WO2003075805B1 - Apparatus and method for replacing vertebral elements - Google Patents

Apparatus and method for replacing vertebral elements

Info

Publication number
WO2003075805B1
WO2003075805B1 PCT/US2003/007301 US0307301W WO03075805B1 WO 2003075805 B1 WO2003075805 B1 WO 2003075805B1 US 0307301 W US0307301 W US 0307301W WO 03075805 B1 WO03075805 B1 WO 03075805B1
Authority
WO
WIPO (PCT)
Prior art keywords
component
vertebra
articulation member
attached
orthopedic implantable
Prior art date
Application number
PCT/US2003/007301
Other languages
French (fr)
Other versions
WO2003075805A1 (en
Inventor
Kingsley R M D Chin
Original Assignee
Kingsley R M D Chin
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Kingsley R M D Chin filed Critical Kingsley R M D Chin
Priority to EP03714047A priority Critical patent/EP1490002B1/en
Priority to DE60323739T priority patent/DE60323739D1/en
Publication of WO2003075805A1 publication Critical patent/WO2003075805A1/en
Publication of WO2003075805B1 publication Critical patent/WO2003075805B1/en

Links

Classifications

    • 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
    • A61F2/4405—Joints for the spine, e.g. vertebrae, spinal discs for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes
    • 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
    • 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
    • A61B17/7064—Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
    • 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
    • A61F2/28—Bones
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/30062—(bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
    • 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
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0004—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof bioabsorbable
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00035—Other metals or alloys
    • A61F2310/00071—Nickel or Ni-based alloys
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00179—Ceramics or ceramic-like structures
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00359—Bone or bony tissue
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/907—Composed of particular material or coated
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/907—Composed of particular material or coated
    • Y10S606/908—Bioabsorbable material
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/907—Composed of particular material or coated
    • Y10S606/909—Bone
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/907—Composed of particular material or coated
    • Y10S606/91—Polymer

Abstract

An orthopedic implantable device articulately connects a first spinal vertebra (92) to an adjacent second vertebra (94) along the midline (102) of the first and second vertebrae or along an axis medial to the facets (46). The device includes a first component (110) having a male articulation member (119) and a second component (120) having a female articulation member (117). The first and second components (110, 120) are adapted to be attached to posterior locations of the first and the second vertebrae (92, 94), respectively. The first component (110) is articulately connected to the second component (120) by engaging the male articulation member (119) to the female articulation member (117) or vice versa. The articulation mechanisms may be a hook and loop or a hinge. First and second components (110, 120) are configured to replace the natural lamina, spinous process, pars interarticularis, and/or facets of the corresponding first and second vertebrae (92, 94).

Claims

[Received by the International Bureau on 08 October 2003 (08.10.03): original claims 1, 9, 10, 14, 24 and 29 replaced by amended claims 1, 9, 10, 14, 24 and 29, original claims 4, 15 cancelled (6 pages) + Statement]
1. An orthopedic implantable device articulately connecting a first spinal vertebra to an adjacent second spinal vertebra wherein each spinal vertebra comprises
5 a vertebral body, a pair of pedicles extending posteriorly from said vertebral body, a lamina extending from said pedicles, a pair of superior facets extending from said pedicles, a pair of inferior facets extending from said lamina, a pair of pars interarticularis connecting superior and inferior facets, a spinous process extending from said lamina and a pair of transverse processes extending from said pedicles 0 comprising: a first component adapted to be attached to a posterior location of said first vertebra; a second component adapted to be attached to a posterior location of said second vertebra; and 5 wherein said first component comprises a body and at least one male articulation member attached to said first component body and said second component comprises a body and at least one female articulation member attached to said second component body and wherein said first component is articulately connected to said second component by engaging said at least one male articulation 0 member to said at least one female articulation member.
2. The orthopedic implantable device of claim 1 wherein said first component is articulately connected to said second component along a posterior midline of said first and second vertebrae. 5
3. The orthopedic implantable device of claim 1 wherein said first component is articulately connected to said second component along an axis medial to said facets of said vertebrae.
0 4. (canceled)
5. -The orthopedic implantable device of claim 1 wherein said at least one male articulation member comprises a hook and said at least one female articulation member comprises a loop.
6. The orthopedic implantable device of claim 1 wherein said first component body further comprises at least one female articulation member.
7. The orthopedic implantable device of claim 1 wherein said second component body further comprises at least one male articulation member.
8. The orthopedic implantable device of claim 1 wherein said posterior locations of said first and second vertebrae are selected from a group consisting of a pedicle, transverse processes, facets, pars interarticularis, intervertebral disc, lamina, and vertebral body
9. The orthopedic implantable device of claim 1 wherein said body of said first component is attached to first and second pedicles of said first vertebra and said body of said second component is attached to first and second pedicles of said second vertebra, respectively.
10. The orthopedic implantable device of claim 1 wherein said first and second components are attached to said first and second vertebrae, respectively, via connectors selected from a group consisting of screws, wires, and hooks.
11. The orthopedic implantable device of claim 1 wherein said first component is articulately connected to said second component via a hinge.
12. The orthopedic implantable device of claim 1 wherein said first and second components have adjustable width.
13. The orthopedic implantable device of claim 12 wherein said width of said first and second components can be adjusted between 20 and 80 millimeters.
14. An orthopedic implantable device articulately connecting a plurality of individual vertebrae, wherein said vertebrae are adjacent to each other and form a segment of a spinal column, comprising:
19 a plurality of individual components, wherein each component is adapted to be attached to a posterior location of an individual vertebra; and wherein each of said individual components comprises a body, at least one female articulation member formed within said body, and at least one male articulation member attached to said body; wherein each of said individual components is articulately connected to an adjacent inferior component by engaging its said at least one male articulation member to said at least one female articulation member of said inferior component; and wherein each of said individual components is articulately connected to an adjacent superior component by engaging its said at least one female articulation member to said at least one male articulation member of said superior component.
15. (canceled)
16. An orthopedic implantable component adapted to replace a posterior element of a vertebra, wherein the vertebra comprises a vertebral body, a pair of pedicles extending posteriorly from said vertebral body, a lamina extending from said pedicles, a pair of superior facets extending from said pedicles, a pair of inferior facets extending from said lamina, a pair of pars interarticularis connecting superior and inferior facets, a spinous process extending from said lamina and a pair of transverse processes extending from said pedicles comprising: a body adapted to be attached to a posterior location of said vertebra; a male articulation member extending from said body; and a female articulation member formed within said body.
17. The orthopedic implantable component of claim 16 wherein said body is configured to replace said lamina, said spinous process, said pars interarticularis, and said superior and inferior facets of said vertebra.
18. The orthopedic implantable component of claim 16 wherein said body is attached to said pedicles of said vertebra.
20
19. The orthopedic implantable component of claim 18 wherein said body is attached to said pedicles via screws threaded through apertures formed in said body.
20. The orthopedic implantable component of claim 19 wherein said screws comprise a material selected from a group consisting of stainless steel, titanium, gold, silver, alloys thereof, plastic, absorbable and biodegradable material.
21. The orthopedic implantable component of claim 19 comprising a material selected from a group consisting of metal, plastic, ceramic, bone, polymers, composites, absorbable material, biodegradable material, and combinations thereof.
22. The orthopedic implantable component of claim 16 wherein said male articulation member comprises a hook.
23. The orthopedic implantable component of claim 16 wherein said female articulation member comprises a bar connecting opposite sides of a cavity formed within a bottom surface of said body.
24. A spine stabilization method articulately connecting a first vertebra to a second vertebra comprising: providing a first component wherein said first component comprises a body and at least one male articulation member attached to said first component body ; attaching said first component to a posterior location of said first vertebra; providing a second component wherein said second component comprises a body and at least one female articulation member attached to said second component body; attaching said second component to a posterior location of said second vertebra; and articulately connecting said first component to said second component by engaging said at least one male articulation member to said at least one female articulation member.
21
25. The spine stabilization method of claim 24 wherein said first and second components are attached to said posterior locations of said first and second vertebra, respectively, via screws.
26. The spine stabilization method of claim 24 wherein said first and second components are attached to said posterior locations of said first and second vertebra, respectively, via hooks.
27. The spine stabilization method of claim 24 wherein said first component is articulately connected to said second component along a posterior midline of said first and second vertebrae.
28. The spine stabilization method of claim 24 wherein said first component is articulately connected to said second component along an axis medial to said facets of said vertebrae.
29. A spine stabilization method connecting a first vertebra to a second vertebra comprising: attaching first and second screws to first and second locations, respectively, of said first vertebra; attaching third and fourth screws to first and second locations, respectively, of said second vertebra; providing a first component comprising a body and at least one male articulation member attached to said first component body and a second component comprising a body and at least one female articulation member attached to said second component body and articulately connecting said first component to said second component by engaging said at least one male articulation member to said at least one female articulation member; attaching said body of said first component to said first and second locations of said first vertebra via said first and second screws, respectively; attaching said body of said second component to said first and second locations of said second vertebra via said third and fourth screws, respectively; and tightening of all said screws.
22
30. The spine fixation method of claim 29 further comprising before attaching said bodies of said first and second components adjusting the width of said bodies of said first and second components.
31. The orthopedic implantable device of claim 1 wherein said first or second vertebrae are selected from a group consisting of cervical, thoracic, lumbar and sacrum vertebrae.
23
PCT/US2003/007301 2002-03-08 2003-03-05 Apparatus and method for replacing vertebral elements WO2003075805A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP03714047A EP1490002B1 (en) 2002-03-08 2003-03-05 Apparatus for replacing vertebral elements
DE60323739T DE60323739D1 (en) 2002-03-08 2003-03-05 DEVICE FOR REPLACING SWIVEL ELEMENTS

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US36285102P 2002-03-08 2002-03-08
US60/362,851 2002-03-08
US10/364,847 US6669729B2 (en) 2002-03-08 2003-02-11 Apparatus and method for the replacement of posterior vertebral elements
US10/364,847 2003-02-11

Publications (2)

Publication Number Publication Date
WO2003075805A1 WO2003075805A1 (en) 2003-09-18
WO2003075805B1 true WO2003075805B1 (en) 2004-02-12

Family

ID=27807978

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/007301 WO2003075805A1 (en) 2002-03-08 2003-03-05 Apparatus and method for replacing vertebral elements

Country Status (5)

Country Link
US (1) US6669729B2 (en)
EP (1) EP1490002B1 (en)
AT (1) ATE409016T1 (en)
DE (1) DE60323739D1 (en)
WO (1) WO2003075805A1 (en)

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US6669729B2 (en) 2003-12-30
US20030171750A1 (en) 2003-09-11
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EP1490002B1 (en) 2008-09-24

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