CA2771555A1 - Trochlear implants and methods of use - Google Patents
Trochlear implants and methods of use Download PDFInfo
- Publication number
- CA2771555A1 CA2771555A1 CA2771555A CA2771555A CA2771555A1 CA 2771555 A1 CA2771555 A1 CA 2771555A1 CA 2771555 A CA2771555 A CA 2771555A CA 2771555 A CA2771555 A CA 2771555A CA 2771555 A1 CA2771555 A1 CA 2771555A1
- Authority
- CA
- Canada
- Prior art keywords
- millimeters
- implant
- ranging
- aperture
- curvature
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- 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
- A61F2/30—Joints
- A61F2/30756—Cartilage endoprostheses
-
- 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
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/3877—Patellae or trochleae
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00161—Carbon; Graphite
- A61F2310/00173—Graphite
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00574—Coating or prosthesis-covering structure made of carbon, e.g. of pyrocarbon
Abstract
Implant devices, and method of using the same, are provided. The implant devices have an articular end (105,10`) and a stem (110,110`), the stem having an oval-shaped cross-section. The articular end has an upper surface (115,115`), a side surface (120,12O`), and a lower surface (125,125`). The upper surface and lower surface each intersect the side surface. The upper surface has a first surface curvature (130,130`), a central surface curvature (135,135`), and a second surface curvature (140,140`). The stem extends from the lower surface in a direction away from the upper surface of the articular end.
Description
TROCHLEAR IMPLANTS AND METHODS OF USE
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This patent application claims the benefit of U.S. Provisional Patent Application No.
61/236,811 filed August 25, 2009.
FIELD OF THE INVENTION
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This patent application claims the benefit of U.S. Provisional Patent Application No.
61/236,811 filed August 25, 2009.
FIELD OF THE INVENTION
[0002] This disclosure relates to devices and methods for the repair of articular cartilage defects. Particular embodiments of this disclosure relate to implants that serve as a replacement for diseased or damaged cartilage in joints such as human knees, including the trochlear groove, hips and shoulders.
BACKGROUND OF THE INVENTION
BACKGROUND OF THE INVENTION
[0003] Cartilage acts as a pad between bones to reduce friction and prevent the bones from grinding against one another. Cartilage covers the articular surface of many, if not all, joints in the body. The smoothness and thickness of the cartilage are factors that determine the load-bearing characteristics and mobility of the joints. Over time, due to injury or heredity, however, lesions such as fissures, cracks or crazes can form in the cartilage. In some cases, osteochondral, the lesion penetrates to the subchondral surface of the bone.
In other cases, chondral, the lesion does not penetrate to the subchondral surface of the bone. Lesions generally do not repair themselves--and if any repair is made it is generally insufficient to heal-leading to significant pain and disability, either acutely or over time.
In other cases, chondral, the lesion does not penetrate to the subchondral surface of the bone. Lesions generally do not repair themselves--and if any repair is made it is generally insufficient to heal-leading to significant pain and disability, either acutely or over time.
[0004] One approach for regenerating new cartilage is autologous chondrocyte transplantation. This technique is complex and relatively costly. Other techniques, aimed at repair instead of regeneration, include debridement, lavage, microfracturing, drilling, and abrasion arthroplasty. These procedures generally involve penetrating the region of vascularization in the subchondral bone with an instrument until bleeding occurs. Formation of a fibrin clot differentiates into fibrocartilage, which then covers the defect site.
[0005] An alternative approach has been to undergo a total replacement of the joint. Such total replacements, however, are costly, high risk, and involve a long recovery time.
SUMMARY OF THE INVENTION
Definitions [0006] In various illustrative embodiments, the terms "vertical axis" or "vertical" mean a direction from the top of a three-dimensional object to the bottom of the three-dimensional object.
SUMMARY OF THE INVENTION
Definitions [0006] In various illustrative embodiments, the terms "vertical axis" or "vertical" mean a direction from the top of a three-dimensional object to the bottom of the three-dimensional object.
[0007] In various illustrative embodiments, the terms "horizontal axis" or "horizontal"
mean a direction from right of the three-dimensional object to the left of the three-dimensional object.
mean a direction from right of the three-dimensional object to the left of the three-dimensional object.
[0008] In various illustrative embodiments, the terms "depth axis" or "depth"
mean a direction from the front of the three-dimensional object to the back of the three-dimensional object.
mean a direction from the front of the three-dimensional object to the back of the three-dimensional object.
[0009] In various illustrative embodiments, the term "medial side" is made with reference to the medial side of a patient's joint.
[00010] In various illustrative embodiments, the term "lateral side" is made with reference to the lateral side of a patient's joint.
[00011] In various illustrative embodiments, the term "torus" means the surface of a toroid.
[00012] In various illustrative embodiments, the term "tubular radius" refers to the radius of the tube of a torus, as opposed to the "major radius" or "radius of revolution", which are terms that refer to the radius from the center of the torus to the center of the tube.
[00013] In various illustrative embodiments, geometric terms such as "elliptical," "oval", "circle", "sphere", "cylinder", and the like are used as references and for clarity of understanding, as would be understood by one of ordinary skill in the art.
Accordingly, these terms should not be limited to strict Euclidean standard.
Various illustrating embodiments of the present invention provide implant devices, preferably for use in human joints, including the trochlear groove. In accordance with one aspect of an illustrating embodiment of the present disclosure an implant is provided which may include an articular end and a stem, optionally the stem has an oval-shaped cross-section. The articular end may have an upper surface, a side surface, and a lower surface. The upper surface and lower surface each intersect the side surface. The upper surface may have a first surface curvature, a central surface curvature, and a second surface curvature. The stem may extend in a direction away from the lower surface of the articular end.
[000141 In accordance with another aspect of an illustrating embodiment of the present invention, a method of repairing articular cartilage using the implant device is provided. The method of this illustrative embodiment may include locating articular cartilage having a lesion.
An implant device, as described above, may be selected preferably having dimensions compatible with the lesion. A hole may be formed through the cartilage and subehondral bone., into the cancellous bone. The implant device may be inserted into the hole so that the lower and side surfaces of the articular end of the implant device abut against the prepared subchondral and cancellous bone and the stem of the implant device abuts against the prepared cancellous bone.
[000151 In the detailed description which follows in conjunction with the drawings, like parts are given like reference numerals, and the vertical, horizontal and depth axes of a given embodiment are specified explicitly in at least one drawing of an illustrative embodiment.
BRIEF DESCRIPTION OF THE DRAWINGS
[00016] The drawing figures are not necessarily to scale and certain features may be shown exaggerated in scale or in somewhat schematic form in the interest of clarity and conciseness, wherein-FIG. 1 is a side view of one embodiment of an implant;
FIG. 2 is a top-down view of the implant of FIG. 1;
FIG. 3 is an alternative side view of the implant of FIG. 1;
FIG. 4 is a perspective view of the implant of FIG. 1;
FIG. S is a bottom-up view of the implant of FIG. 1;
FIG. 6 side view of an alternative embodiment of an implant;
FIG. 7 is a top-down view of the implant of FIG. 6; and FIG. 8 is an alternative side view of the implant of FIG. 6.
DISCLOSURE OF ALTERNATIVE EMBODIMENTS
[00017] FIGS. 1 and 6 are illustrative embodiments of an implant 100, 100' in which the vertical, V, horizontal, H, and depth, D, axes of this embodiment are depicted. The implant 100, 100' may have an articular end 105, 105' and a stem 110, 110'. The articular end 105, 105' may be bound by three surfaces: an upper surface 115, 115' a side surface 120, 120' and a lower surface 125, 125'. The upper surface 115, 115' and the lower surface 125, 125' may each intersect the side surface 120, 120'. In an embodiment, the upper surface 115, 115' may have a surface normal (not shown) at the saddle point 145, 145' (described below) that may be approximately perpendicular to the lower surface 125, 125'. In an embodiment, a tangent H-D
plane (not shown) to the saddle point 145, 145' (descried below) may be approximately parallel to the lower surface 125, 125'. All of the surfaces of the articular end 105, 105' preferably blend 155a, 155a' into one another. The blend 155a, 155a' may have an edge radius ranging from between about 0.1 millimeters to about 2 millimeters, alternatively about 1 millimeter, alternatively about 0.75 millimeters, and alternatively about 0.5 millimeters.
[00018] The upper surface 115, 115' may be generally saddle shaped. For ease of reference, the upper surface 115, 115' may be thought of as segmented into three regions of surface curvature: a first surface curvature 130, 130', a central surface curvature 135, 135', and a second surface curvature 140, 140'. The central surface curvature 135, 135' may be tangent to, on its medial side, the first surface curvature 130, 130'. The central surface curvature 135, 135' may be tangent to, on its lateral side, the.second surface curvature 140, 140'.
[00019] The first surface curvature 130, 130' may be formed of, or along, a partial right circular cone having an aperture ranging from between about 20 to about 80 , alternatively from between about 30 to about 70 , alternatively from between about 40 to about 60 , alternatively about 40 , alternatively about 50 , alternatively about 60 . The central surface curvature 135, 135' may be formed of, or along, a partial torus having a minor radius ranging from between about 8 millimeters to about 40 millimeters, alternatively from between about 8 millimeters to about 30 millimeters, alternatively about 10 millimeters, alternatively about 12 millimeters, alternatively about 15 millimeters, and having a major radius ranging from between about 25 millimeters to about 70 millimeters, alternatively from between about 28 millimeters to about 68 millimeters, alternatively about 45 millimeters, alternatively about 48 millimeters, alternatively about 50 millimeters. The second surface curvature 140, 140' may be formed of, or along, a partial right circular cone having an aperture ranging from between about 20 to about 80 , alternatively from between about 30 to about 70 , alternatively from between about 30 to about 50 , alternatively about 30 , alternatively about 40 , alternatively about 50 . In an embodiment, the aperture of the first surface curvature 130, 130' may be between about 50 to about 15 , alternatively about 10 , greater than the aperture of the second surface curvature 140, 140'.
[00020] In an embodiment, the major radius of the central surface curvature 135, 135' may be in a plane that may be offset in any direction from a central axis 150, 150' of the stem 110, 110' by an amount ranging from between about 0 to about 5 millimeters, alternatively from between about I to about 4 millimeters, alternatively about 3 millimeters, alternatively about I
millimeter. In an embodiment, the major radius of the central surface curvature 135, 135' may be in a plane that may be offset, along the H axis towards either the medial or lateral side of the implant 100, 100', from a central axis 150, 150' of the stem 110, 110' by an amount ranging from between about 0 to about 5 millimeters, alternatively from between about 1 to about 4 millimeters, alternatively about 3 millimeters, alternatively about 1 millimeter. FIGS. 1-5 illustrate an implant 100 having a one millimeter medial offset and FIGS. 6-8 illustrate an implant 100' having a three millimeter medial offset. The central surface curvature 135, 135' may include, at its central position along its surface, a saddle point 145, 145'. In an embodiment, the length, along the vertical axis, from the saddle point 145, 145' on the surface of the central surface curvature 135, 135', to the lower surface 125, 125' may range from between about 1 millimeter to about 6 millimeters, alternatively from between about I
millimeter to about 5 millimeters, alternatively about 3.5 millimeters, and alternatively about 4.5 millimeters.
[00021] With reference to FIGS. 2, 4, 5, and 7, the side surface 120, 120' of the articular end 105, 105' may be generally cylindrical, and may have a diameter ranging from between about millimeters to about 40 millimeters, alternatively from about 10 millimeters to about 30 millimeters, alternatively from about 20 millimeters to about 30 millimeters, alternatively about 25 millimeters, alternatively about 20 millimeters.
[00022] With reference to FIGS. 1, 3-6, and 8, the lower surface 125, 125' may be generally planar, and together with the side surface 120, 120' may form a generally right circular cylinder.
The lower surface 125, 125' may further blend into the side surface 120, 120'.
The further blend 155b, 155b' may have an edge radius ranging from between about 0.1 millimeters to about 2 millimeters, alternatively about 1 millimeter, alternatively about 0.75 millimeters, and alternatively about 0.5 millimeters.
[00023] The stem 110, 110' may extend from the lower surface 125, 125' of the articular end 105, 105' in a general direction, along the vertical, V, axis away from the central surface.
curvature 135, 135', a length ranging from between about 2 millimeters to about 10 millimeters, alternatively from about 4 millimeters to about 7 millimeters, alternatively about 5.5 millimeters. In an embodiment, the articular end 105, 105' and the stem 110, 110' are formed as a non-modular, uni-body, i.e., one integral piece without intervening mechanical connection.
[00024] The stem 110, 110' may be formed of a single cylinder, a single-truncated conical shape, a protrusion having an oval-shaped cross-section, or an elliptic cylindrical shape. In an embodiment, the stem 110, 110' may have a width, w, along the horizontal, H, axis of the stem 110, 110' that may range from between about 1 millimeter to about 10 millimeters, alternatively from between about 3 millimeters to about 7 millimeters, alternatively about 5 millimeters, alternatively about 6 millimeters. In an embodiment, the stem 110, 110', may have a depth, d, along the depth, D, axis of the stem 110, 110' that may range from between about 5 millimeters to about 40 millimeters, alternatively from between about 8 millimeter to about 20 millimeters, alternatively about 10 millimeters, alternatively about 11.5 millimeters, alternatively about 13 millimeters. The lower surface 125, 125' of the articular end 105, 105' may blend into the stem 110, 110' with a corner fillet 170, 170'. The corner fillet 170, 170' may have a radius of about 1.5 millimeters.
[00025] The stem 110, 110' may include one, or more, grooves 165, 165' about its perimeter.
The shape of the groove(s) 165, 165' may be defined by a partial oval-shaped torus having a tubular radius ranging from about 0.25 millimeters to about 2 millimeters, alternatively from about 0.5 millimeters to about 1.75 millimeters, alternatively about 1.75 millimeters, alternatively about 1 millimeter. The groove(s) 165, 165' may blend into the stem I10, 110' with a blend having an edge radius of from about 0.1 millimeters to about 1 millimeters, alternatively about 0.8 millimeters.
[00026] The implant 100, 100' many be manufactured from a variety of suitable materials, having the requisite strength and biocompatibility characteristics to function as an implant, including but not limited to any of the following, individually or in combination, graphite, pyrocarbon, ceramic, aluminum oxide, silicone nitride, silicone carbide or zirconium oxide;
metal and metal alloys, e.g., Co-Cr W Ni, Co-Cr-Mo, CoCr alloys, CoCr molybdenum alloys, Cr-Ni-Mn alloys; powder metal alloys, 316L or other stainless steels, Ti and Ti alloys including Ti 6A1-4V ELI; polymers, e.g., polyurethane, polyethylene, polypropylene, thermoplastic elastomers, polyaryletherketones such as polyetherehterketone (PEEK) or polyetherketoneketone (PEKK); biomaterials such as polycaprolactone; and diffusion hardened materials such as Ti-13-13, zirconium and niobium. Moreover, the implant 100, 100' may be coated with a variety of suitable materials, including any of the following, individually or in combination, porous coating systems on bone-contacting surfaces, hydrophilic coatings on load-bearing surfaces, hydroxyapatite coatings on bone-contacting surfaces, and tri-calcium phosphate on bone-contacting surfaces. Other suitable coatings include growth factors and other biological agents such as bone morphogenetic proteins (BMP's), transforming growth factor beta, among others. In an embodiment, the outer coating of the implant 100, 100' may be harder than the core of the implant 100, 100'. Additionally, components of the invention may be molded or cast, hand-fabricated or machined.
[00027] In an illustrative embodiment, the implant 100, 100' is composed of graphite and pyrocarbon. Preferably, the implant 100, 100' is graphite and includes a coating of pyrocarbon.
The pyrocarbon coating may have an average thickness of from about 100 to about 1000 microns, alternatively from about 200 microns to about 500 microns, alternatively from about 250 to about 500 microns, alternatively about 350 microns. The pyrocarbon coating may have an elastic modulus from about 15 gigapascals ("GPa") to about 22 GPa, alternatively about 20 GPa. The pyrocarbon coating may further have a strength of at least 200 megapascals ("MPa"), alternatively at least about 300 MPa, alternatively at least about 400 MIPa.
The pyrocarbon elastic modulus and strength are preferably tested using four-point bend, third-point-loading substrated specimens of dimensions 25 millimeters by 6 millimeters by 0.4 millimeters.
Preferably the pyrocarbon is pyrolytic carbon as described in Pure Pyrolytic Carbon:
Preparation and Properties of a New Material, On -X Carbon for Mechanical Heart Valve Prostheses, Ely et al, J. Heart Valve Dis., Vol. 7, No. 6, A00534 (November 1998), alternatively pyrocarbon is pyrolytic carbon as described in the before-mentioned J. Heart Valve Dis.
publication, but includes additional silicon.
[00028] The above-described implants 100, 100' may be used to repair damaged articular cartilage in humans, including ankles, knees, wrists, elbows, shoulders, and the like joints. In another illustrative embodiment or a preferred method, a patient having articular cartilage damage may be identified. The patient is preferably fully informed of the risks associated of surgery, and consents to the same. An incision may be made near the damaged articular cartilage, The lesion to be repaired may be identified, and a implant having dimensions compatible with the lesion may be selected. The implant may be slightly smaller or slightly larger than the lesion. In these embodiments, the implant may be from about 0,1 percent to about 20 percent smaller or larger than the lesion. A hole is then formed, i.e., drilled, punched, or broached, through the cartilage and the subchondral bone into the cancellous bone.
Preferably, the dimensions of the hole are slightly less than the horizontal and depth dimensions of the stem 110, 110' and the articular end 105, 105' of the implant 100, 100'. This may be achieved, for example, by using a box chisel and then a dill bit. Preferably the minimum length of the hole is equal to or slightly greater than the length of the stem 110, 110' of the implant 100, 100', along the central axis 150, 150' of the stem. 110, 100' plus the length from the lower surface 125, 125', to the saddle point 145, 145'. An amount of healthy and damaged cartilage may be removed near the lesion so that the lower surface 125, 125' of the articular end 105, 105' may rest against the patient's bone. The stem 110, 110' of the implant 100, 100' may be inserted into the hole, and the lower surface 125, 125' of the implant's 100, 100' articular end 105, 105' may rest against the bone. The incision is then sutured by any of several known methods.
[00029] While specific alternatives to steps of the specific embodiments have been described herein, additional alternatives not specifically disclosed but known in the art are intended to fall within the scope of the invention. For example, while specific dimensions, and ranges of dimensions, have been provided further dimensions may reasonably fall within the scope of the invention. Thus, it is understood that other applications of the present invention will be apparent to those skilled in the art upon reading the descriptions of the described illustrative embodiments and after consideration of the appended claims and drawings.
Accordingly, these terms should not be limited to strict Euclidean standard.
Various illustrating embodiments of the present invention provide implant devices, preferably for use in human joints, including the trochlear groove. In accordance with one aspect of an illustrating embodiment of the present disclosure an implant is provided which may include an articular end and a stem, optionally the stem has an oval-shaped cross-section. The articular end may have an upper surface, a side surface, and a lower surface. The upper surface and lower surface each intersect the side surface. The upper surface may have a first surface curvature, a central surface curvature, and a second surface curvature. The stem may extend in a direction away from the lower surface of the articular end.
[000141 In accordance with another aspect of an illustrating embodiment of the present invention, a method of repairing articular cartilage using the implant device is provided. The method of this illustrative embodiment may include locating articular cartilage having a lesion.
An implant device, as described above, may be selected preferably having dimensions compatible with the lesion. A hole may be formed through the cartilage and subehondral bone., into the cancellous bone. The implant device may be inserted into the hole so that the lower and side surfaces of the articular end of the implant device abut against the prepared subchondral and cancellous bone and the stem of the implant device abuts against the prepared cancellous bone.
[000151 In the detailed description which follows in conjunction with the drawings, like parts are given like reference numerals, and the vertical, horizontal and depth axes of a given embodiment are specified explicitly in at least one drawing of an illustrative embodiment.
BRIEF DESCRIPTION OF THE DRAWINGS
[00016] The drawing figures are not necessarily to scale and certain features may be shown exaggerated in scale or in somewhat schematic form in the interest of clarity and conciseness, wherein-FIG. 1 is a side view of one embodiment of an implant;
FIG. 2 is a top-down view of the implant of FIG. 1;
FIG. 3 is an alternative side view of the implant of FIG. 1;
FIG. 4 is a perspective view of the implant of FIG. 1;
FIG. S is a bottom-up view of the implant of FIG. 1;
FIG. 6 side view of an alternative embodiment of an implant;
FIG. 7 is a top-down view of the implant of FIG. 6; and FIG. 8 is an alternative side view of the implant of FIG. 6.
DISCLOSURE OF ALTERNATIVE EMBODIMENTS
[00017] FIGS. 1 and 6 are illustrative embodiments of an implant 100, 100' in which the vertical, V, horizontal, H, and depth, D, axes of this embodiment are depicted. The implant 100, 100' may have an articular end 105, 105' and a stem 110, 110'. The articular end 105, 105' may be bound by three surfaces: an upper surface 115, 115' a side surface 120, 120' and a lower surface 125, 125'. The upper surface 115, 115' and the lower surface 125, 125' may each intersect the side surface 120, 120'. In an embodiment, the upper surface 115, 115' may have a surface normal (not shown) at the saddle point 145, 145' (described below) that may be approximately perpendicular to the lower surface 125, 125'. In an embodiment, a tangent H-D
plane (not shown) to the saddle point 145, 145' (descried below) may be approximately parallel to the lower surface 125, 125'. All of the surfaces of the articular end 105, 105' preferably blend 155a, 155a' into one another. The blend 155a, 155a' may have an edge radius ranging from between about 0.1 millimeters to about 2 millimeters, alternatively about 1 millimeter, alternatively about 0.75 millimeters, and alternatively about 0.5 millimeters.
[00018] The upper surface 115, 115' may be generally saddle shaped. For ease of reference, the upper surface 115, 115' may be thought of as segmented into three regions of surface curvature: a first surface curvature 130, 130', a central surface curvature 135, 135', and a second surface curvature 140, 140'. The central surface curvature 135, 135' may be tangent to, on its medial side, the first surface curvature 130, 130'. The central surface curvature 135, 135' may be tangent to, on its lateral side, the.second surface curvature 140, 140'.
[00019] The first surface curvature 130, 130' may be formed of, or along, a partial right circular cone having an aperture ranging from between about 20 to about 80 , alternatively from between about 30 to about 70 , alternatively from between about 40 to about 60 , alternatively about 40 , alternatively about 50 , alternatively about 60 . The central surface curvature 135, 135' may be formed of, or along, a partial torus having a minor radius ranging from between about 8 millimeters to about 40 millimeters, alternatively from between about 8 millimeters to about 30 millimeters, alternatively about 10 millimeters, alternatively about 12 millimeters, alternatively about 15 millimeters, and having a major radius ranging from between about 25 millimeters to about 70 millimeters, alternatively from between about 28 millimeters to about 68 millimeters, alternatively about 45 millimeters, alternatively about 48 millimeters, alternatively about 50 millimeters. The second surface curvature 140, 140' may be formed of, or along, a partial right circular cone having an aperture ranging from between about 20 to about 80 , alternatively from between about 30 to about 70 , alternatively from between about 30 to about 50 , alternatively about 30 , alternatively about 40 , alternatively about 50 . In an embodiment, the aperture of the first surface curvature 130, 130' may be between about 50 to about 15 , alternatively about 10 , greater than the aperture of the second surface curvature 140, 140'.
[00020] In an embodiment, the major radius of the central surface curvature 135, 135' may be in a plane that may be offset in any direction from a central axis 150, 150' of the stem 110, 110' by an amount ranging from between about 0 to about 5 millimeters, alternatively from between about I to about 4 millimeters, alternatively about 3 millimeters, alternatively about I
millimeter. In an embodiment, the major radius of the central surface curvature 135, 135' may be in a plane that may be offset, along the H axis towards either the medial or lateral side of the implant 100, 100', from a central axis 150, 150' of the stem 110, 110' by an amount ranging from between about 0 to about 5 millimeters, alternatively from between about 1 to about 4 millimeters, alternatively about 3 millimeters, alternatively about 1 millimeter. FIGS. 1-5 illustrate an implant 100 having a one millimeter medial offset and FIGS. 6-8 illustrate an implant 100' having a three millimeter medial offset. The central surface curvature 135, 135' may include, at its central position along its surface, a saddle point 145, 145'. In an embodiment, the length, along the vertical axis, from the saddle point 145, 145' on the surface of the central surface curvature 135, 135', to the lower surface 125, 125' may range from between about 1 millimeter to about 6 millimeters, alternatively from between about I
millimeter to about 5 millimeters, alternatively about 3.5 millimeters, and alternatively about 4.5 millimeters.
[00021] With reference to FIGS. 2, 4, 5, and 7, the side surface 120, 120' of the articular end 105, 105' may be generally cylindrical, and may have a diameter ranging from between about millimeters to about 40 millimeters, alternatively from about 10 millimeters to about 30 millimeters, alternatively from about 20 millimeters to about 30 millimeters, alternatively about 25 millimeters, alternatively about 20 millimeters.
[00022] With reference to FIGS. 1, 3-6, and 8, the lower surface 125, 125' may be generally planar, and together with the side surface 120, 120' may form a generally right circular cylinder.
The lower surface 125, 125' may further blend into the side surface 120, 120'.
The further blend 155b, 155b' may have an edge radius ranging from between about 0.1 millimeters to about 2 millimeters, alternatively about 1 millimeter, alternatively about 0.75 millimeters, and alternatively about 0.5 millimeters.
[00023] The stem 110, 110' may extend from the lower surface 125, 125' of the articular end 105, 105' in a general direction, along the vertical, V, axis away from the central surface.
curvature 135, 135', a length ranging from between about 2 millimeters to about 10 millimeters, alternatively from about 4 millimeters to about 7 millimeters, alternatively about 5.5 millimeters. In an embodiment, the articular end 105, 105' and the stem 110, 110' are formed as a non-modular, uni-body, i.e., one integral piece without intervening mechanical connection.
[00024] The stem 110, 110' may be formed of a single cylinder, a single-truncated conical shape, a protrusion having an oval-shaped cross-section, or an elliptic cylindrical shape. In an embodiment, the stem 110, 110' may have a width, w, along the horizontal, H, axis of the stem 110, 110' that may range from between about 1 millimeter to about 10 millimeters, alternatively from between about 3 millimeters to about 7 millimeters, alternatively about 5 millimeters, alternatively about 6 millimeters. In an embodiment, the stem 110, 110', may have a depth, d, along the depth, D, axis of the stem 110, 110' that may range from between about 5 millimeters to about 40 millimeters, alternatively from between about 8 millimeter to about 20 millimeters, alternatively about 10 millimeters, alternatively about 11.5 millimeters, alternatively about 13 millimeters. The lower surface 125, 125' of the articular end 105, 105' may blend into the stem 110, 110' with a corner fillet 170, 170'. The corner fillet 170, 170' may have a radius of about 1.5 millimeters.
[00025] The stem 110, 110' may include one, or more, grooves 165, 165' about its perimeter.
The shape of the groove(s) 165, 165' may be defined by a partial oval-shaped torus having a tubular radius ranging from about 0.25 millimeters to about 2 millimeters, alternatively from about 0.5 millimeters to about 1.75 millimeters, alternatively about 1.75 millimeters, alternatively about 1 millimeter. The groove(s) 165, 165' may blend into the stem I10, 110' with a blend having an edge radius of from about 0.1 millimeters to about 1 millimeters, alternatively about 0.8 millimeters.
[00026] The implant 100, 100' many be manufactured from a variety of suitable materials, having the requisite strength and biocompatibility characteristics to function as an implant, including but not limited to any of the following, individually or in combination, graphite, pyrocarbon, ceramic, aluminum oxide, silicone nitride, silicone carbide or zirconium oxide;
metal and metal alloys, e.g., Co-Cr W Ni, Co-Cr-Mo, CoCr alloys, CoCr molybdenum alloys, Cr-Ni-Mn alloys; powder metal alloys, 316L or other stainless steels, Ti and Ti alloys including Ti 6A1-4V ELI; polymers, e.g., polyurethane, polyethylene, polypropylene, thermoplastic elastomers, polyaryletherketones such as polyetherehterketone (PEEK) or polyetherketoneketone (PEKK); biomaterials such as polycaprolactone; and diffusion hardened materials such as Ti-13-13, zirconium and niobium. Moreover, the implant 100, 100' may be coated with a variety of suitable materials, including any of the following, individually or in combination, porous coating systems on bone-contacting surfaces, hydrophilic coatings on load-bearing surfaces, hydroxyapatite coatings on bone-contacting surfaces, and tri-calcium phosphate on bone-contacting surfaces. Other suitable coatings include growth factors and other biological agents such as bone morphogenetic proteins (BMP's), transforming growth factor beta, among others. In an embodiment, the outer coating of the implant 100, 100' may be harder than the core of the implant 100, 100'. Additionally, components of the invention may be molded or cast, hand-fabricated or machined.
[00027] In an illustrative embodiment, the implant 100, 100' is composed of graphite and pyrocarbon. Preferably, the implant 100, 100' is graphite and includes a coating of pyrocarbon.
The pyrocarbon coating may have an average thickness of from about 100 to about 1000 microns, alternatively from about 200 microns to about 500 microns, alternatively from about 250 to about 500 microns, alternatively about 350 microns. The pyrocarbon coating may have an elastic modulus from about 15 gigapascals ("GPa") to about 22 GPa, alternatively about 20 GPa. The pyrocarbon coating may further have a strength of at least 200 megapascals ("MPa"), alternatively at least about 300 MPa, alternatively at least about 400 MIPa.
The pyrocarbon elastic modulus and strength are preferably tested using four-point bend, third-point-loading substrated specimens of dimensions 25 millimeters by 6 millimeters by 0.4 millimeters.
Preferably the pyrocarbon is pyrolytic carbon as described in Pure Pyrolytic Carbon:
Preparation and Properties of a New Material, On -X Carbon for Mechanical Heart Valve Prostheses, Ely et al, J. Heart Valve Dis., Vol. 7, No. 6, A00534 (November 1998), alternatively pyrocarbon is pyrolytic carbon as described in the before-mentioned J. Heart Valve Dis.
publication, but includes additional silicon.
[00028] The above-described implants 100, 100' may be used to repair damaged articular cartilage in humans, including ankles, knees, wrists, elbows, shoulders, and the like joints. In another illustrative embodiment or a preferred method, a patient having articular cartilage damage may be identified. The patient is preferably fully informed of the risks associated of surgery, and consents to the same. An incision may be made near the damaged articular cartilage, The lesion to be repaired may be identified, and a implant having dimensions compatible with the lesion may be selected. The implant may be slightly smaller or slightly larger than the lesion. In these embodiments, the implant may be from about 0,1 percent to about 20 percent smaller or larger than the lesion. A hole is then formed, i.e., drilled, punched, or broached, through the cartilage and the subchondral bone into the cancellous bone.
Preferably, the dimensions of the hole are slightly less than the horizontal and depth dimensions of the stem 110, 110' and the articular end 105, 105' of the implant 100, 100'. This may be achieved, for example, by using a box chisel and then a dill bit. Preferably the minimum length of the hole is equal to or slightly greater than the length of the stem 110, 110' of the implant 100, 100', along the central axis 150, 150' of the stem. 110, 100' plus the length from the lower surface 125, 125', to the saddle point 145, 145'. An amount of healthy and damaged cartilage may be removed near the lesion so that the lower surface 125, 125' of the articular end 105, 105' may rest against the patient's bone. The stem 110, 110' of the implant 100, 100' may be inserted into the hole, and the lower surface 125, 125' of the implant's 100, 100' articular end 105, 105' may rest against the bone. The incision is then sutured by any of several known methods.
[00029] While specific alternatives to steps of the specific embodiments have been described herein, additional alternatives not specifically disclosed but known in the art are intended to fall within the scope of the invention. For example, while specific dimensions, and ranges of dimensions, have been provided further dimensions may reasonably fall within the scope of the invention. Thus, it is understood that other applications of the present invention will be apparent to those skilled in the art upon reading the descriptions of the described illustrative embodiments and after consideration of the appended claims and drawings.
Claims (20)
1) An implant comprising:
an articular end having an upper surface, a side surface, and a lower surface;
the upper surface and lower surface each intersect the side surface, the upper surface has a first surface curvature, a central surface curvature, and a second surface curvature; and an oval-shaped stem, which extends from the lower surface in a direction away from the upper surface of the articular end.
an articular end having an upper surface, a side surface, and a lower surface;
the upper surface and lower surface each intersect the side surface, the upper surface has a first surface curvature, a central surface curvature, and a second surface curvature; and an oval-shaped stem, which extends from the lower surface in a direction away from the upper surface of the articular end.
2) The implant of Claim 1, wherein the first surface curvature is formed along a partial right circular cone having an aperture ranging from between about 20°
to about 80°, the central surface curvature is formed along a partial torus having, a minor radius ranging from between about 8 millimeters to about 40 millimeters and a major radius ranging from about 25 millimeters to about 70 millimeters, and the second surface curvature is formed along a partial right circular cone having an aperture ranging from between about 20° to about 80°.
to about 80°, the central surface curvature is formed along a partial torus having, a minor radius ranging from between about 8 millimeters to about 40 millimeters and a major radius ranging from about 25 millimeters to about 70 millimeters, and the second surface curvature is formed along a partial right circular cone having an aperture ranging from between about 20° to about 80°.
3) The implant of Claim 2, wherein the first surface curvature is formed along a partial right circular cone having an aperture ranging from between about 40°
to about 60°, the central surface curvature is formed along a partial torus having a minor radius of about 12 millimeters and a major radius of about 48 millimeters, and the second surface curvature is formed along a partial right circular cone having an aperture ranging from between about 30°
to about 50°, wherein the first surface aperture is between about 5° to about 15° greater than the second surface aperture.
to about 60°, the central surface curvature is formed along a partial torus having a minor radius of about 12 millimeters and a major radius of about 48 millimeters, and the second surface curvature is formed along a partial right circular cone having an aperture ranging from between about 30°
to about 50°, wherein the first surface aperture is between about 5° to about 15° greater than the second surface aperture.
4) The implant of Claim 3, wherein the central surface curvature has a saddle point and the stem has a central axis, and wherein the location of the saddle point is offset, along a horizontal direction towards a medial side of the implant, from the location of the central axis by a distance ranging from between about 1 to about 5 millimeters.
5) The implant of Claim 4, wherein a length, along a vertical axis parallel to the central axis of the stem, from the saddle point to a lower surface of the articular head ranges from between about 1 millimeter to about 6 millimeters.
6) The implant of Claim 5, wherein the side surface of the articular end is generally cylindrical, and has a diameter ranging from between about 10 millimeters to about 40 millimeters.
7) The implant of Claim 6, wherein the diameter is about 20 millimeters, the offset is either 1 millimeter or 3 millimeters, the first surface curvature is formed along a partial cone having an aperture selected from the group consisting of 40°, 50°, and 60°, and the second surface curvature is formed along a partial cone having an aperture angle selected from the group consisting of 30°, 40°, and 50°, and wherein the first surface aperture is 10° greater than the second surface aperture.
8) The implant of Claim 6, wherein the diameter is about 25 millimeters, the offset is either 1 millimeter or 3 millimeters, the first surface curvature is formed along a partial cone having an aperture selected from the group consisting of 40° and 50°, and the second surface curvature is formed along a partial cone having an aperture selected from the group consisting of 30° and 40°, and wherein the first surface aperture is 10° greater than the second surface aperture.
9) The implant of Claim 1, wherein the oval-shaped stem has a width distance ranging from between about 1 millimeter to about 6 millimeters and a depth distance ranging from between about 5 millimeters and about 40 millimeters.
10) The implant of Claim 9, wherein the oval-shaped stem has at least one groove about its perimeter, the at least one groove defined by a partial oval-shaped torus having a tubular radius ranging from about 0.25 millimeters to about 2 millimeters.
11) The implant of Claim 1, wherein the upper surface blends into the side surface; the side surface blends into the upper surface and the lower surface; and the lower surface blends into the side surface, and wherein each blend has an edge radius of from about 0.1 millimeters to about 2 millimeters, alternatively about 0.8 millimeters.
12) The implant of Claim 9, wherein the lower surface of the articular end blends into the oval-shaped stem with a corner fillet, the corner fillet having a radius of about 1.5 millimeters.
13) The implant of Claim 1, wherein the articular end and the oval-shaped stem are formed from graphite and pyrocarbon.
14) The implant of Claim 13, wherein the articular end and the oval-shaped stem comprise a graphite core and a pyrocarbon coating, the pyrocarbon coating having an elastic modulus from about 15 GPa to about 22 GPa, the pyrocarbon coating having an average thickness ranging from about 100 to about 1000 microns.
15) The implant of Claim 14, wherein the pyrocarbon coating has an elastic modulus of about 20 GPa and a strength of at least 400 MPa.
16) The implant of Claim 15, wherein the upper surface and contiguous edge blends are polished, and the lower surface and stem are coated with hydroxyapatite.
17) The implant of Claim 16, wherein the pyrocarbon coating is harder than the graphite core.
18) A method of repairing articular cartilage comprising:
locating articular cartilage having a lesion;
utilizing an implant having dimensions compatible with the lesion, wherein the implant comprises;
an articular end having an upper surface, a side surface, and a lower surface;
the upper surface and lower surface each intersect the side surface, the upper surface has a first surface curvature, a central surface curvature, and a second surface curvature; and an oval-shaped stem, which extends from the lower surface in a direction away from the upper surface of the articular end;
forming a cavity in the articular cartilage, subchondral bone, and cancellous bone;
and engaging the implant with the cavity so that the lower and side surfaces of the articular end abuts against the subchondral and cancellous bone and the stem abuts against the cancellous bone.
locating articular cartilage having a lesion;
utilizing an implant having dimensions compatible with the lesion, wherein the implant comprises;
an articular end having an upper surface, a side surface, and a lower surface;
the upper surface and lower surface each intersect the side surface, the upper surface has a first surface curvature, a central surface curvature, and a second surface curvature; and an oval-shaped stem, which extends from the lower surface in a direction away from the upper surface of the articular end;
forming a cavity in the articular cartilage, subchondral bone, and cancellous bone;
and engaging the implant with the cavity so that the lower and side surfaces of the articular end abuts against the subchondral and cancellous bone and the stem abuts against the cancellous bone.
19) The method of Claim 18, wherein the first surface curvature is formed along a partial right circular cone having an aperture ranging from between about 20°
to about 80°, the central surface curvature is formed along a partial torus having a minor radius ranging from between about 8 millimeters to about 40 millimeters and a major radius ranging from about 25 millimeters to about 70 millimeters, and the second surface curvature is formed along. a partial right circular cone having an aperture ranging from between about
to about 80°, the central surface curvature is formed along a partial torus having a minor radius ranging from between about 8 millimeters to about 40 millimeters and a major radius ranging from about 25 millimeters to about 70 millimeters, and the second surface curvature is formed along. a partial right circular cone having an aperture ranging from between about
20° to about 80°, and the oval-shaped stem has at least one groove about its perimeter, the at least one groove defined by a partial oval-shaped torus having a tubular radius ranging from about 0.25 millimeters to about 2 millimeters.
20) The method of Claim 18, wherein forming the cavity includes placement of autograft, allograft bone, or various bone graft substitute material into the lesion.
20) The method of Claim 18, wherein forming the cavity includes placement of autograft, allograft bone, or various bone graft substitute material into the lesion.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US23681109P | 2009-08-25 | 2009-08-25 | |
US61/236,811 | 2009-08-25 | ||
PCT/US2010/046654 WO2011025828A1 (en) | 2009-08-25 | 2010-08-25 | Trochlear implants and methods of use |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2771555A1 true CA2771555A1 (en) | 2011-03-03 |
CA2771555C CA2771555C (en) | 2016-09-13 |
Family
ID=43048881
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2771555A Expired - Fee Related CA2771555C (en) | 2009-08-25 | 2010-08-25 | Trochlear implants and methods of use |
Country Status (6)
Country | Link |
---|---|
US (3) | US8852286B2 (en) |
EP (1) | EP2470125B1 (en) |
AU (1) | AU2010286660B2 (en) |
CA (1) | CA2771555C (en) |
ES (1) | ES2566026T3 (en) |
WO (1) | WO2011025828A1 (en) |
Families Citing this family (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8512376B2 (en) | 2002-08-30 | 2013-08-20 | Arthrex, Inc. | Method and apparatus for internal fixation of an acromioclavicular joint dislocation of the shoulder |
US8043375B2 (en) | 2008-03-06 | 2011-10-25 | MoiRai Orthopaedic, LLC | Cartilage implants |
US8439976B2 (en) * | 2009-03-31 | 2013-05-14 | Arthrex, Inc. | Integrated adjustable button-suture-graft construct with two fixation devices |
US8460379B2 (en) * | 2009-03-31 | 2013-06-11 | Arthrex, Inc. | Adjustable suture button construct and methods of tissue reconstruction |
EP2455040B1 (en) | 2010-11-17 | 2015-03-04 | Arthrex, Inc. | Adjustable suture-button construct for knotless stabilization of cranial cruciate deficient ligament stifle |
EP3527144B1 (en) | 2010-11-17 | 2023-12-13 | Arthrex Inc | Adjustable suture-button construct for ankle syndesmosis repair |
EP2455001B1 (en) | 2010-11-17 | 2020-07-22 | Arthrex, Inc. | Adjustable suture-button constructs for ligament reconstruction |
US9301745B2 (en) | 2011-07-21 | 2016-04-05 | Arthrex, Inc. | Knotless suture constructs |
US9332979B2 (en) | 2011-07-22 | 2016-05-10 | Arthrex, Inc. | Tensionable knotless acromioclavicular repairs and constructs |
US9107653B2 (en) | 2011-09-22 | 2015-08-18 | Arthrex, Inc. | Tensionable knotless anchors with splice and methods of tissue repair |
US10245016B2 (en) | 2011-10-12 | 2019-04-02 | Arthrex, Inc. | Adjustable self-locking loop constructs for tissue repairs and reconstructions |
EP2601894B1 (en) | 2011-12-09 | 2018-08-29 | Arthrex, Inc. | Tensionable knotless anchor systems |
US9498334B2 (en) * | 2012-03-27 | 2016-11-22 | DePuy Synthes Products, Inc. | Glenoid defect-filling component |
US9737292B2 (en) | 2012-06-22 | 2017-08-22 | Arthrex, Inc. | Knotless suture anchors and methods of tissue repair |
US20150374503A1 (en) * | 2014-06-30 | 2015-12-31 | Bacterin International, Inc. | Implant for fusion between adjacent bone bodies |
US9579210B2 (en) * | 2014-11-07 | 2017-02-28 | Wright Medical Technology, Inc. | Talar dome fixation stem |
US10265060B2 (en) | 2015-08-20 | 2019-04-23 | Arthrex, Inc. | Tensionable constructs with multi-limb locking mechanism through single splice and methods of tissue repair |
US10335136B2 (en) | 2015-08-20 | 2019-07-02 | Arthrex, Inc. | Tensionable constructs with multi-limb locking mechanism through single splice and methods of tissue repair |
Family Cites Families (87)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4195409A (en) * | 1978-02-13 | 1980-04-01 | Child Laboratories Inc. | Dental implant |
US4158894A (en) | 1978-03-13 | 1979-06-26 | Worrell Richard V | Patellar prosthesis and method of implanting the same |
US4231121A (en) | 1979-07-05 | 1980-11-04 | Wright Dow Corning | Metacarpal-phalangeal prosthesis |
US4281419A (en) | 1979-12-10 | 1981-08-04 | Richards Manufacturing Company, Inc. | Middle ear ossicular replacement prosthesis having a movable joint |
US4488843A (en) | 1982-07-16 | 1984-12-18 | Illinois Tool Works Inc. | Reusable one piece drive fastener |
US4945305A (en) | 1986-10-09 | 1990-07-31 | Ascension Technology Corporation | Device for quantitatively measuring the relative position and orientation of two bodies in the presence of metals utilizing direct current magnetic fields |
US4849692A (en) | 1986-10-09 | 1989-07-18 | Ascension Technology Corporation | Device for quantitatively measuring the relative position and orientation of two bodies in the presence of metals utilizing direct current magnetic fields |
US5306311A (en) | 1987-07-20 | 1994-04-26 | Regen Corporation | Prosthetic articular cartilage |
US4919667A (en) | 1988-12-02 | 1990-04-24 | Stryker Corporation | Implant |
US4964867A (en) | 1989-02-03 | 1990-10-23 | Boehringer Mannheim Corp. | Patellar prosthesis |
US5263987A (en) | 1989-08-25 | 1993-11-23 | Shah Mrugesh K | Method and apparatus for arthroscopically replacing a bone joint |
US5019104A (en) | 1990-01-16 | 1991-05-28 | Dow Corning Wright Corporation | Patellar prosthesis and method of making the same |
US5197986A (en) * | 1990-04-11 | 1993-03-30 | Mikhail Michael W E | Recessed patellar prosthesis |
US5074286A (en) | 1990-08-16 | 1991-12-24 | Gillaspie Steve L | Spinal massage table |
GB9018737D0 (en) | 1990-08-28 | 1990-10-10 | Goodfellow John W | Phosphetic patellar components |
US5236462A (en) | 1991-04-23 | 1993-08-17 | Mikhail Michael W E | Metal-backed patellar prosthesis |
GB9114603D0 (en) | 1991-07-05 | 1991-08-21 | Johnson David P | Improvements relating to patella prostheses |
FR2682590B1 (en) * | 1991-10-21 | 1998-04-10 | Laboureau Jacques Philippe | JOINT MEDALLION FOR FEMALE-PATELLAR BALL PROSTHESIS. |
US5253987A (en) * | 1992-04-03 | 1993-10-19 | Harrison Curtis W | Fluid end for high-pressure fluid pumps |
EP0582514A1 (en) * | 1992-08-03 | 1994-02-09 | IMPLANTS ORTHOPEDIQUES TOUTES APPLICATIONS, S.A.R.L. dite: | Knee prosthesis |
CH689792A5 (en) | 1992-10-08 | 1999-11-15 | Albrecht Bischof | Metallic component for joining workpieces. |
US5358525A (en) | 1992-12-28 | 1994-10-25 | Fox John E | Bearing surface for prosthesis and replacement of meniscal cartilage |
IL109344A (en) * | 1994-04-19 | 1998-02-22 | Mendes David | Prosthetic patella implant of the knee joint |
US5600330A (en) | 1994-07-12 | 1997-02-04 | Ascension Technology Corporation | Device for measuring position and orientation using non-dipole magnet IC fields |
US5749874A (en) | 1995-02-07 | 1998-05-12 | Matrix Biotechnologies, Inc. | Cartilage repair unit and method of assembling same |
US5782835A (en) | 1995-03-07 | 1998-07-21 | Innovasive Devices, Inc. | Apparatus and methods for articular cartilage defect repair |
US5645605A (en) | 1995-09-18 | 1997-07-08 | Ascension Orthopedics, Inc. | Implant device to replace the carpometacarpal joint of the human thumb |
US5742394A (en) | 1996-06-14 | 1998-04-21 | Ascension Technology Corporation | Optical 6D measurement system with two fan shaped beams rotating around one axis |
US5767960A (en) | 1996-06-14 | 1998-06-16 | Ascension Technology Corporation | Optical 6D measurement system with three fan-shaped beams rotating around one axis |
US5767669A (en) | 1996-06-14 | 1998-06-16 | Ascension Technology Corporation | Magnetic field position and orientation measurement system with dynamic eddy current rejection |
US5744953A (en) | 1996-08-29 | 1998-04-28 | Ascension Technology Corporation | Magnetic motion tracker with transmitter placed on tracked object |
US5831260A (en) | 1996-09-10 | 1998-11-03 | Ascension Technology Corporation | Hybrid motion tracker |
US5782927A (en) | 1996-11-06 | 1998-07-21 | Ascension Orthopedics, Inc. | Metacarpal-phalangeal joint replacement |
US7618451B2 (en) | 2001-05-25 | 2009-11-17 | Conformis, Inc. | Patient selectable joint arthroplasty devices and surgical tools facilitating increased accuracy, speed and simplicity in performing total and partial joint arthroplasty |
US5953683A (en) | 1997-10-09 | 1999-09-14 | Ascension Technology Corporation | Sourceless orientation sensor |
US6090145A (en) | 1997-12-10 | 2000-07-18 | Societe Industrielle De Combustible Nucleaire S I C N | Partial scaphoid implant and method of treating ailments of the scaphoid |
US6217616B1 (en) * | 1998-09-09 | 2001-04-17 | Ascension Orthopedics, Inc. | Elbow prosthesis |
US6417839B1 (en) | 1999-05-20 | 2002-07-09 | Ascension Technology Corporation | System for position and orientation determination of a point in space using scanning laser beams |
US6246231B1 (en) | 1999-07-29 | 2001-06-12 | Ascension Technology Corporation | Magnetic field permeable barrier for magnetic position measurement system |
US6673116B2 (en) | 1999-10-22 | 2004-01-06 | Mark A. Reiley | Intramedullary guidance systems and methods for installing ankle replacement prostheses |
US6172499B1 (en) | 1999-10-29 | 2001-01-09 | Ascension Technology Corporation | Eddy current error-reduced AC magnetic position measurement system |
FR2803209B1 (en) | 1999-12-30 | 2004-04-16 | Bioprofile | MOBILE IMPLANT BETWEEN TWO BONE SURFACES |
US6854972B1 (en) | 2000-01-11 | 2005-02-15 | Nicholas Elian | Dental implants and dental implant/prosthetic tooth systems |
US6626945B2 (en) | 2000-03-14 | 2003-09-30 | Chondrosite, Llc | Cartilage repair plug |
US6709460B2 (en) | 2000-03-21 | 2004-03-23 | Alan C. Merchant | Patellar bearing implant |
SE516039C3 (en) | 2000-03-23 | 2002-01-09 | Philippe Kopylov Ab | Sound substitute for the distal radioulnar joint |
US20040230315A1 (en) | 2000-05-01 | 2004-11-18 | Ek Steven W. | Articular surface implant |
US6679917B2 (en) | 2000-05-01 | 2004-01-20 | Arthrosurface, Incorporated | System and method for joint resurface repair |
US6610067B2 (en) | 2000-05-01 | 2003-08-26 | Arthrosurface, Incorporated | System and method for joint resurface repair |
EP2314257B9 (en) * | 2000-05-01 | 2013-02-27 | ArthroSurface, Inc. | System for joint resurface repair |
US7713305B2 (en) | 2000-05-01 | 2010-05-11 | Arthrosurface, Inc. | Articular surface implant |
EP1339362B1 (en) | 2000-11-28 | 2007-01-17 | Ascension Orthopedics, Inc. | Interphalangeal joint replacement |
US6575986B2 (en) | 2001-02-26 | 2003-06-10 | Ethicon, Inc. | Scaffold fixation device for use in articular cartilage repair |
US6473167B1 (en) | 2001-06-14 | 2002-10-29 | Ascension Technology Corporation | Position and orientation determination using stationary fan beam sources and rotating mirrors to sweep fan beams |
US6626950B2 (en) | 2001-06-28 | 2003-09-30 | Ethicon, Inc. | Composite scaffold with post anchor for the repair and regeneration of tissue |
US6528991B2 (en) | 2001-07-03 | 2003-03-04 | Ascension Technology Corporation | Magnetic position measurement system with field containment means |
FR2833156B1 (en) | 2001-12-12 | 2004-10-15 | Bioprofile | TRAPEZIAN OR TRAPEZO-METACARPIAN IMPLANT |
US7027634B2 (en) | 2002-02-13 | 2006-04-11 | Ascension Technology Corporation | Range adaptable system for determining the angular position and distance of a radiating point source and method of employing |
US6784660B2 (en) | 2002-03-18 | 2004-08-31 | Ascension Technology Corporation | Magnetic position and orientation measurement system with magnetic field permeable attenuator |
US6856823B2 (en) | 2002-06-18 | 2005-02-15 | Ascension Technology Corporation | Spiral magnetic transmitter for position measurement system |
US6797006B2 (en) | 2002-06-18 | 2004-09-28 | Zimmer Technology, Inc. | Porous unicondylar knee |
US7204854B2 (en) * | 2002-08-15 | 2007-04-17 | Arthrex, Inc. | Metal back prosthetic glenoid component with cemented pegs and hollow metal cage screw |
US7264634B2 (en) | 2002-09-20 | 2007-09-04 | Arthrex, Inc. | Method and instrumentation for osteochondral repair using preformed implants |
US6754596B2 (en) | 2002-11-01 | 2004-06-22 | Ascension Technology Corporation | Method of measuring position and orientation with improved signal to noise ratio |
US6869447B2 (en) | 2002-12-20 | 2005-03-22 | Depuy Products, Inc. | Prosthetic knee implant with modular augment |
USD490900S1 (en) | 2003-01-02 | 2004-06-01 | Ascension Orthopedics, Inc. | Elastomeric finger joint |
US7641696B2 (en) | 2003-01-07 | 2010-01-05 | Ascension Orthopedics, Inc. | Carpometacarpal joint prosthesis |
US6815651B2 (en) | 2003-01-10 | 2004-11-09 | Ascension Technology Corporation | Optical position measurement system employing one or more linear detector arrays |
US7837739B2 (en) | 2003-04-18 | 2010-11-23 | Ascension Orthopedics, Inc. | Interpositional biarticular disk implant |
US7488348B2 (en) * | 2003-05-16 | 2009-02-10 | Musculoskeletal Transplant Foundation | Cartilage allograft plug |
US7901457B2 (en) * | 2003-05-16 | 2011-03-08 | Musculoskeletal Transplant Foundation | Cartilage allograft plug |
US20050084513A1 (en) | 2003-10-21 | 2005-04-21 | Board Of Regents | Nanocoating for improving biocompatibility of medical implants |
US7161686B2 (en) | 2003-11-13 | 2007-01-09 | Ascension Technology Corporation | Sensor for determining the angular position of a radiating point source in two dimensions and method of operation |
US7106431B2 (en) | 2003-11-13 | 2006-09-12 | Ascension Technology Corporation | Sensor for determining the angular position of a radiating point source in two dimensions |
US20050137713A1 (en) | 2003-12-17 | 2005-06-23 | Bertram Morton Iii | Anti-backout arthroscopic uni-compartmental prosthesis |
US20050137708A1 (en) | 2003-12-23 | 2005-06-23 | Ron Clark | Device and method of arthroscopic knee joint resurfacing |
US20060161260A1 (en) | 2003-12-23 | 2006-07-20 | Gareth Thomas | Total wrist prosthesis |
FR2875398B1 (en) | 2004-09-21 | 2007-07-06 | Newdeal Sa Sa | JOINT IMPLANT OF INTERPOSITION |
US7862619B2 (en) | 2005-08-05 | 2011-01-04 | Vot, Llc | Knee joint prosthesis |
US7835785B2 (en) | 2005-10-04 | 2010-11-16 | Ascension Technology Corporation | DC magnetic-based position and orientation monitoring system for tracking medical instruments |
US7819924B2 (en) | 2005-11-14 | 2010-10-26 | Ascension Orthopedics, Inc. | Distal radioulnar joint prosthesis |
WO2007103362A2 (en) | 2006-03-08 | 2007-09-13 | Ascension Technology Corporation | Lead tracking of implantable cardioverter-defibrillator (icd) and cardiac resynchronization therapy (crt) devices |
EP2001410B1 (en) | 2006-03-22 | 2016-12-28 | Ascension Orthopedics, Inc. | Prosthetic implant and assembly method |
US7582118B2 (en) | 2007-02-06 | 2009-09-01 | Zimmer Technology, Inc. | Femoral trochlea prostheses |
US8128704B2 (en) * | 2007-02-06 | 2012-03-06 | Zimmer, Inc. | Femoral trochlea prostheses |
US8043375B2 (en) | 2008-03-06 | 2011-10-25 | MoiRai Orthopaedic, LLC | Cartilage implants |
US8012217B2 (en) | 2008-07-03 | 2011-09-06 | Fellowship of Orthopaedic Researchers, LLC | Talar implants and methods of use |
-
2010
- 2010-08-25 AU AU2010286660A patent/AU2010286660B2/en not_active Ceased
- 2010-08-25 EP EP10749565.7A patent/EP2470125B1/en not_active Not-in-force
- 2010-08-25 US US12/868,112 patent/US8852286B2/en active Active
- 2010-08-25 ES ES10749565.7T patent/ES2566026T3/en active Active
- 2010-08-25 CA CA2771555A patent/CA2771555C/en not_active Expired - Fee Related
- 2010-08-25 WO PCT/US2010/046654 patent/WO2011025828A1/en active Application Filing
-
2013
- 2013-04-02 US US13/855,513 patent/US8920499B2/en active Active
-
2014
- 2014-09-16 US US14/487,558 patent/US9668865B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
ES2566026T3 (en) | 2016-04-08 |
US20110054609A1 (en) | 2011-03-03 |
US20150005895A1 (en) | 2015-01-01 |
EP2470125B1 (en) | 2015-12-23 |
AU2010286660B2 (en) | 2015-07-16 |
US8920499B2 (en) | 2014-12-30 |
US20130226298A1 (en) | 2013-08-29 |
EP2470125A1 (en) | 2012-07-04 |
CA2771555C (en) | 2016-09-13 |
US9668865B2 (en) | 2017-06-06 |
WO2011025828A1 (en) | 2011-03-03 |
AU2010286660A1 (en) | 2012-03-08 |
US8852286B2 (en) | 2014-10-07 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US9668865B2 (en) | Trochlear implants and methods of use | |
US8012217B2 (en) | Talar implants and methods of use | |
CA2717697C (en) | Implants and methods of use | |
US8690956B2 (en) | Talar implants and methods of use | |
US9095641B2 (en) | Hybrid polymer/metal plug for treating chondral defects | |
US20210338437A1 (en) | Partial hip prosthesis | |
WO2007069250A2 (en) | Faceted long bone head prosthesis |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
MKLA | Lapsed |
Effective date: 20210825 |