DE3243861A1 - Endoprosthesis of carbon fibre-reinforced material - Google Patents
Endoprosthesis of carbon fibre-reinforced materialInfo
- 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
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials 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
- A61L31/12—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
- A61L31/125—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
- A61L31/126—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix containing carbon fillers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
- A61C8/0012—Means 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2/30965—Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/32—Joints for the hip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/40—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
- A61L27/44—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
- A61L27/443—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix with carbon fillers
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- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08K—Use of inorganic or non-macromolecular organic substances as compounding ingredients
- C08K7/00—Use of ingredients characterised by shape
- C08K7/02—Fibres or whiskers
- C08K7/04—Fibres or whiskers inorganic
- C08K7/06—Elements
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3662—Femoral shafts
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/30069—Properties of materials and coating materials elastomeric
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30474—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using an intermediate sleeve interposed between both prosthetic parts to be coupled
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The 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
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30563—Special 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
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
- A61F2002/3611—Heads or epiphyseal parts of femur
-
- 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
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
- A61F2002/3625—Necks
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/32—Joints for the hip
- A61F2/36—Femoral heads ; Femoral endoprostheses
- A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
- A61F2002/365—Connections of heads to necks
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
-
- 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
- A61F2310/00179—Ceramics or ceramic-like structures
- A61F2310/00185—Ceramics or ceramic-like structures based on metal oxides
- A61F2310/00203—Ceramics or ceramic-like structures based on metal oxides containing alumina or aluminium oxide
Abstract
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)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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DE19823243861 DE3243861C2 (en) | 1982-03-30 | 1982-11-26 | Composite material for implants |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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DE3211762 | 1982-03-30 | ||
DE19823243861 DE3243861C2 (en) | 1982-03-30 | 1982-11-26 | Composite material for implants |
Publications (2)
Publication Number | Publication Date |
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DE3243861A1 true DE3243861A1 (en) | 1983-10-13 |
DE3243861C2 DE3243861C2 (en) | 1985-10-24 |
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Family Applications (1)
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DE19823243861 Expired DE3243861C2 (en) | 1982-03-30 | 1982-11-26 | Composite material for implants |
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DE (1) | DE3243861C2 (en) |
Cited By (18)
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 |
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 |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
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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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DE1441354A1 (en) * | 1961-10-23 | 1969-02-13 | Haeger Potteries Inc | Prosthetic limb and method for its manufacture |
DE1902700A1 (en) * | 1969-01-17 | 1970-08-20 | Carlton Sports Company Ltd | Artificial bones and joints for the human - body |
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Cited By (22)
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 |
Also Published As
Publication number | Publication date |
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DE3243861C2 (en) | 1985-10-24 |
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