DE11158632T1 - Künstliche Bandscheibe - Google Patents
Künstliche Bandscheibe Download PDFInfo
- Publication number
- DE11158632T1 DE11158632T1 DE11158632T DE11158632T DE11158632T1 DE 11158632 T1 DE11158632 T1 DE 11158632T1 DE 11158632 T DE11158632 T DE 11158632T DE 11158632 T DE11158632 T DE 11158632T DE 11158632 T1 DE11158632 T1 DE 11158632T1
- Authority
- DE
- Germany
- Prior art keywords
- artificial disc
- replacement system
- disc replacement
- core
- end plate
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
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- 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
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4657—Measuring instruments used for implanting artificial joints
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- 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
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4684—Trial or dummy prostheses
-
- 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
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- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
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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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- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
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- A61F2002/30199—Three-dimensional shapes
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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
- A61F2/02—Prostheses implantable into the body
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- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
- A61F2002/30354—Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
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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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- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
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- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
- A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
- A61F2002/30364—Rotation about the common longitudinal axis
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- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
- A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
- A61F2002/30369—Limited lateral translation of the protrusion within a larger recess
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- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30563—Special structural features of bone or joint prostheses not otherwise provided for having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00395—Coating or prosthesis-covering structure made of metals or of alloys
- A61F2310/00407—Coating made of titanium or of Ti-based alloys
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00592—Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
- A61F2310/00796—Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite
Abstract
Künstliches Bandscheibenersatz-System, umfassend: einen Kern (130); eine obere Endplatte (136) zur Befestigung an einem oberen Wirbel; eine untere Endplatte (138) zur Befestigung an einem unteren Wirbel; ein Paar paralleler, an der Außenfläche einer der Endplatten gebildeter Kiele; einen einzelnen mittig angeordneten, an der Außenfläche der anderen Endplatte gebildeten Kiel; wobei der Kern (130) in einer in der oberen Fläche der unteren Endplatte (138) gebildeten Rinne (142) positioniert ist und die Rinne am posterioren oder anterioren Ende offen ist.
Claims (15)
- Künstliches Bandscheibenersatz-System, umfassend: einen Kern (
130 ); eine obere Endplatte (136 ) zur Befestigung an einem oberen Wirbel; eine untere Endplatte (138 ) zur Befestigung an einem unteren Wirbel; ein Paar paralleler, an der Außenfläche einer der Endplatten gebildeter Kiele; einen einzelnen mittig angeordneten, an der Außenfläche der anderen Endplatte gebildeten Kiel; wobei der Kern (130 ) in einer in der oberen Fläche der unteren Endplatte (138 ) gebildeten Rinne (142 ) positioniert ist und die Rinne am posterioren oder anterioren Ende offen ist. - Künstliches Bandscheibenersatz-System nach Anspruch 1, wobei der Kern (
130 ) eine Halbkugelform mit einer abgeflachten unteren Fläche, welche in die Rinne passt, aufweist. - Künstliches Bandscheibenersatz-System nach Anspruch 1 oder 2, wobei das Paar paralleler Kiele aus parasagittalen Kielen besteht.
- Künstliches Bandscheibenersatz-System nach Anspruch 1 oder Anspruch 2, welches derart konfiguriert ist, dass der Kern (
130 ) eingesetzt werden kann, indem der Kern (130 ) in die Rinne geschoben wird. - Künstliches Bandscheibenersatz-System nach einem beliebigen vorangehenden Anspruch, wobei die Rinne sowohl in der anterioren/posterioren als auch der medialen/lateralen Richtung größer als der Kern ist.
- Künstliches Bandscheibenersatz-System nach einem beliebigen vorangehenden Anspruch, wobei die Rinne am anterioren Ende offen ist.
- Künstliches Bandscheibenersatz-System nach einem beliebigen vorangehenden Anspruch, welches ferner einen Arretiermechanismus umfasst, um zu verhindern, dass der Kern (
130 ) aus der Rinne ausgestoßen wird. - Künstliches Bandscheibenersatz-System nach einem beliebigen der Ansprüche 1 bis 6, wobei die Rinne einen Anschlag (
144 ) aufweist, welcher derart konfiguriert ist, dass der Kern (130 ) daran gehindert wird, sich aus der Rinne hinauszubewegen. - Künstliches Bandscheibenersatz-System nach einem beliebigen vorangehenden Anspruch, wobei die Unterfläche der oberen Endplatte (
136 ) derart geformt ist, dass sie der oberen Fläche des Kerns (130 ) entspricht. - Künstliches Bandscheibenersatz-System nach einem beliebigen der Ansprüche 1 bis 8, wobei die Unterfläche der oberen Endplatte (
136 ) flach ist, um an eine abgeflachte obere Fläche (144 ) des Kerns (130 ) anzugreifen. - Künstliches Bandscheibenersatz-System nach einem beliebigen vorangehenden Anspruch, wobei die Endplatten Titan oder eine Titanlegierung, Chrom-Kobalt-Malybdän (CoCrMo), Kobalt 28-Chrom-Molybdän, Kobalt-Chrom-Legierung oder nichtrostenden Stahl enthalten.
- Künstliches Bandscheibenersatz-System nach einem beliebigen der Ansprüche 1 bis 10, wobei die Endplatten Titan oder eine Titanlegierung enthalten.
- Künstliches Bandscheibenersatz-System nach einem beliebigen der Ansprüche 1 bis 10, wobei die Endplatten eine Kobalt-Chrom-Legierung enthalten.
- Künstliches Bandscheibenersatz-System nach einem beliebigen vorangehenden Anspruch, wobei die flache Außenfläche jeder Endplatte, welche für den Kontakt mit der Endplatte des Wirbelkörpers bestimmt ist, in der Lage ist, Knocheneinwuchs aufzunehmen, und eine Beschichtung enthält, welche Knocheneinwuchs für eine Langzeitstabilität begünstigt.
- Künstliches Bandscheibenersatz-System nach Anspruch 14, wobei die Beschichtung poröses Titan oder Calciumphosphat enthält.
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
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US58424004P | 2004-06-30 | 2004-06-30 | |
US584240P | 2004-06-30 | ||
US65816105P | 2005-03-04 | 2005-03-04 | |
US658161P | 2005-03-04 | ||
EP11158632A EP2327376B1 (de) | 2004-06-30 | 2005-06-30 | Künstliche Bandscheibe |
Publications (2)
Publication Number | Publication Date |
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DE11158632T1 true DE11158632T1 (de) | 2012-09-06 |
DE602005036752T8 DE602005036752T8 (de) | 2013-04-25 |
Family
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Application Number | Title | Priority Date | Filing Date |
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DE602005036752T Active DE602005036752T8 (de) | 2004-06-30 | 2005-06-30 | Künstliche Bandscheibe |
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US (6) | US8100974B2 (de) |
EP (3) | EP1773256B1 (de) |
JP (1) | JP4917027B2 (de) |
KR (1) | KR101169110B1 (de) |
CN (1) | CN101022770B (de) |
AU (1) | AU2005260554B2 (de) |
BR (1) | BRPI0512736B1 (de) |
CA (2) | CA2570192C (de) |
DE (1) | DE602005036752T8 (de) |
ES (1) | ES2398085T3 (de) |
MX (1) | MXPA06014714A (de) |
RU (1) | RU2401086C2 (de) |
WO (1) | WO2006004848A1 (de) |
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2005
- 2005-06-30 CA CA2570192A patent/CA2570192C/en active Active
- 2005-06-30 EP EP05773720.7A patent/EP1773256B1/de active Active
- 2005-06-30 EP EP13165703.3A patent/EP2641571B1/de active Active
- 2005-06-30 WO PCT/US2005/023134 patent/WO2006004848A1/en active Application Filing
- 2005-06-30 RU RU2007103356/14A patent/RU2401086C2/ru not_active Application Discontinuation
- 2005-06-30 JP JP2007519400A patent/JP4917027B2/ja active Active
- 2005-06-30 KR KR1020077002424A patent/KR101169110B1/ko active IP Right Grant
- 2005-06-30 BR BRPI0512736-0A patent/BRPI0512736B1/pt active IP Right Grant
- 2005-06-30 ES ES11158632T patent/ES2398085T3/es active Active
- 2005-06-30 CA CA2730842A patent/CA2730842C/en active Active
- 2005-06-30 DE DE602005036752T patent/DE602005036752T8/de active Active
- 2005-06-30 EP EP11158632A patent/EP2327376B1/de active Active
- 2005-06-30 MX MXPA06014714A patent/MXPA06014714A/es active IP Right Grant
- 2005-06-30 AU AU2005260554A patent/AU2005260554B2/en active Active
- 2005-06-30 US US10/590,139 patent/US8100974B2/en active Active
- 2005-06-30 CN CN2005800285062A patent/CN101022770B/zh active Active
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2008
- 2008-09-30 US US12/241,344 patent/US9125754B2/en active Active
- 2008-09-30 US US12/241,326 patent/US8038716B2/en active Active
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