Acetabular cup assembly for multiple bearing materials
10383745 ยท 2019-08-20
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
A61F2002/30578
HUMAN NECESSITIES
A61F2002/30474
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
A61B17/86
HUMAN NECESSITIES
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 upper end of the shell, an apex formed at a lower end of the shell along a curved portion of the inner surface, and a central axis extending through the apex, wherein the inner surface comprises a plurality of scallops positioned adjacent the end face, a tapered wall extending from the scallops toward the apex, a protrusion inwardly extending away from an adjacent portion of a segment of the inner surface that is located below the tapered wall, and a groove that extends from the protrusion to the curved portion of the inner surface; wherein the shell is configured to receive each of a plurality of liners, the plurality of liners including: a polymer liner comprising a plurality of tabs sized and shaped to be received in the scallops, and a bump sized and shaped to be received in the groove; and a metal liner comprising a tapered outer surface; wherein, when the polymer liner is seated in the shell, each tab is received in a corresponding one of the scallops, the bump is received in the groove, and an interference fit is formed between the polymer liner and the shell, the interference fit including engagement of the bump with the groove; wherein, when the metal liner is seated in the shell, the tapered wall is engaged with the tapered outer surface to thereby retain the metal liner in the shell; and wherein the curved portion of the inner surface has a curved cross-section along a plane including the central axis.
2. The system of claim 1, wherein the polymer liner is formed of a polymeric material including at least one of cross-linked polyethylene and conventional polyethylene.
3. The system of claim 1, wherein the tapered wall forms an angle of about 18 with respect to the central axis.
4. The system of claim 1, wherein the bump is a lower bump, wherein the groove is a lower groove, wherein the shell further comprises an upper groove located between the tapered wall and the protrusion, and wherein the polymer liner further comprises an upper bump sized and shaped to be received in the upper groove, and wherein the protrusion defines a lower wall of the upper groove and an upper wall of the lower groove.
5. The system of claim 4, wherein a line extends from a first location at which the inner surface meets the lower groove to a second location at which the central axis meets a plane defined along the end face of the shell, and wherein the central axis and the line define an angle in the range of 40 to 70.
6. The system of claim 5, wherein a distance between the upper groove and the lower groove is between two millimeters and four millimeters.
7. The system of claim 1, wherein the shell is further configured to receive a ceramic liner comprising a second tapered outer surface, and wherein, when the ceramic liner is seated in the shell, the tapered wall is engaged with the tapered outer surface to thereby retain the ceramic liner in the shell.
8. The system of claim 1, wherein the shell further includes an outwardly extending circumferential recess, and wherein the recess is positioned beneath a portion of the end face and extending through the plurality of scallops.
9. The system of claim 1, wherein the shell further includes a notch in a portion of the end face, and wherein the notch extends between the inner surface and the exterior surface of the shell.
10. The system of claim 1, wherein the plurality of scallops are inwardly-facing and oriented toward the central axis of the shell.
11. The system of claim 1, wherein a portion of the metal liner is coupled to an outer body that includes at least one body bump, and wherein, when the metal liner is seated in the shell, the at least one body bump engages the groove.
12. The system of claim 11, wherein the outer body that is coupled to the metal liner is formed from a material that is different than the material of the metal liner.
13. The system of claim 1, wherein the groove is non-continuous about the inner surface of the shell.
14. The system of claim 1, wherein at least a portion of the inner surface is highly polished to reduce generation of debris from engagement with the polymer liner.
15. The system of claim 1, wherein the at least a portion of the inner surface that is polished has an average surface roughness of between 1 microinch and 16 microinches.
16. An acetabular cup system, comprising: a shell having a generally concave inner surface, an outer surface, an end face formed at an upper end of the shell therefor along a curved portion of the inner surface, and a central axis extending through the apex, and an apex positioned at a lower end of the shell, wherein the inner surface comprises: a plurality of inwardly-facing scallops positioned adjacent the end face; a tapered wall extending from the plurality of inwardly-facing scallops toward the apex; a first groove and a second groove, the first groove and the second groove both positioned below the tapered surface; and a protrusion positioned between the first groove and the second groove, the protrusion being generally defined by a first wall and a second wall, the first wall further defining a portion of the first groove, the second wall further defining a portion of the second groove, the second groove extending to a curved portion of the inner surface, the curved portion of the inner surface having a curved cross-section along a plane including the central axis; wherein the shell is configured to receive each of a plurality of liners, the plurality of liners including: a polymer liner comprising a plurality of tabs sized and shaped to be received in the scallops, and a first bump sized and shaped to be received in the first groove and a second bump configured to be received in the second groove; and a metal liner comprising a tapered outer surface; wherein, when the polymer liner is seated in the shell, each tab is received in a corresponding one of the scallops, the first bump is received in the first groove, the second bump is received in the second groove, and an interference fit is formed between the polymer liner and the shell, the interference fit including engagement of the first bump with the first groove and engagement of the second bump with the second groove; and wherein, when the metal liner is seated in the shell, the tapered wall is engaged with the tapered outer surface to thereby retain the metal liner in the shell.
17. The system of claim 16, wherein a portion of the metal liner is coupled to an outer body that is formed from a material that is different from the material of the metal liner, wherein the outer body includes at least a first body bump and a second body bump, wherein the first body bump positioned for engagement with the first groove, and wherein the second body bump is positioned for engagement with the second groove.
18. The system of claim 16, wherein the polymer liner is formed of a polymeric material including at least one of cross-linked polyethylene and conventional polyethylene.
19. The system of claim 16, wherein the shell further includes an outwardly extending circumferential recess, and wherein the recess is positioned beneath a portion of the end face and extending through the plurality of scallops.
20. The system of claim 16, wherein the shell further includes a notch in a portion of the end face, and wherein the notch extends between the inner surface and the exterior surface of the shell.
Description
BRIEF DESCRIPTION OF TUB DRAWINGS
(1) The present invention will become more fully understood from the detailed description and the accompanying drawings, wherein:
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DETAILED DESCRIPTION OF THE EMBODIMENTS
(27) 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.
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(29) As best seen in
(30) In the embodiment depicted in
(31) The shell 12 includes a face 54 and scallops 16 which receive anti-rotation tabs 33. In the embodiment depicted in
(32) 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.
(33) 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
(34) 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.
(35) 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.
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(38) 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
(39) 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.
(40) 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, und 50 millimeter inner diameter shells. This is significant as the modularity within manufacturing costs and provides surgeons with a greater number of intraoperative choices.
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(45) 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.
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(48) 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.
(49) 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.
(50) 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.
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(54) In view of the foregoing, it will be seen that the several advantages of the invention are achieved and attained.
(55) 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.
(56) 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.