WO2008088139A1 - Spine insert - Google Patents

Spine insert Download PDF

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Publication number
WO2008088139A1
WO2008088139A1 PCT/KR2008/000014 KR2008000014W WO2008088139A1 WO 2008088139 A1 WO2008088139 A1 WO 2008088139A1 KR 2008000014 W KR2008000014 W KR 2008000014W WO 2008088139 A1 WO2008088139 A1 WO 2008088139A1
Authority
WO
WIPO (PCT)
Prior art keywords
spine insert
spine
concave portion
top surface
convex
Prior art date
Application number
PCT/KR2008/000014
Other languages
French (fr)
Inventor
Ho-Chan Hwang
Sung-Eun Park
Sung-Hoon Lee
Jong-Kwon Oh
Ke-Won Kang
Seog-Jin Seo
Jung-Suk Lee
Seok-Beam Song
Jin-Young Kim
Jae-Hyoung Ahn
Ji-Hwa Chae
Original Assignee
Hans Biomed. Cor
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 Hans Biomed. Cor filed Critical Hans Biomed. Cor
Publication of WO2008088139A1 publication Critical patent/WO2008088139A1/en

Links

Classifications

    • 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
    • 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
    • A61F2/4455Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • 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
    • A61F2/28Bones
    • 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
    • A61F2/4455Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A61F2/4465Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
    • 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
    • A61F2/4455Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A61F2/447Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
    • 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
    • A61F2/46Special 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
    • 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
    • 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
    • A61F2002/30433Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
    • 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
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30772Apertures or holes, e.g. of circular cross section
    • 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
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • 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
    • 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
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0041Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels or rivets, e.g. connecting screws
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00359Bone or bony tissue

Definitions

  • the present invention relates to a spine insert, and more particularly, to a spine insert capable of easily inserted between vertebrae and having a good biocompatibility.
  • a spine insert is inserted between vertebrae in a state that the spine cannot be recovered due to a degenerative spinal stenosis, a traffic accident, and the like.
  • the degenerative spinal stenosis is described as follows.
  • the present invention provides a spine insert capable of being easily practiced and being not easily ejected after the practice.
  • the present invention also provides a spine insert capable of being formed to have a desired shape by using a material having biocompatibility with a human body.
  • a spine insert inserted between vertebrae, comprising: a top surface contacting with an upper vertebra; a bottom surface formed at an opposite side of the top surface; and both side surfaces connecting the top surface and the bottom surface, wherein the top surface is formed in a curved surface matching with a shape of a lower surface of a vertebra. Accordingly, the spine insert can be easily inserted and more strongly fixed to the spine after the insertion.
  • the top surface is provided with a top-surface convex-concave portion having a saw-tooth shape
  • the bottom surface is provided with a bottom- surface convex-concave portion having a saw-tooth shape.
  • the top-surface convex-concave portion and/or the bottom- surface convex-concave portion are provided with forward inclination facets in an insertion direction of the spine insert and backward inclination facets in the opposite direction, and he backward inclination facets are formed to be steeper than the forward inclination facets are. Accordingly, since the spine insert can be easily inserted but not easily ejected, the spine insert can be easily practiced but not easily ejected after the practice.
  • distal ends of the top-surface convex-concave portion and/or bottom- surface convex-concave portion are provided with chamfered portions.
  • the spine insert is made of a material having a strength similar to that of a human bone, a distal end there of may be easily broken. Due to the aforementioned structure, it is possible to prevent the distal end from being broken and to prevent the broken distal end from damaging the human body. Accordingly, it is possible to prevent the convex- concave portion from being easily broken. In addition, since the broken pieces cannot easily occur, it is possible to prevent the broken pieces from damaging other organs.
  • the spine insert is formed by combining a plurality of divided parts, and the spine insert is formed by combining the divided parts s with a pin penetrating the divided parts. Accordingly, the spine insert having a desired size can be formed by using a material such as an animal bone which cannot be easily obtained in a desired size.
  • a through-hole penetrating the top surface and the bottom surface is formed. Accordingly, since a material for facilitating bonding the spine inset object with the vertebrae is inserted into the through-hole, the spine insert can be more speedily fixed.
  • the spine insert according to the present invention sine the top surface is formed in a curved surface matching with a shape of a lower surface of a vertebra, the spine insert can be easily inserted and more strongly fixed after the insertion.
  • the spine insert can be easily inserted but not easily ejected.
  • the spine insert can be formed by combining a plurality of separate divided parts, the spine insert having a large size can be formed by using a material similar to a human bone.
  • the spine insert can be more speedily fixed to the vertebrae.
  • FIG. 1 is a perspective view illustrating a spine insert according to a first embodiment of the present invention.
  • FIG. 2 is a cross-sectional view taken along line II- II of FIG. 1.
  • FIG. 3 is a plan view as seen from an upper surface side of FIG. 1.
  • FIG. 4 is an exploded perspective view illustrating the spine insert of FIG. 1.
  • FIG. 5 is a perspective view illustrating a spine insert according to a second embodiment of the present invention. Mode for the Invention
  • FIG. 1 is a perspective view illustrating a spine insert according to a first embodiment of the present invention.
  • the spine insert according to the first embodiment includes a top surface 100 contacting with a upper vertebra, a bottom surface 200 formed at an opposite side of the top surface 100, both side surfaces 300 connecting the top surface 100 and the bottom surface 200, a front surface 400 formed in a forward direction of insertion, and a rear surface 500 formed at an opposite side of the front surface 400.
  • the top surface 100 is provided with a top-surface convex-concave portion 110 having a saw-tooth shape
  • the bottom surface 200 is provided with a bottom- surface convex-concave portion 210 having a saw-tooth shape.
  • forward inclination facets 111 and 211 are formed in an insertion direction, that is, in a direction toward the front surface 400
  • backward inclination facets 112 and 212 are formed in a direction toward the rear surface 500.
  • the backward inclination facets 112 and 212 are formed to be steeper than the forward inclination facets 111 and 212 are.
  • the forward inclination facets 111 and 211 are formed to have an angle of 45 degrees
  • the backward inclination facets 112 and 212 are formed to have an angle of more than 45 degrees. Therefore, the spine insert can be easily inserted by using the forward inclination facets during the insertion operation. In addition, after the insertion, the spine insert cannot be easily ejected by using the backward inclination facets 112 and 212.
  • Distal ends of the top-surface convex-concave portion 110 and the bottom- surface convex-concave portion 210 are provided with chamfered portions 113 and 213. If the spine insert is made of a material having a strength similar to that of a human bone, a distal end there of may be easily broken. Due to the aforementioned structure, it is possible to prevent the distal end from being broken and to prevent the broken distal end from damaging the human body.
  • the top surface is formed in a curved surface matching with a shape of a lower surface of a vertebra. That is, the top surface 100 is formed along the curved line 130 shown in FIG. 2.
  • the curved line 130 is the same as a curved line of the lower surface of the vertebrae which the spine insert is inserted between. Accordingly, the spine insert can be easily inserted.
  • the spine insert can be more strongly fixed after the insertion.
  • the side surfaces 300 are provided with recessed clamp grooves 310, so that the spine insert can be easily clamped with a clamper.
  • FIG. 3 is a plan view as seen from an upper surface side of FIG. 1.
  • the corner 150 is formed to protrude, distal ends thereof may stimulate or damage the human body during the practice. Due to the aforementioned structure, the stimulating or the damaging can be prevented. Alternatively, the corners 150 may be formed to have a curved surface.
  • FIG. 4 is an exploded perspective view of FIG. 1.
  • the spine insert is formed by combining a plurality of divided parts 11 to 13.
  • the spine insert is divided into three parts in parallel to both side surfaces 30.
  • the spine insert is formed by extracting an animal bone similar to a human bone instead of a synthetic material or a metallic material, a one body having a desired size cannot be easily extracted. Therefore, the extracted animal bones are divided into a plurality of parts, and then, the divided parts are combined, so that the spine insert having a larger size than the original materials one can be obtained.
  • Each of the divided parts is provided with a pin-insert hole 600 that penetrates the divided part.
  • a pin is inserted into the pin-insert holes 600, so that the divided parts 11, 12, and 13 can be combined to form one spine insert 10.
  • the pin 700 is formed to have a diameter so that the pin is inserted into the pin-insert hole 600 by interference fit.
  • the divided parts 11, 12, and 13 are made of the same material.
  • the spine insert As described above, in the spine insert according to the first embodiment of the present invention, sine the top surface 100 is formed in a curved surface matching with a shape of a lower surface of a vertebra, the spine insert can be easily inserted and more strongly fixed after the insertion.
  • the spine insert can be easily inserted but not easily ejected.
  • the spine insert can be formed by combining a plurality of separate divided parts, the spine insert having a large size can be formed by using a material similar to a human bone.
  • FIG. 5 is a perspective view illustrating a structure of a spine insert according to a second embodiment of the present invention.
  • the spine insert according to the second embodiment is used for the neck and the spine.
  • the shape of spine insert according to the second embodiment is slightly different from that of the spine inert object according to the first embodiment.
  • the spine insert according to the second embodiment is the same as the spine insert according to the first embodiment except for a through-hole 1800 formed at a central portion to penetrate a top surface 110 and a bottom surface 1200, a dividing direction parallel to the top surface, a pin 1700 inserted in up/down direction.
  • a material for facilitating bonding the spine inset object with the vertebrae is inserted into the through-hole 1800. Since such a material is well known, detailed description thereof is omitted. In addition, the material does not relate to the scope of the present invention.

Abstract

A spine insert which is inserted between vertebrae is provided. The spine insert includes: a top surface contacting with an upper vertebra; a bottom surface formed at an opposite side of the top surface; and both side surfaces connecting the top surface and the bottom surface. The top surface is formed in a curved surface matching with a shape of a lower surface of a vertebra. Accordingly, the spine insert can be easily inserted and more strongly fixed to the spine after the insertion.

Description

Description SPINE INSERT
Technical Field
[1] The present invention relates to a spine insert, and more particularly, to a spine insert capable of easily inserted between vertebrae and having a good biocompatibility. Background Art
[2] A spine insert is inserted between vertebrae in a state that the spine cannot be recovered due to a degenerative spinal stenosis, a traffic accident, and the like. As an example, the degenerative spinal stenosis is described as follows.
[3] As a result of aging of a human body, a degenerative change in a spine occurs, and thus, a space between vertebrae is narrowed. Due to the degenerative progress, a spinious process or a ligamentum flavum compresses a spinal nerve or a nerve process connected to the spinal nerve. This medical condition is called a spinal stenosis.
[4] As treatment methods for the spinal stenosis, there are a pharmacological treatment, a physical treatment, a surgical treatment, and the like. Among the methods, the surgical treatment is used in a case where other treatment methods cannot be used. It is known that, in a general surgical treatment, bones and organs that compress the nerves are removed, and the spine is fixed by using screws in order to prevent the spine from being unstable. However, in the surgical treatment, since a large number of the bones and organs needs to be removed, general anesthesia is required, and a long surgical time and a long recovery time after the surgery are required. Therefore, there is a problem in that, in many cases, the surgical treatment may not be used for infirm, old persons. In addition, there is a problem in that, due to complications or other reasons, satisfactory effects of the surgery may not be obtained. In addition, there is a problem of high cost of surgery.
[5] As an approach for solving the problems, a method of inserting a spine insert between the vertebrae is proposed. However, conventional spine inserts have problems that the spine inserts are difficult to practice and are easily ejected. In addition, since the spine insert is made of a metal or a synthetic resin, the spine insert has a problem of damage to a human body for a long time of insertion.
[6] In order to solve the problems, a method of forming the spine insert by using bones extracted from a human body or an animal has been proposed. However, due to restriction of the material, a desired shape cannot be easily formed. In addition, since the conventional shape is still used, the problems of the difficulty of practicing and the deterioration in stability after the practice are not solved. Disclosure of Invention Technical Problem
[7] In order to solve the aforementioned problems, the present invention provides a spine insert capable of being easily practiced and being not easily ejected after the practice.
[8] The present invention also provides a spine insert capable of being formed to have a desired shape by using a material having biocompatibility with a human body. Technical Solution
[9] According to an aspect of the present invention, there is provided a spine insert inserted between vertebrae, comprising: a top surface contacting with an upper vertebra; a bottom surface formed at an opposite side of the top surface; and both side surfaces connecting the top surface and the bottom surface, wherein the top surface is formed in a curved surface matching with a shape of a lower surface of a vertebra. Accordingly, the spine insert can be easily inserted and more strongly fixed to the spine after the insertion.
[10] It is preferable that the top surface is provided with a top-surface convex-concave portion having a saw-tooth shape, and the bottom surface is provided with a bottom- surface convex-concave portion having a saw-tooth shape. In addition, it is preferable that the top-surface convex-concave portion and/or the bottom- surface convex-concave portion are provided with forward inclination facets in an insertion direction of the spine insert and backward inclination facets in the opposite direction, and he backward inclination facets are formed to be steeper than the forward inclination facets are. Accordingly, since the spine insert can be easily inserted but not easily ejected, the spine insert can be easily practiced but not easily ejected after the practice.
[11] It is preferable that distal ends of the top-surface convex-concave portion and/or bottom- surface convex-concave portion are provided with chamfered portions. If the spine insert is made of a material having a strength similar to that of a human bone, a distal end there of may be easily broken. Due to the aforementioned structure, it is possible to prevent the distal end from being broken and to prevent the broken distal end from damaging the human body. Accordingly, it is possible to prevent the convex- concave portion from being easily broken. In addition, since the broken pieces cannot easily occur, it is possible to prevent the broken pieces from damaging other organs.
[12] It is preferable that the spine insert is formed by combining a plurality of divided parts, and the spine insert is formed by combining the divided parts s with a pin penetrating the divided parts. Accordingly, the spine insert having a desired size can be formed by using a material such as an animal bone which cannot be easily obtained in a desired size.
[13] It is preferable that a through-hole penetrating the top surface and the bottom surface is formed. Accordingly, since a material for facilitating bonding the spine inset object with the vertebrae is inserted into the through-hole, the spine insert can be more speedily fixed.
Advantageous Effects
[14] According to the aforementioned aspect of the present invention, many effects including the following effects can be obtained. However, it should be noted that the present invention needs to have all the following effects at the same time.
[15] Firstly, in the spine insert according to the present invention, sine the top surface is formed in a curved surface matching with a shape of a lower surface of a vertebra, the spine insert can be easily inserted and more strongly fixed after the insertion.
[16] In addition, since the backward inclination facets of the convex-concave portion formed on the top surface and the bottom surface are formed to be steeper than the forward inclination facets, the spine insert can be easily inserted but not easily ejected.
[17] In addition, since the spine insert can be formed by combining a plurality of separate divided parts, the spine insert having a large size can be formed by using a material similar to a human bone.
[18] In addition, since the through-hole penetrating the top surface and the bottom surface is formed to receive a material for facilitating bonding the spine inset object with the vertebrae, the spine insert can be more speedily fixed to the vertebrae. Brief Description of the Drawings
[19] FIG. 1 is a perspective view illustrating a spine insert according to a first embodiment of the present invention.
[20] FIG. 2 is a cross-sectional view taken along line II- II of FIG. 1.
[21] FIG. 3 is a plan view as seen from an upper surface side of FIG. 1.
[22] FIG. 4 is an exploded perspective view illustrating the spine insert of FIG. 1.
[23] FIG. 5 is a perspective view illustrating a spine insert according to a second embodiment of the present invention. Mode for the Invention
[24] Hereinafter, embodiments of the present invention will be described in detail with reference to the accompanying drawings.
[25] For clarifying the present invention, description of well-known functions and constructions will be omitted.
[26] FIG. 1 is a perspective view illustrating a spine insert according to a first embodiment of the present invention.
[27] The spine insert according to the first embodiment includes a top surface 100 contacting with a upper vertebra, a bottom surface 200 formed at an opposite side of the top surface 100, both side surfaces 300 connecting the top surface 100 and the bottom surface 200, a front surface 400 formed in a forward direction of insertion, and a rear surface 500 formed at an opposite side of the front surface 400.
[28] The top surface 100 is provided with a top-surface convex-concave portion 110 having a saw-tooth shape, and the bottom surface 200 is provided with a bottom- surface convex-concave portion 210 having a saw-tooth shape. In the top-surface convex-concave portion 110 and the bottom- surface convex-concave portion 210, forward inclination facets 111 and 211 are formed in an insertion direction, that is, in a direction toward the front surface 400, and backward inclination facets 112 and 212 are formed in a direction toward the rear surface 500. Preferably, the backward inclination facets 112 and 212 are formed to be steeper than the forward inclination facets 111 and 212 are. That is, as shown in FIG. 2, the forward inclination facets 111 and 211 are formed to have an angle of 45 degrees, and the backward inclination facets 112 and 212 are formed to have an angle of more than 45 degrees. Therefore, the spine insert can be easily inserted by using the forward inclination facets during the insertion operation. In addition, after the insertion, the spine insert cannot be easily ejected by using the backward inclination facets 112 and 212.
[29] Distal ends of the top-surface convex-concave portion 110 and the bottom- surface convex-concave portion 210 are provided with chamfered portions 113 and 213. If the spine insert is made of a material having a strength similar to that of a human bone, a distal end there of may be easily broken. Due to the aforementioned structure, it is possible to prevent the distal end from being broken and to prevent the broken distal end from damaging the human body.
[30] The top surface is formed in a curved surface matching with a shape of a lower surface of a vertebra. That is, the top surface 100 is formed along the curved line 130 shown in FIG. 2. Preferably, the curved line 130 is the same as a curved line of the lower surface of the vertebrae which the spine insert is inserted between. Accordingly, the spine insert can be easily inserted. In addition, since the entire top-surface convex- concave portion of the top surface contact with the lower surface of the vertebrae, the spine insert can be more strongly fixed after the insertion.
[31] The side surfaces 300 are provided with recessed clamp grooves 310, so that the spine insert can be easily clamped with a clamper.
[32] FIG. 3 is a plan view as seen from an upper surface side of FIG. 1.
[33] As shown in FIG. 3, corners 150 between the rear surface 500 and the side surfaces
300 are provided with chamfered portions. If the corner 150 is formed to protrude, distal ends thereof may stimulate or damage the human body during the practice. Due to the aforementioned structure, the stimulating or the damaging can be prevented. Alternatively, the corners 150 may be formed to have a curved surface.
[34] FIG. 4 is an exploded perspective view of FIG. 1. [35] As shown in FIG. 4, the spine insert is formed by combining a plurality of divided parts 11 to 13. The spine insert is divided into three parts in parallel to both side surfaces 30. In a case where the spine insert is formed by extracting an animal bone similar to a human bone instead of a synthetic material or a metallic material, a one body having a desired size cannot be easily extracted. Therefore, the extracted animal bones are divided into a plurality of parts, and then, the divided parts are combined, so that the spine insert having a larger size than the original materials one can be obtained. Each of the divided parts is provided with a pin-insert hole 600 that penetrates the divided part. A pin is inserted into the pin-insert holes 600, so that the divided parts 11, 12, and 13 can be combined to form one spine insert 10. Preferably, the pin 700 is formed to have a diameter so that the pin is inserted into the pin-insert hole 600 by interference fit. In addition, preferably, the divided parts 11, 12, and 13 are made of the same material.
[36] As described above, in the spine insert according to the first embodiment of the present invention, sine the top surface 100 is formed in a curved surface matching with a shape of a lower surface of a vertebra, the spine insert can be easily inserted and more strongly fixed after the insertion.
[37] In addition, since the backward inclination facets 112 and 212 are formed to be steeper than the forward inclination facets 111 and 212, the spine insert can be easily inserted but not easily ejected.
[38] In addition, since the spine insert can be formed by combining a plurality of separate divided parts, the spine insert having a large size can be formed by using a material similar to a human bone.
[39] FIG. 5 is a perspective view illustrating a structure of a spine insert according to a second embodiment of the present invention.
[40] The spine insert according to the second embodiment is used for the neck and the spine. The shape of spine insert according to the second embodiment is slightly different from that of the spine inert object according to the first embodiment. However, the spine insert according to the second embodiment is the same as the spine insert according to the first embodiment except for a through-hole 1800 formed at a central portion to penetrate a top surface 110 and a bottom surface 1200, a dividing direction parallel to the top surface, a pin 1700 inserted in up/down direction. Before the insertion into the spine, a material for facilitating bonding the spine inset object with the vertebrae is inserted into the through-hole 1800. Since such a material is well known, detailed description thereof is omitted. In addition, the material does not relate to the scope of the present invention.
[41] Accordingly, since the spine insert can be speedily fixed between the vertebrae, a patient can be recovered in a shorter time after the practice. [42] While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it will be understood by those of ordinary skill in the art that various changes in form and details may be made therein without departing from the spirit and scope of the present invention as defined by the following claims.

Claims

Claims
[1] A spine insert inserted between vertebrae, comprising: a top surface contacting with an upper vertebra; a bottom surface formed at an opposite side of the top surface; and both side surfaces connecting the top surface and the bottom surface, wherein the top surface is formed in a curved surface matching with a shape of a lower surface of a vertebra.
[2] A spine insert inserted between vertebrae, comprising: wherein a distal end of a top-surface convex-concave portion having a saw-tooth shape of the top surface is provided with a chamfered portion, and wherein a distal end of a bottom- surface convex-concave portion having a sawtooth shape of the bottom surface is provided with a chamfered portion.
[3] The spine insert according to claim 1, wherein the top surface is provided with a top-surface convex-concave portion having a saw-tooth shape, and wherein the bottom surface is provided with a bottom- surface convex-concave portion having a saw-tooth shape.
[4] The spine insert according to claim 2, wherein the top-surface convex-concave portion and/or the bottom- surface convex-concave portion are provided with forward inclination facets in an insertion direction of the spine insert and backward inclination facets in the opposite direction, and wherein the backward inclination facets are formed to be steeper than the forward inclination facets are.
[5] The spine insert according to claim 1 or 2, wherein the spine insert is formed by combining a plurality of divided parts.
[6] The spine insert according to claim 5, wherein the spine insert is divided parallel to the both side surfaces.
[7] The spine insert according to claim 5, wherein the spine insert is formed by combining the divided parts with a pin penetrating the divided parts.
[8] The spine insert according to claim 7, wherein the spine insert and the pin are made of a bone of an animal.
[9] The spine insert according to claim 1, wherein a through-hole penetrating the top surface and the bottom surface is formed.
[10] A spine insert inserted between vertebrae, comprising: a top surface contacting with an upper vertebra; a bottom surface formed at an opposite side of the top surface; and both side surfaces connecting the top surface and the bottom surface, wherein the top surface is provided with a top-surface convex-concave portion having a saw-tooth shape, wherein the bottom surface is provided with a bottom- surface convex-concave portion having a saw-tooth shape, and wherein distal ends of the top-surface convex-concave portion and/or the bottom- surface convex-concave portion are provided with chamfered portions.
PCT/KR2008/000014 2007-01-15 2008-01-02 Spine insert WO2008088139A1 (en)

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US6500206B1 (en) * 2000-09-15 2002-12-31 Donald W. Bryan Instruments for inserting spinal vertebral implant
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FR2946245A1 (en) * 2009-06-09 2010-12-10 Neuro France Implants Nfi Intervertebral cage for vertebral arthrodesis, has teeth having section oriented from side of rear end perpendicular to longitudinal axis of walls, and another section forming specific angle with longitudinal axis
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US9655744B1 (en) 2011-10-31 2017-05-23 Nuvasive, Inc. Expandable spinal fusion implants and related methods
US9445918B1 (en) 2012-10-22 2016-09-20 Nuvasive, Inc. Expandable spinal fusion implants and related instruments and methods
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US11399954B2 (en) 2012-10-22 2022-08-02 Nuvasive, Inc. Expandable spinal fusion implant, related instruments and methods

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