Abstract:
A method for fabricating a ceramic prosthesis of high aluminum oxide suite for the tibial plateau of a knee joint with the superior (upper) portion of the prosthesis being of a high density Al.sub.2 O.sub.3 having a very low porosity and the inferior (lower) portion being of high density Al.sub.2 O.sub.3 having a high degree of porosity capable of accepting bone growth. The method of fabricating the prosthesis comprises mixing a powdered batch of high aluminum oxide material to produce a viscous slip, adding a foaming agent to the slip, adding a catalyst to the slip to decompose the foaming agent, infiltrating the slip into a sponge, drying the composite, producing a planar surface on the porous layer, fabricating a second denser layer, placing a slurry between the two layers, drying and sintering the laminate.
Abstract translation:一种用于制造适合于膝关节胫骨平台的高氧化铝陶瓷假体的方法,所述假体的上(上)部分具有非常低孔隙率的高密度Al 2 O 3,而下(下)部分为 具有能够接受骨生长的高孔隙率的高密度Al 2 O 3。 制造假体的方法包括将粉末状高铝氧化物材料混合以产生粘性滑动剂,向滑移剂中加入发泡剂,向滑移剂中加入催化剂以分解发泡剂,将滑移物浸入海绵中,干燥 所述复合材料在所述多孔层上产生平坦表面,制造第二致密层,将浆料放置在所述两层之间,干燥和烧结所述层压体。
Abstract:
A ceramic prosthesis of high aluminum oxide suitable for the tibial plateau of a knee joint with the superior (upper) portion of the prosthesis being of a high density AL.sub.2 O.sub.3 having a very low porosity and the inferior (lower) portion being of high density AL.sub.2 O.sub.3 having a high degree of porosity capable of accepting bone growth.
Abstract translation:一种适用于膝关节胫骨平台的高氧化铝陶瓷假体,假体的上(上)部分是具有非常低孔隙率的高密度AL 2 O 3,而较低(较低)部分具有高密度AL 2 O 3, 能够接受骨生长的高孔隙率。
Abstract:
A prosthetic implant comprising a head having a spherical pyrocarbon shell (13,73) that is attached to a metal substructure (17,77) via an intermediate element (15,45,75). A subassembly of the intermediate element and the pyrocarbon shell may be connected to the metal substructure via a metal split ring (19) that resides partially in each of two facing grooves (33,35) or via interengaging elements (85,87,91) that are provided in two juxtaposed cylindrical surfaces. The design is such that compressive forces applied to the implant at its spherical articulating surface are transferred via compression through the pyrocarbon shell to the metal substructure.
Abstract:
A prosthetic implant comprising a head having a spherical pyrocarbon shell (13,73) that is attached to a metal substructure (17,77) via an intermediate element (15,45,75). A subassembly of the intermediate element and the pyrocarbon shell may be connected to the metal substructure via a metal split ring (19) that resides partially in each of two facing grooves (33,35) or via interengaging elements (85,87,91) that are provided in two juxtaposed cylindrical surfaces. The design is such that compressive forces applied to the implant at its spherical articulating surface are transferred via compression through the pyrocarbon shell to the metal substructure.
Abstract:
A joint prosthesis for replacement of the metacarpal-phalangeal (MP) joint of a human finger which includes a metacarpal element with a stem for reception into the medullary cavity of the metacarpal bone and a generally ball-shaped articular head and a phalangeal element with a stem for reception into the medullary cavity of the proximal phalangeal bone and a generally socket-shaped head which conforms to the ball-shaped head. The metacarpal element's articular head has reliefs located on each of its two lateral sides so as to provide a generally free path for the collateral ligaments. The phalangeal element's articular head has a dorsal protrusion, that resists subluxation-dislocation of the phalangeal bone, and grooves in its concave surface which allow biological fluids access to the inner regions of the articulation contact surfaces.
Abstract:
A joint prosthesis for replacement of the metacarpal-phalangeal (MP) joint (19) of a human finger which includes a metacarpal element (13) with a stem (15) for reception into the medullary cavity of the metacarpal bone (11) and a generally ball-shaped articular head (17) and a phalangeal element (14) with a stem (16) for reception into the medullary cavity of the proximal phalangeal bone (12) and a generally socket-shaped head (18) which conforms to the ball-shaped head (17). The metacarpal element (13)'s articular head (17) has reliefs (51,52) located on each of its two lateral sides so as to provide a generally free path for the collateral ligaments (43,44). The phalangeal element (14)'s articular head (18) has a dorsal protrusion (71) that resists subluxation-dislocation of the phalangeal bone (12) and grooves (31,32) in its concave surface (22) which allow biological fluids access to the inner regions of the articulation contact surfaces (21,22). The proximal face of the head (18) may be tangent to a plane (P), or the face of the head (118) may be tangent to a cylinder of circular cross section to provide greater capture and joint stability.
Abstract:
Suture rings are provided for heart valves having surrounding stiffening protrusions that are either integral parts of the heart valve bodies or are rigid rings held in interference fit within peripheral grooves of heart valve bodies. Metal retainer rings engage the stiffening protrusions to lock the retainer rings to the valve bodies and carry fabric coverings on their exterior surfaces that are suturable to the heart tissues. Deformable portions of the retainer rings are used to provide engagement between the retainer rings and the protrusions and also to permanently position bands that secure the fabric coverings to the retainer rings.
Abstract:
Double-leaflet heart valves having improved flow through the orifice defined by an annular valve body include a pair of leaflets which may be arcuate or flat in cross section. Guides protrude oppositely from the leaflets and are received in complementary depressions in the interior wall surface of a pair of standards which extend downstream from the annular valve body at generally diametrically opposite locations. The depressions are preferably elongated so that, as the leaflets pivot between the open and closed positions, the guides move from one end of the elongated depressions to the other. Eccentric pivot axes provide for quick response of the leaflets, and the location of the depressions in the standards moves the leaflets out of the annular valve body, reducing resistance to the free flow of blood therethrough.
Abstract:
An orthopedic prosthetic implant comprises a metal alloy stem element (13, 63, 113), which has one end portion (19, 69, 119) constructed to reside in the medullary cavity of a bone and an integral connector (23, 73, 123) at the opposite end to which crystalline brittle head (17, 67, 117), preferably made of pyrocarbon-coated graphite, is joined. The head interfaces with human bone, and its effective joinder to the stem element is achieved through a polymeric insert (15, 65, 115) of proportional shape and design which has selected elastic properties. The design and material of the polymeric insert allow it to be securely received within an interior cavity (35, 77, 131) of the pyrocarbon-coated graphite head and mated to the stem connector in an either rigidly or bi-polar arrangement. The method of joinder allows the construction of composite implants that utilize the most desirable properties of metallic and brittle crystalline materials.
Abstract:
Double-leaflet heart valves having an annular valve body and a pair of leaflets which may be arcuate or flat in cross section. Guides protrude oppositely from the leaflets and are received in complementary depressions in the interior wall surface of the annular valve body at generally diametrically opposite locations. The depressions are preferably elongated so that, as the leaflets pivot between the open and closed positions, the guides move from one end of the elongated depressions to the other. Eccentric pivot axes provide for quick response of the leaflets, and small rounded knobs are received in the depressions which assure the alignment is maintained.