Modular mandibular prosthesis

• US 6,060,641 A
• Filed: 05/14/1998
• Issued: 05/09/2000
• Est. Priority Date: 05/14/1998
• Status: Expired due to Fees

• Current Assignee: Baylor College of Medicine (Baylor College)
• Original Assignee: Baylor College of Medicine (Baylor College)
• Inventors: Manolidis, Spiros
• Primary Examiner(s): Hirsch, Paul J.
• Application Number:
  US09/079,035
• Time in Patent Office: 726 Days
• Field of Search: 623/11, 623/16, 623/18
• US Class Current: 128/898
• CPC Class Codes: A61B 17/8071 for the jaw
• CPC Class Codes: A61B 17/864 hollow, e.g. with socket or cannulated
• CPC Class Codes: A61F 2/2803 for mandibular reconstruction temporo-mandibular joints A61F2/3099; bone plates for the jaw A61B17/8071
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• CPC Class Codes: A61F 2/30942 for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
• CPC Class Codes: A61F 2/3099 for temporo-mandibular [TM, TMJ] joints endoprostheses for mandibular reconstruction A61F2/2803
• CPC Class Codes: A61F 2002/30153 rectangular
• CPC Class Codes: A61F 2002/30159 Concave polygonal shapes
• CPC Class Codes: A61F 2002/30168 L-shaped
• CPC Class Codes: A61F 2002/30169 Pi-shaped
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30448 using adhesives
• CPC Class Codes: A61F 2002/30451 soldered or brazed or welded
• CPC Class Codes: A61F 2002/30538 for adjusting angular orientation
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30662 with rotation-limiting means
• CPC Class Codes: A61F 2002/30665 Dual arrangement of two adjacent ball-and-socket joints
• CPC Class Codes: A61F 2002/30785 parallel
• CPC Class Codes: A61F 2002/30991 : Mandibular components
• CPC Class Codes: A61F 2002/30993 : Temporal components
• CPC Class Codes: A61F 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2220/005 : using adhesives
• CPC Class Codes: A61F 2220/0058 : soldered or brazed or welded
• CPC Class Codes: A61F 2230/0019 : rectangular
• CPC Class Codes: A61F 2230/0028 : Shapes in the form of latin or greek characters
• CPC Class Codes: A61F 2230/0043 : L-shaped
• CPC Class Codes: A61F 2230/0047 : Pi-shaped
• CPC Class Codes: A61F 2250/0006 : for adjusting angular orientation
• CPC Class Codes: A61F 2310/00017 : Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

The invention relates to a modular mandibular prosthesis for use after the resection of a patient'"'"'s mandible. The modular mandibular prosthesis includes a pair of anchor plates and at least one connector member. Each anchor plate has first and second ends. The second end of each anchor plate is adapted to be attached to a portion of the patient'"'"'s mandible. At least one connector member is disposed between the pair of anchor plates. Each connector member includes first and second ends. The first end of a connector member is connected to the first end of an anchor plate thereby defining a connection. The second end of a connector member is connected to the first end of the other anchor plate. Additional connector members may be disposed between the anchor plates wherein the first end of the additional connector member is attached to the second end of an adjacent connector member thereby defining a connection and the second end of the additional connector member is connected to the first end of an adjacent connector member thereby defining a connection. Each connection defines a swivel coupling which permits three dimensional movement at each connection thereby facilitating orientation and installation of the modular mandibular prosthesis.

Claims

1. A mandibular prosthesis, for use as a replacement of a portion of a patient'"'"'s mandible, comprising:

a pair of anchor plates, each anchor plate having first and second ends, the first end of each anchor plate having a first swivel member, and the second end of each anchor plate adapted to be attached to a portion of the patient'"'"'s mandible;

at least two assembly plates disposed between the anchor plates, each of the at least two assembly plates having first and second ends, the first and second ends of each of the at least two assembly plates each having a second swivel member;

at least one link, each link having first and second ends, the first and second ends of each link having a first swivel member;

the at least one link being disposed between the at least two assembly plates, with a first swivel member of the at least one link matingly engaged with an adjacent second swivel member of an assembly plate;

the first swivel member of an anchor plate being matingly engaged with an adjacent second swivel member of an assembly plate; and

each matingly engaged first and second swivel members defining a swivel coupling which permits three dimensional movement between the first and second swivel members.

2. The mandibular prosthesis of claim 1, wherein each assembly plate includes a releasable locking member to releasably lock each swivel coupling defined by each matingly engaged first and second swivel members.

3. The mandibular prothesis of claim 2, wherein the releasable locking member is a screw.

4. The mandibular prosthesis of claim 1, wherein each of the at least two assembly plates include two clamping plates.

5. The mandibular prosthesis of claim 4, wherein each clamping plate includes an inner wall and an outer wall, the inner wall including the second swivel member.

6. The mandibular prosthesis of claim 5, wherein the two clamping plates include a releasable locking member to releasably lock the two clamping plates.

7. The mandibular prosthesis of claim 6, wherein the releasable locking member is a screw.

8. The mandibular prosthesis of claim 7, wherein the first swivel member is a ball and the second swivel member is a recess formed by the inner wall, for mating engagement with the ball.

9. The mandibular prosthesis of claim 1, wherein the mandible has a lingual surface and a labial surface and the first swivel member of each anchor plate lies in a plane which is disposed intermediate the lingual and labial surfaces of the mandible.

10. The mandibular prosthesis of claim 1, wherein the mandible has a lingual surface and a labial surface and the first end of each anchor plate includes a flange extending toward the lingual surface of the mandible.

11. The mandibular prosthesis of claim 10, wherein each of the at least one first swivel members of each anchor plate is disposed on the flange.

12. The mandibular prosthesis of claim 1, wherein the mandible has a lingual surface and a labial surface and the swivel coupling defined by each matingly engaged first and second swivel member is disposed intermediate the lingual surface and the labial surface.

13. The mandibular prosthesis of claim 1, wherein the first swivel member is a ball and the second swivel member is a recess for mating engagement with the ball.

14. A mandibular prosthesis, for use as a replacement of a portion of a patient'"'"'s mandible, comprising:

a pair of anchor plates, each anchor plate having first and second ends, the first end of each anchor plate having a first swivel member, and the second end of each anchor plate adapted to be attached to a portion of the patient'"'"'s mandible;

at least two links disposed between the anchor plates, each of the at least two links having first and second ends, the first and second ends of each of the at least two links having a second swivel member;

at least one assembly plate, each assembly plate having first and second ends, the first and second ends of each assembly plate having a first swivel member;

the at least one assembly plate being disposed between each of the at least two links, with a first swivel member of the at least one assembly plate matingly engaged with an adjacent second swivel member of a link;

the first swivel member of an anchor plate being matingly engaged with an adjacent second swivel member of a link; and

each matingly engaged first and second swivel members defining a swivel coupling which permits three dimensional movement between the first and second swivel members.

15. The mandibular prosthesis of claim 14, wherein the first swivel member is a recess and the second swivel member is a ball for mating engagement with the recess.

16. A mandibular prosthesis, for use as a replacement of a portion of a patient'"'"'s mandible, comprising:

a pair of anchor plates, each anchor plate having first and second ends, the second end of each anchor plate adapted to be attached to a portion of the patient'"'"'s mandible;

at least two assembly plates disposed between the anchor plates, each of the at least two assembly plates having two ends;

at least one link, each link having two ends;

one end of an assembly plate being connected to the first end of an anchor plate thereby defining a connection;

the two ends of the at least one link being connected to an adjacent assembly plate thereby defining a connection; and

each connection between an anchor plate and an assembly plate and each connection between a link and an assembly plate defining a swivel coupling which permits three dimensional movement at each swivel coupling.

17. The mandibular prosthesis of claim 16, wherein each assembly plate includes a releasable locking member to releasably lock each swivel coupling to substantially prevent three dimensional movement after the releasable locking member is locked.

18. A mandibular prosthesis, for use as a replacement of a portion of a patient'"'"'s mandible, comprising:

a pair of anchor plates, each anchor plate having first and second ends, the second end of each anchor plate adapted to be attached to a portion of the patient'"'"'s mandible;

at least one connector member disposed between the anchor plates, the at least one connector having first and second ends;

the first end of a connector member being connected to the first end of one anchor plate thereby defining a connection;

the second end of a connector member being connected to the first end of the other anchor plate thereby defining a connection; and

each connection defining a swivel coupling which permits three dimensional movement at each connection.

19. The mandibular prosthesis of claim 18, wherein the first end of at leash one connector member is connected to the second end of another connector member thereby defining a connection.

20. The mandibular prosthesis of claim 18, wherein the connecting member is a link.

21. The mandibular prosthesis of claim 18, wherein the connecting member is an assembly plate.

22. The mandibular prosthesis of claim 18, wherein the connecting member is at least one integrated link-assembly plate.

23. The mandibular prosthesis of claim 22, wherein the first end of an integrated link-assembly plate is connected to the second end of an integrated link-assembly plate thereby defining a connection.