RU2012109941A - Вертлюжная впадина со стерильной граничной поверхностью - Google Patents

Вертлюжная впадина со стерильной граничной поверхностью Download PDF

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Publication number
RU2012109941A
RU2012109941A RU2012109941/14A RU2012109941A RU2012109941A RU 2012109941 A RU2012109941 A RU 2012109941A RU 2012109941/14 A RU2012109941/14 A RU 2012109941/14A RU 2012109941 A RU2012109941 A RU 2012109941A RU 2012109941 A RU2012109941 A RU 2012109941A
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Russia
Prior art keywords
insert
installation
cup
hinge
guide
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RU2012109941/14A
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English (en)
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RU2599203C2 (ru
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Тома ГРАДЕЛЬ
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Тома ГРАДЕЛЬ
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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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4688Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means
    • A61F2002/4692Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means fluid
    • A61F2002/4693Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor having operating or control means fluid hydraulic
    • 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
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033Connections 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
    • 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004Rounded shapes, e.g. with rounded corners
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00017Iron- or Fe-based alloys, e.g. stainless steel
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00023Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00179Ceramics or ceramic-like structures
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00Metal working
    • Y10T29/49Method of mechanical manufacture
    • Y10T29/49826Assembling or joining
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00Metal working
    • Y10T29/49Method of mechanical manufacture
    • Y10T29/49826Assembling or joining
    • Y10T29/4984Retaining clearance for motion between assembled parts

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Transplantation (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Catching Or Destruction (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Hydrogenated Pyridines (AREA)
  • Apparatus For Disinfection Or Sterilisation (AREA)

Abstract

1. Способ изготовления искусственной вертлюжной впадины бедра, содержащий следующие этапы:а) готовят металлическую вставную чашечку (1) с вогнутой приемной стороной (3) и периферической приемной конструкцией (8),б) готовят керамическую шарнирную вставку (4) с наружной стороной (5) и внутренней приемной стороной (6) с вогнутой шарнирной поверхностью (7),в) наружную сторону (5) шарнирной вставки (4) вставляют в вогнутую приемную сторону (3) вставной чашечки (1),в1) крепят съемным образом на вставной чашечке (1) установочную и направляющую вставку (11), содержащую соединительную конструкцию (12), на которой можно крепить съемный импактор (15),г) полученный таким образом комплекс стерилизуют в противомикробной защитной оболочке.2. Способ по п.1, отличающийся тем, что этап г) стерилизации осуществляют путем бомбардировки гамма-лучами.3. Способ по п.1, отличающийся тем, что установочную и направляющую вставку (11) выполняют из полиэтилена.4. Способ по п.1, отличающийся тем, что соединительная конструкция (12) содержит резьбовое крепежное отверстие (13), выполненное в установочной и направляющей вставке (11), предназначенное для завинчивания соответствующего резьбового участка (14) импактора (15).5. Способ по п.1, отличающийся тем, что закрепленная на вставной чашечке (1) установочная и направляющая вставка (11) опирается на приемную внутреннюю сторону (6) неподвижной окончательной керамической шарнирной вставки (4) или находится на небольшом расстоянии (е) от нее.6. Способ по п.1, отличающийся тем, что закрепленная на вставной чашечке (1) установочная и направляющая вставка (11) содержит одну или несколько эластичных выступающих нервюр (11а), опирающихся на ок

Claims (14)

1. Способ изготовления искусственной вертлюжной впадины бедра, содержащий следующие этапы:
а) готовят металлическую вставную чашечку (1) с вогнутой приемной стороной (3) и периферической приемной конструкцией (8),
б) готовят керамическую шарнирную вставку (4) с наружной стороной (5) и внутренней приемной стороной (6) с вогнутой шарнирной поверхностью (7),
в) наружную сторону (5) шарнирной вставки (4) вставляют в вогнутую приемную сторону (3) вставной чашечки (1),
в1) крепят съемным образом на вставной чашечке (1) установочную и направляющую вставку (11), содержащую соединительную конструкцию (12), на которой можно крепить съемный импактор (15),
г) полученный таким образом комплекс стерилизуют в противомикробной защитной оболочке.
2. Способ по п.1, отличающийся тем, что этап г) стерилизации осуществляют путем бомбардировки гамма-лучами.
3. Способ по п.1, отличающийся тем, что установочную и направляющую вставку (11) выполняют из полиэтилена.
4. Способ по п.1, отличающийся тем, что соединительная конструкция (12) содержит резьбовое крепежное отверстие (13), выполненное в установочной и направляющей вставке (11), предназначенное для завинчивания соответствующего резьбового участка (14) импактора (15).
5. Способ по п.1, отличающийся тем, что закрепленная на вставной чашечке (1) установочная и направляющая вставка (11) опирается на приемную внутреннюю сторону (6) неподвижной окончательной керамической шарнирной вставки (4) или находится на небольшом расстоянии (е) от нее.
6. Способ по п.1, отличающийся тем, что закрепленная на вставной чашечке (1) установочная и направляющая вставка (11) содержит одну или несколько эластичных выступающих нервюр (11а), опирающихся на окончательную неподвижную шарнирную керамическую вставку (4) для ее удержания во вставной чашечке (1).
7. Способ по п.1, отличающийся тем, что вблизи своего кольцевого края (9) вставная чашечка (1) имеет толщину (Е), меньшую или равную примерно 4 мм и превышающую 2 мм.
8. Способ по п.1, отличающийся тем, что неподвижная окончательная керамическая шарнирная вставка (4) имеет толщину (Е') меньше или равную примерно 4 мм.
9. Способ по п.1, отличающийся тем, что приемная периферическая конструкция (8) выполнена кольцевой.
10. Способ по п.1, отличающийся тем, что:
- приемная периферическая конструкция (8) содержит сплошной или прерывистый кольцевой паз (16),
- установочная и направляющая вставка (11) содержит сплошную или прерывистую кольцевую нервюру (17), упруго заходящую в кольцевой паз (16).
11. Способ по п.10, отличающийся тем, что:
- кольцевой паз (16) является сплошным,
- кольцевая нервюра (17) установочной и направляющей вставки (11) является сплошной наружной кольцевой нервюрой (17), упруго заходящей в кольцевой паз (16).
12. Способ по п.1, отличающийся тем, что:
- периферическая приемная конструкция (8) содержит внутреннюю или наружную резьбу,
- установочная и направляющая вставка (11) содержит наружную или внутреннюю резьбу, взаимодействующую с резьбой периферической приемной конструкции (8) для разъемного крепления установочной и направляющей вставки (11) путем завинчивания на периферической приемной конструкции (8).
13. Способ по п.4, отличающийся тем, что резьбовое крепежное отверстие (13) является сквозным отверстием, выполненным с возможностью взаимодействия с инструментом (18) разъединения, содержащим резьбовой стержень (19), который можно завинчивать в крепежное отверстие (13) и дистальный конец (20) которого выполнен с возможностью опоры на вогнутую шарнирную поверхность (7) окончательной неподвижной шарнирной вставки (4) во время завинчивания резьбового стержня (19) в крепежное отверстие (13) установочной и направляющей вставки (11).
14. Способ по п.4, отличающийся тем, что:
- установочная и направляющая вставка (11) выполнена таким образом, чтобы между установочной и направляющей вставкой (11) и дном вогнутой шарнирной поверхности (7) окончательной неподвижной шарнирной вставки (4) оставалось свободное пространство (S) после крепления установочной и направляющей вставки (11) на периферической приемной конструкции (8) вставной чашечки (1),
- установочная и направляющая вставка (11) находится в герметичном контакте по своей периферии в периферической приемной конструкции (8) вставной чашечки (1),
- крепежное отверстие (13) является сквозным отверстием, устанавливающим сообщение с наружной средой свободного пространства (S) между установочной и направляющей вставкой (11) и окончательной неподвижной шарнирной вставкой (4), и его размер определяют таким образом, чтобы в него герметично заходил конец шприца.
RU2012109941/14A 2007-01-08 2008-01-08 Вертлюжная впадина со стерильной граничной поверхностью RU2599203C2 (ru)

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FR0752558A FR2911062B1 (fr) 2007-01-08 2007-01-08 Cotyle a interface sterile

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