Vertebral body prosthesis

• US 6,063,121 A
• Filed: 07/29/1998
• Issued: 05/16/2000
• Est. Priority Date: 07/29/1998
• Status: Expired due to Term

• Current Assignee: Ravi Xavier, Samantha Xavier, Shaun Xavier
• Original Assignee: Ravi Xavier, Samantha Xavier, Shaun Xavier
• Inventors: Xavier, Samantha, Xavier, Shaun, Xavier, Ravi
• Primary Examiner(s): Milano, Michael J.
• Assistant Examiner(s): Nguyen, Tram A.
• Application Number:
  US09/124,495
• Time in Patent Office: 657 Days
• Field of Search: 623/16, 623/17, 623/18, 606/60, 606/61
• US Class Current: 623/17.15
• 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 2/30965 Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
• CPC Class Codes: A61F 2/4425 made of articulated components
• CPC Class Codes: A61F 2002/30113 circular
• CPC Class Codes: A61F 2002/30125 elliptical or oval
• CPC Class Codes: A61F 2002/30133 kidney-shaped or bean-shaped
• CPC Class Codes: A61F 2002/302 toroidal, e.g. rings
• CPC Class Codes: A61F 2002/3021 frustoconical
• CPC Class Codes: A61F 2002/30225 Flat cylinders, i.e. discs
• CPC Class Codes: A61F 2002/30428 made by inserting a protrusion into a slot
• CPC Class Codes: A61F 2002/30448 using adhesives
• CPC Class Codes: A61F 2002/30451 soldered or brazed or welded
• CPC Class Codes: A61F 2002/30462 retained or tied with a rope, string, thread, wire or cable
• 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 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30662 with rotation-limiting means
• CPC Class Codes: A61F 2002/30785 parallel
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30892 : parallel
• CPC Class Codes: A61F 2002/443 : having two transversal endplates and at least one intermediate component
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/005 : using adhesives
• CPC Class Codes: A61F 2220/0058 : soldered or brazed or welded
• CPC Class Codes: A61F 2220/0075 : sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2230/0006 : circular
• CPC Class Codes: A61F 2230/0008 : elliptical or oval
• CPC Class Codes: A61F 2230/0015 : Kidney-shaped, e.g. bean-shaped
• CPC Class Codes: A61F 2230/0065 : toroidal, e.g. ring-shaped, doughnut-shaped
• CPC Class Codes: A61F 2230/0067 : conical
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2310/00011 : Metals or alloys
• CPC Class Codes: Y10S 606/907 : Composed of particular material or coated

Abstract

An upper plate includes a depending truncated cone member that supports a ball. A lower plate supports an upstanding truncated cone member that supports a cup socket that the ball is press fitted into. The cup socket embraces the ball to a line above the middle diameter of the ball to prevent the ball from coming free of the socket in normal use. A number of wires form a repeating X pattern between the upper and lower plates about their perimeters and serve to restrain rotational motion. The upper plate includes upwardly projecting spikes and the lower plate includes downwardly projecting spikes. The upper and lower plates each include two anchoring brackets that project outwardly to lie adjacent to an upper and lower spinal disc, and that are fastened to the discs by bone screws. The spikes further anchor the vertebral body prosthesis in the adjacent spinal discs.

Claims

1. A vertebral body prosthesis comprising:

a. an upper plate having a depending ball supporting member comprising a truncated cone member projecting downwardly from said plate and having a narrower end lower than a wider end, with said lower end terminating in a depending ball portion;

b. a lower plate having an upstanding hemispherical socket supporting member having an upper end connected to a hemispherical socket, with said ball seated in said socket; and

c. a resilient toroidal disc interposed between said upper plate and said lower plate.

2. A vertebral body prosthesis in accordance with claim 1 further comprising a plurality of upwardly projecting spikes on an upper surface of said upper plate and a plurality of downwardly projecting spikes on a lower surface of said lower plate.

3. A vertebral body prosthesis in accordance with claim 1 further comprising a plurality of upwardly projecting anchoring brackets fastened to a perimeter of said upper plate, wherein each said bracket comprises an elongated bracket member having two vertically aligned apertures for receiving anchoring fasteners and said bracket member further comprises a thickened lower section for securing said bracket member in an anchoring loop fastened to said upper plate.

4. A vertebral body prosthesis in accordance with claim 1 further comprising a plurality of downwardly projecting anchoring brackets fastened to a perimeter of said lower plate, wherein each said bracket comprises an elongated bracket member having two vertically aligned apertures for receiving anchoring fasteners and said bracket member further comprises a thickened upper section for securing said bracket member in an anchoring loop fastened to said lower plate.

5. A vertebral body prosthesis in accordance with claim 1 wherein said socket comprises an upper edge and said upper edge extends upwardly above the diameter of said depending ball.

6. A vertebral body prosthesis in accordance with claim 1, further comprising a plurality of wires fastened to said upper plate and to said lower plate, wherein said wires form a repeating X pattern about the perimeter of said upper plate and said lower plate, wherein each X comprises an two upper arms, each said arm having an upper end, and two lower arms, each said arm having a lower end, and each upper end of each said upper arm is connected to an upper arm of an adjoining X and each said lower end of each said lower arm is connected to a lower arm of an adjoining X and said upper and lower ends are fastened to an edge of said upper plate or said lower plate.

7. A vertebral body prosthesis in accordance with claim 1 wherein said resilient toroidal disc comprises a layer of reinforcing fibers.

8. A vertebral body prosthesis in accordance with claim 1 further comprising a plurality of anchoring loops connected to said upper plate and a plurality of anchoring loops connected to said lower plate, wherein each said anchoring loop comprises a wire loop fastened to one said upper or said lower plate for receiving an anchoring bracket, which is retained in said anchoring loop by a thickened end portion of each said anchoring bracket.

9. A vertebral body prosthesis comprising:

a. an upper plate having a depending ball supporting member comprising a truncated cone member projecting downwardly from said plate and having a narrower end lower than a wider end, with said lower end terminating in a depending spherical ball portion;

b. a lower plate having an upstanding hemispherical socket supporting member comprising a truncated cone having a narrower end and a wider end, with said wider end connected to said lower plate, said socket supporting member having an upper end connected to a hemispherical socket, with said ball seated in said socket; and

c. a toroidal disc interposed between said upper plate and said lower plate; and

d. a plurality of wires arrayed in a repeating X pattern, each said wire having one end connected to said upper plate and a second end connected to said lower plate.

10. A vertebral body prosthesis in accordance with claim 9 further comprising a plurality of upwardly projecting spikes connected to an upper surface of said upper plate and a plurality of downwardly projecting spikes connected to a lower surface of said lower plate.

11. A vertebral body prosthesis in accordance with claim 9 further comprising a repeating X pattern formed by said wires, wherein each X comprises two upper arms, each said arm having an upper end, and two lower arms, each said arm having a lower end, and each upper end of each said upper arm is connected to an upper arm of an adjoining X and each said lower end of each said lower arm is connected to a lower arm of an adjoining X.

12. A vertebral body prosthesis in accordance with claim 9 wherein said toroidal disc comprises a doughnut-shaped toroidal disc cushion further comprising an upper elastic resilient member and a lower elastic resilient member and a plurality of reinforcing fibers between said upper and lower elastic resilient members.