Source: https://patents.google.com/patent/US9089439B2/en
Timestamp: 2019-07-16 04:41:56
Document Index: 605843854

Matched Legal Cases: ['art 10', 'art 10', 'art 10', 'art 10', 'art 10', '§ 112', '§ 112', '§1', '§ 112', '§ 112', '§ 101', '§ 120', '§ 112', '§ 112', '§ 112', '§ 112', '§ 112', '§ 101', '§ 120', '§ 112', '§ 101', '§ 120', '§ 112', '§ 120', '§ 120', '§ 112', '§ 101', '§ 120', '§ 112', '§102', '§ 112', '§ 101', '§ 112', '§ 112', '§ 120', '§ 112', '§ 101', '§ 102', '§ 282', '§ 120', '§ 112', '§ 112', '§ 112', '§ 112', '§ 112', '§ 101', '§ 112', '§ 120']

US9089439B2 - Intervertebral implant - Google Patents
US9089439B2
US9089439B2 US14/182,523 US201414182523A US9089439B2 US 9089439 B2 US9089439 B2 US 9089439B2 US 201414182523 A US201414182523 A US 201414182523A US 9089439 B2 US9089439 B2 US 9089439B2
US14/182,523
US20140172108A1 (en
2008-05-17 First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=33136741&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=US9089439(B2) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
2013-01-03 Priority to US13/733,336 priority patent/US8690946B2/en
2014-02-18 Application filed by DePuy Synthes Products Inc filed Critical DePuy Synthes Products Inc
2014-02-18 Priority to US14/182,523 priority patent/US9089439B2/en
2014-05-28 Assigned to DEPUY SPINE, LLC reassignment DEPUY SPINE, LLC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: SYNTHES USA, LLC
2014-05-28 Assigned to DePuy Synthes Products, LLC reassignment DePuy Synthes Products, LLC CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: HAND INNOVATIONS LLC
2014-05-28 Assigned to HAND INNOVATIONS LLC reassignment HAND INNOVATIONS LLC ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: DEPUY SPINE, LLC
2014-05-28 Assigned to MATHYS MEDIZINALTECHNIK AG reassignment MATHYS MEDIZINALTECHNIK AG ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: BURRI, ADRIAN, WYMANN, MARTIN, BAUMGARTNER, DANIEL, HO, MARIO GAGO
2014-05-28 Assigned to SYNTHES GMBH reassignment SYNTHES GMBH ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: MATHYS MEDIZINALTECHNIK AG
2014-05-28 Assigned to SYNTHES (U.S.A.) reassignment SYNTHES (U.S.A.) ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: SYNTHES GMBH
2014-05-28 Assigned to SYNTHES USA, LLC reassignment SYNTHES USA, LLC CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: SYNTHES (U.S.A.)
2014-06-19 Publication of US20140172108A1 publication Critical patent/US20140172108A1/en
2015-06-02 Assigned to DePuy Synthes Products, Inc. reassignment DePuy Synthes Products, Inc. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: DePuy Synthes Products, LLC
2015-07-28 Publication of US9089439B2 publication Critical patent/US9089439B2/en
This application is a continuation of U.S. patent application Ser. No. 13/733,336 filed Jan. 3, 2013, which is a continuation of U.S. patent application Ser. No. 12/827,376 filed on Jun. 30, 2010, which is a continuation of U.S. patent application Ser. No. 12/198,761, filed on Aug. 26, 2008, now abandoned, which is a continuation of U.S. patent application Ser. No. 10/553,495, filed on Jul. 25, 2006, now U.S. Pat. No. 7,429,270, which is a National Stage application of PCT/CH03/00247, filed on Apr. 14, 2003, the entire disclosures of which are incorporated herein by reference in their entireties.
An intervertebral disc prosthesis of the generic type is known from U.S. Pat. No. 4,911,718 Lee. This known intervertebral disc prosthesis comprises a central core, that is so formed from a biocompatible elastomer, such that it is roughly equivalent to the nucleus pulpous of a natural intervertebral disc, as well as from a multi-layer laminate from fibres bound in an elastomer, arranged around the core. Each laminate layer has its own yarn system, so that a plurality of fibre groups are present. The fibres of the individual layers have various orientations, whereby the angles of the fibres relative to the central axis of the intervertebral disc are in the range of ±20° and ±50°, preferably 0°, +45° and −45°.
The axial compression forces occurring under a load on the spinal column are transmitted to the central part via the two end plates. The compression forces deform the central part situated between the two end plates, in particular an elastic formed body possibly present therein, in such a manner that the central part bulges radially. This expansion of the central part is restricted by the fibre system surrounding the central part and the radial compression forces arising can be absorbed by the fibre system as a tensile force. Thus a further, disadvantageous bulging of the central part can be limited. By anchoring the fibre system in both cover plates, the intervertebral implant remains stable even under the greatest loads and the fibre system is capable to withstand even considerable tensile forces.
In another embodiment the central part comprises an incompressible liquid core and an elastic formed body provided around it, while the liquid can be accommodated, for example, in a cavity provided in the formed body. This brings with it the advantage, that by virtue of the liquid core a mechanical behaviour of the intervertebral implant is similar to that of a physiological intervertebral disc. The axial deformation of the elastic central part will result in the radial expansion of the incompressible liquid and consequently in the radial expansion of the wall of the central part containing the fibre system. The tensile forces, occurring due to the radial expansion or the bulging of the wall of the central part, are basically absorbed by the fibres.
a) Mechanically by guiding the fibres designed as continuous fibres through grooves and over the external surfaces of the cover plates from one groove to another one. Thus the fibres surround the central part together with the cover plates. By guiding the fibres in the grooves the fibre system can be so anchored on the cover plates, that in the case of tensile forces acting on the fibres no slipping of the fibres on the lateral sides is possible because the fibres can absorb only tensile forces,
In yet another embodiment the central part is essentially hollow-cylindrical, hollow-prismatic or is a body of rotation, an ellipsoid, a partial sphere or barrel-shaped with an axis of rotation that is coaxial with the central axis. Such designs secure the advantage that the position of the rotation axes of the adjacent vertebral bodies correspond to the greatest possible extent to those of the natural intervertebral disc.
In another embodiment of the intervertebral implant according to the invention, a closing plate intended and designed for contact on the base plate or cover plate of the adjacent vertebral bodies is affixed on each cover plate, each of the said closing plate having an external surface at right angles to the central axis with a macroscopic structure. The structure may be, for example, in the form of teeth. The macroscopic structure allows a primary stabilisation of the intervertebral implant immediately after the operation. Thus a mechanical anchoring of the intervertebral implant at a time when the growing of the bone on the intervertebral implant has not yet taken place, can be achieved.
FIGS. 1 and 2 illustrate an embodiment of the intervertebral implant 1 according to the invention, that comprises a top cover plate 3 and a bottom cover plate 4, each with an external surface 7, 8 extending at right angles to the central axis 2 and having a lateral surface 21, 22 on the periphery. Between the cover plates 3, 4 there is a central part 10 provided with a central cavity 11 and a sheathing 12, that surrounds the fibre system 5. For the purpose of anchoring the fibres 6 of the fibre system 5 on the cover plates 3, 4, each of the peripheral lateral surfaces 21, 22 has grooves 18, distributed on the circumference and radially protruding into the lateral surfaces 21, 22, so that the fibre system 5 can be anchored in these grooves 18. In the central cavity 11 there is an elastically deformable formed body 9 with an incompressible core, preferably a liquid core 13. Due to the incompressibility of the liquid core 13 during a compression of the cover plates 3, 4 parallel to the longitudinal axis 2, for example, the elastic formed body 9 and the sheathing 12 with the fibre system 5 will bulge radially, i.e. at right angles to the longitudinal axis 2, consequently the fibres 6 will be under tension.
FIGS. 3 and 4 illustrate an embodiment of the intervertebral implant 1 according to the invention, that comprises two cover plates 3, 4, provided at right angles to the central axis 2, and an elastically deformable central part 10 situated between them. The central part 10 comprises a hollow-cylindrical sheathing 12 that is coaxial with the central axis 2 and a central cavity 11. In the central cavity 11 an elastic formed body 9 with an incompressible core is provided, preferably a liquid core 13. The formed body 9 is surrounded by a semi-permeable membrane, whereas the sheathing 12, that surrounds the fibre system 5 and an elastic sheathing body 25 passed through by the fibre system 5, is made from a synthetic material. The closing plates 14, 15 are firmly joined with the cover plates 3, 4 and have axially protruding surfaces 16, 17, which can be brought to rest on the end plates of two adjacent bodies of the vertebra. The fibre system 5 is anchored on the cover plates 3, 4 and is integrated in the sheathing 12 and its purpose is to absorb the forces on the central part 10, said forces acting on the intervertebral implant 1 via the bodies of the vertebra adjacent to the closing plates 14, 15, i.e. torsional forces due to the rotation of the bodies of the vertebra about the central axis 2 relative to one another or bending moments due to lateral bending and/or flexion/extension of the spinal column. For example, a compression force, acting on the intervertebral implant 1 parallel to the central axis 2, is transferred by closing plates 14, 15 via both cover plates 3,4 to the central part 10, while as the result the elastic formed body 9 will bulge at right angles to the central axis 2. This expansion movement of the elastic formed body 9 is transferred to the sheathing 12 with the fibre system 5 and contained by this. Since the fibre system 5 is anchored on the cover plates 3, 4, the compression force, acting transversely to the central axis 2, generates tensile forces in the fibres of the fibre system 5. The fibre system 5 in this case is made from synthetic fibres, preferably from UHMWPE-fibres (ultra high molecular weight polyethylene) or from PET (polyethylene terephthalate) and comprises a mesh from first and second fibres 6 a, 6 b, that are interwoven with one another. By doing so, the first fibres 6 a include an angle α and the second fibres 6 b an angle β with the central axis 2. In the embodiment of the intervertebral implant 1 according to the invention illustrated here, the angles α and β are equal and are between 15° and 60°. The fibres 6 a, 6 b are anchored on the cover plates 3, 4 by means of grooves 18 that are arranged on the circumference of the cover plates 3, 4 parallel to the central axis 2, so that the fibres 6 a, 6 b are passed through the grooves 18 and can be guided to the next groove 18 over the surfaces 7, 8 in a channel 19. The cover plates 3, 4 are made from synthetic material, whereas the closing plates 14, 15, arranged externally, are made from titanium or a titanium alloy. The externally arranged closing plates 14, 15 are joined with the cover plates 3, 4 either by form-locking or frictional locking. In particular they can be adhered or welded to one another.
1. An intervertebral implant sized to be implanted between a lower endplate of an upper vertebra and an upper endplate of an adjacent lower vertebra, the implant comprising:
(a) an upper closing plate having an external surface configured to contact the lower endplate of the upper vertebra and an opposing inner surface;
(b) a lower closing plate having an external surface configured to contact the upper endplate of the lower vertebra and an opposing inner surface;
(c) a top cover plate joined to the upper closing plate, the top cover plate including a top, outer surface and an opposing bottom, inner surface, wherein the outer surface of the top cover plate faces the inner surface of the upper closing plate;
(d) a bottom cover plate joined to the lower closing plate, the bottom cover plate including a bottom, outer surface and an opposing top, inner surface, wherein the outer surface of the bottom cover plate faces the inner surface of the lower closing plate;
(e) a deformable body located between the top and bottom cover plates having a first side wall located between the inner surfaces of the bottom and top cover plates, wherein the deformable body is a separate part from the top cover plate and the bottom cover plate; and
(f) a continuous, uninterrupted fiber wound along a fiber path that extends sequentially (1) from beneath the inner surface of the top cover plate and (2) over a portion of the outer surface of the top cover plate between the inner surface of the upper closing plate and the outer surface of the top cover plate and (3) back past the inner surface of the top cover plate and (4) traversing the first side wall and (5) past the inner surface of the bottom cover plate and (6) over a portion of the outer surface of the bottom cover plate between the inner surface of the lower closing plate and the outer surface of the bottom cover plate and (7) back past the inner surface of the bottom cover plate and (8) traversing the first side wall and again (9) passing from beneath the inner surface of the top cover plate and (10) over a portion of the outer surface of the top cover plate between the inner surface of the upper closing plate and the outer surface of the top cover plate and (11) back past the inner surface of the top cover plate;
wherein the continuous, uninterrupted fiber is located entirely between the inner surfaces of the upper and lower closing plates.
2. The intervertebral implant of claim 1 wherein the first side wall of the deformable body has a perimeter and the continuous, uninterrupted fiber is wound repeatedly along the fiber path such that the continuous, uninterrupted fiber extends completely around the perimeter.
3. The intervertebral implant of claim 1 wherein the continuous, uninterrupted fiber is located directly adjacent to the outer surface of the bottom cover plate and also directly adjacent to the outer surface of the top cover plate.
4. The intervertebral implant of claim 1 wherein the upper and lower closing plates are manufactured from titanium or titanium alloy.
5. The intervertebral implant of claim 1 wherein the continuous, uninterrupted fiber is wound in a manner that restricts expansion of the deformable body.
6. The intervertebral implant of claim 1 wherein the continuous, uninterrupted fiber is wound in a manner that holds together the deformable body and the separate top and bottom cover plates.
7. The intervertebral implant of claim 1 wherein the deformable body is elastically deformable.
10. The intervertebral implant of claim 1 wherein the top and bottom cover plates have an outer periphery and the continuous, uninterrupted fiber is wound over the outer surface of the top cover plate from the periphery of the outer surface of the top cover plate and wherein the continuous, uninterrupted fiber is wound over the outer surface of the bottom cover plate from the periphery of the outer surface of the bottom cover plate.
11. The intervertebral implant of claim 10 wherein the top and bottom cover plates have grooves located along the periphery and wherein the continuous, uninterrupted fiber is wound through the grooves of both the top and bottom cover plates.
12. An intervertebral implant sized to be implanted between a lower endplate of an upper vertebra and an upper endplate of an adjacent lower vertebra, the implant comprising:
(e) a deformable body located between the top and bottom cover plates having (1) an upper surface facing the bottom, inner surface of the top cover plate, (2) a lower surface facing the top, inner surface of the bottom cover plate, and (3) a first side wall located between the upper and lower surfaces of the deformable body, wherein the deformable body is a separate part from the top cover plate and the bottom cover plate; and
13. The intervertebral implant of claim 12 wherein the first side wall of the deformable body has a perimeter and the continuous, uninterrupted fiber is wound repeatedly along the fiber path completely around the perimeter.
14. The intervertebral implant of claim 12 wherein the continuous, uninterrupted fiber is located directly adjacent to the outer surface of the bottom cover plate and also directly adjacent to the outer surface of the top cover plate.
15. The intervertebral implant of claim 12 wherein the upper and lower closing plates are manufactured from titanium or titanium alloy.
16. The intervertebral implant of claim 12 wherein the continuous, uninterrupted fiber is wound in a manner that restricts expansion of the deformable body.
17. The intervertebral implant of claim 12 wherein the continuous, uninterrupted fiber is wound in a manner that holds together the deformable body and the separate top and bottom cover plates.
18. The intervertebral implant of claim 12 wherein the deformable body is elastically deformable.
19. The intervertebral implant of claim 12 wherein the top cover plate is joined to the upper closing plate by frictional locking or form-locking.
20. The intervertebral implant of claim 12 wherein the top cover plate is joined to the upper closing plate by welding.
21. The intervertebral implant of claim 12 wherein the top and bottom cover plates have an outer periphery and the continuous, uninterrupted fiber is wound over the outer surface of the top cover plate from the periphery of the outer surface of the top cover plate and wherein the continuous, uninterrupted fiber is wound over the outer surface of the bottom cover plate from the periphery of the outer surface of the bottom cover plate.
22. The intervertebral implant of claim 21 wherein the top and bottom cover plates have grooves located along the periphery and wherein the continuous, uninterrupted fiber is wound through the grooves of both the top and bottom cover plates.
US14/182,523 2003-04-14 2014-02-18 Intervertebral implant Active US9089439B2 (en)
US20140172108A1 US20140172108A1 (en) 2014-06-19
US9089439B2 true US9089439B2 (en) 2015-07-28
WO1990000374A1 (en) 1988-07-05 1990-01-25 Labor Für Experimentelle Chirurgie Self-blocking stem
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