Source: http://www.google.com/patents/US6485522?dq=6246862
Timestamp: 2016-02-10 02:15:37
Document Index: 699753582

Matched Legal Cases: ['art 4', 'art 4', 'art 4', 'art 4', 'art 4', 'art 9', 'art 16', 'art 2']

Patent US6485522 - Adapter for an exoprosthetic standard element - Google PatentsSearch Images Maps Play YouTube News Gmail Drive More »Sign inPatentsThe invention relates an adapter for an exoprosthetic standard element such as an exoprosthetic knee joint. The adapter can be inserted with a proximal handle part into a tubular bone stump. The proximal handle part is at least partly covered with a tree-dimensional open-loop network structure and at...http://www.google.com/patents/US6485522?utm_source=gb-gplus-sharePatent US6485522 - Adapter for an exoprosthetic standard elementAdvanced Patent SearchPublication numberUS6485522 B1Publication typeGrantApplication numberUS 09/719,828PCT numberPCT/EP1999/002988Publication dateNov 26, 2002Filing dateMay 3, 1999Priority dateJun 17, 1998Fee statusPaidAlso published asDE19826638A1, DE19826638C2, EP1087733A1, EP1087733B1, WO1999065426A1Publication number09719828, 719828, PCT/1999/2988, PCT/EP/1999/002988, PCT/EP/1999/02988, PCT/EP/99/002988, PCT/EP/99/02988, PCT/EP1999/002988, PCT/EP1999/02988, PCT/EP1999002988, PCT/EP199902988, PCT/EP99/002988, PCT/EP99/02988, PCT/EP99002988, PCT/EP9902988, US 6485522 B1, US 6485522B1, US-B1-6485522, US6485522 B1, US6485522B1InventorsHans GrundeiOriginal AssigneeEska Implants Gmbh & Co.Export CitationBiBTeX, EndNote, RefManPatent Citations (10), Referenced by (32), Classifications (30), Legal Events (9) External Links: USPTO, USPTO Assignment, EspacenetAdapter for an exoprosthetic standard element
US 6485522 B1Abstract
The invention relates an adapter for an exoprosthetic standard element such as an exoprosthetic knee joint. The adapter can be inserted with a proximal handle part into a tubular bone stump. The proximal handle part is at least partly covered with a tree-dimensional open-loop network structure and at its distal end has a coupling device for the standard element.
What is claimed is: 1. An adapter for an exoprosthetic standard part comprising:
a proximal stem part installed into a long bone stump; an open-mesh three-dimensional space-network structure covering, at least partially, said stem part; a coupling device provided on a distal end of said stem part for coupling with said exoprosthetic standard part; wherein said coupling device includes a cone, an adapter sheath having a conical clamping seat, and a coupling part for connecting to said exoprosthetic standard part, said cone being seated in said conical clamping seat. 2. An adapter as in claim 1, wherein said conical clamping seat is secured to said cone by a tension screw which is screwed through said adapter sheath into a threaded hole formed in said cone.
3. An adapter as in claim 1, wherein said stem part includes a surrounding flange located at a front edge of said long-bone stump.
4. An adapter as in claim 1, further comprising an intermediate piece wherein said intermediate piece is connected to said stem part in the direction of said coupling device.
5. An adapter as in claim 4, further comprising a sealing part located on said intermediate piece at a position where said intermediate piece extends out of a body.
6. An adapter as in claim 4 wherein said intermediate piece can be adjusted in length.
7. An adapter as in claim 4 wherein said intermediate piece is of a metal mass.
The invention concerns an adapter for an exoprosthetic standard part.
Different methods are known for exoprosthetic treatment of a patient who has had a limb amputated.
Thus it is conceivable to work exclusively with exoprosthetic shafts, for example prosthesis shafts, for example in the area of a thigh stump, which are adapted to the size and shapes of the thigh stump. Then in a given case an artificial exoprosthetic knee joint, a calf, as well as a foot, are connected with this prosthesis shaft.
In addition however, there are systems which are anchored with the remaining long bone stump ends so that more natural perceptive faculties, for example in the case of running, can be imparted to the patient. This is known under the name of osteoperception.
For this, for example, an adapter end with a thread is screwed into the remaining long bone, in order to be anchored with the latter. The adapter resembles a pipe piece, which finally emerges out of the tissue on the stump end. Then an exoprosthetic standard part, for example an artificial knee joint, is to be connected to this.
In known adapters of the type described above, the stability of the fixation of the adapter in the long-bone stump is problematic, as is the coupling of a standard part.
An adapter is known from U.S. Pat. No. 3,947,897 that is inserted in the inter-medullary space of the femur, which is provided at its distal end with a coupling device for an exoprosthetic standard part. The seat in the intra-medullary space of the femur should be fixed by application of a bone cement, for example methyl methacrylate. Coupling of the standard part to the distal end should be accomplished by a kind of locking device.
Both the fixing with bone cement and the fixing of the standard part with the locking device are problematic.
Bone cement comes loose after a certain time. Also the locking device does not withstand a permanent seat for the exoprosthetic standard part.
With this background, it is the task of the present invention to provide an adapter for an exoprosthetic standard part that has a favorable long-time fixation behavior and is also permits the standard part to be replaced easily with another one, for example with advanced wear.
This task is solved by an adapter with the characteristics of claim 1.
Accordingly, it is recommended that the adapter be constructed in such a way that it can be inserted into a long-bone stump with a proximal stem part, whereby the stem part is covered, at least partly, by an open-mesh three-dimensional space-network structure and is provided at its other end with a coupling device for an exoprosthetic standard part, where the coupling device consists of a cone and an adapter sheath on it in the conical gluing seat, by which the exoprosthetic standard part is braced.
The open-mesh, three-dimensional space-network structure, which is also called inter-connecting, makes it possible for natural bone material to grow in, through, behind, and around it during the final healing phase, so that the stem part is integrated with the long bone with respect to the substrate flow within a relatively short time and an extremely stable secondary fixation is provided. The growth of bone material into an open-mesh three-dimensional space-network structure is known as such from pure endoprosthetics. We refer here to DE-PS 41 06 971, for example. But a fixation possibility is presented for the first time in the field of exoprosthetic care.
The coupling device provided on the distal side can then be seen freely in connection with the outstanding secondary fixation, because of the said space-network structure. Specifically, the lifetime of the adapter in the long-bone stump is so long, that external wear or breakage phenomena can appear that could no longer provide a precise seat for the exoprosthetic standard part at the coupling site.
The adapter sheath has the advantage of being replaceable, for example if the coupling of a standard part has:led to increased wear or breakage over the course of time. The adapter sheath itself can be replaced as whole.
The seat of the adapter sheath on the cone of the coupling device can also be secured by having a tension screw screwed through the adapter sheath into a threaded hole in the cone.
According to another advantageous variant, the stem part is provided with an surrounding flange for placement on the front edge of the long-bone stump. By this means, the adapter can be placed under stress directly after implantation of the stem part in the long-bone stump, specifically before sufficient bone materials have grown into the open-mesh three-dimensional space-network structure. The flange thus serves to receive the primary load of the forces appearing during the final healing phase and to direct the forces appearing to the cortex of the long-bone stump.
Preferably, the stem part connects, in the direction of the distal coupling device, to an intermediate piece which then runs from the end of the long-bone stump, through the body tissue, until the coupling device lies outside the body. At the site where the intermediate part comes out of the patient's body, there is then advantageously a sealing part on the intermediate piece. This sealing part protects the break-through site in the limb stump and contributes to the keeping the break-through site easier to keep aseptic. A barrier is thus constructed against severe inflammations that could progress farther into the limb stump.
The adapter described can be further developed advantageously so that the coupling device consists of a cone and an adapter sleeve resting on it in the conical clamping seat, with which sleeve the standard part can be clamped. This adapter sleeve has the advantage of being replaceable, perhaps when the connection of a standard part has led to increased wear or knocked-out pieces in the course of time. The adapter sleeve as such can be replaced as a whole.
The seating of the adapter sleeve on the cone of the coupling device also can be secured additionally by means of screwing a tightening screw through the adapter sleeve into a threaded hole in the cone.
According to an embodiment of the invention, the intermediate piece of the adapter can be adjusted in its length. This has the advantage that only one or a few sizes of the adapter according to the invention need to be manufactured and kept in storage. This reduces the costs significantly.
Alternatively, the intermediate piece consists of a metal mass, whereby stability is increased. Here, however, length adjustments are not possible, so that increased costs must be taken into account.
FIG. 1 discloses an adapter for an exprosthetic standard part.
This shows a schematic section of a thigh stump 14 with the femur stump 3. The stem part 4 of the adapter 1 is inserted into the long-bone femur stump 3. The surface of the stem part 4 is coated with an open-mesh three-dimensional space-network structure 5, through which bone materials can grow, so that the stem part 4, after a certain healing phase becomes part almost a component of the natural bone, as far as the substrate flow is concerned.
The stem part 4 is sealed on the distal side with a surrounding flange 7, which is fastened to the front edge 16 of the long bone stump 3. On the one hand this ensures primary loading capacity of the adapter 1 directly after the implantation, and, on the other hand, at least partially guiding loads which appear directly into the corticalis.
An intermediate piece 8, which in the present case is made of one piece of solid metal, is connected with the stem part 4, or, as the case may be, flange 7. The intermediate piece 8 is made large enough so that it can emerge out of the limb stump 14 on the distal side. The point of emergence in the present case is sealed with a surrounding sealing part 9 on the intermediate piece 8.
The intermediate piece 8 ends in a cone 10 of the coupling device 6. An adapter sleeve 11, the conical clamping seat of which additionally is secured on the cone 10 by a tightening screw 12, which is screwed through the adapter sleeve 11 into a threaded hole 13 in the cone 10, sits on the cone 10 in a conical clamping arrangement.
The coupling part 16, with which the exoprosthetic standard part 2 is connected by means of tightening screws 15, is inverted over the adapter sleeve 11.
If wear phenomena take place or parts of the sleeves are knocked out in the course of the wearing time, the adapter sleeve 11 can be replaced easily by unscrewing the tightening screw 12 out of the threaded hole 13, removing the adapter sleeve 11 from the cone 10, and replacing it with a new adapter sleeve 11. Then the exoprosthetic standard part can be remounted.
Patent CitationsCited PatentFiling datePublication dateApplicantTitleUS3947897Mar 17, 1975Apr 6, 1976Owens Lester JApparatus for connecting a prosthesis to a boneUS4143426 *Mar 30, 1977Mar 13, 1979The United States Of America As Represented By The Administrator Of Veterans AffairsPermanently attached artificial limbUS4158895Feb 9, 1978Jun 26, 1979NasaProsthesis couplingUS5002578 *May 4, 1990Mar 26, 1991Venus CorporationModular hip stem prosthesis apparatus and methodUS5041137May 1, 1990Aug 20, 1991Nemoshkalov Jury IMethod for prosthetic restoration of human limbsUS5759206Sep 18, 1995Jun 2, 1998Bassett; David E.Apparatus for mounting a prosthesis or the likeDE3125268A1Jun 24, 1981Jan 13, 1983Nicolai Gmbh & Co KgImplantDE4106971A Title not availableEP0015599A1Feb 14, 1980Sep 17, 1980M. Hamdi A. MohammedArtificial tooth systemJPS6485645A * Title not available* Cited by examinerReferenced byCiting PatentFiling datePublication dateApplicantTitleUS6709466 *May 20, 2000Mar 23, 2004Eska Implants Gmbh & Co.Thigh stump endoprosthesis for an exoprosthetic treatmentUS6843808 *May 18, 2001Jan 18, 2005Eska Implants Gmbh & Co.Subcutaneous, intra-muscular coupling for a rigid transcutaneous implantUS6869450 *Oct 2, 2003Mar 22, 2005Eska Implants Gmbh & Co.Subcutaneous, intramuscular support for a rigid transcutaneous implantUS7141073Mar 9, 2004Nov 28, 2006Biomet, Inc.Compliant fixation of external prosthesisUS7223293 *Jan 20, 2003May 29, 2007Otto Bock Healthcare Products GmbhProsthesis setUS7476254Jan 5, 2006Jan 13, 2009Biomet Manufacturing CorporationCompliant fixation for pelvisUS7670383May 4, 2004Mar 2, 2010Biomet Manufacturing Corp.Pubic catchUS7722678Feb 9, 2006May 25, 2010Biomet Manufacturing Corp.Intramedullary compliant fixationUS7909883Feb 21, 2007Mar 22, 2011Sidebotham Christopher GPercutaneous implant for limb salvageUS8048166Mar 20, 2006Nov 1, 2011Biomet Manufacturing Corp.Method and apparatus for constructing a modular acetabulumUS8512416Jan 28, 2011Aug 20, 2013Biomet Manufacturing, LlcTransdermal intraosseous deviceUS8623092 *Oct 12, 2010Jan 7, 2014Simplicity Orthopedics, Inc.Method and apparatus for restoring a joint, including the provision and use of a longitudinally-adjustable and rotationally-adjustable joint prosthesisUS8778029 *Dec 22, 2011Jul 15, 2014Rainer BaumgartImplantable prosthesis for replacing a human hip or knee joint and the adjoining bone sectionsUS8915970Feb 8, 2013Dec 23, 2014Biomet Manufacturing, LlcTransdermal prosthesisUS8968415Feb 7, 2013Mar 3, 2015Biomet Manufacturing, LlcImplant fixation deviceUS20030109878 *May 18, 2001Jun 12, 2003Hans GrundeiSubcutaneous, intra-muscular coupling for a rigid transcutaneous implantUS20040068324 *Oct 2, 2003Apr 8, 2004Eska Implants Gmbh & Co.Subcutaneous, intramuscular support for a rigid transcutaneous implantUS20050119755 *Jan 20, 2003Jun 2, 2005Tomm KristensenProsthesis setUS20060116775 *Jan 5, 2006Jun 1, 2006Biomet Manufacturing Corp.Compliant fixation for pelvisUS20060129247 *Feb 9, 2006Jun 15, 2006Bioment Manufacturing Corp.Intramedullary compliant fixationUS20070162150 *Jan 11, 2007Jul 12, 2007Fago John RModular prosthetic implant for upper and lower extremity amputeesUS20070213831 *Jul 11, 2005Sep 13, 2007De Cubber JanFinger or toe prosthesisUS20070260312 *Aug 23, 2005Nov 8, 2007Hans GrundeiSubcutaneous Intramuscular Mounting for a Rigid Transcutaneous ImplantUS20080200995 *Feb 21, 2007Aug 21, 2008Sidebotham Christopher GPercutaneous implant for limb salvageUS20100318178 *Dec 16, 2010Perflow Medical Ltd.Method and apparatus for allowing blood flow through an occluded vesselUS20110144756 *Oct 12, 2010Jun 16, 2011Bickley Barry TMethod and apparatus for restoring a joint, including the provision and use of a longitudinally-adjustable and rotationally-adjustable joint prosthesisUS20110190907 *Aug 4, 2011Biomet Manufacturing Corp.Transdermal Intraosseous DeviceUS20120165950 *Dec 22, 2011Jun 28, 2012Rainer BaumgartImplantable prosthesis for replacing a human hip or knee joint and the adjoining bone sectionsUS20140324185 *Jan 7, 2014Oct 30, 2014Simplicity Orthopedics, Inc.Method and apparatus for restoring a joint, including the provision and use of a longitudinally-adjustable and rotationally-adjustable joint prosthesisEP1574174A1 *Mar 8, 2005Sep 14, 2005Biomet Manufacturing CorporationCompliant fixation of external prosthesisEP2138133A1 *Nov 26, 2007Dec 30, 2009Tequir, S.l.Modular femoral endoprosthesisWO2008092967A1Nov 26, 2007Aug 7, 2008Tequir S LModular femoral endoprosthesis* Cited by examinerClassifications U.S. Classification623/38International ClassificationA61F2/00, A61F2/28, A61F2/30, A61F2/60, A61F2/76, A61F2/50, A61F2/78Cooperative ClassificationA61F2002/2825, A61F2/30749, A61F2002/30507, A61F2002/30574, A61F2002/7887, A61F2/76, A61F2002/30591, A61F2002/30433, A61F2/60, A61F2002/30878, A61F2220/0025, A61F2310/00011, A61F2220/0041, A61F2002/3055, A61F2/78, A61F2002/3092, A61F2002/30332, A61F2002/30909, A61F2220/0033, A61F2/2814European ClassificationA61F2/78, A61F2/28CLegal EventsDateCodeEventDescriptionDec 15, 2000ASAssignmentAug 24, 2001ASAssignmentSep 30, 2002ASAssignmentMay 8, 2006FPAYFee paymentYear of fee payment: 4May 26, 2010FPAYFee paymentYear of fee payment: 8Mar 28, 2012ASAssignmentOwner name: ESKA IMPLANTS AG, GERMANYFree format text: CHANGE OF NAME;ASSIGNOR:ESKA IMPLANTS GMBH & CO. 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