CN103379879B - 人工髋关节用髋臼杯和轴承以及髋臼杯组件 - Google Patents

人工髋关节用髋臼杯和轴承以及髋臼杯组件 Download PDF

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CN103379879B
CN103379879B CN201180067109.1A CN201180067109A CN103379879B CN 103379879 B CN103379879 B CN 103379879B CN 201180067109 A CN201180067109 A CN 201180067109A CN 103379879 B CN103379879 B CN 103379879B
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acetabular cup
bearing
groove
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hip joint
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CN103379879A (zh
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宣斗勋
金容植
具暻会
河龙灿
李英均
金正盛
慎太珍
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Corentec Co Ltd
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    • AHUMAN NECESSITIES
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    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
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    • AHUMAN NECESSITIES
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    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2002/30362Connections 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
    • A61F2002/30364Rotation about the common longitudinal axis
    • A61F2002/30367Rotation about the common longitudinal axis with additional means for preventing said rotation
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/305Snap connection
    • AHUMAN NECESSITIES
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    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604Special structural features of bone or joint prostheses not otherwise provided for modular
    • A61F2002/30607Kits of prosthetic parts to be assembled in various combinations for forming different prostheses
    • AHUMAN NECESSITIES
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    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
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    • A61F2/32Joints for the hip
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/34Acetabular cups
    • A61F2002/3401Acetabular cups with radial apertures, e.g. radial bores for receiving fixation screws
    • A61F2002/3403Polar aperture

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Abstract

本发明涉及一种人工髋关节用髋臼杯。特别地,本发明涉及一种人工髋关节用髋臼杯组件,包括:髋臼杯,形成有安置槽,在内墙形成有内锥部,形成有连通上述安置槽的突起槽,形成有配置于上述突起槽内部的夹槽;轴承,安置于上述安置槽,在外周面形成有外锥部,形成有插入上述突起槽的突起,上述突起则形成有被夹入上述夹槽的夹入用突出部;本发明不仅能把聚乙烯材质的轴承牢靠地固定在髋臼杯,而且即使把陶瓷材质的轴承嵌入髋臼杯,也因为轴承与髋臼杯的接触面积增加而得以防止陶瓷材质的轴承破裂,髋臼杯则因为没有沿着整个圆周形成槽而得以提高强度。

Description

人工髋关节用髋臼杯和轴承以及髋臼杯组件
技术领域
本发明涉及一种人工髋关节用髋臼杯组件,尤其是,本发明人工髋关节用髋臼杯组件包括:髋臼杯,形成有安置槽、在内墙形成有内锥部、形成有连通上述安置槽的突起槽、形成有配置于上述突起槽内部的夹槽;轴承,安置于上述安置槽、在外周面形成有外锥部、形成有插入上述突起槽的突起、上述突起则形成有被夹入上述夹槽的夹入用突出部。
背景技术
髋关节是一种把人体的大腿骨与骨盆的髋骨之间加以连接的关节,是人类在坐或立时发挥最重要作用的关节。髋关节由于结核之类的疾病原因及外伤等因素而受损时,为了使其痊愈,可以通过外科手术适用髋关节人工插入器械。人工髋关节用装置通常由骨柄(stem)与髋臼杯(acetabularcup)构成。作为一例,骨柄与髋臼杯可以使用对人体无害的钛合金等材料制作。人工髋关节用骨柄插入大腿骨内并固定,上述髋臼杯固定在骨盆的髋臼。在骨柄的端部固定着由陶瓷或金属材料形成的球体,在上述杯内夹入轴承,该轴承具有能够收容上述球体并允许其旋转的对应形状。为了让固定于上述骨柄端部的球体在其内旋转以实现关节运动,上述轴承是内表面凹陷的半球形状,同样地由陶瓷材料或高分子聚乙烯制成。
如前所述,美国注册专利第6610097号揭示了在一个髋臼杯选择性地夹入相异材质的轴承。
为了把陶瓷材质的轴承嵌入髋臼杯而在髋臼杯内侧及轴承的外周面形成锥部。
而且,为了嵌入由聚乙烯材质形成的轴承,在髋臼杯下端形成多个凹窝(recess)并且以配置于凹窝上部地沿着内侧圆周形成圆形凹窝。轴承沿着圆周形成插入凹窝的多个锁定部,并且以插入圆形凹窝并配置于锁定部上部地形成圆形固定构件。
然而,把陶瓷材质的轴承嵌入髋臼杯后使用时,该圆形凹窝使得轴承与髋臼杯之间的接触面积减少而其减少量相当于圆形凹窝截面积,从而使得陶瓷材质的轴承容易破损。
而且,圆形凹窝使得髋臼杯的整体强度变弱。
[现有技术文献]
[专利文献1]美国注册专利第6610097号
发明内容
解决的技术课题
为了解决前述问题,本发明的目的是提供一种人工髋关节用髋臼杯组件,不仅能把聚乙烯材质的轴承牢靠地固定在髋臼杯,而且即使把陶瓷材质的轴承嵌入髋臼杯,也因为轴承与髋臼杯的接触面积增加而得以防止陶瓷材质的轴承破裂,髋臼杯则因为没有沿着整个圆周形成槽而得以提高强度。
解决课题的技术方案
能够达到上述目的的本发明人工髋关节用髋臼杯组件包括:髋臼杯,形成有安置槽、在内墙形成有内锥部、形成有连通上述安置槽的突起槽、形成有配置于上述突起槽内部的夹槽;轴承,安置于上述安置槽、在外周面形成有外锥部、形成有插入上述突起槽的突起、上述突起则形成有被夹入上述夹槽的夹入用突出部。
上述夹入用突出部为了越往下越厚而倾斜地形成,以配置于上述突起的侧部地在上述轴承的外周面形成第一槽,以配置于上述突起的上部地在上述轴承的外周面沿着圆周形成第二槽。
能够达到上述目的的本发明人工髋关节用髋臼杯形成有安置槽,在内墙形成有内锥部,以连通上述安置槽地在半径方向形成突起槽,以配置于上述突起槽内部地沿着上下方向形成夹槽。
能够达到上述目的的本发明的人工髋关节用轴承在外周面形成有外锥部,在外周面以半径方向形成突起,在上述突起沿着上下方向形成夹入用突出部。
有益效果
根据前文说明的本发明人工髋关节用髋臼杯及轴承及髋臼杯组件能够发挥出下列效果。
本发明包括:髋臼杯,形成有安置槽、在内墙形成有内锥部、形成有连通上述安置槽的突起槽、形成有配置于上述突起槽内部的夹槽;轴承,安置于上述安置槽、在外周面形成有外锥部、形成有插入上述突起槽的突起、上述突起则形成有被夹入上述夹槽的夹入用突出部;不仅能把聚乙烯材质的轴承牢靠地固定在髋臼杯,而且即使把陶瓷材质的轴承嵌入髋臼杯,也因为轴承与髋臼杯的接触面积增加而得以防止陶瓷材质的轴承破裂,髋臼杯则因为没有沿着整个圆周形成槽而得以提高强度。
上述夹入用突出部为了越往下越厚而倾斜地形成,由于沿着倾斜面滑动,所以轴承在嵌入髋臼杯时能够轻易地嵌入。
以配置于上述突起的侧部地在上述轴承的外周面形成第一槽,能够防止在髋臼杯加工突起槽时发生的突出部与轴承干涉的现象。
以配置于上述突起的上部地在上述轴承的外周面沿着圆周形成第二槽,能够在加工轴承时减少毛边(burr)。
附图说明
图1是本发明优选实施例的人工髋关节用髋臼杯组件的分解斜视图。
图2是图1所示人工髋关节用髋臼杯的仰视图。
图3是图1所示人工髋关节用髋臼杯组件的结合仰视图。
图4是图1所示人工髋关节用髋臼杯组件的结合剖视图。
图5是本发明优选实施例的人工髋关节用髋臼杯组件的分解斜视图。
图6是图5的人工髋关节用髋臼杯组件的结合剖视图。
具体实施方式
下面借助附图详细说明本发明的一优选实施例。
在此附带一提的是,下面说明的本发明的构成要素中相同于现有技术的构成要素将参考前述现有技术而省略其详细说明。
如图1到图6所示,本实施例的人工髋关节用髋臼杯组件包括:髋臼杯(100),形成有安置槽(140)、在内墙形成有内锥部(101)、形成有连通上述安置槽(140)的突起槽(150)、形成有配置于上述突起槽(150)内部的夹槽(151);轴承(200),安置在上述安置槽(140)、在外周面形成有外锥部(201)、形成有插入上述突起槽(150)的突起(250)、上述突起(250)则形成有被夹入上述夹槽(151)的夹入用突出部(251)。
如图1及图4所示,髋臼杯(100)整体形成为半球形状,髋臼杯(100)的下部则以圆弧形状形成安置槽(140)。
如图2所示,髋臼杯(100)的中心部贯通地形成有连通安置槽(140)的插孔(110)。
髋臼杯(100)的内墙形成有连通插孔(110)的多角形状的手术器械槽(130)。
而且,髋臼杯(100)的内墙形成有围绕手术器械槽(130)的辅助安置槽(131)。
髋臼杯(100)形成有配置于插孔(110)侧部并且允许接骨螺钉(未图示)插入的接骨螺钉紧固孔(120)。
接骨螺钉紧固孔(120)以40度间距隔离配置地形成三个。
髋臼杯(100)的内墙以配置于接骨螺钉紧固孔(120)下部地沿着整个圆周形成内锥部(101)。
如图3所示,髋臼杯(100)以连通安置槽(140)地在半径方向(x)形成突起槽(150)。
突起槽(150)形成多个(例如12个),多个突起槽(150)沿着圆周方向配置。
突起槽(150)形成于髋臼杯(100)的内墙下端。
髋臼杯(100)以配置于突起槽(150)的内部地沿着上下方向(y)形成夹槽(151)。
夹槽(151)配置于突起槽(150)的上部。
髋臼杯(100)的内墙下端形成有配置于突起槽(150)下部的倾斜面(103)。由于该倾斜面(103)的存在而得以在组装髋臼杯(100)与后述的轴承(200)时让轴承(200)沿着倾斜面(103)滑动而得以顺畅地组装。
在髋臼杯(100)的外周面的下部沿着整个圆周形成段差部(104)。
髋臼杯(100)的外周面形成有配置于段差部(104)下部的外侧倾斜面(105)。
轴承(200)形成半球形状并且安置在安置槽(140)。
轴承(200)由聚乙烯(polyethylene)材质形成。
轴承(200)的下部以半球形状形成有允许头部(head)(未图示,安装在骨柄上)插入的头部安置槽(204)。
在轴承(200)的内墙下端形成倒角(chamfer)(205)。
该倒角(205)可以防止上述头部与轴承(200)干涉而得以扩大上述头部的运动范围。
轴承(200)的上部中央形成有插入插孔(110)的第一插入用突起(210)。该第一插入用突起(210)可以防止轴承(200)在组装后对髋臼杯(100)倾斜(Tilting)的现象。
轴承(200)以围绕第一插入用突起(210)地形成有安置于辅助安置槽(131)的第二插入用突起(220)。
轴承(200)的外周面形成有对应于髋臼杯(100)的内锥部(101)的外锥部(201)。
外锥部(201)的外径稍微大于内锥部(101)的内径。
该外锥部(201)与内锥部(101)可以防止组装在髋臼杯(100)的轴承(200)对髋臼杯(100)做出细微运动(微细动作)。
轴承(200)的外周面的下端在半径方向(x)形成突起(250)。
轴承(200)的突起(250)插入髋臼杯(100)的突起槽(150)。
突起(250)以水平截面形状呈圆弧形状地形成,在外侧则沿着上下方向(y)形成夹入用突出部(251)。
轴承(200)的夹入用突出部(251)插入髋臼杯(100)的夹槽(151),越往下其厚度越厚地形成。因此,夹入用突出部(251)的外侧面倾斜地形成。
轴承(200)嵌入髋臼杯(100)时,由于沿着夹入用突出部(251)的倾斜的外侧面滑动而能够轻易地嵌入。
轴承(200)由聚乙烯材质形成,夹入用突出部(251)可以进行弹性变形。因此,把轴承(200)组装到髋臼杯(100)时夹入用突出部(251)收缩,组装完毕后夹入用突出部(251)恢复到原来状态。亦即,轴承(200)通过滑入配合(snap fit)组装到髋臼杯(100)。
以配置于突起(250)侧部地在轴承(200)的外周面形成第一槽(202)。
优选地,第一槽(202)分别形成于突起(250)的两侧。
由于如前所述的第一槽(202)而得以防止在髋臼杯(100)加工突起槽(150)时形成的突出部(102)与轴承(200)干涉的现象。
以配置于突起(250)的上部地在轴承(200)的外周面沿着圆周形成第二槽(203)。
该第二槽(203)能够在加工轴承(200)时减少所发生的毛边(burr)。
另一方面,轴承(300)可以由陶瓷材质制成。
如图5所示,陶瓷材质的轴承(300)在下部形成有安置上述头部的头部安置槽(304)。陶瓷材质的轴承(300)形成半球形状。
轴承(300)的外周面的下部对应于髋臼杯(100)的内锥部(101)地形成外锥部(301)。
该内锥部(101)与外锥部(301)使得轴承(300)无法脱离髋臼杯(100)。
下面说明如前所述地构成的本实施例的髋臼杯(100)与轴承(200、300)的组装过程。
把聚乙烯材质的轴承(200)插入髋臼杯(100)的安置槽(140)时,内锥部(101)与外锥部(201)可以发挥出导引组装方向的导件作用。接着,轴承(200)的第一插入用突起(210)插入髋臼杯(100)的插孔(110)而发挥出导引组装方向的导件作用。接着,夹入用突出部(251)收缩并沿着髋臼杯(100)的倾斜面(103)滑动后被夹入夹槽(151)而复原,与此同时,突起(250)则被夹入突起槽(150)。
由于如前所述的内锥部(101)与外锥部(201)及第一插入用突起(210)与插孔(110)而能够轻易准确地进行组装。
如前所述,突起(250)被夹入突起槽(150)而使得轴承(200)无法相对于髋臼杯(100)地旋转。
而且,由于夹入用突出部(251)被夹入夹槽(151)而使得轴承(200)无法脱离髋臼杯(100)。
而且如图6所示,陶瓷材质的轴承(200)插入髋臼杯(100)的安置槽(140)时,只有内锥部(101)与外锥部(301)部分互相接触。因此,轴承(300)无法脱离髋臼杯(100)。
如前所述,本发明能把聚乙烯材质的轴承(200)牢靠地固定在髋臼杯(100)。而且,即使根据情况而把陶瓷材质的轴承(300)嵌入髋臼杯(100),也能相比于现有轴承与髋臼杯增加轴承(300)与髋臼杯(100)的接触面积而得以防止陶瓷材质的轴承(300)破损。而且,不必为了防止聚乙烯材质的轴承(200)的脱离而沿着髋臼杯(100)的内墙的整个圆周形成槽,从而得以提高髋臼杯(100)的强度。
另一方面,本发明不仅适用于人工髋关节,还能适用于身体的其它人工关节。
前文结合本发明的优选实施例进行了详细说明,在本领域中具有通常知识者可以在不脱离下述权利要求书所记载的本发明思想与领域的范围内进行各种变形及修改。
(主要图形标记的说明)
100:髋臼杯 101:内锥部
102:突出部 110:插孔
120:接骨螺钉紧固孔 130:手术器械槽
140:安置槽 150:突起槽
151:夹槽 200、300:轴承
201、301:外锥部 210:第一插入用突起
220:第二插入用突起 202:第一槽
203:第二槽 204、304:头部安置槽
250:突起 251:夹入用突出部

Claims (4)

1.一种人工髋关节用髋臼杯组件,其特征在于,所述人工髋关节用髋臼杯组件包括:
髋臼杯,所述髋臼杯包括:由内墙限定并被所述内墙环绕的安置槽,其中,沿所述内墙的整个区域形成有内锥部;多个突起槽,形成在所述内墙的下端并且沿径向方向凹入预定深度从而使得所述多个突起槽与所述安置槽连通并且沿着圆周方向设置;以及多个夹槽,形成在所述多个突起槽的内部并且凹入预定深度;以及
轴承,所述轴承包括由聚乙烯材质制成的聚乙烯轴承或由陶瓷材质制成的陶瓷轴承,所述聚乙烯轴承包括具有外锥部的外周面;多个突起,在所述外周面的下部上沿径向方向突出;以及多个夹入用突出部,在每个所述突出的外部伸出,所述陶瓷轴承包括具有外锥部的外周面;
其中,所述多个突起槽沿着所述髋臼杯的圆周方向设置,所述多个突起沿着所述聚乙烯轴承的圆周方向设置,在所述聚乙烯轴承与所述髋臼杯结合时,所述聚乙烯轴承的每个所述突起插入到所述髋臼杯的每个所述突起槽中,并且,所述聚乙烯轴承的每个所述夹入用突出部插入到所述髋臼杯的每个所述夹槽中,所述聚乙烯轴承的所述外锥部与所述髋臼杯的所述内锥部结合,
其中,在所述陶瓷轴承与所述髋臼杯结合时,所述陶瓷轴承的所述外锥部与所述髋臼杯的所述内锥部结合。
2.根据权利要求1所述的人工髋关节用髋臼杯组件,其特征在于,
所述夹入用突出部为了向下逐渐变厚而倾斜地形成。
3.根据权利要求1或2所述的人工髋关节用髋臼杯组件,其特征在于,
所述聚乙烯轴承在其外周面具有多个第一槽,所述多个第一槽配置于所述突起的侧部。
4.根据权利要求1或2所述的人工髋关节用髋臼杯组件,其特征在于,
所述聚乙烯轴承在其外周面具有多个第二槽,所述多个第二槽配置于所述突起的上部。
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