TR202012007A2 - Hip Prosthesis Systems Used in Femural Head and Acetabular Bone Deformations - Google Patents

Hip Prosthesis Systems Used in Femural Head and Acetabular Bone Deformations Download PDF

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Publication number
TR202012007A2
TR202012007A2 TR2020/12007A TR202012007A TR202012007A2 TR 202012007 A2 TR202012007 A2 TR 202012007A2 TR 2020/12007 A TR2020/12007 A TR 2020/12007A TR 202012007 A TR202012007 A TR 202012007A TR 202012007 A2 TR202012007 A2 TR 202012007A2
Authority
TR
Turkey
Prior art keywords
hip prosthesis
hip
bone
acetabulum
feature
Prior art date
Application number
TR2020/12007A
Other languages
Turkish (tr)
Inventor
Ari Özlem
Özmen Serdar
Özaydin Fati̇h
Çeti̇n Mustafa
Original Assignee
Estas Eksantrik Sanayi Ve Ticaret Anonim Sirketi
So Saglik Ortopedi Medikal Elektrik Insaat Taahhuet Proje Ithalat Ihracat Pazarlama Ve Ticaret Ltd S
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Estas Eksantrik Sanayi Ve Ticaret Anonim Sirketi, So Saglik Ortopedi Medikal Elektrik Insaat Taahhuet Proje Ithalat Ihracat Pazarlama Ve Ticaret Ltd S filed Critical Estas Eksantrik Sanayi Ve Ticaret Anonim Sirketi
Priority to TR2020/12007A priority Critical patent/TR202012007A2/en
Publication of TR202012007A2 publication Critical patent/TR202012007A2/en
Priority to PCT/TR2021/050728 priority patent/WO2022025850A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
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    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
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    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3652Connections of necks to shafts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3662Femoral shafts
    • A61F2002/3678Geometrical features
    • A61F2002/368Geometrical features with lateral apertures, bores, holes or openings, e.g. for reducing the mass, for receiving fixation screws or for communicating with the inside of a hollow shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00023Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00574Coating or prosthesis-covering structure made of carbon, e.g. of pyrocarbon
    • A61F2310/0058Coating made of diamond or of diamond-like carbon DLC

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

Buluş, kalça eklemlerindeki femural ve asetabulum kemiklerinde ortaya çıkan deformasyonu tedavi etmek amacıyla kullanılan kalça protez sistemleri ile ilgili olup; - Akma ve uzama değerleri yükseltilmiş dolayısıyla mukavemeti arttırılmış Ti6Al4V ELI (Grade 23) malzemeden müteşekkil, özel kimyasal pürüzlendirme işlemi ve kumlama yapılarak protezin kemik içerisine çakılan bölgeye tutunumunun arttırıldığı, elektrolitik ortamda elektrotlar üzerinde oluşan reaksiyonlar sonucunda anodik oksidasyon prosesi gerçekleştirilerek biyouyumluluk özelliği arttırılmış proksimal femur gövde (5), - İstenilen açıda sabitlenebilmesi için açı ayar çentiğine (14) sahip olan, ürünlerin implante edilebilmesi için komşu kemik dokulardan destek almak amacıyla kemik doku içerisine yerleştirilen stem (destek çivisi) (10), - Kalça protezi sistemini kemikte yer alan asetebulum eklem kıkırdağına bağlayan bipolar cup (1) ve - Total kalça protez sistemini ilium kemiğine bağlayan asetabulum (12) içermesi ile karakterize edilmektedir.The invention relates to hip prosthesis systems used to treat deformation in femural and acetabulum bones in hip joints; - Proximal femur body composed of Ti6Al4V ELI (Grade 23) material with increased yield and elongation values and therefore increased strength, the adhesion of the prosthesis to the bone impacted area is increased by special chemical roughening and sandblasting, anodic oxidation process is performed as a result of the reactions occurring on the electrodes in the electrolytic environment and has increased biocompatibility. (5), - The stem (support nail), which has an angle adjustment notch (14) to be fixed at the desired angle, is inserted into the bone tissue to support the adjacent bone tissues so that the products can be implanted (10), bipolar cup (1) connecting to the cartilage and - acetabulum (12) connecting the total hip prosthesis system to the ilium bone.

Description

TARIFNAME F emnral Head ve Asetabulum Kemik Deformasyonlarinda Kullanilan Kalça Protez Sistemleri Teknik Alan Bulus, kalça eklemlerindeki femural ve asetabulum kemiklerinde ortaya çikan defoimasyonu tedavi etmek amaciyla kullanilan kalça protez sistemleri ile Önceki Teknik Kalça ekleminin fonksiyon göremedigi durumlarda kullanilan ve kalça ekleminin yerini alan vücuda uyumlu metalden üretilmis platine kalça protezi ismi verilmektedir. Kalça protezleri kalça kiriklarinda ve kanser gibi durumlarda kalça ekleminin çikarilmasi gereken hallerde kullanilmaktadir. DESCRIPTION Hip Used in Femral Head and Acetabulum Bone Deformations Prosthetic Systems Technical Area The invention occurs in the femoral and acetabulum bones in the hip joints. With hip prosthesis systems used to treat the resulting deformation Prior Art It is used in cases where the hip joint cannot function and the hip The name of the platinum hip prosthesis made of metal compatible with the body that replaces the joint are given. Hip replacements are used in hip fractures and in conditions such as cancer. It is used in cases where the joint needs to be removed.

Mevcut teknikte yer alan kalça protezleri farkli miktarlardaki deformasyonlara uygulanamamaktadir. Farkli deformasyon miktarlarina çözüm olamadigi için ameliyat sürelerini oldukça uzatmaktadir. Hip prostheses in the current technique are used in different amounts. It cannot be applied to deformations. Solution for different deformation amounts Since it is not possible, it prolongs the operation times considerably.

Mevcut teknikte yer alan kalça protezlerinde kullanilan el aletlerinin tasarimlari yetersizdir. Tasarimlarin yetersiz olmasi da yine ameliyat sürelerini oldukça uzatmaktadir. Hand tools used in hip prosthesis in the current technique designs are inadequate. The inadequacy of the designs also shortens the operation times. it is quite lengthy.

Mevcut teknikte yer alan EP2512379 kodlu Avrupa patent dokümaninda kismi kalça protezinden bahsedilmektedi r. Bahsedilen patent dokümaninda yer alan protez, protetik bilesenin yüzey islemi ve artikülasyonun optimize geometrisinin birlestirilmesi ile kismi kalça protezinde sürtünme ve asinmayi azaltmaktadir. In the European patent document with the code EP2512379 in the current technique Partial hip replacement is mentioned. contained in the aforementioned patent document. prosthesis, surface treatment of the prosthetic component and optimized geometry of articulation By combining it, it reduces friction and wear in partial hip prosthesis.

Asetabulum, kemige oyulmaktadir. Ya oymali asetabulumun ya da femoral bas protezininki olan artiküle yüzeylerden biri küreseldir, böylelikle akiskan ile dolu bir bosluk, önemli yük aktarim alaninda olusturulmaktadir. Akiskan ile doldurulmus bosluk, içbükey ve disbükey bilesenlerin uyumlu oldugu dairesel bir temas alani ile sizdimiaz hale getirilmektedir. Tercih edilen yüzey islemi, kemige karsi çok düsük sürtünme katsayisina ve yüksek yipranma direncine neden olan, elmas benzeri kaplama vasitasiyla olmaktadir. Protetik bas, delikli bir kabuk tarafindan geleneksel bir kök ile veya femur üzerine vidalanan bir femoral boyun protezi ile femura sabitlenmektedir, böylelikle kismen kemik tarafindan kaplanmaktadir ve kalkar bölgesinin oyulmus korteksine dayandigi merkeze dogru asagi yönde kismen maruz kalmaktadir. Söz konusu patent dokümaninda yer alan protez farkli miktarlardaki deformasyonlarda uygulanamamaktadir. Ayrica protezin tasarimindan dolayi montaj sirasinda kullanilan el aletleri oldukça fazladir. The acetabulum is carved into the bone. Either the carved acetabulum or the femoral bass one of the articulated surfaces, that of the prosthesis, is spherical so that it is filled with fluid. a gap is created in the important load transfer area. with Akiskan The filled void is a circular shape in which the concave and concave components are compatible. It is made leakproof with the contact area. Preferred surface treatment to bone which causes very low coefficient of friction and high wear resistance, through the diamond-like coating. Prosthetic bass, a perforated shell A femoral neck screwed onto the femur with a conventional root or It is fixed to the femur with a prosthesis, so that it is partially occupied by the bone. it is covered and towards the center where it rests on the hollowed out cortex of the calcar region. partially exposed in the downward direction. contained in the said patent document. The prosthesis cannot be applied in different amounts of deformations. Moreover Due to the design of the prosthesis, the hand tools used during assembly are quite high.

Kullanilan el aletlerinin fazla olmasi, ameliyat sürelerini uzatmaktadir. The large number of hand tools used prolongs the operation time.

Bulusun Amaci Bulusun amaci; farkli miktarlardaki deformasyonlarda uygulanabilen bir kalça protezi elde etmektir. Purpose of the Invention The purpose of the invention; that can be applied to different deformations to obtain a hip replacement.

Bulusun bir diger amaci; biyouyumluluk Özelligi arttirilmis bir kalça protezi elde etmektir. Another purpose of the invention; A hip prosthesis with increased biocompatibility is to obtain.

Bulusun bir diger amaci; protezin uygulanmasi sirasinda kullanilan el aletlerinin minimize edilmesini saglayan Bulusun bir diger amaci; Ti 4 malzemesine göre akma ve % uzama degerleri 1,5 kat daha fazla artirmaktir. Another purpose of the invention; the hand used during the application of the prosthesis enabling the minimization of tools Another purpose of the invention; Yield and % elongation values according to Ti 4 material 1.5 times more increase.

Bulusun bir diger amaci; akma degeri ve % uzama degeri dikkate alindiginda küçük çaplardaki implantlarda daha fazla mukavemet saglamaktir. Another purpose of the invention; taking into account the yield value and the % elongation value It is to provide more strength in small diameter implants.

Bahsedilen amaçlari gerçeklestirmek üzere gelistirilen sistem; bipolar cup (l), asinma plakasi (2), segman (3), head (4), proksimal femur gövde (5), doku delikleri (6), civatalar (7), kalça protezi kapagi (8), kalça protezi konnektör bölgesi (9), destek çivisi (stein) (10), vidalar (11), asetabulum (12), total sistem asinma plakasi (13) ve açi ayar çentigi (14) içermektedir. The system developed to realize the mentioned purposes; bipolar cup (l), wear plate (2), segment (3), head (4), proximal femoral shaft (5), tissue holes (6), bolts (7), hip replacement cover (8), hip replacement connector area (9), support nail (stein) (10), screws (11), acetabulum (12), total system abrasion plate (13) and angle adjustment notch (14).

Sekillerin Açiklamasi Ekte sunulan Sekil - 1 kalça protezin demonte halinin üstten perspektif görünümüdür. Description of Figures Appendix Figure - 1 disassembled hip prosthesis from top perspective is the view.

Sekil-2 kalça protezinin detay görünümüdür. Figure-2 is the detail view of the hip prosthesis.

Sekil-3 kalça protezinin montajlanmis halinin üstten perspektif görünümüdür. Figure-3 top perspective of the assembled hip prosthesis is the view.

Sekil-4 total sistem kalça protezin demonte halinin üstten perspektif görünümüdür. Figure-4 top perspective of disassembled total system hip prosthesis is the view.

Sekil-5 total Sistem kalça protezin detay görünümüdür. Figure-5 is the detail view of the total System hip prosthesis.

Sekil- 6 total Sistem kalça protezin montajlanmis halinin üstten perspektif görünümüdür. Figure- 6 Top perspective of the total System hip prosthesis assembled is the view.

Sekillerde ifade edilen baslica parçalar asagida numara ve isim olarak verilmistir. The main parts expressed in the figures are listed below as numbers and names. given.

Proksimal femur gövde Doku delikleri 8) Kalça protezi kapagi ) Destek çivisi (stem) 11) Vidalar 12) Asetabulum Civatalar Kalça protezi konnektör bölgesi 14 Açi ayar çentigi Bulusun Detayli Açiklamasi Bulus, kalça eklemlerindeki femural ve asetabulum kemiklerinde ortaya çikan deformasyonu tedavi etmek amaciyla kullanilan kalça protez sistemleri ile ilgilidir. Bulus konusu kalça protezi sistemi; bipolar cup (1), asinma plakasi (2), segman (3), head (4), proksimal femur gövde (5), doku delikleri (6), Civatalar (7), kalça protezi kapagi (8), kalça protezi konnektör bölgesi (9)I destek çivisi (stem) (10), vidalar (ll), asetabulum (12), total sistem asinma plakasi (13) ve açi ayar çentigi (14) içermektedir. Proximal femoral trunk texture holes 8) Hip replacement cover ) Support spike (stem) 11) Screws 12) Acetabulum bolts Hip replacement connector area 14 Angle adjustment notch Detailed Description of the Invention The invention occurs in the femoral and acetabulum bones in the hip joints. with hip prosthesis systems used to treat the resulting deformation is relevant. The subject of the invention is the hip replacement system; bipolar cup (1), wear plate (2), segment (3), head (4), proximal femoral shaft (5), tissue holes (6), Bolts (7), hip prosthesis cap (8), hip prosthesis connector area (9)I support nail (stem) (10), screws (ll), acetabulum (12), total system wear plate (13), and angle adjustment includes the notch (14).

Kalça protezi proksimal femur gövde (5) malzemesi olarak Ti6AI4V ELI (Grade 23) kullanilmistir. Mevcut teknikte yer alan kalça protezlerinde kullanilan Ti 4 malzemesine göre akma ve % uzama degerleri 1,5 kat daha fazladir. Akma degeri ve % uzama degeri dikkate alindiginda küçük çaplardaki implantlarla daha fazla mukavemet saglanmaktadir. Ti6AI4V ELI as hip replacement proximal femur body (5) material (Grade 23) was used. Used in hip prostheses in the current technique Yield and % elongation values are 1.5 times higher than Ti 4 material. Flowing When the value and % elongation value are taken into account, it is more difficult to use with small diameter implants. greater strength is provided.

Kalça protezi sistemleri 250 mm”lik deformasyonlara kadar uygulanabilmektedir. Kalça protezi proksimal femur gövde (5) ve destek çivisi (10) birbirine spacer parçasi (baglanti modülü) ile baglanmaktadir. Bu durumda kalça protezinin yerlestirileçegi bölgede deformasyon arttikça spacer parçalari uç uça puzzle parçasi gibi birbirine takilmakta ve protezin boyunu uzatabilmektedir. Hip replacement systems up to 250 mm deformations applicable. Hip replacement proximal femoral body (5) and support nail (10) are connected to each other with spacer part (connection module). In this case the hip As the deformation increases in the region where the prosthesis will be placed, the spacer pieces end to end. They are attached to each other like a puzzle piece and can extend the length of the prosthesis.

Spaçer parçalari 250 mm”ye kadar çözüm sunmaktadir. Spacer parts offer solutions up to 250 mm.

Kemik-implant tutunumu için kalça protezi gövde yüzeylerinde Ti6Al4V E LI (Grade 23) malzemesine özel kimyasal pürüzlendirme islemi uygulanmaktadir. Ti6Al4V on hip prosthesis body surfaces for bone-implant attachment A special chemical etching process is applied to the E LI (Grade 23) material.

Kimyasal pürüzlendiniie isleminden sonra yüzeyler kumlama yapilarak protezlerin kemik içine çakilan bölgeye tutunumu artirilmaktadir. After the chemical roughening process, the surfaces are sandblasted and the prosthesis its adhesion to the area driven into the bone is increased.

Kalça protezi gövde yüzeylerinin, elektrolitik ortamda elektrotlar üzerinde olusan reaksiyonlar sonucunda anodik oksidasyon prosesi gerçeklestirilerek biyouyumluluk özelligi artirilmaktadir. The surface of the hip prosthesis body surfaces on the electrodes in an electrolytic environment. As a result of the reactions occurring, the anodic oxidation process is carried out. biocompatibility is increased.

Bulus konusu kalça protezi sistemlerinde yer alan kalça protezi kapagi (8) ve proksimal femur gövdedeki (5) tek tip konvektör sayesinde farkli çap ve boylardaki destek çivileri (10) gövdeye baglanabilmektedir. The hip prosthesis valve in the hip prosthesis systems that are the subject of the invention (8) and due to the uniform convector in the proximal femoral body (5), different diameters and lengths of support nails (10) can be connected to the body.

Bulus konusu kalça protezi gövdesi üzerinde doku delikleri (6) bulunmaktadir. Doku delikleri (6), tendonlarin baglanmasi için kullanilmaktadir. Tissue holes (6) on the hip prosthesis body, which is the subject of the invention are available. The tissue holes (6) are used to attach the tendons.

Ameliyat esnasinda kaslarin kemige baglandigi yerler kesildiginden, kaslarin baglanacagi yer kalmadigindan, tendonlarin baglanabilmesi için protez üzerinde doku delikleri (6) birakilmistir. Since the places where the muscles connect to the bone are cut during the surgery, Since there is no place to attach, it is placed on the prosthesis so that the tendons can be attached. tissue holes (6) are left.

Ameliyatta hekime 45mm ile 250mm arasinda 10”ar mm araliklarla kesi imkâni sunulmaktadir. Ameliyatta hekimlere verilen 45 mm ile 250 mm arasindaki kesi imkâni, kalça protezinin 250 mm°ye kadar olan deformasyonlarda uygulanabilmesi ile ilgilidir. Deformasyonlu bölgenin ölçüsü kadar ameliyat sirasinda kesi atilmaktadir. Spacer parçalari 250 mm°ye kadar çözüm oldugu için hekim 45 mm ile 250 mm arasindaki bölgeye cerrahi operasyon uygulayabilmektedir. In the surgery, incisions between 45mm and 250mm at 10”mm intervals are given to the physician. opportunity is offered. Between 45 mm and 250 mm given to physicians in surgery incision possibility, hip prosthesis deformations up to 250 mm regarding its implementation. Surgery as much as the size of the deformed area During the incision is made. As spacer parts are a solution up to 250 mm Physician surgical operation on the area between 45 mm and 250 mm can apply.

Kalça protezi kapagi (8) içerisinde bulunan açi ayar çentigi (14] sayesinde kemik içine yerlestirilen stemler (10) istenilen açiya getirilmektedir. Thanks to the angle adjustment notch (14] in the hip prosthesis cover (8) The stems (10) placed in the bone are brought to the desired angle.

Cerrahi operasyonda kullanilmak üzere uygulama seti içerisinde kalça protezine ait özel el aletleri bulunmaktadir. Mevcut teknikte kullanilan kalça protezlerinde 158 adet el aleti kullanilirken, bulus konusu kalça protezi sisteminde bu adet 58”dir. Ba'hsedilen adetin düsürülmesi ile ameliyat sürelerini %40 oraninda kisaltilmistir. Kalça protezinin çok fazla genis ölçüde bulunan deformasyonlara çözüin olmasi tek cerrahi operasyonla ve tek set ile protezin çözüm olmasini saglamaktadir. Tek setin el aletlerinin yeterli olmasi el aleti sayilarini aza indirgemektedir. Hip in the application set to be used in the surgical operation There are special hand tools for the prosthesis. The hip used in the current technique While 158 hand tools are used in the prosthesis, the subject of the invention is in the hip prosthesis system. this piece is 58”. By reducing the mentioned menstruation, the operation times are reduced by 40%. shortened. Deformations of the hip replacement that are too extensive solution, with a single surgical operation and a single set, the prosthesis being the solution it provides. The fact that one set of hand tools is sufficient will reduce the number of hand tools. is reducing.

Bulus konusu kalça protezi, uzuvlarda bulunan kemik dokularinin tamir edilemeyecek ölçüde çesitli nedenlerle kaybi sonucunda dokunun rekonstrüksiyonu için kullanilan Diafizer ve Artrodez Endoprotez sistemleri ile uyumlu çalismaktadir. Kalça protezleri ile Diafizer ve Artrodez Endoprotez Sistemlerin birbiri ile uyumlu çalismasini, ayni tasarima sahip stemler (10] ve konnektör bölgeleri (9) saglar. Stemler (10); ürünlerin implante edilebilmesi için komsu kemik dokulardan destek almak amaciyla kemik doku içerisine yerlestirilen parçalardir. The subject of the invention is the hip prosthesis, repair of bone tissues in the limbs. Reconstruction of tissue as a result of loss due to various reasons Compatible with Diaphyseal and Arthrodesis Endoprosthesis systems used for is working. Hip prostheses and Diaphyseal and Arthrodesis Endoprosthesis Systems compatible with each other, stems of the same design (10] and connector provides regions (9). Stems (10); adjacent bone for implantation of products They are the pieces placed in the bone tissue in order to get support from the tissues.

Kalça protezi konnektör bölgesi (9) ise kemik doku kaybinin ürün boyutlarindan fazla oldugu durumlarda birden fazla protez parçasinin birlestirilmesi için kullanilmaktadir. Konnektörün bulundugu bölgeye genel olarak konnektör bölgesi (9] ismi verilmistir. The hip prosthesis connector region (9) is one of the product dimensions of bone tissue loss. for joining more than one prosthetic piece in cases where is used. Connector area in general to the area where the connector is located (9] is named.

Tasarimi ve üretimi gerçeklestirilen kalça protez sistem basamaklari bipolar ve total sistem basamaklari olarak 2,ye ayrilmaktadir. Femur hat ve femur kemiginde deformasyon varsa bipolar sistemler, kalça kemiginde deformasyon var ise total sistemler kullanilmaktadir. Hip prosthesis system steps designed and produced are bipolar and it is divided into 2 as total system steps. Femoral line and femur bipolar systems if there is deformation in the bone, there is deformation in the hip bone Total systems are used.

Kalça protezinde bipolar sistem asagidaki islem basamaklari seklinde çalismaktadir; - Hasarli kemik kesilir ve uzaklastirilir, - Femur kemigi içerisinde kalça protezi sistemlerine ait olan destek çivisi çakilir ve sabitlenir. The bipolar system in hip prosthesis is as follows: is working; - The damaged bone is cut and removed, - Support nail belonging to hip prosthesis systems within the femoral bone driven and fixed.

Proksimal femur gövde (5) ideal açi ve pozisyonda sabitlenir. The proximal femoral body (5) is fixed at the ideal angle and position.

Proksimal femur gövde (5) kalça protezi konnektör bölgesinde (9) yer alan konnektör parçasina kalça protezi kapagi (8) takilir ve Civatalar (7) ile sikilir. The proximal femoral body (5) is located in the hip prosthesis connector region (9). The hip prosthesis cap (8) is attached to the field connector piece and Bolts (7) fucked with.

Proksimal femur gövde (5) içerisine head (4) çakilir. The head (4) is driven into the proximal femur body (5).

Bipolar cup (1) parçasina asinma plakasi (2) çakilir ve segmanla (3) sabitlenir. Hazirlanan sistem head”in (4) üzerine oturtulur. The wear plate (2) is screwed onto the bipolar cup (1) and with the circlip (3) is fixed. The prepared system is placed on the head (4).

Son olarak sistem hekim tarafindan asetabulum (12) bölgesine oturtulur. Finally, the system is placed in the acetabulum (12) region by the physician.

Eger kalçada olusan deformasyonda sadece femur sorunu varsa sekil-1°de yer gösterilen kalça protezi sistemi kullanilmaktadir. Kalça protezi sistemi, kemikte yer alan asetebulum eklem kikirdagina bipolar cup (1) ile birlikte baglanmaktadir. If there is only a femoral problem in the deformation of the hip, the figure-1° The hip prosthesis system shown is used. Hip replacement system, in bone The acetabulum is connected to the articular cartilage together with the bipolar cup (1).

Kalça protezi sistemlerinde total kalça protezi sistemi asagidaki islem basamaklari seklinde çalismaktadir; Hasarli kemik kesilir ve uzaklastirilir. In hip replacement systems, the following procedure for total hip replacement system it works in steps; The damaged bone is cut and removed.

Femur kemigi içerisinde kalça protezi sistemlerine ait olan destek çivisi (10) çakilir ve sabitlenir. Support nail belonging to hip prosthesis systems within the femoral bone (10) is driven and fixed.

Proksimal femur gövde (5) ideal açi ve pozisyonda sabitlenir. The proximal femoral body (5) is fixed at the ideal angle and position.

Proksimal femur gövde (5 ), kalça protezi konnektör bölgesinde (9) yer alan konnektör parçasina kalça protezi kapagi (8) takilir ve eivatalar (7) ile sikilir. The proximal femoral body (5) is located in the hip prosthesis connector region (9). The hip prosthesis cover (8) is attached to the field connector piece and the eivatas (7) fucked with.

Proksimal femur gövde (5) içerisine head (4) çakilir. The head (4) is driven into the proximal femur body (5).

Total kalça protezlerinde bulunan asetabulum (12) parçasi head°e (4) çakilir. The part of the acetabulum (12) found in total hip prosthesis head°e (4) it crashes.

Son olarak kalça kemigi boslugu kazilir ve asetabulum (12) parçasi hekim tarafindan oturtulur. Finally, the hip bone cavity is excavated and the piece of the acetabulum (12) is excavated. seated by the physician.

Eger kalçada olusan deformasyon, kemikte yer alan asetebulum eklem kikirdaginda da görülüyorsa, yani asetebulum eklem kikirdaginin da degistirilmesi gerekiyorsa sekil-4”te bulunan total kalça protezi sistemleri kullanilmaktadir. If the deformation in the hip, the acetabulum joint in the bone If it is also seen in the cartilage, that is, the replacement of the articular cartilage of the acetabulum If necessary, total hip replacement systems in figure-4 are used.

B ahsedilen total kalça protez Sistemi, kemikte yer alan asetebulum eklem kikirdagi deforme oldugu için total kalça protezi ilium kemigine asetabulum (12) ile baglanmaktadir. The aforementioned total hip prosthesis System is the articular cartilage of the acetabulum in the bone. Since it is deformed, total hip prosthesis is attached to the ilium bone with the acetabulum (12). is connecting.

Bulus konusu kalça protezinin bipolar cup (1) ve head (4) parçasi krom kobalttan, segman (3) ve asinma plakasi (2) UHMWPE (Ultra High Molecular Volume Polyethylene] malzemeden mütesekkildir. Kullanilan malzeme sayesinde sistemin ömrü oldukça uzamaktadir. Total sistemlerde kullanilan asetabulum (12) parçasi da krom kobalttan üretilmektedir. The bipolar cup (1) and head (4) part of the hip prosthesis, which is the subject of the invention, is chrome. of cobalt, circlip (3) and wear plate (2) UHMWPE (Ultra High Molecular Consists of Volume Polyethylene] material. Thanks to the material used The life of the system is considerably extended. Acetabulum used in total systems (12) The part is also produced from chrome cobalt.

Sekil-l yer alan kalça protezi sistemlerinde bulunan bipolar cup'larda (1) liner ile fiksasyonun saglanabilmesi için segman (3] kullanilmaktadir. Sekil-1`de bulunan head (4) parçasi ile bipolar cup (1), asinma plakasi (2) ile birbirine baglanmaktadir. Bahsedilen asinma plakasi asinmaya engel olmaktadir. Bipolar cups in hip prosthesis systems in Figure-1 (1) In order to provide fixation with a liner, the segment (3] is used. The head (4) part and the bipolar cup (1) are connected to each other with the wear plate (2). is connecting. Said wear plate prevents wear.

Kalça protezi sistemlerinde çocuklarda kullanilan pediatrik proksimal femur gövdesi (5) ve yetiskinlerde kullanilan normal proksimal femur gövdesi (5] Olmak üzere 2 farkli femur gövde çesidi kullanilabilmektedir. Pediatrik ürün grubunun ölçüsü @27 mm, yetiskinlerde kullanilan gövdenin ölçüsü ise @30 mm°dir. Kalça Bahsedilen araliklar arasinda seçilen ölçü kisinin yetiskinlik, pediatrik, yas ve cinsiyete bagli olarak degisebilmektedir.Pediatric proximal femur used in hip replacement systems in children body (5) and normal proximal femoral body used in adults (5) 2 different types of femur body can be used. Pediatric product group The size of the body used for adults is @27 mm, and the size of the body used for adults is @30 mm. Hip The size chosen among the mentioned ranges is that the adult, pediatric, age and may vary depending on gender.

Claims (1)

ISTEMLER . Bulus, kalça eklemlerindeki femural ve asetahulum kemiklerinde ortaya çikan deformasyonu tedavi etmek amaciyla kullanilan kalça protez Sistemleri ile ilgili olup özelligi; Akma ve uzaina degerleri yükseltilmis dolayisiyla mukavemeti arttirilmis Ti6A14V ELl (Grade 23) malzemeden mütesekkil, özel kimyasal pürüzlendirme islemi ve kumlama yapilarak protezin kemik içerisine çakilan bölgeye tutunumunun arttirildigi, elektrolitik ortamda elektrotlar üzerinde olusan reaksiyonlar sonucunda anodik oksidasyon prosesi gerçeklestirilerek biyouyumluluk özelligi arttirilmis proksimal femur gövde (5), Istenilen açida sabitlenebilmesi için açi ayar çentigine (14) sahip olan, ürünlerin implante edilebilmesi için komsu kemik dokulardan destek almak amaciyla kemik doku içerisine yerlestirilen Stem (destek çivisi) (10), Kalça protezi sistemini kemikte yer alan asetebulum eklem kikirdagina baglayan bipolar cup (Il ve Total kalça protez sistemini ilium kemigine baglayan asetabulum (12) içermesidir, Istem 1”de bahsedilen kalça protez sistemi olup özelligi; proksimal femur gövde (5) ve destek çivisi (10) birbirine baglayan spacer parçasi (baglanti modülü) içermesidir. . Istem l”de bahsedilen kalça protezi sistemi olup özelligi; farkli çap ve boylardaki destek çivilerini (10) gövdeye baglanmasini saglamak üzere kalça protezi kapagi (8) ve proksimal femur gövdenin (5) tek tip konvektör içermesidir. Istem llde bahsedilen kalça protezi sistemi olup özelligi; tendonlarin baglanmasini saglayan doku delikleri (6) içermesidir. Istem l”de bahsedilen kalça protezi sistemi olup Özelligi; kemik doku kaybinin ürün boyutlarindan fazla oldugu durumlarda birden fazla protez parçasinin birlestirilmesinde kullanilan kalça protezi konnektör bölgesi (9) içermesidir. Istem 1”de bahsedilen kalça protezi sistemi olup özelligi; kalça protezi sistemlerinde bulunan bipolar cup'larda (1) liner ile fiksasyonu saglayan segman (3) içermesidir. Istem lide bahsedilen kalça protezi sistemi olup özelligi; head (4] parçasi ile bipolar cup°i (l) birbirine baglayan ve olabilecek sürtünmeye engel olan asinma plakasi (2) içermesidir. Istem 17de bahsedilen bipolar cup (l) olup özelligi; krom kobalt malzemeden mütesekkil olmasidir. Istem l”de bahsedilen asetabulum (12) olup özelligi; krom kobalt malzemeden mütesekkil olmasidir. Bulus, kalça eklemlerindeki femural ve asetabulum kemiklerinde ortaya çikan deformasyonu tedavi etmek amaciyla kullanilan bipolar kalça protez Sisteminin uygulama yöntemi olup özelligi; - Hasarli kemigin kesilmesi ve uzaklastirilmasi; - Femur kemigi içerisinde kalça protezi sistemlerine ait olan destek çivisinin (10) çakilinasi ve sabitlenmesi, - Proksimal femur gövdenin (5) ideal açi ve pozisyonda sabitlenmesi, - Kalça protezi konnektör bölgesinde (9) yer alan konnektör parçasina kalça protezi kapaginin (8) takilmasi ve civatalar (7) ile sikilmasi, Proksimal femur gövde (5) içerisine head (4) çakilmasi, Bipolar cup (l) parçasina asinma plakasinin (2) çakilmasi ve segmanla (3) sabitlenmesi. Hazirlanan sistemin head°in (4) üzerine oturtulmasi, Son olarak sistem hekim tarafindan asetabulum (12) bölgesine oturtulmasi islem adimlarini içermesidir. Bulus, kalça eklemlerindeki femural ve asetabulum kemiklerinde ortaya çikan deformasyonu tedavi etmek amaciyla kullanilan total kalça protez Sisteminin uygulama yöntemi olup özelligi; Hasarli kemigin kesilmesi ve uzaklastirilmasi, Femur kemigi içerisinde kalça protezi sistemlerine ait olan destek çivisi (10) çakilmasi ve sabitlenmesi, Proksimal femur gövdenin (5) ideal açi ve pozisyonda sabitlenmesi, Kalça protezi konnektör bölgesinde (9) yer alan konnektör parçasina kalça protezi kapaginin (8) takilmasi ve civatalar (7) ile sikilmasi, Proksimal femur gövde (5) içerisine head (4) çakilmasi, Total kalça protezlerinde bulunan asetabulum (12) parçasi head”e (4) çakilmasi, Son olarak kalça kemigi boslugunun kazilmasi ve asetabulum (12) parçasinin hekim tarafindan oturtulmasi islem adimlarini içermesidir.REQUESTS . The invention relates to hip prosthesis Systems used to treat the deformation of the femoral and acetahulum bones in the hip joints. Consisting of Ti6A14V EL1 (Grade 23) material with increased yield and longitudinal values and therefore increased strength, the adhesion of the prosthesis to the area driven into the bone is increased by special chemical etching process and sandblasting. 5), Stem (support nail) which has an angle adjustment notch (14) to be fixed at the desired angle, placed in the bone tissue to support the neighboring bone tissues for implantation of products (10), Bipolar that connects the hip prosthesis system to the acetabulum articular cartilage in the bone The cup (contains the acetabulum (12) connecting the Il and Total hip prosthesis system to the ilium bone. It is the hip prosthesis system mentioned in Claim 1, and its feature is that it contains a spacer piece (connection module) that connects the proximal femur body (5) and the support nail (10). . Claim 1” It is the hip prosthesis system mentioned above and its feature is; The hip prosthesis cap (8) and the proximal femur body (5) contain a single type of convector in order to connect the support nails (10) of different diameters and lengths to the body. It is the hip prosthesis system mentioned in claim 11 and its feature is; It contains tissue holes (6) that allow the tendons to be attached. It is the hip prosthesis system mentioned in claim 1. Its feature is; It contains a hip prosthesis connector region (9) that is used for joining more than one prosthesis piece in cases where the bone tissue loss is more than the product dimensions. It is the hip prosthesis system mentioned in Claim 1 and its feature is; It contains a segment (3) that provides fixation with a liner in bipolar cups (1) in hip prosthesis systems. It is the hip prosthesis system that is mentioned promptly, and its feature is; It contains a wear plate (2) that connects the head (4] part and the bipolar cup (1) and prevents possible friction. It is the bipolar cup (1) mentioned in claim 17 and its feature is that it is composed of chrome cobalt material. The acetabulum mentioned in claim 1 (12) and its feature is that it is composed of chromium cobalt material.The invention is the application method of the bipolar hip prosthesis System used to treat the deformation of the femural and acetabulum bones in the hip joints, and its feature is; - Cutting and removal of the damaged bone; - Hip prosthesis systems within the femur bone Nailing and fixing of the supporting nail (10) belonging to the support, - Fixing the proximal femur body (5) at the ideal angle and position, - Attaching the hip prosthesis cap (8) to the connector part located in the hip prosthesis connector area (9) and tightening it with bolts (7) , Driving the head (4) into the proximal femoral body (5), driving the wear plate (2) into the Bipolar cup (l) piece and snapping nla (3) fixing. It includes the procedure steps of placing the prepared system on the head (4), and finally placing the system in the acetabulum (12) region by the physician. The invention is the application method of the total hip prosthesis System, which is used to treat the deformation in the femoral and acetabulum bones in the hip joints. Cutting and removing the damaged bone, Driving and fixing the support nail (10) belonging to the hip prosthesis systems in the femur bone, Fixing the proximal femur body (5) at the ideal angle and position, Attaching the hip prosthesis cap () to the connector piece in the hip prosthesis connector region (9). 8) attaching and tightening with bolts (7), Driving the head (4) into the proximal femur body (5), Driving the acetabulum piece (12) into the head (4) in total hip prostheses, Finally excavating the hip bone cavity and acetabulum ( 12) includes the procedure steps for the part to be seated by the physician.
TR2020/12007A 2020-07-28 2020-07-28 Hip Prosthesis Systems Used in Femural Head and Acetabular Bone Deformations TR202012007A2 (en)

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TR2020/12007A TR202012007A2 (en) 2020-07-28 2020-07-28 Hip Prosthesis Systems Used in Femural Head and Acetabular Bone Deformations
PCT/TR2021/050728 WO2022025850A1 (en) 2020-07-28 2021-07-13 Hip prosthesis systems used in femoral head and acetabulum bone deformations

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GR1010594B (en) * 2023-04-21 2023-12-18 Γεωργιος Παναγιωτη Χριστοφοριδης Mechanical implant for hip and shoulder arthroplasty

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US7022141B2 (en) * 2002-12-20 2006-04-04 Depuy Products, Inc. Alignment device for modular implants and method
US20060206211A1 (en) * 2005-02-22 2006-09-14 Ortho Development Corporation Bipolar hip prosthesis with free floating ring
CN111134904B (en) * 2018-11-06 2022-03-01 贵州澳特拉斯科技有限公司 Bionic artificial hip joint
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CN110680561B (en) * 2019-10-11 2025-06-20 北京市春立正达医疗器械股份有限公司 Proximal femoral hip joint prosthesis and hip joint prosthesis using the same

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