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• US 8,057,545 B2
• Filed: 08/25/2006
• Issued: 11/15/2011
• Est. Priority Date: 08/25/2006
• Status: Active Grant

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Hughes, Chris, Rice, Robert, Allard, Randall
• Primary Examiner(s): WOODALL, NICHOLAS W
• Application Number:
  US11/467,355
• Publication Number:
  US 20080058939A1
• Time in Patent Office: 1,908 Days
• Field of Search: 606/246, 623 1711- 1716
• US Class Current: 623/17.11
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/30771 applied in original prostheses, e.g. holes or grooves
• 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 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 2002/30187 D-shaped or half-disc-shaped
• CPC Class Codes: A61F 2002/30331 made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/3069 Revision endoprostheses
• CPC Class Codes: A61F 2002/30736 Augments or augmentation pieces, e.g. wedges or blocks for bridging a bone defect
• CPC Class Codes: A61F 2002/30772 Apertures or holes, e.g. of circular cross section
• CPC Class Codes: A61F 2002/30818 castellated or crenellated
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30884 Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• 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 2230/0034 : D-shaped
• CPC Class Codes: A61F 2310/00353 : Bone cement, e.g. polymethylmethacrylate or PMMA
• CPC Class Codes: A61F 2310/00359 : Bone or bony tissue
• 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: A61F 2310/00976 : Coating or prosthesis-covering structure made of proteins or of polypeptides, e.g. of bone morphogenic proteins BMP or of transforming growth factors TGF

Abstract

An intervertebral fusion device for promoting fusion of first and second vertebrae comprises first and second endplate modules. Each endplate module includes an outer surface adapted to interface with vertebral bone and an opposite inner surface. The endplate modules further include an attachment feature. A central module is adapted to extend between the first and second endplate modules and is further adapted for connection with the attachment feature. A through passage extends through the outer and inner surfaces of the each of the first and second endplates and through the central module.

Claims

1. An intervertebral fusion device for promoting fusion of first and second vertebrae, the device comprising:

first and second endplate modules, each including an outer surface adapted to interface with vertebral bone, an opposite inner surface, a retaining wall extending from the inner surface, and an attachment feature, wherein a keel extends from a central portion of the outer surface;

a central module adapted to extend between the first and second endplate modules and further adapted for connection with the attachment feature, the central module having an upper surface, a lower surface, an outer wall, and an inner wall, the inner wall defining an opening between the upper surface and the lower surface such that when the central module is positioned between the first and second endplate modules and connected with the attachment features of the first and second endplate modules the retaining walls of the first and second endplate modules are positioned within the opening of the central module to maintain the central module in a fixed position relative to the first and second endplate modules,

wherein a pair of through passages extends through the outer and inner surfaces of the each of the first and second endplates such that the through passages are in communication with the opening of the central module when the central module is positioned between the first and second endplate modules and connected with the attachment features of the first and second endplate modules, wherein the pair of through passages are positioned on either side of the keel such that the keel separates the pair of through passages.

2. The intervertebral fusion device of claim 1 wherein the outer surfaces of the first and second endplate modules are planar.

3. The intervertebral fusion device of claim 1 wherein the attachment feature is a snap lock.

4. The intervertebral fusion device of claim 1 wherein the connection between the attachment feature and the central module is releasable.

5. The intervertebral fusion device of claim 1 wherein the central module comprises ports adapted to receive an insertion tool.

6. The intervertebral fusion device of claim 1 wherein the outer surface of at least one of the endplate modules is porous.

7. The intervertebral fusion device of claim 1 wherein the outer surface of at least one of the endplate modules includes a hydroxyapatite coating.

8. The intervertebral fusion device of claim 1 wherein the outer surface of at least one of the endplate modules includes a titanium plasma spray.

9. A prosthetic spinal device, comprising:

a lower endplate module having an outer surface sized and shaped for engaging an lower vertebra, an inner surface opposite the outer surface, the inner surface including a protrusion and an attachment feature, at least two passages extending through the lower endplate module from the outer surface to the inner surface, and an engagement feature extending from the outer surface and positioned between the at least two passages;

an upper endplate module having an outer surface sized and shaped for engaging an upper vertebra, an inner surface opposite the outer surface, at least two passages extending through the upper endplate module from the outer surface to the inner surface, and an engagement feature extending from the outer surface and positioned between the at least two passages; and

a central module sized and shaped to be positioned between the upper and lower endplate modules, the central module having an upper surface for engaging with the inner surface of the upper endplate module, a lower surface for engaging with the inner surface of the lower endplate module, an outer wall, and an inner wall, the inner wall defining a single passage between the upper surface and the lower surface such that when the central module is positioned between the upper and lower endplate modules the protrusion of the lower endplate module the single passage of the central module to maintain the central module in a fixed position relative to the lower endplate module and such that the at least two passages of each of the upper and lower endplate modules are aligned with the single passage of the central module.

10. The prosthetic spinal device of claim 9, wherein the engagement feature is a keel.

11. The prosthetic spinal device of claim 10, wherein the protrusion of the lower endplate module surrounds the at least two passages of the lower endplate module.

12. The prosthetic spinal device of claim 11, wherein the protrusion has a D-shaped profile.

13. The prosthetic spinal device of claim 12, wherein the passage of the central module has a D-shaped profile.

14. The prosthetic spinal device of claim 13, wherein the attachment feature extends from a portion of the protrusion.

15. The prosthetic spinal device of claim 9, wherein the inner surface of the upper endplate module includes a protrusion and an attachment feature.

16. The prosthetic spinal device of claim 15, wherein the protrusions of the upper and lower endplate modules have a D-shaped profile that matches the profile of the passage of the central module.

17. The prosthetic spinal device of claim 16, wherein the first and second endplate modules have an outer profile shape that is different than an outer profile shape of the central module.

18. The prosthetic spinal device of claim 17, wherein the outer profile shape of the central module is D-shaped.

19. An intervertebral fusion device for promoting fusion of first and second vertebrae, the device comprising:

a first endplate module having;

a body portion defining an outer surface configured for engagement with a vertebra, an opposing inner surface, and a pair of openings extending through the body portion from the outer surface to the inner surface;

a D-shaped retaining wall extending from the inner surface, wherein the pair of openings are positioned within a boundary defined by the D-shaped retaining wall; and

a bone-engaging protrusion extending from the outer surface and configured for engagement with the vertebra, the bone-engaging protrusion positioned between the pair of openings;

a second endplate module having;

a body portion defining an outer surface configured for engagement with a vertebra, an opposing inner surface, and a pair of openings extending through the body portion from the outer surface to the inner surface;

a D-shaped retaining wall extending from the inner surface, wherein the pair of openings are positioned within a boundary defined by the D-shaped retaining wall; and

a bone-engaging protrusion extending from the outer surface and configured for engagement with the vertebra, the bone-engaging protrusion positioned between the pair of openings;

a central module sized and shaped to be positioned between and engaged with the first and second endplate modules, wherein the central module includes a single central passage extending between an upper surface and a lower surface such that when the central module is positioned between and engaged with the first and second endplate modules the pair of openings of each of the first and second endplate modules are in communication with the single central passage of the central module.

20. The intervertebral fusion device of claim 19, wherein the bone-engaging protrusion of the first endplate module is configured to slidingly engage the vertebra along an axis that is perpendicular to a longitudinal axis of the single central passage of the central module.

21. The intervertebral fusion device of claim 20, wherein each of the first and second endplate modules include attachment features for fixedly engaging with the central module to prevent separation of the first and second endplate modules from the central module along the longitudinal axis of the single central passage of the central module.

22. The intervertebral fusion device of claim 20, wherein the single central passage has a D-shape cross-sectional profile matching the D-shaped retaining walls of the first and second endplate modules.

23. The prosthetic spinal device of claim 19, wherein the first and second endplate modules have an outer profile shape that is different than an outer profile shape of the central module.

24. The prosthetic spinal device of claim 23, wherein the outer profile shape of the central module is D-shaped.