Variable geometry rim surface acetabular shell liner

• US 7,074,241 B2
• Filed: 03/14/2001
• Issued: 07/11/2006
• Est. Priority Date: 03/14/2000
• Status: Expired due to Term

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: McKinnon, Brian W.
• Primary Examiner(s): BARRETT, THOMAS C
• Application Number:
  US09/808,228
• Publication Number:
  US 20010032021A1
• Time in Patent Office: 1,945 Days
• Field of Search: 623 2211- 2239
• US Class Current: 623/22.24
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61F 2/3094 Designing or manufacturing processes
• 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 2/32 for the hip
• CPC Class Codes: A61F 2/34 Acetabular cups
• CPC Class Codes: A61F 2/36 Femoral heads ; Femoral endoprostheses
• CPC Class Codes: A61F 2002/30952 using CAD-CAM techniques or NC-techniques
• CPC Class Codes: A61F 2002/3443 with an anti-luxation elevated rim portion, e.g. on the inner shell
• CPC Class Codes: A61F 2002/349 Shell having a wavy or undulated peripheral rim
• CPC Class Codes: A61F 2002/3611 Heads or epiphyseal parts of femur
• CPC Class Codes: A61F 2002/4631 the prosthesis being specially adapted for being cemented
• CPC Class Codes: A61F 2310/00011 Metals or alloys
• CPC Class Codes: A61F 2310/00179 Ceramics or ceramic-like structures

Abstract

An acetabular shell liner having a variable rim surface geometry, which improves range of motion of the femoral component within the liner and decreases the incidence of dislocation and subluxation, and methods of making and using the acetabular shell liner. Prosthetic devices, more particularly hip joint prostheses, containing the acetabular shell liner having a variable rim surface geometry are also provided.

Claims

1. A prosthetic device comprising:

(a) an acetabular shell comprising an internal concave surface adapted to receive a liner and an external surface adapted to be received in an acetabulum; and

(b) an acetabular liner having;

an internal concave surface adapted to receive the head of a femoral component, the concave surface having a periphery with an opening defined by an internal diameter and having a central axis;

an external surface positioned on an opposing side of the liner from the internal concave surface and adapted to be received in the internal concave surface of the acetabular shell; and

a rim located between the internal concave surface and the external surface of the liner, at least a portion of the rim comprising a variable angle chamfer surface comprising a plurality of variable angles, each variable angle defined as the angle at any point on or near the periphery of the liner internal diameter at which the surface of the chamfer is positioned relative to the center axis of the opening of the internal diameter of the liner.

2. A device according to claim 1, wherein the central axis of the liner is an axis substantially perpendicular to the center axis of the internal concave surface of the liner.

3. A device according to claim 1, wherein the central axis of the liner is an axis defined by the external surface of the liner.

4. A device according to claim 1, wherein the variable angle chamfer varies according to angles measured at a plurality of radial locations around the rim relative to the central axis of the liner.

5. A device according to claim 1, wherein the plurality of variable angles define impingement angles of a femoral component that includes a head adapted to be received in the internal concave surface of the liner and wherein the impingement angles are disposed to permit an increased range of motion at a corresponding radial location on the rim.

6. A device according to claim 1, wherein the plurality of variable angles are determined using a group of impingement angles corresponding to a plurality of femoral components in an impingement condition with the liner whose heads are adapted to be received in the internal concave surface of the liner.

7. A device according to claim 1, wherein the shape of the variable angle chamfer surface varies according to the cross-sectional shape of a portion of a femoral component that is in an impingement condition with the liner.

8. A device according to claim 1, wherein the variable angle chamfer is symmetric about a plane.

9. A device according to claim 1, wherein a distance across the opening of the internal concave surface of the liner is from about 22 mm to about 36 mm.

10. A device according to claim 1, wherein the external surface of the liner is adapted to be received in an acetabular shell with an external diameter of about 40 mm to about 80 mm.

11. A device according to claim 1, wherein the liner further includes a locking surface for securing the liner in the acetabular shell.

12. A device according to claim 11, wherein the locking surface comprises a serrated edge.

13. A device according to claim 1, further including a shoulder on the liner.

14. A device according to claim 1, wherein the shell has a center and the central axis of the liner internal concave surface is offset from the center of the shell.

15. A device according to claim 14, wherein the center of the liner internal concave surface is shifted laterally by up to about 10 mm.

16. A device according to claim 14, wherein the center of the liner internal concave surface is shifted laterally by about 4 mm.

17. A device according to claim 14, wherein the center of the liner internal concave surface is shifted medially by up to about 8 mm.

18. A device according to claim 1, wherein the opening of the liner internal concave surface is anteverted.

19. A device according to claim 18, wherein the shell has a center and the central axis of the liner internal concave surface is anteverted up to about 45 degrees relative to the central axis of the shell.

20. A device according to claim 18, wherein the shell has a center and the central axis of the liner internal concave surface is anteverted about 20 degrees relative to the central axis of the shell.

21. A device according to claim 1, where the shell has a center and the central axis of the liner internal concave surface is oriented up to about 45 degrees relative to the central axis of the shell.

22. A device according to claim 1, where the shell has a center and the central axis of the liner internal concave surface is oriented about 20 degrees relative to the central axis of the shell.

23. A device according to claim 1, further comprising a surface located between the liner internal concave surface and the rim surface, which serves to reduce dislocation of a femoral component received within the liner.

24. A device according to claim 1, wherein the liner internal concave surface is an internal diameter.

25. A device according to claim 1, wherein the liner internal concave surface is generally hemispherical.

26. A device according to claim 1, further comprising a femoral component comprising a head, neck and stem, wherein the head is adapted to articulate within the internal concave surface of the liner.