摘要:
In an intervertebral implant, having an upper part that has a support face for a vertebra and a lower part that has a support face for an adjacent vertebra, on each of which parts engagement elements, which are accessible from one side of the intervertebral implant, for a manipulation instrument are disposed, in order to minimize the structural height of the intervertebral implant upon insertion into an intervertebral space, it is proposed that the upper part and lower part each have protrusions and recesses aimed at the respectively other part, which are offset laterally from one another in such a way that when the upper part has been brought close to the lower part they mesh with one another; and that the engagement elements on the upper part and on the lower part are each disposed in protrusions of these parts in such a way that the engagement elements of the upper part and lower part are located side by side and at least partly overlap in the direction of the height of the intervertebral implant.
摘要:
In an insertion instrument for a three-piece intervertebral implant that includes an upper part that can be placed against a vertebra, a lower part that can be placed against the adjacent vertebra, and a pivot element that can be inserted between these two parts, the instrument having two arms, disposed side by side and supported pivotably relative to one another on one end, which at their free ends each have one retention device for the upper part and lower part, respectively, of the intervertebral implant, it is proposed that a longitudinal guide for the pivot element is disposed in one of the arms.
摘要:
An osteosynthesis system for vertebral arthrodesis, having at least one vertebral compression or distraction bar capable of extending over a portion at least of the rachis; at least one vertebral anchoring member having an end head with a spherical surface, an intermediate shank and a vertebral anchoring portion; and, associated with each anchoring member, a common support for receiving, coupling and immobilizing the vertebral anchoring member and the bar, the common support including a first concave housing for receiving the bar, a second concave housing, for receiving the spherical head, and a screwthreaded member, for immobilization of the bar and the anchoring member on the support, the immobilization member having at least one nut which is screwed onto a screwthreaded portion of the support. The first housing is disposed to the exterior of the screwthreaded portion of the support and is open laterally and upwardly, in opposite relationship to the rachis, so that the bar is immobilized by a peripheral portion of the nut.
摘要:
The present invention is a cervical cage device designed to perform an intersomatic arthrodesis. It is made from a flat and elongated metal plate (1) wider in its central part (2), whose edges, except in the central part, have teeth (30, 40). The plate (1) is bent to form an open ring and the teeth (30, 40) are oriented toward the central part of the cage, so that the ends of the ring have the shape of spears.
摘要:
A device for spinal osteosynthesis includes an elongated bar having two parallel, spaced longitudinal slots extending parallel to the bar length. The slots define a central bar branch and two side bar branches flanking the central bar branch. A plurality of fasteners extend from the bar; each fastener has a shank to be implanted; a head provided at an end of the shank; and a groove provided in the fastener head. The groove has a bottom and divides the head into two leg portions. The central bar branch is received by the groove and is in engagement with the bottom thereof. The leg portions extend through the slots and straddle the central bar branch. A nut is secured to the head of each fastener and abuts a surface of the bar for tightening the fastener to the bar.
摘要:
The invention concerns a prosthesis for intervertebral discs designed to be substituted for fibrocartilaginous discs ensuring connection between the vertebrae of the spinal column and its instruments for implantation.The prosthesis is composed mainly of two plates (110, 120) each equipped with anchoring flaps (1110, 1210) separated by a joint (20) composed of a spherical cap (21) with a cylindrical base (22), of the same diameter, made in the upper side of the lower plate (120). Each of the plates (110, 120) includes, on the back, threaded holes (115, 116, 125, 126) located parallel to the anchoring flaps (1110, 1210).
摘要:
The invention relates to a process and device for securing, elongating and compressing a spinal column, of simple design, which is easy and precise in use, leaving no projecting part. The process of the invention for straightening and supporting a spinal column consists in securing screwed implants (10) or hooks on either side of the curvature of the spin and interlinking them by at least two rods (20,21) designed to act as struts; said rods (20,21) are introduced longitudinally into grooves (113) perpendicular to the screw (120) fitted in the body (110) of the implants (10) or hooks and then fixed in the base of the grooves (113) by crimping resulting from the deformation of the sides of the groove (113) by the closing of its sides; said deformation is obtained via a conically-threaded nut (30) and a cylindrical male thread cut around the body (110) of the implants (10). Application: straightening and supporting the spinal column in the event of scoliosis or fracture, for example.
摘要:
Intervertebral disk prosthesis comprising an external waterproof multilayered deformable casing surrounding a peripheral partition membrane delimiting an outer space and an inner cavity, wherein the inner cavity is partitioned by vertical walls delimiting at least four cavity compartments configured to be filled with a non-toxic saline solution, and wherein the vertical walls comprise orifices and/or porous membranes configured to induce the saline solution to flow from one cavity compartment toward another upon heterogeneous application of a pressure comprised between 0.05 and 3 MPa in a duration comprised between 10 seconds and 60 minutes, and to revert back to its native compartment upon removal of said pressure in a duration comprised between 10 seconds and 180 minutes, and wherein the walls are distributed asymmetrically in the inner cavity so that a posterior part of the inner cavity comprises fewer and/or larger cavity compartments than an anterior part of the inner cavity.
摘要:
A method and apparatus for customizing an intervertebral implant includes the initial step of obtaining a 3D anatomy of a series of vertebrae including an abnormal vertebra in a computer. The 3D anatomy of the series is then repositioned in the computer to eliminate the deformity caused by the abnormal vertebra. It is next determined whether a superior or inferior surface of the abnormal vertebra is an abnormal surface which causes the deformity, whereby an approximate gap between the abnormal surface and a desired normal surface is determined. Using that gap determination, a custom implant is constructed to engage the abnormal surface and fill the determined gap. Thus, when the implant is implanted between the abnormal surface and an adjacent surface of an adjacent vertebrae, the deformity is substantially compensated for. The implant may have articulation between the endplates to allow relative movement therebetween.
摘要:
The invention pertains to an analysis device for measuring physical, chemical and/or biological parameters in an intervertebral disc. It comprises a probe adapted to be inserted in the intervertebral disc; the probe including at its distal end at least three different sensors. The intervertebral disc analysis system and method is useful for measuring physical, chemical and/or biochemical parameters in the intervertebral disc, the data generated by these sensors providing an effigy of the physiological status of the intervertebral disc. The invention further pertains to a method for obtaining physical, chemical and/or biological data of the intervertebral disc, the data being useful for matters in relation to diseases of the intervertebral disc, in particularly for diagnostics and therapies of diseases of the intervertebral disc.