WO2006136760B1 - Prothese de disque intervertebral - Google Patents

Prothese de disque intervertebral

Info

Publication number
WO2006136760B1
WO2006136760B1 PCT/FR2006/050624 FR2006050624W WO2006136760B1 WO 2006136760 B1 WO2006136760 B1 WO 2006136760B1 FR 2006050624 W FR2006050624 W FR 2006050624W WO 2006136760 B1 WO2006136760 B1 WO 2006136760B1
Authority
WO
WIPO (PCT)
Prior art keywords
insert
plate
prosthetic
base
housing
Prior art date
Application number
PCT/FR2006/050624
Other languages
English (en)
Other versions
WO2006136760A3 (fr
WO2006136760A2 (fr
Inventor
Karl P Belliard
Original Assignee
Abbott Spine
Karl P Belliard
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 Abbott Spine, Karl P Belliard filed Critical Abbott Spine
Priority to EP06778969A priority Critical patent/EP1893137A2/fr
Priority to AU2006260770A priority patent/AU2006260770B9/en
Priority to JP2008517563A priority patent/JP2008543469A/ja
Priority to US11/993,364 priority patent/US20100082110A1/en
Publication of WO2006136760A2 publication Critical patent/WO2006136760A2/fr
Publication of WO2006136760A3 publication Critical patent/WO2006136760A3/fr
Publication of WO2006136760B1 publication Critical patent/WO2006136760B1/fr

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
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/30004—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61F2002/30138—Convex polygonal shapes
    • A61F2002/30153—Convex polygonal shapes rectangular
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    • 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
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    • 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
    • A61F2002/30317—The prosthesis having different structural features at different locations within the same prosthesis
    • A61F2002/30326—The prosthesis having different structural features at different locations within the same prosthesis differing in height or in length
    • A—HUMAN NECESSITIES
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    • 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
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    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
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    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A—HUMAN NECESSITIES
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    • 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
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    • 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
    • A61F2002/30481—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a locking clip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61F2002/305—Snap connection
    • 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
    • A61F2002/30565—Special structural features of bone or joint prostheses not otherwise provided for having spring elements
    • A61F2002/30571—Leaf springs
    • 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
    • A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61F2002/30662—Ball-and-socket joints with rotation-limiting means
    • 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
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    • 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
    • A—HUMAN NECESSITIES
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    • 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
    • A61F2002/30891—Plurality of protrusions
    • A61F2002/30892—Plurality of protrusions parallel
    • A—HUMAN NECESSITIES
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    • 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
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    • 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
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    • 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
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    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0037—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in height or in length

Abstract

L'invention concerne une prothèse de disque intervertébral comprenant un élément inférieur (14) constitué par un plateau prothétique inférieur (16) et un insert (18) définissant une surface en forme de calotte sphérique convexe apte à être mis en place dans ledit plateau prothétique. Ledit plateau prothétique (16) comporte un logement (38) présentant un fond (28) et un rebord périphérique (34) interrompu par une ouverture (36) d'insertion dudit insert et ledit insert (18) comprend une base (48) apte à être mise en place dans ledit logement (38). Ledit insert (18) et ledit plateau (16) prothétique comprennent des premiers moyens de solidarisation (56, 40) pour solidariser selon une direction OZ perpendiculaire au fond dudit logement l'extrémité d'insertion de l'insert et ledit plateau et des deuxièmes moyens de solidarisation comprenant un organe non immobile de solidarisation (46) disposé dans ladite ouverture d'insertion apte à coopérer avec un organe complémentaire (62) de l'insert pour solidariser selon ladite direction OZ la deuxième extrémité dudit insert avec ledit plateau.

Claims

REVENDICATIONS MODIFIEES reçues par le Bureau international le 05 juillet 2007 (05.07.2007)
1. Prothèse de disque intervertébral comprenant un élément inférieur (14) constitué par un plateau prothétique inférieur (16) et un insert (18) définissant une surface en forme de calotte sphérique convexe apte à être mis en place dans ledit plateau prothétique et un élément supérieur (12) définissant une surface en forme de calotte sphérique concave, ladite prothèse se caractérisant en ce que : ledit plateau prothétique (16) comporte un logement (38) présentant un fond (28) et un rebord périphérique (34) interrompu par une ouverture (36) d'insertion dudit insert ; ledit insert (18) comprend une base (48) apte à être mise en place dans ledit logement (38), ladite base ayant une face inférieure pour coopérer avec le fond dudit logement, et une face supérieure dans laquelle est réalisée ladite calotte sphérique convexe (52) ; ledit insert et ledit plateau prothétique comprenant :
- des premiers moyens de solîdarisation (56, 40) pour solidariser selon une direction OZ perpendiculaire au fond dudit logement l'extrémité d'insertion (54) de Hnsert et ledit plateau lorsque linsert coopère avec le plateau ; et
- des deuxièmes moyens (60, 46, 64, 82, 80) de solidarisation élastiquement déformables comprenant un organe non immobile de solidarisatîon disposé dans ladite ouverture d'insertion (36) apte à coopérer avec un organe complémentaire de linsert pour solidariser selon ladite direction OZ la deuxième extrémité dudit insert avec ledit plateau.
2. Prothèse selon la revendication 1, caractérisée en ce que lesdits premiers moyens de solidarisation comprennent :
- une projection (56) s'étendant hors de l'extrémité d'insertion (54) de la base dudit insert (18), et
- un évidement (40) ménagé dans l'extrémité (34b) du rebord du plateau prothétique apposé à l'ouverture d'insertion (36) débouchant dans ledit logement (38) et apte à coopérer avec ladite projection lorsque l'insert est mis en place dans ledit logement dudit plateau.
3. Prothèse selon l'une quelconque des revendications 1 et 2, caractérisée en ce que lesdits deuxièmes moyens de solidarisation 13
comprennent un organe (46) élastiquement déformable faisant saillie dans l'ouverture d'insertion (36) dudit plateau (16) et solidaire de celui-ci, et un organe rigide (60) faisant saillie hors de la deuxième extrémité (58) de la base (48) de linsert pour réaliser un clipsage de linsert par coopération avec ledit organe élastiquement déformable.
4. Prothèse selon la revendication 3, caractérisée en ce que ledit organe élastiquement déformable est une patte (46) faisant saillie dans l'ouverture d'insertion (36) du plateau prothétique (16) se terminant par un crochet.
5. Prothèse selon l'une quelconque des revendications 1 et 2, caractérisée en ce que lesdits deuxièmes moyens de solidarisatlon sont constitués par un organe amovible (82) élastiquement déformable présentant une partie médiane (84) coopérant avec la deuxième extrémité (78) de la base de linsert et deux extrémités (88) aptes à pénétrer dans des ouvertures (64) du rebord périphérique (34) dudit plateau prothétique par déformation élastique.
6. Prothèse selon la revendication 5, caractérisée en ce que la deuxième extrémité (78) de la base de Hnsert présente une fente (80) verticale débouchant dans sa face supérieure et en ce que ladite partie médiane (84) de l'organe amovible peut être introduite dans ladite fente.
PCT/FR2006/050624 2005-06-24 2006-06-23 Prothese de disque intervertebral WO2006136760A2 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP06778969A EP1893137A2 (fr) 2005-06-24 2006-06-23 Prothèse de disque intervertébral
AU2006260770A AU2006260770B9 (en) 2005-06-24 2006-06-23 Intervertebral disc prosthesis
JP2008517563A JP2008543469A (ja) 2005-06-24 2006-06-23 椎間板プロテーゼ
US11/993,364 US20100082110A1 (en) 2005-06-24 2006-06-23 Intervertebral disc prosthesis

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR0506443 2005-06-24
FR0506443A FR2887435B1 (fr) 2005-06-24 2005-06-24 Prothese de disque intervertebral

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WO2006136760A2 WO2006136760A2 (fr) 2006-12-28
WO2006136760A3 WO2006136760A3 (fr) 2007-06-21
WO2006136760B1 true WO2006136760B1 (fr) 2007-08-23

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US (1) US20100082110A1 (fr)
EP (1) EP1893137A2 (fr)
JP (1) JP2008543469A (fr)
AU (1) AU2006260770B9 (fr)
FR (1) FR2887435B1 (fr)
WO (1) WO2006136760A2 (fr)

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US8002835B2 (en) 2004-04-28 2011-08-23 Ldr Medical Intervertebral disc prosthesis
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US8439931B2 (en) 2005-06-29 2013-05-14 Ldr Medical Instrumentation and methods for inserting an intervertebral disc prosthesis
US8465546B2 (en) 2007-02-16 2013-06-18 Ldr Medical Intervertebral disc prosthesis insertion assemblies
US8858635B2 (en) 2004-02-04 2014-10-14 Ldr Medical Intervertebral disc prosthesis
US9265618B2 (en) 2005-11-30 2016-02-23 Ldr Medical Intervertebral disc prosthesis and instrumentation for insertion of the prosthesis between the vertebrae
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US8267999B2 (en) 2002-11-05 2012-09-18 Ldr Medical Intervertebral disc prosthesis
US8858635B2 (en) 2004-02-04 2014-10-14 Ldr Medical Intervertebral disc prosthesis
US8002835B2 (en) 2004-04-28 2011-08-23 Ldr Medical Intervertebral disc prosthesis
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US8257439B2 (en) 2004-12-22 2012-09-04 Ldr Medical Intervertebral disc prosthesis
US8439931B2 (en) 2005-06-29 2013-05-14 Ldr Medical Instrumentation and methods for inserting an intervertebral disc prosthesis
US7842088B2 (en) 2005-09-23 2010-11-30 Ldr Medical Intervertebral disc prosthesis
US9265618B2 (en) 2005-11-30 2016-02-23 Ldr Medical Intervertebral disc prosthesis and instrumentation for insertion of the prosthesis between the vertebrae
US8465546B2 (en) 2007-02-16 2013-06-18 Ldr Medical Intervertebral disc prosthesis insertion assemblies
US8343219B2 (en) 2007-06-08 2013-01-01 Ldr Medical Intersomatic cage, intervertebral prosthesis, anchoring device and implantation instruments

Also Published As

Publication number Publication date
WO2006136760A3 (fr) 2007-06-21
EP1893137A2 (fr) 2008-03-05
FR2887435A1 (fr) 2006-12-29
AU2006260770B2 (en) 2012-03-29
AU2006260770B9 (en) 2012-04-12
US20100082110A1 (en) 2010-04-01
AU2006260770A1 (en) 2006-12-28
FR2887435B1 (fr) 2007-10-05
WO2006136760A2 (fr) 2006-12-28
JP2008543469A (ja) 2008-12-04

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