DK2363080T3 - Knogleanker til intervertebral skiveprotese - Google Patents

Knogleanker til intervertebral skiveprotese Download PDF

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Publication number
DK2363080T3
DK2363080T3 DK11165170.9T DK11165170T DK2363080T3 DK 2363080 T3 DK2363080 T3 DK 2363080T3 DK 11165170 T DK11165170 T DK 11165170T DK 2363080 T3 DK2363080 T3 DK 2363080T3
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DK
Denmark
Prior art keywords
bone anchor
plate
prosthesis
implant
plates
Prior art date
Application number
DK11165170.9T
Other languages
English (en)
Inventor
Willem Zeegers
Original Assignee
Ldr Medical
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 Ldr Medical filed Critical Ldr Medical
Application granted granted Critical
Publication of DK2363080T3 publication Critical patent/DK2363080T3/da

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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
    • A61F2/44—Joints for the spine, e.g. vertebrae or spinal discs
    • A61F2/442—Intervertebral or spinal discs, e.g. resilient
    • A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
    • 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 or spinal discs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
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    • 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
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    • A61F2/30734—Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
    • A—HUMAN NECESSITIES
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    • 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
    • A—HUMAN NECESSITIES
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    • 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
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    • 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
    • A61F2002/30365—Rotation about the common longitudinal axis with additional means for limiting said rotation
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    • 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
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    • 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
    • A61F2002/30369—Limited lateral translation of the protrusion within a larger recess
    • 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
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    • A61F2002/30383—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
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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
    • 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
    • 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
    • A61F2220/0091—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Neurology (AREA)
  • Surgery (AREA)
  • Rheumatology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Prostheses (AREA)

Claims (11)

1. Knogleanker (60) til forankring af et intervertebralt implantat i knoglevæv i en ryghvirvel, hvor ankeret omfatter en plade (61), som har en fjern ende, der bærer en del (63), som er krum for at folde over sig selv, og som er i stand til at blive sammenlåst med midler til at hægte knogleankeret (60) fast på implantatet med henblik på at holde implantatet fast mod knoglevævet, mens det gøres muligt at fjerne knogleankeret (60) fra implantatet, kendetegnet ved, at pladen har en samlet langstrakt rektangulær form med i det væsentlige konstant bredde og tykkelse.
2. Knogleanker (60) ifølge krav 1, kendetegnet ved, at den krumme del (63) er i stand til at blive sammenlåst med midlerne til at hægte fast på implantatet, hvilke midler udgøres af en kant (16, 26) af en åbning, som er dannet i nærheden af periferien af implantatet.
3. Knogleanker (60) ifølge krav 2, kendetegnet ved, at pladen (61) er i stand til at gennemtrænge knoglevævet gennem åbningen i implantatet.
4. Knogleanker (60) ifølge et hvilket som helst af kravene 1 til 3, kendetegnet ved, at den krumme del (63) er i stand til at blive sammenlåst med midlerne til at hægte på implantatet, hvilke midler udgøres af en stang ved en kant (16, 26) af en åbning, som er dannet i nærheden af periferien af implantatet, således at knogleankeret (60) er bevægeligt og gør det muligt at justere vinklen af knogleankeret (60) i forhold til implantatet ved rotation omkring stangen.
5. Knogleanker (60) ifølge et hvilket som helst af kravene 1 til 3, kendetegnet ved, at den krumme del (63) er forlænget med en anden plade (61).
6. Knogleanker (60) ifølge krav 5, kendetegnet ved, at den anden plade er mindre end den første plade.
7. Knogleanker (60) ifølge et hvilket som helst af kravene 1 til 6, kendetegnet ved, at den første og/eller den anden plade (61) er forsynet med fordybninger (62), som er orienteret til at modstå fjernelse af knogleankeret (60) fra ryghvirvlen.
8. Intervertebral skiveprotese og knogleanker (60) til forankring af den intervertebrale skiveprotese, kendetegnet ved, at knogleankeret er et knogleanker ifølge krav 1 til 4, og at bredden af pladen (61) svarer til bredden af en åbning, som er dannet i nærheden af periferien af den intervertebrale skiveprotese og har en kant (16, 26), som udgør midlerne til at hægte knogleankeret (60) fast på implantatet.
9. Intervertebral skiveprotese og knogleanker (60) til forankring af den intervertebrale skiveprotese, kendetegnet ved, at knogleankeret er et knogleanker ifølge et hvilket som helst af kravene 5 eller 6, og at bredden af mindst én af pladerne (61) svarer til bredden af en åbning, som er dannet i nærheden af periferien af den intervertebrale skiveprotese og har en kant (16, 26), som udgør midlerne til at hægte knogleankeret (60) fast på implantatet.
10. Intervertebral skiveprotese og knogleanker (60) ifølge krav 7 eller 8, kendetegnet ved, at fasthægtningsmidlerne på implantatet er beregnet til at være i kontakt med knoglevævet, således at pladen (61) af ankeret trænger ind i knoglevævet op til dets fjerne ende.
11. Intervertebral skiveprotese og knogleanker (60) ifølge et hvilket som helst af kravene 7 til 9, kendetegnet ved, at implantatet er et anatomisk tilpasningselement (11,22), som udvider den samlede diameter og/eller den samlede højde af en intervertebral skiveprotese og har fasthægtningsmidler, med hvilke den krumme del (63) er i stand til at blive sammenlåst.
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EP05857774.3A EP1845903B1 (en) 2004-12-22 2005-12-14 Intervertebral disc prosthesis

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US10226355B2 (en) 2019-03-12
WO2006120505B1 (en) 2007-01-04
FR2879436B1 (fr) 2007-03-09
WO2006120505A1 (en) 2006-11-16
MX2007007465A (es) 2007-09-04
CN101111207B (zh) 2012-02-15
US8257439B2 (en) 2012-09-04
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US20090132054A1 (en) 2009-05-21
PT2363080E (pt) 2015-10-06
AU2005331694A1 (en) 2006-11-16
RU2007124073A (ru) 2009-01-27
FR2879436A1 (fr) 2006-06-23
CA2591976A1 (en) 2006-11-16
PL2363080T3 (pl) 2015-12-31
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US7695516B2 (en) 2010-04-13
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US20180207000A1 (en) 2018-07-26

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