U.S. patent number RE36,758 [Application Number 09/016,776] was granted by the patent office on 2000-06-27 for artificial facet joint.
Invention is credited to William R. Fitz.
United States Patent |
RE36,758 |
Fitz |
June 27, 2000 |
Artificial facet joint
Abstract
A spinal facet prosthesis for a diseased or painful facet joint
comprises a superior component and an inferior component. The
superior component is roughly conical or pyramidal in form and is
fastened to and over the distal tip of the inferior articular
process of the diseased or painful facet joint. The inferior
component is also roughly conical or pyramidal in form with one
side elongated postero-medially and distally. The outer surface of
the elongated side of the inferior component is of low friction,
such as polished chromium coating or medical grade high-density
polyethylene. The inferior component is fastened to and over the
superior articular process of the diseased or painful facet joint.
Each component is made of a biocompatible material. The inner
surface of each component which is in contact with its respective
articular process is coated with a porous coating to enhance the
adhesion of each component to its respective articular process.
Inventors: |
Fitz; William R. (Cincinnati,
OH) |
Family
ID: |
23602701 |
Appl.
No.: |
09/016,776 |
Filed: |
January 30, 1998 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
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Reissue of: |
405199 |
Mar 16, 1995 |
05571191 |
Nov 5, 1996 |
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Current U.S.
Class: |
623/17.11;
606/247; 606/907; 606/279 |
Current CPC
Class: |
A61F
2/4405 (20130101); A61F 2230/0086 (20130101); A61F
2310/00017 (20130101); A61F 2250/0021 (20130101); A61F
2002/30273 (20130101); A61F 2002/30217 (20130101); A61F
2002/30593 (20130101); A61F 2310/00449 (20130101); A61F
2002/30578 (20130101); A61F 2310/00023 (20130101); A61F
2230/0067 (20130101); Y10S 606/908 (20130101); A61F
2/30767 (20130101); A61F 2002/30772 (20130101); A61B
17/86 (20130101); A61F 2002/30024 (20130101); Y10S
606/907 (20130101) |
Current International
Class: |
A61F
2/44 (20060101); A61B 17/86 (20060101); A61B
17/68 (20060101); A61F 2/00 (20060101); A61F
2/30 (20060101); A61F 002/44 () |
Field of
Search: |
;623/16,17,18
;606/60-64,69-71 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Milano; Michael J.
Attorney, Agent or Firm:
Gifford,Krass,Groh,Sprinkle,Patmore, Anderson & Citkowski
Claims
I claim:
1. A prosthetic device for implantation over a painful or otherwise
damaged inferior articular process or .[.a.]. .Iadd.an adjacent
.Iaddend.superior articular process, or both, .[.of.]. .Iadd.at the
point where such processes interact within .Iaddend.a human spinal
facet joint, .Iadd.the device .Iaddend.comprising,
a .[.superior.]. component .[.roughly in the form of a hollow cone
or pyramid with a rounded apex.]. .Iadd.having an outer surface
adapted to .Iaddend.substantially .[.conforming.]. .Iadd.conform
.Iaddend.to the size and shape of the .[.distal tip of the
inferior.]. .Iadd.outer surface of said painful or otherwise
damaged .Iaddend.articular process .[.so as to be a substantially
matching fit over it;.]..Iadd., at least at the point where said
painful or otherwise damaged articular process interacts with said
adjacent articular process; and .Iaddend.
.[.an inferior component roughly in the form of a hollow cone or
pyramid substantially conforming to the size and shape of the
distal tip of the inferior articular process so as to be a
substantially matching fit over it;
means for affixing said superior component to said distal tip of
the inferior articular process;.].
means for affixing said .[.inferior.]. component to said .[.distal
tip of the superior.]. .Iadd.painful or otherwise damaged
.Iaddend.articular process.
2. The device of claim 1, wherein said .[.inferior.]. component has
a concave and elongated exterior surface positioned in matching
opposition to .[.the distal tip of the inferior.]. .Iadd.the outer
surface of said mating .Iaddend.articular process so as to provide
a bearing surface .[.to said distal tip along its path.]. as it
moves .[.medially and inferiorly over said elongated surface.].
.Iadd.with respect thereto.Iaddend..
3. The device of claim 2, wherein said elongated surface is smooth
so as to reduce the resistance to .[.the.]. .Iadd.said
.Iaddend.movement .[.of said inferior articular process over said
inferior component.]..
4. The device of claim 2, wherein said elongated surface is coated
with non-porous polished chrome.
5. The device of claim 2, wherein a layer of medical-grade high
density polyethylene is firmly affixed to said elongated
surface.
6. The device of claim 1, wherein said means of affixing said
.[.superior.]. component .[.to said distal tip of the inferior
articular process is.]. .Iadd.comprises .Iaddend.at least one screw
passing through the apex of .[.the superior.]. .Iadd.said
.Iaddend.component and into the underlying .[.distal tip of the
inferior articular process.]. .Iadd.bone.Iaddend..
7. The device of claim 1, wherein said means of affixing said
.[.inferior.]. component .[.to said tip of the superior articular
process is.]. .Iadd.comprises .Iaddend.at least two screws passing
through the distal portion of .[.the inferior.]. .Iadd.said
.Iaddend.component and into the underlying .[.distal tip of the
superior articular process.]. .Iadd.bone.Iaddend..
8. The device of claim 1, wherein said .[.device.]. .Iadd.component
.Iaddend.is made of a biocompatible material.
9. The device of claim 1, wherein .[.the device.]. .Iadd.said
component .Iaddend.is made of stainless steel.
10. The device of claim 1, wherein .[.the device.]. .Iadd.said
component .Iaddend.is made of unalloyed titanium.
11. The device of claim 1, wherein .[.the device.]. .Iadd.said
component .Iaddend.is made of a titanium-aluminum alloy.
12. The device of claim 1, wherein .[.the.]. .Iadd.said component
includes an .Iaddend.inside .[.surfaces of said device are.].
.Iadd.surface .Iaddend.coated with a porous coating.
13. The device of claim 12, wherein the material of said porous
coating is the same as the material of said .[.device.].
.Iadd.component.Iaddend..
14. The device of claim .[.1.]. .Iadd.20.Iaddend., wherein said
form of the inferior component has an incomplete side so as to form
an open area in said inferior component so that said open area is
superimposed over the spinal nerve at the superior articular
process.
15. The device of claim 14, wherein said incomplete side is in the
shape of a pedicle.
16. A prosthetic device for implantation over a painful or
otherwise damaged inferior articular process .[.or a superior
articular process, or both.]., of a human spinal facet joint,
comprising,
a superior component roughly in the form of a .[.hollow.]. cone or
pyramid with a rounded apex .[.with a hole at the apex.].
.Iadd.adapted to .Iaddend.substantially .[.conforming.].
.Iadd.conform .Iaddend.to the size and shape of the distal tip of
the inferior articular process .[.so as to be a substantially
matching fit over it.]. .Iadd.to be repaired with said
component.Iaddend..[.;.].
.[.an inferior component roughly in the form of an incomplete
hollow cone or pyramid substantially conforming to the size and
shape of the distal tip of the inferior articular process so as to
be a substantially matching fit over it with one side having a
smooth concave and elongated surface positioned in matching
opposition to the distal tip of the inferior articular process and
to provide a bearing surface to said distal tip along its path as
it moves medially and inferiorly over said elongated surface with
at least two holes in the distal portion of said elongated surface
and with an open area adjacent to said elongated surface formed by
an incomplete side in the shape of a pedicle.]..
17. The device of claim 16, wherein .[.the.]. .Iadd.said superior
component includes an .Iaddend.inside .[.surfaces of the device
are.]. .Iadd.surface .Iaddend.coated with a porous coating.
.Iadd.18. The device of claim 1, wherein said component is a
superior component..Iaddend..Iadd.19. The device of claim 18,
wherein said superior component is roughly in the form of a hollow
cone or pyramid with a rounded apex adapted to substantially
conform to the size and shape of the distal tip of the inferior
articular process so as to be a substantially matching fit over
it..Iaddend..Iadd.20. The device of claim 1, wherein said component
is a
inferior component..Iaddend..Iadd.21. The device of claim 20,
wherein said inferior component roughly in the form of a hollow
cone or pyramid adapted to substantially conform to the size and
shape of the distal tip of the superior articular process so as to
be a substantially matching fit over it..Iaddend..Iadd.22. A
prosthetic device for implantation over a painful or otherwise
damaged inferior articular process of a human spinal facet joint,
comprising:
a superior component roughly in the form of a cone or pyramid with
a rounded apex adapted to substantially conform to the size and
shape of the distal tip of an inferior articular process to be
repaired with said component..Iaddend..Iadd.23. In a human spinal
facet joint wherein a portion of the outer surface of a superior
articular process interacts with a portion of the outer surface of
an inferior articular process, a method of relieving discomfort
comprising the steps of:
installing a prosthetic device having an outer surface which
replaces the outer surface of one or both of the superior and
inferior articular processes, at least in the vicinity where said
processes interact..Iaddend .
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates to an artificial spinal facet joint
or prosthesis to replace a diseased, damaged, or otherwise painful
facet joint.
2. Description of the Prior Art
This invention relates to an artificial facet joint comprised of
two components, a superior articular component and an inferior
articular component. The superior articular components is designed
to replace the articular surface of the inferior articular process
and the inferior articular component is designed to replace the
articular surface of the superior articular process.
The function of the facet joint is to guide vertebral motion and to
resist compression, rotation and shear. The facet joints share in
supporting an estimated 10-15% of the load of the lumbar spine. The
load upon the facets increases with extension of the spine. A large
body of evidence exists to support the fact that the facet joint is
a pain producing structure. This pain can be disabling to some
degree in some people. This pain can be due to trauma to and/or
degeneration of the facet joint.
An artificial facet joint should cover the articular surfaces of
the painful facet joint. It should aid in guiding vertebral motion
and be able to withstand compression, rotation and shear force. It
should not cause compression to adjacent neural structures. The
artificial facet joint should be both biocompatible and biostable
so that the joint itself and its degradation by-products, if any
exist, should not cause adverse tissue reactions.
It is a principal objective of this invention to provide an
artificial facet joint that has these characteristics.
SUMMARY OF THE INVENTION
The present invention resides in a spinal facet joint prosthesis to
replace a painful or otherwise damaged facet joint. The prosthesis
is comprised of two components, a superior articular component
(hereinafter, superior component) and an inferior articular
component (hereinafter, inferior component). The superior component
is designed to replace the damaged articular surface of the
inferior articular process and the inferior component is designed
to replace the damaged articular surface of the superior articular
process.
The superior component is roughly one or pyramid in form with a
rounded apex. This form is designed to conform to the tip of the
inferior articular process so that the superior component can cover
the entire distal portion of the inferior articular process.
The inferior component is also roughly cone or pyramid in form.
This form is designed to conform to the tip of the superior
articular process and to cover the distal portion of the inferior
articular process. One side of the inferior component is concave
and elongated postero-medially and distally to cover excursion of
the superior component as it moves medially and inferiorly upon the
inferior component. The anterior side of the inferior component is
incomplete. It is shaped to contain a small pedicle to promote
mechanical stability and to decrease neural damage when placed
surgically in a patient.
Each component of the device of this invention is made of a
biocompatible material such as stainless steel, unalloyed titanium,
or a titanium-aluminum alloy. The elongated side of the inferior
component has a low coefficient of friction so that it offers
minimal resistance to the movement of the superior component. This
may be accomplished by coating the outer surface of the elongated
side with either polished chrome or a friction reducing material
such as a medical-grade high density polyethylene.
Various methods are known for attaching each component of the
device of this invention to its respective articular process. For
example, attachment may be achieved with screws driven through the
component and into the underlying bone. The attachment of any
component to the underlying bone may be further enhanced by coating
the interior surface of the component of the device with a
multitude of small particles of the same material as the device and
creating a porous inner surface to allow bony ingrowth into the
porous inner surface thereby causing the device to become more
firmly attached to the underlying bone.
A facet prosthesis embodying the present invention is intended to
be constructed in various forms and shapes to replace any facet
joint in the cervical, thoracic, or lumbar spine.
The object of this present invention to provide a novel prosthetic
device for the facet joints of the spine.
It is the further object of the present invention to provide a
prosthetic joint that will maintain the natural motion of the spine
and not allow increased wear and tear to occur at adjacent
levels.
Other objects, features, and advantages of the present invention
will become apparent upon reading the following detailed
description of the embodiments of the invention when taken in
conjunction with the drawing and the appended claims.
BRIEF DESCRIPTION OF THE DRAWINGS
Further features of the present invention will become apparent from
reading the following specification with reference to the
accompanying drawings, in which:
FIG. 1 is a side view of the spine with the prosthesis in
place.
FIG. 2 is a perspective view of the superior articulating
component.
FIG. 3 is a perspective view of the inferior articular component
covering the superior articular process.
FIG. 4 is a perspective view of the superior articular component
covering the inferior articular process.
FIG. 5 is a perspective view of the inferior articular
component.
FIG. 6 is a perspective view of the superior articular component
articulating with the inferior articular component.
DETAILED DESCRIPTION OF A PREFERRED EMBODIMENT
In FIG. 1 the prosthesis 10 is shown in place between two adjacent
lumbar vertebrae 20 and 30 of a human. The prosthesis 10 is
composed of a superior articular component 40 and an inferior
articular component 50.
The superior component 40 is roughly in the form of a hollow cone
or a hollow pyramid with a rounded apex. It is designed to fit over
the tip of the inferior articular process 22. The exact form of the
superior component 40 is such that it generally conforms to the
shape of the tip of the inferior articular process 22 so as to be a
matching fit over it. The superior component 40 contains a hole 46
at its apex to allow the insertion of a screw 48 to firmly affix
the superior component 40 to the inferior articular process 22.
In FIG. 3 the inferior articular component 50 is viewed posteriorly
and is depicted in place over the tip of the superior articular
process 32. The articular exterior surface 52 of this component is
concave and elongated medially to cover the excursion of the
superior component 40 as it moves inferiorly and medially over the
elongated articular surface 52. The elongated articular surface 52
of this component has a low coefficient of friction so that there
is a minimal resistance to the movement of the superior component
40 over it. There are a number of ways to make the articular
surface 52 a low friction surface. For example, the surface may be
made smooth and non-porous by applying a coating of polished
chrome. Alternatively, a layer of a medical-grade high density
polyethylene can be firmly attached to the elongated articular
surface 52. Two holes 54 and 56 are placed in the distal portion of
the elongated surface 52 to allow the insertion of two screws 58
and 60 which affix the inferior component 50 to the superior
articular process 32.
As best shown in FIG. 5 the inferior component 50 is a hollow
device with an incomplete anterior side 68. The incomplete anterior
side is formed in the shape a small pedicle 70 for stability. The
purpose of the incomplete anterior side 68 of the inferior
component 50 is to facilitate the placement of the inferior
component 50 over the superior articular process 32 and to reduce
the risk of neural injury to the spinal nerve during the placement
of the inferior component 50.
The adhesion of either the superior component 40 or the inferior
component 50 or both to the underlying bone may be enhanced by
applying a porous coating 44 and 66, respectively, to the inner
surface of the superior
component 43 or to the inner surface of the inferior component 64.
In the preferred embodiment of this invention the porous material
is of the same material as the component to which it is applied.
There are many methods known to those skilled in the art for
producing the porous coating. For example, the porous coating can
be made up of small spherical particles that are attached to the
interior surface by methods well known in the art. The porous
coating will allow for bony ingrowth to occur and to firmly attach
the component to the underlying bone.
Although this invention has been described in detail with
particular reference to preferred embodiments, it will be
understood that it is intended to cover all modifications,
variations and equivalents within the spirit and scope of this
invention as described before and as defined in the appended
claims.
* * * * *