Intervertebral disk arthroplasty

• US 5,258,031 A
• Filed: 12/14/1992
• Issued: 11/02/1993
• Est. Priority Date: 01/06/1992
• Status: Expired due to Term

• Current Assignee: SDGI Holdings Incorporated (Medtronic Plc)
• Original Assignee: Danek Medical, Inc. (Medtronic Plc)
• Inventors: Salib, Richard M., Pettine, Kenneth A.
• Primary Examiner(s): Isabella, David
• Assistant Examiner(s): Nguyen, Dinh X.
• Application Number:
  US07/990,925
• Time in Patent Office: 323 Days
• Field of Search: 623/16, 623/18, 623/17, 606/61
• US Class Current: 623/17.15
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• CPC Class Codes: A61F 2/4425 made of articulated components
• CPC Class Codes: A61F 2002/2817 Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
• CPC Class Codes: A61F 2002/30123 with two diametrically opposed lobes
• CPC Class Codes: A61F 2002/30125 elliptical or oval
• CPC Class Codes: A61F 2002/30153 rectangular
• CPC Class Codes: A61F 2002/30232 Half-cylinders
• CPC Class Codes: A61F 2002/30245 Partial spheres
• CPC Class Codes: A61F 2002/30253 ellipsoidal or ovoid
• CPC Class Codes: A61F 2002/30327 differing in diameter
• CPC Class Codes: A61F 2002/30359 Pyramidally- or frustopyramidally-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30383 made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30448 using adhesives
• CPC Class Codes: A61F 2002/30451 soldered or brazed or welded
• CPC Class Codes: A61F 2002/30481 using a locking clip
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/30507 : using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30535 : Special structural features of bone or joint prostheses not otherwise provided for
• CPC Class Codes: A61F 2002/30578 : having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30604 : modular
• CPC Class Codes: A61F 2002/3065 : Details of the ball-shaped head
• CPC Class Codes: A61F 2002/30654 : Details of the concave socket
• CPC Class Codes: A61F 2002/30662 : with rotation-limiting means
• CPC Class Codes: A61F 2002/30663 : multiaxial, e.g. biaxial; multipolar, e.g. bipolar or having an intermediate shell articulating between the ball and the socket
• CPC Class Codes: A61F 2002/30685 : Means for reducing or preventing the generation of wear particulates
• CPC Class Codes: A61F 2002/3079 : Stepped or enlarged apertures, e.g. having discrete diameter changes
• CPC Class Codes: A61F 2002/30797 : internally-threaded
• CPC Class Codes: A61F 2002/3082 : Grooves
• CPC Class Codes: A61F 2002/30828 : parallel
• CPC Class Codes: A61F 2002/30841 : Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30879 : Ribs
• CPC Class Codes: A61F 2002/30884 : Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2002/30892 : parallel
• CPC Class Codes: A61F 2002/30894 : inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30957 : using a positive or a negative model, e.g. moulds
• CPC Class Codes: A61F 2002/30968 : Sintering
• CPC Class Codes: A61F 2002/443 : having two transversal endplates and at least one intermediate component
• 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 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2220/005 : using adhesives
• CPC Class Codes: A61F 2220/0058 : soldered or brazed or welded
• CPC Class Codes: A61F 2230/0006 : circular
• CPC Class Codes: A61F 2230/0008 : elliptical or oval
• CPC Class Codes: A61F 2230/0019 : rectangular
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2230/0071 : spherical
• CPC Class Codes: A61F 2230/0076 : ellipsoidal or ovoid
• CPC Class Codes: A61F 2250/0039 : differing in diameter
• CPC Class Codes: A61F 2250/0058 : Additional features; Implant or prostheses properties not otherwise provided for
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• CPC Class Codes: A61F 2310/00029 : Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
• CPC Class Codes: A61F 2310/00179 : Ceramics or ceramic-like structures
• CPC Class Codes: A61F 2310/00203 : containing alumina or aluminium oxide
• CPC Class Codes: A61F 2310/00239 : containing zirconia or zirconium oxide ZrO2
• CPC Class Codes: A61F 2310/00407 : Coating made of titanium or of Ti-based alloys
• CPC Class Codes: A61F 2310/00976 : Coating or prosthesis-covering structure made of proteins or of polypeptides, e.g. of bone morphogenic proteins BMP or of transforming growth factors TGF
• CPC Class Codes: Y10S 606/907 : Composed of particular material or coated

Abstract

A prosthetic disk having ball and socket members made of a material having expected durability to function properly for 40 years in a typical lumbar spine. The disk is shaped to provide movement in 6 degrees of freedom mimicking normal intervertebral movement, except compression. The arthroplasty device is non-compressible to maintain distraction of the facet joints posteriorly. Base plates with tabs can be fastened to the ball and socket members to ensure short-term and long-term fixation, although it is expected not to be necessary.

Claims

1. An intervertebral disk arthroplasty adapted to replace a disk between a first vertebra and a second vertebra in the spine, said arthroplasty comprising:

a first member engaging the first vertebra having a first joint surface, a first posterior end and a first anterior end, said ends defining a transverse midline therebetween, said midline being equidistant from said first anterior end and said first posterior end;

a second member for engaging the second vertebra having a second joint surface facing said first joint surface, and second posterior and anterior ends juxtaposed with corresponding ends of said first posterior and anterior ends;

a ball and socket joint between said first and second members defined in said first and second joint surfaces and disposed between said midline and said first posterior end, said ball and socket joint configured to permit relative rotation between said first member and said second member about a first axis parallel to said transverse midline and a second axis perpendicular to said first axis and lying in a saggittal plane.

2. The intervertebral disk arthroplasty of claim 1 wherein said first and second joint surfaces are inclined away from said ball and socket joint toward said first and second surfaces, respectively, entirely around said joint.

3. The intervertebral disk arthroplasty of claim 2, wherein each of said first and second joint surfaces includes a first inclined face extending from said transverse midline to said posterior end at a first angle relative to said respective joint surface, and a second inclined face extending from said transverse midline to said anterior end at a second angle relative to said respective joint surface, said second angle being greater than said first angle.

4. The intervertebral disk arthroplasty of claim 1, wherein said ball and socket joints includes a ball portion defined on said first joint surface of said first member that is elongated along said first axis and a socket portion correspondingly defined in said second joint surface of said second member to receive said ball portion therein.

5. The intervertebral disk arthroplasty of claim 4, wherein:

said first and second axes are in a plane parallel to said saggittal plane and

said elongated ball portion has opposite ends along said first axis and is received within said socket portion with a first predetermined spacing between said ball portion and said opposite ends to permit relative rotation up to about 5°

between said first and second members about said second axis.

6. The intervertebral disk arthroplasty of claim 5, wherein said elongated ball portion is partially cylindrical in cross-section along said first joint surface and includes opposite ends formed in a partial spherical shape.

7. The intervertebral disk arthroplasty of claim 5, wherein said elongated ball portion is received within said socket portion with a second predetermined loose fit along said second joint surface to permit relative rotation up to about 5°

between said first and second members about a third axis perpendicular to said first and second axes.

8. The intervertebral disk arthroplasty of claim 1 further comprising:

a first base plate fastened to said first member opposite said first joint surface; and

a second base plate fastened to said second member opposite said second joint surface;

each of said base plates having a surface for engaging a respective vertebra of the first and second vertebrae.

9. The intervertebral disk arthroplasty of claim 8 wherein:

said first base plate includes a first tab extending generally perpendicularly therefrom; and

said second base plate includes a second tab extending generally perpendicularly therefrom,

each of said first and second tabs having a surface for engaging the first and second vertebra, respectively, and openings for receiving screws for fastening to the first and second vertebrae, respectively.

10. The intervertebral disk arthroplasty of claim 9, wherein said openings of each of said first and second tabs include a curved surface to permit angulation of the screw relative to said tabs.

11. The intervertebral disk arthroplasty of claim 1 wherein said first and second members are formed of a zirconium oxide ceramic.

12. An intervertebral disk arthroplasty for a space created by a disk resected from between a first vertebra and a second vertebra, comprising:

a first member having a first side adapted to be placed adjacent the first vertebra, said first member also having a side opposite said first side which includes an elongated socket formed therein, said side opposite said first side all around said socket being inclined away from said socket toward said first side;

a second member having a second side adapted to be placed adjacent the second vertebra, said second member also having a side opposite said second side which includes an elongated ball formed therein, said side opposite said second side all around said ball being inclined away from said ball toward said second side, said ball fitting loosely in said socket.

13. An intervertebral disk arthroplasty adapted to replace a disk between a first vertebra and a second vertebra in the spine, said arthroplasty comprising:

a first member having a first surface for engaging the first vertebra, an opposite first joint surface, a first posterior end and a first anterior end, said ends defining a transverse midline therebetween said midline being equidistant from from said first anterior end and said posterior end;

a second member having a second surface for engaging the second vertebra, an opposite second joint surface facing said first joint surface, and second posterior and anterior end juxtaposed with corresponding ones of said first posterior and anterior ends;

a joint between said first and second members to permit relative rotation between said first member and said second member about a first axis parallel to said transverse midline and a second axis perpendicular to said first axis, said joint including;

a ball portion defined in said first joint surface of said first member, said ball portion having a partially cylindrical cross-section along an axis parallel to said transverse midline terminating in opposite end faces that are sloped toward said first joint surface; and

a socket portion defined in said second joint surface substantially complementary to said ball portion in said first joint surface and configured to loosely receive said ball portion therein.