Implant with independent endplates
In some aspects, the present invention is a medical implant with an independent endplate structure that can stimulate bone or tissue growth in or around the implant. When used as a scaffold for bone growth, the inventive structure can increase the strength of new bone growth. The independent endplate structures generally include implants with endplates positioned on opposite sides of the implant and capable of at least some movement relative to one another. In most examples, the endplates have a higher elastic modulus than that of the bulk of the implant to allow the use of an implant with a low elastic modulus, without risk of damage from the patient's bone. A method of designing independent endplate implants is also disclosed, including ranges of elastic moduli for the endplates and bulk of the implant for given implant parameters. Implants with elastic moduli within the ranges disclosed herein can optimize the loading of new bone growth to provide increased bone strength.
1. An implant comprising:
a body;
a first endplate comprising a lower surface fixed to the body and an upper surface configured to contact a first segment of tissue; and
a second endplate comprising an upper surface fixed to the body and a lower surface for contacting a second segment of tissue, the second endplate being mechanically connected to, and spaced apart from, the first endplate via at least one portion of the body;
wherein
each of the first and second endplates comprises a metal and the body comprises a biocompatible metallic lattice structure having a lower elastic modulus than an elastic modulus of each of the first endplate and the second endplate.
2. The implant of claim 1 , wherein the at least one portion of the body comprises a connection providing at least 50 percent of elastic modulus of the implant.
3. The implant of claim 1 , wherein the at least one portion of the body comprises a connection providing at least 90 percent of elastic modulus of the implant.
4. The implant of claim 1 , wherein the implant is configured to fuse at least one of: multiple levels of a human spine, adjacent levels of the human spine, and non-adjacent levels of the human spine.
5. The implant of claim 1 , wherein at least one of the first segment of tissue and the second segment of tissue comprise a bony structure.
6. The implant of claim 1 , wherein the implant is configured to allow in-growth of at least one of the first segment of tissue and second segment of tissue.
7. The implant of claim 1 , wherein at least one of the first segment of tissue and the second segment of tissue comprises a connective tissue.
8. The implant of claim 1 , wherein the first endplate and the second endplate are mechanically connected only via the at least one portion of the body through respective connections to the at least one portion of the body.
9. The implant of claim 1 , wherein the body has a volumetric density between and including 5 percent to 50 percent.
10. The implant of claim 1 , wherein both of the first endplate and said second endplate comprise one or more interconnected openings.
11. The implant of claim 1 , wherein the body comprises an elastic modulus between and including 300 MPa to 12 GPa.
12. The implant of claim 1 , wherein the body comprises a volumetric density between and including 25 percent to 38 percent.
13. The implant of claim 1 , wherein the first endplate and the second endplate comprise an elastic modulus between and including 300 MPa to 130 GPa.
14. The implant of claim 1 , wherein the body comprises an elastic modulus between and including 1 GPa to 5 GPa.
15. The implant of claim 1 , wherein the implant comprises an elastic modulus between and including 0.3 GPa to 4 GPa, the body comprises an elastic modulus between and including 0.375 GPa to 4 GPa, and the first endplate and the second endplate comprises an elastic modulus between and including 0.3 GPa to 130 GPa.
16. The implant of claim 1 , wherein at least one of the body and the first and second endplates comprise one of zirconium, stainless steel, tantalum, nitinol, cobalt, chromium alloys, titanium and tungsten, or alloys thereof.
17. The implant of claim 1 , wherein the first endplate comprises an area, when viewed from above, that is 10 percent to 100 percent of a footprint area of the implant.
18. The implant of claim 1 , wherein the first endplate is unparallel to the second endplate.
19. The implant of claim 1 , wherein the first endplate and the second endplate are mechanically connected only via the at least one portion of the body.
20. The implant of claim 1 , wherein the first endplate and the second endplate are configured to be movable relative to one another.