WO2003020143B1 - Bilateral laminoplasty implants - Google Patents

Bilateral laminoplasty implants

Info

Publication number
WO2003020143B1
WO2003020143B1 PCT/US2002/027359 US0227359W WO03020143B1 WO 2003020143 B1 WO2003020143 B1 WO 2003020143B1 US 0227359 W US0227359 W US 0227359W WO 03020143 B1 WO03020143 B1 WO 03020143B1
Authority
WO
WIPO (PCT)
Prior art keywords
implant
bone
engaging portions
bone engaging
impknt
Prior art date
Application number
PCT/US2002/027359
Other languages
French (fr)
Other versions
WO2003020143A1 (en
Inventor
Christopher M Angelucci
Michael L Ii Boyer
David C Paul
Christopher J Ryan
Amit Sinha
Martin Walther
Original Assignee
Synthes Usa
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Synthes Usa filed Critical Synthes Usa
Priority to EP02759475A priority Critical patent/EP1427342B1/en
Priority to CA002459032A priority patent/CA2459032A1/en
Priority to DE60228737T priority patent/DE60228737D1/en
Publication of WO2003020143A1 publication Critical patent/WO2003020143A1/en
Publication of WO2003020143B1 publication Critical patent/WO2003020143B1/en

Links

Classifications

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    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
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    • A61B17/683Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
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    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
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    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/3604Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix characterised by the human or animal origin of the biological material, e.g. hair, fascia, fish scales, silk, shellac, pericardium, pleura, renal tissue, amniotic membrane, parenchymal tissue, fetal tissue, muscle tissue, fat tissue, enamel
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    • A61L27/3641Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix characterised by the site of application in the body
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Abstract

Implants (40, 62) for maintaining a distance between cut spinal bones (71, 72) are disclosed. The implants (40, 62) are made of metal, polymer or bone allograft, and have ends (46A, 46B, 63A, 63B) angled with respect to each other to conform to the cut bone ends (71, 72). The implants (1, 62) have hollow regions (49, 70) for packing osteogenic material. The implant ends (46A, 46B, 63A, 63B) have surface projections (56) to reduce slippage. Implants made of bone allograft also have ends made of demineralized bone to speed fusion between spine (71, 72) and implant (40, 62). Methods of using the implants are also disclosed.

Claims

28
AMENDED CLAIMS
[received by the International Bureau on 28 March 2003 (28.03.03); claims 1 and 35 amended, remaining claims 2-34, and 36-44 unchanged (2 pages)]
1. An implant for use in maiαtaini g a desired distance between first and second bisected bone ends of the spinal col nα, said implant comprising:
(a) a body portion having a length arid configured to be insettable between the first and second bisected bone ends produced during a larninoplasty procedure, the body portion having an outer surface, and an inner surface defining a substantially hollow portion, the body portion further having an inner side region having an inner side length, and first and second ends which communicate with said hollow portion, the first and second ends comprising bone engaging portions, at least one of the bone engaging portions comprises surface ptojections to reduce slippage between the bone engaging portions and the respective said bone end, wherein said bone engaging portions are angled with respect to each other,
2. The implant of Claim 1 wherein the intersection between the inner side region and each of the bone engaging pc-rtions comprises an angle.
3. The implant of Claim 2 wherein the angle tanges from about 50 to about 70 degrees,, and the inner side length ranges itroffi about 6 to about 10 millimeters,
4- The implaiit of any one of the preceding! Claims 1 ■ 3 wherein the perimeter of the outer surface of the implant is a substantially geometric shape.
5. The implant of Claim 4 wherein the geotoetnc snape is an ellipse having a width ύd a depth.
6. The implant of Claim.5 wherein the widthtaώges from about 10.0 to about 11.5-mfllimeters and the depth tanges from about 6.5 to about 7.5 millimeters
7. The implant of Claims 4 or 5 wherein tfcile geometric shape is a circle.
8. The implant of any one of the preceding Claims 1 - 7, wherein the surface
34. The implant of any one of the preceding Claims 27 - 33 wherein the body portion further comprises a hollow suture attachment portion to enable a surgeon to secure the implant to at least one of said first and second bone segments.
35. An implant for use in the spinal column, said implant comprising
(a) first and second p tes connected by an intermediate portion whose thickness is smaller than the height of the first and second plates, the first and second plates comprising bone engaging portions for engaging first and second bone segments produced during a larninoplasty procedure, the first and second bone engaging portions being angled with respect to each other, wherein the implant is configured to be _nse__table between first and second bone segtnents produced during a larninoplasty procedure, and at least a portion of the implant is formed of bone allograft.
36. The implant of Claim 3<5 wherein the first and second pktes and the intermediate portion form a substantially U-shaped impknt.
37. The impknt of Claim 36 wherein the intermediate portion further comprises a hollow suture attachment portion.
38. Th& imp nt of any one of the preceding Claims 35 - 37 wherein at least a portion of the impknt is comprised of a biocompatablc metal.
39. The impknt έ>f any one of Claims 35 - 37 wherein at least a portion of the impj nt is comprised of a biocomnatable polymer.
40 The implant of any of the preceding Claims 35 - 39 wherein at least one of the first and second bone engaging otQOϊjiS comprises surface projections to reduce slippage bet een the bone engaging portions and the respective said bone< segment
41 The αmpkήt of Claim 40 wherein the surface projections comprise saw tooth n es
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WO2003020142A1 (en) 2003-03-13
CA2459023A1 (en) 2003-03-13
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US20040210222A1 (en) 2004-10-21
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EP1420709A1 (en) 2004-05-26
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