Spinal fusion implant and method of insertion thereof

• US 5,782,832 A
• Filed: 10/01/1996
• Issued: 07/21/1998
• Est. Priority Date: 10/01/1996
• Status: Expired due to Term

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: Surgical Dynamics Incorporated (Medtronic Plc)
• Inventors: Shikhman, Oleg, Larsen, Scott W.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): Woo, Julian W.
• Application Number:
  US08/725,666
• Time in Patent Office: 658 Days
• Field of Search: 606/61, 623/17
• US Class Current: 623/17.11
• CPC Class Codes: A61F 2/30742 Bellows or hose-like seals; Sealing membranes A61B17/8808 takes precedence; sealing membranes for retaining bone substitute A61F2/2846
• 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 2/4425 made of articulated components
• 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 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 2002/30069 elastomeric
• CPC Class Codes: A61F 2002/30153 rectangular
• CPC Class Codes: A61F 2002/30154 square
• CPC Class Codes: A61F 2002/30156 triangular
• CPC Class Codes: A61F 2002/30261 parallelepipedal
• CPC Class Codes: A61F 2002/30266 wedge-shaped parallelepipeds
• CPC Class Codes: A61F 2002/30329 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2002/3037 Translation along the common longitudinal axis, e.g. piston
• CPC Class Codes: A61F 2002/30372 with additional means for limiting said translation
• 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 2002/30398 Sliding
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30471 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30515 using a locking wedge or block
• CPC Class Codes: A61F 2002/3055 : for adjusting length
• CPC Class Codes: A61F 2002/30553 : for adjusting a position by translation along an axis
• CPC Class Codes: A61F 2002/30563 : having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
• CPC Class Codes: A61F 2002/30568 : Multiple spring systems including two or more helical springs
• CPC Class Codes: A61F 2002/30579 : with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30593 : hollow
• CPC Class Codes: A61F 2002/30616 : Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30624 : Hinged joint, e.g. with transverse axle restricting the movement
• CPC Class Codes: A61F 2002/30649 : Ball-and-socket joints
• CPC Class Codes: A61F 2002/30777 : Oblong apertures
• CPC Class Codes: A61F 2002/30785 : parallel
• CPC Class Codes: A61F 2002/30797 : internally-threaded
• CPC Class Codes: A61F 2002/30808 : parallel
• CPC Class Codes: A61F 2002/30841 : Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30843 : Pyramidally-shaped
• CPC Class Codes: A61F 2002/30892 : parallel
• CPC Class Codes: A61F 2002/30975 : made of two halves
• CPC Class Codes: A61F 2002/443 : having two transversal endplates and at least one intermediate component
• CPC Class Codes: A61F 2002/4635 : using minimally invasive surgery
• 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 2220/0091 : connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2230/0019 : rectangular
• CPC Class Codes: A61F 2230/0021 : square
• CPC Class Codes: A61F 2230/0023 : triangular
• CPC Class Codes: A61F 2230/0082 : parallelepipedal
• CPC Class Codes: A61F 2250/0007 : for adjusting length
• CPC Class Codes: A61F 2250/0008 : for adjusting a position by translation along an axis or two perpendicular axes
• CPC Class Codes: A61F 2310/00011 : Metals or alloys
• CPC Class Codes: A61F 2310/00179 : Ceramics or ceramic-like structures

Abstract

A spinal fusion implant includes lower and upper plate members dimensioned for at least partial insertion within the intervertebral space defined between adjacent vertebrae. The lower and upper plate members have contacting surfaces for engaging respective vertebral end faces of the adjacent vertebrae. A linkage mechanism including at least one link member operatively connects the lower and upper plate members. The linkage mechanism actuable to cause relative movement of the lower and upper plate members, wherein upon actuation, the contacting surfaces of the lower and upper plate members engage the vertebral end faces with the lower and upper plate members supporting the adjacent vertebrae in spaced relation during healing.

Claims

1. An implant for insertion within an intervertebral space defined between adjacent vertebrae for supporting the vertebrae in predetermined spaced relation during healing which comprises at least first and second supporting members dimensioned for insertion within the intervertebral space, each supporting member including inner and outer plates arranged in spaced relation to define an internal cavity therebetween, each outer plate of the supporting members having contacting surfaces for contacting vertebral surfaces of the adjacent vertebrae and at least one aperture extending therethrough in communication with the respective internal cavity to permit bone ingrowth, the inner plate of the first supporting member having an arcuate articulating surface cooperating with a correspondingly dimensioned arcuate articulating surface of the inner plate of the second supporting member to permit articulating movement of the first supporting member to accommodate movement of the vertebral column during healing.

2. The implant according to claim 1 wherein the outer plates of the first and second supporting members each include a plurality of apertures to permit bone ingrowth.

3. The implant according to claim 1 wherein the articulating surfaces of the first and second supporting members each define a constant radius of curvature, the radius of curvature of each articulating surface being substantially equal.

4. The implant according to claim 1 further including a resilient member disposed between the first and second supporting members.

5. The implant according to claim 4 wherein the resilient member includes a layer of sponge-like material.

6. The implant according to claim 1 including bone growth inducing substances disposed within the internal cavity of each supporting member.

7. The implant according to claim 1 wherein the contacting surfaces of the outer plates have discontinuities to engage the vertebral surfaces of the adjacent vertebrae.

8. The implant according to claim 7 wherein the discontinuities are projections dimensioned for penetrating the vertebral surfaces of the adjacent vertebrae.

9. The implant according to claim 1 wherein the outer and inner plates of one of the first and second supporting members are in diverging relation to accommodate the natural lordosis of the vertebral column.

10. An implant for insertion between adjacent vertebrae, which comprises an implant member including upper and lower support components operatively connected to each other and arranged to span the intervertebral space to support the adjacent vertebrae in desired predetermined spaced relation during healing, each support component including outer and inner members arranged to define an internal cavity therebetween for accommodating bone growth inducing substances, the outer members of the support components having a plurality of apertures extending therethrough in communication with the internal cavity to promote bone ingrowth.

11. The implant according to claim 10 including bone growth inducing substances disposed within the internal cavity of each supporting component.

12. The implant according to claim 10 wherein the outer members of the upper and lower support components have discontinuities to engage the surfaces adjacent vertebrae.

13. The implant according to claim 12 wherein the discontinuities are projections dimensioned for penetrating the adjacent vertebrae.

14. The implant according to claim 12 wherein the inner members of the upper and lower support components have cooperating articulating surfaces to permit relative articulating movement of the upper and lower support components.

15. The implant according to claim 14 wherein the articulating surfaces of the upper and lower support components are generally arcuate in configuration.

16. The implant according to claim 14 including a resilient member disposed between the upper and lower support components and configured to support the adjacent vertebrae in spaced relation during healing while permitting relative movement thereof to accommodate variation in load during flexural movement of the adjacent vertebrae.

17. The implant according to claim 10 wherein the outer and inner members of one of the upper and lower support components are in diverging relation to accommodate the normal lordosis of the vertebral column.

18. The implant according to claim 10 including a resilient member disposed between the upper and lower support components and configured to support the adjacent vertebrae in spaced relation during healing while permitting relative movement thereof to accommodate variation in load during flexural movement of the adjacent vertebrae.