Intervertebral disc prosthesis with compressible body

• US 6,582,468 B1
• Filed: 06/07/2001
• Issued: 06/24/2003
• Est. Priority Date: 12/11/1998
• Status: Expired due to Fees

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation)
• Original Assignee: Spryker Spine
• Inventors: Gauchet, Fabien
• Primary Examiner(s): Huson, Gregory L.
• Assistant Examiner(s): KOKABI, AZADEH
• Application Number:
  US09/857,655
• Time in Patent Office: 747 Days
• Field of Search: 623/17, 623/17.16, 623/11, 623/12, 623/18, 606/61, 606/86, 606/87, 606/72, 606/73
• US Class Current: 623/17.16
• 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 2/30742 Bellows or hose-like seals; Sealing membranes A61B17/8808 takes precedence; sealing membranes for retaining bone substitute A61F2/2846
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• CPC Class Codes: A61F 2/441 made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel
• 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 2002/30133 kidney-shaped or bean-shaped
• CPC Class Codes: A61F 2002/30224 cylindrical
• CPC Class Codes: A61F 2002/30225 Flat cylinders, i.e. discs
• CPC Class Codes: A61F 2002/30357 Stepped cylinders, i.e. having discrete diameter changes
• CPC Class Codes: A61F 2002/30448 using adhesives
• 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 2002/30565 having spring elements
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30581 having a pocket filled with fluid, e.g. liquid
• CPC Class Codes: A61F 2002/30584 filled with gas
• CPC Class Codes: A61F 2002/30589 Sealing means
• CPC Class Codes: A61F 2002/30805 Recesses of comparatively large area with respect to their low depth
• CPC Class Codes: A61F 2002/3082 Grooves
• CPC Class Codes: A61F 2220/0033 made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2220/005 : using adhesives
• CPC Class Codes: A61F 2230/0015 : Kidney-shaped, e.g. bean-shaped
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• CPC Class Codes: A61F 2310/00796 : Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite
• CPC Class Codes: Y10S 606/907 : Composed of particular material or coated

Abstract

An intervertebral disc prosthesis comprising two opposing plates and a flexible seal extending between the two opposing plates for forming a closed chamber between the two plates, the flexible seal being adapted to enable the plates to move relative to one another. The disc prosthesis also includes a compressible body disposed in the closed chamber and located between the plates. The compressible body has a first surface in contact with a face of one of the plates, whereby an area of contact between the first surface of the compressible body and the face of the one of the plates increases when compressive forces are exerted upon the compressible body.

Claims

1. An intervertebral disc prosthesis comprising:

two opposing plates;

a flexible seal extending between said two opposing plates for forming a closed chamber between said two plates, wherein said flexible seal is adapted for enabling said plates to move relative to one another; and

a compressible body disposed in said closed chamber and between said plates, said compressible body having a first surface in contact with a face of one of said plates, wherein an area of contact between the first surface of said compressible body and the face of said plate increases when compressive forces are exerted upon said compressible body; and

a fluid provided in said closed chamber between said two opposing plates, wherein said fluid is in contact with said plates and surrounds said compressible body.

2. The disc prosthesis as claimed in claim 1, wherein said compressible body has a second face opposite the first face, wherein the first face is in contact with a first one of the two plates and the second face is in contact with a second one of the two plates.

3. The disc prosthesis as claimed in claim 2, wherein said compressible body has a normal height measured from the first plate to the second plate, and wherein the height of said body reduces when compression forces are exerted upon one of more of said plates.

4. The disc prosthesis as claimed in claim 1, wherein the first face of said body defines a convex, curved surface having an apex in contact with the one of said plates, and a face of the one of said plates in contact with the first face of said compressible body is substantially flat.

5. The disc prosthesis as claimed in claim 1, wherein the first face of said body is convex, and a face of the one of said plates in contact with the first face is concave, and wherein the concave face of the plate has a radius of curvature that is greater than a radius of curvature of the convex first face of said compressible body.

6. The disc prosthesis as claimed in claim 1, wherein the face of said plate in contact with said compressible body has a depression, and wherein the first surface of said compressible body is at least partially disposed in the depression.

7. The disc prosthesis as claimed in claim 6, wherein said depression is adapted to limit lateral displacement of said compressible body relative to said plate.

8. The disc prosthesis as claimed in claim 1, wherein said compressible body comprises a viscoelastic material.

9. The disc prosthesis as claimed in claim 8, wherein said compressible body comprises silicone.

10. The disc prosthesis as claimed in claim 1, wherein said fluid is compressible.

11. The disc prosthesis as claimed in claim 10, wherein said fluid is selected from the group consisting of liquids, gases and mixtures of liquids and gases.

12. The disc prosthesis as claimed in claim 1, wherein said plates are sized and shaped for the lumbar region of a vertebral column.

13. The disc prosthesis as claimed in claim 1, wherein at least one of said plates includes a central circular dish, a ring extending around an outer periphery of the central circular dish, at least one groove extending between said circular dish and said ring, and a seal housed in said at least one groove.

14. The disc prosthesis as claimed in claim 1, wherein said compressible body has a Shore A hardness rating of approximately 60-100.

15. The disc prosthesis as claimed in claim 14, wherein said compressible body has a Shore A hardness rating of approximately 80.

16. The disc prosthesis as claimed in claim 1, wherein said compressible body has the first surface thereof in contact with a first one of said plates, a second surface thereof in contact with a second one of said compressible plates, and a substantially cylindrical sidewall extending between the first and second surfaces of said compressible body.

17. The disc prosthesis as claimed in claim 16, wherein the first and second surfaces of said compressible body have a spherical convex shape.

18. The disc prosthesis as claimed in claim 17, wherein the spherical convex surfaces of said first and second surfaces have radii of curvature that are substantially similar to one another.

19. The disc prosthesis as claimed in claim 13, wherein said compressible body is in contact with the central circular dish.

20. The disc prosthesis as claimed in claim 13, wherein said compressible body has a major axis that is in substantial alignment with a center point of said central circular dish.

21. The disc prosthesis as claimed in claim 1, wherein said two opposing plates normally lie in planes that are substantially parallel to one another, and wherein said compressible body is movable in directions parallel to the normally parallel planes of said plates.

22. The prosthesis as claimed in claim 1, wherein at least one of said plates is securable to bone.

23. The prosthesis as claimed in claim 22, wherein the at least one of said plates securable to bone has at least one lug projecting therefrom, said lug having an orifice adapted to receive a screw insertible into the bone.

24. The prosthesis as claimed in claim 1, wherein said flexible seal includes a bellows having an upper edge secured to one of said plates and a lower edge secured to the other of said plates.

25. The prosthesis as claimed in claim 13, wherein said flexible seal includes a bellows having an upper edge secured the central circular dish of a first one of the plates and a lower edge secured to the central circular dish of a second one of the plates.

26. The prosthesis as claimed in claim 25, wherein the upper and lower edges of said bellows are bonded to outer edges of said respective circular dishes.

27. The prosthesis as claimed in claim 25, wherein said bellow has a stiffness of approximately 1.6 N/mm.

28. The prosthesis as claimed in claim 1, wherein said plates have outer surfaces covered with a bone-growth stimulating material.

29. The prosthesis as claimed in claim 28, wherein said bone-growth stimulating material comprises hydroxyapatite.

30. The prosthesis as claimed in claim 1, wherein said plates have a porous outer surface covered with a bone growth stimulating material.

31. The prosthesis as claimed in claim 1, wherein a second surface of said compressible body remote from the first surface thereof is substantially flat and in contact with a flat face of a second one of the two opposing plates.

32. The prosthesis as claimed in claim 1, wherein said compressible body is elliptical in cross section.

33. The prosthesis as claimed in claim 1, wherein said opposing plates are compressible toward one another along a main axis of compression.

34. The prosthesis as claimed in claim 1, wherein said flexible seal normally maintains said opposing plates at a first spaced distance relative to one another when no compression forces are applied to said plates.

35. The prosthesis as claimed in claim 34, wherein said opposing plates are compressible to a second spaced distance that is less than said first spaced distance when compression forces are applied to said opposing plates.

36. The prosthesis as claimed in claim 35, wherein the spaced distance of said plates relative to one another as a function of the compression forces applied to said plates follows a graph curve having a hysteresis form.

37. An intervertebral disc prosthesis comprising:

two opposing plates movable relative to one another;

a flexible seal extending between said two opposing plates for forming a closed chamber therebetween;

a compressible body disposed in said closed chamber and between said opposing plates, said compressible body having a first surface in contact with a face of one of said plates; and

a fluid provided in said closed chamber in contact with said opposing plates and surrounding said compressible body, wherein an area of contact between the first surface of said compressible body and the face of one of said plates increases when compressive forces are exerted upon said compressible body.

38. The disc prosthesis as claimed in claim 37, wherein the first surface of said compressible body is curved, convex in shape, wherein an apex of said curved, convex surface engages a substantially flat face of the one of said plates.