Prosthetic disc for intervertebral insertion
A prosthetic disc for insertion between adjacent vertebrae includes a core having upper and lower curved surfaces, upper and lower plates, and peripheral restraining structure on at least one of the upper plate, the lower plate and the core. Each plate has an outer surface which engages a vertebra and an inner curved surface which slides over the curved surface of the core. The peripheral restraining structure serves to hold the core against a curved surface of at least one of the plates during sliding movement of the plates over the core.
1. A prosthetic disc for insertion between adjacent vertebrae, the prosthetic disc comprising:
a mobile core having upper and lower curved surfaces;
upper and lower plates, each plate having an outer surface which engages a vertebra and an inner curved surface which slides and translates over the curved surface of the mobile core when the prosthetic disc is implanted, wherein the upper and lower curved surfaces of the core comprise two oppositely facing convex low-friction surfaces which slidably engage the inner curved surfaces of the upper and lower plates; and
a peripheral restraining structure on at least one of the upper plate, the lower plate and the core, the peripheral restraining structure configured to hold the mobile core against a curved surface of at least one of the plates during sliding movement of the plates over the core, wherein the peripheral restraining structure is located on at least one of the plates and contacts the other plate to limit relative inclination of the plates during sliding movement of the plates over the core, wherein the other plate comprises a formation that contacts the peripheral restraining structure to limit relative inclination of the plates during sliding movement of the plates over the core.
2. A prosthetic disc as in claim 1 , wherein at least one of the curved surfaces is spherical.
3. A prosthetic disc as in claim 2 , wherein both curved surfaces are spherical.
4. A prosthetic disc as in claim 1 , wherein movement of the core within the peripheral restraining structure is unconstrained.
5. A prosthetic disc as in claim 1 , wherein the peripheral restraining structure defines a stop structure to limit relative inclination of the plates during sliding movement of the plates over the core.
6. A prosthetic disc as in claim 1 , wherein the peripheral restraining structure will engage one side of the core to lift an opposite side of the core during sliding movement of the plates over the core.
7. A prosthetic disc as in claim 1 , wherein the peripheral restraining structure comprises:
an annular structure extending over at least a portion of the periphery of the core; and
a ring structure on one of the upper and lower plates, which ring structure engages and retains the annular structure.
8. A prosthetic disc as in claim 7 , wherein the ring structure comprises a flange which defines an overhang, and wherein at least part of the annular structure on the core extends into the overhang to provide an interference fit of the core with the flange.
9. A prosthetic disc as in claim 8 , wherein the annular structure comprises a rim which extends continuously around a lateral circumference of the core, the rim having a greater width at least some locations than a width of an inner edge of the flange to provide said interference fit.
10. A prosthetic disc as in claim 1 , wherein the peripheral restraining structure comprises:
a groove around a lateral edge of the core; and
a ring structure on at least one of the upper and lower plates, said ring structure having a lip which engages the groove.
11. A prosthetic disc as in claim 10 , wherein the lip extends into the groove to form an interference fit between the ring structure and the core.
12. A prosthetic disc as in claim 1 , wherein the outer surfaces of the upper and lower plates have at least one surface feature for promoting attachment of the outer surfaces to the vertebrae.
13. A prosthetic disc as in claim 12 , wherein the at least one surface feature comprises a plurality of serrations disposed along the outer surfaces.
14. A prosthetic disc as in claim 13 , wherein the at least one surface feature further comprises a surface coating.
15. A prosthetic disc as in claim 14 , wherein the surface coating comprises plasma sprayed titanium.
16. A prosthetic disc as in claim 13 , wherein the at least one surface feature further comprises a plurality of concavities formed by aluminum oxide blasting.
17. A prosthetic disc as in claim 13 , wherein the at least one surface feature further comprises at least one fin disposed on each of the outer surfaces.
18. A prosthetic disc as in claim 17 , wherein each fin includes at least one hole for further promoting attachment to the vertebrae.
19. A prosthetic disc as in claim 17 , wherein each fin is oriented in a straight line in an anterior-posterior direction.
20. A prosthetic disc as in claim 17 , wherein each fin is rotated away from an anterior-posterior axis of the disc.
21. A prosthetic disc as in claim 1 , wherein the plates comprise at least one metal selected from the group consisting of cobalt chrome molybdenum and titanium.
22. A prosthetic disc as in claim 1 , wherein each plate comprises an MRI compatible material coupled with a hardened material forming the inner surface.
23. A prosthetic disc as in claim 22 , wherein the MRI-compatible material comprises titanium and the hardened material comprises cobalt chrome molybdenum.
24. A prosthetic disc as in claim 22 , wherein the MRI-compatible material comprises titanium and the hardened material titanium nitride.
25. A prosthetic disc as in claim 22 , wherein the MRI-compatible material and the hardened material are coupled together using a process selected from the group consisting of lamination, slip fitting, interference fitting and adhesion.
26. A prosthetic device as in claim 1 , wherein the core comprises at least one material selected from the group consisting of polymers and ceramics.
27. A prosthetic disc as in claim 1 , wherein the mobile core is rigid.
28. A prosthetic disc for insertion between adjacent vertebrae, the prosthetic disc comprising:
upper and lower plates having outer surfaces locatable against the respective vertebrae and inner, curved surfaces, wherein at least one of the upper and lower plates includes a peripheral restraining structure extending about a periphery of the inner surface(s); and
a mobile core disposed between the curved surfaces, the mobile core having bearing surfaces configured to allow the plates to slide and translate over the mobile core when the prosthetic disc is implanted,
wherein the peripheral restraining structure comprises a flange located on at least one of the plates configured to hold the mobile core between the plates, wherein the flange contacts the other plate to limit relative inclination of the plates during sliding movement of the plates over the core, wherein the core includes at least one peripheral protrusion for engaging with the peripheral restraining structure(s) to hold the core captive between the plates during sliding movement of the plates over the core, wherein at least part of the protrusion on the core extends into the flange to provide an interference fit of the core with the flange, and wherein the protrusion comprises a rim around a lateral circumference of the core, the rim having a greater diameter than a diameter of an inner edge of the flange.
29. A prosthetic disc as in claim 28 , wherein the inner surfaces of the plates are concave and the core bearing surfaces comprise two convex surfaces for slidably contacting the concave inner surfaces.
30. A prosthetic disc as in claim 29 , wherein the concave and convex curved surfaces are spherical.
31. A prosthetic disc as in claim 28 , wherein the core comprises a material selected from the group consisting of polymers and ceramics.
32. A prosthetic disc as in claim 28 , further including at least one fin extending from each of the outer surfaces of the plates.
33. A prosthetic disc as in claim 32 , wherein each fin includes at least one hole for promoting attachment of the fin to vertebral bone.
34. A prosthetic disc as in claim 32 , wherein each fin is oriented in a straight line in an anterior-posterior direction.
35. A prosthetic disc as in claim 32 , wherein each fin is rotated away from an anterior-posterior axis of the disc.
36. A prosthetic disc as in claim 28 , wherein the outer surfaces of the plates are textured to enhance attachment of the plates to the vertebrae.
37. A prosthetic disc as in claim 36 , wherein the textured surfaces comprise serrated surfaces.
38. A prosthetic disc as in claim 37 , wherein the serrated surfaces further include a plurality of concavities formed by aluminum oxide blasting.
39. A prosthetic disc as in claim 36 , wherein the outer surfaces further comprise a surface coating.
40. A prosthetic disc as in claim 39 , wherein the surface coating comprises plasma sprayed titanium.
41. A prosthetic disc as in claim 36 , wherein the outer surfaces of the plates are flat.
42. A prosthetic disc as in claim 28 , wherein each plate comprises an MRI compatible material coupled with a hardened material forming the inner surface.
43. A prosthetic disc as in claim 42 , wherein the MRI-compatible material comprises titanium and the hardened material comprises cobalt chrome molybdenum.
44. A prosthetic disc as in claim 42 , wherein the MRI-compatible material comprises titanium and the hardened material titanium nitride.
45. A prosthetic disc as in claim 42 , wherein the MRI-compatible material and the hardened material are coupled together using a process selected from the group consisting of lamination, slip fitting, interference fitting and adhesion.
46. A prosthetic disc as in claim 28 , wherein the mobile core is rigid.
47. A prosthetic disc for insertion between adjacent vertebrae, the prosthetic disc comprising:
upper and lower plates having outer surfaces locatable against the respective vertebrae and inner, curved surfaces, wherein at least one of the upper and lower plates includes a peripheral restraining structure extending about a periphery of the inner surface(s);
at least one fin extending from each of the outer surfaces of the plates, wherein each fin includes at least one hole for promoting attachment of the fin to vertebral bone; and
a mobile core disposed between the curved surfaces, the mobile core having bearing surfaces configured to allow the plates to slide and translate over the mobile core when the prosthetic disc is implanted,
wherein the peripheral restraining structure comprises a flange of one of the plates configured to hold the mobile core between the plates, wherein the flange contacts the other plate to limit relative inclination of the plates during sliding movement of the plates over the core and wherein the core includes a lateral groove for engaging with the peripheral restraining structure(s) to hold the core captive between the plates during sliding movement of the plates over the core.
48. A prosthetic disc as in claim 47 , wherein the flange is adapted to extend into the groove on the core to provide an interference fit of the core with the flange.
49. A prosthetic disc as in claim 48 , wherein a portion of the core immediately adjacent the groove has a greater diameter than a diameter of an inner edge of the flange.
50. A prosthetic disc as in claim 47 , wherein the inner surfaces of the plates are concave and the core bearing surfaces comprise two convex surfaces for slidably contacting the inner surfaces.
51. A prosthetic disc as in claim 50 , wherein the concave and convex curved surfaces are spherical.
52. A prosthetic disc as in claim 47 , wherein the core comprises a material selected from the group consisting of polymers and ceramics.
53. A prosthetic disc as in claim 47 , wherein the outer surfaces of the plates are textured to enhance attachment of the plates to the vertebrae.
54. A prosthetic disc as in claim 53 , wherein the textured surfaces comprise serrated surfaces.
55. A prosthetic disc as in claim 53 , wherein the outer surfaces further comprise a surface coating.
56. A prosthetic disc as in claim 55 , wherein the surface coating comprises plasma sprayed titanium.
57. A prosthetic disc as in claim 53 , wherein the outer surfaces of the plates are flat.
58. A prosthetic disc as in claim 47 , wherein the mobile core is rigid.
59. A method for restraining spacing between adjacent vertebrae, the method comprising:
implanting an upper plate against a lower surface of an upper vertebral body;
implanting a lower plate against an upper surface of a lower vertebral body; and
disposing a core between the upper and lower plates, the core comprising at least one peripheral protrusion,
wherein when the prosthetic disc is implanted, the core floats between spherical cavities in each of the upper and lower plates, the plates restraining peripheral movement of the core using at least one peripheral restraining member that comprises an aperture, and wherein the at least one peripheral protrusion is passed through the aperture to hold the core captive between the plates during sliding movement of the plates over the core.
60. A method as in claim 59 , wherein implanting each of the plates comprises sliding a fin on each plate into a corresponding groove formed in its respective vertebral body.
61. A method as in claim 60 , wherein sliding the fin is performed in a direction from posterior to anterior.
62. A method as in claim 60 , wherein sliding the fin is performed in a lateral direction.
63. A method as in claim 60 , wherein sliding the fin is performed in angled direction between posterior-anterior and lateral.
64. A method as in claim 60 , wherein implanting further comprises contacting textured outer surfaces of the upper and lower plates with the upper and lower surfaces of the vertebral bodies.
65. A method as in claim 59 , wherein the mobile core is rigid.
66. A method for assembling a prosthetic disc for insertion between adjacent vertebrae, the method comprising:
movably coupling a rigid core with a first endplate to form an interference fit between the core and the first endplate, wherein the core comprises a peripheral protrusion and the first endplate comprises a peripheral restraining structure with an aperture, and wherein the peripheral protrusion is passed through the aperture;
contacting the core with a second endplate; and
allowing the core to slide and translate within the peripheral restraining structure when the prosthetic disc is implanted.
67. A method as in claim 66 , wherein coupling the core with the first endplate comprises snap fitting the core into the endplate.
68. A method as in claim 66 , wherein coupling the core with the first endplate comprises engaging a peripheral protrusion of the core with a peripheral restraining structure of the first endplate.