SEGMENTED INSERT FOR INTERVERTEBRAL SUPPORT

• US 20110054538A1
• Filed: 03/15/2009
• Published: 03/03/2011
• Est. Priority Date: 03/14/2008
• Status: Active Grant

• Current Assignee: Mazor Robotics, Ltd (Medtronic Plc)
• Original Assignee: Mazor Robotics, Ltd (Medtronic Plc)
• Inventors: Shoham, Moshe, Zehavi, Eli
• Granted Patent: US 8,328,852 B2
• Time in Patent Office: Days
• US Class Current: 606/279
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• CPC Class Codes: A61F 2/4455 for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages intervertebral discs A61F2/442
• CPC Class Codes: A61F 2002/30172 T-shaped
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30471 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• 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 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30594 slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
• CPC Class Codes: A61F 2002/30599 stackable
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/3085 with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/4415 elements of the prosthesis being arranged in a chain like manner
• CPC Class Codes: A61F 2220/0041 using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2220/0091 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2230/0052 T-shaped
• CPC Class Codes: A61F 2250/0063 Nested prosthetic parts

Abstract

A spinal intervertebral support implant, for fusion or for dynamic stabilization purposes. A rod, preferably in the form of a screw, is inserted obliquely from the pedicle of an inferior vertebra into the body of a neighboring superior vertebra, through the disc space. The rod can be anchored into the body of the superior vertebra by means of a force fit or a screw thread. A pile of elements is disposed on the rod in the disc space like a pile of washers, so that the compression load between vertebrae is carried partly by these elements. These elements can be inserted through the bore through which the rod was inserted in a tightly folded configuration, and deployed into their washer-like form only when in position in the intervertebral space, such that there is no need for any additional incisions.

Claims

1. An intervertebral support system comprising:

a rod for affixing in the body of a first vertebrae of a subject, and adapted to be inserted through a bore in the pedicle of a second one of said adjacent vertebra of said subject; and

a plurality of solid elements adapted to be strung onto said rod when fixed in the body of said first vertebra, and into the intervertebral region, said elements being of a generally elongated hollow shape and having initial dimensions such that it they are capable of passing through said bore, and being adapted to deploy in said intervertebral region to form a stack of elements, each of said elements when deployed having (a) a shape different from that which it had before being strung onto said rod, and (b) lateral dimensions substantially larger than that of said bore, such that said stack provides intervertebral support between two adjacent vertebrae of a subject.

2. A system according to claim 1, wherein said stack of elements essentially fills the height of said intervertebral region.

3. A system according to claim 1, and wherein said deployed elements have either one of an essentially flattened form or a dished form.

5. A system according to claim 1, wherein said rod is a screw having at least one threaded portion adapted to be screwed into said body of said first vertebra.

7. A system according to claim 5 wherein said at least one threaded portion is adapted to be affixed into said pedicle of said second vertebra.

8. A system according to claim 1, further comprising a cap adapted to be fixed to said pedicle to prevent said rod from retracting from said vertebrae.

9. A system according to claim 2, wherein said plurality of elements and said rod provide support between said adjacent vertebrae.

10. A system according to claim 1, wherein at least one of said elements comprises a cylinder whose wall has a number of longitudinal slots along a part of its length, said slots being positioned at angular locations spaced around the circumference of said cylinder.

11. A system according to claim 10, wherein said slotted sections of said wall of said cylinder are such that they bend radially outwards within said intervertabral region, so as to form an element form having lateral dimensions substantially larger than that of said bore.

12. A system according to claim 11, said element further comprising openings formed in said slots, such that said slotted sections of said wall bend preferentially at said openings.

13. A system according to claim 11, said element further comprising at least one circumferential groove formed on said cylinder wall, such that said slotted sections of said wall bend preferentially at said at least one circumferential groove.

14. A system according to claim 11, said element further comprising at least one mechanical joint formed in said cylinder wall, such that a slotted section of said wall bends preferentially at said at least one mechanical joint.

15. A system according to claim 11, wherein that end of said cylinder from which said longitudinal slots commence is chamfered in a direction which assists in said radially outward bending of said slotted sections of said wall.

16. A system according to claim 11, wherein said rod has a sloped shoulder to contact an end of said cylinder, to assist in said radially outward bending of said slotted sections of said wall.

17. A system according to claim 1 and wherein at least one of said elements comprises a shape memory alloy.

4. (canceled)

6. (canceled)

18. A method of providing support between two adjacent vertebrae of a subject, said method comprising:

providing a rod for affixing in the body of a first one of said vertebrae;

drilling a bore in the pedicle of the second vertebra adjacent said first vertebra;

inserting said rod through said bore and fixing it into the body of said first vertebra;

providing a plurality of solid elements being of a generally elongated hollow shape and having initial dimensions such that they are capable of passing through said bore, each of said elements being adapted to deploy in said intervertebral region to a form an element having (a) a different shape from that before being strung onto said rod, and (b) lateral dimensions substantially larger than that of said bore; and

stringing said elements onto said rod and into the intervertebral region, such that said elements can deploy therein to form a stack of elements providing intervertebral support between said two adjacent vertebrae of the subject.

19. A method according to claim 18, further comprising the step of sliding said plurality of elements into said intervertebral region until said stack of elements essentially fills the height of said intervertebral region.

20. A method according to claim 18, and wherein said deployed elements have either one of an essentially flattened form or a dished form.

22. A method according to claim 18, wherein said rod is a screw having at least one threaded portion, and wherein said step of fixing said rod into the body of said first vertebra comprises screwing said at least one threaded portion into said body of said first vertebra.

24. A method according to claim 22 further comprising the step of fixing said at least one threaded portion into said pedicle of said second vertebra.

25. A method according to claim 18, further comprising the step of fixing a cap to said pedicle to prevent said rod from retracting from said vertebrae.

26. A method according to claim 19, wherein said plurality of elements and said rod provide support between said adjacent vertebrae.

27. A method according to claim 18, wherein at least one of said elements comprises a cylinder whose wall has a number of longitudinal slots along a part of its length, said slots being positioned at angular locations spaced around the circumference of said cylinder.

28. A method according to claim 27, wherein said slotted sections of said wall of said cylinder are such that they bend radially outwards within said intervertabral region, so as to form an element form having lateral dimensions substantially larger than that of said bore.

29. A method according to claim 28, said element further comprising openings formed in said slots, such that said slotted sections of said wall bend preferentially at said openings.

30. A method according to claim 28, said element further comprising at least one circumferential groove formed on said cylinder wall, such that said slotted sections of said wall bend preferentially at said at least one circumferential groove.

31. A method according to claim 28, said element further comprising at least one mechanical joint formed in said cylinder wall, such that a slotted section of said wall bends preferentially at said at least one mechanical joint.

32. A method according to claim 28 wherein that end of said cylinder from which said longitudinal slots commence is chamfered in a direction which assists in said radially outward bending of said slotted sections of said wall.

33. A method according to claim 32, wherein said rod has a sloped shoulder to contact an end of said cylinder, to assist in said radially outward bending of said slotted sections of said wall.

34. A method according to claim 33 and wherein at least one of said elements comprises a shape memory alloy.

21. (canceled)

23. (canceled)