US20080228275A1 - Intervertebral implant component with three points of contact - Google Patents
Intervertebral implant component with three points of contactDownload PDFInfo
- Publication number
- US20080228275A1 US20080228275A1US11/686,021US68602107AUS2008228275A1US 20080228275 A1US20080228275 A1US 20080228275A1US 68602107 AUS68602107 AUS 68602107AUS 2008228275 A1US2008228275 A1US 2008228275A1
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- Prior art keywords
- intervertebral implant
- points
- footprint
- adjacent
- contact
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Links
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Images
Classifications
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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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- A61F2002/4627—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
- A—HUMAN NECESSITIES
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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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- A61F2002/4628—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
- A—HUMAN NECESSITIES
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Definitions
- disc replacementinvolves the insertion of an artificial intervertebral disc implant into the intervertebral space between adjacent vertebrae, and which allows limited universal movement of the adjacent vertebrae with respect to each other.
- the aim of total disc replacementis to remove pain generation (caused by a bad disc), restore anatomy (disc height), and maintain mobility in the functional spinal unit so that the spine remains in an adapted sagittal balance.
- Sagittal balanceis defined as the equilibrium of the trunk with the legs and pelvis to maintain harmonious sagittal curves.
- total disc replacementpreserves mobility in the motion segment and mimics physiologic conditions.
- One such intervertebral implantincludes an upper part that can communicate with an adjacent vertebrae, a lower part that can communicate with an adjacent vertebrae, and an insert located between these two parts.
- An example of this type of implantis disclosed in U.S. Pat. No. 5,314,477 (Marnay).
- a component of an intervertebral implantis provided with an inner surface and an outer surface.
- the outer surfaceengages an adjacent vertebra and presents only three distinct points of contact with a cortical rim of the adjacent vertebra.
- the outer surfacehas a footprint which is sized to be within that of the cortical rim.
- the footprint of the outer surfacehas a major convex side and can be convexo-concave shaped, D shaped, or kidney shaped.
- the three points of contact of the footprint of the outer surface with the cortical rimare two lateral-anterior points and one posterior point.
- the footprint of the outer surfaceincludes opposed ends which provide the two lateral-anterior points of contact.
- the outer surface of the componentincludes at least one vertebra engaging protrusion.
- the protrusioncan include a protruding keel located adjacent an opposed or longitudinal end, which keel may be curved.
- the inner surfaceincludes a pair of cutouts extending to an adjacent outer edge thereof.
- the cutoutsare preferably angled centrally inwardly and dovetail shaped in cross section.
- an intervertebral implantcan be provided with upper and lower (or first and second) components, each as described above and each of which engages an adjacent first and second vertebrae.
- the implantalso includes a means for allowing the first and second components to move relative to one another.
- the implantwould have the outer surfaces of both the first and second components sized to present a respective footprint sufficient for only three points of contact with an adjacent cortical rim of the respective first and second vertebra.
- the intervertebral implanthas only three points of contact made at the cortical rim of the adjacent vertebrae.
- a major convex-sided shape of the intervertebral implantpresents a small insertion size which can be inserted along an arc shaped path.
- FIG. 1is a perspective exploded view of an implant in accordance with the present invention.
- FIG. 2is a top plan view of the implant depicted in FIG. 1 adjacent a vertebra.
- FIG. 3is a top plan view of the implant depicted in FIG. 2 partially inserted into an intervertebral space.
- FIG. 4is a top plan view of the implant depicted in FIG. 2 fully inserted into an intervertebral space.
- FIG. 5is a left side view of the implant depicted in FIG. 2 inserted into an intervertebral space.
- FIG. 6is an anterior view of the implant depicted in FIG. 5 .
- FIG. 7is a perspective exploded view of an alternatively shaped implant of the present invention.
- FIG. 8is a perspective exploded view of an implant similar to FIG. 1 but showing a modification of the invention.
- FIG. 9is a perspective view of a component of an alternatively shaped implant of the present invention showing a modification of the invention.
- FIG. 10shows the operative portion of an instrument used for insertion of an implant according to the present invention.
- FIG. 11shows an implant having components as in FIG. 9 being engaged by the instrument depicted in FIG. 10 .
- implant 10is formed of three components or parts, an upper part 12 , a lower part 14 and a movable insert 16 allowing upper part 12 to move relative to lower part 14 .
- An opposed pair of convexities 18are provided on respective inner surfaces 19 of upper and lower parts 12 and 14 (though only convexity 18 for lower part 16 is shown), and concavities 20 (only upper concavity 20 is shown) on opposite sides of insert 16 which concavities 20 mate with adjacent convexities 18 .
- insert 16could be a convexity extending integrally from one part which mates with a concavity integrally in the other part, so the separate depiction of an insert 16 for the present invention is only exemplary of one type of movable insert means known in the art.
- Both upper and lower parts 12 and 14each have an outer surface 24 .
- outer surfaces 24are each designed to contact an adjacent vertebrae, such as upper and lower vertebrae 26 and 28 depicted in FIGS. 2-6 .
- vertebra 28(and similar vertebrae in general) includes a relatively rigid cortical rim 30 of bone which surrounds less rigid cancellous bone 32 .
- Prior art vertebral implantswere designed to cover cortical rim 30 . However, such coverage results in multiple points (or areas) of contact which are not needed.
- implant 10 of the present inventionprovides a more compact and hence easier to insert implant which still has a good and sufficient contact with the adjacent vertebrae.
- outer surfaces 24are designed or sized to provide three distinct points (or small areas) of contact 34 a , 34 b and 34 c (or collectively, points 34 ) with the adjacent cortical rim 30 as shown in FIG. 4 .
- points of contact 34 shown in FIG. 4are those of outer surface 24 of upper part 12 which would contact upper vertebra 26 (not shown) but in the same manner as the underlying points of contact 34 of lower part 14 (which are not seen because they are covered by upper part 12 ) contact lower vertebra 28 which is shown.
- outer surface 24also includes a series of small teeth or spikes 36 or other such protrusions upstanding therefrom which serve to anchor upper and lower parts 12 and 14 in place after implantation as well known in the art.
- outer surface 24is shaped with a major convex side according to the present invention to present a footprint so that only three points of contact 34 are provided thereby.
- implant 10will be tailored to the individual so that only three points of contact 34 are made. This sizing of the footprint of outer surface 24 is conveniently determined by choosing the footprint of outer surface 24 to be located within the footprint of cortical rim 30 as shown.
- the points of contact 34are left and right lateral-anterior points 34 a and 34 c which are preferably symmetrically located as shown, and a posterior point 34 b .
- the footprint of the outer surface 24includes opposed ends which provide the left and right lateral-anterior points 34 a and 34 c .
- Suitable footprints to provide the three points 34 of contactinclude: a) a convexo-concave footprint as shown by implant 10 in FIGS. 1-4 (and by implant 210 in FIG. 8 ); b) a D-shaped footprint as shown by implant 110 in FIG. 7 ; or c) a kidney shaped footprint as shown by implant 310 in FIGS. 9 and 11 .
- implants 10 , 110 , 210 and 310to have a relatively narrow or small maximum width between left and right points 34 a and 34 c as evident from the three footprints discussed above.
- This narrow maximum widthparticularly where augmented by a longitudinal concavity or inward bowing as with implants 10 , 210 and 310 , permits implants 10 , 110 , 210 and 310 to be inserted between adjacent vertebrae 26 and 28 through a smaller incision than if the implant spanned cortical rim 30 in all directions.
- FIGS. 2-4it will also be appreciated that the size and shape of implant 10 also makes the implanting of implant 10 from the angle shown and along the path depicted easy to accomplish.
- Implant 110 depicted in FIG. 7discloses upper and lower parts 112 and 114 having outer surfaces 124 which present a D shaped footprint. As with FIG. 1 , as noted above, insert 116 shows the upper concavity thereof (opposite the similar lower concavity thereof.
- implant 210which is also convexo-concave shaped like implant 10 .
- implant 210includes a keel 262 extending from each of outer surfaces 224 adjacent an opposed or longitudinal end thereof, and preferably the opposed end which is inserted last between vertebrae 26 and 28 (see FIG. 3 ) with the opposite longitudinal end then preferably having a slight chamfer to ease insertion.
- Each keel 262serves to anchor the associated upper and lower parts 212 and 214 of implant 210 in place in a provided cutout or slot in adjacent vertebrae 26 and 28 after implantation as known in the art, in addition to the anchoring provided by the small spikes 236 also shown in FIG. 8 .
- Keel 262is depicted as curved or arced to match arced insertion path along which implant 210 would be implanted between the vertebrae (as shown by the three positions of implant 10 shown in FIGS. 2-4 ); though if implant 262 is implanted along a straight direction, keel 262 would instead be straight. If desired, two or more keels positioned along an arc or straight line could also be provided. The cutout required for keel 262 could be made in advance of implantation, or keel 262 could be self-cutting having chisel-like cutting edges at the introduction end as known in the art.
- an entire implantis identified by the numeral 310 , although only lower part 314 thereof is shown in detail.
- the upper part 312is a mirror image thereof, and the insert the same as the above described insert 16 .
- Lower part 314has an outer surface 324 which presents a kidney shaped footprint as shown.
- Also shown on lower part 314are an opposed pair of cutouts 372 in inner surface 319 .
- Cutouts 372are dovetail shaped, that is, the vertical walls thereof are angled inwardly (or each toward the other cutout 372 ), and cutouts 372 are also preferably are longitudinally angled centrally inwardly or converging toward one another (or toward convexity 318 ) as they extend from the adjacent opposed end.
- Cutouts 372are provided so that an instrument with a pair of matingly shaped engaging members can securely grasp lower part 314 (and similarly upper part 312 ) in order to insert implant 310 between vertebrae 26 and 28 as generally known in the art; and the added security of having both the dovetails shape and convergence allows cutouts 372 to be usable as well to reposition or even remove implant 310 as required.
- cutouts 372could also be parallel to one another rather than converging if desired if less holding power is needed with the instrument.
- Instrument 400Depicted in FIGS. 10 and 11 is a portion of an insertion instrument 400 which can be used for insertion of implant 310 (or the other disclosed implants if they are provided with cutouts 372 ).
- Instrument 400includes a base 402 attached to an inserter shaft 403 . Extending distally from base 402 (away from inserter shaft 403 ) is a longitudinal fixed arm 404 .
- Fixed arm 404is shaped with top and bottom laterally-inwardly directed projections 406 a and 406 b . Projections 406 are designed to fit matingly in cutouts 372 , and thus have a mating dovetail design.
- movable arm 408Laterally opposite to fixed arm 404 is a movable arm 408 having top and bottom laterally-inwardly directed projections 410 a and 410 b which are similarly shaped as projections 406 but oppositely directed. Like projections 406 , projections 410 are designed to fit matingly in cutouts 372 but on the opposite side of implant 310 .
- movable arm 408is movable about a pivot 412 provided in base 402 toward fixed arm 404 , and this movement is accomplished by a rod 414 guided in inserter shaft 403 which is forced against a pin 416 integral with movable arm 408 and trapped in slot 418 of base 402 .
- instrument 400is used to grasp implant 310 by placing projections 406 and 410 on either sides of implant 310 and adjacent respective cutouts 372 . Then, by manipulation of rod 414 , movable arm 408 is moved towards fixed arm 404 so that projections 406 and 410 are received in and then locked in cutouts 372 . Once projections 406 and 410 are locked in place in cutouts 372 , implant 310 is securely attached to base 402 so that implant 310 can be inserted between vertebrae by manipulation of inserter shaft 403 as known in the art.
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physical Education & Sports Medicine (AREA)
- Prostheses (AREA)
Abstract
Description
- Historically, when it was necessary to completely remove a disc from between adjacent vertebrae, the conventional procedure is to fuse the adjacent vertebrae together. This “spinal fusion” procedure, which is still in use today, is a widely accepted surgical treatment for symptomatic lumbar degenerative disc disease. However, reported clinical results vary considerably, and complication rates are considered by some to be unacceptably high.
- More recently, there have been important developments in the field of disc replacement, namely disc arthoplasty, which involves the insertion of an artificial intervertebral disc implant into the intervertebral space between adjacent vertebrae, and which allows limited universal movement of the adjacent vertebrae with respect to each other. The aim of total disc replacement is to remove pain generation (caused by a bad disc), restore anatomy (disc height), and maintain mobility in the functional spinal unit so that the spine remains in an adapted sagittal balance. Sagittal balance is defined as the equilibrium of the trunk with the legs and pelvis to maintain harmonious sagittal curves. In contrast with fusion techniques, total disc replacement preserves mobility in the motion segment and mimics physiologic conditions.
- One such intervertebral implant includes an upper part that can communicate with an adjacent vertebrae, a lower part that can communicate with an adjacent vertebrae, and an insert located between these two parts. An example of this type of implant is disclosed in U.S. Pat. No. 5,314,477 (Marnay).
- While this and other known implants represent improvements in the art of artificial intervertebral implants, there exists a continuing need for improvements in this field.
- In accordance with the present invention, a component of an intervertebral implant is provided with an inner surface and an outer surface. The outer surface engages an adjacent vertebra and presents only three distinct points of contact with a cortical rim of the adjacent vertebra. Preferably, the outer surface has a footprint which is sized to be within that of the cortical rim. In disclosed embodiments, the footprint of the outer surface has a major convex side and can be convexo-concave shaped, D shaped, or kidney shaped.
- Preferably, the three points of contact of the footprint of the outer surface with the cortical rim are two lateral-anterior points and one posterior point. In addition, the footprint of the outer surface includes opposed ends which provide the two lateral-anterior points of contact.
- In a preferred embodiment, the outer surface of the component includes at least one vertebra engaging protrusion. The protrusion can include a protruding keel located adjacent an opposed or longitudinal end, which keel may be curved.
- Also in a preferred embodiment, the inner surface includes a pair of cutouts extending to an adjacent outer edge thereof. The cutouts are preferably angled centrally inwardly and dovetail shaped in cross section.
- Also in accordance with the present invention, an intervertebral implant can be provided with upper and lower (or first and second) components, each as described above and each of which engages an adjacent first and second vertebrae. The implant also includes a means for allowing the first and second components to move relative to one another. The implant would have the outer surfaces of both the first and second components sized to present a respective footprint sufficient for only three points of contact with an adjacent cortical rim of the respective first and second vertebra.
- It is an advantage of the present invention that a minimally sized intervertebral implant is provided.
- It is also an advantage of the present invention that the intervertebral implant has only three points of contact made at the cortical rim of the adjacent vertebrae.
- It is a further advantage of the present invention that a major convex-sided shape of the intervertebral implant presents a small insertion size which can be inserted along an arc shaped path.
- Other features and advantages of the present invention are stated in or apparent from detailed descriptions of presently preferred embodiments of the invention found hereinbelow.
FIG. 1 is a perspective exploded view of an implant in accordance with the present invention.FIG. 2 is a top plan view of the implant depicted inFIG. 1 adjacent a vertebra.FIG. 3 is a top plan view of the implant depicted inFIG. 2 partially inserted into an intervertebral space.FIG. 4 is a top plan view of the implant depicted inFIG. 2 fully inserted into an intervertebral space.FIG. 5 is a left side view of the implant depicted inFIG. 2 inserted into an intervertebral space.FIG. 6 is an anterior view of the implant depicted inFIG. 5 .FIG. 7 is a perspective exploded view of an alternatively shaped implant of the present invention.FIG. 8 is a perspective exploded view of an implant similar toFIG. 1 but showing a modification of the invention.FIG. 9 is a perspective view of a component of an alternatively shaped implant of the present invention showing a modification of the invention.FIG. 10 shows the operative portion of an instrument used for insertion of an implant according to the present invention.FIG. 11 shows an implant having components as inFIG. 9 being engaged by the instrument depicted inFIG. 10 .- With reference now to the drawings in which like numerals represent like elements throughout the views, an
intervertebral implant 10 according to the present invention is depicted inFIGS. 1-6 . Broadly and as best shown inFIG. 1 ,implant 10 is formed of three components or parts, anupper part 12, alower part 14 and amovable insert 16 allowingupper part 12 to move relative tolower part 14. An opposed pair ofconvexities 18 are provided on respectiveinner surfaces 19 of upper andlower parts 12 and14 (though onlyconvexity 18 forlower part 16 is shown), and concavities20 (onlyupper concavity 20 is shown) on opposite sides ofinsert 16 which concavities20 mate withadjacent convexities 18.Such parts insert 16 could be a convexity extending integrally from one part which mates with a concavity integrally in the other part, so the separate depiction of aninsert 16 for the present invention is only exemplary of one type of movable insert means known in the art. - Both upper and
lower parts outer surface 24. As known in the art,outer surfaces 24 are each designed to contact an adjacent vertebrae, such as upper andlower vertebrae FIGS. 2-6 . As shown inFIGS. 2-4 , vertebra28 (and similar vertebrae in general) includes a relatively rigidcortical rim 30 of bone which surrounds lessrigid cancellous bone 32. Prior art vertebral implants were designed to covercortical rim 30. However, such coverage results in multiple points (or areas) of contact which are not needed. Thus,implant 10 of the present invention provides a more compact and hence easier to insert implant which still has a good and sufficient contact with the adjacent vertebrae. - It is thus a feature of the present invention that
outer surfaces 24 are designed or sized to provide three distinct points (or small areas) ofcontact cortical rim 30 as shown inFIG. 4 . It will be appreciated that points of contact34 shown inFIG. 4 are those ofouter surface 24 ofupper part 12 which would contact upper vertebra26 (not shown) but in the same manner as the underlying points of contact34 of lower part14 (which are not seen because they are covered by upper part12) contactlower vertebra 28 which is shown. It will be noted thatouter surface 24 also includes a series of small teeth orspikes 36 or other such protrusions upstanding therefrom which serve to anchor upper andlower parts - As noted above,
outer surface 24 is shaped with a major convex side according to the present invention to present a footprint so that only three points of contact34 are provided thereby. As the size of vertebrae vary depending on location and on the individual user,implant 10 will be tailored to the individual so that only three points of contact34 are made. This sizing of the footprint ofouter surface 24 is conveniently determined by choosing the footprint ofouter surface 24 to be located within the footprint ofcortical rim 30 as shown. The points of contact34 are left and right lateral-anterior points posterior point 34b. Conveniently, the footprint of theouter surface 24 includes opposed ends which provide the left and right lateral-anterior points implant 10 inFIGS. 1-4 (and byimplant 210 inFIG. 8 ); b) a D-shaped footprint as shown byimplant 110 inFIG. 7 ; or c) a kidney shaped footprint as shown byimplant 310 inFIGS. 9 and 11 . - The use of such a small footprint and only three points of contact34 with one being posterior or anterior also makes it possible for
implants right points implants implants adjacent vertebrae cortical rim 30 in all directions. InFIGS. 2-4 , it will also be appreciated that the size and shape ofimplant 10 also makes the implanting ofimplant 10 from the angle shown and along the path depicted easy to accomplish. Implant 110 depicted inFIG. 7 discloses upper andlower parts outer surfaces 124 which present a D shaped footprint. As withFIG. 1 , as noted above, insert116 shows the upper concavity thereof (opposite the similar lower concavity thereof.- Depicted in
FIG. 8 is animplant 210 which is also convexo-concave shaped likeimplant 10. However,implant 210 includes akeel 262 extending from each ofouter surfaces 224 adjacent an opposed or longitudinal end thereof, and preferably the opposed end which is inserted last betweenvertebrae 26 and28 (seeFIG. 3 ) with the opposite longitudinal end then preferably having a slight chamfer to ease insertion. Eachkeel 262 serves to anchor the associated upper andlower parts implant 210 in place in a provided cutout or slot inadjacent vertebrae small spikes 236 also shown inFIG. 8 .Keel 262 is depicted as curved or arced to match arced insertion path along which implant210 would be implanted between the vertebrae (as shown by the three positions ofimplant 10 shown inFIGS. 2-4 ); though ifimplant 262 is implanted along a straight direction,keel 262 would instead be straight. If desired, two or more keels positioned along an arc or straight line could also be provided. The cutout required forkeel 262 could be made in advance of implantation, orkeel 262 could be self-cutting having chisel-like cutting edges at the introduction end as known in the art. - In
FIG. 9 , an entire implant is identified by the numeral310, although onlylower part 314 thereof is shown in detail. Theupper part 312 is a mirror image thereof, and the insert the same as the above describedinsert 16.Lower part 314 has an outer surface324 which presents a kidney shaped footprint as shown. Also shown onlower part 314 are an opposed pair ofcutouts 372 ininner surface 319.Cutouts 372 are dovetail shaped, that is, the vertical walls thereof are angled inwardly (or each toward the other cutout372), andcutouts 372 are also preferably are longitudinally angled centrally inwardly or converging toward one another (or toward convexity318) as they extend from the adjacent opposed end.Cutouts 372 are provided so that an instrument with a pair of matingly shaped engaging members can securely grasp lower part314 (and similarly upper part312) in order to insertimplant 310 betweenvertebrae cutouts 372 to be usable as well to reposition or even removeimplant 310 as required. Of course,cutouts 372 could also be parallel to one another rather than converging if desired if less holding power is needed with the instrument. - Depicted in
FIGS. 10 and 11 is a portion of aninsertion instrument 400 which can be used for insertion of implant310 (or the other disclosed implants if they are provided with cutouts372).Instrument 400 includes a base402 attached to aninserter shaft 403. Extending distally from base402 (away from inserter shaft403) is a longitudinal fixedarm 404.Fixed arm 404 is shaped with top and bottom laterally-inwardly directedprojections Projections 406 are designed to fit matingly incutouts 372, and thus have a mating dovetail design. Laterally opposite to fixedarm 404 is amovable arm 408 having top and bottom laterally-inwardly directedprojections projections 406 but oppositely directed. Likeprojections 406, projections410 are designed to fit matingly incutouts 372 but on the opposite side ofimplant 310. As known in the art,movable arm 408 is movable about apivot 412 provided inbase 402 toward fixedarm 404, and this movement is accomplished by arod 414 guided ininserter shaft 403 which is forced against apin 416 integral withmovable arm 408 and trapped inslot 418 ofbase 402. - In use,
instrument 400 is used to graspimplant 310 by placingprojections 406 and410 on either sides ofimplant 310 and adjacentrespective cutouts 372. Then, by manipulation ofrod 414,movable arm 408 is moved towards fixedarm 404 so thatprojections 406 and410 are received in and then locked incutouts 372. Onceprojections 406 and410 are locked in place incutouts 372,implant 310 is securely attached tobase 402 so thatimplant 310 can be inserted between vertebrae by manipulation ofinserter shaft 403 as known in the art. - While the present invention has been described with respect to exemplary embodiments thereof, it will be understood by those of ordinary skill in the art that variations and modifications can be effected within the scope and spirit of the invention.
Claims (26)
1. An intervertebral implant component comprising:
an outer surface for engaging an adjacent vertebra and an inner surface;
wherein said outer surface is constructed to present only three distinct points of contact for engaging a cortical rim of the adjacent vertebra, and said outer surface has a footprint which is sized to be within that of the cortical rim to be engaged.
2. (canceled)
3. An intervertebral implant component as claimed inclaim 21 wherein said footprint of said outer surface is convexo-concave shaped.
4. An intervertebral implant component as claimed inclaim 1 , wherein said footprint of said outer surface is D shaped.
5. An intervertebral implant component as claimed inclaim 1 , wherein said footprint of said outer surface is kidney shaped.
6. An intervertebral implant component as claimed inclaim 1 , wherein said three points of contact of said footprint of said outer surface with the cortical rim are two lateral-anterior points and one posterior point.
7. An intervertebral implant component as claimed inclaim 6 , wherein a footprint of said outer surface includes opposed ends which provide the two lateral-anterior points of contact.
8. An intervertebral implant component as claimed inclaim 1 , wherein said outer surface includes at least one vertebra engaging protrusion.
9. An intervertebral implant component as claimed inclaim 8 , wherein said at least one vertebra engaging protrusion includes a protruding keel located adjacent a longitudinal end of said outer surface.
10. An intervertebral implant component as claimed inclaim 9 , wherein said keel is curved.
11. An intervertebral implant component as claimed inclaim 1 , wherein said inner surface includes a pair of instrument receiving cutouts extending to an adjacent outer edge thereof.
12. An intervertebral implant component as claimed inclaim 11 , wherein said cutouts are angled centrally inwardly.
13. An intervertebral implant component as claimed inclaim 12 , wherein said cutouts are dovetail shaped in cross section.
14. An intervertebral implant comprising:
a first part which has a first outer surface for engaging a first vertebra and a first inner surface;
a second part which has a second outer surface for engaging a second vertebrae and a second inner surface; and
said first and second parts being moveable relative to one another;
wherein said first and second outer surfaces are sized to present a respective footprint sufficient for only three points of contact with an adjacent cortical rim of the respective first and second vertebra to be engaged, said footprints also being sized to be within that of the adjacent cortical rim to be engaged.
15. (canceled)
16. An intervertebral implant as claimed inclaim 14 , wherein said footprints of said outer surfaces are convexo-concave shaped.
17. An intervertebral implant as claimed inclaim 14 , wherein said footprints of said outer surfaces are D shaped.
18. An intervertebral implant as claimed inclaim 14 , wherein said footprints of said outer surfaces are kidney shaped.
19. An intervertebral implant as claimed inclaim 14 , wherein said three points of contact of each of said footprints of said outer surfaces with the adjacent cortical rims are two lateral-anterior points and one posterior point.
20. An intervertebral implant as claimed inclaim 19 , wherein each of said footprints of said outer surfaces include opposed ends which provide the two lateral-anterior points of contact.
21. An intervertebral implant as claimed inclaim 14 , wherein each of said outer surfaces includes at least one vertebra engaging protrusion.
22. An intervertebral implant as claimed inclaim 21 , wherein each said at least one vertebra engaging protrusion includes a protruding keel located adjacent a longitudinal end of the respective said outer surface.
23. An intervertebral implant as claimed inclaim 22 , wherein each said keel is curved.
24. An intervertebral implant as claimed inclaim 14 , wherein each of said inner surfaces includes a pair of instrument receiving cutouts extending to an adjacent outer edge thereof.
25. An intervertebral implant as claimed inclaim 24 , wherein each of said cutouts is angled centrally inwardly.
26. An intervertebral implant as claimed inclaim 25 , wherein each of said cutouts is dovetail shaped in cross section.
Priority Applications (12)
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| EP08732190AEP2120799A4 (en) | 2007-03-14 | 2008-03-14 | Intervertebral implant component with three points of contact |
| AU2008224898AAU2008224898A1 (en) | 2007-03-14 | 2008-03-14 | Intervertebral implant component with three points of contact |
| JP2009553793AJP2010521244A (en) | 2007-03-14 | 2008-03-14 | Three point contact intervertebral implant element |
| KR1020097018906AKR101399299B1 (en) | 2007-03-14 | 2008-03-14 | Intervertebral implant component with three points of contact |
| BRPI0808747-4ABRPI0808747A2 (en) | 2007-03-14 | 2008-03-14 | INTERVERTEBRAL IMPLANT COMPONENT WITH THREE CONTACT POINTS |
| CN2008800082555ACN101631517B (en) | 2007-03-14 | 2008-03-14 | Intervertebral implant component with three points of contact |
| PCT/US2008/056960WO2008112956A1 (en) | 2007-03-14 | 2008-03-14 | Intervertebral implant component with three points of contact |
| CA002680541ACA2680541A1 (en) | 2007-03-14 | 2008-03-14 | Intervertebral implant component with three points of contact |
| US12/190,237US7811325B2 (en) | 2007-03-14 | 2008-08-12 | Intervertebral implant component with three points of contact |
| ZA200905900AZA200905900B (en) | 2007-03-14 | 2009-08-25 | Intervertebral implant component with three points of contact |
| US12/873,724US20100324690A1 (en) | 2007-03-14 | 2010-09-01 | Intervertebral Implant Component With Three Points of Contact |
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| US12/873,724AbandonedUS20100324690A1 (en) | 2007-03-14 | 2010-09-01 | Intervertebral Implant Component With Three Points of Contact |
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| US12/873,724AbandonedUS20100324690A1 (en) | 2007-03-14 | 2010-09-01 | Intervertebral Implant Component With Three Points of Contact |
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| JP (1) | JP2010521244A (en) |
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| AU (1) | AU2008224898A1 (en) |
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| CA (1) | CA2680541A1 (en) |
| WO (1) | WO2008112956A1 (en) |
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| US8882839B2 (en) | 1999-07-02 | 2014-11-11 | DePuy Synthes Products, LLC | Intervertebral implant |
| US9526624B2 (en) | 1999-07-02 | 2016-12-27 | DePuy Synthes Products, Inc. | Intervertebral implant |
| US10182831B2 (en) | 2003-04-28 | 2019-01-22 | Centinel Spine Llc | Instruments and method for preparing an intervertebral space for receiving an artificial disc implant |
| US9387086B2 (en) | 2006-07-24 | 2016-07-12 | DePuy Synthes Products, Inc. | Intervertebral implant with keel |
| US8998990B2 (en) | 2006-07-24 | 2015-04-07 | DePuy Synthes Products, LLC | Intervertebral implant with keel |
| US20100217395A1 (en)* | 2006-07-24 | 2010-08-26 | Rudolf Bertagnoli | Intervertebral implant with keel |
| US9883950B2 (en)* | 2006-07-24 | 2018-02-06 | Centinel Spine Llc | Intervertebral implant with keel |
| US10583014B2 (en) | 2006-07-24 | 2020-03-10 | Centinel Spine, Llc | Intervertebral implant with keel |
| US11690728B2 (en) | 2006-07-24 | 2023-07-04 | Centinel Spine, Llc | Intervertebral implant with keel |
| US9254139B2 (en) | 2006-07-31 | 2016-02-09 | DePuy Synthes Products, Inc. | Drilling/milling guide and keel cut preparation system |
| US8337500B2 (en) | 2006-07-31 | 2012-12-25 | Synthes Usa, Llc | Drilling/milling guide and keel cut preparation system |
| US9717511B2 (en) | 2006-07-31 | 2017-08-01 | DePuy Synthes Products, Inc. | Drilling/milling guide and keel cut preparation system |
| US9949746B2 (en) | 2006-07-31 | 2018-04-24 | Centinel Spine Llc | Drilling/milling guide and keel cut preparation system |
| US20100324690A1 (en)* | 2007-03-14 | 2010-12-23 | Heather Cannon | Intervertebral Implant Component With Three Points of Contact |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2010521244A (en) | 2010-06-24 |
| CA2680541A1 (en) | 2008-09-18 |
| KR101399299B1 (en) | 2014-05-27 |
| KR20090121318A (en) | 2009-11-25 |
| EP2120799A1 (en) | 2009-11-25 |
| US20100324690A1 (en) | 2010-12-23 |
| BRPI0808747A2 (en) | 2014-08-19 |
| EP2120799A4 (en) | 2012-12-19 |
| AU2008224898A1 (en) | 2008-09-18 |
| CN101631517A (en) | 2010-01-20 |
| ZA200905900B (en) | 2010-05-26 |
| WO2008112956A1 (en) | 2008-09-18 |
| CN101631517B (en) | 2013-01-23 |
| US20080300688A1 (en) | 2008-12-04 |
| US7811325B2 (en) | 2010-10-12 |
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