Anterior stabilization device

• US 5,888,223 A
• Filed: 06/09/1998
• Issued: 03/30/1999
• Est. Priority Date: 12/08/1995
• Status: Expired due to Term

• Current Assignee: R&B Surgical Solutions, Ltd.
• Original Assignee: Robert S. Bray Jr
• Inventors: Bray, Robert S. Jr.
• Primary Examiner(s): Tucker, Guy V.
• Application Number:
  US09/095,007
• Time in Patent Office: 294 Days
• Field of Search: 606/61, 606/60, 606/72, 606/73, 623/17
• US Class Current: 623/17.16
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61F 2/30724 Spacers for centering an implant in a bone cavity, e.g. in a cement-receiving 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 2/4603 for insertion or extraction of endoprosthetic joints or of accessories thereof
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• 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 2002/3023 wedge-shaped cylinders
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• 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 2002/30772 Apertures or holes, e.g. of circular cross section
• CPC Class Codes: A61F 2002/30774 internally-threaded
• 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 2230/0008 elliptical or oval
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

An anterior fixation device comprises an oval shaped intervertebral spacer and a retaining plate. The spacer has a side wall and superior and inferior walls. The superior and inferior walls are dome-shaped and porous to allow bone to grow through the device to achieve fusion of two adjacent vertebral bodies. Extending from the anterior side of the spacer are superior and inferior lips through which bone screws 16 extend. The bone screws are non-weight bearing and screw into the strongest areas of bone within the vertebral bodies. The intervertebral spacer is hollow inside to allow for bone grafts, bone morphogenic protein, or other bone stimulating substances to be inserted therein. The retaining plate is attachable to the anterior surface of the spacer to prevent the bone screws from backing out once the device is installed.

Claims

1. An anterior stabilization device comprising:

a generally hollow intervertebral spacer having anterior and posterior sides and comprising;

a side wall having a generally oval cross-sectional shape;

a porous superior wall;

a porous inferior wall;

at least one superior lip extending upwardly above the side wall at the anterior side of the spacer;

at least one inferior lip extending downwardly below the side wall at the inferior side of the spacer;

a screw hole in each superior and inferior lip; and

access means for allowing insertion of bone graft material into the hollow interior of the spacer; and

a retaining plate fixedly attachable to the anterior side of the spacer, said retaining plate being sized to cover at least a portion of the head of each bone screw which is inserted through screw holes of each superior and inferior lip.

2. An anterior stabilization device as claimed in claim 1 wherein the spacer further comprises an anterior extension and wherein the superior and inferior lips extend upwardly and downwardly from the anterior extension.

3. An anterior stabilization device as claimed in claim 1 wherein each of the superior and inferior walls are dome-shaped.

4. An anterior stabilization device as claimed in claim 1 wherein the spacer has a height of from about 7 to about 14 mm.

5. An anterior stabilization device as claimed in claim 1 wherein the spacer has a lateral width of from about 13 to about 32 mm.

6. An anterior stabilization device as claimed in claim 1 wherein the spacer has an anterior-posterior width of from about 10 to about 30 mm.

7. An anterior stabilization device as claimed in claim 1 wherein the spacer comprises two inferior lips and one superior lip.

8. An anterior stabilization device as claimed in claim 1 wherein the access means comprises at least one opening in the side wall at the anterior side of the spacer.

9. An anterior stabilization device as claimed in claim 1 wherein the access means comprises a removably attachable superior wall.

10. An anterior stabilization device as claimed in claim 1 wherein the access means comprises a removably attachable inferior wall.

11. An anterior stabilization device as claimed in claim 1 wherein the spacer is sized to fit within the intervertebral disk space between two adjacent cervical vertebrae.

12. An anterior stabilization device as claimed in claim 1 wherein the spacer is sized to fit within the intervertebral disk space between two adjacent thoracic vertebrae.

13. An anterior stabilization device as claimed in claim 1 wherein the spacer is sized to fit with the intervertebral disk space between two adjacent lumbar vertebrae.