Apparatus for spinal fusion using implanted devices

• US 6,096,080 A
• Filed: 02/10/1999
• Issued: 08/01/2000
• Est. Priority Date: 05/06/1998
• Status: Expired due to Term

• Current Assignee: Alphatec Spine Incorporated (Alphatec Holdings Incorporated)
• Original Assignee: CORTEK, Inc. (Alphatec Holdings Incorporated)
• Inventors: Nicholson, James E., Whipple, Dale E., Tromanhauser, Scott G.
• Primary Examiner(s): Smith, Jeffrey A.
• Application Number:
  US09/248,151
• Time in Patent Office: 538 Days
• Field of Search: 623/17, 623/16, 606/61
• US Class Current: 623/17.16
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/1604 Chisels; Rongeurs; Punches; Stamps
• CPC Class Codes: A61B 17/1659 Surgical rasps, files, planes, or scrapers
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61B 2017/924 Impact element driving means
• CPC Class Codes: A61B 2090/033 Abutting means, stops, e.g. abutting on tissue or skin
• CPC Class Codes: A61B 2090/0801 Prevention of accidental cutting or pricking
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/30965 Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
• 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 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 2002/286 Bone stimulation by mechanical vibrations for enhancing ossification
• CPC Class Codes: A61F 2002/30004 the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
• CPC Class Codes: A61F 2002/30075 swellable, e.g. when wetted
• CPC Class Codes: A61F 2002/30131 horseshoe- or crescent- or C-shaped or U-shaped
• CPC Class Codes: A61F 2002/30154 : square
• CPC Class Codes: A61F 2002/30177 : W-shaped, M-shaped or sigma shaped
• CPC Class Codes: A61F 2002/30261 : parallelepipedal
• CPC Class Codes: A61F 2002/30329 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2002/30448 : using adhesives
• CPC Class Codes: A61F 2002/305 : Snap connection
• CPC Class Codes: A61F 2002/30565 : having spring elements
• 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 2002/30604 : modular
• CPC Class Codes: A61F 2002/30785 : parallel
• CPC Class Codes: A61F 2002/30883 : dovetail-shaped
• CPC Class Codes: A61F 2002/30975 : made of two halves
• CPC Class Codes: A61F 2002/4648 : Means for culturing bone graft
• CPC Class Codes: A61F 2210/0061 : swellable
• 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 2230/0013 : Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/0021 : square
• CPC Class Codes: A61F 2230/0056 : W-shaped, e.g. M-shaped, sigma-shaped
• CPC Class Codes: A61F 2230/0082 : parallelepipedal
• CPC Class Codes: A61F 2250/0014 : having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• CPC Class Codes: A61F 2310/00293 : containing a phosphorus-containing compound, e.g. apatite

Abstract

A spinal implant replaces excised tissue removed during spine surgery. This implant includes fasteners which firmly attach it to vertebrae adjacent to excised tissue so as to transmit tension and torsional loads to and from those vertebrae. The body of the implant has through cavities into which bone growth material is placed during surgery. The body of the implant also has a finite modulus of elasticity in compression so as to share compressive loads with emplaced bone growth material and with new bony growth facilitated by the emplaced material and the load sharing.

Claims

1. An implant for mechanically attaching to the ends of and promoting bony fusion of at least two vertebrae adjacent to a space left by surgically removed spinal tissue, comprising

a. a load-sharing body comprising a structure having

i. a combination of structural elements fabricated from at least one material which is resected from naturally occurring and formerly living tissue, the combination comprising at least a top surface and a bottom surface;

ii. said combination of structural elements establishing for the structure as a whole a composite greater than zero elastic compliance at least in compression in directions generally axial to said top surface and said bottom surface;

iii. said combination of structural elements further comprising at least one cavity communicating with both said top surface and said bottom surface in a configuration suitable as a receptacle for bone implant and growth material; and

b. located on each of said top surface and said bottom surface at least one first component of a locking joint, said locking joint comprising at least two components and being capable when all components are mated of mechanically anchoring the body to said adjacent vertebrae so as to transmit tensile and torsional loads to and from said adjacent vertebrae, said first component of the locking joint being configured to mate with at least a second component of the locking joint comprising a geometrically complementary element specially formed in the adjacent vertebra for mating attachment.

2. The implant of claim 1 in which said at least one first component on each of said top surface and said bottom surface comprises a dovetail tongue protrusion and said second component comprises a groove of substantially the same shape as the dovetail tongue protrusion so as to form a locking mechanical tongue-and-groove joint when the two components are mated.

3. The implant of claim 1 in which each of said at least one first component on each of said top surface and said bottom surface comprises a horseshoe shaped dovetail tongue protrusion with segments on the outboard portions of the body, said dovetail tongue shaped so as to mate with said second component comprising a groove of substantially the same shape as the dovetail tongue protrusion so as to form a locking mechanical tongue-and-groove joint when the first and second components are mated.

4. The implant of claim 1 in which said at least one first component on each of said top surface and said bottom surface comprises a plurality of dovetail tongue protrusions, each of which plural dovetail tongue protrusions is shaped so as to mate with each of said at least one second component each second component comprising a groove of substantially the same shape as the dovetail tongue protrusion so as to form a mechanical tongue-and-groove joint when the first and second components are mated.

5. The implant of claim 1 in which said at least one first component on each of said top surface and said bottom surface comprises at least one tack device of a tack and staple joint.

6. The implant of claim 1 in which said at least one first component on each of said top surface and said bottom surface comprises at least one bone anchor.

7. The implant of claim 1 in which the combination of elements comprises an assembly of at least three modular components, the first modular component comprising a right partial separator, the second modular component comprising a left partial separator, each having at least a top surface and a bottom surface, and the third modular component comprising a retainer/keeper.

8. The implant of claim 7 in which the right partial separator and the left partial separator each has on each of said top surface and said bottom surface at least one first component of a locking joint comprising at least two components, said locking joint being capable when all components are mated of mechanically anchoring the body to said adjacent vertebrae and thereby transmitting tensile and torsional loads to and from said adjacent vertebrae, said first component of the locking joint being configured to mate with at least a second component of the locking joint comprising a geometrically complementary element specially formed in the adjacent vertebra for mating attachment.

9. The implant of claim 7 in which the right partial separator and the left partial separator each has on each of said top surface and said bottom surface at least one protrusion such that in concert the protrusions form a first component of a locking joint comprising at least two components, said locking joint being capable when all components are mated of mechanically anchoring the body to said adjacent vertebrae and thereby transmitting tensile and torsional loads to and from said adjacent vertebrae, said first component of the locking joint being configured to mate with at least a second component of the locking joint comprising a geometrically complementary element specially formed in the adjacent vertebra for mating attachment.

10. The implant of claim 9 in which the first component of a locking joint comprises a dovetail shape which fits into a correspondingly shaped dovetail groove cut in each of the adjacent vertebrae.

11. The implant of claim 1 in which the top surface and the bottom surface are oriented with respect to one another at an angle such that the implant is capable of maintaining spinal lordosis after insertion.

12. The implant of claim 1 in which the at least one material which is resected from naturally occurring and formerly living tissue from which the combination of structural elements is fabricated comprises human bone allograft material.

13. The implant of claim 1 additionally comprising at least one retractable barb in at least one of said top surface and said bottom surface, said at least one barb retractably engaging the surface of said adjacent vertebra so as to prevent the implant from dislodging.

14. An implant for mechanically attaching to the ends of and promoting bony fusion of at least two vertebrae adjacent to a space left by surgically removed spinal tissue, comprising a single piece of bone allograft material having a top and a bottom, said single piece of bone allograft material having at least one dovetail tongue protrusion on each of said top and said bottom for mechanically interlocking with said adjacent vertebrae by mating with a geometrically complementary groove in the adjacent vertebra so as to form a locking mechanical tongue-and-groove joint.

15. The implant of claim 14 in which the structure formed from a single piece of bone allograft material is formed into the desired shape and structural properties by compression such that the outer layers of the trabecular or cancellous bone form a compressed layer with structural properties similar to those of cortical bone.

16. The implant of claim 15 in which the outer layers of trabecular or cancellous bone forming a compressed layer comprise a structural shell.

17. An implant for mechanically attaching to the ends of and promoting bony fusion of at least two vertebrae adjacent to a space left by surgically removed spinal tissue, comprising a composite structure fabricated with at least two separate portions of bone allograft material and having a top and a bottom, said structure having an internal cavity communicating with said top and said bottom for receiving autograft bone implant material and bone growth factors, said unitary structure having at least one dovetail tongue on each of said top and said bottom for mechanically interlocking with said adjacent vertebrae by means of tongue-and-groove joints.

18. The implant of claim 17 in which the at least two separate portions of bone allograft material have different structural properties.

19. The implant of claim 18 in which the at least two separate portions of bone allograft material with different structural properties are bonded together with adhesive to form a composite structure.

20. The implant of claim 17 in which the at least two separate portions of bone allograft material are bonded together with adhesive to form a composite structure.

21. The implant of one of claims 20 and 19 in which the adhesive comprises fibrin glue.

22. An implant for mechanically attaching to the ends of and promoting bony fusion of at least two vertebrae adjacent to a space left by surgically removed spinal tissue, comprising

a load-sharing body comprising a structure having

i. a combination of structural elements fabricated from at least one material which is resected from naturally occurring and formerly living tissue and which has a greater than zero elastic compliance, the combination comprising at least a top surface and a bottom surface;

ii. said combination of structural elements establishing for the structure as a whole a composite greater than zero elastic compliance at least in compression in directions generally axial to said top surface and said bottom surface; and

b. located on each of said top surface and said bottom surface at least one first component of a locking joint comprising at least two components, said locking joint being capable when all components are mated of mechanically anchoring the body to said adjacent vertebrae and thereby transmitting tensile and torsional loads to and from said adjacent vertebrae, said first component of the locking joint being configured to mate with at least a second component of the locking joint comprising a geometrically complementary element specially formed in the adjacent vertebra for mating attachment.