Composite internal fixators

• US 10,357,292 B2
• Filed: 10/18/2016
• Issued: 07/23/2019
• Est. Priority Date: 10/15/2008
• Status: Active Grant

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Rains, James K., Austin, Gene Edward, Rose, John, Ferrante, Joseph Michael, Gerlach, Darin S., Grusin, Nathaniel Kelley, Janna, Sied W., Faber, Henry B., Gosney, Mark S., Wilson, Darren James
• Primary Examiner(s): Plionis, Nicholas J
• Application Number:
  US15/296,762
• Publication Number:
  US 20170035469A1
• Time in Patent Office: 1,008 Days
• Field of Search: 606 62- 68
• CPC Class Codes: A61B 17/72 Intramedullary pins, nails or other devices A61B17/744 takes precedence
• CPC Class Codes: A61B 17/7216 for bone lengthening or compression A61B17/7258 takes precedence
• CPC Class Codes: A61B 17/7225 for bone compression
• CPC Class Codes: A61B 17/7283 with special cross-section of the nail
• CPC Class Codes: A61B 17/80 Cortical plates , i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00411 actuated by application of energy from an energy source outside the body
• CPC Class Codes: A61B 2017/00415 having power generation near the working tip of the tool
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/00831 Material properties
• CPC Class Codes: A61B 2017/00955 thermoplastic
• CPC Class Codes: A61B 2090/0436 Shielding
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

A multi-layer, fiber-reinforced composite orthopedic fixation device having a design selected based on a desired characteristic of the orthopedic fixation device. The design may be selected according to a model of the device, the model defining design constraints, and the design may comprise a pattern of the fiber angle for each layer. The selection of a design may be analyzed using finite element analysis to determine whether the design will comprise the desired characteristic.

Claims

1. An intramedullary (IM) nail comprising:

a longitudinal axis;

a head portion;

a shaft portion;

a transition region between the head portion and the shaft portion;

at least one aperture for receiving a fastener; and

a plurality of radio-opaque markers including first, second, third and fourth radio-opaque markers, the first, second, third and fourth radio-opaque markers being positioned adjacent to the at least one aperture, the first, second, third, and fourth radio-opaque markers being adapted and configured so that, in use, the first, second, third, and fourth radio-opaque markers are capable of illustrating when an imaging device is properly aligned with the at least one aperture;

wherein the IM nail includes a plurality of layers, each layer of the plurality of layers including a thermoplastic component and a fiber component, each layer of the plurality of layers having a selected fiber angle pattern;

wherein the plurality of layers include at least a first layer, a second layer, and a third layer, the second layer being wrapped about the first layer so that the second layer has a different fiber angle pattern than the first layer, and the third layer is wrapped about the second layer so that the third layer has a different fiber angle pattern than the second layer.

2. The IM nail of claim 1, wherein, for each layer of the plurality of layers, the fibers are orientated generally parallel with respect to a longitudinal axis of that layer.

3. The IM nail of claim 1, further comprising an embedded electronic component.

4. The IM nail of claim 1, wherein selected fiber angle patterns of the layers are selected such that the IM nail exhibits a selected stiffness characteristic.

5. The IM nail of claim 1, further comprising an exterior coating of a thermoplastic material with substantially no fiber component.

6. The IM nail of claim 5, wherein the exterior coating comprises a layer in the form of a tape or tow.

7. The IM nail-of claim 1, wherein the head portion comprises a greater number of layers than a number of layers of the shaft portion.

8. The IM nail of claim 1, wherein the at least one aperture includes a first aperture and a second aperture, the first aperture being located within the shaft portion, the second aperture being located within the head portion, the first aperture including the first, second, third, and fourth radio-opaque markers, the second aperture including first, second, third and fourth radio-opaque markers, the first, second, third and fourth radio-opaque markers of the second aperture being positioned adjacent to the second aperture, the first, second, third, and fourth radio-opaque markers of the second aperture being adapted and configured so that, in use, the first, second, third, and fourth radio-opaque markers of the second aperture are capable of illustrating when an imaging device is properly aligned with the second aperture.

9. The IM nail of claim 8, further comprising a sensor spaced apart from each of the first and second apertures.

10. The IM nail of claim 8, further comprising a sleeve disposed in each of the first and second apertures, the sleeves being configured to receive the fasteners therein.

11. The IM nail of claim 8, wherein the fibers of each layer are routed around the first and second apertures.

12. The IM nail of claim 1, wherein each layer of the plurality of layers is constructed from a continuous fiber-reinforced material, the continuous fiber-reinforced material having a length and a width, each fiber of the continuous fiber-reinforced material being generally aligned in parallel with the length of the continuous fiber-reinforced material.

13. The IM nail of claim 1, wherein the second layer is wrapped about the first layer such that the longitudinal axis of the fibers of the second layer are oriented at approximately a forty-five degree angle with respect to the longitudinal axis of the IM nail, and the third layer is wrapped about the second layer such that the longitudinal axis of the fibers of the third layer are oriented at approximately a negative forty-five degree angle with respect to the longitudinal axis of the IM nail.

14. The IM nail of claim 13, wherein the first layer of the IM nail is wrapped generally perpendicular to the longitudinal axis of the IM nail.

15. The IM nail of claim 13, further comprising a fourth layer wrapped about the third layer, the fourth layer being wrapped about the third layer so that the fourth layer has a different fiber angle pattern than the third layer.

16. The IM nail of claim 15, wherein the fibers of the fourth layer are oriented generally parallel to the longitudinal axis of the IM nail.

17. The IM nail of claim 1, wherein the head portion has a first circumference, the shaft portion has a second circumference, the second circumference being smaller than the first circumference, the transition region having a decreasing circumference along the longitudinal axis from the first circumference.

18. The IM nail of claim 1, wherein the IM nail includes a solid central core.

19. The IM Nail of claim 1, wherein in use, the first and second radio-opaque markers are capable of being aligned with respect to each other and the third and fourth radio-opaque markers are capable of being aligned with respect to each other when an imaging device is properly aligned with the at least one aperture.

20. An intramedullary (IM) nail for implantation within an intramedullary canal of a long bone, the IM nail comprising:

a body portion having a longitudinal axis, the body portion including at least one aperture for receiving a fastener and first, second, third and fourth radio-opaque markers embedded within the body portion of the IM nail, the first, second, third and fourth radio-opaque-markers positioned adjacent to the at least one aperture, the first, second, third, and fourth radio-opaque markers being adapted and configured so that, in use, the first and second radio-opaque markers are capable of being aligned with respect to each other and the third and fourth radio-opaque markers are capable of being aligned with respect to each other when an imaging device is properly aligned with the at least one aperture;

wherein the body portion includes a plurality of layers, each layer of the plurality of layers being constructed of a composite material including a thermoplastic component and a fiber component;

wherein the plurality of layers include at least a first layer, a second layer, and a third layer, the second layer being wrapped about the first layer such that a longitudinal axis of the fibers of the second layer are oriented at a select angle with respect to the longitudinal axis of the body portion of the IM nail, and the third layer is wrapped about the second layer such that a longitudinal axis of the fibers of the third layer are oriented at a select angle with respect to the longitudinal axis of the body portion of the IM nail;

wherein the select angle is one of approximately a five to a forty-five degree angle, or approximately a negative five to forty-five degree angle.