JP4252412B2 - 逆型上腕骨プロテーゼ - Google Patents
逆型上腕骨プロテーゼ Download PDFInfo
- Publication number
- JP4252412B2 JP4252412B2 JP2003338227A JP2003338227A JP4252412B2 JP 4252412 B2 JP4252412 B2 JP 4252412B2 JP 2003338227 A JP2003338227 A JP 2003338227A JP 2003338227 A JP2003338227 A JP 2003338227A JP 4252412 B2 JP4252412 B2 JP 4252412B2
- Authority
- JP
- Japan
- Prior art keywords
- component
- humerus
- connection mechanism
- stem
- stem portion
- 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 - Fee Related
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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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- 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
- A61F2002/30616—Sets comprising a plurality of prosthetic parts of different sizes or orientations
-
- 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
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- A61F2002/30772—Apertures or holes, e.g. of circular cross section
-
- 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
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- A61F2002/30772—Apertures or holes, e.g. of circular cross section
- A61F2002/30774—Apertures or holes, e.g. of circular cross section internally-threaded
-
- 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
- A61F2/02—Prostheses implantable into the body
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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
- A61F2/02—Prostheses implantable into the body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
- 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
- A61F2002/30899—Protrusions pierced with apertures
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-
- A—HUMAN NECESSITIES
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- 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
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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
- 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
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4018—Heads or epiphyseal parts of humerus
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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
- 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
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4029—Necks
-
- 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
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4044—Connections of necks to shafts
-
- 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
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4051—Connections of heads directly to shafts
-
- 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
- A61F2/40—Joints for shoulders
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- A61F2002/4062—Proximal or metaphyseal parts of shafts
-
- 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
- A61F2002/4631—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor the prosthesis being specially adapted for being cemented
-
- 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
- A61F2/4637—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for connecting or disconnecting two parts of a prosthesis
- A61F2002/4638—Tools for performing screwing, e.g. nut or screwdrivers, or particular adaptations therefor
-
- 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
-
- 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
- A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
-
- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- 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
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
- A61F2250/0006—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting angular orientation
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
Description
(実施態様A)
肩関節プロテーゼ用の上腕骨部品において、
上腕骨内に移植するように構成されているステム部を備えており、当該ステム部が前記上腕骨の骨幹端部の中に位置決めするように構成されている基端側部分を有しており、さらに、
支持部材および当該支持部材の中に除去可能に取り付けられているベアリング部材を有していて、前記上腕骨に係合しない接合部品を備えており、前記ベアリング部材が実質的に凹状の接合面部を定めており、さらに
前記ステム部の基端側部分に対して前記接合部品を接続するための接続機構を備えている上腕骨部品。
(1)前記接続機構が前記ステム部に対する可変の角度での前記接合部品の接続を可能にするように構成されている実施態様Aに記載の上腕骨部品。
(2)前記支持部材が一定の軸を定めており、前記接続機構が前記軸に沿って前記支持部材を接続するように構成されている実施態様Aに記載の上腕骨部品。
(3)前記凹状のベアリング部材がその凹状の表面部分から延出している一定の中心軸を定めており、当該中心軸が前記支持部材の軸に対して実質的に整合している実施態様(2)に記載の上腕骨部品。
(4)前記凹状のベアリング部材がその凹状の表面部分から延出している一定の中心軸を定めており、当該中心軸が前記支持部材の軸に対して実質的に平行であり当該軸からずれている実施態様(2)に記載の上腕骨部品。
(5)前記凹状のベアリング部材がその凹状の表面部分から延出している一定の中心軸を定めており、当該中心軸が前記支持部材の軸に対して平行でない実施態様(2)に記載の上腕骨部品。
(7)前記キャビティおよび前記本体部分がこれらの間に一定のスナップ嵌め部分を定める実施態様(6)に記載の上腕骨部品。
(8)前記スナップ嵌め部分が前記本体部分に定められている第1の周縁凹部、前記本体部分に定められている第1の周縁凹部に対して一致している前記キャビティに定められている第2の周縁凹部、および前記第1の凹部および第2の凹部の中にスナップ嵌め係合するように構成されている一定のスナップ・リングを含む実施態様(7)に記載の上腕骨部品。
(9)前記スナップ嵌め部分が前記本体部分に定められている一定の周縁リム部、および前記キャビティに定められている一定の相補的な周縁凹部を含む実施態様(7)に記載の上腕骨部品。
(10)前記キャビティおよび前記本体部分がこれらの間に一定の圧入係合部分を定める実施態様(6)に記載の上腕骨部品。
(実施態様B)
肩関節移植片における上腕骨部品において、
上腕骨内に移植するように構成されているステム部を備えており、当該ステム部が前記上腕骨の骨幹端部の中に位置決めするように構成されている基端側部分を有しており、さらに、
逆型部品のキットを備えており、当該キットが
支持部材および複数のベアリング部材、
複数の支持部材およびベアリング部材、または
複数の支持部材および複数のベアリング部材のいずれかの組み合わせを含み、さらに
前記ステム部の基端側部分に対して接合部品を接続するために前記支持部材および前記ステム部の基端側部分に付随している接続機構を備えており、
前記ベアリング部材のそれぞれが前記支持部材のそれぞれに対して除去可能に係合するように構成されており、
前記ベアリング部材のそれぞれが実質的に凹状の支持面部を定めており、前記複数の支持部材が相互に異なって構成されていて、前記複数のベアリング部材が相互に異なって構成されている上腕骨部品。
(12)前記逆型部品のキットにおける前記複数のベアリング部材が、これらのベアリング部材が前記支持部材に係合する時に、これらの支持部材に対して相互に異なる角度の配向で前記凹状の支持面部をそれぞれ定める実施態様Bに記載の上腕骨部品。
(13)前記支持部材のそれぞれが一定の軸を定めており、前記接続機構が当該軸に沿って前記支持部材を接続するように構成されている実施態様Bに記載の上腕骨部品。
(14)前記逆型部品のキットにおける前記複数のベアリング部材が前記軸に対して相互に異なる角度の配向で前記凹状の支持面部をそれぞれ定める実施態様(13)に記載の上腕骨部品。
(15)前記逆型部品のキットにおける前記複数のベアリング部材が、前記支持面部が前記支持部材の軸からずれている一定の中心軸を定めるように、当該凹状の支持面部を定める実施態様(13)に記載の上腕骨部品。
(16)前記支持部材のそれぞれおよび前記ベアリング部材のそれぞれが相互にスナップ嵌めした部分を定める実施態様Bに記載の上腕骨部品。
(17)前記相互にスナップ嵌めした部分が前記本体部分に定められている一定の周縁リムおよび前記キャビティに定められている一定の相補的な周縁凹部を含む実施態様(16)に記載の上腕骨部品。
22 ステム部
26 逆型接合部品
28 接続機構
30 ソケット部
32 ボール要素
34 支持カップ部
36 ポスト部
38 凹部
40 ベアリング部材
42 挿入本体部分
44 回転防止部分
46 周縁リム部
48 接合面部
Claims (4)
- 肩関節プロテーゼ用の上腕骨部品において、
上腕骨内に移植するように構成されているステム部を備えており、当該ステム部が前記上腕骨の骨幹端部の中に位置決めするように構成されている基端側部分を有しており、さらに、
支持部材および当該支持部材の中に除去可能に取り付けられているベアリング部材を有していて、前記上腕骨に係合しない接合部品を備えており、前記ベアリング部材が実質的に凹状の接合面部を定めており、さらに
前記ステム部の基端側部分に対して前記接合部品を接続するための接続機構を備えており、
前記接続機構が前記接合部品に固定されている状態において、前記接続機構が前記ステム部の基端側部分に対して三次元的に移動することが可能であることによって、前記接合部品が前記ステム部の基端側部分に対して三次元的に複数の角度で配置されることが可能となっている上腕骨部品。 - 前記ステム部の基端側部分にはソケット部が形成され、前記接続機構はボール状部材を有し、前記接続機構の前記ボール状部材は前記ステム部の前記ソケット部内に接合状態で支持されながら三次元的に移動可能である、請求項1に記載の上腕骨部品。
- 肩関節移植片における上腕骨部品において、
上腕骨内に移植するように構成されているステム部を備えており、当該ステム部が前記上腕骨の骨幹端部の中に位置決めするように構成されている基端側部分を有しており、さらに、
逆型部品のキットを備えており、当該キットが
支持部材および複数のベアリング部材、
複数の支持部材およびベアリング部材、または
複数の支持部材および複数のベアリング部材のいずれかの組み合わせを含み、さらに
前記ステム部の基端側部分に対して逆型部品のキットを接続するための接続機構を備えており、
前記ベアリング部材のそれぞれが前記支持部材のそれぞれに対して除去可能に係合するように構成されており、
前記ベアリング部材のそれぞれが実質的に凹状の支持面部を定めており、前記複数の支持部材が相互に異なって構成されていて、前記複数のベアリング部材が相互に異なって構成されており、
前記接続機構が前記逆型部品のキットに固定されている状態において、前記接続機構が前記ステム部の基端側部分に対して三次元的に移動することが可能であることによって、前記逆型部品のキットが前記ステム部の基端側部分に対して三次元的に複数の角度で配置されることが可能となっている上腕骨部品。 - 前記ステム部の基端側部分にはソケット部が形成され、前記接続機構はボール状部材を有し、前記接続機構の前記ボール状部材は前記ステム部の前記ソケット部内に接合状態で支持されながら三次元的に移動可能である、請求項1に記載の上腕骨部品。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/260,992 US7011686B2 (en) | 2002-09-30 | 2002-09-30 | Reverse-type humeral prosthesis |
Publications (2)
Publication Number | Publication Date |
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JP2004121850A JP2004121850A (ja) | 2004-04-22 |
JP4252412B2 true JP4252412B2 (ja) | 2009-04-08 |
Family
ID=31977934
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2003338227A Expired - Fee Related JP4252412B2 (ja) | 2002-09-30 | 2003-09-29 | 逆型上腕骨プロテーゼ |
Country Status (8)
Country | Link |
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US (1) | US7011686B2 (ja) |
EP (1) | EP1402854B1 (ja) |
JP (1) | JP4252412B2 (ja) |
AT (1) | ATE475377T1 (ja) |
AU (1) | AU2003244030B2 (ja) |
DE (1) | DE60333526D1 (ja) |
DK (1) | DK1402854T3 (ja) |
ES (1) | ES2347777T3 (ja) |
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FR2652498B1 (fr) | 1989-10-04 | 1997-12-26 | Medinov | Ensemble modulaire pour prothese de l'epaule. |
GB2251795B (en) * | 1991-01-17 | 1995-02-08 | Minnesota Mining & Mfg | Orthopaedic implant |
US5163961A (en) * | 1991-04-17 | 1992-11-17 | Harwin Steven F | Compression-fit hip prosthesis and procedures for implantation thereof |
US5425779A (en) | 1992-08-05 | 1995-06-20 | U.S. Medical Products, Inc. | Prosthetic implant for joint structures |
DE4238832C1 (de) * | 1992-11-17 | 1994-08-11 | Plus Endoprothetik Ag | Schultergelenk-Endoprothese |
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US6162256A (en) | 1997-12-29 | 2000-12-19 | Depuy Orthopaedics, Inc. | Acetabular prosthesis |
FR2773469B1 (fr) * | 1998-01-09 | 2000-03-03 | Alain Leonard | Equipement chirurgical pour l'implantation d'une prothese totale d'epaule, et prothese totale d'epaule constitutive |
US5984927A (en) * | 1998-03-03 | 1999-11-16 | Ethicon, Inc. | Device for sutureless attachment of soft tissue to bone |
WO1999049792A1 (en) | 1998-04-01 | 1999-10-07 | Bionx Implants Oy | Bioabsorbable surgical fastener for tissue treatment |
AU2695799A (en) * | 1998-05-22 | 1999-12-02 | Howmedica Osteonics Corp. | Acetabular cup assembly with selected bearing |
WO1999065413A1 (de) | 1998-06-13 | 1999-12-23 | Pfefferkorn & Co. Gmbh | Druckkörper zum ausüben eines drucks auf eine fläche |
US6197062B1 (en) | 1999-01-11 | 2001-03-06 | Howmedica Osteonics, Corp. | Modular shoulder prosthesis system |
WO2002039933A1 (de) * | 2000-11-16 | 2002-05-23 | Willi Horber | Endoprothese für ein schultergelenk |
ATE285730T1 (de) | 2000-11-16 | 2005-01-15 | Willi Horber | Gelenkprothese |
US6790234B1 (en) * | 2002-01-04 | 2004-09-14 | Frankle Mark A | Reverse shoulder prosthesis system |
US6736851B2 (en) * | 2002-06-28 | 2004-05-18 | Depuy Orthopaedics, Inc. | Modular shoulder prosthesis |
-
2002
- 2002-09-30 US US10/260,992 patent/US7011686B2/en not_active Expired - Lifetime
-
2003
- 2003-09-01 AU AU2003244030A patent/AU2003244030B2/en not_active Expired
- 2003-09-09 ES ES03255625T patent/ES2347777T3/es not_active Expired - Lifetime
- 2003-09-09 AT AT03255625T patent/ATE475377T1/de active
- 2003-09-09 DK DK03255625.0T patent/DK1402854T3/da active
- 2003-09-09 DE DE60333526T patent/DE60333526D1/de not_active Expired - Lifetime
- 2003-09-09 EP EP03255625A patent/EP1402854B1/en not_active Expired - Lifetime
- 2003-09-29 JP JP2003338227A patent/JP4252412B2/ja not_active Expired - Fee Related
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AU2003244030B2 (en) | 2008-12-18 |
US7011686B2 (en) | 2006-03-14 |
DK1402854T3 (da) | 2010-10-25 |
ES2347777T3 (es) | 2010-11-04 |
JP2004121850A (ja) | 2004-04-22 |
DE60333526D1 (de) | 2010-09-09 |
EP1402854A2 (en) | 2004-03-31 |
US20040064190A1 (en) | 2004-04-01 |
AU2003244030A1 (en) | 2004-04-22 |
EP1402854A3 (en) | 2005-08-10 |
EP1402854B1 (en) | 2010-07-28 |
ATE475377T1 (de) | 2010-08-15 |
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