HK1036747A1 - Intervertebral allograft spacer - Google Patents

Intervertebral allograft spacer Download PDF

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Publication number
HK1036747A1
HK1036747A1 HK01107751A HK01107751A HK1036747A1 HK 1036747 A1 HK1036747 A1 HK 1036747A1 HK 01107751 A HK01107751 A HK 01107751A HK 01107751 A HK01107751 A HK 01107751A HK 1036747 A1 HK1036747 A1 HK 1036747A1
Authority
HK
Hong Kong
Prior art keywords
implant
implant according
spacer
bone
anterior
Prior art date
Application number
HK01107751A
Other languages
English (en)
French (fr)
Chinese (zh)
Other versions
HK1036747B (en
Inventor
Paul David
Emch Hansjuerg
Schenk Beat
Original Assignee
Synthes Gmbh
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 Synthes Gmbh filed Critical Synthes Gmbh
Priority claimed from US09/814,214 external-priority patent/US7087082B2/en
Publication of HK1036747A1 publication Critical patent/HK1036747A1/en
Publication of HK1036747B publication Critical patent/HK1036747B/en

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Classifications

    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C43/00Compression moulding, i.e. applying external pressure to flow the moulding material; Apparatus therefor
    • B29C43/006Pressing and sintering powders, granules or fibres
    • 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
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
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    • A61F2/3094Designing or manufacturing processes
    • A61F2/30942Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0085Identification means; Administration of patients
    • A61F2250/0089Identification means; Administration of patients coded with symbols, e.g. dots, numbers, letters, words
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0097Visible markings, e.g. indicia
    • 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
    • A61F2310/00011Metals or alloys
    • 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
    • A61F2310/00179Ceramics or ceramic-like structures
    • 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
    • A61F2310/00179Ceramics or ceramic-like structures
    • A61F2310/00293Ceramics or ceramic-like structures containing a phosphorus-containing compound, e.g. apatite
    • 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
    • A61F2310/00353Bone cement, e.g. polymethylmethacrylate or PMMA
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C33/00Moulds or cores; Details thereof or accessories therefor
    • B29C33/20Opening, closing or clamping
    • B29C33/26Opening, closing or clamping by pivotal movement
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29LINDEXING SCHEME ASSOCIATED WITH SUBCLASS B29C, RELATING TO PARTICULAR ARTICLES
    • B29L2031/00Other particular articles
    • B29L2031/30Vehicles, e.g. ships or aircraft, or body parts thereof
    • B29L2031/3005Body finishings
    • B29L2031/3041Trim panels
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S623/00Prosthesis, i.e. artificial body members, parts thereof, or aids and accessories therefor
    • Y10S623/924Material characteristic
    • Y10S623/925Natural

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Transplantation (AREA)
  • Neurology (AREA)
  • Physics & Mathematics (AREA)
  • Geometry (AREA)
  • Manufacturing & Machinery (AREA)
  • Mechanical Engineering (AREA)
  • Prostheses (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Claims (26)

  1. Ein Implantat (10, 40, 50, 70, 80), bestehend aus einem allogenen Knochenstück mit mehreren planaren oder gekrümmten Seitenwänden (18, 22, 26, 28), einer oberen und einer unteren Oberfläche (14 + 16), um als Implantat zwischen die Oberflächen benachbarter Knochen oder Knochenfragmente zu passen, dadurch gekennzeichnet, dass
    a) die aufgeführten obere und untere Oberfläche (14 + 16) eine dreidimensionale Struktur aufweisen, mit denen sie sich mit benachbarten Knochen oder Knochenfragmenten verzahnen können, und dass
    b) das aufgeführte Implantat (10, 40, 50, 70, 80) mit einem diskreten Distanzstück (120) kombiniert wird, das aus einem allogenen Knochenstück besteht, das in Größe und Form zu einem Teil einer Wirbel-Endplatte passt und ein keilförmiges Profil aufweist, wobei obere und untere Oberfläche (14 + 16) des Distanzstücks (120) im wesentlichen glatt sind, und der Übergang zwischen den Übergangsbereichen zwischen oberer und unterer Oberfläche (14 + 16) und anterioren (26) und lateralen Seiten (18, 22), des Distanzstücks (120) gekrümmte Kanten (30) aufweisen, um die Implantation des Distanzstücks (120) zu erleichtern.
  2. Ein Implantat nach Anspruch 1, dadurch gekennzeichnet, dass das Implantat (10, 40, 50, 70, 80) ein keilförmiges Profil aufweist.
  3. Ein Implantat nach den Ansprüchen 1 und 2, dadurch gekennzeichnet, dass wenigstens eine Seitenwand (18, 22, 26, 28) einen Kanal (20) zur Aufnahme eines chirurgischen Instruments aufweist.
  4. Ein Implantat nach Anspruch 3, dadurch gekennzeichnet, dass der Kanal (20) in anterior-posteriorer Richtung verläuft.
  5. Ein Implantat nach einem der Ansprüche 1 bis 4, dadurch gekennzeichnet, dass die dreidimensionale Struktur mehrere Zähne (12) aufweist
  6. Ein Implantat nach Anspruch 5, dadurch gekennzeichnet, dass die Zähne (12) eine pyramidenartige Form haben.
  7. Ein Implantat nach Anspruch 6, dadurch gekennzeichnet, dass die Zähne (12) sägezahnförmig sind.
  8. Ein Implantat nach einem der Ansprüche 1 bis 7, dadurch gekennzeichnet, dass wenigstens eine Seitenwand (18, 22, 26, 28) des Implantats (10, 40, 50, 70, 80) wenigstens ein Loch (24) zur Befestigung einer Einführungshilfe aufweist.
  9. Ein Implantat nach Anspruch 8, dadurch gekennzeichnet, dass wenigstens ein Loch (24) mit einem Gewinde versehen ist.
  10. Ein Implantat nach Anspruch 9 oder 10, dadurch gekennzeichnet, dass jede anteriore, posteriore, posterior-laterale und laterale Seite wenigstens ein Loch (24) aufweist.
  11. Ein Implantat nach einem der Ansprüche 1 bis 10, dadurch gekennzeichnet, dass obere und untere Oberfläche (14 + 16) flach geformt sind.
  12. Ein Implantat nach einem der Ansprüche 1 bis 11, dadurch gekennzeichnet, dass ein Bereich zwischen oberer und unterer Oberfläche (14 + 16) und eine anteriore Seite des Implantats eine gekrümmte Kante (30) aufweisen, um die Implantation des Implantats zu erleichtern.
  13. Ein Implantat nach einem der Ansprüche 1 bis 12, dadurch gekennzeichnet, dass es sich um ein intervertebrales Implantat handelt.
  14. Ein Implantat nach Anspruch 13, dadurch gekennzeichnet, dass obere und untere Oberfläche (14 + 16) gekrümmt sind.
  15. Ein Implantat nach einem der Ansprüche 1 bis 14, dadurch gekennzeichnet, dass das Implantat (10, 40, 50, 70, 80) einen Hohlraum (72) aufweist, der osteokunduktives Material aufnehmen kann.
  16. Ein Implantat nach einem der Ansprüche 1 bis 15, dadurch gekennzeichnet, dass das Implantat (10, 40, 50, 70, 80) aus zwei Teilen besteht, einem Oberteil (52) mit Verbindungsoberfläche (56) und einem Unterteil (54) mit Verbindungsoberfläche (58), wobei beide Oberflächen sich miteinander verbinden, wenn Oberteil (52) und Unterteil (54) miteinander verbunden werden.
  17. Ein Implantat nach Anspruch 16, dadurch gekennzeichnet, dass obere und untere Verbindungsoberfläche (56 + 58) Einkerbungen (62) haben, die sich miteinander verbinden, um Oberteil und Untereil (52 + 54) miteinander zu verzahnen.
  18. Ein Implantat nach Anspruch 16 oder 17, dadurch gekennzeichnet, dass ein Stift (64) durch ein Loch (66) in das Oberteil (52) eingeführt wird, sowie ein Loch (66) im Unterteil (54), um Oberteil (52) und Unterteil (54) fest miteinander zu verbinden.
  19. Ein Implantat nach Anspruch 19, dadurch gekennzeichnet, dass der Stift (64) aus allogenem Knochenmaterial besteht.
  20. Ein Implantat nach einem der Ansprüche 1 bis 19, dadurch gekennzeichnet, dass es aus zwei Teilen (70 + 70') besteht, die beide eine mediane Seite mit einer bogenförmige Kante aufweisen, die so beschaffen sind, dass bei einer Implantation beider Teile (70 + 70'), bei der die medianen Seiten (18) einander gegenüber liegen, die bogenförmigen Kanten der medianen Seiten (18) beider Teile (70 + 70') einen zylindrischen Hohlraum (72) bilden.
  21. Ein Implantat nach Anspruch 20, dadurch gekennzeichnet, dass das erste Teil (70') auf der medianen Seite (18) einen Verschlussstift (74) aufweist, während das zweite Teil (79) auf der medianen Seite (18) so konfiguriert und dimensioniert ist, dass es den Verschlussstift (74) aufnehmen kann, um die räumliche Verbindung zwischen beiden Teilen (70 + 70') aufrecht zu erhalten.
  22. Ein Implantat nach Anspruch 21, dadurch gekennzeichnet, dass der Verschlussstift aus allogenem Knochenmaterial besteht.
  23. Ein Implantat nach einem der Ansprüche 1 bis 22, dadurch gekennzeichnet, dass das Implantat (10, 40, 50, 70, 80) 6-15 mm breit ist.
  24. Ein Implantat nach einem der Ansprüche 1 bis 23, dadurch gekennzeichnet, dass das Implantat (10, 40, 50, 70, 80) 15-30 mm lang ist.
  25. Ein Implantat nach einem der Ansprüche 1 bis 24, dadurch gekennzeichnet, dass das Implantat (10, 40, 50, 70, 80) 4-30 mm hoch ist.
  26. Ein Implantat nach einem der Ansprüche 1 bis 25, dadurch gekennzeichnet, dass Implantat (80) aus mehreren miteinander zu verbindenden Teilen (82, 84, 86) besteht, wobei jeder dieser Teile (82, 84, 86) eine Oberfläche hat, die mit der Oberfläche des benachbarten Teils verbunden werden kann.
HK01107751.3A 1998-08-03 1999-07-30 Intervertebral allograft spacer HK1036747B (en)

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US9520998P 1998-08-03 1998-08-03
US60/095,209 1998-08-03
EPPCT/EP99/05008 1999-07-15
EP9905008 1999-07-15
PCT/EP1999/005541 WO2000007527A1 (en) 1998-08-03 1999-07-30 Intervertebral allograft spacer
US09/814,214 US7087082B2 (en) 1998-08-03 2001-03-22 Bone implants with central chambers

Publications (2)

Publication Number Publication Date
HK1036747A1 true HK1036747A1 (en) 2002-01-18
HK1036747B HK1036747B (en) 2004-07-16

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CA2338881C (en) 2005-03-15
DK1100417T3 (da) 2004-08-02
DE69916280D1 (de) 2004-05-13
US7347873B2 (en) 2008-03-25
US20020062153A1 (en) 2002-05-23
US6554863B2 (en) 2003-04-29
PT1100417E (pt) 2004-08-31
US7300465B2 (en) 2007-11-27
EP1100417A1 (de) 2001-05-23
ES2217796T3 (es) 2004-11-01
US20080046090A1 (en) 2008-02-21
ATE263526T1 (de) 2004-04-15
US6258125B1 (en) 2001-07-10
EP1100417B1 (de) 2004-04-07
DE69916280T2 (de) 2005-05-25
CA2338881A1 (en) 2000-02-17
WO2000007527A1 (en) 2000-02-17
US20050261771A1 (en) 2005-11-24
US20050256574A1 (en) 2005-11-17

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