JP2016532534A - 肩補綴組立体 - Google Patents
肩補綴組立体 Download PDFInfo
- Publication number
- JP2016532534A JP2016532534A JP2016547206A JP2016547206A JP2016532534A JP 2016532534 A JP2016532534 A JP 2016532534A JP 2016547206 A JP2016547206 A JP 2016547206A JP 2016547206 A JP2016547206 A JP 2016547206A JP 2016532534 A JP2016532534 A JP 2016532534A
- Authority
- JP
- Japan
- Prior art keywords
- shoulder prosthesis
- prosthesis assembly
- ball
- base portion
- ball head
- 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
Links
- 230000008878 coupling Effects 0.000 claims abstract description 46
- 238000010168 coupling process Methods 0.000 claims abstract description 46
- 238000005859 coupling reaction Methods 0.000 claims abstract description 46
- 230000002093 peripheral effect Effects 0.000 claims abstract description 4
- 230000001788 irregular Effects 0.000 claims description 5
- 230000001154 acute effect Effects 0.000 claims description 2
- 241001653121 Glenoides Species 0.000 description 28
- 210000000988 bone and bone Anatomy 0.000 description 21
- 239000002184 metal Substances 0.000 description 17
- 238000000034 method Methods 0.000 description 14
- 210000002758 humerus Anatomy 0.000 description 10
- 230000008569 process Effects 0.000 description 10
- 210000002659 acromion Anatomy 0.000 description 9
- 230000003993 interaction Effects 0.000 description 8
- 210000000513 rotator cuff Anatomy 0.000 description 8
- 210000001991 scapula Anatomy 0.000 description 7
- 210000004095 humeral head Anatomy 0.000 description 6
- 210000003205 muscle Anatomy 0.000 description 6
- 210000000323 shoulder joint Anatomy 0.000 description 6
- 238000005520 cutting process Methods 0.000 description 5
- 230000007547 defect Effects 0.000 description 5
- 210000000852 deltoid muscle Anatomy 0.000 description 5
- 239000007943 implant Substances 0.000 description 4
- 230000002441 reversible effect Effects 0.000 description 4
- 210000003484 anatomy Anatomy 0.000 description 3
- 238000011882 arthroplasty Methods 0.000 description 3
- 210000000845 cartilage Anatomy 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 239000002639 bone cement Substances 0.000 description 2
- 210000003109 clavicle Anatomy 0.000 description 2
- 238000009826 distribution Methods 0.000 description 2
- 210000003414 extremity Anatomy 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 210000002435 tendon Anatomy 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 241001474791 Proboscis Species 0.000 description 1
- 210000000588 acetabulum Anatomy 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 230000002917 arthritic effect Effects 0.000 description 1
- 206010003246 arthritis Diseases 0.000 description 1
- 210000001188 articular cartilage Anatomy 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 230000002354 daily effect Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000003203 everyday effect Effects 0.000 description 1
- 238000007429 general method Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000005304 joining Methods 0.000 description 1
- 210000001503 joint Anatomy 0.000 description 1
- 210000000281 joint capsule Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 201000008482 osteoarthritis Diseases 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 210000002832 shoulder Anatomy 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
Classifications
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- A61F2002/30028—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 tissue ingrowth capacity, e.g. made from both ingrowth-promoting and ingrowth-preventing parts
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- A61F2002/30108—Shapes
- A61F2002/30199—Three-dimensional shapes
- A61F2002/30224—Three-dimensional shapes cylindrical
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- A61F2002/4018—Heads or epiphyseal parts of humerus
-
- 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
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4018—Heads or epiphyseal parts of humerus
- A61F2002/4022—Heads or epiphyseal parts of humerus having a concave shape, e.g. hemispherical 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
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4029—Necks
-
- 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
- A61F2/4081—Glenoid components, e.g. cups
- A61F2002/4085—Glenoid components, e.g. cups having a convex shape, e.g. hemispherical heads
-
- 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
- A61F2002/4088—Acromial components
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/40—Joints for shoulders
- A61F2002/4096—Coracoid process components
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2230/0093—Umbrella-shaped, e.g. mushroom-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
- A61F2230/0095—Saddle-shaped
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Description
Claims (14)
- 第1関節型結合手段を含む上腕骨ステムおよび第2関節型結合手段を含む実質的にディスク形状のベース部を有し、前記第1関節型結合手段と前記第2関節型結合手段とが、前記上腕骨ステムを前記ベース部に連結する、肩補綴組立体において、
前記ディスク形状のベース部の円周と前記ディスク形状のベース部の周辺厚さのとの比が、少なくとも18:1である肩補綴組立体。 - 前記ベース部の外縁は、多角形形状か、または不規則形状である請求項1に記載の肩補綴組立体。
- 前記ベース部は、少なくとも3個の結合自由度によって前記上腕骨ステムに移動可能に結合され、好ましくは、3個の回転自由度を有する請求項1に記載の肩補綴組立体。
- 前記ベース部は、ボール−アンド−ソケット連結部によって前記上腕骨ステムに移動可能に結合される請求項3に記載の肩補綴組立体。
- 前記ベース部は、ジンバル−マウント結合部によって前記上腕骨ステム部に移動可能に結合される請求項3に記載の肩補綴組立体。
- 前記ベース部は、1つの回転自由度が遮断されているボール−アンド−ソケット連結部を含むインレーによって前記上腕骨ステムに移動可能に結合され、前記インレーは、回転軸を含み、前記ベース部に回転可能に結合される請求項3に記載の肩補綴組立体。
- 前記ボール−アンド−ソケット連結部の前記第2関節型結合手段は、球形関節キャビティまたはソケットを備え、前記球形関節キャビティは、溝を有し、前記ソケットは、チャネルを有し、
前記溝または前記チャネルは、前記インレーの回転軸と前記ボール−アンド−ソケット連結部の回転中心とを連結する仮想線に平行にまたは垂直に配向される請求項4に記載の肩補綴組立体。 - 前記ボール−アンド−ソケット連結部は、球形キャップの形態よりなるボールヘッドを含み、前記上腕骨ステムを前記ボールヘッドと連結する連結インターフェースが前記ボールヘッドのベース上に配置され、前記連結インターフェースは、前記ボールヘッドのベースの中心からオフセットされて位置する請求項4に記載の肩補綴組立体。
- 前記ボールヘッドは、球形セグメントの形態であり、前記ボール−アンド−ソケット連結部のソケットは、前記ボールヘッドの最大直径よりは小さいが、前記ボールヘッドの面の間の距離よりは大きい開口を有する請求項8に記載の肩補綴組立体。
- 前記ベース部は、前記少なくとも3個の結合自由度の回転中心と前記ベース部のベース領域との間の距離が15mm未満になるような寸法を有する請求項3に記載の肩補綴組立体。
- 前記ボールヘッドと前記上腕骨ステムとの間に配置される実質的にZ形状のアダプターを含む請求項3に記載の肩補綴組立体。
- 前記アダプターは、2個のテーパ端部を含み、前記テーパ端部の中心軸は、一方向にオフセットされ、互いに平行に配向されるか、または一方向にオフセットされて互いに鋭角で配向される請求項11に記載の肩補綴組立体。
- 前記ベース部の縁部の少なくとも一部分は、増加された厚さを含む請求項1乃至12のいずれか1項に記載の肩補綴組立体。
- 近位面付きのベース部および円周付きの外縁を含み、前記近位面は、高さまたは深さがある凹面、凸面または円錐面を有し、前記円周対高さの比または円周対深さの比は、少なくとも15:1、好ましくは、20:1より大きい請求項1乃至13のいずれか1項に記載の肩補綴組立体。
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PCT/CH2014/000149 WO2015051476A1 (en) | 2013-10-13 | 2014-10-13 | Shoulder prosthesis assembly |
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2014
- 2014-07-24 NO NO14752547A patent/NO3054896T3/no unknown
- 2014-07-24 EP EP14752547.1A patent/EP3054896B1/en active Active
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- 2014-07-24 ES ES14752547.1T patent/ES2641496T3/es active Active
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- 2014-10-13 WO PCT/CH2014/000149 patent/WO2015051476A1/en active Application Filing
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WO2015051471A1 (en) | 2015-04-16 |
JP6434037B2 (ja) | 2018-12-05 |
PT3054896T (pt) | 2017-10-13 |
EP3054896B1 (en) | 2017-08-23 |
US20160235539A1 (en) | 2016-08-18 |
NO3054896T3 (ja) | 2018-01-20 |
WO2015051476A1 (en) | 2015-04-16 |
EP3054897A1 (en) | 2016-08-17 |
US20160256288A1 (en) | 2016-09-08 |
DK3054896T3 (da) | 2017-11-06 |
ES2641496T3 (es) | 2017-11-10 |
US9925053B2 (en) | 2018-03-27 |
US9999513B2 (en) | 2018-06-19 |
PL3054896T3 (pl) | 2018-02-28 |
EP3054896A1 (en) | 2016-08-17 |
JP6450771B2 (ja) | 2019-01-09 |
JP2016532533A (ja) | 2016-10-20 |
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