CA2614993A1 - An intervertebral disk implant - Google Patents

An intervertebral disk implant Download PDF

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Publication number
CA2614993A1
CA2614993A1 CA002614993A CA2614993A CA2614993A1 CA 2614993 A1 CA2614993 A1 CA 2614993A1 CA 002614993 A CA002614993 A CA 002614993A CA 2614993 A CA2614993 A CA 2614993A CA 2614993 A1 CA2614993 A1 CA 2614993A1
Authority
CA
Canada
Prior art keywords
implant
accordance
intervertebral disk
support cushion
core
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
CA002614993A
Other languages
French (fr)
Other versions
CA2614993C (en
Inventor
Michael Filippi
Mathias Heller
Joern Seebeck
Guido Casutt
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Zimmer GmbH
Original Assignee
Zimmer Gmbh
Michael Filippi
Mathias Heller
Joern Seebeck
Guido Casutt
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Zimmer Gmbh, Michael Filippi, Mathias Heller, Joern Seebeck, Guido Casutt filed Critical Zimmer Gmbh
Publication of CA2614993A1 publication Critical patent/CA2614993A1/en
Application granted granted Critical
Publication of CA2614993C publication Critical patent/CA2614993C/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

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    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442—Intervertebral or spinal discs, e.g. resilient
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0065—Three-dimensional shapes toroidal, e.g. ring-shaped, doughnut-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0073—Quadric-shaped
    • A61F2230/0076—Quadric-shaped ellipsoidal or ovoid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00029—Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389—The prosthesis being coated or covered with a particular material
    • A61F2310/00592—Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
    • A61F2310/00796—Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite

Abstract

The invention relates to an intervertebral disk implant having two implant plates contacting prepared vertebral body surfaces in the implanted state and an implant core which can be introduced between the implant plates.
The invention further relates to a method for the manufacture of an intervertebral disk implant.

Claims (61)

1. An intervertebral disk implant, having two implant plates contacting prepared vertebral body surfaces in the implanted state and an implant core which is suitable for introduction between the implant plates, wherein the implant core is made rotationally symmetrically with respect to a central axis and each articulation surface of the implant core has a radius of curvature (R1; R1, R2) in a cross-section through the central axis, said radius of curvature having a center (M1; M1, M2) being smaller than the radius of curvature (R0) of the articulation surfaces of the implant plates, wherein the center (M1; M1, M2) of the articulation surface of the implant core is spaced apart from the central axis.
2. An intervertebral disk implant in accordance with claim 1, wherein, starting from an implant radius which corresponds to the radius of curvature (R0) of the articulation surfaces of the implant plates and is measured from a center (M0) disposed on the central axis of the implant core, the articulation surfaces of the implant core have a radius of curvature R1 < R0 in the direction of the core equator and a radius of curvature R2 < R0 in the direction of the core pole.
3. An intervertebral disk implant in accordance with claim 2, wherein R1 is not equal to R2.
4. An intervertebral disk implant in accordance with claim 2 or claim 3, wherein the centers M0, M1 and M2 of the radii of curvature R0, R1 and R2 lie on a common straight line which intersects the contact line P between the implant core and the implant plates, when the intervertebral disk implant is assembled, and which includes an angle .omega. with the equatorial plane of the implant core in the range from approximately 45° to 75°.
5. An intervertebral disk implant in accordance with claim 4, wherein angle .omega.
is at least approximately 60°.
6. An intervertebral disk implant in accordance with any one of claims 1 to 5, wherein R0-6 mm < R1 < R0-1 mm and/or R2 <= R1 applies, where R0 is the radius of curvature of the articulation surfaces of the implant plates.
7. An intervertebral disk implant in accordance with any one of claims 1 to 6, wherein 8 mm < R0 < 18 mm applies, where R0 is the radius of curvature of the articulation surfaces of the implant plates.
8. An intervertebral disk implant in accordance with any one of claims 1 to 7, wherein the implant core has a lens-like basic shape.
9. An intervertebral disk implant in accordance with any one of claims 1 to 8, wherein the implant core has at least approximately the shape of two spherical segments whose planar sides lie on top of one another, with the respective spherical center of the one spherical segment lying within the other spherical segment.
10. An intervertebral disk implant in accordance with any one of claims 1 to 8, wherein the implant core has at least approximately the shape of two spherical segments whose planar sides face one another and a cylindrical disk disposed therebetween, with the respective spherical center of the one spherical segment lying within the other spherical segment.
11. An intervertebral disk implant in accordance with any one of claims 1 to 10, wherein the implant core is provided with an outer ring groove or with an inner ring groove or both an outer ring groove and an inner ring groove.
12. An intervertebral disk implant in accordance with claim 11, wherein either one or both of the outer ring groove and the inner ring groove are provided in the region of the equatorial plane of the implant core and forming a radial extension of a passage extending perpendicular to the equatorial plane.
13. An intervertebral disk implant in accordance with any one of claims 1 to 11, wherein the implant core has a passage extending perpendicular to the equatorial plane.
14. An intervertebral disk implant in accordance with any one of claims 1 to 11, wherein the implant core has a passage extending perpendicular to the equatorial plane whose longitudinal axis coincides with the central axis of the implant core.
15. An intervertebral disk implant in accordance with any one of claims 1 to 11, wherein the implant core is made in multiple parts and includes an arrangement of at least one inner support cushion and at least one shell surrounding the support cushion.
16. An intervertebral disk implant in accordance with claim 15, wherein the arrangement is made as a material composite.
17. An intervertebral disk implant in accordance with claim 16, wherein the support cushion has a lens-like base shape.
18. An intervertebral disk implant in accordance with any one of claims 15 to 17, wherein the shell includes two half shells.
19. An intervertebral disk implant in accordance with claim 18, wherein the two half shells are arranged spaced apart from one another in the axial direction.
20. An intervertebral disk implant in accordance with any one of claims 15 to 19, wherein the support cushion and the shell are made from different materials.
21. An intervertebral disk implant in accordance with claim 20, wherein the material of the shell is harder or stiffer or harder and stiffer than the material of the support cushion.
22. An intervertebral disk implant in accordance with any one of claims 15 to 21, wherein the shell projects beyond the support cushion in the radial direction.
23. An intervertebral disk implant in accordance with any one of claims 15 to 22, wherein an intermediate space is present in a radially outer rim region between the shell and the support cushion.
24. An intervertebral disk implant in accordance with any one of claims 15 to 23, wherein an intermediate layer, is arranged between the support cushion and the shell.
25. An intervertebral disk implant in accordance with claim 24, wherein the intermediate layer is made as a path boundary for a plurality of spigots of the implant plates projecting into a passage extending perpendicular to an equatorial plane.
26. An intervertebral disk implant in accordance with any one of claims 1 to 11, wherein a passage of the implant core extending perpendicular to an equatorial plane has a cross-sectional area which varies over its length.
27. An intervertebral disk implant in accordance with claim 26, wherein the cross-sectional area increases outwardly from the equatorial plane.
28. An intervertebral disk implant in accordance with claim 26, the cross-sectional area increases constantly outwardly from the equatorial plane.
29. An intervertebral disk implant in accordance with any one of claims 15 to 28, wherein a passage has a restriction bounded by an inner wall of the support cushion.
30. An intervertebral disk implant in accordance with any one of claims 15 to 29, wherein the support cushion is made in ring shape.
31. An intervertebral disk implant in accordance with claim 30, wherein the ring thickness measured in the radial direction is the largest in the equatorial plane and in each case reducing with increasing axial distance from the equatorial plane.
32. An intervertebral disk implant in accordance with any one of claims 15 to 31, wherein the support cushion is stiffened in a central region in the axial direction.
33. An intervertebral disk implant in accordance with any one of claims 15 to 32, wherein the support cushion is stiffened inwardly in the radial direction.
34. An intervertebral disk implant in accordance with any one of claims 15 to 23, wherein a separate stiffening element is provided.
35. An intervertebral disk implant in accordance with claim 34, wherein the separate stiffening element has a ring shaped or cylindrical base shape and is arranged in a passage extending perpendicular to an equatorial plane.
36. An intervertebral disk implant in accordance with any one of claims 15 to 35, wherein the support cushion is injection molded onto the shell for the forming of a material composite between the support cushion and the shell which is suitable for manufacture by injection molding.
37. An intervertebral disk implant in accordance with any one of claims 15 to 17, wherein the shell has two half shells forming the shell and the material of the support cushion has a higher melting point than the material of the shell.
38. An intervertebral disk implant in accordance with any one of claims 15 to 24, wherein the support cushion is injection molded onto an intermediate layer.
39. An intervertebral disk implant in accordance with any one of claims 15 to 17, wherein the support cushion or an intermediate layer connected to the support cushion is connected to the shell by a clip, snap, or latch connection.
40. An intervertebral disk implant in accordance with any one of claims 18 to 38, wherein the support cushion or an intermediate layer connected to the support cushion is connected to the shell by a clip, snap, or latch connection.
41. An intervertebral disk implant in accordance with claim 39, wherein the support cushion or the intermediate layer connected to the support cushion is connected to two half shells forming the shell.
42. An intervertebral disk implant in accordance with claim 40, wherein the support cushion or the intermediate layer connected to the support cushion is connected to the two half shells forming the shell.
43. An intervertebral disk implant in accordance with any one of claims 15 to 42, wherein the implant plates each have a dome-shaped extension at their outer side.
44. An intervertebral disk implant in accordance with claim 43, wherein the dome-shaped extension is in the form of a spherical segment, or a barrel-shaped extension.
45. An intervertebral disk implant in accordance with any one of claims 15 to 444, wherein the outer sides of the implant plates are each outwardly arched.
46. An intervertebral disk implant in accordance with claim 45, wherein the arches are provided in addition to a dome-shaped extension or a barrel-shaped extension.
47. An intervertebral disk implant in accordance with any one of claims 15 to 46, wherein the outer sides of the implant plates each have a planar rim region extending at least over part of the periphery of the implant plates.
48. An intervertebral disk implant in accordance with any one of claims 15 to 47, wherein the implant plates each have at least one guide projection or a holding projection on their outer side.
49. An intervertebral disk implant in accordance with claim 48, wherein the at least one guide projection is formed as a peen, or the holding projection is a pyramid-shaped holding projection.
50. An intervertebral disk implant in accordance with any one of claims 15 to 49, wherein the implant plates each have a recess on their inner sides for the reception of the implant core.
51. An intervertebral disk implant in accordance with any one of claims 15 to 50, wherein at least one implant plate has a spigot which protrudes from its inner side and which projects into a depression formed on the outer side of the implant core, when the implant is assembled, with the depression being dimensioned larger than the spigot in order to permit a relative movement between the implant plate and the implant core.
52. An intervertebral disk implant in accordance with claim 51, wherein the spigot is arranged centrally with respect to the dimension of the implant plate in the sagittal direction.
53. An intervertebral disk implant in accordance with claim 51, wherein the spigot is arranged eccentrically with respect to the dimension of the implant plate in the sagittal direction.
54. An intervertebral disk implant in accordance with any one of claims 15 to 53, wherein the implant core is provided on at least one outer side with an introduction passage for the spigot of the implant plate extending from the rim to the depression.
55. An intervertebral disk implant in accordance with any one of claims 15 to 53, wherein at least one implant plate is provided on its inner side with an introduction passage for the implant core extending from the rim to the recess.
56. An intervertebral disk implant in accordance with any one of claims 24, 38, 39, 10, 41 and 42, wherein the intermediate layer is made of metal.
57. A method for the manufacture of an intervertebral disk implant, which includes two implant plates contacting prepared vertebral body surfaces in the implanted state and an implant core which is suitable for introduction between the implant plates and includes at least one inner support cushion and at least one shell surrounding the support cushion with the support cushion being injection molded in a plastic injection method onto the shell or being injection molded onto an intermediate layer arranged between the support cushion and the shell in the finished state.
58. A method in accordance with claim 57, wherein the at least one shell surrounding the support cushion is formed by two half shells and the support cushion is injection molded in a plastic injection method onto the half shells.
59. A method in accordance with claim 57 or claim 58, wherein a material for the support cushion to be injection molded is selected for the manufacture of a material composite between the support cushion and the shell which has a higher melting point than the material of the shell.
60. A method in accordance with claim any one of claims 57 to 59, wherein the intermediate layer is made from metal.
61. A method in accordance with any one of claims 57 to 60, wherein recesses or undercuts formed at the inner side of the shell or the intermediate layer are injection molded on the injection of the support cushion.
CA2614993A 2004-05-18 2005-04-11 An intervertebral disk implant Expired - Fee Related CA2614993C (en)

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DE102004024662 2004-05-18
EP04027322A EP1532950B1 (en) 2003-11-18 2004-11-17 Spinal disc prosthesis
EP04027322.9 2004-11-17
CA002503294A CA2503294C (en) 2004-05-18 2005-04-11 An intervertebral disk implant

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KR (1) KR100701991B1 (en)
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