Intervertebral prosthetic device

• US 5,827,328 A
• Filed: 11/22/1996
• Issued: 10/27/1998
• Est. Priority Date: 11/22/1996
• Status: Expired due to Term

• Current Assignee: Dynamic Spine, LLC
• Original Assignee: Glenn R. Buttermann
• Inventors: Buttermann, Glenn R.
• Primary Examiner(s): Prebilic, Paul B.
• Application Number:
  US08/753,334
• Time in Patent Office: 704 Days
• Field of Search: 606/60, 606/61, 606/69, 606/70, 606/71, 606/53, 623/17, 623/18, 623/20
• US Class Current: 623/17.13
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61F 2/30749 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• 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 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 2002/30158 trapezoidal
• CPC Class Codes: A61F 2002/30225 Flat cylinders, i.e. discs
• CPC Class Codes: A61F 2002/3023 wedge-shaped cylinders
• CPC Class Codes: A61F 2002/30324 differing in thickness
• CPC Class Codes: A61F 2002/30327 differing in diameter
• CPC Class Codes: A61F 2002/30329 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2002/30354 Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
• CPC Class Codes: A61F 2002/30373 with additional means for preventing said translation
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30492 using a locking pin
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30546 for adjusting elasticity, flexibility, spring rate or mechanical tension
• CPC Class Codes: A61F 2002/3055 : for adjusting length
• 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 2002/30565 : having spring elements
• 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 2002/30573 : 2-D spiral springs
• CPC Class Codes: A61F 2002/30601 : telescopic
• CPC Class Codes: A61F 2002/30604 : modular
• CPC Class Codes: A61F 2002/30616 : Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30706 : specially designed for children, e.g. having means for adjusting to their growth
• CPC Class Codes: A61F 2002/30884 : Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2002/4631 : the prosthesis being specially adapted for being cemented
• CPC Class Codes: A61F 2220/0008 : Fixation appliances for connecting prostheses to the body
• 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 2230/0008 : elliptical or oval
• CPC Class Codes: A61F 2230/0026 : trapezoidal
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2250/0012 : for adjusting elasticity, flexibility, spring rate or mechanical tension
• CPC Class Codes: A61F 2250/0036 : differing in thickness
• CPC Class Codes: A61F 2250/0039 : differing in diameter
• CPC Class Codes: A61F 2250/0082 : specially designed for children, e.g. having means for adjusting to their growth
• 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 2310/00203 : containing alumina or aluminium oxide
• CPC Class Codes: A61F 2310/00239 : containing zirconia or zirconium oxide ZrO2
• CPC Class Codes: A61F 2310/00796 : Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite

Abstract

An intervertebral prosthetic device for replacement of an intervertebral disc includes a first fixation member for fixation within a first vertebral body and a second fixation member for fixation within a second vertebral body adjacent the first vertebral body. The present prosthetic device also includes a compressible member for positioning between the first and second fixation members. The compressible member has an outer periphery less than or substantially equal to a diameter of a nucleus pulposus of the intervertebral disc. The compressible member thus essentially fits within the annulus fibrosis of the intervertebral disc. The compressible member also has at least one spring that can be pre-loaded to place the annulus fibrosis under tension and to reproduce the mechanical properties of a natural disc.

Claims

1. An intervertebral prosthetic device for replacement of a nucleus pulposus of an intervertebral disc, comprising:

a first intravertebral fixation member for fixation within a cavity of a first vertebral body, said first fixation member having a bone-contacting surface for positioning against subchondral bone of the first vertebral body;

said first fixation member having at least one adjustable member for adjusting the length thereof;

a second intravertebral fixation member for fixation within a cavity of a second vertebral body adjacent the first vertebral body, said second fixation member having a bone-contacting surface for positioning against subchondral bone of the second vertebral body; and

a compressible member for positioning between said first fixation member and said second fixation member, said compressible member having a top plate connected to said first fixation member, a bottom plate connected to said second fixation member, and at least one compressible element therebetween that remains compressible after implantation, said compressible member further having an outer periphery less than or substantially equal to a diameter of the nucleus pulposus of the intervertebral disc.

2. A prosthetic device according to claim 1 wherein said first fixation member comprises a first support member and a first adjustable member that adjusts along a longitudinal axis of said first adjustable member.

3. A prosthetic device according to claim 2 wherein said second fixation member comprises a second support member and a second adjustable member that adjusts along a longitudinal axis of said second adjustable member.

4. A prosthetic device according to claim 3 wherein said first adjustable member and said second adjustable member each have at least one adjustment element that adjusts a height of a respective one of said first adjustable member and said second adjustable member.

5. A prosthetic device according to claim 4 wherein:

each of said first adjustable member and said second adjustable member has a first plate and a second plate;

said at least one adjustment element of said first adjustable member comprises a telescopic strut extending between said first plate and said second plate of said first adjustable member, and

said at least one adjustment element of said second adjustable member comprises a telescopic strut extending between said first plate and said second plate of said second adjustable member.

6. A prosthetic device according to claim 4 wherein said at least one adjustment element has an exterior surface and a fin extending outward from said exterior surface.

7. A prosthetic device according to claim 1 wherein said compressible member comprises at least one spring.

8. A prosthetic device according to claim 1 wherein each said bone-contacting surface is porous.

9. An intervertebral prosthetic device for replacement of a nucleus pulposus of an intervertebral disc, comprising:

a first intravertebral fixation member for fixation within a cavity of a first vertebral body, said first fixation member having an adjustable member and a support member, said adjustable member having a bone-contacting portion, an other portion for positioning against said support member, and at least one adjustment element for adjusting a distance between said bone-contacting portion and said other portion;

a second intravertebral fixation member for fixation within a cavity of a second vertebral body adjacent the first vertebral body; and

a compressible member positioned between said first fixation member and said second fixation member, said compressible member remaining compressible after implantation and being dimensioned to operably replace the nucleus pulposus of the intervertebral disc.

10. An intervertebral prosthetic device according to claim 9 wherein said second fixation member has an adjustable member and a support member, said adjustable member of said second fixation member having a bone-contacting portion, an other portion for positioning against said support member of said second fixation member, and at least one adjustment element for adjusting a distance between said bone-contacting portion of said second adjustable member and said other portion of said second adjustable member.

11. An intervertebral prosthetic device according to claim 9 wherein said second fixation member comprises a support member.

12. An intervertebral prosthetic device according to claim 9 wherein said device enables at least four degrees of relative motion between the first vertebral body and the second vertebral body.

13. An intervertebral prosthetic device for replacement of a nucleus pulposus of an intervertebral disc, comprising:

a first intravertebral fixation member for fixation within a cavity of a first vertebral body and having a first longitudinal axis and at least one adjustment element that adjusts a length dimension of said first fixation member along said first longitudinal axis;

a second intravertebral fixation member for fixation within a cavity of a second vertebral body adjacent the first vertebral body; and

a compressible member positioned between said first fixation member and said second fixation member and that remains compressible after implantation at the site of the replaced nucleus pulposus of the intervertebral disc.

14. A prosthetic device according to claim 13 wherein said first fixation member comprises an adjustable member and a support member, said adjustable member having a first bone-contacting plate and a second plate, said at least one adjustment element extending between said first bone-contacting plate and said second plate.

15. A prosthetic device according to claim 13 wherein said second fixation member has a second longitudinal axis and at least one adjustment element that adjusts a height of said second fixation member along said second longitudinal axis.

16. A prosthetic device according to claim 15 wherein each said at least one adjustment element has an exterior surface and at least one fin extending outward from said exterior surface.

17. A prosthetic device according to claim 15 wherein each said at least one adjustment element comprises a telescopic strut, and adjustment of each said telescopic strut pre-loads said compressible member.

18. A prosthetic device according to claim 14 wherein said second fixation member comprises an adjustable member and a support member, said adjustable member having a first bone-contacting plate and a second plate, said at least one adjustment element of said second fixation member extending between said first bone-contacting plate of said second fixation member and said second plate of said second fixation member.

19. A prosthetic device according to claim 18 wherein each said first bone-contacting plate has a concave, bone-contacting surface.

20. A prosthetic device according to claim 13 wherein said first fixation member has a first support member for placement between said at least one adjustment element and said compressible member, and said second fixation member comprises a second support member.

21. A prosthetic device according to claim 20 wherein at least one of said first support member and said second support member has a first surface facing away from said compressible member and a second surface facing toward said compressible member, and said first surface and said second surface are oblique.

22. An prosthetic device according to claim 20 wherein at least one of said first support member and said second support member has a circumference that varies in width.

23. A prosthetic device according to claim 13 wherein said compressible member comprises a top plate, a bottom plate, and at least one compressible element extending between said top plate and said bottom plate.

24. A prosthetic device according to claim 23 wherein:

said top plate has a first surface and a second surface, said first surface of said top plate being connectable to said first fixation member, and

said bottom plate has a first surface and a second surface, said first surface of said bottom plate being connectable to said second fixation member.

25. A prosthetic device according to claim 23 wherein said at least one compressible element comprises at least one spring.

26. A prosthetic device according to claim 25 wherein said at least one spring comprises a coil spring having a non-uniform cross-sectional diameter.

27. A prosthetic device according to claim 25 wherein said at least one spring has a non-uniform pitch.

28. A prosthetic device according to claim 25 wherein said at least one spring comprises a plurality of coils each having a cross-section, and at least two of said plurality of coils have different cross-sections.

29. A prosthetic device according to claim 18 wherein:

said at least one adjustment element of said first fixation member comprises a plurality of adjustment elements, said plurality of adjustment elements extending between said first bone-contacting plate of said first fixation member and said second plate of said first fixation member,

said at least one adjustment element of said second fixation member comprises a plurality of adjustment elements, said plurality of adjustment elements extending between said first bone-contacting plate of said second fixation member and said second plate of said second fixation member, said plurality of adjustment elements being spaced equidistant from each other.

30. A prosthetic device according to claim 29 wherein each of said plurality of adjustment elements is independently adjustable.

31. A prosthetic device according to claim 13 wherein said compressible member has a longitudinal axis and an outer periphery in a plane transverse to said longitudinal axis, a largest dimension of said outer periphery being less than or substantially equal to a diameter of a nucleus pulposus of an intervertebral disc.

32. A prosthetic device according to claim 23 wherein said compressible member has a longitudinal axis and an outer periphery in a plane transverse to said longitudinal axis, said outer periphery comprising a larger one of said periphery around said top plate and said periphery of said bottom plate.

33. A prosthetic device according to claim 13 wherein said compressible member has a longitudinal axis and an outer periphery in a plane transverse to said longitudinal axis, a largest dimension of said outer periphery being less than or substantially equal to 3.0 cm.

34. A prosthetic device according to claim 33 wherein said compressible member comprises a plurality of springs and said outer periphery circumscribes said plurality of springs.

35. A prosthetic device according to claim 13 wherein said first fixation member and said second fixation member each have a porous portion.

36. A prosthetic device according to claim 13 wherein said prosthetic device comprises a biocompatible metallic material.

37. A prosthetic device according to claim 36 wherein said metallic material comprises at least one of a titanium alloy and a cobalt-chromium alloy.

38. A prosthetic device according to claim 18 wherein each said adjustable member and each said support member comprise a ceramic material.

39. A prosthetic device according to claim 38 wherein said ceramic material is at least one of an aluminium oxide and a zirconium oxide.

40. A prosthetic device according to claim 13 wherein said compressible member has a height of approximately 1.5 cm and a diameter of approximately 2.0 to 3.0 cm.

43. A prosthetic device according to claim 29 wherein:

said plurality of adjustment elements of said first fixation member and said second fixation member are spaced between respective ones of said first bone-contacting plate and said second plate equidistant from each other.

41. A method of intervertebral disc replacement between a superior vertebra and an adjacent inferior vertebra in a spine, said method comprising:

excising a nucleus pulposus of an intervertebral disc while leaving intact an annulus fibrosis of the intervertebral disc;

performing partial vertebrectomies on the superior vertebra and the inferior vertebra;

implanting an inferior fixation member into a body of the inferior vertebra;

connecting a compressible member to said inferior fixation member;

implanting a superior fixation member into the superior vertebra and connecting said compressible member to said superior fixation member, at least one of said superior fixation member and said inferior fixation member being adjustable in a direction substantially parallel to the spine; and

adjusting said at least one of said superior fixation member and said inferior fixation member to pre-load said compressible member.

42. An intervertebral prosthetic device for replacement of a nucleus pulposus of an intervertebral disc, comprising:

a first fixation member having a first portion for positioning against subchondral bone within a cavity of a first vertebral body, a second portion opposite said first portion, and a telescopic element extending between said first portion and said second portion to adjust a length dimension of said first fixation member;

a second fixation member having a bone-contacting portion for positioning against subchondral bone of a second vertebral body that is adjacent the first vertebral body; and

a compressible member positioned between said second portion of said first fixation member and said second fixation member, said compressible member having at least one compressible element that compresses and expands in response to adjustment of said first fixation member.