Intervertebral implant with joint parts mounted on roller bodies

• US 7,473,276 B2
• Filed: 12/17/2002
• Issued: 01/06/2009
• Est. Priority Date: 12/17/2002
• Status: Expired due to Term

• Current Assignee: Synthes USA LLC (Johnson & Johnson)
• Original Assignee: Synthes USA LLC (Johnson & Johnson)
• Inventors: Frigg, Robert, Aebi, Max, Lechmann, Beat, Pavlov, Paul, Mathys, Robert Jr., Burkard, Dominique
• Primary Examiner(s): Robert; Eduardo C
• Assistant Examiner(s): Yang; Andrew
• Application Number:
  US10/539,659
• Publication Number:
  US 20070135919A1
• Time in Patent Office: 2,212 Days
• Field of Search: 623 1711- 1716, 606/61, 606/246, 606/279
• US Class Current: 623/17.15
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 17/863 with thread interrupted or changing its form along shank, other than constant taper
• CPC Class Codes: A61F 2/4425 made of articulated components
• 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 2002/30365 with additional means for limiting said rotation
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30393 with additional means for limiting said rotation
• CPC Class Codes: A61F 2002/30492 using a locking pin
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30515 using a locking wedge or block
• CPC Class Codes: A61F 2002/30517 using a locking plate
• CPC Class Codes: A61F 2002/30528 Means for limiting said movement
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30632 with rotation-limiting stops, e.g. projections or recesses
• CPC Class Codes: A61F 2002/30634 biaxial
• CPC Class Codes: A61F 2002/30639 having rolling elements between both articulating surfaces
• 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 2002/3079 Stepped or enlarged apertures, e.g. having discrete diameter changes
• CPC Class Codes: A61F 2002/30843 : Pyramidally-shaped
• CPC Class Codes: A61F 2002/443 : having two transversal endplates and at least one intermediate component
• CPC Class Codes: A61F 2002/4635 : using minimally invasive surgery
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 : made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit

Abstract

An intervertebral implant (1), including an upper section (10) provided with a ventral side area (11), a dorsal side area (12), two lateral side areas (13,14), a top apposition surface (15) and a bottom surface (16), a lower section (20) provided with a ventral side area (21), a dorsal side area (22), two lateral side areas (23,24), a bottom apposition surface (25) and a top surface (26), wherein the two sections (10,20) are moveable in relation to each other by means of two joints (38;39) arranged between the two sections (10;20), and wherein each of the joints (38;39) has a swivel axle (3;4) and the two swivel axles (3;4) are arranged perpendicular to each other, each of the joints (38;39) comprises at least one axle (34;36) coaxial to the relevant swivel axle (3;4) and a bearing shell (35;37) receiving the axle (34;36), and roll bodies (70) are inserted between the axles (34;36) and the bearing shells (35;37).

Claims

1. An intervertebral implant sized and configured for implantation between an upper and lower vertebra, the implant comprising:

an upper member having an upper surface for contacting at least a portion of the upper vertebra, a bottom surface, a dorsal side surface, a ventral side surface, and a pair of lateral side surfaces;

a lower member having a lower surface for contacting at least a portion of the lower vertebra, a top surface, a dorsal side surface, a ventral side surface, and a pair of lateral side surfaces; and

a central joint element having a top surface, a bottom surface, a dorsal side surface, a ventral side surface, and a pair of lateral side surfaces;

wherein the bottom surface of the upper member is operatively coupled to the top surface of the central joint element so that the upper member is moveable with respect to the central joint element about a first swivel axis, and the top surface of the bottom member is operatively coupled to the bottom surface of the central joint element so that the bottom member is moveable with respect to the central joint element about a second swivel axis, the first swivel axis being substantially perpendicular to the second swivel axis; and

wherein at least one of the side surfaces of at least one of the upper and lower members includes at least one elongated hole, the at least one elongated hole receiving a cam operatively associated with the central joint element, the interaction of the cam and the at least one elongated hole controlling the amount of movement between the central joint element and at least one of the upper and lower members.

2. The intervertebral implant according to claim 1, wherein at least one of the bottom surface of the upper member and the top surface of the central joint element includes an elongated projection and the other one of the bottom surface of the upper member and the top surface of the central joint element includes an elongated recess for receiving the elongated projection;

and wherein at least one of the top surface of the lower member and the bottom surface of the central joint element includes an elongated projection and the other one of the top surface of the bottom member and the bottom surface of the central joint element includes an elongated recess for receiving the elongated projection.

3. The intervertebral implant according to claim 2, further comprising one or more roll bodies between the corresponding projection and recess formed on the upper member and the central joint element and between the corresponding projection and recess formed on the lower member and the central joint element.

4. The intervertebral implant according to claim 3, wherein the roll bodies are rotation-symmetric bodies sized and configured to be received in one or more grooves formed in the corresponding projections and recesses.

5. The intervertebral implant according to claim 3, wherein the roll bodies are rotation-symmetric bodies.

6. The intervertebral implant according to claim 3, wherein the corresponding projection and recess formed on the upper member and the central joint element and the corresponding projection and recess formed on the lower member and the central joint element include a plurality of grooves for partially receiving the roll bodies.

7. The intervertebral implant according to claim 3, wherein the corresponding projection and recess formed on the upper member and the central joint element and corresponding projection and reccess formed on the lower member and the central joint element include a plurality of grooves in which the roll bodies are conduced in axial direction.

8. The intervertebral implant according to claim 1, wherein at least one of the side surfaces of the upper member includes a depression for receiving at least a portion of an insert member, and one of the side surfaces of the lower member includes a depression for receiving at least another portion of the insert member, the insert member being threadably coupled to one of the upper and lower sections so the position of the upper section can be temporary fixed with respect to the lower section

9. The intervertebral implant according to claim 8, wherein the depressions are formed on the ventral side surfaces of the upper and lower members.

10. The intervertebral implant according to claim 9, wherein the insert member includes first and second ends, the depressions formed on the ventral side surfaces of the upper and lower members are dovetail guides and the first and second ends of the insert are arranged complementary to these dovetail guides.

11. The intervertebral implant according to claim 10, wherein the dovetail guides are tapered from the ventral side surfaces towards the dorsal side surfaces.

12. The intervertebral implant according to claim 1, wherein the upper member includes at least two holes extending from the ventral side surface to the top surface thereof for receiving bone fixation devices,and the lower member includes at least two holes extending from the ventral side surface to the lower surface thereof for receiving fixation devices, and wherein the implant has a central axis and the bone fixation devices each have a longitudinal axes, the longitudinal axis of the bone fixation devices diverging from the central axis of the implant.

13. The intervertebral implant according to claim 1, wherein the upper and the lower members each comprises at least two drill holes running through from the ventral side surfaces to the top surfaces with longitudinal axes for receiving bone fixation devices.

14. The intervertebral implant according to claim 13, wherein the longitudinal axes of the drill holes make an angle gamma with a central axis of the implant, the angle gamma lies in a range between 20 degrees and 65 degrees.

15. The intervertebral implant according to claim 13, wherein the longitudinal axes of the drill holes as seen from the ventral side surfaces diverge from the inner surfaces against the top surfaces.

16. The intervertebral implant according to claim 13, wherein the drill holes are conically tapered towards the top surfaces.

17. The intervertebral implant according to claim 13, wherein the drill holes have an internal thread.