Joint prothesis

• US 5,888,206 A
• Filed: 08/06/1997
• Issued: 03/30/1999
• Est. Priority Date: 11/19/1994
• Status: Expired due to Term

• Current Assignee: Biomet Deutschland GmbH (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Merck Patent GmbH (Merck & Co., Inc.)
• Inventors: Lob, Gunter, Kranz, Curt, Fischer, Hans-Joachim, Steur, Gerd
• Primary Examiner(s): Milano, Michael J.
• Application Number:
  US08/836,706
• Time in Patent Office: 601 Days
• Field of Search: 623/23, 623/22
• US Class Current: 623/18.11
• CPC Class Codes: A61B 17/72 Intramedullary pins, nails or other devices A61B17/744 takes precedence
• CPC Class Codes: A61B 17/7241 the nail having separate elements through which screws pass
• CPC Class Codes: A61B 17/725 with locking pins or screws of special form
• CPC Class Codes: A61B 17/744 the longitudinal elements coupled to an intramedullary nail
• CPC Class Codes: A61F 2/36 Femoral heads ; Femoral endoprostheses
• CPC Class Codes: A61F 2/3662 Femoral shafts
• CPC Class Codes: A61F 2/367 Proximal or metaphyseal parts of shafts trochanteric devices connected to said proximal parts A61F2/30739
• CPC Class Codes: A61F 2/3672 Intermediate parts of shafts
• CPC Class Codes: A61F 2/3676 Distal or diaphyseal parts of shafts
• CPC Class Codes: A61F 2/4637 for connecting or disconnecting two parts of a prosthesis
• CPC Class Codes: A61F 2002/3021 frustoconical
• CPC Class Codes: A61F 2002/30224 cylindrical
• CPC Class Codes: A61F 2002/30235 tubular, e.g. sleeves
• CPC Class Codes: A61F 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30354 Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
• CPC Class Codes: A61F 2002/3037 Translation along the common longitudinal axis, e.g. piston
• CPC Class Codes: A61F 2002/30373 with additional means for preventing said translation
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30484 Mechanically expandable devices located on the first prosthetic part for locking into or onto the second prosthetic part
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30579 : with mechanically expandable devices, e.g. fixation devices
• 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 2002/30604 : modular
• CPC Class Codes: A61F 2002/30616 : Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30774 : internally-threaded
• CPC Class Codes: A61F 2002/30797 : internally-threaded
• CPC Class Codes: A61F 2002/3611 : Heads or epiphyseal parts of femur
• CPC Class Codes: A61F 2002/3625 : Necks
• CPC Class Codes: A61F 2002/3652 : Connections of necks to shafts
• CPC Class Codes: A61F 2002/3674 : Connections of proximal parts to distal parts
• CPC Class Codes: A61F 2002/368 : with lateral apertures, bores, holes or openings, e.g. for reducing the mass, for receiving fixation screws or for communicating with the inside of a hollow shaft
• CPC Class Codes: A61F 2002/3694 : with longitudinal bores
• CPC Class Codes: A61F 2002/4641 : for disconnecting
• 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: A61F 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2230/0067 : conical
• CPC Class Codes: A61F 2230/0069 : cylindrical

Abstract

A joint prosthesis includes a shaft part insertable into a tubular bone and a head part joining the shaft part and including a joint connection element. The head part includes a sleeve region having a through bore adapted to a cross section of a shaft of the joint connection element. The longitudinal axis of the shaft part and the joint connection element form an obtuse angle when the joint connection element is introduced into the through bore of the head part.

Claims

1. A joint prosthesis, comprising:

a shaft part insertable into a tubular bone and having a first longitudinal axis;

a head part adjoining the shaft part and including a sleeve region which has a through bore that has a second longitudinal axis which forms an obtuse angle with the first longitudinal axis; and

a joint connection element having a shaft for being received in the through bore of the head part, the through bore of the head part being adapted to a cross section of the shaft of the joint connection element, the joint connection element having a third longitudinal axis forming essentially the same obtuse angle with the first longitudinal axis that the second longitudinal axis makes with the first longitudinal axis when the joint connection element is introduced in the through bore, the shaft of the joint connection element including a cylindrical region that is expandable by a spreader device to lock the joint connection element in place in the through bore of the head part.

2. The joint prosthesis of claim 1, wherein the joint connection element is supported longitudinally displaceably and lockably in the sleeve region.

3. The joint prosthesis of claim 1, wherein the joint connection element comprises one of a bone screw having a thread-free cylindrical region and an artificial ball of a joint having a thread-free cylindrical region.

4. The joint prosthesis of claim 1, wherein the cylindrical region comprises, at least in part, a spreadable sleeve including a longitudinally extending slit defining opposing slit walls.

5. The joint prosthesis of claim 4, wherein the spreader device comprises a screw bolt with a region that tapers toward its shaft end for spreading the slit walls of the joint connection element.

6. The joint prosthesis of claim 1, further comprising a conical insert connection joining the head part with the shaft part.

7. A kit for making the joint prosthesis of claim 1, comprising, a selection of head parts of different length and/or different diameter and a selection of shaft parts of different length, different diameter and/or different curvature.

8. The kit of claim 7, wherein the head parts have a diameter in a range from 12 to 17 mm and the shaft parts have a length range from 200 to 320 mm and a diameter range from 10 to 14 mm.

9. The prosthesis of claim 1, wherein the head part and the shaft part are separate parts and further including a connecting means connecting the head part and the shaft part in a manner to permit the head part to pivot relative to the shaft part.

10. A joint prosthesis, comprising:

a shaft part insertable into a tubular bone and having a first longitudinal axis;

a head part adjoining the shaft part, the head part including an axial bore extending in the direction of the first longitudinal axis and a sleeve region which has a through bore that has a second longitudinal axis which forms an obtuse angle with the first longitudinal axis; and

a joint connection element having a shaft for being received in the through bore of the head part, the through bore of the head part being adapted to a cross section of the shaft of the joint connection element, the joint connection element having a third longitudinal axis forming essentially the same obtuse angle with the first longitudinal axis that the second longitudinal axis makes with the first longitudinal axis when the joint connection element is introduced in the through bore, wherein the joint connection element has a through bore that constitutes a continuation of the axial bore of the head part when the joint connection element is longitudinally supported in the head part.

11. The joint prosthesis of claim 10, wherein the joint connection element is supported longitudinally displaceably and lockably in the sleeve region.

12. The joint prosthesis of claim 10, wherein the joint connection element comprises one of a bone screw having a thread-free cylindrical region and an artificial ball of a joint having a thread-free cylindrical region.

13. The joint prosthesis of claim 10, wherein the shaft of the joint connection element includes a cylindrical region that is expandable by a spreader device to lock the joint connection element in place in the through bore of the head part and the cylindrical region comprises, at least in part, a spreadable sleeve including a longitudinally extending slit defining opposing slit walls.

14. The joint prosthesis of claim 13, wherein the spreader device comprises a screw bolt with a region that tapers toward its shaft end for spreading the slit walls of the joint connection element.

15. The joint prosthesis of claim 10, further comprising a conical insert connection joining the head part with the shaft part.

16. A kit for making the joint prosthesis of claim 10, comprising a selection of head parts of different length and/or different diameter and a selection of shaft parts of different length, different diameter and/or different curvature.

17. The kit of claim 16, wherein the head parts have a diameter in a range from 12 to 17 mm and the shaft parts have a length range from 200 to 320 mm and a diameter range from 10 to 14 mm.

18. A joint prosthesis, comprising:

a shaft part insertable into a tubular bone and having an axial bore and a first longitudinal axis;

a head part adjoining the shaft part, the head part including an axial bore extending in the direction of the first longitudinal axis and a sleeve region which has a through bore that has a second longitudinal axis which forms an obtuse angle with the first longitudinal axis; and

a joint connection element having a shaft for being received in the through bore of the head part, the through bore of the head part being adapted to a cross section of the shaft of the joint connection element, the joint connection element having a third longitudinal axis forming essentially the same obtuse angle with the first longitudinal axis that the second longitudinal axis makes with the first longitudinal axis when the joint connection element is introduced in the through bore;

wherein the axial bore of the shaft part has a proximal region adjacent the head part with a first diameter and a thread provided only in the proximal region, and the axial bore of the head part has a thread and a second diameter that is greater than the first diameter of the bore of the shaft part for loosening the head part and shaft part relative to one another when a screw is received in the axial bore of the head part.

19. The joint prosthesis of claim 18, wherein the thread in the axial bore in the head part extends over an entire length of the axial bore in the head part.

20. The joint prosthesis of claim 18, wherein the threaded bore of the shaft part has a proximal end adjacent the head part that has a chamfer.

21. The joint prosthesis of claim 18, wherein the joint connection element is supported longitudinally displaceably and lockably in the sleeve region.

22. The joint prosthesis of claim 18, wherein the joint connection element comprises one of a bone screw having a thread-free cylindrical region and an artificial ball of a joint having a thread-free cylindrical region.

23. The joint prosthesis of claim 18, wherein the shaft of the joint connection element includes a cylindrical region that is expandable by a spreader device to lock the joint connection element in place in the through bore of the head part and the cylindrical region comprises, at least in part, a spreadable sleeve including a longitudinally extending slit defining opposing slit walls.

24. The joint prosthesis of claim 23, wherein the spreader device comprises a screw bolt with a region that tapers toward its shaft end for spreading the slit walls of the joint connection element.

25. The joint prosthesis of claim 18, further comprising a conical insert connection joining the head part with the shaft part.

26. A kit for making the joint prosthesis of claim 18, comprising a selection of head parts of different length and/or different diameter and a selection of shaft parts of different length, different diameter and/or different curvature.

27. The kit of claim 26, wherein the head parts have a diameter in a range from 12 to 17 mm and the shaft parts have a length range from 200 to 320 mm and a diameter range from 10 to 14 mm.

28. The prosthesis of claim 18, wherein the thread in the axial bore of the head part has a lesser pitch than the pitch of the thread in the axial bore in the shaft part.