CA2288135A1 - Resorbable interposition arthroplasty implant - Google Patents

Resorbable interposition arthroplasty implant Download PDF

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Publication number
CA2288135A1
CA2288135A1 CA002288135A CA2288135A CA2288135A1 CA 2288135 A1 CA2288135 A1 CA 2288135A1 CA 002288135 A CA002288135 A CA 002288135A CA 2288135 A CA2288135 A CA 2288135A CA 2288135 A1 CA2288135 A1 CA 2288135A1
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CA
Canada
Prior art keywords
implant
resorbable
tissue
bone
time
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002288135A
Other languages
French (fr)
Other versions
CA2288135C (en
Inventor
Andrew B. Berman
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
WL Gore and Associates Inc
Original Assignee
W. L. Gore & Associates, Inc.
Andrew B. Berman
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Filing date
Publication date
Application filed by W. L. Gore & Associates, Inc., Andrew B. Berman filed Critical W. L. Gore & Associates, Inc.
Publication of CA2288135A1 publication Critical patent/CA2288135A1/en
Application granted granted Critical
Publication of CA2288135C publication Critical patent/CA2288135C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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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
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/562—Implants for placement in joint gaps without restricting joint motion, e.g. to reduce arthritic pain
    • 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
    • A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4261—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for wrists
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/58—Materials at least partially resorbable by the body
    • 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
    • A61F2/08—Muscles; Tendons; Ligaments
    • 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
    • A61F2002/30004—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
    • A61F2002/30032—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis differing in absorbability or resorbability, i.e. in absorption or resorption time
    • 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
    • A61F2002/30062—(bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
    • 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
    • A61F2002/30291—Three-dimensional shapes spirally-coiled, i.e. having a 2D spiral cross-section
    • A61F2002/30293—Cylindrical body made by spirally rolling up a sheet or a strip around itself
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/30301—Three-dimensional shapes saddle-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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30563—Special structural features of bone or joint prostheses not otherwise provided for having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30721—Accessories
    • A61F2002/30754—Implants for interposition between two natural articular surfaces
    • 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
    • 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
    • A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4241—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for hands, e.g. fingers
    • A61F2002/4243—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for hands, e.g. fingers for interphalangeal joints, i.e. IP joints
    • 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
    • A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4241—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for hands, e.g. fingers
    • A61F2002/4256—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for hands, e.g. fingers for carpo-metacarpal joints, i.e. CMC joints
    • A61F2002/4258—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for hands, e.g. fingers for carpo-metacarpal joints, i.e. CMC joints for trapezo-metacarpal joints of thumbs
    • 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
    • A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4261—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for wrists
    • A61F2002/4271—Carpal bones
    • A61F2002/4274—Distal carpal row, i.e. bones adjacent the metacarpal bones
    • A61F2002/4276—Trapezium
    • 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
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0004—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof bioabsorbable
    • 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
    • A61F2230/0091—Three-dimensional shapes helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section
    • A—HUMAN NECESSITIES
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    • 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
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    • 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
    • A61F2230/0095—Saddle-shaped
    • A—HUMAN NECESSITIES
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    • 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
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in adsorbability or resorbability, i.e. in adsorption or resorption time
    • A61F2250/0031—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in adsorbability or resorbability, i.e. in adsorption or resorption time made from both resorbable and non-resorbable prosthetic parts, e.g. adjacent parts

Abstract

A resorbable implant (41) for interposition arthroplasty which is intended to fill a void between two adjacent bone ends, providing a cushion between the bone ends to prevent impingement of the bone ends while providing time for tissue to infiltrate into the space occupied by the implant (41). It has a protracted resorption time of preferably at least three months to allow time for the proliferation of load-bearing host fibrous tissue in place of the resorbed implant material. The implant (41) preferably is porous with a pore size of greater than about 80 microns in order to enhance infiltration of fibrous tissue. The implant (41) has a modulus in the range of 0.8 to 20 MPa which is soft enough to allow it to conform to surface irregularities of the adjacent bone surfaces while being hard enough to maintain a desired separation between those bones (13, 15, 17, 19) while tissue infiltration replaces the resorbable implant material. The implant (41) may be preformed to the desired shape or alternatively may be formable by the surgeon by methods such as carving with a scalpel. A preferred application for the implant is as a trapezium bone (11) replacement.
CA002288135A 1997-04-18 1998-04-17 Resorbable interposition arthroplasty implant Expired - Lifetime CA2288135C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US08/844,486 1997-04-18
US08/844,486 US6017366A (en) 1997-04-18 1997-04-18 Resorbable interposition arthroplasty implant
PCT/US1998/007855 WO1998047449A1 (en) 1997-04-18 1998-04-17 Resorbable interposition arthroplasty implant

Publications (2)

Publication Number Publication Date
CA2288135A1 true CA2288135A1 (en) 1998-10-29
CA2288135C CA2288135C (en) 2004-03-02

Family

ID=25292846

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002288135A Expired - Lifetime CA2288135C (en) 1997-04-18 1998-04-17 Resorbable interposition arthroplasty implant

Country Status (6)

Country Link
US (1) US6017366A (en)
EP (1) EP1009335A1 (en)
JP (1) JP2001522273A (en)
AU (1) AU7134798A (en)
CA (1) CA2288135C (en)
WO (1) WO1998047449A1 (en)

Families Citing this family (79)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6371985B1 (en) * 1995-03-09 2002-04-16 Robert S. Goldberg Prostheses restrained by immediate attachment while ingrowth proceeds naturally over time
FR2801194B1 (en) * 1999-11-19 2004-01-02 Fixano TOTAL OR PARTIAL REPLACEMENT IMPLANT OF A CUBOIFORM BONE
SE516039C3 (en) * 2000-03-23 2002-01-09 Philippe Kopylov Ab Sound substitute for the distal radioulnar joint
JP2004515311A (en) 2000-10-25 2004-05-27 エスディージーアイ・ホールディングス・インコーポレーテッド Vertically expanding intervertebral fusion device
US6613089B1 (en) 2000-10-25 2003-09-02 Sdgi Holdings, Inc. Laterally expanding intervertebral fusion device
US6652591B2 (en) * 2000-12-14 2003-11-25 Depuy Orthopaedics, Inc. Prosthesis with feature aligned to trabeculae
SE525131C2 (en) * 2001-01-15 2004-12-07 Artimplant Ab Implants for reconstruction of joints
US6736848B2 (en) 2001-05-29 2004-05-18 Sdgi Holdings, Inc. Method and apparatus for using formable polymers for orthopedic support
US7041106B1 (en) * 2001-06-15 2006-05-09 Biomet, Inc. Interphalangeal fusion pin
US7261741B2 (en) * 2001-06-30 2007-08-28 Depuy Products, Inc. Prosthesis with resorbable collar
US6913626B2 (en) * 2001-08-14 2005-07-05 Mcghan Jim J. Medical implant having bioabsorbable textured surface
US20030097180A1 (en) 2001-11-20 2003-05-22 Pertti Tormala Joint prosthesis
FR2838956B1 (en) * 2002-04-25 2005-02-04 Xavier Renard PROTHETIC IMPLANT FOR REPLACING SMALL BONE DIMENSION
US7192448B2 (en) * 2002-06-27 2007-03-20 Ferree Bret A Arthroplasty devices with resorbable component
TWI235055B (en) * 2003-05-21 2005-07-01 Guan-Gu Lin Filling device capable of removing animal tissues
TW587932B (en) * 2003-05-21 2004-05-21 Guan-Gu Lin Removable animal tissue filling device
ATE347322T1 (en) * 2003-07-08 2006-12-15 A Spine Holding Group Corp FILLABLE IMPLANT AND SYSTEM FOR TREATING A DEFORMED OR PATHOLOGICALLY ALTERED SPINE
ATE346558T1 (en) * 2003-07-08 2006-12-15 Kwan-Ku Lin FLEXIBLE, EXPANDABLE AND AIR PERMEABLE IMPLANT FOR MEDICAL PURPOSES
US7699879B2 (en) * 2003-10-21 2010-04-20 Warsaw Orthopedic, Inc. Apparatus and method for providing dynamizable translations to orthopedic implants
US20050085814A1 (en) * 2003-10-21 2005-04-21 Sherman Michael C. Dynamizable orthopedic implants and their use in treating bone defects
US20050136764A1 (en) * 2003-12-18 2005-06-23 Sherman Michael C. Designed composite degradation for spinal implants
US20050251265A1 (en) * 2004-05-07 2005-11-10 Calandruccio James H Trapezium implant for thumb and method
US9504583B2 (en) * 2004-06-10 2016-11-29 Spinal Elements, Inc. Implant and method for facet immobilization
US7749230B2 (en) * 2004-09-02 2010-07-06 Crosstrees Medical, Inc. Device and method for distraction of the spinal disc space
FR2875398B1 (en) * 2004-09-21 2007-07-06 Newdeal Sa Sa JOINT IMPLANT OF INTERPOSITION
US20060241777A1 (en) * 2004-11-30 2006-10-26 Partin Jason I Resorbable medical implants and methods
FR2884406B1 (en) 2005-04-14 2008-10-17 Memometal Technologies Soc Par INTRAMEDULAR OSTEOSYNTHESIS DEVICE OF TWO BONE PARTS, IN PARTICULAR HAND AND / OR FOOT
US7674296B2 (en) * 2005-04-21 2010-03-09 Globus Medical, Inc. Expandable vertebral prosthesis
CN101312696B (en) * 2005-11-23 2010-12-22 十字桅杆药品公司 Devices for the treatment of bone fracture
US20070142920A1 (en) * 2005-12-20 2007-06-21 Niemi Willard J Metatarsal implant
FR2899095B1 (en) * 2006-03-31 2009-01-30 Small Bone Innovations Interna TOTAL OR PARTIAL REPLACEMENT IMPLANT OF CUBOIFORM BONE AND METHOD OF MANUFACTURING THE SAME
US8449622B2 (en) * 2006-09-11 2013-05-28 Warsaw Orthopedic, Inc. Multi-phase osteochondral implantable device
IE20060925A1 (en) 2006-12-15 2008-06-25 Nat University Of Ireland Galway Nucleic acids probes for detection of yeast and fungal species
FR2913876B1 (en) 2007-03-20 2009-06-05 Memometal Technologies Soc Par OSTEOSYNTHESIS DEVICE
US20080255501A1 (en) * 2007-04-10 2008-10-16 Michael Hogendijk Percutaneous delivery and retrieval systems for shape-changing orthopedic joint devices
US20080255664A1 (en) 2007-04-10 2008-10-16 Mdesign International Percutaneously deliverable orthopedic joint device
US20090012612A1 (en) * 2007-04-10 2009-01-08 David White Devices and methods for push-delivery of implants
US9119613B2 (en) * 2008-01-07 2015-09-01 Extremity Medical Llc System and method for trapezium bone replacement
FR2935601B1 (en) 2008-09-09 2010-10-01 Memometal Technologies INTRAMEDULLARY IMPLANT RESORBABLE BETWEEN TWO BONE OR TWO BONE FRAGMENTS
EP2339985A4 (en) * 2008-09-12 2013-07-03 Articulinx Inc Tether-based orthopedic joint device delivery methods
US8614189B2 (en) * 2008-09-24 2013-12-24 University Of Connecticut Carbon nanotube composite scaffolds for bone tissue engineering
US8721723B2 (en) 2009-01-12 2014-05-13 Globus Medical, Inc. Expandable vertebral prosthesis
US20140074247A1 (en) 2009-05-08 2014-03-13 Kevin L. Ohashi Joint reconstruction system and method
US20100310623A1 (en) * 2009-06-05 2010-12-09 Laurencin Cato T Synergetic functionalized spiral-in-tubular bone scaffolds
EP2687189B1 (en) 2009-06-19 2015-10-14 Tornier Interpositional trapezium implant
FR2946864B1 (en) 2009-06-19 2011-07-08 Tornier Sa TRAPEZO-METACARPIAN JOINT IMPLANT
US20100324693A1 (en) * 2009-06-23 2010-12-23 Hardenbrook Frederick H Carpometacarpal joint spacer
WO2010151589A1 (en) * 2009-06-23 2010-12-29 Replication Medical, Inc. Trapezium prosthesis
JP2013504389A (en) * 2009-09-11 2013-02-07 アーティキュリンクス， インコーポレイテッド Disc-shaped orthopedic device
US8994666B2 (en) * 2009-12-23 2015-03-31 Colin J. Karpfinger Tactile touch-sensing interface system
US8834568B2 (en) 2010-02-04 2014-09-16 Paul S. Shapiro Surgical technique using a contoured allograft cartilage as a spacer of the carpo-metacarpal joint of the thumb or tarso-metatarsal joint of the toe
US9301850B2 (en) 2010-04-12 2016-04-05 Globus Medical, Inc. Expandable vertebral implant
US8282683B2 (en) 2010-04-12 2012-10-09 Globus Medical, Inc. Expandable vertebral implant
US8591585B2 (en) 2010-04-12 2013-11-26 Globus Medical, Inc. Expandable vertebral implant
US8870880B2 (en) 2010-04-12 2014-10-28 Globus Medical, Inc. Angling inserter tool for expandable vertebral implant
EP2569004A4 (en) 2010-05-10 2016-01-20 Univ Connecticut Lactoferrin -based biomaterials for tissue regeneration and drug delivery
US8608785B2 (en) 2010-06-02 2013-12-17 Wright Medical Technology, Inc. Hammer toe implant with expansion portion for retrograde approach
US9724140B2 (en) 2010-06-02 2017-08-08 Wright Medical Technology, Inc. Tapered, cylindrical cruciform hammer toe implant and method
US9498273B2 (en) 2010-06-02 2016-11-22 Wright Medical Technology, Inc. Orthopedic implant kit
US8551525B2 (en) 2010-12-23 2013-10-08 Biostructures, Llc Bone graft materials and methods
US8965499B2 (en) 2011-04-29 2015-02-24 Cyberonics, Inc. Overwrap for nerve stimulation system
CA2873076A1 (en) 2012-05-10 2013-11-14 The Trustees Of The Stevens Institute Of Technology Biphasic osteochondral scaffold for reconstruction of articular cartilage
US8945232B2 (en) 2012-12-31 2015-02-03 Wright Medical Technology, Inc. Ball and socket implants for correction of hammer toes and claw toes
US9724139B2 (en) 2013-10-01 2017-08-08 Wright Medical Technology, Inc. Hammer toe implant and method
US9474561B2 (en) 2013-11-19 2016-10-25 Wright Medical Technology, Inc. Two-wire technique for installing hammertoe implant
US9498266B2 (en) 2014-02-12 2016-11-22 Wright Medical Technology, Inc. Intramedullary implant, system, and method for inserting an implant into a bone
US9545274B2 (en) 2014-02-12 2017-01-17 Wright Medical Technology, Inc. Intramedullary implant, system, and method for inserting an implant into a bone
US9808296B2 (en) 2014-09-18 2017-11-07 Wright Medical Technology, Inc. Hammertoe implant and instrument
US10898333B2 (en) 2014-10-16 2021-01-26 Ht Medical Llc Additive manufactured titanium bone device
US20160135956A1 (en) 2014-11-19 2016-05-19 Cedars-Sinai Medical Center Meniscus for joint reconstruction
US10080597B2 (en) 2014-12-19 2018-09-25 Wright Medical Technology, Inc. Intramedullary anchor for interphalangeal arthrodesis
US9757168B2 (en) 2015-03-03 2017-09-12 Howmedica Osteonics Corp. Orthopedic implant and methods of implanting and removing same
AU2016247865B2 (en) * 2015-04-13 2018-03-08 Marco Lanzetta Prosthesis for the trapeze-metacarpal joint of the thumb
US9943414B2 (en) 2015-12-30 2018-04-17 Wasas, Llc. System and method for non-binding allograft subtalar joint implant
US10470807B2 (en) 2016-06-03 2019-11-12 Stryker European Holdings I, Llc Intramedullary implant and method of use
US11547579B2 (en) 2018-06-21 2023-01-10 Arthrosurface, Inc. Systems and methods for sizing and introduction of soft-tissue allografts
JP7335737B2 (en) 2019-07-05 2023-08-30 グンゼ株式会社 Substrate for finger joint cartilage
US11642226B2 (en) 2020-05-01 2023-05-09 Ensemble Orthopedics, Inc. Implantable interpositional orthopedic pain management
WO2023150386A1 (en) * 2022-02-07 2023-08-10 ExsoMed Corporation Systems and methods for cmc suture suspensionplasty

Family Cites Families (49)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3745590A (en) * 1971-06-25 1973-07-17 Cutter Lab Articulating prosthesis with ligamentous attachment
US3924276A (en) * 1975-02-18 1975-12-09 Richard E Eaton Surgically implantable trapezium prosthesis and method of reconstructing the thumb carpometacarpal joint
US4164793A (en) * 1978-04-26 1979-08-21 Swanson Alfred B Lunate implant
US4198712A (en) * 1978-10-13 1980-04-22 Swanson Alfred B Scaphoid implant
US4411027A (en) * 1979-04-27 1983-10-25 University Of Medicine And Dentistry Of New Jersey Bio-absorbable composite tissue scaffold
FR2470583A1 (en) * 1979-12-07 1981-06-12 Dreant Jean Scaphoid bone flexible implant - is of silicon cpd. with spherical anchoring mass mounted centrally in flat ellipsoidal surface
DE3264348D1 (en) * 1981-01-30 1985-08-01 Oec Europ Ltd A joint prosthesis
US4400833A (en) * 1981-06-10 1983-08-30 Kurland Kenneth Z Means and method of implanting bioprosthetics
ATE23945T1 (en) * 1981-07-30 1986-12-15 Ceraver TITANIUM OR TITANIUM ALLOY PROSTHETIC STEM FOR CEMENTLESS FIXATION IN A LONG BONE.
US4429080A (en) * 1982-07-01 1984-01-31 American Cyanamid Company Synthetic copolymer surgical articles and method of manufacturing the same
EP0152431A4 (en) * 1983-07-25 1986-11-27 John C Medlen Collagen ligament and tendon regeneration material.
US4661536A (en) * 1985-02-19 1987-04-28 The Dow Chemical Company Process for the preparation of hard tissue prosthetics
IL76079A (en) * 1985-08-13 1991-03-10 Univ Ramot Collagen implants
NZ219708A (en) * 1986-04-07 1989-04-26 Johnson & Johnson Prod Inc Absorbable ligament and tendon prosthesis containing l-lactide/glycolide polymer
US4865602A (en) * 1986-11-06 1989-09-12 Collagen Corporation Gamma irradiation of collagen/mineral mixtures
SE457692B (en) * 1987-03-09 1989-01-23 Astra Meditec Ab IMPLANT PROTECTION PROVIDES WHOLE OR PARTIAL REPLACEMENT OF A SENA, A LIQUOR OR A CROSS BAND
US5735902A (en) * 1987-07-20 1998-04-07 Regen Biologics, Inc. Hand implant device
US5116374A (en) * 1989-03-02 1992-05-26 Regen Corporation Prosthetic meniscus
US5007934A (en) * 1987-07-20 1991-04-16 Regen Corporation Prosthetic meniscus
US5108438A (en) * 1989-03-02 1992-04-28 Regen Corporation Prosthetic intervertebral disc
US4880429A (en) * 1987-07-20 1989-11-14 Stone Kevin R Prosthetic meniscus
US5306311A (en) * 1987-07-20 1994-04-26 Regen Corporation Prosthetic articular cartilage
US5263984A (en) * 1987-07-20 1993-11-23 Regen Biologics, Inc. Prosthetic ligaments
DE8716607U1 (en) * 1987-12-14 1989-01-12 Mecron Medizinische Produkte Gmbh, 1000 Berlin, De
US4911718A (en) * 1988-06-10 1990-03-27 University Of Medicine & Dentistry Of N.J. Functional and biocompatible intervertebral disc spacer
US4950483A (en) * 1988-06-30 1990-08-21 Collagen Corporation Collagen wound healing matrices and process for their production
US4955914A (en) * 1988-08-26 1990-09-11 Caniglia Leslie A Teething rail for shopping cart
US4936860A (en) * 1988-09-23 1990-06-26 Swanson Alfred B Metal scaphoid implant
US5171273A (en) * 1989-01-13 1992-12-15 University Of Medicine And Dentistry Of New Jersey Synthetic collagen orthopaedic structures such as grafts, tendons and other structures
US5026381A (en) * 1989-04-20 1991-06-25 Colla-Tec, Incorporated Multi-layered, semi-permeable conduit for nerve regeneration comprised of type 1 collagen, its method of manufacture and a method of nerve regeneration using said conduit
US4955916A (en) 1989-05-01 1990-09-11 Techmedica, Inc. Thumb joint prosthesis
US4969908A (en) * 1989-06-02 1990-11-13 Swanson Alfred B Lunate implant and method of stabilizing same
SE9001430D0 (en) * 1990-04-23 1990-04-23 Braanemark Per Ingvar ARTIFICIAL LED MECHANISM
US5080665A (en) * 1990-07-06 1992-01-14 American Cyanamid Company Deformable, absorbable surgical device
US5206028A (en) * 1991-02-11 1993-04-27 Li Shu Tung Dense collagen membrane matrices for medical uses
EP0523926A3 (en) * 1991-07-15 1993-12-01 Smith & Nephew Richards Inc Prosthetic implants with bioabsorbable coating
FR2679440A1 (en) * 1991-07-24 1993-01-29 Hades JOINT PROSTHESIS, IN PARTICULAR TRAPEZO-METACARPIAN AND DIGITAL.
US5207712A (en) * 1992-05-07 1993-05-04 Michael Cohen Absorbable joint implants for the lesser digits and metatarsal phalangeal joints in the surgical correction of the foot
US5326364A (en) * 1992-12-16 1994-07-05 Wright Medical Technology, Inc. Trapezial implant
FR2704142B1 (en) 1993-04-23 1995-07-07 Jbs Sa Ball joint prosthesis for the basal joint of the thumb.
US5522895A (en) * 1993-07-23 1996-06-04 Rice University Biodegradable bone templates
GB2282328B (en) * 1993-09-29 1997-10-08 Johnson & Johnson Medical Absorbable structures for ligament and tendon repair
US5405400A (en) 1993-10-05 1995-04-11 Orthomet, Inc. Joint prosthesis enabling rotary circumduction
US5522900A (en) * 1993-12-17 1996-06-04 Avanta Orthopaedics Prosthetic joint and method of manufacture
US5491882A (en) * 1993-12-28 1996-02-20 Walston; D. Kenneth Method of making joint prosthesis having PTFE cushion
JPH09509081A (en) * 1994-02-17 1997-09-16 ダブリュ．エル．ゴア アンド アソシエイツ，インコーポレイティド Cuttable PTFE implant material
US5502092A (en) * 1994-02-18 1996-03-26 Minnesota Mining And Manufacturing Company Biocompatible porous matrix of bioabsorbable material
EP0700671B1 (en) * 1994-09-08 2001-08-08 Stryker Technologies Corporation Hydrogel intervertebral disc nucleus
FI101933B1 (en) * 1995-06-13 1998-09-30 Biocon Oy A joint prosthesis

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