Intervertebral disc prosthesis
The present invention relates to an intervertebral disc prosthesis comprising at least three pieces including an upper plate, a lower plate, and a movable core at least in relation to a plate, wherein it also comprises at least one elongated movable osseous anchor comprising an insertion end disposed at a first longitudinal end of the anchor and a retention end disposed at a second longitudinal end of the anchor and a plate-like body disposed between the insertion end and the retention end.
1. A device for insertion between an upper vertebra and a lower vertebra of a spine, the device comprising:
a leading end disposed on a first side of the device;
a trailing end disposed on a second side of the device opposite the first side;
an elongated movable osseous anchor comprising an insertion end disposed at a first longitudinal end of the anchor and a retention end disposed at a second longitudinal end of the anchor, a plate-like body disposed between the insertion end and the retention end, and a curved portion disposed proximal to the retention end;
an upper vertebral contact surface configured for supportive contact with the lower surface of the upper vertebra;
a lower vertebral contact surface configured for supportive contact with the upper surface of the lower vertebra; and
a passage in the device opening proximal to an edge of the upper vertebral contact surface or the lower vertebral contact surface, the passage sized to accept the plate-like body and configured to position the curved portion at least partially around the edge with the insertion end extending away from the vertebral contact surface.
2. The device of claim 1 in which the curved portion folds over and projects a plate-like extension disposed adjacent the plate-like body.
3. The device of claim 2 in which the plate-like extension comprises an end disposed distal to the retention end and proximal to the insertion end.
4. The device of claim 2 in which the plate-like extension comprises an end disposed distal to the retention end and proximal to the curved portion.
5. The device of claim 2 in which the plate-like body and the plate-like extension each comprises retention notches on opposite edges.
6. The device of claim 1 in which the curved portion interlocks on the edge of the upper vertebral contact surface.
7. The device of claim 6 in which the passage is configured to permit a variable angle of interlock.
8. A device for insertion between adjacent vertebrae of a spine, the device comprising:
a vertebral contact surface configured for supportive contact with a discal surface of one of the vertebrae;
a passage opening on the vertebral contact surface proximal to an edge of the vertebral contact surface;
a retainer on the vertebral contact surface disposed between the edge of the vertebral contact surface and the passage opening;
a fixation recess disposed on the vertebral contact surface; and
an elongated winglet-shaped anchor comprising a first longitudinal end and an opposite second longitudinal end, a side configured for placement adjacent the vertebral contact surface, a curved retainer disposed at the first longitudinal end and configured to pass through the passage and at least partially encircle the retainer, and a projection extending from the side configured to engage the fixation recess when the anchor is placed adjacent the vertebral contact surface with the curved retainer passing through the passage and at least partially encircle the retainer.
9. The device of claim 8 in which the curved retainer disposed at the first longitudinal end of the anchor is configured to interlock with the retainer on the vertebral contact surface.
10. The device of claim 8 in which the fixation recess is a groove.
11. The device of claim 8 in which the projection is a pin or a dowel.
12. The device of claim 11 in which the projection is conically shaped.
13. The device of claim 8 in which the fixation recess comprises walls configured complementary to the sides of the projection.
14. The device of claim 8 further comprising notches along a side of the anchor opposite the side of the anchor configured for placement adjacent the vertebral contact surface.
15. A device for insertion between adjacent vertebrae of a spine, the device comprising:
a leading end;
a trailing end disposed on a side of the device opposite the first side;
a first vertebral contact surface;
a second vertebral contact surface;
a passage in the device opening proximal to a first edge of the first vertebral contact surface; and
an elongated movable osseous anchor comprising an insertion end disposed at a first longitudinal end of the anchor, a retention end disposed at a second longitudinal end of the anchor, a plate-like body disposed between the insertion end and the retention end, and a curved portion disposed proximal to the retention end;
a first configuration in which the osseous anchor is outside the passage; and
a second configuration in which a portion of the osseous anchor is disposed through the passage with the curved portion at least partially around the first edge of the first vertebral contact surface and the insertion end extending away from the first vertebral contact surface.
16. The device of claim 15 in which the curved portion folds over and projects a plate-like extension disposed adjacent the plate-like body.
17. The device of claim 16 in which the plate-like extension comprises an end disposed distal to the retention end and proximal to the insertion end.
18. The device of claim 16 in which the plate-like extension comprises an end disposed distal to the insertion end and proximal to the curved portion.
19. The device of claim 16 in which the plate-like body and the plate-like extension each comprises retention notches on opposite edges.
20. The device of claim 15 in which the curved portion interlocks on the edge of the upper vertebral contact surface.