Passive lubricating prosthetic joint
Prosthetic joints, intervertebral prosthetic implants and methods of replacing intervertebral discs are provided. In an exemplary embodiment, a intervertebral prosthetic implant can include a pair of substantially rigid members and an articulation member having an articulation surface and configured to facilitate motion between the first and second members. The first member can be provided with at least one capillary channel configured to transport lubricious fluid proximate the articulation surface of the articulation member.
1 . An intervertebral prosthetic implant, comprising:
a substantially rigid first member having an articulation surface and an engagement surface configured to engage a first vertebra;
a substantially rigid second member having an engagement surface configured to engage a second vertebra; and
an articulation member having an articulation surface and configured to facilitate motion between the first and second members, wherein the first member has a capillary channel having a proximal end and a distal end relative to the engagement surface of the first member and configured to transport lubricious fluid proximate the articulation surface of the articulation member at least in part by capillary force.
2 . The intervertebral prosthetic implant of claim 1 , wherein the articulation member and the substantially rigid second member are a substantially monolithic structure.
3 . The intervertebral prosthetic implant of claim 1 , wherein the articulation member has a plurality of articulation surfaces.
4 . The intervertebral prosthetic implant of claim 3 , wherein the second member has an articulation surface.
5 . The intervertebral prosthetic implant of claim 1 , wherein the second member has a capillary channel having a proximal end and a distal end relative to the engagement surface of the second member and configured to transport lubricious fluid proximate the articulation surface of the articulation member.
6 . The intervertebral prosthetic implant of claim 1 , wherein at least one of the first member or the second member has a plurality of capillary channels.
7 . The intervertebral prosthetic implant of claim 6 , wherein a portion of the capillary channels are configured in a radial pattern.
8 . The intervertebral prosthetic implant of claim 6 , wherein a portion of the capillary channels are configured in a polygonal pattern.
9 . The intervertebral prosthetic implant of claim 6 , wherein the capillary channels are concentrated near areas of anticipated wear on the articulation surface of the articulation member.
10 . The intervertebral prosthetic implant of claim 6 , wherein the capillary channels of the first member are concentrated near the center of the articulation surface of the first member.
11 . The intervertebral prosthetic implant of claim 6 , wherein a portion of the capillary channels have a substantially circular cross-sectional shape.
12 . The intervertebral prosthetic implant of claim 6 , wherein a portion of the capillary channels have a substantially oblong cross-sectional shape.
13 . The intervertebral prosthetic implant of claim 6 , wherein a portion of the capillary channels have a substantially polygonal cross-sectional shape.
14 . The intervertebral prosthetic implant of claim 1 , wherein the cross-sectional size of the capillary channel varies along the length of the channel.
15 . The intervertebral prosthetic implant of claim 14 , wherein the cross-sectional size of the capillary channel increases along the length of the channel from the proximal end to the distal end.
16 . The intervertebral prosthetic implant of claim 1 , further comprising a semi-permeable membrane disposed proximate the proximal end of the capillary channel of the first member.
17 . The intervertebral prosthetic implant of claim 5 , further comprising a semi-permeable membrane disposed proximate the proximal end of the capillary channel of the second member.
18 . The intervertebral prosthetic implant of claim 5 , wherein the articulation member comprises a capillary channel in fluid communication with the capillary channel of the second member.
19 . An intervertebral prosthetic implant, comprising:
a substantially rigid first member having an articulation surface and an engagement surface configured to engage a first vertebra;
a substantially rigid second member having an engagement surface configured to engage a second vertebra;
an articulation member having an articulation surface and configured to facilitate motion between said first and second members, wherein the first member has a fluid channel having a proximal end and a distal end relative to the engagement surface of the first member and configured to allow lubricious fluid to flow proximate the articulation surface of the articulation member; and
a semi-permeable membrane disposed proximate the proximal end of the fluid channel.
20 . The intervertebral prosthetic implant of claim 19 , further comprising a solute disposed between the semi-permeable membrane and the articulation surface of the articulation member, the solute being present in sufficient concentration to provide an effective amount of the lubricious fluid at the articulation surface of the articulation member in vivo.
21 . The intervertebral prosthetic implant of claim 20 wherein at least a portion of the solute is contained in a timed release delivery system.
22 . The intervertebral prosthetic implant of claim 20 , wherein the solute has a molecular weight that retards permeation of the solute through the semi-permeable membrane such that the effective amount of the lubricious fluid is maintained at the articulation surface of the articulation member over a period of at least one year.
23 . The intervertebral prosthetic implant of claim 22 , wherein the solute has a molecular weight that retards permeation of the solute through the semi-permeable membrane such that the effective amount of the lubricious fluid is maintained at the articulation surface of the articulation member over a period of at least five years.
24 .- 34 . (canceled)
35 . An intervertebral prosthetic implant, comprising:
a substantially rigid first member having an articulation surface and an engagement surface configured to engage a first vertebra and
a substantially rigid second member having an engagement surface configured to engage a second vertebra, the second member comprising an articulation member having an articulation surface and configured to facilitate motion between the first and second members, wherein the second member has a capillary channel having a proximal end and a distal end relative to the engagement surface and configured to transport lubricious fluid to the articulation surface of the articulation member at least in part by capillary force.
36 . An intervertebral prosthetic implant, comprising:
a substantially rigid first member having an articulation surface and an engagement surface configured to engage a first vertebra;
a substantially rigid second member having an engagement surface configured to engage a second vertebra, the second member comprising an articulation member having an articulation surface and configured to facilitate motion between the first and second members, wherein the second member has a fluid channel having a proximal end and a distal end relative to the engagement surface and configured to allow lubricious fluid to flow proximate the articulation surface of the articulation member; and
a semi-permeable membrane disposed proximate to the proximal end of the fluid channel.
37 . A prosthetic joint, comprising:
a substantially rigid first member having an articulation surface and an engagement surface configured to engage a first bone and
a substantially rigid second member having an articulation surface and an engagement surface configured to engage a second bone,
wherein at least one of the first member or the second member has a capillary channel having a proximal end and a distal end relative to the engagement surface and configured to transport lubricious fluid to the articulation surface of at least one of the first member or the second member at least in part by capillary force.
38 .- 40 . (canceled)
41 . A prosthetic joint, comprising:
a substantially rigid first member having an articulation surface and an engagement surface configured to engage a first bone;
a substantially rigid second member having an articulation surface and an engagement surface configured to engage a second bone, wherein at least one of the first member or the second member has a fluid channel having a proximal end and a distal end relative to the engagement surface and configured to allow lubricious fluid to flow proximate the articulation surface of at least one of the first member or the second member; and
a semi-permeable membrane disposed proximate to the proximal end of the fluid channel of the first member or the second member.
42 .- 44 . (canceled)
45 . A method of replacing at least a portion of an intervertebral disc, the method comprising the following steps:
A. Gaining access to the intervertebral disc;
B. Removing at least a portion of the intervertebral disc to create an intervertebral space; and
C. Inserting a prosthetic disc into the intervertebral space, the prosthetic disc comprising a substantially rigid first member having an articulation surface and an engagement surface configured to engage a first vertebra;
a substantially rigid second member having an engagement surface configured to engage a second vertebra; and
an articulation member having an articulation surface and configured to facilitate motion between the first and second members, wherein at least one of the first member or the second member has a capillary channel having a proximal end and a distal end relative to the engagement surface and configured to transport lubricious fluid to the articulation surface of the articulation member at least in part by capillary force.
46 . A method of replacing at least a portion of an intervertebral disc, the method comprising the following steps:
A. Gaining access to the intervertebral disc;
B. Removing at least a portion of the intervertebral disc to create an intervertebral space; and
C. Inserting a prosthetic disc into the intervertebral space, the prosthetic disc comprising a substantially rigid first member having an articulation surface and an engagement surface configured to engage a first vertebra;
a substantially rigid second member having an engagement surface configured to engage a second vertebra;
an articulation member having an articulation surface and configured to facilitate motion between the first and second members, wherein at least one of the first member or the second member has a fluid channel having a proximal end and a distal end relative to the engagement surface and configured to allow lubricious fluid to flow proximate the articulation surface of the articulation member; and
a semi-permeable membrane disposed proximate to the proximal end of the fluid channel of the first member or the second member.
47 .- 49 . (canceled)
50 . An intervertebral prosthetic implant, comprising:
a substantially rigid first member having an articulation surface and an engagement surface configured to engage a first vertebra;
a substantially rigid second member having an engagement surface configured to engage a second vertebra;
an articulation member having an articulation surface and configured to facilitate motion between said first and second members, wherein the first member has a fluid channel having a proximal end and a distal end relative to the engagement surface of the first member and configured to allow lubricious fluid to flow proximate the articulation surface of the articulation member; and
a semi-permeable membrane disposed between the proximal end of the fluid channel and the articulation surface of the articulation member.