Modular prosthetic abutment system

• US 10,588,761 B2
• Filed: 12/08/2017
• Issued: 03/17/2020
• Est. Priority Date: 07/20/2012
• Status: Active Grant

• Current Assignee: University of Utah Research Foundation (State of Utah)
• Original Assignee: University of Utah Research Foundation (State of Utah)
• Inventors: Holt, Brian Mueller, Jeyapalina, Sujee, Bloebaum, Roy Drake, Bachus, Kent Nelson
• Primary Examiner(s): Bahena, Christie L
• Application Number:
  US15/835,954
• Publication Number:
  US 20180153714A1
• Time in Patent Office: 830 Days
• CPC Class Codes: A61F 2/2814 Bone stump caps
• CPC Class Codes: A61F 2/78 Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/502 for adjusting length
• CPC Class Codes: A61F 2002/5083 modular
• CPC Class Codes: A61F 2002/7887 for connecting limb exoprostheses to the stump bone
• CPC Class Codes: A61F 2220/0041 using additional screws, bolts, dowels or rivets, e.g. connecting screws

Abstract

An abutment system for operatively coupling an implant stem to an exo-prosthesis. The abutment system includes a plurality of interlocking sleeve elements that are operatively coupled to an implant stem positioned within a prepared site of a selected bone. The interlocking sleeve elements of the abutment system are selectively removable and replaceable.

Claims

1. An abutment system for operatively coupling an implant stem to an external prosthesis, the implant stem configured for positioning within a prepared site of a selected bone and surrounding soft tissue of a subject, the abutment system having a common longitudinal axis, the abutment system comprising:

a base element having a flange and an elongate shaft, the flange having a first surface, an opposed second surface, and an outer edge extending between the first and second surfaces, the first surface of the flange defining a proximal end of the base element, the proximal end of the base element configured for operative coupling to the implant stem, the elongate shaft extending from a central portion of the flange away from the proximal end of the base element relative to the common longitudinal axis of the abutment system;

a plurality of interlocking sleeve elements configured to be positioned external to the selected bone but within the subject, each sleeve element of the plurality of sleeve elements defining a central bore configured for receipt of the elongate shaft of the base element, the plurality of sleeve elements comprising a proximal sleeve element and a distal sleeve element, the proximal sleeve element of the plurality of sleeve elements being configured for engagement with the flange of the base element, each sleeve element of the plurality of sleeve elements configured for selective, removable engagement with adjacent sleeve elements of the plurality of sleeve elements; and

an end cap configured for engagement with the distal sleeve element of the plurality of sleeve elements, the end cap having a proximal portion and a distal portion, the proximal and distal portions of the end cap having respective outer surfaces, the distal portion of the end cap defining a distal end of the end cap, the distal end of the end cap being configured for engagement with the external prosthesis.

2. The abutment system of claim 1, wherein the plurality of sleeve elements comprises at least one intermediate sleeve element configured for positioning between the proximal and distal sleeve elements relative to the common longitudinal axis of the abutment system.

3. The abutment system of claim 2, wherein each sleeve element of the plurality of sleeve elements has a proximal portion and a distal portion, wherein the proximal and distal portions of each sleeve element have respective inner and outer surfaces, and wherein the inner surfaces of the proximal and distal portions of each sleeve element cooperate to define the central bore of the sleeve element.

4. The abutment system of claim 3, wherein the inner surface of the proximal portion of the proximal sleeve element defines a cavity configured to receive the flange of the base element.

5. The abutment system of claim 4, wherein the outer edge of the flange of the base element is configured for threaded engagement with the inner surface of the proximal portion of the proximal sleeve element.

6. The abutment system of claim 4, wherein the outer surface of the proximal portion of the at least one intermediate sleeve element is configured for receipt within the central bore of an adjacent sleeve element and configured for removable engagement with the inner surface of the distal portion of the adjacent sleeve element, and wherein the outer surface of the proximal portion of each sleeve element is further configured for receipt within the central bore of an adjacent sleeve element of the plurality of sleeve elements and for removable engagement with the inner surface of the distal portion of the adjacent sleeve element.

7. The abutment system of claim 6, wherein the outer surface of the proximal portion of each intermediate sleeve element is configured for threaded engagement with the inner surface of the distal portion of an adjacent sleeve element of the plurality of sleeve elements.

8. The abutment system of claim 3, wherein the outer surface of the distal portion of the proximal sleeve element is sloped inwardly relative to the common longitudinal axis of the abutment system moving away from the proximal portion of the proximal sleeve element.

9. The abutment system of claim 3, wherein the proximal sleeve element comprises a lip circumferentially surrounding the central bore of the distal portion of the proximal sleeve element and protruding from the outer surface of the distal end portion relative to the common longitudinal axis of the abutment system.

10. The abutment system of claim 2, wherein the at least one intermediate sleeve element comprises a single intermediate sleeve element, the outer surface of the proximal portion of the intermediate sleeve element being configured for threaded engagement with the inner surface of the distal portion of the proximal sleeve element, wherein the outer surface of the proximal portion of the distal sleeve element is configured for threaded engagement with the inner surface of the distal portion of the intermediate sleeve element, wherein the inner surface of the distal portion of the distal sleeve element is configured for threaded engagement with the outer surface of the proximal portion of the end cap.

11. The abutment system of claim 10, wherein the distal portions of the intermediate and distal sleeve elements have respective longitudinal lengths, and wherein the longitudinal length of the distal portion of the intermediate sleeve element is less than the longitudinal length of the distal portion of the distal sleeve element.

12. The abutment system of claim 10, wherein the end cap comprises an external prosthesis docking portion positioned between the proximal and distal portions of the end cap relative to the common longitudinal axis of the abutment system, wherein, upon threaded engagement between the outer surface of the proximal portion of the end cap and the inner surface of the distal sleeve element, the external prosthesis docking portion of the end cap is substantially flush with the outer surface of the distal portion of the distal sleeve element.

13. The abutment system of claim 10, wherein, following engagement between the intermediate sleeve element and the distal sleeve element, the outer surfaces of the distal portions of the intermediate and distal sleeve elements are substantially flush.

14. The abutment system of claim 1, wherein the outer surface of the distal portion of at least one sleeve element of the plurality of sleeve elements comprises a porous material.

15. The abutment system of claim 1, wherein the outer surface of the distal portion of at least one sleeve element of the plurality of sleeve elements is configured to inhibit bio-adhesion.

16. The abutment system of claim 1, wherein the outer surface of the distal portion of at least one sleeve element of the plurality of sleeve elements is configured to promote bio-adhesion and soft-tissue integration.

17. The abutment system of claim 1, wherein at least a portion of the outer surface of the distal portion of each sleeve element of the plurality of sleeve elements comprises a porous material.

18. The abutment system of claim 1, wherein the outer surface of the distal portion of the proximal sleeve element comprises a first material, and wherein the outer surface of the distal portion of at least one other sleeve element of the plurality of sleeve elements comprises a material that is different from the first material.

19. The abutment system of claim 1, wherein the elongate shaft of the base element is integrally formed with the flange of the base element.

20. The abutment system of claim 1, wherein the elongate shaft of the base element is configured for removable coupling to the flange of the base element.