Method and apparatus for implanting an acetabular cup

• US 5,527,317 A
• Filed: 10/26/1994
• Issued: 06/18/1996
• Est. Priority Date: 10/29/1993
• Status: Expired due to Term

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation)
• Original Assignee: Howniedica International
• Inventors: Ashby, Alan M., Orton, Marcus A.
• Primary Examiner(s): Tucker, Guy V.
• Application Number:
  US08/329,351
• Time in Patent Office: 601 Days
• Field of Search: 606/99, 606/100, 606/94, 606/93, 606/95, 606/92, 606/89, 606/102, 606/86, 606/191, 606/91, 604/219, 604/117, 604/218, 604/187, 623/22, 623/23
• US Class Current: 606/91
• CPC Class Codes: A61B 17/8808 with sealing collar for bone cavity
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61F 2/4609 of acetabular cups
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• 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 2002/30537 adjustable
• CPC Class Codes: A61F 2002/3429 with an integral peripheral collar or flange, e.g. oriented away from the shell centre line
• CPC Class Codes: A61F 2210/0004 bioabsorbable
• 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: A61F 2250/0004 adjustable

Abstract

A method of implanting an acetabular cup includes preparing an acetabular socket to receive said cup, placing cement in said socket before or after locating a loading tube in line with the socket and inserting the acetabular cup through the tube into said socket. This is done by pushing it down the tube with an inserter to a predetermined position therein defined by a stop element acting on the inserter or an attachment thereto.

Claims

1. A method of implanting an acetabular cup comprising the steps of:

preparing an acetabular socket to receive said cup;

placing cement in said socket;

locating a loading tube in line with said socket; and

inserting the acetabular cup through the tube into said socket by pushing it down the tube with an inserter to a predetermined position therein defined by a stop acting on said inserter.

2. The method of implanting an acetabular cup as claimed in claim 1 which includes using a cup provided with a flanged rim and a stop arranged within the bore of the tube, said flanged rim and said stop are constructed to allow said cup to pass the stop but engage the inserter.

3. The method of implanting an acetabular cup as claimed in claim 1 which includes using a tube and an inserter having a stop which engages an abutment on the tube located at a position spaced away from the end of the tube which is adjacent the socket.

4. The method of implanting an acetabular cup as claimed in claim 3 which includes adjusting the stop to a chosen position prior to use.

5. The method of implanting an acetabular cup as claimed in claim 4 which includes the step of locating a flexible skirt assembly around the rim of the socket, said tube extending from the flexible skirt, and thereafter inserting the acetabular cup through the tube and into the socket.

6. The method of implanting an acetabular cup as claimed in claim 5 which includes filling the acetabulum with doughy cement, repositioning the tube and skirt assembly on the bone using markers to reestablish said chosen position.

7. The method of implanting an acetabular cup as claimed in claim 5 which includes injecting cement into the acetabulum through the tube with a cement gun.

8. The method of implanting an acetabular cup as claimed in claim 7 which includes the step of securing the flexible skirt assembly around the rim of the socket.

9. The method of implanting an acetabular cup as claimed in claim 8 which includes allowing some of the pressurized cement to escape from the socket through a controlled orifice in the skirt as the cup is inserted.

10. An apparatus for implanting an acetabular cup in the acetabular socket comprising:

a loading tube sized to receive said cup, adapted for alignment with the acetabular socket said tube having openings at both ends with said openings sized to allow passage of said cup therethrough during implantation, wherein said loading tube is provided with a flexible skirt assembly surrounding said tube;

a cup inserter adapted to fit into said tube; and

a stop engagable with said inserter to limit movement of said inserter and said cup down said tube to a predetermined position therein.

11. The apparatus as claimed in claim 10 in which said stop is provided on part of the bore of said tube and engages on an inner end of the inserter.

12. The apparatus as claimed in claim 10 in which said stop is provided on the inserter and engages an abutment on said tube located at a position spaced away from the end of the tube adjacent the acetabular socket when in use.

13. The apparatus as claimed in claim 12 wherein said stop is adjustable along the length of said tube.

14. The apparatus as claimed in claim 12 in which the diameter of said loading tube is adjustable.

15. The apparatus as claimed in claim 10 in which said skirt assembly is detachable from said loading tube.

16. The apparatus as claimed in claim 15 in which said tube and said skirt assembly are made from a synthetic plastics material.

17. The apparatus as claimed in claim 10 in which said skirt assembly is provided with a cement escape control orifice.

18. An apparatus for implanting an acetabular cup in the acetabular socket comprising:

a loading tube sized to receive said cup, adapted for alignment with the acetabular socket said tube having openings at both ends with said openings sized to allow passage of said cup therethrough during implantation;

a cup inserter adapted to fit into said tube;

a stop engagable with said inserter to limit movement of said inserter and said cup down said tube to a predetermined position therein;

said stop apparatus engagable with the inserter engaging an abutment on said tube located at a position spaced away from the end of the tube adjacent to the acetabular socket when in use; and

the diameter of said loading tube being adjustable.