WO1999040866A1 - Stabilisateur interepineux a fixer a des apophyses epineuses de deux vertebres - Google Patents
Stabilisateur interepineux a fixer a des apophyses epineuses de deux vertebres Download PDFInfo
- Publication number
- WO1999040866A1 WO1999040866A1 PCT/FR1999/000154 FR9900154W WO9940866A1 WO 1999040866 A1 WO1999040866 A1 WO 1999040866A1 FR 9900154 W FR9900154 W FR 9900154W WO 9940866 A1 WO9940866 A1 WO 9940866A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- stabilizer
- stabilizer according
- alignment
- stress
- generator
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
Definitions
- the stabilizer is thus entirely housed between the processes. It follows that the stabilizer necessarily has a very small size. However, this complicates its production or it forces it to be given a very simple shape making it highly rigid, which generates new risks of disc degeneration as mentioned above.
- An object of the invention is to provide a stabilizer of a different type, and in particular easy to manufacture and which may have low rigidity.
- an interspinous stabilizer comprising two organs for anchoring to spinous processes of two respective vertebrae, and a body extending in a direction of alignment of the organs, the body being compressible in the direction of alignment under the effect of a stress from a given configuration, the body being adapted to spontaneously recover the given configuration after the stress has ceased, the body comprising a leaf spring having a geometric generator, in which the anchoring members are able to fix the stabilizer to the processes so that the generator extends substantially back and forth with reference to the patient's body.
- the stabilizer allows a certain mobility of the two vertebrae relative to each other by partially reproducing the bioecanique of a healthy intervertebral disc.
- the disc continues to be partially stressed even if the stabilizer relieves it of a large part of the stresses usually weighing on it. We can thus slow down or even stop the degeneration of the disc.
- the stabilizer keeps the integrity of the tripod joint of the vertebral unit: the disc and the two posterior articulars as well as the associated connections at the level of a vertebra that are the pedicles and the blades.
- the installation of the stabilizer on the spinous processes is simple to carry out. In addition, you are assured of preserving the integrity of the dura mater protection.
- the orientation of the generator along the front-rear direction makes it possible to extend the stabilizer laterally beyond the processes. We can therefore increase its volume to make it both easier to manufacture and if necessary less rigid in order to limit the risk of disc degeneration.
- the body comprises two leaf spring parts extending in parallel with each other in the direction of alignment; each part forms at least one "U” in a plane perpendicular to the generator;
- the body comprises at least one leaf spring part forming, in a plane perpendicular to the generator, at least two successive "U” oriented in opposite directions alternately with respect to each other;
- the spring has at least two sections of different thicknesses
- the body has two leaf springs bearing one on the other;
- the body comprises a leaf spring shaped as a closed loop
- the loop has an ellipse shape;
- the spring has a greater thickness in the vicinity of a major axis of the loop than in the vicinity of a minor axis of the loop;
- the body comprises at least one element of viscoelastic material
- the body comprises two elements of viscoelastic material arranged in the vicinity of two respective ends of a major axis of the loop; and - the or each element has a cylindrical face in contact with a face of the spring.
- an interspinous stabilizer comprising two members for anchoring to spinous processes of two respective vertebrae, and a body extending in a direction of alignment of the organs, the body being compressible in the direction of alignment under the effect of a stress from a given configuration, the body being adapted to spontaneously recover the given configuration after the stress has ceased, in which the body has slots arranged to make the body compressible in the direction d 'alignment.
- the body has a cylindrical shape hollowed out along an axis of the cylinder;
- the slots form at least a series of n adjacent slots symmetrically distributed around an axis of the cylinder, each slot extending over a sector of angle around the axis greater than 180 °;
- the stabilizer comprises at least two bodies arranged mutually in parallel in the direction of alignment; and or
- At least one of the anchoring members (2) comprises two jaws (23) toothed elastically movable in the direction of one another to form a clamp.
- FIG. 1 is a view of a first preferred embodiment of the stabilizer according to the invention.
- FIG. 4 is an elevational view of a second preferred embodiment of the stabilizer of the invention
- Figure 5 is a perspective view of the stabilizer of Figure 4 once installed
- FIG. 1 is a front view of a third preferred embodiment of the stabilizer according to the invention.
- FIG. 7 is a perspective view of the body of the third mode.
- Figure 8 is a view similar to Figure 10 showing a variant of the body.
- the stabilizer comprises two anchoring members 2 of a type known per se adapted to be rigidly fixed to the spinous processes of the respective adjacent vertebrae 4.
- These anchoring members are for example of the type of those of document FR-2 722 980.
- the stabilizer comprises a body 6 extending along an alignment direction 5 of the anchoring members 2, between them, and connecting the anchoring members.
- the body 6 is compressible in the direction 5 under the effect of a stress tending to bring the two processes together. It is assumed that the body 6 is compressed from a given initial configuration. When the stress ceases, the body 6 spontaneously recovers its initial configuration.
- the two members 2 are also movable in rotation relative to each other around a point of rotation passing through the direction 5. Under the effect of an adapted stress, it is thus possible to temporarily give them a relative inclination , the members 2 again becoming parallel to each other when this stress disappears.
- the body 6 comprises two leaf springs 17 identical to each other, each of flat elongated flat shape.
- a middle part of each spring 17 is rigidly fixed by one face to one end of one of the respective anchoring members 2.
- the ends of the springs 17 are fixed to one another and are supported one on the other.
- the two springs 17 have a fold at their middle part so that they form a rhombus.
- the leaf springs have a geometric generator 19.
- the anchoring members are positioned so that once the stabilizer is in place on the patient, the generator 19 extends back and forth with reference to the patient's body and perpendicularly in the plane of the sheet in FIG. 1. Only the edge of the springs 17 is visible in FIG. 1.
- the body 6 comprises a single leaf spring 17 curved on itself to be shaped into a closed loop here in the form of an ellipse.
- the spring 17 is rigidly fixed to the anchoring members 2, between them, so that the direction 5 constitutes the minor axis P of the ellipse.
- the generator 19 is oriented in the same way as in the embodiment of Figure 1.
- This stabilizer operates essentially in the same way as that of Figure 1.
- the leaf of the spring 17 may have different thicknesses in different places of the blade.
- the blade will have a greater thickness in the vicinity of the major axis G of the ellipse than in the vicinity of the minor axis P of the ellipse.
- the stiffness of the spring 17 is adjusted as a function of the part concerned of the blade. One obtains in particular a non-uniform deformation of the different parts of the spring under the effect of a stress in direction 5.
- the body 6 comprises a spring 17 in an ellipse and in addition two cores 18 made of a viscoelastic material such as polyurethane or silicone.
- These cores 18 each have a cylindrical shape. They are arranged inside the ellipse, at the ends of the major axis G, with their axes perpendicular to the axes P, G of the ellipse and parallel to the generator 19 of the spring and their cylindrical face in contact with the internal face of the blade.
- each core 18 has a radius less than or equal to the smallest radius of curvature of the blade, at the level of the major axis G. The cores 18 modify the behavior of the body 6 during its compression and relaxation.
- the body 6 once again comprises a leaf spring 17 formed in a closed loop in one piece with the anchoring members 2.
- the stabilizer is made of titanium or titanium alloy.
- the spring defines two parts of leaf spring 17a, 17b extending in parallel with each other in the direction of alignment 5.
- the two parts of the spring 17a, 17b are symmetrical to each other with respect to a median plane passing through the axis 5.
- Each part of the spring forms, in a plane perpendicular to the generator 19, several successive "U” s oriented in opposite directions to each other alternately.
- the "U” are three in number here.
- the “U” closest to the anchoring members 2 have their base 21 located towards the outside of the stabilizer, while the median “U” of each part has its base 21 towards the inside of the stabilizer.
- Each part 17a, 17b therefore has the shape of a ripple or a zigzag. More precisely, this form is generally here that of an inverted "M".
- Each of the anchoring members 2 here comprises two jaws 23 symmetrical to one another with respect to the median plane, of generally flat shape and having a generator parallel to the generator 19.
- the two jaws 23 lie opposite each other. Their facing faces have profiled teeth 25.
- Each jaw has a conduit 27 with an axis parallel to the generator 19 for the introduction of a tool for maneuvering the jaw.
- the bases of the jaws extend at a distance from each other from one end of the spring 17.
- the two jaws are movable elastically with respect to each other. At rest, they extend divergently from their base.
- the entire stabilizer is profiled along an axis parallel to the generator 19, the profile being shown in the figure.
- each anchoring member 2 To set up the stabilizer, the jaws 23 of each anchoring member 2 are urged away from each other, by means of tools inserted in the conduits 27. Then the stabilizer is placed as in FIG. 5 so that each process 29 is between the respective jaws 23. Then the jaws are released so that they pinch the processes and anchor them by means of their teeth 25.
- the leaf spring portions 17a, 17b extend laterally beyond the processes 29, as illustrated in Figure 5. They can be configured to give them a low stiffness .
- the manufacture of the stabilizer is carried out by electro-erosion of a mass of metal, this manufacture being particularly simple thanks to the profiled shape of the stabilizer.
- this stabilizer offers a fairly low stiffness for lateral bending of the body, that is to say around an axis of bending parallel to the generatrix 19. It offers a significant stiffness for bends of the body from front to back, that is to say around an axis perpendicular to 10
- the shape of the spring can easily be modified to increase or reduce at least one of these stiffnesses, independently of the volume available between the processes 29.
- the stabilizer comprises two anchoring members 2 and two respective plates 8 fixed thereto.
- the body ⁇ has a cylindrical shape with a circular cross-section hollowed out along an axis of the cylinder which is here merged with the alignment direction 5.
- the body 6 has two axial ends rigidly fixed to the respective plates 8.
- the body 6 has in its wall slots 22, here eleven in number, each extending in a plane perpendicular to the direction 5.
- each slot 22 extends over a sector of angle a around the axis 5 greater than 180 °.
- the slots 22 are distributed symmetrically in two groups here diametrically opposite in an intercalated fashion in the direction of the axis 5.
- each group the slots are in coincidence and extend on the same side of the axis 5.
- the slots all have the same width e parallel to the axis 5.
- the spacing d between the adjacent slots of the same group is constant.
- This arrangement of the slots gives the body 6 the function of an elastically compressible and extensible spring along the axis 5, the body being made of a suitable material such as a biocompatible metal. This body also allows the stabilizer to flex in 11
- the body 6 has slots 22 distributed in four groups. In each group, the slots are in coincidence around the axis 5. Each slot still extends over a sector of angle greater than 180 °. The slots of the four groups are inserted regularly. Two series (upper and middle in FIG. 11) are thus formed of four adjacent slots. In each series, the slots are symmetrically distributed around the axis 5.
- the stabilizer may comprise several bodies 6 of this type arranged mutually in parallel with the direction 5.
- the cylindrical body may have a non-circular cross section, for example in an ellipse.
- the jaws 23 described with reference to the second embodiment may be incorporated into any of the other embodiments.
Abstract
Description
Claims
Priority Applications (9)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2000531124A JP2002502662A (ja) | 1998-02-10 | 1999-01-27 | 2個の椎骨の棘状突起に固定される棘状突起間スタビライザ |
EP99903724A EP1054638B1 (fr) | 1998-02-10 | 1999-01-27 | Stabilisateur interepineux a fixer a des apophyses epineuses de deux vertebres |
DE69926995T DE69926995D1 (de) | 1998-02-10 | 1999-01-27 | An den dornfortsätzen zweier wirbel zu befestigende stützvorrichtung |
CA002320821A CA2320821A1 (fr) | 1998-02-10 | 1999-01-27 | Stabilisateur interepineux a fixer a des apophyses epineuses de deux vertebres |
DE1054638T DE1054638T1 (de) | 1998-02-10 | 1999-01-27 | An den dornfortsätzen zweier wirbel zu befestigende stützvorrichtung |
AT99903724T ATE303104T1 (de) | 1998-02-10 | 1999-01-27 | An den dornfortsätzen zweier wirbel zu befestigende stützvorrichtung |
AU24283/99A AU2428399A (en) | 1998-02-10 | 1999-01-27 | Interspinous stabiliser to be fixed to spinous processes of two vertebrae |
KR1020007008754A KR20010034491A (ko) | 1998-02-10 | 1999-01-27 | 두 개의 척추의 침상 돌기 사이에 고정하는 척추안정장치 |
US09/601,966 US6440169B1 (en) | 1998-02-10 | 1999-01-27 | Interspinous stabilizer to be fixed to spinous processes of two vertebrae |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9801528A FR2774581B1 (fr) | 1998-02-10 | 1998-02-10 | Stabilisateur interepineux a fixer a des apophyses epineuses de deux vertebres |
FR98/01528 | 1998-02-10 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1999040866A1 true WO1999040866A1 (fr) | 1999-08-19 |
Family
ID=9522774
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/FR1999/000154 WO1999040866A1 (fr) | 1998-02-10 | 1999-01-27 | Stabilisateur interepineux a fixer a des apophyses epineuses de deux vertebres |
Country Status (11)
Country | Link |
---|---|
US (1) | US6440169B1 (fr) |
EP (1) | EP1054638B1 (fr) |
JP (1) | JP2002502662A (fr) |
KR (1) | KR20010034491A (fr) |
AT (1) | ATE303104T1 (fr) |
AU (1) | AU2428399A (fr) |
CA (1) | CA2320821A1 (fr) |
DE (2) | DE1054638T1 (fr) |
ES (1) | ES2151876T1 (fr) |
FR (1) | FR2774581B1 (fr) |
WO (1) | WO1999040866A1 (fr) |
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Publication number | Priority date | Publication date | Assignee | Title |
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US6419676B1 (en) | 1997-01-02 | 2002-07-16 | St. Francis Medical Technologies, Inc. | Spine distraction implant and method |
US6796983B1 (en) | 1997-01-02 | 2004-09-28 | St. Francis Medical Technologies, Inc. | Spine distraction implant and method |
WO2002051326A1 (fr) * | 2000-12-22 | 2002-07-04 | Spine Next | Implant intervertebral a cale deformable |
FR2818530A1 (fr) * | 2000-12-22 | 2002-06-28 | Spine Next Sa | Implant intervertebral a cale deformable |
AU2002225119B8 (en) * | 2000-12-22 | 2006-05-18 | Zimmer Spine | Intervertebral Implant with Deformable Wedge |
AU2002225119B2 (en) * | 2000-12-22 | 2006-04-06 | Zimmer Spine | Intervertebral Implant with Deformable Wedge |
KR100848206B1 (ko) * | 2000-12-22 | 2008-07-24 | 아봇트 스파인 | 변형 가능한 웨지를 갖는 척주간 임플란트 |
US6946000B2 (en) | 2000-12-22 | 2005-09-20 | Spine Next | Intervertebral implant with deformable wedge |
US6926728B2 (en) | 2001-07-18 | 2005-08-09 | St. Francis Medical Technologies, Inc. | Curved dilator and method |
DE10135771B4 (de) * | 2001-07-23 | 2006-02-16 | Aesculap Ag & Co. Kg | Facettengelenkimplantat |
DE10135771A1 (de) * | 2001-07-23 | 2003-02-20 | Aesculap Ag & Co Kg | Facettengelenkimplantat |
JP2004537389A (ja) * | 2001-08-20 | 2004-12-16 | ジンテーズ アクチエンゲゼルシャフト クール | 棘突起間プロテーゼ |
JP4947879B2 (ja) * | 2001-08-20 | 2012-06-06 | ジンテーズ ゲゼルシャフト ミト ベシュレンクテル ハフツング | 棘突起間プロテーゼ |
US9622790B2 (en) | 2001-09-19 | 2017-04-18 | Warsaw Orthopedic, Inc. | Rod extension for extending fusion construct |
US8012180B2 (en) | 2001-12-07 | 2011-09-06 | Synthes Usa, Llc | Damping element and device for stabilization of adjacent vertebral bodies |
FR2835173A1 (fr) * | 2002-01-28 | 2003-08-01 | Biomet Merck France | Implant vertebral inter-epineux |
EP1330987A1 (fr) * | 2002-01-28 | 2003-07-30 | Biomet Merck France | Implant vertebral inter-épineux |
US6733534B2 (en) | 2002-01-29 | 2004-05-11 | Sdgi Holdings, Inc. | System and method for spine spacing |
US8932334B2 (en) | 2002-04-05 | 2015-01-13 | Stephen Ritland | Dynamic fixation device and method of use |
US9232967B2 (en) | 2002-05-08 | 2016-01-12 | Stephen Ritland | Dynamic fixation device and method of use |
AU2003228960B2 (en) * | 2002-05-08 | 2009-06-11 | Stephen Ritland | Dynamic fixation device and method of use |
WO2003094699A3 (fr) * | 2002-05-08 | 2009-05-14 | Stephen Ritland | Dispositif de fixation dynamique et procede d'utilisation |
EP2457528A1 (fr) * | 2002-05-08 | 2012-05-30 | Stephen Ritland | Dispositif de fixation dynamique et procédé d'utilisation |
US8690922B2 (en) | 2002-05-08 | 2014-04-08 | Stephen Ritland | Dynamic fixation device and method of use |
US10194956B2 (en) | 2005-04-08 | 2019-02-05 | Paradigm Spine, Llc | Interspinous vertebral and lumbosacral stabilization devices and methods of use |
WO2006110578A2 (fr) * | 2005-04-08 | 2006-10-19 | Paradigm Spine, Llc. | Dispositifs de stabilisation vertebrale et lombo-sacree interepineux et procedes d'utilisation correspondants |
US9402657B2 (en) | 2005-04-08 | 2016-08-02 | Paradigm Spine, Llc | Interspinous vertebral and lumbosacral stabilization devices and methods of use |
WO2006110578A3 (fr) * | 2005-04-08 | 2007-01-18 | Paradigm Spine Llc | Dispositifs de stabilisation vertebrale et lombo-sacree interepineux et procedes d'utilisation correspondants |
EP2992844A1 (fr) * | 2005-04-08 | 2016-03-09 | Paradigm Spine, LLC | Dispositifs de stabilisation interspinale vertébrale et lombo-sacrée |
DE102005028887A1 (de) * | 2005-06-22 | 2007-01-04 | Tutogen Medical Gmbh | Implantat |
US8845694B2 (en) | 2005-07-19 | 2014-09-30 | Warsaw Orthopedic, Inc. | Rod extension for extending fusion construct |
WO2007035120A1 (fr) | 2005-09-19 | 2007-03-29 | Lfc Spolka Z O.O. | Implant interprocessus à maintien de distance |
US8403960B2 (en) | 2005-09-19 | 2013-03-26 | Blackstone Medical, Inc. | Distance-keeping inter-process implant |
US8241332B2 (en) | 2005-09-19 | 2012-08-14 | Blackstone Medical Inc. | Distance-keeping inter-process implant |
US8979899B2 (en) | 2005-09-19 | 2015-03-17 | Blackstone Medical, Inc. | Distance-keeping inter-process implant |
US9173746B2 (en) | 2005-09-27 | 2015-11-03 | Paradigm Spine, Llc | Interspinous vertebral stabilization devices |
US8016828B2 (en) | 2005-09-27 | 2011-09-13 | Zimmer Spine, Inc. | Methods and apparatuses for stabilizing the spine through an access device |
US10363071B2 (en) | 2005-09-27 | 2019-07-30 | Paradigm Spine, Llc | Interspinous vertebral stabilization devices |
US9011441B2 (en) | 2006-02-17 | 2015-04-21 | Paradigm Spine, L.L.C. | Method and system for performing interspinous space preparation for receiving an implant |
US9737316B2 (en) | 2006-02-17 | 2017-08-22 | Paradigm Spine, Llc | Method and system for performing interspinous space preparation for receiving an implant |
US8834482B2 (en) | 2006-04-28 | 2014-09-16 | Paradigm Spine, Llc | Instrument system for use with an interspinous implant |
US11160585B2 (en) | 2006-04-28 | 2021-11-02 | Paradigm Spine, Llc | Instrument system for use with an interspinous implant |
JP2010503445A (ja) * | 2006-09-18 | 2010-02-04 | スピネアルト・エス・アー | 腰部棘突起間プロテーゼ及びその利用 |
US8308770B2 (en) * | 2006-09-22 | 2012-11-13 | Depuy Spine, Inc. | Dynamic stabilization system |
US7922750B2 (en) | 2006-11-30 | 2011-04-12 | Paradigm Spine, Llc | Interlaminar-interspinous vertebral stabilization system |
US8974496B2 (en) | 2007-08-30 | 2015-03-10 | Jeffrey Chun Wang | Interspinous implant, tools and methods of implanting |
Also Published As
Publication number | Publication date |
---|---|
EP1054638B1 (fr) | 2005-08-31 |
CA2320821A1 (fr) | 1999-08-19 |
FR2774581B1 (fr) | 2000-08-11 |
AU2428399A (en) | 1999-08-30 |
DE69926995D1 (de) | 2005-10-06 |
US6440169B1 (en) | 2002-08-27 |
KR20010034491A (ko) | 2001-04-25 |
DE1054638T1 (de) | 2001-05-03 |
ES2151876T1 (es) | 2001-01-16 |
ATE303104T1 (de) | 2005-09-15 |
FR2774581A1 (fr) | 1999-08-13 |
JP2002502662A (ja) | 2002-01-29 |
EP1054638A1 (fr) | 2000-11-29 |
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