This invention relates to hip implant revision surgeries and more particularly, an implant removal tool designed to fit around an angled neck of a femoral implant to cut around a stem of the femoral implant with minimal bone loss.
Total joint arthroplasty, particularly total hip replacements are being performed at an increasing rate in United States and in other developed countries. Unfortunately, many of these joint replacements fail over time and require revision surgery wherein the original implant is removed from the bone and replaced with a new implant. Moreover, due to the rapid increase in geriatric population, the number of patients requiring revisions of a failed hip arthroplasty is increasing.
The goal of such revision surgery is to remove the implant with minimum damage to the bone tissue. In most hip joint replacements, the implant is fixed to the bone with the help of an adhesive and through the eventual regrowth of bony tissue around the implant and into a porous surface of the metal implant. In a revision surgery, the removal of an existing implant is often a difficult task to accomplish without damage to the bone surrounding the implant.
This is especially true in femoral implants wherein a stem of the femoral implant is inserted into the superior end of the femur. An angled neck extends upward from the stem to mimic the natural neck of the femur bone and provide an attachment point for a head to be attached.
Ideally, a cutting tool is pressed firmly against the surface of the neck to ensure as little bone is removed as possible. However, the angled neck makes it nearly impossible to cut around an inner surface of the stem without angling the cutting tool and removing an excess amount of bone. As a new implant needs a minimum amount of bone support to be successful thus, the removal of excess bone can be very detrimental to a patient. In addition, the removal of this excess bone leads to increased surgery times, increased recovery times, failed replacement implants and, in some instances, the patient being confined to a wheel chair for the rest of his or her life.
Therefore, a need exists for an implant removal tool designed to fit around an angled neck of the femoral implant to cut around a stem of the femoral implant with minimal bone loss.
The primary object of the present invention is to provide an implant removal tool that fits around an angled neck of the femoral implant to cut around a stein of the femoral implant with minimal bone loss.
The present invention fulfills the above and other objects by providing an implant removal tool used to remove a femoral implant from a femur bone by providing a substantially U-shaped body having a substantially rectangular-shaped opening located thereon that allows the substantially U-shaped body to be placed over a neck of a femoral implant with the neck of the femoral implant extending through the substantially rectangular-shaped opening so a sharpened front edge of the substantially U-shaped body makes direct contact with an inner surface of the stem of the femoral implant. Once positioned, the U-shaped body may be pushed into the bone to cut the stem away from the bone while the sharpened front edge maintains substantial contact with the stem of the implant, thereby preventing the unnecessary loss of bone.
The U-shaped body may have front side edges that extend beyond a front edge to allow the front side edges to cut anterior and posterior surface of an implant.
The above and other objects, features and advantages of the present invention should become even more readily apparent to those skilled in the art upon a reading of the following detailed description in conjunction with the drawings wherein there is shown and described illustrative embodiments of the invention.
In the following detailed description, reference will be made to the attached drawings in which:
For purposes of describing the preferred embodiment, the terminology used in reference to the numbered accessories in the drawings is as follows:
With reference to
A substantially rectangular-shaped opening 9 is located on the substantially U-shaped body 2 between the right side edge 6 and left side edge 7 thereof. The substantially rectangular-shaped opening 9 comprises a front edge 10, rear edge 11, right side edge 12 and left side edge 13. The front edge 10 of the substantially rectangular-shaped opening 9 is preferably curved to allow the front edge 10 to conform to a curved shape of a femoral implant.
An attachment means 14, such as a threaded member 15, extends from the rear surface 8 of the substantially U-shaped body 2 to allow a handle 16, as illustrated in
With reference to
With reference to
The substantially rectangular-shaped opening 9 allows the substantially U-shaped body 2 to be placed over a neck 21 of a femoral implant 17 with the neck 21 of the femoral implant 17 extending through the substantially rectangular-shaped opening 9 so a sharpened front edge 5 of the substantially U-shaped body 2 makes direct contact with an inner edge 23 of the stem 19 of the femoral implant 17. Once positioned, the U-shaped body 2 may be pushed into the femur bone 18 to cut the stem 19 away from the femur bone 18 while the sharpened front edge 5 maintains substantial contact with the stem 19 of the femoral implant 17, thereby preventing the unnecessary loss of the femur bone 18.
As illustrated herein, the upper portion 22 of the stem 19 and texturing located thereon only extends down the stem 19 for a predetermined distance before the stem 19 extends on. In most cases, the upper portion 22 of the stem 19 is the only portion of the femoral implant 17 that is required to be cut away from the femur bone 18. Therefore, a length of the right side edge 12 and left side edge 13 of the substantially rectangular-shaped opening 9 is preferably equal to a height of the upper portion 22 of the stem 19. This causes the rear edge 11 of the substantially rectangular-shaped opening 9 to come into contact with the angled neck 21 to prevent the sharpened front edge 5 from not extending beyond the upper portion 22 of the stem 19.
With reference to
The front edge 5 of the substantially U-shaped body 2 is preferably sharpened. A front right side edge 26 of the U-shaped body 2 and a front left side edge 17 of the U-shaped body 2 are also preferably sharpened. The front right side edge 26 of the U-shaped body 2 and front left side edge 17 of the U-shaped body 2 extend beyond the front edge 5 and each form a triangular-shaped point 28.
An attachment means 14, such as a threaded member 15, extends from the rear surface 8 of the substantially U-shaped body 2 to allow a handle 16, as illustrated in
With reference to
The front edge 5 of the substantially U-shaped body 2 is preferably sharpened. A front right side edge 26 of the U-shaped body 2 and a front left side edge 17 of the U-shaped body 2 are also preferably sharpened. The front right side edge 26 of the U-shaped body 2 and front left side edge 17 of the U-shaped body 2 extend beyond the front edge 5 and each form a triangular-shaped point 28.
With reference to
It is to be understood that while a preferred embodiment of the invention is illustrated, it is not to be limited to the specific form or arrangement of parts herein described and shown. It will be apparent to those skilled in the art that various changes may be made without departing from the scope of the invention and the invention is not to be considered limited to what is shown and described in the specification and drawings.
This application is a continuation of U.S. patent application Ser. No. 16/431,879, filed Jun. 5, 2019, which is fully incorporated herein for all purposes.
Number | Name | Date | Kind |
---|---|---|---|
4222382 | Antonsson et al. | Sep 1980 | A |
4736738 | Lipovsek et al. | Apr 1988 | A |
4838853 | Parisi | Jun 1989 | A |
5019083 | Klapper | May 1991 | A |
5167619 | Wuchinich | Dec 1992 | A |
5257995 | Umber et al. | Nov 1993 | A |
5318570 | Hood | Jun 1994 | A |
5342366 | Whiteside et al. | Aug 1994 | A |
5405349 | Burkinshaw | Apr 1995 | A |
5961522 | Mehdizadeh | Oct 1999 | A |
6126664 | Troxell et al. | Oct 2000 | A |
6187012 | Masini | Feb 2001 | B1 |
6790211 | McPherson | Sep 2004 | B1 |
7935118 | Vendrely et al. | May 2011 | B2 |
8545507 | Vendrely et al. | Oct 2013 | B2 |
9603720 | Kelley | Mar 2017 | B2 |
9876628 | Golitschek Edler von Elbwart et al. | Jan 2018 | B2 |
20020068941 | Hanson et al. | Jun 2002 | A1 |
20050090829 | Martz | Apr 2005 | A1 |
20050251146 | Martz et al. | Nov 2005 | A1 |
20080188878 | Young | Aug 2008 | A1 |
20100069909 | Taylor | Mar 2010 | A1 |
20120089147 | Kuczynski | Apr 2012 | A1 |
20130226189 | Young | Aug 2013 | A1 |
20140276835 | Tally | Sep 2014 | A1 |
20140371750 | Klein | Dec 2014 | A1 |
20150196402 | Kim | Jul 2015 | A1 |
20160338751 | Kellar et al. | Nov 2016 | A1 |
20180206859 | Pendleton | Jul 2018 | A1 |
20180280036 | Agunloye et al. | Oct 2018 | A1 |
20190336143 | Wright | Nov 2019 | A1 |
20200261247 | Stchur | Aug 2020 | A1 |
20210353432 | Rivera, Jr. | Nov 2021 | A1 |
Number | Date | Country |
---|---|---|
2560956 | Oct 2018 | GB |
9222259 | Dec 1992 | WO |
WO 2012006508 | Jan 2012 | WO |
2020247064 | Dec 2020 | WO |
2022140801 | Jun 2022 | WO |
Entry |
---|
Office Action dated Dec. 30, 2022, in corresponding Chinese patent Application No. 202080054684.7 with partial English translation, 4 pages. |
Chinese Office Action dated Jun. 13, 2022, in corresponding Chinese Application No. 202080054684.7. |
Extended European Search Report dated Aug. 5, 2022, in corresponding European Application No. 20817983.8. |
International Search Report and Written Opinion dated Jun. 22, 2022, corresponding PCT/US 22/13102, 11 pages. |
Rivera Surgical, “Watson Extraction System”, YouTube demonstration, Oct. 23, 2020, available URL: https://www.youtube.com/watch?v=CrD5vsMujiA. |
Extended European search report dated Jun. 15, 2023, in corresponding European patent Application No. 22740032.2, 8 pages. |
Number | Date | Country | |
---|---|---|---|
20220047401 A1 | Feb 2022 | US |
Number | Date | Country | |
---|---|---|---|
Parent | 16431879 | Jun 2019 | US |
Child | 17515941 | US |