Non-linear vertebral mesh

• US 8,298,286 B2
• Filed: 12/19/2006
• Issued: 10/30/2012
• Est. Priority Date: 12/19/2006
• Status: Active Grant

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Trieu, Hai H.
• Primary Examiner(s): Isabella, David
• Assistant Examiner(s): LEVINE, JOSHUA H
• Application Number:
  US11/612,634
• Publication Number:
  US 20080147098A1
• Time in Patent Office: 2,142 Days
• Field of Search: None
• US Class Current: 623/17.11
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/8085 with pliable or malleable elements or having a mesh-like structure, e.g. small strips A61B17/8071, A61B17/8076 take precedence
• CPC Class Codes: A61F 2/30965 Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
• 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 2002/30009 differing in fibre orientations
• CPC Class Codes: A61F 2002/30014 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2002/30069 elastomeric
• CPC Class Codes: A61F 2002/4495 having a fabric structure, e.g. made from wires or fibres
• CPC Class Codes: A61F 2250/0018 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2250/0028 differing in fibre orientations

Abstract

A vertebral augmentation system comprising a biocompatible mesh sheet having a first end and a second end. The mesh sheet includes a plurality of first strands having a first maximum extension intertwined with a plurality of second strands having a second maximum extension. The mesh sheet also includes a first interface portion adapted to contact a first vertebral bone and a second interface portion adapted to contact a second vertebral bone. The plurality of first strands have a greater elasticity than the plurality of second strands, and the plurality of second strands limit the plurality of first strands from reaching the first maximum extension when the first vertebral bone moves relative to the second vertebral bone.

Claims

1. A vertebral augmentation system comprising:

a biocompatible mesh sheet having a first end and a second end and including;

a plurality of first strands, the first strands being elastic strands of an elastic material and having a first end and a second end, the first strands having a first length measured between the first and second ends when in an unstretched condition and having a second length measured between the first and second ends when the elastic material is stretched to a stretched condition,

a plurality of second strands, the second strands being inelastic strands of an inelastic material and having a first end and a second end, the second strands having a first length measured between the first and second ends when the second strands are slack, the second strands being more bent when the inelastic second strands are slack, the second strands having a second length measured between the first and second ends when the second strands are taut, the inelastic second strands being relatively less bent when the strands are taut,

a first interface portion adapted to contact a first vertebral bone, and

a second interface portion adapted to contact a second vertebral bone,

wherein in response to loading applied when the first vertebral bone moves relative to the second vertebral bone, the distance between the first and second ends of the plurality of elastic first strands increases as a result of elastic stretching and the distance between the first and second ends of the plurality of inelastic second strands increases as a result of straightening as the slack decreases and as the second strands become more taut such that the second strands create a stop-limit on the amount of movement of the mesh sheet and on the amount of stretch of the plurality of elastic first strands in a manner that provides the mesh sheet with a non-linear elastic behavior when the first vertebral bone moves relative to the second vertebral bone.

2. The vertebral augmentation system of claim 1 wherein the biocompatible mesh sheet further includes a length, a width, and a depth, each having a different measurement.

3. The vertebral augmentation system of claim 1 wherein the biocompatible mesh sheet further includes a first generally flat surface disposed generally orthogonally relative to a second generally flat surface.

4. The vertebral augmentation system of claim 3 wherein the biocompatible mesh sheet further includes a third generally flat surface disposed generally orthogonally relative to the first and second generally flat surfaces.

5. The vertebral augmentation system of claim 1 wherein the first interface portion is adapted to contact an anterior face of a first vertebral body.

6. The vertebral augmentation system of claim 1 wherein the first interface portion is adapted to contact an endplate of a first vertebral body.

7. The vertebral augmentation system of claim 1 wherein, in an unloaded state, the plurality of second strands is slack.

8. The vertebral augmentation system of claim 1 further comprising a matrix component wherein the biocompatible mesh sheet is at least partially embedded in the matrix component.

9. The vertebral augmentation system of claim 8 wherein the matrix component is an elastic.

10. The vertebral augmentation system of claim 1 further comprising a first connection feature for affixing the first interface portion to the first vertebral bone and a second connection feature for affixing the second interface portion to the second vertebral bone.

11. The vertebral augmentation system of claim 10 wherein the first and second connection features are apertures adapted to receive fixation members.

12. The vertebral augmentation system of claim 11 wherein at least some of the plurality of first or second strands wrap around the apertures.

13. The vertebral augmentation system of claim 1 wherein the biocompatible mesh sheet exhibits the non-linear elastic behavior when subjected to a tensile loading.

14. The vertebral augmentation system of claim 1 wherein when at least some of the plurality of inelastic second strands become taut, further extension of at least some of the plurality of first strands is stopped.

15. The vertebral augmentation system of claim 1 wherein the plurality of first strands have a first unloaded longitudinal length and the plurality of second strands have a second unloaded longitudinal length greater than the first unloaded length.

16. The vertebral augmentation system of claim 1 wherein the biocompatible mesh sheet has a rectangular profile.

17. The vertebral augmentation system of claim 1 wherein the plurality of first strands extends between the first and second ends and the plurality of second strands extends between the first and second ends.

18. The vertebral augmentation system of claim 1 wherein a first axis extends between the first end and the second end and at least some of the plurality of first or second strands extend transverse to the first axis.

19. The vertebral augmentation system of claim 1 wherein the at least one elastic material is a polymer.

20. The vertebral augmentation system of claim 1 wherein the at least one inelastic material is a metal or ceramic.

21. The vertebral augmentation system of claim 1 wherein the plurality of first and second strands are intertwined in at least two dimensions.

22. An artificial anterior spinal ligament system comprising:

a multi-dimensional, bio-compatible mesh of elastic and inelastic strands having a periphery;

the mesh having a first end adapted to engage an anterior face of a first vertebral bone and a second end adapted to engage an anterior face of a second vertebral bone,

wherein the elastic strands extend between the first end and the second end, and are adapted to traverse a space between the first and second vertebral bones, the elastic strands having a first elasticity and a first longitudinal length and a first linear length, the first longitudinal length measured along the longitudinal length of the elastic strands between the first and second ends when in an unstretched condition, the first linear length being measured as a straight line distance between the first end and the second end,

wherein the inelastic strands extend between the first end and the second end, and are adapted to traverse the space between the first and second vertebral bones, the inelastic strands having less elasticity than the elastic strands and a second longitudinal length greater than the first longitudinal length and having a second linear length, the second longitudinal length being measured along the longitudinal length of the inelastic strands and the second linear length being measured as a straight line distance between the first end and the second end, the inelastic strands being arranged to extend between the first and second ends in a slack condition when the mesh is in an unloaded condition, and

wherein when the first and second ends of the mesh move apart, the second longitudinal length of the inelastic strands is relatively unchanged while the second linear length of the inelastic strands increases, and

wherein when the first and second ends of the mesh move apart, the first longitudinal length of the elastic strands increases at substantially the same rate as the first linear length, the first longitudinal length of the elastic strands increasing until the slack in the inelastic strands decreases such that the inelastic strands limit the stretch of the elastic strands and prevent over-extension of the elastic strands.

23. The system of claim 22 wherein the inelastic strands are slack when in a relaxed state and the slack is consumed during extension of the elastic strands and wherein the inelastic strands prevent further extension of the elastic strands when the slack is fully consumed.

24. The system of claim 22 configured to operate according to a non- linear stress-strain elasticity curve.

25. The system of claim 22 further comprising anchor sites, an anchor site disposed at each of the first and second ends, each anchor site configured to receive a fixation element for operably securing the mesh to the vertebral bones.

26. The system of claim 22 wherein the mesh periphery is substantially patterned into a rectangular shape.