Intervertebral disk arthroplasty device

• US 5,425,773 A
• Filed: 04/05/1994
• Issued: 06/20/1995
• Est. Priority Date: 01/06/1992
• Status: Expired due to Term

• Current Assignee: SDGI Holdings Incorporated (Medtronic Plc)
• Original Assignee: Danek Medical, Inc.
• Inventors: Boyd, Lawrence M., Salib, Richard M., Pettine, Kenneth A.
• Primary Examiner(s): Isabella, David
• Assistant Examiner(s): FOSSUM, LAURA J
• Application Number:
  US08/223,119
• Time in Patent Office: 441 Days
• Field of Search: 623/16, 623/17, 623/18
• 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 2002/30578 : 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 2002/30662 : 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 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

Abstract

A disk arthroplasty device (310) is provided for replacement of a spinal disk. The device is implantable into a resected disk space and is formed with ball (346) and socket (326) members and shaped to provide lateral bending and backward extension of up to about 5° and forward flexion of up to about 15°. Four embodiments (10), (110), (210) and (310) permit up to about 5° axial rotation and a fifth embodiment (410) permits unrestricted axial rotation. Metal insert cups (70) and (170) are provided for attaching to the device surfaces and are convexly shaped along one axis to conform to the natural contours of the top and bottom vertebra surfaces. The metal insert cups (70) and (170) provide tensile support to the structure and provide for the attachment of additional structures for retaining the device in position after implantation into a disk space.

Claims

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

a first member for 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 posterior end and said first anterior 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 ones of said first posterior and anterior ends; and

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 sagittal plane of the spine, wherein one of said first and second joint surfaces is inclined away from said ball and socket joint toward its respective first or second joint member, entirely around said joint, and the other of said first and second joint surfaces is substantially parallel to a plane defined by said first and second axes around said joint.

2. The intervertebral disk arthroplasty device of claim 1, wherein said inclined surface includes a first inclined face extending from said first axis to said anterior end at a first angle, a second inclined face extending from said first axis to said posterior end at a second angle, third and fourth inclined faces extending from said second axis in opposite directions away from said second axis and parallel to said first axis at third and fourth angles respectively, said first, second, third and fourth angles being measured relative to the other of said first and second joint surfaces.

3. The intervertebral disk arthroplasty device of claim 2, wherein said third and fourth angles are sized to permit relative rotation up to a first predetermined angle between said first and second members about said second axis before said first joint surface contacts said second joint surface.

4. The intervertebral disk arthroplasty device of claim 3, wherein said second angle is sized to permit relative rotation between said first and second members, up to a second predetermined angle in a direction toward said posterior ends, about said first axis before said first joint surface contacts said second joint surface.

5. The intervertebral disk arthroplasty device of claim 4, wherein said first angle is sized to permit relative rotation between said first and second members, up to a third predetermined angle in a direction toward said anterior ends, about said first axis before said first joint surface contacts said second joint surface.

6. The intervertebral disk arthroplasty device of claim 5, wherein said ball and socket joint includes a ball portion defined on said first joint surface of said first member 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.

7. The intervertebral disk arthroplasty device of claim 6, wherein said ball portion is circular in cross section along said first joint surface.

8. The intervertebral disk arthroplasty device of claim 1, wherein said first and second members are made of zirconia.

9. The intervertebral disk arthroplasty device of claim 1, wherein said first and second members are made of alumina.

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

a first member for 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;

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 ones of said first posterior and anterior ends;

an elongated ball and socket joint between said first and second members defined in said first and second joint surfaces, said elongated ball and socket joint including;

a ball portion defined on said first joint surface of said first member and elongated along a first axis parallel to said midline, and

a socket portion correspondingly defined in said second joint surface of said second member for receiving said elongated ball portion therein with a predetermined fit to permit a predetermined relative rotation between said first and second members about a second axis perpendicular to said first and second joint surfaces before said elongated ball portion contacts said corresponding socket portion, wherein one of said first and second joint surfaces is inclined away from said ball and socket joint toward its respective first or second joint member, entirely around said joint, and the other of said first and second joint surfaces is substantially parallel to a plane defined by said first and second axes around said joint.

11. The intervertebral disk arthroplasty device of claim 10, wherein said elongated ball and socket portions are ellipsoidal in cross section in a plane parallel to said first joint surface.

12. The intervertebral disk arthroplasty of claim 10, wherein said elongated ball and socket portions are partially circular in cross section in a plane parallel to said first joint surface and include opposite ends formed in a partially cylindrical shape.

13. The intervertebral disk arthroplasty device of claim 10, wherein said elongated ball and socket joint includes a plurality of separate ball portions and corresponding socket portions.

14. The intervertebral disk arthroplasty device of claim 13, wherein said plurality of ball and socket portions include:

a first ball and socket portion; and

second and third ball and socket portions spaced on opposite sides of said first ball portion and equidistant from said first ball portion.

15. The intervertebral disk arthroplasty device of claim 14, wherein said first, second and third ball portions are circular in cross section in a plane parallel to said first joint surface, said first ball portion having a radius greater than the radii of said second and third ball portions.

16. The intervertebral disk arthroplasty device of claim 15, wherein said second and third ball portions have equal radii.