Intervertebral disk prosthesis and method of making the same

• US 5,861,041 A
• Filed: 04/07/1997
• Issued: 01/19/1999
• Est. Priority Date: 04/07/1997
• Status: Expired due to Fees

• Current Assignee: Arthit Sitiso, Frank Bailly, John Wagner, Pibul Itiravivong, Prakit Tienboon, Somsak Kuptniratsaikul, Tawechai Tejapongvorachai, Yongsak Wangroongsub
• Original Assignee: Arthit Sitiso, Frank Bailly, John Wagner, Pibul Itiravivong, Prakit Tienboon, Somsak Kuptniratsaikul, Tawechai Tejapongvorachai
• Inventors: Tienboon, Prakit
• Primary Examiner(s): Prebilic, Paul B.
• Assistant Examiner(s): SNOW, BRUCE EDWARD
• Application Number:
  US08/835,342
• Time in Patent Office: 652 Days
• Field of Search: 623/16, 623/17, 606/61, 606/69, 606/71, 606/72, 606/73
• US Class Current: 623/17.16
• 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 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 2002/30331 made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30774 internally-threaded
• CPC Class Codes: A61F 2002/30777 Oblong apertures
• CPC Class Codes: A61F 2002/30787 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30892 parallel
• CPC Class Codes: A61F 2002/30975 made of two halves
• 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: Y10S 606/907 Composed of particular material or coated

Abstract

An intervertebral disk prosthesis for implantation between two adjacent vertebrae is disclosed which is more easily implantable intermediate the adjacent vertebrae, particularly from a posterior surgical approach, due to the two-piece construction of the intervertebral disk prosthesis. The intervertebral disk prosthesis of the present invention consists of first and second intervertebral disk segments which, when connected together by a bolt, together form a substantially elliptical configuration of a size fitting between the endplates of two adjacent vertebrae to maintain them in a properly spaced-apart and stable configuration which will be resistive to normal compressive forces exerted on the spine. Large apertures extending through the first and second intervertebral segments may be packed with bone chips or marrow prior to being implanted to facilitate bone ingrowth therethrough to fuse the aforesaid vertebrae together.

Claims

1. An intervertebral prosthetic disk system for installation intermediate two vertebrae having facing endplates, with anterior and posterior portions said intervertebral prosthetic disk system comprising:

a first intervertebral disk segment for installation intermediate the facing endplates of the two vertebrae, said first intervertebral disk segment having at least one large aperture extending therethrough from a superior side thereof to an inferior side thereof to facilitate bone ingrowth intermediate the two vertebrae, said first intervertebral disk segment being configured for placement in direct contact with a substantial part of the anterior portions of the facing endplates of the two vertebrae;

a second intervertebral disk segment for installation intermediate the facing endplates of the two vertebrae, said second intervertebral disk segment having at least one large aperture extending therethrough from a superior side thereof to an inferior side thereof to facilitate bone ingrowth intermediate the two vertebrae, said second intervertebral disk segment being configured for placement in direct contact with a substantial part of the posterior portions of the facing endplates of the two vertebrae, said first and second intervertebral disk segments being respectively arranged and configured for placement adjacent each other with a posterior-facing edge of said first intervertebral disk segment in engagement with an anterior-facing edge of said second intervertebral disk segment, said first and second intervertebral disk segments, when mutually engaged, together presenting a substantially elliptical configuration parallel to the facing endplates of the two vertebrae; and

a mechanical connector for interconnection between said first and second intervertebral disk segments to retain said first and second intervertebral disk segments in mutual engagement adjacent each other following the installation of said first and second intervertebral disk segments intermediate the two vertebrae.

2. An intervertebral prosthetic disk system as defined in claim 1, wherein said first intervertebral disk segment has an anterior-facing edge and a posterior-facing edge, and wherein said second intervertebral disk segment has an anterior-facing edge and a posterior-facing edge, and wherein said posterior-facing edge of said first intervertebral disk segment and said anterior-facing edge of said second intervertebral disk segment are relatively contoured to engage each other when said first and second intervertebral disk segments are in mutual engagement adjacent each other.

3. An intervertebral prosthetic disk system as defined in claim 2, wherein said posterior-facing edge of said first intervertebral disk segment comprises:

a first irregular contour;

and wherein said anterior-facing edge of said second intervertebral disk segment comprises;

a second irregular contour, said first irregular contour of said posterior-facing edge of said first intervertebral disk segment and said second irregular contour of said anterior-facing edge of said second intervertebral disk segment having mutually interlocking configurations.

4. An intervertebral prosthetic disk system as defined in claim 3, wherein said first irregular contour comprises:

a male contour;

and wherein said second irregular contour comprises;

a female contour.

5. An intervertebral prosthetic disk system as defined in claim 3, wherein said first irregular contour comprises:

a rounded bump intermediate two relatively flat side portions;

and wherein said second irregular contour comprises;

a rounded indentation intermediate two relatively flat side portions.

6. An intervertebral prosthetic disk system as defined in claim 3, wherein said first and second intervertebral disk segment are arranged and configured such that said mechanical connector is for interconnection between said first and second irregular contours.

7. An intervertebral prosthetic disk system as defined in claim 1, wherein said first intervertebral segment comprises:

an anterior-facing edge, the contour of which forms the half of an elliptical shape lying above the major axis thereof; and

a posterior-facing edge having relatively flat side portions adjacent left and right sides of said first intervertebral disk segment, and a rounded bump which protrudes outwardly intermediate said flat side portions.

8. An intervertebral prosthetic disk system as defined in claim 1, wherein said second intervertebral segment comprises:

an irregular anterior-facing edge having a rounded indentation intermediate two relatively flat side portions; and

a posterior-facing edge, the contour of which forms the half of an elliptical shape lying below the major axis thereof.

9. An intervertebral prosthetic disk system as defined in claim 1, wherein said large aperture in said first intervertebral disk segment has a contour which is essentially semi-elliptical in configuration.

10. An intervertebral prosthetic disk system as defined in claim 1, wherein said second intervertebral disk segment has two large apertures extending therethrough the superior and inferior sides of said second intervertebral disk segment, said large apertures in said second intervertebral disk segment being located on left and right sides thereof, respectively.

11. An intervertebral prosthetic disk system as defined in claim 1, wherein said first intervertebral disk segment comprises:

a first plurality of blood holes extending through lateral and anterior sides of said first intervertebral disk segment, said first plurality of blood holes defining a plurality of paths of fluid communication between said large aperture extending through said first intervertebral segment and the exterior of said first intervertebral disk segment on the lateral and anterior sides thereof;

and wherein said second intervertebral disk segment comprises;

a second plurality of blood holes extending through a posterior side of said second intervertebral disk segment, said second plurality of blood holes defining a plurality of paths of fluid communication between said large aperture extending through said second intervertebral segment and the exterior of said second intervertebral disk segment on the posterior side thereof.

12. An intervertebral prosthetic disk system as defined in claim 1, wherein said first intervertebral disk segment comprises:

a threaded aperture extending through a portion thereof;

and wherein said second intervertebral disk segment comprises;

an aperture segment extending through a portion thereof;

and wherein said mechanical connector comprises;

a bolt having a threaded shaft extending from a bolt head, said threaded shaft of said bolt for insertion through said aperture segment in said second intervertebral disk segment and for screwed-in connection into said threaded aperture in said first intervertebral disk segment.

13. An intervertebral prosthetic disk system as defined in claim 12, wherein said aperture segment in said second intervertebral disk segment and said threaded aperture in said first intervertebral disk segment are oriented at an acute lateral angle relative to an axis extending from posterior to anterior.

14. An intervertebral prosthetic disk system as defined in claim 1, wherein the thickness of said first and second intervertebral disk segments varies between an anterior side of said first intervertebral disk segment and a posterior side of said second intervertebral disk segment.

15. An intervertebral prosthetic disk system as defined in claim 14, wherein the thickness of said first and second intervertebral disk segments is thicker at an anterior side of said first intervertebral disk segment than it is at a posterior side of said second intervertebral disk segment.

16. An intervertebral prosthetic disk system as defined in claim 1, additionally comprising:

a first plurality of small spikes extending from the superior and inferior sides of said first intervertebral disk segment; and

a second plurality of small spikes extending from the superior and inferior sides of said second intervertebral disk segment.

17. An intervertebral prosthetic disk system as defined in claim 1, wherein said first and second intervertebral disk segments are made of titanium.

18. An intervertebral prosthetic disk system for installation intermediate two vertebrae having facing endplates with anterior and posterior portions, said intervertebral prosthetic disk system comprising:

a first intervertebral disk segment for installation intermediate the facing endplates of the two vertebrae, said first intervertebral disk segment having an anterior-facing edge and a posterior-facing edge, said first intervertebral disk segment also having at least one large aperture extending therethrough from a superior side thereof to an inferior side thereof to facilitate bone ingrowth intermediate the two vertebrae, said first intervertebral disk segment being configured for placement in direct contact with a substantial part of the anterior portions of the facing endplates of the two vertebrae, said first intervertebral disk segment having a first plurality of blood holes extending through lateral and anterior sides thereof;

a second intervertebral disk segment for installation intermediate the facing endplates of the two vertebrae, said second intervertebral disk segment having an anterior-facing edge and a posterior-facing edge, said second intervertebral disk segment also having at least two large apertures extending therethrough from a superior side thereof to an inferior side thereof to facilitate bone ingrowth intermediate the two vertebrae, said second intervertebral disk segment being configured for placement in direct contact with a substantial part of the posterior portions of the facing endplates of the two vertebrae, said second intervertebral disk segment having a second plurality of blood holes extending through a posterior side thereof, said posterior-facing edge of said first intervertebral disk segment and said anterior-facing edge of said second intervertebral disk segment being relatively contoured to closely engage each other when said first and second intervertebral disk segments are in mutual engagement adjacent each other, said first and second intervertebral disk segments, when mutually engaged, together presenting a substantially elliptical configuration parallel to the facing endplates of the two vertebrae; and

a mechanical connector for interconnection between said first and second intervertebral disk segments to retain said first and second intervertebral disk segments in mutual engagement adjacent each other following the installation of said first and second intervertebral disk segments intermediate the two vertebrae.

19. A method of making an intervertebral disk prosthesis for installation intermediate two vertebrae having facing endplates with anterior posterior portions, said method comprising:

installing at least one large aperture in a first intervertebral disk segment for installation intermediate the facing endplates of the two vertebrae, said large aperture extending through said first intervertebral disk segment from a superior side thereof to an inferior side thereof, said large aperture for facilitating bone ingrowth intermediate the two vertebrae, said first intervertebral disk segment being configured for placement in direct contact with a substantial part of the anterior portions of the facing endplates of the two vertebrae;

installing at least one large aperture in a second intervertebral disk segment for installation intermediate the facing endplates of the two vertebrae intermediate the facing endplates of the two vertebrae, said large aperture extending through said second intervertebral disk segment from a superior side thereof to an inferior side thereof to facilitate bone ingrowth intermediate the two vertebrae, said second intervertebral disk segment being configured for placement in direct contact with a substantial part of the posterior portions of the facing endplates of the two vertebrae, said first and second intervertebral disk segments being respectively arranged and configured for placement adjacent each other with a posterior-facing edge of said first intervertebral disk segment in engagement with an anterior-facing edge of said second intervertebral disk segment, said first and second intervertebral disk segments, when mutually engaged, together presenting a substantially elliptical configuration parallel to the facing endplates of the two vertebrae; and

providing a mechanical connector for interconnection between said first and second intervertebral disk segments to retain said first and second intervertebral disk segments in mutual engagement adjacent each other.

20. An intervertebral prosthetic disk system for installation intermediate two vertebrae having facing endplates, said intervertebral prosthetic disk system comprising:

a first intervertebral disk segment for installation intermediate the facing endplates of the two vertebrae, said first intervertebral disk segment having at least one large aperture extending therethrough from a superior side thereof to an inferior side thereof to facilitate bone ingrowth intermediate the two vertebrae, wherein said first intervertebral disk segment has an anterior-facing edge and a posterior-facing edge, said posterior-facing edge of said first intervertebral disk segment having a first irregular contour comprising a rounded bump intermediate two relatively flat side portions;

a second intervertebral disk segment for installation intermediate the facing endplates of the two vertebrae, said second intervertebral disk segment having at least one large aperture extending therethrough from a superior side thereof to an inferior side thereof to facilitate bone ingrowth intermediate the two vertebrae, wherein said second intervertebral disk segment has an anterior-facing edge and a posterior-facing edge, said anterior-facing edge of said second intervertebral disk segment having a second irregular contour comprising a rounded indentation intermediate two relatively flat side portions, said first irregular contour of said posterior-facing edge of said first intervertebral disk segment and said second irregular contour of said anterior-facing edge of said second intervertebral disk segment having mutually interlocking configurations which will engage each other when said first and second intervertebral disk segments are placed with said posterior-facing edge of said first intervertebral disk segment and said anterior-facing edge of said second intervertebral disk segment adjacent each other; and

a mechanical connector for interconnection between said first and second intervertebral disk segments to retain said first and second intervertebral disk segments in mutual engagement adjacent each other following the installation of said first and second intervertebral disk segments intermediate the two vertebrae.

21. An intervertebral prosthetic disk system as defined in claim 20, wherein said first and second intervertebral disk segments, when in mutual engagement with each other, together define a configuration which is substantially elliptical and which is of a size to fit between the facing endplates of the two vertebrae.