Intervertebral Disc Prosthesis With Modular Adaptation Elements
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Solution Overview
Problem
The existing intervertebral disc prostheses require multiple sizes and inclinations to accommodate varying vertebrae sizes and spinal column disorders, leading to high manufacturing costs and stock levels due to the need for a wide range of prostheses.
Innovation Solution
An intervertebral disc prosthesis comprising three pieces - an upper plate, a lower plate, and a movable core, with anatomic adaptation elements that can be adjusted to fit different vertebrae sizes and inclinations, featuring male and female cooperation means to limit core movement and osseous anchorage elements for secure positioning.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If multiple prostheses with different plate sizes and inclinations are manufactured to accommodate varying vertebrae sizes and spinal disorders, then the adaptability to different patient cases is improved, but the manufacturing costs and stock levels increase significantly
Solution Approach 1:
The patent implements a universal base prosthesis design with standardized plates and cores that can accommodate multiple vertebrae sizes and inclinations through optional anatomic adaptation elements. These elements can be added to the standard design to customize the prosthesis for specific patient needs, eliminating the requirement to manufacture entirely different prosthesis types for each case. This multi-functional approach allows a single base design to serve multiple functions across different patient anatomies.
Solution Approach 2:
The prosthesis is divided into modular components including base plates, movable cores, and optional anatomic adaptation elements. This segmentation allows the standard base design to be combined with different adaptation elements as needed, rather than manufacturing complete custom prostheses for each patient. The modular structure enables cost-effective production of standardized components while maintaining the ability to adapt to individual patient requirements.
2Ease of manufacture
If a standardized prosthesis design is used for all patients, then manufacturing costs and stock levels are reduced, but the ability to correct specific spinal disorders such as lordosis is compromised
Solution Approach 1:
The patent incorporates pre-designed anatomic adaptation elements with specific geometric configurations that are prepared in advance for attachment to the base prosthesis. These elements include pre-calculated inclinations and contact surface geometries designed to correct specific spinal disorders. By having these adaptation elements pre-prepared rather than custom-manufacturing each correction, the system maintains low production costs while achieving disorder-specific corrections.
Solution Approach 2:
The anatomic adaptation elements serve as intermediary components between the standardized base prosthesis and the patient's specific anatomy. These intermediaries translate the universal base design into patient-specific solutions by providing the necessary geometric adaptations for correcting disorders like lordosis, while still allowing the base prosthesis to remain standardized and cost-effective to manufacture.
3Ease of operation
If the core is allowed to move freely to accommodate patient movements, then the mobility and comfort of the patient are improved, but the prosthesis may creep under load and lose positioning accuracy
Solution Approach 1:
The patent implements a dynamic core that can move relative to the plates during patient movement, providing the necessary mobility and comfort. The core is designed with movable characteristics that allow it to adapt to patient kinematics while maintaining controlled behavior under load through its interaction with the plate surfaces and anatomic adaptation elements.
Solution Approach 2:
The prosthesis utilizes surface geometry parameters of the plates and anatomic adaptation elements to control core displacement. By carefully designing the contact surfaces with specific geometries, the system allows controlled core movement during normal operation while preventing excessive creeping under major loads. The parameter optimization of surface geometries enables the system to transition between mobile and stable states as needed.
Data Source
AI summary
The present invention relates to an intervertebral disc prosthesis comprising at least three pieces including an upper plate, a lower plate, and a movable core at least in relation to a plate, wherein it also comprises two anatomic adaptation elements of which each has, on one hand, a surface in contact with a surface of a vertebra and, on the other hand, a face of which at least a part has a surface in contact with at least a part of the plate opposite to which the anatomic adaptation element is mounted, the anatomic adaptation elements being fixed onto the plates via fixation means.


