Artificial disc prosthesis for replacing a damaged nucleus

• US 20090248159A1
• Filed: 03/31/2009
• Published: 10/01/2009
• Est. Priority Date: 03/31/2008
• Status: Active Grant

• Current Assignee: Kamran Aflatoon
• Original Assignee: Kamran Aflatoon
• Inventors: Aflatoon, Kamran
• Granted Patent: US 8,147,555 B2
• Time in Patent Office: Days
• US Class Current: 623/17.120
• CPC Class Codes: A61F 2/441 made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel
• CPC Class Codes: A61F 2/442 Intervertebral or spinal discs, e.g. resilient non-disc-shaped intervertebral inflatable pockets A61F2/441; non-disc-shaped intervertebral fusion implants A61F2/4455
• CPC Class Codes: A61F 2002/30014 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2002/302 toroidal, e.g. rings
• CPC Class Codes: A61F 2002/30224 cylindrical
• CPC Class Codes: A61F 2002/30291 spirally-coiled, i.e. having a 2D spiral cross-section
• CPC Class Codes: A61F 2002/30372 with additional means for limiting said translation
• CPC Class Codes: A61F 2002/30528 Means for limiting said movement
• CPC Class Codes: A61F 2002/30563 having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30584 filled with gas
• CPC Class Codes: A61F 2002/30586 having two or more inflatable pockets or chambers
• CPC Class Codes: A61F 2002/30601 telescopic
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30884 Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2002/444 for replacing the nucleus pulposus
• 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 2230/0065 toroidal, e.g. ring-shaped, doughnut-shaped
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2230/0091 : helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section
• CPC Class Codes: A61F 2250/0018 : differing in elasticity, stiffness or compressibility

Abstract

A multi-piece disc replacement implant device for replacing a disc removed by a discectomy including an upper plate member, a lower plate member, and an intermediate resilient member providing movement between the two plate members replicating the natural movement of the spine including flexion/extension, lateral bending, and, in some embodiments, rotation. The plate members are rigid and have orthogonal sidewalls forming an enclosure. The resilient member is an elastic solid or a multi-chamber balloon structure of fluid-filled sacks that collectively define a non-uniform shape such as an oblate spheroid, or a helically coiled string of beads. Such an implant is capable of supporting the compressive and cyclic loads required of a natural disc. The upper and lower plate members are cooperatively formed to selectively limit the allowable range of motion in any given direction. Alternate embodiments of the invention may be employed in conjunction with removal of the nucleus pulposus when removal of the annulus fibrosus (annulotomy) is not required or desirable.

Claims

1. An implantable prosthetic device for replacing an intervertebral disc of a spinal column, the device comprising:

a housing further comprising

an upper plate member having an upper surface adapted for cooperative engagement with and fixation to a superior vertebra;

an opposing lower plate member having a lower surface adapted for cooperative engagement with and fixation to an inferior vertebra,

a periphery of said upper plate member and a periphery of said lower plate member both being defined by a sidewall substantially orthogonal to said upper and lower surfaces and extending toward the opposing plate member, said sidewalls slideably overlapping to form an enclosed void within said housing; and

a resilient member seated in said enclosed void, said resilient member engaging a lower surface of said upper plate member and an upper surface of said lower plate member so as to replicate a natural relative movement of the superior and inferior vertebra.

2. The prosthetic device of claim 1 wherein said resilient member comprises a balloon having a plurality of inflatable chambers.

3. The prosthetic device of claim 1 wherein said central void is cylindrical.

4. The prosthetic device of claim 1 wherein said resilient member is further comprised of a plurality of resilient sub-members.

5. The prosthetic device of claim 4 wherein said resilient member is an oblate spheroid.

6. The prosthetic device of claim 1 wherein said resilient member is a balloon.

7. The prosthetic device of claim 6 wherein said balloon is further comprised of a first inflatable chamber having a toroidal shape and a second inflatable chamber having a spherical shape, the second inflatable chamber occupying the central void of the toroidal first chamber.

8. The prosthetic device of claim 7 wherein the lower surface of the upper plate member and the upper surface of the lower plate member are each formed with a recess substantially in the shape of a spherical segment, said recesses engaged by the surface of the spherical second inflatable chamber.

9. The prosthetic device of claim 8 wherein the radius of said spherical second inflatable chamber is less than the radius of said recesses.

10. The prosthetic device of claim 7 wherein said slideably overlapping upper and lower sidewalls are further comprised of a plurality of vertical slots and cooperative protruding guides such that rotational movement between the upper and lower plates members is eliminated while flexion in the sagittal and coronal planes is permitted.

11. The prosthetic device of claim 6 wherein at least one of said slideably overlapping upper and lower sidewalls are further comprised of a proximal portion having a thickness greater than a distal portion of said sidewall such that said proximal portion provides a positive stop for the distal end of an opposing sidewall.

12. The prosthetic device of claim 11 wherein the height of said proximal portion is a function of its position on the periphery of the plate member from which it extends so as to provide a variable positive stop for flexion in the sagittal and coronal planes.

13. The prosthetic device of claim 7 wherein said slideably overlapping upper and lower sidewalls are further comprise of a distal end having an annular protrusion, the annular protrusion of the upper sidewall engaging the annular protrusion of the lower sidewall so as to prevent said sidewall from sliding so far as to no longer overlap.

14. The prosthetic device of claim 6 wherein said balloon is further comprised of a first port for inflating said first inflatable chamber and second port for inflating said a second inflatable chamber.

15. The prosthetic device of claim 6 wherein said balloon is further comprised of a first inflatable chamber having a double toroid shape, a second inflatable chamber having a spherical shape and a third inflatable chamber having a spherical shape, the second inflatable chamber occupying a first central void of the first chamber the third inflatable chamber occupying a second central void of the first chamber.

16. The prosthetic device of claim 15 wherein the lower surface of the upper plate member and the upper surface of the lower plate member are each formed with a plurality of recesses in the shape of a spherical segment, said recesses cooperatively aligned as between the upper and lower plate members to form a first recess pair and a second recess pair, said first recess pair engaged by an upper and lower surface of said second inflatable chamber, said second recess pair engaged by an upper and lower surface of said third inflatable chamber.

17. The prosthetic device of claim 16 wherein said balloon is further comprised of a first port for inflating said first inflatable chamber, second port for inflating said a second inflatable chamber, and a third port for inflating said a third inflatable chamber.

18. An implantable prosthetic device for replacing the nucleus of an intervertebral disc of a spinal column, the device comprising:

a balloon comprising a capillary tube;

a plurality of substantially spherical chambers regularly spaced along said capillary tube, said spherical chambers in fluid communication with said capillary tube,

a port at a first end of said capillary tube for inflating said chambers.

19. The implantable prosthetic device of claim 18 wherein said capillary tube is arranged in a helical coil.

20. An implantable prosthetic device for replacing the nucleus of an intervertebral disc of a spinal column, the device comprising:

a resilient member comprised of a plurality of individually resilient sub-members, said sub-members further comprising a first resilient sub-member having a double toroid shape, a second resilient sub-member having a spherical shape and a third resilient sub-member having a spherical shape, the second resilient sub-member occupying a first central void of the first resilient sub-member, the third resilient sub-member occupying a second central void of the first resilient sub-member.

21. The implantable prosthetic device of claim 20 wherein said first resilient sub-member is comprised of an inflatable chamber having a double toroid shape when inflated, said second resilient sub-member is comprised of an inflatable chamber having a spherical shape when inflated, and said third resilient sub-member is comprised of an inflatable chamber having a spherical shape when inflated.