DE3243861A1 - Endoprosthesis of carbon fibre-reinforced material - Google Patents

Endoprosthesis of carbon fibre-reinforced material

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Publication number
DE3243861A1
DE3243861A1 DE19823243861 DE3243861A DE3243861A1 DE 3243861 A1 DE3243861 A1 DE 3243861A1 DE 19823243861 DE19823243861 DE 19823243861 DE 3243861 A DE3243861 A DE 3243861A DE 3243861 A1 DE3243861 A1 DE 3243861A1
Authority
DE
Germany
Prior art keywords
prosthesis
endoprosthesis
endoprosthesis according
shaft
joint
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
Application number
DE19823243861
Other languages
German (de)
Other versions
DE3243861C2 (en
Inventor
Herbert Dr. 8000 München Heißler
Wolfgang Dr. 8150 Holzkirchen Scheer
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
SDGI Holdings Inc
Original Assignee
MAN Maschinenfabrik Augsburg Nuernberg AG
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Filing date
Publication date
Application filed by MAN Maschinenfabrik Augsburg Nuernberg AG filed Critical MAN Maschinenfabrik Augsburg Nuernberg AG
Priority to DE19823243861 priority Critical patent/DE3243861C2/en
Publication of DE3243861A1 publication Critical patent/DE3243861A1/en
Application granted granted Critical
Publication of DE3243861C2 publication Critical patent/DE3243861C2/en
Expired legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/12Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A61L31/125Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
    • A61L31/126Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix containing carbon fillers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0012Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools characterised by the material or composition, e.g. ceramics, surface layer, metal alloy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2/30965Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/40Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A61L27/44Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
    • A61L27/443Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix with carbon fillers
    • CCHEMISTRY; METALLURGY
    • C08ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
    • C08KUse of inorganic or non-macromolecular organic substances as compounding ingredients
    • C08K7/00Use of ingredients characterised by shape
    • C08K7/02Fibres or whiskers
    • C08K7/04Fibres or whiskers inorganic
    • C08K7/06Elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3662Femoral shafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006Properties of materials and coating materials
    • A61F2002/30069Properties of materials and coating materials elastomeric
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30474Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using an intermediate sleeve interposed between both prosthetic parts to be coupled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30563Special structural features of bone or joint prostheses not otherwise provided for having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3611Heads or epiphyseal parts of femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3625Necks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/365Connections of heads to necks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00179Ceramics or ceramic-like structures
    • A61F2310/00185Ceramics or ceramic-like structures based on metal oxides
    • A61F2310/00203Ceramics or ceramic-like structures based on metal oxides containing alumina or aluminium oxide

Abstract

Endoprosthesis consisting of carbon fibre-reinforced composite material whose matrix material contains polyphenol glycidyl ether and 4,4'-diaminodiphenyl sulphone. Prostheses of this type may be replacements for bones and teeth, as well as boneplates and joint prostheses. The material is distinguished by its tolerability by the body.

Description

Endoprothese aus kohlenstoffaserverstärktem WerkstoffEndoprosthesis made from carbon fiber reinforced material

Die Erfindung bezieht sich auf eine Endoprothese aus kohlenstoffaserverstärkten Werkstoff.The invention relates to an endoprosthesis made of carbon fiber reinforced Material.

Endoprothesen dienen als Implantate für erkrankte oder beschädigte Knochen zur Wiederherstellung deren Funktionen.Endoprostheses serve as implants for those who are sick or damaged Bones to restore their functions.

Das Ziel der Entwicklung von Endoprothesen ist, Implantate herzustellen, die einoperiert dem Patienten während seiner Lebensdauer eine sichere und funktionsfähige Unterstützung leisten, ohne ausgewechselt werden zu müssen.The aim of developing endoprostheses is to manufacture implants, which is operated on the patient during his lifetime a safe and functional Provide support without having to be replaced.

Komplexe Zusammenwirkungen von insbesondere biologischen und physikalischen Faktoren beeinträchtigen jedoch hemmend die Entwicklung. Diese Faktoren sind die Körperverträglichkeit des mit dem Gewebe in Berührung kommenden Materials der Implantate, die Festigkeit sowie die Reibeigenschaften von angelenkten Prothescnteilen.Complex interactions, especially biological and physical However, factors inhibit development. These factors are the Body compatibility of the material of the implants coming into contact with the tissue, the strength and the frictional properties of articulated prosthetic parts.

Aufgrund intensiver Studien sind funktionsfähige Implantate entwickelt worden, die aus einer Kunststoff-Metall-Kombinationsbauweise bestehen. Für Elüftgelenke beispielsweise besteht ein Prothesen-Modell aus der Kombination eines lliiftyclenkes aus einer Kobalt-Chrom- Molybdån-Leyierung und einer Hüftyelenkpfanne aus hochmolekularem Polyäthylen. Der Hiiftkopf wird mittels eines metallischen Prothesenschaftes gehalten. Die Befestigung dieses Schaftes sowie die der Kunststoffpfanne in den vorbereiteten Knochenhohlräumen erfolgt mittels selbsthärtendem Knochenzement aus körperverträglichem Werkstoff. Durch diese Kombination konnte gegenüber den davor üblichen Methoden bzw. Implantaten deutliche Erfolge erreicht werden. Nachteilig an dieser Werkstoffkombination sind insbesondere die mangelnde Kompatibilität der Elastizitätsmodule von Knochen und Implantat.Functional implants have been developed on the basis of intensive studies which consist of a plastic-metal combination construction. For ventilation joints For example, a prosthesis model consists of a combination of an elevator link from a cobalt-chrome Molybdenum leying and a hip joint socket made of high molecular weight polyethylene. The hip head is made by means of a metallic prosthesis shaft held. The attachment of this shaft as well as that of the plastic pan in the prepared bone cavities are made using self-hardening bone cement body-friendly material. This combination made it possible to compare to the previous ones common methods or implants, significant successes can be achieved. Disadvantageous the lack of compatibility of the Modulus of elasticity of bone and implant.

Lockerungen, bzw. Ausbrechen des Schaftes sind die Folge.Loosening or breaking of the shaft are the result.

Durch Anwendung von Kohlenstoffaserverstärkungen konnten die Festigkeitswerte von Implantaten günstig beeinflußt werden. Bisherige Ergebnisse auf diesem Gebiet mangeln jedoch an einer ausreichenden Körperverträglichkeit, die ebenfalls zu einer frühzeitigen Lockerung des Implantates führen kann.By using carbon fiber reinforcements, the strength values are favorably influenced by implants. Previous results in this area however, lack of sufficient body tolerance, which also leads to a premature loosening of the implant.

Der Erfindung liegt die Aufgabe zugrunde, Endoprothesen der eingangs genannten Art dahingehend zu verbessern, daß sie bei guter Körperverträglichkeit und hoher Belastbarkeit eine möglichst weitgehend dauerhafte Funktionsfähigkeit besitzen.The invention is based on the object of providing endoprostheses of the initially mentioned mentioned type to the effect that they are well tolerated by the body and high resilience, the greatest possible long-term functionality own.

Die Aufgabe ist erfindungsgemäß dadurch gelöst, daß die Kohl enstoffasern in einer Matrix aus Polyphenol glyci dyl ether und 4,4 '-Diamino-diphenylsulfon eingebettet sind.The object is achieved according to the invention in that the carbon fibers in a matrix of polyphenol glyci dyl ether and 4,4'-diamino-diphenyl sulfone are embedded.

Es hat sich herausgestellt, daß ein derartiges Implantat eine gute Körperverträglichkeit aufweist und ohne Zement einoperiert werden kann, so daß die direkte Verbindung ein Zusammenwachsen zwischen Knochen und Implantat und demzufolge eine dauerhafte Verbindung ermöglicht. Mit entsprechender Auslegung der Dichte und der Orientierung der Fasern wird gleichzeitig die Steifigkeit und die Festigkeit an die Erfordernisse angepaßt.It has been found that such an implant is a good one Has body tolerance and can be operated on without cement, so that the direct connection a growing together between bone and implant and consequently enables a permanent connection. With appropriate design of the density and The orientation of the fibers increases both rigidity and strength adapted to the requirements.

Die erfindungsgemäße Prothese eignet sich für den Knochenersatz für Knochenteile des gesamten Knochengerüstes, die auf irgendeine Weise beschädigt wurden oder aufgrund eines Tumors entfernt werden mußten.The prosthesis according to the invention is suitable for bone replacement for Bone parts of the entire skeleton that have been damaged in some way or had to be removed because of a tumor.

Es wird ferner vorgesehen, die erfindungsgemäße Endoprothese für Knochenplatten sowie die dazugehörigen Schrauben zu verwenden.It is also provided that the endoprosthesis according to the invention for bone plates as well as the associated screws.

Auch läßt sich die Prothese fUr den Zahnersa~z, insbesonde-e als Stiftzahn verwenden.The prosthesis can also be used for dentures, especially as a pin tooth use.

Eine wichtige Anwendung ist das Gebiet der Gele thesen, wobei gemaß einer Ausgestaltung der Erfindung im Gelenk der Faserbundwerkstoff mit Keramik (Al 203) zusatmmenwirkt. Dieses gewährleistet eine Zusammenarbeit des künstlichen Gelenkes ohne nennenswerten Abrieb. Vorzugsweise wird die Gelenkpfanne aus Faserverbundwerkstoff gemäß Anspruch 1 und die Gelenkkugel aus Keramik hergestellt.An important application is the field of gel theses, being according to an embodiment of the invention in the joint of the fiber composite material with ceramic (Al 203) works together. This ensures that the artificial joint works together without significant abrasion. The joint socket is preferably made of fiber composite material according to claim 1 and the joint ball made of ceramic.

Der Gelenkkopf aus Keramik ist vorzugsweise mit einem Schaft aus einem der Gelenkpfanne entsprechenden faserv er St a rk t 9 m Verbundwerkstoff ausgerüstet, wobei insbesondern Langfasern verwendet werden.The joint head made of ceramic is preferably made of a shaft with a 9 m composite material, corresponding to the joint socket, long fibers in particular are used.

Ein derartiger Schaft läßt sich durch entsprechende Faserorientierung so auslegen, daß eine Kompatibilität der Elastizitätsmodule von Knochen und Schaft gegeben ist. Hierdurch ist ein weiterer Beitrag zur Verlängerung der Lebensdauer gegeben, indem einer Lockerung der Prothese im Knochen entgegengewirkt wird.Such a shaft can be made by appropriate fiber orientation design in such a way that the moduli of elasticity of the bone and shaft are compatible given is. This is a further contribution to extending the service life given by counteracting loosening of the prosthesis in the bone.

Bei einer Oberbelastung, wie z.B. bei einem Sturz des Prothesenträgers kann der Gelenkkopf eventuell beschädigt werden. Um in solchen Fällen mit möglichst einem raschen und geringen operativen Eingriff den Schaden beheben zu können, ist vorgesehen, daß der Gelenkkopf auf einem aus dem Gelenkknochen herausragenden Ende des Prothesenschaftes lösbar aufgesteckt ist. Hierdurch braucht der Prothesenschaft bei einer Beschädigung des Gelenkkopfes nicht aus dem Knochen herausgelöst zu werden, sondern es wird lediglich der Gelenkkopf ausgetauscht.In the event of excessive stress, such as a fall of the prosthesis wearer the joint head may be damaged. To be able to use in such cases to be able to repair the damage with a quick and minor surgical procedure provided that the joint head on one end protruding from the joint bone of the prosthesis shaft is detachably attached. As a result, the prosthesis socket needs not to be detached from the bone if the joint head is damaged, instead, only the joint head is exchanged.

In der Steckverbindung ist gemäß einer weiteren Ausgestaltung der Erfindung ein Elastomer-aus Polyetherurethan vorgesehen, der zur Entlastung des Prothesenschaftes die Stoßenergie vom Gelenkkopf weitgehend aufnimmt.In the plug connection is according to a further embodiment of the Invention of an elastomer made of polyether urethane provided to relieve the Prosthesis shaft largely absorbs the impact energy from the joint head.

Hierfür kann vorteilhaft ein Polyetherurethan aus Toluoldiisocyanat und Polytetramethylenetherglycol verwendet werden, das mit 3, 3'-Dichlor-4, 4 '-diaminodiphenylmethan ca. 3 Stunden bei 100etc gehärtet wird. Der Härtungsprozeß kann je nach Bedarf direkt auf den Schaftende oder getrennt davon erfolgen.A polyether urethane made from toluene diisocyanate can advantageously be used for this purpose and polytetramethylene ether glycol can be used with 3, 3'-dichloro-4, 4 '-diaminodiphenylmethane is cured at 100 etc for about 3 hours. The hardening process can be carried out directly as required be done on the shaft end or separately.

Die Erfindung erstreckt sich auf ein durch die Merkmale aus Anspruch 10 gekennzeichnetes Verfahren zur Herstellung einer Prothese.The invention extends to a by the features of claim 10 characterized method for producing a prosthesis.

Mit diesem Verfahren erlangt die Prothese eine ausgezeichnete Festigkeit.This procedure gives the prosthesis excellent strength.

In der Zeichnung sind Ausf ührungsbei spi el e gemäß der Erfindung schematisch dargestellt.In the drawing are execution examples according to the invention shown schematically.

Fig. 1 zeigt einen Knochenersatz 20, der beispielsweise nach einer Tumorresekti on in eine Knochen 21 eines Bewegungsgl iedes eingesetzt wird.Fig. 1 shows a bone substitute 20, for example after a Tumor resection is inserted into a bone 21 of a locomotor member.

In Fig. 2 ist eine am Knochen anschraubbare Platte 22 mit zugehöriger Schraube 23 gezeigt.In Fig. 2 is a screwable to the bone plate 22 with associated Screw 23 shown.

Fig. 3 zeigt einen im Kieferknochen einsetzbaren Backenstiftzahn 24 sowie einen Schneidestiftzahn 25.3 shows a cheek pin tooth 24 that can be inserted in the jawbone and a cutting pin tooth 25.

Alle vorgenannten Implantate bestehen aus kohlenstofffaserverstärktem Verbundwerkstoff bei denen die Fasern entweder als Langfasern 26 oder als Kurzfasern 27 in einer Matrix aus Polyphenolglycidylether und 4,4'-Diaminodiphenylsulfon eingebettet sind.All of the aforementioned implants are made of carbon fiber reinforced Composite material in which the fibers are either long fibers 26 or short fibers 27 embedded in a matrix of polyphenol glycidyl ether and 4,4'-diaminodiphenyl sulfone are.

In Fig. 4 ist eine Hüftgelenkprothese dargestellt bei der in einem Beckenknochen 10 eine Gelenkpfanne 11 verankert ist. In Zusammenwirkung mit der Pfanne 11 ist ein Gelenkkopf 12 vorgesehen, der fortführend mit ei neu Prothesenschaft 13 zur Verankerung in der Knochenhöhle 14 des Femurschaftes 15 verbunden ist.In Fig. 4, a hip joint prosthesis is shown in the one Pelvic bone 10 a joint socket 11 is anchored. In cooperation with the A joint head 12 is provided in the socket 11, which continues with a new prosthesis socket 13 is connected for anchoring in the bone cavity 14 of the femoral shaft 15.

Der aus Al 20 bestehende Gel enkk opf 12 bildet in Verbindung mit der Pfanne 11 aus einem mit günsti ger Gl ei t-und Abri ebe i gens cha ft behafteten Material qemäß der Erfindung ein weitgehend dauerhaftes Gelenk. Die Pfanne 11 besitzt durch bip Gewebewachstum fördernde Material- eigenschaft auch für die Dauer einen festen Halt im Beckenknochen 10. Der Schaft besteht aus einem Verbundmaterial entsprechend dem Pfannenmaterial mit gerichteten Fasern 26, die dem Schaft die ausreichende und dem Knochenmaterial angepaßte Steifigkeit und Festigkeit verleihen, so daß auch hier in Bezug auf die Dauerhaftigkeit der gesamten Prothese keine nachteiligen Einflüsse herbeigeführt werden. Die Kombination der Materialien der Prothese verschafft der Prothese eine ausgezeichnete Abstimmung zwischen der für die Dauerhaftigkeit verantwortlichen Eigenschaften, so daß ein Einsatz einer solchen Prothese auf Lebensdauer des Patienten gegeben ist.The gel head 12 made of Al 20 forms in conjunction with of the pan 11 from a gens cha ft afflicted with a favorable smoothness and abrasion Material qem according to the invention a largely permanent joint. The pan 11 has by bip tissue growth promoting material property also for the duration of a firm hold in the pelvic bone 10. The shaft consists of a composite material corresponding to the socket material with directed fibers 26, which give the shaft sufficient and give the bone material adapted rigidity and strength, so that also here no adverse influences with regard to the durability of the entire prosthesis be brought about. The combination of the materials of the prosthesis creates the Prosthesis an excellent match between those responsible for durability Properties so that such a prosthesis can be used for the life of the patient given is.

Die Pfanne 11 sowie der Zahnersatz 24 und 25 werden im Pressverfahren hergestellt, indem die Kohlenstoff-Kurzfasern 27 in eine auf etwa llO"C aufgewärmte Form eingegeben werden, worauf anschließend das auf ca. 125-C erhitzte Matrixmaterial eingegossen, gepreßt und gehärtet wird.The socket 11 and the dentures 24 and 25 are pressed using the pressing process produced by the short carbon fibers 27 in a heated to about 110 "C Form can be entered, whereupon the matrix material heated to approx. 125-C is poured, pressed and hardened.

Der Prothesenschaft 13 sowie der Knochenersatz 20 und die Knochenplatte 22 werden dagegen im Wickelverfahren hergestellt, indem die in dem Matrixmaterial getränkten Kohlenstoffasern 26 zu einem Wickelkörper gewickelt werden, aus dem formgerechte Teile herausgetrennt und zur Bildung der entsprechenden Teile geformt bzw., wie im Falle des Schaftes, mit demselben Matrixmaterial zusammengeklebt werden. Hierbei wird darauf geachtet, daß die Fasern 26 parallel zur Schaftoberfläche in Längsrichtung verlaufen.The prosthesis shaft 13 as well as the bone replacement 20 and the bone plate 22, on the other hand, are produced in the winding process, in that the in the matrix material impregnated carbon fibers 26 are wound into a wound body, from the form-fitting Parts separated and shaped to form the corresponding parts or how in the case of the shaft, are glued together with the same matrix material. Here care is taken that the fibers 26 are parallel to the shaft surface in the longitudinal direction get lost.

Der anschließende !ärtungsprozeß verläuft für alle Verbundteile durch Erhitzung, indem die Prothesen 7 Stunden auf 100°C, 2 Stunden auf 130#C und anschließend noch 16 Stunden auf 160#C gehalten werden.The subsequent hardening process is carried out for all composite parts Heating by putting the prostheses 7 hours at 100 ° C, 2 hours at 130 ° C and then be held at 160 # C for another 16 hours.

Bei der Hüftgelenkprothese wird der Keramikkopf 12 auf ein freies Ende 16 des Schaftes 13 aufgesteckt. Eine Zwischenlage 17 aus einem elastischen Material, z.B.In the hip joint prosthesis, the ceramic head 12 is free The end 16 of the shaft 13 is attached. An intermediate layer 17 made of an elastic Material, e.g.

Polyetherurethan dient zur Dämpfung von Stoßkräften.Polyether urethane is used to dampen impact forces.

Die Zwischenlage 17 wird bei Verwendung eines aushärtbaren Elastomers direkt auf dem Schaftende 16 ausgehartet, so daß sie mit dem Schaft 13 eine Baueinheit bildet.The intermediate layer 17 is when using a curable elastomer hardened directly on the shaft end 16, so that it forms a structural unit with the shaft 13 forms.

Claims (10)

P a t e n t a n sp r ü c h e Endoprothese aus kohlenstoffaserverstärktem Verbundwerkstoff, dadurch gekennzeichnet, daß die Kohlenstoffasern (6, 27) in einer Matrix aus Polyphenolglycidylether und 4,4'-Diaminodiphenylsulfon eingebettet sind. P a t e n t a n sp r ü c h e Endoprosthesis made of carbon fiber reinforced Composite material, characterized in that the carbon fibers (6, 27) in one Matrix of polyphenol glycidyl ether and 4,4'-diaminodiphenyl sulfone are embedded. 2 Endoprothese nach Anspruch 1, gekennzeichnet durch die Verwendung für Knochenersatz (20). 2 endoprosthesis according to claim 1, characterized by the use for bone substitutes (20). 3. Endoprothese nach Anspruch 1, gekennzeichnet durch die Verwendung für Knochenplatten (22). 3. Endoprosthesis according to claim 1, characterized by the use for bone plates (22). 4. Endoprothese nach Anspruch 1, gekennzeichnet durch die Verwendung für Zahnersatz (24, 25). 4. Endoprosthesis according to claim 1, characterized by the use for dentures (24, 25). 5. Endoprothese nach Anspruch 12, gekennzeichnet durch die Verwendung für Gelenkprothesen, wobei mindestens ein Prothesenteil (11, 13) aus kohl en stoff as er verstärktem Verb u ndwer kst off besteht, dessen Matrix Polyphenolglycidylether und 4,4"-Diaraino-diphenyl sulfon enthält. 5. Endoprosthesis according to claim 12, characterized by the use for joint prostheses, at least one prosthesis part (11, 13) made of carbon The reinforced composite consists of a matrix of polyphenol glycidyl ether and 4,4 "-Diaraino-diphenyl sulfone contains. 6. Endoprothese nach Anspruch 5, dadurch gekennzeichnet, daß das Prothesenteil (11) aus kohlenstoffaserverstärktem Verbundwerkstoff an ein zweites Prothesenteil (12) anlenkbar ist, und daß das zweite Prothesenteil zumindest aiii Gelenkende aus Keramik besteht.6. Endoprosthesis according to claim 5, characterized in that the prosthesis part (11) made of carbon fiber reinforced composite material on a second prosthesis part (12) can be articulated, and that the second prosthesis part consists of at least one joint end Ceramic is made. 7. Endoprothese nach Anspruch 6, dadurch gekennzeichnet, daß das zweite Protfiesenteil aus einem Gelenkkopf (12) aus Keramik und einem Prothesenschaft (13) aus kohlenstoffaserverstärktem Verbundwerkstoff besteht, dessen Matrix Polyphenolglycidylether und 4,4 '-Diaminodiphenylsulfon enthält.7. Endoprosthesis according to claim 6, characterized in that the second Protective part consisting of a joint head (12) made of ceramic and a prosthesis shaft (13) consists of carbon fiber reinforced composite material, the matrix of which is polyphenol glycidyl ether and 4,4'-diaminodiphenyl sulfone. 8. Endoprothese nach Anspruch 7, dadurch gekennzeichnet, daß der Gelenkkopf (12) unter Verwendung einer elastischen Zwischenlage (17) auf einem Ende (16) des Prothesenschaftes (13) lösbar aufgesteckt ist.8. Endoprosthesis according to claim 7, characterized in that the joint head (12) using an elastic intermediate layer (17) on one end (16) of the Prosthesis shaft (13) is detachably attached. 9. Endoprothese nach Anspruch 8, dadurch gekennzeichnet, daß die Zwischenlage (17) aus Toluoldiisocyanat und Polytetramethylenetherglycol besteht, die mit 3,3' Dichlor-4,4'-diaminodiphenylmethan auf dem Schaftende (16) ausgehärtet sind.9. Endoprosthesis according to claim 8, characterized in that the intermediate layer (17) consists of toluene diisocyanate and polytetramethylene ether glycol, which is 3.3 ' Dichloro-4,4'-diaminodiphenylmethane on the shaft end (16) are cured. 10. Verfahren zur Herstellung einer Prothese gemäß Anspruch 1, dadurch gekennzeichnet, daß die Endoprothese (11, 13, 20, 22, 24, 25) nach ihrer Formgebung einem Härtungsprozeß unterworfen wird, bei dem die Prothese etwa 7 Stunden auf etwa 100°C, dann etwa 2 Stunden auf etwa 130"C und schließlich etwa 16 Stunden auf etwa 1600C gehalten wird.10. A method for producing a prosthesis according to claim 1, characterized characterized in that the endoprosthesis (11, 13, 20, 22, 24, 25) according to its shape is subjected to a hardening process in which the prosthesis is about 7 hours to about 100 ° C, then about 2 hours to about 130 "C and finally about 16 hours to about 1600C is held.
DE19823243861 1982-03-30 1982-11-26 Composite material for implants Expired DE3243861C2 (en)

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Cited By (18)

* Cited by examiner, † Cited by third party
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FR2515955A1 (en) * 1981-11-11 1983-05-13 South African Inventions SURGICAL IMPLANT
DE3524020A1 (en) * 1985-03-30 1986-10-02 M A N Technologie GmbH, 8000 München METHOD FOR TREATING BONE REPLACEMENT IMPLANTS
FR2588181A1 (en) * 1985-10-07 1987-04-10 Jean Barbe Novel composite material intraoral prostheses
DE3742640A1 (en) * 1987-12-16 1989-07-13 Kurt Prof Dr Ing Kegel Movable dental prostheses (epiprosthesis) of plastic with fibre reinforcement
DE3838568A1 (en) * 1988-11-14 1990-05-17 Inst Textil & Faserforschung Joint prosthesis
WO1990013265A1 (en) * 1989-04-28 1990-11-15 Aesculap Ag Osteosynthesis plates
EP0398064A2 (en) * 1989-05-17 1990-11-22 MAN Ceramics GmbH Stem of a hip joint prosthesis and method for its production
DE3919192A1 (en) * 1989-05-17 1990-11-22 Man Technologie Gmbh Hip joint prosthesis shank
DE3924990A1 (en) * 1989-06-13 1991-02-14 Man Technologie Gmbh Hip joint prosthesis shank
US5064439A (en) * 1987-01-20 1991-11-12 Richards Medical Company Orthopedic device of biocompatible polymer with oriented fiber reinforcement
DE4023787A1 (en) * 1990-05-29 1991-12-05 Schumann Klaus Osteosynthesis material for mending bones and for prosthesis - consists of carbon fibres and one or more glass-ionomers
DE4101226A1 (en) * 1991-01-17 1992-07-23 Man Technologie Gmbh Producing cpd. fibre component for artificial joints, etc. - in which cut section of laid continuous filaments in required orientation to be rolled is used to give the component irregular contour shape
US5192330A (en) * 1987-01-20 1993-03-09 Smith & Nephew Richards, Inc. Orthopedic device of biocompatible polymer with oriented fiber reinforcement
EP0586848A2 (en) * 1992-09-10 1994-03-16 MAN Ceramics GmbH Implant
US5397358A (en) * 1990-02-14 1995-03-14 Man Ceramics Gmbh Bone implant
WO1998012994A1 (en) * 1996-09-27 1998-04-02 Ingvar Eriksson Orthopedic device
WO2000045748A1 (en) * 1999-02-04 2000-08-10 Ceramtec Ag Innovative Ceramic Engineering Press fit connection between prosthetic components of joint prostheses
EP2371399A1 (en) * 2010-03-31 2011-10-05 Cadorel, Catherine Composite part for endosseous implantation and method for manufacturing such a part

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DE4400073C3 (en) * 1994-01-04 2002-02-28 Burghardt Krebber Dentures made of fiber-reinforced composite materials and their use
DE19728131A1 (en) * 1997-07-02 1999-01-07 Gerd Hoermansdoerfer Versatile sliding surface for joint prostheses

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DE1902700A1 (en) * 1969-01-17 1970-08-20 Carlton Sports Company Ltd Artificial bones and joints for the human - body
DE2138146B2 (en) * 1970-08-06 1976-05-26 Hochman, Robert Francis, Smyrna, Ga. (V.StA.) BONE REPLACEMENT IMPLANT
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Cited By (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2515955A1 (en) * 1981-11-11 1983-05-13 South African Inventions SURGICAL IMPLANT
DE3524020A1 (en) * 1985-03-30 1986-10-02 M A N Technologie GmbH, 8000 München METHOD FOR TREATING BONE REPLACEMENT IMPLANTS
EP0197441A2 (en) * 1985-03-30 1986-10-15 MAN Technologie Aktiengesellschaft Method of treating bone replacement implants
EP0197441A3 (en) * 1985-03-30 1989-03-01 M.A.N. Technologie Gmbh Method of treating bone replacement implants
FR2588181A1 (en) * 1985-10-07 1987-04-10 Jean Barbe Novel composite material intraoral prostheses
US5064439A (en) * 1987-01-20 1991-11-12 Richards Medical Company Orthopedic device of biocompatible polymer with oriented fiber reinforcement
US5192330A (en) * 1987-01-20 1993-03-09 Smith & Nephew Richards, Inc. Orthopedic device of biocompatible polymer with oriented fiber reinforcement
DE3742640A1 (en) * 1987-12-16 1989-07-13 Kurt Prof Dr Ing Kegel Movable dental prostheses (epiprosthesis) of plastic with fibre reinforcement
DE3838568A1 (en) * 1988-11-14 1990-05-17 Inst Textil & Faserforschung Joint prosthesis
WO1990013265A1 (en) * 1989-04-28 1990-11-15 Aesculap Ag Osteosynthesis plates
DE3919192A1 (en) * 1989-05-17 1990-11-22 Man Technologie Gmbh Hip joint prosthesis shank
EP0398064A3 (en) * 1989-05-17 1991-11-27 MAN Ceramics GmbH Stem of a hip joint prosthesis and method for its production
EP0398064A2 (en) * 1989-05-17 1990-11-22 MAN Ceramics GmbH Stem of a hip joint prosthesis and method for its production
DE3924990A1 (en) * 1989-06-13 1991-02-14 Man Technologie Gmbh Hip joint prosthesis shank
US5397358A (en) * 1990-02-14 1995-03-14 Man Ceramics Gmbh Bone implant
DE4023787A1 (en) * 1990-05-29 1991-12-05 Schumann Klaus Osteosynthesis material for mending bones and for prosthesis - consists of carbon fibres and one or more glass-ionomers
DE4101226A1 (en) * 1991-01-17 1992-07-23 Man Technologie Gmbh Producing cpd. fibre component for artificial joints, etc. - in which cut section of laid continuous filaments in required orientation to be rolled is used to give the component irregular contour shape
EP0586848A3 (en) * 1992-09-10 1995-01-25 Man Ceramics Gmbh Implant.
EP0586848A2 (en) * 1992-09-10 1994-03-16 MAN Ceramics GmbH Implant
WO1998012994A1 (en) * 1996-09-27 1998-04-02 Ingvar Eriksson Orthopedic device
WO2000045748A1 (en) * 1999-02-04 2000-08-10 Ceramtec Ag Innovative Ceramic Engineering Press fit connection between prosthetic components of joint prostheses
EP2371399A1 (en) * 2010-03-31 2011-10-05 Cadorel, Catherine Composite part for endosseous implantation and method for manufacturing such a part

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