INTERVERTEBRAL MEDICAL IMPLANT

• US 20130304211A1
• Filed: 10/05/2011
• Published: 11/14/2013
• Est. Priority Date: 10/05/2010
• Status: Active Grant

• Current Assignee: Aces Ingenieurgesellschaft MbH
• Original Assignee: Aces Ingenieurgesellschaft MbH
• Inventors: Trautwein, Frank, Heuer, Frank, Kothe, Ralph, Liljenqvist, Ulf, Matge, Guy, Putzier, Michael, Franke, Jorg
• Granted Patent: US 9,452,064 B2
• Time in Patent Office: Days
• US Class Current: 623/17.15
• CPC Class Codes: A61F 2/30942 for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
• 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 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 2/447 substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
• CPC Class Codes: A61F 2/482 Electrical means
• CPC Class Codes: A61F 2002/30322 differing in surface structures
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30517 using a locking plate
• CPC Class Codes: A61F 2002/30553 for adjusting a position by translation along an axis
• CPC Class Codes: A61F 2002/30556 for adjusting thickness
• 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 2002/30576 with extending fixation tabs
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30593 hollow
• 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 2002/30601 telescopic
• 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 2002/30622 Implant for fusing a joint or bone material
• CPC Class Codes: A61F 2002/30668 Means for transferring electromagnetic energy to implants
• CPC Class Codes: A61F 2002/30736 : Augments or augmentation pieces, e.g. wedges or blocks for bridging a bone defect
• CPC Class Codes: A61F 2002/30784 : Plurality of holes
• CPC Class Codes: A61F 2002/30892 : parallel
• CPC Class Codes: A61F 2002/30904 : serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2002/3092 : having an open-celled or open-pored structure
• CPC Class Codes: A61F 2002/30925 : etched
• CPC Class Codes: A61F 2002/3093 : for promoting ingrowth of bone tissue
• CPC Class Codes: A61F 2002/3097 : using laser
• CPC Class Codes: A61F 2002/30971 : Laminates, i.e. layered products
• CPC Class Codes: A61F 2002/30976 : using hydrojet
• CPC Class Codes: A61F 2002/30978 : using electrical discharge machining [EDM]
• 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: A61L 2430/38 : for reconstruction of the spine, vertebrae or intervertebral discs
• CPC Class Codes: A61L 27/04 : Metals or alloys
• CPC Class Codes: A61L 27/14 : Macromolecular materials

Abstract

The invention relates to a spinal implant composed of a plurality of parallel plates. The deliberate introduction of contours in the plates allows for the creation of biomechanically advantageous functions and adjustment options. The elasticity of the anchoring elements enables the disclosed implant to be adjusted to the osseous endplates, resulting in uniform force distribution and thus prevention of the risk of compaction or endplate compression fracture. The plate structure allows for the use of production methods in which hook-like undercut contours can be created, thus enabling the implant to be superbly anchored in the bone without causing damage thereto. Furthermore, the plates can be interconnected by an actuator in such a way that the height and/or the angular position can be adjusted. The vertical adjustment can vary along the length of the implant such that the segment can also be angularly adjusted.

Claims

1. A medical implant for placement between bones, particularly between vertebral bodies, comprising a plurality of at least three thin plates, said plates having a material strength that is between 0.02 and 3 mm, and wherein said plates are provided with cut-outs that are suited for colonization by body cells and ossification of said body cells, and wherein said plates are connected by at least one connection element, and wherein said plates are disposed substantially parallel relative to each other at least in one direction, and wherein the distance between the plates is between 0 and 3 mm.

2. The medical implant according to claim 1, wherein the position of the plates can be moved by means of an actuator.

3. The medical implant according to claim 1, wherein the connection element is embodied as a screw, pin or tube.

4. The medical implant according to claim 1, wherein a distance is defined between the plates by means of rings or discs that are located on the connection elements or by offset embossed patterns or shapes.

6. The medical implant according to claim 1, wherein the connection element is embodied in the design of a strip or a plate, and wherein the connection element has slots, and wherein the distance between the slots defines the distance between the plates.

7. The medical implant according to claim 1, wherein the plates have cut-outs, bars or cut-ins for reducing the rigidity of the implant.

8. The medical implant according to claim 1, wherein the plates contain a toothed structure at faces oriented toward an end surface having a contour that is configured such that there results an undercut.

10. The medical implant according to claim 1, wherein individual plates or all plates have channels grooves or similar indentations that constitute, during assembly of the plates without clearance, at least one channel or at least one capillary.

11. The medical implant according to claim 1, wherein the cut-outs in the plates are semi-permeable, or the implant contains a plurality of bore holes or pores having diameters, respectively, that, owing to their diameters, are suited for cell differentiation or for creating osmotic pressure.

12. The medical implant according to claim 2, wherein the actuator contains at least one eccentric shaft, and wherein the eccentric shaft is defined by a single or a plurality of eccentric pins having identical or different crank radii.

13. The medical implant according to claim 2, wherein the actuator is adjusted by a mechanically operated element selected from the group consisting of a threaded spindle, a toothed rod or a latching and/or clamping mechanism.

14. The medical implant according to claim 2, wherein the actuator is adjusted by an electrically actuated element selected from the group consisting of, an electric control drive, electromagnetic control drive or piezoelectric control drive.

15. The medical implant according to claim 2, wherein the actuator contains connection elements selected from the group consisting of bolts, pins, axes, screws, sliding blocks or wedges, and wherein the connection elements are displaceable within the cut-outs or guide channels in the plates.

16. The medical implant according to claim 1, wherein the plates are connected to at least one receptacle by means of connection elements or a form closure or closure by adhesive means, and wherein the receptacle is provided with at least one cut-out that is suited to receive a bone anchor.

17. The medical implant according to claim 2, wherein each of the plate cut-outs have a contour, and wherein the actuator comprises an eccentric shaft having eccentric cams, and wherein the contour of the plate cut-outs and the arrangement of the eccentric cams of the eccentric shaft are harmonized such to each other that a rotary movement of the eccentric shaft results in a lift and translation movement of the plates such that for those having the same direction of rotational movement, the translational movement of each of the distracting plates always points in the same direction.

18. The medical implant according to claim 2, having at least two sets of combined plates with cut-outs, an actuator mechanism and connection elements, wherein the cut-outs have a contour adapted for initially distracting a set of combined plates during a displacement of the axes connected to the actuator in relation to a second set of combined plates and to cause, with a further displacement of the axes, a translation movement between the combined plates that is effective in an AP direction.

24. The medical implant according to claim 19, claim 1, wherein the cut-outs in the plates are semi-permeable, or the implant contains a plurality of bore holes or pores having diameters, respectively, that, owing to their diameters, are suited for cell differentiation or for creating osmotic pressure.

5. (canceled)

9. (canceled)

19. A medical implant for placement between bones, particularly between vertebral bodies, comprising a plurality of at least three thin plates that are disposed substantially in parallel, and wherein the plates are connected to each other by means of at least one connection element, and wherein the position of the plates can be moved by means of an actuator.

20. The medical implant according to claim 19, wherein the connection element is embodied as a screw, pin or tube.

21. The medical implant according to claim 19, wherein the plates have cut-outs, bars or cut-ins for reducing the rigidity of the implant.

22. The medical implant according to claim 19, wherein the plates contain a toothed structure at faces oriented toward an end surface having a contour that is configured such that there results an undercut.

23. The medical implant according to claim 19, wherein individual plates or all plates have channels grooves or similar indentations that constitute, during assembly of the plates without clearance, at least one channel or at least one capillary.

25. The medical implant according to claim 19, wherein the actuator contains at least one eccentric shaft, and wherein the eccentric shaft is defined by a single or a plurality of eccentric pins having identical or different crank radii.

26. The medical implant according to claim 19, wherein the actuator is adjusted by a mechanically operated element selected from the group consisting of a threaded spindle, a toothed rod or a latching and/or clamping mechanism.

27. The medical implant according to claim 19, wherein the actuator is adjusted by an electrically actuated element selected from the group consisting of an electric control drive, electromagnetic control drive or piezoelectric control drive.

28. The medical implant according to claim 19, wherein the actuator contains connection elements selected from the group consisting of bolts, pins, axes, screws, sliding blocks or wedges, and wherein the connection elements are displaceable within the cut-outs or guide channels in the plates.

29. The medical implant according to claim 19, wherein the plates are connected to at least one receptacle by means of connection elements or a form closure or closure by adhesive means, and wherein the receptacle is provided with at least one cut-out that is suited to receive a bone anchor.

30. The medical implant according to claim 19, wherein each of the plates comprises at least one cut-out having a contour, and wherein the actuator comprises an eccentric shaft having eccentric cams, and wherein the contour of the plate cut-outs and the arrangement of the eccentric cams of the eccentric shaft are harmonized such to each other that a rotary movement of the eccentric shaft results in a lift and translation movement of the plates such that for those having the same direction of rotational movement, the translational movement of each of the distracting plates always points in the same direction.

31. The medical implant according to claim 19 having at least two sets of combined plates with cut-outs, an actuator mechanism and connection elements, wherein the cut-outs have a contour adapted for initially distracting a set of combined plates during a displacement of the axes connected to the actuator in relation to a second set of combined plates and to cause, with a further displacement of the axes, a translation movement between the combined plates that is effective in an AP direction.