting guide
- compatible
- 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
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
- A61B17/154—Guides therefor for preparing bone for knee prosthesis
- A61B17/157—Cutting tibia
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
-
- 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
- A61B17/1703—Guides or aligning means for drills, mills, pins or wires using imaging means, e.g. by X-rays
-
- 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
-
- 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
- A61B2017/320052—Guides for 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
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
-
- 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
- A61F2/38—Joints for elbows or knees
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dentistry (AREA)
- Physical Education & Sports Medicine (AREA)
- Transplantation (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
110 脛骨***
111 内側関節面
112 外側関節面
200 患者適合器具
205 表面
210 ガイド面
220 中央部分
230 アウトリガー部分
240 ウイング
250 孔
255 垂直ピン
260 孔
265 水平ピン
310 内側平坦域切除部
320 外側平坦域切除部
340 内側垂直***切除部
350 外側垂直***切除部
360 垂直前方***切除部
370 湾曲セクション
400 患者適合脛骨カッティングガイド
420 中央部分
425 可視化ウインドウ
490 リトラクタ機構
495 中空部分
600 患者適合脛骨ガイド
680 ビルトインドロップロッドコネクター
684 ドロップロッド
780 ドロップロッドコネクター
785 突起(ユーザー操作機構)
800 患者適合器具
801 補強材
Claims (7)
- 患者固有脛骨カッティングガイドであって、
近位脛骨の前方および上位部分に少なくとも部分的に重なるよう構成された中央部分と、
前記中央部分から延在すると共に、前記近位脛骨の内側および外側関節面に少なくとも部分的に重なるよう構成された複数のアウトリガー部分と、
前記中央部分から内側および外側に延在すると共に、少なくとも部分的に前記近位脛骨の前方面の内側および外側側面の周りで延在するよう構成された複数のウイング部分と、
を備え、
前記中央部分および前記複数のアウトリガー部分は、近位脛骨の垂直および前方***切除部を形成するためのカッティングツールを案内するよう構成されたガイドを形成し、かつ、前記複数のウイング部分は、前記近位脛骨の水平平坦域切除部を形成するためのカッティングツールを案内するためのガイドスロットを形成することを特徴とする患者固有脛骨カッティングガイド。 - 前記中央部分、前記複数のアウトリガー部分、および前記複数のウイング部分の一つ以上は、前記近位脛骨の対応する面に少なくとも部分的に合致するかあるいはそれに準拠するよう構成された一つ以上の面あるいは点コンタクトを備えることを特徴とする請求項1に記載の患者固有脛骨カッティングガイド。
- 前記一つ以上の面は、前記患者の近位脛骨のイメージングデータに基づく前手術プランニングにおいて確定されることを特徴とする請求項2に記載の患者固有脛骨カッティングガイド。
- 前記中央部分あるいは前記複数のアウトリガー部分に形成されかつ仮固定ピンの設置をガイドするよう構成された一つ以上の孔をさらに具備す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項に記載の患者固有脛骨カッティングガイド。
- 前記複数のウイング部分は、前記ガイドスロットから離れて軟組織を保持するよう構成されたリトラクタ機構を備えることを特徴とする請求項1に記載の患者固有脛骨カッティングガイド。
- 前記中央部分、前記複数のアウトリガー部分、あるいは前記複数のウイング部分の一つ以上に少なくとも部分的に埋め込まれた補強要素をさらに備えることを特徴とする請求項1に記載の患者固有脛骨カッティングガイド。
- 請求項1に記載の患者固有脛骨カッティングガイドと、
骨切除処置の間、カッティングツールの配置およびその案内を支援するために前記患者固有脛骨カッティングガイドに対して取り付け可能な標準型器具と、
を備えることを特徴とするシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US39317510P | 2010-10-14 | 2010-10-14 | |
US61/393,175 | 2010-10-14 | ||
PCT/US2011/056380 WO2012051542A2 (en) | 2010-10-14 | 2011-10-14 | Patient-matched instrumentation and methods |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016216334A Division JP6542182B2 (ja) | 2010-10-14 | 2016-11-04 | 患者適合器具および方法 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2013543417A JP2013543417A (ja) | 2013-12-05 |
JP6073232B2 true JP6073232B2 (ja) | 2017-02-01 |
Family
ID=45939006
Family Applications (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013534038A Expired - Fee Related JP6073232B2 (ja) | 2010-10-14 | 2011-10-14 | 患者適合器具および方法 |
JP2016216334A Expired - Fee Related JP6542182B2 (ja) | 2010-10-14 | 2016-11-04 | 患者適合器具および方法 |
JP2019045044A Pending JP2019084388A (ja) | 2010-10-14 | 2019-03-12 | 患者適合器具および方法 |
JP2020193342A Pending JP2021028005A (ja) | 2010-10-14 | 2020-11-20 | 患者適合器具および方法 |
Family Applications After (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016216334A Expired - Fee Related JP6542182B2 (ja) | 2010-10-14 | 2016-11-04 | 患者適合器具および方法 |
JP2019045044A Pending JP2019084388A (ja) | 2010-10-14 | 2019-03-12 | 患者適合器具および方法 |
JP2020193342A Pending JP2021028005A (ja) | 2010-10-14 | 2020-11-20 | 患者適合器具および方法 |
Country Status (8)
Country | Link |
---|---|
US (4) | US9492183B2 (ja) |
EP (1) | EP2627266B1 (ja) |
JP (4) | JP6073232B2 (ja) |
CN (1) | CN103237510B (ja) |
AU (1) | AU2011315874A1 (ja) |
BR (1) | BR112013009069A2 (ja) |
CA (1) | CA2814553A1 (ja) |
WO (1) | WO2012051542A2 (ja) |
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EP1981409B1 (en) | 2006-02-06 | 2017-01-11 | ConforMIS, Inc. | Patient selectable joint arthroplasty devices and surgical tools |
WO2008157412A2 (en) | 2007-06-13 | 2008-12-24 | Conformis, Inc. | Surgical cutting guide |
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US9579106B2 (en) | 2010-03-31 | 2017-02-28 | New York Society For The Relief Of The Ruptured And Crippled, Maintaining The Hospital For Special Surgery | Shoulder arthroplasty instrumentation |
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EP2706928B1 (en) * | 2011-05-13 | 2015-08-12 | Biomet Manufacturing, LLC | Bi-cruciate knee system |
US11771442B2 (en) * | 2011-05-13 | 2023-10-03 | Biomet Manufacturing Llc | Bi-cruciate knee system |
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US20140364857A1 (en) * | 2012-02-07 | 2014-12-11 | Conformis, Inc. | Joint Arthroplasty Devices, Systems, and Methods |
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US9675471B2 (en) | 2012-06-11 | 2017-06-13 | Conformis, Inc. | Devices, techniques and methods for assessing joint spacing, balancing soft tissues and obtaining desired kinematics for joint implant components |
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2011
- 2011-10-14 CN CN201180060318.3A patent/CN103237510B/zh active Active
- 2011-10-14 US US13/821,582 patent/US9492183B2/en active Active
- 2011-10-14 JP JP2013534038A patent/JP6073232B2/ja not_active Expired - Fee Related
- 2011-10-14 BR BR112013009069A patent/BR112013009069A2/pt not_active IP Right Cessation
- 2011-10-14 EP EP11833495.2A patent/EP2627266B1/en active Active
- 2011-10-14 WO PCT/US2011/056380 patent/WO2012051542A2/en active Application Filing
- 2011-10-14 CA CA2814553A patent/CA2814553A1/en not_active Abandoned
- 2011-10-14 AU AU2011315874A patent/AU2011315874A1/en not_active Abandoned
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2016
- 2016-11-04 JP JP2016216334A patent/JP6542182B2/ja not_active Expired - Fee Related
- 2016-11-15 US US15/351,799 patent/US9987022B2/en active Active
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2018
- 2018-06-05 US US16/000,235 patent/US10335164B2/en active Active
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2019
- 2019-03-12 JP JP2019045044A patent/JP2019084388A/ja active Pending
- 2019-05-13 US US16/410,295 patent/US11298140B2/en active Active
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2020
- 2020-11-20 JP JP2020193342A patent/JP2021028005A/ja active Pending
Also Published As
Publication number | Publication date |
---|---|
JP2013543417A (ja) | 2013-12-05 |
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