Prosthesis of the cervical intervertebralis disk

• US 5,755,796 A
• Filed: 06/06/1996
• Issued: 05/26/1998
• Est. Priority Date: 06/06/1996
• Status: Expired due to Term

• Current Assignee: Emilio Pierotto, Ivo Ibo
• Original Assignee: Emilio Pierotto, Ivo Ibo
• Inventors: Ibo, Ivo, Pierotto, Emilio
• Primary Examiner(s): PREBILIC, PAUL B
• Application Number:
  US08/659,274
• Time in Patent Office: 719 Days
• Field of Search: 623/17, 623/18, 623/21, 623/23, 606/60, 606/61, 606/71
• US Class Current: 623/17.16
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61F 2/4425 made of articulated components
• CPC Class Codes: A61F 2002/30168 L-shaped
• CPC Class Codes: A61F 2002/30261 parallelepipedal
• CPC Class Codes: A61F 2002/30354 Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
• CPC Class Codes: A61F 2002/30474 using an intermediate sleeve interposed between both prosthetic parts to be coupled
• CPC Class Codes: A61F 2002/30492 using a locking pin
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30662 with rotation-limiting means
• CPC Class Codes: A61F 2002/30785 parallel
• 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 2230/0043 L-shaped
• CPC Class Codes: A61F 2230/0082 parallelepipedal
• CPC Class Codes: Y10S 606/91 Polymer

Abstract

A prosthesis for a cervical intervertebral disk for fastening two contiguous vertebrae, including two components, one of which is for attachment to a first contiguous vertebrae and a second is for attachment to a second of the two contiguous vertebrae, the one component comprises a hollow box frame and includes a first end having first attachment for attaching the first end to one vertebra for holding the first attachment thereto and a connection at a second end for receiving a connector coupled with the second component, the second component comprises a first end part for attachment to the other vertebra to the second vertebra for holding the second component thereto, and a second end part having the connector connected with the first end part to permit movement between the connector and the connection.

Claims

1. A prosthesis for a cervical intervertebral disk for fastening two contiguous vertebrae, comprising:

a first component for attachment to a first of two contiguous vertebrae and a second component for attachment to a second of two contiguous vertebrae;

said first component comprising a hollow box frame including a first end having first attachment means for attaching said first end to first means provided on a first of the two contiguous vertebrae for holding said first attachment means thereto, said hollow box frame being provided with an upward front opening on an oblique wall and carries on an outside thereof a lower transverse plate projection forming said first end and said first attachment means, and connection means at a second end for receiving a connector means coupled with said second component;

said second component comprising a first end part including second means for attachment to a second of said contiguous vertebrae to second means on the second vertebra for holding thereto said second attachment means, and a second end part having said connector means connected with said first end part to permit movement between said connector means and said connection means; and

said connection means includes a ring mouth centrally situated on an upwardly slanted wall as an access to a conical cradle and leads to a spherical holding seat through a cylindrical tract for receiving said connector means.

2. The prosthesis as claimed in claim 1, wherein said first means on the first vertebra includes openings and said first attachment means includes a pair of fastening holes, and including screw means for each of said pair of fastening holes for attachment of said first attachment means to the first vertebra.

3. The prosthesis as claimed in claim 2, wherein said first attachment means includes a lower transverse plate having an L-shaped surface with one leg of said L-shaped surface fitting within a chase seat on the first vertebra and another leg of said L-shaped surface being substantially orthogonal to said one leg, said fastening holes being in said other leg for holding thereof to said second vertebra below said chase seat and said one leg laying in said chase seat.

4. The prosthesis as claimed in claim 1, wherein said second attachment means includes a transverse end plate provided with two clamping holes aligned with two holes on a wall on said second vertebra, and said screw means includes screws which pass through said clamping holes and receivable in said two second vertebrae holes for clamping said transverse end plate to said second vertebra.

5. The prosthesis as claimed in claim 1, wherein said connection means includes a spherical holding seat formed from a polyethylene anti-friction material positioned in said hollow box frame, and said connector means includes a spherically-shaped body receivable within said spherical holding seat for articulation of said first and said second components relative to each other and said second attachment means being connected with said spherically-shaped body.

6. The prosthesis as claimed in claim 5, wherein said connection means includes a conical cradle connected with said spherical holding seat by a cylindrical tract, and said connector means includes an inwardly bent throttling member positioned in said cylindrical tract and with an opening conical tract, said conical cradle regulating movement of said bent throttling member, and said first end part extending from said inwardly bent throttling member.

7. The prosthesis as claimed in claim 1, wherein said hollow box frame includes a cylindrically-shaped opening and said second end part of said second component includes a cylindrical member receivable in said cylindrically-shaped opening, and retention means on said hollow box frame and said cylindrical member for holding thereof together.

8. The prosthesis as claimed in claim 7, wherein said retention means includes a pair of full half seats on said interior of said hollow box frame on a wall of said cylindrically shaped opening, a pair of second half seats on said cylindrical member aligned with and complementary to said first pair of half seats, and two release pins positioned between each pair of said first and said second half seat for locking said cylindrical body to said hollow box means.

9. The prosthesis as claimed in claim 7, wherein said cylindrical body includes a plastic body having a spherically shaped holding seat having an intermediate cylindrical tract and a conical cradle opening to a slanted exit opening to provide for the application of said end part for receiving a spherical body provided with a throttling member and a plate shaped end, and said spherically shaped holding seat receives said spherical body.

10. The prosthesis as claimed in claim 7, wherein said first attachment means includes a lower transverse plate having an L-shaped surface with one leg of said L-shaped surface fitting within a chase seat on the first vertebra and another leg of said L-shaped surface being substantially orthogonal to said one leg, said fastening holes being in said other leg for holding thereof to said second vertebra below said chase seat and said one leg laying in said chase seat.

11. The prosthesis as claimed in claim 7, wherein said cylindrical member includes a spherical holding seat formed from a polyethylene anti-friction material positioned in said hollow box frame, and said connector means includes a spherically-shaped body receivable within said spherical holding seat for articulation of said first and said second components relative to each other and said second attachment means being connected with said spherically-shaped body.

12. The prosthesis as claimed in claim 11, wherein said cylindrical body includes a conical cradle connected with said spherical holding seat by a cylindrical tract, and said connector means includes an inwardly bent throttling member positioned in said cylindrical tract and with an opening conical tract, said conical cradle regulating movement of said bent throttling member, and said first end part extending from said inwardly bent throttling member.

13. The prosthesis as claimed in claim 7, wherein said second attachment means includes a transverse end plate provided with two clamping holes aligned with two holes on a wall on said second vertebra, and said screw means includes screws which pass through said clamping holes and receivable in said two second vertebrae holes for clamping said transverse end plate to said second vertebra.

14. The prosthesis as claimed in claim 12, wherein said second attachment means includes a transverse end plate provided with two clamping holes aligned with two holes on a wall on said second vertebra, and said screw means includes screws which pass through said clamping holes and receivable in said two second vertebrae holes for clamping said transverse end plate to said second vertebra.

15. A cervical intervertebral disk prosthesis for fastening two contiguous vertebrae, comprising:

a first component for attachment to a first of two contiguous vertebrae and a second component for attachment to a second of two contiguous vertebrae;

said first component comprising a box frame including a first end having first attachment means for attaching said first end to first means provided on a first of the two contiguous vertebrae for holding said first attachment means thereto, and connection means at a second end for receiving a connector coupled with said second component;

said second component comprising a first end part including second means for attachment to a second of said two contiguous vertebrae to second means on the second vertebra for holding thereto said second attachment means, and a second end part having said connector means connected with said first end part to permit movement between said connector and said connection means; and

said connector including a ring mouth centrally situated on an upwardly slanted wall as an access to a conical cradle and leading to a spherical holding seat through a cylindrical tract for receiving said connector.

16. The prosthesis as claimed in claim 15, wherein said box frame is a hollow box provided with an upward front opening on an oblique wall and carries on an outside thereof a lower transverse plate projection forming said first end and said first attachment means.

17. The prosthesis as claimed in claim 15, wherein said conical cradle is connected with a spherical holding seat by a cylindrical tract, said connector includes a spherically-shaped body receivable within said spherical holding seat for articulation of said first and said second components relative to each other, and an inwardly bent throttling member positioned in said cylindrical tract and with an opening conical tract, said conical cradle regulating movement of said bent throttling member, and said first end part extending from said inwardly bent throttling member.

18. A prosthesis for a cervical intervertebral disk for fastening two contiguous vertebrae, comprising:

a first component for attachment to a first of two contiguous vertebrae and a second component for attachment to a second of two contiguous vertebrae;

said first component comprising a frame including a first end having first attachment means for attaching said first end to first means provided on a first of the two contiguous vertebrae for holding said first attachment means thereto, and connection means at a second end for receiving a connector coupled with said second component, said frame being further provided with an upward front opening on an oblique wall and carrying on an outside thereof a lower transverse plate projection forming said first end and said first attachment means;

said frame is a hollow box member provided with an cylindrically-shaped opening and said second end part of said second component includes a cylindrical body receivable in said cylindrically-shaped opening; and

said second component comprising a first end part including second attachment means to a second of said two contiguous vertebrae to second means on the second vertebrae for holding thereto said second attachment means, and a second end part having said connector means connected with said first end part to permit movement between said connector and said connection means.

19. The prosthesis as claimed in claim 18, including retention means associated with said hollow box frame and said cylindrical member for holding thereof together, said cylindrical body including a plastic body having a spherically-shaped holding seat for receiving a spherical body provided with a throttling member and a plate-shaped end, said spherically-shaped holding seat having an intermediate cylindrical tract and a conical cradle opening to a slanted exit opening to provide for the application of said end part for receiving said spherical body.

20. The prosthesis as claimed in claim 19, wherein said connection means includes a ring mouth centrally situated on an upwardly slanted wall as an access to the conical cradle and leading to the spherically-shaped holding seat through a cylindrical tract for receiving said connector.