CH586166A5 - Material for surgical prosthesis - comprising metal (oxide) FIBRE REINFORCED CERAMICS - Google Patents
Material for surgical prosthesis - comprising metal (oxide) FIBRE REINFORCED CERAMICSInfo
- Publication number
- CH586166A5 CH586166A5 CH709574A CH709574A CH586166A5 CH 586166 A5 CH586166 A5 CH 586166A5 CH 709574 A CH709574 A CH 709574A CH 709574 A CH709574 A CH 709574A CH 586166 A5 CH586166 A5 CH 586166A5
- Authority
- CH
- Switzerland
- Prior art keywords
- esp
- metal
- oxide
- tools
- fibre reinforced
- Prior art date
Links
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/40—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
- A61L27/42—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having an inorganic matrix
- A61L27/427—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having an inorganic matrix of other specific inorganic materials not covered by A61L27/422 or A61L27/425
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- C—CHEMISTRY; METALLURGY
- C04—CEMENTS; CONCRETE; ARTIFICIAL STONE; CERAMICS; REFRACTORIES
- C04B—LIME, MAGNESIA; SLAG; CEMENTS; COMPOSITIONS THEREOF, e.g. MORTARS, CONCRETE OR LIKE BUILDING MATERIALS; ARTIFICIAL STONE; CERAMICS; REFRACTORIES; TREATMENT OF NATURAL STONE
- C04B33/00—Clay-wares
- C04B33/24—Manufacture of porcelain or white ware
-
- C—CHEMISTRY; METALLURGY
- C04—CEMENTS; CONCRETE; ARTIFICIAL STONE; CERAMICS; REFRACTORIES
- C04B—LIME, MAGNESIA; SLAG; CEMENTS; COMPOSITIONS THEREOF, e.g. MORTARS, CONCRETE OR LIKE BUILDING MATERIALS; ARTIFICIAL STONE; CERAMICS; REFRACTORIES; TREATMENT OF NATURAL STONE
- C04B33/00—Clay-wares
- C04B33/36—Reinforced clay-wares
-
- C—CHEMISTRY; METALLURGY
- C04—CEMENTS; CONCRETE; ARTIFICIAL STONE; CERAMICS; REFRACTORIES
- C04B—LIME, MAGNESIA; SLAG; CEMENTS; COMPOSITIONS THEREOF, e.g. MORTARS, CONCRETE OR LIKE BUILDING MATERIALS; ARTIFICIAL STONE; CERAMICS; REFRACTORIES; TREATMENT OF NATURAL STONE
- C04B35/00—Shaped ceramic products characterised by their composition; Ceramics compositions; Processing powders of inorganic compounds preparatory to the manufacturing of ceramic products
- C04B35/01—Shaped ceramic products characterised by their composition; Ceramics compositions; Processing powders of inorganic compounds preparatory to the manufacturing of ceramic products based on oxide ceramics
- C04B35/10—Shaped ceramic products characterised by their composition; Ceramics compositions; Processing powders of inorganic compounds preparatory to the manufacturing of ceramic products based on oxide ceramics based on aluminium oxide
- C04B35/111—Fine ceramics
- C04B35/117—Composites
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- C—CHEMISTRY; METALLURGY
- C04—CEMENTS; CONCRETE; ARTIFICIAL STONE; CERAMICS; REFRACTORIES
- C04B—LIME, MAGNESIA; SLAG; CEMENTS; COMPOSITIONS THEREOF, e.g. MORTARS, CONCRETE OR LIKE BUILDING MATERIALS; ARTIFICIAL STONE; CERAMICS; REFRACTORIES; TREATMENT OF NATURAL STONE
- C04B35/00—Shaped ceramic products characterised by their composition; Ceramics compositions; Processing powders of inorganic compounds preparatory to the manufacturing of ceramic products
- C04B35/71—Ceramic products containing macroscopic reinforcing agents
- C04B35/74—Ceramic products containing macroscopic reinforcing agents containing shaped metallic materials
- C04B35/76—Fibres, filaments, whiskers, platelets, or the like
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- C—CHEMISTRY; METALLURGY
- C04—CEMENTS; CONCRETE; ARTIFICIAL STONE; CERAMICS; REFRACTORIES
- C04B—LIME, MAGNESIA; SLAG; CEMENTS; COMPOSITIONS THEREOF, e.g. MORTARS, CONCRETE OR LIKE BUILDING MATERIALS; ARTIFICIAL STONE; CERAMICS; REFRACTORIES; TREATMENT OF NATURAL STONE
- C04B35/00—Shaped ceramic products characterised by their composition; Ceramics compositions; Processing powders of inorganic compounds preparatory to the manufacturing of ceramic products
- C04B35/71—Ceramic products containing macroscopic reinforcing agents
- C04B35/78—Ceramic products containing macroscopic reinforcing agents containing non-metallic materials
- C04B35/80—Fibres, filaments, whiskers, platelets, or the like
-
- C—CHEMISTRY; METALLURGY
- C04—CEMENTS; CONCRETE; ARTIFICIAL STONE; CERAMICS; REFRACTORIES
- C04B—LIME, MAGNESIA; SLAG; CEMENTS; COMPOSITIONS THEREOF, e.g. MORTARS, CONCRETE OR LIKE BUILDING MATERIALS; ARTIFICIAL STONE; CERAMICS; REFRACTORIES; TREATMENT OF NATURAL STONE
- C04B2235/00—Aspects relating to ceramic starting mixtures or sintered ceramic products
- C04B2235/02—Composition of constituents of the starting material or of secondary phases of the final product
- C04B2235/50—Constituents or additives of the starting mixture chosen for their shape or used because of their shape or their physical appearance
- C04B2235/52—Constituents or additives characterised by their shapes
- C04B2235/5208—Fibers
- C04B2235/5216—Inorganic
- C04B2235/522—Oxidic
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- C—CHEMISTRY; METALLURGY
- C04—CEMENTS; CONCRETE; ARTIFICIAL STONE; CERAMICS; REFRACTORIES
- C04B—LIME, MAGNESIA; SLAG; CEMENTS; COMPOSITIONS THEREOF, e.g. MORTARS, CONCRETE OR LIKE BUILDING MATERIALS; ARTIFICIAL STONE; CERAMICS; REFRACTORIES; TREATMENT OF NATURAL STONE
- C04B2235/00—Aspects relating to ceramic starting mixtures or sintered ceramic products
- C04B2235/02—Composition of constituents of the starting material or of secondary phases of the final product
- C04B2235/50—Constituents or additives of the starting mixture chosen for their shape or used because of their shape or their physical appearance
- C04B2235/52—Constituents or additives characterised by their shapes
- C04B2235/5208—Fibers
- C04B2235/5216—Inorganic
- C04B2235/524—Non-oxidic, e.g. borides, carbides, silicides or nitrides
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- C—CHEMISTRY; METALLURGY
- C04—CEMENTS; CONCRETE; ARTIFICIAL STONE; CERAMICS; REFRACTORIES
- C04B—LIME, MAGNESIA; SLAG; CEMENTS; COMPOSITIONS THEREOF, e.g. MORTARS, CONCRETE OR LIKE BUILDING MATERIALS; ARTIFICIAL STONE; CERAMICS; REFRACTORIES; TREATMENT OF NATURAL STONE
- C04B2235/00—Aspects relating to ceramic starting mixtures or sintered ceramic products
- C04B2235/02—Composition of constituents of the starting material or of secondary phases of the final product
- C04B2235/50—Constituents or additives of the starting mixture chosen for their shape or used because of their shape or their physical appearance
- C04B2235/52—Constituents or additives characterised by their shapes
- C04B2235/5208—Fibers
- C04B2235/5216—Inorganic
- C04B2235/524—Non-oxidic, e.g. borides, carbides, silicides or nitrides
- C04B2235/5248—Carbon, e.g. graphite
-
- C—CHEMISTRY; METALLURGY
- C04—CEMENTS; CONCRETE; ARTIFICIAL STONE; CERAMICS; REFRACTORIES
- C04B—LIME, MAGNESIA; SLAG; CEMENTS; COMPOSITIONS THEREOF, e.g. MORTARS, CONCRETE OR LIKE BUILDING MATERIALS; ARTIFICIAL STONE; CERAMICS; REFRACTORIES; TREATMENT OF NATURAL STONE
- C04B2235/00—Aspects relating to ceramic starting mixtures or sintered ceramic products
- C04B2235/02—Composition of constituents of the starting material or of secondary phases of the final product
- C04B2235/50—Constituents or additives of the starting mixture chosen for their shape or used because of their shape or their physical appearance
- C04B2235/52—Constituents or additives characterised by their shapes
- C04B2235/5276—Whiskers, spindles, needles or pins
Abstract
Material comprises fibres esp. of W, Mo, Ta, Ti, metal oxide, carbide nitride, boride or of a metalloid such as C, B, etc., in a matrix of ceramic material, esp. pure Al2O3 or dental porcelain (K2O, Al2O3. 6SiO2). Esp. for hip joints but also suitable for dental protheses, bridges, and also esp. for tools for making plates corners and other prosthetic joints. The fibres improve the resistance to bending and fracture of the prostheses without affecting the biological passivity, the corrosion resistance or the compressive strength adversely. Use for tools avoids introduction of metal particles into threaded holes, meshes, etc. to cause harmful effects on the patient.
Description
La présente invention concerne un matériel pour la chirurgie osseuse. Ce matériel convient aux prothèses orthopédiques de hanche, par exemple, aux plaques, vis et autres appareils destinés à la réduction des fractures et aux divers instruments destinés à fixer dans le corps humain les prothèses ou autres dispositifs décrits ci-dessus.
Actuellement, les prothèses de hanche, les plaques, les vis, les cornières servant à la réduction des fractures sont en alliage spécial tel que le titane, le vitallium, le prota-sul ou l'acier inoxydable.
Les implants dentaires sont, eux, en chrome, cobalt, titane, tantale ou vitallium. En'effet, l'implantologie moderne fixe dans ou sur une arcade osseuse une armature métallique ou en céramique. Il s'agit donc de structures artificielles appelées à supporter une ou plusieurs fausses dents.
Il existe deux grandes classes d'implants: les endoosseux et les juxtaosseux. Les premiers se placent en profondeur dans l'arcade, après perforation d'un alvéole artificiel, tandis que les seconds, appelés aussi grilles , sont confectionnés d'après l'empreinte très précise de l'arcade osseuse qu'ils viennent épouser avant d'être noyés dans le périoste et la fibromuqueuse qui relient la gencive à l'os.
Les endoosseux comme les juxtaosseux émergent sous forme de petites tiges appelées piliers sur lesquels le praticien fixe la dent, le bridge ou la prothèse, soit directement, soit par l'intermédiaire d'une deuxième armature métallique, la suprastructure.
Les endoosseux ont la forme de spirales, de vis ou encore d'aiguilles, tandis que les grilles embrassent intimement une surface de l'arcade osseuse aussi réduite que possible. Etant métalliques, ils présentent certains dangers spécifiques aux métaux tels, par exemple, les phénomènes électrolytiques en bouche.
Les prothèses osseuses, les appareils destinés à aider à la réduction des fractures en fixant à l'intérieur même du corps humain les parties brisées ensemble présentent aussi des phénomènes de rejet.
La céramique d'alumine, matériau biologiquement inerte, tend à s'imposer de plus en plus sur le marché. Mais si sa résistance à la corrosion est presque absolue, sa passivité biologique complète et sa résistance à la compression bonne, ses résistances à la flexion et au cisaillement sont loin d'être aussi satisfaisantes.
Le but de la présente invention est de pallier ces inconvénients en proposant un matériel pour la chirurgie osseuse qui allie une bonne résistance aux agents biologiques avec des qualités mécaniques.
Il est caractérisé en ce qu'il est formé de fibres noyées dans une matrice céramique, les fibres assurant la résistance à la flexion et au cisaillement, la matrice céramique assurant l'isolation biologique.
La céramique utilisée peut être une céramique d'oxyde pur telle que de la céramique d'alumine (au203). Elle peut être aussi formée de porcelaine dentaire ( K2O. Ah03. 6 SiO2) ou de toute autre céramique présentant des qualités de résistance mécanique suffisante, d'inertie biologique et de compatibilité avec les fibres de renforcement.
Les fibres peuvent être en tungstène, en molybdène, en tantale, en titane. Elles peuvent être aussi en oxyde métallique, en carbure, nitrure, borure ou encore en métalloides tels que carbone, bore, etc.
Il faut choisir de préférence des matériaux pouvant résister à la température de frittage des céramiques qui varie entre 1000 C et 1900 C suivant la teneur en Au203. On devra aussi tenir compte, dans le choix de la fibre et de la céramique, de la mouillabilité de la fibre par cette dernière.
Ces fibres peuvent être polycristallines sous la forme de fils de métal laminés, mais aussi monocristallines sous la forme de trichites ou whiskers.
La conception et la fabrication des dispositifs doivent être réalisées de telle manière que les fils métalliques soient noyés dans la masse céramique afin qu'ils n'entrent en contact ni avec l'os, ni avec la fibromuqueuse.
Les dispositifs pour la chirurgie osseuse, réalisés dans la matière selon l'invention, sont résistants mécaniquement et résistent à la corrosion. Ils peuvent remplacer avantageusement les dispositifs métalliques connus jusqu'à ce jour.
Le matériel décrit peut aussi servir à fabriquer des éléments autres que des implants, éléments classiques de l'art dentaire tels que bridges, prothèses.
Mais une application particulièrement intéressante du matériel décrit est la confection d'outils servant à préparer le siège des implants proprement dits, des prothèses, des plaques ou cornières servant à la réduction des fractures. Ces outils peuvent être des mèches, des tarauds, des ciseaux à froid, par exemple. Car il n'est pas rare que, lors du perçage ou du taraudage d'un os, de minuscules parties du métal de l'outil restent fixées dans la matière osseuse, engendrant un phénomène de rejet nuisible pour le patient.
Un autre avantage de l'utilisation du matériel décrit est que l'âge des patients sur lesquels les opérations de fixation de prothèses osseuses sont pratiquées pourrait être abaissé de plusieurs années vu l'absence de rejets biologiques.
The present invention relates to equipment for bone surgery. This material is suitable for orthopedic hip prostheses, for example, plates, screws and other devices intended for the reduction of fractures and various instruments intended for fixing in the human body the prostheses or other devices described above.
Currently, hip prostheses, plates, screws, angles used for fracture reduction are made of a special alloy such as titanium, vitallium, prota-sul or stainless steel.
Dental implants are made of chrome, cobalt, titanium, tantalum or vitallium. In fact, modern implantology fixes a metal or ceramic framework in or on a bone arch. They are therefore artificial structures called upon to support one or more false teeth.
There are two main classes of implants: endosseous and juxtaosseous. The first are placed deep in the arch, after perforation of an artificial socket, while the second, also called grids, are made from the very precise impression of the bony arch that they come to marry before 'be embedded in the periosteum and fibromucosa which connect the gum to the bone.
Both endoosseous and juxtaosseous emerge in the form of small rods called abutments on which the practitioner fixes the tooth, bridge or prosthesis, either directly or through a second metal frame, the superstructure.
The endos are in the form of spirals, screws or even needles, while the grids intimately embrace a surface of the bone arch as small as possible. Being metallic, they present certain dangers specific to metals such, for example, electrolytic phenomena in the mouth.
Bone prostheses, devices intended to help reduce fractures by fixing the broken parts together within the human body itself, also present phenomena of rejection.
Alumina ceramic, a biologically inert material, tends to impose itself more and more on the market. But if its corrosion resistance is almost absolute, its complete biological passivity and its good compressive strength, its flexural and shear strengths are nowhere near as satisfactory.
The aim of the present invention is to overcome these drawbacks by providing a material for bone surgery which combines good resistance to biological agents with mechanical qualities.
It is characterized in that it is formed of fibers embedded in a ceramic matrix, the fibers providing resistance to bending and shearing, the ceramic matrix providing biological insulation.
The ceramic used can be a pure oxide ceramic such as alumina ceramic (au203). It can also be formed from dental porcelain (K2O. Ah03. 6 SiO2) or any other ceramic having qualities of sufficient mechanical strength, biological inertia and compatibility with the reinforcing fibers.
The fibers can be tungsten, molybdenum, tantalum, titanium. They can also be metal oxide, carbide, nitride, boride or even metalloids such as carbon, boron, etc.
It is preferable to choose materials which can withstand the sintering temperature of ceramics which varies between 1000 C and 1900 C depending on the Au203 content. In the choice of fiber and ceramic, account should also be taken of the wettability of the fiber by the latter.
These fibers can be polycrystalline in the form of rolled metal threads, but also monocrystalline in the form of whiskers or whiskers.
The design and manufacture of the devices must be carried out in such a way that the metal wires are embedded in the ceramic mass so that they do not come into contact with the bone or with the fibromucosa.
The devices for bone surgery, made of the material according to the invention, are mechanically resistant and resist corrosion. They can advantageously replace the metallic devices known to date.
The material described can also be used to manufacture elements other than implants, conventional elements of dentistry such as bridges, prostheses.
But a particularly interesting application of the equipment described is the making of tools serving to prepare the seat of the implants proper, prostheses, plates or angles serving for the reduction of fractures. These tools can be bits, taps, cold chisels, for example. Because it is not uncommon that, when drilling or tapping a bone, tiny parts of the metal of the tool remain fixed in the bone material, causing a phenomenon of rejection harmful for the patient.
Another advantage of using the equipment described is that the age of the patients on whom bone prosthesis fixation operations are performed could be lowered by several years given the absence of biological rejections.
Claims (1)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CH709574A CH586166A5 (en) | 1974-05-24 | 1974-05-24 | Material for surgical prosthesis - comprising metal (oxide) FIBRE REINFORCED CERAMICS |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CH709574A CH586166A5 (en) | 1974-05-24 | 1974-05-24 | Material for surgical prosthesis - comprising metal (oxide) FIBRE REINFORCED CERAMICS |
Publications (1)
Publication Number | Publication Date |
---|---|
CH586166A5 true CH586166A5 (en) | 1977-03-31 |
Family
ID=4319856
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CH709574A CH586166A5 (en) | 1974-05-24 | 1974-05-24 | Material for surgical prosthesis - comprising metal (oxide) FIBRE REINFORCED CERAMICS |
Country Status (1)
Country | Link |
---|---|
CH (1) | CH586166A5 (en) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4304870A (en) * | 1980-02-20 | 1981-12-08 | The United States Of America As Represented By The Secretary Of The Navy | Ablative-resistant dielectric ceramic articles |
US5449647A (en) * | 1994-01-21 | 1995-09-12 | Sandvik Ab | Silicon carbide whisker reinforced cutting tool material |
WO2008106192A2 (en) * | 2007-02-28 | 2008-09-04 | Biomet Manufacturing Corp. | Reinforced medical implants |
CN114366361A (en) * | 2022-01-04 | 2022-04-19 | 北京劲松口腔医院投资管理有限公司 | Preparation process of porcelain tooth |
-
1974
- 1974-05-24 CH CH709574A patent/CH586166A5/en not_active IP Right Cessation
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4304870A (en) * | 1980-02-20 | 1981-12-08 | The United States Of America As Represented By The Secretary Of The Navy | Ablative-resistant dielectric ceramic articles |
US5449647A (en) * | 1994-01-21 | 1995-09-12 | Sandvik Ab | Silicon carbide whisker reinforced cutting tool material |
WO2008106192A2 (en) * | 2007-02-28 | 2008-09-04 | Biomet Manufacturing Corp. | Reinforced medical implants |
WO2008106192A3 (en) * | 2007-02-28 | 2008-12-04 | Biomet Mfg Corp | Reinforced medical implants |
US8043382B2 (en) | 2007-02-28 | 2011-10-25 | Biomet Manufacturing Corp. | Reinforced medical implants |
CN114366361A (en) * | 2022-01-04 | 2022-04-19 | 北京劲松口腔医院投资管理有限公司 | Preparation process of porcelain tooth |
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