CA2497043A1 - Articulating diamond-surfaced spinal implants - Google Patents

Articulating diamond-surfaced spinal implants Download PDF

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Publication number
CA2497043A1
CA2497043A1 CA002497043A CA2497043A CA2497043A1 CA 2497043 A1 CA2497043 A1 CA 2497043A1 CA 002497043 A CA002497043 A CA 002497043A CA 2497043 A CA2497043 A CA 2497043A CA 2497043 A1 CA2497043 A1 CA 2497043A1
Authority
CA
Canada
Prior art keywords
diamond
protrusion
receptacle
implant
load bearing
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
CA002497043A
Other languages
French (fr)
Other versions
CA2497043C (en
Inventor
Bill J. Pope
Richard H. Dixon
Jeffrey K. Taylor
Clayton F. Gardinier
Troy Medford
Dean C. Blackburn
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Diamicron Inc
Original Assignee
Individual
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Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2497043A1 publication Critical patent/CA2497043A1/en
Application granted granted Critical
Publication of CA2497043C publication Critical patent/CA2497043C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C43/00Compression moulding, i.e. applying external pressure to flow the moulding material; Apparatus therefor
    • B29C43/006Pressing and sintering powders, granules or fibres
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • AHUMAN NECESSITIES
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    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
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    • A61F2/442Intervertebral or spinal discs, e.g. resilient
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
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    • A61F2/44Joints for the spine, e.g. vertebrae, spinal discs
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    • A61F2/4425Intervertebral or spinal discs, e.g. resilient made of articulated components
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    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
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    • A61L27/28Materials for coating prostheses
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    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C43/00Compression moulding, i.e. applying external pressure to flow the moulding material; Apparatus therefor
    • B29C43/32Component parts, details or accessories; Auxiliary operations
    • B29C43/36Moulds for making articles of definite length, i.e. discrete articles
    • B29C43/361Moulds for making articles of definite length, i.e. discrete articles with pressing members independently movable of the parts for opening or closing the mould, e.g. movable pistons
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    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • AHUMAN NECESSITIES
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    • A61F2002/30004Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
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    • A61F2002/3006Properties of materials and coating materials
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C43/00Compression moulding, i.e. applying external pressure to flow the moulding material; Apparatus therefor
    • B29C43/32Component parts, details or accessories; Auxiliary operations
    • B29C43/36Moulds for making articles of definite length, i.e. discrete articles
    • B29C43/361Moulds for making articles of definite length, i.e. discrete articles with pressing members independently movable of the parts for opening or closing the mould, e.g. movable pistons
    • B29C2043/3615Forming elements, e.g. mandrels or rams or stampers or pistons or plungers or punching devices
    • B29C2043/3618Forming elements, e.g. mandrels or rams or stampers or pistons or plungers or punching devices plurality of counteracting elements
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29LINDEXING SCHEME ASSOCIATED WITH SUBCLASS B29C, RELATING TO PARTICULAR ARTICLES
    • B29L2031/00Other particular articles
    • B29L2031/753Medical equipment; Accessories therefor
    • B29L2031/7532Artificial members, protheses

Abstract

An articulating diamond-surfaced spinal implants having a first component (60074) with a concave surface end and a corresponding second element (60075 ) having a convex surface. The two components form a device with diamond to diamond contact at the articulation point.

Claims (24)

1. An articulating diamond-surfaced prosthetic spinal implant for implantation between vertebrae in a human body, the implant comprising:
a first component, said first component having a convex protruding dome member, said dome member including a first component load bearing and articulation surface, said first component load bearing and articulation surface being formed at least in part by a sintered polycrystalline diamond table, said sintered polycrystalline diamond table in said first component serving to provide a durable, biocompatible and low-friction surface for articulation of the implant, a second component, said second component having a concave trough, said trough having a shape and size that permits said protruding dome member to protrude therein, said trough having a shape and size that permits contact of said protruding dome member therewith at a plurality of contact points, said trough including a second component load bearing and articulation surface, said second component load bearing and articulation surface being formed at least in part by a sintered polycrystalline diamond table, said sintered polycrystalline diamond table in said second component serving to provide a durable, biocompatible and low-friction surface for articulation of the implant, said first component being movable with respect to said second component in at a point that has diamond to diamond contact between said first and second components.
2. An implant as recited in claim 1 wherein said first component and said second component are able to articulate with respect to each other to provide rotation about the axial, coronal and/or sagittal axes of the human spine.
3. An implant as recited in claim 1 wherein said first component and said second component are able to articulate with respect to each other to provide translation in the axial plane of a human spine.
4. An implant as recited in claim 1 wherein said first component and said second component are able to articulate with respect to each other to provide rotation about the axial, coronal and/or sagittal axes of the human spine; and wherein said first component and said second component are able to articulate with respect to each other to provide translation in the axial plane of a human spine;
and wherein said rotation and translation accommodate anterior bending, posterior bending, lateral bending, twisting of a spine about its longitudinal axis, anterior translation, posterior translation and lateral translation.
5. An implant as recited in claim 1 wherein said dome member has a shape that is at least partially spherical convex.
6. An implant as recited in claim 1 wherein said first and second components include congruent bearing surfaces.
7. An implant as recited in claim 1 wherein said first and second components include non-congruent bearing surfaces.
8. An implant as recited in claim 1 further comprising:
carbon to carbon bonds in at least one of said sintered polycrystalline diamond table.
9. An implant as recited in claim 8 further comprising:
spa carbon bonds in at least one of said sintered polycrystalline diamond table.
10. An implant as recited in claim 9 further comprising:
a crystalline diamond structure in at least one of said sintered polycrystalline diamond table.
11. An implant as recited in claim 10 further comprising:
interstitial spaces in said crystalline diamond structure.
12. An implant as recited in claim 11 further comprising:
solvent-catalyst metal in said interstitial spaces.
13. An implant as recited in claim 12 further comprising:
diamond to metal bonds between said solvent-catalyst metal and diamond in said sintered polycrystalline diamond table.
14. An implant as recited in claim 13 wherein said solvent-catalyst metal was used to facilitate sintering of said polycrystalline diamond compact at high temperature and high pressure.
15. An implant as recited in claim 12 wherein said solvent-catalyst metal includes a material selected from the group consisting of Co, Cr and Mo.
16. An implant recited in claim 12 wherein said solvent-catalyst metal includes CoCr.
17. An implant as recited in claim 12 wherein said solvent-catalyst metal includes CoCrMo.
18. An implant as recited in claim 1 further comprising a gradient transition zone in at least one of said sintered polycrystalline diamond tables, said gradient transition zone having a first side and a second, said gradient transition zone having both solvent-catalyst metal and diamond therein, and said gradient transition zone exhibiting a transition of ratios of percentage content of solvent-catalyst metal to diamond from said first side to said second side such that at a first point in said gradient transition zone, the ratio of percentage content of solvent-catalyst metal to diamond is greater than it is at a second point in gradient transition zone.
19. An implant as recited in claim 1 wherein at least one of said sintered polycrystalline diamond tables is a free standing diamond table.
20. An implant as recited in claim 1 wherein at least one of said sintered polycrystalline diamond tables includes diamond sintered to a substrate.
21. An implant as recited in claim 1 wherein at least one of said sintered polycrystalline diamond tables includes a diamond table attached to a substrate.
22. An articulating diamond-surfaced prosthetic spinal implant for implantation between vertebrae in a human body, the implant comprising:
a protrusion, a protrusion load bearing and articulation surface located on said protrusion, said protrusion load bearing and articulation surface being formed at least in part by diamond, a receptacle, a receptacle load bearing and articulation surface located on said receptacle, said receptacle load bearing and articulation surface being formed at least in part by diamond, said protrusion and said receptacle being sized and shaped to accommodate said protrusion protruding into said receptacle, and contact of said protrusion load bearing and articulation surface with said receptacle load bearing and articulation surface, said contact of said protrusion with said receptacle being accomplished by diamond to diamond contact of said protrusion and receptacle load bearing and articulation surfaces.
23. An articulating diamond-surfaced prosthetic spinal implant for implantation between vertebrae in a human body, the implant comprising:
a protrusion, a protrusion load bearing and articulation surface located on said protrusion, said protrusion load bearing and articulation surface being formed at least in part by diamond, a receptacle, a receptacle load bearing and articulation surface located on said receptacle, said receptacle load bearing and articulation surface being formed at least in part by diamond, said protrusion and said receptacle being sized and shaped to accommodate said protrusion protruding into said receptacle, and said protrusion load bearing and articulation surface contacting said receptacle load bearing and articulation surface, said contact of said protrusion with said receptacle being accomplished by diamond to diamond contact of said protrusion and receptacle load bearing and articulation surfaces, said contact of said protrusion with said receptacle occurring at a diamond to diamond contact point where diamond of said protrusion contacts diamond of said receptacle, said protrusion being pivotally movable with respect to said receptacle about said diamond to diamond contact point to provide translational or rotational movement of said protrusion with respect to said receptacle.
24. An articulating diamond-surfaced prosthetic spinal implant for implantation between vertebrae in a human body, the implant comprising:
a protrusion, a protrusion load bearing and articulation surface located on said protrusion, said protrusion load bearing and articulation surface being formed at least in part by diamond, said protrusion having a curvature defined by at least one radius R1, a receptacle, a receptacle load bearing and articulation surface located on said receptacle, said receptacle load bearing and articulation surface being formed at least in part by diamond, said receptacle having a curvature defined by at least one radius R2, said protrusion and said receptacle being sized and curved to accommodate said protrusion protruding into said receptacle, and to accommodate said protrusion load bearing and articulation surface contacting said receptacle load bearing and articulation surface, said contact of said protrusion with said receptacle being accomplished by diamond to diamond contact of said protrusion and receptacle load bearing and articulation surfaces, said contact of said protrusion with said receptacle occurring at a diamond to diamond contact point where diamond of said protrusion contacts diamond of said receptacle, said protrusion being translationally movable with respect to said receptacle in the axial plan of a human spine, said translational movement being accomplished by a sliding or rolling movement of diamond against diamond;

wherein R1 and R2 are chosen to accommodate said translational movement;
and wherein at least some of said translational movement occurs in the axial plane of a human spine about an arc of a circle having a radius R3 whose center is located at the base of the spinal process of a human spine, and wherein R3 is not equal to R1 or R2.
CA2497043A 2002-08-28 2003-08-28 Articulating diamond-surfaced spinal implants Expired - Lifetime CA2497043C (en)

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US10/229,907 US7494507B2 (en) 2000-01-30 2002-08-28 Articulating diamond-surfaced spinal implants
US10/229,907 2002-08-28
PCT/US2003/027088 WO2004019830A1 (en) 2002-08-28 2003-08-28 Articulating diamond-surfaced spinal implants

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EP (1) EP1539052B1 (en)
JP (1) JP2005537065A (en)
AT (1) ATE481949T1 (en)
AU (1) AU2003293277A1 (en)
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DE (1) DE60334305D1 (en)
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ATE481949T1 (en) 2010-10-15
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WO2004019830A1 (en) 2004-03-11
US7494507B2 (en) 2009-02-24
JP2005537065A (en) 2005-12-08
EP1539052B1 (en) 2010-09-22
ZA200502467B (en) 2006-02-22
US20080154380A1 (en) 2008-06-26
EP1539052A1 (en) 2005-06-15
US20030191533A1 (en) 2003-10-09
US8016889B2 (en) 2011-09-13

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