JP4676511B2 - 補強突出部を有する寛骨臼用リング状補綴具 - Google Patents
補強突出部を有する寛骨臼用リング状補綴具 Download PDFInfo
- Publication number
- JP4676511B2 JP4676511B2 JP2008131009A JP2008131009A JP4676511B2 JP 4676511 B2 JP4676511 B2 JP 4676511B2 JP 2008131009 A JP2008131009 A JP 2008131009A JP 2008131009 A JP2008131009 A JP 2008131009A JP 4676511 B2 JP4676511 B2 JP 4676511B2
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- Prior art keywords
- cup
- shaped member
- prosthesis
- shaped
- openings
- 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.)
- Expired - Fee Related
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- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7097—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
- A61B17/7098—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants wherein the implant is permeable or has openings, e.g. fenestrated screw
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- A—HUMAN NECESSITIES
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
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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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- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4609—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of acetabular cups
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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
- 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
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- 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
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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
- A61F2/02—Prostheses implantable into the body
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- 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
- A61F2220/005—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
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)
- Materials For Medical Uses (AREA)
Description
図1は、本発明に係る器具の第1実施態様の概略上面図である。
図2は、本発明に係る器具の第1実施態様の、骨セメントを使用した後であってプラスチックのライナーを受け入れる前における別の上面図である。
図3は、本発明に係る器具の第1実施態様のセメント接合部におけるプラスチックボリマーのライナーを示す概略斜視図である。
図4は、本発明に係る器具の第1実施態様のセメント接合部における同ライナーを示す別の斜視図である。
図5は、本発明に係る器具の第1実施態様のカップ状本体を示す側面図である。
図6は、本発明に係る器具の第1実施態様のカップ状本体を示す底面斜視図である。
図7は、本発明に係る器具の第1実施態様のカップ状本体を示す別の側面図である。
図8は、本発明に係る器具の第1実施態様の底面図である。
図9は、本発明に係る器具の第1実施態様の上面図である。
図10は、本発明に係る器具の第1実施態様の正面図である。
図11は、本発明に係る器具の第1実施態様の背面図である。
図12は、本発明に係る器具の第2実施態様の上面斜視図である。
図13は、本発明に係る器具の第2実施態様の上面図である。
図14は、本発明に係る器具の第2実施態様の底面図である。
図15は、本発明に係る器具の第2実施態様の上面斜視図である。
図16は、本発明に係る器具の第2実施態様の側面図である。
図17は、本発明に係る器具の第2実施態様の別の側面図である
図18は、本発明に係る器具の第2実施態様の端面図である。
図19は、本発明に係る器具の第2実施態様の別の端面図である。
図13〜図19には、カップ状本体51のリム52から延出している3つのフランジ53,54,55が示されている。フランジ53は上位フランジである。フランジ54は後部フランジである。フランジ55は下位フランジである。
部材リスト
部材番号 説 明
10 骨盤帯
10 寛骨臼用補綴具
10A カップ状本体
11 プラスチックのライナー
12A 凸面
12B 凹面
13 環状リム
13A リム面
14 フランジ
15 逆湾曲面
16 フランジの端部
17 フランジの端部
18 外側端部
19 外側端部
20 フランジの下面
21 フランジの周縁
22 突出部
23 湾曲状外面
24 湾曲状内面
25 平坦面
26 扇形の長孔
27 開口
28 環状ボス
29 開口
30 開口
50 寛骨臼用補綴具
51 カップ状本体
51A 凹面
51B 凸面
52 環状リム
53 上位フランジ
54 後部フランジ
55 下位フランジ
56 開口
57 開口
58 開口
59 扇形の長孔
60 開口
61 環状ボス
62 開口
63 角
64 軸
65 壁
66 壁の端部
67 壁の端部
68 壁の頂部
Claims (21)
- a)凹状内面及び凸状外面を有するカップ状部材と、
b)カップ状部材の頂点と、カップ状部材の周縁の周りに延出しかつリム面を規定する部分を有するリムと、
c)カップ状部材に対して一部の距離だけかつカップ状部材の凸面における前記リムから環状に湾曲して延出し、下面と、カップ状部材の前記凹状内面の方向から見たときに前記リム面に対してある角度を形成するフランジ面と、このフランジ面に下降する端面とを有する湾曲フランジ部と、
d)フランジ部の下面に取り付けられかつフランジ部から延出し、その延出した部分が湾曲フランジ部の前記端面にほぼ追従するように湾曲されている突出部と
を備えてなる寛骨臼用カップ状補綴具。 - フランジ部及び突出部がそれぞれ、カップ状部材に対して一定範囲の角度で延出している請求項1に記載の寛骨臼用カップ状補綴具。
- フランジ部及び突出部がそれぞれ、カップ状部材に対して所定の角度で延出している請求項1に記載の寛骨臼用カップ状補綴具。
- フランジ部が、カップ状部材の凸状外面に対して逆向きにすなわち凹状に湾曲した逆湾曲部を形成している請求項1に記載の寛骨臼用カップ状補綴具。
- フランジ面とリム面とが、一定範囲の角度を形成している請求項1に記載の寛骨臼用カップ状補綴具。
- カップ状部材を貫通する少なくとも1つの開口をさらに備えている請求項1に記載の寛骨臼用カップ状補綴具。
- カップ状部材を貫通して延出する複数の開口をさらに備えている請求項1に記載の寛骨臼用カップ状補綴具。
- カップ状部材を貫通する少なくとも1つの開口と、その開口においてカップ状部材を患者の骨組織に固着するための骨ねじとをさらに備えている請求項1に記載の寛骨臼用カップ状補綴具。
- カップ状部材を貫通して延出する複数の開口と、その開口の1つにおいてカップ状部材を患者の骨組織に固着するための骨ねじと、骨セメントの受入部でありかつ骨セメントをカップ状部材の凹状内面と凸状外面との間へ送るためのいくつかの開口とをさらに備えている請求項1に記載の寛骨臼用カップ状補綴具。
- 前記リム面に対する前記フランジ面の前記角度が、時計回り方向の鋭角または反時計回り方向の鈍角である請求項1に記載の寛骨臼用カップ状補綴具。
- 前記カップ状部材が、薄いカップ状壁をさらに有し、このカップ状壁が2mmの厚さを有している請求項1に記載の寛骨臼用カップ状補綴具。
- 骨ねじをさらに備え、カップ状壁が、その骨ねじを受け入れる開口を有している請求項11に記載の寛骨臼用カップ状補綴具。
- 骨ねじ用開口を取り囲む環状リブをさらに備えている請求項12に記載の寛骨臼用カップ状補綴具。
- カップ状部材の凸面に、骨ねじ用開口を取り囲む環状リブをさらに備えている請求項12に記載の寛骨臼用カップ状補綴具。
- 少なくともいくつかの開口を含む複数の開口であってこれらの開口の近傍の壁における厚くされた環状部で補強されている複数の開口と、骨ねじとをさらに備え、骨ねじがその開口に嵌合する請求項11に記載の寛骨臼用カップ状補綴具。
- カップ状部材を貫通して延出する複数の開口をさらに備え、これらの開口の少なくともいくつかが、カップ状部材における厚くされた部分で取り囲まれている請求項11に記載の寛骨臼用カップ状補綴具。
- 厚くされた部分が、カップ状部材の凸面上にある請求項16に記載の寛骨臼用カップ状補綴具。
- カップ状部材を貫通しかつカップ状部材に対して一定距離で延出する長孔をさらに備えている請求項11に記載の寛骨臼用カップ状補綴具。
- フランジ部が、カップ状部材に対して一定範囲の角度で延出している請求項11に記載の寛骨臼用カップ状補綴具。
- フランジ部が、カップ状部材の凸状外面に対して逆向きにすなわち凹状に湾曲した逆湾曲部を形成している請求項11に記載の寛骨臼用カップ状補綴具。
- フランジ部においてカップ状部材を貫通して延出する複数の開口をさらに備えている請求項11に記載の寛骨臼用カップ状補綴具。
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US08/727,948 US5931870A (en) | 1996-10-09 | 1996-10-09 | Acetabular ring prosthesis with reinforcement buttress |
Related Parent Applications (1)
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JP51762098A Division JP4160636B2 (ja) | 1996-10-09 | 1997-10-01 | 補強突出部を有する寛骨臼用リング状補綴具 |
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JP2008237925A JP2008237925A (ja) | 2008-10-09 |
JP4676511B2 true JP4676511B2 (ja) | 2011-04-27 |
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JP51762098A Expired - Fee Related JP4160636B2 (ja) | 1996-10-09 | 1997-10-01 | 補強突出部を有する寛骨臼用リング状補綴具 |
JP2008131009A Expired - Fee Related JP4676511B2 (ja) | 1996-10-09 | 2008-05-19 | 補強突出部を有する寛骨臼用リング状補綴具 |
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JP51762098A Expired - Fee Related JP4160636B2 (ja) | 1996-10-09 | 1997-10-01 | 補強突出部を有する寛骨臼用リング状補綴具 |
Country Status (10)
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US (1) | US5931870A (ja) |
EP (1) | EP0948298B1 (ja) |
JP (2) | JP4160636B2 (ja) |
AT (1) | ATE255861T1 (ja) |
AU (1) | AU735275B2 (ja) |
CA (1) | CA2267246C (ja) |
DE (1) | DE69726754T2 (ja) |
DK (1) | DK0948298T3 (ja) |
ES (1) | ES2212136T3 (ja) |
WO (1) | WO1998015240A1 (ja) |
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RU2692726C1 (ru) * | 2018-08-04 | 2019-06-26 | Александр Иванович Колесник | Репозиционно-фиксационное опорное кольцо для оперативного лечения смещенных полифрагментарных переломов вертлужной впадины |
RU2692725C1 (ru) * | 2018-08-04 | 2019-06-26 | Александр Иванович Колесник | Репозиционно-фиксационное опорное кольцо для оперативного лечения смещенных переломов вертлужной впадины |
US11446156B2 (en) | 2018-10-25 | 2022-09-20 | Medos International Sarl | Expandable intervertebral implant, inserter instrument, and related methods |
EP4275658A3 (en) * | 2019-03-25 | 2024-01-17 | Smith & Nephew, Inc. | Acetabular apparatuses for hip revision surgery |
US11426286B2 (en) | 2020-03-06 | 2022-08-30 | Eit Emerging Implant Technologies Gmbh | Expandable intervertebral implant |
RU2746519C1 (ru) * | 2020-06-02 | 2021-04-14 | Анатолий Гериевич Галкин | Эндопротез вертлужной впадины |
US11850160B2 (en) | 2021-03-26 | 2023-12-26 | Medos International Sarl | Expandable lordotic intervertebral fusion cage |
US11752009B2 (en) | 2021-04-06 | 2023-09-12 | Medos International Sarl | Expandable intervertebral fusion cage |
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- 1997-10-01 AU AU46068/97A patent/AU735275B2/en not_active Expired
- 1997-10-01 EP EP97944609A patent/EP0948298B1/en not_active Expired - Lifetime
- 1997-10-01 ES ES97944609T patent/ES2212136T3/es not_active Expired - Lifetime
- 1997-10-01 WO PCT/US1997/017839 patent/WO1998015240A1/en active IP Right Grant
- 1997-10-01 DE DE69726754T patent/DE69726754T2/de not_active Expired - Lifetime
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- 1997-10-01 CA CA002267246A patent/CA2267246C/en not_active Expired - Fee Related
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Also Published As
Publication number | Publication date |
---|---|
DE69726754D1 (de) | 2004-01-22 |
EP0948298A1 (en) | 1999-10-13 |
JP4160636B2 (ja) | 2008-10-01 |
AU735275B2 (en) | 2001-07-05 |
WO1998015240A1 (en) | 1998-04-16 |
CA2267246C (en) | 2007-06-12 |
ATE255861T1 (de) | 2003-12-15 |
US5931870A (en) | 1999-08-03 |
DE69726754T2 (de) | 2004-10-07 |
JP2001501848A (ja) | 2001-02-13 |
CA2267246A1 (en) | 1998-04-16 |
EP0948298B1 (en) | 2003-12-10 |
ES2212136T3 (es) | 2004-07-16 |
DK0948298T3 (da) | 2004-04-13 |
AU4606897A (en) | 1998-05-05 |
JP2008237925A (ja) | 2008-10-09 |
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