US20020068973A1 - Threaded interbody device - Google Patents
Threaded interbody device Download PDFInfo
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- US20020068973A1 US20020068973A1 US09/729,600 US72960000A US2002068973A1 US 20020068973 A1 US20020068973 A1 US 20020068973A1 US 72960000 A US72960000 A US 72960000A US 2002068973 A1 US2002068973 A1 US 2002068973A1
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- bar
- thread
- pair
- vertebrae
- side surfaces
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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
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- A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
- A61F2/446—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
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Abstract
Description
- The present application is directed to a threaded interbody device for implantation between a pair of adjacent vertebrae in order to provide support to the vertebrae and/or promote fusion between the vertebrae.
- In the human spine the pad or disc between vertebrae is sometimes damaged or deteriorates due to age, disease, injury or congenital defect. The vertebrae themselves may also become compressed or otherwise damaged. Because of this, surgery is often utilized to place spacers or interbody devices between the vertebrae which provide proper spacing of the vertebrae and which often are also utilized to promote fusion between the vertebrae. When a device of this type is utilized for purposes of promoting fusion, it is often referred to as a fusion cage or an intervertebral fusion device. When utilized to promote fusion, the interbody devices often are windowed and packed with bone so as to promote growth of the bone between the vertebrae. Sometimes bone is packed between a pair of devices that are placed in close proximity to one another between the vertebrae so as to promote growth of bone and, therefore, fusion between the vertebrae.
- Interbody devices are typically either generally rectangular in shape or generally cylindrical in shape. The cylindrical devices have an advantage that they can be threadably received between and into the bones themselves. For this purpose, the vertebrae are typically first spaced and then a drill is utilized to create a partial bore in each vertebrae which allows the interbody device to be received between the vertebrae. Because of the space between the bones, the interbody device usually engages the bone's only along an upper surface and a lower surface thereof. When the cage is of a cylindrical threaded type, the upper and lower surfaces are curved and essentially designed to engage the portion of the vertebrae whereat bone is unremoved during boring to create an opening for the device.
- When interbody devices of this type are used, it is desirable that the device support as much surface of bone as possible to provide strength and reduce the likelihood of subsidence of the device into the bone, especially as part of the bone is spongy by nature. The remainder of the structure mainly functions to support the two surfaces, unless the device is also used as a cage within which to pack bone. Because it is also desirable in such structures to maintain weight and volume as low as possible, in order to make the device more compatible with the body, it is also desirable to make the entire device as small and lightweight as possible, while maintaining strength.
- Still further, the cylindrical devices are most often threaded in order to bite into the bone of the vertebrae in order to resist inadvertent removal of the devices from between the vertebrae. Therefore the upper and lower surfaces are threaded for this purpose. In the past flat sided segments have been removed and a tool which saddles over the device has been used that slides along the sides thereof to at least partially complete the threads and that can be rotated to allow the device to be screwed between the vertebrae. Consecuently, it is desirable to have a side structure that reduces volume, maintains strength and allows for mating engagement with a tool that can both rotate the device and complete the thread during installation.
- Finally, devices of this type that have sectors in the sidewalls missing are essentially taller than wide. This leads to a potential for instability in that the device can inadvertently rotate 90° during use and partly collapse. In order to avoid this, an additional structure is needed to prevent inadvertent rotation of the device once it is installed.
- An interbody or intervertebral spacer device for placement between a pair of spaced but adjacent vertebrae. The device has upper and lower surfaces that are threaded so as to have a helically wound threadform pattern thereon that is discontinuous between the two surfaces, but mateable with a similar threadform on a tool for completion of the thread for use during insertion of the device.
- The device has an elongate body that extends along an axis of rotation. The upper and lower surfaces of the body are convex and the two side surfaces are concave in shape. That is, a cross-section of the upper surfaces and lower surfaces and the side surfaces have edges which are generally semi-circular in shape, except that the upper and lower surface are convex or bowed outwardly, whereas the side surfaces are concave or bowed inwardly. Preferably the radii of generation of each of the side surfaces, the upper surface and the lower surface are approximately the same. The side surfaces join together the outer edges of the upper and lower surfaces on respective sides of the device. In this manner the device has a profile from the front which approximates a double-headed ax.
- The devices are utilized in pairs between two adjacent vertebrae. The devices are preferably joined by a bar. Each of the devices has a recess located on the front thereof within which the bar snugly fits such that the bar resists rotation of each device subsequent to installation. This prevents the devices from inadvertently rotating to a non-supporting configuration during use. A set screw joins the bar to each device.
- Therefore, the objects of the present invention are: to provide an interbody spacer or fusion cage device that is threaded on upper and lower surfaces thereof and can be screwed between a pair of vertebrae in order to support the vertebrae and/or to promote fusion between the vertebrae; to provide such a device having concave arcuate side surfaces that join the upper and lower surfaces on opposite elongate sides of the device; to provide such a device wherein the structure provides strength while reducing volume and weight; to provide such a device wherein the device easily mates with an insertion tool having external threads that align with the threads of the device to allow screwing of the device between a pair of vertebrae; to provide such a device that can be either solid or partly hollow in order to allow packing with bone chips or the like; to provide such a device allowing a relatively close spacing of a pair of devices in side by side relationship; to provide such a device that allows a substantial opening between a pair of devices in side by side relationship to facilitate packing with bone chips and subsequent fusion between the vertebrae associated with the devices; to provide such a device utilized in a pair in conjunction with a bar connecting the pair to resist inadvertent rotation of the devices during use; to provide such a device that includes feathering or reduced thread depth near the front or anterior end of the device to provide an even surface for engagement with a harder bony region near the anterior end of the vertebrae in order to reduce the likelihood of subsidence of the device into the vertebrae after installation; and to provide such a device that is relatively easy to construct, inexpensive to produce and especially well suited for the intended usage thereof.
- Other objects and advantages of this invention will become apparent from the following description taken in conjunction with the accompanying drawings wherein are set forth, by way of illustration and example, certain embodiments of this invention.
- The drawings constitute a part of this specification and include exemplary embodiments of the present invention and illustrate various objects and features thereof.
- FIG. 1 is a perspective view of an interbody device and a bar for linking the interbody device with a second such device in accordance with the present invention.
- FIG. 2 is a front elevational view of the device.
- FIG. 3 is a side elevational view of the device.
- FIG. 4 is a side elevational view of the device on a reduced scale shown positioned between a pair of vertebrae.
- FIG. 5 is a front elevational view on a reduced scale of a pair of the devices joined by the bar and positioned between a pair of vertebrae.
- FIG. 6 is a perspective view of the device mated with a tool for installing the device.
- FIG. 7 is a perspective view of the device being installed with the tool between the vertebrae.
- As required, detailed embodiments of the present invention are disclosed herein; however, it is to be understood that the disclosed embodiments are merely exemplary of the invention, which may be embodied in various forms. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the present invention in virtually any appropriately detailed structure.
- The reference numeral1 generally designates an interbody spacer or device. Normally the device 1 is utilized in pairs and connected with a
bar 4 for placement between a pair of adjacentspinal vertebrae - The device1 has a generally partial cylindrical shape with equal opposed side portions or sectors removed. In particular, the device 1 has a
body 10 with anupper surface 11 and alower surface 12. The upper andlower surfaces thread 15 that is wound helically about the device 1 in a pattern that is discontinuous between the upper andlower surfaces thread 15 is a V-shaped thread, although other types of thread forms, such as square or step forms, may be utilized in accordance with the invention. - As is seen in FIG. 3, the
thread 15 has a major diameter and minor diameter forming the peaks and valleys of the thread. As the thread approaches the anterior or front end (to the right of FIG. 3) of the device 1 in aregion 16 the thread depth reduces progressively with each consecutive turn or 360° pass about the device 1. That is, each time thethread 15 passes once around the device 1 in a turn, the thread depth becomes less and the minor diameter of the thread becomes greater. - Near the very front of the device1 the minor thread depth and major thread depth are generally equal so as to produce a generally smooth
semi-cylindrical region 17. Thesemi-cylindrical region 17 provides greater support to an anteriorharder bony region 18 of thevertebrae upper surface 11 has opposedparallel edges lower surface 12 has similarparallel edges 22 and 23. - The
body 10 also has a pair of side surfaces 30 and 31. The side surfaces 30 extends between thetop surface edge 20 andbottom surface edge 22, whereas theside surface 31 extends between thetop surface edge 21 and bottom surface edge 23. The side surfaces 30 and 31 are curved, arcuate or crescent shaped, as is seen from the front in FIG. 2. Preferably, the side surfaces 30 and 31 each have a radius of generation which is approximately equal. In some embodiments of the invention, the radius of generation of each of the side surfaces 30 and 31 will be equivalent to the radii of generation of theupper surface 10 andlower surface 11, except the side surfaces 30 and 31 will be concave in nature and the upper andlower surfaces lower surfaces surfaces - The
body 10 also has a generally flatrear surface 39 and afront surface 40. Thefront surface 40 has a vertically centrally locatedrecess 43. Therecess 43 has an anterior rectangularly shaped portion 45 and anouter portion 46 which is also centrally rectangular in shape, but has semi-circular upper andlower extensions 48 and 49. A threaded bore 50 passes coaxially trough thefront surface 40 and is centered on therecess 43. - The
bar 4 is elongate with rounded opposite ends. Thebar 4 has a pair ofapertures bar 4 has a cross-section which is sized and shaped to snugly fit in the recess rectangular portion 45 of each device 1. In this manner, thebar 4, when in therespective recesses 43 functions as a lever arm to prevent inadvertent rotation of the devices 1. - A pair of
set screws 54 are sized and shaped to be received throughrespective apertures bar 4 and subsequently, into and threadably received inrespective bores 50 of one of the devices 1. Eachset screw 54 has ahead 55 that is preferably externally threaded and received in a similar thread in the semi-circular shapedportions 48 and 49 of therecess 43. Theset screw head 55 also has a coaxially alignedaperture 58 which is sized and shaped to receive a driving tool (not shown) such as an alien wrench. When an allen wrench is to be utilized, theaperture 58 has a hexagonal shaped opening. - In use, a pair of devices1 are positioned between a pair of
vertebrae tool 60 havingside panels handle 63 for turning and is used to insert the devices 1. Theside panels sides external threads thread 15 to complete thethread 15. The device 1 is placed in thetool 60 in the manner shown in FIG. 6 and then inserted between thevertebrae bar 4 is joined by a pair ofset screws 54 to each of the devices 1. Bone chips and the like for promoting growth of bone and fusion between thevertebrae - It is to be understood that while certain forms of the present invention have been illustrated and described herein, it is not to be limited to the specific forms or arrangement of parts described and shown.
Claims (15)
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
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US09/729,600 US6440170B1 (en) | 2000-12-04 | 2000-12-04 | Threaded interbody device |
PCT/US2001/041793 WO2002045626A1 (en) | 2000-12-04 | 2001-08-20 | Threaded interbody device |
EP01968949A EP1339363A4 (en) | 2000-12-04 | 2001-08-20 | Threaded interbody device |
EP05027283A EP1637096A3 (en) | 2000-12-04 | 2001-08-20 | Threaded interbody device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/729,600 US6440170B1 (en) | 2000-12-04 | 2000-12-04 | Threaded interbody device |
Publications (2)
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US20020068973A1 true US20020068973A1 (en) | 2002-06-06 |
US6440170B1 US6440170B1 (en) | 2002-08-27 |
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US09/729,600 Expired - Fee Related US6440170B1 (en) | 2000-12-04 | 2000-12-04 | Threaded interbody device |
Country Status (3)
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US (1) | US6440170B1 (en) |
EP (2) | EP1339363A4 (en) |
WO (1) | WO2002045626A1 (en) |
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Also Published As
Publication number | Publication date |
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WO2002045626A1 (en) | 2002-06-13 |
US6440170B1 (en) | 2002-08-27 |
EP1637096A3 (en) | 2006-04-05 |
EP1339363A1 (en) | 2003-09-03 |
EP1637096A2 (en) | 2006-03-22 |
EP1339363A4 (en) | 2006-03-15 |
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