Implant for insertion between spinal column vertebrae

• US 6,562,072 B1
• Filed: 07/20/2000
• Issued: 05/13/2003
• Est. Priority Date: 01/23/1998
• Status: Expired due to Term

• Current Assignee: Aesculap AG (B. Braun Holding GmbH & Co. KG)
• Original Assignee: Aesculap AG (B. Braun Holding GmbH & Co. KG)
• Inventors: Fuss, Franz Konstantin, Sabitzer, Ronald J.
• Primary Examiner(s): Prebilic, Paul B.
• Application Number:
  US09/620,031
• Time in Patent Office: 1,027 Days
• Field of Search: 623/17.11, 623/17.16, 623/20.28, 623/23.5, 623/23.76
• US Class Current: 623/17.11
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• 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 2/4465 having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
• CPC Class Codes: A61F 2/4601 for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
• 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 2002/3013 figure-"8"- or hourglass-shaped
• CPC Class Codes: A61F 2002/30133 kidney-shaped or bean-shaped
• CPC Class Codes: A61F 2002/30153 rectangular
• CPC Class Codes: A61F 2002/30158 trapezoidal
• CPC Class Codes: A61F 2002/30593 hollow
• 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 2002/30777 Oblong apertures
• CPC Class Codes: A61F 2002/30785 parallel
• CPC Class Codes: A61F 2002/30787 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30789 perpendicular with respect to each other
• CPC Class Codes: A61F 2002/30827 Plurality of grooves
• CPC Class Codes: A61F 2002/30838 Microstructures
• CPC Class Codes: A61F 2002/30841 : Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30845 : with cutting edges
• CPC Class Codes: A61F 2002/30879 : Ribs
• CPC Class Codes: A61F 2002/30892 : parallel
• CPC Class Codes: A61F 2002/30906 : shot- sand- or grit-blasted
• CPC Class Codes: A61F 2002/4635 : using minimally invasive surgery
• CPC Class Codes: A61F 2230/001 : Figure-8-shaped, e.g. hourglass-shaped
• CPC Class Codes: A61F 2230/0015 : Kidney-shaped, e.g. bean-shaped
• CPC Class Codes: A61F 2230/0019 : rectangular
• CPC Class Codes: A61F 2230/0026 : trapezoidal
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

An implant for insertion between vertebrae of the verterbral column having a substantially rectangular or trapezoidal cross-section and covering faces adapted to face the adjacent vertebrae which are porous and/or designed with a profile. The implant has such a width that it substantially covers at the maximum the rear half of the vertebrae facing the spinous process, preferably at the maximum the rear third of the vertebrae facing the spinous process, and such a length that it substantially covers the rear region of the vertebrae. The limiting surface of the implant facing the inside of the vertebrae and extending in the direction of the adjacent vertebrae is convex. This enables an adequate and reliable supporting function to be achieved with only one implant and can easily be inserted sideways from behind.

Claims

1. An implant for insertion between the vertebrae of a spinal column, wherein:

surfaces of a substantially rectangular or trapezoidal-section implant adapted to face adjacent vertebrae are porous and/or are provided with a profiled structure,

a breadth of the implant is adapted to cover at most a rearward half of the vertebra facing the spinous process,

a length of the implant is adapted to essentially overlap the rearward region of the vertebra,

a first boundary face of the implant adapted to face the interior of the vertebra and extend towards the adjacent vertebrae is curved convexly over at least a portion of a wall of said first boundary face,

a second boundary face of the implant adapted to face the spinous process is curved concavely, said second boundary face being free of break-throughs,

the first boundary face comprises at least one depression which extends into, but not through, said wall of said first boundary face, and

two borings extending through the implant, wherein each boring runs from respective outer faces of said implant into said depression in a central portion of the implant.

2. An implant in accordance with claim 1, wherein outer faces of the implant adapted to face laminae are rounded.

3. An implant in accordance with claim 1, wherein a respective opening is provided in outer faces of the implant adapted to face the laminae.

4. An implant in accordance with claim 3, wherein the opening is closable.

5. An implant in accordance with claim 1, wherein at least one opening is provided, said opening commencing from at least one outer face and ending in the convexly curved first boundary face.

6. An implant in accordance with claim 5, wherein the opening extends at an angle to a longitudinal axis of the or, implant.

7. An implant in accordance with claim 5, wherein the opening widens out conically towards the convexly curved first boundary face.

8. An implant in accordance with claim 1, wherein cover surfaces of the implant adapted to rest on the adjacent vertebrae include an acute angle therebetween.

9. An implant in accordance with claim 8, wherein the angle included between the cover surfaces is no greater than about 15°

.

10. An implant in accordance with claim 1, wherein the profiled structure is formed by a plurality of elevations and depressions.

11. An implant in accordance with claim 1, wherein the porous surface is formed by sandblasting or vacuum deposition.

12. An implant in accordance with claim 1, wherein the depression is adapted to extend towards the adjacent vertebrae.

13. An implant in accordance with claim 12, wherein the depression is located in a central portion of the implant.

15. An implant in accordance with claim 1, wherein the depression is located in a central portion of the implant.

16. An implant in accordance with claim 1, wherein the thickness of the implant in a central section thereof is less than that of the outer sections adjoined thereto due to the depression.

17. An implant in accordance with claim 1, wherein the implant is constructed symmetrically relative to a center plane perpendicular to the longitudinal axis of the implant.

18. An implant in accordance with claim 1, wherein the profiled structure is formed by a plurality of ribs.

19. An implant in accordance with claim 1, wherein the depression extends over the entire height of the implant.

20. An implant in accordance with claim 1, wherein the depression is formed by a concave central portion of the first boundary face, which central portion has an arc-shaped contour.

21. An implant in accordance with claim 20, wherein side portions of the first boundary face, which side portions adjoin the central portion, run in an arc-shaped manner continuously into said central portion.

22. An implant in accordance with claim 21, wherein the side portions extend substantially parallel to side portions of the second boundary face.

14. An implant in accordance with claim 14, wherein the thickness of the implant in the central portion thereof is less than that of outer sections adjoined thereto due to the depression.