Implant kit for supporting a spinal column

• US 8,414,614 B2
• Filed: 10/20/2006
• Issued: 04/09/2013
• Est. Priority Date: 10/22/2005
• Status: Active Grant

• Current Assignee: Depuy International Limited (Johnson & Johnson)
• Original Assignee: Depuy International Limited (Johnson & Johnson)
• Inventors: Firkins, Paul, Sanders, Marc
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): COMSTOCK, DAVID C
• Application Number:
  US12/090,806
• Publication Number:
  US 20090222042A1
• Time in Patent Office: 2,363 Days
• Field of Search: 606/246, 606/255, 606/257, 606/258, 606/259, 606/260, 606/261, 606/262, 606/264, 606/265, 606/270, 606/273, 606/278, 606/301, 606/305, 606/308, 606/78, 606/90, 606/105, 403/362, 411/393
• US Class Current: 606/246
• CPC Class Codes: A61B 17/7004 with a cross-section which varies along its length A61B17/7019 takes precedence
• CPC Class Codes: A61B 17/7005 Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit in the screw or hook heads
• CPC Class Codes: A61B 17/701 Longitudinal elements with a non-circular, e.g. rectangular, cross-section A61B17/7005, A61B17/7007 take precedence
• CPC Class Codes: A61B 17/7011 Longitudinal element being non-straight, e.g. curved, angled or branched adjustable length longitudinal elements A61B17/7014; A61B17/7019 takes precedence, e.g. coil springs
• CPC Class Codes: A61B 17/7014 with means for adjusting the distance between two screws or hooks
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 17/7043 with a longitudinal element fixed to one or more transverse elements which connect multiple screws or hooks
• CPC Class Codes: A61B 17/705 for linking adjacent ends of longitudinal elements
• CPC Class Codes: A61B 2017/00862 elastic or resilient for sutures A61B2017/0618
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014

Abstract

An implant kit for supporting a spinal column comprises at least first and second support elements (8, 10, 12) for fixation to vertebrae of a spinal column, extending generally along the spinal column between spaced apart vertebrae. The kit includes a plurality of fixation devices for (i) fixing the support elements to one another in an end-to-end arrangement and (ii) fixing the support elements to the vertebrae. At least the first support element is formed from a material which exhibits shape memory properties.

Claims

1. An implant kit for supporting a spinal column, which comprises:

a. at least first and second support elements for fixation to vertebrae of a spinal column, extending generally along the spinal column between spaced apart vertebrae,

b. a plurality of fixation devices for (i) fixing the support elements to one another in an end-to-end arrangement and (ii) fixing the support elements to the vertebrae,

wherein the material of the first support element is different from the material of the second support element, and the first support element is formed from a metal which exhibits thermally initiated shape memory properties and the second support element is formed from a metal which does not exhibit thermally initiated shape memory properties, the metal of the first support element having an A_f temperature between about 20°

C. and about 32°

C. such that the metal of the first support element may be cooled to a martensitic state, bended to conform to the spinal column in a pre-corrected state, and heated to an austenitic state to apply a corrective force to the spinal column.

2. A kit as claimed in claim 1, in which the first support element is longer than the second support element.

3. A kit as claimed in claim 1, in which the angle between the end portions of the first support element is greater than the angle between the end portions of the second support element, the angles being measured prior to implantation.

4. A kit as claimed in claim 3, in which the difference between (a) the angle between the end portions of the first support element and (b) the angle between the end portions of the second support element is at least about 20°

.

5. A kit as claimed in claim 1, in which at least one of the fixation devices includes (a) a first connection feature by which the device can be connected to the first support element, and (b) a second connection feature by which the device can be connected to the second support element.

6. A kit as claimed in claim 5, in which the said fixation device includes a third connection feature by which the device can be fixed to a vertebra.

7. A kit as claimed in claim 1, in which at least one of the fixation devices comprises a socket portion which is located at or towards one end of one of the support elements, into which the end of the other of the support elements can be inserted in order to fix the support elements to one another in an end-to-end arrangement.

8. A kit as claimed in claim 7, in which the said socket portion is permanently attached to the support element on which it is located.

9. A kit as claimed in claim 1, in which at least one of the fixation devices includes (a) a first connection feature by which the device can be connected to one of the first and second support elements, and (b) a second connection feature by which the device can be fixed to a vertebra.

10. A kit as claimed in claim 1, in which the shape of the first support element when viewed in cross section is different from the shape of the second support element when viewed in cross-section.

11. A kit as claimed in claim 1, in which the cross-section of at least one of the first and second support elements is non-round.

12. A kit as claimed in claim 1, in which the first support element is formed from a nickel-titanium based alloy.

13. An implant kit for supporting a spinal column, which comprises:

at least first and second spinal rods for fixation to vertebrae of a spinal column, extending generally along the spinal column between spaced apart vertebrae,

a plurality of bone anchors for fixing the spinal rods to the vertebrae and a plurality of spinal rod connectors for fixing the spinal rods to one another, the plurality of bone anchors including a plurality of bone screws each having a proximal channel for receiving one of the spinal rods and a distal threaded shaft for screwing into the vertebra, the plurality of spinal rod connectors including one or more tandem rod connectors permitting the connection of two spinal rods in an side-by-side relationship,

wherein the material of the first spinal rod is different from the material of the second spinal rod, and the first spinal rod is formed from a metal which exhibits thermally initiated shape memory properties and the second spinal rod is formed from a metal which does not exhibit thermally initiated shape memory properties, the metal of the first spinal rod having an A_f temperature between about 20°

C. and about 32°

C. such that the metal of the first spinal rod may be cooled to a martensitic state, bended to conform to the spinal column in a pre-corrected state, and heated to an austenitic state to apply a corrective force to the spinal column through the bone anchors.

14. A kit as claimed in claim 13, wherein the plurality of bone anchors further comprises a plurality of bone hooks having a proximal channel for receiving of the spinal rods and a distal hook for engaging one of the vertebra.

15. A kit as claimed in claim 13, wherein the first spinal rod has a first cross section and the second spinal rod has a second cross section distinct from the first cross section.

16. A kit as claimed in claim 15, wherein the plurality of bone screws includes a set of bone screws having a channel corresponding to the first cross section of the first spinal rod and a set of bone anchors having a channel corresponding to the second cross section of the second spinal rod.

17. A kit as claimed in claim 16, wherein at least one of the tandem rod connectors includes a housing having two parallel bores therethrough, one of the bores having a cross-sectional shape corresponding to the first cross section of the first spinal rod and the other bore having a cross section corresponding to the second cross section of the second spinal rod.

18. A kit as claimed in claim 17, wherein the first cross section includes two opposed planar side surfaces and the second cross section is circular.

19. A kit as claimed in claim 18, wherein the first cross section is rectilinear.

20. A kit as claimed in claim 18, wherein the first cross section is trapezoidal.