US20080027548A9 - Spacerless artificial disc replacements - Google Patents
Spacerless artificial disc replacements Download PDFInfo
- Publication number
- US20080027548A9 US20080027548A9 US10/413,028 US41302803A US2008027548A9 US 20080027548 A9 US20080027548 A9 US 20080027548A9 US 41302803 A US41302803 A US 41302803A US 2008027548 A9 US2008027548 A9 US 2008027548A9
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- United States
- Prior art keywords
- adr
- components
- view
- artificial disc
- spacerless
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
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- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/02—Inorganic materials
- A61L27/04—Metals or alloys
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- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30518—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
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- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
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- A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
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- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
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Definitions
- This invention relates generally to artificial disc replacements (ADRs) and, more particularly, to devices that operate without softer spacer materials such as polyethylene.
- Polyethylene spacers are common in some artificial joint situations, including total knee replacements (TKRs). Polyethylene spacers are also used between metal plates in many artificial disc replacement (ADR) designs.
- TRRs total knee replacements
- ADR artificial disc replacement
- Metal-on-metal and ceramic-on-metal surfaces have much lower wear characteristics. In fact, metal-on-metal surfaces demonstrate 400 times less wear than polyethylene on metal surfaces.
- an ADR replaces polyethylene artificial disc replacement (ADR) spacers with harder, more wear-resistant materials.
- an ADR according to the invention includes opposing saddle-shaped components to facilitate more normal spinal flexion, extension, and lateral bending.
- the ADR allows at least 10 degrees of movement in the flexion to extension direction and at least 5 degrees of movement in the lateral bending direction.
- the saddle-shaped articulating surfaces also limit axial rotation, thereby protecting the facet joints and the annulus fibrosus (AF).
- either or both the superior and inferior components are made of a hard material such as chrome cobalt, titanium, or a ceramic including alumina, zirconia, or calcium phosphate.
- the articulating surfaces of the ADR are also preferably highly polished to reduce friction between the components. Metals, alloys or other materials with shape-memory characteristics may also prove beneficial.
- the vertebral surfaces of the components may be treated to promote bone ingrowth.
- the vertebral surfaces of the components may have plasma spray or beads.
- one or both components may be cemented to the vertebrae.
- the vertebra-facing surfaces may also include projections such as keels that fit into the vertebrae.
- one of the components could be made of polyethylene or other softer material.
- FIG. 1A is an anterior view of an ADR according to the invention.
- FIG. 1B is a lateral view of the ADR of FIG. 1 ;
- FIG. 1C is an oblique view of the ADR of FIG. 1 ;
- FIG. 2A is a view of the anterior aspect of an alternative embodiment of the ADR
- FIG. 2B is a view of the lateral aspect of an alternative embodiment of the ADR shown in FIG. 2B ;
- FIG. 3A is a view of the anterior aspect of an alternative, less constrained, embodiment of the saddle-shaped ADR shown in a fully flexed position;
- FIG. 3B is a view of the lateral aspect of the embodiment of the ADR shown in FIG. 3A ;
- FIG. 4A is a view of the lateral aspect of another embodiment of a saddle-shaped ADR
- FIG. 4B is a view of the anterior aspect of the embodiment of the ADR shown in FIG. 4A in a fully flexed position;
- FIG. 4C is a view of the anterior aspect of an alternative embodiment
- FIG. 4D is a view of the anterior aspect of the ADR shown in FIG. 4A ;
- FIG. 4E is a view of the anterior aspect of the ADR shown in FIG. 4A
- FIG. 1A is an anterior view of an ADR according to the invention.
- FIG. 1B is a lateral view of the ADR of FIG. 1 .
- FIG. 1C is an oblique view of the ADR of FIG. 1 .
- FIG. 2A is a view of the anterior aspect of an alternative embodiment of the ADR, wherein the articulating surfaces of both components have a flat area centrally from the front to the back of the ADR.
- FIG. 2B is a view of the lateral aspect of an alternative embodiment of the ADR drawn in FIG. 2B .
- the flat area of the articulating surfaces courses centrally from side of the ADR to the other side.
- the flat area allows one component to translate slightly on the other component.
- a curved area with a large radius could replace the flat area.
- FIG. 3A is a view of the anterior aspect of an alternative, less constrained, embodiment of the saddle-shaped ADR drawn in a fully flexed position.
- the less constrained embodiment facilitates spinal flexion, extension, and lateral bending.
- FIG. 3B is a view of the lateral aspect of the embodiment of the ADR drawn in FIG. 3A .
- FIG. 4A is a view of the lateral aspect of another embodiment of a saddle-shaped ADR.
- the center of rotation for flexion and extension is not necessarily located in the center of the ADR.
- the center of rotation is preferably located in the posterior half of the ADR.
- FIG. 4B is a view of the anterior aspect of the embodiment of the ADR drawn in FIG. 4A , drawn in a fully flexed position.
- FIG. 4C is a view of the anterior aspect of an alternative embodiment, showing how the radius of curvature of the articulation for lateral bending may be different than the radius of curvature for articulation for flexion and extension.
- the radius of curvature for the articulation for flexion and extension as seen in FIG. 4A
- Articulating surfaces with smaller radii facilitate movement.
- the embodiment of the ADR drawn in FIG. 4A flexes and extends more easily than the embodiment of the ADR drawn in FIG. 3A .
- the ADR is drawn in a fully flexed position.
- FIG. 4D is a view of the anterior aspect of the ADR drawn in FIG. 4A .
- the ADR is drawn in a neutral position.
- the area of the drawing with diagonal lines represents the articulating surface of the lower ADR component.
- FIG. 4E is a view of the anterior aspect of the ADR drawn in FIG. 4A , also drawn in a fully extended position.
Abstract
Description
- This application claims priority from U.S. Provisional Patent Application Serial No. 60/372,520, filed Apr. 12, 2002, the entire content of which is incorporated herein by reference.
- This invention relates generally to artificial disc replacements (ADRs) and, more particularly, to devices that operate without softer spacer materials such as polyethylene.
- Polyethylene spacers are common in some artificial joint situations, including total knee replacements (TKRs). Polyethylene spacers are also used between metal plates in many artificial disc replacement (ADR) designs.
- Complications arising from poly debris are well documented, however, including fracture of the spacer once it becomes too thin, absorption and migration of poly particles throughout the body, and loosening of the bone metal junction as a reaction of the poly debris.
- Metal-on-metal and ceramic-on-metal surfaces have much lower wear characteristics. In fact, metal-on-metal surfaces demonstrate 400 times less wear than polyethylene on metal surfaces.
- While there have been attempts to limit the use of poly in ADR designs, all existing approaches constitute ball-and-socket configurations which do not inherently limit axial rotation. Instead, axial rotation is limited through the use of multiple ball-and-socket joints or an elongated ball-and-socket joint, which complicates the design.
- The present invention replaces polyethylene artificial disc replacement (ADR) spacers with harder, more wear-resistant materials. In the preferred embodiments, an ADR according to the invention includes opposing saddle-shaped components to facilitate more normal spinal flexion, extension, and lateral bending. Preferably, the ADR allows at least 10 degrees of movement in the flexion to extension direction and at least 5 degrees of movement in the lateral bending direction. The saddle-shaped articulating surfaces also limit axial rotation, thereby protecting the facet joints and the annulus fibrosus (AF).
- According to the invention, either or both the superior and inferior components are made of a hard material such as chrome cobalt, titanium, or a ceramic including alumina, zirconia, or calcium phosphate. The articulating surfaces of the ADR are also preferably highly polished to reduce friction between the components. Metals, alloys or other materials with shape-memory characteristics may also prove beneficial.
- The vertebral surfaces of the components may be treated to promote bone ingrowth. For example, the vertebral surfaces of the components may have plasma spray or beads. Alternatively, one or both components may be cemented to the vertebrae. The vertebra-facing surfaces may also include projections such as keels that fit into the vertebrae. In embodiments adapted for cementation, one of the components could be made of polyethylene or other softer material.
-
FIG. 1A is an anterior view of an ADR according to the invention; -
FIG. 1B is a lateral view of the ADR ofFIG. 1 ; -
FIG. 1C is an oblique view of the ADR ofFIG. 1 ; -
FIG. 2A is a view of the anterior aspect of an alternative embodiment of the ADR; -
FIG. 2B is a view of the lateral aspect of an alternative embodiment of the ADR shown inFIG. 2B ; -
FIG. 3A is a view of the anterior aspect of an alternative, less constrained, embodiment of the saddle-shaped ADR shown in a fully flexed position; -
FIG. 3B is a view of the lateral aspect of the embodiment of the ADR shown inFIG. 3A ; -
FIG. 4A is a view of the lateral aspect of another embodiment of a saddle-shaped ADR; -
FIG. 4B is a view of the anterior aspect of the embodiment of the ADR shown inFIG. 4A in a fully flexed position; -
FIG. 4C is a view of the anterior aspect of an alternative embodiment; -
FIG. 4D is a view of the anterior aspect of the ADR shown inFIG. 4A ; and -
FIG. 4E is a view of the anterior aspect of the ADR shown inFIG. 4A -
FIG. 1A is an anterior view of an ADR according to the invention.FIG. 1B is a lateral view of the ADR ofFIG. 1 .FIG. 1C is an oblique view of the ADR ofFIG. 1 . -
FIG. 2A is a view of the anterior aspect of an alternative embodiment of the ADR, wherein the articulating surfaces of both components have a flat area centrally from the front to the back of the ADR.FIG. 2B is a view of the lateral aspect of an alternative embodiment of the ADR drawn inFIG. 2B . The flat area of the articulating surfaces courses centrally from side of the ADR to the other side. The flat area allows one component to translate slightly on the other component. Alternatively, a curved area with a large radius could replace the flat area. -
FIG. 3A is a view of the anterior aspect of an alternative, less constrained, embodiment of the saddle-shaped ADR drawn in a fully flexed position. The less constrained embodiment facilitates spinal flexion, extension, and lateral bending.FIG. 3B is a view of the lateral aspect of the embodiment of the ADR drawn inFIG. 3A . -
FIG. 4A is a view of the lateral aspect of another embodiment of a saddle-shaped ADR. The center of rotation for flexion and extension is not necessarily located in the center of the ADR. For example, the center of rotation is preferably located in the posterior half of the ADR.FIG. 4B is a view of the anterior aspect of the embodiment of the ADR drawn inFIG. 4A , drawn in a fully flexed position. -
FIG. 4C is a view of the anterior aspect of an alternative embodiment, showing how the radius of curvature of the articulation for lateral bending may be different than the radius of curvature for articulation for flexion and extension. For example, the radius of curvature for the articulation for flexion and extension, as seen inFIG. 4A , may be smaller than the radius of curvature for the articulation for lateral bending, as seen inFIG. 4C . Articulating surfaces with smaller radii, facilitate movement. Thus, the embodiment of the ADR drawn inFIG. 4A flexes and extends more easily than the embodiment of the ADR drawn inFIG. 3A . The ADR is drawn in a fully flexed position. -
FIG. 4D is a view of the anterior aspect of the ADR drawn inFIG. 4A . The ADR is drawn in a neutral position. The area of the drawing with diagonal lines represents the articulating surface of the lower ADR component.FIG. 4E is a view of the anterior aspect of the ADR drawn inFIG. 4A , also drawn in a fully extended position.
Claims (8)
Priority Applications (11)
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US10/421,304 US8038713B2 (en) | 2002-04-23 | 2003-04-23 | Two-component artificial disc replacements |
US10/438,605 US20050261773A1 (en) | 2002-05-15 | 2003-05-15 | Lateral-approach artificial disc replacements |
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US12/789,925 US8277507B2 (en) | 2002-04-12 | 2010-05-28 | Spacerless artificial disc replacements |
US13/251,928 US8470041B2 (en) | 2002-04-12 | 2011-10-03 | Two-component artificial disc replacements |
US13/597,898 US8679182B2 (en) | 2002-04-12 | 2012-08-29 | Spacerless artificial disc replacements |
US13/918,202 US8801789B2 (en) | 2002-04-12 | 2013-06-14 | Two-component artificial disc replacements |
US14/169,657 US9198773B2 (en) | 2002-04-12 | 2014-01-31 | Spacerless artificial disc replacements |
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US16/355,928 US10786363B2 (en) | 2002-04-12 | 2019-03-18 | Spacerless artificial disc replacements |
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US14/921,409 Expired - Lifetime US10271956B2 (en) | 2002-04-12 | 2015-10-23 | Spacerless artificial disc replacements |
US16/355,928 Expired - Lifetime US10786363B2 (en) | 2002-04-12 | 2019-03-18 | Spacerless artificial disc replacements |
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US13/597,898 Expired - Lifetime US8679182B2 (en) | 2002-04-12 | 2012-08-29 | Spacerless artificial disc replacements |
US14/169,657 Expired - Fee Related US9198773B2 (en) | 2002-04-12 | 2014-01-31 | Spacerless artificial disc replacements |
US14/921,409 Expired - Lifetime US10271956B2 (en) | 2002-04-12 | 2015-10-23 | Spacerless artificial disc replacements |
US16/355,928 Expired - Lifetime US10786363B2 (en) | 2002-04-12 | 2019-03-18 | Spacerless artificial disc replacements |
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Also Published As
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US20140148906A1 (en) | 2014-05-29 |
US20120323332A1 (en) | 2012-12-20 |
US20100241233A1 (en) | 2010-09-23 |
US8679182B2 (en) | 2014-03-25 |
US20050267582A1 (en) | 2005-12-01 |
US10786363B2 (en) | 2020-09-29 |
US20160045329A1 (en) | 2016-02-18 |
US20190274839A1 (en) | 2019-09-12 |
US10271956B2 (en) | 2019-04-30 |
US8277507B2 (en) | 2012-10-02 |
US20040024462A1 (en) | 2004-02-05 |
US9198773B2 (en) | 2015-12-01 |
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Owner name: HOWMEDICA OSTEONICS CORP., NEW JERSEY Free format text: CORRECTIVE ASSIGNMENT TO CORRECT THE ASSIGNEE NAME PREVIOUSLY RECORDED AT REEL: 053897 FRAME: 0621. ASSIGNOR(S) HEREBY CONFIRMS THE ASSIGNMENT;ASSIGNOR:SPINECORE, INC.;REEL/FRAME:053941/0753 Effective date: 20190327 |