CA2569518A1 - Device for impregnating a porous bone replacement material - Google Patents
Device for impregnating a porous bone replacement material Download PDFInfo
- Publication number
- CA2569518A1 CA2569518A1 CA002569518A CA2569518A CA2569518A1 CA 2569518 A1 CA2569518 A1 CA 2569518A1 CA 002569518 A CA002569518 A CA 002569518A CA 2569518 A CA2569518 A CA 2569518A CA 2569518 A1 CA2569518 A1 CA 2569518A1
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- Prior art keywords
- fact
- container
- central axis
- cavity
- lid
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/50—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L27/56—Porous materials, e.g. foams or sponges
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2430/00—Materials or treatment for tissue regeneration
- A61L2430/02—Materials or treatment for tissue regeneration for reconstruction of bones; weight-bearing implants
Abstract
The device (14) serves for the impregnation of a porous bone replacement material (1) with an impregnation agent (5). The device (14) comprises a container (6) with a central axis (10) and a cavity (13) with a lid (8), whereby the container (2) has two sealable openings (3,4). The container (6) has an elastic means (19), arranged in the cavity (13), by means of which a clamping force may be exerted on a bone replacement material (1) inserted in the cavity (13). A single size of container is thus sufficient for housing variously sized implants and an implant placed in the cavity of the container is held, centered and protected against damage or breakage for example, by shaking back and forth or on transport of the container.
Description
DEVICE FOR IMPREGNATING A POROUS BONE REPLACEMENT MATERIAL
The invention refers to a device for impregnating a porous bone replacement material according to the main concept of the patent claim 1.
A device for impregnating a porous, biocompatible bone replacement material is already known from the US 6,049,026 by MUSCHLER. This known device comprises a chamber for receiving the bone replacement body as well as a first container above the chamber, for storing an impregnation agent and a second container below the chamber for receiving the impregnation agent flowing through the chamber with the bone replacement body. When opening a first valve set between the first container and the chamber, the impregnation agent flows into the chamber with the bone replacement body. As soon as the chamber is filled, a second valve set between the chamber and the second container opens, so that the impregnation agent can flow into the second container through a membrane arranged below the bone replacement body. The disadvantage of this known device is that the bone replacement body in the chamber cannot be clamped down in the chamber, so that the bone replacement material or implant can, for instance by shaking back and forth during transport, be damaged or broken.
The invention intends to offer a solution for this situation. The task underlying the invention is to create a device for impregnating a porous bone replacement material whereby the implant, meaning a body made of bone replacement material in the cavity can be secured against damage by shaking back and forth, for instance during transport.
The invention solves the proposed task through a device for impregnating a porous bone replacement material exhibiting the characteristics of claim 1. The advantages gained by the device according to the invention are essentially seen in the fact that thanks to the device according to the invention - a single container size suffices for receiving variously sized implants in the same, and - an implant inserted into the cavity of the container is firmly held, centered and protected, for instance against shaking back and forth or while transporting the container.
The elastic means may preferably be conformed like a bellows or a spring. The elastic means may also comprise a spring element set up coaxially to the central axis encompassing elastic webs set up in a helical or coaxial form with respect to the central axis. The configuration of the spring element fitted with such webs allows an application of large through opening passages for the impregnation agent, so as to generate a low resistance while flowing through the spring element. A further advantage is in the fact that the holding force on the implant is uniform and also in addition centers the implant.
The webs may exhibit upper ends turned toward the cover, which open out in a central plate set up concentrically to the central axis and fitted with perforations, whose diameter measured in a direction orthogonal to the central axis d may measure between 0.001% and 99.999 % and preferably between 0.1% and 99.9% of the cavity diameter D
measured orthogonally to the central axis. The diameter d may be between 1%
and 99%, and preferably between 5% and 95% of the diameter D. The diameter d is typically between 10% and 90%, and preferably between 20% and 80% of the diameter D. The diameter d is advantageously between 25% and 75%, and preferably between 30% and 40% of the diameter D. The small diameter of the oentral plate with respect to that of the cavity allows only a small portion of the implant surface not to be exposed to the impregnation agent. A further advantage is that the holding force on the implant is uniform and that the implant is also centered.
In another form of realization the webs exhibit lower ends opening out into an outer ring of the spring element. The outer ring may in this case be seated in the cavity free of play. After the cover is screwed tight, the elastic means are thus fastened by the spring element pressing against the cover and by being free from play in the cavity.
Other advantages are based on the fact that the shape of the seal will prevent it from tilting off from the axis and that the dead space of the lower external ring is reduced, so that less blood is needed for the perfusion.
In an additional form of realization, a gasket is provided between the container and the lid. This allows the container to shut tightly even under a vacuum condition.
In another form of embodiment, the spring element and the gasket are conformed in a single piece. This results in a simple assembly of the device and prevents a loss of the gasket.
The invention refers to a device for impregnating a porous bone replacement material according to the main concept of the patent claim 1.
A device for impregnating a porous, biocompatible bone replacement material is already known from the US 6,049,026 by MUSCHLER. This known device comprises a chamber for receiving the bone replacement body as well as a first container above the chamber, for storing an impregnation agent and a second container below the chamber for receiving the impregnation agent flowing through the chamber with the bone replacement body. When opening a first valve set between the first container and the chamber, the impregnation agent flows into the chamber with the bone replacement body. As soon as the chamber is filled, a second valve set between the chamber and the second container opens, so that the impregnation agent can flow into the second container through a membrane arranged below the bone replacement body. The disadvantage of this known device is that the bone replacement body in the chamber cannot be clamped down in the chamber, so that the bone replacement material or implant can, for instance by shaking back and forth during transport, be damaged or broken.
The invention intends to offer a solution for this situation. The task underlying the invention is to create a device for impregnating a porous bone replacement material whereby the implant, meaning a body made of bone replacement material in the cavity can be secured against damage by shaking back and forth, for instance during transport.
The invention solves the proposed task through a device for impregnating a porous bone replacement material exhibiting the characteristics of claim 1. The advantages gained by the device according to the invention are essentially seen in the fact that thanks to the device according to the invention - a single container size suffices for receiving variously sized implants in the same, and - an implant inserted into the cavity of the container is firmly held, centered and protected, for instance against shaking back and forth or while transporting the container.
The elastic means may preferably be conformed like a bellows or a spring. The elastic means may also comprise a spring element set up coaxially to the central axis encompassing elastic webs set up in a helical or coaxial form with respect to the central axis. The configuration of the spring element fitted with such webs allows an application of large through opening passages for the impregnation agent, so as to generate a low resistance while flowing through the spring element. A further advantage is in the fact that the holding force on the implant is uniform and also in addition centers the implant.
The webs may exhibit upper ends turned toward the cover, which open out in a central plate set up concentrically to the central axis and fitted with perforations, whose diameter measured in a direction orthogonal to the central axis d may measure between 0.001% and 99.999 % and preferably between 0.1% and 99.9% of the cavity diameter D
measured orthogonally to the central axis. The diameter d may be between 1%
and 99%, and preferably between 5% and 95% of the diameter D. The diameter d is typically between 10% and 90%, and preferably between 20% and 80% of the diameter D. The diameter d is advantageously between 25% and 75%, and preferably between 30% and 40% of the diameter D. The small diameter of the oentral plate with respect to that of the cavity allows only a small portion of the implant surface not to be exposed to the impregnation agent. A further advantage is that the holding force on the implant is uniform and that the implant is also centered.
In another form of realization the webs exhibit lower ends opening out into an outer ring of the spring element. The outer ring may in this case be seated in the cavity free of play. After the cover is screwed tight, the elastic means are thus fastened by the spring element pressing against the cover and by being free from play in the cavity.
Other advantages are based on the fact that the shape of the seal will prevent it from tilting off from the axis and that the dead space of the lower external ring is reduced, so that less blood is needed for the perfusion.
In an additional form of realization, a gasket is provided between the container and the lid. This allows the container to shut tightly even under a vacuum condition.
In another form of embodiment, the spring element and the gasket are conformed in a single piece. This results in a simple assembly of the device and prevents a loss of the gasket.
In a further form of realization, the cavity height H measured parallel to the central axis is defined by the external ring and the gasket height measured parallel to the central axis. This makes it possible to apply for instance gaskets or spring elements of different size to define the height of the cavity. A further advantage lies in the reduced production and packing costs, because only a single container may be employed for a multiple number of variously sized implants.
The height measured parallel to the central axis may alternatively be defined by inner parts of different height, preferably through the lid.
In another form of realization the elastic means exhibit - if measured parallel to the central axis and in an unloaded condition - a height h and are axially compressible by a measure Ah, where the ratio Ah : h lies between 0.001 % and 99.999%, and preferably between 0.01% and 99.99%. The ratio of Ah : h may typically be between 0.1%
and 99.9%, and preferably between 1% and 99%. The ratio of Ah : h is advantageously between 5% and 95%, and preferably between 10% and 90%. The elastic means are thus compressible to a high degree, so that variously sized implants can be accommodated.
In a further form of realization the container is shaped like a cylinder and presents a coaxially arranged inner thread, while the lid comprises an outer thread complementary to the inner thread.
The container advantageously contains a porous bone replacement material, whose overall volume v is smaller than the volume V of the cavity (13). The bone replacement material may be available in the form of a block, preferably in the form of a cube, cylinder, hollow cylinder, disc., wedge, cone, truncated cone or a ball. The bone replacement material may be fitted inside the implant so as to communicate at least partially with the surface of the implant itself.
The implant may be chosen from one of the following groups of materials:
A) Metal and/or B) Synthetic material, and/or C) Non-metal, preferably glass and/or D) Ceramics of different density, and/or E) Composite ceramics.
The elastic means may be set up symmetrically or asymmetrically to the central axis.
Depending on the configuration or form of the implant, an either symmetrical or asymmetrical construction offers a better support for the implant.
The height measured parallel to the central axis may alternatively be defined by inner parts of different height, preferably through the lid.
In another form of realization the elastic means exhibit - if measured parallel to the central axis and in an unloaded condition - a height h and are axially compressible by a measure Ah, where the ratio Ah : h lies between 0.001 % and 99.999%, and preferably between 0.01% and 99.99%. The ratio of Ah : h may typically be between 0.1%
and 99.9%, and preferably between 1% and 99%. The ratio of Ah : h is advantageously between 5% and 95%, and preferably between 10% and 90%. The elastic means are thus compressible to a high degree, so that variously sized implants can be accommodated.
In a further form of realization the container is shaped like a cylinder and presents a coaxially arranged inner thread, while the lid comprises an outer thread complementary to the inner thread.
The container advantageously contains a porous bone replacement material, whose overall volume v is smaller than the volume V of the cavity (13). The bone replacement material may be available in the form of a block, preferably in the form of a cube, cylinder, hollow cylinder, disc., wedge, cone, truncated cone or a ball. The bone replacement material may be fitted inside the implant so as to communicate at least partially with the surface of the implant itself.
The implant may be chosen from one of the following groups of materials:
A) Metal and/or B) Synthetic material, and/or C) Non-metal, preferably glass and/or D) Ceramics of different density, and/or E) Composite ceramics.
The elastic means may be set up symmetrically or asymmetrically to the central axis.
Depending on the configuration or form of the implant, an either symmetrical or asymmetrical construction offers a better support for the implant.
The container bottom can be fitted with a centrally or de-centrally perforated connecting piece forming one of the two openings. A centrally or de-centrally perforated connecting piece can also be set up on the lid cover after one of the two opening.
The bone replacement material can be in the form of a block, preferably in the form of a cube, cylinder, hollow cylinder, disc., wedge, cone, truncated cone or a ball.
The impregnation agent may comprise osteoinductive and/or osteogenic substances, in particular bone cells, bone marrow or bone marrow components, blood or blood components or a combination thereof.
The invention and developments of the same will in the following be explained in greater detail with the aid of partially simplified representations of several examples of embodiments. These show:
Figure 1: a section across a form of embodiment of the device according to the invention;
Figure 2: a topside view of the form of embodiment of the device according to the invention shown in Figure 1;
Figure 3: a perspective view of an elastic means as part of the form of embodiment of the device according to the invention shown in Figure 1 and 2;
Figure 4: a section through the elastic means shown in Figure 3;
Figure 5: A view of the connecting piece marked off by the circle A in Figure 1;
Figure 6: a topside view of the connecting piece shown in Figure 5;
Figure 7: a perspective view of a form of embodiment of the device according to the invention and of a syringe.
Figure 1 shows a form of embodiment of the device according to the invention, which comprises a cylindrical container 6 set up coaxially to the central axis 10 and fitted with a lid 8 capable of being coaxially fastened on the same. The container 6 presents inside its cavity 13 an inner thread 7 set up coaxially to the central axis 10, so that the lid 8, which has on its outer mantle surface an outer thread 9 complementary to the inner thread 7, can be connected to the container 6 in a detachable manner. The inner thread 7 extends over the entire axial length of the cavity 13 in the container 6 (alternatively, a multiple thread extending only up to half of the container 6 could be employed). The outer thread 9 on the lateral mantle surface of the lid 8 extends over the entire axial length of the lid 8. The elastic means 19, which comprise in particular an axial elastic spring element 30 and a gasket 31 conformed in a single unit are arranged inside the cavity 13.
The hollow cylinder gasket 31 extends parallel to the central axis 10 between the upper end 38 of the outer ring 37 which is part of the spring element 30 and the lower end 17 of the lid 8. The lower end 39 of the outer ring 37 rests on the bottom 16 of the container 6, while the upper end 38 of the outer ring 37 is connected to the lower end 35 of the gasket 31. The outer ring 37 is conformed with an outer diameter adapted to the inner diameter of the container 6, so as to secure the elastic means 19 against shifting in a direction transversal to the central axis 10.
The lid 8 can be threaded into the cavity 13 of the container 6, until the lower end 17 of the lid 8 rests on the upper end 36 of the gasket 31. The inner thread 7 as well as the outer thread 9 are conformed as multiple threads. The bottom 16 of the container 6 is fitted with a depression 20 concentric to a central axis 10, where a centrally perforated connecting piece 21 is set up concentrically to the central axis 10. The central perforation 24 of the connecting piece 21 forms the opening 4. In analogy to this, a second connecting piece 25 perforated concentrically to the central axis 10 is set up outside the cover plate 18 of the lid 8. The connecting pieces 21 and 25 are conformed in an identical manner (the two connecting pieces 21 and 25 can altematively also be conformed in a differentiated manner).
When screwing the lid 8 into the container 6, a piece of bone replacement material 1 inserted into the cavity 13 of the container 6 is pressed against the upper end 29 of the spring element 30 so that the spring element 30 is compressed by a measure Ah.
Owing to the elasticity of the spring element 30, the body of the bone replacement material 1 is clamped between the upper end 29 of the spring element 30 and the cover plate 18 of the lid 8.
The Figures 3 and 4 represent a form of embodiment of the elastic means 19, which consist of a spring element 30 with an outer ring 37 and a truncated-cone type segment arranged at the upper end 38 of the outer ring 37. This truncated cone type segment 40 comprises webs 34, whose upper ends 42 open up into a central plate 41 which is arranged concentrically to the central axis 10 at the upper end 29 of the spring element 30 and fitted with perforations 44, and whose lower ends 43 are connected to the outer ring 37. The truncated cone type segment 40 is conformed in a tapered manner toward the upper end 29 of the spring element 30, while the webs 34 are spirally arranged around the central axis 10.
The Figures 5 and 6 illustrate the connecting pieces 21, 25, which are identically confirmed as male Luer connecting pieces. Each of the connecting pieces 21, 25 comprises at its free end 22 two radially projecting cams 23, which are formed by two pairs of diametrically opposed segments of a thread 28, respectively. A
standard injector 15 (Figure 7) conformed as a complementary female Luer connecting piece at its opening toward the connecting piece 21 can be screwed on over each of the connecting pieces 21, 25 (Luer connecting piece). The connecting pieces can be chosen so that different adapters may be connected to the same in an airtight fashion.
By arranging (Figure 1) the connecting piece 21 in the depression 20 so that the connecting piece 21 cannot project above the bottom 16 of the container 20, the container 6 can be laid on the floor without tilting over. To facilitate threading the lid 8 into or onto the container, two axially projecting (ses 11 are provided on the outer side of the cover plate 18 on the lid 8, and two axially running grooves 26 are provided on the outer mantle surface of the container 6 (Figure 2).
Figure 7 shows a container 6 with a body composed of a bone replacement material 1 enclosed in the cavity. The container 6 has two openings 3, 4, which can be airtight connected by a syringe 15. As an impregnation agent 5, the syringe may in its cavity contain osteoinductive and/or osteogenic substances, in particular body cells, bone marrow and/or bone marrow elements, blood and/or other blood elements. The contained 6 illustrated in this case, together with the syringe 15, serves to perform the process according to the invention, which includes five steps:
A) A syringe 15 filled with impregnation agent 5 is preferably connected to the lower opening or both openings 4 of the container 6. The upper opening 3 remains open. Both openings 3, 4 are conformed as Luer openings with a conically perforated connecting piece 21, 25 connected to the container 6 (Figures 5 and 6). The impregnation agent 5 is now injected with the piston 12 through the opening 4 into the container 6, so that the block made of porous bone replacement material 1 is surrounded by the impregnation agent 5 and is partially or preferably wholly submerged in the same;
B) The upper opening 3 is now closed;
C) The piston 12 of the syringe 5 is then again withdrawn, so as to create a negative pressure or vacuum in the container 6. Thanks to the vacuum, the air present in the pores of the bone replacement material 1 is induced to expand, so as to move out of the pores and into the surrounding impregnation agent 5. Because this is a closed system, the piston motion aspirates the impregnation agent 5 only partially. This is also possible only if the container 6 still contains air. In addition, a large number of impregnation agent 5 also exhibit adhering characteristics and thus adhere to the surface of the bone replacement material 1, without being aspirated by the piston motion;
D) In a next step, the piston 12 of the syringe 5 is pressed again into the original position, so as to eliminate the vacuum in the container 6. The bloc of bone replacement material 1 surrounded by the impregnation agent 5 now obviously does not absorb into his pores air but only impregnation agent 5, so that an impregnation of the bone replacement material I will occur. The evacuation/elimination of the vacuum drawn' with the syringe 5 in the container can be repeated several times so boost the degree of impregnation. Thanks to its adhesion and to the capillary effect of the structure of the porous bone replacement material 1, the impregnation agent 5 is better absorbed into its interior than air.
Another embodiment of the process lies in the fact that after coupling the first syringe 15 filled with impregnation agent 5 to one of the two openings 3, 4, the second, unfilled syringe (not shown) is coupled to the other opening 3, 4, and the cavity of the container 6 is evacuated by withdrawing the piston and at the same time aspirating the impregnation agent 5, through the resulting negative pressure, from the cavity in the syringe 15 into the cavity of the container 6. The air in the pores of the bone replacement material 1 escapes from the pores. By pressing in the piston of the second syringe, the air is subsequently moved again into the container 6, so that the vacuum in the cavity of the container 6 is again eliminated and the impregnation agent 5 can penetrate into the pores of the bone replacement material.
If necessary the piston of one of the syringes can now be withdrawn and the container can be evacuated again. The process steps of evacuating and eliminating the vacuum can be simply repeated in this manner, until the pores in the bone replacement material 1 are adequately de-aerated and filled with impregnation agent 5.
Another embodiment of the process consists in the fact that the second syringe (not shown) is applied to increase the vacuum. This second syringe can - because it is not filled with impregnation agent 5 - present a considerably greater volume than the first syringe 15 filled with impregnation agent 5.
The bone replacement material can be in the form of a block, preferably in the form of a cube, cylinder, hollow cylinder, disc., wedge, cone, truncated cone or a ball.
The impregnation agent may comprise osteoinductive and/or osteogenic substances, in particular bone cells, bone marrow or bone marrow components, blood or blood components or a combination thereof.
The invention and developments of the same will in the following be explained in greater detail with the aid of partially simplified representations of several examples of embodiments. These show:
Figure 1: a section across a form of embodiment of the device according to the invention;
Figure 2: a topside view of the form of embodiment of the device according to the invention shown in Figure 1;
Figure 3: a perspective view of an elastic means as part of the form of embodiment of the device according to the invention shown in Figure 1 and 2;
Figure 4: a section through the elastic means shown in Figure 3;
Figure 5: A view of the connecting piece marked off by the circle A in Figure 1;
Figure 6: a topside view of the connecting piece shown in Figure 5;
Figure 7: a perspective view of a form of embodiment of the device according to the invention and of a syringe.
Figure 1 shows a form of embodiment of the device according to the invention, which comprises a cylindrical container 6 set up coaxially to the central axis 10 and fitted with a lid 8 capable of being coaxially fastened on the same. The container 6 presents inside its cavity 13 an inner thread 7 set up coaxially to the central axis 10, so that the lid 8, which has on its outer mantle surface an outer thread 9 complementary to the inner thread 7, can be connected to the container 6 in a detachable manner. The inner thread 7 extends over the entire axial length of the cavity 13 in the container 6 (alternatively, a multiple thread extending only up to half of the container 6 could be employed). The outer thread 9 on the lateral mantle surface of the lid 8 extends over the entire axial length of the lid 8. The elastic means 19, which comprise in particular an axial elastic spring element 30 and a gasket 31 conformed in a single unit are arranged inside the cavity 13.
The hollow cylinder gasket 31 extends parallel to the central axis 10 between the upper end 38 of the outer ring 37 which is part of the spring element 30 and the lower end 17 of the lid 8. The lower end 39 of the outer ring 37 rests on the bottom 16 of the container 6, while the upper end 38 of the outer ring 37 is connected to the lower end 35 of the gasket 31. The outer ring 37 is conformed with an outer diameter adapted to the inner diameter of the container 6, so as to secure the elastic means 19 against shifting in a direction transversal to the central axis 10.
The lid 8 can be threaded into the cavity 13 of the container 6, until the lower end 17 of the lid 8 rests on the upper end 36 of the gasket 31. The inner thread 7 as well as the outer thread 9 are conformed as multiple threads. The bottom 16 of the container 6 is fitted with a depression 20 concentric to a central axis 10, where a centrally perforated connecting piece 21 is set up concentrically to the central axis 10. The central perforation 24 of the connecting piece 21 forms the opening 4. In analogy to this, a second connecting piece 25 perforated concentrically to the central axis 10 is set up outside the cover plate 18 of the lid 8. The connecting pieces 21 and 25 are conformed in an identical manner (the two connecting pieces 21 and 25 can altematively also be conformed in a differentiated manner).
When screwing the lid 8 into the container 6, a piece of bone replacement material 1 inserted into the cavity 13 of the container 6 is pressed against the upper end 29 of the spring element 30 so that the spring element 30 is compressed by a measure Ah.
Owing to the elasticity of the spring element 30, the body of the bone replacement material 1 is clamped between the upper end 29 of the spring element 30 and the cover plate 18 of the lid 8.
The Figures 3 and 4 represent a form of embodiment of the elastic means 19, which consist of a spring element 30 with an outer ring 37 and a truncated-cone type segment arranged at the upper end 38 of the outer ring 37. This truncated cone type segment 40 comprises webs 34, whose upper ends 42 open up into a central plate 41 which is arranged concentrically to the central axis 10 at the upper end 29 of the spring element 30 and fitted with perforations 44, and whose lower ends 43 are connected to the outer ring 37. The truncated cone type segment 40 is conformed in a tapered manner toward the upper end 29 of the spring element 30, while the webs 34 are spirally arranged around the central axis 10.
The Figures 5 and 6 illustrate the connecting pieces 21, 25, which are identically confirmed as male Luer connecting pieces. Each of the connecting pieces 21, 25 comprises at its free end 22 two radially projecting cams 23, which are formed by two pairs of diametrically opposed segments of a thread 28, respectively. A
standard injector 15 (Figure 7) conformed as a complementary female Luer connecting piece at its opening toward the connecting piece 21 can be screwed on over each of the connecting pieces 21, 25 (Luer connecting piece). The connecting pieces can be chosen so that different adapters may be connected to the same in an airtight fashion.
By arranging (Figure 1) the connecting piece 21 in the depression 20 so that the connecting piece 21 cannot project above the bottom 16 of the container 20, the container 6 can be laid on the floor without tilting over. To facilitate threading the lid 8 into or onto the container, two axially projecting (ses 11 are provided on the outer side of the cover plate 18 on the lid 8, and two axially running grooves 26 are provided on the outer mantle surface of the container 6 (Figure 2).
Figure 7 shows a container 6 with a body composed of a bone replacement material 1 enclosed in the cavity. The container 6 has two openings 3, 4, which can be airtight connected by a syringe 15. As an impregnation agent 5, the syringe may in its cavity contain osteoinductive and/or osteogenic substances, in particular body cells, bone marrow and/or bone marrow elements, blood and/or other blood elements. The contained 6 illustrated in this case, together with the syringe 15, serves to perform the process according to the invention, which includes five steps:
A) A syringe 15 filled with impregnation agent 5 is preferably connected to the lower opening or both openings 4 of the container 6. The upper opening 3 remains open. Both openings 3, 4 are conformed as Luer openings with a conically perforated connecting piece 21, 25 connected to the container 6 (Figures 5 and 6). The impregnation agent 5 is now injected with the piston 12 through the opening 4 into the container 6, so that the block made of porous bone replacement material 1 is surrounded by the impregnation agent 5 and is partially or preferably wholly submerged in the same;
B) The upper opening 3 is now closed;
C) The piston 12 of the syringe 5 is then again withdrawn, so as to create a negative pressure or vacuum in the container 6. Thanks to the vacuum, the air present in the pores of the bone replacement material 1 is induced to expand, so as to move out of the pores and into the surrounding impregnation agent 5. Because this is a closed system, the piston motion aspirates the impregnation agent 5 only partially. This is also possible only if the container 6 still contains air. In addition, a large number of impregnation agent 5 also exhibit adhering characteristics and thus adhere to the surface of the bone replacement material 1, without being aspirated by the piston motion;
D) In a next step, the piston 12 of the syringe 5 is pressed again into the original position, so as to eliminate the vacuum in the container 6. The bloc of bone replacement material 1 surrounded by the impregnation agent 5 now obviously does not absorb into his pores air but only impregnation agent 5, so that an impregnation of the bone replacement material I will occur. The evacuation/elimination of the vacuum drawn' with the syringe 5 in the container can be repeated several times so boost the degree of impregnation. Thanks to its adhesion and to the capillary effect of the structure of the porous bone replacement material 1, the impregnation agent 5 is better absorbed into its interior than air.
Another embodiment of the process lies in the fact that after coupling the first syringe 15 filled with impregnation agent 5 to one of the two openings 3, 4, the second, unfilled syringe (not shown) is coupled to the other opening 3, 4, and the cavity of the container 6 is evacuated by withdrawing the piston and at the same time aspirating the impregnation agent 5, through the resulting negative pressure, from the cavity in the syringe 15 into the cavity of the container 6. The air in the pores of the bone replacement material 1 escapes from the pores. By pressing in the piston of the second syringe, the air is subsequently moved again into the container 6, so that the vacuum in the cavity of the container 6 is again eliminated and the impregnation agent 5 can penetrate into the pores of the bone replacement material.
If necessary the piston of one of the syringes can now be withdrawn and the container can be evacuated again. The process steps of evacuating and eliminating the vacuum can be simply repeated in this manner, until the pores in the bone replacement material 1 are adequately de-aerated and filled with impregnation agent 5.
Another embodiment of the process consists in the fact that the second syringe (not shown) is applied to increase the vacuum. This second syringe can - because it is not filled with impregnation agent 5 - present a considerably greater volume than the first syringe 15 filled with impregnation agent 5.
Claims (27)
1. Device (14) for impregnating a porous bone replacement material (1) with an impregnation agent (5), with A) a container (6) presenting a central axis (10) and a cavity (13) with a lid (8), where B) the container (2) presents two openings (3, 4) fitted with a lock, characterized by the fact that C) the container (6) comprises elastic means (19) arranged inside the cavity (13), whereby a bone replacement material (1) introduced into the cavity (13) can be subjected to a clamping force.
2. Device (14) according to claim 1, characterized by the fact that the elastic means (19) are conformed like a bellows or a spring.
3. Device (14) according to claim 1, characterized by the fact that the elastic means (19) contain a spring element (30) coaxially arranged with respect to the central axis (10) and comprising several elastic webs (34) which are helically or spirally arranged with respect to the central axis (10).
4. Device (14) according to claim 3, characterized by the fact that the webs (34) have upper ends turned toward the lid (8), which open up to a central plate (41) fitted with perforations (44) and arranged concentrically to the central axis (10), whose diameter d measured orthogonally to the central axis (10) amounts to between 0.001% and 99.999%, and preferably to between 0.1% and 99.9% of the diameter D, measured orthogonally to the central axis (10) of the cavity (13).
5. Device (14) according to claim 4, characterized by the fact that the diameter d is between 1% and 99%, and preferably between 5% and 95% of the diameter D.
6. Device (14) according to claim 5, characterized by the fact that the diameter d is between 10% and 90%, and preferably between 20% and 80% of the diameter D.
7. Device (14) according to claim 6 characterized by the fact that the diameter d is between 25% and 75%, and preferably between 30% and 40% of the diameter D.
8. Device (14) according to one of the claims from 3 to 7, claim 4 characterized by the fact that the webs (34) present lower ends (43) which open up into an outer ring (37) of the spring element (30).
9. Device (14) according to claim 8, characterized by the fact that the outer ring (37) is supported in the cavity (13) free from clearance transversally to the central axis (10).
10. Device (14) according to one of the claims from 1 to 9, characterized by the fact that a gasket (31) is arranged between the container (6) and the lid (8).
11. Device (14) according to claim 10, characterized by the fact that the spring element (30) and the gasket (31) are conformed in a single piece.
12. Device (14) according to claim 10 or 11, characterized by the fact that the height H
of the cavity (13) measured parallel to the central axis (10) is defined by the height of the outer ring (37) measured parallel to the central axis (10) and by the gasket (31).
of the cavity (13) measured parallel to the central axis (10) is defined by the height of the outer ring (37) measured parallel to the central axis (10) and by the gasket (31).
13. Device (14) according to claim 10 or 11, characterized by the fact that the height measured parallel to the central axis (10) is defined by internal elements of various heights, and preferably by the lid (8).
14. Device (14) according to one of the claims from 1 to 13, characterized by the fact that the elastic means (19) have in an unloaded condition a height h measured parallel to the central axis (10) and are compressible in an axial direction by a measure .DELTA.h, and that the ratio .DELTA.h : h is between 0.001 % and 99.999 %, and preferably between 0.01 %
and 99.99 %.
and 99.99 %.
15. Device (14) according to claim 14, characterized by the fact that the ratio .DELTA.h : h is between 0.1 % and 99.9 %, and preferably between 1% and 99 %.
16. Device (14) according to claim 15, characterized by the fact that the ratio .DELTA.h : h is between 5 % and 95 %, and preferably between 10 % and 90 %.
17. Device (14) according to one of the claims from 1 to 16, characterized by the fact that the container (6) is conformed in a cylindrical form, presents an internal thread (7) coaxially arranged in the cavity (13), and that the lid (8) comprises an external thread (9) complementary to the inner thread (7).
18. Device (14) according to on e of the claims from 1 to 17, characterized by the fact that the container (6) contains a porous bone replacement material (1), whose total volume v is smaller than the volume V of the cavity (13).
19. Device (14) according to claim 18, characterized by the fact that the bone replacement material (1) is present in the form of a block, preferably in the form of a cube, cylinder, hollow cylinder, disc, wedge, cone, truncated cone or a ball.
20. Device according to claim 18 or 19, characterized by the fact that the bone replacement material (1) is accommodated inside an implant in such a way that it communicates with the surface of the implant at least in part.
21. Device according to claim 20, characterized by the fact that the implant is chosen from one of the following groups of materials:
A) Metal and/or B) Synthetic material and/or C) Non-metal, preferably glass and/or D) ceramics of various densities, and/or E) Composite ceramics.
A) Metal and/or B) Synthetic material and/or C) Non-metal, preferably glass and/or D) ceramics of various densities, and/or E) Composite ceramics.
22. Device according to one of the claims from 1 to 21, characterized by the fact that the elastic means (19) is arranged symmetrically to the central axis (10).
23. Device according to one of the claims from 1 to 21, characterized by the fact that the elastic means (19) is arranged asymmetrically to the central axis (10).
24. Device according to one of the claims from 1 to 23, characterized by the fact that the bottom (16) of the container (6) is fitted with a centrally perforated connecting piece (21), which forms one of the two openings (4).
25. Device according to one of the claims from 1 to 23, characterized by the fact that the bottom (16) of the container (6) is fitted with a de-centrally perforated connecting piece (21), which forms one of the two openings (4).
26. Device according to one of the claims from 1 to 25, characterized by the fact that a centrally perforated connecting piece, which forms one of the two openings (3), is arranged on the outside of the cover plate (18) of the lid (8).
27. Device according to one of the claims from 1 to 25, characterized by the fact that a de-centrally perforated connecting piece, which forms one of the two openings (3), is arranged on the outside of the cover plate (18) of the lid (8).
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| PCT/CH2004/000335 WO2005118017A1 (en) | 2004-06-03 | 2004-06-03 | Device for impregnating a porous bone replacement material |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2569518A1 true CA2569518A1 (en) | 2005-12-15 |
| CA2569518C CA2569518C (en) | 2013-10-01 |
Family
ID=34957470
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2569518A Expired - Fee Related CA2569518C (en) | 2004-06-03 | 2004-06-03 | Device for impregnating a porous bone replacement material |
Country Status (13)
| Country | Link |
|---|---|
| US (1) | US8038962B2 (en) |
| EP (1) | EP1750781B1 (en) |
| JP (1) | JP4414461B2 (en) |
| KR (1) | KR101161898B1 (en) |
| CN (1) | CN1960770B (en) |
| AT (1) | ATE493158T1 (en) |
| AU (1) | AU2004320279A1 (en) |
| BR (1) | BRPI0418886A (en) |
| CA (1) | CA2569518C (en) |
| DE (1) | DE502004012077D1 (en) |
| NZ (1) | NZ551672A (en) |
| TW (1) | TW200539843A (en) |
| WO (1) | WO2005118017A1 (en) |
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| BRPI0318442B8 (en) * | 2003-08-08 | 2021-06-22 | Synthes Gmbh | method for impregnating a porous bone substitute material |
| US8641667B2 (en) * | 2005-10-20 | 2014-02-04 | DePuy Synthes Products, LLC | Perfusion device and method |
| US20090005868A1 (en) * | 2007-06-27 | 2009-01-01 | Depuy Products, Inc. | Osteogenic prosthesis, associated instrument, and associated method |
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| CN102380132A (en) * | 2010-09-03 | 2012-03-21 | 卢爱军 | Dipping process and device of protein thread |
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-
2004
- 2004-06-03 AU AU2004320279A patent/AU2004320279A1/en not_active Abandoned
- 2004-06-03 BR BRPI0418886-1A patent/BRPI0418886A/en not_active IP Right Cessation
- 2004-06-03 DE DE502004012077T patent/DE502004012077D1/en active Active
- 2004-06-03 EP EP04735860A patent/EP1750781B1/en not_active Not-in-force
- 2004-06-03 WO PCT/CH2004/000335 patent/WO2005118017A1/en active Application Filing
- 2004-06-03 JP JP2007513641A patent/JP4414461B2/en not_active Expired - Fee Related
- 2004-06-03 CN CN200480043218XA patent/CN1960770B/en not_active Expired - Fee Related
- 2004-06-03 AT AT04735860T patent/ATE493158T1/en active
- 2004-06-03 KR KR1020067025287A patent/KR101161898B1/en not_active IP Right Cessation
- 2004-06-03 CA CA2569518A patent/CA2569518C/en not_active Expired - Fee Related
- 2004-06-03 NZ NZ551672A patent/NZ551672A/en unknown
-
2005
- 2005-04-27 TW TW094113414A patent/TW200539843A/en not_active IP Right Cessation
-
2006
- 2006-11-29 US US11/606,506 patent/US8038962B2/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| DE502004012077D1 (en) | 2011-02-10 |
| BRPI0418886A (en) | 2007-12-11 |
| WO2005118017A1 (en) | 2005-12-15 |
| KR20070018976A (en) | 2007-02-14 |
| CA2569518C (en) | 2013-10-01 |
| US20070221742A1 (en) | 2007-09-27 |
| NZ551672A (en) | 2010-03-26 |
| JP2008501377A (en) | 2008-01-24 |
| CN1960770B (en) | 2011-08-17 |
| KR101161898B1 (en) | 2012-07-09 |
| EP1750781A1 (en) | 2007-02-14 |
| TWI363618B (en) | 2012-05-11 |
| JP4414461B2 (en) | 2010-02-10 |
| EP1750781B1 (en) | 2010-12-29 |
| ATE493158T1 (en) | 2011-01-15 |
| AU2004320279A1 (en) | 2005-12-15 |
| TW200539843A (en) | 2005-12-16 |
| US8038962B2 (en) | 2011-10-18 |
| CN1960770A (en) | 2007-05-09 |
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| EEER | Examination request | ||
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