[go: up one dir, main page]

TW201417789A - 二脊椎骨間插置之隔體 - Google Patents

二脊椎骨間插置之隔體 Download PDF

Info

Publication number
TW201417789A
TW201417789A TW102143612A TW102143612A TW201417789A TW 201417789 A TW201417789 A TW 201417789A TW 102143612 A TW102143612 A TW 102143612A TW 102143612 A TW102143612 A TW 102143612A TW 201417789 A TW201417789 A TW 201417789A
Authority
TW
Taiwan
Prior art keywords
tubular member
spacer
tubular
access opening
length
Prior art date
Application number
TW102143612A
Other languages
English (en)
Other versions
TWI511714B (zh
Inventor
Lutz Biedermann
Jurgen Harms
Wilfried Matthis
Original Assignee
Biedermann Technologies Gmbh
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Biedermann Technologies Gmbh filed Critical Biedermann Technologies Gmbh
Publication of TW201417789A publication Critical patent/TW201417789A/zh
Application granted granted Critical
Publication of TWI511714B publication Critical patent/TWI511714B/zh

Links

Classifications

    • 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
    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A61F2/4465—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages having a circular or kidney shaped cross-section substantially perpendicular to the axis of 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
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • 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 for implanting artificial joints
    • A61F2/4637—Special tools for implanting artificial joints for connecting or disconnecting two parts of a prosthesis
    • 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
    • A61F2/28—Bones
    • A61F2002/2835—Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
    • 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
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30112—Rounded shapes, e.g. with rounded corners
    • A61F2002/30125—Rounded shapes, e.g. with rounded corners elliptical or oval
    • 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
    • A61F2002/30233—Stepped cylinders, i.e. having discrete diameter changes
    • 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
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
    • A61F2002/30364—Rotation about the common longitudinal axis
    • A61F2002/30367—Rotation about the common longitudinal axis with additional means for preventing said rotation
    • 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
    • A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • 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
    • A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/30507—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a threaded locking member, e.g. a locking screw or a set 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
    • 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
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/3055—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting length
    • 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
    • A61F2002/30593—Special structural features of bone or joint prostheses not otherwise provided for hollow
    • 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
    • A61F2002/30601—Special structural features of bone or joint prostheses not otherwise provided for telescopic
    • 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
    • A61F2/30721—Accessories
    • A61F2/30728—Collars; Bone edge protectors
    • A61F2002/30729—Separate collars
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30818—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves castellated or crenellated
    • 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 for implanting artificial joints
    • A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4622—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof having the shape of a forceps or a clamp
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/0008—Rounded shapes, e.g. with rounded corners elliptical or oval
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0069—Three-dimensional shapes cylindrical

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

本案提供一種在二脊椎骨間插置之隔體，具有可變軸向長度，包括第一構件(2)，有空心內部和管狀壁，以及第二構件(3)，有空心內部和管狀壁；第二構件係在第一構件內按軸向滑動，以調節總長度，其中至少第一構件(2)或第二構件(3)，包括壁上的存取開口(6,9)，開口(6,9)尺寸適於把骨骼移殖片插置貫穿開口進入內部，隔體又包括長度調節結構(15,19,20)，可與膨脹工具(30)結合，使第二構件(3)相對於第一構件(2)伸縮；以及鎖定結構(10,11,12)，以固定軸向長度；而其中存取開口、長度調節結構和鎖定結構，係配置成可從隔體同側存取。隔體容許在原狀把骨骼移殖片充填入內部，並改進運送。

Description

二脊椎骨間插置之隔體
本發明係關於二脊椎骨間插置之隔體。具體而言，本發明係關於調節軸向長度之隔體，在插置於脊椎骨之後，可充填骨骼移殖片。
調節軸向長度之隔體，已見於US 6,200,348號。隔體包括第一套筒形構件，和可在第一構件內滑動導引的第二構件，以調節隔體之總長度。軸向長度的調節，是利用第二構件外壁所設棘輪缺口，以及第一構件所設結合構件為之。隔體在壁上有複數開口，供插置骨骼結合劑，在血管內成長。
通常隔體不是在插置於脊椎骨間之後，經灌注充填骨骼結合劑，便是在移殖入患者身體之前，經管狀隔體開口端充填骨骼材料，尤其是骨骼移殖片。已知隔體在插置於二脊椎骨間之後，可調節隔體的長度。在某些情況下，於調節隔體的軸向長度後，需於隔體內部增減骨骼材料。
US 6,616,695號記載一種在二脊椎骨插置之隔體，其軸向長度可以調節。隔體包括第一管狀組件，具有螺紋內表面，和第二管狀組件，具有螺紋外表面，該二組件形成螺釘/螺帽結合，得以調節隔體之軸向長度。第一管狀組件在壁上具有複數圓孔。第二管狀組件在壁上具有複數長孔。把組件相對轉動，即可調節隔體長度。此舉需要比滑動調節長度更多的空間。此外，在轉動中，脊椎骨本體會受到隔體有齒端板之損傷。長孔供固定螺釘插置。壁上孔太小，無法插置骨骼移殖片。
US 5,290,312號記載一種彌補脊椎骨，可調節軸向長度，包 括第一空心平行六面形組件和第二空心平行六面形組件，後者可在第一組件內滑動。各組件有銜接端面，可銜接脊椎骨，並在銜接端形成固定窗口。又，各組件有開口第一側，建立存取窗口，在銜接端相反側形成開口。隔體包括機構，防止組件間滑動，以達成所需長度。為連接隔體和脊椎骨，把柔軟性骨骼結合劑通過存取窗口注入組件內，流出固定窗口外，變硬。由於各組件有開口側，經此側插置的骨骼移殖片容易掉出。再者，開口側導致穩定性降低。
US 6,524,341 B2號亦揭示可調節長度之隔體，必須轉動，使隔體組件彼此相對膨脹和收縮。
US 6,176,881 B1號揭示一種可調節長度之隔體。隔體包括內部空心體和外部空心體，內部空心體在外表面有掣子機制，而外部空心體包含彈性元件扣鎖在掣子機制上，因而固定隔體長度，得以抵抗壓縮。若需堵塞空心體以防膨脹，可用鎖定螺釘，配置在隔體之一側。若隔體長度要再縮短，可用工具作動彈性元件，作用於隔體之相反側。類似US 6,176,881 B1號所揭示之隔體，以商標名Synex上市。此隔體另有凹部開口，供引進骨骼移殖片。
本發明之目的，在於提供一種二脊椎骨間插置之隔體，可調節長度，可在原狀不但充填骨骼材料，還可充填骨骼移殖片，可改進運送。
此目的是以申請專利範圍第1項之隔體解決。進一步發展列於申請專利範圍附屬項。
隔體按習知插置於二脊椎骨間之前，可充填骨骼移殖片。在脊椎骨間插置隔體和調節軸向長度後，即可通過存取開口引進額外骨骼移殖片。另外，在脊椎骨間插置隔體並調節長度後，即可插置全部骨骼移殖片。
此隔體可利用滑動膨脹，滑動所需操作空間和時間，較利用轉動膨脹者為少。
存取開口具有封閉邊緣，造成隔體之機械安定性較具有開口側的存取窗口為高。
長度調節元件和長度固定元件，可從隔體同側存取。此點導致運輸上的改進。此外，存取開口、長度調節元件和長度固定元件可從一側存取，得應用於MIS或MOS。
末段可形成多籠式結構。由於接觸面積較大，且在接觸面積透入骨骼的深度減小，可增進在脊椎骨內之固定，因而減少相鄰脊椎骨之損傷。多籠式結構的外籠輪廓，適合脊椎骨本體的表面輪廓。
隔體可由管製成，較其他形狀在製造上更為簡單。
本發明其他優點由參照附圖之說明，即可瞭解。
1‧‧‧隔體
2‧‧‧第一圓筒形管狀構件
3‧‧‧第二圓筒形管狀構件
4‧‧‧第一構件的第一端
5‧‧‧第一構件的第二端
6‧‧‧第一構件存取開口
7‧‧‧第二構件的第一端
8‧‧‧第二構件的第二端
9‧‧‧第二構件存取開口
10‧‧‧螺紋孔
10a‧‧‧無螺紋孔
11‧‧‧球形凹部
12‧‧‧鎖定螺釘
13‧‧‧球形凸部
15‧‧‧長孔
16,20,23‧‧‧菱形開口
17,21,24‧‧‧叉部
18,19‧‧‧圓孔
22‧‧‧第三管狀構件
25,26‧‧‧銷
28‧‧‧長形細縫
27‧‧‧第四管狀結構
L‧‧‧縱軸線
30‧‧‧長度調節工具
31‧‧‧管
32,37‧‧‧柄
33‧‧‧叉形段
34‧‧‧轉動軸線
35‧‧‧剪刀狀結構
35a,35b‧‧‧臂桿
第1圖為隔體具體例之透視分解圖；第2圖為隔體在軸向長度接近可能最小長度的組合狀態之側面透視圖；第3圖為隔體在長度大於第2圖所示的組合延伸狀態之側面透視圖；第4圖為第2圖所示隔體之側視圖；第5圖為第2圖所示隔體之俯視圖；第6圖為第2圖所示隔體之仰視圖；第7圖為第一具體例隔體末端段俯視之示意分解圖；第8圖為第二具體例隔體末端段俯視之示意分解圖；第9圖為鎖定元件之透視圖；第10圖為第9圖鎖定元件之側視圖；第11圖為隔體軸向長度固定用之鎖定結構斷面圖；第12圖為隔體與長度調節機構結合之側面透視圖；第13圖為長度調節工具之透視圖。
由第1至6圖可見，第一具體例之隔體1包括第一圓筒形管狀構件2和第二圓筒形管狀構件3。選擇第二管狀構件3的外徑，使第二管狀構件3可在第一管狀構件2內滑動導引。
第一管狀構件2有第一端4，對立之第二端5，和管壁包圍 之空心內部。在離第一端4預定距離之壁上設有存取開口6，延伸跨越第一管狀構件2大約長度之半。在圖示具體例中，存取開口為長方形開口。長方形長側的長度約為第一管狀構件2長度之半，而短側的長度約為第一管狀構件2的四分之一。存取開口6的維度，使自然骨骼移殖片可在手術之際或之後，填入開口內和取出。
同理，第二管狀構件有第一端7，對立的第二端8，管所界定之空心內部和壁。在離第二端一段距離處，於第二管狀構件壁上設有存取開口9。存取開口9延伸跨越第二管狀構件3大約長度之半。在圖示具體例中，存取開口9呈長方形，維度與第一管狀構件的存取開口6相同。在第2圖所示的組合狀態中，第二管狀構件3係插入第一管狀構件2內，使第一管狀構件的存取開口6和第二管狀構件的存取開口9在徑向對準。
由於各管狀構件的存取開口，分別設在離第一端和第二端一段距離處，存取開口乃利用壁的一部份，分別與第一端或第二端分開，所以具有封閉邊緣。
在隔體的縱軸線L方向，第二管狀構件3相對於第一管狀構件2之位置，可藉鎖定結構加以固定。鎖定結構係由在第一管狀構件2壁的軸向對準之複數螺紋孔10所形成。螺紋孔10配置在存取開口6之一側，並封閉存取開口，使螺紋孔可在手術當中，由外科醫師在存取開口的同側存取。又，鎖定結構包括複數截面球形之凹部11，在第二管狀構件3壁的外表面，按隔體的縱軸線L方向配置成一排。凹部11是並列形成，深度較其半徑為小。成排凹部11配置在第二管狀構件3的存取開口9之一側，封閉存取開口9，使在第2和3圖所示組合狀態中，成排的螺紋孔10和成排的凹部11相配。鎖定結構又包括鎖定螺釘12，可旋入螺紋孔10內。鎖定螺釘12一側有截面球形凸部13，可套入截面球形凹部11內。在對立側，鎖定螺釘12有凹部，供螺旋工具結合，成排凹部11延伸至少跨越長度和成排螺紋孔10相同。成排螺紋孔可設有無螺紋孔10a，可供保持工具(圖上未示)結合。
由第2、3和12圖上可見，第一管狀構件2包括長孔15，從離第一端4的一段距離處，延伸到離第二端5的一段距離處。長孔15的 長度約與存取開口6長度相同，而寬度遠較存取開口6的寬度為小，使骨骼移殖片不能通過長孔15。此外，第一管狀構件2包括複數菱形開口16，配置在鄰近第二端5之區域內。菱形開口16尺寸比存取開口9的尺寸小，使骨骼移殖片不能通過菱形開口。菱形開口16配置成沿周行列，每一行列與相鄰行列偏離菱形軸向高度之半。最近第二端的成排菱形開口16切開，使開口朝第二端5開啟，形成叉部17，與相鄰脊椎骨結合。
特別在第1和4圖內可見，第一管狀構件2在第一端4開始的區域內，另包括複數圓孔18。圓孔18的尺寸不容骨骼移殖片進出。菱形開口16和圓孔18用來容許血管和組織成長。
同理，第二管狀構件3包括複數圓孔19，鄰接其第二端8，和複數菱形開口鄰接第一端17。圓孔19和菱形開口20尺寸使骨骼移殖片不能通過此等開口進出。類似第一管狀構件2，最近第一管狀構件第二端7之成排菱形開口20切開，形成叉部21，與脊椎骨本體結合。
由第1和4圖可見，設有銷25，可例如固定於第一管狀構件2，並在第二管狀構件3所設長形細縫28(第4圖)內導引，以防轉動，並形成止動部，以防第一和第二管狀構件分離。
隔體又包括第三管狀構件22，其軸向長度約等於菱形開口20位置的第二管狀構件區域之軸向長度。第三管狀構件22在壁上亦包括菱形開口23，以及二自由端之叉部24。第三管狀構件22利用銷26，如第7和8圖示意剖開圖所示，或用螺釘、鉚釘等固定連接於第二管狀構件。第三管狀構件22呈橢圓形截面，如第7圖所示，或是圓形截面，如第8圖所示。第三管狀構件與第二管狀構件末段形成双籠結構，與脊椎骨之接觸面積，較唯有第二管狀構件的接觸面積有所增進。由於第二管狀構件的外徑較第一管狀構件為小，第三管狀構件可用來擴大接觸面積，使叉部之環形，適應所要結合的脊椎骨本體之末端表面輪廓。
由第1至6圖可見，與第三管狀構件22類似的第四管狀構件27，設在第一管狀構件2的第二自由端5內側，並附在第一管狀構件2內，形成双籠結構。第四管狀構件27亦包括菱形開口和叉部，供結合於骨骼。
在組合狀態時，長孔15覆蓋第二管狀構件3之至少一圓孔19或菱形開口20。第一管狀構件之長孔和第二管狀構件的圓孔或菱形開口之一，形成長度調節結構之一例，與工具結合時，容許二管狀構件彼此相對伸縮。
在圖示具體例中，存取開口、鎖定結構和長度調節結構，在隔體沿周約一半或以下範圍內，配置成組合狀態。
第12和13圖表示第二管狀構件3相對於第一管狀構件2伸縮用之長度調節工具。工具30包括管31，一端有柄32，另一端為叉形段33。轉動軸線34跨越自由端之叉形段。剪刀狀結構35與叉形段33樞動連接。剪刀狀結構35可繞軸線34樞動。包括臂桿35a和35b，可在摺疊位置和展開位置之間運動。臂桿之一構成與第一管狀構件2的長孔15結合，另一臂構成與第二管狀構件3的圓孔或菱形開口之一結合。
工具又包括桿，自由端有柄37。桿容納於管31內，伸入叉形段33。用柄37轉動桿，即運動剪刀狀結構35，分別使臂桿35a和35b開闔。
使用上，隔體在插置於脊椎骨間之前，充填骨骼移殖片。隔體具有最低長度。然後，把隔體插置於二相鄰脊椎骨之間，例如在除去脊椎骨後，跨越間隔。再從第一管狀構件伸縮第二管狀構件，調節隔體長度。運動是滑動，而不轉動。第12和13圖所示工具使用方式是，剪刀狀結構以一臂淦35a插置於第一管狀構件之長孔15內，另一臂桿35b結合於第二管狀構件之孔19或20。轉動桿，剪刀狀結構即軸動，而第二管狀構件從第一管狀構件伸縮。達成所需長度時，鎖定螺釘12即插置入螺紋孔10內，直到截面球形之凸部與截面球形凹部18結合為止。由於第一管狀構件和第二管狀構件之存取孔分別對準，隔體有開孔大到足夠插置骨骼移殖片。再將其他骨骼移殖片插置，完全填滿隔體的內部。
由於鎖定結構和用於伸縮的長孔15位在同側，隔體可快速調節至其所需軸向長度，並固定於此位置。由於第一和第二管狀構件的存取開口是在接近鎖定結構之同側，可在手術當中快速充填於骨骼移殖片內。
隔體可經被覆，以增進血管或組織的成長。隔體可分別在管 狀構件的外表面和內表面被覆不同材料，第一和第二管狀構件可被覆不同材料。
圖示具體例可加以修改。存取開口不需為長方形，可為任何形狀，惟要大到足夠容許插置骨骼移殖片。可設有一以上之長孔15。
圓孔和菱形開口可以省略，或呈任何其他形狀，惟要小到不容骨骼移殖片除去或插入。在此情況下，與工具結合用之第二管狀構件上的開口，可改在第二管狀構件上設有另一表面結構。
鎖定結構亦可加以修改。球形凹部11可設在第一管狀構件內壁，而螺紋孔可設在第二管狀構件壁上。鎖定螺釘再從空心內部旋入螺紋孔內。
圖示管狀構件呈圓形截面。然而，任何其他形狀之截面均可用。例如，管狀構件的截面形狀可適合脊椎骨本體端面之輪廓。
第三管狀構件和第四管狀構件亦可為不同於圓形截面或橢圓形截面之截面形狀。
其他管狀構件可附設在第一和/或第二管狀構件之末端段，提供多籠式結構。另外，第三和第四管狀構件可以省略。
1‧‧‧隔體
2‧‧‧第一圓筒形管狀構件
3‧‧‧第二圓筒形管狀構件
4‧‧‧第一構件的第一端
5‧‧‧第一構件的第二端
6‧‧‧第一構件存取開口
7‧‧‧第二構件的第一端
8‧‧‧第二構件的第二端
9‧‧‧第二構件存取開口
10‧‧‧螺紋孔
10a‧‧‧無螺紋孔
11‧‧‧球形凹部
12‧‧‧鎖定螺釘
16,20,23‧‧‧菱形開口
17,21,24‧‧‧叉部
18,19‧‧‧圓孔
22‧‧‧第三管狀構件
25‧‧‧銷
L‧‧‧縱軸線

Claims (12)

  1. 一種在二脊椎骨間插置用之隔體，具有一可變軸向長度，包括：一第一管狀構件(2)，有一空心內部和一管狀壁；和一第二管狀構件(3)，有一空心內部和一管狀壁，該第二管狀構件(3)係可在該第一管狀構件(2)內按一軸向滑動，供調節總長度；其中至少該第一管狀構件(2)和/或該第二管狀構件(3)包括在其自由端之一第一圈叉部(17,21)和至少一個第二圈叉部(24)，係由一第三管狀構件(22)形成，繞該第二管狀構件(3)固定連接和/或由一第四管狀構件(27)形成，附設在該第一管狀構件(2)內，其中各圈叉部用於固定在脊椎骨內者。
  2. 如申請專利範圍第1項隔體，其中該第一和第二管狀構件各包括在其自由端之一第一圈叉部(17,21)，且其中該第三管狀構件(22)固定連接於該第二管狀構件(3)，又其中該第四管狀構件(27)係連接於該第一管狀構件(2)者。
  3. 如申請專利範圍第1或2項之隔體，其中至少該第一管狀構件(2)或該第二管狀構件(3)包括在壁上之一存取開口(6,9)，其尺寸適於供骨骼移殖片插置貫穿該開口進入內部；一長度調節結構(15,19,20)，可與一工具(30)結合，供該第二管狀構件(3)相對於該第一管狀構件(2)伸縮；以及一鎖定結構(10,11,12)，供固定軸向長度；且其中該存取開口、該長度調節結構和該鎖定結構之配置，可從該隔體同側存取者。
  4. 如申專利範圍第1或2項之隔體，其中該第一管狀構件(2)和該第二管狀構件(3)各包括該存取開口者。
  5. 如申請專利範圍第4項之隔體，其中該第一管狀構件之該存取開口(6)和該第二管狀構件之該存取開口(9)，彼此至少部份重搭者。
  6. 如申請專利範圍第3項之隔體，其中該存取開口(6,9)尺寸容許骨骼移殖片在體內插置者。
  7. 如申請專利範圍第6項之隔體，其中該存取開口(6,9)具有一封閉邊緣者。
  8. 如申請專利範圍第3項之隔體，其中該鎖定結構(10,11,12)包括複數凹部(11)，在該第一和該第二管狀構件之該壁上按軸向配置成一行，和一結合構件(12)，分別設在其他構件，與該凹部至少其一結合者。
  9. 如申請專利範圍第8項之隔體，其中該凹部(11)配置在該第二管狀構件(3)外表面，而該結合構件(12)包括一凸部(13)，從該第一管狀構件(2)內表面突出者。
  10. 如申請專利範圍第3項之隔體，其中該長度調節結構包括一長孔(15)，在該第一管狀構件(2)之該壁上按軸向延伸，和在該第二管狀構件(3)之該壁上之長度調節結構(19,20)，可與該工具結合者。
  11. 如申請專利範圍第10項之隔體，其中該長度調節結構(19，20)包括一洞孔，與該長孔重搭者。
  12. 如申請專利範圍第1項之隔體，其中至少該第一或該第二管狀構件包括在該壁上之複數第二孔(16,18,19,20)，比該存取開口為小，不容骨骼移殖片引入者。
TW102143612A 2006-07-14 2007-07-10 二脊椎骨間插置之隔體 TWI511714B (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US83080906P 2006-07-14 2006-07-14
EP06014739A EP1878408B1 (en) 2006-07-14 2006-07-14 A spacer for insertion between two vertebrae

Publications (2)

Publication Number Publication Date
TW201417789A true TW201417789A (zh) 2014-05-16
TWI511714B TWI511714B (zh) 2015-12-11

Family

ID=37546856

Family Applications (2)

Application Number Title Priority Date Filing Date
TW102143612A TWI511714B (zh) 2006-07-14 2007-07-10 二脊椎骨間插置之隔體
TW096124983A TWI421063B (zh) 2006-07-14 2007-07-10 二脊椎骨間插置之隔體

Family Applications After (1)

Application Number Title Priority Date Filing Date
TW096124983A TWI421063B (zh) 2006-07-14 2007-07-10 二脊椎骨間插置之隔體

Country Status (7)

Country Link
US (3) US7803191B2 (zh)
EP (2) EP2289469B1 (zh)
JP (2) JP5441322B2 (zh)
KR (1) KR101368975B1 (zh)
CN (2) CN101103942B (zh)
ES (2) ES2395298T3 (zh)
TW (2) TWI511714B (zh)

Families Citing this family (66)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2661625B2 (ja) 1991-10-11 1997-10-08 日本精機株式会社 きのこ種菌接種装置
US6786930B2 (en) * 2000-12-04 2004-09-07 Spineco, Inc. Molded surgical implant and method
US9456907B1 (en) * 2005-03-24 2016-10-04 Igip, Llc Extendable spinal implant
US8591587B2 (en) 2007-10-30 2013-11-26 Aesculap Implant Systems, Llc Vertebral body replacement device and method for use to maintain a space between two vertebral bodies within a spine
US8142441B2 (en) * 2008-10-16 2012-03-27 Aesculap Implant Systems, Llc Surgical instrument and method of use for inserting an implant between two bones
US8241363B2 (en) 2007-12-19 2012-08-14 Depuy Spine, Inc. Expandable corpectomy spinal fusion cage
US8241294B2 (en) * 2007-12-19 2012-08-14 Depuy Spine, Inc. Instruments for expandable corpectomy spinal fusion cage
US12279964B2 (en) 2008-12-18 2025-04-22 4Web, Llc Implants having bone growth promoting agents and methods of using such implants to repair bone structures
PL2358309T3 (pl) 2008-12-18 2016-04-29 4 Web Inc Implant o strukturze kratownicowej
US8876905B2 (en) * 2009-04-29 2014-11-04 DePuy Synthes Products, LLC Minimally invasive corpectomy cage and instrument
AU2011227293A1 (en) 2010-03-16 2012-11-08 Pinnacle Spine Group, Llc Intervertebral implants and graft delivery systems and methods
US9402744B2 (en) 2010-06-11 2016-08-02 International Spinal Innovations, Llc Pre-packed corpectomy device to improve fusion
US9144501B1 (en) * 2010-07-16 2015-09-29 Nuvasive, Inc. Fracture reduction device and methods
US8679160B2 (en) * 2010-09-28 2014-03-25 Facet-Link Inc. Lamina implant set
DE102010047901B4 (de) * 2010-10-11 2019-01-10 Heinrich Böhm Implantat für die Wirbelsäule und Betätigungsinstrument
US8425611B2 (en) 2010-10-26 2013-04-23 Warsaw Orthopedic, Inc. Expandable orthopedic implant system and method
EP2640317B1 (en) 2010-11-15 2015-07-29 Synthes GmbH Graft collection and containment system for bone defects
US8771359B2 (en) 2010-12-01 2014-07-08 Daniel Dongwahn Lee Spinal implant device
US9380932B1 (en) 2011-11-02 2016-07-05 Pinnacle Spine Group, Llc Retractor devices for minimally invasive access to the spine
WO2013119803A1 (en) * 2012-02-07 2013-08-15 Medivest, Llc Tissue spacer implants, insertion and adjustment tools, and method of use
US12115071B2 (en) 2012-09-25 2024-10-15 4Web, Llc Programmable intramedullary implants and methods of using programmable intramedullary implants to repair bone structures
US9707096B2 (en) 2013-03-14 2017-07-18 K2M, Inc. Spinal fixation device
WO2014159739A1 (en) 2013-03-14 2014-10-02 Pinnacle Spine Group, Llc Interbody implants and graft delivery systems
US10292832B2 (en) 2013-03-14 2019-05-21 Ohio State Innovation Foundation Spinal fixation device
US9566167B2 (en) 2013-08-22 2017-02-14 K2M, Inc. Expandable spinal implant
US9211193B2 (en) 2013-08-30 2015-12-15 Aesculap Implant Systems, Llc Prosthesis, system and method
EP2907480B1 (en) 2014-02-18 2016-05-25 Biedermann Technologies GmbH & Co. KG Length adjustable implant
US11452612B2 (en) * 2014-10-09 2022-09-27 Warsaw Orthopedic, Inc. Spinal implant system and method
US9974663B2 (en) * 2014-10-09 2018-05-22 Warsaw Orthopedic, Inc. Spinal implant system and method
WO2016077606A1 (en) 2014-11-12 2016-05-19 Medivest, Llc Spinal spacing implant, spinal spacer assembly, expander and insertion instrument, kit and methods of assembly and use
AU2015255166B2 (en) * 2014-11-12 2020-09-10 K2M, Inc. Spinal fixation device
US10363142B2 (en) 2014-12-11 2019-07-30 K2M, Inc. Expandable spinal implants
US9661283B2 (en) 2014-12-24 2017-05-23 Panasonic Intellectual Property Management Co., Ltd. Wearable camera
US10449051B2 (en) 2015-04-29 2019-10-22 Institute for Musculoskeletal Science and Education, Ltd. Implant with curved bone contacting elements
US10492921B2 (en) 2015-04-29 2019-12-03 Institute for Musculoskeletal Science and Education, Ltd. Implant with arched bone contacting elements
EP3288501B1 (en) 2015-04-29 2020-11-25 Institute For Musculoskeletal Science And Education, Ltd. Coiled implants
US10709570B2 (en) 2015-04-29 2020-07-14 Institute for Musculoskeletal Science and Education, Ltd. Implant with a diagonal insertion axis
US9839529B2 (en) * 2015-05-18 2017-12-12 Zavation Medical Products, Llc Method and system of installing a spinal fusion cage
WO2017049268A1 (en) 2015-09-18 2017-03-23 K2M, Inc. Corpectomy device and method of use thereof
US10695181B2 (en) 2016-02-16 2020-06-30 DePuy Synthes Products, Inc. Bone graft cage
JP6953520B2 (ja) 2016-06-13 2021-10-27 デピュイ・シンセス・プロダクツ・インコーポレイテッド 骨移植片ケージ
US11596526B2 (en) * 2016-09-14 2023-03-07 Globus Medical Inc. Systems and methods for expandable corpectomy spacer implantation
US12485017B2 (en) * 2016-09-14 2025-12-02 Globus Medical, Inc. Systems and methods for expandable corpectomy spacer implantation
US12161563B2 (en) * 2016-09-14 2024-12-10 Globus Medical, Inc. Systems and methods for expandable corpectomy spacer implantation
KR101846828B1 (ko) 2016-10-04 2018-04-09 (주)메디쎄이 추간체 유합 복합 보형재
US10478312B2 (en) 2016-10-25 2019-11-19 Institute for Musculoskeletal Science and Education, Ltd. Implant with protected fusion zones
US11033394B2 (en) 2016-10-25 2021-06-15 Institute for Musculoskeletal Science and Education, Ltd. Implant with multi-layer bone interfacing lattice
US10667924B2 (en) 2017-03-13 2020-06-02 Institute for Musculoskeletal Science and Education, Ltd. Corpectomy implant
US10213317B2 (en) 2017-03-13 2019-02-26 Institute for Musculoskeletal Science and Education Implant with supported helical members
US10512549B2 (en) 2017-03-13 2019-12-24 Institute for Musculoskeletal Science and Education, Ltd. Implant with structural members arranged around a ring
US10357377B2 (en) 2017-03-13 2019-07-23 Institute for Musculoskeletal Science and Education, Ltd. Implant with bone contacting elements having helical and undulating planar geometries
CN106963521B (zh) * 2017-04-10 2019-02-26 北京大学人民医院 一种体内可延长组配式人工椎体
US10758365B2 (en) 2017-05-08 2020-09-01 Zavation Medical Products, Llc Expandable spinal cage assemblies for supporting bone structures
US10441430B2 (en) 2017-07-24 2019-10-15 K2M, Inc. Expandable spinal implants
CA3059895C (en) 2017-07-28 2022-10-04 Wright Medical Technology, Inc. Joint osteotomy system and method
US10940015B2 (en) 2017-11-21 2021-03-09 Institute for Musculoskeletal Science and Education, Ltd. Implant with improved flow characteristics
US10744001B2 (en) 2017-11-21 2020-08-18 Institute for Musculoskeletal Science and Education, Ltd. Implant with improved bone contact
CN108324406B (zh) * 2017-12-25 2021-03-02 连云港市第二人民医院(连云港市临床肿瘤研究所) 一种长度可自由伸长的网笼
US10695192B2 (en) 2018-01-31 2020-06-30 Institute for Musculoskeletal Science and Education, Ltd. Implant with internal support members
CN110680566B (zh) * 2019-10-31 2025-05-23 北京爱康宜诚医疗器材有限公司 骨填充假体
AU2020385014B2 (en) 2019-11-15 2025-07-31 4Web, Inc. Piezoelectric coated implants and methods of using piezoelectric coated implants to repair bone structures
CN110840624A (zh) * 2019-12-04 2020-02-28 北京爱康宜诚医疗器材有限公司 骨填充假体
CN111035480B (zh) * 2019-12-25 2025-06-10 北京爱康宜诚医疗器材有限公司 胫骨假体结构
US12491072B2 (en) * 2020-06-03 2025-12-09 Howmedica Osteonics Corp. Intercalary endoprosthesis
US12201531B2 (en) 2020-07-08 2025-01-21 4Web, Llc Implants having bone growth promoting agents contained within biodegradable materials
KR102828408B1 (ko) * 2024-01-05 2025-07-02 전북대학교병원 골결손 수복용 탄소소재 충전 연결부재

Family Cites Families (39)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5290312A (en) 1991-09-03 1994-03-01 Alphatec Artificial vertebral body
US5211664A (en) * 1992-01-14 1993-05-18 Forschungsinstitut, Davos Laboratorium Fur Experimentelle Chirugie Shell structure for bone replacement
DE19504867C1 (de) 1995-02-14 1996-02-29 Harms Juergen Platzhalter, insbesondere für einen Wirbel bzw. eine Bandscheibe
DE19509317B4 (de) * 1995-03-15 2006-08-10 Heinrich Ulrich Implantat zum Einsetzen zwischen Wirbelkörper der Wirbelsäule als Platzhalter
DE19622827B4 (de) * 1996-06-07 2009-04-23 Ulrich, Heinrich Implantat zum Einsetzen zwischen Wirbelkörper als Platzhalter
DE29616778U1 (de) * 1996-09-26 1998-01-29 Howmedica GmbH, 24232 Schönkirchen Wirbelkörperplatzhalter
JP3955883B2 (ja) 1997-04-15 2007-08-08 ジンテーズ ゲゼルシャフト ミト ベシュレンクテル ハフツング 伸縮式椎体プロテーゼ
US6086613A (en) 1997-12-23 2000-07-11 Depuy Acromed, Inc. Spacer assembly for use in spinal surgeries
FR2774280B1 (fr) * 1998-01-30 2000-07-28 Dimso Sa Implant pour remplacer une vertebre
DE19804765C2 (de) * 1998-02-06 2000-09-28 Biedermann Motech Gmbh Platzhalter mit einstellbarer axialer Länge
HK1038873B (zh) 1998-10-15 2004-10-08 Synthes Gmbh 套筒式脊骨修復器具
WO2002009626A1 (en) * 1999-07-26 2002-02-07 Advanced Prosthetic Technologies, Inc. Improved spinal surgical prosthesis
US6866682B1 (en) * 1999-09-02 2005-03-15 Stryker Spine Distractable corpectomy device
US6447543B1 (en) 1999-09-28 2002-09-10 Sulzer Orthopedics Ltd. Basket-like container for implanting bone tissue
FR2817462B1 (fr) * 2000-12-05 2003-08-08 Stryker Spine Sa Implant intersomatique rachidien distractable in situ comportant des points de passage dur
US20020169507A1 (en) 2000-12-14 2002-11-14 David Malone Interbody spine fusion cage
DE10065232C2 (de) * 2000-12-27 2002-11-14 Ulrich Gmbh & Co Kg Implantat zum Einsetzen zwischen Wirbelkörper sowie Operationsinstrument zur Handhabung des Implantats
DE10065398C2 (de) * 2000-12-27 2002-11-14 Biedermann Motech Gmbh Längenverstellbarer Platzhalter zum Einsetzen zwischen zwei Wirbelkörper
JP2002201783A (ja) 2000-12-28 2002-07-19 Tostem Corp 手すり付きバルコニー
US20030078660A1 (en) * 2001-02-15 2003-04-24 Dale Clifford Orthopedic implant and method for orthopedic treatment
US6899734B2 (en) 2001-03-23 2005-05-31 Howmedica Osteonics Corp. Modular implant for fusing adjacent bone structure
DE10138079B4 (de) * 2001-08-03 2004-02-12 Biedermann Motech Gmbh Platzhalter mit veränderbarer axialer Länge
US20030083746A1 (en) 2001-10-31 2003-05-01 Kuslich Stephen D. Vertebral spacer for spinal stabilization
DE10210214B4 (de) 2002-03-02 2005-01-05 Bernd Schäfer Distrahierbares Wirbelsäulenimplantat und Werkzeug zum Distrahieren
US6783547B2 (en) * 2002-04-05 2004-08-31 Howmedica Corp. Apparatus for fusing adjacent bone structures
DE20207853U1 (de) * 2002-05-21 2002-10-10 Metz-Stavenhagen, Peter, Dr.med., 34537 Bad Wildungen Wirbelkörperplatzhalter
DE10238306B4 (de) 2002-08-21 2005-03-24 Biedermann Motech Gmbh Verfahren zum Herstellen eines rohrförmigen Platzhalters und Platzhalter
DE20213013U1 (de) * 2002-08-24 2002-12-19 Metz-Stavenhagen, Peter, Dr.med., 34537 Bad Wildungen Wirbelsäulenplatzhalter
FR2850563B1 (fr) 2003-02-05 2005-11-04 Scient X Implant de remplacement vertebral et appareil de distraction pour la mise en place de l'implant
US6974862B2 (en) 2003-06-20 2005-12-13 Kensey Nash Corporation High density fibrous polymers suitable for implant
US7238205B2 (en) 2004-01-15 2007-07-03 Warsaw Orthopedic, Inc. Universal interference cleat
GB0401362D0 (en) 2004-01-22 2004-02-25 Depuy Int Ltd Vertebral fusion parts, devices and methods
US7883543B2 (en) 2004-10-01 2011-02-08 Spinal Generations, Llc Vertebral prosthesis and spinal fixation system
US7674296B2 (en) * 2005-04-21 2010-03-09 Globus Medical, Inc. Expandable vertebral prosthesis
DE102005061932A1 (de) * 2005-12-23 2007-07-05 Biedermann Motech Gmbh Mehrwandiger Platzhalter
US7758648B2 (en) * 2006-04-27 2010-07-20 Warsaw Orthopedic, Inc. Stabilized, adjustable expandable implant and method
US8920502B1 (en) * 2006-11-08 2014-12-30 Spinal Usa, Inc. Vertebral body replacement
US8591587B2 (en) 2007-10-30 2013-11-26 Aesculap Implant Systems, Llc Vertebral body replacement device and method for use to maintain a space between two vertebral bodies within a spine
US8182537B2 (en) * 2007-10-30 2012-05-22 Aesculap Implant Systems, Llc Vertebral body replacement device and method for use to maintain a space between two vertebral bodies within a spine

Also Published As

Publication number Publication date
EP2289469A2 (en) 2011-03-02
US20100305707A1 (en) 2010-12-02
ES2395298T3 (es) 2013-02-11
CN103445890A (zh) 2013-12-18
JP2013163032A (ja) 2013-08-22
CN101103942A (zh) 2008-01-16
ES2390567T3 (es) 2012-11-14
CN101103942B (zh) 2013-09-11
KR101368975B1 (ko) 2014-02-28
JP5625085B2 (ja) 2014-11-12
US20080039948A1 (en) 2008-02-14
US7803191B2 (en) 2010-09-28
US9744051B2 (en) 2017-08-29
EP1878408A1 (en) 2008-01-16
EP1878408B1 (en) 2012-09-12
JP2008018248A (ja) 2008-01-31
JP5441322B2 (ja) 2014-03-12
CN103445890B (zh) 2015-11-18
US20150182349A1 (en) 2015-07-02
TWI421063B (zh) 2014-01-01
TWI511714B (zh) 2015-12-11
TW200803809A (en) 2008-01-16
KR20080007113A (ko) 2008-01-17
EP2289469A3 (en) 2011-06-22
US8900308B2 (en) 2014-12-02
EP2289469B1 (en) 2012-06-27

Similar Documents

Publication Publication Date Title
TWI511714B (zh) 二脊椎骨間插置之隔體
US8382767B2 (en) Implant insertion tool
CN102438536B (zh) 椎间突起植入物以及融合笼型撑开器
US10172720B2 (en) Tissue spacer implants, insertion and adjustment tools, and method of use
JP5670352B2 (ja) ２つの骨の間にインプラントを挿入するために使用する多機能手術器具および方法
US6447546B1 (en) Apparatus and method for fusing opposing spinal vertebrae
US20100262199A1 (en) Implant insertion tool
AU2020203215B2 (en) Expandable vertebral body replacement device and method
KR20150097411A (ko) 길이 조정 가능한 임플란트
ES2999983T3 (en) Modular spine stabilization system and associated instruments
AU2020201965B2 (en) Interspinous process fixation devices, systems, instruments and methods of assembly and use

Legal Events

Date Code Title Description
MM4A Annulment or lapse of patent due to non-payment of fees