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RU2011137986A - Способ и устройство для операций при семороацетабулярном конфликте - Google Patents

Способ и устройство для операций при семороацетабулярном конфликте Download PDF

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Publication number
RU2011137986A
RU2011137986A RU2011137986/14A RU2011137986A RU2011137986A RU 2011137986 A RU2011137986 A RU 2011137986A RU 2011137986/14 A RU2011137986/14 A RU 2011137986/14A RU 2011137986 A RU2011137986 A RU 2011137986A RU 2011137986 A RU2011137986 A RU 2011137986A
Authority
RU
Russia
Prior art keywords
acetabulum
implant
implant according
lip
spoon
Prior art date
Application number
RU2011137986/14A
Other languages
English (en)
Inventor
Филипп ФРЕДЕРИК
Кевин БИЛЬЮ
Лорен ДЖАСПЕР
Джеймс ГЕЙТВУД
Люк ГИБСОН
Джон Л. МЕЙЗОНИС
Майкл КУПЕР
Дейвид С. КЕЛМАН
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
Application filed by Смит Энд Нефью, Инк. filed Critical Смит Энд Нефью, Инк.
Publication of RU2011137986A publication Critical patent/RU2011137986A/ru

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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
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0018—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in elasticity, stiffness or compressibility

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Abstract

1. Имплантат для восстановления участка губы вертлужной впадины тазовой кости, содержащий:ребро, расположенное таким образом, чтобы замещать лимбус;рабочую поверхность, устанавливаемую вровень с суставной поверхностью вертлужной впадины и проходящую от указанного ребра в направлении к вершине вертлужной впадины;крепежную поверхность, предназначенную для крепления имплантата к подготовленной костной поверхности тазовой кости.2. Имплантат по п.1, отличающийся тем, что крепежная поверхность по существу перпендикулярна суставной поверхности вертлужной впадины.3. Имплантат по любому из п.1 или 2, отличающийся тем, что дополнительно содержит губную часть, проходящую от крепежной части до ребра и задающую положение ребра, при этом в вершине вертлужной впадины имеется центральная ось, проходящая в направлении к плоскости, заданной губой вертлужной впадины.4. Имплантат по любому из п.1 или 2, отличающийся тем, что выполнен из первого деформируемого материала и второго более жесткого материала.5. Имплантат по п.4, отличающийся тем, что ребро указанного имплантата выполнено из первого деформируемого материала.6. Имплантат по п.4, отличающийся тем, что крепежная поверхность выполнена из первого деформируемого материала.7. Имплантат по п.1, отличающийся тем, что дополнительно содержит:вставную часть, продолжающую собой рабочую поверхность по существу в перпендикулярном направлении;крепежный бортик, продолжающий собой губную часть имплантата, причем вставная часть и бортик сходятся в направлении друг к другу по мере удаленности бортика и вставной части от вертлужной впадины.8. Имплантат по п.7, отличающийся тем, что дополн

Claims (19)

1. Имплантат для восстановления участка губы вертлужной впадины тазовой кости, содержащий:
ребро, расположенное таким образом, чтобы замещать лимбус;
рабочую поверхность, устанавливаемую вровень с суставной поверхностью вертлужной впадины и проходящую от указанного ребра в направлении к вершине вертлужной впадины;
крепежную поверхность, предназначенную для крепления имплантата к подготовленной костной поверхности тазовой кости.
2. Имплантат по п.1, отличающийся тем, что крепежная поверхность по существу перпендикулярна суставной поверхности вертлужной впадины.
3. Имплантат по любому из п.1 или 2, отличающийся тем, что дополнительно содержит губную часть, проходящую от крепежной части до ребра и задающую положение ребра, при этом в вершине вертлужной впадины имеется центральная ось, проходящая в направлении к плоскости, заданной губой вертлужной впадины.
4. Имплантат по любому из п.1 или 2, отличающийся тем, что выполнен из первого деформируемого материала и второго более жесткого материала.
5. Имплантат по п.4, отличающийся тем, что ребро указанного имплантата выполнено из первого деформируемого материала.
6. Имплантат по п.4, отличающийся тем, что крепежная поверхность выполнена из первого деформируемого материала.
7. Имплантат по п.1, отличающийся тем, что дополнительно содержит:
вставную часть, продолжающую собой рабочую поверхность по существу в перпендикулярном направлении;
крепежный бортик, продолжающий собой губную часть имплантата, причем вставная часть и бортик сходятся в направлении друг к другу по мере удаленности бортика и вставной части от вертлужной впадины.
8. Имплантат по п.7, отличающийся тем, что дополнительно содержит участок сопряжения, расположенный между рабочей частью и губной частью и являющийся продолжением губной части в направлении центральной оси вертлужной впадины, при этом центральная ось вертлужной впадины проходит от вершины вертлужной впадины в направлении к плоскости, заданной губой вертлужной впадины.
9. Имплантат по любому из п.7 или 8, отличающийся тем, что загнут на губу вертлужной впадины.
10. Имплантат по п.1, отличающийся тем, что крепежная поверхность представляет собой стержень, проходящий внутри тазовой кости.
11. Имплантат по любому из пп.1, 2, 5, 6, 7, 8, 10, отличающийся тем, что прикреплен к кости посредством шовных нитей.
12. Разъединительный инструмент для отделения бедренной кости от вертлужной впадины, содержащий:
ложкообразную часть, предназначенную для охвата головки бедра;
нагнетательную камеру, соединенную с ложкообразной частью и предназначенную для надувания ложкообразной части таким образом, чтобы надутая ложкообразная часть отделяла вертлужную впадину от бедренной кости.
13. Разъединительный инструмент по п.12, отличающийся тем, что ложкообразная часть содержит вырез, проходящий вокруг круглых связок.
14. Разъединительный инструмент по любому из п.12 или 13, отличающийся наличием жесткого элемента, проходящего сквозь ложкообразную часть таким образом, чтобы обеспечить возможность введения ложкообразной части в тазобедренный сустав.
15. Разъединительный инструмент по п.14, отличающийся тем, что жесткий элемент проходит по периметру ложкообразной части.
16. Направляющее приспособление для резки части губы вертлужной впадины, содержащее:
по существу, плоскую прямоугольную деталь, в центральной части которой выполнено отверстие с краями, формирующими поверхность резания, причем указанное отверстие имеет ширину и высоту;
ось, проходящую по указанной плоской детали и образующую линию сгиба, по которой плоскую деталь можно согнуть так, что если плоская деталь согнута поверх губы вертлужной впадины, то края отверстия проходят поверх указанной губы и обеспечивают возможность направления режущего инструмента таким образом, чтобы режущий инструмент удалял кость на глубину, заданную высотой указанного отверстия.
17. Направляющее приспособление по п.16, отличающееся тем, что ширина отверстия соответствует ширине имплантата.
18. Направляющее приспособление по любому из п.16 или 17, отличающееся тем, что линия сгиба является изогнутой.
19. Направляющее приспособление по п.18, отличающееся тем, что линия сгиба изогнута относительно радиуса вертлужной впадины.
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AU2017228660A1 (en) 2017-10-05
US9504577B2 (en) 2016-11-29
AU2010218061B2 (en) 2015-11-26
CA2753429A1 (en) 2010-09-02
AU2010218061A1 (en) 2011-09-08
JP2013520209A (ja) 2013-06-06
US20120283840A1 (en) 2012-11-08
WO2010099247A3 (en) 2011-02-24
WO2010099247A2 (en) 2010-09-02
US20150066151A1 (en) 2015-03-05
EP2490625A2 (en) 2012-08-29
EP2490625B1 (en) 2020-01-22
BRPI1007988A2 (pt) 2016-03-01
CN102421390A (zh) 2012-04-18
AU2016200524A1 (en) 2016-03-10
KR20120109990A (ko) 2012-10-09
EP2490625A4 (en) 2014-09-17
US8900320B2 (en) 2014-12-02
CN105167888A (zh) 2015-12-23
JP5599827B2 (ja) 2014-10-01
CN105167888B (zh) 2018-04-20

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