EP1482876A1 - Prothese intervertebrale cervicale - Google Patents
Prothese intervertebrale cervicaleInfo
- Publication number
- EP1482876A1 EP1482876A1 EP03704673A EP03704673A EP1482876A1 EP 1482876 A1 EP1482876 A1 EP 1482876A1 EP 03704673 A EP03704673 A EP 03704673A EP 03704673 A EP03704673 A EP 03704673A EP 1482876 A1 EP1482876 A1 EP 1482876A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- intervertebral prosthesis
- prosthesis according
- teeth
- ventral
- 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.)
- Withdrawn
Links
Classifications
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30383—Connections 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
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The 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
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The 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
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30576—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The 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
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30576—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs
- A61F2002/30578—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs having apertures, e.g. for receiving fixation screws
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30621—Features concerning the anatomical functioning or articulation of the prosthetic joint
- A61F2002/30649—Ball-and-socket joints
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30621—Features concerning the anatomical functioning or articulation of the prosthetic joint
- A61F2002/30649—Ball-and-socket joints
- A61F2002/3065—Details of the ball-shaped head
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/3082—Grooves
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30841—Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
- A61F2002/30845—Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes with cutting edges
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30878—Special 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
- A61F2002/30879—Ribs
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30904—Special 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
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
- A61F2002/443—Intervertebral or spinal discs, e.g. resilient made of articulated components having two transversal endplates and at least one intermediate component
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
-
- 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
- A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
Definitions
- the solution according to the invention consists in the features of the claims.
- the basic idea is that two counteracting fixation means are used, namely on the one hand a sawtooth interacting with the bone, by means of which a ventrally directed relative movement of the prosthesis is prevented and a dorsally directed relative movement is promoted, while on the other hand a stop the dorsally directed relative movement definitely limited.
- At least one of the two cover plates belonging to the prosthesis is provided with teeth on its surface interacting with the associated vertebral body, and comprises at least one tooth with a steep flank turned towards the ventral and a less steep flank turned towards the dorsal.
- This is commonly referred to as a sawtooth shape.
- These saw teeth have the effect that, in the event of a relative movement between the cover plate and the associated vertebral body, a force is exerted thereon which tends to push it towards the dorsal.
- the saw teeth thus provide protection against unwanted displacement of the cover plate and the prosthesis in an anterior direction.
- a plurality of such teeth is preferably provided in the teeth.
- the teeth expediently run in a rib-like manner transverse to the sagittal direction.
- the toothing should be essentially nationwide. At least it should cover about half of the available area facing the vertebral body.
- the Teeth must be so high that they can have a sufficient effect. On the other hand, they should be as low as possible in order to take up little vertical space. It has proven to be advantageous if they have a height between 0.2 and 0.6 mm and their distance in the sagittal direction is between 0.5 and 2 mm.
- the force exerted dorsally by the teeth on the cover plate is only effective when there is a relative movement between the cover plate and the associated vertebral body. Such a relative movement is undesirable, since it is understandable that in the normal case, absolute rest is expected between the cover plate and the associated vertebra.
- the teeth which can be regarded as macroscopic roughness, normally help to maintain the state of rest between the cover plate and the associated vertebral body. This can be further promoted by a coating of the prosthesis surface which favors the intimate connection of bone and prosthesis surface, for example with a microporous and / or bioactive material which promotes bone growth.
- the force which is exerted on the cover plate in the event of a relative movement from the toothing to the dorsal side is neutralized by a stop surface which is provided on the ventral edge of the cover plate in order to cooperate with the ventral edge of the associated vertebral body.
- This stop surface has the effect that. the cover plate and thus also the prosthesis can be conveyed as far dorsally as possible by the force of the force, the force of the saw, the height. until the stop surface of the cover plate lies against the ventral edge of the vertebral body.
- the dimensions are chosen so that the system the stop surface on the ventral edge of the vertebral body has exactly reached the desired position of the prosthesis.
- the stop surface is expediently formed by a flange which is arranged symmetrically on the ventral edge of the cover plate over a width which is expediently at least as large as half the medio-lateral dimension of the cover plate. It is thereby achieved that a parallel contact of the flange on the ventral edge of the vertebral body is always achieved and an oblique position of the desired sagittal axis of the prosthesis relative to the sagittal direction of the vertebral body is excluded.
- the flange can be provided with openings for receiving fastening elements, for example bone screws. However, this is usually not necessary.
- An embodiment without such screw holes, in which the flange has a low height so that it can only perform its stop function, is even particularly advantageous. It gives the possibility of working a recess into the vertebral body, which receives the flange. It is thereby achieved that the prosthesis can be displaced so far dorsally in relation to the ventral escape area of the adjacent vertebral bodies that it cannot cause irritation of the esophagus or any nerves or vessels running there.
- the prosthesis can even remain completely behind this escape area and, seen from the ventral side, can thus be completely sunk in the area of the vertebral bodies. Furthermore, the waiver of the -'- Sch -au-benl-öc-he-r the advantage 7 -dß of the -Fla-ns-eh -mi-t -so - low height can be equipped, that the implant becomes very small and can be implanted through a narrow access channel, for example an endoscope. If the saw teeth are designed as ribs running transversely to the sagittal direction, there is the possibility that the cover plate is displaced relative to the associated vertebral body in the direction of these ribs.
- ribs running transversely to the direction of the toothed ribs.
- the grooves allow ingrowth of bone material and thereby prevent unwanted transverse movement.
- Any ribs are expediently designed to be self-tapping so that they penetrate into the surface of the vertebral body when the prosthesis is inserted.
- the stop surface does not necessarily have to be formed by a flange. In some cases, projections directed transversely to the plane of the cover plates are also sufficient. These should be arranged symmetrically in pairs in order to allow the prosthesis to be aligned with the direction of the vertebral bodies.
- the design of the stop surface on a pair of symmetrically arranged, spaced apart projections has the advantage that the ventral central region of the vertebral bodies, where mainly the proximity to the esophagus is to be expected, is free of prosthesis parts.
- ventral edges and edges of the prosthesis should be well rounded in order to keep their potential for possible irritation of neighboring organs low.
- Fig. 1 is a plan view of the upper end plate of a prosthesis in approximately natural size
- FIG. 2 shows the same on a larger scale; and FIG. 3 shows a sagittal section on the scale corresponding to FIG. 2.
- the prosthesis consists of a lower cover plate 1 made of hard, resistant material, in particular metal, a prosthesis core 2 consisting of polyethylene or other low-friction plastic and an upper cover plate 3, which can consist of the same material as the lower cover plate 1.
- the prosthesis core 2 is fixedly, if detachably, connected to the lower cover plate 1.
- the connection is effected by undercut edge strips 4 on the dorsal side and both lateral sides of the lower cover plate 1, into which the prosthesis core 2 provided with complementary grooves can be inserted. In the inserted position, it is secured by a bolt 5.
- the prosthesis core 2 and the upper cover plate 3 form interacting, complementary, preferably spherical sliding surfaces 6.
- the respective surfaces of the cover plates 1 and 3 facing the associated vertebral body 7 are designed to match. Most of its surface is covered by a plurality of teeth 9, which are sawtooth-shaped, namely with a steep flank 10, which is directed to the ventral side and a less steep flank 11, which faces the dorsal --- side -de-t ist-: -The s-te-i-le -Fla-nke- -is-fe v- ⁇ -rz-ug-wweise- approximately perpendicular to the plane of extension of the cover plates.
- the teeth 9 have the shape of ribs running transversely to the sagittal central axis 8, which are interrupted in the middle to form a groove 12. The teeth 9 are missing in the area of the groove 12.
- the groove base surface 13 corresponds to the tooth base surface and is indicated by dashed lines in FIG. 3.
- the groove can also be deeper or flatter. Instead of a centrally arranged groove, it is also possible to provide a plurality of grooves, which may be narrower, distributed over the surface. A symmetrical arrangement is appropriate.
- this effect can also be produced by one or more ribs which are arranged transversely to the course of the ribs forming the teeth 9. These ribs should be narrow and sharp, so that they easily penetrate the bone material when the prosthesis is inserted and do not impair the immediate formation of a tight fit of the cover plate surface on the respectively assigned bone surface.
- the surface of the prosthesis can be provided with a coating 14, in which the bone material grows in its pores and / or which biologically favors the ingrowth of bone substance.
- the cover plates 1, 3 are provided with a bar-shaped projection 15 which projects cranially or caudally beyond the surface carrying the teeth 9. Because of its mostly flat shape, the projection is also called a flange. For the sake of simplicity, this expression is also used when the projection has only a small height, as can be seen in FIG. 3. This flange can be positioned during the implantation in such a way that its abutment surface 16 facing dorsally sits in front of the ventral boundary surface 17 of the associated vertebral body 7.
- the edge 18 of the flange can be rounded. So that the bone is not weakened too much, this presupposes that the flange is only a small height above the surface bearing the teeth 9. It should be in the order of 0 ⁇ 5 to -2 mm, - ve-rz-ugs eise z-wisG-h-en 0, -8 and 1.3 mm. Expressed in fractions of the maximum dimension of the
- Implant in the anterior / posterior direction this is preferably 0.5 to 2 tenths.
- the low height of the flange has the advantage that the size of the implant is greatly reduced compared to designs in which the flange is provided with fastening elements (eg screw holes).
- the reduced dimensions enable implantation through an operation opening or an insertion channel with a correspondingly reduced diameter, for example in the case of endoscopic implantation.
- the prosthesis according to the invention results in a very secure fit, the sawtooth-shaped teeth, which cause a "conveying direction" to the dorsal, prevent an undesired displacement to the ventral side, while the flange limits the dorsal movement of the prosthesis.
- the position selected during the implantation, in which the stop surface 16 of the flange 15 bears against a corresponding ventral surface of the associated vertebral body or the recess created therein, is retained.
- the safety of the prosthesis seat achieved by the teeth 9 depends on the prosthesis being seated with sufficient pressure between the adjacent vertebral bodies. This pressure is generally sufficient if the longitudinal ligament is retained posteriorly. If this is not possible, the doctor will prefer the additional securing with bone screws.
- the flanges 15 have a greater height, as is indicated by the dash-dotted line 19, and.
- the doctor will generally refrain from embedding this flange in the vertebral body by means of a recess worked out therein, because this could weaken the vertebral body too much. Rather, the prosthesis is usually used in this case so that the flange comes to lie in front of the ventral surface of the vertebra.
- edges which can protrude ventrally beyond the escape area of the adjacent vertebral bodies are well rounded, as can be seen, for example, from edge 21.
- the teeth 9 of the prosthesis should be so fine that the prosthesis reaches its final position in relation to the adjacent vertebral bodies immediately after the implantation. In other words, it should be avoided that the teeth later sink into the vertebral bodies to a more than negligible extent under the pressure that prevails between the adjacent vertebral bodies. This would involve an undesirable reduction in the cross-section of the nerve passages between the vertebrae.
- a height of the teeth between 0.2 and 0.6 mm, preferably between 0.3 and 0.5 mm and a distance between the tooth tips of 0.4 to 2 mm, preferably from 0.6 to 1, have proven useful in this regard , 3 mm.
- the ventral abutment surface 16 does not have to extend continuously across the width of the prosthesis. Rather, it can also be made of separate, spaced-apart Jumps are formed, which are advantageously arranged symmetrically. Two such projections 22 are indicated in Fig. 1. If a flange-shaped stop surface 16 is provided, this is expediently designed to be concave in accordance with the ventral boundary of the vertebral bodies, as can be seen in FIG. 2. If the flange does not contain any screw holes and is shortened accordingly to be worked into a recess of the vertebral body, it can. a rectilinear stop surface 16 may also be expedient because the end face of the recess which cooperates therewith can be shaped arbitrarily and a rectilinear shaping is particularly simple.
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Cardiology (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
L'invention concerne une prothèse intervertébrale cervicale comprenant deux plaques de recouvrement qui doivent être raccordées à l'un des corps vertébraux adjacents. Au moins l'une des deux plaques de recouvrement (1, 3) est munie d'une denture (9) orientée vers le corps vertébral (7), dont les dents présentent un flanc vertical orienté ventral (10), et un flanc oblique, orienté dorsal (11). Lorsque la prothèse est soumise à une compression suffisante entre ses corps vertébraux adjacents, la combinaison de la denture en forme de dents de scie avec la surface de butée est appropriée pour maintenir de façon sûre la prothèse dans la position désirée. Ceci permet, dans de nombreux cas, de renoncer à une fixation par vis supplémentaire. Le flanc (15) portant la surface de butée (16) est raccourci de manière fonctionnelle, de telle façon qu'il puisse se loger à l'intérieur d'une cavité de l'os (7), et que la prothèse ne vienne pas ventralement en saillie au-delà de la surface d'affleurement ventrale du corps vertébral adjacent (7).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP03704673A EP1482876A1 (fr) | 2002-03-12 | 2003-02-21 | Prothese intervertebrale cervicale |
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP02005631 | 2002-03-12 | ||
EP02005631A EP1344507A1 (fr) | 2002-03-12 | 2002-03-12 | Prothèse intervertébrale pour la colonne cervicale |
US10/349,183 US7267691B2 (en) | 2002-03-12 | 2003-01-23 | Cervical intervertebral prosthesis |
US349183 | 2003-01-23 | ||
EP03704673A EP1482876A1 (fr) | 2002-03-12 | 2003-02-21 | Prothese intervertebrale cervicale |
PCT/EP2003/001803 WO2003075804A1 (fr) | 2002-03-12 | 2003-02-21 | Prothese intervertebrale cervicale |
Publications (1)
Publication Number | Publication Date |
---|---|
EP1482876A1 true EP1482876A1 (fr) | 2004-12-08 |
Family
ID=27763369
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP02005631A Withdrawn EP1344507A1 (fr) | 2002-03-12 | 2002-03-12 | Prothèse intervertébrale pour la colonne cervicale |
EP03704673A Withdrawn EP1482876A1 (fr) | 2002-03-12 | 2003-02-21 | Prothese intervertebrale cervicale |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP02005631A Withdrawn EP1344507A1 (fr) | 2002-03-12 | 2002-03-12 | Prothèse intervertébrale pour la colonne cervicale |
Country Status (16)
Country | Link |
---|---|
US (1) | US7267691B2 (fr) |
EP (2) | EP1344507A1 (fr) |
JP (1) | JP2005519673A (fr) |
KR (1) | KR100961020B1 (fr) |
CN (1) | CN100536803C (fr) |
AR (1) | AR038939A1 (fr) |
AU (1) | AU2003206943B2 (fr) |
BR (1) | BR0303375B1 (fr) |
CA (1) | CA2476479A1 (fr) |
DE (1) | DE20321074U1 (fr) |
IL (1) | IL163560A (fr) |
MX (1) | MXPA04008812A (fr) |
PL (1) | PL371031A1 (fr) |
RU (1) | RU2282422C2 (fr) |
WO (1) | WO2003075804A1 (fr) |
ZA (1) | ZA200406837B (fr) |
Families Citing this family (130)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2824261B1 (fr) * | 2001-05-04 | 2004-05-28 | Ldr Medical | Prothese de disque intervertebral et procede et outils de mise en place |
ATE363878T1 (de) * | 2002-03-12 | 2007-06-15 | Cervitech Inc | Zwischenwirbelprothese, insbesondere für die halswirbelsäule |
ATE455518T1 (de) | 2002-09-19 | 2010-02-15 | Villiers Malan De | Intervertebralprothese |
FR2846550B1 (fr) | 2002-11-05 | 2006-01-13 | Ldr Medical | Prothese de disque intervertebral |
WO2004066865A2 (fr) | 2003-01-31 | 2004-08-12 | Spinalmotion, Inc. | Indicateur de ligne mediane vertebrale |
JP4275699B2 (ja) | 2003-01-31 | 2009-06-10 | スパイナルモーション, インコーポレイテッド | 椎骨間プロテーゼ配置器具 |
US7771478B2 (en) * | 2003-04-04 | 2010-08-10 | Theken Spine, Llc | Artificial disc prosthesis |
US8012212B2 (en) | 2003-04-07 | 2011-09-06 | Nuvasive, Inc. | Cervical intervertebral disk prosthesis |
US7291173B2 (en) | 2003-05-06 | 2007-11-06 | Aesculap Ii, Inc. | Artificial intervertebral disc |
US20050143824A1 (en) * | 2003-05-06 | 2005-06-30 | Marc Richelsoph | Artificial intervertebral disc |
US7105024B2 (en) | 2003-05-06 | 2006-09-12 | Aesculap Ii, Inc. | Artificial intervertebral disc |
DE20308171U1 (de) * | 2003-05-21 | 2003-07-31 | Aesculap Ag & Co Kg | Wirbelkörperersatzimplantat |
US10052211B2 (en) | 2003-05-27 | 2018-08-21 | Simplify Medical Pty Ltd. | Prosthetic disc for intervertebral insertion |
JP4481312B2 (ja) | 2003-05-27 | 2010-06-16 | スパイナルモーション, インコーポレイテッド | 椎間板挿入のための人工椎間板 |
US7575599B2 (en) | 2004-07-30 | 2009-08-18 | Spinalmotion, Inc. | Intervertebral prosthetic disc with metallic core |
DE10330698B4 (de) * | 2003-07-08 | 2005-05-25 | Aesculap Ag & Co. Kg | Zwischenwirbelimplantat |
NZ544724A (en) * | 2003-07-22 | 2010-03-26 | Synthes Gmbh | Intervertebral implant comprising dome-shaped joint surfaces |
DE10339170B4 (de) * | 2003-08-22 | 2009-10-15 | Aesculap Ag | Zwischenwirbelimplantat |
WO2005032431A1 (fr) * | 2003-10-02 | 2005-04-14 | Cervitech, Inc. | Prothese intervertebrale cervicale |
DE10347172B4 (de) * | 2003-10-08 | 2005-09-29 | Aesculap Ag & Co. Kg | Zwischenwirbelimplantat |
DE20315613U1 (de) * | 2003-10-08 | 2003-12-11 | Aesculap Ag & Co. Kg | Zwischenwirbelimplantat |
FR2860974B1 (fr) * | 2003-10-17 | 2006-06-16 | Scient X | Prothese discale lombaire |
GB0325421D0 (en) * | 2003-10-30 | 2003-12-03 | Gill Steven S | An intervertebral prosthesis |
ATE508713T1 (de) * | 2003-11-18 | 2011-05-15 | Zimmer Gmbh | Bandscheibenimplantat |
FR2862866B1 (fr) * | 2003-11-28 | 2006-12-15 | Gilles Voydeville | Prothese discale intervertebrale postero-laterale |
PT1711133E (pt) | 2004-02-04 | 2011-06-01 | Ldr Medical | Prótese de disco intervertebral |
FR2865629B1 (fr) | 2004-02-04 | 2007-01-26 | Ldr Medical | Prothese de disque intervertebral |
EP1570813A1 (fr) * | 2004-03-05 | 2005-09-07 | Cervitech, Inc. | Prothèse cervicale de disque intervertébral avec dispositif anti-luxation, et instrument |
US8070816B2 (en) | 2004-03-29 | 2011-12-06 | 3Hbfm, Llc | Arthroplasty spinal prosthesis and insertion device |
DE102004016032B4 (de) | 2004-03-30 | 2006-07-13 | Hjs Gelenk System Gmbh | Künstliche Zwischenwirbelscheibe |
US7175662B2 (en) | 2004-04-01 | 2007-02-13 | Cervitech, Inc. | Cervical intervertebral prosthesis |
FR2869528B1 (fr) * | 2004-04-28 | 2007-02-02 | Ldr Medical | Prothese de disque intervertebral |
DE202004009542U1 (de) * | 2004-06-16 | 2004-08-12 | Aesculap Ag & Co. Kg | Zwischenwirbelimplantat |
CN101022770B (zh) | 2004-06-30 | 2012-02-08 | 辛纳吉椎间盘置换公司 | 人造脊椎盘 |
US9237958B2 (en) | 2004-06-30 | 2016-01-19 | Synergy Disc Replacement Inc. | Joint prostheses |
US8172904B2 (en) | 2004-06-30 | 2012-05-08 | Synergy Disc Replacement, Inc. | Artificial spinal disc |
US20060009541A1 (en) * | 2004-07-09 | 2006-01-12 | Yih-Fang Chen | Saturant for friction material containing friction modifying layer |
US7585326B2 (en) | 2004-08-06 | 2009-09-08 | Spinalmotion, Inc. | Methods and apparatus for intervertebral disc prosthesis insertion |
EP1814474B1 (fr) | 2004-11-24 | 2011-09-14 | Samy Abdou | Dispositifs de placement d'un dispositif orthopedique intervertebral |
US20060149371A1 (en) * | 2004-12-10 | 2006-07-06 | Sdgi Holdings, Inc. | Intervertebral prosthetic device and method with locking mechanism |
FR2879436B1 (fr) | 2004-12-22 | 2007-03-09 | Ldr Medical | Prothese de disque intervertebral |
US8083797B2 (en) | 2005-02-04 | 2011-12-27 | Spinalmotion, Inc. | Intervertebral prosthetic disc with shock absorption |
KR20080029961A (ko) * | 2005-05-02 | 2008-04-03 | 키네틱 스파인 테크놀로지스 인크. | 인공 척추체 |
US20060276900A1 (en) * | 2005-06-01 | 2006-12-07 | Carpenter Clyde T | Anatomic total disc replacement |
TWI400066B (zh) * | 2005-06-22 | 2013-07-01 | Cervitech Inc | 具自攻式固定凸體之椎間假體 |
EP1736120A1 (fr) | 2005-06-22 | 2006-12-27 | Cervitech, Inc. | Prothèse intervertébrale avec saillies de fixation auto-pénétrantes |
FR2887762B1 (fr) | 2005-06-29 | 2007-10-12 | Ldr Medical Soc Par Actions Si | Instrumentation d'insertion de prothese de disque intervertebral entre des vertebres |
FR2891135B1 (fr) | 2005-09-23 | 2008-09-12 | Ldr Medical Sarl | Prothese de disque intervertebral |
US7927373B2 (en) | 2005-10-31 | 2011-04-19 | Depuy Spine, Inc. | Intervertebral disc prosthesis |
FR2893838B1 (fr) * | 2005-11-30 | 2008-08-08 | Ldr Medical Soc Par Actions Si | Prothese de disque intervertebral et instrumentation d'insertion de la prothese entre les vertebres |
US7867279B2 (en) | 2006-01-23 | 2011-01-11 | Depuy Spine, Inc. | Intervertebral disc prosthesis |
US8252058B2 (en) * | 2006-02-16 | 2012-08-28 | Amedica Corporation | Spinal implant with elliptical articulatory interface |
EP2007322A4 (fr) | 2006-04-12 | 2011-10-26 | Spinalmotion Inc | Dispositif vertébral postérieur et procédé associé |
US20080051901A1 (en) | 2006-07-28 | 2008-02-28 | Spinalmotion, Inc. | Spinal Prosthesis with Multiple Pillar Anchors |
US8105382B2 (en) | 2006-12-07 | 2012-01-31 | Interventional Spine, Inc. | Intervertebral implant |
US8465546B2 (en) | 2007-02-16 | 2013-06-18 | Ldr Medical | Intervertebral disc prosthesis insertion assemblies |
FR2916956B1 (fr) | 2007-06-08 | 2012-12-14 | Ldr Medical | Cage intersomatique,prothese intervertebrale,dispositif d'ancrage et instrumentation d'implantation |
US8900307B2 (en) | 2007-06-26 | 2014-12-02 | DePuy Synthes Products, LLC | Highly lordosed fusion cage |
US20090043391A1 (en) | 2007-08-09 | 2009-02-12 | Spinalmotion, Inc. | Customized Intervertebral Prosthetic Disc with Shock Absorption |
WO2009055481A1 (fr) | 2007-10-22 | 2009-04-30 | Spinalmotion, Inc. | Dispositif d'espacement dynamique et procédé pour couvrir un espace formé lors de l'enlèvement d'un disque intervertébral |
WO2009055796A1 (fr) | 2007-10-25 | 2009-04-30 | Neil Duggal | Systèmes et procédés de remplacement de disque vertébral |
BRPI0906516A2 (pt) | 2008-01-17 | 2019-09-24 | Synthes Gmbh | implante intervertebral expansível e método associado para a fabricação do mesmo. |
US8088163B1 (en) | 2008-02-06 | 2012-01-03 | Kleiner Jeffrey B | Tools and methods for spinal fusion |
US8764833B2 (en) | 2008-03-11 | 2014-07-01 | Spinalmotion, Inc. | Artificial intervertebral disc with lower height |
KR20110003475A (ko) | 2008-04-05 | 2011-01-12 | 신세스 게엠바하 | 팽창성 추간 임플란트 |
US9034038B2 (en) | 2008-04-11 | 2015-05-19 | Spinalmotion, Inc. | Motion limiting insert for an artificial intervertebral disc |
JP2011519637A (ja) | 2008-05-05 | 2011-07-14 | スパイナルモーション, インコーポレイテッド | ポリアリールエーテルケトン人工椎間板 |
US9220603B2 (en) | 2008-07-02 | 2015-12-29 | Simplify Medical, Inc. | Limited motion prosthetic intervertebral disc |
WO2010009151A2 (fr) | 2008-07-17 | 2010-01-21 | Spinalmotion, Inc. | Système de pose de disques intervertébraux artificiels |
WO2010009153A1 (fr) | 2008-07-18 | 2010-01-21 | Spinalmotion, Inc. | Disque intervertébral prosthétique postérieur |
USD853560S1 (en) | 2008-10-09 | 2019-07-09 | Nuvasive, Inc. | Spinal implant insertion device |
US9717403B2 (en) | 2008-12-05 | 2017-08-01 | Jeffrey B. Kleiner | Method and apparatus for performing retro peritoneal dissection |
US8864654B2 (en) | 2010-04-20 | 2014-10-21 | Jeffrey B. Kleiner | Method and apparatus for performing retro peritoneal dissection |
US8366748B2 (en) | 2008-12-05 | 2013-02-05 | Kleiner Jeffrey | Apparatus and method of spinal implant and fusion |
US9247943B1 (en) | 2009-02-06 | 2016-02-02 | Kleiner Intellectual Property, Llc | Devices and methods for preparing an intervertebral workspace |
USD656610S1 (en) | 2009-02-06 | 2012-03-27 | Kleiner Jeffrey B | Spinal distraction instrument |
US9526620B2 (en) | 2009-03-30 | 2016-12-27 | DePuy Synthes Products, Inc. | Zero profile spinal fusion cage |
US10245159B1 (en) | 2009-09-18 | 2019-04-02 | Spinal Surgical Strategies, Llc | Bone graft delivery system and method for using same |
US9629729B2 (en) | 2009-09-18 | 2017-04-25 | Spinal Surgical Strategies, Llc | Biological delivery system with adaptable fusion cage interface |
USD723682S1 (en) | 2013-05-03 | 2015-03-03 | Spinal Surgical Strategies, Llc | Bone graft delivery tool |
US8685031B2 (en) | 2009-09-18 | 2014-04-01 | Spinal Surgical Strategies, Llc | Bone graft delivery system |
US9186193B2 (en) | 2009-09-18 | 2015-11-17 | Spinal Surgical Strategies, Llc | Fusion cage with combined biological delivery system |
US9060877B2 (en) | 2009-09-18 | 2015-06-23 | Spinal Surgical Strategies, Llc | Fusion cage with combined biological delivery system |
US10973656B2 (en) | 2009-09-18 | 2021-04-13 | Spinal Surgical Strategies, Inc. | Bone graft delivery system and method for using same |
USD750249S1 (en) | 2014-10-20 | 2016-02-23 | Spinal Surgical Strategies, Llc | Expandable fusion cage |
US9173694B2 (en) | 2009-09-18 | 2015-11-03 | Spinal Surgical Strategies, Llc | Fusion cage with combined biological delivery system |
US8906028B2 (en) | 2009-09-18 | 2014-12-09 | Spinal Surgical Strategies, Llc | Bone graft delivery device and method of using the same |
US20170238984A1 (en) | 2009-09-18 | 2017-08-24 | Spinal Surgical Strategies, Llc | Bone graft delivery device with positioning handle |
US9028553B2 (en) | 2009-11-05 | 2015-05-12 | DePuy Synthes Products, Inc. | Self-pivoting spinal implant and associated instrumentation |
US8764806B2 (en) | 2009-12-07 | 2014-07-01 | Samy Abdou | Devices and methods for minimally invasive spinal stabilization and instrumentation |
US9393129B2 (en) | 2009-12-10 | 2016-07-19 | DePuy Synthes Products, Inc. | Bellows-like expandable interbody fusion cage |
US8979860B2 (en) | 2010-06-24 | 2015-03-17 | DePuy Synthes Products. LLC | Enhanced cage insertion device |
US9907560B2 (en) | 2010-06-24 | 2018-03-06 | DePuy Synthes Products, Inc. | Flexible vertebral body shavers |
EP2588034B1 (fr) | 2010-06-29 | 2018-01-03 | Synthes GmbH | Implant intervertébral capable de distraction |
US9402732B2 (en) | 2010-10-11 | 2016-08-02 | DePuy Synthes Products, Inc. | Expandable interspinous process spacer implant |
US8353964B2 (en) | 2010-11-04 | 2013-01-15 | Carpenter Clyde T | Anatomic total disc replacement |
WO2012129197A1 (fr) | 2011-03-22 | 2012-09-27 | Depuy Spine, Inc. | Essai universel pour des cages latérales |
US8845728B1 (en) | 2011-09-23 | 2014-09-30 | Samy Abdou | Spinal fixation devices and methods of use |
US20130226240A1 (en) | 2012-02-22 | 2013-08-29 | Samy Abdou | Spinous process fixation devices and methods of use |
US9226764B2 (en) | 2012-03-06 | 2016-01-05 | DePuy Synthes Products, Inc. | Conformable soft tissue removal instruments |
US9198767B2 (en) | 2012-08-28 | 2015-12-01 | Samy Abdou | Devices and methods for spinal stabilization and instrumentation |
US9320617B2 (en) | 2012-10-22 | 2016-04-26 | Cogent Spine, LLC | Devices and methods for spinal stabilization and instrumentation |
US10022245B2 (en) | 2012-12-17 | 2018-07-17 | DePuy Synthes Products, Inc. | Polyaxial articulating instrument |
US9717601B2 (en) | 2013-02-28 | 2017-08-01 | DePuy Synthes Products, Inc. | Expandable intervertebral implant, system, kit and method |
US9522070B2 (en) | 2013-03-07 | 2016-12-20 | Interventional Spine, Inc. | Intervertebral implant |
US10478097B2 (en) | 2013-08-13 | 2019-11-19 | Innovative Surgical Solutions | Neural event detection |
US10478096B2 (en) | 2013-08-13 | 2019-11-19 | Innovative Surgical Solutions. | Neural event detection |
US10449002B2 (en) | 2013-09-20 | 2019-10-22 | Innovative Surgical Solutions, Llc | Method of mapping a nerve |
US10376209B2 (en) | 2013-09-20 | 2019-08-13 | Innovative Surgical Solutions, Llc | Neural locating method |
US10376208B2 (en) | 2013-09-20 | 2019-08-13 | Innovative Surgical Solutions, Llc | Nerve mapping system |
US11426290B2 (en) | 2015-03-06 | 2022-08-30 | DePuy Synthes Products, Inc. | Expandable intervertebral implant, system, kit and method |
US10857003B1 (en) | 2015-10-14 | 2020-12-08 | Samy Abdou | Devices and methods for vertebral stabilization |
USD797290S1 (en) | 2015-10-19 | 2017-09-12 | Spinal Surgical Strategies, Llc | Bone graft delivery tool |
US11596523B2 (en) | 2016-06-28 | 2023-03-07 | Eit Emerging Implant Technologies Gmbh | Expandable and angularly adjustable articulating intervertebral cages |
JP6995789B2 (ja) | 2016-06-28 | 2022-01-17 | イーアイティー・エマージング・インプラント・テクノロジーズ・ゲーエムベーハー | 拡張可能かつ角度調節可能な椎間ケージ |
US10321833B2 (en) | 2016-10-05 | 2019-06-18 | Innovative Surgical Solutions. | Neural locating method |
US10973648B1 (en) | 2016-10-25 | 2021-04-13 | Samy Abdou | Devices and methods for vertebral bone realignment |
US10744000B1 (en) | 2016-10-25 | 2020-08-18 | Samy Abdou | Devices and methods for vertebral bone realignment |
US10398563B2 (en) | 2017-05-08 | 2019-09-03 | Medos International Sarl | Expandable cage |
US11344424B2 (en) | 2017-06-14 | 2022-05-31 | Medos International Sarl | Expandable intervertebral implant and related methods |
US10966843B2 (en) | 2017-07-18 | 2021-04-06 | DePuy Synthes Products, Inc. | Implant inserters and related methods |
US11045331B2 (en) | 2017-08-14 | 2021-06-29 | DePuy Synthes Products, Inc. | Intervertebral implant inserters and related methods |
US10869616B2 (en) | 2018-06-01 | 2020-12-22 | DePuy Synthes Products, Inc. | Neural event detection |
US11179248B2 (en) | 2018-10-02 | 2021-11-23 | Samy Abdou | Devices and methods for spinal implantation |
US10870002B2 (en) | 2018-10-12 | 2020-12-22 | DePuy Synthes Products, Inc. | Neuromuscular sensing device with multi-sensor array |
US11446156B2 (en) | 2018-10-25 | 2022-09-20 | Medos International Sarl | Expandable intervertebral implant, inserter instrument, and related methods |
US11399777B2 (en) | 2019-09-27 | 2022-08-02 | DePuy Synthes Products, Inc. | Intraoperative neural monitoring system and method |
US11426286B2 (en) | 2020-03-06 | 2022-08-30 | Eit Emerging Implant Technologies Gmbh | Expandable intervertebral implant |
US11850160B2 (en) | 2021-03-26 | 2023-12-26 | Medos International Sarl | Expandable lordotic intervertebral fusion cage |
US11752009B2 (en) | 2021-04-06 | 2023-09-12 | Medos International Sarl | Expandable intervertebral fusion cage |
Family Cites Families (32)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CH640131A5 (en) | 1979-10-03 | 1983-12-30 | Sulzer Ag | Complete intervertebral prosthesis |
CA1146301A (fr) * | 1980-06-13 | 1983-05-17 | J. David Kuntz | Disque intervertebral prosthetique |
US5236460A (en) * | 1990-02-12 | 1993-08-17 | Midas Rex Pneumatic Tools, Inc. | Vertebral body prosthesis |
FR2659226B1 (fr) | 1990-03-07 | 1992-05-29 | Jbs Sa | Prothese pour disques intervertebraux et ses instruments d'implantation. |
US5306307A (en) * | 1991-07-22 | 1994-04-26 | Calcitek, Inc. | Spinal disk implant |
US5258031A (en) * | 1992-01-06 | 1993-11-02 | Danek Medical | Intervertebral disk arthroplasty |
US5425773A (en) * | 1992-01-06 | 1995-06-20 | Danek Medical, Inc. | Intervertebral disk arthroplasty device |
JPH06178787A (ja) * | 1992-12-14 | 1994-06-28 | Shima Yumiko | 関節付椎体スペーサ、椎間腔計測器および椎体スペーサ模型 |
US5676701A (en) * | 1993-01-14 | 1997-10-14 | Smith & Nephew, Inc. | Low wear artificial spinal disc |
US5360430A (en) * | 1993-07-29 | 1994-11-01 | Lin Chih I | Intervertebral locking device |
US20010039454A1 (en) * | 1993-11-02 | 2001-11-08 | John Ricci | Orthopedic implants having ordered microgeometric surface patterns |
CA2551185C (fr) * | 1994-03-28 | 2007-10-30 | Sdgi Holdings, Inc. | Appareil et methode pour stabilisation vertebrale anterieure |
FR2718635B1 (fr) * | 1994-04-15 | 1996-07-05 | Axcyl Medical | Prothèse cervicale. |
US5674296A (en) * | 1994-11-14 | 1997-10-07 | Spinal Dynamics Corporation | Human spinal disc prosthesis |
DE29511146U1 (de) | 1995-06-29 | 1995-11-30 | Ohst Norbert Ing | Wirbelsäulenimplantat |
AU705598B2 (en) | 1995-12-08 | 1999-05-27 | Robert S. Bray Jr. | Anterior stabilization device |
US6190414B1 (en) * | 1996-10-31 | 2001-02-20 | Surgical Dynamics Inc. | Apparatus for fusion of adjacent bone structures |
US6146421A (en) * | 1997-08-04 | 2000-11-14 | Gordon, Maya, Roberts And Thomas, Number 1, Llc | Multiple axis intervertebral prosthesis |
KR20010022695A (ko) * | 1997-08-04 | 2001-03-26 | 고든 마야 로버츠 앤드 토마스 넘버 1 엘엘씨 | 다축 추골간 인공기관 |
US5865848A (en) * | 1997-09-12 | 1999-02-02 | Artifex, Ltd. | Dynamic intervertebral spacer and method of use |
WO1999065412A1 (fr) * | 1998-06-18 | 1999-12-23 | Pioneer Laboratories, Inc. | Systeme de fixation spinal |
US6063121A (en) * | 1998-07-29 | 2000-05-16 | Xavier; Ravi | Vertebral body prosthesis |
US6174311B1 (en) * | 1998-10-28 | 2001-01-16 | Sdgi Holdings, Inc. | Interbody fusion grafts and instrumentation |
US6547823B2 (en) * | 1999-01-22 | 2003-04-15 | Osteotech, Inc. | Intervertebral implant |
US6368350B1 (en) * | 1999-03-11 | 2002-04-09 | Sulzer Spine-Tech Inc. | Intervertebral disc prosthesis and method |
ATE388677T1 (de) * | 1999-07-02 | 2008-03-15 | Spine Solutions Inc | Zwischenwirbelimplantat |
FR2805733B1 (fr) * | 2000-03-03 | 2002-06-07 | Scient X | Prothese discale pour vertebre cervicale |
US6610093B1 (en) * | 2000-07-28 | 2003-08-26 | Perumala Corporation | Method and apparatus for stabilizing adjacent vertebrae |
US6635087B2 (en) * | 2001-08-29 | 2003-10-21 | Christopher M. Angelucci | Laminoplasty implants and methods of use |
US6979353B2 (en) * | 2001-12-03 | 2005-12-27 | Howmedica Osteonics Corp. | Apparatus for fusing adjacent bone structures |
ATE363878T1 (de) * | 2002-03-12 | 2007-06-15 | Cervitech Inc | Zwischenwirbelprothese, insbesondere für die halswirbelsäule |
RU2303422C2 (ru) * | 2002-03-12 | 2007-07-27 | Сервитек Инк. | Межпозвонковый протез и система межпозвонковых протезов, в частности для шейного отдела позвоночника |
-
2002
- 2002-03-12 EP EP02005631A patent/EP1344507A1/fr not_active Withdrawn
-
2003
- 2003-01-23 US US10/349,183 patent/US7267691B2/en not_active Expired - Lifetime
- 2003-02-21 CA CA002476479A patent/CA2476479A1/fr not_active Abandoned
- 2003-02-21 RU RU2004130309/14A patent/RU2282422C2/ru not_active IP Right Cessation
- 2003-02-21 EP EP03704673A patent/EP1482876A1/fr not_active Withdrawn
- 2003-02-21 KR KR1020047014210A patent/KR100961020B1/ko active IP Right Grant
- 2003-02-21 MX MXPA04008812A patent/MXPA04008812A/es active IP Right Grant
- 2003-02-21 PL PL03371031A patent/PL371031A1/xx unknown
- 2003-02-21 IL IL163560A patent/IL163560A/en active IP Right Grant
- 2003-02-21 BR BRPI0303375-9A patent/BR0303375B1/pt not_active IP Right Cessation
- 2003-02-21 WO PCT/EP2003/001803 patent/WO2003075804A1/fr active Application Filing
- 2003-02-21 CN CNB03805695XA patent/CN100536803C/zh not_active Expired - Lifetime
- 2003-02-21 JP JP2003574082A patent/JP2005519673A/ja active Pending
- 2003-02-21 DE DE20321074U patent/DE20321074U1/de not_active Expired - Lifetime
- 2003-02-21 AU AU2003206943A patent/AU2003206943B2/en not_active Ceased
- 2003-03-11 AR ARP030100842A patent/AR038939A1/es unknown
-
2004
- 2004-08-27 ZA ZA2004/06837A patent/ZA200406837B/en unknown
Non-Patent Citations (1)
Title |
---|
See references of WO03075804A1 * |
Also Published As
Publication number | Publication date |
---|---|
RU2004130309A (ru) | 2005-04-10 |
IL163560A0 (en) | 2005-12-18 |
MXPA04008812A (es) | 2007-07-19 |
AR038939A1 (es) | 2005-02-02 |
CA2476479A1 (fr) | 2003-09-18 |
PL371031A1 (en) | 2005-06-13 |
US20040083000A1 (en) | 2004-04-29 |
WO2003075804A1 (fr) | 2003-09-18 |
RU2282422C2 (ru) | 2006-08-27 |
BR0303375A (pt) | 2004-03-23 |
DE20321074U1 (de) | 2005-12-01 |
KR100961020B1 (ko) | 2010-06-01 |
CN1649552A (zh) | 2005-08-03 |
ZA200406837B (en) | 2005-11-30 |
EP1344507A1 (fr) | 2003-09-17 |
AU2003206943B2 (en) | 2008-07-10 |
KR20040091711A (ko) | 2004-10-28 |
AU2003206943A1 (en) | 2003-09-22 |
US7267691B2 (en) | 2007-09-11 |
IL163560A (en) | 2010-11-30 |
JP2005519673A (ja) | 2005-07-07 |
BR0303375B1 (pt) | 2012-01-10 |
CN100536803C (zh) | 2009-09-09 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
EP1482876A1 (fr) | Prothese intervertebrale cervicale | |
DE69837883T2 (de) | Wirbelsäulenimplantat und Schneidwerkzeugvorbereitungszubehör zum Einsetzen des Implantats | |
DE60022367T2 (de) | Bandscheibenprothese mit zähnen auf den seiten | |
DE3216539C3 (de) | Oberschenkelteil einer Hüftgelenksendoprothese | |
EP0927010B1 (fr) | Element tibia d'une endoprothese du genou | |
EP0857042B1 (fr) | Implant intervertebral avec corps creux profile et compressible | |
DE60034893T2 (de) | Gelenkiges wirbelsäulenimplantat | |
DE60005037T2 (de) | Schneidwerkzeug-vorbereitungszubehör zum einsetzen des implantats | |
DE60128689T2 (de) | Wirbelkäfigimplantat | |
EP1736120A1 (fr) | Prothèse intervertébrale avec saillies de fixation auto-pénétrantes | |
EP1729673A2 (fr) | Prothese intervertebrale cervicale | |
DE20321907U1 (de) | Dynamisches Zwischenwirbelimplantat | |
WO2004034935A1 (fr) | Systeme de protheses intra-vertebrales | |
WO2004043304A2 (fr) | Implant utilise pour des operations de rigidification de la colonne vertebrale | |
DE3629799A1 (de) | Endoprothese zum ersatz eines beckenteiles im bereich des hueftgelenkes | |
CH673217A5 (fr) | ||
DE102005033608A1 (de) | Lumbales spreizbares Implantat | |
EP1610730A1 (fr) | Prothese articulaire intervertebrale pour la colonne cervicale | |
EP1809211B1 (fr) | Prothese de pontage d'un corps vertebral | |
EP1341490A1 (fr) | Implant de remplacement de disque intervertebral partiel | |
DE102007042946A1 (de) | Implantierbarer, prothetischer Wirbelkörperersatz | |
EP4387571A1 (fr) | Augmentation en forme de disque pour un os, en particulier des os longs | |
DE3904004C2 (fr) | ||
DE60123033T2 (de) | Dreh- und verriegelbarer bandscheibenstabilisator und einbringvorrichtung | |
EP1893136B1 (fr) | Prothese intervertebrale pourvue de structures saillantes de fixation autotaraudeuses |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
17P | Request for examination filed |
Effective date: 20040816 |
|
AK | Designated contracting states |
Kind code of ref document: A1 Designated state(s): AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IT LI LU MC NL PT SE SI SK TR |
|
AX | Request for extension of the european patent |
Extension state: AL LT LV MK RO |
|
17Q | First examination report despatched |
Effective date: 20061027 |
|
RAP1 | Party data changed (applicant data changed or rights of an application transferred) |
Owner name: CERVITECH INC. |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN |
|
18D | Application deemed to be withdrawn |
Effective date: 20150901 |