Tubular support body for bridging two vertebrae

• US 6,193,756 B1
• Filed: 08/26/1998
• Issued: 02/27/2001
• Est. Priority Date: 09/30/1997
• Status: Expired due to Term

• Current Assignee: Zimmer GmbH (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Sulzer Orthopaedie AG
• Inventors: Donno, Cosimo, Studer, Armin
• Primary Examiner(s): Snow, Bruce
• Application Number:
  US09/140,577
• Time in Patent Office: 916 Days
• Field of Search: 623/17, 623/16, 623/17.15, 623/17.16, 606/61, 606/68, 403/61, 403/109
• US Class Current: 623/17.15
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• 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 2002/30235 tubular, e.g. sleeves
• CPC Class Codes: A61F 2002/30428 made by inserting a protrusion into a slot
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30574 with an integral complete or partial collar or flange
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30601 telescopic
• 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 2002/30789 perpendicular 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 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2230/0069 cylindrical
• CPC Class Codes: A61F 2310/00023 Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

With the invention, tubular support bodies for bridging two adjacent vertebrae are shown. Two cages (1, 2) which are placed one within the other are provided with cut-outs, and each of them has a support flange (5) at the outer end face (6). A first cage (1) has at least three radially projecting protrusions (7) at its jacket (9a) which can be introduced into three axially extending lead-in channels (8) or a multiple thereof in the jacket (9b) of the other cage (2) in order to be able to reach latch-in positions (10, 11, 12) of different depths.

Claims

1. A tubular support body for bridging two adjacent vertebrae comprising first and second tubular cages placed one within the other and movable relative to each other, a first end of each cage extending beyond the other cage including a support flange and the cages including cut-outs for providing access into an interior of the cages, at least three protrusions on the first cage projecting radially toward the second cage, the second cage including at least two sets of at least three positioning surfaces each for engaging the protrusions on the first cage, the positioning surfaces of each set having like spacings from the first end of the second cage which differ from the spacing between the positioning surfaces of the other sets and the first end of the second cage, and at least three lead-in channels in the side of the second cage facing the first cage, extending in a generally axial direction from a second end of the second cage to the positioning surfaces and shaped to permit movement of the at least three protrusions into simultaneous engagement with the positioning surfaces of any one of the sets to thereby establish an axial spacing between the support flanges of the cages, whereby the axial spacing between the support flanges can be changed by engaging the protrusions with the positioning surfaces of a different set.

2. A tubular support according to claim 1 including a separate lead-in channel for each positioning surface.

3. A tubular support according to claim 1 including a plurality of positioning surfaces accessible from each lead-in channel, the plurality of positioning surfaces being associated with respective sets of positioning surfaces, and wherein the first and second cages are rotatable with respect to each other for engaging the at least three protrusions with the positioning surfaces of a selected one of the sets of positioning surfaces.

4. A tubular support according to claim 3 wherein the positioning surfaces associated with each lead-in channel are displaced from the lead-in channel in a circumferential direction of the cages.

5. A tubular support in accordance with claim 1 wherein each lead-in channel has the shape of a spiral extending about a portion of the side of the second stage facing the first stage, and wherein the positioning surfaces are disposed below a lower side of the spiral-shaped lead-in channel, and including a branch channel for each positioning surface permitting movement of the protrusions from the lead-in channel to the positioning surfaces of a selected set of positioning surfaces.

6. A tubular support according to claim 3 wherein the first cage includes radial bores for inserting an adjusting tool.

7. A tubular support according to claim 1 wherein the first cage includes a radially oriented threaded bore, and including a screw threaded into the bore for securing the cages to each other when the protrusions engage a set of positioning surfaces.

8. A tubular support according to claim 1 wherein the engaging surfaces are concave walls contiguous with spaced-apart side walls which define a channel in communication with the lead-in channel for movement of the protrusions from the lead-in channel into engagement with the positioning surfaces, and wherein a portion of the side walls contiguous with the positioning surfaces have a spacing which is between 0.01 to 0.2 mm smaller than a diameter of the protrusions.

9. A tubular support according to claim 1 including at least one adapter piece for connection to at least one support flange, wherein the at least one support flange has axially oriented bores, and wherein the at least one adapter piece has axially oriented pins for insertion into bores to permit connection of the at least one adapter piece to the at least one support flange at different angular positions.

10. A tubular support according to claim 9 wherein an end of the at least one adapter piece opposite the pins has an end surface which is angularly inclined relative to the at least one flange.

11. A tubular support according to claim 1 including a transition channel between each positioning surface and the associated lead-in channel for moving the pin between the lead-in channel and the positioning surface, the transition channel having a bottom surface and the protrusion having a radial length, the bottom surface of the transition channel being displaced in a radial direction towards the protrusion to effect a clamping of the protrusion by the bottom surface of the transition channel as the protrusion is moved into engagement with the positioning surface.