JP5457035B2 - 肩関節形成術システム - Google Patents
肩関節形成術システム Download PDFInfo
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- JP5457035B2 JP5457035B2 JP2008551524A JP2008551524A JP5457035B2 JP 5457035 B2 JP5457035 B2 JP 5457035B2 JP 2008551524 A JP2008551524 A JP 2008551524A JP 2008551524 A JP2008551524 A JP 2008551524A JP 5457035 B2 JP5457035 B2 JP 5457035B2
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- 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
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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
- A61F2/30—Joints
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4037—Connections of heads to 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
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4051—Connections of heads directly to shafts
-
- 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
- A61F2/46—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
- A61F2002/4641—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 for disconnecting
-
- 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
- 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
- A61F2250/006—Additional features; Implant or prostheses properties not otherwise provided for modular
- A61F2250/0062—Kits of prosthetic parts to be assembled in various combinations for forming different prostheses
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00395—Coating or prosthesis-covering structure made of metals or of alloys
- A61F2310/00419—Other metals
- A61F2310/00491—Coating made of niobium or Nb-based alloys
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00395—Coating or prosthesis-covering structure made of metals or of alloys
- A61F2310/00419—Other metals
- A61F2310/00544—Coating made of tantalum or Ta-based alloys
Description
Claims (25)
- 「逆」全肩関節形成術で使用するための上腕骨インプラント構成要素であって、軸部分および頭部部分と、関節接合構成要素と、スペーサとを有する上腕骨インプラント構成要素において、
前記軸部分がその遠位末端に向かって延びている遠位部分を備えていて、そして、前記頭部部分は、その近位末端に位置しており、そして頭部部分の係合構造と第1の先細穴とを有する頭部部分の内部空洞を有しており、
前記関節接合構成要素は、前記頭部部分の内部空洞内に受け入れられており、かつ、前記第1の先細穴の中に受け入れられることが可能な関節接合構成要素の軸を含んでおり、前記関節接合構成要素は前記頭部分の係合構造に係合可能な関節接合構成要素の係合構造を含んでいて、前記関節接合構成要素の軸が前記第1の先細の穴の中に受け入れられる場合、前記関節接合要素は前記頭部分に軸方向に固定されるようになっており、
前記関節接合の構成要素は前記関節接合構成要素の軸に対向している第1の表面と、前記第1の表面から前記関節接合構成要素の軸に向かって延びている凹状の関節接合表面とを有していて、前記第1の表面は前記軸部分の長手軸に対して第1の角度を画成していて、前記第1の角度は55°から70°の間の角度であり、
前記スペーサは、前記スペーサの第1の側面にスペーサの係合構造と第2の先細穴とを有している内部スペーサ空洞を含んでいて、前記スペーサが、前記スペーサの前記第1の側面の反対側にスペーサの軸を含んでおり、前記スペーサの軸は前記第1の先細穴の中に受け入れ可能であって、前記スペーサの係合構造は前記関節接合構成要素の係合構造に係合可能であり、前記関節接合構成要素の軸が前記第2の先細穴の受け入れられる場合、前記関節接合構成要素は前記スペーサに軸方向に固定されるようになっていて、
前記スペーサの係合構造は、前記関節接合構成要素が前記スペーサに又は前記頭部部分に選択的に軸方向に固定可能なように、前記頭部部分の係合構造と寸法的に同一であり、前記頭部分の前記第1の先細穴は、前記関節接合構成要素の軸が前記第1の先細穴又は前記第2の先細穴の中に受け入れ可能なように、前記スペーサの第2の先細穴と寸法的に同一であり、従って、前記スペーサは前記頭部分および前記関節接合構成要素に互換的に取り付け可能である、
上腕骨インプラント構成要素。 - 前記頭部部分は前記軸部分に比較して大きく拡大されていることを特徴とする請求項1に記載の上腕骨インプラント構成要素。
- 前記関節接合構成要素は、前記頭部部分の係合構造に係合する第2の関節接合の構成要素の係合構造を有する第1の側部を含む、関節接合ライナであることを特徴とする請求項1に記載の上腕骨インプラント構成要素。
- 前記頭部部分の係合構造は環状リブであり、および、前記第2の関節接合の構成要素の係合構造は複数のばね指片であることを特徴とする請求項3に記載の上腕骨インプラント構成要素。
- 前記関節接合ライナは、
前記凹状の関節接合表面が約36mmの直径を有する第1の関節接合ライナと、
前記凹状の関節接合表面が約40mmの直径を有する第2の関節接合ライナと、
から選択されることを特徴とする請求項3に記載の上腕骨インプラント構成要素。 - 前記関節接合構成要素はくさび形のポリエチレン製のライナであって、そして前記凹状の関節接合表面を提供していることを特徴とする請求項1に記載の上腕骨インプラント構成要素。
- 前記スペーサは、様々なサイズ寸法の複数のスペーサから選択され、および、前記スペーサの各々は前記スペーサの係合構造と前記第2の先細穴とを含むことを特徴とする請求項1に記載の上腕骨インプラント構成要素。
- 「逆」全肩関節形成術で使用するための上腕骨インプラント構成要素であって、軸部分および頭部部分と、ポリエチレン製の関節接合ライナとを有する上腕骨インプラント構成要素において、
前記軸部分は縦軸線を画定している遠位部分を備えていて、そして、
前記頭部部分は、前記軸部分の近位末端に位置しており、係合構造及び先細穴を有する内部空洞と近位表面とを含み、前記縦軸線に対する第1の角度を画定する部分を有しており、前記第1の角度は約35°から55°の間であり、
前記ポリエチレン製の関節接合ライナは、前記内部空洞内に受け入れ可能であり、前記先細穴内に受け入れ可能な軸部を含み、また、前記関節接合ライナの軸部が前記先細穴内に受け入れられる場合に前記関節接合ライナを前記頭部部分に軸方向に固定するように前記頭部部分の係合構造と係合可能な係合構造を含み、
前記ポリエチレン製の関節接合ライナは、凹状の関節接合表面を含んでいて、第2の角度を画定するくさび形の輪郭を有し、および、前記第2の角度と前記第1の角度は組み合わさって前記縦軸線に対する第3の角度を画定し、および、前記第3の角度は約55度から約70度の間であり、
前記ポリエチレン製の関節接合ライナが環状の下面と環状の上面とを含んでいて、
前記環状の下面は、前記上腕骨インプラントが上腕骨に移植される時に、前記第1の角度に平行に配置されるようになっており、前記環状の上面は、前記上腕骨インプラントが上腕骨に移植される時に、前記第3の角度に平行に配置されるようになっている、
上腕骨インプラント構成要素。 - 近位表面は、上腕骨内に前記上腕骨インプラント構成要素が移植される時に上腕骨の切除切れ目に平行に配置されるようになっていることを特徴とする請求項8に記載の上腕骨インプラント構成要素。
- 前記第1の角度は約50度から約55度の間であることを特徴とする請求項8に記載の上腕骨インプラント構成要素。
- 前記第3の角度は約60度から約65度の間であることを特徴とする請求項8に記載の上腕骨インプラント構成要素。
- 前記第3の角度は約60度であることを特徴とする請求項8に記載の上腕骨インプラント構成要素。
- 「逆」全肩関節形成術で使用するための上腕骨インプラント構成要素であって、軸部分および頭部部分と、ポリエチレン製の関節接合構成要素とを有する上腕骨インプラント構成要素において、
前記軸部分は縦軸線を画定している遠位部分を備えていて、そして、
前記頭部部分は、前記軸部分の近位末端に位置しており、近位表面を含んでいて、前記近位表面は、前記上腕インプラントが上腕骨に移植される時に、上腕骨の切除切れ目に平行に配置されるようになっていて、前記近位表面が前記縦軸線に対して第1の角度を画定しており、また、前記頭部部分は、係合構造及び先細穴を有する内部空洞を含み、
前記ポリエチレン製の関節接合構成要素は、凹状の関節接合面を供えていて、
前記関節接合構成要素は、前記内部空洞内に受け入れ可能であり、前記先細穴内に受け入れ可能な軸部を含み、また、前記関節接合構成要素の軸部が前記先細穴内に受け入れられる場合に前記関節接合構成要素を前記頭部部分に軸方向に固定するように前記頭部部分の係合構造と係合可能な係合構造を含み、
前記ポリエチレン製の関節接合構成要素が第1の表面と第2の表面とを有しており、前記第1の表面は、前記上腕骨インプラントが上腕骨に移植される時に、前記頭部部分の前記近位表面に平行に配置され、且つ、前記頭部部分の近傍に配置され、そして前記頭部部分の前記近位表面に接触できるようになっており、
前記ポリエチレン製の関節接合構成要素の第1の表面が環状の下面を含んでいて、前記ポリエチレン製の関節接合構成要素の第2の表面が環状の上面を含んでおり、前記環状の上面は前記環状の下面に対向しており、
前記第2の表面は、前記第1の表面と前記第2の表面との間で第2の角度を画定していて、前記第2の表面は、前記第2の表面と前記軸部分の前記縦軸線(L 1 )との間の第3の角度を画定し、および、前記第3の角度は55度から70度の間である、
上腕骨インプラント構成要素。 - 前記第1の角度は約35度から約55度の間であり、および、前記第2の角度は約1度から約35度の間であることを特徴とする請求項13に記載の上腕骨構成要素。
- 前記第2の表面は、前記軸部分の前記縦軸線に対する前傾角および後傾角の一方を画定していて、前記前傾角および後傾角の一方は約1°から約30°の間の角度であることを特徴とする請求項13に記載の上腕骨インプラント構成要素。
- 前記前傾角度および後傾角度の一方は約20度であることを特徴とする請求項15に記載の上腕骨インプラント構成要素。
- 「逆」全肩関節形成術で使用するための上腕骨インプラント構成要素であって、軸部分および頭部部分と、関節接合構成要素と、スペーサとを有する上腕骨インプラント構成要素において、
前記軸部分がその遠位末端に向かって延びている遠位部分を備えていて、そして、前記頭部部分は大きなものであって、その近位末端に位置しており、そして頭部部分の係合構造と第1の先細穴とを有する頭部部分の内部空洞を有しており、前記頭部部分が、前記近位末端に隣接した縫合糸溝を含んでいて、
前記関節接合構成要素は、前記頭部部分の内部空洞内に受け入れられており、かつ、前記第1の先細穴の中に受け入れられることが可能な関節接合構成要素の軸を含んでおり、前記関節接合構成要素は前記頭部分の係合構造に係合可能な関節接合構成要素の係合構造を含んでいて、前記関節接合構成要素の軸が前記第1の先細の穴の中に受け入れられると前記関節接合要素は前記頭部部分に軸方向に固定されるようになっており、
前記関節接合の構成要素は前記関節接合構成要素の軸に対向している第1の表面と、前記第1の表面から前記関節接合構成要素の軸に向かって延びている凹状の関節接合表面とを有していて、前記第1の表面は前記軸部分の長手軸に対して第1の角度を画成していて、前記第1の角度は55°から70°の間の角度であり、
前記スペーサは、前記スペーサの第1の側面にスペーサの係合構造と第2の先細穴とを有している内部スペーサ空洞を含んでいて、前記スペーサが、前記スペーサの前記第1の側面の反対側にスペーサの軸を含んでおり、前記スペーサの軸は前記第1の先細穴の中に受け入れ可能であって、前記スペーサの係合構造は前記関節接合構成要素の係合構造に係合可能であり、前記関節接合構成要素の軸が前記第2の先細穴の受け入れられると前記関節接合構成要素は前記スペーサに軸方向に固定されるようになっていて、
前記スペーサの係合構造は、前記関節接合構成要素が前記スペーサに又は前記頭部部分に選択的に軸方向に固定可能なように、前記頭部部分の係合構造と寸法的に同一であり、前記頭部分の前記第1の先細穴は、前記関節接合構成要素の軸が前記第1の先細穴又は前記第2の先細穴の中に受け入れ可能なように、前記スペーサの第2の先細穴と寸法的に同一であり、従って、前記スペーサは前記頭部部分および前記関節接合構成要素に互換的に取り付け可能である、
上腕骨インプラント構成要素。 - 前記縫合糸溝に隣接した前記頭部部分の外側周縁の周りに配置されている複数の縫合糸穴を特徴とする請求項17に記載の上腕骨インプラント構成要素。
- 前記第1の角度が約60°と約65°との間の角度であることを特徴とする請求項1に記載の上腕骨インプラント構成要素。
- 前記第1の角度が約60°であることを特徴とする請求項1に記載の上腕骨インプラント構成要素。
- 前記関節接合構成要素がポリエチレン製のライナであることを特徴とする請求項1に記載の上腕骨インプラント構成要素。
- 前記関節接合構成要素がくさび形のポリエチレン製のライナであることを特徴とする請求項17に記載の上腕骨インプラント構成要素。
- 前記第3の角度が約60°から約65°の間の角度であることを特徴とする請求項13に記載の上腕骨インプラント構成要素。
- 前記第3の角度が約60°であることを特徴とする請求項13に記載の上腕骨インプラント構成要素。
- 前記関節接合構成要素が前記頭部部分に受け入れ可能なポリエチレン製のライナであることを特徴とする請求項13に記載の上腕骨インプラント構成要素。
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CA2868764C (en) | 2016-10-11 |
WO2007084939A2 (en) | 2007-07-26 |
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US11298234B2 (en) | 2022-04-12 |
US20070173945A1 (en) | 2007-07-26 |
US20220192834A1 (en) | 2022-06-23 |
US20100222886A1 (en) | 2010-09-02 |
EP3427700A2 (en) | 2019-01-16 |
EP2762107A3 (en) | 2014-09-10 |
US9770334B2 (en) | 2017-09-26 |
EP2762107B1 (en) | 2017-11-29 |
CA2868764A1 (en) | 2007-07-26 |
EP3427700A3 (en) | 2019-04-17 |
JP2009523578A (ja) | 2009-06-25 |
WO2007084939A3 (en) | 2007-10-25 |
US20190274835A1 (en) | 2019-09-12 |
US9283075B2 (en) | 2016-03-15 |
EP1983940B1 (en) | 2014-03-05 |
US20160051368A1 (en) | 2016-02-25 |
CA2631580C (en) | 2015-01-13 |
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