CA2533473A1 - Intervertebral implant comprising dome-shaped joint surfaces - Google Patents

Intervertebral implant comprising dome-shaped joint surfaces Download PDF

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Publication number
CA2533473A1
CA2533473A1 CA002533473A CA2533473A CA2533473A1 CA 2533473 A1 CA2533473 A1 CA 2533473A1 CA 002533473 A CA002533473 A CA 002533473A CA 2533473 A CA2533473 A CA 2533473A CA 2533473 A1 CA2533473 A1 CA 2533473A1
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Canada
Prior art keywords
intervertebral implant
parts
joint
convex
joint part
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002533473A
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French (fr)
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CA2533473C (en
Inventor
Beat Lechmann
Roger Buerki
Robert Frigg
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Synthes USA LLC
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Individual
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Publication of CA2533473A1 publication Critical patent/CA2533473A1/en
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Publication of CA2533473C publication Critical patent/CA2533473C/en
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Expired - Fee Related legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • A61F2/4425Intervertebral or spinal discs, e.g. resilient made of articulated components
    • AHUMAN NECESSITIES
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    • A61FFILTERS 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4611Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
    • AHUMAN NECESSITIES
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    • A61FFILTERS 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
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    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30354Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
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    • A61F2002/30841Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
    • A61F2002/30843Pyramidally-shaped
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2002/30878Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30879Ribs
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
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    • A61F2002/30878Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30884Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2002/30878Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30891Plurality of protrusions
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    • A61F2002/30904Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves serrated profile, i.e. saw-toothed
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    • A61F2/4425Intervertebral or spinal discs, e.g. resilient made of articulated components
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    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
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Abstract

An intervertebral implant with a central axis, a top part, a bottom part, a joint comprising a joint part and a joint shell, and a joining means. The top part has a top apposed surface that is suitable for placing it on a vertebra situated above it; The bottom part has a bottom apposed surface, that is suitable for placing it on a vertebra situated below it. One of the two parts is operatively associated with a convex joint part and the other part to a matching joint shell. The joint part and the joint shell are mounted against one another in a sliding manner such that the top part and the bottom part can rotate relative to one another at least about one axis of rotation. The joining means holds the top part and the bottom part together without impairing the capability of the joint to pivot while allowing a clearance between the joint part and the joint shell.

Claims (24)

1. An intervertebral implant (1) in particular an artificial intervertebral disk, with a central axis (2), a top part (3) and a bottom part (4), wherein A) the top part (3) has a top apposition surface (5), that is suitable for placing it on the base plate of a body of the vertebra situated above it;
B) the bottom part (4) has a bottom apposition surface (6), that is suitable for placing it on the cover plate of a body of the vertebra situated below it;
C) one of the two parts {3, 4) comprises a convex joint part (12) with a first articular surface A and the other of the two parts (3, 4) a joint shell (13) with a second articular surface B mounted in a sliding manner on the first articular surface A; and D) the convex joint part (12) and the joint shell (13) form a joint (9), by means of which the two parts (3, 4) can rotate relative one another at least about one axis of rotation, while E) one of the parts (3, 4) comprises at least one joining means (2), by which the two parts (3, 4) are held together without impairing the capability of the joint (9) to pivot characterised in that F) the joining means (20) allows at any articulation of the joint (9)an axial clearance X>0 between the two parts (3, 4); and G) on their apposed surfaces (5, 7) the two parts (3, 4) are provided with macroscopic structures.
2. An intervertebral implant (1) according to claim 1, characterised in that the clearance X is at least 0.005 mm, preferably at least 0.05 mm.
3. An intervertebral implant (1) according to claim 1 or 2, characterised in that the clearance X is maximum 0.5 mm, preferably maximum 0.6 mm.
4. An intervertebral implant (1 ) according to any one of claims 1 to 3, characterised in that the joining means (20) comprise an anchoring means (15) that can be joined with one of the two parts (3, 4) and is loosely mounted in the other of the two parts (3, 4).
5. An intervertebral implant (1 ) according to claim 4, characterised in that the convex joint part (12) has a hollow space (29), that is open on the virtual apex (30) of the convex joint part (12) and in which the anchoring element (15) can be axially displaced until it comes to a rest on the wall of the hollow space after overcoming the axial clearance X.
6. An intervertebral implant (1) according to any one of claims 1 to 5, characterised in that the convex joint part (12) has a spherical first articular surface A and the joint shell (13) a second articular surface B, matching the first one.
7. An intervertebral implant (1) according to claim 6, characterised in that the radius of the first articular surface A of the convex hemispherical joint part (12) is between 3 mm and 25 mm.
8. An intervertebral implant (1) according to claim 7, characterised in that the radius of the first articular surface A of the convex hemispherical joint part (12) is between 4 mm and 20 mm.
9. An intervertebral implant (1) according to any one of claims 1 to 8, characterised in that the convex joint part (12) and the joint shell (13) are made from a metal/plastics material pair.
10. An intervertebral implant (1) according to any one of claims 1 to 9, characterised in that the articular surfaces A, B are coated with titanium carbide or amorphous carbon (ADLC).
11. An intervertebral implant (1) according to any one of claims 1 to 10, characterised in that the two parts (3, 4) are coated with titanium on the apposed surfaces (5, 7).
12. An intervertebral implant (1) according to any one of claims 1 to 11, characterised in that the apposed surfaces (5, 7) have a convex construction.
13. An intervertebral implant (1) according to any of claims 1 to 12, characterised in that the macroscopic structures are protuberances (18).
14. An intervertebral implant (1) according to claim 13, characterised in that the protuberances (18) comprise pyramid-like protuberances (38).
15. An intervertebral implant (1) according to claim 13 or 14, characterised in that A) the two parts (3, 4) comprise a ventral and a dorsal lateral surface (31, 41, 32, 42) as well as two lateral surfaces (33, 34, 43, 44), respectively;
B) between the lateral side surfaces (33, 34, 43, 44) in the middle there is a central plane (35); and C) the protuberances (18) comprise at least one wedge-shaped rib (36) that is symmetrical about the central plane (35) and is situated on a straight line situated in the central plane (35) on the respective apposed surfaces (5, 7).
16. An intervertebral implant (1) according to claim 13 or 14, characterised in that A) the two parts (3, 4) comprise a ventral and a dorsal lateral surface (31, 41, 32, 42) as well as two lateral surfaces (33, 34, 43, 44), respectively;
B) between the lateral side surfaces (33, 34, 43, 44) in the middle there is a central plane (35); and C) the protuberances (18) comprise saw-tooth like serrations (37) arranged symmetrically about the central plane (35).
17. An intervertebral implant (1) according to any one of claims 14 to 16, characterised in that a pyramid-like protuberance (38) has a volume V
between 0.12 mm3 and 1.4 mm3.
18. An intervertebral implant (1) according to any one of claims 13 to 17, characterised in that the protuberances (18) are coated at least partly with hydroxylapatite or with a bi-phased hydroxylapatite-tricalcium phosphate mixture.
19. An intervertebral implant (1) according to any one of claims 4 to 18, characterised in that the hollow space (29) is cylindrical and coaxial with the central axis (2).
20. An intervertebral implant (1) according to claim 19, characterised in that the hollow space (29) has a diameter D between 6 mm and 20 mm.
21. An intervertebral implant (1) according to claim 19 or 20, characterised in that when measured parallel to the central axis (2) the hollow space (29) has a height H between 0.5 mm and 8 mm.
22. An intervertebral implant (1) according to any one of claims 4 to 21, characterised in that the hollow space (29) has a contraction that is coaxial with the central axis (2) and terminates in the articular surface A of the convex joint part (12).
23. An intervertebral implant (1) according to claim 22, characterised in that the contraction (28) is cylindrical.
24. An intervertebral implant (1) according to claim 23, characterised in that the contraction (28) has a diameter d and the ratio of d:D is between 30% and 75%.
CA2533473A 2003-07-22 2003-07-22 Intervertebral implant comprising dome-shaped joint surfaces Expired - Fee Related CA2533473C (en)

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AU2003304352A1 (en) 2005-02-04
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JP4299834B2 (en) 2009-07-22
CL2004001821A1 (en) 2005-05-06
WO2005007040A1 (en) 2005-01-27
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TWI321044B (en) 2010-03-01
KR100973034B1 (en) 2010-07-30
US8133281B2 (en) 2012-03-13
KR20060061337A (en) 2006-06-07
BR0318405A (en) 2006-08-01
NZ544724A (en) 2010-03-26
EP1646336A1 (en) 2006-04-19
AR045072A1 (en) 2005-10-12
CA2533473C (en) 2011-03-15
EP1646336B1 (en) 2009-07-08
DE50311697D1 (en) 2009-08-20
ATE435630T1 (en) 2009-07-15
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CN100588380C (en) 2010-02-10
US20060229725A1 (en) 2006-10-12

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