JPS6319141A - 支持関節器具用緩衝器 - Google Patents

支持関節器具用緩衝器

Info

Publication number
JPS6319141A
JPS6319141A JP62166748A JP16674887A JPS6319141A JP S6319141 A JPS6319141 A JP S6319141A JP 62166748 A JP62166748 A JP 62166748A JP 16674887 A JP16674887 A JP 16674887A JP S6319141 A JPS6319141 A JP S6319141A
Authority
JP
Japan
Prior art keywords
cradle
shock absorber
height
absorber according
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.)
Pending
Application number
JP62166748A
Other languages
English (en)
Inventor
ソステニ ジュリアノ
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
KENIRU KONTO SpA
Original Assignee
KENIRU KONTO SpA
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by KENIRU KONTO SpA filed Critical KENIRU KONTO SpA
Publication of JPS6319141A publication Critical patent/JPS6319141A/ja
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/34Acetabular cups
    • AHUMAN NECESSITIES
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    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/30004Material 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
    • A61F2002/30014Material 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 elasticity, stiffness or compressibility
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    • A61F2/00Filters 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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    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/3011Cross-sections or two-dimensional shapes
    • A61F2002/30112Rounded shapes, e.g. with rounded corners
    • A61F2002/30113Rounded shapes, e.g. with rounded corners circular
    • A61F2002/30118Rounded shapes, e.g. with rounded corners circular concentric circles
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    • A61F2/00Filters 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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    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331Connections 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
    • A61F2002/30354Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
    • A61F2002/30357Stepped cylinders, i.e. having discrete diameter changes
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    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30405Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves
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    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/30495Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a locking ring
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    • A61F2/00Filters 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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    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30563Special structural features of bone or joint prostheses not otherwise provided for having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
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    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30593Special structural features of bone or joint prostheses not otherwise provided for hollow
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    • A61F2002/3085Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
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    • A61F2002/30878Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
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    • A61F2250/0014Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0018Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in elasticity, stiffness or compressibility

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Solid-Sorbent Or Filter-Aiding Compositions (AREA)
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Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。

Description

【発明の詳細な説明】 (イ)産業上の利用分野 本発明は、支持関節器具用緩衝器に関するものである。
(ロ)従来技術 遅い歩みのような最も単純な動きの場合でも、特に股関
節の支持器具が支えなければならない応力は患者の体重
の少なくとも5倍に達するか、あるいはそれを超えるこ
とは知られている。このような条件の下では、股関節器
具の埋め込みについて少なくとも2つの大きな問題が生
じる。すなわち、器具と骨との境界面における埋め込み
の安定性の問題と関節の荷重緩衝(減衰)の問題とであ
る。
埋め込みの安定性は、直接埋め込み器具およびセメント
介在埋め込み器具の両者において確実に達成されている
と現在では考えられている。これに反して、関節内の荷
重の緩衝はほとんど進歩はしておらず、器具の頭部から
白部にかかる応力は増大し、片足支持のさいにはほとん
ど最大の強さになシ、接合部にはほとんどの変形が生じ
ない。
この問題を解決するための初期の試みは、生体と共存し
うるプラスチック材料からなるパッドからつくられ、器
具頭部を完全に包囲し、凹面および凸面を滑らかにしか
つ一様の厚みにしたパッドを股関節器具の大腿頭部と白
部との間に介在させることであった。その結果は、使用
された材料の非圧縮性のために小さい荷重がかかったと
きでさえも非常に大きくかつ一定の剛性のパッドになっ
ているために、完全に失敗であった。最近では、同じプ
ラスチック材料からつくられた外装を用い、その外装で
、器具の頭部を部分的に包囲し、穴を通して設けるか、
さもなければ外装の子午線に一致しかつそれに平行に配
置した溝を凸面に設け、溝を互いに連通させ、荷重をか
けたとき忙外装が破壊する容積を減少させている。これ
らの公知の形体の外装は荷重方向にあまシにも限られた
変形を生じるので、接合部が患者の歩行停止中、特に小
さい荷重を受けているときの衝撃を緩衝する機能を、公
知の外装は発揮していない。実施された模擬試験によれ
ば、しばらくの後に外装が最大応力の領域に摩耗によシ
くぼみを発生するということを確認し、その状況を示唆
した。
(ハ)発明が解決しようとした問題点 本発明の目的は、歩行停止による応力をよシ有効に緩衝
させる、特に小さい値の応力にすることによって支持器
具の接合部の弾性を改良することにある。
に)問題点を解決するための手段 本発明によれば、生体と共存でき、かつ非圧縮性のプラ
スチック材料からなるクレードルを支持器具の股関節頭
部と白部との間に挿入することによって前記目的が達成
される。そのクレードルの剛さけ、関節によって伝達さ
れる突発的荷重の下で漸次増加する。クレードルは、そ
の底から隆起しかつ器具の頭部の対応する領域と常に接
触する高さの第1円筒形段部と、この第1段部と同軸で
かつ互いに間隔をあけて平行に設けられその高さが第1
段部の高さよりも小さい連続円周段部とを有している。
これらの段部を設けることによって、増大する荷重の作
用の下で、器具頭部の対応する領域に対してクレードル
の底部から基部に向かって接触させる。
本発明によって得られる利点は、本発明にもとづく関節
器具用緩衝器は小さい圧縮荷重(加えられる力(応力)
とそれKよる変形(歪)との比)に対して小さい剛性を
有し、その剛性は最初のうちは漸次徐々に増加し、次い
で応力の増加につれてよシ速くな)、関節の最大応力の
方向にもとづいてクレードルの軸を向けるために白部の
位置を変えることが可能であシ、変形の軸方向振幅を調
節することができ、現在用いられている関節器具の外装
よシもはるかに小さい摩擦トルクおよび摩耗を示し、患
者の解剖学的寸法に適合するように異なる寸法のものを
簡単かつ容易に設計することができる。
(ホ)実施例 第1図および第2図は股関節器具用の完全クレードル1
を示す。股関節器具は、金属製大腿頭部2、この頭部2
に嵌合されるポリエチレン製の押圧部3、患者の寛骨臼
に固定される金属製凸部4からできている。クレードル
1は半球状の本体からなシ、その高さは押圧部3の外径
よシもわずかに小さく、また、その外面は対応する凸部
4に係合するために滑らかになっている。子午線を通る
面からみた断面は段付きになっている。すなわち、それ
は薄肉壁10、クレードル1の底の薄肉壁から隆起して
いて円筒形状の第1中央段部11、中央段部11に平行
でかつ同軸の間隔をあけた3本の円周段部12からなっ
ている。
円周段部12は等しい半径の凸部につくられ、谷幅よシ
も大きい距離で互いに間隔をあけられている。中央段部
11の高さは円周段部12の高さよりも大きい。中央段
部11は押圧部3の作用面の約1/8から1/16の支
持面を有している。このようにして、器具が休止状態に
あるときには、中央段部11のみが押圧部3の対応する
領域に接触している(第2図参照)。小さい値ではある
が、器具に応力がかかったときには、中央段部11のみ
が圧縮作用を受け、大きく歪み、関節にかかる荷重を大
きく緩衝(減衰)する。この応力がさらに大きくなると
、押圧部5は、まずクレードル1の底に近い円周段部1
2に接触し、順次底から離れた円周段部12に接触して
行く。これによシ、クレードル1の剛さの増加を小さい
歪の増加で順次発生させることになる。
凸部4の内ねじに螺合するねじ付きリング令ナツト4が
抑圧部3を保持し、クレードル1からの抑圧部3の距離
を変えることができ、患者の体重に合せてクレードルの
剛さの微調節が可能になる。
クレードル1は凸部4内に同軸に納められるので、また
、白部4が正しく傾斜して寛骨臼に埋め込まれるので、
その重量は器具にかかる最大応力の方向と一致する。
本発明によれば、中央段部11および円周段部12は、
クレードルの凹面に代えて凸面にまたは両面に設けても
よい。
実例 本発明にもとづく緩衝器を設けた股関節器具の基本要素
の幾何学的値は、その装着特性として考えられる形体に
関して以下のように示される。
押圧部:R=19tm クレードル:R=22iff 最大変形量=4n 中央段部の高さH=5顛 中央段部の直径ダニ10顛 円周段部の数=3個 (半円形断面) 円周段部の高さH= 2 ml 第3図は、生理学的荷重(約100′に9)による模擬
実験中の圧縮変形の方向に平行なカおよび半径方向の力
の分布を示す。
第4図の下方の曲線は、模擬生理学的荷重の作用下にあ
るクレードルの中央段部の4酊までの変形変化を示す。
第4図の上方の曲線は、同じ寸法、をもつ股関節器具用
の従来の外装について同じ模擬生理学的荷重の作用下に
ある変形変化を示す。
図かられかるように、本発明による支持器具用の緩衝ク
レードルによれば、関節に多くの生理学的荷重をかけた
場合に、変形の顕著な増加が小さい荷重(約100kg
)のときに生じ、これに反して、小さい増加は大きい荷
重(10akgを超える)のときに生じる。このことは
、クレードルが、上昇する応力を伝達する以前に、その
よシ小さい抵抗部分(すなわち、中央段部)において著
しく歪むという事実を確認している。模擬試験の結果、
関節への応力の作用が停止したとき、従来の外装の反応
に反して、Ex=α35− ′5.45 L/△の関数
にもとづいて、クレードルは一定でない弾性係数によっ
て一様に反応する。対応するN/11放出曲線が蓄積曲
線に関して右にずらされる。2つの曲線によって境界さ
れた領域は、ヒステリシスによるエネルギーの消費を内
輪に示す。しかし、これはクレードルの過熱問題を生じ
ない。
【図面の簡単な説明】
第1図は本発明にもとづく緩衝器を備えた股関節器具の
分解斜視図。第2図は第1図の部品を組み付けたときの
第1図の器具の縦断面図。第3図は本発明にもとづ〈実
施例の股関節について円弧にそう反力の分布図。第4図
は従来の外装と比較した第3図の股関節器具用クレード
ルの応力/歪曲線(N/酊)。 1:クレードル    2:金属製大腿頭部6:押圧部
      4:金属製白部11:第1中央段部  1
2:第2円周段部30:ねじ付きリング・ナツト 代理人 弁理士 高 野 武 和 賀 第3図 N 第2図 第4図

Claims (7)

    【特許請求の範囲】
  1. (1)一方の側で対応する器具押圧部と頭部(3,2)
    に係合しかつ他方の側で対応する器具臼部(4)のくぼ
    みに納まる半球形状のクレードル(1)からなり、該ク
    レードル(1)は子午線面に段付き断面を有し、該段付
    き断面は薄内壁(10)、該壁(10)の凹凸面の頂点
    から隆起した第1中央円筒状段部(11)、該薄内壁(
    10)に関して該第1段部(11)の一方の側から隆起
    する少なくとも1つの第2円周段部(12)を有し、該
    第2段部(12)は前記第1段部(11)から平行に間
    隔をあけかつ同軸になつていることを特徴とした支持関
    節器具用緩衝器。
  2. (2)前記クレードル(1)が係合されるべき対応する
    器具押圧部と頭部(3,2)の高さよりも小さい高さに
    なつていることを特徴とした特許請求の範囲第(1)項
    に記載の緩衝器。
  3. (3)応力の最小値のときに最大の変形量を生じるばか
    りではなく関節接合部に圧縮応力を生じるさいにクレー
    ドルの可変剛さを与えるように、該クレードルの前記第
    1段部(11)が前記第2段部(12)の高さよりも大
    きくなつており、係合されるべき前記対応する器具押圧
    部と頭部(3,2)の作用面の1/8から1/16の範
    囲にある面をもつ作用基礎部分を有していることを特徴
    とした特許請求の範囲第(1)項に記載の緩衝器。
  4. (4)前記クレードルの第2段部(12)が半径方向に
    等しい高さになつていることを特徴とした特許請求の範
    囲第(1)項に記載の緩衝器。
  5. (5)前記第2段部(12)が半円形断面につくられて
    いることを特徴とした特許請求の範囲第(1)項に記載
    の緩衝器。
  6. (6)前記第2段部(12)が自身の高さよりも大きい
    相互間隔になつていることを特徴とした特許請求の範囲
    第(11)(1)項に記載の緩衝器。
  7. (7)支持関節器具の押圧部(3)に関して前記クレー
    ドル(1)の連結公差がねじ付きリング・ナツト(30
    )によつて調節され、該リング・ナツト(30)が前記
    押圧部(3)を軸案内に保持しかつ前記器具臼部(4)
    の対応するねじ部(40)に係合することを特徴とした
    特許請求の範囲第(1)項に記載の緩衝器。
JP62166748A 1986-07-09 1987-07-04 支持関節器具用緩衝器 Pending JPS6319141A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP86830197.9 1986-07-09
EP86830197A EP0253941B1 (fr) 1986-07-09 1986-07-09 Arthro-prothèse portante avec élément amortisseur

Publications (1)

Publication Number Publication Date
JPS6319141A true JPS6319141A (ja) 1988-01-26

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ID=8196499

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Application Number Title Priority Date Filing Date
JP62166748A Pending JPS6319141A (ja) 1986-07-09 1987-07-04 支持関節器具用緩衝器

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US (1) US4813961A (ja)
EP (1) EP0253941B1 (ja)
JP (1) JPS6319141A (ja)
AT (1) ATE57299T1 (ja)
AU (1) AU8319787A (ja)
CA (1) CA1279442C (ja)
DE (1) DE3674925D1 (ja)
ES (1) ES2007623A6 (ja)
GR (1) GR871006B (ja)
PT (1) PT85299B (ja)
YU (1) YU114387A (ja)

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JP2013017761A (ja) * 2011-07-14 2013-01-31 Nakashima Medical Co Ltd 人工股関節

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CA1279442C (en) 1991-01-29
ATE57299T1 (de) 1990-10-15
EP0253941A1 (fr) 1988-01-27
GR871006B (en) 1987-09-09
US4813961A (en) 1989-03-21
AU8319787A (en) 1988-06-16
ES2007623A6 (es) 1989-07-01
DE3674925D1 (de) 1990-11-15
PT85299A (pt) 1988-07-29
PT85299B (pt) 1993-07-30
EP0253941B1 (fr) 1990-10-10
YU114387A (en) 1989-06-30

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