CA2531144A1 - Intervertebral disk prosthesis - Google Patents

Intervertebral disk prosthesis Download PDF

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Publication number
CA2531144A1
CA2531144A1 CA002531144A CA2531144A CA2531144A1 CA 2531144 A1 CA2531144 A1 CA 2531144A1 CA 002531144 A CA002531144 A CA 002531144A CA 2531144 A CA2531144 A CA 2531144A CA 2531144 A1 CA2531144 A1 CA 2531144A1
Authority
CA
Canada
Prior art keywords
prosthesis
profile
intervertebral disk
angle
cover plate
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.)
Abandoned
Application number
CA002531144A
Other languages
French (fr)
Inventor
Arnold Keller
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.)
Cervitech Inc
Original Assignee
Cervitech, Inc.
Arnold Keller
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 Cervitech, Inc., Arnold Keller filed Critical Cervitech, Inc.
Publication of CA2531144A1 publication Critical patent/CA2531144A1/en
Abandoned legal-status Critical Current

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
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • A61F2/4425Intervertebral or spinal discs, e.g. resilient made of articulated components
    • 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
    • A61F2002/30383Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
    • A61F2002/30387Dovetail connection
    • 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
    • A61F2002/30476Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/30517Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a locking plate
    • 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
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30576Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs
    • A61F2002/30578Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs having apertures, e.g. for receiving fixation 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
    • A61F2002/30904Special 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
    • 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
    • A61F2002/443Intervertebral or spinal discs, e.g. resilient made of articulated components having two transversal endplates and at least one intermediate component
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The invention relates to an intervertebral disk prosthesis comprising two cover plates and a prosthesis core that is joined to one of the cover plates (1) by means of connecting profiles (8, 8', 14, 14') which are undercut in a complementary manner. Said connecting profiles (8, 8', 14, 14') are provided with at least one couple of profiled sections (9, 16) that are symmetric in relation to the anterior-posterior direction (10) and are disposed at an angle from each other.

Description

Cervitech, Inc.

D/so Intervertebral disk prosthesis A known type of intervertebral disk prosthesis (WO
01/01893) has two metal cover plates and a polyethylene prosthesis core which forms a pair of slide surfaces with one of the two cover plates and is fixed on the other cover plate. For this fixing, the cover plate is provided with edge ridges whose undercut connection profile cooperates with a complementary connection profile on the underside of the prosthesis core. On the right and left lateral edges of the cover plate and of the prosthesis core, such connection profiles are provided parallel to one another. In addition, there is one such profile running in a straight line on the dorsal edge of the cover plate and of the prosthesis core.
There is no such profile on the ventral edge, with the re-sult that the prosthesis core can be pushed into the con-nection profiles of the cover plate from the ventral direc-tion. The prosthesis core is secured in the assembled posi-tion by a pair of locking elements provided on the ventral edge. Although the connection profiles are produced almost free of play, an important concern in prosthesis production is to ensure that, even in the case of production toler-ances, it is possible to rule out any movement of the pros-thesis core relative to the cover plate holding it. In par-ticular, rotation movements of the prosthesis core relative to the cover plate holding it must be ruled out.
The prior art gives no indications as to how this problem could be solved. FR-A-2718635 discloses connection profiles only on parallel, lateral edges of the cover plate. They are absent in all the nonlateral and nonparallel edge ar-eas. For knee prostheses, FR-A-2632516 discloses the fixing of a polyethylene part in a retaining profile by means of horseshoe-shaped connection profiles, but this does not af-ford any guarantee that the nonparallel sections of the connection profiles will also remain in engagement with one another. For a shoulder prosthesis, FR-A-2780635 discloses the fixing of a polyethylene part on a retaining part by means of connection profiles extending exclusively at an angle with respect to one another. This cannot be adapted the shape requirements of an intervertebral disk prosthe-sis.
The invention has recognized that the problem with in-tervertebral disk prostheses can be solved by the special arrangement of the connection profiles given in claim 1.
Accordingly, provision is made that the connection profiles include at least one pair of connection profile sections which are symmetrical with respect to the AP direction and are arranged at an angle to one another. AP direction sig-nifies the anteroposterior direction. The profile sections arranged at an angle to one another according to the inven-tion create a triangular configuration which counteracts twisting of the prosthesis core relative to the cover plate if play exists between the connection profiles of the cover plate and of the prosthesis core. The connection profiles can basically be made up exclusively of such profile sec-tions arranged at an angle to one another. However, these can also be provided additionally to connection profiles arranged in parallel on the lateral edges of the cover plate and of the prosthesis core. They are intended to run in a substantially straight line and are preferably ar-ranged at least on the dorsal side. The angle between the profile sections arranged at an angle to one another should not be greater than 150°. The limit preferably lies for ex-ample at 140°.
The invention is explained in more detail below with refer-ence to the drawing which depicts an advantageous illustra-tive embodiment and in which:
Fig. 1 shows a perspective view of the end plate with the prosthesis core secured on it, Figs 2 to 4 show different views of the same end plate without prosthesis core, and Figs 5 and 6 show perspective views of the prosthesis core.
The end plate 1, which is normally used as the lower end plate, has an approximately oval contour and comprises a toothed fastening surface 2 for bearing on the vertebral body and a flange 3 which comes to lie on the ventral side of the vertebral body and can be screwed to the latter via screw holes 4. On that side opposite the fastening surface 2, the one normally lying to the top, the cover plate 1 forms a support for the prosthesis core 5. This support consists of a plane surface 6 and, surrounding the latter, an edge 7 which is composed of two parallel sections 7' on the lateral sides of the plate and of a dorsal edge 7 " .
The outer contour of the edge 7 corresponds to the oval contour of the cover plate. On its side facing toward the surface 6, the edge is provided with a profile ridge 8 and, below the latter, with an undercut 8'. The connection pro-file thereby formed on the inner side of the edge 7 runs in a straight line in the lateral sections 7' and parallel on both sides. In the dorsal section 7 " , the connection pro-file is composed of two sections 9. In each of these sec-tions, the connection profile runs in a straight line. The profiles of both sections are arranged symmetrically with respect to the AP axis 10 of the implant and enclose an an-gle a which, in the example shown, is 140°.
The top of the edge 7 forms a plane surface 6' which runs parallel to the support surface 6 and likewise forms a sup-port surface for the prosthesis core.
The flange 3 of the cover plate has a slit 11 which runs perpendicular to the connection profile 6 and whose func-tion is explained later.
On its top 12, the prosthesis core 5 forms a slide surface which cooperates with the second cover plate (not shown) to form a hinge. The contour of the prosthesis core is identi-cal to that of the cover plate 1. On its underside, it has a plane surface 13 which is intended to bear on the support surface 6 of the end plate 1 and has substantially the same contour shape. It is limited by a connection profile which is formed by a profile ridge 14 and an undercut 14'. This connection profile corresponds in a complementary manner to the connection profile 8, 9 of the edge ridge 7 of the cover plate 1. In particular, the connection profile is composed of two lateral sections 15 and two dorsal sections 16 which correspond respectively to the lateral and dorsal sections of the edge 7 of the cover plate 1 and can cooper-ate with these in a form-fitting manner.
Outside the connection profile 14, 14', on the underside of the prosthesis core 5 there is a plane surface 17 which corresponds to the support surface 6' on the top of the edge 7 of the cover plate 1 and cooperates with this when the prosthesis core is mounted on the cover plate 1.
The prosthesis is assembled by means of the prosthesis core being pushed with its connection profile 14, 14' into the corresponding connection profiles 8, 8' from the direction of the open ventral side. When the prosthesis core has been pushed in fully, its profile ridge 14 fits, not only in the area of the lateral sections 7' but also in the area of the dorsal section 7 " , into the undercut 8' of the edge 7 of the cover plate, the connection profiles lying on one an-other with substantially full-surface contact.
At the location where the slit 11 is situated in the gap 3, the prosthesis core has a groove 18 which is flush with the gap 11 when the prosthesis core has reached its end posi-tion in which the dorsal connection profiles abut one an-other. A plate (not shown) is pushed into the gap 11 and the groove 18 and secures the prosthesis core in this posi-tion relative to the cover plate 1. The plate is in turn secured by means of also having a bore at the location of the screw hole shown on the left in Fig. 3, through which bore a fastening screw extends.
By virtue of the fact that the connection profiles of the prosthesis core and of the cover plate are equipped, re-spectively, with the sections 9 and 16 which each form a triangle, it is possible, in comparison with known prosthe-ses, to obtain increased stability of the position of the prosthesis core relative to the cover plate 1. In particu-lar, its stability with respect to relative movements in the sense of rotation is thereby increased.

Claims (5)

1. An intervertebral disk prosthesis with two cover plates and a prosthesis core (5) which is con-nected to one of the cover plates (1) by means of connection profiles (8, 8', 14, 14') which are un-dercut in a complementary manner, characterized in that the connection profiles (8, 8', 14, 14') in-clude at least one pair of profile sections (9, 16) which are symmetrical with respect to the AP
direction (10) and are arranged at an angle to one another.
2. The intervertebral disk prosthesis as claimed in claim 1, characterized in that the profile sec-tions (9, 16) arranged at an angle to one another run in a substantially straight line.
3. The intervertebral disk prosthesis as claimed in claim 1 or 2, characterized in that the profile sections (9, 16) arranged at an angle to one an-other are arranged on the dorsal side and are held in engagement by means (11, 18) arranged on the ventral side.
4. The intervertebral disk prosthesis as claimed in claim 3, characterized in that the profile sec-tions (9, 16) arranged on the dorsal side are pro-vided in addition to a pair of laterally arranged profile sections (7').
5. The intervertebral disk prosthesis as claimed in claim 1 or 2, characterized in that the angle (a) between the profile sections (9, 16) arranged at an angle to one another is not greater than 150°.
CA002531144A 2003-07-21 2004-06-16 Intervertebral disk prosthesis Abandoned CA2531144A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EP03016441.2 2003-07-21
EP03016441A EP1512384A1 (en) 2003-07-21 2003-07-21 Intervertebral disc prosthesis
PCT/EP2004/006484 WO2005018508A1 (en) 2003-07-21 2004-06-16 Intervertebral disk prosthesis

Publications (1)

Publication Number Publication Date
CA2531144A1 true CA2531144A1 (en) 2005-03-03

Family

ID=34130027

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002531144A Abandoned CA2531144A1 (en) 2003-07-21 2004-06-16 Intervertebral disk prosthesis

Country Status (17)

Country Link
EP (2) EP1512384A1 (en)
JP (1) JP2007533335A (en)
KR (1) KR20060056337A (en)
CN (1) CN100563603C (en)
AR (1) AR048854A1 (en)
AT (1) ATE389375T1 (en)
AU (1) AU2004266431B2 (en)
BR (1) BRPI0412782A (en)
CA (1) CA2531144A1 (en)
DE (1) DE502004006595D1 (en)
ES (1) ES2302000T3 (en)
IL (1) IL172608A0 (en)
MX (1) MXPA06000747A (en)
PL (1) PL1646337T3 (en)
RU (1) RU2340312C2 (en)
WO (1) WO2005018508A1 (en)
ZA (1) ZA200601352B (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP5198117B2 (en) * 2008-03-28 2013-05-15 富士フイルム株式会社 Curable composition for nanoimprint, fine pattern and method for producing the same, color filter, display device, and method for producing treated substrate
BE1024357B1 (en) * 2016-07-08 2018-02-06 Tfc Medical Sa Modular implant for corporectomy

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2632516B1 (en) * 1988-06-10 1991-02-01 Guy Esteve MONOCOMPARTIMENTAL KNEE PROSTHESIS COMPRISING A TIBIAL TRAY WITH A METAL SEAT
FR2718635B1 (en) * 1994-04-15 1996-07-05 Axcyl Medical Cervical prosthesis.
FR2780635B1 (en) * 1998-07-06 2000-10-20 Tornier Sa DEVICE FOR FIXING A PLASTIC INSERT
JP4192262B2 (en) * 1999-07-02 2008-12-10 スパイン ソリューションズ インコーポレイテッド Intervertebral implant

Also Published As

Publication number Publication date
EP1646337B1 (en) 2008-03-19
BRPI0412782A (en) 2006-09-26
RU2006105201A (en) 2006-06-10
AR048854A1 (en) 2006-06-07
CN100563603C (en) 2009-12-02
MXPA06000747A (en) 2006-03-30
ZA200601352B (en) 2006-09-27
ES2302000T3 (en) 2008-07-01
DE502004006595D1 (en) 2008-04-30
JP2007533335A (en) 2007-11-22
EP1512384A1 (en) 2005-03-09
RU2340312C2 (en) 2008-12-10
IL172608A0 (en) 2006-04-10
EP1646337A1 (en) 2006-04-19
CN1826091A (en) 2006-08-30
ATE389375T1 (en) 2008-04-15
AU2004266431A1 (en) 2005-03-03
AU2004266431B2 (en) 2009-06-11
WO2005018508A1 (en) 2005-03-03
KR20060056337A (en) 2006-05-24
PL1646337T3 (en) 2008-08-29

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Legal Events

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EEER Examination request
FZDE Discontinued