# US 10,368,895 B2 · Method for replacement arthroplasty

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- Number: US 10,368,895 B2
- Document ID: US10368895B2
- Status: Granted
- Kind: B2
- Application number: 15/085,521
- Filed: 2016-03-30
- Published: 2017-06-22
- Granted: 2019-08-06
- Earliest claimed: 2015-12-17
- Assignees: Olympus Corporation
- Applicants: Olympus Corporation
- Inventors: Manabu Ishikawa
- Web page: https://patentgrep.com/patent/US10368895B2

## CPC

- A61B 17/320068: {using mechanical vibrations, e.g. ultrasonic (A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745)}
- A61B 17/1668: {for the upper femur (A61B17/164 takes precedence)}
- A61B 17/1675: {for the knee}
- A61F 2/32: for the hip
- A61F 2/3859: {Femoral components}
- A61F 2/389: {Tibial components (A61F2/3868 takes precedence)}
- A61F 2/4607: {of hip femoral endoprostheses}
- A61F 2/461: {of knees}
- A61B 2017/320004: {abrasive}
- A61B 2017/320069: {for ablating tissue}
- A61B 2017/320084: {Irrigation sleeves}
- A61B 2217/005: with suction drainage system
- A61B 2217/007: with irrigation system
- A61F 2002/30428: {made by inserting a protrusion into a slot}
- A61F 2002/4635: {using minimally invasive surgery}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- 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 (dental prosthetics A61C)

## Abstract

A method for replacement arthroplasty of an embodiment is losing precise cutting and surface unevenness and performing the smoothening treatment to the part of the joint region which the component of the artificial joint attaches, using an ultrasonic treatment device, and exact processing can be performed, dimensional processing accuracy also becomes high, and bonding surfaces stick it without a crevice, and it controls generating of wear debris by friction.

## Claims

### Claim 1

A method for replacement arthroplasty comprising:
determining on a femur a position of a first attaching surface to be formed in the femur to receive a femur implant under a situation in which a perfusion circulates;
forming the first attaching surface in the femur by using a treating section disposed at a distal end of a probe of an ultrasonic treatment device and ultrasonically vibrated under the situation in which the perfusion circulates;
fixing the femur implant to the first attaching surface of the femur;
forming a second attaching surface in a tibia of a joint with the femur to receive a base plate by using the treating section of the probe of the ultrasonic treatment device under the situation in which the perfusion circulates;
performing a reaming treatment, as a first treatment for the second attaching surface, by using the treating section of the probe of the ultrasonic treatment device under the situation in which the perfusion circulates;
performing a rasping treatment, as a second treatment for the second attaching surface treated by the reaming treatment, by using the treating section of the probe of the ultrasonic treatment device under the situation in which the perfusion circulates;
forming a plurality of concave regions in the second attaching surface by using a pointed end portion disposed at the distal end of the probe of the ultrasonic treatment device and ultrasonically vibrated under the situation in which the perfusion circulates; and
fixing the base plate to the tibia by fitting anchors of the base plate into the plurality of concave regions.

### Claim 2 (depends on 1)

The method for the replacement arthroplasty according to claim 1, wherein:
the concave regions are formed by using the treating section;
the treating section has a diameter equal to or smaller than that of the anchors;
the pointed end portion is bent in its middle; and
the concave regions are formed in a manner to extend in a direction intersecting a longitudinal direction in which the treatment device is inserted.

### Claim 3 (depends on 1)

The method for replacement arthroplasty according to claim 1, further comprising fixing an articular facet surface to the base plate, the articular facet surface forming an artificial joint by coming in contact with the femur implant.

### Claim 4 (depends on 1)

The method for replacement arthroplasty according to claim 1,
wherein:
the determining on a femur the position of the first attaching surface to be formed in the femur to receive a femur implant comprises determining the position to correspond to an attaching dimension of the femur implant and marking the position on the femur by use of the treating section disposed at the distal end of the probe of the ultrasonic treatment device and ultrasonically vibrated; and
the forming the first attaching surface in the femur comprises, based on the marked position, (1) cutting out a portion of bone of the femur by pressing the treating section against the bone of the femur and using ultrasonic vibration and (2) pressing the treating section against cartilage of the femur and melting and cutting the cartilage by friction heat generated by ultrasonic vibration.

### Claim 5

A method for replacement arthroplasty comprising:
determining a position on a femur under a situation in which a perfusion circulates;
removed from a hip joint for cutting off a bone head of the femur;
cutting off the bone head at the position by use of a treating section disposed at a distal end of a probe of an ultrasonic treatment device and ultrasonically vibrated, forming a cut surface on the under the situation in which the perfusion circulates;
performing a flattening treatment on the cut surface under the situation in which the perfusion circulates;
forming an attaching hole in the femur for a femur component to be inserted by use of the treating section of the probe of the ultrasonic treatment device under the situation in which the perfusion circulates; and
inserting and fixing a tip of a stem of the femur component including a bone head ball into the attaching hole.

### Claim 6 (depends on 5)

The method for replacement arthroplasty according to claim 5, wherein the forming the attaching hole in the femur comprises:
performing a reaming treatment to shave an inner surface of a medullary cavity of the femur by use of the treating section of the ultrasonic treatment device; and
performing a rasping treatment to the attaching hole treated by the reaming treatment.

### Claim 7 (depends on 5)

The method for replacement arthroplasty according to claim 5, further comprising:
performing a flattening treatment to a surface of an acetabulum on a pelvis side from which the femur is removed by use of the treating section of the ultrasonic treatment device;
fitting and fixing an acetabulum component to the acetabulum treated by the flattening treatment;
fitting and fixing a cup-shaped liner of an artificial joint to the acetabulum component; and
attaching the femur to a hip joint by attaching the bone head ball to the liner.