US2002138144A1PendingUtilityA1

Threaded frusto-conical interbody spinal fusion implants

Priority: Feb 17, 1995Filed: Jan 16, 2002Published: Sep 26, 2002
Est. expiryFeb 17, 2015(expired)· nominal 20-yr term from priority
A61F 2/4603A61F 2002/30593A61F 2/4637A61F 2002/30604A61F 2002/4627A61F 2002/30795A61F 2002/3021A61F 2002/30405A61F 2002/30879A61F 2002/4681A61F 2002/30777A61F 2/4611A61F 2002/448A61F 2002/30143A61F 2002/4629A61B 2017/922A61F 2002/30906A61B 17/1757A61F 2/30767A61B 17/8875A61F 2230/001A61F 2002/30909A61F 2002/4649A61F 2310/00017A61B 17/32A61F 2/4657A61F 2002/2835A61B 2090/036A61B 17/1671A61F 2002/30808A61F 2230/0069A61F 2002/3013A61F 2230/0017A61F 2002/30894A61F 2002/449A61F 2002/30892A61F 2002/30148A61F 2220/0025A61F 2310/00976A61F 2002/30217A61F 2310/00029A61F 2002/30062A61F 2002/30131A61F 2002/30426A61F 2002/30797A61F 2002/30785A61F 2002/30904A61B 17/3468A61F 2002/4619A61B 17/025A61F 2002/30224A61F 2/30744A61F 2002/30774A61F 2230/0013A61F 2250/0063A61F 2002/30861A61F 2/30771A61F 2230/0067A61F 2002/30836A61F 2002/30235A61F 2002/3085A61F 2310/00293A61F 2310/00023A61F 2/446A61F 2310/00796A61F 2002/3081A61B 2017/0256A61F 2210/0004A61F 2/442A61F 2002/30787A61F 5/04
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Claims

Abstract

The present invention is directed to a variety of interbody spinal fusion implants having at least a partially frusto-conical configuration. An external thread is employed to increase implant stability and implant surface area, and for the purpose of advancing the spinal fusion implant into the fusion site. The spinal fusion implants of the present invention may be relatively solid or hollow and may have surface roughenings to promote bone ingrowth and stability. The spinal fusion implants of the present invention may have wells extending into the material of the implant from the surface for the purpose of holding fusion promoting materials and to provide for areas of bone ingrowth fixation.

Claims

exact text as granted — not AI-modified
What is claimed is:  
     
         1 . A frusto-conical interbody spinal fusion implant, comprising: 
 a body having an insertion end, a trailing end and an outer surface; and    an external thread for engaging said implant to adjacent vertebrae of the spine, the outer locus of said external thread forming a substantially frusto-conical configuration, said implant being made of a material appropriate for human implantation.    
     
     
         2 . The implant of  claim 1  in which said body has a substantially frusto-conical configuration.  
     
     
         3 . The implant of  claim 1  in which said body has a substantially cylindrical configuration.  
     
     
         4 . The spinal fusion implant of  claim 1  in which said trailing end is larger than said insertion end.  
     
     
         5 . The spinal fusion implant of  claim 1  in which said insertion end is larger than said trailing end.  
     
     
         6 . The spinal fusion implant of  claim 1  in which said implant comprises a bone ingrowth material.  
     
     
         7 . The spinal fusion implant of  claim 1  in which said implant comprises a fusion promoting material.  
     
     
         8 . The spinal fusion implant of  claim 1  in which said implant is at least in part bioabsorbable.  
     
     
         9 . The spinal fusion implant of  claim 1  having a plurality of openings capable retaining fusion promoting material.  
     
     
         11 . The spinal fusion implant of  claim 1  in which said external thread has a thread radius measured from the longitudinal central axis of said implant, said thread radius being substantially uniform throughout at least a portion of said implant.  
     
     
         12 . The spinal fusion implant of  claim 1  in which said external thread has a thread radius measured from the longitudinal central axis of said implant, said thread radius being variable along the length of said implant.  
     
     
         13 . The spinal fusion implant of  claim 1  in which said external thread has a thread height measured from said body which is variable along the length of said implant.  
     
     
         14 . The spinal fusion implant of  claim 1  in which said external thread has a thread height measured from said body which is substantially constant along the length of said implant.  
     
     
         15 . The spinal fusion implant of  claim 1  in which .said outer surface is porous at least in part.  
     
     
         16 . The spinal fusion implant of  claim 1  in which said implant has an internal chamber and an access opening for accessing said internal chamber.  
     
     
         17 . The spinal fusion implant of  claim 16  in which said internal chamber is capable of containing fusion promoting material.  
     
     
         18 . The spinal fusion implant of  claim 16  in which said implant comprises a wall surrounding said internal chamber.  
     
     
         19 . The spinal fusion implant of  claim 16  in which said wall has a plurality of openings passing therethrough in communication with said internal chamber.  
     
     
         20 . The spinal fusion implant of  claim 16  in which said implant has means for closing said access opening.  
     
     
         21 . The spinal fusion implant of  claim 1  in which said implant includes an engagement means for engaging instrumentation for the insertion of said implant.  
     
     
         22 . The spinal fusion implant of  claim 1  in which at least a portion of said outer surface comprises wells having at least partial walls.  
     
     
         23 . The spinal fusion implant of  claim 1  in which said implant is configured to be placed in close proximity in a side by side alignment to a second spinal fusion implant, said first and second implants when placed together having a combined overall width that is less than the sum of the individual maximum diameters of each of said first and second implants.  
     
     
         24 . The spinal fusion implant of  claim 1  having a longitudinal central axis and at least one truncated side forming a planar surface parallel to said central axis.  
     
     
         25 . The spinal fusion implant of  claim 24  in which said external thread has a thread height measured from said body which is greatest at said truncated side.  
     
     
         26 . A frusto-conical interbody spinal fusion implant, comprising: 
 a body having an insertion end, a trailing end and an outer surface; and    an external thread for engaging said implant to adjacent vertebrae of the spine, the locus of said external thread forming a substantially cylindrical configuration, said implant being made of a material appropriate for human implantation.    
     
     
         27 . The implant of  claim 26  in which said body has a substantially frusto-conical configuration.  
     
     
         28 . The implant of  claim 26  in which said body has at least in part a cylindrical configuration.  
     
     
         29 . The spinal fusion implant of  claim 26  in which said trailing end is larger than said insertion end.  
     
     
         30 . The spinal fusion implant of  claim 26  in which said insertion end is larger than said trailing end.  
     
     
         31 . The spinal fusion implant of  claim 26  in which said implant comprises a bone ingrowth material.  
     
     
         32 . The spinal fusion implant of  claim 26  in which said implant comprises a fusion promoting material.  
     
     
         33 . The spinal fusion implant of  claim 26  in which said implant is at least in part bioabsorbable.  
     
     
         34 . The spinal fusion implant of  claim 26  having a plurality of openings capable retaining fusion promoting material.  
     
     
         35 . The spinal fusion implant of  claim 26  in which said external thread has a thread radius measured from the longitudinal central axis of said implant, said thread radius being substantially uniform throughout the length of said implant.  
     
     
         36 . The spinal fusion implant of  claim 26  in which said external thread has a thread radius measured from the longitudinal central axis of said implant, said thread radius being variable along at least a portion of said implant.  
     
     
         37 . The spinal fusion implant of  claim 26  in which said external thread has a thread height measured from said body which is variable along the length of said implant.  
     
     
         38 . The spinal fusion implant of  claim 26  in which said external thread has a thread height measured from said body which is substantially constant along at least a portion of said implant.  
     
     
         39 . The spinal fusion implant of  claim 26  in which said outer surface is porous at least in part.  
     
     
         40 . The spinal fusion implant of  claim 26  in which said implant has an internal chamber and an access opening for accessing said internal chamber.  
     
     
         41 . The spinal fusion implant of  claim 26  in which said internal chamber is capable of containing fusion promoting material.  
     
     
         42 . The spinal fusion implant of  claim 40  in which said implant comprises a wall surrounding said internal chamber.  
     
     
         43 . The spinal fusion implant of  claim 40  in which said wall has a plurality of openings passing therethrough in communication with said internal chamber.  
     
     
         44 . The spinal fusion implant of  claim 40  in which said implant has means for closing said access opening.  
     
     
         45 . The spinal fusion implant of  claim 26  in which one of said ends of said implant includes an engagement means for engaging instrumentation for the insertion of said implant.  
     
     
         46 . The spinal fusion implant of  claim 26  in which at least a portion of said outer surface comprises wells having at least partial walls.  
     
     
         47 . The spinal fusion implant of  claim 26  in which said implant is configured to be placed in close proximity in a side by side alignment to a second spinal fusion implant, said first and second implants when placed together having a combined overall width that is less than the sum of the individual maximum diameters of each of said first and second implants.  
     
     
         48 . The spinal fusion implant of  claim 26  having a longitudinal central axis and at least one truncated side forming a planar surface parallel to said central axis.  
     
     
         49 . The spinal fusion implant of  claim 48  in which said external thread has a thread height measured from said body which is greatest at said truncated side.  
     
     
         50 . An interbody spinal fusion implant, comprising: 
 a body having a substantially cylindrical configuration, an insertion end, a trailing end and an outer surface; and    an external thread for engaging said implant to adjacent vertebrae of th e locus of said external thread forming a substantially cylindrical configuration, said implant being made of a material appropriate for human implantation.    
     
     
         51 . The spinal fusion implant of  claim 50  in which said implant comprises a bone ingrowth material.  
     
     
         52 . The spinal fusion implant of  claim 50  in which said implant comprises a fusion promoting material.  
     
     
         53 . The spinal fusion implant of  claim 50  in which said implant is at least in part bioabsorbable  
     
     
         54 . The spinal fusion implant of  claim 50  having a plurality of openings capable retaining fusion promoting material.  
     
     
         55 . The spinal fusion implant of  claim 50  in which said external thread has a thread radius measured from the longitudinal central axis of said implant, said thread radius being substantially uniform for at least a portion of said implant.  
     
     
         56 . The spinal fusion implant of  claim 50  in which said external thread has a thread radius measured from the longitudinal central axis of said implant, said thread radius being variable along at least a portion of said implant.  
     
     
         57 . The spinal fusion implant of  claim 50  in which said external thread has a thread height measured from said body which is variable along at least a portion of said implant.  
     
     
         58 . The spinal fusion implant of  claim 50  in which said external thread has a thread height measured from said body which is substantially constant along the length of said implant.  
     
     
         59 . The spinal fusion implant of  claim 51  in which said outer surface is porous at least in part.  
     
     
         60 . The spinal fusion implant of  claim 51  in which said in has an internal chamber and an access opening for accessing said internal chamber.  
     
     
         61 . The spinal fusion implant of  claim 60  in which said internal chamber is capable of containing fusion promoting material.  
     
     
         62 . The spinal fusion implant of  claim 60  in which said implant comprises a wall surrounding said internal chamber.  
     
     
         63 . The spinal fusion implant of  claim 60  in which said wall has a plurality of openings passing therethrough in communication with said internal chamber.  
     
     
         64 . The spinal fusion implant of  claim 60  in which said implant has means for closing said access opening.  
     
     
         65 . The spinal fusion implant of  claim 51  in which one of said ends of said implant includes an engagement means for engaging instrumentation for the insertion of said implant.  
     
     
         66 . The spinal fusion implant of  claim 51  in which at least a portion of said outer surface comprises wells having at least partial walls.  
     
     
         67 . The spinal fusion implant of  claim 51  in which said implant is configured to be placed in close proximity in a side by side alignment to a second spinal fusion implant, said first and second implants when placed together having a combined overall width that is less than the sum of the individual maximum diameters of each of said first and second implants.  
     
     
         68 . The spinal fusion implant of  claim 51  having a longitudinal central axis and at least one truncated side forming a planar surface parallel to said central axis.  
     
     
         69 . The spinal fusion implant of  claim 68  in which said external thread has a thread height measured from said body which is greatest at said truncated side.  
     
     
         70 . A frusto-conical interbody spinal fusion implant, comprising: 
 a body having a substantially frusto-conical configuration, an insertion end, a trailing end and an outer surface; and    an external thread for engaging said implant to adjacent vertebrae of the spine, said implant being made of a material appropriate for human implantation.    
     
     
         71 . The implant of  claim 70  in which said the outer locus of said external thread forms a substantially cylindrical configuration.  
     
     
         72 . The spinal fusion implant of  claim 70  in which said insertion end is larger than said trailing end.  
     
     
         73 . The spinal fusion implant of  claim 72  in which said insertion end comprises a tapered leading portion.  
     
     
         74 . The spinal fusion implant of  claim 70  in which said trailing end is larger than said insertion end.  
     
     
         75 . The spinal fusion implant of  claim 70  in which said implant comprises a bone ingrowth material.  
     
     
         76 . The spinal fusion implant of  claim 70  in which said implant comprises a fusion promoting material.  
     
     
         77 . The spinal fusion implant of  claim 70  in which said implant is at least in part bioabsorbable.  
     
     
         78 . The spinal fusion implant of  claim 70  having a plurality of openings capable retaining fusion promoting material.  
     
     
         79 . The spinal fusion implant of  claim 70  in which said external thread has a thread radius measured from the longitudinal central axis of said implant, said thread radius being substantially uniform throughout the length of said implant.  
     
     
         80 . The spinal fusion implant of  claim 70  in which said external thread has a thread radius measured from the longitudinal central axis of said implant, said thread radius being variable along the length of said implant.  
     
     
         81 . The spinal fusion implant of  claim 70  in which said external thread has a thread height measured from said body which is variable along the length of said implant.  
     
     
         82 . The spinal fusion implant of  claim 70  in which said external thread has a thread height measured from said body which is substantially constant along the length of said implant.  
     
     
         83 . The spinal fusion implant of  claim 70  in which said outer surface is porous at least in part.  
     
     
         84 . The spinal fusion implant of  claim 70  in which said implant has an internal chamber and an access opening for accessing said internal chamber.  
     
     
         85 . The spinal fusion implant of  claim 84  in which said internal chamber is capable of containing fusion promoting material.  
     
     
         86 . The spinal fusion implant of  claim 84  in which said implant comprises a wall surrounding said internal chamber.  
     
     
         87 . The spinal fusion implant of  claim 84  in which said wall has a plurality of openings passing therethrough in communication with said internal chamber.  
     
     
         88 . The spinal fusion implant of  claim 84  in which said implant has means for closing said access opening.  
     
     
         89 . The spinal fusion implant of  claim 70  in which one of said ends of said implant includes an engagement means for engaging instrumentation for the insertion of said implant.  
     
     
         90 . The spinal fusion implant of  claim 70  in which at least a portion of said outer surface comprises wells having at least partial walls.  
     
     
         91 . The spinal fusion implant of  claim 70  in which said implant is configured to be placed in close proximity in a side by side alignment to a second spinal fusion implant, said first and second implants when placed together having a combined overall width that is less than the sum of the individual maximum diameters of each of said first and second implants.  
     
     
         92 . The spinal fusion implant of  claim 70  having a longitudinal central axis and at least one truncated side forming a planar surface parallel to said central axis.  
     
     
         93 . The spinal fusion implant of claim  92  in which said external thread has a thread height measured from said body which is greatest at said truncated side.  
     
     
         94 . The spinal, fusion implant of  claim 1  in which said implant has an upper and lower portion for engaging the bone of the adjacent vertebrae, said upper and lower surfaces comprising a plurality of macroscopic openings.  
     
     
         95 . The spinal fusion implant of  claim 26  in which said implant has an upper and lower portion for engaging the bone of the adjacent vertebrae, said upper and lower surfaces comprising plurality of macroscopic openings.  
     
     
         96 . The spinal fusion implant of  claim 50  in which said implant has an upper and lower portion for engaging the bone of the adjacent vertebrae, said upper and lower surfaces comprising a plurality of macroscopic openings.  
     
     
         97 . The spinal fusion implant of  claim 70  in which said implant has an upper and lower portion for engaging the bone of the adjacent vertebrae, said upper and lower surfaces comprising a plurality of macroscopic openings.  
     
     
         98 . The spinal fusion implant of  claim 24  in which said external thread is continuous over at least a portion of said truncated side.

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