WO2011103851A1 - Connecting element for modular components - Google Patents

Connecting element for modular components Download PDF

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Publication number
WO2011103851A1
WO2011103851A1 PCT/DE2011/000096 DE2011000096W WO2011103851A1 WO 2011103851 A1 WO2011103851 A1 WO 2011103851A1 DE 2011000096 W DE2011000096 W DE 2011000096W WO 2011103851 A1 WO2011103851 A1 WO 2011103851A1
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WO
WIPO (PCT)
Prior art keywords
conical
connecting element
contact surfaces
components
element according
Prior art date
Application number
PCT/DE2011/000096
Other languages
German (de)
French (fr)
Inventor
Hans-Joachim Fischer
Nikola Bukvic
Original Assignee
Aap Implantate Ag
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 Aap Implantate Ag filed Critical Aap Implantate Ag
Priority to EP11717455A priority Critical patent/EP2538887A1/en
Publication of WO2011103851A1 publication Critical patent/WO2011103851A1/en

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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
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • 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
    • A61F2/40Joints for shoulders
    • 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
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4637Special 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
    • 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
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • 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
    • A61F2002/30332Conically- or frustoconically-shaped protrusion and recess
    • 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
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • 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
    • A61F2002/30332Conically- or frustoconically-shaped protrusion and recess
    • A61F2002/3035Conically- or frustoconically-shaped protrusion and recess the male convex cone having an inner female concave taper
    • 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
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30433Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
    • 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
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30599Special structural features of bone or joint prostheses not otherwise provided for stackable
    • 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
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604Special structural features of bone or joint prostheses not otherwise provided for modular
    • 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
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3662Femoral shafts
    • A61F2/3672Intermediate parts of shafts
    • A61F2002/3674Connections of proximal parts to distal parts
    • 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
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4637Special 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
    • A61F2002/4641Special 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
    • 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

Definitions

  • the invention relates to a connecting element for modular components according to the preamble of patent claim 1.
  • connection element is known from DE 295 06 036 UT.
  • Spacers first loosely assembled by means of the fastening screw.
  • the usual spacers have at their corresponding planar contact surfaces radially extending grid grooves, which serve as anti-rotation.
  • Implant components are made by twisting and only then the components are firmly connected by means of the fastening screw.
  • connection / spacers The disadvantage of such connection / spacers is that by
  • the object of the invention is to provide a connecting element for the secure and reproducible connection of modular components of implants.
  • connection element for modular components of implants, in which the implant modules, such as the proximal and distal components are connected to each other by means of a fastening screw, characterized in that the end faces of the connecting element and the contact surfaces of the implant modules facing this formed as conical surfaces are,
  • the conical surfaces being designed annularly as double-cone surfaces with an outer cone and an inner cone.
  • the connecting element designed according to the invention permits any stepless rotation relative to one another, so that no angle-dependent raster positions have to be set.
  • the rotation is ensured by self-locking by the surface pressure, due to the introduced axial force and the resulting radial ring tension, but which is reversible at any time, as by means of an external cutting tool, the conical contact surfaces are releasable.
  • connection is in this case rotationally symmetrical with conical, positive
  • connection structures executed.
  • the dimensioning of this compound is designed so that by the force applied to the connection axial stress in the conical
  • the elastic deformation (spring element) enables optimum surface contact. Further advantages can be seen in the fact that the hoop stress generated by the applied axial tension in the conical contact surfaces of the individual components leads to an improved force introduction and an optimized force flow within the
  • annular conical surfaces are as
  • Double cone surfaces formed with an outer and an inner cone.
  • the angle range ⁇ for the configuration of the conical contact surfaces amounts to between 3 ° and 30 °, preferably about 10 °.
  • An angle of about 10 ° represents the optimal compromise between form-fitting and adhesion on the one hand and the solubility on the other.
  • the corresponding conical surfaces are matched to one another such that preferably the outer conical surface represents the loaded, self-locking contact surface.
  • the outer conical surface is opposite the outer periphery of the connecting element or the implant modules or a
  • Fig. 1 shows schematically the implant modules with the connecting element and a
  • 3 shows the release of the modular components by means of an external parting tool
  • 4 shows the representation of the preferred angular range for the cone connection
  • Fig. 5 is a schematic representation of the connecting element with the
  • Fig. 6 shows the representation of the active principle of the cone connection.
  • the modular implant system z. B. for hip or shoulder joints is composed of a proximal 2 and a distal module 1 (head component and shaft module) and the connecting element 4, wherein the individual parts are held together via a preferably central fastening screw 3.
  • connecting element 4 (as well as the corresponding contact surfaces for the connecting element on the proximal and distal implant modules 1 and 2) corresponds to a ring-shaped one
  • These conical surfaces have an outer and an inner conical surface 5 and 6.
  • the outer conical surface is offset radially inwards relative to the outer circumference of the connecting element or the implant modules or a spacer, so that, when the cones are inserted into one another, an annular groove 7 results, which bridges the separating gap.
  • an external separating tool 8 can be introduced into this groove 7, with which the corresponding cones can be detached from one another.

Abstract

The invention relates to a connecting element for modular components of implants, in which the implant modules, such as the proximal and distal components, are interconnected by means of a mounting screw. The front surfaces of the connecting element and the contact surfaces of the implant module facing towards said front surfaces are embodied as conical surfaces which change the axial stress applied by the mounting screw in the conical contact surfaces into corresponding radial or annular stress for connecting the components. The conical surfaces are annular and embodied as double conical surfaces having an outer and an inner cone.

Description

Verbindungselement für modulare Komponenten  Connector for modular components
Die Erfindung betrifft ein Verbindungselement für modulare Komponenten gemäß dem Oberbegriff des Patentanspruchs 1. The invention relates to a connecting element for modular components according to the preamble of patent claim 1.
Ein derartiges Verbindungselement ist aus dem DE 295 06 036 UT bekannt. Such a connection element is known from DE 295 06 036 UT.
Neben der Verbindung einerseits, können zur modularen und flexiblen Abstimmung der Implantatsabmessungen andererseits auch entsprechende Komponenten eingesetzt werden, die die individuelle Anpassung des Implantates an die biomechanischen und anatomischen Bedingungen ermöglicht. In addition to the connection on the one hand, for the modular and flexible coordination of the implant dimensions on the other hand also corresponding components can be used, which allows the individual adaptation of the implant to the biomechanical and anatomical conditions.
Bei der Verwendung von modular aufgebauten Implantatskomponenten z. B. für Hüft- oder Schultergelenke, wird oft zunächst eine Komponente eingebracht und / oder einzementiert. Anschließend werden die weiteren Module u. U. unter Verwendung entsprechender When using modular implant components z. B. for hip or shoulder joints, often a component is first introduced and / or cemented. Subsequently, the other modules u. U. using appropriate
Distanzscheiben zunächst locker mittels der Befestigungsschraube zusammengefügt. Spacers first loosely assembled by means of the fastening screw.
Die üblichen Distanzscheiben weisen an ihren korrespondierenden ebenen Anlageflächen radial verlaufende Rasterrillen auf, die als Verdrehsicherung dienen. The usual spacers have at their corresponding planar contact surfaces radially extending grid grooves, which serve as anti-rotation.
Da die Verbindung zunächst noch locker ist, kann eine Ausrichtung der Since the connection is still loose, an alignment of the
Implantatskomponenten noch durch Verdrehen vorgenommen werden und erst dann werden die Komponenten mittels der Befestigungsschraube fest verbunden. Implant components are made by twisting and only then the components are firmly connected by means of the fastening screw.
Der Nachteil derartiger Verbindungs- / Distanzscheiben besteht darin, dass durch The disadvantage of such connection / spacers is that by
fehlerhaftes Positionieren der Rastrillen aufeinander, oder durch Verschmutzung (Knochen- und Gewebereste) auf den Rastrillen eine dauerhafte Spannkraft zwischen den einzelnen Komponenten nicht aufrechterhalten werden kann. Dies hat die Lockerung zwischen den Komponenten und dadurch eine Überbeansprüchung der Verbindungsschraube zur Folge, die zum Versagen des Implantates führen kann. incorrect positioning of the locking grooves on each other, or by contamination (bone and tissue residues) on the locking grooves a permanent clamping force between the individual components can not be maintained. This results in the loosening between the components and thereby over-stressing the connecting screw, which can lead to failure of the implant.
Es sei noch erwähnt, dass es aus der EP 2 133 041 A1 bekannt ist, Prothesenteile dadurch voneinander zu trennen, dass zwischen diesen eine einen Trennspalt überbrückende Ringnut gebildet wird, die das Zwischenschieben eines Trennwerkzeuges ermöglicht. Aufgabe der Erfindung ist es, ein Verbindungselement zur sicheren und reproduzierbaren Verbindung von modularen Komponenten von Implantaten bereit zu stellen. It should be mentioned that it is known from EP 2 133 041 A1 to separate parts of the prosthesis from one another in that between them a separating gap bridging annular groove is formed, which enables the intermediate sliding of a separating tool. The object of the invention is to provide a connecting element for the secure and reproducible connection of modular components of implants.
Gelöst wird diese Aufgabe erfindungsgemäß bei einem Verbindungselement für modulare Komponenten von Implantaten, bei denen die Implantatsmodule, wie die proximalen und distalen Komponenten, mittels einer Befestigungsschraube miteinander verbunden sind, dadurch, dass die Stirnflächen des Verbindungselementes sowie die diesen zugewandten Anlageflächen der Implantatsmodule als Konusflächen ausgebildet sind, This object is achieved according to the invention in a connection element for modular components of implants, in which the implant modules, such as the proximal and distal components are connected to each other by means of a fastening screw, characterized in that the end faces of the connecting element and the contact surfaces of the implant modules facing this formed as conical surfaces are,
die die durch die Befestigungsschraube aufgebrachte axiale Spannung in den konischen Kontaktflächen in eine entsprechende Radial- oder Ringspannung zur Verbindung der Komponenten umsetzen wobei die Konusflächen ringförmig als Doppelkonusflächen mit einem äußeren und einem inneren Konus ausgebildet sind. which convert the axial tension in the conical contact surfaces applied by the fastening screw into a corresponding radial or annular stress for connection of the components, the conical surfaces being designed annularly as double-cone surfaces with an outer cone and an inner cone.
Das erfindungsgemäß ausgebildete Verbindungselement erlaubt eine beliebige stufenlose Verdrehung gegeneinander, so dass keine winkelabhängigen Rasterpositionen eingestellt werden müssen. The connecting element designed according to the invention permits any stepless rotation relative to one another, so that no angle-dependent raster positions have to be set.
Hinzu kommt, dass die Module sich beim Ineinanderfügen selbst zentrieren. In addition, the modules center themselves when merging.
Nach dem Zusammenfügen wird die Verdrehsicherung mittels Selbsthemmung durch die Flächenpressung, aufgrund der eingebrachten Axialkraft und der daraus resultierenden radialen Ringspannung, gewährleistet, die aber jederzeit reversibel ist, da mittels eines externen Trennwerkzeuges die konischen Kontaktflächen wieder lösbar sind. After assembly, the rotation is ensured by self-locking by the surface pressure, due to the introduced axial force and the resulting radial ring tension, but which is reversible at any time, as by means of an external cutting tool, the conical contact surfaces are releasable.
Die Verbindung zwischen den einzelnen Implantatsmodulen, z. B. proximalen Komponenten und distalen Modulen (Schaftmodul) unter möglicher Einbindung von entsprechenden Verbindungselementen und Distanzscheiben, erfolgte somit über eine vorzugsweise zentrale Befestigungsschraube. The connection between the individual implant modules, z. As proximal components and distal modules (shaft module) with the possible involvement of appropriate fasteners and spacers, thus carried out via a preferably central mounting screw.
Die Verbindung ist hierbei rotationssymmetrisch mit konusförmigen, formschlüssigen  The connection is in this case rotationally symmetrical with conical, positive
Verbindungsstrukturen ausgeführt. Die Dimensionierung dieser Verbindung ist so ausgeführt, dass durch die zur Verbindung aufgebrachte axiale Spannung in den konischen Connection structures executed. The dimensioning of this compound is designed so that by the force applied to the connection axial stress in the conical
Kontaktflächen eine entsprechende Radial- bzw. Ringspannung zur sicheren und Contact surfaces a corresponding radial or ring tension for safe and
dauerfesten Verbindung aufgebaut wird. permanent connection is established.
Dabei ermöglicht die elastische Verformung (Federelement) einen optimalen Flächenkontakt. Weitere Vorteile sind darin zu sehen, dass die durch die aufgebrachte axiale Spannung erzeugte Ringspannung in den konischen Kontaktflächen der einzelnen Komponenten zu einer verbesserten Krafteinleitung und einem optimierten Kraftfluss innerhalb der The elastic deformation (spring element) enables optimum surface contact. Further advantages can be seen in the fact that the hoop stress generated by the applied axial tension in the conical contact surfaces of the individual components leads to an improved force introduction and an optimized force flow within the
verbundenen Komponenten führt, was durch den Spannungsverlauf mit einer FEM Analyse nachweisbar ist. connected components, which can be detected by the voltage curve with a FEM analysis.
Nach einer vorzugsweisen Ausgestaltung sind die ringförmigen Konusflächen als According to a preferred embodiment, the annular conical surfaces are as
Doppelkonusflächen mit einem äußeren und einem inneren Konus ausgebildet. Double cone surfaces formed with an outer and an inner cone.
Der Winkelbereich ß für die Ausgestaltung der konischen Kontaktflächen beläuft sich hierbei zwischen 3° und 30°, vorzugsweise ca. 10°. The angle range β for the configuration of the conical contact surfaces amounts to between 3 ° and 30 °, preferably about 10 °.
Ein Winkel von ca. 10° stellt dabei den optimalen Kompromiss zwischen Formschluss und Haft einerseits und der Lösbarkeit andererseits dar. An angle of about 10 ° represents the optimal compromise between form-fitting and adhesion on the one hand and the solubility on the other.
Dabei sind die korrespondierenden Konusflächen derart aufeinander abgestimmt, dass vorzugsweise die äußere Konusfläche die belastete, selbsthemmende Kontaktfläche darstellt. In this case, the corresponding conical surfaces are matched to one another such that preferably the outer conical surface represents the loaded, self-locking contact surface.
Nach einer weiteren Ausgestaltung der Erfindung ist die äußere Konusfläche gegenüber dem Außenumfang des Verbindungselementes bzw. der Implantatsmodule oder einer According to a further embodiment of the invention, the outer conical surface is opposite the outer periphery of the connecting element or the implant modules or a
Distanzscheibe radial nach innen versetzt angeordnet, so dass bei ineinander greifenden Konen am äußeren Umfang zwischen den einander zugewandten Anlageflächen jeweils eine den Trennspalt überbrückende Ringnut gebildet wird, die das Zwischenschieben eines Trennwerkzeuges erlaubt. Spacer arranged radially offset inwardly, so that in each case a cross-gap separating the annular gap is formed at interlocking cones on the outer circumference between the mutually facing abutment surfaces, which allows the intermediate sliding of a cutting tool.
Die Erfindung soll nachfolgend mit Bezug auf die Zeichnungen näher erläutert werden. Dabei zeigt: The invention will be explained in more detail with reference to the drawings. Showing:
Fig. 1 schematisch die Implantatmodule mit dem Verbindungselement und einer Fig. 1 shows schematically the implant modules with the connecting element and a
Distanzscheibe spacer
Fig. 2 korrespondierende Kontaktflächen der Elemente, 2 corresponding contact surfaces of the elements,
Fig. 3 das Lösen der modularen Komponenten mittels eines externen Trennwerkzeuges, Fig. 4 die Darstellung des bevorzugten Winkelbereiches für die Konusverbindung, 3 shows the release of the modular components by means of an external parting tool, 4 shows the representation of the preferred angular range for the cone connection,
Fig. 5 die schematische Darstellung des Verbindungselementes mit den Fig. 5 is a schematic representation of the connecting element with the
korrespondierenden Konen im Schnitt und corresponding cones on average and
Fig. 6 die Darstellung des Wirkprinzips der Konusverbindung. Fig. 6 shows the representation of the active principle of the cone connection.
Das modular aufgebaute Implantatsystem z. B. für Hüft- oder Schultergelenke ist aus einem proximalen 2 und einem distalen Modul 1 (Kopfkomponente und Schaftmodul) sowie dem Verbindungselement 4 aufgebaut, wobei die einzelnen Teile über eine vorzugsweise zentrale Befestigungsschraube 3 zusammengehalten werden. The modular implant system z. B. for hip or shoulder joints is composed of a proximal 2 and a distal module 1 (head component and shaft module) and the connecting element 4, wherein the individual parts are held together via a preferably central fastening screw 3.
Aus der Darstellung in den Figuren 2 und4-6 ist ersichtlich, dass das Verbindungselement 4 (ebenso wie die entsprechenden Anlageflächen für das Verbindungselement an den proximalen und distalen Implantatmodulen 1 und 2) korrespondierende, ringförmige It can be seen from the illustration in FIGS. 2 and 4-6 that the connecting element 4 (as well as the corresponding contact surfaces for the connecting element on the proximal and distal implant modules 1 and 2) corresponds to a ring-shaped one
Konusflächen aufweisen. Have conical surfaces.
Korrespondierend heisst hierbei, dass an der einen Stirnfläche der sich berührenden Flächen jeweils ein konusförmiger, gegenüber der Fläche axial vorstehender Konusring vorgesehen ist, während an der gegenüberliegenden Fläche eine entsprechende, den Konusring aufnehmende Ringnut vorhanden ist. Corresponding means here that at one end face of the contacting surfaces in each case a conical, with respect to the surface axially projecting conical ring is provided, while on the opposite surface a corresponding, the cone ring receiving annular groove is present.
Diese Konusflächen weisen eine äußere und eine innere Konusfläche 5 und 6 auf. These conical surfaces have an outer and an inner conical surface 5 and 6.
Die äußere Konusfläche ist gegenüber dem Außenumfang des Verbindungselementes bzw. der Implantatsmodule oder einer Distanzscheibe radial nach innen versetzt, so dass sich bei ineinander gefügten Konen eine ringförmige Nut 7 ergibt, die den Trennspalt überbrückt. The outer conical surface is offset radially inwards relative to the outer circumference of the connecting element or the implant modules or a spacer, so that, when the cones are inserted into one another, an annular groove 7 results, which bridges the separating gap.
Wie die Figur 3 zeigt, kann in diese Nut 7 ein externes Trennwerkzeug 8 eingeführt werden, mit dem sich die korrespondierenden Konen voneinander lösen lassen. As FIG. 3 shows, an external separating tool 8 can be introduced into this groove 7, with which the corresponding cones can be detached from one another.
Bei den Darstellungen in den Figuren 5 und 6 ist durch Pfeile einerseits die axiale In the illustrations in Figures 5 and 6 is by arrows on the one hand, the axial
Verspannung durch die zentrale Befestigungsschraube 3 angedeutet (Figur 5), sowie die radiale Verspannung der Konen (Figur 6). Strain indicated by the central fastening screw 3 (Figure 5), as well as the radial tension of the cones (Figure 6).

Claims

Ansprüche claims
1. Verbindungselement für modulare Komponenten von Implantaten, bei denen die Implantatsmodule, wie die proximalen und distalen Komponenten (2,1), mittels einer Befestigungsschraube (3) miteinander verbunden sind, A modular component connector of implants in which the implant modules, such as the proximal and distal components (2, 1), are connected together by a fastening screw (3),
dadurch gekennzeichnet, characterized,
dass die Stirnflächen des Verbindungselementes (4) sowie die diesen zugewandten Anlageflächen der Implantatsmodule (1 ,2) als Konusflächen (5,6) ausgebildet sind, die die durch die Befestigungsschraube (3) aufgebrachte axiale Spannung in den konischen Kontaktflächen in eine entsprechende Radial- oder Ringspannung zur Verbindung der Komponenten umsetzen wobei in that the end faces of the connecting element (4) and the contact surfaces of the implant modules (1, 2) facing them are in the form of conical surfaces (5, 6) which rotate the axial tension in the conical contact surfaces, which is applied by the fastening screw (3), into a corresponding radial surface. or react ring strain to connect the components
die Konusflächen (5,6) ringförmig als Doppelkonusflächen mit einem äußeren und einem inneren Konus ausgebildet sind. the conical surfaces (5, 6) are designed annularly as double conical surfaces with an outer and an inner cone.
2. Verbindungselement nach Anspruch 1 , 2. Connecting element according to claim 1,
dadurch gekennzeichnet, characterized,
dass der Winkelbereich ß für die Ausgestaltung der konischen Kontaktflächen zwischen 3° und 30° liegt. that the angular range β for the configuration of the conical contact surfaces is between 3 ° and 30 °.
3. Verbindungselement nach Anspruch 2, 3. Connecting element according to claim 2,
dadurch gekennzeichnet, characterized,
dass der Winkelbereich ß für die Ausgestaltung der konischen Kontaktflächen 10° beträgt. that the angular range ß for the configuration of the conical contact surfaces is 10 °.
4. Verbindungselement nach einem der vorstehenden Ansprüche, 4. Connecting element according to one of the preceding claims,
dadurch gekennzeichnet, characterized,
dass die korrespondierenden Konusflächen derart aufeinander abgestimmt sind, dass die äußere oder innere Konusfläche eine belastete, selbsthemmende Tragfläche ist. in that the corresponding conical surfaces are coordinated with one another such that the outer or inner conical surface is a loaded, self-locking supporting surface.
5. Verbindungselement nach einem der vorstehenden Ansprüche, 5. Connecting element according to one of the preceding claims,
dadurch gekennzeichnet, dass die äußere Konusfläche (5) gegenüber dem Außenumfang des Verbindungselementes (4) oder der Implantatsmodule (1 ,2) oder einer Distanzscheibe (9) radial nach innen versetzt angeordnet ist, so dass bei ineinander greifenden Konen am äußeren Umfang zwischen den einander zugewandten Anlageflächen jeweils eine den Trennspalt überbrückende Ringnut gebildet wird, die das Zwischenschieben eines Trennwerkzeuges (7) erlaubt. characterized, in that the outer conical surface (5) is offset radially inwards relative to the outer circumference of the connecting element (4) or the implant modules (1, 2) or a spacer (9) so that, when the cones engage in one another, on the outer circumference between the mutually facing abutment surfaces each one the separating gap bridging annular groove is formed, which allows the intermediate sliding of a separating tool (7).
PCT/DE2011/000096 2010-02-26 2011-01-31 Connecting element for modular components WO2011103851A1 (en)

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DE201010010073 DE102010010073B4 (en) 2010-02-26 2010-02-26 Connector for modular components
DE102010010073.0 2010-02-26

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EP4245266A1 (en) * 2022-03-14 2023-09-20 Wright Medical Technology, Inc. Insertion and removal features for modular stems and associated method

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DE29506036U1 (en) 1995-04-07 1995-06-01 Brehm Peter Modular femoral prosthesis system with a shaft or prosthesis nail on which various modules can be placed
WO1999047081A1 (en) * 1998-03-18 1999-09-23 Patrick Michel White Prosthesis having wedge-shaped body
EP1205161A2 (en) * 2000-11-08 2002-05-15 Depuy Orthopaedics, Inc. Self-locking modular prosthesis having taper feature and associated method
DE10308141A1 (en) * 2003-02-26 2004-10-14 Aesculap Ag & Co. Kg Extension sleeve for modular built-in joint prosthesis, has sleeve wall preferably formed with circumferential grooves to minimize sleeve flexural rigidity
GB2448580A (en) * 2007-04-18 2008-10-22 Howmedica Osteonics Corp A prosthesis for a prepared natural femoral head
EP2133041A1 (en) 2008-06-11 2009-12-16 DePuy Products, Inc. Orthopaedic joint prosthesis with positionable head

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Publication number Priority date Publication date Assignee Title
EP0567349A1 (en) * 1989-02-08 1993-10-27 SMITH & NEPHEW RICHARDS, INC. Modular hip prosthesis
DE29506036U1 (en) 1995-04-07 1995-06-01 Brehm Peter Modular femoral prosthesis system with a shaft or prosthesis nail on which various modules can be placed
WO1999047081A1 (en) * 1998-03-18 1999-09-23 Patrick Michel White Prosthesis having wedge-shaped body
EP1205161A2 (en) * 2000-11-08 2002-05-15 Depuy Orthopaedics, Inc. Self-locking modular prosthesis having taper feature and associated method
DE10308141A1 (en) * 2003-02-26 2004-10-14 Aesculap Ag & Co. Kg Extension sleeve for modular built-in joint prosthesis, has sleeve wall preferably formed with circumferential grooves to minimize sleeve flexural rigidity
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Publication number Priority date Publication date Assignee Title
EP4245266A1 (en) * 2022-03-14 2023-09-20 Wright Medical Technology, Inc. Insertion and removal features for modular stems and associated method

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DE102010010073A1 (en) 2011-09-01
EP2538887A1 (en) 2013-01-02

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