CAP COMPONENT FOR AN ENDOPROSTHESIS, AND ENDOPROSTHESIS OR ARTIFICIAL JOINT COMPRISING SAID COMPONENT
20250025304 ยท 2025-01-23
Inventors
Cpc classification
A61F2310/00407
HUMAN NECESSITIES
A61F2002/30632
HUMAN NECESSITIES
A61F2002/30131
HUMAN NECESSITIES
A61F2002/30878
HUMAN NECESSITIES
A61F2/30734
HUMAN NECESSITIES
International classification
Abstract
A cap component for an endoprosthesis includes a convex or flat sliding surface. The cap component is designed to enclose part or all of an associated bone joint part. The cap component and/or a first base material of the cap component have a modulus of elasticity that is about equal to bone material of the associated bone joint part. A facing surface of the cap component facing the associated bone joint part is at least partially coated with a first metal or with particles of the first metal.
Claims
1.-28. (canceled)
29. A cap component for an endoprosthesis, the cap component comprising: a convex or flat sliding surface; the cap component being designed to enclose part or all of an associated bone joint part; the cap component and/or a first base material of the cap component having a modulus of elasticity that is about equal to bone material of the associated bone joint part; and a facing surface of the cap component facing the associated bone joint part being at least partially coated with a first metal or with particles of the first metal.
30. The cap component of claim 29, wherein the modulus of elasticity of the cap component and/or the base material of the cap component is less than 10 GPa; and/or wherein the modulus of elasticity of the sliding surface of the cap component is about equal to the modulus of elasticity of the cap component and/or the first base material of the cap component.
31. The cap component of claim 29, wherein the first base material of the cap component is softer than a second metal and/or a metal alloy of a second base material of an insert component slidingly cooperating with the cap component, wherein the second metal includes titanium, iron, chromium, cobalt, or any combination thereof, and/or wherein the metal alloy includes titanium, iron, chromium, cobalt, or any combination thereof.
32. The cap component of claim 29, wherein the first metal includes titanium particles, and wherein the titanium particles are applied using a titanium plasma spray coating process.
33. The cap component of claim 29, wherein the first base material of the cap component includes a plastic.
34. The cap component of claim 29, wherein the cap component has an anti-rotation element arranged on the facing surface of the cap component facing the associated bone joint part.
35. The cap component of claim 34, wherein the anti-rotation element has the form of a bar, bollard, thread, tooth, cross, star, anchoring pin, or any combination thereof; and/or wherein the anti-rotation element is arranged circularly and/or at a corresponding pole in relation to the cap component.
36. The cap component of claim 34, wherein the cap component has an anti-translation element arranged on the facing surface of the cap component facing the associated bone joint part.
37. The cap component of claim 36, wherein the anti-translation element has the form of a groove or a cavity.
38. The cap component of claim 36, wherein the anti-rotation element and the anti-translation element are set up to absorb forces and/or moments immediately after implantation and/or for a time after corresponding growth of the bone material of the associated bone joint part.
39. The cap component of claim 29, wherein the cap component has a recess designed to protect zones with critical blood supply during preparation and/or implantation.
40. The cap component of claim 29, wherein the sliding surface of the cap component is spherical on a first side of an equator of the cap component, and the sliding surface of the cap component deviates and/or tapers from being spherical on a second side of the equator of the cap component.
41. The cap component of claim 40, wherein the sliding surface of the cap component has two different radii, and/or wherein the sliding surface of the cap component is based on an ellipse or a freely defined curve or line, whereby a femoral head-neck offset of at least 0.5 mm is achieved.
42. The cap component of claim 29, wherein the facing surface of the cap component is spherical on a first side of an equator of the cap component, and the facing surface of the cap component deviates from being spherical on a second side of the equator of the cap component.
43. An endoprosthesis comprising: an insert component for a first bone joint part of a first bone, the insert component having a sliding surface, and a cap component for a second bone joint part of a second bone, the cap component including: a sliding surface; the cap component being designed to enclose part or all of the second bone joint part; the cap component and/or a first base material of the cap component having a modulus of elasticity that is about equal to bone material of the second bone joint part; and a facing surface of the cap component facing the second bone joint part being at least partially coated with a first metal or with particles of the first metal, wherein the sliding surface of the insert component is in sliding contact with the sliding surface of the cap component.
44. The endoprosthesis according to claim 43, wherein the insert component is designed to be inserted into the first bone joint part, or to replace the first bone joint part in part or completely, and/or wherein a facing surface of the insert component facing the first bone joint part is partially or completely coated with the first metal or with particles of the first metal, and/or wherein a second base material of the insert component includes a second metal or a metal alloy or a metal oxide.
45. The endoprosthesis of claim 43, wherein the metal oxide includes yttrium oxide, zirconium oxide or aluminum oxide, and/or wherein the first base material of the cap component is softer than a second metal and/or a metal alloy of the insert component.
46. The endoprosthesis of claim 44, wherein the second metal of the insert component comprises titanium particles, and wherein the titanium particles are applied using a titanium plasma spray coating process.
47. The endoprosthesis of claim 43, wherein the insert component has an anti-rotation and/or anti-translation element, and wherein the anti-rotation and/or anti-translation element is arranged on a facing surface of the insert component facing the first bone joint part.
48. The endoprosthesis of claim 47, wherein the anti-rotation and/or anti-translation element of the insert component has the form of a tooth or a cavity.
Description
DESCRIPTION OF PREFERRED EMBODIMENTS
[0067] In the following, a detailed exemplary description of some embodiments of the invention is given with reference to the figures of the drawing. In the figures:
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[0089] The surface 11 of the insert component 10 facing the bone joint part is partially or completely coated with a first metal or with particles of a first metal. In addition, the insert component 10 has a sliding surface that is convex or flat.
[0090] The insert component 10 is also designed to be inserted into an associated bone joint part or to partially or completely replace it. A base material 12 of the insert component 10 basically comprises a second metal or a metal alloy and/or a metal oxide or a metal oxide mixture.
[0091] With regard to the above-mentioned metal oxide, it should be noted that it may contain or may be yttrium oxide, zirconium oxide or aluminum oxide. Additionally or alternatively, the metal oxide mixture may comprise at least one of the metal oxides yttrium oxide, zirconium oxide or aluminum oxide or may be a mixture of yttrium oxide, stabilized zirconium oxide and aluminum oxide.
[0092] The insert component 10 of the endoprosthesis 30 has, by way of example, a base material 12 which comprises a mixture of yttrium-stabilized zirconium oxide and aluminum oxide.
[0093] Furthermore, it is particularly advantageous if the first metal comprises titanium particles, the titanium particles preferably having been applied using a titanium plasma spray coating process or another thermal process. For example, the insert component 10 has such a coating 11. In particular, this is a TiCP coating.
[0094] It can also be particularly advantageous if the insert component 10 comprises at least one rotation and/or anti-translation element, the at least one rotation and/or anti-translation element preferably being arranged on the surface 11 of the insert component 10 facing the bone joint part.
[0095] Even if the exemplary embodiment 10 of the insert component according to the invention according to
[0096] With regard to the cap component 20 for the endoprosthesis 30, it should be mentioned that the cap component 20 is designed to partially or completely enclose an associated bone joint part. Accordingly, the cap component 20 according to the invention serves in particular for surface renewal or resurfacing with respect to the associated bone joint part. The associated bone joint part itself can typically be preserved.
[0097] In addition, the surface 21 of the cap component 20 facing the bone joint part is partially or completely coated with a first metal or with particles of a first metal. Furthermore, a base material 22 of the cap component 20 is generally softer than a second metal and/or a metal alloy, in particular than the second metal and/or the metal alloy of the insert component 10. The cap component 20 additionally has a convex or flat sliding surface.
[0098] Moreover, it can be particularly advantageous if the cap component 20 and/or the base material 22 of the cap component 20 has a similar stiffness, in particular modulus of elasticity, to the bone material of the associated bone joint part. It should also be noted that the second metal can be titanium, iron, chromium or cobalt.
[0099] Additionally or alternatively, the metal alloy may comprise at least one of the metals titanium, iron, chromium and cobalt. In addition, it may be particularly advantageous if the first metal comprises titanium particles, the titanium particles preferably having been anchored by high- or low-temperature processes. For example, the cap component 20 has such a coating 21 of pure titanium. In particular, this can also be a TiCP coating.
[0100] A further particular advantage arises if the base material 22 of the cap component 20 comprises or consists of a plastic, preferably polyethylene, particularly preferably polyethylene stabilized with cross-links, very particularly preferably polyethylene mixed with vitamin E and stabilized with cross-links.
[0101] By way of example, the base material 22 of the cap component 20 comprises polyethylene blended with vitamin E. Furthermore, according to
[0102] It can also be particularly advantageous if the at least one anti-rotation element 23 has the form of a bar, bollard, thread, tooth, cross, star or anchoring pin, in particular a peg. Additionally or alternatively, there is a particular advantage if the at least one anti-rotation element 23 is arranged circularly and/or at the corresponding pole with respect to the cap component 20.
[0103] In the case of the anti-rotation element 23 according to
[0104] Even if the exemplary embodiment 20 of the cap component according to the invention according to
[0105] Furthermore, a particular advantage can arise if the at least one anti-rotation element 23 and/or the at least one anti-translation element are/is set up to absorb forces and/or moments immediately after the corresponding implantation and/or for the time after the corresponding growth of the bone material of the associated bone joint part.
[0106] Furthermore, it should be mentioned that the cap component 20 may comprise at least one recess, wherein the at least one recess would preferably be designed to protect zones with critical blood supply during the corresponding preparation and/or implantation.
[0107] It can also be seen from
[0108] In this context, it should also be noted that the aforementioned shape has two or more different radii. It should also be mentioned that the shape can additionally or alternatively be based on an ellipse or a freely defined curve.
[0109] With regard to the two or more radii, it should also be mentioned that it can be particularly advantageous if three radii are present, with one of the three radii in particular being a transition radius with respect to the other two radii.
[0110] Furthermore, a particular advantage can arise if the aforementioned shape of the cap component 20 is such that the shape deviates from the sphere of the surface 21 facing the bone joint part, in particular below the corresponding equator of the cap component 20. With regard to the two different radii already mentioned above, which the shape has, it should be noted that these are additionally emphasized by
[0111] According to
[0112] In the case of
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[0114] Since at least part of the endoprosthesis 30even in the case of a follow-up operation-does not have to be adapted or can continue to be used substantially unchanged, a corresponding follow-up operation is not only less complicated, but also shorter in duration.
[0115] A detailed sectional drawing 50c of an exemplary embodiment of a cap component according to the invention is shown in
[0116] Furthermore, according to
[0117] It should be noted that the ribs 52a, 52b, 52c are shown together in the illustration 50c, in particular for the sake of compactness, although in practice either the ribs 52a and 52c are typically implemented together or one of the two aforementioned ribs alone or the rib 52b alone. In other words, in practice, elements are generally arranged on the inner surface of the cap component such that they are either tilted or parallel or substantially parallel to the axis 56.
[0118] Furthermore, it can be seen from
[0119] In the case of the aforementioned right-angled triangle, the shorter cathetus is preferably arranged on the inner surface of the cap component. In addition, the two ribs 52a and 52c are oriented in such a way that their cross-sections cannot be brought into alignment if one of the two ribs 52a and 52c is moved on the inner surface of the cap component.
[0120] Furthermore,
[0121] It should also be noted that the ribs 52a, 52b, 52c can also have other shapes or cross-sections. As an example,
[0122] Furthermore,
[0123] It can be seen that this embodiment 50a substantially corresponds to that shown in
[0124] In this context, the above illustrations, in particular the different rib shapes according to
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[0126] It should also be pointed out that the above remarks regarding the axis 56 and the grooves 51 apply analogously both to the axis 66 shown in
[0127] In addition,
[0128] Furthermore, the surface facing the bone joint part or the inner surface of the cap component has a groove 62a, which is arranged tilted with respect to the axis 66. Preferably, this groove 62a serves as an anti-rotation and/or anti-translation means or anti-rotation and/or anti-translation element. Furthermore, according to
[0129] Furthermore,
[0130] Advantageously, this golf-ball-like structure 68 secures the cap component in particular against corresponding rotation and/or translation, preferably rotation, and can be replaced in its geometric configuration by other inwardly directed shapes.
[0131] Furthermore, it is particularly advantageous if the golf ball-like structure 68 is arranged in such a way that it begins above the grooves 61 in the direction of the pole of the cap component and, in particular, extends to the pole.
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[0133] Similarly,
[0134] For the sake of completeness, it should be noted that the rib crosses 54 and 64 differ substantially in that the leg surfaces of the rib cross 54 facing the bone joint part are each flat, while the leg surfaces of the rib cross 64 are each pointed towards the bone joint part.
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[0136] Furthermore,
[0137] Lastly, different embodiments of a cap component according to the invention are presented below in the context of correspondingly different bones or bone joint parts, in particular in order to demonstrate the high flexibility of the invention.
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[0139] The embodiment 80b of the cap component according to the invention as shown in
[0140] Furthermore,
[0141] For the sake of completeness, it should be mentioned that a cap component according to the invention is generally suitable for partial joint resurfacing.
[0142] The aforementioned embodiments 80a, 80b, 80c of the cap component according to the invention in particular each have a base material 81a, 81b, 81c made of non-metallic and non-ceramic plastic material, preferably with a modulus of elasticity of at most 5 GPa. The plastic material can be a polymer, for example polyethylene or PEEK.
[0143] Furthermore, the embodiments 80a, 80b, 80c of the cap component according to the invention each have in particular a metallic coating or doping 82a, 82b, 82c, which preferably extends at least partially over the surface of the cap component 80a, 80b, 80c facing the corresponding bone or bone joint part. This coating or doping 82a, 82b, 82c may comprise titanium or calcium, in particular hydroxyapatite.
[0144] In addition, each of the embodiments 80a, 80b, 80c shows in particular a pin 83a, 83b, 83c, which preferably serves as a corresponding anti-translation means.
[0145] Furthermore,
[0146] It can also be seen that the embodiment 80d has two pins 83d, 84d, which in particular are each round in shape. In particular, these pins 83d, 84d serve not only to prevent the corresponding translation, but also the corresponding rotation.
[0147] It should also be mentioned that the sliding surface 89d of the cap component 80d is a convex sliding surface.
[0148] However, this can also be flat or planaras shown in particular in conjunction with a tibia 90e in
[0149] Furthermore,
[0150] It is also particularly advantageous if two of the three pins have a round shape, while the third pin has an elliptical or oval shape. For example, the pins 83e, 84e are round, while the pin 85e is elliptical or oval.
[0151] Lastly,
[0152] While the tibia 83f of the joint 90f has an insert component 81f in the sense of the invention with a concave sliding surface, the talus 82f of the joint 90f has the cap component according to the invention with a convex sliding surface. While the cap component 80f can be produced using the applicant's convex conventional technology, the insert component 81f is preferably produced using concave titanium plasma spray technology.
[0153] In addition, it can be seen from
[0154] For the sake of completeness, it should also be mentioned that-against the background of
[0155] It should also be noted that
[0156] The invention is not limited to the exemplary embodiments discussed above. All features described in the description or features claimed in the claims or features shown in the drawing can be combined with one another in any way within the scope of this invention.