Claims Analysis
Total Claims: 18
Claim 1
Independent Claim
277 words
In a method of replacing a defective portion of a human or animal skeleton with an artificial prosthetic device having the general configuration of the defective portion by surgically removing the defective portion, forming a receiving surface in the remaining portion of the skeleton, mating the prosthetic device with the receiving surface and securing the prosthetic device to the receiving surface, the improvement comprising, prior to mating the prosthetic device with the receiving surface, pressing at least one sheet of a biocompatible, flexible, and deformable porous metallic fiber mesh comprised of a multiplicity of interengaged and intertwined biologically inert metallic fibers having a length in the range of about 2 to about 50 millimeter, and a diameter in the range of about 20 to about 200 micrometers; said porous mesh having a porosity of at least about 65% and a thickness in the range of from about 0.5 to about 30 millimeters, said mesh being flexible and deformable without losing its structural integrity and allowing penetration of bony tissue into the pores of the mesh when the mesh is pressed against the receiving surface on said receiving surface thereby deforming said mesh to conform to said receiving surface, forming a layer of bone cement on the exposed surface of said mesh and placing said prosthetic device against said layer of bone cement whereby the bone cement is forced into the pores of said porous mesh over a portion of the thickness of said mesh to provide immediate stabilization of said prosthetic device while long term stabilization of said prosthetic device is provided by bony tissue ingrowth from said receiving surface into the pores of said porous mesh.
Claim 2
Dependent Claim
277 words
In a method of replacing a defective portion of a human or animal skeleton with an artificial prosthetic device having the general configuration of the defective portion by surgically removing the defective portion, forming a receiving surface in the remaining portion of the skeleton, mating the prosthetic device with the receiving surface and securing the prosthetic device to the receiving surface, the improvement comprising, prior to mating the prosthetic device with the receiving surface, pressing at least one sheet of a biocompatible, flexible, and deformable porous metallic fiber mesh comprised of a multiplicity of interengaged and intertwined biologically inert metallic fibers having a length in the range of about 2 to about 50 millimeter, and a diameter in the range of about 20 to about 200 micrometers; said porous mesh having a porosity of at least about 65% and a thickness in the range of from about 0.5 to about 30 millimeters, said mesh being flexible and deformable without losing its structural integrity and allowing penetration of bony tissue into the pores of the mesh when the mesh is pressed against the receiving surface on said receiving surface thereby deforming said mesh to conform to said receiving surface, forming a layer of bone cement on the exposed surface of said mesh and placing said prosthetic device against said layer of bone cement whereby the bone cement is forced into the pores of said porous mesh over a portion of the thickness of said mesh to provide immediate stabilization of said prosthetic device while long term stabilization of said prosthetic device is provided by bony tissue ingrowth from said receiving surface into the pores of said porous mesh.
Claim 3
Dependent Claim
139 words
A method as set forth in claim 1 wherein said artificial prosthetic device is a hip femur prosthesis including a stem portion and ball portion and said receiving surface comprises the walls of a cavity formed in the femur for receiving said stem portion, said method comprising pressing at least one layer of said porous mesh against the walls of said cavity to form a central opening for said stem portion such that the diameter of said opening is from about 2 to about 8 millimeters more than the diameter of said stem along the length thereof, and filling said receptacle with bone cement and said stem portion such that the thickness of the layer of bone cement formed between said porous mesh and said stem portion is in the range of from about 1 to about 4 millimeters.
Claim 4
Dependent Claim
53 words
A method as set forth in claim 1 wherein said artificial prosthetic device is an acetabular component and the receiving surface comprises the acetabular floor whereby one side of said porous mesh becomes filled with bone cement and the opposite side is filled with bony tissue from the growth of said acetabular floor.
Claim 5
Dependent Claim
204 words
In a method for repairing or reconstructing a defective bone structure, including at least one crack or void, in humans and animals by replacing or reconstructing the defective bone structure with a biocompatible porous insert material, the improvement comprising using as said porous insert material at least one layer of biocompatible, flexible, and deformable porous metallic fiber mesh sheet of a porosity of at least about 65% and a thickness in the range of from about 0.5 to about 30 millimeters and formed of a multiplicity of interengaged and intertwined biologically inert metallic fibers having a length in the range of about 2 to about 50 millimeters, and a diameter in the range of about 20 to about 200 micrometers, said mesh sheet being flexible and deformable without losing its structural integrity and having a porosity such that bony tissue can penetrate into the pores of said mesh when said mesh is pressed against the bone structure, and packing the crack or void with said at least one layer of porous mesh sheet so that said porous mesh conforms to the healthy bone surface in the vicinity of said crack or void whereby bony tissue can grow into the pores of the porous mesh.
Claim 6
Dependent Claim
204 words
In a method for repairing or reconstructing a defective bone structure, including at least one crack or void, in humans and animals by replacing or reconstructing the defective bone structure with a biocompatible porous insert material, the improvement comprising using as said porous insert material at least one layer of biocompatible, flexible, and deformable porous metallic fiber mesh sheet of a porosity of at least about 65% and a thickness in the range of from about 0.5 to about 30 millimeters and formed of a multiplicity of interengaged and intertwined biologically inert metallic fibers having a length in the range of about 2 to about 50 millimeters, and a diameter in the range of about 20 to about 200 micrometers, said mesh sheet being flexible and deformable without losing its structural integrity and having a porosity such that bony tissue can penetrate into the pores of said mesh when said mesh is pressed against the bone structure, and packing the crack or void with said at least one layer of porous mesh sheet so that said porous mesh conforms to the healthy bone surface in the vicinity of said crack or void whereby bony tissue can grow into the pores of the porous mesh.
Claim 7
Dependent Claim
21 words
The method of claim 4 wherein the metallic fibers of the porous mesh sheet are sintered at their points of contact.
Claim 8
Dependent Claim
36 words
The method of claim 4 wherein the biocompatible metal fibers of the porous mesh sheet are selected from the group consisting of cobalt-chromium alloy, titanium, titanium alloy, tantalum, tantalum alloy, stainless steel, niobium and niobium alloy.
Claim 9
Dependent Claim
36 words
The method of claim 4 wherein each said porous fiber mesh sheet has a porosity such that at least 50% of the pores of the mesh have a pore size of at least about 150 micrometers.
Claim 10
Dependent Claim
78 words
The method of claim 4 wherein the fibers of said porous fiber mesh sheet have a length in the range of from about 8 to about 25 millimeters, a diameter in the range of from about 40 to about 100 micrometers and a length-to-diameter ratio of at least about 125; said porous mesh sheet having a porosity of between about 70% and about 95% and a thickness in the range of from about 1 to about 15 millimeters.
Claim 11
Dependent Claim
18 words
The method of claim 4 wherein the porous mesh sheet as a porosity of at least about 80%.
Claim 12
Dependent Claim
41 words
The method of claim 4 wherein the porous fiber mesh sheet has an elasticity approximately the same as the elastic properties of trabecular bone, and an apparent modulus of elasticity in the range of from about 80 to about 100 MPa.
Claim 13
Dependent Claim
21 words
The method of claim 1 wherein the metallic fibers of the porous mesh sheet are sintered at their points of contact.
Claim 14
Dependent Claim
36 words
The method of claim 1 wherein the biocompatible metal fibers of the porous mesh sheet are selected from the group consisting of cobalt-chromium alloy, titanium, titanium alloy, tantalum, tantalum alloy, stainless steel, niobium and niobium alloy.
Claim 15
Dependent Claim
36 words
The method of claim 1 wherein each said porous fiber mesh sheet has a porosity such that at least 50% of the pores of the mesh have a pore size of at least about 150 micrometers.
Claim 16
Dependent Claim
78 words
The method of claim 1 wherein the fibers of said porous fiber mesh sheet have a length in the range of from about 8 to about 25 millimeters, a diameter in the range of from about 40 to about 100 micrometers and a length-to-diameter ratio of at least about 125; said porous mesh sheet having a porosity of between about 70% and about 90% and a thickness in the range of from about 1 to about 15 millimeters.
Claim 17
Dependent Claim
18 words
The method of claim 1 wherein the porous mesh sheet has a porosity of at least about 80%.
Claim 18
Dependent Claim
41 words
The method of claim 1 wherein the porous fiber mesh sheet has an elasticity approximately the same as the elastic properties of trabecular bone, and an apparent modulus of elasticity in the range of from about 80 to about 100 MPa.