JP6677741B2 - 肩関節復元用人工器官 - Google Patents
肩関節復元用人工器官 Download PDFInfo
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- JP6677741B2 JP6677741B2 JP2017549089A JP2017549089A JP6677741B2 JP 6677741 B2 JP6677741 B2 JP 6677741B2 JP 2017549089 A JP2017549089 A JP 2017549089A JP 2017549089 A JP2017549089 A JP 2017549089A JP 6677741 B2 JP6677741 B2 JP 6677741B2
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- 210000000323 shoulder joint Anatomy 0.000 title claims description 13
- 230000037431 insertion Effects 0.000 claims description 21
- 238000003780 insertion Methods 0.000 claims description 21
- 241001653121 Glenoides Species 0.000 claims description 15
- 210000000988 bone and bone Anatomy 0.000 claims description 11
- 230000000149 penetrating effect Effects 0.000 claims description 11
- 230000008878 coupling Effects 0.000 claims description 10
- 238000010168 coupling process Methods 0.000 claims description 10
- 238000005859 coupling reaction Methods 0.000 claims description 10
- 239000000463 material Substances 0.000 claims description 9
- 241000309551 Arthraxon hispidus Species 0.000 claims description 7
- 239000004033 plastic Substances 0.000 claims description 7
- 229920003023 plastic Polymers 0.000 claims description 7
- 239000004698 Polyethylene Substances 0.000 claims description 6
- 230000005489 elastic deformation Effects 0.000 claims description 6
- 230000000295 complement effect Effects 0.000 claims description 5
- 229910000684 Cobalt-chrome Inorganic materials 0.000 claims description 4
- 239000004699 Ultra-high molecular weight polyethylene Substances 0.000 claims description 4
- 239000010952 cobalt-chrome Substances 0.000 claims description 4
- 229910052751 metal Inorganic materials 0.000 claims description 4
- 239000002184 metal Substances 0.000 claims description 4
- -1 polyethylene Polymers 0.000 claims description 4
- 229920000573 polyethylene Polymers 0.000 claims description 4
- 229920000785 ultra high molecular weight polyethylene Polymers 0.000 claims description 4
- 229910045601 alloy Inorganic materials 0.000 claims description 3
- 239000000956 alloy Substances 0.000 claims description 3
- 230000007246 mechanism Effects 0.000 claims description 3
- 239000011162 core material Substances 0.000 description 27
- 230000008901 benefit Effects 0.000 description 7
- 210000002758 humerus Anatomy 0.000 description 3
- 239000007769 metal material Substances 0.000 description 3
- 230000035515 penetration Effects 0.000 description 3
- WAIPAZQMEIHHTJ-UHFFFAOYSA-N [Cr].[Co] Chemical class [Cr].[Co] WAIPAZQMEIHHTJ-UHFFFAOYSA-N 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- IUWCPXJTIPQGTE-UHFFFAOYSA-N chromium cobalt Chemical compound [Cr].[Co].[Co].[Co] IUWCPXJTIPQGTE-UHFFFAOYSA-N 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 239000000565 sealant Substances 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
Images
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
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral 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
-
- 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
- A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
-
- 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
- A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
- A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
- A61F2002/30364—Rotation about the common longitudinal axis
- A61F2002/30367—Rotation about the common longitudinal axis with additional means for preventing said rotation
-
- 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
- A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
- A61F2002/30487—Circumferential cooperating grooves and beads on cooperating lateral surfaces of a mainly longitudinal connection
-
- 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
- A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
- A61F2002/305—Snap connection
-
- 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
-
- 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
- A61F2002/4037—Connections of heads to necks
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)
Description
Claims (9)
- 第一骨固定支持部(3)および関節ヘッド(4)を有するヘッド要素(2)と、
第二骨固定支持部および凹状関節要素を有する関節窩部品と、
を備える肩関節復元用人工器官(1)であって、
肩関節の人工的な復元のために、前記関節ヘッド(4)および前記凹状関節要素は、それらの間に球状連結を形成するよう構成されており、
前記関節ヘッド(4)は、
挿入要素(7)が延設されるプレート(6)を有する金属コア(5)であって、前記プレート(6)には前記骨固定支持部(3)との連結手段(8)が配置されている金属コア(5)と、
縦方向(X)に沿って前記コア(5)の前記挿入要素(7)に挿入可能なキャビティ(10)が形成されるようプラスチック材料で構成されるとともに、前記プレート(6)と少なくとも部分的に接触するよう配置されるよう構成される連結面(11)を有する関節キャップ(9)と、
を備えており、
前記挿入要素(7)および前記キャビティ(10)は、前記関節キャップ(9)を前記縦方向(X)に沿って前記コア(5)に固定するよう弾性変形によって機能する形状的連結手段を形成するように構成されており、
前記コア(5)上での前記関節キャップ(9)の回転防止機構を形成するよう、複数の貫入要素(12)が前記プレート(6)と前記連結面(11)との間で前記縦方向(X)の周囲に配置されている、
人工器官。 - 前記貫入要素(12)は、前記プレート(6)と一体的であり、前記コア(5)上の前記関節キャップ(9)への挿入時に、前記連結面(11)において前記関節キャップ(9)に貫入するように構成される、
請求項1に記載の人工器官。 - 前記貫入要素(12)は、前記縦方向(X)の周囲に、好ましくは前記縦方向(X)の周囲の円形環状に沿って、均一に分配配置される、
請求項2に記載の人工器官。 - 前記関節キャップ(9)は、前記キャビティ(10)および前記縦方向(X)の周囲に、前記プレート(6)を受けるよう構成される環状受け部(13)を有しており、
前記連結面(11)は、前記受け部(13)の底部によって形成される、
請求項1から3のいずれか1項に記載の人工器官。 - 前記ヘッド要素(2)を組み立てた構成において、前記プレート(6)と前記関節キャップ(9)とが平坦な基礎面(14)を有するよう、前記受け部(13)は、前記縦方向(X)に沿って測定して前記プレート(6)の高さと等しい深さを有する、
請求項4に記載の人工器官。 - 前記形状的連結手段は、前記関節キャップ(9)の前記キャビティ(10)から内部に形成されるとともに前記関節キャップ(9)の内部に向かって前記縦方向(X)に対して横方向に延設されるリップ(15)と、前記リップ(15)を受けるよう構成される前記挿入要素(7)のキャビティ(16)と、から構成されている、
請求項1から5のいずれか1項に記載の人工器官。 - 前記リップ(15)は、前記リップ(15)の弾性変形を可能にするよう構成される縦方向(X)に沿って両側に配置される二つの溝(17)と関係している、
請求項6に記載の人工器官。 - 前記挿入要素(7)は、円筒状部分および球状キャップ部分を備えており、
前記キャビティ(10)は、前記挿入要素(7)に対して相補形状に形成されている、
請求項1から7のいずれか1項に記載の人工器官。 - 前記コア(5)は、CoCr合金で形成されており、
前記関節キャップ(9)は、UHMWPEまたはハイクロスリンクポリエチレンで形成されている、
請求項1から8のいずれか1項に記載の人工器官。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
ITMI20150414 | 2015-03-19 | ||
ITMI2015A000414 | 2015-03-19 | ||
PCT/IB2016/051457 WO2016147114A1 (en) | 2015-03-19 | 2016-03-15 | Prosthesis for joint shoulder reconstruction |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018509222A JP2018509222A (ja) | 2018-04-05 |
JP6677741B2 true JP6677741B2 (ja) | 2020-04-08 |
Family
ID=53189927
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017549089A Active JP6677741B2 (ja) | 2015-03-19 | 2016-03-15 | 肩関節復元用人工器官 |
Country Status (6)
Country | Link |
---|---|
US (1) | US10433968B2 (ja) |
EP (1) | EP3270830B1 (ja) |
JP (1) | JP6677741B2 (ja) |
AU (1) | AU2016231802B2 (ja) |
ES (1) | ES2733028T3 (ja) |
WO (1) | WO2016147114A1 (ja) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2017172717A1 (en) * | 2016-03-29 | 2017-10-05 | Biomet Manufacturing, Llc | Modular bone model |
Family Cites Families (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE2742098C2 (de) * | 1977-09-19 | 1983-01-13 | Rosenthal Technik Ag, 8672 Selb | Endoprothese mit einer Metall-Keramik-Verbindung |
WO2002039932A1 (de) | 2000-11-16 | 2002-05-23 | Willi Horber | Gelenkprothese |
US7179297B2 (en) * | 2002-09-17 | 2007-02-20 | Smith & Nephew, Inc. | Combined bipolar and unipolar trials |
FR2848099B1 (fr) * | 2002-12-10 | 2005-02-11 | Tornier Sa | Jeu de composants prothetiques et prothese d'epaule composee a partir d'un tel jeu |
EP1928361B1 (de) * | 2005-09-16 | 2017-10-25 | Zimmer GmbH | Einsatz und schale einer gelenkkugelaufnahme |
AU2007325130B2 (en) * | 2006-11-29 | 2012-07-26 | Ascension Orthopedics, Inc. | Shoulder joint implant |
US8246687B2 (en) * | 2009-11-18 | 2012-08-21 | Biomet Manufacturing Corp. | Shoulder prosthetic |
GB201105243D0 (en) * | 2011-03-29 | 2011-05-11 | Depuy Ireland | An implant |
US20130190882A1 (en) * | 2012-01-20 | 2013-07-25 | Shoulder Options, Inc. | Humeral Head Prosthesis |
EP2638881B1 (en) * | 2012-03-15 | 2015-08-05 | Arthrex, Inc. | Joint implant trial components |
BR112015007174A8 (pt) * | 2012-10-29 | 2018-04-24 | Tornier Orthopedics Ireland Ltd | prótese de ombro inversa modular e respectivos sistemas |
US9271841B2 (en) * | 2012-12-20 | 2016-03-01 | Zimmer, Inc. | Ball joint prosthesis and method |
ITMI20131127A1 (it) * | 2013-07-04 | 2015-01-05 | Medacta Int Sa | Protesi per la ricostruzione anatomica o inversa dell'articolazione della spalla |
-
2016
- 2016-03-15 EP EP16719500.7A patent/EP3270830B1/en active Active
- 2016-03-15 ES ES16719500T patent/ES2733028T3/es active Active
- 2016-03-15 WO PCT/IB2016/051457 patent/WO2016147114A1/en active Application Filing
- 2016-03-15 US US15/559,153 patent/US10433968B2/en active Active
- 2016-03-15 JP JP2017549089A patent/JP6677741B2/ja active Active
- 2016-03-15 AU AU2016231802A patent/AU2016231802B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
EP3270830B1 (en) | 2019-05-01 |
US10433968B2 (en) | 2019-10-08 |
AU2016231802B2 (en) | 2018-02-01 |
EP3270830A1 (en) | 2018-01-24 |
US20180064546A1 (en) | 2018-03-08 |
ES2733028T3 (es) | 2019-11-27 |
WO2016147114A1 (en) | 2016-09-22 |
JP2018509222A (ja) | 2018-04-05 |
AU2016231802A1 (en) | 2017-08-24 |
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