WO2019040865A9 - Ankle arthroplasty systems and methods - Google Patents

Ankle arthroplasty systems and methods Download PDF

Info

Publication number
WO2019040865A9
WO2019040865A9 PCT/US2018/047944 US2018047944W WO2019040865A9 WO 2019040865 A9 WO2019040865 A9 WO 2019040865A9 US 2018047944 W US2018047944 W US 2018047944W WO 2019040865 A9 WO2019040865 A9 WO 2019040865A9
Authority
WO
WIPO (PCT)
Prior art keywords
guide
curvature
burr
base
prosthesis
Prior art date
Application number
PCT/US2018/047944
Other languages
French (fr)
Other versions
WO2019040865A1 (en
Inventor
Charles Saltzman
Albert H. Burstein
Jonathan T. Deland
Original Assignee
Charles Saltzman
Burstein Albert H
Deland Jonathan T
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
Priority claimed from US15/686,088 external-priority patent/US10182832B1/en
Priority claimed from US15/686,090 external-priority patent/US10314597B2/en
Priority claimed from US15/686,084 external-priority patent/US10426494B2/en
Priority to JP2020511438A priority Critical patent/JP2020531166A/en
Priority to EP18765333.2A priority patent/EP3672535A1/en
Priority to BR112020003815-6A priority patent/BR112020003815A2/en
Application filed by Charles Saltzman, Burstein Albert H, Deland Jonathan T filed Critical Charles Saltzman
Priority to KR1020207008590A priority patent/KR20200045527A/en
Priority to US16/641,628 priority patent/US11596421B2/en
Priority to AU2018322380A priority patent/AU2018322380B2/en
Priority to CN201880069415.0A priority patent/CN111356419B/en
Publication of WO2019040865A1 publication Critical patent/WO2019040865A1/en
Publication of WO2019040865A9 publication Critical patent/WO2019040865A9/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
    • A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4202—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for ankles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1682—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the foot or ankle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1775—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the foot or ankle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4606—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of wrists or ankles; of hands, e.g. fingers; of feet, e.g. toes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/1615—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
    • 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
    • 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
    • A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4202—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for ankles
    • A61F2002/4205—Tibial components
    • 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
    • A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4202—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for ankles
    • A61F2002/4207—Talar components

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Dentistry (AREA)
  • Transplantation (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

An ankle arthroplasty system (100) may have a talar prosthesis (102) and a tibial prosthesis (104), each of which has an articular surface (110, 120) and a bone engagement surface (112, 122). Each bone engagement surface may have an anterior-posterior curvature and a medial-lateral curvature with a convex shape. A burr (610, 800, 830, 860) with a rotatable cutting element (720, 820, 850, 880) may be used to form a prepared surface on the talus or the tibia to receive the corresponding prosthesis. A cutting guide may be used to guide motion of the burr; the cutting guide may include a base and an arm movably coupled to the base. One of the base and the arm may have a guide surface, and the other may have a follower that slides along the guide surface to constrain motion of the burr such that the prepared surface has at least one concave curvature and one convex curvature.
PCT/US2018/047944 2017-08-24 2018-08-24 Ankle arthroplasty systems and methods WO2019040865A1 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
CN201880069415.0A CN111356419B (en) 2017-08-24 2018-08-24 Systems and methods for ankle replacement
AU2018322380A AU2018322380B2 (en) 2017-08-24 2018-08-24 Ankle arthroplasty systems and methods
US16/641,628 US11596421B2 (en) 2017-08-24 2018-08-24 Ankle arthroplasty system and methods
EP18765333.2A EP3672535A1 (en) 2017-08-24 2018-08-24 Ankle arthroplasty systems and methods
BR112020003815-6A BR112020003815A2 (en) 2017-08-24 2018-08-24 ankle arthroplasty systems and methods
JP2020511438A JP2020531166A (en) 2017-08-24 2018-08-24 Ankle arthroplasty system and method
KR1020207008590A KR20200045527A (en) 2017-08-24 2018-08-24 Ankle joint plastic surgery system and method

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US15/686,088 US10182832B1 (en) 2017-08-24 2017-08-24 Ankle arthroplasty systems and methods
US15/686,079 2017-08-24
US15/686,084 US10426494B2 (en) 2017-08-24 2017-08-24 Ankle arthroplasty systems and methods
US15/686,090 US10314597B2 (en) 2017-08-24 2017-08-24 Ankle arthroplasty systems and methods
US15/686,090 2017-08-24
US15/686,079 US10485561B2 (en) 2017-08-24 2017-08-24 Ankle arthroplasty system and methods
US15/686,088 2017-08-24
US15/686,084 2017-08-24

Publications (2)

Publication Number Publication Date
WO2019040865A1 WO2019040865A1 (en) 2019-02-28
WO2019040865A9 true WO2019040865A9 (en) 2019-05-09

Family

ID=63490778

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2018/047944 WO2019040865A1 (en) 2017-08-24 2018-08-24 Ankle arthroplasty systems and methods

Country Status (7)

Country Link
EP (1) EP3672535A1 (en)
JP (1) JP2020531166A (en)
KR (1) KR20200045527A (en)
CN (1) CN111356419B (en)
AU (1) AU2018322380B2 (en)
BR (1) BR112020003815A2 (en)
WO (1) WO2019040865A1 (en)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA3098384A1 (en) 2018-04-24 2020-01-16 Paragon 28, Inc. Implants and methods of use and assembly
AU2020344704A1 (en) 2019-09-13 2022-04-14 Treace Medical Concepts, Inc. Patient-specific surgical methods and instrumentation
US11986251B2 (en) 2019-09-13 2024-05-21 Treace Medical Concepts, Inc. Patient-specific osteotomy instrumentation

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5098436A (en) * 1991-03-07 1992-03-24 Dow Corning Wright Corporation Modular guide for shaping of femur to accommodate intercondylar stabilizing housing and patellar track of implant
US5755803A (en) * 1994-09-02 1998-05-26 Hudson Surgical Design Prosthetic implant
US8603095B2 (en) * 1994-09-02 2013-12-10 Puget Bio Ventures LLC Apparatuses for femoral and tibial resection
FR2730157B1 (en) * 1995-02-08 1997-07-04 Bouvet Jean Claude ANKLE PROSTHESIS
US7025790B2 (en) * 2002-06-27 2006-04-11 Concepts In Medicine Iii, L.L.C. Ankle joint prosthesis and its method of implantation
US7534270B2 (en) * 2003-09-03 2009-05-19 Integra Lifesciences Corporation Modular total ankle prosthesis apparatuses and methods
US20060247788A1 (en) * 2005-03-31 2006-11-02 The Regents Of The University Of California Total ankle arthroplasty
FR2905259B1 (en) * 2006-09-05 2009-07-31 Ceram Sarl I PROSTHESIS OF ANKLE
JP5999745B2 (en) * 2009-12-04 2016-09-28 帝人ナカシマメディカル株式会社 Artificial ankle
EP2561814A1 (en) * 2011-08-25 2013-02-27 Deru GmbH Cutting guide for creating an external contour for an articulated endoprosthetic
ITMI20131590A1 (en) * 2013-09-26 2015-03-27 Ciquadro Snc Di Carboni Sebastiano ANKLE PROSTHESIS
US9833245B2 (en) * 2014-09-29 2017-12-05 Biomet Sports Medicine, Llc Tibial tubercule osteotomy

Also Published As

Publication number Publication date
CN111356419A (en) 2020-06-30
EP3672535A1 (en) 2020-07-01
AU2018322380A1 (en) 2020-04-09
CN111356419B (en) 2023-04-04
JP2020531166A (en) 2020-11-05
WO2019040865A1 (en) 2019-02-28
KR20200045527A (en) 2020-05-04
AU2018322380B2 (en) 2024-06-13
BR112020003815A2 (en) 2020-09-08

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