Abstract: A implant is provided for placement in a space between boney structures. The implant may comprise a flexible section. The flexible section may be either the anterior side or the posterior side of the implant or both, among other sides. The flexible section or sections may comprise one or more orifices, cavities, or low modulus of elasticity materials among others. The flexible section or sections may facilitate a wider range of motion than otherwise possible for a spinal column comprising a Lumbar Interbody Fusion (LIF) device. Additionally, the anterior side comprising a flexible section may have a different modulus of elasticity than the posterior side comprising a flexible section. The difference may facilitate a wider range of responses from the implant to movement generated forces in at least two directions.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is an arched strip spring. In a first embodiment there are multiple springs positioned independently about the area of the opposing plates. In a second embodiment there is a single arched strip spring modified to mount onto a ball-shaped head. The lower plate of this second embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The spring and post members are flexibly coupled such that the upper and lower plates may rotate relative to one another.

Abstract: The shoulder prosthesis has a stem (10), a ball head (20) and a middle section (30) that can be attached to the proximal end (12) of the stem (10) and to which the ball head (50) can be attached. The middle section (30) can be clamped to an attachment element (20) that is adjustable in a first direction at the proximal end (12) of the stem (10), the first direction lying in the resection plane or parallel thereto. The first direction generally runs approximately medially-laterally. The attachment element (20) can be displaceable on the stem (10) by means of a dovetail guide (15) or guided displaceable in a guide bore in the stem (10). The middle section can be clamped against the attachment element (20), whereby the attachment element (20) and the middle section (30) can be fixed.

Abstract: The instant invention proposes an artificial intervertebral disc providing for angular displacements between adjacent vertebrae wherein these displacements are accommodated by internal shear in an elastomeric layered element residing between the upper and lower bases attached, respectively, to the upper and lower adjacent vertebrae, without sliding.

Abstract: An artificial disc having a pair of opposing baseplates, for seating against opposing vertebral bone surfaces, separated by a ball and socket joint that includes a solid ball mounted to protrude from one of the baseplates. The ball is captured within a curvate socket formed in a peak of a convex structure integral with the other of the baseplates. The socket is formed by opposing curvate pockets, one on the convex structure and one on a retaining cap that is secured to the other of the baseplates. The ball rotates and angulates in the socket. The ball and socket joint therefore permits the baseplates to rotate and angulate relative to one another.

Abstract: A system and method for replacing degenerated spinal disks in accordance with the present invention can substitute for interbody fusion techniques by replacing degenerated spinal disks with artificial spinal disks. In one embodiment, the system can comprise one or more artificial spinal disks, each comprising an upper and lower housing, a first spacer and a second spacer partially enclosed by a cavity formed by the housings, and a shaft with a spring positioned between the first spacer and the second spacer such that the spacers are urged apart.

Abstract: An intervertebral device includes a first plate having an outer face and an inner face, and a second plate juxtaposed with the first plate, the second plate having an outer face, an inner face that opposes the first plate and a concavity that opposes the first plate. The device includes an elongated member extending from the first plate toward the second plate, the elongated member having a distal end with a spherical surface that is engageable with the concavity of the second plate for providing an articulating joint between the first and second plates. The device also includes a resilient member in contact with the elongated member for counteracting compressive loads on the plates, the resilient member being surrounded by the concavity of the second plate.

Abstract: A spinal implant is inserted between adjacent vertebrae to function as an disk prosthesis. The prosthesis has two plates fastened to adjacent vertebrae facing each other. The facing sides of the plates each have a depending skirt formed as concentric arcs of about 90 degrees. The skirts are either bowed or tapered in the axial direction. Depressions are centrally located between the arcs of the plates and a ball is universally movable in the depressions. A spring mechanism is centrally located in the plates to provide axial compression. The plates are oriented to each other with the concentric arcs of each interrupted skirt at 90 degrees and the protrusion is engaged in the depression. The plates are then rotated about 90 degrees and the opposed arcs of one plate interlock with the opposed arcs of the other plate to prevent separation in the axial direction.

Abstract: An artificial disc having a pair of opposing baseplates, for seating against opposing vertebral bone surfaces, separated by a ball and socket joint that includes a solid ball mounted to protrude from one of the baseplates. The ball is captured within a curvate socket formed in a peak of a convex structure integral with the other of the baseplates. The socket is formed by opposing curvate pockets, one on the convex structure and one on a retaining cap that is secured to the other of the baseplates. The ball rotates and angulates in the socket. The ball and socket joint therefore permits the baseplates to rotate and angulate relative to one another.

Abstract: An artificial disc having a pair of opposing baseplates, for seating against opposing vertebral bone surfaces, separated by a ball and socket joint that includes a ball compression locked to a post extending from one of the baseplates. The ball is captured within a curvate socket formed in a peak of a convex structure attached to the other of the baseplates. The socket is formed by opposing curvate surfaces, one on the convex structure and one on the other of the baseplates. While the ball angulates freely in the socket, the rotation of the ball in the socket has a limited range due to interference between a protrusion on the convex structure that extends into the socket and a curvate recess on the ball. The ball and socket joint therefore permits the baseplates to rotate relative to one another through a limited range and also angulate relative to one another.

Abstract: A motion disc having an intermediate portion including a central articulating core component adapted to maintain the proper intervertebral spacing and a peripheral shock-absorbing component.

Abstract: An intervertebral spacer device includes first and second plate members, each having plate surfaces thereof, the plate members being disposed in a spaced apart relationship such that inner ones of the plate surfaces oppose one another, and external ones of the plate surfaces face in opposite directions. The device includes at least one slotted domed arch strip spring disposed between the inner surfaces of the first and second plate members for counteracting compressive load applied to the external surfaces of the plate members, one of the plate members having a ball-shaped head attached thereto and spaced from the inner surface thereof, and the at least one slotted domed arch strip spring having a central opening including a curvate volume for receiving and holding therein the ball-shaped head.

Abstract: An artificial disc having a pair of opposing baseplates, for seating against opposing vertebral bone surfaces, separated by a ball and socket joint that includes a solid ball mounted to protrude from one of the baseplates. The ball is captured within a curvate socket formed in a peak of a convex structure integral with the other of the baseplates. The socket is formed by opposing curvate pockets, one on the convex structure and one on a retaining cap that is secured to the other of the baseplates. The ball rotates and angulates in the socket. The ball and socket joint therefore permits the baseplates to rotate and angulate relative to one another.

Abstract: An intervertebral spacer device includes first and second plates having plate surfaces, the first and second plates being spaced from one another with inner ones of the plate surfaces opposing one another and external ones of the plate surfaces facing in opposite directions. The spacer device includes at least one domed arch strip spring disposed between the inner surfaces of the first and second plate members for counteracting compressive loads applied to the external surfaces of the first and second plates. The at least one domed arch strip spring has lateral ends that are coupled with the first plate and a curvate central portion that is maintained adjacent the inner surface of the second plate.

Abstract: A pseudo arthrosis device may be placed in a disc space to provide support for adjacent vertebrae. The device may have an enclosure formed from a flexible, permeable material. A plurality of elongated members may be packed longitudinally in the enclosure. The elongated members may be compressible and/or flexible. In certain embodiments, elongated members may be solid rods and/or hollow tubes. A plurality of spaced-apart perforations may be formed in solid and hollow elongated members. The enclosure may be placed in an intervertebral space between the adjacent vertebrae such that the elongated members are disposed longitudinally between the adjacent vertebrae. The pseudo arthrosis device may include a tab designed to couple the enclosure to an adjacent vertebrae.

Abstract: An artificial intervertebral disc includes housing members including spaced inner surfaces facing each other and oppositely facing outer surfaces for engaging spaced apart vertebral surfaces. Bearing surfaces extend from each of the inner surfaces for engaging each other while allowing for low friction and compression resistant movement of the housing members relative to each other while under compression. Load sharing pads are disposed between the inner surfaces and about at least a portion of the bearing surfaces for sharing absorption compressive loads with the bearing surfaces while limiting the relative movement of the housing members.

Abstract: A spinal implant is inserted between adjacent vertebrae to function as an disk prosthesis. The prosthesis has two plates fastened to adjacent vertebrae facing each other. The facing sides of the plates each have a depending skirt formed as concentric arcs of about 90 degrees. The skirts are either bowed or tapered in the axial direction. A protrusion is centrally located between the arcs on one plate and a depression is centrally located between the arcs of the other plate. A spring mechanism is centrally located on one of the plates to provide axial compression. The plates are oriented to each other with the concentric arcs of each interrupted skirt at 90 degrees and the protrusion is engaged in the depression. The plates are then rotated about 90 degrees and the opposed arcs of one plate interlock with the opposed arcs of the other plate to prevent separation in the axial direction.

Abstract: An method and apparatus is provided for achieving stability of an implant in an intervertebral space of the human body, including an implant having a superior surface and an inferior surface, the surfaces having no significant protrusions extending therefrom and at least one modular projection mateable with one of each superior and inferior surface of the implant to achieve stability within the intervertebral space. The implants can be selected form a group of artificial discs and spinal fusion cages.

Abstract: Disclosed is an endoprosthetic implant for a human spinal disc. The structure of the implant allows it to be inserted posteriorly. This insertion is accomplished by performing a partial discectomy in the affected region. An intervertebral space is then created by removing the fibrocartilage between the facing surfaces of adjacent vertebrae. The implant is then inserted into the intervertebral space. The implant is thus adapted to replace damaged or worn intervertebral discs. Furthermore, the structure of the implant, and its posterior insertion, alleviate most spinal pathologies.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a subassembly including a ball captured in a curvate volume, at least a portion of the curvate volume being formed in a convex element that is maintained against a first plate by a retaining wall and a retaining ring.

Abstract: A disc replacement spinal interbody fusion device is provided having a central sleeve with oppositely left and right-hand threaded axial bores with different diameters. Circumferential threaded apertures are located on the sleeve and open into the sleeve bores. The device has two opposing plates which are oval-shaped and centrally, axially bored. Each plate has a perpendicular shaft with an axial bore which communicates with the plate bore. In situ, axial loading of the spinal column upon the fusion device creates a bending moment manifested by a flexing action of the plates to generate opposing axial directional forces which replicate the physiological function of shock absorption, load bearing and load transmission.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a spring mechanism. The preferred spring mechanism is a multi-pronged domed spring which is coupled to the upper plate by set screws. The spring includes a socket formed in the peak thereof and mounts onto a ball-shaped head extending outwardly from the lower plate. The spring and post members are thereby flexibly coupled such that the upper and lower plates may rotate relative to one another.

Abstract: A disc prosthesis for use on a pair of adjacent vertebrae comprises upper and lower plates adapted to be mounted respectively to adjacent upper and lower vertebrae, typically using screws that extend through holes defined in the upper and lower plates and into the upper and lower vertebrae; a joint mechanism linking the upper and lower plates; and a damping system. The joint mechanism and the damping system are adapted to allow for biased relative movements between the upper and lower vertebrae.

Abstract: An artificial intervertebral disc includes: an upper retaining member secured to an upper vertebra; a lower retaining member secured to a lower vertebra adjacent to the upper vertebra; and a nucleus member flexibly resiliently formed between the upper and the lower retaining members having at least an outer and an inner bellows each reinforced and integrally formed with a helical spring to define an outer annulus between the outer and inner bellows and a core formed within the inner bellows.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a spring mechanism. The preferred spring mechanism is a slotted domed arch strip spring which is coupled to the upper plate by set screws. The spring includes a socket formed in the peak thereof and mounts onto a ball-shaped head extending outwardly from the lower plate. The spring and post members are thereby flexibly coupled such that the upper and lower plates may rotate relative to one another.

Abstract: An artificial disc having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is at least one spirally slotted belleville washer, and in some embodiments the belleville washer is also radially thinning or thickening. Various illustrated embodiments use two washers or one washer. For double washer embodiments, the wide ends of the washers seat against respective opposing plates, in some embodiments each being maintained thereagainst by a retaining wall and ring or a circular recess and retaining shield. For single washer embodiments, the narrow end of the washer can be modified to have a curvate socket for rotatably mounting onto a semispherical protuberance extending from one of the plates.

Abstract: The present invention is directed to an impact-absorbing member for use with an implant insertion instrument and the placement of an implant in a recipient's body. Preferably, the implant is a spinal implant for insertion into the intervertebral space. The impact-absorbing member may be attached to the implant insertion instrument, the implant, or both. The impact-absorbing member reduces the impact forces on the implant during placement.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a spring mechanism. The preferred spring mechanism is a domed arched strip spring which is coupled to the upper plate by set screws. The spring includes a socket formed in the peak thereof and mounts onto a ball-shaped head extending outwardly from the lower plate. The spring and post members are thereby flexibly coupled such that the upper and lower plates may rotate relative to one another.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is at least one belleville washer having radially spaced concentric grooves. In a preferred embodiment there is a single such belleville washer which is modified to mount onto a ball-shaped head. The lower plate of this embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The modified belleville washer can be rotatably mounted to the head such that the wider portion of the washer seats against the upper plate.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a spring mechanism. The preferred spring mechanism is a domed arched strip spring which is coupled to the upper plate by set screws. The spring includes a socket formed in the peak thereof and mounts onto a ball-shaped head extending outwardly from the lower plate. The spring and post members are thereby flexibly coupled such that the upper and lower plates may rotate relative to one another.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is at least one spirally slotted belleville washer having radially spaced concentric grooves. In a preferred embodiment there is a single such belleville washer which is modified to mount onto a ball-shaped head. The lower plate of this embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The modified belleville washer can be rotatably mounted to the head such that the wider portion of the washer seats against the upper plate.

Abstract: A vertebral disk prosthesis with at least one member that has lateral portions coupled to each other and structured to move between contracted and expanded positions. In the contracted position, the member has a first lateral width and the end surface is narrower than the lateral width of a vertebral body of a patient. In the expanded position, the lateral portions are disposed such that the member has a second lateral width that is larger than the first lateral width and the axial end surface is configured for supporting and abutting the periphery of the body at least on both the lateral sides thereof. An expansion member is disposed between the lateral portions and configured for moving the lateral portions to the expanded position. The prosthesis is preferably also axially expandable. A method and tool for inserting the intervertebral disk prostheses are also provided.

Abstract: An artificial intervertebral disc includes: an upper retaining member secured to an upper vertebra; a lower retaining member secured to a lower vertebra adjacent to the upper vertebra; and a nucleus member flexibly resiliently formed between the upper and the lower retaining members having at least an outer and an inner bellows each reinforced and integrally formed with a helical spring to define an outer annulus between the outer and inner bellows and a core formed within the inner bellows, thereby providing an artificial intervertebral disc having nice flexibility and supporting strength to vividly simulate a natural spinal disc.

Abstract: A spinal disc prosthesis including an outer case adapted for attachment to spinal structure of a body, a cartridge removably mounted in the outer case, and a shock absorbing core within the cartridge.

Abstract: The invention concerns an assembly comprising: a rear damping implant (10), configured to be laterally placed at the blade-spinal junction of two vertebrae (2, 3) treated without resection of the supra-spinal rear ligament (5), said implant (10) having a height such that, when set in place, it enables, to reset the supra-spinal rear ligament in anatomical tension; and at least a damping interbody implant (11), configured to be inserted between the vertebral end-plates of the two treated vertebrae (2, 3), by the same path used during dissectomy, said implant (11) having a height such that, when set in place, it enables to restore the anatomical height of the intervertebral disc (4) and to reset the front common ligament in anatomical tension.

Abstract: An artificial disc having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a wave washer having a circumferential extent surrounding a central bore. Various wave washer embodiments disclosed include circumferential extents that are ring-shaped, spiral-shaped, straight, bowed, grooved, wavy, thinning, thickening, and slotted. Various central bores disclosed include simple bores and bores that form a curvate socket. Various plate embodiments disclosed include plates having, on inwardly facing surfaces, a flat surface, a circular recess, or a ball-shaped protuberance that is mateable with the curvate socket. The wave washers are disposable between the plates, through various disclosed couplings, so that the plates compress, rotate and angulate freely relative to one another, enabling the artificial disc to mimic a healthy natural intervertebral disc.

Abstract: An artificial intervertebral disc including housing members including spaced inner surfaces facing each other and oppositely facing outer surfaces for engaging spaced apart intervertebral surfaces; self-adjusting bearing mechanisms operatively disposed between the inner surfaces for moving relative to the housing members to adjust and compensate for vertebral disc motion; and positioning ring for controlling motion and position of the bearing mechanisms and for absorption of compressive loads. An artificial intervertebral disc including housing members having an oval recess on the inner surfaces; oval bearing mechanisms operatively disposed within the oval recess between the inner surfaces for moving relative to the housing members to adjust and compensate for vertebral disc motion; and oval positioning ring. A spring member for an artificial intervertebral disc including a substantially annular body having an axially extended bore therethrough defining a passageway.

Abstract: An artificial intervertebral disc including a housing having spaced inner surfaces facing each other and oppositely facing outer surfaces for engaging spaced apart intervertebral surfaces and a self-adjusting bearing operatively disposed between the inner surfaces of the housing for moving relative to the housing members to adjust and compensate for vertebral disc motion. Also provided is a mobile bearing including a self-adjusting bearing operatively disposed between the inner surfaces of the housing for moving relative to the housing members to adjust and compensate for movement of the housing. A method for posteriorly inserting an artificial disc assembly by inserting at least two artificial disc assemblies around a spine and into an intervertebral space.

Abstract: An artificial intervertebral disc includes housing members including spaced inner surfaces facing each other and oppositely facing outer surfaces for engaging spaced apart vertebral surfaces. Bearing surfaces extend from each of the inner surfaces for engaging each other while allowing for low friction and compression resistant movement of the housing members relative to each other while under compression. Load sharing pads are disposed between the inner surfaces and about at least a portion of the bearing surfaces for sharing absorption compressive loads with the bearing surfaces while limiting the relative movement of the housing members.

Abstract: An intervertebral device having (i) first and second support members with inwardly and outwardly facing surfaces, the support members being spaced apart, the inwardly facing surface of the first support member supporting a curvate protrusion, the inwardly facing surface of the second support member having a circular wall structure; and (ii) an element disposed between the inwardly facing surfaces such that a wide end of the element is directed toward the inwardly facing surface of the second support member, the element having a narrow end with a curvate volume; wherein the curvate protrusion is accommodated for movement in the curvate volume; and wherein movement of the wide end along the inwardly facing surface of the second support member and/or movement of the wide end away from the inwardly facing surface of the second support member is limited by interference between the wide end and the circular wall structure.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is at least one spirally slotted belleville washer having radially spaced concentric grooves. In a preferred embodiment there is a single such belleville washer which is modified to mount onto a ball-shaped head. The lower plate of this embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The modified belleville washer can be rotatably mounted to the head such that the wider portion of the washer seats against the upper plate.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one spring mechanism. The preferred spring mechanism is at least one belleville washer having radially spaced concentric grooves. In a preferred embodiment there is a single such belleville washer which is modified to mount onto a ball-shaped head. The lower plate of this embodiment includes a post extending upwardly from the inner surface of the plate, the post including a ball-shaped head. The modified belleville washer can be rotatably mounted to the head such that the wider portion of the washer seats against the upper plate.

Abstract: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by at least one force restoring element. The preferred force restoring mechanism is a wave washer. In a first embodiment the wave washer is ring-shaped. In a second embodiment the wave washer is spiral-shaped.

Abstract: A prosthetic intervertebral disc includes an upper fusion member gradually fused and secured to an upper vertebra, a lower fusion member gradually fused and secured to a lower vertebra, and a restorable cushioning coupler retained in between the upper and lower fusion members, whereby upon bending or twisting of a patient's spine, the upper and the lower fusion members may be flexibly moved with each other for enhancing a free movement of the patient's spine and body, as safely resiliently cushioned and easily restored by the cushioning coupler in between the upper and lower fusion members.

Abstract: Disclosed is an endoprosthetic implant for a human spinal disc. The structure of the implant allows it to be inserted posteriorly. This insertion is accomplished by performing a partial discectomy in the affected region. An intervertebral space is then created by removing the fibrocartilage between the facing surfaces of adjacent vertebrae. The implant is then inserted into the intervertebral space. The implant is thus adapted to replace damaged or worn intervertebral discs. Furthermore, the structure of the implant, and its posterior insertion, alleviate most spinal pathologies.

Abstract: Disclosed is an endoprosthetic implant for a human spinal disc. The structure of the implant allows it to be inserted posteriorly. This insertion is accomplished by performing a partial discectomy in the affected region. An intervertebral space is then created by removing the fibrocartilage between the facing surfaces of adjacent vertebrae. The implant is then inserted into the intervertebral space. The implant is thus adapted to replace damaged or worn intervertebral discs. Furthermore, the structure of the implant, and its posterior insertion, alleviate most spinal pathologies.

Abstract: An intervertebral prosthesis includes a disc member dimensioned for insertion within an intervertebral space between adjacent vertebrae to replace at least a portion of an intervertebral disc removed therefrom. The disc member has sufficient rigidity to support the adjacent vertebrae in spaced relation, and defines a longitudinal axis extending the height of the disc member and a lateral axis transverse to the longitudinal axis. The disc member includes an exterior wall which has a slit defined therein. The slit defines a longitudinal component of direction and a lateral component of direction. Preferably, the exterior wall includes a plurality of helical slits, adjacent slits being disposed in at least partial overlapping relation to define an overlapping region.

Abstract: A spinal surgical prosthesis such as an artificial disc having a pair of opposed plate members, a flexible support interposes therebetween and temporary stabilizer made of a bio-compatible and bio-resorbable material surrounding the flexible support between the opposed plate members. Prior to the resorption of the temporary stabilizer, the prosthesis serves as an inter-body fusion device for enhancing osteo-integration of the prosthesis with adjacent vertebrae during the healing phase following surgery. Subsequent to the resorption of the temporary stabilizer, the flexible support provides flexibility and compressibility while maintaining the proper inter disc space and lordosis or kyphosis between adjacent vertebrae.

Abstract: An intervertebral disc prosthesis comprising a cranial disc (10) and a caudal disc (12), which are supported against each other elastically upon compression by spring(s) (16). The spring(s) (16) consist of a memory-metal alloy, which exhibits super-elastic properties at body temperature.

Abstract: An intervertebral spacer having opposing plates seatable against opposing vertebral bones, separated by at least one spring mechanism, preferably a spirally slotted belleville washer having a wide end rigidly fixed to an upper plate and a narrow end rotatably mounted to a lower plate. The lower plate includes an inwardly deflecting central post extending upwardly from the inner surface of the lower plate, the post including a head that is received through a central opening in the narrow end of the washer so that the washer is restricted from angulation with respect to the lower plate, but allowed to rotate with respect to the lower plate so that the plates can rotate relative to one another. The plates can angulate relative to one another because the washer deflects under lateral deflection forces and return to its undeflected shape when the forces are relieved.