US20010016745A1 - Ancillary apparatus for knee prosthesis - Google Patents
Ancillary apparatus for knee prosthesis Download PDFInfo
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- US20010016745A1 US20010016745A1 US09/773,645 US77364501A US2001016745A1 US 20010016745 A1 US20010016745 A1 US 20010016745A1 US 77364501 A US77364501 A US 77364501A US 2001016745 A1 US2001016745 A1 US 2001016745A1
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- blocks
- portions
- block
- holes
- slits
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- 210000003127 knee Anatomy 0.000 title claims abstract description 9
- 238000003780 insertion Methods 0.000 claims description 12
- 230000037431 insertion Effects 0.000 claims description 9
- 230000000295 complement effect Effects 0.000 claims description 4
- 210000000689 upper leg Anatomy 0.000 claims description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000002271 resection Methods 0.000 description 2
- 230000002917 arthritic effect Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 239000000700 radioactive tracer Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
- A61B17/154—Guides therefor for preparing bone for knee prosthesis
- A61B17/155—Cutting femur
Definitions
- the present invention concerns an ancillary apparatus for knee prosthesis, in particular for guiding the femoral cut blades or saws which permit the insertion of the prosthesis components mostly adapted to the conformation of each patient, said apparatus comprising several blade-guide blocks vertically approached, in this case a first inferior, (lower or bottom) block ( 4 ) for posterior cut guide, a superior or head block for the anterior cut, two median blocks ( 2 and 3 ) for posterior ( 2 ), anterior ( 3 ) chamfer cuts, and means ( 5 , 6 ) of support, seal and motion of said blocks taken singularly and/or all together.
- a first inferior, (lower or bottom) block ( 4 ) for posterior cut guide a superior or head block for the anterior cut
- two median blocks ( 2 and 3 ) for posterior ( 2 ), anterior ( 3 ) chamfer cuts and means ( 5 , 6 ) of support, seal and motion of said blocks taken singularly and/or all together.
- French Patent No 2,679,766 descloses a femoral cut device for the correct positioning of prosthesis implants in the femoral and sagittal planes, which however needs several guides of cutting blades of different sizes for prosthesis to adapt to the different articulation sizes: some risks in the correct guide positioning are possible.
- the resection apparatus includes a guide of the cutting blades in two blocks, one movable with the bevelling cuts support and one adjustable in height for the anterior cut.
- the apparatus for the knee condyles resection and for the positioning of a prosthesis comprises:—a support with an inferior basis;—a guide of the blades of the anterior and posterior cuts, either chamfer or not;—an intramedullary femoral rod, and tracer or contact means, said guide having three blocks two of which are mobile and adjustable in height; further one of the blocks comprises means to guide one of the anterior, posterior chamfer (or not) cuts, and the other two blocks comprise guide means of the remaining cuts.
- First object of the present invention is to provide an instrumentation particularly simple, compact, reliable and universal both in structural and operative terms.
- An other object of the invention is to provide adjustement and control means which are decidedly advantageous over the corresponding ones of the Prior Art.
- the more salient characteristics of the invention are recited in the appended claims which are considered here incorporated.
- the apparatus is characterized in that said terminal blocks ( 1 and 4 ) are only vertically movable, have at least two vertical holes ( 8 and 9 , 8 ′ and 9 ′) for the passage of motion means ( 5 ans 6 ), at least one horizontal hole ( 10 ) for the insertion of means complementary to said means ( 5 and 6 ) and front slits ( 12 , 12 ′) which are inclined on an horizontal line, are remote in respect to the inferior and superior edges ( 15 and 15 ′, 16 and 16 ′) of said end blocks;—the intermediate blocks move only horizontally, are provided with holes ( 28 and 29 , 39 and 39 ) corresponding to said holes ( 8 and 9 , 8 ′ and 9 ′) and inclined slits ( 13 and 13 ′) on the edges ( 16 , 17 respectively) of said intermediate blocks ( 2 and 3 ).
- FIG. 1 is a perspective and partially exploded view of the four blocks in the instrumentation according to the invention.
- FIG. 2 is also a partially exploded perspective view of two motion cams
- FIG. 3 is a partially perspective and enlarged view of only the right portion 4 D of block 4 ;
- FIGS. 4 A and AB are the vertival cross-sections with a plane having the line A′, A′′ as trace on said right portion 4 D of same block 4 ,
- FIG. 4A showing the uncompressed spring
- FIG. 4B showing the compressed spring
- FIG. 5 is an exploded and perspective view of the cam follower
- FIG. 6 is the front view of the four compacted blocks, with cams 5 and 6 inserted in all vertical holes and with the cam IA followers inserted in the two horizontal holes 10 - 10 ′, and with the insert of the anatomic angle AAI fixation set in the two recesses 19 - 19 ′ of the two median blocks;
- FIG. 7 is a top view of the flat face 7 D of block 2 ;
- Figures from 8 to 8 D are top views of five embodiments of the anatomic angle AAI adjusting insert having an H form
- FIG. 9 is a front view of said AAI
- FIG. 10 is a perspective view of the insert AAI joint in the two recesses 19 - 19 ′ worked in the two intermediate blocks 2 and 3 ;
- FIG. 11 is a schematic cross-section of the apparatus according to the invention, on a knee together with the five made cuts.
- FIG. 1 shows the four saw-guide blocks from 1 to 4 in exploded position, i.e. detached from each other.
- the end blocks namely the upper (superior) 1 and lower (inferior) 4 block, as well as the median blocks 2 and 3 show vertical hole couples 8 - 9 , 8 ′- 9 ′, 28 - 29 , 38 - 39 respectively for the passage of the motion means 5 and 6 (FIG. 2).
- the terminal blocks 1 and 4 show horizontal blocks 10 - 10 ′ for the insertion of the means IA complementary to said means 5 and 6 .
- the motion means 5 and 6 are cams and the complementary means are cam followers.
- the superior block 1 and the inferior block 4 show slanting slits 12 , 12 ′ respectively for the anterior cut AC ( 12 ) and posterior cut PC ( 12 ′) (see FIG. 11), as well as horizontal holes 10 , 10 ′ for the insertion of the cam follower device IA.
- the head block 1 shows additionally the slit 18 for the distal cut DC ( 18 ) in FIG. 11.
- the slits 12 and 12 ′ are sufficiently remote in respect to the edges 15 and 16 respectively whereas the slits 13 and 13 ′ are preferably near to the edges 17 and 17 ′.
- the median blocks 2 and 3 show facing recesses 19 and 19 ′.
- the terminal blocks 1 and 4 are moved only vertically and the median blocks 2 and 3 are moved only an a horizontal plane.
- the motion means are of the cam type 5 and 6 and, typically, show on a nucleus or central axis CA two portions with a minor diameter 51 - 51 ′, 52 - 52 ′ in which are provided the helix tracks H-H′, H′′-H′′′, as well as two portions with major diameter 53 - 53 ′, 53 ′′- 53 ′′′ in which are obtained the grooves Gs-Gl, G′s-G′ 1 respectively.
- FIG. 3 In the perspective view of FIG. 3 is represented on an enlarged scale, only the right portion 4 D of block 4 , in order to better show the horizontal hole 10 ′ with its continuation 10 C which will act as the cavity for the spring SP of the cam follower that is shown in exploded form in FIG. 5 and consists of a central hub or boss MOZ from which protrude two shafts PR and PM having a diameter lower than that of MOZ. On the pin PR is keyed roller RO which facilitates the rotation of the whole piece MOZ+PR+PM for horizontal displacement.
- FIGS. 4A and 4B show block 4 with hole 10 ′ in which penetrates the central shaft CA (see FIGS. 4 A- 4 B and 5 ) extending up to the anterior face of roller RO mounted on pin PR of hub MOZ whose second pin PM acts on spring SP. Obviously the pieces MOZ+RO+PM+SO which form the follower IA of cam 5 - 6 have been previously inserted in cavity 10 C which is on the continuation of shaft CA.
- cam 5 is inserted in hole 8 ′ till the end 51 ′′ of the inferior portion with minor diameter 51 ′ is engaged with a part of roller RO face 90 ; with said engagement of roller RO ( 90 ) with the inferior portion 51 ′′, it is possible to re-extract the central shaft CA (pulling knob M′′′) because the inferior base 51 ′′ of the lower part 51 ′ of cam 5 insisting on face 90 of roller RO keeps the spring compressed as in FIG. 4A.
- reference AAI indicates the anatomiacal degree insert with the relevant hole 65 inserted in the recess 19 of block 2 and recess 19 ′ of block 3 .
- the slits 13 and 13 ′ associated to the median block 2 and 3 are indicated as formed of two pieces. They can be formed of only one piece (monopiece) as 12 and 12 ′ which, at the limit, can also consist of several pieces (multipieces).
- FIG. 7 is a top view of the top SS 2 of block 2 and shows the dashed holes 28 and 29 in which are inserted the pins P 11 and P 11 ′ which go in engagement in the superior grooves Gs and G′s of the superior portions 53 and 53 ′ of 5 and 6.
- pins or plungers P 21 and P 21 ′ (not shown) will be inserted in holes 21 - 21 ′′ of blocks 3 and will engage inferior grooves G 1 and G′ 1 .
- These engagements of the four pins or plungers P 11 -P 11 ′ and P 21 -P′ 21 with the four grooves Gs-G 1 -G′s-G′ 1 will inhibit possible vertical movement of the “ensemble” of the four assembled blocks 1 - 4 .
- the insert of the anatomical angle AAI (FIG. 7) has a hole 86 whose median axis or central line 87 coincident with the anatomical axis AX has an inclination over the geometrical or mechanical axis MA, which can generally vary between 4° and 10° preferably between 5° and 9°. Therefore according to the patient anatomical axis AX the surgeon will select the insert AAI with the inclination adeguate to the involved patient anatomical axis.
- FIGS. 8, 8A, 8 B and 8 C show the five inserts from AAI( 1 ) to AAI( 5 ) with the inclinations from 5° to 9° capable to cover the case majority.
- FIG. 9 is a front view of a typical insert AAI, the insert from AAI( 1 ) to AAI( 5 ) being seen from the top.
- FIG. 10 shows the partial perspective of a median block, in this case block 3 with the insert AAI entered in the recess 19 ′; to this end insert AAI has a H-shape with four protruberances 96 - 97 (forward, anterior) and 98 - 98 ′ (rearward, posterior) which ledge or partially extend over the lateral faces 96 - 97 (anterior) and 98 - 99 (posterior) of block 3 .
- FIG. 11 is a side view (for example, according to arrow F of FIG. 6) of the assembly of blocks 1 , 2 , 3 and 4 , each block being represented together with the inclined axis of its own slit 12 , 12 ′ (generally, inclination of about 3° or 5°) and 13 , 13 ′ (45° inclinations).
- APK indicates the anatomical profiles of femur Fe and the cuts made by the blades or saws guided by blocks 1 - 4 are indicated by references AC ( 12 ), anterior cut, PC ( 12 ′), posterior cut, SAC ( 13 ′) anterior chamfered cut, SPC 13 posterior chamfered cut, and DC ( 18 ) distal cut.
- the assembling sequence of the apparatus is: insertion of anatomical axis AX in block 3 ;—insertion of cams 5 and 6 within said block 3 ;—insertion of pins P 12 and P′ 12 in the holes 21 and 21 ′ of block 3 ;—engagement of the major diameter portions 53 ′ and 53 ′′ in the holes 28 - 29 of block 2 ;—engagement of pins P 11 and P′ 11 into holes 11 and 11 ′ to assure the asembly seal;—insertion into the holes 10 ′ and 10 ′′ of block 4 of cam followers, namely of spring SP and hub MOZ together with roll RO;—compression of said spring, withdrawing of shaft CA and insertion of the threaded portions 51 ′- 51 ′′ and 52 - 52 ′′ up to the click or release engagement with the relevant rollers; and—repetition of the engagement of the helixes H and H′′ with the respective rollers.
Abstract
Apparatus to guide blades or saws of femoral cuts for knee prosthesis, consisting of four blocks, two blocks od which move only vertically and two blocks of which move only horizzontally; the motion means are cams which are accompained by followers and show helix tracks whose pitch permits to the apparatus to adapt to the different prosthesis
Description
- The present invention concerns an ancillary apparatus for knee prosthesis, in particular for guiding the femoral cut blades or saws which permit the insertion of the prosthesis components mostly adapted to the conformation of each patient, said apparatus comprising several blade-guide blocks vertically approached, in this case a first inferior, (lower or bottom) block (4) for posterior cut guide, a superior or head block for the anterior cut, two median blocks (2 and 3) for posterior (2), anterior (3) chamfer cuts, and means (5, 6) of support, seal and motion of said blocks taken singularly and/or all together.
- It is known that knee breaks and/or diseases particularly arthritic diseases are becoming to-day always more frequent as well and above all, in the increasing sport activities field as in the no sport practicing population because of the age or life lengthening and/or simply for the major mobility.
- The instruments for knee interventions know therfore an enormous expansion and innumerable are the proposals and structures suggested in the literature or applied in the hospital practice also and mainly in the attempt to suggest and finaly provide an apparatus of universal character, i.e. able to be applied to the knee different forms and sizes which knowingly vary from one person to the other.
- Among the numerous patents and patent publications we restrict ourself to mention the U.S. Pat. No. 4,892,093, No. 5,474,559, No. 5,749,876, European Patent Publications No 0538,,152, No 0538,153, No 0555,003, and French Patents No 2,664,157, No 2,679,766, No 2,629,339, No 2,681,779.
- French Patent No 2,679,766 descloses a femoral cut device for the correct positioning of prosthesis implants in the femoral and sagittal planes, which however needs several guides of cutting blades of different sizes for prosthesis to adapt to the different articulation sizes: some risks in the correct guide positioning are possible.
- The resection apparatus according to French patent No 2,664,157 includes a guide of the cutting blades in two blocks, one movable with the bevelling cuts support and one adjustable in height for the anterior cut.
- In the PCT-Publication WO96/01588 (corresponding to U.S. Pat. No. 5,749,876 and EP No 0721314) the apparatus for the knee condyles resection and for the positioning of a prosthesis comprises:—a support with an inferior basis;—a guide of the blades of the anterior and posterior cuts, either chamfer or not;—an intramedullary femoral rod, and tracer or contact means, said guide having three blocks two of which are mobile and adjustable in height; further one of the blocks comprises means to guide one of the anterior, posterior chamfer (or not) cuts, and the other two blocks comprise guide means of the remaining cuts.
- There is no doubt that the proposed solutions and devices, above all those according to said U.S. Pat. No. 5,749,876, have merits however they are never free of structural complexities which, moreover, involve operative complications, further they have production and running costs which strongly handicap a generalized diffusion.
- First object of the present invention is to provide an instrumentation particularly simple, compact, reliable and universal both in structural and operative terms.
- An other object of the invention is to provide adjustement and control means which are decidedly advantageous over the corresponding ones of the Prior Art. The more salient characteristics of the invention are recited in the appended claims which are considered here incorporated.
- According to a first feature of the invention the apparatus is characterized in that said terminal blocks (1 and 4) are only vertically movable, have at least two vertical holes (8 and 9, 8′ and 9′) for the passage of motion means (5 ans 6), at least one horizontal hole (10) for the insertion of means complementary to said means (5 and 6) and front slits (12, 12′) which are inclined on an horizontal line, are remote in respect to the inferior and superior edges (15 and 15′, 16 and 16′) of said end blocks;—the intermediate blocks move only horizontally, are provided with holes (28 and 29, 39 and 39) corresponding to said holes (8 and 9, 8′ and 9′) and inclined slits (13 and 13′) on the edges (16, 17 respectively) of said intermediate blocks (2 and 3).
- The various features and advantages of the invention will better appear from the following description of the (not-limitative) embodiments shown in the accompanying drawings in which:
- FIG. 1 is a perspective and partially exploded view of the four blocks in the instrumentation according to the invention;
- FIG. 2 is also a partially exploded perspective view of two motion cams;
- FIG. 3 is a partially perspective and enlarged view of only the right portion4D of
block 4; - FIGS.4A and AB are the vertival cross-sections with a plane having the line A′, A″ as trace on said right portion 4D of
same block 4, - FIG. 4A showing the uncompressed spring and
- FIG. 4B showing the compressed spring;
- FIG. 5 is an exploded and perspective view of the cam follower;
- FIG. 6 is the front view of the four compacted blocks, with
cams 5 and 6 inserted in all vertical holes and with the cam IA followers inserted in the two horizontal holes 10-10′, and with the insert of the anatomic angle AAI fixation set in the two recesses 19-19′ of the two median blocks; - FIG. 7 is a top view of the flat face7D of
block 2; - Figures from8 to 8D are top views of five embodiments of the anatomic angle AAI adjusting insert having an H form;
- FIG. 9 is a front view of said AAI;
- FIG. 10 is a perspective view of the insert AAI joint in the two recesses19-19′ worked in the two
intermediate blocks - FIG. 11 is a schematic cross-section of the apparatus according to the invention, on a knee together with the five made cuts.
- FIG. 1 shows the four saw-guide blocks from1 to 4 in exploded position, i.e. detached from each other. The end blocks namely the upper (superior) 1 and lower (inferior) 4 block, as well as the
median blocks - The
terminal blocks - The
superior block 1 and theinferior block 4show slanting slits horizontal holes - The
head block 1 shows additionally theslit 18 for the distal cut DC (18) in FIG. 11. Theslits edges 15 and 16 respectively whereas theslits edges median blocks show facing recesses - According to a feature of the invention, the
terminal blocks median blocks - The motion means are of the
cam type 5 and 6 and, typically, show on a nucleus or central axis CA two portions with a minor diameter 51-51′, 52-52′ in which are provided the helix tracks H-H′, H″-H′″, as well as two portions with major diameter 53-53′, 53″-53′″ in which are obtained the grooves Gs-Gl, G′s-G′1 respectively. - At the superior edge of CA, CA′ are engaged the handles M, M′.
- In the perspective view of FIG. 3 is represented on an enlarged scale, only the right portion4D of
block 4, in order to better show thehorizontal hole 10′ with its continuation 10C which will act as the cavity for the spring SP of the cam follower that is shown in exploded form in FIG. 5 and consists of a central hub or boss MOZ from which protrude two shafts PR and PM having a diameter lower than that of MOZ. On the pin PR is keyed roller RO which facilitates the rotation of the whole piece MOZ+PR+PM for horizontal displacement. - FIGS. 4A and 4B show
block 4 withhole 10′ in which penetrates the central shaft CA (see FIGS. 4A-4B and 5) extending up to the anterior face of roller RO mounted on pin PR of hub MOZ whose second pin PM acts on spring SP. Obviously the pieces MOZ+RO+PM+SO which form the follower IA of cam 5-6 have been previously inserted in cavity 10C which is on the continuation of shaft CA. - Once spring SP and means MOZ with roll RO have been inserted in the cavity10C, the end CA″ of shaft CA is pushed against the
face 90 of roll RO which through MOZ compresses spring SP whereby we go from the configuration with relaxed spring SP(u) of FIG. 4B to the configuration with compressed spring SP(c) of FIG. 4A. Once said spring SP(c) is compressed,cam 5 is inserted inhole 8′ till theend 51″ of the inferior portion withminor diameter 51′ is engaged with a part ofroller RO face 90; with said engagement of roller RO (90) with theinferior portion 51″, it is possible to re-extract the central shaft CA (pulling knob M′″) because theinferior base 51″ of thelower part 51′ ofcam 5 insisting onface 90 of roller RO keeps the spring compressed as in FIG. 4A. - Shaft CA can now be unthreaded and in the free portion so obtained the
cam 5 is vertically pushed down till roller RO engages track H′. With this insertion of RO into H′ the surgeon turns the handle M whereby roller RO re-ascends said track H′ and translate along vertical axis Y-Y ofcam 5 thereby vertically desplacingblock 4. - Same procedure takes place for the
cam 5superior portion 51 i.e. after that the cam has been taken in the position of FIG. 4A, also thesuperior part 51 of 5 engages its follower IA housed in the cavity 10 c of thesuperior block 1. Blocks from 1 to 4 can be seen compacted in FIG. 6,blocks cavities 10 c and 10″c ofblock 1, inferior folowers IA1 and IA′1 being inserted in theholes 10′ and 10′″ ofblock 4. - In the same FIG. 6, reference AAI indicates the anatomiacal degree insert with the
relevant hole 65 inserted in therecess 19 ofblock 2 and recess 19′ ofblock 3. In said overhall FIG. 6 as well as in the FIGS. 2 and 3, theslits median block - In general the rotation of handles M, M′ of
cams 5 and 6 amounts to a half revolution i.e. 180°, preferably it proceeds at determinated steps of the powls and springs associated to M and M′ (not shown because are conventional). - FIG. 7 is a top view of the top SS2 of
block 2 and shows the dashedholes superior portions - Similarly pins or plungers P21 and P21′ (not shown) will be inserted in holes 21-21″ of
blocks 3 and will engage inferior grooves G1 and G′1. These engagements of the four pins or plungers P11-P11′ and P21-P′ 21 with the four grooves Gs-G1-G′s-G′1 will inhibit possible vertical movement of the “ensemble” of the four assembled blocks 1-4. - As known the insert of the anatomical angle AAI (FIG. 7) has a
hole 86 whose median axis or central line 87 coincident with the anatomical axis AX has an inclination over the geometrical or mechanical axis MA, which can generally vary between 4° and 10° preferably between 5° and 9°. Therefore according to the patient anatomical axis AX the surgeon will select the insert AAI with the inclination adeguate to the involved patient anatomical axis. - The top views of FIGS. 8, 8A,8B and 8C (similar to FIG. 7) show the five inserts from AAI(1) to AAI(5) with the inclinations from 5° to 9° capable to cover the case majority. FIG. 9 is a front view of a typical insert AAI, the insert from AAI(1) to AAI(5) being seen from the top.
- FIG. 10 shows the partial perspective of a median block, in this case block3 with the insert AAI entered in the
recess 19′; to this end insert AAI has a H-shape with four protruberances 96-97 (forward, anterior) and 98-98′ (rearward, posterior) which ledge or partially extend over the lateral faces 96-97 (anterior) and 98-99 (posterior) ofblock 3. - FIG. 11 is a side view (for example, according to arrow F of FIG. 6) of the assembly of
blocks own slit - In the assembly center namely through the control portion of
block 2 goes (passes) rod R placed on the anatomical axis AX. APK indicates the anatomical profiles of femur Fe and the cuts made by the blades or saws guided by blocks 1-4 are indicated by references AC (12), anterior cut, PC (12′), posterior cut, SAC (13′) anterior chamfered cut,SPC 13 posterior chamfered cut, and DC (18) distal cut. - The assembling sequence of the apparatus according to the invention is: insertion of anatomical axis AX in
block 3;—insertion ofcams 5 and 6 within saidblock 3;—insertion of pins P12 and P′12 in theholes block 3;—engagement of themajor diameter portions 53′ and 53″ in the holes 28-29 ofblock 2;—engagement of pins P11 and P′11 intoholes holes 10′ and 10″ ofblock 4 of cam followers, namely of spring SP and hub MOZ together with roll RO;—compression of said spring, withdrawing of shaft CA and insertion of the threadedportions 51′-51″ and 52-52″ up to the click or release engagement with the relevant rollers; and—repetition of the engagement of the helixes H and H″ with the respective rollers. - The hospital attendants will have no difficulties to carry out this assembly whereas the surgeon must substantially limit himself to manoeuvre the handles M and M′ which because of the helix profiles in the
portions major diameter portions blocks blocks - Even if for illustrative clarity scruple the invention has been described with particular reference to the embodiments represented in the accompanying drawings, it is abvious that all the changes, alternatives, substitutions and the like to said embodiments which are in the reach of the a mean skilled persons are to be considered as falling within the scope and spirit of the following claims.
Claims (8)
1. An ancillary apparatus for knee prosthesis, in particular for guiding the femoral cut blades or saws which permit the insertion of the prosthesis components mostly adapted to the conformation of each patient, said apparatus comprising several blade-guide clocks vertiacally approached, in this case a first inferior, (lower or bottom) block (4) for posterior cut guide a superior or head block for the anterior cut, two median blocks (2 and 3) for posterior (2), anterior (3) chamfer cuts, and means (5, 6) of suport, seal and motion of said blocks taken singularly and/or all together,
characterized in that said terminal blocks (1 and 4) are only vertically movable, have at least two vertical holes (8 and 9, 8′ and 9′) for the passage of said motion means (5 ans 6), at least one horizontal hole (10) for the insertion of means complementary to said means (5 and 6) and front slits (12, 12′) which are inclined on an horizontal line, are remote in respect to the inferior and superior edges (15 and 15′, 16 and 16′) of said end blocks;—the intermediate blocks move only horizontally, are provided with holes (28 and 29, 39 and 39) corresponding to said holes (8 and 9, 8′ and 9′) and with inclined slits (13 and 13′) on the edges (16, 17 respectively) of said intermediate blocks (2 and 3).
2. Apparatus according to , characterized in that the motion means (5, 6) are cams comprising two terminal portions (51-51′ and 52-52′) two intermediate portions (51-51′ and 52-52′) and two intermediate portions (53-53′) with diameter diversity, the two extreme portions with minor diameter being provided with spiral or helix tracks (H-H′, H″-H′″), the intermediate portions with major diameter being, each, provided with at least a groove (Gs-Gl, G′s-G′l).
claim 1
3. Apparatus according to , characterized in that the two intermediate portions with major diameter (53-53′) are eccentric in respect to said two extreme portions (51-51′, 52-52′).
claim 2
4. Apparatus acording to at least one of the preceding claims, characterized by being substantially universal, i.e. adaptable to femur components of different design and size, by varying the helix or spiral pitch (H-H′, H″-H′″) on the extreme portions with minor diameter of the cam guides (51-51′, 52-52′).
5. Apparatus according to , characterized in that said adaptability is enhanced by playing also on the position of said slits in said blocks.
claim 4
6. Apparatus according to at least one of the preceding claims, characterized in that the means cooperating with said cams include a hub or boss and a spring.
7. Apparatus according to claims 6, wherein said hub or boss shows a central body (MOZ) having a major diameter from which minor diameter pins (PM-PR) protrude, on one (PR) of which is keyed a roller (RO) whereas the free end of the other pin (PM) insists on the spring (PS).
8. Apparatus substantially according to what described and shown.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
IT2000MI000134A IT1317747B1 (en) | 2000-01-31 | 2000-01-31 | ANCILLARY EQUIPMENT FOR KNEE PROSTHESIS. |
ITMI2000A000314 | 2000-01-31 |
Publications (2)
Publication Number | Publication Date |
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US20010016745A1 true US20010016745A1 (en) | 2001-08-23 |
US6440140B2 US6440140B2 (en) | 2002-08-27 |
Family
ID=11443836
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US09/773,645 Expired - Fee Related US6440140B2 (en) | 2000-01-31 | 2001-01-31 | Ancillary apparatus for knee prosthesis |
Country Status (3)
Country | Link |
---|---|
US (1) | US6440140B2 (en) |
EP (1) | EP1132050A3 (en) |
IT (1) | IT1317747B1 (en) |
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US7794467B2 (en) | 2003-11-14 | 2010-09-14 | Smith & Nephew, Inc. | Adjustable surgical cutting systems |
US7862570B2 (en) | 2003-10-03 | 2011-01-04 | Smith & Nephew, Inc. | Surgical positioners |
US8109942B2 (en) | 2004-04-21 | 2012-02-07 | Smith & Nephew, Inc. | Computer-aided methods, systems, and apparatuses for shoulder arthroplasty |
US8177788B2 (en) | 2005-02-22 | 2012-05-15 | Smith & Nephew, Inc. | In-line milling system |
US10555818B2 (en) | 2015-04-23 | 2020-02-11 | Institute for Musculoskeletal Science and Education, Ltd. | Spinal fusion implant for oblique insertion |
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US20050240196A1 (en) * | 2004-03-09 | 2005-10-27 | Davis Kenneth P | Apparatus for use in orthopaedic surgery |
US7572261B2 (en) * | 2004-08-31 | 2009-08-11 | Howmedica Osteonics Corp. | Modular capture with magnetic attachment |
US7686811B2 (en) * | 2006-04-17 | 2010-03-30 | Zimmer Technology, Inc. | Surgical component fixation and method |
US8016833B2 (en) * | 2006-12-20 | 2011-09-13 | Howmedica Osteonics Corp. | Femoral cutting block |
US8821500B2 (en) * | 2006-12-20 | 2014-09-02 | Howmedica Osteonics Corp. | Femoral cutting block |
US8197486B2 (en) * | 2007-09-20 | 2012-06-12 | Depuy Products, Inc. | Surgical cutting guide |
US8313491B2 (en) * | 2009-08-20 | 2012-11-20 | Wright Medical Technology, Inc. | Adjustable femoral resection guide |
GB201403020D0 (en) * | 2014-02-20 | 2014-04-09 | Depuy Ireland | Surgical instrument |
US10709460B2 (en) | 2016-08-01 | 2020-07-14 | Howmedica Osteonics Corp. | Centering guide system for arthroplasty |
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FR538153A (en) * | 1921-07-11 | 1922-06-06 | Improvements relating to mechanical printing presses | |
FR2722392A1 (en) * | 1994-07-12 | 1996-01-19 | Biomicron | APPARATUS FOR RESECTING KNEE CONDYLES FOR PLACING A PROSTHESIS AND METHOD FOR PLACING SUCH AN APPARATUS |
US5716361A (en) * | 1995-11-02 | 1998-02-10 | Masini; Michael A. | Bone cutting guides for use in the implantation of prosthetic joint components |
WO1997030648A1 (en) * | 1996-02-23 | 1997-08-28 | Midwest Orthopedic Research Foundation | Device and method for distal femur cutting and prothesis measuring |
US6007537A (en) * | 1998-06-15 | 1999-12-28 | Sulzer Orthopedics Inc. | Nested cutting block |
-
2000
- 2000-01-31 IT IT2000MI000134A patent/IT1317747B1/en active
-
2001
- 2001-01-23 EP EP01101404A patent/EP1132050A3/en not_active Withdrawn
- 2001-01-31 US US09/773,645 patent/US6440140B2/en not_active Expired - Fee Related
Cited By (7)
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US7862570B2 (en) | 2003-10-03 | 2011-01-04 | Smith & Nephew, Inc. | Surgical positioners |
US8491597B2 (en) | 2003-10-03 | 2013-07-23 | Smith & Nephew, Inc. (partial interest) | Surgical positioners |
US7764985B2 (en) | 2003-10-20 | 2010-07-27 | Smith & Nephew, Inc. | Surgical navigation system component fault interfaces and related processes |
US7794467B2 (en) | 2003-11-14 | 2010-09-14 | Smith & Nephew, Inc. | Adjustable surgical cutting systems |
US8109942B2 (en) | 2004-04-21 | 2012-02-07 | Smith & Nephew, Inc. | Computer-aided methods, systems, and apparatuses for shoulder arthroplasty |
US8177788B2 (en) | 2005-02-22 | 2012-05-15 | Smith & Nephew, Inc. | In-line milling system |
US10555818B2 (en) | 2015-04-23 | 2020-02-11 | Institute for Musculoskeletal Science and Education, Ltd. | Spinal fusion implant for oblique insertion |
Also Published As
Publication number | Publication date |
---|---|
EP1132050A2 (en) | 2001-09-12 |
ITMI20000134A1 (en) | 2001-07-31 |
ITMI20000134A0 (en) | 2000-01-31 |
US6440140B2 (en) | 2002-08-27 |
IT1317747B1 (en) | 2003-07-15 |
EP1132050A3 (en) | 2003-05-02 |
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