Prosthesis installation systems and methods
First Claim
1. An installation device for an acetabular cup for installation in a pelvic bone, the acetabular cup including an outer shell having a sidewall defining an inner cavity and an opening with the sidewall having a periphery around the opening and with the acetabular cup having a desired installation depth relative to the bone, a desired abduction angle relative to the bone, and a desired anteversion angle relative to the bone, comprising:
- a controller including a trigger initiating an actuation event;
a support having a proximal end and a distal end opposite of said proximal end, said support further having a longitudinal axis extending from said proximal end to said distal end with said proximal end coupled to said controller, said support further having an adapter coupled to said distal end with said adapter configured to secure the acetabular cup to said support; and
a pulse generator coupled to said controller and to said support, said pulse generator configured to control a set of vibratory pulses including a pulse profile of said support with said pulse profile configured to install the acetabular cup at the installation depth with the desired abduction angle and the desired anteversion angle responsive to said set of vibratory pulses wherein said set of vibratory pulses includes a series of two or more vibratory pulses responsive applied responsive to each said actuation event.
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Accused Products
Abstract
A system and method for allowing any surgeon, including those surgeons who perform a fewer number of a revision procedure as compared to a more experienced surgeon who performs a greater number of procedures, to provide an improved likelihood of a favorable outcome approaching, if not exceeding, a likelihood of a favorable outcome as performed by a very experienced surgeon with the revision procedure. An engine is operable in two distinctive selectable modes including a unidirectional mode providing only extractive forces and a bidirectional mode providing both extractive and insertional forces.
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Citations
26 Claims
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1. An installation device for an acetabular cup for installation in a pelvic bone, the acetabular cup including an outer shell having a sidewall defining an inner cavity and an opening with the sidewall having a periphery around the opening and with the acetabular cup having a desired installation depth relative to the bone, a desired abduction angle relative to the bone, and a desired anteversion angle relative to the bone, comprising:
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a controller including a trigger initiating an actuation event; a support having a proximal end and a distal end opposite of said proximal end, said support further having a longitudinal axis extending from said proximal end to said distal end with said proximal end coupled to said controller, said support further having an adapter coupled to said distal end with said adapter configured to secure the acetabular cup to said support; and a pulse generator coupled to said controller and to said support, said pulse generator configured to control a set of vibratory pulses including a pulse profile of said support with said pulse profile configured to install the acetabular cup at the installation depth with the desired abduction angle and the desired anteversion angle responsive to said set of vibratory pulses wherein said set of vibratory pulses includes a series of two or more vibratory pulses responsive applied responsive to each said actuation event. - View Dependent Claims (2, 3, 4, 5)
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6. An installation system for a prosthesis configured to be installed into a portion of bone at a desired installation depth, the prosthesis including an attachment system, comprising:
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an oscillation engine including a controller coupled to a vibratory machine generating an original set of pulses having a generation pattern, said generation pattern defining a first duty cycle of said original set of pulses; and a pulse transfer assembly having a proximal end coupled to said oscillation engine and a distal end, spaced from said proximal end, coupled to the prosthesis with said pulse transfer assembly including a connector system at said proximal end, said connector system complementary to the attachment system and configured to secure and rigidly hold the prosthesis producing a secured prosthesis with said pulse transfer assembly communicating an installation set of pulses, responsive to said original set of pulses, to said secured prosthesis producing an applied set of ultrasonic pulses responsive to said installation set of pulses; wherein said applied set of ultrasonic pulses are configured to impart a vibratory motion to said secured prosthesis enabling an installation of said secured prosthesis into the portion of bone to within 95% of the desired implantation depth. - View Dependent Claims (7, 8, 9)
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10. A method for installing an acetabular cup into a prepared socket in a pelvic bone, the acetabular cup including an outer shell having a sidewall defining an inner cavity and an opening with the sidewall having a periphery around the opening and with the acetabular cup having a desired installation depth relative to the bone, a desired abduction angle relative to the bone, and a desired anteversion angle relative to the bone, comprising:
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(a) generating an original set of pulses from an oscillation engine; (b) communicating said original set of pulses to the acetabular cup producing a communicated set of pulses at said acetabular cup; (c) vibrating, responsive to said communicated set of pulses, the acetabular cup to produce a vibrating acetabular cup having a predetermined vibration pattern; and (d) inserting the vibrating acetabular cup into the prepared socket within a first predefined threshold of the installation depth with the desired abduction angle and the desired anteversion angle. - View Dependent Claims (11)
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12. A method for inserting an implant into a prepared location in a bone of a patient at a desired insertion depth wherein non-vibratory insertion forces for inserting the prosthesis to the desired insertion depth are in a first range, the method comprising:
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(a) vibrating the implant using a tool to produce a vibrating implant having a predetermined vibration pattern including an oscillation; and (b) inserting the vibrating implant into the prepared location to within a first predetermined threshold of the desired insertion depth using vibratory insertion forces in a second range, said second range including a set of values less than a lowest value of the first range. - View Dependent Claims (13, 14, 15, 16, 17, 18, 19, 20)
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21. An apparatus for inserting an implant into a prepared location in a bone of a patient at a desired insertion depth wherein non-vibratory insertion forces for inserting the prosthesis to the desired insertion depth are in a first range, the apparatus comprising:
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means for vibrating the implant to produce a vibrating implant having a predetermined vibration pattern including an oscillation; and means for inserting the vibrating implant into the prepared location to within a first predetermined threshold of the desired insertion depth using vibratory insertion forces in a second range, said second range including a set of values less than a lowest value of the first range.
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22. A device for assisting with an installation of an acetabular cup into a pelvic bone, the acetabular cup including an outer shell having a sidewall defining an inner cavity and an opening with the sidewall having a periphery around the opening and with the acetabular cup having a desired installation depth relative to the bone, a desired abduction angle relative to the bone, and a desired anteversion angle relative to the bone, comprising:
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a controller including an initiation control; and a pulse transfer mechanism, coupled to said controller and responsive to said initiation control, said pulse transfer mechanism configured to; generate a first series of pulses having a first pulse profile; produce a second series of pulses from said first series of pulses, said second series of pulses having a second pulse profile different from said first pulse profile including a set of vibratory pulses; and apply said second series of pulses to the acetabular cup. - View Dependent Claims (23, 24, 25)
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26. An installation device for an acetabular cup for installation in a pelvic bone, the acetabular cup including an outer shell having a sidewall defining an inner cavity and an opening with the sidewall having a periphery around the opening, comprising:
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a controller including a trigger initiating an actuation event; a support having a proximal end and a distal end opposite of said proximal end, said support further having a longitudinal axis extending from said proximal end to said distal end with said proximal end coupled to said controller, said support further having an adapter coupled to said distal end with said adapter configured to secure the acetabular cup to said support; and a pulse generator coupled to said controller and to said support, said pulse generator configured to control a set of vibratory pulses including a pulse profile of said support with said pulse profile configured to install the acetabular cup at an installation depth with a desired abduction angle and a desired anteversion angle responsive to said set of vibratory pulses; wherein said support includes any of one to six degrees of freedom, and combinations thereof, relative to an X-axis, a Y-axis, and a Z-axis, wherein said set of vibratory pulses includes a subset of vibratory pulses having an oscillation frequency and an oscillation magnitude, wherein said pulse generator includes an oscillator producing said subset of vibratory pulses and wherein said oscillation magnitude includes one or more oscillation directions selected from the group consisting of a translation direction, a rotation direction, an X-axis translation direction, a Y-axis translation, a Z-axis translation, a pitch direction about said X-axis, a yaw direction about said Y-axis, a roll direction about said Z-axis, and combinations thereof.
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Specification