277 results about "Intervertebral disk prostheses" patented technology

Spinal stabilizing elements and spinal stabilization systems composed of spinal stabilizing elements in combination with disc prostheses or disc nucleus replacements are provided. The stabilizing elements and stabilization systems are designed to preserve the natural mobility of vertebral discs and facet joints in patients with facet joint disease or patients who has undergone a prior destabilizing procedure, such as a facetectomy. The stabilizing elements may be pivoting elements or dynamic elements.

A system for repairing an intervertebral disc by delivering and curing a biomaterial in situ within the disc. The system includes both a device, having an insertable balloon and related lumen, controls and adapters, as well as an in situ curable biomaterial (and related biomaterial delivery means). The system can allow the doctor to determine a suitable endpoint for biomaterial delivery, by controlling distraction and/or biomaterial delivery pressure, and in turn, to deliver a desired quantity of biomaterial to the balloon in order to achieve improved polymer cure and implant characteristics. Also provided is a related method for repairing an intervertebral disc by using such a system to deliver and cure the biomaterial in situ. The system can be used to implant a prosthetic total disc, or a prosthetic disc nucleus in a manner that leaves the surrounding disc tissue substantially intact.

A prosthesis for the replacement of the cartilaginous structures of a spine motion segment is described. The prosthesis comprises an intervertebral disc prosthesis in combination with a facet joint prosthesis.

Surgical methods of repairing defects and deficiencies in the spine are disclosed. The methods involve delivering a single part in-situ polymerizing fluid to (i) close a weakened segment or fissure in the annulus fibrosus, (ii) strengthen the annulus, (iii) replace or augment the disc nucleus, or (iv) localize a disc prosthesis. The methods may include placing a delivery conduit adjacent to the repair site and providing a liquid tissue adhesive to bond to and repair a disc defect or deficiency

The present invention relates to an artificial disc prosthesis system which includes a scaffold assembly and a fusion or disc prosthesis removably retained by the scaffold assembly. The artificial disc prosthesis system facilitates the removal, replacement or upgrade of disc prostheses without the need to remove the entire system from the intervertebral space in which it is disposed. Also provided are disc prostheses suitable for use in the artificial disc prosthesis system.

Implantable prosthetic devices are provided for controlled drug delivery, for orthopedic and dental applications. The device may include a prosthetic device body having at least one outer surface area; two or more discrete reservoirs located in spaced apart positions across at least a portion of the outer surface area, the reservoirs formed with an opening at the surface of the device body and extending into the device body; and a release system disposed in the reservoirs which comprises at least one therapeutic or prophylactic agent, wherein following implantation into a patient the therapeutic or prophylactic agent is released in a controlled manner from the reservoirs. The prosthetic device body preferably is a joint prosthesis or part thereof, such as a hip prosthesis, a knee prosthesis, a vertebral or spinal disc prosthesis, or part thereof. Optional reservoir caps may further control release kinetics.

The present invention includes intervertebral prosthetic devices and methods for installing intervertebral prosthetic devices into an intervertebral space. In one embodiment, an intervertebral prosthetic disc includes a superior endplate; an inferior endplate; and at least one protrusion element, wherein at least one of the superior endplate and the inferior endplate is adapted to receive the protrusion element. In another embodiment, the invention includes an intervertebral prosthetic disc having a superior endplate including a core retaining member; an inferior endplate including a core retaining member; and an asymmetric core positioned between the superior endplate and the inferior endplate, wherein the superior endplate and the inferior endplate are adapted to accommodate the core. The present invention also includes an intervertebral prosthetic disc system that includes an intervertebral prosthetic disc and at least one spring element.

A method and a distracter for replacing a removed, intervertebral disc with a prosthesis. An inter-body distracter is inserted within the intervertebral space between adjacent vertebrae, the vertebrae are distracted and are supported by the distracter. A fluid, curable polymer is injected into the intervertebral space and around the distracter and then the polymer is cured to a semi-rigid, pliable, elastically deformable state. The distracter is then disabled from supporting compressive forces applied by the vertebrae and remains in place. The preferred distracter is a scissors jack having intermediate bearings joined by links to support feet. One of the bearings has a threaded lateral bore and the second bearing has a lateral bore. A rod extends through the bores and has a threaded portion extending from a first end of the rod and threadedly engaging the threaded bearing. The inside diameter of the second bore is greater than the outside diameter of the threaded portion of the rod so the rod is axially slidable through the second bore. A thrust bearing is fixed on the threaded rod and positioned laterally outwardly of the second bearing for forcing the second bearing laterally toward the first bearing upon rotation of the rod in one direction and for permitting the rod to be withdrawn from the bearing by rotating the rod in the opposite direction and disengaging it from the first bearing. Alternative distracters are also disclosed.

The invention provides an intervertebral disk prosthesis. The prosthesis comprises: a first fixing element having both an anchoring first face for anchoring in one of the vertebrae and a co-operation second face; a second fixing element having both an anchoring first face for anchoring in the other vertebrae and a co-operation second face; a first prosthesis element having both an active first face and a co-operation second face, said co-operation faces of the first fixing element and of the first prosthesis element serving to fasten the two elements together; a second prosthesis element having both an active first face and a co-operation second face, said co-operation faces of the second fixing element and of the second prosthesis element serving to fasten the two elements together; and each of said active faces of the prosthesis elements defining at least a portion of a spherical cap that is respectively concave or convex.

A prosthetic disc for insertion between adjacent vertebrae includes upper and lower plates and a core having upper and lower curved surfaces disposed between the plates. At least one of the plates and/or the core includes a resilient material for absorbing shock or other forces applied by vertebrae. Optionally, resilient support members may be disposed within the resilient material to connect two portions of a plate or the core. Such support members may be springs, cylinders, wires or other resilient structures. The resilient material is held within the core or plate(s) via a surrounding retaining structure, such as a membrane. The resilient material disposed in one or more components of the prosthetic disc provides for shock absorption.

The present invention relates to an intervertebral disc prostheses that comprise at least three pieces including an upper plate (1), a lower plate (2) and a mobile core (3) at least relative to the lower plate (2), the upper surface of the core (3) being in contact with at least a part of the lower surface of the upper plate (1), limit stops (22, 31) allowing friction to be limited, while limiting or preventing the movements of the core (3) relative to the lower plate (2), in translation and in rotation, respectively, along an axis substantially parallel to the lower plate (2) and about an axis substantially perpendicular to the lower plate (2) and the lower surface of the core (3) has at least one hole (41) facilitating sliding of the core (3) relative to the upper surface of the lower plate (2) with which it is in contact.

The present invention relates to an intervertebral disc prosthesis and insertion instrumentation, the prosthesis comprising at least first and second osseous anchoring means, the first osseous anchoring means disposed proximal to the periphery of the plate on which it is situated and the second osseous anchoring means being offset along the antero-posterior axis, the second osseous anchoring means comprising a basal portion and a sharp-edged portion of width narrower than the basal portion. The instrumentation comprises a rod fitted with at least two feet forming a clip and sliding in a tube, sliding the rod in the tube, in the direction of the manipulation end, causing closing of the clip by contact between the exterior of the feet and a truncated portion of the tube and sliding the rod in the tube, in the direction of the prehension end, causing opening of the clip by contact between an axis and the interior of the feet of the rod.

An intervertebral disc prosthesis is provided. The prosthesis includes a first and second plate containing modular anchors that are moveable from a radially un-extended position in a non-deployed configuration to a radially extended position in a deployed configuration. A method of replacing a natural intervertebral disc with a prosthetic disc is also provided.

A vertebral prosthesis is adapted to be implanted adjacent a spinal disc prosthesis. According to one embodiment, the vertebral prosthesis includes a shaft and an endplate coupled to one end of the shaft. The endplate is adapted to be implanted adjacent a disc prosthesis, thereby obviating the need to fuse the endplate to an adjacent vertebral body.

A prosthesis system comprises plates that can be positioned against vertebrae and a selected resilient core that can be positioned between the plates to allow the plates to articulate. The selected resilient core can be chosen from a plurality of cores in response to patient characteristics, such as age and/or intervertebral mobility, such that the prosthesis implanted in the patient is tailored to the needs of the patient. The plurality of cores may comprise cores with different resiliencies, and one of the cores can be selected such that the upper and lower plates articulate with the desired shock absorbing resiliency and/or maximum angle of inclination when the one selected core is positioned between the plates.

The invention relates to an intervertebral disc prosthesis for the total replacement of a natural intervertebral disc within the lumbar and cervical spine, comprising articulating sliding partners, where the upper sliding partner has means for a firm assembly to an upper vertebral body and the lower sliding partner has means for a firm assembly to a lower vertebral body and at least one sliding surface that is between two sliding partners. According to the invention, functional two- and three part designs are planned and both prostheses have in common, that only a dorsoventral- and rotation movement is possible as a result of laterolaterally aimed, transversally arched, ventrally curved cylindrical convexity(ies) and corresponding concavity(ies), however without an inclination of the sliding partners in a lateral direction. In a further design, the cylindrical articulation surfaces are un-curved, enabling a motion of the sliding partners in only a ventrodorsal direction. According to the invention, the intervertebral disc prostheses are suited for an implantation from lateral and ventrolateral, particularly in revision surgeries.