Spherical kinematic joint

• US 4,619,658 A
• Filed: 10/01/1984
• Issued: 10/28/1986
• Est. Priority Date: 02/24/1982
• Status: Expired due to Term

• Current Assignee: Biomedical Engineering Trust I
• Original Assignee: Frederick F. Buechel, Michael J. Pappas
• Inventors: Pappas, Michael J., Buechel, Frederick F.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): Isabella, David J.
• Application Number:
  US06/656,525
• Time in Patent Office: 757 Days
• Field of Search: 3/1.9, 3/1.91, 3/1.912, 3/1.913, 128/92 C, 128/92 CA, 403/22, 403/23, 403/20, 403/21, 403/18
• US Class Current: 623/22.19
• CPC Class Codes: A61F 2/32 for the hip
• CPC Class Codes: A61F 2002/30331 made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2002/30487 Circumferential cooperating grooves and beads on cooperating lateral surfaces of a mainly longitudinal connection
• CPC Class Codes: A61F 2002/30495 using a locking ring
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/30594 slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
• CPC Class Codes: A61F 2002/30662 with rotation-limiting means
• CPC Class Codes: A61F 2002/30975 made of two halves
• CPC Class Codes: A61F 2002/3208 Bipolar or multipolar joints, e.g. having a femoral head articulating within an intermediate acetabular shell whilst said shell articulates within the natural acetabular socket or within an artificial outer shell
• CPC Class Codes: A61F 2002/3241 having a ring, e.g. for locking the femoral head into the acetabular cup
• CPC Class Codes: A61F 2002/3493 Spherical shell significantly greater than a hemisphere, e.g. extending over more than 200 degrees
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: F16C 11/0638 characterised by geometrical details
• CPC Class Codes: F16C 2316/10 in medical appliances, e.g. in diagnosis, dentistry, instruments, prostheses, medical imaging appliances

Abstract

An improved spherical kinematic joint which allows ease and convenience of assembly and disassembly, particularly assembly, by providing a plurality of substantially physically distinct bearing inserts in a sub-assembly such that the bearing inserts are effectively a unitary structure for the purpose of assembly and disassembly but which bearing segments expand easily with low manual force during assembly and disassembly of the various bearing insert embodiments from the head and/or cavity or spherical seat in another joint element or member, such as for example in the prosthetic joint embodiments, an acetabular cup. Further, such ease of assembly and disassembly can be accomplished while retaining great dislocation and separation resistance and can be accomplished in a manner which does not introduce significant axial play.

Claims

1. An improved spherical joint prosthesis for providing three degrees of rotational movement between two bones, comprising:

a first component for engaging one of said two bones and providing internally a first seat;

a second component for engaging the other of said two bones and including a neck and a spherical head;

a bearing insert comprising a generally semi-hemispherically shaped primary bearing segment having a forward portion and a separate generally annularly shaped, radially split collar having a rearward portion, said primary bearing segment and said collar cooperatively providing internally a second seat having an opening for receiving said head;

said forward and rearward portions provided respectively with complementarily shaped mating means, said mating means form said primary bearing segment and said collar into a sub-assembly whereupon engagement of said complementarily shaped mating means allows said collar to expand radially outwardly permitting said head to be inserted through said opening and once said head is received in said second seat said collar is able to contract radially inwardly without separation from said primary segment prior to and during assembly with said first and second component;

said bearing insert and said first component provided with cooperative retaining means for retaining said bearing insert within said first seat upon insertion of said bearing insert into said first component; and

upon said head being received within said second seat with said neck extending through said opening, said bearing insert for being received and retained within said first seat with said first component confining said head within said second seat whereby said rotational movement between said two bones is permitted, said bearing insert providing an overlap angle for preventing dislocation of said head from said bearing insert during said rotational movement.

3. An improved spherical joint prosthesis according to claim 1 or 2 wherein said cooperative retaining means comprise a groove provided internally on said first component and a ridge provided externally on said collar, said ridge for being received within said groove, and wherein said first component is provided with at least one slot providing external access to said ridge to permit said collar to be contracted radially to permit said bearing insert to be removed from said first component and said joint disassembled.

4. An improved spherical joint prosthesis according to claim 1 or 2 wherein said primary bearing segment is provided with outer and inner spherical surfaces and an outer cylindrical surface having an inner end, said outer spherical surface terminating at the outer end of said outer cylindrical surface, wherein said collar has a forward portion provided with outer and inner annular tapered surfaces each having outer and inner ends and wherein said collar is provided with an outer cylindrical surface having an outer end and an inner spherical surface having an outer end terminating with the inner end of said inner annular tapered surface, said outer end of said outer cylindrical surface terminating at the inner end of said outer annular tapered surface and said outer and inner annular tapered surfaces merging at their outer ends,

said inner spherical surfaces cooperatively providing said second seat, and

wherein said complementarily shaped mating means comprise an annular radially outwardly extending projection and an annular radially inwardly extending groove provided on the forward portion of said primary bearing segment and an annular radially inwardly extending projection and an annular radially outwardly extending groove provided on said rearward portion of said collar.

5. An improved spherical joint according to claim 1 or 2 wherein said first component is generally semi-hemispherically shaped and is provided with outer and inner spherical surfaces, outer and inner annular tapered surfaces each having outer and inner ends, and an inner cylindrical surface having outer and inner ends, said outer spherical surface terminating at the inner end of said outer annular tapered surface, said outer and inner annular tapered surfaces merging at their outer ends, said inner end of said cylindrical surface merging with the outer end of said inner spherical surface and the outer end of said cylindrical surface merging with the inner end of said inner annular tapered surface, said inner spherical and cylindrical surfaces providing said first seat.

6. An improved spherical joint prosthesis according to claim 1 or 2 wherein said cooperative retaining means comprise a first groove provided internally on said first component and a second groove provided externally on said collar and a retaining ring for being partially received within said grooves, said retaining ring also for assisting said complementarily shaped mating means in forming said primary bearing segment and said collar into said subassembly, and wherein said first component is provided with at least one slot providing external access to said retaining ring whereby said retaining ring can be compressed into said second groove to permit said bearing insert to be removed from said first component and said joint disassembled.

7. An improved prosthesis according to claim 1 or 2 wherein said cooperative retaining means comprise a first groove provided internally on said first component and a second groove provided externally on said collar and a retaining ring for being partially received within said grooves.

8. An improved prosthesis according to claim 1 or 2 wherein said cooperative retaining means comprise a groove provided internally on said first component and a ridge provided externally on said collar, said ridge for being received within said groove.

9. An improved prosthesis according to claim 1 or 2 wherein said primary bearing segment is generally semi-hemispherically shaped and is provided with outer and inner spherical surfaces and an outer cylindrical surface having an inner end, said outer spherical surface terminating at the outer end of said outer cylindrical surface, wherein said collar has a forward portion provided with outer and inner annular tapered surfaces each having outer and inner ends and wherein said collar is provided with an outer cylindricaL surface having an outer end and an inner spherical surface having an outer end terminating with the inner end of said inner annular tapered surface, said outer end of said outer cylindrical surface terminating at the inner end of said outer annular tapered surface and said outer and inner annular tapered surfaces merging at their outer ends, said inner spherical surfaces cooperatively providing said second seat.

10. An improved prosthesis according to claim 1 or 2 wherein said first component is generally semi-hemispherically shaped and is provided with outer and inner spherical surfaces, outer and inner annular tapered surfaces each having outer and inner ends, and an inner cylindrical surface having outer and inner ends, said outer spherical surface terminating at the inner end of said outer annular tapered surface, said outer and inner annular tapered surfaces merging at their outer ends, said inner end of said cylindrical surface merging with the outer end of said inner spherical surface and the outer end of said cylindrical surface merging with the inner end of said inner annular tapered surface, said inner spherical and cylindrical surfaces providing said first seat.

11. An improved prosthesis according to claim 1 or 2 wherein said spherical head and neck are the spherical head and neck of an orthopaedic femoral prosthesis and wherein said first component is a metal acetabular cup and said bearing insert is a predetermined plastic.

2. An improved spherical hip joint prosthesis for receiving and retaining a spherical head having a neck during three degrees of relative rotational movement between said prosthesis and said spherical head, comprising:

a first component for engaging a hip bone and providing internally a first seat;

a bearing insert comprising a primary bearing segment having a forward portion and a separate generally annularly shaped, radially split collar having a rearward portion, said primary bearing segment and said collar cooperatively providing internally a second seat having an opening for receiving said spherical head;

said forward and rearward portions provided respectively with complementarily shaped mating means, said mating means forms said primary bearing segment and said collar into a sub-assembly whereupon engagement of said complementarily shaped mating means allows said collar to expand radially outwardly permitting said head to be inserted through said opening and once said head is received in said second seat, said collar is able to contract radially inwardly without separation from said primary segment prior to and during assembly with said first and second components;

said bearing insert and said first component provided with cooperative retaining means for retaining said bearing insert within said first seat upon insertion of said bearing insert into said first component; and

upon said head being received within said second seat with said neck extending through said opening, said bearing insert for being received and retained within said first seat with said first component confining said head within said second seat whereby said rotational movement between said two bones is permitted, said bearing insert providing an overlap angle for preventing dislocation of said head from said bearing insert during said rotational movement.