Multi-material multi-component spinal implant
An implantable medical device, such as an intervertebral spacer, may comprise a polymeric component and a metallic component. The metallic component can contain both porous metal and substantially-solid metal. The polymeric material can contain particles of an osseointegrative material. The metallic component can be more protruding toward bone than the polymeric component while having a smaller dimension of roughness than the polymeric component. In embodiments, the pin may press-fit against substantially solid metal. The porous metal may surround solid metal which in turn may surround the pin. The pin may have a press-fit with metal and a looser fit with polymeric component, if the metal components and polymeric components are trapped. A pin may connect superior and inferior metal components by a press-fit. The central opening may be exposed to porous metal and also to substantially-solid metal and to polymer. Specific geometries of implants are disclosed.
1. An implantable device,
said device having a first bone-facing surface and an opposed second bone-facing surface and having a central opening extending from said first bone-facing surface to said second bone-facing surface,
said device comprising a polymeric component,
said device comprising a metallic component,
said metallic component and said polymeric component being mechanically connected to each other,
wherein said metallic component comprises a substantially solid region and a porous region, said substantially solid region and said porous region being integrally adjoined to each other,
wherein one of said bone-facing surfaces of said device comprises a surface of said polymeric component and a surface of said porous region of said metallic component and a surface of said substantially solid region of said metallic component.
2. The device of claim 1 , wherein said polymeric region has surface features of a larger dimension than said porous region, and said porous region has surface features of a larger dimension than said substantially solid region.
3. The device of claim 1 , wherein said polymeric component has surface features that have a variation distance from a lowest point to a highest point, measured in a direction perpendicular to said bone-facing surface of said device, said variation distance being between 0.1 mm and 1 mm.
4. The device of claim 1 , wherein said porous region of said metallic component has pores having a pore size between 200 microns and 700 microns, and wherein said substantially solid region of said metallic component has a surface roughness of less than 100 microns.
5. The device of claim 1 , wherein said polymeric component comprises particles of an osseointegrative material or contains an antimicrobial substance.
6. The device of claim 1 , wherein said substantially solid region has a density at least 90% of a solid density of a metal of which said metallic component is made, and said porous region has a density less than 80% of said metal of which said metallic component is made.
7. The device of claim 1 , wherein said metallic component is manufactured from powder by selective laser sintering or electron beam melting or direct metal laser sintering or selective laser melting, to form said powder to different densities or porosities in different places.
8. An implantable device,
said device having a first bone-facing surface and an opposed second bone-facing surface and having a central opening extending from said first bone-facing surface to said second bone-facing surface,
said device comprising a polymeric component,
said device comprising a metallic component,
said metallic component and said polymeric component being mechanically connected to each other,
wherein said metallic component comprises a substantially solid region and a porous region, said substantially solid region and said porous region being integrally adjoined to each other, said substantially solid region having a density at least 90% of a solid density of a metal of which said metallic component is made, said porous region having a density less than 80% of said metal of which said metallic component is made,
wherein in said metallic component, said porous region is part of one of said bone-facing surfaces, and said porous region also faces said central opening.
9. The device of claim 8 , wherein an internal surface of said central opening also comprises a surface of said polymeric component.
10. The device of claim 8 , wherein an internal surface of said central opening comprises a surface of said polymeric component and comprises a surface of said substantially solid region of said metallic component.