CA2466661A1 - Prothese d'articulation vertebrale posterieure - Google Patents

Prothese d'articulation vertebrale posterieure Download PDF

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Publication number
CA2466661A1
CA2466661A1 CA002466661A CA2466661A CA2466661A1 CA 2466661 A1 CA2466661 A1 CA 2466661A1 CA 002466661 A CA002466661 A CA 002466661A CA 2466661 A CA2466661 A CA 2466661A CA 2466661 A1 CA2466661 A1 CA 2466661A1
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CA
Canada
Prior art keywords
prosthesis
smooth
faces
articular process
support
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Granted
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CA002466661A
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English (en)
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CA2466661C (fr
Inventor
Rene Louis
Patrick Tropiano
Jean-Jacques Bronsard
Christian Louis
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Individual
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Expired - Fee Related legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4405Joints for the spine, e.g. vertebrae, spinal discs for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30772Apertures or holes, e.g. of circular cross section
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878Special 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878Special 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
    • A61F2002/30879Ribs

Abstract

La prothèse (1, 2) d'articulation vertébrale postérieure gauche ou droite présente une surface lisse d'appui et ladite surface présente une courbure antéro-postérieure.

Claims (14)

1. Prothèse (1, 2) d'articulation vertébrale postérieure gauche ou droite présentant une surface (11, 11a, 11b, 17, 17a, 17b) lisse d'appui glissant, caractérisée en ce que ladite surface présente une courbure antéro-postérieure, ainsi que des moyens de guidage en rotation aptes à coopérer avec une surface d'appui complémentaire de ladite surface lisse d'appui glissant.
2. Prothèse (1, 2) selon la revendication 1, dans laquelle les moyens de guidage comportent deux faces ou portions de faces faisant partie de ladite surface lisse d'appui glissant (11 a, 11 b, 17a, 17b) et formant sensiblement un dièdre.
3. Prothèse (1, 2) selon la revendication 2, dans laquelle lesdites faces ou portions de faces s'étendent le long d'une surface de révolution présentant ladite courbure antéro-postérieure.
4. Prothèse (1, 2) selon l'une quelconque des revendications 1 à 3, dans laquelle le rayon de courbure de ladite surface lisse d'appui glissant est situé dans une plage allant de 18 à 28 mm.
5. Prothèse (1, 2) selon l'une quelconque des revendications 1 à 4 comportant en outre une surface (10, 16) d'appui osseux et une structure (3, 4, 5, 21 à
24) d'ancrage, et dans laquelle la structure d'ancrage fait saillie sur la surface d'appui osseux.
6. Prothèse (1, 2) selon la revendication 5, dans laquelle la structure d'ancrage comporte un organe d'ancrage allongé selon un axe (8, 9) incliné par rapport à la normale à la surface d'appui osseux.
7. Prothèse (1, 2) selon la revendication 6, dans laquelle l'organe d'ancrage est de forme sensiblement cylindrique.
8. Prothèse (1, 2) selon la revendication 6 ou 7, dans laquelle ledit organe d'ancrage est muni sur sa face externe de rainures ou protubérances.
9. Prothèse (1, 2) selon l'une quelconque des revendications 5 à 8, dans laquelle au moins une partie de la structure d'ancrage forme une seule pièce avec le corps de la prothèse.
10 10. Prothèse (1) selon l'une quelconque des revendications 1 à 9, pour le remplacement de l'apophyse articulaire antérieure, dans laquelle une partie au moins de ladite surface (11, 11 a, 11b) lisse d'appui est convexe, ouverte vers l'arrière et courbée selon un rayon (14) allant de 18 à 28 millimètres.
11. Prothèse (1) selon la revendication 10 pour le remplacement de l'apophyse articulaire antérieure, dans laquelle les faces (11a, 11b) du dièdre forment un angle (12) allant de 90° à 160°.
12. Prothèse (2) selon l'une quelconque des revendications 1 à 9, pour le remplacement de l'apophyse articulaire postérieure, dans laquelle une partie au moins de ladite surface (17, 17a, 17b) lisse d'appui est concave, fermée vers l'avant et courbée selon un rayon (14) allant de 18 à 28 millimètres.
13. Prothèse (2) selon la revendication 12 pour le remplacement de l'apophyse articulaire postérieure, dans laquelle les faces (17a, 17b) du dièdre forment un angle (18) allant de 200° à 270°.
14. Dispositif de remplacement d'une articulation vertébrale postérieure gauche ou droite, qui comporte :
- une prothèse (1) de remplacement partiel de l'apophyse articulaire antérieure, dite première prothèse, qui est de préférence conforme à l'une quelconque des revendications 1 à 11, qui comporte une première surface (11, 11a, 11b) lisse d'appui glissant en forme de gorge de poulie, et - une prothèse (2) de remplacement de l'apophyse articulaire postérieure, dite deuxième prothèse, qui est de préférence conforme à l'une quelconque des revendications 1 à 9, 12 ou 13, et qui comporte une deuxième surface (17, 17a, 17b) lisse d'appui glissant dont une portion au moins est de forme similaire ou complémentaire à celle d'une portion au moins de ladite première surface lisse d'appui glissant de ladite première prothèse, de façon à faciliter un mouvement relatif de rotation sagittale de deux vertèbres adjacentes munies de ces prothèses.
CA2466661A 2001-11-15 2002-11-15 Prothese d'articulation vertebrale posterieure Expired - Fee Related CA2466661C (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
FR01/14766 2001-11-15
FR0114766A FR2832054B1 (fr) 2001-11-15 2001-11-15 Prothese d'articulation vertebrale posterieure
PCT/FR2002/003911 WO2003041618A2 (fr) 2001-11-15 2002-11-15 Prothese d'articulation vertebrale posterieure

Publications (2)

Publication Number Publication Date
CA2466661A1 true CA2466661A1 (fr) 2003-05-22
CA2466661C CA2466661C (fr) 2010-12-21

Family

ID=8869417

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2466661A Expired - Fee Related CA2466661C (fr) 2001-11-15 2002-11-15 Prothese d'articulation vertebrale posterieure

Country Status (8)

Country Link
US (1) US7147664B2 (fr)
EP (1) EP1443879B1 (fr)
JP (1) JP4296091B2 (fr)
AT (1) ATE460910T1 (fr)
CA (1) CA2466661C (fr)
DE (1) DE60235710D1 (fr)
FR (1) FR2832054B1 (fr)
WO (1) WO2003041618A2 (fr)

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JP4296091B2 (ja) 2009-07-15
US20050015146A1 (en) 2005-01-20
FR2832054B1 (fr) 2004-09-10
WO2003041618A2 (fr) 2003-05-22
JP2005508703A (ja) 2005-04-07
EP1443879B1 (fr) 2010-03-17
US7147664B2 (en) 2006-12-12
ATE460910T1 (de) 2010-04-15
EP1443879A2 (fr) 2004-08-11
DE60235710D1 (de) 2010-04-29
WO2003041618A3 (fr) 2004-01-22
FR2832054A1 (fr) 2003-05-16
CA2466661C (fr) 2010-12-21

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