DE10353400A1 - Subcutaneous intramuscular bearing for a rigid transcutaneous implant comprises a rigid bushing fixed to an intermediate part of the implant so that a closed annular chamber - Google Patents

Subcutaneous intramuscular bearing for a rigid transcutaneous implant comprises a rigid bushing fixed to an intermediate part of the implant so that a closed annular chamber Download PDF

Info

Publication number
DE10353400A1
DE10353400A1 DE10353400A DE10353400A DE10353400A1 DE 10353400 A1 DE10353400 A1 DE 10353400A1 DE 10353400 A DE10353400 A DE 10353400A DE 10353400 A DE10353400 A DE 10353400A DE 10353400 A1 DE10353400 A1 DE 10353400A1
Authority
DE
Germany
Prior art keywords
implant
bushing
rigid
intermediate piece
bearing according
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.)
Granted
Application number
DE10353400A
Other languages
German (de)
Other versions
DE10353400B4 (en
Inventor
Hans Dr. Grundei
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.)
ORTHODYNAMICS GMBH, DE
Original Assignee
Eska Implants GmbH and Co KG
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
Application filed by Eska Implants GmbH and Co KG filed Critical Eska Implants GmbH and Co KG
Priority to DE10353400A priority Critical patent/DE10353400B4/en
Priority to DE102004008558A priority patent/DE102004008558B4/en
Priority to ES04021422T priority patent/ES2265132T3/en
Priority to AT04021422T priority patent/ATE332679T1/en
Priority to EP04021422A priority patent/EP1529501B1/en
Priority to DE502004000949T priority patent/DE502004000949D1/en
Priority to US10/983,204 priority patent/US7018420B2/en
Publication of DE10353400A1 publication Critical patent/DE10353400A1/en
Application granted granted Critical
Publication of DE10353400B4 publication Critical patent/DE10353400B4/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

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
    • A61F2/4657—Measuring instruments used for implanting artificial 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
    • A61F2/28—Bones
    • A61F2/2814—Bone stump caps
    • 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
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/78—Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
    • 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
    • A61F2/30721—Accessories
    • A61F2/30723—Plugs or restrictors for sealing a cement-receiving space
    • 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
    • A61F2/30721—Accessories
    • A61F2/30742—Bellows or hose-like seals; Sealing membranes
    • 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
    • A61F2/30721—Accessories
    • A61F2/30749—Fixation appliances for connecting prostheses to the body
    • 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
    • A61F2/3094—Designing or manufacturing processes
    • A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4637—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for connecting or disconnecting two parts of a prosthesis
    • 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
    • A61F2002/30004—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
    • A61F2002/30011—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis differing in porosity
    • 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
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/302—Three-dimensional shapes toroidal, e.g. rings
    • 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
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/30224—Three-dimensional shapes cylindrical
    • A61F2002/30235—Three-dimensional shapes cylindrical tubular, e.g. sleeves
    • 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
    • A61F2002/30332—Conically- or frustoconically-shaped protrusion and recess
    • A61F2002/30339—Double cones, i.e. connecting element having two conical connections, one at each of its opposite ends
    • 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
    • A61F2002/30354—Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
    • 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
    • A61F2002/30433—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
    • 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
    • A61F2002/30495—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a locking ring
    • 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
    • A61F2002/30507—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a threaded locking member, e.g. a locking screw or a set screw
    • 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
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/3055—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting length
    • 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
    • A61F2002/30574—Special structural features of bone or joint prostheses not otherwise provided for with an integral complete or partial collar or flange
    • 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
    • A61F2002/30594—Special structural features of bone or joint prostheses not otherwise provided for slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
    • 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
    • A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/30677—Means for introducing or releasing pharmaceutical products, e.g. antibiotics, into the body
    • 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
    • A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/30677—Means for introducing or releasing pharmaceutical products, e.g. antibiotics, into the body
    • A61F2002/3068—Means for introducing or releasing pharmaceutical products, e.g. antibiotics, into the body the pharmaceutical product being in a reservoir
    • 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
    • A61F2/30721—Accessories
    • A61F2/30734—Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
    • A61F2002/30738—Sleeves
    • 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
    • A61F2002/3082—Grooves
    • A61F2002/30822—Circumferential grooves
    • 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
    • A61F2/30907—Nets or sleeves applied to surface of prostheses or in cement
    • A61F2002/30909—Nets
    • 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
    • A61F2002/3093—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth for promoting ingrowth of bone tissue
    • 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
    • A61F2/4657—Measuring instruments used for implanting artificial joints
    • A61F2002/4658—Measuring instruments used for implanting artificial joints for measuring dimensions, e.g. length
    • 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
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/78—Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
    • A61F2002/7887—Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump for connecting limb exoprostheses to the stump bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
    • A—HUMAN NECESSITIES
    • 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
    • A61F2220/0041—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels or rivets, e.g. connecting screws
    • 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
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0065—Three-dimensional shapes toroidal, e.g. ring-shaped, doughnut-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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0069—Three-dimensional shapes cylindrical
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0023—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in porosity
    • A61F2250/0024—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in porosity made from both porous and non-porous parts, e.g. adjacent parts
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0067—Means for introducing or releasing pharmaceutical products into the body
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0067—Means for introducing or releasing pharmaceutical products into the body
    • A61F2250/0068—Means for introducing or releasing pharmaceutical products into the body the pharmaceutical product being in a reservoir

Landscapes

  • Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)

Abstract

Subcutaneous intramuscular bearing for a rigid transcutaneous implant (2) comprises a rigid bushing (5) that is fixed to an intermediate part (3) of the implant so that between the wall of the bushing and the intermediate part a closed annular chamber (6) is formed into which an extracorporeal coupling device is inserted. Subcutaneous intramuscular bearing for a rigid transcutaneous implant (2) comprises a rigid bushing (5) that is fixed to an intermediate part (3) of the implant so that between the wall of the bushing and the intermediate part a closed annular chamber (6) is formed into which an extracorporeal coupling device is inserted. An open-meshed, three-dimensional network structure (8) is arranged on the outer wall of the bushing, leaving a gap in the distal region. A spring ring (9) inserted distally into the annular chamber can be displaced telescopically and can be locked under its spring action. An independent claim is also included for an alternative subcutaneous intramuscular bearing.

Description

Die Erfindung betrifft ein subkutanes, intramuskuläres Lager für ein starres transkutanes Implantat, welches intrakorporal in einem Knochenstumpf verankerbar ist und welches ein Zwischenstück zwischen dem Implantat und einer daran ankoppelbaren extrakorporalen Kopplungseinrichtung aufweist.The The invention relates to a subcutaneous intramuscular bearing for a rigid transcutaneous Implant, which can be anchored intracorporally in a bone stump is and what an intermediate piece between the implant and an extracorporeal coupling to it Coupling device has.

Ein derartiges Lager ist bekannt aus der DE 100 40 590 A1 . Das darin beschriebene Lager besteht aus einem flexiblen Material und es weist eine Tülle auf, die das Implantat distal fest umschließt, sowie eine intrakorporal anzuordnende Überwurfhülse in Form eines flexiblen Faltenbalges, der proximal mit einem angeformten Bund in abdichtender Weise mit der Tülle verbunden ist, derart, dass zwischen der Innenwandung des Faltenbalges und Außenwandung der Tülle ein Hohlraum einer Mindestbreite frei bleibt. Dabei ist distal am Faltenbalg ein flexibles Gitternetzwerk angeordnet, dem sich distalseitig ein weiteres Gitternetzwerk mit einem höheren E-Modul anschließt.Such a bearing is known from the DE 100 40 590 A1 , The bearing described therein consists of a flexible material and it has a spout which surrounds the implant distally, as well as an intracorporally to be arranged cap sleeve in the form of a flexible bellows, which is connected proximally with a molded collar in a sealing manner with the spout, such in that a cavity of a minimum width remains free between the inner wall of the bellows and the outer wall of the spout. In this case, a flexible lattice network is arranged distally on the bellows, which is followed on the distal side by a further lattice network with a higher modulus of elasticity.

Mit diesem Lager wird das Ziel verfolgt, dass sich Weichteile gegenüber dem starren Implantat bewegen können, ohne dass die Durchbruchstelle im Körperstumpfteil einem erhöhten Risiko einer Entzündung ausgesetzt wird.With In this camp, the goal is to make soft tissue over the can move rigid implant, without the breakthrough point in the body stump a heightened risk an inflammation is suspended.

Wenn dieses bekannte Lager auch bereits in der Praxis erfolgreich eingesetzt wird, birgt es das Risiko, dass im Falle beispielsweise einer Reinigung der Durchtrittstelle des Implantates durch den Oberschenkelstumpf mit einer Kanüle durch das flexible Material, in den meisten Fällen Silikon, hindurchgestochen wird und eine Verkeimung stattfindet.If this known bearing also already successfully used in practice If there is a risk that, for example, a cleaning of the Passage point of the implant through the thigh stump with a cannula through the flexible material, in most cases silicone, pierced and a germination takes place.

Vor diesem Hintergrund ist es nun die Aufgabe der vorliegenden Erfindung, ein gattungsgemäßes, subkutanes intramuskuläres Lager der eingangs genannten Art so weiterzubilden, dass die Sicherheit gegen eine Verkeimung der Durchtrittsstelle des Implantates und der angrenzenden Bereiche des Oberschenkelstumpfes deutlich erhöht wird und dass ein versehentliches Entfernen der Keimschranke verhindert wird.In front In this context, it is the object of the present invention, a generic, subcutaneous intramuscular Bearings of the type mentioned in such a way that the security against a contamination of the passage of the implant and the adjacent Areas of the thigh stump is significantly increased and that an accidental Removing the germ barrier is prevented.

Demgemäß wird vorgeschlagen, dass das Lager eine mit dem Zwischenstück fest verbundene starre Buchse derart aufweist, dass zwischen der Wandung der Buchse und dem Zwischenstück ein in Richtung intrakorporal geschlossener Ringraum ausgebildet ist, in den die extrakorporale Kopplungseinrichtung setzbar ist. Auf der Außenwandung der Buchse ist eine offenmaschige, dreidimensionale Raumnetzstruktur vorgesehen, allerdings unter Aussparung im distalen Bereich um eine Breite B, vorzugsweise bis zu 2 cm. Des Weiteren ist ein Federring vorgesehen, der von distal in den Ringraum setzbar, dort teleskopartig verschiebbar und unter Ausübung seiner Federkraft arretierbar ist.Accordingly, it is proposed the bearing has a rigid bushing fixedly connected to the spacer such that between the wall of the socket and the intermediate piece in a direction intracorporeal closed annular space is formed in the Extracorporeal coupling device can be set. On the outer wall The socket is an open-mesh, three-dimensional spatial network structure provided, however, with a recess in the distal area around a Width B, preferably up to 2 cm. Furthermore, a spring ring provided, the settable from distal into the annulus, there telescopic displaceable and under exercise its spring force can be locked.

Gegenüber dem bekannten Lager ist die Buchse vorliegend ein starres Element, das nicht etwa durch Injektionskanülen durchdrungen werden kann. Die auf der Außenwandung der Buchse vorgesehene offenmaschige, dreidimensionale Raumnetzstruktur dient dazu, dass sich Bindegewebe darin einorganisieren kann und so eine Keimsperre ausbildet. Der distale Bereich bleibt dabei von der Raumnetzstruktur ausgespart, um so eine Bewegung des umgebenden Bindegewebes bei Ausgleichbewegungen zu ermöglichen.Compared to the known bearing is the socket in the present case a rigid element, the not by injection needles can be penetrated. The provided on the outer wall of the socket open-meshed, three-dimensional spatial network structure serves to ensure that Connective tissue can organize itself and thus a germ barrier formed. The distal area remains of the spatial network structure left so as to contribute to a movement of the surrounding connective tissue To enable compensation movements.

Der Federring wird beispielsweise mit einer Spannzange zusammengedrückt und in den Ringraum eingesetzt und darin so verschoben, dass die Schicht von Bindegewebe ab dem Ende der Raumnetzstruktur auf der Buchse bis hin zur Haut des Oberschenkelstumpfes überbrückt wird. Die Einstellbarkeit richtet sich nach patientenindividuellen Gegebenheiten.Of the Spring ring is compressed, for example, with a collet and inserted into the annulus and shifted therein so that the layer of connective tissue from the end of the mesh structure on the socket is bridged to the skin of the thigh stump. The adjustability depends on patient-specific circumstances.

Operativ geht man nun so vor, dass nach der Amputation des Oberschenkels zunächst das transkutane Implantat im Knochenstumpf verankert wird und distalseitig mit dem Zwischenstück versehen wird. Daraufhin wird der Oberschenkelstumpf verschlossen, solange, bis das transkutane Implantat im Knochenstumpf verwachsen ist. Sodann, nach etwa 6 bis 8 Wochen, wird der Oberschenkelstumpf mit einer Hautstanze eröffnet und der Federring mittels einer Spannzange so zusammengedrückt, dass er in den Ringraum geführt werden kann.operational If you proceed in such a way that after the amputation of the thigh first the transcutaneous implant is anchored in the bone stump and distally with the intermediate piece is provided. Then the thigh stump is closed, until the transcutaneous implant in the bone stump fused is. Then, after about 6 to 8 weeks, the thigh stump opened with a skin punch and the spring ring by means of a collet so compressed that he led into the annulus can be.

Der Federring ist vorzugsweise ein abgewinkelter Ring mit einem Radialschlitz. Der abgewinkelte Flansch legt sich dann von außen gegen die Haut des Oberschenkelstumpfes. Der Radialschlitz dient zweierlei Zwecken: Zum einen kann der Federring zum Einsetzen in den Ringraum zusammengedrückt werden. Nach Entfernen der Spannzange dehnt sich der Ring im Umfang aus und erzeugt dadurch die für die Arretierung notwendige Federkraft. Darüber hinaus dient der Radialschlitz zum Abfluss bzw. Abführen körpereigener Sekrete.Of the Spring ring is preferably an angled ring with a radial slot. The angled flange then lays against the skin of the thigh stump from the outside. The radial slot serves two purposes: First, the spring ring for Inserting in the annulus be compressed. After removal the collet expands the ring in the circumference and thereby generates the for the Locking necessary spring force. In addition, the radial slot is used to drain or discharge endogenous Secretions.

Die Maschenweiten der dreidimensionalen Raumnetzstruktur auf der Buchse betragen vorzugsweise 50 μm bis 2500 μm. Diese Maschenweiten sind relativ groß, nehmen das sie umgebende Bindegewebe jedoch in hinreichendem Maße auf, damit eine sichere Keimsperre entstehen kann.The Mesh sizes of the three-dimensional spatial network structure on the bushing are preferably 50 microns up to 2500 μm. These mesh sizes are relatively large, taking the surrounding ones However, connective tissue on sufficient extent, so that a safe Germ barrier may arise.

Die Buchse kann durch Aufschrumpfen auf das Zwischenstück fest mit diesem verbunden sein. Alternativ kann sie mit diesem auch verschweißt sein. Es ist auch möglich, dass die Buchse mit dem Zwischenstück einstückig ausgebildet ist. In jedem Falle muss gewähr leistet sein, dass die Verbindung zwischen der Buchse und dem Lager fest und starr ist und den auftretenden Belastungen widerstehen kann.The Socket can be fixed by shrinking onto the intermediate piece be connected to this. Alternatively, it can also be welded to this. It is possible, too, that the bush is formed integrally with the intermediate piece. In each Trap must be guaranteed Be sure that the connection between the bushing and the bearing is firm and is rigid and can withstand the stresses that occur.

Die Erfindung wird anhand eines Ausführungsbeispiels näher erläutert. Hierbei zeigt:The Invention is based on an embodiment explained in more detail. in this connection shows:

1 das subkutane, intramuskuläre Lager, angekoppelt an einem transkutanen Implantat, 1 the subcutaneous intramuscular bearing coupled to a transcutaneous implant,

2 eine Ausführungsform des Federringes, und 2 an embodiment of the spring ring, and

3 schematisch das Zwischenstück des Lagers mit Buchse und Federring. 3 schematically the intermediate piece of the bearing with bushing and spring washer.

Nachfolgend bezeichnen gleich Bezugszeichen gleiche Teile.following like reference characters designate like parts.

Einen ersten Überblick verschafft 1. Ein starres transkutanes Implantat 2 wird in einen Femurstumpf (nicht dargestellt) eingesetzt. Die offenmaschige, dreidimensionale Raumnetzstruktur 28 dient im vorliegenden Fall zum Einorganisieren von Knochenmaterial zur Sekundärfixation des Implantates 2 im Knochen. Es ist distalseitig abgeschlossen durch eine Metallhülse 12, welche den Femurstumpf abschließt. Hierzu trägt die Metallhülse 12 auch eine dreidimensionale, offenmaschige Raumnetzstruktur 28, in welche Knochenmaterial einwachsen soll.Get a first overview 1 , A rigid transcutaneous implant 2 is inserted into a femoral stump (not shown). The open-mesh, three-dimensional spatial network structure 28 serves in the present case for the organization of bone material for secondary fixation of the implant 2 in the bone. It is closed on the distal side by a metal sleeve 12 which completes the femur stump. This is done by the metal sleeve 12 also a three-dimensional, open-meshed spatial network structure 28 into which bone material is to grow.

Im Inneren der Metallhülse 12 ist eine konische Klemmhülse 13 ausgebildet. Diese ist vorgesehen zur Herstellung einer konischen Klemmverbindung mit dem vorliegend als Doppelkonus ausgebildeten Zwischenstück 3. Das Zwischenstück 3 weist einen zylindrischen Mittelabschnitt 11 auf, auf dem die Buchse 5 vorliegende aufgeschrumpft ist. Dem Mittelabschnitt 11 schließt sich distalseitig ein weiterer Konus 14 zur Herstellung einer konischen Verklemmung mit einer konischen Klemmhülse in einem Adapter der extrakorporalen Koppelungseinrichtung (nicht dargestellt) an.Inside the metal sleeve 12 is a conical clamping sleeve 13 educated. This is intended to produce a conical clamping connection with the present designed as a double cone spacer 3 , The intermediate piece 3 has a cylindrical central portion 11 on top of which the socket 5 shrunk. The middle section 11 closes on the distal side another cone 14 for producing a conical jamming with a conical clamping sleeve in an adapter of the extracorporeal coupling device (not shown).

Die Buchse 5 ist so ausgebildet, dass zwischen ihrer Wandung und dem Zwischenstück 3 ein in Richtung intrakorporal oder proximal geschlossener Ringraum 6 ausgebildet ist. In diesen Ringraum 6 wird die extrakorporale Kopplungseinrichtung gesetzt.The socket 5 is designed so that between its wall and the intermediate piece 3 a closed in the direction of intracorporeal or proximal annular space 6 is trained. In this annulus 6 the extracorporeal coupling device is set.

Die Außenseite der Buchse 5 weist im proximalen Bereich eine offenmaschige, dreidimensionale Raumnetzstruktur 8 auf, in welche das nach Implantation die Buchse 5 umgebende Bindegewebe eingranuliert, um so eine Keimsperre auszubilden. Im distalen Bereich der Außenwandung der Buchse 5 befindet sich in einem Bereich der Breite B (3) keine Raumnetzstruktur. Dies gestattet eine Ausgleichsbewegung des umgebenden Bindegewebes, ohne dass es zu Spannungen im Gewebe kommt.The outside of the socket 5 has an open-mesh, three-dimensional spatial network structure in the proximal region 8th in which after implantation the socket 5 surrounding connective tissue to form a germ barrier. In the distal area of the outer wall of the socket 5 is in a range of width B ( 3 ) no spatial network structure. This allows a compensatory movement of the surrounding connective tissue without causing tension in the tissue.

Bei der Implantation wird zunächst das transkutane Implantat 2 in den Femurstumpf mit daran angebrachter Metallhülse 12 implantiert und der Oberschenkelstumpf dann zur Einheilung des Implantates verschlossen. Nach 6 bis 8 Wochen ist genügend Knochenmaterial in die Raumnetzstruktur 28 des Implantates 2 eingewachsen, so dass dieses stabil auch unter Belastungen im Femurstumpf verbleibt. Gleichzeitig ist Bindegewebe in die Raumnetzstruktur 18 an der Außenwandung der Metallhülse 12 eingewachsen, um eine erste Keimsperre auszubilden.During implantation, the transcutaneous implant is first used 2 in the femoral stump with attached metal sleeve 12 implanted and then closed the thigh stump for healing of the implant. To 6 to 8th Weeks is enough bone material in the spatial network structure 28 of the implant 2 ingrown, so that this stable even under stress in the femoral stump remains. At the same time connective tissue is in the spatial network structure 18 on the outer wall of the metal sleeve 12 waxed to form a first germ barrier.

Nach der erwähnten Zeitspanne wird der Oberschenkelstumpf wieder eröffnet und das Zwischenstück 3 mit der Buchse 5 wird in die Öffnung im Femurstumpf geführt und mittels konischer Klemmverbindung zwischen dem Doppelkonus und der Klemmhülse 13 dort arretiert. Ein zusätzliches Sicherungsmittel 17 (hier in Form einer Schraube) dient zur zusätzlichen Sicherung.After the mentioned period of time, the thigh stump is reopened and the intermediate piece 3 with the socket 5 is guided into the opening in the femoral stump and by means of a conical clamping connection between the double cone and the clamping sleeve 13 arrested there. An additional security device 17 (here in the form of a screw) is used for additional protection.

Nach Eröffnung des Oberschenkelstumpfes wird der Federring 9 (2) mittels einer Spannzange zusammengedrückt, wozu der Radialschlitz 10 vorgesehen ist und in den Ringraum 6 eingeführt. Durch teleskopartiges Einführen oder Verschieben des Ringes 9 in den Ringraum kann der patientenindividuelle Abstand zwischen dem distalen Ende der Buchse 5 und der Haut des Oberschenkelstumpfes eingestellt werden. Der abgewinkelte Flansch 19 des Federringes 9 legt sich dann an die Haut des Oberschenkelstumpfes an. Der Schlitz 10 dient dabei zum einen der Möglichkeit, den Federring mit einer Spannzange zusammen zu drücken, um so beim Lösen der Spannzange eine Federkraft zu erzeugen und zum anderen zum Ablauf eines etwaigen körpereigenen Sekretes.After opening the thigh stump, the spring ring 9 ( 2 ) is compressed by means of a collet, including the radial slot 10 is provided and in the annulus 6 introduced. By telescoping insertion or displacement of the ring 9 in the annulus, the patient-individual distance between the distal end of the socket 5 and the skin of the thigh stump. The angled flange 19 of the spring ring 9 then attaches itself to the skin of the thigh stump. The slot 10 serves on the one hand the possibility of pressing the spring ring together with a collet so as to produce a spring force when loosening the collet and on the other to the expiry of any body secretions.

In den Ringraum 6 eingeführt ist vorliegend ein Messbolzen 20, mit dessen Hilfe die erforderliche Länge für die extrakorporale Koppelungseinrichtung ermittelt werden kann.In the annulus 6 In the present case, a measuring bolt is introduced 20 , with the help of which the required length for the extracorporeal coupling device can be determined.

Die Verhältnisse werden vergrößert nochmals aus 3 deutlich. Hier ist isoliert dargestellt das Zwischenstück 3 mit aufgeschrumpfter Buchse 5, so dass sich ein Ringraum 6 zwischen dem Konus 14 und der Buchse 5 ergibt.The conditions are enlarged again 3 clear. Here is shown in isolation the intermediate piece 3 with shrunk-on socket 5 so that is an annulus 6 between the cone 14 and the socket 5 results.

Das Aufschrumpfen der Buchse 5 auf das Zwischenstück 3 gelingt vorliegend besonders gut aufgrund des zylindrischen Mittelabschnittes 11 des Zwischenstückes 3. Deutlich erkennbar ist auch die offenmaschige, dreidimensionale Raumnetzstruktur 8 auf der Außenwandung der Buchse 5, in welche das sie nach Implantation umgebende Bindegewebe einwächst zur Bildung der Keimsperre. Eingezeichnet ist in 3 auch die Breite B, also die Breite des Bereiches, der distalseitig frei von einer Raumnetzstruktur 8 ist. Aus 3 ist auch aufgrund des angedeuteten Pfeils ersichtlich, wie der Klemmring 9 in den Ringraum 6 eingeführt wird. Nach Auffinden der richtigen Einführungstiefe wird dann die Spannzange gelöst und der Federring 9 spreizt sich so, dass er sich gegen die Innenwandung der Buchse 5 legt und in dieser Stellung verharrt.Shrinking the bush 5 on the connecting piece 3 succeeds in the present case particularly well due to the cylindrical center section 11 of the intermediate piece 3 , The open-mesh, three-dimensional spatial network structure is also clearly recognizable 8th on the outer wall of the socket 5 into which the connective tissue surrounding it after implantation grows to form the germ barrier. Is marked in 3 Also, the width B, so the width of the area, the distal side free of a spatial network structure 8th is. Out 3 is also apparent due to the indicated arrow, as the clamping ring 9 in the annulus 6 is introduced. After finding the correct depth of insertion then the collet is released and the spring washer 9 spreads so that it is against the inner wall of the socket 5 puts and stays in this position.

Claims (8)

Subkutanes, intramuskuläres Lager (1) für ein starres transkutanes Implantat (2), welches intrakorporal in einem Knochenstumpf verankerbar ist und welches ein Zwischenstück (3) zwischen dem Implantat (2) und einer daran ankoppelbaren extrakorporalen Kopplungseinrichtung aufweist, gekennzeichnet durch, – eine mit dem Zwischenstück (3) fest verbundene starre Buchse (5) derart, dass zwischen der Wandung der Buchse (5) und dem Zwischenstück (3) ein in Richtung intrakorporal geschlossener Ringraum (6) ausgebildet ist, in den die extrakorporale Kopplungseinrichtung setzbar ist, – eine offenmaschige, dreidimensionale Raumnetzstruktur (8) auf der Außenwandung der Buchse (5) unter Aussparung im distalen Bereich um eine Breite B, und – einen Federring (9), der von distal in den Ringraum (6) setzbar, dort teleskopartig verschiebbar und unter Ausübung seiner Federwirkung arretierbar ist.Subcutaneous, intramuscular bearing ( 1 ) for a rigid transcutaneous implant ( 2 ), which can be anchored intracorporally in a bone stump and which is an intermediate piece ( 3 ) between the implant ( 2 ) and an extracorporeal coupling device which can be coupled thereto, characterized by - one with the intermediate piece ( 3 ) rigidly connected rigid socket ( 5 ) such that between the wall of the socket ( 5 ) and the intermediate piece ( 3 ) an intracorporeally closed annular space ( 6 ) is formed, in which the extracorporeal coupling device is settable, - an open-mesh, three-dimensional spatial network structure ( 8th ) on the outer wall of the bushing ( 5 ) recess in the distal region by a width B, and - a spring washer ( 9 ) from the distal end into the annulus ( 6 ) settable, where it is telescopically displaceable and lockable under exercise of its spring action. Lager nach Anspruch 1, dadurch gekennzeichnet, dass der Federring (9) ein abgewinkelter Ring mit einem Radialschlitz (10) ist.Bearing according to claim 1, characterized in that the spring ring ( 9 ) an angled ring with a radial slot ( 10 ). Lager nach Anspruch 1 oder 2, dadurch gekennzeichnet, dass der raumnetzstrukturfreie Bereich der Buchse (5) eine Breite B von bis zu 2 cm aufweist.Bearing according to claim 1 or 2, characterized in that the space network structure-free region of the bushing ( 5 ) has a width B of up to 2 cm. Lager nach einem der Ansprüche 1–3, dadurch gekennzeichnet, dass die Maschenweiten der Raumnetzstruktur im Bereich 500–2500 μm betragen.Bearing according to one of claims 1-3, characterized that the mesh sizes of the spatial network structure in the range 500-2500 microns. Lager nach einem der Ansprüche 1–4, dadurch gekennzeichnet, dass die Buchse (5) durch Aufschrumpfen auf das Zwischenstück (3) fest mit diesem verbunden ist.Bearing according to one of claims 1-4, characterized in that the bushing ( 5 ) by shrinking on the intermediate piece ( 3 ) is firmly connected to this. Lager nach einem der Ansprüche 1–4, dadurch gekennzeichnet, dass die Buchse (5), mit dem Zwischenstück verschweißt ist.Bearing according to one of claims 1-4, characterized in that the bushing ( 5 ), welded to the intermediate piece. Lager nach einem der Ansprüche 1–4, dadurch gekennzeichnet, dass die Buchse (5) mit dem Zwischenstück (3) einstückig ausgebildet ist.Bearing according to one of claims 1-4, characterized in that the bushing ( 5 ) with the intermediate piece ( 3 ) is integrally formed. Lager nach einem der Ansprüche 1–7, dadurch gekennzeichnet, dass das Zwischenstück (3) ein Doppelkonus mit einem zylindrischen Mittelabschnitt (11) ist, mit welchem die Buchse (5) verbunden ist.Bearing according to one of claims 1-7, characterized in that the intermediate piece ( 3 ) a double cone with a cylindrical central portion ( 11 ) is, with which the socket ( 5 ) connected is.
DE10353400A 2003-11-07 2003-11-07 Subcutaneous, intramuscular bearing for a rigid transcutaneous implant Expired - Fee Related DE10353400B4 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
DE10353400A DE10353400B4 (en) 2003-11-07 2003-11-07 Subcutaneous, intramuscular bearing for a rigid transcutaneous implant
DE102004008558A DE102004008558B4 (en) 2003-11-07 2004-02-18 Subcutaneous, intramuscular bearing for a rigid transcutaneous implant
AT04021422T ATE332679T1 (en) 2003-11-07 2004-09-09 SUBCUTANEOUS, INTRAMUSCULAR BEARING FOR A RIGID TRANSCUTANE IMPLANT
EP04021422A EP1529501B1 (en) 2003-11-07 2004-09-09 Subcutaneous, intra-muscular coupling for a rigid transcutaneous implant
ES04021422T ES2265132T3 (en) 2003-11-07 2004-09-09 SUBCUTANEOUS INTRAMUSCULAR BEARING FOR A RIGID TRANSCUTANEOUS IMPLANT.
DE502004000949T DE502004000949D1 (en) 2003-11-07 2004-09-09 Subcutaneous, intramuscular bearing for a rigid transcutaneous implant
US10/983,204 US7018420B2 (en) 2003-11-07 2004-11-05 Subcutaneous, intramuscular bearing for a rigid transcutaneous implant

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE10353400A DE10353400B4 (en) 2003-11-07 2003-11-07 Subcutaneous, intramuscular bearing for a rigid transcutaneous implant

Publications (2)

Publication Number Publication Date
DE10353400A1 true DE10353400A1 (en) 2005-06-16
DE10353400B4 DE10353400B4 (en) 2006-04-27

Family

ID=34585134

Family Applications (1)

Application Number Title Priority Date Filing Date
DE10353400A Expired - Fee Related DE10353400B4 (en) 2003-11-07 2003-11-07 Subcutaneous, intramuscular bearing for a rigid transcutaneous implant

Country Status (1)

Country Link
DE (1) DE10353400B4 (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1559383A2 (en) 2004-01-30 2005-08-03 ESKA Implants GmbH & Co. Set for constructing a transcutaneous implant
DE102004052409B3 (en) * 2004-10-25 2006-05-18 Eska Implants Gmbh & Co. Subcutaneous, intramuscular bearing for a rigid transcutaneous implant
WO2014063816A1 (en) 2012-10-26 2014-05-01 Otto Bock Healthcare Products Gmbh Percutaneous implant and method for producing such an implant

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10040590A1 (en) * 2000-08-15 2002-03-07 Eska Implants Gmbh & Co Subcutaneous, intramuscular bearing for a rigid transcutaneous implant
DE10230074B3 (en) * 2002-07-01 2004-04-29 Eska Implants Gmbh & Co. Subcutaneous, intramuscular bearing for a rigid transcutaneous implant

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10040590A1 (en) * 2000-08-15 2002-03-07 Eska Implants Gmbh & Co Subcutaneous, intramuscular bearing for a rigid transcutaneous implant
DE10230074B3 (en) * 2002-07-01 2004-04-29 Eska Implants Gmbh & Co. Subcutaneous, intramuscular bearing for a rigid transcutaneous implant

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1559383A2 (en) 2004-01-30 2005-08-03 ESKA Implants GmbH & Co. Set for constructing a transcutaneous implant
DE102004052409B3 (en) * 2004-10-25 2006-05-18 Eska Implants Gmbh & Co. Subcutaneous, intramuscular bearing for a rigid transcutaneous implant
WO2014063816A1 (en) 2012-10-26 2014-05-01 Otto Bock Healthcare Products Gmbh Percutaneous implant and method for producing such an implant
DE102012021003A1 (en) 2012-10-26 2014-06-12 Otto Bock Healthcare Products Gmbh Percutaneous implant and method of making such an implant

Also Published As

Publication number Publication date
DE10353400B4 (en) 2006-04-27

Similar Documents

Publication Publication Date Title
EP1529501B1 (en) Subcutaneous, intra-muscular coupling for a rigid transcutaneous implant
DE10247397B3 (en) Subcutaneous, intramuscular bearing for a rigid transcutaneous implant
EP1309294B1 (en) Subcutaneous, intra-muscular coupling for a rigid transcutaneous implant
EP0792127B1 (en) Joint prosthesis
EP1632198B1 (en) Subcutaneous, intra-muscular coupling for a rigid transcutaneous implant
EP2415422B1 (en) Cylinder for a penis prosthetic with removable guidance
DE19835096A1 (en) Fixing element for repairing bone fractures comprises widening element and longitudinal fixing member located in bores in bone fragments
DE60118818T2 (en) Cement sleeve for a cemented artificial joint shaft and artificial joint with the cement sleeve
DE19931882C1 (en) Transcutaneous bearing for rigid implant for incorporeal anchoring in bone stump, with excorporeal coupling for standard exoprosthesis, comprises flexible material
EP1649834B1 (en) Subcutaneous, intra-muscular coupling for a rigid transcutaneous implant
DE19540919B4 (en) Arrangement for keeping urine flow open through the urethra
EP2468216B1 (en) Implantable prosthesis for replacing human hip or knee joints and the adjoining bone sections
DE60212881T2 (en) BIODEGRADABLE AURICULAR PROSTHESES
EP1378215B1 (en) Subcutaneous, intra-muscular coupling for a rigid transcutaneous implant
EP2535020A1 (en) Rotating joint prosthetic with reinforced bushing
DE10353400B4 (en) Subcutaneous, intramuscular bearing for a rigid transcutaneous implant
DE102008062226A1 (en) Femur fracture caring device, has distal femur nail at its proximal end rigidly couplable to distal end of proximal femur nail that is already provided in femur or hip shaft of hip joint prosthesis
DE3819948C2 (en)
EP0682924B1 (en) Femoral prosthesis
DE8337293U1 (en) Prosthetic adapter for a bone
DE4325714A1 (en) Hip prosthesis
DE4313201A1 (en) Prosthetic socket set
DE3902775A1 (en) Femoral joint prosthesis
EP1827317B1 (en) Subcutaneous intramuscular mounting for a rigid transcutaneous implant
EP0533700A1 (en) Device for extracting helical electrodes which have become embedded in body organs.

Legal Events

Date Code Title Description
OP8 Request for examination as to paragraph 44 patent law
8364 No opposition during term of opposition
8339 Ceased/non-payment of the annual fee
R081 Change of applicant/patentee

Owner name: ORTHODYNAMICS GMBH, DE

Free format text: FORMER OWNER: ESKA IMPLANTS GMBH & CO.KG, 23556 LUEBECK, DE

Effective date: 20110707

R082 Change of representative

Representative=s name: DEHNS, GB

Effective date: 20110707