Prosthetic intervertebral discs having end plates and an annular capsule
View Patent ↗Prosthetic intervertebral discs and methods for using the same are described. The subject prosthetic discs include upper and lower endplates separated by a compressible core member. The prosthetic discs described herein include one-piece, two-piece, three-piece, and four-piece structures. The subject prosthetic discs exhibit stiffness in the vertical direction, torsional stiffness, bending stiffness in the saggital plane, and bending stiffness in the front plane, where the degree of these features can be controlled independently by adjusting the components of the discs. The interface mechanism between the endplates and the core members of several embodiments of the described prosthetic discs enables a very easy surgical operation for implantation.
1. A prosthetic intervertebral disc, comprising:
a first plate located above a second plate in the prosthetic intervertebral disc, the first plate including a first channel with a first channel opening, a first annular space, and a first upwardly opening annular groove;
the second plate located below the first plate in the prosthetic intervertebral disc, the second plate including a second channel with a second channel opening, a second annular space, and a second downwardly opening annular groove;
a solid core member positioned between the first plate and the second plate, wherein the first channel opening opposes the second channel opening;
a fibrous component passing through the first plate and the second plate whereby the first plate and the second plate are held together;
an annular capsule located in the first and second channels, the annular capsule comprising an upper ledge with a first downwardly extending bead, the first downwardly extending bead extending toward the second plate and a lower ledge with a second upwardly extending bead, the second upwardly extending bead extending toward the first plate, the upper ledge being located in the first annular space of the first plate whereby the first downwardly extending bead extends into the first annular groove, and the lower ledge being located in the second annular space of the second plate whereby the second upwardly extending bead extends into the second annular groove, whereby the annular capsule is retained by the first plate and the second plate.
2. The prosthetic intervertebral disc of claim 1 , wherein the fibrous component passes through a first plurality of slots in the first plate and a second plurality of slots in the second plate whereby the first plate and the second plate are held together.
3. The prosthetic intervertebral disc of claim 2 , wherein the first plate includes a first peripheral edge and the second plate includes a second peripheral edge and wherein the entirety of each of the first plurality of slots is positioned in an interior of the first plate a distance away from the first peripheral edge of the first plate, and wherein the entirety of each of the second plurality of slots is positioned in an interior of the second plate a distance away from the second peripheral edge of the second plate.
4. The prosthetic intervertebral disc of claim 1 , wherein the annular capsule includes an interior and an exterior and the first downwardly extending bead and the second upwardly extending bead are present on the interior of the annular capsule.
5. The prosthetic intervertebral disc of claim 1 , wherein the first annular space is between the first annular groove and a first surface of the first plate opposing the first annular groove, and wherein the second annular space is present between the second annular groove and a second surface of the second plate opposing the second annular groove.
6. The prosthetic intervertebral disc of claim 1 , wherein the first downwardly extending bead first bead projects from the first ledge and the second upwardly extending bead projects from the second ledge.
7. The prosthetic intervertebral disc of claim 6 , wherein the first downwardly extending bead projects toward the second upwardly extending bead.
8. A prosthetic intervertebral disc, comprising:
a first plate located above a second plate in the prosthetic intervertebral disc, the first plate including a first annular groove, the first plate comprising completely separate first and second pieces forming a first closed channel between the first and second pieces for accepting a capsule wall;
the second plate located below the first plate in the prosthetic intervertebral disc, the second plate including a second annular groove, the second plate comprising completely separate third and fourth pieces forming a second closed channel between them the third and fourth pieces for accepting the capsule wall;
a core member positioned between the first plate and the second plate;
a fibrous component that holds the first plate to the second plate; and
an annular capsule that extends about an entire periphery of the core member and that includes the capsule wall extending from the first channel of the first plate to the second channel of the second plate, the annular capsule further comprising a first bead that extends into the first annular groove of the first plate and a second bead that extends into the second annular groove of the second plate.
9. The prosthetic intervertebral disc of claim 8 , wherein an upward-facing surface of the first annular groove opposes the first bead whereby the annular capsule can be retained by interaction with the first bead, and wherein a downward-facing surface of the second annular groove opposes the second bead whereby the annular capsule can be retained by interaction with the second bead.
10. The prosthetic intervertebral disc of claim 8 , wherein the annular capsule includes an interior and an exterior and the first bead and second bead are present on the interior of the annular capsule.
11. The prosthetic intervertebral disc of claim 8 , wherein:
a first annular space is present in the first plate between the first annular groove and a first surface of the first plate opposing the first annular groove;
a second annular space is present in the second plate between the second annular groove and a second surface of the second plate opposing the second annular groove;
the capsule wall includes an upper ledge located in the first annular space of the first plate; and
the capsule wall includes a lower ledge located in the second annular space of the second plate.
12. The prosthetic intervertebral disc of claim 11 , wherein the first bead projects from the first ledge and the second bead projects from the second ledge.
13. The prosthetic intervertebral disc of claim 8 , wherein the annular capsule has no bellow.
14. The prosthetic intervertebral disc of claim 8 , wherein the annular capsule has one bellow.
15. The prosthetic intervertebral disc of claim 8 , wherein the annular capsule has a plurality of bellows.
16. The prosthetic intervertebral disc of claim 8 , wherein the fibrous component comprises at least one fiber.
17. The prosthetic intervertebral disc of claim 16 , wherein the at least one fiber comprises a multifilament fiber.
18. The prosthetic intervertebral disc of claim 8 , wherein the core member is polymeric.
19. The prosthetic intervertebral disc of claim 8 , wherein the core member is elastomeric.
20. A prosthetic intervertebral disc, comprising:
a.) a first plate located above a second plate in the prosthetic intervertebral disc, the first plate comprising completely separate first and second pieces forming a first channel between those first and second pieces, the first plate including the first channel, a first annular space, and a first annular groove;
b.) the second plate located below the first plate in the prosthetic intervertebral disc, the second plate comprising completely separate third and fourth pieces forming a second channel between those third and fourth pieces, the second plate including the second channel, a second annular space, and a second annular groove;
c.) a solid core member positioned between the first plate and the second plate, wherein the first and second channels oppose each other;
d.) a fibrous component passing through the first plate and the second plate whereby the first plate and the second plate are held together;
e.) an annular capsule extending between the first and second channels, the annular capsule comprising an upper preformed first bead and a lower preformed second bead, the upper preformed first bead extending into the first annular groove, and the lower preformed second bead extending into the second annular groove, whereby the annular capsule is retained by the first plate and the second plate.
21. The prosthetic intervertebral disc of claim 20 , wherein the annular capsule further comprises an upper ledge comprising the upper preformed first bead and a lower ledge comprising the lower preformed second bead, the upper ledge being located in the first annular space of the first plate and the lower ledge being located in the second annular space of the second plate.
22. The prosthetic intervertebral disc of claim 20 , wherein a surface of the first annular groove opposes the upper preformed first bead whereby the annular capsule can be retained by interaction with the upper preformed first bead, and wherein a surface of the second annular groove opposes the lower preformed second bead whereby the annular capsule can be retained by interaction with the lower preformed second bead.
23. The prosthetic intervertebral disc of claim 22 , wherein the surface of the first annular groove against which the annular capsule can be retained is an upward-facing surface and wherein the surface of the second annular groove against which the annular capsule can be retained is a downward-facing surface.
24. The prosthetic intervertebral disc of claim 21 , wherein a surface of the first annular groove opposes the upper first bead whereby the annular capsule can be retained by interaction with the upper preformed first bead, and wherein a surface of the second annular groove opposes the lower preformed second bead whereby the annular capsule can be retained by interaction with the lower preformed second bead.
25. The prosthetic intervertebral disc of claim 24 , wherein the surface of the first annular groove against which the annular capsule can be retained is an upward-facing surface and wherein the surface of the second annular groove against which the annular capsule can be retained is a downward-facing surface.
26. The prosthetic intervertebral disc of claim 20 , wherein the first plate comprises a first plurality of slots and the second plate comprises a second plurality of slots and the fibrous component passes through the first plurality of slots and the second plurality of slots whereby the first plate and the second plate are held together.
27. The prosthetic intervertebral disc of claim 21 , wherein the first plate comprises a first plurality of slots and the second plate comprises a second plurality of slots and the fibrous component passes through the first plurality of slots and the second plurality of slots whereby the first plate and the second plate are held together.
28. The prosthetic intervertebral disc of claim 26 , wherein the first plate includes a first peripheral edge and the second plate includes a second peripheral edge and wherein the entirety of each of the first plurality of slots is positioned in an interior of the first plate a distance away from the first peripheral edge and wherein the entirety of each of the second plurality of slots is positioned in an interior of the second plate a distance away from the second peripheral edge.
29. The prosthetic intervertebral disc of claim 27 , wherein the first plate includes a first peripheral edge and the second plate includes a second peripheral edge and wherein the entirety of each of the first plurality of slots is positioned in an interior of the first plate a distance away from the first peripheral edge and wherein the entirety of each of the second plurality of slots is positioned in an interior of the second plate a distance away from the second peripheral edge.
30. The prosthetic intervertebral disc of claim 20 , wherein the annular capsule includes an interior and an exterior and the first bead and the second bead are present on the interior of the annular capsule.
31. The prosthetic intervertebral disc of claim 20 , wherein the first annular space is between the first annular groove and a first surface of the first plate opposing the first annular groove, and wherein the second annular space is present between the second annular groove and a second surface of the second plate opposing the second annular groove.
32. The prosthetic intervertebral disc of claim 21 , wherein the first bead projects from the first ledge and the second bead projects from the second ledge.
33. The prosthetic intervertebral disc of claim 32 , wherein the first and second beads project towards each other.
34. A prosthetic intervertebral disc, comprising:
a.) a first plate located above a second plate in the prosthetic intervertebral disc, the first plate including a first annular groove, the first plate having first radial directions and a first plurality of slots extending in the first radial directions and including a first channel;
b.) the second plate located below the first plate in the prosthetic intervertebral disc, the second plate including a second annular groove, the second plate having second radial directions and a second plurality of slots extending in the second radial directions and including a second channel;
c.) a core member positioned between the first plate and the second plate;
d.) a fibrous component passing through at least one of the first plurality of upper plate slots and at least one of the second plurality of second plate slots whereby the first plate and the second plate are held together; and
e.) an annular capsule including a capsule wall extending from the first channel of the first plate to the second channel of the second plate, the annular capsule further comprising a first preformed bead that extends into the first annular groove of the first plate and a second preformed bead that extends into the second annular groove of the second plate.
35. The prosthetic intervertebral disc of claim 34 , wherein the fibrous component extends through more than one of the first plurality of slots in the first plate and through more than one of the second plurality of slots in the second plate.
36. The prosthetic intervertebral disc of claim 35 , wherein the first plate includes a first peripheral edge and the second plate includes a second peripheral edge and wherein the entirety of each of the first plurality of slots is positioned in the interior of the first plate a distance away from the first peripheral edge, and wherein the entirety of each of the second plurality of slots is positioned in the interior of the second plate a distance away from the second peripheral edge.
37. The prosthetic intervertebral disc of claim 34 , wherein the annular capsule extends about an entire periphery of the core member.
38. The prosthetic intervertebral disc of claim 34 , wherein a surface of the first annular groove opposes the first bead whereby the annular capsule is retained by interaction with the first bead, and wherein a surface of the second annular groove opposes the second bead whereby the annular capsule is retained by interaction with the second bead.
39. The prosthetic intervertebral disc of claim 34 , wherein a surface of the first annular groove against which the annular capsule is retained is an upward-facing surface and wherein the surface of the second annular groove against which the annular capsule is retained is a downward-facing surface.
40. The prosthetic intervertebral disc of claim 34 , wherein the annular capsule includes an interior and an exterior and the first bead and second bead are present on the interior of the annular capsule.
41. The prosthetic intervertebral disc of claim 34 , wherein:
the first plate includes a first annular space located between a first annular groove and a first surface of the first plate opposing the first annular groove;
the second plate includes a second annular space located between a second annular groove and a second surface of the second plate opposing the second annular groove;
the capsule wall includes an upper ledge located in the first annular space of the first plate; and
the capsule wall includes a lower ledge located in the second annular space of the second plate.
42. The prosthetic intervertebral disc of claim 41 , wherein the first bead projects from the first ledge and the second bead projects from the second ledge.
43. The prosthetic intervertebral disc of claim 34 , wherein the annular capsule comprises no bellow, one bellow, or a plurality of bellows.
44. The prosthetic intervertebral disc of claim 34 , wherein the fibrous component comprises at least one fiber or a multifilament fiber.
45. The prosthetic intervertebral disc of claim 34 , wherein the core member is polymeric.
46. The prosthetic intervertebral disc of claim 34 , wherein the core member is elastomeric.
47. A prosthetic intervertebral disc, comprising:
a.) a first plate having a first annular space, and a first annular groove;
b.) a second plate having a second annular space, and a second annular groove;
c.) a core member positioned between the first plate and the second plate;
d.) a fibrous component that extends through the first plate and the second plate whereby the first plate is held to the second plate; and
e.) an annular capsule having a capsule wall, a first preformed bead, and a second preformed bead, wherein the capsule wall extends through the first annular space and the first bead extends into the first annular groove whereby the annular capsule is retained against a vertical surface of the first plate, and wherein the capsule wall extends through the second annular space and the second bead extends into the second annular groove whereby the annular capsule is retained against a vertical surface of the second plate.
48. The prosthetic intervertebral disc of claim 47 , wherein the first plate includes a first plurality of slots and the second plate includes a second plurality of slots and wherein the fibrous component extends through at least one of the first plurality of slots in the first plate and through at least one of the plurality of slots in the second plate.
49. The prosthetic intervertebral disc of claim 47 , wherein the annular capsule comprises no bellow, one bellow, or a plurality of bellows.
50. The prosthetic intervertebral disc of claim 47 , wherein the first and second beads extend entirely around the capsule wall.
51. The prosthetic intervertebral disc of claim 47 , wherein the first bead and second bead are present on the interior of the annular capsule.
52. The prosthetic intervertebral disc of claim 47 , wherein the fibrous component comprises at least one fiber or a multifilament fiber.
53. The prosthetic intervertebral disc of claim 47 , wherein the core member is polymeric.
54. The prosthetic intervertebral disc of claim 47 , wherein the core member is elastomeric.
55. The prosthetic intervertebral disc of claim 47 , wherein the first plate includes a first plurality of slots and the second plate includes a second plurality of slots and wherein the fibrous component extends through more than one of the first plurality of slots in the first plate and through more than one of the plurality of slots in the second plate.
56. The prosthetic intervertebral disc of claim 48 , wherein the first plate includes a first peripheral edge and the second plate includes a second peripheral edge and wherein the entirety of each of the first plurality of slots is positioned in the interior of the first plate a distance away from the first peripheral edge, and wherein the entirety of each of the second plurality of slots is positioned in the interior of the second plate a distance away from the second peripheral edge.