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United States Patent [w]

Bryan et al.

US006001130A [ii] Patent Number: 6,001,130 [45] Date of Patent: *Dec. 14,1999

[54] HUMAN SPINAL DISC PROSTHESIS WITH HINGES

[76] Inventors: Vincent Bryan, 4624 E. Mercer Way, Mercer Island, Wash. 98040; Alex Kunzler, 422 140th SE., Bellevue, Wash.

[ * ] Notice: This patent is subject to a terminal disclaimer.

[21] Appl. No.: 08/944,378 [22] Filed: Oct. 6, 1997

Related U.S. Application Data

[63] Continuation-in-part of application No. 08/681,230, Jul. 22, 1996, Pat. No. 5,674,296, which is a continuation-in-part of application No. 08/339,490, Nov. 14, 1994, abandoned.

[51] Int. C I. A61F 2/44

[52] U.S. CI 623/17; 606/61

[58] Field of Search 623/16, 17, 18;

606/60, 61, 70-73

[56] References Cited

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FOREIGN PATENT DOCUMENTS

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"Cervical Disc Disease;" Simeone and Rothman; Pennsylvania Hospital & University ol Pennsylvania; 1975; pp. 387-433.

(List continued on next page.)

Primary Examiner—Mickey Yu
Assistant Examiner—-Tram A. Nguyen
Attorney, Agent, or Firm—Hill & Simpson

[blocks in formation]

The invention relates to a spinal disc endoprosthesis. The endoprosthesis has a resilient body formed ol one or more materials which may vary in stiffness from a relatively stiff exterior annular gasket portion to a relatively supple central nucleus portion. Concaval-convex elements at least partly surround that nucleus portion so as to retain the nucleus portion and gasket between adjacent vertebral bodies in a patient's spine. Assemblies ol endoprosthetic discs, endoprosthetic vertebral bodies, and endoprosthetic longitudinal ligaments may be constructed. To implant this endoprosthesis assembly, information is obtained regarding the size, shape, and nature ol a patient's damaged spine. Thereafter, one or more prosthetic vertebral bodies and disc units are constructed in conformity with that information. Finally, the completed and conformed vertebral body and disc assembly is implanted in the patient's spine.

20 Claims, 10 Drawing Sheets

Page 2

U.S. PATENT DOCUMENTS

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OTHER PUBLICATIONS

"Failed Back Surgery Syndrome;" Long; Neurosurgery Clinics of North America; vol. 2, No. 4; Oct. 1991; pp. 899-919.

"Far Lateral Lumbar Disc Herniations;" Hodd; Neurosurgery Clinics of North America; vol. 4, No. 1; Jan. 1993; pp. 117-124.

"Artificial Disc Replacement;" Enker et al.; Spine; vol. 18; No. 8; 1993; pp. 1061-1070.

"Design of an Intervertebral Disc Prothesis;" Hedman et al.;

Spine; vol. 17; No. 6; 1991; pp. S256-S260.

"Wear Studies for Development of an Intervertebral Disc

Prosthesis;" Hellier et al.; Spine; vol. 17; No. 6; 1989; pp.

S86-S96.

"Biomechanics of the SB Charite Lumbar Intervertebral Disc Endoprosthesis;" Buttner-Janz et al.; International Orthopaedics; vol. 13; 1989; pp. 173-176.

"Finite-Element Modeling of the Synthetic Intevertebral Disc;" Langrana et al.; Spine; vol. 16; No. 6: 1991; pp. S245-S252.

"Development of a Prosthetic Intervertebral Disc;" Lee et al; Spine; vol. 16; No. 6; 1991; pp. S253-S255.

"Lumbar Intervertebral Disc Prosthesis;" Tie-sheng et al.; Chinese Medical Journal, 104-(5); 1991; pp. 381-386.

"Protesi Somatica Cervicale;" Solini et al.; Ingegneria Ricostruttiva D'Avanguardia; Howmedica International; Pfizer; Italy.

"Metal Cementless Prosthesis for Vertebral Body Replacement of Metastatic Malignant Disease of the Cervical Spine;" Solini et al.; Journal of Spinal Disorders; vol. 2; No. 4; 1989; pp. 254-262.

"Wear Studies for Development of an Intervertebral Disc Prosthesis;" Hellier et al.; Spine; vol. 17; No. 6 Supplement; 1992; pp. S86-S96.

"Some Additional Suggestions for an Intervertebral Disc Prosthesis;" Edeland; Dept. of Occupational Health; Vdvo PV AB; S^10508; Goteborg; Sweden; 1985 Butterworth & Co. Publishers Ltd.

"Shear Stability of an Elastomeric Disk Spacer Within an Intervertebral Joint: A Parametric Study;" Hawkins et al.; Journal of Biomechanical Engineering Technical Briefs; vol. 114; Aug. 1992; pp. 414^115.

"The Artificial Disc—Introduction, History and Socioeconomics;" Ray; Clinical Efficacy and Outcome in the Diagnosis and Treatment of Low Back Pain; Raven Press, Ltd., NY; 1992; pp. 205-280.

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