Mobile bearing spinal device and method

• US 20050171610A1
• Filed: 01/07/2005
• Published: 08/04/2005
• Est. Priority Date: 01/09/2004
• Status: Abandoned Application

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: SDGI Holdings Incorporated (Medtronic Plc)
• Inventors: Humphreys, Steven C., Peterman, Marc M., Hodges, Scott D.
• Application Number:
  US11/031,783
• Publication Number:
  US 20050171610A1
• Time in Patent Office: Days
• US Class Current: 623/17.150
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61F 2/08 Muscles; Tendons; Ligaments sutures A61B17/04
• CPC Class Codes: A61F 2/30965 Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
• CPC Class Codes: A61F 2/4405 for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes devices implanted between spinous or transverse processes A61B17/7062
• CPC Class Codes: A61F 2/4425 made of articulated components
• CPC Class Codes: A61F 2002/2817 Bone 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]
• CPC Class Codes: A61F 2002/30232 Half-cylinders
• CPC Class Codes: A61F 2002/30331 made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2002/30364 Rotation about the common longitudinal axis
• CPC Class Codes: A61F 2002/30369 Limited lateral translation of the protrusion within a larger recess
• 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 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30462 retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30624 Hinged joint, e.g. with transverse axle restricting the movement
• CPC Class Codes: A61F 2002/30632 with rotation-limiting stops, e.g. projections or recesses
• CPC Class Codes: A61F 2002/30649 Ball-and-socket joints
• CPC Class Codes: A61F 2002/30665 Dual arrangement of two adjacent ball-and-socket joints
• CPC Class Codes: A61F 2002/30685 Means for reducing or preventing the generation of wear particulates
• CPC Class Codes: A61F 2002/30769 : madreporic
• CPC Class Codes: A61F 2002/30884 : Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2002/30906 : shot- sand- or grit-blasted
• CPC Class Codes: A61F 2002/30909 : Nets
• CPC Class Codes: A61F 2002/30925 : etched
• CPC Class Codes: A61F 2002/30929 : having at least two superposed coatings
• CPC Class Codes: A61F 2002/443 : having two transversal endplates and at least one intermediate component
• CPC Class Codes: A61F 2002/448 : comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants
• CPC Class Codes: A61F 2002/4631 : the prosthesis being specially adapted for being cemented
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 : made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2220/0075 : sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2230/0069 : cylindrical
• 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 2310/00161 : Carbon; Graphite
• CPC Class Codes: A61F 2310/00167 : Diamond or diamond-like carbon
• CPC Class Codes: A61F 2310/00203 : containing alumina or aluminium oxide
• CPC Class Codes: A61F 2310/00239 : containing zirconia or zirconium oxide ZrO2
• CPC Class Codes: A61F 2310/00407 : Coating made of titanium or of Ti-based alloys
• CPC Class Codes: A61F 2310/00796 : Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite
• CPC Class Codes: A61F 2310/00976 : Coating or prosthesis-covering structure made of proteins or of polypeptides, e.g. of bone morphogenic proteins BMP or of transforming growth factors TGF

Abstract

An artificial vertebral joint for interposition between a superior vertebra and an inferior vertebra, the artificial vertebral joint comprises a superior retaining portion and an inferior retaining portion. The joint further comprises a half-cylinder shaped mobile bearing adapted for insertion between the superior retaining portion and the inferior retaining portion, wherein the half-cylinder shaped mobile bearing is further adapted to move within the inferior retaining portion.

Claims

1. An artificial vertebral joint for interposition between a superior vertebra and an inferior vertebra, the artificial vertebral joint comprising:

a superior retaining portion;

an inferior retaining portion; and

a semi-cylindrical shaped mobile bearing adapted for insertion between the superior retaining portion and the inferior retaining portion, wherein the semi-cylindrical shaped mobile bearing is further adapted to move within the inferior retaining portion.

2. The artificial vertebral joint of claim 1 wherein the semi-cylindrical shaped mobile bearing is adapted for anterior-posterior translation within the inferior retaining portion.

3. The artificial vertebral joint of claim 1 wherein the semi-cylindrical shaped mobile bearing is adapted for lateral translation within the inferior retaining portion.

4. The artificial vertebral joint of claim 1 wherein the semi-cylindrical shaped mobile bearing is further adapted for rotation within the inferior retaining portion.

5. The artificial vertebral joint of claim 1 wherein the superior retaining portion comprises a semi-cylindrical shaped trough adapted to mate with the half-cylinder shaped mobile bearing.

6. The artificial vertebral joint of claim 5 wherein a longitudinal axis of the semi-cylindrical shaped trough is approximately parallel with a transverse axis extending through an intervertebral disc space between the superior and inferior vertebrae.

7. The artificial vertebral joint of claim 5 wherein a longitudinal axis of the semi-cylindrical shaped trough is approximately parallel with an anterior-posterior axis extending through an intervertebral disc space between the superior and inferior vertebrae.

8. The artificial vertebral joint of claim 1 wherein the semi-cylindrical shaped mobile bearing comprises a polished surface.

9. The artificial vertebral joint of claim 1 wherein the inferior retaining portion comprises a flattened surface bordered by a motion stop surface.

10. The artificial vertebral joint of claim 1 further comprising a pin connecting the semi-cylindrical shaped mobile bearing to the inferior retaining portion, wherein the semi-cylindrical shaped mobile bearing rotates about the pin.

11. The artificial vertebral joint of claim 10 wherein the inferior retaining portion comprises a track movably engaged with the pin.

12. The artificial vertebral joint of claim 11 wherein the track is parallel to an anterior-posterior axis through an intervertebral disc space between the superior and inferior vertebrae.

13. An artificial vertebral joint for interposition between a superior vertebra and an inferior vertebra, the artificial vertebral joint comprising:

a first arthroplasty half comprising a first superior retaining portion, a first inferior retaining portion, and a first semi-cylindrical shaped mobile bearing adapted for insertion between the first superior retaining portion and the first inferior retaining portion, wherein the first semi-cylindrical shaped mobile bearing is movable within the first inferior retaining portion, and

a second arthroplasty half comprising a second superior retaining portion, a second inferior retaining portion, and a second semi-cylindrical shaped mobile bearing adapted for insertion between the second superior retaining portion and the second inferior retaining portion, wherein the second semi-cylindrical shaped mobile bearing is movable within the second inferior retaining portion.

14. The artificial vertebral joint of claim 13 wherein the first and second arthroplasty halves are adapted for posterior insertion into an intervertebral disc space between the superior and inferior vertebrae.

15. The artificial vertebral joint of claim 13 wherein a first longitudinal axis of the first semi-cylindrical shaped mobile bearing is collinear with a second longitudinal axis of the second semi-cylindrical shaped mobile bearing.

16. The artificial vertebral joint of claim 15 wherein the first and second longitudinal axes are parallel to a transverse axis through the intervertebral disc space.

17. The artificial vertebral joint of claim 13 wherein the first and second longitudinal axes are approximately parallel with a transverse axis extending through an intervertebral disc space between the superior and inferior vertebrae.

18. The artificial vertebral joint of claim 13 wherein the first and second superior retaining portions comprise first and second semi-cylindrical shaped troughs, respectively and wherein the first and second semi-cylindrical shaped troughs are adapted to mate with the first and second semi-cylindrical shaped mobile bearings, respectively.

19. The artificial vertebral joint of claim 18 wherein a first longitudinal axis of the first semi-cylindrical shaped trough is collinear with a second longitudinal axis of the second semi-cylindrical shaped trough.

20. The artificial vertebral joint of claim 13 wherein the first semi-cylindrical shaped mobile bearing is adapted for anterior-posterior translation within the first inferior retaining portion.

21. The artificial vertebral joint of claim 13 wherein the first semi-cylindrical shaped mobile bearing is adapted for lateral translation within the first inferior retaining portion.

22. The artificial vertebral joint of claim 13 wherein the first semi-cylindrical shaped mobile bearing is further adapted for rotation within the first inferior retaining portion.

23. The artificial vertebral joint of claim 13 wherein the first semi-cylindrical shaped mobile bearing comprises a polished surface.

24. The artificial vertebral joint of claim 13 further comprising a first pin connecting the first semi-cylindrical shaped mobile bearing to the first inferior retaining portion, wherein the first semi-cylindrical shaped mobile bearing rotates about the first pin.

25. The artificial vertebral joint of claim 24 wherein the first inferior retaining portion comprises a track movably engaged with the pin.

26. The artificial vertebral joint of claim 25 wherein the first track is parallel to an anterior-posterior axis through an intervertebral disc space between the superior and inferior vertebrae.

27. The artificial vertebral joint of claim 25 wherein the first track is parallel to a transverse axis through an intervertebral disc space between the superior and inferior vertebrae.

28. The artificial vertebral joint of claim 13 wherein the first arthroplasty half further comprises a superior bridge connected to the first superior retaining portion and an inferior bridge connected to the first inferior retaining portion, and wherein the superior and inferior bridges extend from an intervertebral disc space between the superior and inferior vertebrae.

29. The artificial vertebral joint of claim 28 wherein the first arthroplasty half further comprises a superior posterior joint component connected to the superior bridge and an inferior posterior joint component connected to the inferior bridge, wherein the superior and inferior posterior joint components are movably engaged.

30. The artificial vertebral joint of claim 28 wherein the inferior bridge is at least a portion of an artificial pedicle.

31. The artificial vertebral joint of claim 13 wherein a first height of the first semi-cylindrical shaped mobile bearing is greater than a second height of the second semi-cylindrical shaped mobile bearing.

32. The artificial vertebral joint of claim 13 wherein a first lateral edge of the first semi-cylindrical shaped mobile bearing is curved and wherein a second lateral edge of the second semi-cylindrical shaped mobile bearing is curved.

33. The artificial vertebral joint of claim 13 wherein the first semi-cylindrical shaped mobile bearing is engaged with the second semi-cylindrical shaped mobile bearing to form a unitized bearing.

34. A method of implanting an artificial spinal joint, the method comprising:

creating first exposure through a patient'"'"'s back to access an intervertebral space;

inserting at least a portion of the artificial spinal joint through the first exposure; and

positioning a first anterior joint portion of the artificial spinal joint in the intervertebral space, wherein the first anterior joint portion comprises a first superior retaining portion, a first inferior retaining portion, and a first semi-cylindrical shaped mobile bearing positioned between the first superior retaining portion and the first inferior retaining portion, wherein the first semi-cylindrical shaped mobile bearing is further adapted to move within the first inferior retaining portion.

35. The method of claim 34 further comprising:

positioning a posterior joint portion of the artificial spinal joint outside of the intervertebral space, wherein positioning a posterior joint portion includes engaging a posterior protrusion with a posterior socket.

36. The method of claim 34 further comprising:

creating a second exposure through the patient'"'"'s back to access the intervertebral space and

positioning a second anterior joint portion of the artificial spinal joint in the intervertebral space, wherein the second anterior portion comprises a second superior retaining portion, a second inferior retaining portion, and a second semi-cylindrical shaped mobile bearing positioned between the second superior retaining portion and the second inferior retaining portion, wherein the second semi-cylindrical shaped mobile bearing is further adapted for translation within the second inferior retaining portion.

37. The method of claim 36 further comprising:

collinearly aligning a first longitudinal axis of the first semi-cylindrical shaped mobile bearing with a second longitudinal axis of the second semi-cylindrical shaped mobile bearing.

38. The method of claim 36 wherein the second exposure is on an opposite side of the patient'"'"'s vertebral canal from the first exposure.

39. The method of claim 34 further comprising:

resecting at least one vertebral endplate to receive the first anterior joint portion.

40. The method of claim 34 further comprising:

resecting at least a portion of at least one natural facet.

41. The method of claim 34 wherein the step of positioning further comprises placing a first longitudinal axis of the first semi-cylindrical shaped mobile bearing in approximately parallel alignment with a transverse axis extending through the intervertebral space.

42. A system for creating at least a portion of a coupling between a superior vertebra and an inferior vertebra comprising:

a first means for connecting to the superior vertebra, the first means comprising a first retaining means;

a second means for connecting to the inferior vertebra, the second means comprising a second retaining means; and

a third means adapted for insertion between the first and second retaining means, wherein the third means comprises a semi-cylindrical shaped portion and wherein the third means is adapted to translate relative to the second retaining means.