Artificial joint components including mechanized synovial fluid deflecting structures and particle retaining structures

• US 8,845,740 B2
• Filed: 10/24/2012
• Issued: 09/30/2014
• Est. Priority Date: 09/27/2012
• Status: Expired due to Fees

• Current Assignee: Elwha LLC (Intellectual Ventures LLC)
• Original Assignee: Elwha LLC (Intellectual Ventures LLC)
• Inventors: Boyden, Edward S., Della Rocca, Gregory J., Hawkins, Daniel, Hyde, Roderick A., Langer, Robert, Leuthardt, Eric C., Myckatyn, Terence, Parikh, Parag Jitendra, Rivet, Dennis J., Shimony, Joshua S., Smith, Michael A., Tegreene, Clarence T.
• Primary Examiner(s): STEWART, JASON-DENNIS NEILKEN
• Application Number:
  US13/659,020
• Publication Number:
  US 20140088720A1
• Time in Patent Office: 706 Days
• Field of Search: 623/16.11, 623/18.11, 623 1911- 1914, 623 2211- 2235
• US Class Current: 623/18.11
• CPC Class Codes: A61F 2/30 Joints
• CPC Class Codes: A61F 2/30742 Bellows or hose-like seals; Sealing membranes A61B17/8808 takes precedence; sealing membranes for retaining bone substitute A61F2/2846
• CPC Class Codes: A61F 2/32 for the hip
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2/40 for shoulders
• CPC Class Codes: A61F 2/482 Electrical means
• CPC Class Codes: A61F 2002/30079 magnetic
• CPC Class Codes: A61F 2002/30087 piezoelectric
• CPC Class Codes: A61F 2002/30558 Force-limiting means
• CPC Class Codes: A61F 2002/30673 Lubricating means, e.g. synovial pocket
• CPC Class Codes: A61F 2002/30682 Means for preventing migration of particles released by the joint, e.g. wear debris or cement particles
• CPC Class Codes: A61F 2002/30683 Means for collecting wear particles in a hollow cavity inside the prosthesis
• CPC Class Codes: A61F 2002/3082 Grooves
• CPC Class Codes: A61F 2002/3092 having an open-celled or open-pored structure
• 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 2002/3631 with an integral complete or partial peripheral collar or bearing shoulder at its base

Abstract

Prosthetic artificial joints are described, including hip, knee and shoulder joints. In some embodiments, an artificial joint prosthesis includes: a bone-facing surface of a artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a non-contact surface of the artificial joint prosthesis, the non-contact surface adjacent to the bone-facing surface of the artificial joint prosthesis; at least one fluid deflection structure positioned adjacent to the non-contact surface, the fluid deflection structure positioned to deflect synovial fluid away from the bone-prosthesis interface in vivo; a mechanism attached to the fluid deflection structure, the mechanism operable to move the fluid deflection structure to direct synovial fluid away from the bone-prosthesis interface in vivo; and at least one particle retaining structure positioned to contact the directed flow of synovial fluid and configured to retain non-physiological particles present within the synovial fluid.

Claims

1. An artificial joint prosthesis, comprising:

a bone-facing surface of an artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo;

a non-load bearing surface of the artificial joint prosthesis, the non-load bearing surface adjacent to the bone-facing surface of the artificial joint prosthesis;

at least one fluid deflection structure positioned adjacent to the non-load bearing surface;

a mechanism attached to the fluid deflection structure, the mechanism operable to move the fluid deflection structure to direct synovial fluid away from the bone-prosthesis interface in vivo;

at least one particle retaining structure positioned to contact the directed flow of synovial fluid and configured to retain non-physiological particles present within the synovial fluid;

at least one first magnet attached to the artificial joint prosthesis; and

at least one second magnet attached to the fluid deflection structure, wherein the mechanism attached to the fluid deflection structure is configured to at least one of (i) move in accord with a magnetic field established by the at least one first magnet or (ii) allow the at least one second magnet to move the fluid deflection structure in accord with the magnetic field established by the at least one first magnet.

2. An artificial joint prosthesis, comprising:

a bone-facing surface of an artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo;

a non-contact surface of the artificial joint prosthesis, the non-contact surface adjacent to the bone-facing surface of the artificial joint prosthesis;

at least one fluid deflection structure positioned adjacent to the non-contact surface, the fluid deflection structure positioned to deflect synovial fluid away from the bone-prosthesis interface in vivo;

a mechanism including an actuator attached to the fluid deflection structure, the mechanism operable to move the fluid deflection structure to direct synovial fluid away from the bone-prosthesis interface in vivo; and

at least one particle retaining structure positioned to contact the directed flow of synovial fluid and configured to retain non-physiological particles present within the synovial fluid.

3. The artificial joint prosthesis of claim 2, wherein the at least one particle retaining structure comprises:

a group of projections, each of the projections positioned to contact the flow of synovial fluid and configured to retain particles present within the synovial fluid.

4. The artificial joint prosthesis of claim 2, wherein the at least one particle retaining structure comprises:

a first end, the first end affixed to the artificial joint prosthesis; and

a second end, the second end affixed to an additional artificial joint component.

5. The artificial joint prosthesis of claim 2, wherein the at least one particle retaining structure comprises:

at least one antibody affixed to a surface of the particle retaining structure.

6. The artificial joint prosthesis of claim 2, wherein the at least one particle retaining structure comprises:

a structure configured to retain non-physiological particles present in the synovial fluid.

7. The artificial joint prosthesis of claim 2, wherein the at least one particle retaining structure comprises:

a structure configured to retain particles including artificial materials.

8. The artificial joint prosthesis of claim 2, wherein the at least one particle retaining structure is affixed to a plurality of components of the artificial joint prosthesis.

9. The artificial joint prosthesis of claim 2, comprising:

an aperture in the non-contact surface of the artificial joint prosthesis;

a substantially round cavity in the artificial joint prosthesis adjacent to the aperture;

the mechanism including a substantially round element of a size and shape to correspond to the substantially round cavity, the substantially round element positioned within the substantially round cavity and configured to move within the substantially round cavity; and

the at least one fluid deflection structure attached to the substantially round element and projecting through the aperture.

10. The artificial joint prosthesis of claim 2, comprising:

at least one first magnet attached to the artificial joint prosthesis; and

at least one second magnet attached to the fluid deflection structure, wherein the mechanism attached to the fluid deflection structure is configured to move in accord with a magnetic field established by the at least one first magnet.

11. The artificial joint prosthesis of claim 2, comprising:

at least one first magnet attached to the artificial joint prosthesis; and

at least one second magnet attached to the fluid deflection structure, wherein the mechanism attached to the fluid deflection structure is configured to allow the at least one second magnet to move the fluid deflection structure in accord with a magnetic field established by the at least one first magnet.

12. The artificial joint prosthesis of claim 2, comprising:

at least two components, each of which include at least one fluid deflection structure, and each of which include the mechanism attached to the fluid deflection structure, each of the mechanism operable to move each of the fluid deflection structure to direct synovial fluid away from the bone-prosthesis interface in vivo in the direction of the at least one particle retaining structure.

13. A hip joint prosthesis, comprising:

a bone-facing surface of a hip joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo;

a non-contact surface of the hip joint prosthesis, the non-contact surface adjacent to the bone-facing surface of the hip joint prosthesis;

at least one fluid deflection structure positioned adjacent to the non-contact surface, the fluid deflection structure positioned to deflect synovial fluid away from the bone-prosthesis interface in vivo;

a mechanism including an actuator attached to the fluid deflection structure, the mechanism operable to move the fluid deflection structure to direct synovial fluid away from the bone-prosthesis interface in vivo; and

at least one particle retaining structure positioned to contact the directed flow of synovial fluid and configured to retain non-physiological particles present within the synovial fluid.

14. The hip joint prosthesis of claim 13, wherein the at least one particle retaining structure comprises:

a group of projections, each of the projections positioned to contact the flow of synovial fluid and configured to retain particles present within the synovial fluid.

15. The hip joint prosthesis of claim 13, wherein the at least one particle retaining structure comprises:

a first end, the first end affixed to the hip joint prosthesis; and

a second end, the second end affixed to an additional hip joint prosthesis component.

16. The hip joint prosthesis of claim 13, wherein the at least one particle retaining structure comprises:

at least one antibody affixed to a surface of the particle retaining structure.

17. The hip joint prosthesis of claim 13, wherein the at least one particle retaining structure comprises:

a structure configured to retain non-physiological particles present in the synovial fluid.

18. The hip joint prosthesis of claim 13, wherein the at least one particle retaining structure comprises:

a structure configured to retain particles including artificial materials.

19. The hip joint prosthesis of claim 13, comprising:

an aperture in the non-contact surface of the hip joint prosthesis;

a substantially round cavity in the hip joint prosthesis adjacent to the aperture;

the mechanism including a substantially round element of a size and shape to correspond to the substantially round cavity, the substantially round element positioned within the substantially round cavity and configured to move within the substantially round cavity; and

the at least one fluid deflection structure attached to the substantially round element and projecting through the aperture.

20. The hip joint prosthesis of claim 13, comprising:

at least one first magnet attached to the hip joint prosthesis; and

at least one second magnet attached to the fluid deflection structure, wherein the mechanism attached to the fluid deflection structure is configured to move in accord with a magnetic field established by the at least one first magnet.

21. The hip joint prosthesis of claim 13, comprising:

at least one first magnet attached to the hip joint prosthesis; and

at least one second magnet attached to the fluid deflection structure, wherein the mechanism attached to the fluid deflection structure is configured to allow the at least one second magnet to move the fluid deflection structure in accord with a magnetic field established by the at least one first magnet.

22. The hip joint prosthesis of claim 13, comprising:

at least one acetabular component, wherein the acetabular component includes at least one fluid deflection structure adjacent to the non-contact surface and at least one mechanism attached to the at least one fluid deflection structure; and

at least one femoral component, wherein the femoral component includes at least one fluid deflection structure adjacent to the non-contact surface and at least one mechanism attached to the at least one fluid deflection structure.

23. A knee joint prosthesis, comprising:

a bone-facing surface of a knee joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo;

a non-contact surface of the knee joint prosthesis, the non-contact surface adjacent to the bone-facing surface of the knee joint prosthesis;

at least one fluid deflection structure positioned adjacent to the non-contact surface, the fluid deflection structure positioned to deflect synovial fluid away from the bone-prosthesis interface in vivo;

a mechanism including an actuator attached to the fluid deflection structure, the mechanism operable to move the fluid deflection structure to direct synovial fluid away from the bone-prosthesis interface in vivo; and

at least one particle retaining structure positioned to contact the directed flow of synovial fluid and configured to retain non-physiological particles present within the synovial fluid.

24. The knee joint prosthesis of claim 23, wherein the at least one particle retaining structure comprises:

a group of projections, each of the projections positioned to contact the flow of synovial fluid and configured to retain particles present within the synovial fluid.

25. The knee joint prosthesis of claim 23, wherein the at least one particle retaining structure comprises:

a first end, the first end affixed to the knee joint prosthesis; and

a second end, the second end affixed to an additional knee joint prosthesis component.

26. The knee joint prosthesis of claim 23, wherein the at least one particle retaining structure comprises:

a structure configured to retain non-physiological particles present in the synovial fluid.

27. The knee joint prosthesis of claim 23, wherein the at least one particle retaining structure comprises:

a structure configured to retain particles including artificial materials.

28. The knee joint prosthesis of claim 23, comprising:

an aperture in the non-contact surface of the knee joint prosthesis;

a substantially round cavity in the knee joint prosthesis adjacent to the aperture;

the mechanism including a substantially round element of a size and shape to correspond to the substantially round cavity, the substantially round element positioned within the substantially round cavity and configured to move within the substantially round cavity; and

the at least one fluid deflection structure attached to the substantially round element and projecting through the aperture.

29. The knee joint prosthesis of claim 23, comprising:

at least one first magnet attached to the knee joint prosthesis; and

at least one second magnet attached to the fluid deflection structure, wherein the mechanism attached to the fluid deflection structure is configured to move in accord with a magnetic field established by the at least one first magnet.

30. The knee joint prosthesis of claim 23, comprising:

at least one first magnet attached to the knee joint prosthesis; and

at least one second magnet attached to the fluid deflection structure, wherein the mechanism attached to the fluid deflection structure is configured to allow the at least one second magnet to move the fluid deflection structure in accord with a magnetic field established by the at least one first magnet.

31. The knee joint prosthesis of claim 23, comprising:

at least one femoral component, wherein the femoral component includes at least one fluid deflection structure adjacent to the non-contact surface and at least one mechanism attached to the at least one fluid deflection structure; and

at least one tibial component, wherein the tibial component includes at least one fluid deflection structure adjacent to the non-contact surface and at least one mechanism attached to the at least one fluid deflection structure.

32. A shoulder joint prosthesis, comprising:

a bone-facing surface of a shoulder joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo;

a non-contact surface of the shoulder joint prosthesis, the non-contact surface adjacent to the bone-facing surface of the shoulder joint prosthesis;

at least one fluid deflection structure positioned adjacent to the non-contact surface, the fluid deflection structure positioned to deflect synovial fluid away from the bone-prosthesis interface in vivo;

a mechanism including an actuator attached to the fluid deflection structure, the mechanism operable to move the fluid deflection structure to direct synovial fluid away from the bone-prosthesis interface in vivo; and

at least one particle retaining structure positioned to contact the directed flow of synovial fluid and configured to retain non-physiological particles present within the synovial fluid.

33. The shoulder joint prosthesis of claim 32, wherein the at least one particle retaining structure comprises:

a group of projections, each of the projections positioned to contact the flow of synovial fluid and configured to retain particles present within the synovial fluid.

34. The shoulder joint prosthesis of claim 32, wherein the at least one particle retaining structure comprises:

a first end, the first end affixed to the shoulder joint prosthesis; and

a second end, the second end affixed to an additional shoulder joint prosthesis component.

35. The shoulder joint prosthesis of claim 32, wherein the at least one particle retaining structure comprises:

a structure configured to retain non-physiological particles present in the synovial fluid.

36. The shoulder joint prosthesis of claim 32, wherein the at least one particle retaining structure comprises:

a structure configured to retain particles including artificial materials.

37. The shoulder joint prosthesis of claim 32, comprising:

an aperture in the non-contact surface of the artificial joint prosthesis;

a substantially round cavity in the shoulder joint prosthesis adjacent to the aperture;

the mechanism including a substantially round element of a size and shape to correspond to the substantially round cavity, the substantially round element positioned within the substantially round cavity and configured to move within the substantially round cavity; and

the at least one fluid deflection structure attached to the substantially round element and projecting through the aperture.

38. The shoulder joint prosthesis of claim 32, comprising:

at least one first magnet attached to the shoulder joint prosthesis; and

at least one second magnet attached to the fluid deflection structure, wherein the mechanism attached to the fluid deflection structure is configured to move in accord with a magnetic field established by the at least one first magnet.

39. The shoulder joint prosthesis of claim 32, comprising:

at least one first magnet attached to the shoulder joint prosthesis; and

at least one second magnet attached to the fluid deflection structure, wherein the mechanism attached to the fluid deflection structure is configured to allow the at least one second magnet to move the fluid deflection structure in accord with a magnetic field established by the at least one first magnet.