JPH01303148A - 脊髄インプラント - Google Patents

脊髄インプラント

Info

Publication number
JPH01303148A
JPH01303148A JP63195921A JP19592188A JPH01303148A JP H01303148 A JPH01303148 A JP H01303148A JP 63195921 A JP63195921 A JP 63195921A JP 19592188 A JP19592188 A JP 19592188A JP H01303148 A JPH01303148 A JP H01303148A
Authority
JP
Japan
Prior art keywords
plane
hoofed
holes
horseshoe
implant
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP63195921A
Other languages
English (en)
Other versions
JPH0822294B2 (ja
Inventor
John Dove
ジョン・ドーブ
Brian M King
ブライアン・マーテイン・キング
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
AW SHOWELL SUGICRAFT Ltd
Original Assignee
AW SHOWELL SUGICRAFT Ltd
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 AW SHOWELL SUGICRAFT Ltd filed Critical AW SHOWELL SUGICRAFT Ltd
Publication of JPH01303148A publication Critical patent/JPH01303148A/ja
Publication of JPH0822294B2 publication Critical patent/JPH0822294B2/ja
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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
    • A61F2/442—Intervertebral or spinal discs, e.g. resilient
    • 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
    • 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
    • A61F2/30724—Spacers for centering an implant in a bone cavity, e.g. in a cement-receiving cavity
    • 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
    • A61F2/3094—Designing or manufacturing processes
    • A61F2/30965—Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
    • 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
    • A61F2002/30131—Rounded shapes, e.g. with rounded corners horseshoe- or crescent- or C-shaped or U-shaped
    • 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
    • A61F2002/30784—Plurality of holes
    • A61F2002/30787—Plurality of holes inclined obliquely with respect to each other
    • 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
    • A61F2230/0013—Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Steroid Compounds (AREA)
  • Surgical Instruments (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。

Description

【発明の詳細な説明】 （産業上の利用分野） この発明は、前面側を椎固定を補強する前面固定機とし
て使用するだめのを椎インブラントに関する。
（従来の技術及び発明が解決しようとする課題）一般に
単一レベルの前面側を椎固定は十分であるが、もし臨床
に必要とされるならば、１つより多くのインブラント及
び融合が種々のレベルで使用される。
単一レベルの前面側を椎固定は、一定のを椎問題の処置
に関するよく確立された外科技術である。
揺れと回転に対する内部固定をもたない骨移植片との融
合及び円板の切除は、移植片内の陥没（ｓｉｎｋｉｎｇ
ｉｎ　ｏｆ　ｔｈｅ　ａｒａｆｔ　）または移植片の追
出しくｄｉｓｌｏｄｇｅｌｅｎｔ　ｏｆ　ｔｈｅ　ｇｒ
ａｆｔ　）　、及び推骨との非癒着（ｎｏｎ−ｕｎｉｏ
ｎ　）をよくおこす。
この発明の目的は、煎部惟骨柱の境界部の内部に十分に
含まれることのでき、構造的に最も強い部分であるその
両端部の周囲の表面に隣接する推骨の間でスペーサーと
して機能するインブラントを提供することである。
（課題を解決するための手段及び作用）この発明の１つ
の実施例によると、脊髄インプラントは馬蹄形状の両端
部に向かって収束する（　ｃｏｎｖｅｒｇ　ｉ　ｎｇ　
）上部平面及び下部平面を有し、生体に適合できる材料
で構成された略馬蹄形状の剛体（ｒｉａｉｄ　）を備え
、前記各平面から馬蹄体の外側曲面に現われる少なくと
も１つの孔を備えている。
を髄管に向けて向けられる両端部の間の隙間を有する、
隣接する推骨の間へのインブラントの挿入の後、インブ
ラントは馬蹄体の外側曲面における両端部から各々の推
骨に答礼を通して挿入された固定ピンまたはねじ、又は
ベグ（ｐｅａｓ）またはボラード（ｂｏｌｌａｒｄ　）
によって支持される。そして馬蹄体の両端部の間のすき
まは、隣接する推骨によっても制限される腔を形成する
馬蹄体の内側曲面によって境界つけられる中心空所に骨
移植片の挿入物のための開口部を形成する。
このように、インブラントはそｔしらの周囲から内側の
推骨をｅＡ護し、骨移植の台座（ｓｅａｔｉｎｇ）のた
めに有効な推骨の各端面の中央部を残し、そして移植片
内への陥没または移植片の追出し、及び椎骨との非癒着
などの骨移植片の負荷（推骨の相対的な揺れや回転によ
って別な方法で作られる）が和らげられる。
インブラントは、エポキシ樹脂のような炭素繊維によっ
て補強したプラスチックスで形成されてもよく、また不
活性体又は生体に分解されうる繊維で補強された合成物
又はカルシウム・ニトライド（ｃａｌｃｉｕｌｎｉｔｒ
ｉｄｅ　）のような生体に適合できる材料（ｂｉｏｃｏ
ｌｐａｔｉｂｌｅ　ｎａｔｅｒｉａｌ）で形成されても
よい、他の好適な材料の具体例はチタンのようなメタル
、あるいはハイドロキシ・アパタイト（ｈｙｄｒｏｘｙ
ａｐａｔｉｔｅ）　、及びステンレススチール又はセラ
ミックス、ポリエチレン・ハイドロキシアパタイト（ｐ
ｏｌｙｅｔｈｙｌｅｎｅ　　ｈｙｄｒｏｘｙａｐａｔｉ
ｔｅ）及びポリエチレン・ハイドロキシブテイレート（
ｐｏｌｙｅｔｈｙｌｅｎｅ　　ｈｙｄｒｏｘｙｂｕｔｙ
ｒａｔｅ　）と共に形成されてもよい。
複数の孔は、固定ピン又はねじの挿入のなめに各平面の
どれか１又はそれ以上が選択的に使用され、好ましくは
各平面から、怒諦体の外側曲面に、都合よく一方の平面
及び他方の平面の間で交互に、例えば一方の平面に４つ
他方の平面に３つ設けられている。　この発明は添附さ
れた図面を９暇して具体例によって記述される。
（実施例） 図面に示された馬蹄形状の脊髄インプラントは、前面側
推骨柱の境界の内側に十分含まれるように意図され、構
造的に最も強いその両端部の表面に隣接する推骨の間の
スペーサとして機能する。脊髄インプラントは、炭素繊
維で補強されたプラスチックスのような生体に適合でき
る材料からなり、馬蹄形状の馬蹄体はその両端部１２に
向けて各々細くなる上部平面及び下部平面を有する。馬
蹄体には各々の平面（各々１０．１１）から馬蹄体の外
側曲面１５に現われる複数の孔１３．１４が備えられて
いる。多数の孔において１つ又はそれ異常の選択された
孔を通して挿入される多数の固定ねじによって、接近す
る推骨の間で固定するための馬蹄体をあたえ、孔の端部
から外側曲面１５及び各推骨に、固定ねじが挿入され、
馬蹄体の両端の間の隙間１６は隣接する推骨によっても
制限される腔を形成する馬蹄体の内側曲面によう、て境
界づけられる中心空所に骨移植片の挿入のための開口部
を形成する。
、答礼１３．１４はねじの頭部が支持されるところに面
して肩部１８（僅かに直径の異なる各部分の間に）が形
成されている。
外径及び内径や厚さやテーパー（ｔａｐｅｒ　）に関す
るサイズ変化は、好ましくは種々のレベルでインブラン
トを含む個々のを髄に適合して選択的に決定される。
円板交換物として使用されることに加えて、発明に応じ
たより大きいサイズのインブラントがおそらく推骨本体
の交換物（ｖｅｒｔｅｂｒｊｅ　ｂｏｄｙ　ｒｅｏｌａ
ｃｅｍｅｎｔ　）として使用されてもよい。
中心空所は別々に骨移植片代用品で形成された挿入物と
個々に適合されてもよい。
この発明の他の外観としては以下に述べることを除いて
上に述べた実施例に類似の特徴点を有している。すなわ
ち池の実施例として脊髄インプラントは、どちらの平面
にも複数の孔が設けられない代わりに一各々の面は各馬
蹄体の両一部〜を、含む面に略平行な凹所（ｒｉｄｑｅ
ｓ）を有し、（ｒｉｄａｅｓ）はを柱に埋め込まれると
き隣接する推骨に保持力をもたらす。
【図面の簡単な説明】
第１図は馬蹄体の上部平面からの平面図、第２図は男蹄
体の下部平面からの平面図、第３図は馬蹄体の両端部か
らの図、第４図は第３図に対向する側からの図、第５図
は馬蹄体の側面図（他方の側面と一致）、第６図は第１
図の線Ｖｌ−Ｖｌからの断面図である。 １０・・・上部平面、１１・・・下部平面、１２・・・
両端部、１３．１４・・・孔、１５・・・外部曲面、１
６・・・隙間、１７・・・内部曲面、１８・・・肩部。 出願人　代理人　弁理士　鈴江武彦

Claims (7)

    【特許請求の範囲】
  1. １．　両端部に向かって収束する（ｃｏｎｖｅｒｇｉｎ
    ｇ）上部平面及び下部平面を有する生体に適合できる材
    料の略馬蹄形状の剛体（ｒｉｇｉｄ）を備え、前記各平
    面から前記馬蹄体の外側曲面に現われる少なくとも１つ
    の孔を備えていることを特徴とする脊髄インプラント
  2. ２．　前記各平面から馬蹄体の外側曲面に複数の孔が備
    えられていることを特徴とする請求項第１項に記載の脊
    髄インプラント
  3. ３．　前記の複数の孔は前記一方の平面と前記他方の平
    面の間で交互に設けられることを特徴とする請求項第２
    項に記載の脊髄インプラント
  4. ４．　前記一方の平面に４つの孔が設けられ、前記他方
    の平面には３つの孔が設けられていることを特徴とする
    請求項第３項に記載の脊髄インプラント。
  5. ５．　前記各孔には、ねじ（ｓｃｒｅｗ）の頭部が支持
    できるところに対して肩部が設けられていることを特徴
    とする請求項第１項に記載の脊髄インプラント。
  6. ６．　前記馬蹄の内側曲面によって境界づけられる中心
    空所は骨移植片代用品（ａ　ｂｏｎｅ　ｇｒａｆｔ　ｓ
    ｕｂｓｔｉｔｕｔｅ）で形成された挿入物と適合される
    ことを特徴とする請求項第１項に記載の脊髄インプラン
    ト。
  7. ７．　両端部に向かって収束する（ｃｏｎｖｅｒｇｉｎ
    ｇ）上部平面及び下部平面を有する生体に適合できる材
    料の略馬蹄形状の剛体（ｒｉｇｉｄ）を備え、及び前記
    各面は前記馬蹄の両端を含む面に略平行な凹所（ｒｉｄ
    ｇｅｓ）を有することを特徴とする脊髄インプラント。
JP63195921A 1987-08-06 1988-08-05 脊髄インプラント Expired - Lifetime JPH0822294B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB878718627A GB8718627D0 (en) 1987-08-06 1987-08-06 Spinal implants
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US4904261A (en) 1990-02-27
ES2024647B3 (es) 1992-03-01
EP0302719B1 (en) 1991-09-18
GB8718627D0 (en) 1987-09-09
GB2207607A (en) 1989-02-08
DE3864946D1 (de) 1991-10-24
GB8818420D0 (en) 1988-09-07
EP0302719A1 (en) 1989-02-08
GR3002859T3 (en) 1993-01-25
ATE67395T1 (de) 1991-10-15
GB2207607B (en) 1990-11-07
JPH0822294B2 (ja) 1996-03-06

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