Apparatus and system for fusing bone joints

• US 5,263,953 A
• Filed: 12/31/1991
• Issued: 11/23/1993
• Est. Priority Date: 12/31/1991
• Status: Expired due to Term

• Current Assignee: Zimmer Spine, Inc. (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Spine-Tech, Inc. (Sulzer Medica)
• Inventors: Bagby, George W.
• Primary Examiner(s): Brown, Michael A.
• Application Number:
  US07/815,448
• Time in Patent Office: 693 Days
• Field of Search: 606/53, 606/60, 606/61, 606/72, 606/73-77, 623/16, 623/17, 267/162, 267/166, 267/168, 267/289, 267/290
• US Class Current: 606/279
• CPC Class Codes: A61B 17/68 Internal fixation devices , including fasteners and spinal fixators, even if a part thereof projects from the skin bone staples A61B17/0642
• CPC Class Codes: A61B 17/8875 Screwdrivers, spanners or wrenches
• 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 2002/30566 Helical springs
• CPC Class Codes: A61F 2002/30568 Multiple spring systems including two or more helical springs
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/3085 with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/448 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: 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 2230/0069 cylindrical
• CPC Class Codes: A61F 2230/0091 helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section
• CPC Class Codes: Y10S 623/908 Bone

Abstract

A coil fusion implant is formed as a length of wire helically wound up or torqued about a center axis. It has terminal sections at opposed ends that can be releasably gripped and axially twisted about the reference axis to reduce the outer diameter of the coil. The coil can be screwed into place between opposing bony surfaces of a joint while it is constrained in a reduced diameter state. Following its insertion between the prepared bony surfaces, the coil is permitted to gradually recoil as its diameter increases. The coil, in its expanded state then exerts compressive forces radially outward against the bone surfaces in opposition to forces exerted by the ligaments and other tissues connecting the contacted bones of the joint.

Claims

1. A method for stabilizing a human or animal joint, such as a spinal joint between adjacent vertebrae, formed by opposed bony surfaces covered and separated by intervening cartilage and surrounded by ligaments which resist expansion of the joint, and promoting bone growth across the stabilized joint, the method comprising the following steps:

surgically accessing the joint;

selecting a suitably sized fusion implant for placement between the opposed bony surfaces of the joint, the fusion implant including;

(a) a coil formed as a length of wire that is spirally wound in repetitive turns centered about a common reference axis, the wire being constructed of elastic material capable of restoring the turns of the coil to radially expanded states after the coil has been twisted about the reference axis to a torqued state where the turns of the coil have reduced diameters;

(b) the coil encircling an axial implant cavity adapted to receive material promoting bone ingrowth through the implant;

(c) the wire including first and second terminal sections at opposite ends of the coil adapted to facilitate gripping of the wire and relative twisting of the ends of the coil about the reference axis;

(d) the coil having sufficient compressive strength and elasticity to maintain separation between bony surfaces of a prepared joint when implanted and permitted to assume a conforming expanded state;

(e) the implanted coil being adapted to have no interconnections attached to its turns that would interfere with projection of prepared bone surfaces radially inward into its axial implant cavity;

gripping the first and second terminal sections;

twisting the coil in the direction in which the wire is wound about the reference axis to a reduced diameter torqued state in which the outer diameter of the coil is less than its outer diameter while in its relaxed state;

introducing the twisted coil between the opposed bony surfaces of the joint; and

releasing one or both terminal sections of the coil to allow the coil to assume an expanded state, whereby the outer diameter of the coil is radially enlarged relative to its torqued state and the joint is immediately stabilized by spreading the bony surfaces apart in opposition to the resistance to expansion of the joint provided by the surrounding ligaments.

2. The method of claim 1, including the following step after the releasing step:

filling the coil and remaining voids in the surrounding joint area with material promoting bone ingrowth through the implant.

3. The method of claim 1, wherein the twisted coil is threadably introduced between the opposed bony surfaces of the joint.

4. The method of claim 1, including the following step prior to the step of introducing the coil:

removing intervening cartilage located between the opposed bony surfaces of the joint in the vicinity immediately adjacent and exterior to the intended placement of the coil implant.

5. The method of claim 1, including the following steps prior to the step of introducing the coil:

removing intervening cartilage located between the opposed bony surfaces of the joint in the vicinity immediately adjacent and exterior to the intended placement of the coil implant; and

boring a cylindrical opening across the opposed bony surfaces.

6. The method of claim 1, including the following steps prior to the step of introducing the coil:

removing intervening cartilage located between the opposed bony surfaces of the joint;

boring a cylindrical opening across the opposed bony surfaces; and

forming female threads along the cylindrical opening, the depth and spacing of the threads being complementary to the radial thickness and axial spacing of the adjacent turns of the coil while in its expanded state.

7. The method of claim 1, including the following steps prior to the step of introducing the coil:

spreading the bony surfaces apart in opposition to the surrounding ligaments;

forming a threaded bore between the surfaces; and

allowing the bony surfaces to move toward one another while continuing thread formation.

8. The method of claim 1, including the following steps prior to the step of introducing the coil:

spreading the bony surfaces apart in opposition to the surrounding ligaments;

forming a threaded bore between the surfaces; and

forcing the bony surfaces toward one another while continuing thread formation.