V-thread fusion cage and method of fusing a bone joint

• US 4,961,740 A
• Filed: 10/17/1988
• Issued: 10/09/1990
• Est. Priority Date: 10/17/1988
• Status: Expired due to Term

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: Surgical Dynamics Incorporated (Medtronic Plc)
• Inventors: Dickhudt, Eugene A., Ray, Charles D.
• Primary Examiner(s): NOT, DEFINED
• Assistant Examiner(s): NOT, DEFINED
• Application Number:
  US07/259,031
• Time in Patent Office: 722 Days
• Field of Search: 128/92 YJ, 128/92 C, 128/92 CA, 128/92 UP, 128/92 YP, 128/92 YZ, 623/16, 623/17, 623/18
• US Class Current: 606/247
• CPC Class Codes: A61B 17/1637 Hollow drills or saws producing a curved cut, e.g. cylindrical A61B10/025, A61B17/1695 take precedence
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/8875 Screwdrivers, spanners or wrenches
• CPC Class Codes: A61F 2/30744 End caps, e.g. for closing an endoprosthetic cavity
• 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 2/446 having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30235 tubular, e.g. sleeves
• CPC Class Codes: A61F 2002/30289 helically-coiled
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/30566 Helical springs
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30785 parallel
• CPC Class Codes: A61F 2002/3085 with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/30957 using a positive or a negative model, e.g. moulds
• CPC Class Codes: A61F 2002/4627 with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• 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

Abstract

A fusion cage 10 includes a cage body defining an internal cavity with an inner surface and an outer surface. The outer surface defines a helical thread 12 comprised of a plurality of turns which define valleys 14 therebetween. Located in the valleys 14 are perforations 13 which provide communication between the outer surface and the interior cavity. Thus, when the fusion cage 10 is mated to a bone structure and the internnal cavity is packed with bone chips or other bone-growth-inducing substances, there is immediate contact between the bone structure and the bone chips through the perforations 13.

Claims

1. A fusion cage adapted for promoting fusion with one or more bone structures when bone-growth-inducting substance is packed into the fusion cage, comprising:

a cage body defining an internal cavity adapted to be packed with the bone-growth-inducing substance, which cage body defining an outer surface;

means defined on the outer surface of the cage body for mating the fusion cage to the bone structure, which means prevents the fusion cage from backing out from the bone structure;

means for providing immediate contact between the one or more bone structures and the bone-growth-inducing substance packed into the fusion cage when the fusion cage is mated to the one or more bone structures so that the one or more bone structures cross over the outer surface into the internal cavity and into contact with the bone-growth-inducing substance packed in the fusion cage, and the bone-growth-inducing substance packed in the fusion cage.

2. The fusion cage of claim 1 wherein said internal cavity of said cage body defines an inner surface;

and

wherein said means for providing immediate contact includes a plurality of sites where the inner surface meets the outer surface.

3. The fusion cage of claim 1,

wherein said internal cavity of said cage body defines an inner surface;

wherein said mating means includes a thread with a plurality of turns and with valleys defined between said turns; and

wherein said means for providing immediate contact includes a plurality of perforations defined in said valleys so that the inner surface contacts the outer surface.

4. The fusion cage of claim 1 wherein:

said mating means including a thread with a plurality of turns, and with valleys defined between said turns; and

said means for providing immediate contact including a plurality of channels which communicate with said internal cavity, which channels define an inner surface and which channels pierce through the valleys to define a plurality of perforations whereby the inner surface contacts the outer surface, such channels also adapted to be packed with bone-growth-inducing substance so that there is immediate contact between the one or more bone structures and the bone-growth-inducing substance.

5. The fusion cage of claim 1:

wherein said cage body includes a plurality of spaced elongate members which define said outer surface and which elongate members have inner surfaces which define said internal cavity;

said mating means including a helical thread member formed about and connected to the outer surface of the spaced elongate member, which helical thread member defines a plurality of adjacent turns; and

wherein said means for providing immediate contact includes a plurality of apertures defined between adjacent turns which apertures are bordered by the spaced elongate member.

6. The fusion cage of claim 1:

wherein said cage body includes a helical structure with an outer surface and which helical structure has an inner surface, which inner surface defines said internal cavity;

said outer surface of the helical structure being substantially V-shaped and adapted for biting into the one or more bone structures; and

said helical structure defining a plurality of spaced turns communicating with the internal cavity so that the inner surface contacts the outer surface such that with the outer surface biting into the bone structure, their is immediate contact between the one or more bone structures and with the bone-growth-inducing substance packed into the internal cavity of the fusion cage.

7. The fusion cage of claim 1 wherein:

said outer surface defines an external substantially continuous V-thread adapted for mating to the bone structure;

which thread has a multiplicity of turns and valleys defined between said turns; and

said means for providing immediate contact includes a multiplicity of perforations located in said valleys and providing communication between said outer surface and said internal cavity.

8. A fusion cage as defined in claim 7 wherein the V-thread is continuous and the angle at the crown of the V-thread is not more than 90°

, but not less than 45°

.

9. A fusion cage as defined in claim 7 wherein the angle at the crown of the V-thread is about 60°

.

10. A fusion cage as defined in claim 7 wherein the V-thread has from 3 to 8 turns per cm.

11. A fusion cage as defined in claim 8 wherein the valleys of the V-thread have fillets, the radius of which is from 0.35 to 0.75 mm.

12. A fusion cage as defined in claim 7 wherein, the internal cavity defines an inner surface and wherein said perforations comprise at least from 30% to 60% of said inner surface.

13. A fusion cage as defined in claim 1 which is fitted with removable perforated end caps.

14. A fusion cage as defined in claim 7, the major diameter of which is from 12 to 16 mm.

15. A fusion cage as defined in claim 1 made of implantable-grade stainless steel.

16. A fusion cage as defined in claim 1 made of X-ray-transparent material.

17. A fusion cage as defined in claim 1 wherein the cage body has a modulus of elasticity of about that of the bone structure.

18. The fusion cage as defined in claim 1:

wherein the cage body has a width and a length, which length is greater than the width; and

wherein the cage body has a modulus of elasticity of about that of the bone structure so that the cage body can flex with the bone structures along the length of the cage body.

19. The fusion cage as defined in claim 1 wherein the cage body is comprised of a biodegradable material.

20. The fusion cage as defined in claim 1 wherein the cage body is in part comprised of bone-activating material.

21. The fusion cage as defined in claim 1 wherein the cage body is coated with bone-activating material.

22. The fusion cage as defined in claim 1 wherein said means for providing immediate contact is substantially uniformly distributed throughout the outer surface of the cage body.

23. The fusion cage as defined in claim 7 wherein the V-thread are substantially sharp with the valleys are substantially rounded.

24. The fusion cage as defined in claim 1 wherein said internal cavity has at least one open end, and said fusion cage including an end cap and means for securing said end cap to said cage body in order to cover said open end.

25. A fusion cage of claim 1 made of magnetic signal transparent material.

26. A fusion cage of claim 1 wherein the internal cavity includes at least one opening into which is introduced the bone-growth-inducing substances, and including an end cap for covering the opening, which end cap is made of a material which is transparent to x-rays and magnetic signals.

27. A fusion cage adapted for promoting fusion with one or more bone structures when bone-growth-inducing substance is packed into the fusion cage, comprising:

a cage body having an inner surface which defines a cavity adapted to be packed with the bone-growth-inducing substance;

said cage body defining an outer surface;

means defined on the outer surface of the cage body adapted for allowing the fusion cage to bite into the bone structure;

means for providing a plurality of sites where the inner surface contacts the outer surface in order to allow immediate contact between the one or more bone structures and the bone-growth-inducing substance packed into the fusion cage.

28. A fusion cage adapted for promoting fusion of one or more bone structures when bone-growth-inducing substance is packed into the fusion cage, comprising:

a cage body defining a cavity with an inner surface, said cavity adapted to be packed with the bone-growth-inducing substance;

said cage body defining an outer surface;

means for defining threads on the outer surface of the cage body and adapted for biting into the bone structure;

said threads defining means including a plurality of threads which define valleys therebetween;

a plurality of perforations provided in the valleys of the threads for providing communication between the outer surface and the cavity in order to allow immediate contact between the one or more bone structures and the bone-growth-inducing substance packed into the fusion cage.

29. A fusion cage adapted for promoting fusion with one or more bone structures when bone-growth-inducing substance is packed into the fusion cage, comprising:

a cage body defining a cavity with an inner surface, said cavity adapted to be packed with bone-growth-inducing substance;

said cage body defining an outer surface comprised of a substantially continuous thread with a plurality of turns and valleys defined between said turns;

a plurality of perforations defined in said valleys so that the inner surface contacts the outer surface in order to allow immediate contact between the one or more bone structures and the bone-growth-inducing substance packed into the fusion cage.

30. A fusion cage adapted for promoting the fusion with one or more bone structures when bone-growth-inducing substance is packed into the fusion cage comprising:

a cage body defining a cavity with an inner surface, the cavity being adapted to be packed with bone-growth-inducing substance;

said cage body defining an outer surface comprised of a substantially continuous thread with a plurality of turns and valleys defined between adjacent turns;

said cavity defining a plurality of channels which pierce through the valleys to define a plurality of perforations whereby the inner surface contacts the outer surface so that there is immediate contact between the one or more bone structures and the bone-growth-inducing substance packed into the fusion cage.

31. A fusion cage adapted for promoting fusion with one or more bone structures when bone-growth-inducing substance is packed into the fusion cage comprising:

a plurality of spaced elongate members which define an internal cavity;

said elongate members having an inner surface that faces the internal cavity and an outer surface that faces away from the internal cavity;

a helical thread member formed about and connected to the outer surfaces of the spaced elongate members, which helical thread member defines a plurality of turns; and

a plurality of apertures defined between turns, which apertures are bordered by the spaced elongate members, wherein the thread member is adapted to contact the bone structure and provide immediate contact between the one or more bone structures and the bone-growth-inducing substance packed into the fusion cage.

32. A fusion cage adapted for promoting the fusion with one or more bone structures when bone-growth-inducing substance is packed into the fusion cage, comprising:

a helical structure having an inner surface which defines an internal cavity;

said helical structure having a substantially V-shaped outer surface pointing in a direction away from the internal cavity and adapted for biting into the one or more bone structures;

said helical structure defining a plurality of spaced turns communicating with the internal cavity so that the inner surface intersects the outer surface such that with the outer surface biting into the one or more bone structures, there is immediate contact between the one or more bone structures and the bone-growth-inducing substance packed into the internal cavity of the fusion cage.

33. A surgical method for fusing a fusion cage with one or more bone structures comprising the steps of:

forming a bore with an internal thread, in the one or more bone structures;

screwing the fusion cage into the bore which fusion cage includes;

(a) a cage body defining an internal cavity with an inner surface, and the cage body having an outer surface defining an external thread that mates with the internal thread, the external thread having a plurality of adjacent turns which define valleys therebetween; and

(b) a multiplicity of perforations located in the valleys in such a manner that the inner surface contact the outer surface;

said screwing step further causing the one or more bone structures to extend through the perforations and into the internal cavity;

packing the fusion cage with bone-growth-inducing substance in such a manner that the bone-growth-inducing substance contacts the one or more bone structures and the outer surface.

34. A fusion cage adapted for promoting the fusion with one or more bone structures when bone-growth-inducing substance is packed into the fusion cage, comprising:

a helical structure having an inner surface which defines an internal cavity;

said helical structure having an outer surface pointing in a direction away from the internal cavity and adapted for contacting one or more bone structures;

said helical structure defining a plurality of spaced turns communicating with the internal cavity such that with the outer surface contacting the one or more bone structures, there is immediate contact between the one or more bone structures and the bone-growth-inducing substance packed into the internal cavity of the fusion cage.