Acetabular cup assembly for multiple bearing materials
11096798 · 2021-08-24
Assignee
Inventors
- Charles Wayne Allen (Southaven, MS, US)
- Jason A. Capriotti (Senatobia, MS, US)
- Michael A. Croxton (The Woodlands, TX, US)
- Roger William Frank Ashton (Warwick, GB)
- Justin M. Waugh (Memphis, TN, US)
- Jeffrey J. Shea (Memphis, TN, US)
- Sureshkumar Srinivasan (Coimbatore, IN)
- William L. Waltersdorff (Hernando, MS, US)
- Terry W. McLean (Eads, TN, US)
Cpc classification
A61F2250/0062
HUMAN NECESSITIES
A61F2/30767
HUMAN NECESSITIES
A61F2310/00023
HUMAN NECESSITIES
A61F2002/30787
HUMAN NECESSITIES
A61F2310/00017
HUMAN NECESSITIES
A61F2002/30607
HUMAN NECESSITIES
A61F2002/30332
HUMAN NECESSITIES
A61F2/30744
HUMAN NECESSITIES
A61F2002/3241
HUMAN NECESSITIES
A61F2002/30403
HUMAN NECESSITIES
A61F2/4637
HUMAN NECESSITIES
A61F2002/4632
HUMAN NECESSITIES
A61B17/68
HUMAN NECESSITIES
A61F2002/30487
HUMAN NECESSITIES
A61F2002/3054
HUMAN NECESSITIES
A61F2220/0025
HUMAN NECESSITIES
A61F2310/00239
HUMAN NECESSITIES
A61F2002/4629
HUMAN NECESSITIES
A61F2002/4666
HUMAN NECESSITIES
A61F2002/30474
HUMAN NECESSITIES
A61F2002/30578
HUMAN NECESSITIES
A61F2002/30367
HUMAN NECESSITIES
A61F2002/30092
HUMAN NECESSITIES
A61F2210/0014
HUMAN NECESSITIES
A61F2002/3052
HUMAN NECESSITIES
A61B17/86
HUMAN NECESSITIES
A61F2310/00029
HUMAN NECESSITIES
A61F2220/0033
HUMAN NECESSITIES
A61F2002/30331
HUMAN NECESSITIES
A61F2002/30616
HUMAN NECESSITIES
A61F2002/3401
HUMAN NECESSITIES
A61F2310/00395
HUMAN NECESSITIES
A61F2002/4681
HUMAN NECESSITIES
International classification
Abstract
A modular acetabular cup assembly for use with multiple bearing liners is disclosed. The acetabular cup assembly includes a shell having a tapered inner wall and two circumferential grooves. The shell may be used with polyethylene, ceramic, metal, and other types of liners.
Claims
1. An acetabular cup system, comprising: a shell having a generally concave inner surface, an outer surface, an end face formed at an uppermost end of the shell, an apex formed at a lower end of the shell, and a central axis extending through the apex, wherein the inner surface comprises an inwardly-facing scallop defined in the inner surface and extending into the end face, at least a portion of the inner surface defining a taper with respect to the central axis, the tapered portion of the inner surface extending below the scallop, a protrusion located below the tapered portion of the inner surface, and a lower groove located below the protrusion; a first liner comprising generally convex first outer portion, the first outer portion including an outwardly-extending tab and a lower bump, wherein the first liner is formed of a polymer material; and a second liner comprising a generally convex second outer portion, the second outer portion including a tapered outer wall, wherein the second liner is formed of a metallic material; wherein the shell is configured to receive each of the first liner and the second liner; wherein when the first liner is seated in the shell, the tab is received in the scallop, the lower bump is received in the lower groove and engaged with a lower side of the protrusion, and an interference fit is formed between the first liner and the shell, the interference fit including at least engagement of the lower bump with the lower groove; and wherein when the second liner is seated in the shell, the tapered outer wall is engaged with the tapered portion of the inner surface upper wall of the shell, and the second liner is retained in the shell by engagement between the tapered portion of the inner surface and the upper wall.
2. The system of claim 1, further comprising a third liner including a generally convex third outer portion, the third outer portion including a second tapered outer wall; wherein the third liner is formed of a ceramic material; and wherein when the third liner is seated in the shell, the tapered portion of the inner surface is engaged with the second tapered outer wall, and the third liner is retained in the shell by engagement of the tapered portion of the inner surface with the second tapered outer wall.
3. The system of claim 2, further comprising a tapered band; wherein when the third liner is seated in the shell, the tapered band is positioned between the tapered portion of the inner surface and the second tapered outer wall such that the tapered portion of the inner surface is engaged with the second tapered outer wall through the tapered band.
4. The system of claim 1, wherein a portion of the wall extending below the tapered portion defines an upper groove, and wherein the first liner further comprises an upper bump sized and shaped to be received in the upper groove.
5. The system of claim 4, wherein a distance between the upper groove and the lower groove is between two millimeters and four millimeters.
6. The system of claim 1, wherein the lower groove has a curved cross-section along a plane including the central axis.
7. The system of claim 4, wherein the protrusion is positioned between the lower and upper grooves.
8. The system of claim 1, wherein the lower groove is partially defined by the protrusion.
9. The system of claim 1, wherein the inwardly-facing scallop includes a plurality of scallops and the outwardly-extending tab of the first liner includes a plurality of tabs sized and shaped to be received in the plurality of scallops.
10. The system of claim 1, wherein, the inner surface of the shell has a polished finish, and the tapered outer wall of the second liner has a roughened finish.
11. The system of claim 10, wherein a surface roughness of the inner surface is less than 16 microinches.
12. An acetabular cup system, comprising: a shell having a generally concave inner surface, an outer surface, an end face formed at an uppermost end of the shell, an apex formed at a lower end of the shell, and a central axis extending through the apex, wherein the inner surface comprises an inwardly-facing scallop defined in the inner surface and extending into the end face, at least a portion of the inner surface defining a taper with respect to the central axis, the tapered portion of the inner surface extending below the scallop, a protrusion located below the tapered portion of the inner surface, a lower groove located below the protrusion, and an upper groove formed in a portion of the wall extending below the tapered portion; a first liner comprising generally convex first outer portion, the first outer portion including an outwardly-extending tab, an upper bump, and a lower bump, wherein the first liner is formed of a polymer material; and a second liner comprising a generally convex second outer portion, the second outer portion including a tapered outer wall, wherein the second liner is formed of a metallic material; wherein the shell is configured to receive each of the first liner and the second liner; wherein when the first liner is seated in the shell, the tab is received in the scallop, the upper bump is received in the upper groove, the lower bump is received in the lower groove and engaged with a lower side of the protrusion, and an interference fit is formed between the first liner and the shell, the interference fit including at least engagement of the upper bump with the upper groove and the lower bump with the lower groove; and wherein when the second liner is seated in the shell, the tapered outer wall is engaged with the tapered portion of the inner surface upper wall of the shell, and the second liner is retained in the shell by engagement between the tapered portion of the inner surface and the upper wall.
13. The system of claim 12, further comprising a third liner including a generally convex third outer portion, the third outer portion including a second tapered outer wall; wherein the third liner is formed of a ceramic material; and wherein when the third liner is seated in the shell, the tapered portion of the inner surface is engaged with the second tapered outer wall, and the third liner is retained in the shell by engagement of the tapered portion of the inner surface with the second tapered outer wall.
14. The system of claim 12, wherein a distance between the upper groove and the lower groove is between two millimeters and four millimeters.
15. The system of claim 12, wherein the protrusion is positioned between the lower and upper grooves.
16. The system of claim 12, wherein the inwardly-facing scallop includes a plurality of scallops and the outwardly-extending tab of the first liner includes a plurality of tabs sized and shaped to be received in the plurality of scallops.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The present invention will become more fully understood from the detailed description and the accompanying drawings, wherein:
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
(25)
(26)
(27)
(28)
(29)
DETAILED DESCRIPTION OF THE EMBODIMENTS
(30) The following description of the preferred embodiment(s) is merely exemplary in nature and is in no way intended to limit the invention, its application, or uses.
(31)
(32) As best seen in
(33) In the embodiment depicted in
(34) The shell 12 includes a face 54 and scallops 16 which receive anti-rotation tabs 33. In the embodiment depicted in
(35) In some embodiments, the shell 12 may include one or more fixation holes 40. A screw, modular peg, or other fixation device (not shown) may be inserted through the fixation hole 40 to attach the shell 12 to bone. Further, in some embodiments the shell may have a porous coating on its exterior. As examples, the exterior of the shell 12 may have a sintered metal coating, a vapor deposited metal coating, a thermal spray metal coaling, or be chemically etched. The porous coating may allow for bone in-growth into the shell 12.
(36) The shell 12 includes a first groove 24 and a second groove 26. Alternatively, the grooves 24, 26 may be termed indentations or cavities. The grooves 24, 26 may or may not fully extend about an interior 30 of the shell 12. Thus, as seen in
(37) The use of two protrusions and grooves is significant as the effective push-in and push-out of the liner 32 can be controlled by adjusting the tolerances and dimensions of these four items. For example, it is possible to have the liner 32 installed with a small push-in force but also have a significant push-out force. Thus, a surgeon may easily be able to push-in the liner by hand but the liner will not disassemble from the shell without the use of a tool. In another example, the liner 32 may be installed with a high push-in force and have an even greater push-out force. A protrusion 25 is formed in between the grooves 24, 26, and can inwardly extend from an adjacent inner portion of a segment of the inner surface 14. By controlling the interference between she protrusion 25 and the second bump 36 and the other dimensions, one can adjust the push-in and push-out force. If the second bump 36 greatly interferes with the protrusion 25, then the liner 32 will have both a high push-in and push-out. In this case, it may be necessary to significantly cool the liner 32 prior to installation to temporarily reduce its size. However, if the second bump 36 only slightly interferes with the protrusion 25, then the liner 32 may be inserted utilizing a low push-in force and removed utilizing a high push-out force. This is because once the bumps 34, 36 engage the grooves 24, 26, both bumps will contribute to the push out force required. However, in the case of push-in, the force required is only enough for the second bump 36 to clear the protrusion 25 and for the first bump 34 to engage the first groove 24.
(38) The first groove 24 and the second groove 26 are located below the inner wall 28. This is significant because the location of the grooves 24,26 shelters the locking mechanism of the first liner 32 from soft tissue interference. In other words, because the bumps 34, 36 engage the grooves 24, 26 on a lower portion of the shell 12, the likelihood of soft tissue interference with the locking of the first liner 32 to the shell is significantly reduced.
(39)
(40)
(41) The band 112 has an inner surface 140 and an outer surface 142 spaced apart from the inner surface 140. The inner surface 140 is sized and shaped to compliment the outer portion 114 of the liner 110, and the outer surface 142 is sized and shaped to compliment the inner wall 28. The outer surface 142 is spaced apart from the inner surface 140 by a second distance or second dimension D2. The distance D2 may vary from about one-half millimeter to about 30 millimeters, and rather from about one-half millimeter to about ten millimeters. In the embodiment depicted in
(42) In some embodiments, the shell 12 way accept differently sized liners. The acetabular cup assembly 100 may include a plurality of liners, each having a band with a differently sized inner surface but each having the same size outer surface. Thus, the plurality of liners all fit the same shell because the outer surface is the same size. However, the inner surface is differently sized allowing for differently sized liners, the difference in size is adjusted by adjusting the distance D2 of the band 112. As an example only, the single shell 12 may accept 26, 28, and 32 millimeter inner diameter liners. This is significant as the modularity reduces manufacturing costs and provides surgeons with a greater number of interoperative choices.
(43) In outer embodiments, the liner 110 may fit within differently sized shells. The acetabular cup assembly 100 may include a plurality of liners, each having a band with a differently sized outer surface hut each having the same size inner surface. Thus, the plurality of liners each have the same inner diameter size but has differently sized outer surface that compliments a particular size of shell. The difference in size is adjusted by adjusting the distance D2 of the band 112. As an example only, the single liner 110 may fit within 46, 48, and 50 millimeter inner diameter shells. This is significant as the modularity within manufacturing costs and provides surgeons with a greater number of intraoperative choices.
(44)
(45)
(46)
(47)
(48) The liners 32, 110, 212, 310, 354 may be neutral liners, anteveretd bearing liners, lipped bearing liners, or lateralized bearing liners. Thus, the depicted embodiments are merely exemplary. Further, an interior or an exterior of the linen 32, 110, 212, 310, 354 may be coated with various types of coatings. For example, these surfaces may have a metal, plastic, diamond, or composite coating.
(49)
(50)
(51) In the method, the installation tool 500 is slightly spread open and attached to the liner 32, 110, 212, 310, 354 until either the first shoulder 504 or the second shoulder 506 contact the liner. The installation tool 500 is resilient and biased to spring back into its original position. Thus, the installation tool 500 is attached to the liner 32, 110, 212, 310, 354 through the use of a spring force.
(52) Once the installation tool 500 is assembled to the liner 32, 110, 212, 310, 354, the installation tool 500 and the liner 32, 110, 212, 310, 354 are placed over the shell 12. Thereafter, an impactor head 510 may be used to press on the liner 32, 110, 212, 310, 354 to remove the liner from the installation tool 500 and install the liner in the shell 12. The use of the installation tool 500 allows for automatic centering and alignment of the liner 32, 110, 212, 310, 354 within the shell 12. The use of the installation tool 500 significantly reduces the possibility that the liner may become askew relative to the shell upon installation. Further, the installation tool 500 may serve as a soft tissue retractor during installation. The outer portion of the installation tool 500 may be used to push soft tissue aside as the liner is inserted into the shell.
(53) The installation tool 500 may be re-usable or disposable. For example, the installation tool 500 may be made of metal, such as stainless steel, and the installation tool may be sterilized and re-used after installation of the liner. Alternatively, the installation tool 500 may be made from a polymer or plastic and disposed of after liner insertion. In the case of a plastic material, the installation tool may be color coded to indicate a particular size or to indicate a particular brand.
(54)
(55)
(56)
(57) In view of the foregoing, it will be seen that the several advantages of the invention are achieved and attained.
(58) The embodiments were chosen and described in order to best explain the principles of the invention and its practical application to thereby enable others skilled in the art to best utilize the invention in various embodiments and with various modifications as are suited to the particular use contemplated.
(59) As various modifications could be made in the constructions and methods herein described and illustrated without departing from the scope of the invention, it is intended that all matter contained in the foregoing description or shown in the accompanying drawings shall be interpreted as illustrative rather than limiting. For example, while the first groove and the second groove have been depicted as annular, those of ordinary skill in the art would understand that the grooves may be intermittently spaced about the inner surface of the shell and still achieve the same function. Thus, the breadth and scope of the present invention should not be limited by any of the above-described exemplary embodiments, but should be defined only in accordance with the following claims appended hereto and their equivalents.