Intervertebral implant

• US 8,715,354 B2
• Filed: 10/28/2011
• Issued: 05/06/2014
• Est. Priority Date: 02/06/2003
• Status: Expired due to Term

• Current Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Original Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Inventors: Lechmann, Beat, Burkard, Dominique, Mathieu, Claude, Cain, Christopher Marden John
• Primary Examiner(s): Philogene, Pedro
• Assistant Examiner(s): Schneider, Lynnsy
• Application Number:
  US13/284,676
• Publication Number:
  US 20120109308A1
• Time in Patent Office: 921 Days
• Field of Search: 623 1711- 1716
• US Class Current: 623/17.16
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• 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 2/4465 having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
• CPC Class Codes: A61F 2002/30383 made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
• CPC Class Codes: A61F 2002/30426 Bayonet coupling
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/30517 using a locking plate
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30774 internally-threaded
• CPC Class Codes: A61F 2002/30777 Oblong apertures
• CPC Class Codes: A61F 2002/30843 Pyramidally-shaped
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2310/00023 Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

An intervertebral implant includes a three-dimensional body and a securing plate. The three-dimensional body includes a front surface and a rear surface. The three-dimensional body further includes a plurality of boreholes for accommodating fixation elements. The intervertebral implant also includes a front plate disposed at the front surface of the three-dimensional body and having a plurality of boreholes. A securing plate can be fastened to the front plate.

Claims

1. An intervertebral implant configured to be inserted into an intervertebral space, the intervertebral implant comprising:

(a) an integral one-piece body defining a rear body surface, a front body surface spaced from the rear body surface along a forward direction, an upper body surface, a lower body surface spaced from the upper body surface a first vertical distance with respect to a vertical direction, a first side surface, and a second side surface opposite the first side surface along a lateral direction that is perpendicular to the forward direction, the one-piece body further defining a first portion of the upper body surface that is continuous along the lateral direction from the first side surface to the second side surface, the front body surface further defining a forward-most portion with respect to the forward direction,

wherein the one-piece body is configured such that when the intervertebral implant is inserted into the intervertebral space;

     1) at least a portion of the upper body surface contacts an endplate of an upper vertebral body; and

     2) the lower body surface contacts an endplate of a lower vertebral body; and

(b) a plate comprising a biocompatible, non-bone material, the plate defining a front plate surface and a rear plate surface that is opposite the front plate surface, a first plate hole, and a second plate hole, the first plate hole configured to receive a portion of a first bone fixation element such that the first bone fixation element passes through the endplate of the upper vertebral body, the first plate hole including a first opening in the front plate surface and a first central axis, the first central axis extending centrally through the first plate hole and passing through the first opening, the second plate hole configured to receive a portion of a second bone fixation element such that the second bone fixation element passes through the endplate of the lower vertebral body, the second plate hole including a second opening in the front plate surface and a second central axis, the second central axis extending centrally through the second plate hole and passing through the second opening;

wherein the plate is configured to be mounted to the one-piece body such that a portion of the plate faces the one-piece body and is positioned between the forward-most portion of the front body surface and the rear body surface with respect to the forward direction, and when the plate is mounted to the one-piece body, the first central axis passes through the first opening at a first location that is;

     1) spaced from the upper body surface a second vertical distance with respect to the vertical direction;

     2) spaced from the lower body surface a third vertical distance with respect to the vertical direction, such that the second and third vertical distances are each less than the first vertical distance; and

     3) positioned between the first and second side surfaces with respect to the lateral direction, and the second central axis passes through the second opening at a second location that is;

     1) spaced from the upper body surface a fourth vertical distance with respect to the vertical direction and

     2) spaced from the lower body surface a fifth vertical distance with respect to the vertical direction, such that the fourth and fifth vertical distances are each less than the first vertical distance; and

     3) positioned between the first and second side surfaces with respect to the lateral direction.

2. The intervertebral implant according to claim 1, wherein the plate further defines a recess disposed between the first and second plate holes, and the intervertebral implant further comprises a securing plate configured to be received in the recess, such that when the plate is mounted to the one-piece body, the securing plate at least partially covers the first plate hole and the second plate hole to inhibit the first and second bone fixation elements inserted through the first and second plate holes, respectively, from backing out of the respective first and second plate holes, wherein the securing plate defines a securing plate hole configured to receive a fastener that connects the securing plate to the plate.

3. The intervertebral implant according to claim 2, wherein the securing plate comprises inner threads around the securing plate hole that are configured to mate with threads of the fastener, such that the fastener connects the securing plate to the plate.

4. The intervertebral implant according to claim 2, wherein the recess extends into the front plate surface toward the rear plate surface.

5. The intervertebral implant according to claim 4, wherein the one-piece body further defines a first groove and a second groove, each of the first groove and the second groove extending along the vertical direction between the upper body surface and the lower body surface, each of the first and second grooves configured to receive a portion of the plate to mount the plate to the one-piece body.

6. The intervertebral implant according to claim 5, wherein the first groove is adjacent to a first transition between the first side surface and the front body surface, the second groove is adjacent to a second transition between the second side surface and the front body surface.

7. The intervertebral implant according to claim 6, wherein the plate comprises a first rail and a second rail, such that when the plate is mounted to the one-piece body, the first rail is disposed in the first groove and the second rail is disposed in the second groove.

8. The intervertebral implant according to claim 2, wherein the plate further defines a third plate hole and a fourth plate hole that are configured to receive a third bone fixation element and a fourth bone fixation element, respectively, and the securing plate further at least partially covers the third and fourth plate holes when the securing plate is received in the recess, such that the securing plate inhibits the third and fourth bone fixation elements inserted through the third and fourth plate holes, respectively, from backing out of the respective third and fourth plate holes.

9. The intervertebral implant according to claim 8, wherein the first and third plate holes are disposed closer to the upper body surface than the lower body surface, and the second and fourth plate holes are disposed closer to the lower body surface than the upper body surface.

10. The intervertebral implant according to claim 9, wherein the first and third plate holes extend toward the upper body surface as they extend along an insertion direction from the front body surface to the rear body surface, and the second and fourth plate holes extend toward the lower body surface as they extend along the insertion direction.

11. The intervertebral implant according to claim 8, further comprising the first bone fixation element, the second bone fixation element, the third bone fixation element, and the fourth bone fixation element.

12. The intervertebral implant according to claim 11, wherein the first and third bone fixation elements extend above the upper body surface when they are driven into the first and third plate holes, respectively, and the second and fourth bone fixation elements extend below the lower body surface when they are driven into the second and fourth plate holes, respectively.

13. The intervertebral implant according to claim 1, wherein the one-piece body further comprises teeth protruding from the upper body surface or lower body surface.

14. The intervertebral implant according to claim 1, further comprising the first bone fixation element.

15. The intervertebral implant according to claim 14, wherein the first plate hole is located closer to the upper body surface than the lower body surface, such that the first bone fixation element is configured to be anchored to the upper vertebral body.

16. The intervertebral implant according to claim 15, further comprising the second bone fixation element.

19. The intervertebral implant according to claim 1, wherein the one-piece body is made of a first material, and the plate is made of a second material that is different from the first material.

20. The intervertebral implant according to claim 19, wherein the first material comprises a biocompatible plastic.

21. The intervertebral implant according to claim 19, wherein the second material comprises a metal.

22. The intervertebral implant according to claim 1, wherein the plate is mounted to the front body surface.

23. The intervertebral implant according to claim 1, wherein the one-piece body defines first and second walls that extend between the front body surface and the rear body surface, such that the one-piece body defines a first chamber disposed between the first side surface and the first wall, a second chamber disposed between the first wall and the second wall, and a third chamber disposed between the second wall and the second side surface.

24. The intervertebral implant according to claim 1, wherein when the plate is mounted to the one-piece body, an entirety of the first and second openings are each:

1) spaced from the upper body surface a second vertical distance with respect to the vertical direction; and

     2) spaced from the lower body surface a third vertical distance with respect to the vertical direction, such that the second and third vertical distances are each less than the first vertical distance.

25. The intervertebral implant according to claim 1, wherein when the plate is mounted to the one-piece body, an entirety of at least one of the first and second plate holes is:

1) spaced from the upper body surface a second vertical distance with respect to the vertical direction; and

     2) spaced from the lower body surface a third vertical distance with respect to the vertical direction, such that the second and third vertical distances are each less than the first vertical distance.

26. The intervertebral implant according to claim 25, wherein the one-piece body defines a middle plane positioned equidistantly between the upper body surface and the lower body surface with respect to the vertical direction such that the middle plane does not intersect either the upper body surface or the lower body surface, and the at least one of the first and second plate holes does not intersect the middle plane.

27. The intervertebral implant according to claim 1, wherein the one-piece body further comprises a first borehole open to both the front body surface and the upper body surface, and a second borehole open to both the front body surface and the lower body surface, such that when the plate is mounted to the one-piece body the first borehole is aligned with one of the first and second plate holes and the second borehole is aligned with the other of the first and second plate holes.

28. The intervertebral implant according to claim 1, wherein the upper body surface defines an upper plane and the lower body surface defines a lower plane and wherein when the plate is mounted to the one-piece body, the first and second plate holes are each positioned substantially between the upper plane and the lower plane.

29. The intervertebral implant according to claim 1, wherein the first plate hole includes a third opening in the rear plate surface, the third opening aligned with the first opening such that the first central axis extends centrally through the first plate hole and passes through both the first opening and the third opening, and wherein the second plate hole includes a fourth opening in the rear plate surface, the fourth opening aligned with the second opening such that the second central axis extends centrally through the second plate hole and passes through both the second opening and the fourth opening.

30. The intervertebral implant according to claim 1, wherein the plate is configured to be mounted to the one-piece body such that a portion of the rear plate surface faces the front body surface and is positioned between the forward-most portion of the front body surface and the rear body surface with respect to the forward direction.

17. The intervertebral implant according 16, wherein the second plate hole of the plate is located closer to the lower body surface than the upper body surface, such that the second bone fixation element is configured to be anchored to the lower vertebral body.

18. The intervertebral implant according to claim 17, wherein the first bone fixation element comprises a first head at least partially disposed in the first plate hole, and the second bone fixation element comprises a second head at least partially disposed in the second plate hole.