JP2018509226A - 人工肩関節のための改良された関節窩アンカー - Google Patents
人工肩関節のための改良された関節窩アンカー Download PDFInfo
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- 241001653121 Glenoides Species 0.000 title claims abstract description 34
- 210000001991 scapula Anatomy 0.000 claims abstract description 11
- 210000000323 shoulder joint Anatomy 0.000 claims description 5
- 210000000988 bone and bone Anatomy 0.000 claims description 4
- 239000000463 material Substances 0.000 claims description 3
- 230000001788 irregular Effects 0.000 claims description 2
- 230000011164 ossification Effects 0.000 claims description 2
- 210000003484 anatomy Anatomy 0.000 description 14
- 210000002758 humerus Anatomy 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 230000035515 penetration Effects 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 239000002184 metal Substances 0.000 description 3
- 229910052751 metal Inorganic materials 0.000 description 3
- 239000004705 High-molecular-weight polyethylene Substances 0.000 description 2
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 239000007769 metal material Substances 0.000 description 2
- 210000000513 rotator cuff Anatomy 0.000 description 2
- 239000010936 titanium Substances 0.000 description 2
- 229910052719 titanium Inorganic materials 0.000 description 2
- 239000004698 Polyethylene Substances 0.000 description 1
- 239000004699 Ultra-high molecular weight polyethylene Substances 0.000 description 1
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- 229910045601 alloy Inorganic materials 0.000 description 1
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- 239000012620 biological material Substances 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 210000004095 humeral head Anatomy 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 210000001503 joint Anatomy 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
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- 238000000926 separation method Methods 0.000 description 1
- 229920002994 synthetic fiber Polymers 0.000 description 1
- 229920000785 ultra high molecular weight polyethylene Polymers 0.000 description 1
Classifications
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- 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
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- 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
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- 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
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- 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
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- 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
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- 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
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- 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
- A61F2002/30362—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 with possibility of relative movement between the protrusion and the recess
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- 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
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- 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
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- 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
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- 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
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- 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
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- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
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- A61F2310/00011—Metals or alloys
- A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
Abstract
Description
−テーパ付きの遠位端と開放近位端をもつ円錐スリーブを有する、内部が中空で実質的に指貫きのようなピンと、
−人工関節コンポーネントの突起エッジをスナップ係合によって受けるための、ピンの空洞内の開放近位端の近傍に形成された環状リセスと、
−ピンに一緒にスナップ係合するための、同一人工関節コンポーネントの対向配置された歯を受けるための、環状溝に近接する少なくとも一対の対向配置された回転防止ノッチと、を備える。
Claims (17)
- 肩甲骨の関節窩に固定されるタイプの人工肩関節である変換可能人工関節のための改良された関節窩アンカーであって、
テーパ付きの遠位端(3)と開放近位端(4)を有し、内部が中空で実質的に指貫きのような円錐スリーブ(12)となった、構造的に独立したピン(2)と、
人工関節コンポーネント(9、9’、9”)の突起(30)のエッジ(34、54)をスナップ係合によって受けるための、前記ピン(2)の前記空洞(13)内に形成された環状リセス(15、55)と、
前記ピン(2)に一緒に係合されるように意図された前記突起(30)の対向配置された歯(18、19)を受けるための、前記環状リセス(15)に近接する少なくとも一対の対向配置された回転防止ノッチ(16、17)と、
を備え、
前記ピン(2)の前記スリーブ(12)の外側表面は、骨形成及び骨結合に有利な、不規則または小柱状の構造を有する、関節窩アンカー。 - 前記ピン(2)の前記内部空洞(13)の表面(7)と前記人工関節コンポーネント(9、9’)の前記突起(30)の前記外側表面(37)とは、機械的干渉によって相互に係合することを特徴とする、請求項1に記載のアンカー。
- 前記人工関節コンポーネント(9、9’)の前記突起(30)は円錐形であり、前記エッジ(34、54)が前記環状リセス(15、55)内部に着座しているときに、前記ピン(2)の前記内部空洞(13)の内側に制御された干渉で挿入されることを特徴とする、請求項1に記載のアンカー。
- スナップ係合により第2の対の歯(28、29)を受けるためのもう一対のノッチ(26、27)を備え、前記ノッチは互いに角度的に離間していることを特徴とする、請求項1に記載のアンカー。
- 前記エッジ(34、35)は、前記環状リセス(15、55)内部でスナップ係合するのに有利であり、その離脱を防止する歯のような外形を有することを特徴とする、請求項1に記載のアンカー。
- 前記環状リセス(15)は、前記開放近位端(4)の近傍に形成されていることを特徴とする、請求項1に記載のアンカー。
- 前記環状リセス(55)は、前記ピン(2)の前記遠位端(3)の近傍の内側に形成されていることを特徴とする、請求項1に記載のアンカー。
- 前記ピン(2)の前記内部空洞(13)の前記表面(7)は、前記ピンの長手方向軸(X−X)に関して所定の角度(β、β1)で傾斜して、前記ピン(2)の前記遠位端(3)に向かって内径が実質的に減少し、他方、前記人工関節コンポーネント(9、9’)の前記突起(30)の前記外側表面(37)は、同じ前記長手方向軸(X−X)に関して、前記所定の角度(β、β1)より少し小さい角度(δ、β2)で傾斜していることを特徴とする、請求項2に記載のアンカー。
- 前記ピン(2)の前記遠位端(3)は前記反転型人工関節の固定ネジを受けるためのネジ溝つき貫通孔(5)を備えていることを特徴とする、請求項1に記載のアンカー。
- 前記人工関節コンポーネント(9、9’、9”)は前記ピン(2)から構造的に独立していることを特徴とする、請求項5に記載のアンカー。
- 前記ピン(2)の前記開放近位端(4)は、前記円錐形内部空洞(13)へのアクセスを可能とする、裾広がりの近位端開口(6)を画定することを特徴とする、請求項1に記載のアンカー。
- 前記ピン(2)の前記空洞(13)の内側で、前記近位端開口(6)に隣接してより小さな直径が設けられ、前記より小さな直径は、前記人工関節コンポーネント(9、9’)の前記突起(30)の表面(33)を支持接触で着座させるためのエッジ又は内部ステップ(14)を画定することを特徴とする、請求項11に記載のアンカー。
- 前記人工関節コンポーネント(9、9’、9”)は前記ピン(2)から構造的に独立しており、かつ異なる材料でできていることを特徴とする、請求項1に記載のアンカー。
- 前記人工関節コンポーネント(9’)は、前記突起(30)の反対に位置し、凸型の関節面(44)を備える反転型人工関節の肩甲骨コンポーネント(42)に係合するように意図された部分(41)を備えることを特徴とする、請求項13に記載のアンカー。
- 前記反転型人工関節の前記肩甲骨コンポーネント(42)は、前記ピン(2)の前記遠位端(3)内に形成されたネジ穴(5)の内部に係合するネジ(45)によって前記人工関節コンポーネント(9’)に結合されることを特徴とする、請求項14に記載のアンカー。
- 前記ネジ(45)は、前記人工関節コンポーネント(9’)の対応する円筒形空洞(43)の中にネジ止めされる、より大きな直径を有する近位部を有することを特徴とする、請求項15に記載のアンカー。
- 請求項1〜請求項16のいずれか一項に記載の少なくとも1つのアンカーと人工関節コンポーネントを備える、変換可能ハイブリッド人工関節を設置するためのパーツキット。
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2021077558A JP7157205B2 (ja) | 2015-03-19 | 2021-04-30 | 人工肩関節のための改良された関節窩アンカー、特に変換可能な人工関節及び関連するパーツキットに関する。 |
JP2022161685A JP2022176356A (ja) | 2015-03-19 | 2022-10-06 | 人工肩関節のための改良された関節窩アンカー |
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ITMI2015A000417 | 2015-03-19 | ||
ITMI20150417 | 2015-03-19 | ||
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US11833055B2 (en) | 2016-02-28 | 2023-12-05 | Integrated Shoulder Collaboration, Inc. | Shoulder arthroplasty implant system |
EP3419534B1 (en) | 2016-02-28 | 2022-11-23 | Integrated Shoulder Collaboration, Inc. | Shoulder arthroplasty implant system |
EP3260087B1 (en) * | 2016-06-24 | 2019-08-07 | Tornier | Set for a glenoid implant |
US10583012B1 (en) | 2018-09-07 | 2020-03-10 | Raphael S. F. Longobardi | Universal shoulder prosthesis system |
EP3937857A4 (en) | 2019-03-11 | 2022-11-02 | Shoulder Innovations, Inc. | SYSTEMS AND PROCEDURES FOR INVERSE TOTAL SHOULDER |
EP3982848A1 (en) | 2019-08-09 | 2022-04-20 | Howmedica Osteonics Corp. | Apparatuses and methods for implanting glenoid prostheses |
CN111667755A (zh) * | 2020-06-30 | 2020-09-15 | 合肥天工标识标牌有限公司 | 一种防滑稳固型移动提示牌 |
IT202100005870A1 (it) * | 2021-03-12 | 2022-09-12 | Limacorporate Spa | Protesi di spalla |
WO2022232517A1 (en) * | 2021-04-29 | 2022-11-03 | Raphael S.F. Longobardi, Llc | Modular glenoid component for use in a universal shoulder prosthesis system |
US20220387178A1 (en) * | 2021-06-07 | 2022-12-08 | Wright Medical Technology, Inc. | Joint replacement prosthesis with trans-cortical stems |
WO2023018485A1 (en) * | 2021-08-12 | 2023-02-16 | Howmedica Osteonics Corp. | Fenestrated bearing glenoid component |
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AU2020233662A1 (en) | 2020-10-15 |
EP3649987A1 (en) | 2020-05-13 |
ES2784377T3 (es) | 2020-09-24 |
EP3936086B1 (en) | 2024-02-14 |
EP3649987B1 (en) | 2021-09-01 |
JP2021118905A (ja) | 2021-08-12 |
US20220151788A1 (en) | 2022-05-19 |
EP3270828B1 (en) | 2019-12-25 |
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