US2622592A - X-ray marker for artificial femoral heads - Google Patents

X-ray marker for artificial femoral heads Download PDF

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US2622592A
US2622592A US265099A US26509952A US2622592A US 2622592 A US2622592 A US 2622592A US 265099 A US265099 A US 265099A US 26509952 A US26509952 A US 26509952A US 2622592 A US2622592 A US 2622592A
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head
femoral heads
artificial
artificial femoral
stem
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US265099A
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Rosenstein Max
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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
    • A61F2/3601—Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices
    • A61F2/3603—Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices implanted without ablation of the whole natural femoral head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • 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
    • A61F2/3601—Femoral heads ; Femoral endoprostheses for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices
    • 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
    • A61F2002/3008—Properties of materials and coating materials radio-opaque, e.g. radio-opaque markers
    • 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
    • A61F2002/3009—Transparent or translucent
    • 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
    • A61F2002/30108—Shapes
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/30299—Three-dimensional shapes umbrella-shaped or mushroom-shaped
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0093—Umbrella-shaped, e.g. mushroom-shaped
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0091—Additional features; Implant or prostheses properties not otherwise provided for transparent or translucent
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
    • 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
    • A61F2310/00011—Metals or alloys
    • A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel

Definitions

  • the present invention relates to artificial femoral heads of transparent material, such as synthetic resins, and more particularly to a position marker in such transparent artificial prostheses.
  • an opaque eccentric marker preferably of metal, said marker being built into the interior of the transparent femoral head.
  • Allsteel heads are also known, but it would not be possibl to apply such a position marker to the exterior of such a prosthesis since it would create friction between the prosthesis and the bone with which it cooperates.
  • the opaque marker built into the transparent head will appear on an X-ray picture and will signify the exact position of the artificial femoral head at the time of or immediately after the operation. Subsequent X-ray pictures will, by comparison, show whether there has been any dislocation of the prosthesis.
  • l is the substantially hemispherically shaped transparent head and 2 is the stem which secures the head in the bone.
  • the stem is provided with longitudinal grooves 3 which will produce a more solid connection between the bone and the stem.
  • the stem is preferably tapered at the end.
  • the stem and head may be made of any suitable transparent material which remains inert in the human body and various synthetic resins have been found satisfactory. Acrylic and methacrylic polymers have been found suitable but the present invention is not concerned with any specific substance for femoral heads, such substances being known in the art.
  • Th plastic head and stem are cast on a core of metal, such as steel, comprising a rod 4 corresponding to stem 3 and a disc 5 placed concentrically in head I.
  • Disc 5 carries eccentric stud 6 which fixes the position of the femoral head in the bone. Any rotational movement of the head will result in a movement of position marker 6, easily ascertainable by comparison of X-ray pictures.
  • the femoral head of the present invention is used in th following manner:
  • the femoral neck is severed and the femoral head is removed. Thereupon, the neck is perforated from end to end, preferably so that the tunnel-like opening is so oriented that the head is in a slightly coxa-vagoid position.
  • the surface of the neck is then smoothed and so prepared that the base of the artificial head is received in as close a fit as possible.
  • the selected size of prosthesis is then introduced into the fore hole and driven in by means of the drivehead until, by transparency, the rim of the neck is seen to adhere completely to the groove formed by the head at its junction with the stem. After careful reconstruction of the capsule, the muscular and cutaneous planes are closed.
  • Position marker 5 will appear clearly on any X-ray picture since it is formed of opaque material, preferably integrally with the disc 5.
  • An artificial prosthesis comprising a transparent femoral head and a stem integral therewith, a metal core comprising a disc concentrically arranged in said head and a rod co-axially arranged in said stem, and a metal stud eccentrically secured to said disc.

Description

Dec. 23, 1952 M. ROSENSTEIN X-RAY MARKER FOR ARTIFICIAL FEMORAL HEADS Filed Jan. 5, 1952 /flllllllfrlllr lll Illlllll INVENTOR MAX ROSENSTEIN BY 7% WZM/ ATTO R N EY atented Dec. 23, 1952 UNITED STATES PATENT OFFICE X-RAY MARKER FOR ARTIFICIAL FEMORAL HEADS 1 Claim.
The present invention relates to artificial femoral heads of transparent material, such as synthetic resins, and more particularly to a position marker in such transparent artificial prostheses.
Artificial transparent femoral heads have been used heretofore in hip arthroplasty but once the femoral heads were in position in the human body, subsequent X-rays failed to reveal whether the head had changed its position, the generally circular and spherical contours of the prosthesis and its parts giving no indication of possible rotational displacement. Since even the slightest dislocations may be of considerable importance, this has been a serious disadvantage.
In accordance with the present invention, there is provided an opaque eccentric marker, preferably of metal, said marker being built into the interior of the transparent femoral head. Allsteel heads are also known, but it would not be possibl to apply such a position marker to the exterior of such a prosthesis since it would create friction between the prosthesis and the bone with which it cooperates. The opaque marker built into the transparent head will appear on an X-ray picture and will signify the exact position of the artificial femoral head at the time of or immediately after the operation. Subsequent X-ray pictures will, by comparison, show whether there has been any dislocation of the prosthesis.
The invention will be more fully described in connection with the single figure of the accompanyin drawing showing an artificial femoral head. In the drawing, l is the substantially hemispherically shaped transparent head and 2 is the stem which secures the head in the bone. As illustrated, the stem is provided with longitudinal grooves 3 which will produce a more solid connection between the bone and the stem. The stem is preferably tapered at the end. The stem and head may be made of any suitable transparent material which remains inert in the human body and various synthetic resins have been found satisfactory. Acrylic and methacrylic polymers have been found suitable but the present invention is not concerned with any specific substance for femoral heads, such substances being known in the art.
Th plastic head and stem are cast on a core of metal, such as steel, comprising a rod 4 corresponding to stem 3 and a disc 5 placed concentrically in head I. Disc 5 carries eccentric stud 6 which fixes the position of the femoral head in the bone. Any rotational movement of the head will result in a movement of position marker 6, easily ascertainable by comparison of X-ray pictures.
The femoral head of the present invention is used in th following manner:
The femoral neck is severed and the femoral head is removed. Thereupon, the neck is perforated from end to end, preferably so that the tunnel-like opening is so oriented that the head is in a slightly coxa-vagoid position. The surface of the neck is then smoothed and so prepared that the base of the artificial head is received in as close a fit as possible. The selected size of prosthesis is then introduced into the fore hole and driven in by means of the drivehead until, by transparency, the rim of the neck is seen to adhere completely to the groove formed by the head at its junction with the stem. After careful reconstruction of the capsule, the muscular and cutaneous planes are closed.
Position marker 5 will appear clearly on any X-ray picture since it is formed of opaque material, preferably integrally with the disc 5.
What is claimed is:
An artificial prosthesis comprising a transparent femoral head and a stem integral therewith, a metal core comprising a disc concentrically arranged in said head and a rod co-axially arranged in said stem, and a metal stud eccentrically secured to said disc.
1VIAX ROSENSTEIN.
REFERENCES CKTED The following references are of record in the file of this patent:
The Journal of Bone a Joint Surgery for May 1950, p. 167.
The Journal of Bone & Joint Surgery for October 1951, advertising p. 39.
(Copies of these publications in the Scientific Library.)
US265099A 1952-01-05 1952-01-05 X-ray marker for artificial femoral heads Expired - Lifetime US2622592A (en)

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Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2679245A (en) * 1950-03-20 1954-05-25 Timmermans Frans Donatus Prosthesis for femoral heads
US2785673A (en) * 1952-05-06 1957-03-19 Anderson Roger Femoral prosthesis
US5178164A (en) * 1987-11-10 1993-01-12 Allen George S Method for implanting a fiducial implant into a patient
WO2001005336A1 (en) * 1999-07-16 2001-01-25 Eska Implants Gmbh & Co. Implant designed to fill up cartilage and bone defects in joints
US6273915B1 (en) * 1996-08-13 2001-08-14 James B. Grimes Femoral head-neck prosthesis and method of implantation
US6371959B1 (en) 2000-04-05 2002-04-16 Michael E. Trice Radiolucent position locating device and drill guide
US20040078084A1 (en) * 2002-10-22 2004-04-22 Ricardo Albertorio Prosthetic implant and method of use
US6740120B1 (en) 1996-08-13 2004-05-25 James B. Grimes Bone prosthesis and method of Access
US6783553B2 (en) 2001-10-24 2004-08-31 James B. Grimes Prosthesis
WO2006052874A2 (en) * 2004-11-08 2006-05-18 Small Bone Innovations, Inc. Metatarsal implant
US20080109085A1 (en) * 2006-11-03 2008-05-08 Howmedica Osteonics Corp. Method and apparatus for hip femoral resurfacing tooling
US20100121458A1 (en) * 2006-06-30 2010-05-13 Howmedica Osteonics Corp. Femoral head resurfacing
WO2011090711A1 (en) 2010-01-22 2011-07-28 Osteomed Llc Resurfacing implant
US11318021B2 (en) * 2015-02-10 2022-05-03 Jiangsu Okani Medical Technology Co., Ltd Total hip surface replacement implant

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
None *

Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2679245A (en) * 1950-03-20 1954-05-25 Timmermans Frans Donatus Prosthesis for femoral heads
US2785673A (en) * 1952-05-06 1957-03-19 Anderson Roger Femoral prosthesis
US5178164A (en) * 1987-11-10 1993-01-12 Allen George S Method for implanting a fiducial implant into a patient
US6273915B1 (en) * 1996-08-13 2001-08-14 James B. Grimes Femoral head-neck prosthesis and method of implantation
US6740120B1 (en) 1996-08-13 2004-05-25 James B. Grimes Bone prosthesis and method of Access
US20040193281A1 (en) * 1999-02-19 2004-09-30 Grimes James B. Bone prosthesis and method of implantation
WO2001005336A1 (en) * 1999-07-16 2001-01-25 Eska Implants Gmbh & Co. Implant designed to fill up cartilage and bone defects in joints
US6371959B1 (en) 2000-04-05 2002-04-16 Michael E. Trice Radiolucent position locating device and drill guide
US6783553B2 (en) 2001-10-24 2004-08-31 James B. Grimes Prosthesis
US20040078084A1 (en) * 2002-10-22 2004-04-22 Ricardo Albertorio Prosthetic implant and method of use
WO2006052874A2 (en) * 2004-11-08 2006-05-18 Small Bone Innovations, Inc. Metatarsal implant
WO2006052874A3 (en) * 2004-11-08 2007-08-23 Small Bone Innovations Inc Metatarsal implant
US20100121458A1 (en) * 2006-06-30 2010-05-13 Howmedica Osteonics Corp. Femoral head resurfacing
US20080109085A1 (en) * 2006-11-03 2008-05-08 Howmedica Osteonics Corp. Method and apparatus for hip femoral resurfacing tooling
US20110004318A1 (en) * 2006-11-03 2011-01-06 Howmedica Osteonics Corp. Method and apparatus for hip femoral resurfacing tooling
US8152855B2 (en) 2006-11-03 2012-04-10 Howmedica Osteonics Corp. Method and apparatus for hip femoral resurfacing tooling
WO2011090711A1 (en) 2010-01-22 2011-07-28 Osteomed Llc Resurfacing implant
US20110184528A1 (en) * 2010-01-22 2011-07-28 Osteomed L.P. Resurfacing Implant
US11318021B2 (en) * 2015-02-10 2022-05-03 Jiangsu Okani Medical Technology Co., Ltd Total hip surface replacement implant

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