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DE1139933T1 - Bandscheibenprothese mit kompressiblem körper - Google Patents

Bandscheibenprothese mit kompressiblem körper

Info

Publication number
DE1139933T1
DE1139933T1 DE1139933T DE99958283T DE1139933T1 DE 1139933 T1 DE1139933 T1 DE 1139933T1 DE 1139933 T DE1139933 T DE 1139933T DE 99958283 T DE99958283 T DE 99958283T DE 1139933 T1 DE1139933 T1 DE 1139933T1
Authority
DE
Germany
Prior art keywords
plates
prosthesis according
plate
end portion
prosthesis
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.)
Pending
Application number
DE1139933T
Other languages
English (en)
Inventor
Fabien Gauchet
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Stryker Spine SAS
Original Assignee
Dimso SA
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=9533875&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=DE1139933(T1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Dimso SA filed Critical Dimso SA
Publication of DE1139933T1 publication Critical patent/DE1139933T1/de
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442Intervertebral or spinal discs, e.g. resilient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30721Accessories
    • A61F2/30742Bellows or hose-like seals; Sealing membranes
    • AHUMAN NECESSITIES
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    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/441Joints for the spine, e.g. vertebrae, spinal discs made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7059Cortical plates
    • AHUMAN NECESSITIES
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    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • AHUMAN NECESSITIES
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    • A61F2/00Filters 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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    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
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    • A61F2/00Filters 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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    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
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    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331Connections 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
    • A61F2002/30354Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
    • A61F2002/30357Stepped cylinders, i.e. having discrete diameter changes
    • AHUMAN NECESSITIES
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    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30448Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
    • AHUMAN NECESSITIES
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    • A61F2/00Filters 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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    • A61F2002/30316The 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
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30563Special 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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    • A61F2/00Filters 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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    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30565Special structural features of bone or joint prostheses not otherwise provided for having spring elements
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    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30576Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs
    • A61F2002/30578Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs having apertures, e.g. for receiving fixation screws
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    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0069Three-dimensional shapes cylindrical
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00023Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00592Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
    • A61F2310/00796Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00Surgery
    • Y10S606/907Composed of particular material or coated

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Neurology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgery (AREA)
  • Chemical & Material Sciences (AREA)
  • Dispersion Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Prostheses (AREA)
  • Polishing Bodies And Polishing Tools (AREA)

Claims (11)

DE /EP 1 13 9933 Tl EP 99 958 283.6 . Distribution Modicale du Sud^Ouest Pate;ntansprüche: ,
1. Prothese für eine Bandscheibe mit zwei Platten (4) und einem zwischen den Platten angeordneten komprimierbarem Körper (12), der mindestens einen Endabschnitt (18) mit einem Kontaktbereich mit einer der Platten aufweist,
dadurch gekennzeichnet, dass
der Körper (12) und die Platte (4) so gestaltet sind, dass der Kontaktbereich eine Oberfläche besitzt, die sich vergrößert, wenn die Beanspruchung der Platte in Richtung des Körpers verstärkt wird,
2. Prothese nach Anspruch 1,
dadurch gekennzeichnet, dass
der Kontaktbereich durch eine Fläche (20) der Platte und eine Fläche (18) des Endabschnittes des Körpers gebildet wird, wobei eine dieser Flächen der Platte und des Körpers, insbesondere die Fläche (18) gekrümmt und konvex ausgebildet ist, während die andere Fläche (20) flach ist.
3. Prothese nach Anspruch 1,
dadurch gekennzeichnet, dass
der Kontaktbereich durch eine Fläche (20) der Platte und eine Fläche (18) des Endabschnittes des Körpers gebildet wird, wobei diese beiden Flächen mindestens in einer gemeinsamen Richtung gekrümmt und jeweils konkav und konvex ausgebildet sind, wobei die konkave Fläche (20) mindestens emen Krümmungsradius aufweist, der größer ist, als der entsprechende Krümmungsradius der konvexen Fläche (18).
DE/EP 1 139 933 TI
4. Prothese nach einem der Ansprüche 1 bis 3, dadurch, gekennzeichnet, dass der Körper (12) mindestens einen Endabschnitt (18) aufweist, der mit einer der Platten (4) in Berührung steht und sich frei gegenüber der nächsten Platte parallel zu dieser Platte verschieben kann.
5. Prothese nach einem der Ansprüche 1 bis 4, dadurch g e k e &eegr; &eegr; zeichnet, dass der Körper (12) einen Endabschnitt (18) aufweist, der in eine Verstärkung (32) einer der Platten (4) eingesetzt ist, und eine seitliche Auflage für diesen Endabschnitt bildet.
6. Prothese nach einem der Ansprüche 1 bis 5, dadurch gekennzeichnet, dass der Körper (12) ein viskoelastisches Material enthält, das insbesondere aus Silikon besteht.
7. Prothese nach einem der Ansprüche 1 bis 6, dadurch gekennzeichnet, dass sie ein Fluid enthält, das zwischen diesen Platten angeordnet ist.
8. Prothese nach Anspruch 7,
dadurch gekennzeichnet, dass dieses Fluid mit den Platten in Berührung steht. '25 \ ■ . · ■ ■.·.■-·:'
9. Prothese nach einem der Ansprüche 7 oder 8, dadurch gekennzeichnet, dass dieses Fluid an der Peripherie des Körpers (12) angeordnet ist.
DE/EP 1 139933 TI
10. Prothese nach einem der Ansprüche 7 bis 9, ,
dadurch gekennzeichnet dass .
sie eine Eingrenzung (22) aufweist, die das Fluid enthält und so gestaltet ist, dass sie eine Oberfläche mit einem seitlichen Querschnitt parallel zu den Platten (4) aufweist, der unveränderlich ist, wenn die Beanspruchung der Platten untereinander variiert wird.
11. Prothese nach einem der Ansprüche 1 bis 10,
dadurch gekennzeichnet, dass
.1Q es sich um eine Prothese für die Bandscheibe eines Lendenwirbels handelt.
DE1139933T 1998-12-11 1999-12-09 Bandscheibenprothese mit kompressiblem körper Pending DE1139933T1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR9815670A FR2787015B1 (fr) 1998-12-11 1998-12-11 Prothese de disque intervertebral a corps compressible
PCT/FR1999/003071 WO2000035383A1 (fr) 1998-12-11 1999-12-09 Prothese de disque intervertebral a corps compressible

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DE1139933T Pending DE1139933T1 (de) 1998-12-11 1999-12-09 Bandscheibenprothese mit kompressiblem körper

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EP (1) EP1139933B1 (de)
JP (1) JP4019632B2 (de)
KR (1) KR20020012535A (de)
AT (1) ATE401846T1 (de)
AU (1) AU769787B2 (de)
CA (1) CA2354168A1 (de)
DE (2) DE69939182D1 (de)
ES (1) ES2167292T1 (de)
FR (1) FR2787015B1 (de)
WO (1) WO2000035383A1 (de)
ZA (1) ZA200104843B (de)

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FR2787015B1 (fr) 2001-04-27
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US6582468B1 (en) 2003-06-24
EP1139933B1 (de) 2008-07-23
DE69939182D1 (de) 2008-09-04
ES2167292T1 (es) 2002-05-16
FR2787015A1 (fr) 2000-06-16
WO2000035383A1 (fr) 2000-06-22
KR20020012535A (ko) 2002-02-16
ATE401846T1 (de) 2008-08-15
JP2002532140A (ja) 2002-10-02
AU769787B2 (en) 2004-02-05
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AU1568300A (en) 2000-07-03
CA2354168A1 (fr) 2000-06-22

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