JP6894892B2 - 二部式手術ガイド - Google Patents
二部式手術ガイド Download PDFInfo
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- JP6894892B2 JP6894892B2 JP2018520171A JP2018520171A JP6894892B2 JP 6894892 B2 JP6894892 B2 JP 6894892B2 JP 2018520171 A JP2018520171 A JP 2018520171A JP 2018520171 A JP2018520171 A JP 2018520171A JP 6894892 B2 JP6894892 B2 JP 6894892B2
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Images
Classifications
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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
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
- A61B17/151—Guides therefor for corrective osteotomy
- A61B17/152—Guides therefor for corrective osteotomy for removing a wedge-shaped piece of bone
-
- 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
- A61B17/1728—Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8897—Guide wires or guide pins
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/90—Guides therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
- A61B17/151—Guides therefor for corrective osteotomy
-
- 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
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/101—Computer-aided simulation of surgical operations
- A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
Description
Claims (16)
- 所定の切断面に沿って患者の骨を切断するための患者固有のシステムであって、
第1ガイドと、当該第1ガイドとは別の第2ガイドとを備え、
上記第1ガイドは、少なくとも1つの接触面と、複数のガイド部と、を有し、
上記少なくとも1つの接触面は、上記骨の少なくとも一部分に配設されたときに、上記骨に対する上記第1ガイドの移動が実質的に制限されるように上記少なくとも一部分に適合し、
上記複数のガイド部は、上記骨に複数の基準ピンを、上記基準ピンのうちの2つ以上が上記所定の切断面に挿入されるように配置するガイドとなり、
上記第2ガイドは、複数の開口と、少なくとも1つの機能部材と、を有し、
上記複数の開口は、基準ピンに対応する形状を有し、上記第1ガイドを取り除いた後に上記基準ピンの上に上記第2ガイドをスライドさせると上記複数の基準ピンのうちの一つをそれぞれ収容し、かつ、上記複数の基準ピンが収容されたときに上記骨に対する上記第2ガイドの移動を実質的に制限し、
上記少なくとも1つの機能部材は、上記骨に孔をあけるためのものである、
ことを特徴とする患者固有のシステム。 - 上記複数のガイド部は、ドリルガイドを含むことを特徴とする請求項1に記載の患者固有のシステム。
- 上記第2ガイドは、さらに、上記複数の基準ピンが収容されたときに上記骨の少なくとも第2部に適合する第1接触面を含み、当該第1接触面は、上記第1接触面と上記骨との接触だけでは上記骨に対する上記第2ガイドの移動を実質的に制限するには十分ではないように構成されていることを特徴とする請求項1に記載の患者固有のシステム。
- 上記少なくとも1つの機能部材は、ドリルガイドを含むことを特徴とする請求項1に記載の患者固有のシステム。
- さらに、骨接合インプラントを含むことを特徴とする請求項1に記載の患者固有のシステム。
- 上記骨接合インプラントは、第1開口及び第2開口を含み、
上記第1開口および上記第2開口はそれぞれ、インプラント固定部材を収容し、
上記少なくとも1つの機能部材は、複数のドリルガイドを含み、
上記第1開口および上記第2開口はそれぞれ、上記複数の基準ピンが上記複数の開口に収容されたときに、上記複数のドリルガイドのうちの一つの上記骨上の位置に対応する上記骨上の位置に並ぶように構成されていることを特徴とする請求項5に記載の患者固有のシステム。 - 上記第1開口および上記第2開口は、第1距離だけ離間しており、
上記第1開口に対応する第1ドリルガイドと上記第2開口に対応する第2ドリルガイドは、第2距離だけ離間しており、
上記第1距離は、上記第2距離と異なることを特徴とする請求項6に記載の患者固有のシステム。 - 上記第1開口は、骨切断面の第1側面上の第1骨位置と関連しており、上記第2開口は、上記骨切断面の第2側面上の第2骨位置と関連しており、上記第1側面は上記第2側面の反対側であることを特徴とする請求項7に記載の患者固有のシステム。
- 上記インプラント固定部材は螺子を含むことを特徴とする請求項6に記載の患者固有のシステム。
- 上記骨接合インプラントはプレートを含むことを特徴とする請求項5に記載の患者固有のシステム。
- 上記少なくとも1つの機能部材は切断ガイド面を含むことを特徴とする請求項1に記載の患者固有のシステム。
- 上記少なくとも1つの機能部材は、1以上のX線不透過性部材を含むことを特徴とする請求項1に記載の患者固有のシステム。
- 上記第1ガイドはテーパ状エッジを含むことを特徴とする請求項1に記載の患者固有のシステム。
- 上記第1ガイドは、1mm〜3mmの厚みに適合することを特徴とする請求項1に記載の患者固有のシステム。
- 上記第2ガイドは、上記複数の開口及び上記少なくとも1つの機能部材を閾値量よりも大きく延在せず、上記閾値量は3mmであることを特徴とする請求項1に記載の患者固有のシステム。
- 上記第1ガイドは、上記複数のガイド部に配置された上記基準ピンを有する上記骨から上記第1ガイドを取り除くための可撓部を含むことを特徴とする請求項1に記載の患者固有のシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201562245255P | 2015-10-22 | 2015-10-22 | |
US62/245,255 | 2015-10-22 | ||
PCT/US2016/057867 WO2017070318A1 (en) | 2015-10-22 | 2016-10-20 | Two-part surgical guide |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018538025A JP2018538025A (ja) | 2018-12-27 |
JP6894892B2 true JP6894892B2 (ja) | 2021-06-30 |
Family
ID=57233881
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Application Number | Title | Priority Date | Filing Date |
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JP2018520171A Active JP6894892B2 (ja) | 2015-10-22 | 2016-10-20 | 二部式手術ガイド |
Country Status (4)
Country | Link |
---|---|
US (1) | US20180303491A1 (ja) |
EP (1) | EP3364887A1 (ja) |
JP (1) | JP6894892B2 (ja) |
WO (1) | WO2017070318A1 (ja) |
Families Citing this family (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2016074733A1 (en) | 2014-11-13 | 2016-05-19 | Episurf Ip-Management Ab | Surgical kit for repair of articular surfaces in the talocrural joint including surgical saw guide |
US11065011B2 (en) | 2014-11-13 | 2021-07-20 | Episurf Ip-Management Ab | Tools for assisting in osteotomy procedures, and methods for designing and manufacturing osteotomy tools |
FR3070249B1 (fr) * | 2017-08-22 | 2023-01-27 | Newclip Int | Dispositif chirurgical de guidage, pour assister une technique d'osteotomie d'ouverture |
WO2019052622A1 (en) * | 2017-09-14 | 2019-03-21 | Hafez Mahmoud Alm El Din | PATIENT-SPECIFIC ELECTRONIC MODEL FOR USE IN CORRECTIVE OSTEOTOMY FOR THE TREATMENT OF BONE AND JOINT DEFORMATIONS |
WO2019137626A1 (en) * | 2018-01-15 | 2019-07-18 | Episurf Ip-Management Ab | Tools for assisting in osteotomy procedures, and methods for designing and manufacturing osteotomy tools |
US11167375B2 (en) | 2018-08-10 | 2021-11-09 | The Research Foundation For The State University Of New York | Additive manufacturing processes and additively manufactured products |
WO2020037425A1 (en) * | 2018-08-24 | 2020-02-27 | Laboratoires Bodycad Inc. | Predrilling guide for knee osteotomy fixation plate |
ES2802450B2 (es) * | 2019-07-09 | 2021-11-26 | Santxarizmendi Grupo De Investig S L | Guia quirurgica para intervenciones de osteotomia desrotatoria con giro de las secciones del hueso sobre el plano de corte. |
ES2802676B2 (es) * | 2019-07-09 | 2021-11-25 | Santxarizmendi Grupo De Investig S L | Guia quirurgica para intervenciones de osteotomia. |
WO2021134165A1 (zh) * | 2019-12-30 | 2021-07-08 | 上海昕健医疗技术有限公司 | 胫骨高位截骨的术前规划方法及其导板模型的构建方法 |
Family Cites Families (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4421112A (en) * | 1982-05-20 | 1983-12-20 | Minnesota Mining And Manufacturing Company | Tibial osteotomy guide assembly and method |
US7316687B2 (en) * | 2001-08-24 | 2008-01-08 | Zimmer Technology, Inc. | Blade plate and instruments |
US20110172672A1 (en) * | 2006-02-27 | 2011-07-14 | Biomet Manufacturing Corp. | Instrument with transparent portion for use with patient-specific alignment guide |
US8377066B2 (en) * | 2006-02-27 | 2013-02-19 | Biomet Manufacturing Corp. | Patient-specific elbow guides and associated methods |
ES2800031T3 (es) * | 2007-09-30 | 2020-12-23 | Depuy Products Inc | Método para generar una instrumentación quirúrgica ortopédica específica para un paciente personalizada |
AU2014262239A1 (en) * | 2007-09-30 | 2014-12-04 | Depuy Products, Inc. | Customized patient-specific orthopaedic surgical instrumentation |
EP2542170B1 (en) * | 2010-03-04 | 2018-05-09 | Synthes GmbH | Osteotomy system |
WO2013060842A1 (en) | 2011-10-28 | 2013-05-02 | Materialise N.V. | Guides with pressure points |
EP2838458B1 (en) * | 2012-04-18 | 2018-09-12 | Materialise N.V. | Orthopedic bone fixation systems and methods |
-
2016
- 2016-10-20 JP JP2018520171A patent/JP6894892B2/ja active Active
- 2016-10-20 US US15/768,793 patent/US20180303491A1/en not_active Abandoned
- 2016-10-20 EP EP16791188.2A patent/EP3364887A1/en active Pending
- 2016-10-20 WO PCT/US2016/057867 patent/WO2017070318A1/en active Application Filing
Also Published As
Publication number | Publication date |
---|---|
WO2017070318A1 (en) | 2017-04-27 |
JP2018538025A (ja) | 2018-12-27 |
US20180303491A1 (en) | 2018-10-25 |
EP3364887A1 (en) | 2018-08-29 |
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