Synthetic intervertebral disc prosthesis

• US 4,863,477 A
• Filed: 05/12/1987
• Issued: 09/05/1989
• Est. Priority Date: 05/12/1987
• Status: Expired due to Fees

• Current Assignee: Gary L. Monson
• Original Assignee: Gary L. Monson
• Inventors: Monson, Gary L.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): ISABELLA, DAVID J
• Application Number:
  US07/051,230
• Time in Patent Office: 847 Days
• Field of Search: 623/11, 623/12, 623/13, 623/17, 128/924 M
• US Class Current: 623/17.12
• 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 2002/30128 concentric ellipses
• CPC Class Codes: A61F 2002/30133 kidney-shaped or bean-shaped
• 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 2002/30593 hollow
• CPC Class Codes: A61F 2002/30879 Ribs
• CPC Class Codes: A61F 2002/30892 parallel
• CPC Class Codes: A61F 2230/0008 elliptical or oval
• CPC Class Codes: A61F 2230/0015 Kidney-shaped, e.g. bean-shaped

Abstract

A synthetic intervertebral disc prosthesis, molded in the same shape and general dimensions as a natural disc which it replaces after removal of a damaged natural disc, is molded of a biologically acceptable, non-porous, preferably rubber or silicone-rubber compound in two halves, each half having a hollow, molded interior. The two halves are joined together with a non-toxic adhesive to form a body having a fluid-tight cavity in its interior. The upper and lower surfaces of the disc each have a plurality of small suction cup-like projections molded thereon for frictionally engaging adjacent vertebrae. After the two halves of the prosthesis are joined, the prosthesis is implanted between two vertebrae in place of a removed natural disc, and a volume of fluid, such as saline solution, is injected into the interior cavity of the prosthesis to create the necessary amount of resilliency which restores proper vertebral spacing and facilitates flexibility of the spinal column.

Claims

1. A synthetic intervertebral disc prosthesis of flexible, non-porous, biologically compatible material, for replacing a natural intervertebral disc, comprising:

a substantially oval disc of about the same size and shape as the natural intervertebral disc which it replaces, including a convex upper surface for non-invasively abutting a lower surface of a first vertebra, a convex lower surface for non-invasively abutting an upper surface of a second vertebra located adjacent and below said first vertebra, a fluid-tight cavity between said upper surface and said lower surface of the prosthesis, and

gripping means for frictionally engaging at least one of said lower surface of the first vertebra and upper surface of the second vertebra, said gripping means being situated on at least one of the upper surface and the lower surface of the prosthesis, said gripping means including at least one raised protrusion providing frictional adhesion to the adjacent vertebra surface,

wherein at least a portion of said gripping means is positioned in a substantially closed ring configuration on at least one of the upper surface and lower surface of the prosthesis.

2. A prosthesis of claim 1 wherein the gripping means comprises one suction cup.

3. A prosthesis of claim 2 wherein the gripping means comprises a plurality of suction cups.

5. A prosthesis of claim 1 made of flexible, compressible material.

6. A prosthesis of claim 5 wherein the material is a member selected from the group consisting of rubber, silicone-rubber compounds, plastic material and a combination of rubber and plastic material.

7. A prosthesis of claim 1 wherein fluid is contained in the cavity.

8. A prosthesis of claim 7 wherein the fluid is saline solution.

9. A prosthesis of claim 1 wherein the upper surface and lower surface of the prosthesis comprise separate pieces each having outer and inner surfaces such that when joined together respective inner surfaces form an interior cavity of the prosthesis.

10. A prosthesis of claim 9 wherein said cavity is filled with a fluid and at least one of said inner surfaces comprises means upstanding therefrom for directing flow of said fluid.

11. A prosthesis of claim 10 wherein both of said inner surfaces means upstanding therefrom comprise means for directing the flow of said fluid.

12. A prosthesis of claim 9 wherein the separate pieces are substantially identically formed.

13. A prosthesis of claim 1 wherein said upper surface and said lower surface are joined by a perimeter wall.

4. A synthetic intervertebral disc prosthesis of flexible, non-porous, biologically compatible material, for replacing a natural intervertebral disc, comprising:

a substantially oval disc of about the same size and shape as the natural intervertebral disc which it replaces, including a convex upper surface for abutting a lower surface of a first vertebra, a convex lower surface for abutting an upper surface of a second vertebra located adjacent and below said first vertebra, a fluid-tight cavity between said upper surface and said lower surface of the prosthesis and gripping means for frictionally engaging at least one of said lower surface of the first vertebra and upper surface of the second vertebra, said gripping means being situated on at least one of the upper surface and the lower surface of the prosthesis, said gripping means including at least one raised protrusion providing frictional adhesion to the adjacent vertebra surface, wherein at least a portion of said gripping means is positioned in a substantially closed ring configuration on at least one of the upper surface and lower surface of the prosthesis, and

at least one of said gripping means on at least one of the upper surface or lower surface of the prosthesis further comprises a plurality of suction cups.

14. A synthetic intervertebral disc prosthesis of flexible, non-porous, biologically compatible materials, for replacing a natural intervertebral disc, comprising:

a substantially oval disc of about the same size and shape as the natural intervertebral disc which it replaces, including a convex upper surface for non-invasively abutting a lower surface of a first vertebra, a convex lower surface for non-invasively abutting an upper surface of a second vertebra located adjacent and below said first vertebra, a fluid-tight cavity between said upper surface and said lower surface, and

gripping means for frictionally engaging at least one of said lower surface of the first vertebra and upper surface of the second vertebra, said gripping means being situated on at least one of the upper surface and the lower surface of the prosthesis, said gripping means including at least one raised protrusion providing frictional adhesion to the adjacent vertebra surface,

wherein at least a portion of said raised protrusion is positioned in a substantially closed ring configuration on at least one of the upper surface and the lower surface of the prosthesis.

15. A synthetic intervertebral disc prosthesis of flexible, non-porous, biologically compatible materials, for replacing a natural intervertebral disc, comprising:

a substantially oval disc of about the same size and shape as the natural intervertebral disc which it replaces, including a convex upper surface for abutting a lower surface of a first vertebra, a convex lower surface for abutting an upper surface of a second vertebra located adjacent and below said first vertebra, a fluid-tight cavity between said upper surface and said lower surface, and

gripping means for frictionally engaging at least one of said lower surface of the first vertebra and upper surface of the second vertebra, said gripping means being situated on at least one of the upper surface and the lower surface of the prosthesis, said gripping means including at least one raised protrusion providing frictional adhesion to the adjacent vertebra surface, wherein at least a portion of said raised protrusion is positioned in a substantially closed ring configuration on at least one of the upper surface and the lower surface of the prosthesis, and

wherein at least a portion of said protrusion further comprises a plurality of suction cups positioned thereon.

16. A synthetic intervertebral disc prosthesis of flexible, non-porous, biologically compatible material, for replacing a natural intervertebral disc, comprising:

an upper surface for abutting a lower surface of a first vertebra, a lower surface for abutting an upper surface of a second vertebra located adjacent and below said first vertebra, a fluid-tight cavity between said upper surface and said lower surface, and

gripping means on said upper surface and said lower surface including at least one suction cup for frictional adhesion to at least one of said lower surface of the first vertebra and upper surface of the second vertebra,

wherein the gripping means comprises a plurality of suction cups positioned in a ring configuration.

17. A prosthesis of claim 16 wherein the gripping means comprises a plurality of suction cups positioned on both said upper surface and said lower surface.

18. A method for implanting a synthetic intervertebral disc prosthesis in a spine in place of a removed natural disc between two adjacent vertebrae comprising:

removing air from within a fluid-tight cavity of a substantially oval disc prosthesis of about the same size and shape as the natural disc which it replaces, said prosthesis comprising a convex upper surface for abutting a lower surface of a first vertebra, a convex lower surface for abutting an upper surface of a second vertebra located adjacent and below said first vertebra, a fluid-tight cavity between said upper surface and said lower surface of the prosthesis, and gripping means for frictionally engaging at least one of said lower surface of the first vertebra and upper surface of the second vertebra, said gripping means being situated on at least one of the upper surface and the lower surface of the prosthesis, said gripping means including at least one suction cup providing frictional adhesion to the adjacent vertebra surface,

inserting a prosthesis into a cylindrical container,

ejecting a prosthesis from the container into a space between the two adjacent vertebrae,

positioning the prosthesis with its convex upper and lower surfaces in abutting position between adjacent bone surfaces of said two adjacent vertebrae, without invading said bone surfaces, and

injecting a fluid into the fluid-tight cavity to inflate the prosthesis and restore normal vertebral spacing in the spine.