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 along a central-opening direction, said device having a side-to-side direction and a front-back direction, said central-opening direction and said side-to-side direction and said front-back direction being mutually perpendicular to each other,
wherein said device comprises a first metallic component that extends in said side-to-side direction, said device further comprising a remaining portion that is mechanically joined to said first metallic component,
wherein said first metallic component comprises, in sequence along said central-opening direction:
a first porous metallic region that is part of said first bone-facing surface;
a first substantially solid metallic region, said first substantially solid metallic region being integrally adjoined to said first porous metallic region; and
a second porous metallic region that is part of said second bone-facing surface, said second porous metallic region being integrally adjoined to said first substantially solid metallic region,
wherein a surface of said first porous metallic region that is part of said first bone-facing surface is, on a size scale greater than a size of individual pores, entirely convex or flat,
wherein a thickness, measured along said central-opening direction, of said first porous metallic region varies as a function of position along said side-to-side direction, and a thickness, measured along said central-opening direction, of said first substantially solid metallic region varies as a function of position along said side-to-side direction.
2. The device of claim 1 , wherein, in said first metallic component, said first porous metallic region both is on a bone-facing surface of said metallic component and also faces said central opening.
3. The device of claim 1 , wherein, said first metallic component contains therein a hole and wherein in said first metallic component, said first porous metallic region has a thickness, measured along said central-opening direction, wherein said thickness, measured along a centerline passing through a center of said hole along said central-opening direction, is smaller than said thickness measured away from said hole.
4. The device of claim 1 , wherein said mechanical joining of respective components comprises a pin that has a press-fit engagement with said first metallic component and with said remaining portion of said device.
5. The device of claim 1 , wherein, with said first and said second bone-facing surfaces being considered with disregard of localized peaks and roughness, said first bone-facing surface is generally flat and said second bone-facing surface is curved.
6. The device of claim 1 , wherein, with said first and said second bone-facing surfaces being considered with disregard of localized peaks and roughness, one of said first and said second bone-facing surfaces has a compound curvature that is curved in two directions that are orthogonal to each other.
7. The device of claim 1 , wherein said remaining portion comprises a first polymeric component and a second metallic component and a second polymeric component, such that, in sequence, around said central opening, taken in a sectioning plane that is perpendicular to said central-opening direction at a midplane of said device, there are: said first metallic component, said first polymeric component, said second metallic component, and said second polymeric component.
8. The device of claim 7 , wherein proceeding around an internal surface of said central opening, there is an opening-facing surface of said first metallic component, followed by an opening-facing surface of said first polymeric component, followed by an opening-facing surface of said second metallic component, followed by an opening-facing surface of said second polymeric component.
9. The device of claim 7 , wherein said first bone-facing surface comprises, proceeding around said central opening, a bone-facing surface of said first metallic component, followed by a bone-facing surface of said first polymeric component, followed by a bone-facing surface of said second metallic component, followed by a bone-facing surface of said second polymeric component.
10. The device of claim 7 , wherein said second bone-facing surface comprises, proceeding around said central opening, a bone-facing surface of said first metallic component, followed by a bone-facing surface of said first polymeric component, followed by a bone-facing surface of said second metallic component, followed by a bone-facing surface of said second polymeric component.
11. The device of claim 7 , wherein said first polymeric component extends from said first bone-facing surface to said second bone-facing surface, and wherein said second polymeric component extends from said first bone-facing surface to said second bone-facing surface.
12. The device of claim 7 , wherein said second metallic component extends from said first bone-facing surface to said second bone-facing surface.
13. The device of claim 7 , wherein, said second metallic component comprises a second metallic component porous region that has a thickness, measured in a direction that is perpendicular to a bone-facing surface of said porous region, such that said thickness varies along said side-to-side direction, having a maximum at a middle of said side-to-side direction and having a smaller thickness toward sides of said device.
14. The device of claim 1 , wherein said first metallic component extends from said first bone-facing surface to said second bone-facing surface.
15. The device of claim 1 , wherein said thickness, measured along said central-opening direction, of said first porous metallic region also varies as a function of position along said front-back direction.
16. The device of claim 1 , wherein said first metallic component comprises a hole in said first metallic component, wherein said hole is internally threaded or is suitable to interface with an insertion instrument.