摘要:
There is disclosed a surgically implantable prosthetic joint implant adapted for length adjustment after initial surgery to compensate, for example, for growth of a juvenile patient. A stem (11) for bone implantation has a flange (12) for overlying the bone end and a threaded portion (13) for adjusting axially with respect to an overlying sleeve (14) which carries at its extremity an articulating component (16) of the joint. A pin in the sleeve (18) and elongated slot (19) in the stem restrain relative rotation but allow axial relative movement as the stem is urged into or out of the sleeve by rotation of a nut (21) coacting with the threads on the stem while being axially restrained by the sleeve. The nut is described as having a ring of gear teeth (26) to be actuated by an insertable gear-carrying key (27). An alternative embodiment uses an accessible recessed bolt (37) for moving the stem into or out of the sleeve.
摘要:
Expandable spinal implants and drivers connected by a bendable joint are disclosed. The flexible connector allows the implant and driver to move to different angular orientations with respect to each other, and to apply rotational force or torque from the driver to the implant and its expansion mechanism. During insertion of an implant into the desired position, the driver may be oriented in the same or different direction than the long axis of the implant. After the spinal implant is placed in the desired position, the driver is used to expand the implant in selected dimensions.
摘要:
An implant is insertable in the joint space to separate bones of the joint. The implant has two endplates each configured to engage a separate articulating bone of the joint, and a threaded member positioned between the two endplates and configured to increase the space between the two endplates when the threaded member is rotated. A rotatable gear is engaged with the threaded member, and is engageable with a rotating gear of a connected implantation tool, so that rotation of the gear on the tool causes rotation of the threaded member and expansion of the implant to separate the bones. Connector portions on the tool and the implant may be rotated together to securely engage the implant and the tool so that the gears of the tool and the implant can be rotated using an actuator outside of the body, when the implant is inside the body.
摘要:
This disclosure provides vertebral implants, fastening devices for vertebral implants, and implant instrumentation, and various combinations thereof. In some embodiments, the implant comprises a peripheral wall extending according to a vertical axis between upper and lower surfaces of the implant, with each such surface configured to be placed in contact with a vertebral structure, respectively, at the top and the bottom of the vertebral segment replaced by the implant. Some embodiments comprise fastening means, deployment of which anchors the implant in the lower and upper vertebral structures. Some fastening means may be deployed by sliding parallel to the vertical axis of the implant, and may comprise a plate with at least one part remaining in contact with the peripheral wall of the implant when deployed and a pointed end projecting from one of the upper and lower surfaces of the implant to enter a vertebral structures on completion of deployment.
摘要:
Provided are devices, systems and methods related to articulating interbody cages. The device includes a caudal plate configured to be positioned adjacent a first vertebral endplate within an intervertebral disc space, a cephalad plate configured to be positioned adjacent a second vertebral endplate within the intervertebral disc space; and a first and second sidewall each rotatably coupled to both the caudal and cephalad plates. At least one of the first and second sidewalls includes a hinge element restricted from achieving an on-center or over-center rotational position around the hinge element upon dimensional expansion of the device in at least a first dimension.
摘要:
An implant is insertable in the joint space to separate bones of the joint. The implant has two endplates each configured to engage a separate articulating bone of the joint, and a threaded member positioned between the two endplates and configured to increase the space between the two endplates when the threaded member is rotated. A rotatable gear is engaged with the threaded member, and is engageable with a rotating gear of a connected implantation tool, so that rotation of the gear on the tool causes rotation of the threaded member and expansion of the implant to separate the bones. Connector portions on the tool and the implant may be rotated together to securely engage the implant and the tool so that the gears of the tool and the implant can be rotated using an actuator outside of the body, when the implant is inside the body.
摘要:
An intervertebral implant is provided. The intervertebral implant comprises a first component comprising an outer tissue engaging surface and an inner surface. A second component is connected to the first component, and is relatively moveable thereform. The second component comprises an outer tissue engaging surface and an inner surface. The second component includes an actuator. A third component is disposed for engagement and is movable relative to the first and second components. The third component comprises at least a first ramp and a second ramp axially spaced apart from the first ramp. The actuator is engageable with the third component to effect axial translation of the wedge such that the ramps engage the inner surface of at least one of the first component and the second component to move the components between a first, collapsed configuration and a second, expanded configuration. Methods of use are disclosed.
摘要:
An intervertebral prosthesis for unremovable fixing of two adjacent vertebrae, comprising: a cage (2) insertable between two adjacent vertebrae, provided with a housing (3); a first opening (4) and a second opening (5), both the first opening (4) and the second opening (5) placing the housing (3) in communication with an outside of the cage (2); and in that it further comprises: a screw (6) insertable in the housing (3) through the first opening (4); a screw nut (7) dimensioned such as to engage with the screw (6) when the screw nut (7) and the screw (6) are inserted in the housing (3); at least a first arm (8) which can engage in the housing (3) such as to rotate between a first angular position (A), in which the first arm (8) is arranged internally of the housing (3), and a second angular position (B), in which a first portion (10) of the first arm (8) has exited from the second opening (5) such as to abut against a vertebral surface when the cage (2) is inserted between the two vertebrae, with a consequent blocking of the intervertebral prosthesis (1 ) to the two vertebrae, the rotation of the first arm (8) being commanded by the movement of the screw nut (7) along the screw (6).
摘要:
A prosthetic device (40) and a method of implanting same between two vertebrae of a vertebral column to stabilize the column, according to which each vertebrae is engaged by a spacer (42, 44) , and the spacers are connected to permit relative movement between the spacers so that the distance between the spacers can vary to conform with the distance between the vertebrae and accommodate bending movements of the vertebral column.