Intervertebral implant, insertion tool and method of inserting same

• US 20040117022A1
• Filed: 12/13/2002
• Published: 06/17/2004
• Est. Priority Date: 12/13/2002
• Status: Active Grant

• Current Assignee: Centinel Spine LLC
• Original Assignee: Spine Solutions Incorporated (Johnson & Johnson)
• Inventors: Bertagnoli, Rudolf, Eckhof, Stephan, Marnay, Theirry, Magee, Frank
• Granted Patent: US 7,204,852 B2
• Time in Patent Office: Days
• US Class Current: 623/17.16
• CPC Class Codes: A61F 2/30771 applied in original prostheses, e.g. holes or grooves
• CPC Class Codes: A61F 2/4425 made of articulated components
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/30383 made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30662 with rotation-limiting means
• CPC Class Codes: A61F 2002/30827 Plurality of grooves
• CPC Class Codes: A61F 2002/30884 Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2002/3092 having an open-celled or open-pored structure
• CPC Class Codes: A61F 2002/3093 for promoting ingrowth of bone tissue
• CPC Class Codes: A61F 2002/443 having two transversal endplates and at least one intermediate component
• CPC Class Codes: A61F 2002/4628 with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2310/00017 Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• CPC Class Codes: A61F 2310/00029 Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
• CPC Class Codes: A61F 2310/00059 Chromium or Cr-based alloys
• CPC Class Codes: A61F 2310/00101 Molybdenum or Mo-based alloys
• CPC Class Codes: A61F 2310/00179 : Ceramics or ceramic-like structures
• CPC Class Codes: A61F 2310/00407 : Coating made of titanium or of Ti-based alloys

Abstract

An intervertebral implant, alone and in combination with an insertion tool for inserting same and a method for inserting same. The implant has upper and lower parts which have limited universal movement relative to each other. Each of the upper and lower parts also has a surface engaging an adjacent vertebrae. Each part has a keel extending from said surface into a cutout in the adjacent vertebrae, and each keel has an anterior opening recess therein. An insert tool has a pair of arms which are received in the recess of the keels through the anterior opening to securely hold and insert the implant. Projections and matching indentations in each arm and the base of its recess securely attached each arm within its keel.

Claims

1. An intervertebral implant comprising an upper part adapted to engage an adjacent vertebrae and a lower part adapted to engage an adjacent vertebrae,

the upper and lower parts being in operative contact with each other so as to allow them limited universal movement relative to each other,

each of the upper and lower parts having a raised keel on its surface engaging the adjacent vertebrae, which keel is adapted to be received within its adjacent vertebrae through a cutout formed in the anterior of that vertebrae,

and each keel having a recess therein, which has an anterior opening, for receiving an insertion tool for inserting the implant into the intervertebral space.

2. An implant according to claim 1, wherein at least one of said recesses includes an engagement structure for engaging an insertion tool to secure the tool against movement out of the recess.

3. An implant according to claim 2, wherein both of said recesses include an engagement structure.

4. An implant according to claim 2, wherein the engagement structure includes an indentation formed in the base of the recess closest to the implant and adapted to receive a projection on the insertion tool.

5. An implant according to claim 1, wherein the keels are beveled on the posterior ends thereof to facilitate entry of the keel into the cutout.

6. An implant according to claim 1, wherein the keels are flared outwardly adjacent the anterior openings to facilitate the keel engaging the anterior of the vertebrae adjacent the cutout.

7. An implant according to claim 1, the implant comprising a lower part having a plastic inlay attached thereto with an upwardly spherical convex portion and the upper part having a concave spherical portion in an operative engagement with the spherical convex portion.

8. An implant according to claim 7, the plastic inlay being snap fitted into the lower part.

9. An implant according to claim 1, wherein the upper and lower parts have anterior support cutouts adjacent the anterior keel recess openings for receiving a portion of the insertion tool.

10. In combination, an intervertebral implant and an insertion tool for inserting same,

the implant comprising an upper part adapted to engage an adjacent vertebrae and a lower part adapted to engage an adjacent vertebrae,

the upper and lower parts being in operative contact with each other so as to allow them limited universal movement relative to each other,

each of the upper and lower parts having a raised keel on its surface engaging the adjacent vertebrae, which keel is adapted to be received within its adjacent vertebrae through a cutout formed in the anterior of that vertebrae,

each keel having a recess which has an anterior opening,

and said insertion tool having a pair of arms, one engaging each recess through an anterior opening thereof, to thereby grasp the implant for insertion into the intervertebral space.

11. The invention according to claim 10, at least one recess and its respective insertion tool having a complementary engaging structure for securing the arm in the recess.

12. The invention according to claim 11, wherein the complementary engaging structure includes a raised projection on the arm and a matching indentation in the base of its recess.

13. The invention according to claim 10, wherein both recesses and their respective insertion tools include a complementary engaging structure for securing the arm in the recess.

14. The invention according to claim 10, wherein the upper and lower parts each have a front support cutout adjacent the keel recess opening for receiving a portion of the insertion tool, said arms having a first narrow portion for insertion into the recess of its respective keel and a second broader portion for engaging the front support cutouts.

15. The invention according to claim 10, wherein the insertion tools are movable in a direction into and out of their respective recesses, through the rear opening, and in a direction perpendicular thereto to engage and release their respective implants.

16. The invention according to claim 15, said insertion tools having abutment surfaces which abut each other to limit movement of the two arms towards each other.

17. The invention according to claim 15, including a raised projection on the arm which engages a matching indentation in the base of its recess for securing that arm in its recess, and wherein the height of each arm is less than the height of the recess in which it is received by an amount greater than the height of its projection to thereby allow vertical movement of the projection out of its indentation without the arm moving upwardly out of its recess.

18. A method of inserting an intervertebral implant into an intervertebral space, comprising the steps of:

providing a cutout in the two vertebrae adjacent the intervertebral space where the implant is to be inserted, said cutouts extending vertically into the vertebrae and open anteriorly,

providing an implant having upper and lower parts adapted to engage adjacent vertebrae, which upper and lower parts are in operative engagement with each other to allow a limited universal movement relative to each other and wherein each of the upper and lower parts has a raised keel with a recess formed therein which has an anterior opening,

grasping the implant with an insertion tool that includes arms which are received in the recesses of the keels through the anterior openings thereof,

inserting the insertion tool with the implant secured thereto such that the keels and arms move into the cutouts and the implant moves into the intervertebral space between two adjacent vertebrae,

and removing the tool from the keels through the anterior openings thereof, leaving the implant in place between the adjacent vertebrae.

19. The method according to claim 18, wherein the grasping step includes having projections on the arm and pointing toward the implant engage indentations in the base of the recess.

20. The method according to claim 19, wherein the removing step includes first moving the arms away from each other to release the projection and indentation engagement and then moving the arms out of the recess.