Interbody spinal fusion implants

• US 6,123,705 A
• Filed: 10/01/1996
• Issued: 09/26/2000
• Est. Priority Date: 06/13/1988
• Status: Expired due to Term

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: SDGI Holdings Incorporated (Medtronic Plc)
• Inventors: Michelson, Gary Karlin
• Primary Examiner(s): Brown, Michael A.
• Application Number:
  US08/723,597
• Time in Patent Office: 1,456 Days
• Field of Search: 606/60, 606/61, 623/16, 623/17, 623/18
• US Class Current: 623/17.16
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 17/8888 at its central region
• CPC Class Codes: A61B 2090/036 abutting on tissue or skin
• CPC Class Codes: A61F 2/30744 End caps, e.g. for closing an endoprosthetic 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 2/446 having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
• 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 2002/30143 hexagonal
• CPC Class Codes: A61F 2002/30235 tubular, e.g. sleeves
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30774 internally-threaded
• CPC Class Codes: A61F 2002/30785 parallel
• CPC Class Codes: A61F 2002/30787 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/3085 with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/448 comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants
• CPC Class Codes: A61F 2002/4619 for extraction
• CPC Class Codes: A61F 2002/4629 : connected to the endoprosthesis or implant via a threaded connection
• CPC Class Codes: A61F 2002/4681 : by applying mechanical shocks, e.g. by hammering
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2230/0017 : Angular shapes
• CPC Class Codes: A61F 2230/0069 : cylindrical

Abstract

The present invention discloses a spinal fusion implant that is at least partially cylindrical, made of material appropriate for human implantation and having preferably, but not necessarily, one closed end and one end capable of being closed, such that an internal chamber can be filled and hold any natural or artificial osteoconductive, osteoinductive, osteogenic, or other fusion enhancing material. The partially cylindrical implant directly participates and is incorporated in the ensuing fusion. In the preferred embodiment, the implant of the present invention relies on surface roughenings of the outer surface to enhance its stability and resist dislodgement from within the disc space between two adjacent vertebrae. The implant of the present invention incorporates at its rear end, an engagement means to facilitate insertion or extraction of the implant. The implant may be filled with, coated with, and/or composed of, fusion promoting substances. Finally, the implant of the present invention does not require rotation for its insertion and can be seated by linear advancement.

Claims

1. A spinal fusion implant made of a material appropriate for human implantation between two adjacent vertebrae, said implant comprising:

a non-threaded cylindrical member having an exterior with opposed arcuate portions adapted to be oriented toward the adjacent endplates of the two adjacent vertebrae, each of said opposed arcuate portions having at least one opening passing therethrough to allow bone growth from one of the adjacent vertebrae through said implant to the other of the adjacent vertebrae, said implant having a plurality of surface roughenings protruding from said exterior of said cylindrical member for engaging the two adjacent vertebrae to maintain said implant in place, said surface roughenings configured to resist expulsion of said implant from between the two adjacent vertebrae.

2. The spinal fusion implant of claim 1, in which said surface roughenings include knurling.

3. The spinal fusion implant of claim 1, in which said implant comprises a bone ingrowth material.

4. The spinal fusion implant of claim 1, further comprising an internal chamber capable of retaining fusion promoting material.

5. The spinal fusion implant of claim 4, in which said implant has at least one removable cap for closing at least one end of said internal chamber.

6. The spinal fusion implant of claim 1, in which said at least one opening is capable of retaining fusion promoting material.

7. The spinal fusion implant of claim 1, in which said implant has an outer diameter larger than the disc space between the two adjacent vertebrae to be fused.

8. The spinal fusion implant of claim 1, in which said implant comprises a fusion promoting material.

9. The spinal fusion implant of claim 1, in which said implant comprises a bone ingrowth material other than bone.

10. The spinal fusion implant of claim 1, in which said implant is made of an artificial material.

11. The spinal fusion implant of claim 10, in which said artificial material includes an implant quality metal.

12. A spinal fusion implant made of a material appropriate for human implantation between two adjacent vertebrae, said implant comprising:

a non-threaded cylindrical member having an exterior with opposed arcuate portions adapted to be oriented toward the adjacent endplates of the two adjacent vertebrae, each of said opposed arcuate portions having at least one opening passing therethrough to allow bone growth from one of the two adjacent vertebrae through said implant to the other of the two adjacent vertebrae, said implant having a plurality of surface projections on said exterior of said cylindrical member for engaging the vertebrae to maintain said implant in place,

wherein said surface projections include a plurality of annular ratchetings defined around the circumference of said cylindrical member to resist expulsion of said implant from between the adjacent vertebrae.

13. The spinal fusion implant of claim 12, in which said ratchetings face one direction.

14. The spinal fusion implant of claim 12, in which said implant comprises a bone ingrowth material.

15. The spinal fusion implant of claim 12, in which said implant has an outer diameter larger than the disc space between two adjacent vertebrae to be fused.

16. The spinal fusion implant of claim 12, further comprising an internal chamber.

17. The spinal fusion implant of claim 16, in which said implant has at least one removable cap for closing at least one end of said internal chamber.

18. The spinal fusion implant of claim 12, in which said implant comprises a fusion promoting material.

19. The spinal fusion implant of claim 12, in which said ratchetings include an angled segment terminating in a bone engaging edge defined around the circumference of said cylindrical member.

20. The spinal fusion implant of claim 19, in which said at least one opening interrupts said ratchetings.

21. The spinal fusion implant of claim 19, further comprising a plurality of openings located at least in part between said ratchetings.

22. The spinal fusion implant of claim 12, in which said implant comprises a bone ingrowth material other than bone.

23. The spinal fusion implant of claim 12, in which said implant is made of an artificial material.

24. The spinal fusion implant of claim 23, in which said artificial material includes an implant quality metal.