Anatomic spinal implant having anatomic bearing surfaces

• US 8,021,430 B2
• Filed: 09/07/2010
• Issued: 09/20/2011
• Est. Priority Date: 06/07/1995
• Status: Expired due to Fees

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Michelson, Gary Karlin
• Primary Examiner(s): Stewart; Alvin J
• Application Number:
  US12/807,489
• Publication Number:
  US 20110004310A1
• Time in Patent Office: 378 Days
• Field of Search: 623 1711- 1716
• US Class Current: 623/17.16
• CPC Class Codes: A61F 2/30744 End caps, e.g. for closing an endoprosthetic cavity
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• 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 2/447 substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
• 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 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/30143 hexagonal
• CPC Class Codes: A61F 2002/30153 rectangular
• CPC Class Codes: A61F 2002/30158 trapezoidal
• CPC Class Codes: A61F 2002/30261 parallelepipedal
• CPC Class Codes: A61F 2002/3037 Translation along the common longitudinal axis, e.g. piston
• CPC Class Codes: A61F 2002/30398 Sliding
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30556 for adjusting thickness
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30593 : hollow
• CPC Class Codes: A61F 2002/30599 : stackable
• CPC Class Codes: A61F 2002/30604 : modular
• 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 2002/30797 : internally-threaded
• CPC Class Codes: A61F 2002/30836 : knurled
• CPC Class Codes: A61F 2002/30841 : Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30843 : Pyramidally-shaped
• CPC Class Codes: A61F 2002/30904 : serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2002/3092 : having an open-celled or open-pored structure
• CPC Class Codes: A61F 2002/4485 : comprising three or more adjacent spinal implants
• CPC Class Codes: A61F 2002/449 : comprising multiple spinal implants located in different intervertebral spaces or in different vertebrae
• CPC Class Codes: A61F 2002/4629 : connected to the endoprosthesis or implant via a threaded connection
• CPC Class Codes: A61F 2210/0004 : bioabsorbable
• 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
• CPC Class Codes: A61F 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2230/0017 : Angular shapes
• CPC Class Codes: A61F 2230/0019 : rectangular
• CPC Class Codes: A61F 2230/0026 : trapezoidal
• CPC Class Codes: A61F 2230/0082 : parallelepipedal
• CPC Class Codes: A61F 2250/0009 : for adjusting thickness
• CPC Class Codes: A61F 2250/0063 : Nested prosthetic parts
• 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 606/90 : Lumbar stabilizer
• CPC Class Codes: Y10S 606/907 : Composed of particular material or coated
• CPC Class Codes: Y10S 606/908 : Bioabsorbable material

Abstract

The present application is directed to an interbody spinal implant having a structural configuration that provides for maintaining the normal anatomic relationship of two adjacent vertebrae of the spine. The spinal implant is sized to fit within the disc space created by the removal of disc material between two adjacent vertebrae and conform wholly, or in part, to the disc space created. The spinal implant of the present invention has first and second sides with upper and lower bearing surfaces that form a support structure for bearing against the end plates of the adjacent vertebrae. The upper and lower bearing surfaces of the first and second sides are shaped to create an anatomic fit with the endplates of the adjacent vertebrae.

Claims

1. An implant for insertion between a first vertebra and a second vertebra, the first vertebra having a generally vertically extending first peripheral wall and a first cortical bone endplate and the second vertebra having a generally vertically extending second peripheral wall and a second cortical bone endplate, wherein the implant comprises:

a first terminal part defining a trailing face, a first bearing surface adapted to bear against a portion of the cortical bone endplate proximate to the first peripheral wall, and an opposite second bearing surface adapted to bear against a portion of the second cortical bone endplate proximate to the second peripheral wall;

an elongated body including a central part extending from said first terminal part, said central part having an upper bearing surface and a lower bearing surface, said elongated body terminating in a second terminal part opposite said first terminal part, said second terminal part including an anti-expulsion feature and having an insertion face extending from said upper bearing surface to said lower bearing surface, said insertion face including a curved surface extending from said upper bearing surface to said lower bearing surface, said central part having a longitudinal axis extending through said trailing face of said first terminal part and said insertion face of said second terminal part, and having a cross section in a first plane extending through said upper bearing surface and said lower bearing surface, and along the longitudinal axis, the first plane bisecting said upper bearing surface in two halves, wherein at least a portion of said cross section is convex at said upper bearing surface and said lower bearing surface; and

a first side and an opposite second side, said first side and said second side extending along said first terminal part, said elongated body, and said second terminal part, portions of said first side and said second side being substantially flat, said substantially flat portions intersecting a second plane that is perpendicular to the first plane and extends through said insertion face and said trailing face, said substantially flat portion of said first side extending along a third plane and said substantially flat portion of said second side extending along a fourth plane, wherein the third and fourth planes are symmetrical about the longitudinal axis and transverse to said insertion face.

2. The implant of claim 1, wherein said first bearing surface and said second bearing surface include at least one anti-expulsion feature.

3. The implant of claim 1, wherein said implant may include a chamber in communication with said bearing surfaces.

4. The implant of claim 1, wherein said implant is adapted to hold bone fusion promoting materials.

5. An implant for insertion between a first vertebra and a second vertebra, the first vertebra having a generally vertically extending first peripheral wall and a first cortical bone endplate and the second vertebra having a generally vertically extending second peripheral wall and a second cortical bone endplate, wherein the implant comprises:

a first terminal part defining a trailing face, a first bearing surface adapted to bear against a portion of the cortical bone endplate proximate to the first peripheral wall, and an opposite second bearing surface adapted to bear against a portion of the second cortical bone endplate proximate to the second peripheral wall;

a second terminal part opposite said first terminal part, said second terminal part including an anti-expulsion feature and having an insertion face extending from a third bearing surface to a fourth bearing surface, said implant having a longitudinal axis extending through said trailing face of said first terminal part and said insertion face of said second terminal part, and having a cross section in a first plane extending through said first bearing surface and said second bearing surface, and along the longitudinal axis, the first plane bisecting said first bearing surface in two halves;

a first side and an opposite second side, said first side and said second side extending from said first terminal part to said second terminal part, portions of said first side and said second side being substantially flat, said substantially flat portions intersecting a second plane that is perpendicular to the first plane and extends through said insertion face and said trailing face, wherein said substantially flat portions of said first side and said second side are symmetrical about the first plane; and

upper and lower bearing surfaces proximate each of said first and second sides, wherein said upper and lower bearing surfaces proximate said first and second sides are, at least in part, convex relative to the second plane.

6. The implant of claim 5, wherein said first bearing surface and said second bearing surface include at least one anti-expulsion feature.

7. The implant of claim 5, wherein said third bearing surface and said fourth bearing surface include at least one anti-expulsion feature.

8. The implant of claim 5, wherein said second terminal part includes a chamfered edge between said third bearing surface and said insertion face.

9. The implant of claim 5, wherein said second terminal part includes a rounded edge between said third bearing surface and said insertion face.

10. The implant of claim 5, wherein said implant may include a chamber in communication with said bearing surfaces.

11. The implant of claim 5, wherein said implant is adapted to hold bone fusion promoting materials.

12. An implant for insertion between a first vertebra and a second vertebra, the first vertebra having a generally vertically extending first peripheral wall and a first cortical bone endplate and the second vertebra having a generally vertically extending second peripheral wall and a second cortical bone endplate, wherein the implant comprises:

a first terminal part defining a trailing face, a first bearing surface adapted to bear against a portion of the cortical bone endplate proximate to the first peripheral wall, and an opposite second bearing surface adapted to bear against a portion of the second cortical bone endplate proximate to the second peripheral wall;

a second terminal part opposite said first terminal part, said second terminal part including an anti-expulsion feature and having an insertion face extending from a third bearing surface to a fourth bearing surface, said implant having a longitudinal axis extending through said trailing face of said first terminal part and said insertion face of said second terminal part, and having a cross section in a first plane extending through said first bearing surface and said second bearing surface, and along the longitudinal axis, the first plane bisecting said first bearing surface in two halves;

a first side and an opposite second side, said first side and said second side extending from said first terminal part to said second terminal part, portions of said first side and said second side being substantially flat, said substantially flat portions intersecting a second plane that is perpendicular to the first plane and extends through said insertion face and said trailing face, wherein said substantially flat portions of said first side and said second side are symmetrical about the first plane; and

upper and lower bearing surfaces proximate each of said first and second sides, wherein a maximum height measured between said upper and lower bearing surfaces proximate said first side is greater than a maximum height measured between said first and second bearing surfaces and a maximum height measured between said third and fourth bearing surfaces.

13. The implant of claim 12, wherein said first bearing surface and said second bearing surface include at least one anti-expulsion feature.

14. The implant of claim 12, wherein said third bearing surface and said fourth bearing surface include at least one anti-expulsion feature.

15. The implant of claim 12, wherein said second terminal part includes a chamfered edge between said third bearing surface and said insertion face.

16. The implant of claim 12, wherein said second terminal part includes a rounded edge between said third bearing surface and said insertion face.

17. The implant of claim 12, wherein said implant may include a chamber in communication with said bearing surfaces.

18. The implant of claim 12, wherein said implant is adapted to hold bone fusion promoting materials.

19. An implant for insertion between a first vertebra and a second vertebra, the first vertebra having a generally vertically extending first peripheral wall and a first cortical bone endplate and the second vertebra having a generally vertically extending second peripheral wall and a second cortical bone endplate, wherein the implant comprises:

a first terminal part defining a trailing face, a first bearing surface adapted to bear against a portion of the cortical bone endplate proximate to the first peripheral wall, and an opposite second bearing surface adapted to bear against a portion of the second cortical bone endplate proximate to the second peripheral wall;

a second terminal part opposite said first terminal part, said second terminal part including an anti-expulsion feature and having an insertion face extending from a third bearing surface to a fourth bearing surface, said implant having a longitudinal axis extending through said trailing face of said first terminal part and said insertion face of said second terminal part, and having a cross section in a first plane extending through said first bearing surface and said second bearing surface, and along the longitudinal axis, the first plane bisecting said first bearing surface in two halves;

a first side and an opposite second side, said first side and said second side extending from said first terminal part to said second terminal part, portions of said first side and said second side being substantially flat, said substantially flat portions intersecting a second plane that is perpendicular to the first plane and extends through said insertion face and said trailing face, wherein said substantially flat portions of said first side and said second side are symmetrical about the first plane; and

upper and lower bearing surfaces proximate each of said first and second sides, said upper and lower bearing surfaces proximate said first and second sides being intersected by a third plane that is perpendicular to the first and second planes, a maximum first distance between said upper and lower bearing services proximate said first side measured perpendicular to the second plane and in the third plane being greater than a maximum second distance between said first and second bearing surfaces measured in a direction parallel to the maximum first distance and a maximum third distance between said third and fourth bearing surfaces measured in a direction parallel to the maximum first distance.

20. The implant of claim 19, wherein said first bearing surface and said second bearing surface include at least one anti-expulsion feature.

21. The implant of claim 19, wherein said third bearing surface and said fourth bearing surface include at least one anti-expulsion feature.

22. The implant of claim 19, wherein said second terminal part includes a chamfered edge between said third bearing surface and said insertion face.

23. The implant of claim 19, wherein said second terminal part includes a rounded edge between said third bearing surface and said insertion face.

24. The implant of claim 19, wherein said implant may include a chamber in communication with said bearing surfaces.

25. The implant of claim 19, wherein said implant is adapted to hold bone fusion promoting materials.

26. An implant for insertion between a first vertebra and a second vertebra, the first vertebra having a generally vertically extending first peripheral wall and a first cortical bone endplate and the second vertebra having a generally vertically extending second peripheral wall and a second cortical bone endplate, wherein the implant comprises:

a first terminal part defining a trailing face, a first bearing surface adapted to bear against a portion of the cortical bone endplate proximate to the first peripheral wall, and an opposite second bearing surface adapted to bear against a portion of the second cortical bone endplate proximate to the second peripheral wall;

a second terminal part opposite said first terminal part, said second terminal part including an anti-expulsion feature and having an insertion face extending from a third bearing surface to a fourth bearing surface, said implant having a longitudinal axis extending through said trailing face of said first terminal part and said insertion face of said second terminal part, and having a cross section in a first plane extending through said first bearing surface and said second bearing surface, and along the longitudinal axis, the first plane bisecting said first bearing surface in two halves;

a first side and an opposite second side, said first side and said second side extending from said first terminal part to said second terminal part, said first and second sides intersecting a second plane that is perpendicular to the first plane and extends through said insertion face and said trailing face, wherein a cross section of said implant at the second plane is generally rectangular; and

upper and lower bearing surfaces proximate each of said first and second sides, wherein said upper and lower bearing surfaces proximate said first and second sides are, at least in part, convex relative to the second plane.

27. The implant of claim 26, wherein said first bearing surface and said second bearing surface include at least one anti-expulsion feature.

28. The implant of claim 26, wherein said third bearing surface and said fourth bearing surface include at least one anti-expulsion feature.

29. The implant of claim 26, wherein said second terminal part includes a chamfered edge between said third bearing surface and said insertion face.

30. The implant of claim 26, wherein said second terminal part includes a rounded edge between said third bearing surface and said insertion face.

31. The implant of claim 26, wherein said implant may include a chamber in communication with said bearing surfaces.

32. The implant of claim 26, wherein said implant is adapted to hold bone fusion promoting materials.