CN101090743B - 具有包括adlc的关节表面层的假关节 - Google Patents

具有包括adlc的关节表面层的假关节 Download PDF

Info

Publication number
CN101090743B
CN101090743B CN2005800449306A CN200580044930A CN101090743B CN 101090743 B CN101090743 B CN 101090743B CN 2005800449306 A CN2005800449306 A CN 2005800449306A CN 200580044930 A CN200580044930 A CN 200580044930A CN 101090743 B CN101090743 B CN 101090743B
Authority
CN
China
Prior art keywords
pseudarthrosis
surface layer
adhesive layer
joint
substrate
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
Application number
CN2005800449306A
Other languages
English (en)
Other versions
CN101090743A (zh
Inventor
B·莱希曼
T·金奇
R·弗里格
A·阿彭策勒
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.)
AO Technology AG
Original Assignee
Synthes AG Chur
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=35998566&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=CN101090743(B) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Synthes AG Chur filed Critical Synthes AG Chur
Publication of CN101090743A publication Critical patent/CN101090743A/zh
Application granted granted Critical
Publication of CN101090743B publication Critical patent/CN101090743B/zh
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

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
    • A61F2/46—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
    • 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
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/30092—Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol
    • 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
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30112—Rounded shapes, e.g. with rounded corners
    • A61F2002/30125—Rounded shapes, e.g. with rounded corners elliptical or oval
    • 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
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30112—Rounded shapes, e.g. with rounded corners
    • A61F2002/30133—Rounded shapes, e.g. with rounded corners kidney-shaped or bean-shaped
    • 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
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30601—Special structural features of bone or joint prostheses not otherwise provided for telescopic
    • 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
    • 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
    • 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
    • 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
    • A61F2/44—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
    • A61F2002/4625—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
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • 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
    • 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
    • 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
    • A61F2230/0008—Rounded shapes, e.g. with rounded corners elliptical or oval
    • 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
    • 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
    • A61F2230/0015—Kidney-shaped, e.g. bean-shaped
    • 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
    • A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • 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
    • A61F2310/00029—Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
    • 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
    • A61F2310/00179—Ceramics or ceramic-like structures
    • 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
    • A61F2310/00389—The prosthesis being coated or covered with a particular material
    • A61F2310/00574—Coating or prosthesis-covering structure made of carbon, e.g. of pyrocarbon
    • A61F2310/0058—Coating made of diamond or of diamond-like carbon DLC
    • 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
    • A61F2310/00389—The prosthesis being coated or covered with a particular material
    • A61F2310/00592—Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
    • A61F2310/0073—Coating or prosthesis-covering structure made of compounds based on metal carbides
    • A61F2310/00748—Coating made of titanium carbide

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Transplantation (AREA)
  • Neurology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Cardiology (AREA)
  • Public Health (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)
  • Portable Nailing Machines And Staplers (AREA)
  • Holders For Sensitive Materials And Originals (AREA)
  • Belt Conveyors (AREA)
  • Automatic Disk Changers (AREA)

Abstract

本发明公开了一种假关节，该假关节具有至少两个构件(2，3)，所述两个构件在基底材料上各有协同工作的关节表面层(10，11)。上述关节表面层的至少其中之一包括无定形金刚石状碳；或者接合到基底材料的粘合层(12，13)上的TiN。假关节提供摩损碎屑数量的减少，并显示增强的干操作性能。

Description

具有包括ADLC的关节表面层的假关节
技术领域
本发明涉及具有至少两个构件的假关节，所述两个构件各具有协同工作的关节表面层，所述关节表面层的至少其中之一含有无定形金刚石状碳(ADLC)。
背景技术
矫形关节假体的关节部件的设计通常是基于球窝式关节。由于关节部件之间的摩擦，所以产生磨损碎屑。曾试图用特别硬涂层减少这些磨损碎屑。然而，这些努力仅部分成功。
像这样的硬涂层在下列技术中众所周知，在所述技术中摩擦和磨损碎屑必须减少，如汽车工业、发电站(涡轮机和发电机设计)或汽车发动机中的阀控制。
从POPE等人申请的US 6398815B1中已知假关节具有由多晶金刚石状碳组成的超硬关节表面。
多晶金刚石的缺点是它在高温下生产，在该高温下各基底的机械整体性不再能得到保证。另外，多晶金刚石的开始表面粗糙，需要最后抛光加工步骤。
从KUMAR等人申请的美国专利US 6447295中已知涂有ADLC的牙齿固定螺钉。KUMAR公开了涂布ADLC防止钛植入体之间的冷焊接。在基本上更有弹性的基底上涂布硬质层具有剥落的危险，即硬质层破坏的危险。KUMAR的涂层不适宜用于关节表面。
在DESPRES III等人申请的美国专利US 2005/0016635中还已知，将ADLC用于膝关节内用假体；然而，ADLC表面明确地作为涂层用来促进组织向内生长或向上生长到该表面上，并且不用于内用关节假体的关节表面。
发明内容
在内用关节假体中的金属在金属上的关节产生磨损碎屑，尤其是铬、钴和钼的小的微粒，上述这些微料将从表面释放出。因此，本发明的目的是提供具有关节表面的假关节，所述关节表面可带来减少这种释放的微粒数的结果。
本发明的另一个目的是提供具有加强的干操作性能的假关节。
本发明的另一些目的是提供一种假关节，所述假关节具有：
-较高的生物相容性；和
-较低的硬质层与基底脱层的危险。
具有按照本发明的ADLC表面层的假关节尤其是在干操作条件下显示极好的性能。摩擦系数也减小，这样得到较小体积的磨损碎屑。
ADLC在150和250℃之间的温度下进行处理。在这些温度下，常用的基底CoCrMo和CoCrMoC不改变它的材料结构，并保持处于完好的状态。由于ADLC及其粘合层真正是逐原子施加，亦即不改变表面构形，所以不需要最后抛光。
在一特定实施例中，上述无定形金刚石状碳是四面体无定形金刚石状碳。这种构造的优点是它是最硬的材料之一。
关节表面层可以通过涂布到金属或陶瓷基底上的涂层形成，上述金属或陶瓷基底优选的是CoCrMo，CoCrMoC，Ti，TAN，TAV，氧化铝或氧化锆。
表面层可以具有厚度是在0.5μm和800μm之间，优选的是在2μm和25μm之间。
在另一个实施例中，在表面层和基底之间设置一粘合层。因为ADLC硬度比基底大得多，所以在它们之间可能产生表面张力。现已发现，表面张力可以通过把粘合层放在基底和表面层(ADLC)之间来减小。粘合层可以是金属或金属合金，尤其是粘合层可以包括铌、硅、钽或金或其它生物相容的金属。
粘合层可以具有厚度是在3nm和40μm之间，优选的是在50nm和9μm之间。
在另一实施例中，表面层可以是多层复合物。这种设计的优点是通过由纯金属制成的几个“更有弹性的”层减小表面张力。多层复合物可以包括下列顺序的单层：(基底)-Ti-TiN-Ti-TiN。
按照本发明的关节可以是内部关节假体的一部分或椎间植入体的一部分，该内部关节假体优选的是用于髋关节、膝关节和肩关节的内部关节假体，该椎间植入体优选的是椎间盘假体。
附图说明
下面将作为例子和参照附图说明本发明的几个实施例，其中：
图1示出按照本发明的假关节的关键功能构件的透视图；
图2示出按照本发明的另一种假关节的关键功能构件的透视图；
图3示出按照本发明所述的另一种假关节的关键功能构件的透视图；
图4示出图3的假关节的横截面图；
图5示出按照本发明的假关节的实施例的部件分解图；和
图6示出图5的实施例的横截面图。
具体实施方式
图1示意性地示出按照本发明的假关节1的关键功能件。假关节1构造为单轴式关节，所述单轴式关节具有旋转轴线4，同时示意性地表示比如铰接式膝关节假体。假关节1主要包括第一构件2和第二构件3，上述第一构件2具有通道7，所述通道7同轴地穿过第一构件2，而上述第二构件3构造为关节轴9。第一和第二构件2、3各具有关节表面层10、11和粘合层12、13，所述粘合层12、13分别在关节表面层10和通道7的周边壁8之间以及关节表面层11与关节轴9的圆筒形表面之间。假关节1在关节轴9处有一凸起的滑动表面29和在通道7的周边壁8处有一凹下的滑动表面30的构造仅允许在第一和第二构件2、3之间相对滑动运动。
图2-4示意性地示出按照本发明的例如表面置换式膝关节假体的另一假关节1的关键功能件。图2-4中的实施例与图1所示的实施例的不同仅是第一构件2的凹下式滑动表面30的各自的平面(图4)和凹面(图5和6)的构造，并且关节9具有圆形横截面，因而第一构件2的凹式滑动表面30的曲率半径大于关节轴9的凸式滑动表面29的半径。第一和第二构件2、3的这种构造允许第一和第二构件2、3相对彼此叠加的滑动和滚动运动。
图5和6示出假关节1取椎间植入体14，尤其是椎间盘假体形式的实施例，所述椎间盘假体包括上接合件15、下接合件16和球窝式关节22，球窝式关节22关节式地连接上述上和下接合件15、16。与球窝式关节22相对，上和下接合件15、16分别包括上终端表面17和下终端表面18，从而上述上终端表面17构造成用于抵靠在顶部接触椎间植入体14的第一椎间体的底板，而上述下终端表面18构造成用于抵靠在底部接触椎间植入体14的第二椎间体的盖板。球窝式关节22是两件式的构件，所述构件具有一球形凸起的关节件23，其凸起的滑动表面29构造成球形帽，同时椎间植入体14的中心轴线19在其顶点处与球形帽相交。在凸起的关节件23的后端25处，设置第一圆柱形部分31，凸起的关节件23通过上述第一圆柱形部分可以装配到下接合件16的中间表面21的相应第一凹槽27中，所述中间表面21布置成与下终端表面18相对。类似的是，凹下的关节件24的后端26包括第二圆柱形部分32，凹下的关节件24通过上述第二圆柱形部分32装配到上接合件15的中间表面20的相应第二凹槽28中，所述中间表面20布置成与上终端表面17相对。
在这个示例性实施例中，第一和第二粘合层12、13是金属的，具有厚度是在3纳米和6微米之间，并通过化学汽相淀积技术固定在相应的凸起和凹下的关节件23、24的各自第一和第二基底33、34处，而第一和第二关节表面10、11具有厚度是在2和30微米之间，并通过等离子体帮助的化学汽相淀积法涂布。
凸起的滑动表面29和凹下的滑动表面30有相同半径，这在球窝式关节22弯曲或伸展时能使凸起的滑动表面29相对于凹下的滑动表面30进行滑动运动。类似的是，当假关节的第一和第二构件2、3绕中心轴线19彼此相对旋转时，中凸和中凹的滑动表面29、30之间可以进行滑动运动。

Claims (8)

1.一种假关节(1)，所述假关节具有至少两个构件(2，3)，所述至少两个构件(2，3)各在基底材料(33，34)上有一协同工作的关节表面层(10，11)，并且其中所述关节表面层(10；11)的至少其中之一包括：
a)无定形金刚石状碳；或
b)粘合层(12，13)上的TiN，所述粘合层结合到基底材料(33，34)上，所述表面层包括由纯金属制成的几层；并且其中，
A)粘合层设置在所述表面层和所述基底之间；
B)所述表面层(10，11)是多层复合物；
C)所述基底是金属基底。
2.按照权利要求1所述的假关节，其中所述无定形金刚石状碳是四面体无定形金刚石状碳。
3.按照权利要求1或2所述的假关节，其中所述关节表面层由涂布到金属或陶瓷基底上的涂层形成，所述基底是CoCrMo、CoCrMoC、Ti、TAN、TAV、氧化铝或氧化锆。
4.按照权利要求1-3其中之一所述的假关节，其中所述表面层是在0.5μm和800μm之间。
5.按照权利要求1所述的假关节，其中所述粘合层是在3nm和40μm之间。
6.按照权利要求1或5所述的假关节，其中所述粘合层包括铌、硅、钽或金或其它生物相容的金属。
7.按照权利要求1所述的假关节，其中所述多层复合物包括下列顺序的单层：基底-Ti-TiN-Ti-TiN。
8.按照权利要求1-7其中之一所述的假关节，其中关节是内关节假体的一部分或椎间植入体的一部分，所述内关节假体用于髋骨、膝盖骨和肩骨，所述椎间植入体是椎间盘假体。
CN2005800449306A 2004-12-28 2005-12-27 具有包括adlc的关节表面层的假关节 Expired - Fee Related CN101090743B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
CH02160/04A CH697330B1 (de) 2004-12-28 2004-12-28 Zwischenwirbelprothese.
CH2160/04 2004-12-28
PCT/CH2005/000777 WO2006069465A1 (en) 2004-12-28 2005-12-27 Prosthetic joint with articulating surface layers comprising adlc

Publications (2)

Publication Number Publication Date
CN101090743A CN101090743A (zh) 2007-12-19
CN101090743B true CN101090743B (zh) 2011-12-14

Family

ID=35998566

Family Applications (3)

Application Number Title Priority Date Filing Date
CN2005800453053A Expired - Fee Related CN101094627B (zh) 2004-12-28 2005-12-27 全椎间盘置换的方法和装置
CN2005800449306A Expired - Fee Related CN101090743B (zh) 2004-12-28 2005-12-27 具有包括adlc的关节表面层的假关节
CN2005800451310A Expired - Fee Related CN101115451B (zh) 2004-12-28 2005-12-27 椎间假体

Family Applications Before (1)

Application Number Title Priority Date Filing Date
CN2005800453053A Expired - Fee Related CN101094627B (zh) 2004-12-28 2005-12-27 全椎间盘置换的方法和装置

Family Applications After (1)

Application Number Title Priority Date Filing Date
CN2005800451310A Expired - Fee Related CN101115451B (zh) 2004-12-28 2005-12-27 椎间假体

Country Status (16)

Country Link
US (3) US20080103597A1 (zh)
EP (3) EP1850809B1 (zh)
JP (3) JP5028273B2 (zh)
KR (3) KR101266678B1 (zh)
CN (3) CN101094627B (zh)
AT (2) ATE475380T1 (zh)
AU (3) AU2005321738A1 (zh)
BR (3) BRPI0516631A (zh)
CA (3) CA2592505A1 (zh)
CH (1) CH697330B1 (zh)
DE (1) DE602005022627D1 (zh)
ES (1) ES2347980T3 (zh)
NZ (1) NZ555458A (zh)
TW (2) TW200724114A (zh)
WO (3) WO2006069464A2 (zh)
ZA (3) ZA200704626B (zh)

Families Citing this family (49)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8603181B2 (en) * 2000-01-30 2013-12-10 Dimicron, Inc Use of Ti and Nb cemented in TiC in prosthetic joints
KR100973034B1 (ko) * 2003-07-22 2010-07-30 신세스 게엠바하 반구형 관절면을 구비한 척추 간 임플란트
US7887589B2 (en) * 2004-11-23 2011-02-15 Glenn Bradley J Minimally invasive spinal disc stabilizer and insertion tool
CH697330B1 (de) 2004-12-28 2008-08-29 Synthes Gmbh Zwischenwirbelprothese.
US8496686B2 (en) * 2005-03-22 2013-07-30 Gmedelaware 2 Llc Minimally invasive spine restoration systems, devices, methods and kits
KR20080064184A (ko) * 2005-10-27 2008-07-08 키네틱 스파인 테크놀로지스 인크. 척추간 임플란트
DE102006053260A1 (de) * 2006-07-20 2008-01-24 Clinical House Europe Gmbh Implantat zur Verankerung von Zahnersatz
DE202006012902U1 (de) * 2006-08-16 2006-10-19 Aesculap Ag & Co. Kg Implantat
US8679181B2 (en) * 2006-08-22 2014-03-25 DePuy Synthes Products, LLC Total disc replacement device
CA2668692C (en) 2006-11-07 2013-06-18 Biomedflex, Llc Medical implants
US8512413B2 (en) 2006-11-07 2013-08-20 Biomedflex, Llc Prosthetic knee joint
US8029574B2 (en) 2006-11-07 2011-10-04 Biomedflex Llc Prosthetic knee joint
US7914580B2 (en) 2006-11-07 2011-03-29 Biomedflex Llc Prosthetic ball-and-socket joint
US7905919B2 (en) 2006-11-07 2011-03-15 Biomedflex Llc Prosthetic joint
US8070823B2 (en) 2006-11-07 2011-12-06 Biomedflex Llc Prosthetic ball-and-socket joint
US9005307B2 (en) 2006-11-07 2015-04-14 Biomedflex, Llc Prosthetic ball-and-socket joint
US8308812B2 (en) 2006-11-07 2012-11-13 Biomedflex, Llc Prosthetic joint assembly and joint member therefor
US20110166671A1 (en) 2006-11-07 2011-07-07 Kellar Franz W Prosthetic joint
US9039768B2 (en) 2006-12-22 2015-05-26 Medos International Sarl Composite vertebral spacers and instrument
WO2008098228A2 (en) 2007-02-09 2008-08-14 Diamicron, Inc. Multi-lobe artificial spine joint
US20090248092A1 (en) * 2008-03-26 2009-10-01 Jonathan Bellas Posterior Intervertebral Disc Inserter and Expansion Techniques
US9220603B2 (en) * 2008-07-02 2015-12-29 Simplify Medical, Inc. Limited motion prosthetic intervertebral disc
WO2010000766A2 (de) * 2008-07-03 2010-01-07 Ceramtec Ag Bandscheibenendoprothese
DE102008051588A1 (de) * 2008-10-14 2010-04-15 Global Medical Consulting Gmbh Bewegliche Bandscheibenprothese
US9526620B2 (en) 2009-03-30 2016-12-27 DePuy Synthes Products, Inc. Zero profile spinal fusion cage
US8287597B1 (en) 2009-04-16 2012-10-16 Nuvasive, Inc. Method and apparatus for performing spine surgery
US8394125B2 (en) * 2009-07-24 2013-03-12 Zyga Technology, Inc. Systems and methods for facet joint treatment
WO2011016989A2 (en) * 2009-08-07 2011-02-10 Ebi, Llc Toroid-shaped spinal disc
US20110035010A1 (en) * 2009-08-07 2011-02-10 Ebi, Llc Toroid-shaped spinal disc
KR101124521B1 (ko) * 2009-11-24 2012-03-16 주식회사 윈터치 터치패드 기능을 구비한 타블렛
US9393129B2 (en) 2009-12-10 2016-07-19 DePuy Synthes Products, Inc. Bellows-like expandable interbody fusion cage
US8500766B2 (en) 2009-12-18 2013-08-06 Colgate-Palmolive Company Oral care implement multiple soft tissue cleaner components
KR101558122B1 (ko) 2009-12-18 2015-10-07 콜게이트-파아므올리브캄파니 복합 연성조직 클리너 부품을 가진 구강 관리기구
EP2558613B1 (en) 2010-04-15 2021-03-24 Synthes GmbH Coating for a cocrmo substrate
US9169551B2 (en) 2010-04-15 2015-10-27 DePuy Synthes Products, Inc. Coating for a CoCrMo substrate
US9047531B2 (en) 2010-05-21 2015-06-02 Hand Held Products, Inc. Interactive user interface for capturing a document in an image signal
KR20130047697A (ko) 2010-06-28 2013-05-08 신세스 게엠바하 코팅된 임플란트
US20120078373A1 (en) 2010-09-23 2012-03-29 Thomas Gamache Stand alone intervertebral fusion device
US11529241B2 (en) 2010-09-23 2022-12-20 DePuy Synthes Products, Inc. Fusion cage with in-line single piece fixation
US20120078372A1 (en) 2010-09-23 2012-03-29 Thomas Gamache Novel implant inserter having a laterally-extending dovetail engagement feature
US9220535B2 (en) * 2010-10-26 2015-12-29 Christian Röbling Process for introducing a stabilizing element into a vertebral column
US9198765B1 (en) 2011-10-31 2015-12-01 Nuvasive, Inc. Expandable spinal fusion implants and related methods
US9271836B2 (en) 2012-03-06 2016-03-01 DePuy Synthes Products, Inc. Nubbed plate
US9445918B1 (en) 2012-10-22 2016-09-20 Nuvasive, Inc. Expandable spinal fusion implants and related instruments and methods
US10182921B2 (en) 2012-11-09 2019-01-22 DePuy Synthes Products, Inc. Interbody device with opening to allow packing graft and other biologics
US9308090B2 (en) 2013-03-11 2016-04-12 DePuy Synthes Products, Inc. Coating for a titanium alloy substrate
CN106901877A (zh) * 2017-04-10 2017-06-30 北京大学人民医院 一种组配式人工椎体
US10940016B2 (en) 2017-07-05 2021-03-09 Medos International Sarl Expandable intervertebral fusion cage
US11452618B2 (en) 2019-09-23 2022-09-27 Dimicron, Inc Spinal artificial disc removal tool

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5688557A (en) * 1995-06-07 1997-11-18 Lemelson; Jerome H. Method of depositing synthetic diamond coatings with intermediates bonding layers
CN1301241A (zh) * 1998-03-19 2001-06-27 生物材料系统有限公司 氮化硅用作医用生物材料的组合物、生产和应用

Family Cites Families (93)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS60116361A (ja) 1983-11-29 1985-06-22 日本特殊陶業株式会社 人工関節
EP0176728B1 (de) * 1984-09-04 1989-07-26 Humboldt-Universität zu Berlin Bandscheibenendoprothese
US6083570A (en) * 1987-03-31 2000-07-04 Lemelson; Jerome H. Synthetic diamond coatings with intermediate amorphous metal bonding layers and methods of applying such coatings
EP0302717A1 (en) * 1987-08-04 1989-02-08 Ion Tech Limited Body implant
JPH02286158A (ja) 1989-04-27 1990-11-26 Ishikawajima Harima Heavy Ind Co Ltd 人工関節
JP2925170B2 (ja) 1989-08-02 1999-07-28 富士通株式会社 網切替システム
US5169597A (en) * 1989-12-21 1992-12-08 Davidson James A Biocompatible low modulus titanium alloy for medical implants
FR2659226B1 (fr) 1990-03-07 1992-05-29 Jbs Sa Prothese pour disques intervertebraux et ses instruments d'implantation.
US5702448A (en) 1990-09-17 1997-12-30 Buechel; Frederick F. Prosthesis with biologically inert wear resistant surface
DE9015697U1 (de) 1990-11-16 1991-06-06 Repenning, Detlev, Dr.rer.nat., 2057 Reinbek Hartstoffbeschichtung für scherkraftbelastete Oberflächen von Implantaten, insbesondere Hüftgelenkkugeln
DE4102509C2 (de) 1991-01-29 1996-06-20 Peter Brehm Kniegelenkendoprothese
JP3007903B2 (ja) * 1991-03-29 2000-02-14 京セラ株式会社 人工椎間板
US5258031A (en) 1992-01-06 1993-11-02 Danek Medical Intervertebral disk arthroplasty
JPH06178787A (ja) 1992-12-14 1994-06-28 Shima Yumiko 関節付椎体スペーサ、椎間腔計測器および椎体スペーサ模型
CN1156255C (zh) 1993-10-01 2004-07-07 美商-艾克罗米德公司 脊椎植入物
JPH07178127A (ja) * 1993-12-22 1995-07-18 Mitsubishi Materials Corp 人工骨
US5391407A (en) 1994-03-18 1995-02-21 Southwest Research Institute Process for forming protective diamond-like carbon coatings on metallic surfaces
US5593719A (en) * 1994-03-29 1997-01-14 Southwest Research Institute Treatments to reduce frictional wear between components made of ultra-high molecular weight polyethylene and metal alloys
US6398815B1 (en) 2000-01-30 2002-06-04 Diamicron, Inc. Prosthetic joint having at least one superhard articulation surface
US7494507B2 (en) * 2000-01-30 2009-02-24 Diamicron, Inc. Articulating diamond-surfaced spinal implants
US6514289B1 (en) * 2000-01-30 2003-02-04 Diamicron, Inc. Diamond articulation surface for use in a prosthetic joint
US20040111159A1 (en) 2000-01-30 2004-06-10 Diamicron, Inc. Modular bearing surfaces in prosthetic joints
CA2197307C (en) 1994-08-12 2005-03-29 Bill J. Pope Prosthetic joint with diamond coated interfaces
US6596225B1 (en) 2000-01-31 2003-07-22 Diamicron, Inc. Methods for manufacturing a diamond prosthetic joint component
US6423419B1 (en) * 1995-07-19 2002-07-23 Teer Coatings Limited Molybdenum-sulphur coatings
US5855996A (en) * 1995-12-12 1999-01-05 General Electric Company Abrasive compact with improved properties
JP3236768B2 (ja) 1995-12-27 2001-12-10 京セラ株式会社 生体補綴部材
US5895428A (en) * 1996-11-01 1999-04-20 Berry; Don Load bearing spinal joint implant
EP1230902A1 (en) * 1996-11-15 2002-08-14 Advanced Bio Surfaces, Inc. Biomaterial system for in situ tissue repair
ATE359071T1 (de) * 1997-05-15 2007-05-15 Univ Washington Zusammensetzung und verfahren zur behandlung der alzheimer'schen krankheit und anderen amyloidosen
DE19903763B4 (de) * 1998-01-23 2005-03-31 Aesculap Ag & Co. Kg Zwischenwirbelimplantat
US6679915B1 (en) * 1998-04-23 2004-01-20 Sdgi Holdings, Inc. Articulating spinal implant
JPH11318960A (ja) * 1998-05-12 1999-11-24 Nissin Electric Co Ltd 人工関節及びその製造方法
US6261322B1 (en) 1998-05-14 2001-07-17 Hayes Medical, Inc. Implant with composite coating
US6086593A (en) 1998-06-30 2000-07-11 Bonutti; Peter M. Method and apparatus for use in operating on a bone
US6099531A (en) 1998-08-20 2000-08-08 Bonutti; Peter M. Changing relationship between bones
JP2000087961A (ja) * 1998-09-18 2000-03-28 Unisia Jecs Corp 軸受構造並びにこれを用いた内燃機関の可変動弁装置
FR2787016B1 (fr) 1998-12-11 2001-03-02 Dimso Sa Prothese de disque intervertebral
FR2787019B1 (fr) 1998-12-11 2001-03-02 Dimso Sa Prothese de disque intervertebral a comportement mecanique ameliore
AU4357600A (en) 1999-04-15 2000-11-02 Nobel Biocare Ab Diamond-like carbon coated dental retaining screws
US6419705B1 (en) 1999-06-23 2002-07-16 Sulzer Spine-Tech Inc. Expandable fusion device and method
JP4192262B2 (ja) * 1999-07-02 2008-12-10 スパイン ソリューションズ インコーポレイテッド 椎間インプラント
JP2001178813A (ja) 1999-12-22 2001-07-03 Miimu:Kk 生体親和性薄膜を持った医療材料
AU2001236578A1 (en) 2000-01-30 2001-08-07 Diamicron, Inc. A diamond articulation surface for use in a prosthetic joint
US6488715B1 (en) 2000-01-30 2002-12-03 Diamicron, Inc. Diamond-surfaced cup for use in a prosthetic joint
JP4560964B2 (ja) * 2000-02-25 2010-10-13 住友電気工業株式会社 非晶質炭素被覆部材
CA2394663A1 (en) 2000-02-28 2001-09-07 Sdgi Holdings, Inc. Articulating spinal implant
US6852126B2 (en) 2000-07-17 2005-02-08 Nuvasive, Inc. Stackable interlocking intervertebral support system
AU2002243270B2 (en) 2000-10-25 2006-03-09 Warsaw Orthopedic, Inc. Vertically expanding intervertebral body fusion device
JP2002204825A (ja) 2000-11-13 2002-07-23 Utec:Kk Ｄｌｃ膜、医療器具、人工臓器及びｄｌｃ膜の成膜方法
US6989032B2 (en) * 2001-07-16 2006-01-24 Spinecore, Inc. Artificial intervertebral disc
US6368351B1 (en) 2001-03-27 2002-04-09 Bradley J. Glenn Intervertebral space implant for use in spinal fusion procedures
US6719794B2 (en) 2001-05-03 2004-04-13 Synthes (U.S.A.) Intervertebral implant for transforaminal posterior lumbar interbody fusion procedure
FR2824261B1 (fr) * 2001-05-04 2004-05-28 Ldr Medical Prothese de disque intervertebral et procede et outils de mise en place
ATE337761T1 (de) 2001-05-15 2006-09-15 Sdgi Holdings Inc Vorrichtungen zum posterior-lateralen-zugang des zwischenwirbelraums
US6740118B2 (en) 2002-01-09 2004-05-25 Sdgi Holdings, Inc. Intervertebral prosthetic joint
US20030195631A1 (en) * 2002-04-12 2003-10-16 Ferree Bret A. Shape-memory spacers for artificial disc replacements
US8388684B2 (en) 2002-05-23 2013-03-05 Pioneer Signal Technology, Inc. Artificial disc device
US6793678B2 (en) 2002-06-27 2004-09-21 Depuy Acromed, Inc. Prosthetic intervertebral motion disc having dampening
BR0313502A (pt) * 2002-08-15 2005-07-12 Justin K Coppes Disco intervertebral
ATE332115T1 (de) * 2002-09-02 2006-07-15 Synthes Gmbh Zwischenwirbelimplantat mit dreiteiligem gelenk
JP2006504492A (ja) 2002-10-31 2006-02-09 スパイナル・コンセプツ・インコーポレーテッド 可動椎間板インプラント
US20040133278A1 (en) 2002-10-31 2004-07-08 Marino James F. Spinal disc implant
US7252684B2 (en) * 2002-11-06 2007-08-07 Southwest Research Institute Ceramic in replacement components
US7192447B2 (en) 2002-12-19 2007-03-20 Synthes (Usa) Intervertebral implant
US20040158254A1 (en) 2003-02-12 2004-08-12 Sdgi Holdings, Inc. Instrument and method for milling a path into bone
US20040186585A1 (en) * 2003-03-21 2004-09-23 Lawrence Feiwell Sphere-on-sphere ankle prosthesis
DE10323363A1 (de) * 2003-05-21 2004-12-09 Ulrich Gmbh & Co. Kg Implantat zum Einsetzen zwischen Wirbelkörper der Wirbelsäule
DE10324108B3 (de) * 2003-05-21 2005-01-27 Aesculap Ag & Co. Kg Wirbelkörperersatzimplantat
CN2659381Y (zh) * 2003-05-26 2004-12-01 沈强 人颈椎鞍状关节
US7270679B2 (en) * 2003-05-30 2007-09-18 Warsaw Orthopedic, Inc. Implants based on engineered metal matrix composite materials having enhanced imaging and wear resistance
DE10330698B4 (de) * 2003-07-08 2005-05-25 Aesculap Ag & Co. Kg Zwischenwirbelimplantat
KR100973034B1 (ko) * 2003-07-22 2010-07-30 신세스 게엠바하 반구형 관절면을 구비한 척추 간 임플란트
CA2542511C (en) * 2003-07-22 2011-07-05 Synthes Gmbh Intervertebral implant with temporary blocking means
DE602004023039D1 (de) * 2003-07-23 2009-10-22 Ebi Llc Spreizbares Zwischenwirbelimplantat
US7621956B2 (en) 2003-07-31 2009-11-24 Globus Medical, Inc. Prosthetic spinal disc replacement
US7153325B2 (en) 2003-08-01 2006-12-26 Ultra-Kinetics, Inc. Prosthetic intervertebral disc and methods for using the same
US20050038516A1 (en) * 2003-08-14 2005-02-17 Mark Spoonamore Intervertebral disk prosthesis and method
US20070198096A1 (en) 2003-09-19 2007-08-23 Wort Christopher J H Prosthetic joint
US7655010B2 (en) * 2003-09-30 2010-02-02 Depuy Spine, Inc. Vertebral fusion device and method for using same
DE20315611U1 (de) 2003-10-08 2003-12-11 Aesculap Ag & Co. Kg Zwischenwirbelimplantat
WO2005055869A2 (en) * 2003-12-02 2005-06-23 Alphatec Manufacturing, Inc. Vertebral body replacement cage assembly
US7137997B2 (en) 2003-12-29 2006-11-21 Globus Medical, Inc. Spinal fusion implant
US7250060B2 (en) * 2004-01-27 2007-07-31 Sdgi Holdings, Inc. Hybrid intervertebral disc system
US7083651B2 (en) * 2004-03-03 2006-08-01 Joint Synergy, Llc Spinal implant
US8070816B2 (en) * 2004-03-29 2011-12-06 3Hbfm, Llc Arthroplasty spinal prosthesis and insertion device
US20050251261A1 (en) * 2004-05-05 2005-11-10 Sdgi Holdings, Inc. Artificial intervertebral disc for lateral insertion
US7470273B2 (en) * 2004-06-25 2008-12-30 Ebi, Llc Tool for intervertebral implant manipulation
JP2008504895A (ja) * 2004-06-29 2008-02-21 スパイン・ウェイブ・インコーポレーテッド 椎間板の欠陥及び損傷を治療する方法
US20060036261A1 (en) 2004-08-13 2006-02-16 Stryker Spine Insertion guide for a spinal implant
US7887589B2 (en) * 2004-11-23 2011-02-15 Glenn Bradley J Minimally invasive spinal disc stabilizer and insertion tool
CH697330B1 (de) 2004-12-28 2008-08-29 Synthes Gmbh Zwischenwirbelprothese.
EP1912595A2 (en) * 2005-08-05 2008-04-23 Whiteside Biomechanics, Inc. Carbon coated ceramic joint arthroplasty

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5688557A (en) * 1995-06-07 1997-11-18 Lemelson; Jerome H. Method of depositing synthetic diamond coatings with intermediates bonding layers
CN1301241A (zh) * 1998-03-19 2001-06-27 生物材料系统有限公司 氮化硅用作医用生物材料的组合物、生产和应用

Also Published As

Publication number Publication date
CN101094627B (zh) 2010-05-12
JP4965459B2 (ja) 2012-07-04
ZA200704626B (en) 2008-09-25
AU2005321740B2 (en) 2010-07-29
JP2008525128A (ja) 2008-07-17
JP5028273B2 (ja) 2012-09-19
BRPI0518730A2 (pt) 2008-12-02
WO2006069464A3 (en) 2006-10-05
JP2008525130A (ja) 2008-07-17
WO2006069465A1 (en) 2006-07-06
US20080103597A1 (en) 2008-05-01
CN101115451B (zh) 2012-02-15
ZA200704652B (en) 2009-02-25
WO2006069464A2 (en) 2006-07-06
AU2005321738A1 (en) 2006-07-06
KR101266678B1 (ko) 2013-05-28
NZ555458A (en) 2010-01-29
ES2347980T3 (es) 2010-11-26
JP2008525131A (ja) 2008-07-17
CA2592421C (en) 2013-07-30
EP1850809A2 (en) 2007-11-07
BRPI0518714A2 (pt) 2008-12-02
CH697330B1 (de) 2008-08-29
ATE475380T1 (de) 2010-08-15
US20080119932A1 (en) 2008-05-22
KR20070098801A (ko) 2007-10-05
EP1853202A1 (en) 2007-11-14
KR20070098825A (ko) 2007-10-05
CN101115451A (zh) 2008-01-30
CA2592414A1 (en) 2006-07-06
JP5411432B2 (ja) 2014-02-12
US10182924B2 (en) 2019-01-22
WO2006069462A1 (en) 2006-07-06
CN101090743A (zh) 2007-12-19
CA2592505A1 (en) 2006-07-06
US20080154383A1 (en) 2008-06-26
EP1833523A1 (en) 2007-09-19
CA2592421A1 (en) 2006-07-06
TW200724113A (en) 2007-07-01
TW200724114A (en) 2007-07-01
BRPI0516631A (pt) 2008-09-16
CN101094627A (zh) 2007-12-26
ATE549042T1 (de) 2012-03-15
AU2005321740A1 (en) 2006-07-06
AU2005321741A1 (en) 2006-07-06
DE602005022627D1 (de) 2010-09-09
EP1850809B1 (en) 2010-07-28
ZA200704653B (en) 2009-09-30
KR101321607B1 (ko) 2013-10-22
KR20070098824A (ko) 2007-10-05
EP1833523B1 (en) 2012-03-14

Similar Documents

Publication Publication Date Title
CN101090743B (zh) 具有包括adlc的关节表面层的假关节
US10271956B2 (en) Spacerless artificial disc replacements
US6827742B2 (en) Bimetal acetabular component construct for hip joint prosthesis
EP1331904B1 (en) Bimetal tibial component construct for knee joint prosthesis
EP1260198B1 (en) Movable joint
US20100228354A1 (en) Hip prosthesis with monoblock ceramic acetabular cup
US20110295381A1 (en) Bimetal acetabular component construct for hip joint prosthesis
US8932663B2 (en) Pyrocarbon coated bone implants
US20090036995A1 (en) Joint space interpositional prosthetic device with internal bearing surfaces
JP2008525131A5 (zh)
WO2002067821A2 (en) Dual-radius glenoid prosthetic component for total shoulder arthroplasty
JP2012519507A (ja) 少なくとも３個の支持部材を有するインプラントシステム
JPH07171174A (ja) 股関節部（ｈｉｐ）置換のための非球状の寛骨臼杯状くぼみ（ａｃｅｔａｂｕｌａｒ ｃｕｐ）
WO1998014140A1 (en) Joint prosthesis
US9060864B1 (en) Joint prosthesis
WO2002007652A1 (en) Bimetal acetabular component construct for hip joint prosthesis
US20230119337A1 (en) Mobile bearing anatomic glenoid
JP2006149699A (ja) 人工関節

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20111214

Termination date: 20141227

EXPY Termination of patent right or utility model