EP3600163A1 - Palier lisse en céramique - Google Patents
Palier lisse en céramiqueInfo
- Publication number
- EP3600163A1 EP3600163A1 EP18713211.3A EP18713211A EP3600163A1 EP 3600163 A1 EP3600163 A1 EP 3600163A1 EP 18713211 A EP18713211 A EP 18713211A EP 3600163 A1 EP3600163 A1 EP 3600163A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- ceramic
- sliding
- sliding partner
- partner
- porous
- 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.)
- Ceased
Links
- 239000000919 ceramic Substances 0.000 title claims abstract description 103
- 239000006260 foam Substances 0.000 claims abstract description 26
- 239000011148 porous material Substances 0.000 claims description 35
- 239000007943 implant Substances 0.000 claims description 29
- 229910010293 ceramic material Inorganic materials 0.000 claims description 20
- MCMNRKCIXSYSNV-UHFFFAOYSA-N Zirconium dioxide Chemical compound O=[Zr]=O MCMNRKCIXSYSNV-UHFFFAOYSA-N 0.000 claims description 16
- RVTZCBVAJQQJTK-UHFFFAOYSA-N oxygen(2-);zirconium(4+) Chemical compound [O-2].[O-2].[Zr+4] RVTZCBVAJQQJTK-UHFFFAOYSA-N 0.000 claims description 13
- 229910001928 zirconium oxide Inorganic materials 0.000 claims description 12
- PNEYBMLMFCGWSK-UHFFFAOYSA-N aluminium oxide Inorganic materials [O-2].[O-2].[O-2].[Al+3].[Al+3] PNEYBMLMFCGWSK-UHFFFAOYSA-N 0.000 claims description 11
- 239000007787 solid Substances 0.000 claims description 11
- 239000002131 composite material Substances 0.000 claims description 7
- 210000001503 joint Anatomy 0.000 claims description 6
- 230000007547 defect Effects 0.000 claims description 3
- 210000004394 hip joint Anatomy 0.000 claims description 3
- 229910052581 Si3N4 Inorganic materials 0.000 claims description 2
- 210000000845 cartilage Anatomy 0.000 claims description 2
- 210000002310 elbow joint Anatomy 0.000 claims description 2
- 210000001145 finger joint Anatomy 0.000 claims description 2
- 210000000629 knee joint Anatomy 0.000 claims description 2
- 229910052575 non-oxide ceramic Inorganic materials 0.000 claims description 2
- 229910052574 oxide ceramic Inorganic materials 0.000 claims description 2
- 210000000323 shoulder joint Anatomy 0.000 claims description 2
- HBMJWWWQQXIZIP-UHFFFAOYSA-N silicon carbide Chemical compound [Si+]#[C-] HBMJWWWQQXIZIP-UHFFFAOYSA-N 0.000 claims description 2
- 229910010271 silicon carbide Inorganic materials 0.000 claims description 2
- HQVNEWCFYHHQES-UHFFFAOYSA-N silicon nitride Chemical compound N12[Si]34N5[Si]62N3[Si]51N64 HQVNEWCFYHHQES-UHFFFAOYSA-N 0.000 claims description 2
- 210000001226 toe joint Anatomy 0.000 claims description 2
- 210000000707 wrist Anatomy 0.000 claims description 2
- 210000003423 ankle Anatomy 0.000 claims 1
- 239000000463 material Substances 0.000 description 27
- 239000000314 lubricant Substances 0.000 description 23
- 238000000034 method Methods 0.000 description 15
- 239000000126 substance Substances 0.000 description 11
- 210000000988 bone and bone Anatomy 0.000 description 7
- 229910052751 metal Inorganic materials 0.000 description 6
- 239000002184 metal Substances 0.000 description 6
- 239000007788 liquid Substances 0.000 description 5
- 239000011159 matrix material Substances 0.000 description 5
- -1 preferably Substances 0.000 description 5
- 239000003381 stabilizer Substances 0.000 description 5
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 4
- 229920002472 Starch Polymers 0.000 description 4
- 238000005299 abrasion Methods 0.000 description 4
- 239000001506 calcium phosphate Substances 0.000 description 4
- 239000013078 crystal Substances 0.000 description 4
- 229910052588 hydroxylapatite Inorganic materials 0.000 description 4
- 150000002739 metals Chemical class 0.000 description 4
- 239000003921 oil Substances 0.000 description 4
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 4
- 239000004033 plastic Substances 0.000 description 4
- 229920003023 plastic Polymers 0.000 description 4
- 239000000843 powder Substances 0.000 description 4
- 239000002002 slurry Substances 0.000 description 4
- 239000008107 starch Substances 0.000 description 4
- 235000019698 starch Nutrition 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 4
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical class [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 4
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 4
- 239000004698 Polyethylene Substances 0.000 description 3
- 239000005084 Strontium aluminate Substances 0.000 description 3
- RKTYLMNFRDHKIL-UHFFFAOYSA-N copper;5,10,15,20-tetraphenylporphyrin-22,24-diide Chemical compound [Cu+2].C1=CC(C(=C2C=CC([N-]2)=C(C=2C=CC=CC=2)C=2C=CC(N=2)=C(C=2C=CC=CC=2)C2=CC=C3[N-]2)C=2C=CC=CC=2)=NC1=C3C1=CC=CC=C1 RKTYLMNFRDHKIL-UHFFFAOYSA-N 0.000 description 3
- 238000005187 foaming Methods 0.000 description 3
- 229910052746 lanthanum Inorganic materials 0.000 description 3
- 238000010883 osseointegration Methods 0.000 description 3
- 229920000573 polyethylene Polymers 0.000 description 3
- 229910052596 spinel Inorganic materials 0.000 description 3
- FNWBQFMGIFLWII-UHFFFAOYSA-N strontium aluminate Chemical compound [O-2].[O-2].[O-2].[O-2].[O-2].[Al+3].[Al+3].[Sr+2].[Sr+2] FNWBQFMGIFLWII-UHFFFAOYSA-N 0.000 description 3
- 239000000725 suspension Substances 0.000 description 3
- 235000019731 tricalcium phosphate Nutrition 0.000 description 3
- 229940078499 tricalcium phosphate Drugs 0.000 description 3
- 229910000391 tricalcium phosphate Inorganic materials 0.000 description 3
- 229910000906 Bronze Inorganic materials 0.000 description 2
- 229910019142 PO4 Inorganic materials 0.000 description 2
- 239000000654 additive Substances 0.000 description 2
- 239000000853 adhesive Substances 0.000 description 2
- 230000001070 adhesive effect Effects 0.000 description 2
- JNDMLEXHDPKVFC-UHFFFAOYSA-N aluminum;oxygen(2-);yttrium(3+) Chemical compound [O-2].[O-2].[O-2].[Al+3].[Y+3] JNDMLEXHDPKVFC-UHFFFAOYSA-N 0.000 description 2
- 239000010974 bronze Substances 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- KUNSUQLRTQLHQQ-UHFFFAOYSA-N copper tin Chemical compound [Cu].[Sn] KUNSUQLRTQLHQQ-UHFFFAOYSA-N 0.000 description 2
- 230000007797 corrosion Effects 0.000 description 2
- 238000005260 corrosion Methods 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 238000009826 distribution Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 229910052587 fluorapatite Inorganic materials 0.000 description 2
- 229940077441 fluorapatite Drugs 0.000 description 2
- 230000002706 hydrostatic effect Effects 0.000 description 2
- 230000008595 infiltration Effects 0.000 description 2
- 238000001764 infiltration Methods 0.000 description 2
- 229910052742 iron Inorganic materials 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 229910044991 metal oxide Inorganic materials 0.000 description 2
- 150000004706 metal oxides Chemical class 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- 229910052961 molybdenite Inorganic materials 0.000 description 2
- CWQXQMHSOZUFJS-UHFFFAOYSA-N molybdenum disulfide Chemical compound S=[Mo]=S CWQXQMHSOZUFJS-UHFFFAOYSA-N 0.000 description 2
- 229910052982 molybdenum disulfide Inorganic materials 0.000 description 2
- 229910052863 mullite Inorganic materials 0.000 description 2
- TWNQGVIAIRXVLR-UHFFFAOYSA-N oxo(oxoalumanyloxy)alumane Chemical compound O=[Al]O[Al]=O TWNQGVIAIRXVLR-UHFFFAOYSA-N 0.000 description 2
- VSIIXMUUUJUKCM-UHFFFAOYSA-D pentacalcium;fluoride;triphosphate Chemical compound [F-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O VSIIXMUUUJUKCM-UHFFFAOYSA-D 0.000 description 2
- 239000004800 polyvinyl chloride Substances 0.000 description 2
- 229910052903 pyrophyllite Inorganic materials 0.000 description 2
- 238000005245 sintering Methods 0.000 description 2
- 239000011029 spinel Substances 0.000 description 2
- 230000000087 stabilizing effect Effects 0.000 description 2
- 229910052712 strontium Inorganic materials 0.000 description 2
- CIOAGBVUUVVLOB-UHFFFAOYSA-N strontium atom Chemical compound [Sr] CIOAGBVUUVVLOB-UHFFFAOYSA-N 0.000 description 2
- 235000012222 talc Nutrition 0.000 description 2
- 229910052623 talc Inorganic materials 0.000 description 2
- 238000003466 welding Methods 0.000 description 2
- 229910019901 yttrium aluminum garnet Inorganic materials 0.000 description 2
- 229910052845 zircon Inorganic materials 0.000 description 2
- 229910018072 Al 2 O 3 Inorganic materials 0.000 description 1
- 229910000838 Al alloy Inorganic materials 0.000 description 1
- 229910052582 BN Inorganic materials 0.000 description 1
- 239000004604 Blowing Agent Substances 0.000 description 1
- PZNSFCLAULLKQX-UHFFFAOYSA-N Boron nitride Chemical compound N#B PZNSFCLAULLKQX-UHFFFAOYSA-N 0.000 description 1
- 229910001369 Brass Inorganic materials 0.000 description 1
- 229910014497 Ca10(PO4)6(OH)2 Inorganic materials 0.000 description 1
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 229910052684 Cerium Inorganic materials 0.000 description 1
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 1
- 229910026161 MgAl2O4 Inorganic materials 0.000 description 1
- 229920005830 Polyurethane Foam Polymers 0.000 description 1
- 229910052777 Praseodymium Inorganic materials 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 229910052771 Terbium Inorganic materials 0.000 description 1
- WGLPBDUCMAPZCE-UHFFFAOYSA-N Trioxochromium Chemical compound O=[Cr](=O)=O WGLPBDUCMAPZCE-UHFFFAOYSA-N 0.000 description 1
- QCWXUUIWCKQGHC-UHFFFAOYSA-N Zirconium Chemical compound [Zr] QCWXUUIWCKQGHC-UHFFFAOYSA-N 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 229910052783 alkali metal Inorganic materials 0.000 description 1
- 150000001340 alkali metals Chemical class 0.000 description 1
- 229910052784 alkaline earth metal Inorganic materials 0.000 description 1
- 150000001342 alkaline earth metals Chemical class 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- DLHONNLASJQAHX-UHFFFAOYSA-N aluminum;potassium;oxygen(2-);silicon(4+) Chemical compound [O-2].[O-2].[O-2].[O-2].[O-2].[O-2].[O-2].[O-2].[Al+3].[Si+4].[Si+4].[Si+4].[K+] DLHONNLASJQAHX-UHFFFAOYSA-N 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 238000004166 bioassay Methods 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 239000010951 brass Substances 0.000 description 1
- 229910052793 cadmium Inorganic materials 0.000 description 1
- BDOSMKKIYDKNTQ-UHFFFAOYSA-N cadmium atom Chemical compound [Cd] BDOSMKKIYDKNTQ-UHFFFAOYSA-N 0.000 description 1
- 235000011010 calcium phosphates Nutrition 0.000 description 1
- 239000001913 cellulose Substances 0.000 description 1
- 229920002678 cellulose Polymers 0.000 description 1
- ZMIGMASIKSOYAM-UHFFFAOYSA-N cerium Chemical compound [Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce][Ce] ZMIGMASIKSOYAM-UHFFFAOYSA-N 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 229910000423 chromium oxide Inorganic materials 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 238000007596 consolidation process Methods 0.000 description 1
- 229910052802 copper Inorganic materials 0.000 description 1
- 239000010949 copper Substances 0.000 description 1
- 238000005520 cutting process Methods 0.000 description 1
- 238000013016 damping Methods 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- KZHJGOXRZJKJNY-UHFFFAOYSA-N dioxosilane;oxo(oxoalumanyloxy)alumane Chemical compound O=[Si]=O.O=[Si]=O.O=[Al]O[Al]=O.O=[Al]O[Al]=O.O=[Al]O[Al]=O KZHJGOXRZJKJNY-UHFFFAOYSA-N 0.000 description 1
- 238000005553 drilling Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003722 extracellular fluid Anatomy 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 239000004088 foaming agent Substances 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 239000008187 granular material Substances 0.000 description 1
- 239000010439 graphite Substances 0.000 description 1
- 229910002804 graphite Inorganic materials 0.000 description 1
- 210000004124 hock Anatomy 0.000 description 1
- 238000010952 in-situ formation Methods 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 238000009413 insulation Methods 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 238000005304 joining Methods 0.000 description 1
- NLYAJNPCOHFWQQ-UHFFFAOYSA-N kaolin Chemical compound O.O.O=[Al]O[Si](=O)O[Si](=O)O[Al]=O NLYAJNPCOHFWQQ-UHFFFAOYSA-N 0.000 description 1
- 229910052622 kaolinite Inorganic materials 0.000 description 1
- 229910052907 leucite Inorganic materials 0.000 description 1
- PAZHGORSDKKUPI-UHFFFAOYSA-N lithium metasilicate Chemical compound [Li+].[Li+].[O-][Si]([O-])=O PAZHGORSDKKUPI-UHFFFAOYSA-N 0.000 description 1
- 238000005461 lubrication Methods 0.000 description 1
- 238000003754 machining Methods 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 238000013017 mechanical damping Methods 0.000 description 1
- QSHDDOUJBYECFT-UHFFFAOYSA-N mercury Chemical compound [Hg] QSHDDOUJBYECFT-UHFFFAOYSA-N 0.000 description 1
- 229910052753 mercury Inorganic materials 0.000 description 1
- 150000001247 metal acetylides Chemical class 0.000 description 1
- 238000001000 micrograph Methods 0.000 description 1
- 150000004767 nitrides Chemical class 0.000 description 1
- 235000015097 nutrients Nutrition 0.000 description 1
- 230000004820 osteoconduction Effects 0.000 description 1
- SIWVEOZUMHYXCS-UHFFFAOYSA-N oxo(oxoyttriooxy)yttrium Chemical compound O=[Y]O[Y]=O SIWVEOZUMHYXCS-UHFFFAOYSA-N 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 210000004197 pelvis Anatomy 0.000 description 1
- 239000011496 polyurethane foam Substances 0.000 description 1
- 229920000915 polyvinyl chloride Polymers 0.000 description 1
- PUDIUYLPXJFUGB-UHFFFAOYSA-N praseodymium atom Chemical compound [Pr] PUDIUYLPXJFUGB-UHFFFAOYSA-N 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 238000004886 process control Methods 0.000 description 1
- 229910001404 rare earth metal oxide Inorganic materials 0.000 description 1
- 238000007670 refining Methods 0.000 description 1
- 230000035807 sensation Effects 0.000 description 1
- 238000009958 sewing Methods 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- 239000011343 solid material Substances 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 239000000454 talc Substances 0.000 description 1
- GZCRRIHWUXGPOV-UHFFFAOYSA-N terbium atom Chemical compound [Tb] GZCRRIHWUXGPOV-UHFFFAOYSA-N 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
- 230000002588 toxic effect Effects 0.000 description 1
- 238000009736 wetting Methods 0.000 description 1
- 229910052726 zirconium Inorganic materials 0.000 description 1
- GFQYVLUOOAAOGM-UHFFFAOYSA-N zirconium(iv) silicate Chemical compound [Zr+4].[O-][Si]([O-])([O-])[O-] GFQYVLUOOAAOGM-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C04—CEMENTS; CONCRETE; ARTIFICIAL STONE; CERAMICS; REFRACTORIES
- C04B—LIME, MAGNESIA; SLAG; CEMENTS; COMPOSITIONS THEREOF, e.g. MORTARS, CONCRETE OR LIKE BUILDING MATERIALS; ARTIFICIAL STONE; CERAMICS; REFRACTORIES; TREATMENT OF NATURAL STONE
- C04B35/00—Shaped ceramic products characterised by their composition; Ceramics compositions; Processing powders of inorganic compounds preparatory to the manufacturing of ceramic products
- C04B35/01—Shaped ceramic products characterised by their composition; Ceramics compositions; Processing powders of inorganic compounds preparatory to the manufacturing of ceramic products based on oxide ceramics
- C04B35/10—Shaped ceramic products characterised by their composition; Ceramics compositions; Processing powders of inorganic compounds preparatory to the manufacturing of ceramic products based on oxide ceramics based on aluminium oxide
- C04B35/107—Refractories by fusion casting
- C04B35/109—Refractories by fusion casting containing zirconium oxide or zircon (ZrSiO4)
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/02—Inorganic materials
- A61L27/10—Ceramics or glasses
-
- 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
-
- 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
-
- 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
- A61F2/32—Joints for the hip
-
- 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
- A61F2/32—Joints for the hip
- A61F2/34—Acetabular cups
-
- 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
- A61F2/38—Joints for elbows or knees
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/40—Joints for shoulders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
-
- A—HUMAN NECESSITIES
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Definitions
- the invention relates to the use of a ceramic porous part as sliding partner A in conjunction with a preferably ceramic sliding partner B, which moves against the sliding partner A.
- the invention preferably relates to the use of the sliding partners in the field of medical technology.
- Sintered bearings are known in the prior art as a form of plain bearings in which the bearing shell is made of a sintered, porous metal.
- the pores are filled with lubricants, such. For example oils. Due to the porosity can be large quantities
- bearings made of sintered metals thus represent at least partially self-lubricating bearings.
- As sintered metals z.
- the porous material of the sliding bearing ensures uniformity
- JP2008150233 discloses a porous sliding partner made of a ceramic material, into the pores of which a lubricating agent or lubricant can be introduced.
- the ceramic material consists of zirconium oxide.
- Durazo-Cardenas et al. show a hydrostatic slide bearing made of a ceramic material prepared by the Starch consolidation (SC) process .
- SC Starch consolidation
- alumina powder is mixed with starch granules and water and poured into the mold.
- the starch swells under water absorption and the mass is thus solidified.
- the starch grains burn and leave pores in the ceramic.
- a higher static stiffness and a higher torsional rigidity could be achieved.
- the hydrostatic pressure is better distributed and hydrodynamic effects can be improved.
- porous structures In general, a variety of methods and methods for making the porous structures are known. These include, for example, slip-based processes in which ceramic porous structures are produced on components or entire porous components by means of a ceramic slurry having organic, structure-determining porosity agents or chemical ingredients.
- the ceramic slip are called suspensions that a liquid medium, a ceramic starting powder and optionally additional additives.
- the prior art plain bearings having a hard-hard mating have excellent abrasion resistance and abrasion resistance.
- noise is generated when the geometry of the journal bearing together with the modulus of elasticity generates and amplifies audible frequencies.
- the object of the present invention was therefore the provision of ceramic plain bearings of at least two sliding partners, which do not have the disadvantages of the prior art and significantly reduces noise, preferably completely
- the invention is achieved by the sliding partner A according to claim 1.
- the sliding partner A is at least partially, preferably completely made of a ceramic foam and has at least one sliding surface, which is at least partially formed from the foamed ceramic. against this sliding surface, a sliding partner B is to move.
- Preferred embodiments are specified in the subclaims.
- the sliding bearing consists of a sliding partner B, which moves against the porous sliding partner A and the sliding partner A. Both sliding partners are made in one embodiment of ceramic.
- the sliding partner B is made of a solid ceramic.
- the sliding partner B is also at least partially porous, preferably also at least partially made of a ceramic foam.
- Foamed ceramic parts for the purposes of the present invention are parts made of ceramic, which consist in part, preferably completely made of a ceramic foam.
- the ceramic foam is made of solid ceramic material which has a significant fraction of pores (usually 20 to 95% by volume) which are isolated
- ceramic refers to inorganic, nonmetallic sintered materials.
- the ceramic is preferably selected from sintered metal oxides, carbides or nitrides.
- Porous means a foamy or spongy, porous material that is pitted, in which pores may contain air. Porous substances are heterogeneous due to the air / liquid contained in the pores. Permeabl refers to a substance permeable to certain substances.
- the plain bearing consists of at least two parts, the sliding partners A and B, which are arranged to be movable relative to each other.
- one of the two sliding partners for example, the sliding partner A stationary and the sliding B can be arranged movably to the sliding partner A.
- the sliding partner B stationary and the sliding partner A are arranged to be movable. In a particular embodiment, both are
- the sliding partner B is at least partially made of a polished, ceramic material, preferably it is at least partially made solid, so that its sliding surface solid, d. H. with a proportion of ⁇ 10% pores, preferably ⁇ 5% pores, more preferably without pores, with respect to the total area, is formed, particularly preferably, the sliding partner is fully solid.
- the sliding partner A is at least partially made of a ceramic foam. Its sliding surface is at least partially disposed in the region consisting of the foamed ceramic. It thus has at least one sliding surface, which consists of a ceramic foam and has a porous surface.
- Full foam part a part which consists of 100% of the volume of ceramic foam. It can be used in medical technology, for example, as a sliding shell, which is in operative connection with a spherical sliding partner B, preferably made of ceramic, with the property as a guide structure for osteoconduction and the
- Ceramic foam serves as the basis for the sliding surface on which the sliding partner B moves. For refining this sliding surface can also be edited.
- the sliding surface is made of ceramic foam.
- 3 D-Structured Part A part that consists of both a porous area and a significant dense ceramic area.
- the porous area usually protrudes more than 1 mm into the part.
- Examples include implants for partial resurfacing, in which the area of the part facing the bone is expansively porous and an area of the part comprises a dense ceramic area.
- 2D-Textured.it Part A part whose surface is partially or completely defined by a thin, near-surface, porous area in its topology. The porous area protrudes about ⁇ 1 mm deep into the part, so that the volume fraction of the dense ceramic is greater than in the 3D-structured part. Examples of this are ceramic
- Monoblock pans in which the pelvis facing the back is open-pored, textured and the hip joint ball side facing at least partially made of the porous ceramic material and optionally partially made of dense, polished material preferably ceramic is formed.
- parts whose cross sections are formed from different structures are possible.
- These structures may include both porous ceramic foam, as well as dense ceramics, wherein the arrangement of the structures through the
- the ceramic sliding bearing whose sliding partner A has a sliding surface which consists at least partially of a ceramic foam, ceramic implants, d. H. both human and veterinary implants for pets, pets and pets, more preferably implants for
- implants which usually have wall thicknesses in the range of 0.3 to 30 mm
- implants for human medical applications are implants for small and large joints, implants in the field of partial resurfacing, as well as components or parts of implant systems.
- Implants for small joints may in particular comprise implants for the finger joints, toe joints, elbow joints, hocks and the wrist and other joints.
- the term includes implants for large joints
- implants for the hip joint, the knee joint and the shoulder joint are implants for the hip joint, the knee joint and the shoulder joint.
- partial resurfacing within the meaning of the present invention fall
- Partial dentures that only compensate for local joint / cartilage defects. Usually these consist of a tribologically optimized, congruent side, which faces the joint space, as well as a side facing the bone, which ensures the anchoring. Partial resurfacing is mainly used for large joints, since less (bone) tissue has to be removed due to the small overall surgical area and, as a result, later revision surgery is significantly facilitated. Ceramic parts of structures according to the invention can also be used as components in implant systems. In this case, the porous area, when it is used facing the bone, favor osseointegration.
- the sliding bearing is used as a technical sliding bearing in a joint, linear, radial, axial and / or Radiaxlager. Because of his
- a lubricant also called lubricant, solid lubricant and / or
- Lubricants are selected in one embodiment from liquids, preferably oils or water or mixtures thereof. In a further embodiment, the
- Lubricant selected from solid lubricant, preferably, graphite, MoS2, hexagonal boron nitride.
- the lubricants are selected from suspensions, preferably copper or MoS2 in oils. The lubricants lower the
- Friction coefficient of the plain bearing The lubricants in the form of liquids or suspensions of liquids and solids can be refilled during articulation.
- sliding bearing materials are used instead of a lubricant or in addition to the lubricant.
- the sliding bearing materials provide lubrication in the case of dry running and therefore have the same function as the lubricant.
- the sliding bearing materials are preferably selected from polytetrafluoroethane (PTFE), polyethylene (PE), polyvinyl chloride (PVC), bronze, brass or aluminum alloys.
- PTFE polytetrafluoroethane
- PE polyethylene
- PVC polyvinyl chloride
- bronze bronze
- brass or aluminum alloys The sliding bearing materials are self-lubricating solids that are not refilled.
- the plastics, such as PE and PVC are applied in a preferred embodiment by plastic infiltration on the articulation surface.
- the lubricant or the sliding bearing materials are brought in an embodiment prior to assembly in the bearing gap and / or in the, preferably open, porosity.
- the lubricant is supplied during operation, i. preferably conveys pressure and / or capillary forces from outside to inside.
- the lubricant is supplied in another embodiment by hydrodynamic pressure and / or distributed.
- the lubricant corresponds to the surrounding medium, such as oil, water and / or body fluids, such as in the case of
- the connection to other non-ceramic materials or materials is also possible or improved.
- This makes it possible to bond structures of the invention, for example, by plastic infiltration or bonding to other materials. It can ceramic and non-ceramic structures are connected, wherein a solid preferably permanent connection with the non-ceramic material is possible through the porous portion of the ceramic structure.
- This can be a cohesive connection of two parts. This cohesive connection can be generated exclusively by a thermal process. It can also be produced by an additional material such as an adhesive. It is also possible to connect two parts by a combination of thermal process and additional material.
- the macrostructure of the porous region of the sliding partner A is dominated by the pores, the pore size of the porous region of the part being at least 1 nm, preferably 10 ⁇ m, particularly preferably 50 ⁇ m and particularly preferably 100 ⁇ m.
- the maximum size of the pores is 1 mm, preferably 700 ⁇ .
- the pore sizes are determined by means of microscope images with a resolution of at least 0.2 pixels / ⁇ and preferably with a resolution in the range of 0.2 to 1 pixel / ⁇ by software-based marking and then calculating the equivalent diameter. By suitable choice of pore size, the biological, in particular the osseointegrative properties can be significantly improved.
- the pores are spherical and / or elongated and / or irregularly shaped.
- the pores are monomodal in a further embodiment multimodal.
- the pores are distributed homogeneously over the entire sliding partner.
- the pores are graded and / or hierarchically distributed, i. there are local or over the entire part extending gradients.
- the porous region furthermore preferably has a porosity of 20 to 95%, preferably 55 to 85%.
- the optional existing dense or massive area has a residual porosity of max. 10%, preferably at most 5%, particularly preferably no residual porosity, on.
- the porosity is preferably present as predominantly open porosity, which forms an interconnecting pore network, wherein at least 60%, particularly preferably at least 85% of the porosity represent open porosities. Due to the interconnecting pore network with the above-mentioned pore sizes, the course of osseointegration is made possible even beyond the near-surface, cut pores into deeper pores.
- the ingrowth can be up to depths of more than 0.5 mm up to 5 mm. At the same time, the deeper ingrowth can produce a mechanical Gearing of implant and surrounding tissue or bone can be achieved by undercut pores.
- the open porosity allows a nutrient supply through
- the modulus of elasticity of the ceramic foam is approximately ⁇ 15%, preferably ⁇ 10%, of the modulus of elasticity of the ceramic solid material.
- the ceramic material for the sliding partner A according to the invention and / or the sliding bearing can be made of known and commercially available (ceramic) materials.
- ceramic plain bearing As an implant, the choice of materials of both sliding partners on the assumption that the ceramic material is biocompatible and preferably higher strengths, a lower corrosion behavior and lower ion release rates in the body than calcium phosphates such.
- the optionally present at least two regions of the ceramic part may consist of the same or a different ceramic material.
- Preferred ceramic materials including the starting powders for producing the inventive sliding partner A and / or B, are oxide-ceramic materials, for example based on aluminum oxide or zirconium oxide, or non-oxide ceramic materials, based for example on silicon nitride or silicon carbide.
- oxide-ceramic materials for example based on aluminum oxide or zirconium oxide
- non-oxide ceramic materials based for example on silicon nitride or silicon carbide.
- the basic requirement for the material when used as an implant is its biocompatibility, ie it must not cause negative reactions in the body. In the specific case is for the product the biological assessment z. B. according to DIN EN ISO 10993 (as of 2010-04) to meet.
- the ceramic material is a material of the mixed oxide system Al 2 O 3 -ZrO 2, in particular ZTA ceramics (Zirconia Toughned Alumina), or ceramic composites in which zirconium oxide represents the volume-dominating phase, these systems still having chemical properties depending on the dominating phase
- Stabilizers or dispersoids are added in the form of other metal oxides or mixed oxides.
- alumina is the volume dominating phase.
- a ceramic material consisting of 60 to 98% by volume of an aluminum oxide / chromium oxide mixed crystal as matrix material containing 0.8 to 32.9% by volume of one or more further mixed crystals selected from mixed crystals according to one of the general formulas LaO, 9AI1 1, 76-xCrx019, Me1AI1 1 -xCrx017, Me2AI12-xCrx019,
- Zirconia consists of more than 10 to 15 mol.% Of one or more of the oxides of cerium, praseodymium and terbium and / or 0.2 to 3.5 mol.% Of yttrium oxide as stabilizing oxides, based on the mixture of zirconium dioxide and stabilizing oxides may contain.
- dispersed zirconium oxide and optionally further additives or phases wherein the alumina content is at least 65% by volume and the zirconium oxide content is from 10 to 35% by volume, the zirconium oxide, based on the total zirconium oxide content, being from 80 to 99%, preferably from 90 to 99 %, in the tetragonal phase and wherein the stabilization of the tetragonal phase of the zirconium oxide is predominantly not chemically but mechanically, the total content of chemical
- Stabilizers ⁇ 0.2 mol%, preferably no chemical stabilizers are used.
- This material preferably contains a further dispersoid phase, the volume fraction of the dispersoids forming the dispersoid phase being up to 10% by volume, preferably 2 to 8% by volume, particularly preferably 3 to 6% by volume.
- dispersoids according to the invention basically all substances can be used which are chemically stable and during the preparation of the
- dispersoids suitable according to the invention are strontium aluminate (SrAl12019) or lanthanum aluminate (LaAl1 1018).
- Ceramic composites in which zirconium oxide is the volume dominating phase is a ceramic material, zirconia ceramic matrix and at least one secondary phase dispersed therein, the zirconia matrix occupying at least 51% by volume of the composite and the Secondary phase represents a proportion of 1 to 49 vol .-% of the composite material, wherein the zirconium oxide, based on the total zirconium oxide content of 90 to 99%, preferably 95 to 99% in the tetragonal phase is present, and wherein as chemical stabilizers Y203, Ce02, Gd203, Sm203 and / or Er203 are included, wherein the total content of chemical stabilizers ⁇ 12 mol% based on the Zirkonoxidgehalt and wherein the secondary phase is selected from one or more of the following compounds: Strontiumhexaaluminataluminat
- the mean particle size (D50) of the ceramic starting powder can be determined by
- Laser diffraction can be determined and is according to the invention preferably in the range of 0.01 to 50 ⁇ , more preferably in the range of 0.1 to 5 ⁇ .
- the grain size in the sintered microstructure in a similar range of 0.01 to 50 ⁇ or particularly preferably in the range 0.1 to 5 ⁇ , in the structure determined by means of line-cut method according to DIN EN ISO 13383-1 (2016-1 1).
- the ceramic part according to the invention consists in one embodiment at least of a porous region and optionally a dense region, wherein the porous region consisting of a ceramic foam, preferably a density in the range of 0.5 to 2.5 g / cm 3 , especially preferably 0.8 to 1, 8 g / cm 3 .
- the strength of the porous portion of the member is preferably in the range of 5 to 300 MPa, more preferably in the range of 20 to 150 MPa.
- the thermal conductivity of the ceramic part is preferably ⁇ 10 W / Km and thus lies in a similar range as the thermal conductivity of the natural tissue. As a result, an altered cold / hot sensation is reduced by the use of an implant for the user or patient, preferably completely prevented.
- This material behavior of a part of the invention allows machining methods z. Drilling, nailing, screwing, rasping, cutting. This makes it possible to fix a part according to the invention by means of fastening means such as screws, nails, pins, etc. These fasteners can be in the area passing through the porous
- Ceramic foam is formed, are introduced without the part undergoes damage that affects the use. This has the consequence that the part of the invention when used as an implant, in particular the porous area of the ceramic foam, promotes not only the ingrowth of the natural tissue, but also before and during the operation for
- Fixation contributes, d. H. a connection with the body or other implant material is possible.
- the ceramic part of the present invention or its porous region is preferably screwable, d. H. screws can be inserted, nailable, d. H. the hammering or pressing of nails is made possible and drivable, d. H. it can be introduced holes, whereby more positive and / or non-positive connections (eg., By pins), and sewing are possible.
- the mentioned fixing means may have a diameter of up to 5 mm, preferably up to 3 mm.
- the ceramic part or its porous area, which does not include the sliding surface. are also adhesive and can be welded (Bone Welding®).
- the porosity of the part according to the invention or of its porous region is advantageous, since the implant can be infiltrated with the process material (> 0.5 mm deep) and then mechanically beyond a chemical bond For example, it is toothed connected to this. As a result, too
- connections to other materials such as non-ceramic materials such as plastics and metals possible.
- the different joining methods of the different ones Materials may be performed within applications, such as during use during operation or detached therefrom, beforehand in fabricating a component or part of a system.
- the ceramic-specific wetting behavior is improved because the pores lead to a rough surface.
- the porous sliding partner has a lower rigidity due to the porosity. This can be done a mechanical damping.
- the plain bearing has a lower density and is therefore suitable for use in lightweight applications
- the permeable, (open) pore structure reduces the adhesion force between both sliding partners.
- the bearings Due to the porosity, the bearings have the ability, with and without
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- Animal Behavior & Ethology (AREA)
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- Transplantation (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
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Abstract
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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DE102017205173 | 2017-03-28 | ||
PCT/EP2018/057327 WO2018177890A1 (fr) | 2017-03-28 | 2018-03-22 | Palier lisse en céramique |
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EP3600163A1 true EP3600163A1 (fr) | 2020-02-05 |
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EP18713211.3A Ceased EP3600163A1 (fr) | 2017-03-28 | 2018-03-22 | Palier lisse en céramique |
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US (1) | US20200061238A1 (fr) |
EP (1) | EP3600163A1 (fr) |
CN (1) | CN110461276B (fr) |
WO (1) | WO2018177890A1 (fr) |
Family Cites Families (22)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DD272603B3 (de) * | 1988-05-30 | 1993-04-01 | Eska Medical Gmbh & Co | Verschleissarmer gleitpartner fuer ein keramisches gelenkendoprothesenteil sowie verfahren zur herstellung desselben |
JPH0668330B2 (ja) * | 1989-03-29 | 1994-08-31 | 昭和電工株式会社 | 摺動部材およびその製造方法 |
US6105235A (en) * | 1994-04-28 | 2000-08-22 | Johnson & Johnson Professional, Inc. | Ceramic/metallic articulation component and prosthesis |
US5509388A (en) * | 1994-12-30 | 1996-04-23 | Robert W. Burnett | Internal combustion rotary engine |
JPH11141552A (ja) * | 1997-11-06 | 1999-05-25 | Isuzu Ceramics Res Inst Co Ltd | 多孔質セラミック製ベアリング |
JP3877912B2 (ja) * | 1999-05-25 | 2007-02-07 | 株式会社荏原製作所 | 放電励起エキシマレーザ装置 |
US20040199260A1 (en) * | 2000-01-30 | 2004-10-07 | Pope Bill J. | Prosthetic joint component having at least one sintered polycrystalline diamond compact articulation surface and substrate surface topographical features in said polycrystalline diamond compact |
RU2203636C2 (ru) * | 2001-07-03 | 2003-05-10 | Зум Инвестмент Лимитед Инк. | Керамический эндопротез сустава |
US7772146B2 (en) * | 2003-08-25 | 2010-08-10 | Mcgowan Kenneth A | Artificial bone and joint compositions |
DE102006037067B4 (de) * | 2006-08-08 | 2011-06-16 | Metoxit Ag | Verfahren zum Herstellen eines Implantats mit einer porösen, keramischen Oberflächenschicht |
JP2008150233A (ja) | 2006-12-15 | 2008-07-03 | Citizen Fine Tech Co Ltd | 多孔質摺動体及びその製造方法 |
CN101391891B (zh) * | 2007-09-19 | 2012-05-30 | 深圳市商德电子有限公司 | 自带石墨润滑粉氧化锆陶瓷及滑动轴承 |
JP2009204034A (ja) * | 2008-02-27 | 2009-09-10 | Ishigaki Co Ltd | 滑り軸受ユニット及びこの滑り軸受ユニットを用いた先行待機型ポンプ |
DE102008047009B4 (de) * | 2008-07-11 | 2020-08-06 | Mathys Ag Bettlach | Gelenkpfanne mit physiologischer Lastübertragung |
CN101947149B (zh) * | 2010-10-08 | 2013-01-02 | 李亚东 | 多层壳芯复合结构件组成的人工髋关节 |
DE102011005424A1 (de) * | 2010-10-29 | 2012-05-03 | Mathys Ag Bettlach | Keramik-Endoprothese mit keramischer Beschichtung und Verfahren zu dessen Herstellung |
DE102010051433A1 (de) * | 2010-11-15 | 2012-05-16 | Mathys Ag Bettlach | Bandscheibenprothese |
WO2012068239A1 (fr) * | 2010-11-17 | 2012-05-24 | Zimmer, Inc. | Implants monoblocs en céramique à surfaces de fixation ostéo-intégrées |
DE102013224011A1 (de) * | 2012-11-26 | 2014-05-28 | Ceramtec Gmbh | Endoprothetisches Bauteil |
CN102973335B (zh) * | 2012-12-24 | 2015-01-21 | 刘昌星 | 一种新型人工髋关节及其制造方法 |
CN203388964U (zh) * | 2013-06-13 | 2014-01-15 | 重庆润泽医药有限公司 | 一种医学骨置换植入的人体髋关节 |
CN106470644A (zh) * | 2014-07-09 | 2017-03-01 | 陶瓷技术有限责任公司 | 带有多孔的内侧面的全陶瓷的表面代替假体 |
-
2018
- 2018-03-22 EP EP18713211.3A patent/EP3600163A1/fr not_active Ceased
- 2018-03-22 WO PCT/EP2018/057327 patent/WO2018177890A1/fr unknown
- 2018-03-22 US US16/498,552 patent/US20200061238A1/en not_active Abandoned
- 2018-03-22 CN CN201880022149.6A patent/CN110461276B/zh active Active
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WO2018177890A1 (fr) | 2018-10-04 |
US20200061238A1 (en) | 2020-02-27 |
CN110461276B (zh) | 2022-07-29 |
CN110461276A (zh) | 2019-11-15 |
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