DE29916078U1 - Einsetzinstrument für ein Zwischenwirbelimplantat - Google Patents

Einsetzinstrument für ein Zwischenwirbelimplantat

Info

Publication number
DE29916078U1
DE29916078U1 DE29916078U DE29916078U DE29916078U1 DE 29916078 U1 DE29916078 U1 DE 29916078U1 DE 29916078 U DE29916078 U DE 29916078U DE 29916078 U DE29916078 U DE 29916078U DE 29916078 U1 DE29916078 U1 DE 29916078U1
Authority
DE
Germany
Prior art keywords
instrument according
arms
arm
longitudinal guide
legs
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.)
Expired - Lifetime
Application number
DE29916078U
Other languages
English (en)
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.)
DePuy Spine LLC
Original Assignee
Aesculap AG
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
Priority to MXPA02002672A priority Critical patent/MXPA02002672A/es
Priority to ES99974009T priority patent/ES2283154T3/es
Application filed by Aesculap AG filed Critical Aesculap AG
Priority to EP07003422A priority patent/EP1792586B1/de
Priority to NZ543601A priority patent/NZ543601A/en
Priority to CA002381734A priority patent/CA2381734A1/en
Priority to NZ517741A priority patent/NZ517741A/en
Priority to EP99974009A priority patent/EP1212015B1/de
Priority to EP07003476.4A priority patent/EP1792588B1/de
Priority to EP07003474.9A priority patent/EP1792587B1/de
Priority to BR9917485-5A priority patent/BR9917485A/pt
Priority to AU14995/01A priority patent/AU1499501A/en
Priority to DE29924979U priority patent/DE29924979U1/de
Priority to EP07003475A priority patent/EP1779815A3/de
Priority to AT99974009T priority patent/ATE354324T1/de
Priority to DE29924980U priority patent/DE29924980U1/de
Priority to DE59914213T priority patent/DE59914213D1/de
Priority to JP2001522934A priority patent/JP2003509118A/ja
Priority to DE29916078U priority patent/DE29916078U1/de
Priority to US10/070,823 priority patent/US7118580B1/en
Priority to PCT/EP1999/006803 priority patent/WO2001019295A1/de
Publication of DE29916078U1 publication Critical patent/DE29916078U1/de
Priority to ARP000103348A priority patent/AR030394A1/es
Priority to US11/512,327 priority patent/US8535326B2/en
Anticipated expiration legal-status Critical
Priority to US13/960,104 priority patent/US8876836B2/en
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
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
    • 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
    • A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A61B2017/0256—Joint distractors for 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
    • 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
    • A61F2002/30383—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
    • 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
    • A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
    • 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
    • A61F2002/30621—Features concerning the anatomical functioning or articulation of the prosthetic joint
    • A61F2002/30649—Ball-and-socket joints
    • A61F2002/30662—Ball-and-socket joints with rotation-limiting means
    • 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
    • A61F2002/30795—Blind bores, e.g. of circular cross-section
    • A61F2002/30807—Plurality of blind bores
    • A61F2002/30808—Plurality of blind bores parallel
    • 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
    • A61F2002/30841—Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
    • 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
    • A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30884—Fins or wings, e.g. longitudinal wings for preventing rotation within the bone 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
    • A61F2/30767—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
    • A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30891—Plurality of protrusions
    • A61F2002/30892—Plurality of protrusions parallel
    • 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
    • A61F2002/30904—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves serrated profile, i.e. saw-toothed
    • 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
    • A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
    • A61F2002/443—Intervertebral or spinal discs, e.g. resilient made of articulated components having two transversal endplates and at least one intermediate component
    • 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 or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4622—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor 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
    • 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 or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
    • A61F2002/4627—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
    • 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 or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
    • A61F2002/4628—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
    • 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 or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4681—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor by applying mechanical shocks, e.g. by hammering
    • 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 or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4687—Mechanical guides for implantation instruments
    • 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

Description

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Claims (25)

1. Einsetzinstrument für ein dreiteiliges Zwischen­ wirbelimplantat, welches ein an einem Wirbelkör­ per anlegbares Oberteil, ein am benachbarten Wir­ belkörper anlegbares Unterteil und ein dazwischen einsetzbares Gelenkelement umfaßt, mit zwei an einem Ende gegeneinander schwenkbar gelagerten, nebeneinander angeordneten Armen, die an ihrem freien Ende je eine Halteeinrichtung für das Oberteil beziehungsweise das Unterteil des Zwi­ schenwirbelimplantats aufweisen, dadurch gekenn­ zeichnet, daß in einem der Arme (21) eine Längs­ führung (38, 39) für das Gelenkelement (14) ange­ ordnet ist.
2. Instrument nach Anspruch 1, dadurch gekennzeich­ net, daß die Längsführung durch in Längsnuten (38, 39) eingreifende Vorsprünge (15) gebildet wird.
3. Instrument nach Anspruch 2, dadurch gekennzeich­ net, daß in einem der Arme (21) in einem in Längsrichtung des Armes (21) verlaufenden Aufnah­ meraum (28) für das Gelenkelement (14) einander gegenüberliegende Nuten (38, 39) angeordnet sind, in die das Gelenkelement (14) mit seitlichen Vor­ sprüngen (15) eingreift.
4. Instrument nach einem der voranstehenden Ansprü­ che, dadurch gekennzeichnet, daß der die Längs­ führung (38, 39) aufweisende Arm (21) zwei im Ab­ stand und parallel zueinander angeordnete, stab­ förmige Schenkel (22, 23) aufweist, die zwischen sich einen Aufnahmeraum (28) für das Gelenkele­ ment (14) bilden und dieses längs des Aufnahme­ raums (28) zwischen sich führen.
5. Instrument nach einem der voranstehenden Ansprü­ che, dadurch gekennzeichnet, daß die Längsführung (38, 39) an ihrem der Schwenklagerung der Arme (21, 27) benachbarten Ende einen Einsetzbereich bildet, an dem das Gelenkelement (14) in die Längsführung (38, 39) einschiebbar ist.
6. Instrument nach einem der voranstehenden Ansprü­ che, dadurch gekennzeichnet, daß die Längsführung (38, 39) des einen Armes (21) in eine Längsfüh­ rung (18) des an dem Arm (21) gehaltenen Teils (9) des Zwischenwirbelimplantats (2) übergeht.
7. Instrument nach einem der voranstehenden Ansprü­ che, dadurch gekennzeichnet, daß es einen in die Längsführung (38, 39) einsetzbaren Vorschubkörper (40) umfaßt, der mit einem stabförmigen Schubele­ ment (41) verbunden ist.
8. Instrument nach einem der voranstehenden Ansprü­ che, dadurch gekennzeichnet, daß die beiden Arme (21, 27) an ihrem freien Ende derart nebeneinan­ der angeordnet sind, daß die Halteeinrichtungen (20) in Richtung der Schwenkbewegung der Arme (21, 27) zumindest teilweise ineinander tauchen.
9. Instrument nach einem der voranstehenden Ansprü­ che, daß die beiden Arme (21, 27) im Bereich ihrer Schwenklagerung einen Abstand voneinander haben, so daß die Arme (21, 27) in ihrer Einsetz­ stellung, bei der die freien Enden der Arme (21, 27) einander maximal angenähert sind, am gelager­ ten Ende einen größeren Abstand voneinander haben als am freien Ende.
10. Instrument nach Anspruch 9, dadurch gekennzeich­ net, daß ein Spreizelement (43) vorgesehen ist, das sich an beiden Armen (21, 27) abstützt und längs der Arme (21, 27) in Richtung auf das freie Ende der Arme (21, 27) vorschiebbar ist und dabei die Arme (21, 27) auseinander schwenkt.
11. Instrument nach Anspruch 10, dadurch gekennzeich­ net, daß mindestens einer der beiden Arme (21, 27) eine Längsführung (42, 28; 27) für das Spreizelement (43) aufweist.
12. Instrument nach Anspruch 10 oder 11, dadurch ge­ kennzeichnet, daß am Spreizelement (43) eine Vor­ schubstange (46) angeordnet ist.
13. Instrument nach Anspruch 12, dadurch gekennzeich­ net, daß die Vorschubstange (46) als Zahnstange ausgebildet ist, die mit einem Antriebszahnrad (47) im Bereich der Schwenklagerung der Arme (21, 27) kämmt.
14. Instrument nach einem der voranstehenden Ansprü­ che, dadurch gekennzeichnet, daß die Haltevor­ richtungen (20) Stifte sind, die in Öffnungen (19) des Oberteils (6) beziehungsweise des Unter­ teils (9) des Zwischenwirbelimplantats (2) ein­ greifen.
15. Instrument nach einem der voranstehenden Ansprü­ che, dadurch gekennzeichnet, daß die Haltevor­ richtungen (20) zumindest an einem der Arme (27) um eine Schwenkachse verschwenkbar sind, die im Bereich des freien Endes des Armes (27) angeord­ net ist und parallel zur Schwenkachse des Armes (27) verläuft, und daß die Haltevorrichtungen nach dem Verschwenken um diese Schwenkachse in unterschiedlichen Winkelstellungen feststellbar sind.
16. Instrument nach Anspruch 15, dadurch gekennzeich­ net, daß zur Feststellung der Winkelstellung ein Fixierstift (35) vorgesehen ist, der in bei un­ terschiedlicher Winkelstellung miteinander ausge­ richteten Bohrungen (33, 34) einschiebbar ist.
17. Instrument nach einem der voranstehenden Ansprü­ che, dadurch gekennzeichnet, daß mindestens eine Halteeinrichtung (20) eine lösbare Verriegelung (25, 26) aufweist.
18. Instrument nach Anspruch 17, dadurch gekennzeich­ net, daß die Verriegelung durch die Verdrehung eines Riegels (25) um eine Drehachse erfolgt, die im wesentlichen parallel zur Längsachse des Armes (21) verläuft, an dem die Halteeinrichtung (20) angeordnet ist.
19. Instrument nach Anspruch 18, dadurch gekennzeich­ net, daß der die Halteeinrichtung (20) tragende Arm (21) oder ein Teil (22, 23) desselben ver­ drehbar ist und einen Riegel (25) trägt, der in einer Stellung das an der Halteeinrichtung (20) gehaltene Teil (9) des Zwischenwirbelimplantats (2) mit diesem verriegelt und in einer anderen Stellung freigibt.
20. Instrument nach Anspruch 19, dadurch gekennzeich­ net, daß die Halteeinrichtung (20) ein in eine Aufnahmebohrung (19) am gehaltenen Teil (9) des Zwischenwirbelimplantats (2) eingreifender Stift und der Riegel (25) ein seitlich von diesem ab­ stehender Vorsprung ist.
21. Instrument nach einem der voranstehenden Ansprü­ che, dadurch gekennzeichnet, daß der die Längs­ führung (38, 39) aufweisende Arm (21) zwei paral­ lel zueinander angeordnete Schenkel (22, 23) auf­ weist, die zwischen sich einen Aufnahmeraum (28) für das Gelenkelement (14) ausbilden, und daß der andere Arm (27) mittig zwischen diesen Schenkeln (22, 23) verläuft, so daß er mit seinem freien Ende zwischen die Schenkel (22, 23) eintauchen kann.
22. Instrument nach Anspruch 21, dadurch gekennzeich­ net, daß ein zwischen den Armen (21, 27) angeord­ netes, längs derselben verschiebliches Spreizele­ ment (43) auf der Oberseite (42) der beiden Schenkel (22, 23) aufliegt und mit einem Vor­ sprung (44) zwischen die beiden Schenkel (22, 23) in den Aufnahmeraum (28) eingreift.
23. Instrument nach Anspruch 22, dadurch gekennzeich­ net, daß das Spreizelement (43) an seiner Ober­ seite eine Vertiefung (45) aufweist, in die der andere Arm (27) eintaucht.
24. Instrument nach einem der Ansprüche 21 bis 23, dadurch gekennzeichnet, daß die Schenkel (22, 23) des einen Armes (21) im Querschnitt rechteckig sind.
25. Instrument nach einem der Ansprüche 21 bis 24, dadurch gekennzeichnet, daß der andere Arm (27) im Querschnitt kreisförmig ist.
DE29916078U 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat Expired - Lifetime DE29916078U1 (de)

Priority Applications (23)

Application Number Priority Date Filing Date Title
US10/070,823 US7118580B1 (en) 1999-09-14 1999-09-14 Instrument for inserting intervertebral implants
DE29924979U DE29924979U1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat
EP07003422A EP1792586B1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat
NZ543601A NZ543601A (en) 1999-09-14 1999-09-14 Insertion instrument for an intervertebral implant
CA002381734A CA2381734A1 (en) 1999-09-14 1999-09-14 Insertion instrument for an intervertebral implant
NZ517741A NZ517741A (en) 1999-09-14 1999-09-14 Insertion instrument for an intervertebral implant
EP99974009A EP1212015B1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein zwischenwirbelimplantat
EP07003476.4A EP1792588B1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat
EP07003474.9A EP1792587B1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat
BR9917485-5A BR9917485A (pt) 1999-09-14 1999-09-14 Instrumento de inserção para um implante entre vértebras de três partes
AU14995/01A AU1499501A (en) 1999-09-14 1999-09-14 Instrument for inserting intervertebral implants
MXPA02002672A MXPA02002672A (es) 1999-09-14 1999-09-14 Instrumento de insercion para un implante intervertebral.
EP07003475A EP1779815A3 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat
AT99974009T ATE354324T1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein zwischenwirbelimplantat
DE29924980U DE29924980U1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat
DE59914213T DE59914213D1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein zwischenwirbelimplantat
JP2001522934A JP2003509118A (ja) 1999-09-14 1999-09-14 椎間インプラント用挿入器具
DE29916078U DE29916078U1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat
ES99974009T ES2283154T3 (es) 1999-09-14 1999-09-14 Instrumento de insercion para implantes intervertebrales.
PCT/EP1999/006803 WO2001019295A1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein zwischenwirbelimplantat
ARP000103348A AR030394A1 (es) 1999-09-14 2000-06-30 Instrumento de insercion para un implante intervertebral
US11/512,327 US8535326B2 (en) 1999-09-14 2006-08-30 Insertion instrument for an intervertebral implant
US13/960,104 US8876836B2 (en) 1999-09-14 2013-08-06 Insertion instrument for an intervertebral implant

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE29916078U DE29916078U1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat
PCT/EP1999/006803 WO2001019295A1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein zwischenwirbelimplantat

Publications (1)

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DE29916078U1 true DE29916078U1 (de) 1999-11-25

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DE29924979U Expired - Lifetime DE29924979U1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat
DE29916078U Expired - Lifetime DE29916078U1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat
DE59914213T Expired - Lifetime DE59914213D1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein zwischenwirbelimplantat
DE29924980U Expired - Lifetime DE29924980U1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat

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DE29924980U Expired - Lifetime DE29924980U1 (de) 1999-09-14 1999-09-14 Einsetzinstrument für ein Zwischenwirbelimplantat

Country Status (13)

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US (3) US7118580B1 (de)
EP (5) EP1792587B1 (de)
JP (1) JP2003509118A (de)
AR (1) AR030394A1 (de)
AT (1) ATE354324T1 (de)
AU (1) AU1499501A (de)
BR (1) BR9917485A (de)
CA (1) CA2381734A1 (de)
DE (4) DE29924979U1 (de)
ES (1) ES2283154T3 (de)
MX (1) MXPA02002672A (de)
NZ (2) NZ517741A (de)
WO (1) WO2001019295A1 (de)

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US20130317616A1 (en) 2013-11-28
ATE354324T1 (de) 2007-03-15
NZ543601A (en) 2008-08-29
EP1792586B1 (de) 2012-12-26
EP1792587B1 (de) 2014-03-05
EP1792587A3 (de) 2007-06-27
BR9917485A (pt) 2002-05-14
DE29924979U1 (de) 2007-07-12
EP1792587A2 (de) 2007-06-06
EP1792588A2 (de) 2007-06-06
EP1792588B1 (de) 2013-12-18
US20070016221A1 (en) 2007-01-18
US7118580B1 (en) 2006-10-10
DE29924980U1 (de) 2007-07-12
EP1212015A1 (de) 2002-06-12
JP2003509118A (ja) 2003-03-11
CA2381734A1 (en) 2001-03-22
MXPA02002672A (es) 2003-10-14
AU1499501A (en) 2001-04-17
EP1212015B1 (de) 2007-02-21
US8876836B2 (en) 2014-11-04
NZ517741A (en) 2006-05-26
EP1779815A3 (de) 2007-06-27
EP1792588A3 (de) 2007-06-27
WO2001019295A1 (de) 2001-03-22
EP1779815A2 (de) 2007-05-02
EP1792586A3 (de) 2007-06-13
ES2283154T3 (es) 2007-10-16
US8535326B2 (en) 2013-09-17
AR030394A1 (es) 2003-08-20
DE59914213D1 (de) 2007-04-05

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