WO1991003993A1 - Article chirurgical pour articulations artificielles - Google Patents

Article chirurgical pour articulations artificielles Download PDF

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Publication number
WO1991003993A1
WO1991003993A1 PCT/GB1990/001457 GB9001457W WO9103993A1 WO 1991003993 A1 WO1991003993 A1 WO 1991003993A1 GB 9001457 W GB9001457 W GB 9001457W WO 9103993 A1 WO9103993 A1 WO 9103993A1
Authority
WO
WIPO (PCT)
Prior art keywords
head
article
component
joint
shoulder
Prior art date
Application number
PCT/GB1990/001457
Other languages
English (en)
Inventor
William Angus Wallace
Original Assignee
The University Of Nottingham
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 The University Of Nottingham filed Critical The University Of Nottingham
Publication of WO1991003993A1 publication Critical patent/WO1991003993A1/fr
Priority to GB9206141A priority Critical patent/GB2253566B/en

Links

Classifications

    • 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
    • A61F2/30721—Accessories
    • 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
    • A61F2/0095—Packages or dispensers for prostheses or other implants
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B2050/314—Flexible bags or pouches
    • 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
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/30205—Three-dimensional shapes conical
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/30224—Three-dimensional shapes cylindrical
    • A61F2002/30235—Three-dimensional shapes cylindrical tubular, e.g. sleeves
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878—Special 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
    • A61F2002/30884—Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878—Special 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
    • A61F2002/30899—Protrusions pierced with apertures
    • A61F2002/30902—Protrusions pierced with apertures laterally or radially
    • 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
    • A61F2002/4018—Heads or epiphyseal parts of humerus
    • 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
    • A61F2/4059—Humeral shafts
    • A61F2002/4062—Proximal or metaphyseal parts of 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
    • A61F2/4059—Humeral shafts
    • A61F2002/4077—Distal or diaphyseal parts of 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0067—Three-dimensional shapes conical
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0069—Three-dimensional shapes cylindrical

Definitions

  • the present invention relates to surgical articles used artificial joints.
  • tibial in th case of a knee joint prosthesis
  • humeral in the case of shoulder joint prosthesis
  • head component i contradistinction to the natural or artificial socket component into the socket of which the head of the head component fits
  • the head component hemiarthroplasty
  • hemiarthroplasty consists of a head and shaft portion, the shaft extending into the tibia or humeru when in use.
  • this is achieved b providing an article comprising means to engage the hea component of a knee or shoulder joint prosthesis and mean adapted to accommodate and extend beyond at least part of th head of the said head component in a direction generally awa from the shaft of the head component, at least part of the sai accommodating means being adapted to allow, in use in a joint the ingrowth of soft tissue from around the joint.
  • the article can be used whether or not the socket of th joint is replaced by an artificial socket.
  • the article is generally tubular, having relatively wide open end which will accommodate the head of th head component and a relatively narrow open end which wil accept the shaft of the head component but not the head.
  • Th open narrow end of the article thus constitutes the sai engaging means of the article and the wide open end constitute at least part of the head-accommodating means.
  • the narrow en may be created by tapering the tube for all or (more preferably) part of its length. From a manufacturing point of view, it is advantageous the narrow end to be axial, whereas from a surgical point view it may be advantageous for the narrow end to be offset f the axis. Both embodiments are embraced by the scope of invention.
  • the article is conveniently made from a surgically iner flexible fabric and is usually woven or knitted as a sing piece, either as a tube or as a flat piece which is sewn to fo a tube.
  • the narrow end may be formed in the knitting process may be formed in a cutting and sewing step.
  • "Dacron” (Reg T.M. , Du Pont) and "Terylene” (Regd. T.M. , ICI) are suitab polyester fibres .
  • the material can be coated or impregnat with gelatin or another biodegradable material which ai integration of the material with the rotator cuff.
  • the openness of the mesh is so chosen as to allow tiss ingrowth without being so open that the necessary structur integrity is lost.
  • One skilled in the art will readily be ab to determine the optimum mesh parameters.
  • Useful dimensions for the article, when used in a should joint include a fabric thickness of 0.2-1.0 mm, a length 30.0-140.0 mm, preferably about 50.0-120.0 mm (eg 50, 60 or 7 mm), a wide end diameter of 20.0-60.0 mm, preferably about 30.0 50.0 mm (eg 38 mm) and a narrow end diameter of 5.0-20.0 m preferably about 13.0-20.0 mm (eg 16.0 or 19.0 mm).
  • the dimensions are so chosen that the shaft, but no the head, of the head component may pass through the narrow end and the wide end will accommodate the head and, usually, part o the joint socket.
  • the dimensions may differ according t the choice of head component, the patient and whether the join is the knee or shoulder.
  • the head component In use, the head component is inserted through the articl and into the bone, and the article is attached to the rotato cuff muscles and/or tendons by conventional surgical techniques ie (usually) by suturing.
  • Figure 1 to 6 show a very crude model of the article, knitted fro wool
  • Figures 7 to 12 show a less crude model, made fro "Dacron"
  • Figure 13 shows an actual article of the invention
  • Figures 14 to 17 show diagrams of a shoulder joint durin surgery using the article. More particularly:
  • Figure 1 is a ventral view of a humeral component and th wool model
  • Figure 2 shows the article being slid up the shaft of humeral component
  • Figure 3 is a ventral view of the article in place
  • Figure 4 shows the medial side of the arrangement of Figu 3
  • Figure 5 corresponds to Figure 3 but shows the artic encompassing the socket of the scapula
  • Figure 6 shows the dorsal side of the Figure 5 arrangemen
  • Figure 7 is a view of the narrow end of a simple cut-tu model of a Dacron article
  • Figure 8 is a perspective view of the wide end of t Figure 7 article
  • Figure 9 shows the Figure 7 article being slid up the sha of the humeral component
  • Figure 10 shows the Figure 7 article being pulled over t head of the humeral component
  • Figure 11 shows the article in place, from the back;
  • Figure 12 is a view in the direction of arrow A in Figur li;
  • Figure 13 is a plan view of a flattened Dacron article suc as might be used
  • Figure 14 shows a shoulder joint with a damaged rotato cuff
  • Figure 15 shows the joint with a 15 mm head humera component inserted into the humerus
  • Figure 17 illustrates where the article of the inventio is located and attached to the rotator cuff.
  • the humeral component 1 may be a standard Neer device wit either a 22 mm or 15 mm head 2, as is known (the dimension bein the distance shown as B in Figure 1) and a shaft 3.
  • Th prototype 4 shown in Figures 2 to 6 is knitted from wool and ha a wide end 5 and a narrow end 6 with a hole 7.
  • the model 10 shown in Figures 7 to 12 is a 30.0 mm inter diameter vascular graft, available from C R Bard I Billericay, Massachusetts, USA, which is cut to enlarge one 11 in order to accommodate the head of the humeral compon (approximately 42 mm for a 22 mm head).
  • Figure 13 is a photocopy of an actual article 20 of invention in a sterile pack.
  • a scale bar 50 mm
  • the diameter of the wi end 21 is about 32 mm
  • the diameter of the narrow end 22 about 10 mm
  • the length is about 106 mm
  • the length of t tapering section 23 is about 45 mm (measured along the taperi section itself).
  • Table 1 gives this and alternati configurations. All dimensions are in millimetres.
  • the article 20 is made from Du Pont T56 Dacron (R.T.M. (polyethylene terephthalate) as a continuous seamless tubing warp-knitted on a double-bed Raschel knitting machine and the cut to length to give a truncated conical geometry with terminal aperture to accommodate the prosthesis.
  • the stitc density can be 150-250 per sq cm, preferably 180-200, fo example 192 per sq cm.
  • the elasticity is controlled by th choice of Dacron and the stitch density.
  • the thickness may b 0.5-1.0 mm, for example 0.75 mm.
  • the head component is inserted by known surgica techniques, for example those described in Neer et al , J. Bon Joint Surg. (Am) 1982, 64A, 319-337, Redfern et al International Orthopaedics (1989) 13, 61-63 or Kessel, Shoulde Surgery, Springer Verlag (1982) pp 39-44 (all of which ar incorporated herein by reference), the only difference bein that the shaft is passed successively through the wide end an then the narrow end of the article of the invention before bein inserted into the tibia or humerus. The article is placed deep lying on top of the head first.
  • the rotator cuff is then place on top and secured by known methods to the article, for exampl by suturing with two rows of non-absorbable Ethibond No sutures, one proximal and one distal. Any excess amount of th wide end of the article may be cut off first. In cases where there is very little undamaged rotator cu tissue, it may be advantageous to use a 15 mm head instead of 22 mm head for the head component.
  • Figure 14 shows a shoulder joint with a damaged rotat cuff 30.
  • Figure 15 shows the joint with a 15 mm head humer component 31 inserted into the humerus 32 and replacing part the head thereof. The dotted line shows the extent of t natural head before removal.
  • the head compone 31 is shown closer to the socket and Figure 17 illustrates whe the article of the invention 33 is located and attached by w of sutures 34,35 to the rotator cuff 30.
  • the narrow end 22' of the article and the immediate adjacent part of the article are not visible as they a sandwiched between the head 2 of the head component 1 and t tibia or humerus.
  • the wide end 21' is visible.
  • two sutures 34,35 are shown. In practice, two rows o sutures may be provided, one distal and one proximal, or suture may be placed wherever convenient.

Landscapes

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

Abstract

L'article comprend des moyens permettant d'engager l'élément huméral ou tibial d'une prothèse d'articulation de l'épaule ou du genou ainsi que des moyens pouvant loger au moins une partie de la tête dudit élément huméral ou tibial. Lors de l'usage dans une articulation, au moins une partie desdits moyens permet à du tissu souple, qui entoure ladite articulation, de s'y développer. Ledit article est tissé à partir de mailles de polyester.
PCT/GB1990/001457 1989-09-21 1990-09-20 Article chirurgical pour articulations artificielles WO1991003993A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
GB9206141A GB2253566B (en) 1989-09-21 1992-03-20 Surgical article for artificial joints

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB898921324A GB8921324D0 (en) 1989-09-21 1989-09-21 Surgical article
GB8921324.3 1989-09-21

Publications (1)

Publication Number Publication Date
WO1991003993A1 true WO1991003993A1 (fr) 1991-04-04

Family

ID=10663401

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB1990/001457 WO1991003993A1 (fr) 1989-09-21 1990-09-20 Article chirurgical pour articulations artificielles

Country Status (4)

Country Link
EP (1) EP0493523A1 (fr)
JP (1) JPH05503639A (fr)
GB (1) GB8921324D0 (fr)
WO (1) WO1991003993A1 (fr)

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5195542A (en) * 1989-04-27 1993-03-23 Dominique Gazielly Reinforcement and supporting device for the rotator cuff of a shoulder joint of a person
FR2690073A1 (fr) * 1992-04-15 1993-10-22 Deux C T Prothèse de réparation de la coiffe de muscles rotateurs de l'épaule.
WO1995020369A1 (fr) * 1994-01-27 1995-08-03 W.L. Gore & Associates, Inc. Appareil pour proteger une prothese d'articulation contre les debris d'usure
US5441508A (en) * 1989-04-27 1995-08-15 Gazielly; Dominique Reinforcement and supporting device for the rotator cuff of a shoulder joint of a person
WO1996025127A1 (fr) * 1995-02-14 1996-08-22 W.L. Gore & Associates, Inc. Appareil et procede destine a proteger les protheses articulaires contre les debris d'usure
EP0744162A2 (fr) * 1995-05-25 1996-11-27 Ellis Developments Limited Implants chirurgicaux en textile
EP0744165A1 (fr) * 1995-05-25 1996-11-27 Ellis Developments Limited Dispositif de réparation de la coiffe des rotateurs de l'épaule
US6132470A (en) * 1994-01-27 2000-10-17 W. L. Gore & Associates, Inc. Apparatus and method for protecting prosthetic joint assembly from wear
FR2857578A1 (fr) * 2003-07-18 2005-01-21 Cie Eu Etude Rech Dispositifs Kit d'introduction d'un implant de chirurgie plastique, etui d'introduction d'un tel implant et procede de fabrication correspondant
US7942104B2 (en) 2007-01-22 2011-05-17 Nuvasive, Inc. 3-dimensional embroidery structures via tension shaping
US7946236B2 (en) 2007-01-31 2011-05-24 Nuvasive, Inc. Using zigzags to create three-dimensional embroidered structures
US20110213467A1 (en) * 2009-01-20 2011-09-01 Zimmer, Inc. Orthopaedic implant with woven ingrowth material
US8182542B2 (en) * 2009-09-01 2012-05-22 Howmedica Osteonics Corp. Soft tissue attachment mechanism
US8187336B2 (en) 2003-06-16 2012-05-29 Jamali Amir A Device and method for reconstruction of osseous skeletal defects
US11219528B2 (en) 2018-07-31 2022-01-11 Howmedica Osteonics Corp. Fixation devices and prostheses for soft tissue connection to the same
US11737880B2 (en) 2017-10-03 2023-08-29 Howmedica Osteonics Corp. Integrated spring for soft tissue attachment

Citations (3)

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US5195542A (en) * 1989-04-27 1993-03-23 Dominique Gazielly Reinforcement and supporting device for the rotator cuff of a shoulder joint of a person
US5441508A (en) * 1989-04-27 1995-08-15 Gazielly; Dominique Reinforcement and supporting device for the rotator cuff of a shoulder joint of a person
FR2690073A1 (fr) * 1992-04-15 1993-10-22 Deux C T Prothèse de réparation de la coiffe de muscles rotateurs de l'épaule.
WO1995020369A1 (fr) * 1994-01-27 1995-08-03 W.L. Gore & Associates, Inc. Appareil pour proteger une prothese d'articulation contre les debris d'usure
US5899942A (en) * 1994-01-27 1999-05-04 W. L. Gore & Associates, Inc. Apparatus and method for protecting prosthetic joint assembly from wear deris
US6132470A (en) * 1994-01-27 2000-10-17 W. L. Gore & Associates, Inc. Apparatus and method for protecting prosthetic joint assembly from wear
WO1996025127A1 (fr) * 1995-02-14 1996-08-22 W.L. Gore & Associates, Inc. Appareil et procede destine a proteger les protheses articulaires contre les debris d'usure
EP0744162A2 (fr) * 1995-05-25 1996-11-27 Ellis Developments Limited Implants chirurgicaux en textile
EP0744165A1 (fr) * 1995-05-25 1996-11-27 Ellis Developments Limited Dispositif de réparation de la coiffe des rotateurs de l'épaule
EP0744162A3 (fr) * 1995-05-25 1997-12-03 Ellis Developments Limited Implants chirurgicaux en textile
US8187336B2 (en) 2003-06-16 2012-05-29 Jamali Amir A Device and method for reconstruction of osseous skeletal defects
FR2857578A1 (fr) * 2003-07-18 2005-01-21 Cie Eu Etude Rech Dispositifs Kit d'introduction d'un implant de chirurgie plastique, etui d'introduction d'un tel implant et procede de fabrication correspondant
US7942104B2 (en) 2007-01-22 2011-05-17 Nuvasive, Inc. 3-dimensional embroidery structures via tension shaping
US7946236B2 (en) 2007-01-31 2011-05-24 Nuvasive, Inc. Using zigzags to create three-dimensional embroidered structures
US20110213467A1 (en) * 2009-01-20 2011-09-01 Zimmer, Inc. Orthopaedic implant with woven ingrowth material
US8182542B2 (en) * 2009-09-01 2012-05-22 Howmedica Osteonics Corp. Soft tissue attachment mechanism
US8636800B2 (en) 2009-09-01 2014-01-28 Howmedica Osteonics Corp. Soft tissue attachment mechanism
US11737880B2 (en) 2017-10-03 2023-08-29 Howmedica Osteonics Corp. Integrated spring for soft tissue attachment
US11219528B2 (en) 2018-07-31 2022-01-11 Howmedica Osteonics Corp. Fixation devices and prostheses for soft tissue connection to the same
US11857426B2 (en) 2018-07-31 2024-01-02 Howmedica Osteonics Corp. Fixation devices and prostheses for soft tissue connection to the same

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EP0493523A1 (fr) 1992-07-08
JPH05503639A (ja) 1993-06-17
GB8921324D0 (en) 1989-11-08

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