WO2003007828A1 - Dispositif de liaison vertebrale souple - Google Patents
Dispositif de liaison vertebrale souple Download PDFInfo
- Publication number
- WO2003007828A1 WO2003007828A1 PCT/FR2002/002547 FR0202547W WO03007828A1 WO 2003007828 A1 WO2003007828 A1 WO 2003007828A1 FR 0202547 W FR0202547 W FR 0202547W WO 03007828 A1 WO03007828 A1 WO 03007828A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- rod
- connection device
- flexible
- viscoelastic
- intervertebral connection
- Prior art date
Links
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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
- A61B17/7025—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a sliding joint
-
- 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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7004—Longitudinal elements, e.g. rods with a cross-section which varies along its length
-
- 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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
- A61B17/7023—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a pivot joint
-
- 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
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
- A61B17/7031—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other made wholly or partly of flexible material
Definitions
- the invention relates to a posterior vertebral connection device which works in traction, compression and flexion, and which absorbs all mechanical stresses. This device will have functional advantages which will be described.
- FIGS. 1 and 1a of plate 1/6 show perspective views (two variant embodiments) of the device in the case of a combined working mode in compression, compression and bending
- Figures 2 and 2a of the 1/6 plate are longitudinal sectional views of two variants of the same device.
- Figure 3 of the board 2/6 is an exploded view of the device and its means.
- Figure 4 of the board 3/6 is a perspective view of the device working only in compression traction.
- Figure 5 of the board 3/6 is a sectional view of the device working only in compression traction.
- Figures 6 to 11 of plate 4/6 show all of the unitary parts constituting the device.
- Figure 12 of plate 4/6 shows another specific means working according to the compression traction mode.
- Figure 13 of plate 5/6 shows a variant of the device working along two axes.
- Figures 14 to 17 of plate 5/6 show four shapes of the movable end of another variant of the device 1.
- Figure 18 of plate 6/6 shows the device installed
- the device 1 consists of two sets of means: A first set of means 11 composed of rigid means made of preferably biocompatible metallic material ensuring good mechanical strength of the device by fully transmitting the forces
- a second set of means 12 formed of flexible or damping means made of bio-compatible viscoelastic materials, accepting repeated elastic deformations. It is the combination of these two sets of means that allows the invention to work
- the first set of means 11 comprises four mechanical structures 110, 112, 114, 116 which have the function of transmitting the forces, without deforming, and to which the device 1 is subjected.
- the mechanical structure 110 consists of a mechanical rod 111 one end of which is surmounted by a circular plate 113b connected to said rod 111 with a large connection radius 113a, the assembly being able to slide in the hollow part of the structure 114 which encloses a viscoelastic element 121.
- the mechanical structure 112 is a cap provided with a thread 117 allowing the fixing of said structure 112 on the structure 114; the means 112 has a shoulder 118 which makes it possible to enclose between the plate 113b and itself a viscoelastic washer 121.
- the mechanical structure 114 consists of two hollow cylinders, one of which is tapped to allow the fixing of a rod 116 with threaded end
- the means 110 and 116 are fixed on the vertebrae to allow the operation of the device 1.
- the second set of means 12 consists of the two viscoelastic means 121 and 122.
- the first means 121 is preferably a washer which lets the rod 111 slide in its center.
- the second means 122 is a solid disc made of viscoelastic material. These two washers 121 and 122 can undergo compression forces which can be non-uniformly distributed, they have been designed to withstand without breaking numerous cyclic fatigue stresses, tests have been carried out in this direction, the means 121 and 122 can undergo these tests by deforming elastically as many times as necessary.
- the material chosen is preferably a bio-compatible polyurethane; thanks to their integration inside the mechanical means 110, 112, 114, 116, the viscoelastic means 121 and 122 are protected by the previous mechanical structures from the aggressive environment of the human body, this in particular avoids the formation of fibers around these means which could alter the viscoelastic properties of the material and therefore disturb the proper functioning of the device 1.
- This device 1 makes it possible to dampen the compressive and flexural stresses which it undergoes by means of the rods 110 and 116. This function is ensured by the fact that the means 112 has an orifice 119 sufficiently wide to allow the movement of the rod 111 and that there is a functional clearance between the plate 113 and the hollow body of the means 114; the shoulder 118 serves as a stop and keeps the viscoelastic mass in its housing
- the means 112 is replaced by another means 115 equipped with a thread 117, which includes a cap 115c, the orifice 119 of which is adjusted to the diameter of the rod 110 extending by a guide 115a
- This device 1 is therefore capable of reacting dynamically to the stresses applied. It is essential that the structure 114 includes a bore 114a to allow guidance without excessive friction of the rod 110 in said means 114.
- a variant of all of the means 11 comprises metallic structures having the same functions as the structures
- the rod 131 is fixed to the cover 130 by means of a thread located on the shoulder 132 of the rod.
- the means 110, 112, 114, 116 which provide better guidance of the rod 110.
- the means 110, 130, 131 will preferably be used.
- the Device 1 is capable of operating with rods 110 and 131 moving on concurrent axes (fig 13) with a small displacement angle and according to determined deflections.
- the means 12 are then composed of two viscoelastic means 141 and 142.
- the means 141 is a cylinder full of viscoelastic material, biocompatible and whose face in contact with a plate is inclined.
- the means 142 is a washer whose face in contact with the back of the plate is inclined.
- All of the means 11 are identical to those previously described, the orifice 119 nevertheless being off-center as a function of the angle chosen.
- the shape of the orifice 119 is defined as a function of the deflections that are allowed to the rod 110.
- the rod 110 can thus, thanks to these new technical characteristics, work in compression traction with a given angle relative to the rod 116 or the rod 131 in the case where the orifice 119 is offset and adjusted to the rod 116 or 131 ( Figures 14).
- the rod 110 forming an angle with respect to the rod 116 or 131 (case where the orifice 119 is oblong and off-center) can in this case work as well in compression compression as in lateral bending, (f ty i ⁇ )
- the rod 110 can work in tension compression and in bending along a privileged axis which can be for example in the sagittal plane of the spine, and this on either side of a given position of the rod 110 forming at rest an angle with the rod 116 or the rod 131, this, always in the case where the means 119 is oblong and off-center, (fig 16)
- the rod 110 can work in tensile compression and in bending in all directions, forming an angle with respect to the rod 116 or 131 in the case where the orifice 119 is off-center and wider than the diameter of the rod 110. ( figure 17)
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP20020787164 EP1408860A1 (fr) | 2001-07-18 | 2002-07-17 | Dispositif de liaison vertebrale souple |
US10/505,469 US7776071B2 (en) | 2001-07-18 | 2002-07-17 | Flexible vertebral linking device |
JP2003513440A JP2005504566A (ja) | 2001-07-18 | 2002-07-17 | 柔軟脊髄連結装置 |
CA002453989A CA2453989A1 (fr) | 2001-07-18 | 2002-07-17 | Dispositif de liaison vertebrale souple |
US10/760,075 US7763048B2 (en) | 2001-07-18 | 2004-01-18 | Flexible vertebral linking device |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR01/09628 | 2001-07-18 | ||
FR0109628A FR2827498B1 (fr) | 2001-07-18 | 2001-07-18 | Dispositif de liaison vertebrale souple constitue d'elements palliant une deficience du rachis |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/760,075 Continuation US7763048B2 (en) | 2001-07-18 | 2004-01-18 | Flexible vertebral linking device |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2003007828A1 true WO2003007828A1 (fr) | 2003-01-30 |
Family
ID=8865679
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/FR2002/002547 WO2003007828A1 (fr) | 2001-07-18 | 2002-07-17 | Dispositif de liaison vertebrale souple |
Country Status (6)
Country | Link |
---|---|
US (2) | US7776071B2 (fr) |
EP (1) | EP1408860A1 (fr) |
JP (1) | JP2005504566A (fr) |
CA (1) | CA2453989A1 (fr) |
FR (1) | FR2827498B1 (fr) |
WO (1) | WO2003007828A1 (fr) |
Cited By (69)
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FR2869524A1 (fr) | 2004-04-28 | 2005-11-04 | Frederic Fortin | Dispositif intervertebral suppleant a une deficience d'amortissement et de stabilisation du rachis |
US7029475B2 (en) | 2003-05-02 | 2006-04-18 | Yale University | Spinal stabilization method |
US7261738B2 (en) | 2004-06-30 | 2007-08-28 | Depuy Spine, Inc. | C-shaped disc prosthesis |
WO2007133939A1 (fr) * | 2006-05-08 | 2007-11-22 | Warsaw Orthopedic, Inc | Élément de connexion vertébral flexible porteur |
US7351261B2 (en) | 2004-06-30 | 2008-04-01 | Depuy Spine, Inc. | Multi-joint implant |
EP1951135A2 (fr) * | 2005-11-18 | 2008-08-06 | Life Spine, Inc. | Dispositfs et systemes de stabilisation spinale dynamique |
WO2008098206A1 (fr) * | 2007-02-09 | 2008-08-14 | Altiva Corporation | Dispositif de stabilisation dynamique |
FR2919992A1 (fr) * | 2007-08-14 | 2009-02-20 | Henry Graf | Dispositif de stabilisation intervertebrale comprenant un element amortissant |
FR2931354A1 (fr) * | 2008-05-23 | 2009-11-27 | Biospine Implants | Dispositif de stabilisation posterieur dynamique epousant la lordose anatomique |
EP2124775A2 (fr) * | 2007-01-26 | 2009-12-02 | Roger P. Jackson | Elément de stabilisation dynamique avec pièce de raccordement moulée |
US7708760B2 (en) | 2004-05-27 | 2010-05-04 | Depuy Spine, Inc. | Tri-joint implant |
US7731734B2 (en) * | 2003-06-27 | 2010-06-08 | Medicrea Technologies | Vertebral osteosynthesis equipment |
US7799054B2 (en) | 2004-12-30 | 2010-09-21 | Depuy Spine, Inc. | Facet joint replacement |
EP2229902A3 (fr) * | 2009-03-20 | 2010-12-01 | Technologiczni-Przyrodniczy Im. Jana I Jedrzeja Sniadeckich W Bydgoszcz Uniwersytet | Stabilisateur rachidien inter-pédiculaire |
US7951172B2 (en) | 2005-03-04 | 2011-05-31 | Depuy Spine Sarl | Constrained motion bone screw assembly |
US7951174B2 (en) | 2005-10-21 | 2011-05-31 | Depuy Spine, Inc. | Adjustable bone screw assembly |
US7985244B2 (en) | 2004-09-30 | 2011-07-26 | Depuy Spine, Inc. | Posterior dynamic stabilizer devices |
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US8092496B2 (en) | 2004-09-30 | 2012-01-10 | Depuy Spine, Inc. | Methods and devices for posterior stabilization |
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US8348952B2 (en) | 2006-01-26 | 2013-01-08 | Depuy International Ltd. | System and method for cooling a spinal correction device comprising a shape memory material for corrective spinal surgery |
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US8709048B2 (en) | 2010-08-20 | 2014-04-29 | Tongji University | Rod system for gradual dynamic spinal fixation |
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US8226690B2 (en) | 2005-07-22 | 2012-07-24 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for stabilization of bone structures |
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US8162985B2 (en) | 2004-10-20 | 2012-04-24 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
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Also Published As
Publication number | Publication date |
---|---|
US20050165396A1 (en) | 2005-07-28 |
US7776071B2 (en) | 2010-08-17 |
EP1408860A1 (fr) | 2004-04-21 |
FR2827498B1 (fr) | 2004-05-14 |
US7763048B2 (en) | 2010-07-27 |
JP2005504566A (ja) | 2005-02-17 |
CA2453989A1 (fr) | 2003-01-30 |
FR2827498A1 (fr) | 2003-01-24 |
US20050261685A1 (en) | 2005-11-24 |
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