Intervertebral implants and methods of use

• US 7,578,849 B2
• Filed: 01/27/2006
• Issued: 08/25/2009
• Est. Priority Date: 01/27/2006
• Status: Expired due to Fees

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Trieu, Hai H.
• Primary Examiner(s): Barrett; Thomas C
• Assistant Examiner(s): Yang; Andrew
• Application Number:
  US11/340,972
• Publication Number:
  US 20070191953A1
• Time in Patent Office: 1,306 Days
• Field of Search: 606/61, 606/249, 606/279, 623 1711- 1716
• US Class Current: 623/17.15
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• 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 2002/30014 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2002/30113 circular
• CPC Class Codes: A61F 2002/30125 elliptical or oval
• CPC Class Codes: A61F 2002/30131 horseshoe- or crescent- or C-shaped or U-shaped
• CPC Class Codes: A61F 2002/30133 kidney-shaped or bean-shaped
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30448 using adhesives
• CPC Class Codes: A61F 2002/30451 soldered or brazed or welded
• CPC Class Codes: A61F 2002/30528 Means for limiting said movement
• 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 2002/30571 Leaf springs
• CPC Class Codes: A61F 2002/30576 with extending fixation tabs
• CPC Class Codes: A61F 2002/30581 having a pocket filled with fluid, e.g. liquid
• CPC Class Codes: A61F 2002/30594 slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30878 with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
• CPC Class Codes: A61F 2002/3092 having an open-celled or open-pored structure
• 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 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2220/005 : using adhesives
• CPC Class Codes: A61F 2220/0058 : soldered or brazed or welded
• CPC Class Codes: A61F 2230/0006 : circular
• CPC Class Codes: A61F 2230/0008 : elliptical or oval
• CPC Class Codes: A61F 2230/0013 : Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/0015 : Kidney-shaped, e.g. bean-shaped
• CPC Class Codes: A61F 2250/0018 : differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2310/00011 : Metals or alloys
• CPC Class Codes: A61F 2310/00203 : containing alumina or aluminium oxide
• CPC Class Codes: A61F 2310/00239 : containing zirconia or zirconium oxide ZrO2
• CPC Class Codes: A61F 2310/00293 : containing a phosphorus-containing compound, e.g. apatite
• CPC Class Codes: A61F 2310/00796 : Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite
• CPC Class Codes: A61F 2310/0097 : Coating or prosthesis-covering structure made of pharmaceutical products, e.g. antibiotics
• CPC Class Codes: A61F 2310/00976 : Coating or prosthesis-covering structure made of proteins or of polypeptides, e.g. of bone morphogenic proteins BMP or of transforming growth factors TGF

Abstract

Implants and methods for spacing and stabilizing vertebral members. The implant in one embodiment may include first and second endplates and an intermediate section that form an interior section. An elastic member may be positioned within the interior section to space apart the endplates. The elastic member may have a variety of orientations, sizes, shapes, densities, modulus of elasticity, and other material properties depending upon the desired displacement between the first and second endplates. In use according to one embodiment, the implant may assume a first shape when the vertebral members are aligned, such as when the patient is standing erect or in a prone position. This first shape may include the first and second endplates spaced a first distance apart. During movement of the vertebral members, the endplates may be forced together. The intermediate section in combination with the elastic member may be deformed during this movement and thereby exert a force to stabilize the vertebral members.

Claims

1. An intervertebral device configured to be positioned between vertebral members, the device comprising:

an elongated member having an overlapping configuration defining a first and a second endplate and an intermediate section, the first and second endplates being spaced apart by the intermediate section to form an interior space with open lateral sides and an interior height, the intermediate section including a folded configuration with at least three overlapping vertical sections;

an elastic member spaced apart from the intermediate section and positioned between the first and second endplates such that the elastic member is spaced apart from one of the first and second endplates, the elastic member including a height less than the interior height and greater than at least one-half of the interior height, the elastic member being sized to space apart the first and second endplates during movement of the vertebral members;

the elastic member includes a first section with a first stiffness and a second section with a second greater stiffness, the elastic member arranged such that the first section deforms upon a first amount of movement of the first and second endplates, and the first and second sections both deform upon a second greater amount of movement of the first and second endplates.

2. The device of claim 1, wherein the first endplate has a different shape than the second endplate.

3. The device of claim 2, wherein the first endplate comprises first and second spaced-apart fingers that form an opening in communication with the interior space.

4. The device of claim 1, wherein the intermediate section and the first and second endplates form a substantially C-shape.

5. The device of claim 1, wherein the intermediate section comprises first and second support members.

6. The device of claim 1, wherein the elastic member is spaced away from the intermediate section.

7. The device of claim 1, further comprising a second elastic member positioned between the first and second endplates, the second elastic member being spaced away from the elastic member.

8. The device of claim 7, wherein the second elastic member has a different stiffness than the elastic member.

9. The device of claim 7, wherein the second elastic member has a different height than the elastic member.

10. The device of claim 1, further comprising a limiting member positioned between the first and second endplates, the limiting member being constructed to limit movement of the first and second endplates beyond a predetermined amount.

11. The device of claim 1, wherein the elastic member has a length measured between a first edge and a second edge, a height of the elastic member being variable along the length.

12. An intervertebral device configured to be positioned between vertebral members, the device comprising:

a flexible body having a width and positioned in an overlapping configuration to define a three-sided cavity, the cavity including an interior height; and

the flexible body including an intermediate section spaced apart from the elastic member, the intermediate section including a folded configuration with at least three overlapping vertical sections when the device is positioned between the vertebral members;

an elastic member positioned within the cavity and sized to space apart first and second sections of the flexible body, the elastic member includes a height less than the interior height such that the elastic member is spaced apart from one of the first and second sections such that the body deforms to reduce the interior height a predetermined amount before compressing the elastic member, and the elastic member spaced apart from the intermediate section;

the elastic member including a first material with a first stiffness and a second material with a second different stiffness, the elastic member positioned relative to the first and second endplates with the first material being deformed prior to the second material during a decrease in the interior height.

13. The device of claim 12, further comprising a second elastic member positioned within the cavity.

14. The device of claim 12, further comprising a limiter positioned within the cavity, the limiter being constructed to prevent first and second endplates of the flexible body from moving beyond a predetermined limit.

15. The device of claim 12, wherein a height of the elastic member varies along the length of the elastic member.

16. An intervertebral device configured to be positioned between vertebral members, the device comprising:

an elastic member;

a first endplate positioned above the elastic member and a second endplate positioned below the elastic member, the elastic member in contact with one of the first and second endplates and spaced apart from the other of the first and second endplates;

an intermediate member integral with the first and second endplates and positioned at ends of the first and second endplates and forming a cavity with open lateral sides, the intermediate member being deformable to allow the other of the first and second endplates to contact the elastic member and to apply a force to the elastic member during movement of the vertebral members, the intermediate member includes an overlapping configuration with at least three overlapping vertical sections when the device is positioned between the vertebral members; and

a second elastic member positioned between the endplates and including a different stiffness than the elastic member;

the first and second endplates and the intermediate member forming a three sided cavity sized to receive the elastic member;

a height of the first elastic member being at least one-half of a height of an interior space formed between the first and second endplates when the device is in an undeformed state;

an opening formed through one of the first and second endplates, the opening extending into the cavity.

17. The device of claim 16, wherein the elastic member extends outward beyond the first and second endplates.

18. The device of claim 16, wherein the elastic member has a variable height.