Instruments for delivery of intervertebral disc implants

Abstract

Nucleus pulposus implants that are resistant to migration in and / or expulsion from an intervertebral disc space are provided. In one form of the invention, an implant includes a load bearing elastic body surrounded in s the disc space by an anchoring, preferably resorbable, outer shell. In certain forms of the invention, the elastic body is surrounded by a supporting member, such as a band or jacket, and the supporting member is surrounded by the outer shell. Kits for forming such implants are also provided. In another form of the invention, an implant is provided that has locking features and optional shape memory characteristics. In yet another aspect of the invention, nucleus pulposus implants are provided that have shape memory characteristics and are configured to allow short-term manual, or other deformation without permanent deformation, cracks, tears, breakage or other damage. Methods of forming and implanting the implants are also described, as are delivery devices and components thereof for delivering the implants.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS [0001] This application is a continuation-in-part, and claims the benefit, of pending U.S. patent application Ser. No. 09 / 650,525, filed Aug. 30, 2000, which is hereby incorporated by reference in its entirety.BACKGROUND OF THE INVENTION [0002] The present invention relates to nucleus pulposus implants and methods for their implantation. [0003] The intervertebral disc functions to stabilize the spine and to distribute forces between vertebral bodies. A normal disc includes a gelatinous nucleus pulposus, an annulus fibrosis and two vertebral end plates. The nucleus pulposus is surrounded and confined by the annulus fibrosis. [0004] Intervertebral discs may be displaced or damaged due to trauma or disease. Disruption of the annulus fibrosis may allow the nucleus pulposus to protrude into the vertebral canal, a condition commonly referred to as a herniated or ruptured disc. The extruded nucleus pulposus may press on a spinal nerve, which may resu...

AI Technical Summary

Benefits of technology

[0007] Nucleus pulposus implants that are resistant to migration in and / or expulsion from an intervertebral disc space are provided. Accordingly, in one aspect of the invention, nucleus pulposus implants are provided that include a load bearing elastic body sized for introduction into an intervertebral disc space and surrounded by a resorbable shell that provides the initial fixation for the elastic body within the disc space. The implant may include various surface features on its outer surface, including surface configurations or chemical modifications, that enhance the bonding between the outer surface of the implants and the resorbable shell. Kits for forming such implants are also provided. In other forms of the invention, the elastic body may be surrounded by a supporting member wherein the supporting member is surrounded by the resorbable shell.

[0016] It is a further object of the invention to provide nucleus pulposus implants having shape memory that are configured to allow extensive short term manual, or other deformation without permanent deformation, cracks, tears, breakage or other damage.

Problems solved by technology

Intervertebral discs may be displaced or damaged due to trauma or disease.

The extruded nucleus pulposus may press on a spinal nerve, which may result in nerve damage, pain, numbness, muscle weakness and paralysis.

Intervertebral discs may also deteriorate due to the normal aging process.

As a disc dehydrates and hardens, the disc space height will be reduced, leading to instability of the spine, decreased mobility and pain.

The removal of the damaged or unhealthy disc may allow the disc space to collapse, which would lead to instability of the spine, abnormal joint mechanics, nerve damage, as well as severe pain.

Even though a certain degree of success with these devices has been achieved, full motion is typically never regained after such vertebral fusions.

Many of these devices are complicated, bulky and made of a combination of metallic and elastomeric components.

Thus, such devices require invasive surgical procedures and typically never fully return the full range of motion desired.

However, there exists a possibility of tearing or otherwise damaging the hydrogel implant during implantation.

Moreover, once positioned in the disc space, many hydrogel implants may migrate in the disc space and / or may be expelled from the disc space through an annular defect, or other annular opening.

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