The present invention relates to a method for producing a reamer, such as a milling cutter intended to mill the acetabular cavity of a patient during a surgical hip operation.
A reamer, such as a milling cutter intended to mill the acetabular cavity of a patient, comprising a substantially hemispherical hollow cutter body with perforated wall, is known. To form a tooth on such a milling cutter, it is known from the document EP 0 879 577 A2 to proceed by means of the following three successive steps:
Forming the cutting edge in a step prior to the raising of the tongue to have the cutting edge protrude relative to the wall of the cutter body makes the production method lengthy and costly. Furthermore, such a tooth formed by a folded tongue has a weak structural rigidity and has a tendency to be deformed when forces are applied by the surgeon. The cutting characteristics of such a milling cutter are not therefore reliable or durable over time.
The documents US 2014/188116 A1, WO 2016/071867 A1, US 2006/095041 A1 and US 2003/132213 A1, for their part, describe a production method comprising the following steps:
The order of the steps of production of the chamfer by machining and of plastic deformation by stamping is sometimes reversed.
In such a method, the cutting edge is produced by machining (removal) of a part of the constituent matter of the wall at the periphery of the hole, which is lengthy and costly. The oblique face of the chamfer provides a gradual radial increase of thickness at the periphery of the hole, then the stamping operation makes it possible to have a part of this chamfer protruding relative to the substantially hemispherical outer surface of the hollow cutter body, to obtain a tooth which will cut the bony matter in the milling of the acetabular cavity of a patient during a surgical hip operation.
The chamfer does not however always make it possible to obtain adequate cutting capabilities such that a manual sharpening of the protruding chamfer part is often performed. This sharpening is done tooth by tooth and takes a long time. The production cost thus excludes the possibility of implementing a disposable reamer policy for the reduction in risks of infection in health establishments.
Furthermore, it is essential for the operator in charge of the sharpening to have a certain dexterity to obtain teeth with relatively uniform cutting characteristics. If the teeth do not have cutting characteristics that are sufficiently uniform, at the end of the sharpening thereof, forces that are unevenly distributed on the bone may occur in the milling of the acetabular cavity, resulting in vibrations that may give the acetabular cavity a cross section that is substantially polygonal (instead of being circular). The correct installation and bone integration of the cup in the acetabular cavity can then be compromised.
Finally, the teeth have a tendency to wear too rapidly. Thus, the cutting characteristics of the reamers diminish fairly quickly (even too quickly) in time. That compromises the possibility of re-using a reamer multiple times in order to amortize the acquisition costs thereof.
It should be noted that, in the documents US 2014/188116 A1, WO 2016/071867 A1, US 2006/095041 A1 and US 2003/0135219 A1, practically only a punch is used. Nowhere is the use of an anvil against which a pressing can be performed explained.
The documents US 2003/0181916 and US 2005/0113837 A1 describe a production method according to the preamble of claim 1. The edge of the hole undergoes no sharpening prior to or after the stamping forming the protruding tooth on the wall of the cutter body. The production method of the documents 2003/0181916 and US 2005/0113837 A1 is thus less costly. However, the reliability and the durability over time of the cutting characteristics of the teeth are relatively unsatisfactory. The cutting characteristics of the teeth are in fact rather variable from one tooth to another, and they quickly tend to deteriorate over time, particularly after several uses of the reamer.
One problem set out by the present invention is to propose a rapid and inexpensive method for producing a reamer, such as a milling cutter intended to mill the acetabular cavity of a patient.
At the same time, the present invention, aims to provide a production method that can easily be automated and that makes it possible to obtain cutting characteristics that are more reliable and more durable over time, even after several uses.
To achieve these objects, and others, the invention proposes a method for producing a reamer such as a milling cutter intended to mill the acetabular cavity of a patient and comprising a substantially hemispherical hollow cutter body with perforated wall, said method comprising a step in which at least one tooth is formed by stamping the wall by means of a punch plastically deforming a portion of wall extending radially from and away from, a hole formed in the wall; according to the invention, in the stamping of the tooth, a zone of the deformed portion of wall, adjacent to the hole, is thinned and pressed by the punch against an anvil.
The stamping and the subsequent pressing between the punch and the anvil of the zone of the deformed wall portion provide a thinning of the wall that is drawn to form the protruding tooth on the wall of the cutter body. This thinning provides cutting capabilities at the free edge of the duly formed tooth. By suitably controlling the pressing force, a thinning is achieved that is better controlled and reproducible for more uniform cutting characteristics between all the teeth.
This thinning is not done by removal of material but by drawing, then by stressing and creep in pinching. The cutting edge is thus formed in the stamping. In the pressing (or pinching), there then occurs a kind of local cold working of the tooth (or a fiber orientation of the material) which gives an increased structural strength and a better durability in time during the re-use of the reamer.
The forming of the tooth can easily be automated, is rapid, and can be implemented easily in a follow-on tool for example. The cost of production of the reamer is thus greatly reduced.
Preferably, provision can be made for:
Such a punch is relatively simple and inexpensive to produce.
Preferably, provision can be made for:
This difference in angle makes it possible to obtain a good gradual thinning with a strong cola working or fiber orientation of the material in the vicinity of the free edge of the tooth (intended to form the cutting edge of the tooth). On the other hand, a greater thickness of material is retained by moving away from the cutting edge and from the hole, which gives the tooth a good structural rigidity. In practice, the difference in angle can preferably be approximately 2 degrees.
Advantageously, provision can be made, until the step of forming of the tooth, for the cutter body to take the form of a perforated flat metal blank. It is thus possible to form several teeth simultaneously through the use of multiple mutually parallel punches.
Advantageously, the flat metal blank can have a thickness of between approximately 0.4 mm and approximately 1 mm.
Preferably, after the forming of the tooth, the flat blank can be cut to obtain a plurality of perforated and toothed petals extending radially from, a central zone from which the petals extend to a free end, and separated from one another by radial lateral spaces.
Advantageously, after the cutting of the flat blank to form the petals, it is possible to:
Advantageously, the cutter body can be made of stainless steel, preferably of 304 L or 316 L grade stainless steel.
Other objects, features and advantages of the present invention will emerge from the following description of particular embodiments, given in relation to the attached figures, in which:
In said stamping, use is made of a punch 5 as illustrated in
In said stamping, users simultaneously made of an anvil 7 as illustrated in
The pressing surfaces 5b and 7a can have a cross section of different form. It is for example possible to envisage a cross section composed of the succession of three circular arcs of different radii, in particular with the first and third radii equal and smaller than the second radius. The pressing surface 5b then has a vertex (while the pressing surface 7a has a bottom) that is a little flattened.
In the detailed view of
In the production of the reamer 1 of
The flat metal blank 11 has a thickness E of between approximately 0.4 mm and approximately 1 mm. The flat metal blank 11 is made of 304 L or 316 L grade stainless steel.
In
In a subsequent step, illustrated in
In this displacement, the punch 5 plastically deforms the portion 8 of wall 3 as illustrated in
At the end of a certain travel of the punch 5, the zone 8a of deformed portion 8 of wall 3, adjacent to the hole 10, is pressed by the punch 5 against the anvil 7 (
The stamping and the subsequent pressing between the punch 5 and the anvil 7 of the zone 8a of the deformed portion 8 of wall 3 provide a stretching and a thinning of the wall 3 to form the tooth 4. This thinning gives cutting capabilities to the free edge 4a of the duly formed tooth 4. By suitably controlling the pressing force, a thinning is achieved that is well controlled and repeatable for cutting characteristics that are substantially identical for all the teeth 4.
The pinching between the punch 5 and the anvil 7 provides a kind of local cold working of the tooth 4 (or fiber orientation of the material) which gives it an increased structural strength and a better durability over time during the use of the reamer 1.
Here, all of the portion 8 of wall 3 is pinched between the pressing surface 5b of the punch 5 and the pressing surface 7a of the anvil 7. It would however be possible to pinch only a part of the portion 8, said part extending from the hole 10 to at least form the free edge 4a of the tooth 4 by giving if cutting properties and a structural strength that are satisfactory.
It can be seen in
The punch 5 is then displaced away from the anvil 7 by a movement that is the reverse of that illustrated by the arrow 12 in
Once all the teeth 4 are formed in the flat metal blank 11, the latter is cut to obtain a plurality of perforated and toothed petals 13a to 13h extending radially from a central zone 14 from which the petals 13a to 13h extend to a free edge 130a to 130h. The petals 13a to 13h are separated from, one another by radial lateral, spaces (step a) in
Next, in a step b), the flat blank 11 is shaped as a hemisphere. Then, in a step c), the free ends 130a to 130h of the petals 13a to 13h are added and fixed onto an at least partially circular base body 15. The blank 11 is then kept in substantially hemispherical dome form to form a cutter body 2 capable of milling the acetabular cavity of a patient.
The present invention is not limited to the embodiments which have been explicitly described, but it includes the miscellaneous variants and generalizations thereof contained in the scope of the claims hereinbelow.
Number | Date | Country | Kind |
---|---|---|---|
16 56688 | Jul 2016 | FR | national |
Filing Document | Filing Date | Country | Kind |
---|---|---|---|
PCT/IB2017/054172 | 7/11/2017 | WO | 00 |
Publishing Document | Publishing Date | Country | Kind |
---|---|---|---|
WO2018/011708 | 1/18/2018 | WO | A |
Number | Name | Date | Kind |
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4182204 | Coon | Jan 1980 | A |
5968049 | Da Rold | Oct 1999 | A |
20030135219 | Salyer | Jul 2003 | A1 |
20030181916 | Wolford | Sep 2003 | A1 |
20050113837 | Salyer | May 2005 | A1 |
20060095041 | Fehlbaum | May 2006 | A1 |
20100069908 | Sidebotham | Mar 2010 | A1 |
20130245628 | Sidebotham | Sep 2013 | A1 |
20140188116 | Sidebotham | Jul 2014 | A1 |
20170311958 | Gradel | Nov 2017 | A1 |
Number | Date | Country | |
---|---|---|---|
20190167278 A1 | Jun 2019 | US |