EP1848379A1 - Implant intervertebral - Google Patents

Implant intervertebral

Info

Publication number
EP1848379A1
EP1848379A1 EP05700371A EP05700371A EP1848379A1 EP 1848379 A1 EP1848379 A1 EP 1848379A1 EP 05700371 A EP05700371 A EP 05700371A EP 05700371 A EP05700371 A EP 05700371A EP 1848379 A1 EP1848379 A1 EP 1848379A1
Authority
EP
European Patent Office
Prior art keywords
intervertebral implant
joint
convex
parts
joint shell
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Withdrawn
Application number
EP05700371A
Other languages
German (de)
English (en)
Inventor
Beat Lechmann
Roger BÜRKI
Mario Gago
Robert Frigg
Michael H. Mayer
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Synthes GmbH
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
Publication of EP1848379A1 publication Critical patent/EP1848379A1/fr
Withdrawn legal-status Critical Current

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
    • 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
    • A61F2002/30056—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 differing in radiographic density
    • 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
    • A61F2002/30331—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
    • A61F2002/30354—Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
    • 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
    • A61F2002/30331—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
    • A61F2002/30362—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 with possibility of relative movement between the protrusion and the recess
    • 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
    • A61F2002/30331—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
    • A61F2002/30362—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 with possibility of relative movement between the protrusion and the recess
    • A61F2002/30364—Rotation about the common longitudinal axis
    • 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
    • A61F2002/30331—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
    • A61F2002/30362—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 with possibility of relative movement between the protrusion and the recess
    • A61F2002/30369—Limited lateral translation of the protrusion within a larger recess
    • 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
    • A61F2002/30331—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
    • A61F2002/30362—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 with possibility of relative movement between the protrusion and the recess
    • A61F2002/3037—Translation along the common longitudinal axis, e.g. piston
    • 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
    • A61F2002/30662—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
    • 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
    • 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
    • A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
    • 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
    • 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
    • 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
    • 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
    • A61F2250/0032—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 radiographic density
    • 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
    • A61F2310/00179—Ceramics or ceramic-like structures

Definitions

  • the invention relates to an intervertebral implant, in particular artificial intervertebral disc, according to the preamble of patent claim 1.
  • Such an intervertebral implant is known from DE 203 20 454 MEISEL.
  • This known implant comprises two covering plates resting against the bone and a joint arranged between the cover plates.
  • This joint consists essentially of a dome-shaped, first joint part and a complementary joint shell as a second joint part, so that the cover plates are pivotable relative to each other polyaxially.
  • a disadvantage of this known intervertebral implant is that it is radiopaque and thus no longer allows observation of the adjacent vertebral bodies after implantation.
  • the invention aims to remedy this situation.
  • the invention has for its object to provide an intervertebral implant, which is transparent to both Magnetic Resonance Imaging (MRI) and X-rays and thus allows postoperative X-ray observation while having high MRI compatibility.
  • MRI Magnetic Resonance Imaging
  • the invention solves this problem with an intervertebral implant, in particular an artificial intervertebral disc, which has the features of claim 1.
  • the upper part and the lower part are made of a first radiolucent material while the convex hinge part and the joint shell are made of a different second, also radiolucent material.
  • the individual parts of the intervertebral implant are made of the same material.
  • the advantage of this embodiment is that the bone contact elements can also be made of ceramic materials.
  • the radiopaque material for the upper part and the lower part is selected from the group of polyaryletherketones, polyetheretherketones, ultra-high molecular weight polyethylenes or polysulfones.
  • the convex hinge part and the joint shell are made of a ceramic material.
  • the advantages of this embodiment are essentially to be seen in the fact that the hinge parts made of ceramic materials similar to the cobalt-chromium-molybdenum alloys have a low abrasion during articulation movements, but are transparent to MRI and X-rays.
  • the upper and lower apposition surfaces have a different shape from each other.
  • the advantages that can be achieved thereby lie in particular in the production of a shape of the implant which is favorable with respect to the anatomy of the end plates.
  • the intervertebral implants with different contact surfaces are particularly suitable for the cervical spine.
  • the upper and lower apposition surfaces have the same shape.
  • the advantages here are that intervertebral implants with symmetrical contact surfaces in the sagittal profile are particularly suitable for the lumbar spine.
  • the convex hinge part is fixedly connected to one of the two parts and the joint shell fixed to the other of the two parts.
  • the upper part and the lower part are provided with macroscopic structures on their apposition surfaces, so that migration movements of the implanted intervertebral implant can be prevented.
  • connecting means are provided whereby the upper part and the lower part are held together without impairing the pivotability of the joint.
  • the advantage of this connection means is that the intervertebral implant is held together in situ and no parts can be lost.
  • the connecting means at each articulation of the joint an axial play X> 0 between the convex hinge part and the Joint shell, so that can build up a lubricating film of the body's own fluids between the sliding surfaces.
  • the clearance X is at least 0.005 mm, preferably at least 0.05 mm.
  • the game X is a maximum of 0.5 mm, preferably a maximum of 0.6 mm.
  • the connecting means comprise an anchoring element which can be connected to one of the two parts and is loosely mounted in the other of the two parts.
  • the convex hinge part has a cavity which is open on the central axis lying apex of the convex hinge part and wherein the anchoring element is axially movable so far that it comes after overcoming the game X axially against the cavity wall.
  • all components of the intervertebral implant consist of a radiolucent material.
  • FIG. 1 shows a lateral view of an embodiment of the intervertebral implant according to the invention
  • FIG. 2 shows a section through the embodiment of the intervertebral implant according to the invention shown in FIG. 1;
  • FIG. 3 shows a perspective view of a further embodiment of the intervertebral implant according to the invention.
  • FIG. 4 shows a longitudinal section through the embodiment of the inventive intervertebral implant shown in FIG.
  • the embodiment of the inventive intervertebral implant 1 illustrated in FIGS. 1 and 2 essentially comprises an upper part 3 with an upper apposition surface 5 intersecting the central axis 2 for engagement with the base plate of the above adjacent vertebral body, a lower part 4 with a central axis 2 cutting, lower apposition surface 7 for abutment with the cover plate of the below adjacent vertebral body and a joint 9 arranged between the two parts 3, 4 for the articulated connection of the two parts 3, 4.
  • the joint 9 is formed in two parts, wherein the convex joint part 12 is designed spherical, such that the central axis 2 intersects the apex perpendicular.
  • the convex joint part 12 is tapered in its orthogonal to the central axis 2 cross-section and pressed into a complementary to the central axis 2 coaxial recess 17 in the lower part 4 or poured.
  • the convex joint part 12 complementary configured joint shell 13 is tapered at its rear end 21 in its orthogonal to the central axis 2 cross-section and pressed into a complementary recess 22 in the upper part 3.
  • the upper and the lower part 3, 4 and the joint shell 13 and the convex joint part 12 are formed as separate workpieces, so that the upper and the lower part 3, 4 are made of PEEK, for example, while the convex joint part 12 and the joint shell 13 for example, can be made of a ceramic material.
  • the convex sliding surface 11 on the convex joint part 12 and the concave sliding surface 10 on the joint shell 13 have the same radius, which allows sliding of the convex joint part 12 and the joint shell 13 relative to each other.
  • FIGS. 3 and 4 differs from the embodiment shown in FIGS. 1 and 2, first, in that it has two convex apposition surfaces 5, 7.
  • the two parts 3, 4 each have a ventral side surface 31, 41, one dorsal side surface 32, 42 and two lateral side surfaces 33, 34, 43, 44.
  • the hinge 9 is held together axially together with the upper and lower parts 3, 4 by means of connecting means 20 ( Figure 4).
  • the connecting means 20 comprise an anchoring element 15 which is arranged coaxially to the central axis 2 and comprises a pin 23 which penetrates with its rear end 24, the joint shell 13 at the apex and is secured to the upper part 3. Furthermore, the anchoring element 15 comprises a larger diameter a having circular disk-shaped extension 25, which is arranged at the front end 26 of the pin 23.
  • the convex joint part 12 has an opening 28 which is coaxial with the central axis 2 and which opens into a cylindrical cavity 29, which has a larger diameter, inside the convex joint part 12.
  • the geometry of the anchoring element 15 and the opening 28 and the cavity 29 is selected such that the pin 23 in the opening 28 and the extension 25 in the cavity 29 are arranged movable.
  • the diameter d of the opening 28 is smaller than the diameter a of the circular disk-shaped enlargement 25, while the diameter D of the cavity 29 is greater than the diameter a, so that the convex hinge part 12 and the joint shell 13 and thus the two parts 3; 4 are held together axially, without the movement of the joint 9 is hindered.
  • the mobility of the pin 23 in the opening 28 and the extension 25 in the cavity 29 allow a polyaxial pivoting of the two parts 3, 4 relative to each other.
  • the length of the pin 23 is dimensioned so that the extension 25 comes at the front end 26 of the pin 16 at each articulation of the joint 9 only after overcoming the game X at the transition between the opening 28 and the cavity 29 to the plant.

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)
  • Materials For Medical Uses (AREA)

Abstract

L'invention concerne un implant intervertébral (1), en particulier un disque artificiel présentant un axe central (2), une partie supérieure (3) et une partie inférieure (4), caractérisé en ce que A) la partie supérieure (3) présente une surface d'apposition supérieure (5) appropriée pour prendre appui sur la plaque de base d'une vertèbre située au-dessus ; B) la partie inférieure (4) présente une surface d'apposition inférieure (6) appropriée pour prendre appui sur la plaque de recouvrement d'une vertèbre située au-dessous ; C) l'une des deux parties (3, 4) comprend un élément d'articulation convexe (12) à surface de glissement convexe (11), et l'autre des deux parties (3 ; 4) comprend une coque d'articulation (13) à surface de glissement complémentaire ; D) l'élément d'articulation convexe (12) et la coque d'articulation (13) forment une articulation (9) au moyen de laquelle les deux parties (3 ; 4) sont en rotation l'une par rapport à l'autre, autour d'au moins un axe de rotation, et E) l'implant intervertébral (1) est transparent aux rayons X.
EP05700371A 2005-02-16 2005-02-16 Implant intervertebral Withdrawn EP1848379A1 (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CH2005/000087 WO2006086895A1 (fr) 2005-02-16 2005-02-16 Implant intervertebral

Publications (1)

Publication Number Publication Date
EP1848379A1 true EP1848379A1 (fr) 2007-10-31

Family

ID=34980071

Family Applications (1)

Application Number Title Priority Date Filing Date
EP05700371A Withdrawn EP1848379A1 (fr) 2005-02-16 2005-02-16 Implant intervertebral

Country Status (11)

Country Link
US (1) US8702797B2 (fr)
EP (1) EP1848379A1 (fr)
JP (1) JP2008529685A (fr)
KR (1) KR100953148B1 (fr)
CN (1) CN101119687B (fr)
AU (1) AU2005327500A1 (fr)
BR (1) BRPI0519972A2 (fr)
CA (1) CA2598136C (fr)
NZ (1) NZ556745A (fr)
TW (1) TW200640434A (fr)
WO (1) WO2006086895A1 (fr)

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FR2908630A1 (fr) * 2006-11-16 2008-05-23 Creaspine Procede de fabrication d'une ebauche d'implant chirurgical; ebauche et implant associes.
TW200938155A (en) * 2008-03-03 2009-09-16 Spine Asia Co Ltd A Movable intervertebral filling piece device
JP5663674B2 (ja) 2011-03-11 2015-02-04 エフビーシー デバイス エーピーエス 脊椎インプラント、前処理用器具及び使用方法
KR101297346B1 (ko) * 2011-04-01 2013-08-19 김희경 추간 인공 삽입물
EP2765958B1 (fr) * 2011-10-13 2021-04-14 Simplify Medical Pty Ltd. Disque intervertébral prothétique de hauteur réduite s'adaptant à l'anatomie
CN104707172B (zh) * 2013-12-12 2017-03-29 中国科学院深圳先进技术研究院 一种人工椎间盘及其制备方法
CN107854197B (zh) * 2017-11-01 2023-08-04 四川大学华西医院 一种颈椎椎间融合器
CN111419485A (zh) * 2018-07-27 2020-07-17 深圳清华大学研究院 一种椎间运动保留装置及其定位式植入器械和植入方法
US20210275320A1 (en) * 2020-03-05 2021-09-09 Bret Michael Berry Interlocking spinal disc prosthetic
US11723778B1 (en) 2021-09-23 2023-08-15 Nofusco Corporation Vertebral implant system and methods of use
US11883300B2 (en) 2020-06-15 2024-01-30 Nofusco Corporation Orthopedic implant system and methods of use
WO2021257484A1 (fr) 2020-06-15 2021-12-23 Nofusco Corporation Système d'implant intravertébral et procédés d'utilisation

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WO2005007040A1 (fr) * 2003-07-22 2005-01-27 Synthes Gmbh Implant intervertebral comportant des surfaces d'articulation en forme de calottes

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WO2005007040A1 (fr) * 2003-07-22 2005-01-27 Synthes Gmbh Implant intervertebral comportant des surfaces d'articulation en forme de calottes

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Also Published As

Publication number Publication date
NZ556745A (en) 2010-04-30
KR20070118590A (ko) 2007-12-17
CA2598136A1 (fr) 2006-08-24
CN101119687B (zh) 2010-04-21
JP2008529685A (ja) 2008-08-07
WO2006086895A1 (fr) 2006-08-24
US20080033554A1 (en) 2008-02-07
BRPI0519972A2 (pt) 2009-04-07
CA2598136C (fr) 2013-10-15
KR100953148B1 (ko) 2010-04-19
CN101119687A (zh) 2008-02-06
AU2005327500A1 (en) 2006-08-24
US8702797B2 (en) 2014-04-22
TW200640434A (en) 2006-12-01

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