Total artificial spino-laminar prosthetic replacement

• US 9,901,455 B2
• Filed: 12/31/2010
• Issued: 02/27/2018
• Est. Priority Date: 11/25/2009
• Status: Active Grant

• Current Assignee: Moskowitz Family LLC
• Original Assignee: Nathan C. Moskowitz
• Inventors: Moskowitz, Nathan C., Moskowitz, Mosheh T., Sugalski, Eric, Moskowitz, Ahmnon D.
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): ECKMAN, MICHELLE CHRISTINE
• Application Number:
  US12/983,107
• Publication Number:
  US 20110125269A1
• Time in Patent Office: 2,615 Days
• Field of Search: 623 1711- 1716, 606246, 606248-249
• CPC Class Codes: A61B 17/7071 Implants for expanding or repairing the vertebral arch or wedged between laminae or pedicles; Tools therefor
• CPC Class Codes: A61F 2/4405 for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes devices implanted between spinous or transverse processes A61B17/7062
• CPC Class Codes: A61F 2002/30471 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2002/30563 having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30624 Hinged joint, e.g. with transverse axle restricting the movement
• CPC Class Codes: A61F 2002/30649 Ball-and-socket joints
• CPC Class Codes: A61F 2002/30948 using computerized tomography, i.e. CT scans
• CPC Class Codes: A61F 2002/30952 using CAD-CAM techniques or NC-techniques
• CPC Class Codes: A61F 2002/449 comprising multiple spinal implants located in different intervertebral spaces or in different vertebrae
• CPC Class Codes: A61F 2310/00023 Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

A total artificial spinous process (spino)-laminar prosthesis (TASP-LP) including a body having a portion forming a spinous process extending away from the body, a first lamina portion extending from a first side of the body, and a second lamina portion extending from a second side of the body, wherein the first lamina portion and the second lamina portion are disposed on opposite sides of the spinous process.

Claims

1. A total artificial spinous process (spino)-laminar prosthesis (TASP-LP) comprising:

a body having an anterior side configured to face a spinal element and a posterior side configured to face away from the spinal element;

a spinous process mimicking portion extending away from the posterior side of the body and terminating at a lobe at a distal end of the prosthesis, wherein the lobe is one of a bifid lobe and a monofid lobe and the terminal end of the lobe is offset from the body;

first and second lamina mimicking portions extending from the anterior side of the body and terminating in a first laminar mounting base and a second laminar mounting base, respectively, at a proximal end of the prosthesis, the first and second laminar mounting bases configured to couple the first and second lamina mimicking portions to a first part of a natural lamina of the spinal element and a second part of the natural lamina, respectively,

wherein the first lamina mimicking portion and the second lamina mimicking portion are disposed on opposite sides of the spinous process.

2. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, wherein the spinous process mimicking portion includes an opening for muscle or fascia suture attachment.

3. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, wherein the spinous process mimicking portion includes a plurality of openings for muscle or fascia suture attachment.

4. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, wherein the lobe is the bifid lobe mimicking a natural anatomy of a bifid spinal element.

5. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 4, wherein each lobe of the bifid lobe includes an opening for muscle or fascia suture attachment.

6. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, wherein the lobe is the monofid lobe mimicking a natural anatomy of a monofid spinal element.

7. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, wherein each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion include an opening for receiving an attachment device for securing the first lamina mimicking portion and the second lamina mimicking portion to the first and second parts of the natural lamina of the spinal element.

8. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 7, further comprising:

the attachment device engaging the opening.

9. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 8, wherein the attachment device includes one of a translaminar screw, a flathead screw, and a self-tapping screw.

10. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 8, wherein the attachment device includes one of a pin and a staple.

11. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 10, wherein the pin or the staple includes a flat portion, a round portion, a portion having hooks, or a portion having ridges.

12. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 8, wherein a surface of each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion includes a recess surrounding the opening for receiving a head of the attachment device such that the head of the attachment device is countersunk into or flush with the surface.

13. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 8, wherein a surface of each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion engages the attachment device to lock the attachment device with the surface.

14. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1,

wherein each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion includes a plurality of openings for receiving attachment devices.

15. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 14, further comprising:

a plurality of attachment devices respectively engaging the plurality of openings.

16. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, wherein each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion includes an underside facing away from the body and having a contoured portion.

17. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 16, wherein a first contour of the contoured portion of the underside of the first laminar mounting base of the first lamina mimicking portion is different than a second contour of the contoured portion of the underside of the second laminar mounting base of the second lamina mimicking portion.

18. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1,

wherein each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion includes a relief opening or groove that permits each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion to flex.

19. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1,

wherein each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion includes a pair of openings for receiving attachment devices, and

wherein each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion include a relief opening or groove between the pair of openings that permits each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion to flex along an area adjacent to each of the pair of openings.

20. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1,

wherein each of the first lamina mimicking portion and the second lamina mimicking portion includes a thinned portion having a thickness that is less than a thickness of an adjacent portion, thereby permitting each of the first lamina mimicking portion and the second lamina mimicking portion to flex at the thinned portion.

21. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1,

wherein the first laminar mounting base includes a first hinged extension that is movable with respect to the first lamina mimicking portion and wherein the second laminar mounting base includes a second hinged extension that is movable with respect to the second lamina mimicking portion.

22. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 21, further comprising:

a first hinge pin rotatably coupling the first hinged extension to the first lamina mimicking portion; and

a second hinge pin rotatably coupling the second hinged extension to the second lamina mimicking portion,

wherein each of the first hinged extension and the second hinged extension is pivotable with respect to the first lamina mimicking portion and the second lamina mimicking portion, respectively, for allowing individualized alignment of the first hinged extension and the second hinged extension with the first and second parts of the natural laminar having differing inclines.

23. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 21, wherein each of the first hinged extension and the second hinged extension is pivotable between a neutral position that is parallel to a plane of the first lamina mimicking portion and the second lamina mimicking portion, respectively, an elevated position that is at a positive angle with respect to the plane, and a depressed position that is at a negative angle with respect to the plane.

24. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, wherein the spinous process mimicking portion comprises a first spinous process portion and a second spinous process portion,

wherein the first spinous process portion and the second spinous process portion are pivotable with respect to each other to change a distance between the first lamina mimicking portion and the second lamina mimicking portion, thereby allowing for accommodating for different laminectomy widths.

25. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 24, comprising:

a spinous process hinge rotatably coupling the first spinous process portion and the second spinous process portion.

26. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, further comprising:

a first hinged extension that is movable with respect to the first lamina mimicking portion and a second hinged extension that is movable with respect to the second lamina mimicking portion,

wherein the spinous process comprises a first spinous process portion and a second spinous process portion, and

wherein the first spinous process portion and the second spinous process portion are pivotable with respect to each other to change a distance between the first lamina mimicking portion and the second lamina mimicking portion.

27. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, further comprising:

a first hinged extension that is movable with respect to the first lamina mimicking portion;

a first hinge pin rotatably coupling the first hinged extension to the first lamina mimicking portion;

a second hinged extension that is movable with respect to the second lamina mimicking portion;

a second hinge pin rotatably coupling the second hinged extension to the second lamina mimicking portion,

wherein each of the first hinged extension and the second hinged extension is pivotable with respect to the first lamina mimicking portion and the second lamina mimicking portion, respectively, for allowing individualized alignment of the first hinged extension and the second hinged extension with the first and second parts of the natural laminar having differing inclines, and

wherein the spinous process comprises;

a first spinous process portion;

a second spinous process portion, and

a spinous process hinge rotatably coupling the first spinous process portion and the second spinous process portion,

wherein the first spinous process portion and the second spinous process portion are pivotable about the spinous process hinge to change a distance between the first lamina mimicking portion and the second lamina mimicking portion for allowing for accommodating of different laminectomy widths.

28. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, wherein one of the body, the spinous process mimicking portion, the first lamina mimicking portion, and the second lamina mimicking portion comprises at least one of titanium and a bio-compatible material.

29. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, comprising:

a second body having a second spinous process mimicking portion extending away from the second body;

a third lamina mimicking portion extending from a first side of the second body;

a fourth lamina mimicking portion extending from a second side of the second body,

wherein the third lamina mimicking portion and the fourth lamina mimicking portion are disposed on opposite sides of the second spinous process mimicking portion;

a first bridge coupling the first lamina mimicking portion of the body to the third lamina mimicking portion of the second body; and

a second bridge coupling the second lamina mimicking portion of the body to the fourth lamina mimicking portion of the second body.

30. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 29, wherein the first lamina mimicking portion of the body is integrally formed with the third lamina mimicking portion of the second body;

and

wherein the second lamina mimicking portion of the body is integrally formed with the fourth lamina mimicking portion of the second body.

31. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 29, comprising:

a third body having a third spinous process mimicking portion extending away from the third body;

a fifth lamina mimicking portion extending from a first side of the third body;

a sixth lamina mimicking portion extending from a second side of the third body,

wherein the fifth lamina mimicking portion and the sixth lamina portion are disposed on opposite sides of the third spinous process mimicking portion;

a third bridge coupling the third lamina mimicking portion of the second body to the fifth lamina mimicking portion of the third body; and

a fourth bridge coupling the fourth lamina mimicking portion of the second body to the sixth lamina mimicking portion of the third body.

32. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, comprising:

a second body having a second spinous process mimicking portion extending away from the second body;

a third lamina portion extending from a first side of the second body;

a fourth lamina portion extending from a second side of the second body,

wherein the third lamina portion and the fourth lamina portion are disposed on opposite sides of the second spinous process; and

a connecting bridge coupling the spinous process of the body to the second spinous process of the second body.

33. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 32, comprising:

a second body having a second spinous process mimicking portion extending away from the second body;

a third lamina mimicking portion extending from a first side of the second body;

a fourth lamina mimicking portion extending from a second side of the second body,

wherein the third lamina mimicking portion and the fourth lamina mimicking portion are disposed on opposite sides of the second spinous process mimicking portion; and

a connecting bridge coupling the spinous process mimicking portion of the body to the second spinous process mimicking portion of the second body.

34. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 32, wherein the spinous process mimicking portion of the body is integrally formed with the second spinous process mimicking portion of the second body.

35. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, wherein one of the body, the spinous process mimicking portion, the first lamina mimicking portion, and the second lamina mimicking portion comprises a cavity or area for receiving bone material.

36. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, wherein one of the body, the spinous process mimicking portion, the first lamina mimicking portion, and the second lamina mimicking portion comprises an opening for muscle or fascia suture attachment.

37. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, wherein an overall shape, a height, a width, an orientation, and an angulation of the body, the spinous process mimicking portion, the first lamina mimicking portion, and the second lamina mimicking portion mimics an overall shape, a height, a width, an orientation, and an angulation of a natural spine portion based on a 3-dimensional computer rendition of the natural spine portion.

38. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1,

wherein the spinous process mimicking portion extends from the body along a vertical axis of the body,

wherein the first lamina mimicking portion and the second lamina mimicking portion extend downward and outward away from the anterior side of the body and at a first angle with respect to the vertical axis of the body and a horizontal axis of the body,

wherein the lobe extends upward and rearward away from the posterior side of the body and at a second angle with respect to the vertical axis of the body and the horizontal axis of the body,

wherein each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion includes an underside facing away from the anterior side of the body and having a contoured underside portion, and

wherein each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion extend away from the body along the horizontal axis of the body.

39. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 38, wherein each of the underside of the first laminar mounting base of the first lamina mimicking portion and the underside of the second laminar mounting base of the second lamina mimicking portion of the second laminar mounting base include a pair of openings for receiving an attachment device for securing the first lamina mimicking portion and the second lamina mimicking portion to the first and second parts of the natural lamina of the spinal element.

40. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 1, wherein the terminal end of the lobe is offset from the body in a first direction and an end of each of the first and second laminar mounting bases is offset from the body in a second direction that is opposite the first direction.

41. A total artificial spinous process (spino)-laminar prosthesis (TASP-LP) comprising:

at least two of a first module, a second module, and a third module,

wherein each of the first module, the second module, and the third module comprises;

a body having an anterior side configured to face a spinal element and a posterior side configured to face away from the spinal element;

a spinous process mimicking portion extending away from the posterior side of the body and terminating at a lobe at a distal end of the prosthesis, wherein the lobe is one of a bifid lobe and a monofid lobe;

first and second lamina mimicking portions extending from the anterior side of the body and terminating in a first laminar mounting base and a second laminar mounting base, respectively, at a proximal end of the prosthesis, the first and second laminar mounting bases configured to couple the first and second lamina mimicking portions to a first part of a natural lamina of the spinal element and a second part of the natural lamina, respectively,

wherein the first lamina mimicking portion and the second lamina mimicking portion are disposed on opposite sides of the spinous process.

42. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 41,

wherein the first module is integrally formed with the second module.

43. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 41, comprising the first module, the second module, and the third module,

wherein the first module, the second module, and the third module are integrally formed with each other.

44. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 41,

wherein the spinous process mimicking portion extends from the body along a vertical axis of the body,

wherein each of the first lamina mimicking portion and the second lamina mimicking portion has an upper lamina mimicking surface that extends continuously downward and outward away from the anterior side the anterior side of the body and at a first angle with respect to the vertical axis of the body and a horizontal axis of the body,

wherein the lobe has an upper spinous process mimicking surface that extends continuously upward and rearward away from the posterior side of the body and at a second angle with respect to the vertical axis of the body and the horizontal axis of the body,

wherein each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion includes an underside facing away from the anterior side of the body and having a contoured underside portion, and

wherein each of the first laminar mounting base of the first lamina mimicking portion and the second laminar mounting base of the second lamina mimicking portion extend away from the body along the horizontal axis of the body.

45. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 41, wherein the terminal end of the lobe is offset from the body in a first direction and an end of each of the first and second laminar mounting bases is offset from the body in a second direction that is opposite the first direction.

46. A total artificial spinous process (spino)-laminar prosthesis (TASP-LP) comprising:

a body having an anterior side configured to face a spinal element and a posterior side configured to face away from the spinal element;

a spinous process mimicking portion extending away from the posterior side of the body along a longitudinal axis corresponding to a longitudinal axis of the spinal element and terminating at a lobe at a distal end of the prosthesis;

first and second lamina mimicking portions extending from the anterior side of the body and terminating in a first laminar mounting base and a second laminar mounting base at a proximal end of the prosthesis, the first and second laminar mounting bases configured to couple the first and second lamina mimicking portions to a first part of a natural lamina of the spinal element and a second part of the natural lamina, respectively.

47. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 46, wherein the terminal end of the lobe is offset from the body in a first direction along the longitudinal axis.

48. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 47, wherein an end of each of the first and second laminar mounting bases is offset from the body in a second direction that is opposite the first direction.

49. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 46, wherein an end of each of the first and second laminar mounting bases is offset away from the body in a direction along the longitudinal axis.

50. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 46, wherein the lobe is one of a bifid lobe and a monofid lobe.

51. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 46, wherein the terminal end of the lobe is offset from each of the first and second laminar mounting bases along the longitudinal axis.

52. The total artificial spinous process (spino)-laminar prosthesis (TASP-LP) of claim 46, wherein a central portion of the body along the longitudinal axis is offset inwardly from an end of each of the first and second laminar mounting bases.