WO2002026171A1 - Implant for substituting an intervertebral disc - Google Patents
Implant for substituting an intervertebral disc Download PDFInfo
- Publication number
- WO2002026171A1 WO2002026171A1 PCT/HU2001/000096 HU0100096W WO0226171A1 WO 2002026171 A1 WO2002026171 A1 WO 2002026171A1 HU 0100096 W HU0100096 W HU 0100096W WO 0226171 A1 WO0226171 A1 WO 0226171A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- implant
- central portion
- substituting
- intervertebral disc
- outer portion
- Prior art date
Links
- 239000007943 implant Substances 0.000 title claims abstract description 39
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 4
- 229910052719 titanium Inorganic materials 0.000 claims description 4
- 239000010936 titanium Substances 0.000 claims description 4
- 238000001356 surgical procedure Methods 0.000 abstract description 2
- 210000000988 bone and bone Anatomy 0.000 description 2
- 239000004753 textile Substances 0.000 description 2
- 241001366015 Desis Species 0.000 description 1
- 239000000316 bone substitute Substances 0.000 description 1
- 230000001054 cortical effect Effects 0.000 description 1
- 239000004053 dental implant Substances 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000000278 spinal cord Anatomy 0.000 description 1
- 230000003019 stabilising effect Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
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
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
-
- 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
- A61F2002/30108—Shapes
- A61F2002/3011—Cross-sections or two-dimensional shapes
- A61F2002/30112—Rounded shapes, e.g. with rounded corners
- A61F2002/30113—Rounded shapes, e.g. with rounded corners circular
-
- 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
- A61F2002/30772—Apertures or holes, e.g. of circular cross section
- A61F2002/30784—Plurality of holes
- A61F2002/30785—Plurality of holes parallel
-
- 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
- A61F2002/30795—Blind bores, e.g. of circular cross-section
- A61F2002/30807—Plurality of blind bores
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0004—Rounded shapes, e.g. with rounded corners
- A61F2230/0006—Rounded shapes, e.g. with rounded corners circular
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
Definitions
- the object of the present invention is an implant for substituting a surgically removed intervertebral disc.
- Implants of different kinds are widely used in several fields of medicine.
- Known art implants include dental implants and implants for fixing and in some cases substituting bones.
- Patent application HU P96 03139 discloses an implant and method for stabilising a spine segment, where the implant is essentially an elastic textile bag filled with fine-grain transplant, with the transplant being cortical or cancellous pulverized bone graft, bone substitute, or a mixture thereof. The textile bag is placed on the segment to be stabilised.
- An implant for fixing vertebrae is described by patent application HU P97
- This implant is substantially a socket with external thread, made preferably of titanium, with the socket comprising a tanging element at at least one of the ends thereof.
- Patent application HU P94 00863 discloses an intervertebral prosthesis for substituting part of the central area of an intervertebral disc.
- the implant can be placed in a cavity formed in the central area of the intervertebral disc and can support compressive loads.
- an implant that substitutes a surgically removed intervertebral disc, and is characterised by that it comprises an outer portion and a central portion arranged in a concentric configuration, where said outer portion and central portion are connected by slightly conical segments, with both ends of the central portion ending in support tips, and where the segments are formed in such a way that the outer surfaces thereof, extending from the outer por- tion to the central portion, comprise a toothing.
- a preferred embodiment of the implant according to the present invention is characterised in that the support tips thereof have a vertex angle of 90°, and in that there are holes in the surface of the outer portion of the implant.
- Another preferred embodiment of the implant according to the invention is characterised by being implemented in such a way that it can be opened.
- Preferred embodiments of the implant according to the present invention are all manufactured of titanium.
- Fig. 1 shows the broken section side view of the implant
- Fig. 2 shows the top view of the implant according to the invention.
- the implant shown in Fig. 1 can be applied for substituting a cervical intervertebral disc, and comprises an outer portion 1 and a cylindrical central portion 3, with the outer and the central portion being connected by segments 2.
- the seg- ments 2 connecting the outer portion 1 and the central portion 3 are slightly coni- cally shaped in the direction of the central portion 3, and have toothing 6 on the outer surface thereof. Both ends of the inner portion 3 are shaped in such a way that they form 90° support tips.
- the disc-shaped outer portion 1 comprises holes 5.
- the implant shown in Fig. 1 is used for substituting a damaged and removed cervical intervertebral disc.
- the implant is inserted into the space left behind the removed disc, with the support tips 4 located on the central portion 3 connecting to the middle part of the adjacent cervical vertebrae, and the support tips 4 and the toothing 6 of the segments 2 penetrably engage into the adjacent vertebrae.
- Proper positioning of the implant ensures that the support tips 4 and the teeth 6 of the segments 2 stabilise the position of the implant, while allowing for the rotational movement of the cervical spine, finally resulting in the freer movement of the cervical spine and the head.
- the implant according to the invention is manufactured of MRI-compatible titanium, which is also biocompatible and helps ingrowth. Ingrowth by surrounding tissue is also facilitated by the shape of the segments 2 and the holes 5 in the outer portion 1 of the implant.
- a further advantage of the implant herein described is the lack of a complete desis which, as it is well known, would increase the risk of herniation of intervertebral discs located one segment higher and lower.
- Application of the implant helps speed up the patient's recovery and retains flexibility of the cervical spine.
- the implant disclosed here is primarily for substituting a cervical in- tervertebral disc, with a simple modification (consisting in implementing the implant in such a way that it can be opened) it can be used to replace a lumbar disc as well.
- the implant is implemented in such a way that it can be opened, it is ensured that the spinal cord is well-protected and is "built in” during surgery.
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
Description
Claims
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2001290161A AU2001290161A1 (en) | 2000-09-28 | 2001-09-28 | Implant for substituting an intervertebral disc |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
HU0003833A HUP0003833A2 (en) | 2000-09-28 | 2000-09-28 | Implant for replacing of vertebral disc |
HUP0003833 | 2000-09-28 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2002026171A1 true WO2002026171A1 (en) | 2002-04-04 |
Family
ID=89978634
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/HU2001/000096 WO2002026171A1 (en) | 2000-09-28 | 2001-09-28 | Implant for substituting an intervertebral disc |
Country Status (3)
Country | Link |
---|---|
AU (1) | AU2001290161A1 (en) |
HU (1) | HUP0003833A2 (en) |
WO (1) | WO2002026171A1 (en) |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5306308A (en) * | 1989-10-23 | 1994-04-26 | Ulrich Gross | Intervertebral implant |
US5609635A (en) * | 1988-06-28 | 1997-03-11 | Michelson; Gary K. | Lordotic interbody spinal fusion implants |
US5888228A (en) * | 1995-10-20 | 1999-03-30 | Synthes (U.S.A.) | Intervertebral implant with cage and rotating element |
WO2000044319A1 (en) * | 1999-01-27 | 2000-08-03 | Disc-O-Tech Medical Technologies, Ltd. | Expandable intervertebral spacer |
-
2000
- 2000-09-28 HU HU0003833A patent/HUP0003833A2/en unknown
-
2001
- 2001-09-28 AU AU2001290161A patent/AU2001290161A1/en not_active Abandoned
- 2001-09-28 WO PCT/HU2001/000096 patent/WO2002026171A1/en active Application Filing
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5609635A (en) * | 1988-06-28 | 1997-03-11 | Michelson; Gary K. | Lordotic interbody spinal fusion implants |
US5306308A (en) * | 1989-10-23 | 1994-04-26 | Ulrich Gross | Intervertebral implant |
US5888228A (en) * | 1995-10-20 | 1999-03-30 | Synthes (U.S.A.) | Intervertebral implant with cage and rotating element |
WO2000044319A1 (en) * | 1999-01-27 | 2000-08-03 | Disc-O-Tech Medical Technologies, Ltd. | Expandable intervertebral spacer |
Also Published As
Publication number | Publication date |
---|---|
HUP0003833A2 (en) | 2002-04-29 |
HU0003833D0 (en) | 2000-12-28 |
AU2001290161A1 (en) | 2002-04-08 |
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