JP6568512B2 - 人工椎間板髄核 - Google Patents
人工椎間板髄核 Download PDFInfo
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- JP6568512B2 JP6568512B2 JP2016500556A JP2016500556A JP6568512B2 JP 6568512 B2 JP6568512 B2 JP 6568512B2 JP 2016500556 A JP2016500556 A JP 2016500556A JP 2016500556 A JP2016500556 A JP 2016500556A JP 6568512 B2 JP6568512 B2 JP 6568512B2
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- 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
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
-
- 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
- A61B17/1671—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 spine
-
- 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
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/30092—Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol
-
- 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
- A61F2002/30108—Shapes
- A61F2002/30199—Three-dimensional shapes
- A61F2002/30224—Three-dimensional shapes cylindrical
- A61F2002/30235—Three-dimensional shapes cylindrical tubular, e.g. sleeves
-
- 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30448—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
-
- 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
- A61F2002/30579—Special structural features of bone or joint prostheses not otherwise provided for with mechanically expandable devices, e.g. fixation devices
-
- 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
- A61F2002/30581—Special structural features of bone or joint prostheses not otherwise provided for having a pocket filled with fluid, e.g. liquid
- A61F2002/30584—Special structural features of bone or joint prostheses not otherwise provided for having a pocket filled with fluid, e.g. liquid filled with gas
-
- 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
- A61F2002/30581—Special structural features of bone or joint prostheses not otherwise provided for having a pocket filled with fluid, e.g. liquid
- A61F2002/30586—Special structural features of bone or joint prostheses not otherwise provided for having a pocket filled with fluid, e.g. liquid having two or more inflatable pockets or chambers
-
- 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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2002/4435—Support means or repair of the natural disc wall, i.e. annulus, e.g. using plates, membranes or meshes
-
- 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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2002/444—Intervertebral or spinal discs, e.g. resilient for replacing the nucleus pulposus
-
- 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
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
- A61F2002/4627—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
-
- 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
- A61F2002/4688—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means
- A61F2002/4692—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means fluid
- A61F2002/4693—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means fluid hydraulic
-
- 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
- A61F2002/4688—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means
- A61F2002/4692—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means fluid
- A61F2002/4694—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means fluid pneumatic
-
- 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
- A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas
-
- 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
- A61F2250/0069—Sealing means
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Transplantation (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurology (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Physical Education & Sports Medicine (AREA)
- Prostheses (AREA)
- Surgery (AREA)
- Dentistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Chemical & Material Sciences (AREA)
- Dispersion Chemistry (AREA)
- Surgical Instruments (AREA)
Description
ヒト脊柱は、脊髄をその中に配して保護するヒト生理学的構造の必須の部分であり、体の構造の支持を提供する。典型的なヒトでは、脊柱は、24個の関節をなす椎骨と9個の癒合した椎骨で構成され、一般的に、頚部、胸部、仙骨部、および尾骨部を含むいくつかの領域に分けられる。
本明細書は、脊柱を強化して安定化するために用いられる椎間板プロテーゼに関する技術を記述する。本明細書において記述される技術の実施形態は、小さい術創を通してヒト椎間板の部分に植え込まれる外科用デバイス、そのような外科用デバイスを挿入するために用いられる様々な支援ツール、ならびに脊柱を強化および安定化するためにデバイスを用いる方法を含む。
内室と、
内室と流体的に分離されている外室と、
第一の封止機構、第二の封止機構、およびストッパー要素を含み、内室および外室と流体連通している封止弁と
を含み、
封止弁が開状態にあるとき、第一の封止機構が第一の材料の内室内への流入を可能にし、かつ第二の封止機構が第二の材料の外室内への流入を可能にし;
封止弁が閉状態にあるとき、第一の封止機構が第一の材料の内室内からの流出を防止し、かつ第二の封止機構が第二の材料の外室内からの流出を防止し;
ストッパーに加えられる力により封止弁が開状態となり;かつ
力の解放により封止弁が閉状態となる、
植え込み可能な人工デバイス。
[本発明1002]
第一の材料が不活性ガスを含む、本発明1001のデバイス。
[本発明1003]
第二の材料がシリコンポリマーを含む、本発明1001のデバイス。
[本発明1004]
シリコンポリマーが硬化可能である、本発明1002のデバイス。
[本発明1005]
第二の材料が造影剤を含む、本発明1001のデバイス。
[本発明1006]
第一のチャネルと、
第一のチャネルと流体的に分離されている第二のチャネルと
を含む膨張デバイスをさらに含み、該膨張デバイスが、
力をストッパーに加えるように、第一のチャネルを内室と流体連通している状態に配置するように、第二のチャネルを外室と流体連通している状態に配置するように、および第一のチャネルから第一の材料を内室にかつ第二のチャネルから第二の材料を外室に同時に移動させるように適合された、本発明1001のデバイス。
[本発明1007]
人工デバイスが折り畳み可能である、本発明1001のデバイス。
[本発明1008]
材料で内室または外室を膨張させることによって、人工デバイスが拡張される、本発明1001のデバイス。
[本発明1009]
デバイスを既定の形状に拡張させる記憶材料をさらに含む、本発明1001のデバイス。
[本発明1010]
外科用カニューレに嵌合するように適合されている、本発明1001のデバイス。
[本発明1011]
椎間板プロテーゼとして用いるために適合されている、本発明1001のデバイス。
[本発明1012]
第一の椎骨が第二の椎骨から離れるように、第一の椎骨が上面に接し、かつ第二の椎骨が下面に接する、本発明1011のデバイス。
[本発明1013]
線維輪を貫通する段階、
髄核を摘出する段階、
線維輪内に膨張可能なデバイスを植え込む段階
を含む、人工デバイスを植え込む方法であって、
膨張可能なデバイスが、
内室と、
内室と流体的に分離されている外室と、
第一の封止機構、第二の封止機構、およびストッパー要素を含み、内室および外室と流体連通している封止弁と
を含み、
封止弁が開状態にあるとき、第一の封止機構が第一の材料の内室内への流入を可能にし、かつ第二の封止機構が第二の材料の外室内への流入を可能にし;
封止弁が閉状態にあるとき、第一の封止機構が第一の材料の内室内からの流出を防止し、かつ第二の封止機構が第二の材料の外室内からの流出を防止し;
ストッパーに加えられた力により、封止弁が開状態となり;および
力の解放により、封止弁が閉状態となる、方法。
[本発明1014]
膨張可能な内室と、
第一の送達形状から第二の配置形状へと変形することが可能な形状記憶材料を外周に隣接して含む、膨張可能な外室と、
内室および外室と流体連通しておりかつ第一の小室中に第一の媒体および第二の小室中に第二の媒体を受容して保持するように構成された、膨張弁と
を含む、膨張可能な植え込み可能デバイス。
[本発明1015]
膨張弁が、第一の媒体によって第一の小室を、および第二の媒体によって第二の小室を同時に膨張させるように構成されている、本発明1014のデバイス。
[本発明1016]
膨張可能な格納要素を体に植え込む段階、
格納容器に流動可能で硬化可能なシリコンを注入する段階、
硬化剤またはUV光のいずれかを用いて、注入したシリコンを硬化させる段階
を含む、硬化シリコンを体に供給する方法。
[本発明1017]
植え込まれた膨張可能な格納要素が、外室と流体的に分離されている内室を含むバルーンであり、シリコンが内室または外室の少なくとも1つに注入される、本発明1016の方法。
[本発明1018]
体腔を作製する段階、
流動可能で硬化可能なシリコンを体腔に注入する段階、および
硬化剤またはUV光のいずれかを用いて、注入したシリコンを硬化させる段階
を含む、硬化シリコンを体に供給する方法。
[本発明1019]
体腔が、線維輪内から髄核を摘出することによって椎間板で作製され、シリコンが線維輪内に注入される、本発明1018の方法。
[本発明1020]
内径を有するアクセス送達カニューレと、
アクセス送達カニューレの内径内に嵌合するようにサイズ調整されている、椎間板から髄核を摘出するための髄核摘出ツールと、
アクセス送達カニューレの内径内に嵌合するようにサイズ調整されている、膨張可能な人工インプラントを送達するための送達膨張スタイラスと、
互いに流体的に分離されている第一の小室および第二の小室を含み、送達膨張スタイラスによってアクセスカニューレを通して非膨張状態で椎間板内の位置に送達されるようにサイズ調整されている、膨張可能な人工椎間板インプラントと
を含む、膨張可能な人工椎間板髄核(prosthetic vertebral nucleus)を植え込むためのシステム。
[本発明1021]
アクセス送達カニューレを用いて、椎間板の線維輪を貫通して髄核にアクセスする段階、
線維輪を実質的に無傷なままにしながら椎間板から髄核を摘出するのを可能にするように構成された髄核摘出装置を、アクセスカニューレを通して送達する段階、
髄核を摘出するために線維輪内で髄核摘出装置を操作する段階、
髄核摘出装置を取り出す段階、
折り畳まれかつ収縮した人工インプラントを、アクセス送達カニューレを通しておよび線維輪を通して、髄核がこれまで占めていた空隙に送達する段階、
人工インプラントをガスおよび硬化可能なシリコンを含む少なくとも2つの媒体によって膨張させる膨張スタイラスを用いて、人工インプラントを膨張させる段階、
硬化剤またはUV光を用いて人工インプラント内のシリコンを硬化させる段階、ならびに
膨張スタイラスおよびアクセス送達カニューレを取り出す段階
を含む、膨張可能な人工椎間板髄核を植え込むための方法。
[本発明1022]
近位末端、
遠位末端、
髄核摘出装置、送達スタイラス、または膨張可能バルーンを含む1つまたは複数の機器または人工デバイスを送達するようにサイズ調整された内径
を含む、椎間板の線維輪を貫通してアクセスするためのアクセスカニューレ。
[本発明1023]
近位末端を光源に取り付けることができる、本発明1022のアクセスカニューレ。
[本発明1024]
内径が1つまたは複数のアクセス拡張器の周囲に嵌合するようにサイズ調整されている、本発明1022のアクセスカニューレ。
[本発明1025]
止めねじおよび接着性止めねじのアセンブルをさらに含む、本発明1022のアクセスカニューレ。
本発明の1つまたは複数の態様の詳細を、添付の図面および以下の説明に記載する。本発明の他の特色、目的、および利点は、説明および図面、ならびに添付の特許請求の範囲から明らかであろう。
以下の説明は、本発明の一例となる態様の説明である。説明は、制限的な意味にとらえるべきではなく、本発明の一般的原理を説明する目的のために行われる。様々な本発明の特徴を以下に記述するが、その各々を、互いに独立して、または他の特徴と組み合わせて用いることができる。
経皮送達および配置のために設計された椎骨間インプラントデバイスのもう1つの例示的な態様において、インプラントデバイスは、同様に、送達カニューレへの挿入を容易にするために縦方向に折り畳み可能であり、経皮的髄核摘出後の椎間板空隙内で放射方向におよび縦方向に拡張可能である。
送達装置のもう1つの例において、送達装置を使用することにより、経皮的後側方アプローチから椎間板の中へのアクセスカニューレの留置、椎間板空隙にアクセスカニューレを通して導入された機械的核摘出デバイスの使用、およびアクセスカニューレを通して導入された送達カニューレに充填された可動性核インプラントの送達が可能となる。
Claims (12)
- 内室と、
内室と流体的に分離されている外室と、
充填チューブの内部と該内室の内部との間の第一の開口部を有し、開位置と閉位置との間で移動可能である該充填チューブを含む、第一の封止機構;
充填チャネルの内部と外室の内部との間の第二の開口部を有する該充填チャネルを含む、第二の封止機構;
該充填チャネル内で開位置と閉位置との間でスライド可能なストッパー要素;および
該ストッパー要素に力を加え、該ストッパー要素を該閉位置にスライドさせるためのバイアス要素
を含み、内室および外室と接続している封止弁と
を含み、
封止弁が開位置にあるとき、第一の封止機構の第一の開口部が開いて第一の材料の内室内への流入を可能にし、かつ第二の封止機構の第二の開口部が開いて充填チャネルの内部と外室の内部との流体連通を可能にすることで、第二の材料の外室内への流入が可能となるように該ストッパー要素が位置し;
封止弁が閉位置にあるとき、第一の封止機構の第一の開口部が塞がれて第一の材料の内室内からの流出を防止し、かつ該ストッパー要素が第二の封止機構の第二の開口部を塞いで第二の材料の外室内からの流出を防止し;
ストッパー要素に加えられる力が該ストッパー要素を開位置にスライドさせて充填チャネルの内部と外室の内部との流体連通を可能とし;かつ
力が解放されたときに該バイアス要素が該ストッパー要素を閉位置へ向かってスライドさせ、封止弁が閉位置となる、
植え込み可能な人工デバイス。 - 第一の材料が不活性ガスを含む、請求項1記載のデバイス。
- 第二の材料がシリコンポリマーを含む、請求項1記載のデバイス。
- 前記シリコンポリマーが硬化可能である、請求項3記載のデバイス。
- 第二の材料が造影剤を含む、請求項1記載のデバイス。
- 第一のチャネルと、
第一のチャネルと流体的に分離されている第二のチャネルと
を含む膨張デバイスをさらに含み、該膨張デバイスが、
力を前記ストッパー要素に加えるように、第一のチャネルを内室と流体連通している状態に配置するように、第二のチャネルを外室と流体連通している状態に配置するように、および第一のチャネルから第一の材料を内室にかつ第二のチャネルから第二の材料を外室に同時に移動させるように適合された、請求項1記載のデバイス。 - 人工デバイスが折り畳み可能である、請求項1記載のデバイス。
- 材料で内室または外室を膨張させることによって、人工デバイスが拡張される、請求項1記載のデバイス。
- デバイスを既定の形状に拡張させる記憶材料をさらに含む、請求項1記載のデバイス。
- 外科用カニューレに嵌合するように適合されている、請求項1記載のデバイス。
- 椎間板プロテーゼとして用いるために適合されている、請求項1記載のデバイス。
- 第一の椎骨が第二の椎骨から離れるように、第一の椎骨が上面に隣接し、かつ第二の椎骨が下面に隣接して嵌合して植え込まれるように構成された、請求項11記載のデバイス。
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CN103099689B (zh) | 2013-02-19 | 2015-08-26 | 哈尔滨朝阳滨辉实业发展集团有限公司 | 微创手术用盘旋状髓核假体的制备方法及应用 |
US20140277467A1 (en) | 2013-03-14 | 2014-09-18 | Spinal Stabilization Technologies, Llc | Prosthetic Spinal Disk Nucleus |
US9295479B2 (en) | 2013-03-14 | 2016-03-29 | Spinal Stabilization Technologies, Llc | Surgical device |
CA2966748C (en) | 2014-11-04 | 2023-03-21 | Spinal Stabilization Technologies Llc | Percutaneous implantable nuclear prosthesis |
WO2016073587A1 (en) | 2014-11-04 | 2016-05-12 | Spinal Stabilization Technologies Llc | Percutaneous implantable nuclear prosthesis |
CN108348227B (zh) | 2015-09-01 | 2021-03-09 | 脊柱稳定技术有限责任公司 | 可植入的核假体 |
US9486323B1 (en) | 2015-11-06 | 2016-11-08 | Spinal Stabilization Technologies Llc | Nuclear implant apparatus and method following partial nuclectomy |
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US20180318108A1 (en) | 2018-11-08 |
KR20150129820A (ko) | 2015-11-20 |
JP2016511063A (ja) | 2016-04-14 |
BR112015023003A2 (pt) | 2017-07-18 |
CN105142577A (zh) | 2015-12-09 |
US11406513B2 (en) | 2022-08-09 |
WO2014158762A1 (en) | 2014-10-02 |
CA2906340A1 (en) | 2014-10-02 |
KR102279062B1 (ko) | 2021-07-20 |
US20140277467A1 (en) | 2014-09-18 |
AU2014241883B2 (en) | 2019-05-23 |
CN105142577B (zh) | 2017-09-01 |
AU2014241883A1 (en) | 2015-10-08 |
EP2967910A1 (en) | 2016-01-20 |
US9545321B2 (en) | 2017-01-17 |
BR112015023003A8 (pt) | 2019-12-03 |
EP2967910A4 (en) | 2016-03-23 |
EP2967910B1 (en) | 2017-07-05 |
US20150057752A1 (en) | 2015-02-26 |
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