Spinal implant

• US 5,489,308 A
• Filed: 09/01/1994
• Issued: 02/06/1996
• Est. Priority Date: 07/06/1989
• Status: Expired due to Term

• Current Assignee: Zimmer Spine, Inc. (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Spine-Tech, Inc. (Sulzer Medica)
• Inventors: Corin, James D., Kuslich, Stephen D., Bagby, George W.
• Primary Examiner(s): Willse, David H.
• Application Number:
  US08/299,817
• Time in Patent Office: 523 Days
• Field of Search: 623/16-18, 606/60-61, 606/72-73
• US Class Current: 623/17.11
• 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 2/4455 for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages intervertebral discs A61F2/442
• 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 2002/30125 elliptical or oval
• CPC Class Codes: A61F 2002/30143 hexagonal
• CPC Class Codes: A61F 2002/30217 hollow cones, e.g. tubular-like cones
• CPC Class Codes: A61F 2002/30235 tubular, e.g. sleeves
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30617 Visible markings for adjusting, locating or measuring
• CPC Class Codes: A61F 2002/30772 Apertures or holes, e.g. of circular cross section
• CPC Class Codes: A61F 2002/30777 Oblong apertures
• CPC Class Codes: A61F 2002/30785 parallel
• CPC Class Codes: A61F 2002/30787 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30789 perpendicular with respect to each other
• CPC Class Codes: A61F 2002/30845 with cutting edges
• CPC Class Codes: A61F 2002/3085 : with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/30851 : Multiple threadings
• CPC Class Codes: A61F 2002/30868 : Square, rectangular or rhomboidal threads
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2230/0008 : elliptical or oval
• CPC Class Codes: A61F 2230/0017 : Angular shapes
• CPC Class Codes: A61F 2230/0067 : conical
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2250/0097 : Visible markings, e.g. indicia
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• CPC Class Codes: A61F 2310/00179 : Ceramics or ceramic-like structures
• CPC Class Codes: Y10S 606/907 : Composed of particular material or coated

Abstract

An implant is disclosed for use in spinal stabilization. In one preferred embodiment, the implant is described as including a hollow, cylindrical body having external threading and a plurality of openings formed radially through the body in communication with the body interior. The holes are positioned to chip bone into the implant as the implant is rotated.

Claims

1. An implant for insertion into a bore formed between opposing vertebrae of a spine where said vertebrae are separated by a spacing with a disk material having an annulus disposed within said spacing, said implant comprising:

a rigid body having a leading end and a trailing end spaced apart by a longitudinal axis of said body;

said body comprising at least exposed threads disposed at least partially between said leading end and said trailing end, said threads selected to engage vertebra material and draw said body along a direction of said axis upon rotation of said body about said axis;

said body having a hollow, generally cylindrical shell with said threads disposed on an exterior surface of said shell;

said body having means defining a chamber disposed within said body and said body is provided with a rib disposed within said cylindrical shell and extending radially inwardly toward said longitudinal axis, said rib dividing said chamber into a leading end chamber and a trailing end chamber, and said rib including at least a rigid extension extending between and connecting diametrically opposed sides of said body;

said body having means defining at least one opening formed through said body in communication with said chamber and with said opening extending generally radially to said axis; and

said body having a transverse dimension generally transverse to said longitudinal axis and dimensioned so as to be greater than said bore for said body to urge said opposing vertebrae apart and to stretch said annulus upon insertion of said body into said bore between said vertebrae with a portion of said body opposing a first of said opposing vertebrae and with an opposite side of said body opposing a second of said opposing vertebrae.

2. An implant according to claim 1 wherein said implant includes means spaced away from said trailing end for receiving an advancing tool for advancing said implant into said bore.

3. An implant according to claim 1 wherein said rib has a rib opening formed therein, said rib opening sized to receive a distal end of an insertion tool for insertion of said distal end into said rib opening and for turning said implant upon turning of said tool.

4. An implant for insertion into a bore formed between opposing vertebrae of a spine where said vertebrae are separated by a spacing with a disk material having an annulus disposed within said spacing, said implant comprising:

a rigid body having a leading end and a trailing end spaced apart by a longitudinal axis of said body;

said body comprising at least exposed threads disposed at least partially between said leading end and said trailing end, said threads selected to engage vertebra material and draw said body along a direction of said axis upon rotation of said body about said axis;

said body having a hollow, generally cylindrical shell with said threads disposed on an exterior surface of said shell;

said body having means defining a chamber disposed within said body;

said body having means defining at least one opening formed through said body in communication with said chamber and with said opening extending generally radially to said axis, said opening comprising a hole having a hole axis extending generally perpendicular to a plane defined by said opening at an exterior surface of said shell, said hole formed through said shell with said hole disposed with said hole axis offset from said longitudinal axis; and

said body having a transverse dimension generally transverse to said longitudinal axis and dimensioned so as to be greater than said bore for said body to urge said opposing vertebrae apart and to stretch said annulus upon insertion of said body into said bore between said vertebrae with a portion of said body opposing a first of said opposing vertebrae and with an opposite side of said body opposing a second of said opposing vertebrae.

5. An implant according to claim 4 wherein

said body has a plurality of walls defining a plurality of holes each having a hole axis extending generally parallel to said walls and perpendicular to a plane defined by said holes at an exterior surface of said body, said holes formed through said body in communication with said chamber, said holes disposed with said hole axes not intersecting said longitudinal axis;

said holes have cutting edges positioned to oppose said vertebrae to chip bone from said vertebrae into said holes.

6. An implant for insertion into a bore formed between opposing vertebrae of a spine where said vertebrae are separated by a spacing with a disk material having an annulus disposed within said spacing, said implant comprising:

a rigid body having a leading end and a trailing end spaced apart by a longitudinal axis of said body;

said body comprising at least exposed threads disposed at least partially between said leading end and said trailing end, said threads selected to engage vertebra material and draw said body along a direction of said axis upon rotation of said body about said axis;

said body having a hollow, generally cylindrical shell with said threads disposed on an exterior surface of said shell;

said body having means defining a chamber disposed within said body and said body is provided with a rib disposed within said cylindrical shell and extending radially inwardly toward said longitudinal axis, said rib including at least a rigid extension extending between and connecting diametrically opposed sides of said body;

said body having means defining at least one opening formed through said body in communication with said chamber and with said opening extending generally radially to said axis; and

said body having a transverse dimension generally transverse to said longitudinal axis and dimensioned so as to be greater than said bore for said body to urge said opposing vertebrae apart and to stretch said annulus upon insertion of said body into said bore between said vertebrae with a portion of said body opposing a first of said opposing vertebrae and with an opposite side of said body opposing a second of said opposing vertebrae;

said rib is disposed between said leading and trailing ends, said implant further including a first flange at said leading end and a second flange at said trailing end, said first and second flanges extending radially into said chamber.