US20050055094A1 - Semi-biological intervertebral disc replacement system - Google Patents

Semi-biological intervertebral disc replacement system Download PDF

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Publication number
US20050055094A1
US20050055094A1 US10/702,096 US70209603A US2005055094A1 US 20050055094 A1 US20050055094 A1 US 20050055094A1 US 70209603 A US70209603 A US 70209603A US 2005055094 A1 US2005055094 A1 US 2005055094A1
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promoting material
tissue
tissue promoting
cavity
nuclear replacement
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Abandoned
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US10/702,096
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English (en)
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Stephen Kuslich
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Spineology Inc
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Spineology Inc
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Priority to US10/702,096 priority Critical patent/US20050055094A1/en
Assigned to SPINEOLOGY, INC. reassignment SPINEOLOGY, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: KUSLICH, STEPHEN D.
Publication of US20050055094A1 publication Critical patent/US20050055094A1/en
Assigned to MUSCULOSKELETAL TRANSPLANT FOUNDATION, INC. reassignment MUSCULOSKELETAL TRANSPLANT FOUNDATION, INC. SECURITY AGREEMENT Assignors: SPINEOLOGY, INC.
Priority to US12/247,760 priority patent/US8012211B2/en
Priority to US13/226,026 priority patent/US20120116514A1/en
Assigned to SPINEOLOGY, INC. reassignment SPINEOLOGY, INC. RELEASE BY SECURED PARTY (SEE DOCUMENT FOR DETAILS). Assignors: MUSCULOSKELETAL TRANSPLANT FOUNDATION, INC.
Abandoned legal-status Critical Current

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    • 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
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • 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
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4611Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
    • 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
    • A61F2002/2817Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
    • 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
    • A61F2002/2835Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
    • 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
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006Properties of materials and coating materials
    • A61F2002/30075Properties of materials and coating materials swellable, e.g. when wetted
    • 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
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • A61F2002/444Intervertebral or spinal discs, e.g. resilient for replacing the nucleus pulposus
    • 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
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2002/4495Joints for the spine, e.g. vertebrae, spinal discs having a fabric structure, e.g. made from wires 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
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4625Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
    • A61F2002/4627Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
    • 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
    • A61F2210/00Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0061Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof swellable

Definitions

  • the present invention relates generally to the field of systems adapted to replacing or assisting bone of a natural vertebral column of a living body. More specifically, the present invention relates to a system that surgeons can use to construct a semi-biological nuclear replacement that will replace the diseased nucleus and ultimately function in a manner similar to a natural disc nucleus.
  • the spinal motion segment consists of a unit of spinal anatomy bounded by two vertebral bodies that includes the two vertebral bodies and the interposed intervertebral disc, as well as the attached ligaments, muscles and the facet joints.
  • Degenerative pathology in the spinal motion segment is primarily related to intervertebral disc degeneration.
  • the nucleus (the central cushion of the disc) loses nutritional support, dehydrates, and fragments.
  • the loss in nutritional support causes nuclear tissue necrosis, the cells die.
  • the pH in the nuclear region decreases and highly irritative chemicals form in the disc. Consequently, as the nucleus can no longer support compression loads, the annulus (the fibrous rim of the disc, surrounding the nucleus) is subjected to loading forces, in the form of compression and shear, that the annulus is poorly designed to handle.
  • Nociceptive nerve elements i.e., pain generating, nerve ending afferents in the outer annulus, are stimulated by a combination of chemical and mechanical forces (leakage of irritative chemicals and compression and shear force on the annulus and spinal motion segment).
  • These pain-detecting nerve elements propagate signals in the central and autonomic nervous system pathways, leading to the activation of central pain-modulating and pain-appreciating centers in the spinal cord and brain.
  • the conscious portions of the brain interpret the resultant excitement of certain nerve centers in the spinal cord and brain as somatic and visceral pain.
  • the inventor and his team performed experimental studies directed to the tissue origin of spinal pain.
  • DDD Degenerative Disc Disease
  • the DDD tissue consists of the dead and/or dying fibrocartilogenous remains of the disc nucleus and inner portions of the annulus.
  • Other investigators have described low pH (acidity) of fluids in DDD tissue. These chemicals and fluids leak out through fissures and tears in the annulus and irritate and stimulate the nociceptive nerve endings causing back pain.
  • DDD DDD-related diseases
  • a number of medical and surgical strategies are known to ameliorate symptoms. These include: pain medications that block or modulate pain afferents, or suppress central pain-recognition centers, exercises that promote tissue nutrition, flexibility and muscle strength (exercises also stimulate the release of endorphin, an endogenous morphine-like chemical), braces that restrict motion and reduce forces on tender spinal tissues, anti-inflammatory oral and injectable medications, and surgical procedures designed to remove tissues pressing on nerves, stabilize spinal motion segments and/or replace pathological tissues.
  • Strategies for restabilization are many and include: heating the annular region in an effort to destroy nerve endings and “strengthen” or “heal” the annulus, “fusing” the motion segment by applying bone graft on the sides of the motion segment, or within the disc space, applying rigid or semi-rigid support members on the sides of the motion segment or within the disc space, removing and replacing the entire disc with a non-flexible, articulating artificial device and removing and replacing the nucleus.
  • the currently available devices fall into two general categories: total disc replacements and nuclear replacements.
  • the first category consists of total disc replacements that are made of rigid, inert substances such as metal and plastic. Examples of such devices are the Fernstrom “ball-bearing” and the LINK® and PRODISC® devices.
  • a second class of disc replacement is the nuclear replacement, a form of partial disc replacement.
  • Examples include: the Ray implant (U.S. Pat. No. 4,772,287), the Bao implant (U.S. Pat. No. 5,192,326), and the Sulzer spiral implant (U.S. Pat. No. 5,919,235).
  • These devices are also inert, somewhat flexible, non-biological disc replacements. They involve removal of the nucleus and replacement of the nucleus with a non-biological plastic material that may be flexible and malleable. When these devices are placed in the excavated DDD cavity, they rub against living end-plate cartilage and bone. This rubbing may cause healthy living tissue to erode. This erosion may weaken the living cartilage and bone, resulting in subsidence of the device, fragmentation of the device and perhaps, further vertebral instability. Complete displacement and dislocation of the Ray implant has been reported.
  • This second category of disc replacements is intended to more closely mimic natural disc mechanics.
  • some nuclear replacements utilize the water-containing properties of hydrogel.
  • One embodiment of the Ray implant as described in U.S. Pat. Nos. 4,772,287 and 4,904,260 consists of a block of hydrogel in combination with inert jacket such as a plastic fabric casing.
  • the Bao implant as described in U.S. Pat. No. 5,192,326 consists of hydrogel beads enclosed by a fabric shell.
  • Devices attempting to mimic the mechanics of a natural disc also include such devices as taught in U.S. Pat. No. 6,240,926 to Chin Gan et al.
  • This patent uses a hybrid of cultured intervertebral disc cells and a biodegradable substrate as a nuclear replacement.
  • the device attempts to induce intervertebral disc reformation by regenerating natural disc tissue via the introduction of cultured intervertebral disc cells.
  • Technology such as this is in an early stage of development. Compared to the wide experience with biocompatible materials such as plastics and metals, purely biological replacements may or may not prove to be practical.
  • the present invention is a system for a partially biological disc replacement that stimulates natural fibrous, cartilaginous or other tissue growth in the DDD cavity, resulting in a partial biological disc replacement.
  • Multiplicities of fibronous pieces of fibro-cartilaginous tissue promoting material are inserted into the DDD cavity inducing tissue growth.
  • the fibro-cartilaginous tissue promoting material may be combined with hydrogel or other suitable water-imbibing material.
  • the present invention improves upon current techniques by creating a biological disc replacement that induces living, natural fibrous tissue growth into the DDD cavity. It is believed that living, natural fibrous tissue is preferable to dead and/or dying DDD tissue. First, living natural fibrous tissue does not exhibit acidic properties nor leak chemicals that may cause nerve inflammation and back pain. Second, living natural fibrous tissue offers more support and stability than decaying tissue.
  • Living natural fibrous tissue is also preferable to inert disc replacements. Living natural fibrous tissue will not erode adjacent cartilage or bone. Furthermore, there is less danger to surrounding tissues or nerves should the replaced material extrude from its intended position. Finally, living natural fibrous or fibro-cartilaginous tissue is more likely to mimic the biomechanical and morphologic characteristics of a natural disc.
  • the present invention replaces the dead and/or dying fibro-cartilage of a DDD disc by stimulating living natural fibrous tissue growth with a multiplicity of fibronous pieces, this living natural fibrous tissue fuses with the living tissue of the DDD cavity, forming a partial biological disc replacing the removed DDD tissue.
  • FIG. 1 is a perspective view of bands of fibro-cartilaginous tissue promoting material placed in a disc cavity.
  • FIG. 2 is a perspective view of fibro-cartilaginous tissue promoting material placed in a disc cavity.
  • FIG. 3 is a perspective view of an OPTIMESHTM filled with fibro-cartilaginous tissue promoting material in a disc cavity.
  • FIG. 4 is a cross-sectional view of an OPTIMESHTM filled with fibro-cartilaginous tissue promoting material in a disc cavity.
  • FIG. 5 is a perspective view of a mixture of cotton and hydrogel fibers.
  • FIG. 6 is a cross-sectional depiction of the expansion of the hydrogel as the hydrogel absorbs fluid.
  • FIG. 7 is a perspective of the expansion of the mixture of fibro-cartilaginous tissue promoting material and hydrogel as the hydrogel absorbs fluid.
  • FIG. 8 depicts aliquots of the fibro-cartilaginous tissue promoting material and hydrogel being inserted by a piston through a small diameter tube into the disc cavity.
  • FIG. 9 is a cross-sectional view of the fibro-cartilaginous tissue promoting material and hydrogel being inserted by a piston through a small diameter tube into the disc cavity.
  • FIG. 10 is a cross-sectional view of the bundles of fibro-cartilaginous tissue promoting material and hydrogel expanding as the hydrogel absorbs water.
  • FIG. 1 depicts the device 10 of the present invention embodied in a preparation of multilayered bands of suitable fibrous tissue promoting material piled in a circular configuration 12 formed to fit securely in the DDD cavity 14 .
  • the suitable fibrous tissue promoting material may include, but is not limited to, autograft, allograft or xenograft of fascia lata and/or throraco-lumbar fascia; natural and/or manmade polymeric fiber; fibrous tissue inducers such as: talc, pharmaceuticals and/or minerals; fibrous tissue morphogenic protein produced by recombinant DNA technology and/or notochord cells from stem cell technology and/or any combination thereof.
  • FIG. 2 depicts another embodiment of the device 10 as a tangled knot of suitable fibrous tissue promoting fibers 16 .
  • the device is multiple fabric bands made of suitable fibrous tissue promoting material.
  • the device is any combination of fibers, string, multilayered bands and/or fabric bands made of suitable fibrous tissue promoting material.
  • FIGS. 4 and 5 another embodiment of the device is a preparation of suitable fibrous tissue promoting material in combination with hydrogel chunks and/or fibers 20 .
  • the hydrogel provides water-imbibing qualities similar to a natural disc. The hydrogel thus provides a source of hydration for the device. As the hydrogel absorbs water, the hydrogel and thus the device expands.
  • FIGS. 6 and 7 show the fluid expansion as arrows 22 a and 22 b .
  • the suitable fibrous tissue promoting material induces living, natural fibrous tissue growth.
  • the living, natural fibrous tissue gives stability and cushion to the DDD cavity.
  • the combination of stability, cushioning and hydration allows the device of the present invention to closely mimic the characteristics of a natural disc.
  • FIG. 8 depicts an important feature differentiating the present invention from all of its predecessors; the device is preferably constructed within the nuclear space 24 , in a piecemeal fashion, by pushing small aliquots 26 of the filaments that make up the ultimate device, through a small diameter hollow injection tube 28 .
  • This feature allows the nuclear replacement device 10 to be introduced through a very small portal, with very little damage or removal of the stabilizing annulus.
  • FIG. 9 depicts an embodiment of the invention where the tissue promoting material 32 is at least one strand with a cross-sectional diameter smaller than the diameter of the injection tube 28 .
  • the invention is really a system, therefore, that allows the surgeon to construct a nuclear replacement using minimally invasive techniques.
  • the system consists of a hollow injection tube 28 , a piston 30 , the filaments 26 (cotton or other fibrous tissue stimulating agents with or without hydrogel) and, in at least one embodiment, a fabric or other porous shell 18 that surrounds and contains the filamentous elements.
  • the method of the present invention involves boring a small entrance hole into the DDD cavity 14 .
  • This step can be accomplished using any of several approaches: posterior laminotomy, transforaminal, or any of the anterior or anterior-lateral approaches, including endoscopic approaches.
  • the surgeon then reams the cavity 14 to remove the DDD nucleus and perhaps some of the endplate cartilage and portions of the inner annulus.
  • the cavity 14 is thereby prepared for the optiplasty device insertion.
  • the cavity 14 may be prepared by coating its surface with talc, a pharmaceutical or other suitable fibrous tissue promoting material.
  • the multiplicity of fibronous pieces of fibro-cartilaginous tissue promoting material are then inserted using a piston 30 through a small diameter tube 28 and may or may not be secured within an OptimeshTM, of U.S. Pat. No. 5,571,189 to the applicant, or any other suitable porous bag.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Transplantation (AREA)
  • Neurology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)
US10/702,096 2002-11-05 2003-11-05 Semi-biological intervertebral disc replacement system Abandoned US20050055094A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
US10/702,096 US20050055094A1 (en) 2002-11-05 2003-11-05 Semi-biological intervertebral disc replacement system
US12/247,760 US8012211B2 (en) 2002-11-05 2008-10-08 Semi-biological intervertebral disc replacement system
US13/226,026 US20120116514A1 (en) 2002-11-05 2011-09-06 Semi-biological intervertebral disc replacement system

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US42390002P 2002-11-05 2002-11-05
US10/702,096 US20050055094A1 (en) 2002-11-05 2003-11-05 Semi-biological intervertebral disc replacement system

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US12/247,760 Expired - Lifetime US8012211B2 (en) 2002-11-05 2008-10-08 Semi-biological intervertebral disc replacement system
US13/226,026 Abandoned US20120116514A1 (en) 2002-11-05 2011-09-06 Semi-biological intervertebral disc replacement system

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US13/226,026 Abandoned US20120116514A1 (en) 2002-11-05 2011-09-06 Semi-biological intervertebral disc replacement system

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US (3) US20050055094A1 (de)
EP (1) EP1562524A4 (de)
JP (1) JP2006505331A (de)
KR (1) KR20050084658A (de)
AU (2) AU2003290627B2 (de)
CA (3) CA2504591C (de)
NZ (1) NZ539779A (de)
WO (1) WO2004041075A2 (de)

Cited By (53)

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US20040186471A1 (en) * 2002-12-07 2004-09-23 Sdgi Holdings, Inc. Method and apparatus for intervertebral disc expansion
US20050071003A1 (en) * 1999-03-17 2005-03-31 Ku David N. Poly(vinyl alcohol) hydrogel
US20050119754A1 (en) * 2002-09-18 2005-06-02 Trieu Hai H. Compositions and methods for treating intervertebral discs with collagen-based materials
US20050196452A1 (en) * 2004-02-06 2005-09-08 Boyan Barbara D. Surface directed cellular attachment
US20050273169A1 (en) * 2004-02-23 2005-12-08 Thomas Purcell Artificial intervertebral disc assembly
US20050278025A1 (en) * 2004-06-10 2005-12-15 Salumedica Llc Meniscus prosthesis
US20070001981A1 (en) * 2005-06-29 2007-01-04 Nec Electronics Corporation Driver unit including common level shifter circuit for display panel and nonvolatile memory
US20070213824A1 (en) * 2006-02-14 2007-09-13 Sdgi Holdings, Inc. Treatment of the vertebral column
US20070213718A1 (en) * 2006-02-14 2007-09-13 Sdgi Holdings, Inc. Treatment of the vertebral column
US20070213717A1 (en) * 2006-02-14 2007-09-13 Sdgi Holdings, Inc. Biological fusion in the vertebral column
US20070227547A1 (en) * 2006-02-14 2007-10-04 Sdgi Holdings, Inc. Treatment of the vertebral column
US20070255406A1 (en) * 2006-04-27 2007-11-01 Sdgi Holdings, Inc. Devices, apparatus, and methods for bilateral approach to disc augmentation
US20070255286A1 (en) * 2006-04-27 2007-11-01 Sdgi Holdings, Inc. Devices, apparatus, and methods for improved disc augmentation
US20070276496A1 (en) * 2006-05-23 2007-11-29 Sdgi Holdings, Inc. Surgical spacer with shape control
US20070299523A1 (en) * 2006-06-08 2007-12-27 Francis Pflum Sac for use in spinal surgery
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