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RU2012157648A - Компонент имплантата и способ имплантации - Google Patents

Компонент имплантата и способ имплантации Download PDF

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Publication number
RU2012157648A
RU2012157648A RU2012157648/14A RU2012157648A RU2012157648A RU 2012157648 A RU2012157648 A RU 2012157648A RU 2012157648/14 A RU2012157648/14 A RU 2012157648/14A RU 2012157648 A RU2012157648 A RU 2012157648A RU 2012157648 A RU2012157648 A RU 2012157648A
Authority
RU
Russia
Prior art keywords
augment
protrusions
implant
patient
paragraphs
Prior art date
Application number
RU2012157648/14A
Other languages
English (en)
Inventor
Натаниэль КУИНН
Джеффри Джоэл ШИ
Original Assignee
Смит Энд Нефью, Инк.
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=45098648&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=RU2012157648(A) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Смит Энд Нефью, Инк. filed Critical Смит Энд Нефью, Инк.
Publication of RU2012157648A publication Critical patent/RU2012157648A/ru

Links

Classifications

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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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    • A61F2/34—Acetabular cups
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    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • A61B17/8066—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones for pelvic reconstruction
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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
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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
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    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
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    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86—Pins or screws or threaded wires; nuts therefor
    • A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
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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
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    • 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
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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
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    • A61F2002/3487—Partial acetabular cups, e.g. strips replacing only partially the natural acetabular cartilage
    • 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
    • A61F2002/4615—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of spacers
    • 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
    • A61F2002/4619—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof for extraction
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B33—ADDITIVE MANUFACTURING TECHNOLOGY
    • B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y80/00—Products made by additive manufacturing

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Abstract

1. Способ имплантации ортопедического устройства в сустав пациента, содержащий следующие этапы:помещение имплантата внутрь сустава пациента, причем имплантат прикрепляют к суставу при помощи средства фиксации;подготовка полости в кости пациента, проксимальной имплантату и средству фиксации;обеспечение наличия аугмента, содержащего по меньшей мере два выступа, между которыми имеется промежуток;вставка аугмента в подготовленную полость, которую осуществляют путем установки аугмента относительно элемента фиксации таким образом, чтобы пропустить элемент фиксации через промежуток между указанными по меньшей мере двумя выступами аугмента.2. Способ по п.1, дополнительно содержащий этап формирования цементного канала по меньшей мере в одном из указанных по меньшей мере двух выступов.3. Способ по п.2, дополнительно содержащий этап прикрепления указанного аугмента посредством заливки цемента в цементный канал.4. Способ по любому из пп.1-3, дополнительно содержащий этап прикрепления указанного аугмента при помощи винтов.5. Способ по любому из пп.1-3, дополнительно содержащий этап опиливания или разбуривания кости пациента с помощью рашпиля.6. Способ по п.5, в котором ограничивают количество удаляемой кости с помощью расположенного на указанном рашпиле ограничителя глубины.7. Способ по п.5, в котором используют рашпиль, имеющий по существу такой же профиль поперечного сечения, как указанный аугмент.8. Способ по любому из пп.1-3, 6, 7, в котором на этапе вставки аугмента указанный аугмент прикрепляют к инструменту, обеспечивающему установку указанного аугмента внутрь подготовленной полости.9. Способ по любому из пп.1-3, 6, 7, до

Claims (23)

1. Способ имплантации ортопедического устройства в сустав пациента, содержащий следующие этапы:
помещение имплантата внутрь сустава пациента, причем имплантат прикрепляют к суставу при помощи средства фиксации;
подготовка полости в кости пациента, проксимальной имплантату и средству фиксации;
обеспечение наличия аугмента, содержащего по меньшей мере два выступа, между которыми имеется промежуток;
вставка аугмента в подготовленную полость, которую осуществляют путем установки аугмента относительно элемента фиксации таким образом, чтобы пропустить элемент фиксации через промежуток между указанными по меньшей мере двумя выступами аугмента.
2. Способ по п.1, дополнительно содержащий этап формирования цементного канала по меньшей мере в одном из указанных по меньшей мере двух выступов.
3. Способ по п.2, дополнительно содержащий этап прикрепления указанного аугмента посредством заливки цемента в цементный канал.
4. Способ по любому из пп.1-3, дополнительно содержащий этап прикрепления указанного аугмента при помощи винтов.
5. Способ по любому из пп.1-3, дополнительно содержащий этап опиливания или разбуривания кости пациента с помощью рашпиля.
6. Способ по п.5, в котором ограничивают количество удаляемой кости с помощью расположенного на указанном рашпиле ограничителя глубины.
7. Способ по п.5, в котором используют рашпиль, имеющий по существу такой же профиль поперечного сечения, как указанный аугмент.
8. Способ по любому из пп.1-3, 6, 7, в котором на этапе вставки аугмента указанный аугмент прикрепляют к инструменту, обеспечивающему установку указанного аугмента внутрь подготовленной полости.
9. Способ по любому из пп.1-3, 6, 7, дополнительно содержащий этап совмещения установочных меток, расположенных на аугменте, с установочными метками, расположенными на имплантате.
10. Способ по любому из пп.1-3, 6, 7, в котором используют аугмент, содержащий прикрепленные к нему фланцы, лопатки, пластины или крюки.
11. Способ по любому из пп.1-3, 6, 7, в котором на этапе помещения имплантата внутри вертлужной впадины пациента крепят вертлужную раковину или каркас.
12. Ортопедический аугмент, содержащий:
основание, с которым соединены по меньшей мере два выступа, между которыми имеется промежуток;
элемент фиксации, предусмотренный по меньшей мере на одном из указанных по меньшей мере двух выступов.
13. Аугмент по п.12, в котором указанный элемент фиксации имеет цементный канал.
14. Аугмент по любому из пп.12 или 13, в котором указанному основанию придана форма, обеспечивающая возможность его соединения с имплантатом.
15. Аугмент по п.14, в котором первая поверхность указанного основания, соприкасающаяся с имплантатом, имеет по существу дугообразную форму.
16. Аугмент по любому из пп.12, 13, 15, в котором указанные по меньшей мере два выступа проходят по существу в одном направлении.
17. Аугмент по любому из пп.12, 13, 15, в котором указанное основание содержит по меньшей мере один элемент фиксации, выполненный с возможностью приема внутрь себя фиксатора.
18. Аугмент по п.17, в котором указанный по меньшей мере один элемент фиксации имеет отверстие под винт.
19. Аугмент по любому из пп.12-13, 15, 18, в котором указанное основание содержит соединительный элемент, выполненный с возможностью приема внутрь себя инструмента, обеспечивающего установку ортопедического аугмента внутрь сустава пациента.
20. Аугмент по любому из пп.12-13, 15, 18, в котором указанное основание содержит установочные метки, совмещаемые с установочными метками на имплантате.
21. Аугмент по любому из пп.12-13, 15, 18, в котором указанные по меньшей мере два выступа имеют по существу одинаковую длину.
22. Аугмент по любому из пп.12-13, 15, 18, в котором длина одного из указанных по меньшей мере двух выступов отличается от длины другого из указанных по меньшей мере двух выступов.
23. Аугмент по любому из пп.12-13, 15, 18, дополнительно содержащий фланцы, лопатки, пластины или крюки.
RU2012157648/14A 2010-06-08 2011-06-08 Компонент имплантата и способ имплантации RU2012157648A (ru)

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