Intermedics Orthopedics, Inc.

Amedica Corporation

Other

Zimmer Gmbh

Sulzer Orthopedics Inc.

Triad Surgical Technologies, Inc.

Joint Enterprises, L.c. a Limited Corporation

Aaron A Hofmann

Ashok Khandkar

Ramaswamy Lakshminarayanan

Charles H Perrone, Jr

James E Williams

Albert G Burdulis, Jr

K Scott Ely

Abraham P Habegger

Brian D Earl

Kim C Bertin

John P Bernero

Charles W Mumme

James W Burrows

Lawrence Dorr

Aaron Rosenberg

Robert E Booth, Jr

Sergio Romagnoli

Joseph S Skraba

Lawrence D Dorr

Jorge Lopez

Robert E Booth

Ashok C Khandkar

Ramaswamy Laksminarayanan

A set of distal femoral knee prostheses which are designed to be more narrow in medial/lateral dimensions with increasing anterior/posterior size than existing prostheses to more closely correspond to the physical anatomy of female patients. The prostheses are designed to have a substantially trapezoidal shape or profile when viewed distally which features a more pronounced narrowing of the medial/lateral dimensions beginning at the posterior end of the prostheses and progressing anteriorly to the anterior end of the prostheses. Additionally, the prostheses each include a reduced profile patellar sulcus and reduced profile anterior condyles to more closely conform to the anatomy of a resected femur, and also include sulcus tracking optimized to conform to female anatomy.

Distal femoral knee prostheses

An improved hip prosthesis includes an acetabular cup bearing component constructed from a relatively hard and high strength ceramic material for articulation with a ball-shaped femoral head component which may be constructed from a compatible ceramic or metal material. In one form, the acetabular cup further includes a ceramic porous bone ingrowth surface adhered thereto for secure ingrowth attachment to natural patient bone.

Hip prosthesis with monoblock ceramic acetabular cup

The present invention is directed to a rotating/non-rotating tibia base plate/insert system. In one illustrative embodiment, the device comprises a tibia base plate, an insert adapted to be positioned above the base plate, and at least one removable pin that, when installed, engages at least a portion of the insert and the base plate to thereby prevent relative rotation between the insert and the base plate. In one illustrative embodiment, the method comprises obtaining a prosthetic knee assembly comprised of a tibia base plate, a tibia insert and a removable pin, the assembly being adapted to be configured in a first state such that the tibia insert may rotate relative to the base plate or in a second state such that said tibia insert cannot rotate relative to said base plate, making at least one incision adjacent a patient's knee, installing the prosthetic knee assembly in the patient, wherein the removable pin is removed such that the assembly is in the first state wherein the tibia insert may rotate relative to the tibia base plate, and closing the incision.

Rotating/non-rotating tibia base plate/insert system

A ceramic-metal composite articulation is provided with substantial elimination of wear debris, wherein a ceramic material is provided with superior mechanical properties tailored for articulating with ceramic articulations having high flexural strength (greater than about 700 MPa), high fracture toughness (greater than about 7 MPam) and a high Weibull modulus (greater than about 20), in comparison with presently available bio-ceramics such as alumina or zirconia. The mechanical property enhancement enables ceramic materials with greater reliability and significantly reduced in-vivo fracture risk to be obtained. Preliminary in-vitro wear performance, to several million cycles using established test protocols, of head/cup components in a prosthetic hip joint made from these ceramics also demonstrates the ultra low wear characteristics. These material properties substantially eliminate polyethylene (PE) wear debris mediated implant failures by offering an optimal combination of bio-mechanical safety and reliability with ultra low wear performance.

Polymer-ceramic articulation

An improved knee prosthesis includes a ceramic tibial component for articulation with natural or prosthetic (re-surfaced) femoral surfaces. The ceramic tibial component is provided in the form of a ceramic monoblock adapted for fixation relative to the patient's tibial bone, or alternately in the form of a ceramic bearing insert component carried by a tibial baseplate member which is adapted in turn for fixation relative to tibial bone. In either form, the ceramic tibial component includes at least one upwardly concave articulation surface for movable bearing engagement by a generally convex or condylar shaped femoral articulation surface. The ceramic tibial component provides improved wear characteristics with extended service life.

Knee prosthesis with ceramic tibial component

A ceramic-metal composite articulation is provided with substantial elimination of wear debris, wherein a ceramic material is provided with superior mechanical properties tailored for articulating with ceramic articulations having high flexural strength (greater than about 700 MPa), high fracture toughness (greater than about 7 MPa) and a high Weibull modulus (greater than about 20), in comparison with presently available bio-ceramics such as alumina or zirconia. The mechanical property enhancement enables ceramic materials with greater reliability and significantly reduced in-vivo fracture risk to be obtained. Preliminary in-vitro wear performance, to several million cycles using established test protocols, of head/cup components in a prosthetic hip joint made from these ceramics also demonstrates the ultra low wear characteristics. These material properties substantially eliminate polyethylene (PE) wear debris mediated implant failures by offering an optimal combination of bio-mechanical safety and reliability with ultra low wear performance.

Metal-ceramic composite articulation

An electrosurgical knife is provided with an improved surface coating designed for substantially non-stick hemostatic cutting of soft patient tissue. The electrosurgical knife includes a conductive knife blade adapted for connection to a suitable high frequency current source for electrocauterizing tissue at the point of contact to prevent or minimize bleeding. The knife blade includes the improved surface coating formed on at least a cutting edge thereof, wherein the outer surface of the coating includes a relatively non-stick constituent such as an aromatic hydrocarbon in combination with a relatively hard constituent such as a ceramic. The surface coating is additionally loaded with a substantially uniformly dispersed matrix of conductive material for transmitting the electrical energy to patient tissue primarily by conduction.

Electrosurgical knife

An electrosurgical knife is provided with an improved surface coating designed for substantially non-stick hemostatic cutting of soft patient tissue. The electrosurgical knife includes a conductive knife blade adapted for connection to a suitable high frequency current source for electrocauterizing tissue at the point of contact to prevent or minimize bleeding. The knife blade includes the improved surface coating formed on at least a cutting edge thereof, wherein the outer surface of the coating includes a relatively non-stick constituent such as an aromatic hydrocarbon in combination with a relatively hard ceramic constituent. The surface coating is additionally loaded with a substantially uniformly dispersed matrix of conductive material for transmitting the electrical energy to patient tissue primarily by conduction. In a preferred form, the surface coating may be applied to the knife blade in multiple layers, wherein each layer is loaded with the conductive material, and further wherein at least the outermost layer further includes the combined non-stick and ceramic constituents.

An implantable orthopedic knee joint prosthesis includes a femoral component having an internal box geometry defined by a bone-engaging surface configured as a primary prosthesis. The femoral component has a threaded bore therein communicating with the bone-engaging surface. An adapter has a mating surface complementary to the box geometry of the femoral component and an internal box geometry defined by a bone-engaging surface configured as a revision prosthesis. A hole through the adapter is aligned with the threaded bore of the femoral component and has a recessed shoulder. An adapter screw has a head and a threaded shank, the head sized to be received within the hole of the adapter in engagement with the shoulder, and the shank being sized to be threadedly received within the threaded bore of the femoral component. The adapter screw includes a threaded bore therein. A spacer has a mating surface complementary to the box geometry of the adapter and an internal box geometry defined by a bone-engaging surface configured as a revision prosthesis. The spacer has a hole therethrough aligned with the threaded bore of the adapter screw. A spacer screw has a head and a threaded shank, the shank being sized to be threadedly received within the threaded bore of the adapter screw.

Implantable knee joint prosthesis convertible from primary to revision

An acetabular component for an implantable hip joint prosthesis. An acetabular shell has an apex and a rim, and has a convex proximal surface for being received within a hemispherically reamed acetabulum in a press-fit relationship. The convex proximal surface is shaped as a surface of revolution defined by a curve segment rotated about an axis, where the curve segment and the axis lie in a common plane. The defining curve segment includes a first arc-segment and a second arc-segment. The first arc-segment has a center located on the axis, and the second arc-segment has a center offset from the axis. The convex proximal surface includes a first region defined by the first arc-segment in proximity to the apex and a second region defined by the second arc-segment in proximity to the rim. The convex proximal surface is diametrically oversized in the second region relative to the hemispherically reamed acetabulum. At least one bone-penetrating protrusion extends generally proximally from the convex proximal surface, but is limited in proximal extent to remain unengaged with the hemispherically reamed acetabulum at initial contact of the oversized second region with the hemispherically reamed acetabulum during implantation.

Acetabular shell having flared rim and fixation spikes

A self-venting cement restrictor or bone plug is provided for insertion into the medullary canal of a patient bone during orthopedic surgery. The cement restrictor includes a valve member which accommodates passage of air and body fluids therethrough as the cement restrictor is placed to avoid pressurizing the downstream medullary space. An installation tool is manipulated in the course of cement restrictor installation for shifting the valve member to a closed position, whereby the cement restrictor retains bone cement introduced subsequently under pressure within the upstream medullary space.

Self-venting intramedullary cement restrictor

An improved tibial prosthesis is provided for a prosthetic knee wherein the tibial prosthesis includes a mobile bearing member designed to better accommodate a natural range of flex knee motion and force loads applied to the knee joint. The improved tibial prosthesis comprises a tibial component defining a support tray for receiving and supporting a bearing member which in turn defines upwardly presented medial and lateral condylar recesses for respective seated engagement with medial and lateral condyles of a femoral prosthesis. A short lock rim of part-circular shape projects upwardly from the periphery of the tibial support tray, at the medial end thereof, to engage and constrain the bearing member for rotation within the lock rim through a short arcuate path of motion relative to a center axis defined by the geometry of the lock rim, thereby permitting a small degree of anterior-posterior movement of the bearing member lateral end relative to the tibial tray. The range of permissible bearing member displacement can be limited by a stop post projecting upwardly from the tibial tray and received into an elongated guide slot formed in the bearing member.

Tibial prosthesis with mobile bearing member

A prosthesis having a proximal portion of a stem formed as a wedge having opposed tapers such that prostheses can be thrust into a medullary canal and achieve fixation without unduly stressing the cortical bone remaining in the femur. Ribs secure the prosthesis against medial-lateral motion. Simultaneously, a degree of flexibility is provided in an anterior-posterior direction. A slotted distal portion of the stem is flared to enhance fixation distally.

Growing community of inventors

Salt Lake City, UT, United States of America

Aaron A Hofmann