Intersomatic cage, intervertebral prosthesis, anchoring device and implantation instruments

• US 9,795,485 B2
• Filed: 12/31/2012
• Issued: 10/24/2017
• Est. Priority Date: 06/08/2007
• Status: Active Grant

• Current Assignee: LDR Medical
• Original Assignee: LDR Medical
• Inventors: Allain, Jerome, Lombard, Jean, Phelps, Jeff, Nunley, Pierce, Gordon, Charles, Leone, Vincent, Hisey, Michael
• Primary Examiner(s): Willse, David H
• Application Number:
  US13/732,244
• Publication Number:
  US 20140114413A1
• Time in Patent Office: 1,758 Days
• Field of Search: 411356, 411358, 4114513, 411456, 411459, 411468, 411472
• CPC Class Codes: A61B 17/0642 for bones, e.g. for osteosynthesis or connecting tendon to bone
• CPC Class Codes: A61B 17/809 with bone-penetrating elements, e.g. blades or prongs bone staples A61B17/0642; intramedullary nails with a plate at an end A61B17/7233
• CPC Class Codes: A61F 2/30749 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2/4425 made of articulated components
• 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 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 2002/30112 Rounded shapes, e.g. with rounded corners
• CPC Class Codes: A61F 2002/30116 partial circles, i.e. circular segments
• CPC Class Codes: A61F 2002/302 toroidal, e.g. rings
• 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 2002/30517 using a locking plate
• CPC Class Codes: A61F 2002/30576 with extending fixation tabs
• 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 2002/30601 telescopic
• CPC Class Codes: A61F 2002/30622 Implant for fusing a joint or bone material
• CPC Class Codes: A61F 2002/30662 : with rotation-limiting means
• CPC Class Codes: A61F 2002/30777 : Oblong apertures
• CPC Class Codes: A61F 2002/30782 : inclined obliquely
• CPC Class Codes: A61F 2002/30845 : with cutting edges
• CPC Class Codes: A61F 2002/30879 : Ribs
• CPC Class Codes: A61F 2002/30884 : Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2002/30889 : Arcuate pegs
• CPC Class Codes: A61F 2002/30904 : serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2002/443 : having two transversal endplates and at least one intermediate component
• CPC Class Codes: A61F 2002/448 : comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants
• CPC Class Codes: A61F 2002/4629 : connected to the endoprosthesis or implant via a threaded connection
• CPC Class Codes: A61F 2002/4681 : by applying mechanical shocks, e.g. by hammering
• 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 2230/0004 : Rounded shapes, e.g. with rounded corners
• CPC Class Codes: A61F 2230/0006 : circular
• CPC Class Codes: A61F 2230/0065 : toroidal, e.g. ring-shaped, doughnut-shaped

Abstract

An intersomatic cage, an intervertebral prosthesis, an anchoring device and an instrument for implantation of the cage or the prosthesis and the anchoring device are provided. An intersomatic cage or an intervertebral prosthesis fit closely to the anchoring device, which includes a body of elongated shape on a longitudinal axis, of curved shape describing, along the longitudinal axis, an arc whose dimensions and radius of curvature are designed in such a manner that the anchoring device may be implanted in the vertebral plate of a vertebra by presenting its longitudinal axis substantially along the plane of the intervertebral space, where the anchoring device is inserted, by means of the instrument, through a slot located in at least one peripheral wall of the cage or on at least one plate of the intervertebral disc prosthesis to penetrate into at least one vertebral plate.

Claims

1. A fusion cage system configured for implantation in the intervertebral space between adjacent vertebrae and the fusing of the adjacent vertebrae, the fusion cage system comprising:

a cage comprising

a peripheral wall, the peripheral wall comprising a top surface, a bottom surface, and an exterior face disposed between the top surface and the bottom surface, and

an enclosed channel extending from an opening in the exterior face toward the top surface; and

an anchor comprising a curved plate having a radius of curvature along a longitudinal axis of the anchor extending from a penetration end of the anchor to an impaction end of the anchor, with the orientation of the penetration end and the orientation of the impaction end forming a fixed angle established by the radius of curvature,

the anchor being movable between

a withdrawn position in which the anchor is completely removed from the channel with the fixed angle in a first orientation, and

an inserted position in which the anchor is inserted in the channel with the penetration end projecting above the top surface, a portion of the curved plate extending through the channel, the impaction end disposed adjacent to the opening in the exterior face, and the fixed angle remaining constant but rotated to a second orientation.

2. The fusion cage system of claim 1 in which the anchor comprises a lug projecting from the side of the plate and the channel comprises a recess disposed along the exterior face sized to accept the lug with the anchor in the inserted position.

3. The fusion cage system of claim 1 in which the anchor comprises a flexible lock projecting from the side of the plate and the channel comprises a receptacle sized to admit a projecting end of the lock, with the lock movable between a compressed position in which the anchor is removable from the channel and an extended position in which the lock is disposed in the receptacle and the anchor is locked in the inserted position in the channel.

4. The fusion cage system of claim 3 in which the anchor comprises a lug projecting from the side of the plate and the channel comprises a recess disposed along the exterior face sized to accept the lug with the anchor in the inserted position.

5. The fusion cage system of claim 4 in which the plate comprises notches orientated to oppose withdrawal of the anchor from a vertebra after the penetration end is driven into the vertebra.

6. The fusion cage system of claim 4 in which the anchor is movable between the withdrawn position to the inserted position in an insertion direction, and the top surface of the peripheral wall comprises an array of linear grooves oriented angularly to the insertion direction.

7. The fusion cage system of claim 6 in which a cavity of the cage comprises an interior face and a brace that traverses the cavity from a first point on the interior face to a second point on the interior face.

8. The fusion cage system of claim 7 in which the brace comprises a top surface extending the top surface of the peripheral wall across the cavity, and in which the top surface of the brace comprises array of linear grooves oriented in the same direction as the array of linear grooves disposed on the top surface of the peripheral wall.

9. The fusion cage system of claim 1 in which a leading edge of the penetration end is bifurcated by a notch.

10. The fusion cage system of claim 1 in which the radius of curvature is constant along the longitudinal axis.

11. The fusion cage system of claim 1 in which the radius of curvature differs at different points along the longitudinal axis.

12. A fusion device configured for implantation in the intervertebral space between adjacent vertebrae and the fusing of the adjacent vertebrae, the fusion device comprising:

a fusion cage comprising

a peripheral wall, the peripheral wall comprising a top surface, a bottom surface, and an exterior face disposed between the top surface and the bottom surface,

a first passage extending from a first opening in the exterior face toward the top surface, and

a second passage extending from a second opening in the exterior face toward the bottom surface; and

a first anchor and a second anchor separate from and independently movable with respect to the first anchor, each of the first and second anchors comprising a curved plate having a radius of curvature along a longitudinal axis of the anchor extending from a leading end of the anchor to a trailing end of the anchor, with the orientation of the leading end and the orientation of the trailing end forming a fixed angle established by the radius of curvature,

with the first anchor being movable between

a first withdrawn position in which the fixed angle of the first anchor is disposed in a first withdrawn orientation and the leading end of the first anchor does not extend above the top surface, and

a first inserted position in which the first anchor is inserted in the first passage with the leading end of the first anchor projecting above the top surface, a portion of the curved plate of the first anchor extending through the first passage, the trailing end of the first anchor disposed adjacent to the first opening in the exterior face, and the fixed angle of the first anchor remaining constant but rotated to a first inserted orientation that is angularly offset to the first withdrawn orientation, and

with the second anchor being movable between

a second withdrawn position in which the fixed angle of the second anchor is disposed in a second withdrawn orientation and the leading end of the second anchor does not extend above the bottom surface, and

a second inserted position in which the second anchor is inserted in the second passage with the leading end of the second anchor projecting below the bottom surface, a portion of the curved plate of the second anchor extending through the second passage, the trailing end of the second anchor disposed adjacent to the second opening in the exterior face, and the fixed angle of the second anchor remaining constant but rotated to a second inserted orientation that is angularly offset to the second withdrawn orientation.

13. The fusion device of claim 12 in which the first anchor comprises a first lug projecting from the trailing end of the first plate and the first passage comprises a recess disposed along the exterior face sized to accept the lug with the first anchor in the first inserted position.

14. The fusion device of claim 13 in which the first anchor comprises a second lug projecting from a side of the first anchor.

15. The fusion device of claim 12 in which the radius of curvature of the first anchor is constant along the longitudinal axis of the first anchor.

16. The fusion device of claim 12 in which the radius of curvature of the first anchor differs at different points along the longitudinal axis of the first anchor.

18. The spinal treatment device of claim 16 in which the curved plate has a radius of curvature that is constant between the first and second ends.

19. The spinal treatment device of claim 16 in which the curved plate has a radius of curvature that varies between the first and second ends.

20. The spinal treatment device of claim 16 in which the passage extends linearly from the opening toward the adjacent vertebral contact surface.

21. The spinal treatment device of claim 16 in which the passage extends curvilinearly from the opening toward the adjacent vertebral contact surface.

17. A spinal treatment device comprising:

a cage configured for fusible implantation in a gap between a first vertebra and a second vertebra, the cage comprising plural vertebral contact surfaces and a passage extending from an opening on a side of the cage toward a first one of the vertebral contact surfaces of the cage; and

an anchor elongated between first and second ends disposed at opposite ends of the anchor, with the anchor formed as a curved plate extending between the first and second ends and having a fixed angle established by the angular orientation of the first and second ends, the anchor being disposable through the passage and having a withdrawn position in which the fixed angle has a first orientation and an inserted position in which the fixed angle has a second orientation with the first end of the anchor disposed outside the passage adjacent to the first one of the vertebral contact surfaces of the cage and the second end of the anchor disposed proximal to the opening on the side of the cage.