Abstract: An intervertebral motion disc having an at least partially resorbable keel.

Abstract: An artificial disc implant is described that comprises of two plates that have articulating surfaces interfacing with each other. In between the plates and surrounding the articulating surface is a flexible and elastic insert puck. The insert puck will have a hole that allows the two articulating surfaces to interact with one another. The articulating surfaces will also be shaped to allow different ranges of angular movements between the two endplates depending on the direction of the motion. The insert puck will provide protection to the articulating surfaces at the point of interaction and will provide cushion to the plates as they move relative to one another.

Abstract: An artificial disc prosthesis is provided. The prosthesis of the present invention enables spinal segment alignment by having a variable height across its surface. The variable height is achieved by an asymmetric artificial nucleus or by at least one variable height end plate.

Abstract: An artificial disc device, comprising a plurality of interconnected elements, adapted to be assembled in situ.

Abstract: Intervertebral prosthetic devices and methods of implanting the same within an intervertebral space between adjacent vertebral bodies are provided. One device includes first and second components, each configured to engage a respective one of the adjacent vertebral bodies. Each component includes a vertebral support plate with a spherical segment protruding therefrom. The spherical segments are disposed to reside within nuclear recesses in the adjacent vertebral bodies when the device is implanted in the intervertebral space, and are configured with a common center of rotation which aligns with the natural axis of rotation of the adjacent vertebral bodies. An articulation member, which interfaces the first and second vertebral support plates, may be an articular ball and respective concave articular surface regions in the plates, or alternatively, a convex articular surface and a respective concave articular surface in the vertebral support plates of the first and second components.

Abstract: The subject invention provides a modular six-degrees-of-freedom spatial mechanism for spinal disc prosthesis, with three rotational and three translational degrees-of-freedom within the entire workspace of a Functional Spinal Unit (FSU). The prosthetic disc mechanism attaches to upper and lower plates anchored between vertebrae of an FSU. Scaling, conjoined with motion limit stops, allows the device to realize almost any nominal spinal articulation, from the cervical to lumbar regions.

Abstract: A prosthetic device for transforaminal insertion into an intervertebral space is provided. The prosthetic device includes a first component having a first curved flange for engaging a first vertebra from a transforaminal approach, the first component having a first articular surface, and a second component having a second curved flange for engaging a second vertebra from a transforaminal approach, the second component having a second articular surface for cooperating with the first articular surface to permit articulating motion between the first and second components.

Abstract: An intervertebral disc prosthesis designed to be substituted for fibrocartilaginous discs ensures a connection between the vertebra of the vertebra column or the end of the latter. The prosthesis includes a pair of plates spaced from each other by a nucleus. The prosthesis has increased stability by providing the nucleus with a translation or rotation stop, or by inducing an angular correction between its plates contacting vertebra, or a combination of these characteristics. The stop includes parts external to the nucleus and contact surfaces perpendicular to their contact directions.

Abstract: A prosthetic device for placement in an intervertebral space defined between an upper vertebra and a lower vertebra to provide articulating motion to the upper and lower vertebrae. The prosthetic device may include a first articular portion configured to be at least partially disposed in the intervertebral space and adjacent to the first vertebra and a second articular portion configured to be at least partially disposed in the intervertebral space and adjacent to the second vertebra. A hemispherical member is also included, about which the first and second articular portions can articulate. A flexible member flexibly secures the hemispherical member to the first articular portion. A method of implanting also is disclosed.

Abstract: The present invention is directed to an implant that can be placed between two adjacent vertebral bodies using a lateral insertion method. The implant is characterized as having a first end plate and a second end plate which a crossbar spacer therebetween. The crossbar spacer preferably fits within a channel on the inner surfaces of the first end plate and the second end plate, whereby the spacer allows pivots, twisting and/or rotational movement of the spine. The first end plate and the second end plate include a keel extending therefrom, whereby the keel traverses longitudinally between a first lateral side and a second opposed lateral side and is substantially perpendicular to the sagittal plane of the patient's spine.

Abstract: A spinal surgical prosthesis such as an artificial disc having a pair of upper and lower plate members, a flexible disc interposes therebetween and a rigid collar made of a bio-compatible and bio-resorbable material surrounding the flexible disc between the upper and lower plate members. Prior to the resorption of the collar, the collar serves to provide stability to the flexible disc for enhancing osteo-integration of the prosthesis with adjacent vertebrae. Subsequent to the resorption of the rigid collar, the flexible disc provides flexibility and compressibility while maintaining the proper inter disc space and lordosis or kyphosis between adjacent vertebrae.

Abstract: An intervertebral device comprises a first endplate assembly including a first exterior surface, a second endplate assembly including a second exterior surface, and a bone in-growth area located on the first exterior surface. The bone in-growth area includes an osteoconductive surface. The intervertebral device also comprises a bone in-growth indicator located on the first exterior surface and an access guide on the first endplate. The access guide is adapted for directing a revision instrument to the bone in-growth area.

Abstract: The present invention is directed to a device with that can be placed between two vertebrae. The implant is characterized by having a first plate and a second plates with a crossbar therebetween. The crossbar fits within cavities on each of the first and second plate and allows for pivotal or rotational motion and also for twisting motion.

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 extending grooves. In a preferred embodiment there is a single such belleville 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. The belleville washer has at least one radially extending groove and at least one spiral slot.

Abstract: This invention relates to an implantable medical device to treat a patient. The implantable device can be an orthopedic device such as a spinal implant including, but not restricted to, a disc or nucleus pulposus prosthesis, a spinal rod assembly, or a bone fixation plate. The orthopedic device can be formed to include a metal matrix composite that provides enhanced wear and diagnostic imaging techniques. In other forms, the present invention provides an implantable medical device that includes a porous metal matrix composite that can deliver a therapeutic composition to a patient. In still other forms, the present invention provides an implantable electrical device or lead formed to include a metal matrix composite that provides lower polarization and interfacial impedance and allows enhanced sensing of the physiological signals.

Abstract: A cervical intervertebral prosthesis includes two cover plates which are each configured to be connected to adjacent vertebral bodies. At least one of the two cover plates has a toothed portion which faces toward the vertebral body and whose teeth have a steep, ventrally directed flank and a less steep, dorsally directed flank. When the prosthesis is fitted with sufficient pressing between its adjacent vertebral bodies, the combination of the serrated toothed portion and the abutment surface is sufficient to hold the prosthesis securely in the desired position. In many cases this makes it possible to dispense with additional screw fixation. The flange carrying the abutment surface is in this case expediently shortened so that it can be accommodated in a recess of the bone so that the prosthesis does not protrude ventrally beyond the ventral alignment surface of the adjacent vertebral bodies.

Abstract: Exemplary implants and methods are provided for stabilizing adjacent vertebrae. In one embodiment, an implant is provided having a shape that allows the implant to be positioned between adjacent vertebrae using a posterior approach while avoiding contact with the spinal cord. For example, the implant can include an anterior portion that is adapted to be positioned between adjacent vertebrae, and a posterior portion that is adapted to extend around a spinal cord. In certain exemplary embodiments, the implant can also be configured to allow motion between the adjacent vertebrae.

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: Intervertebral disc prostheses are provided. More particularly, the invention provides disc prostheses that have adjustable disc heights, that are readily converted into fusion prostheses and that provide a range of motions that effectively mimic the natural range of motions of a spinal disc.

Abstract: An intervertebral motion disc having a temporary liner disposed at an articulation interface.

Abstract: A modular prosthetic device is described. The modular prosthetic device is provided with an anchoring device having first and second end members, the first and second end members cooperating to receive a prosthetic insertion device. The first and second end members each include a first surface, at least one vertebral-engaging member extending from the first surface, a second surface in an opposed relation to the first surface, and at least one flange extending from the second surface. The anchoring device is adapted to receive a variety of prosthetic insertion devices such that the modular prosthetic device can be revised into a variety of modular prosthetic devices. A stacking member is also provided for use with the anchoring device to provide a variety of modular, stackable prosthetic devices.

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: Instrumentation for implanting an artificial intervertebral disc includes static trials and a dynamic trial for determining the appropriate size of disc to be implanted, static trial holders for manipulating the static trials, inserter/impactors for inserting and removing the static trials and for inserting the artificial intervertebral discs, repositioners/extractors for repositioning and extracting the static trials or the artificial intervertebral discs, and a leveler for setting the proper position of the artificial intervertebral disc. Methods for using the same are also disclosed. Features for artificial intervertebral discs and intervertebral spacer devices useful for manipulation by the instrumentation are also disclosed.

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: An intervertebral spacer device having a pair of opposing plates for seating against opposing vertebral bone surfaces, coupled to one another by a convex element mounted to one of the plates and maintained against the other plate by a retaining wall and a retaining ring.

Abstract: An apparatus for replacing at least a portion of an intervertebral disc in a spinal column includes: a first member having a first vertebral contact surface for engagement with an endplate of a first vertebral bone in the spinal column, and having a first saddle shaped articulation surface; and a second member having a second vertebral contact surface for engagement with an endplate of a second vertebral bone in the spinal column, and having a second saddle shaped articulation surface, wherein an intervertebral disc space is defined substantially between the first and second endplates of the first and second vertebral bones, and the first and second articulation surfaces are sized and shaped to engage one another when the first and second members are disposed in the intervertebral disc space to enable the first and second vertebral bones to articulate in at least one of flexion, extension and lateral bending.

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 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 cap secured to the other of the baseplates. While the ball angulates in the socket, its rotation in the socket has a limited range due to interference between a ball bearing and curvate recesses on the convex structure and 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: 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: 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: An artificial disc having a pair of opposing plates for seating against opposing vertebral bone surfaces, separated by a spider spring having a plurality of spring arms extending radially from a central hub. Various spring arm embodiments disclosed include spring arms that are straight, bowed, grooved, wavy, thinning, or thickening; and spring arms with parallel sides, radially outwardly diverging sides, or radially outwardly diverging and curving sides. Various spider spring embodiments disclosed include spider springs with central hubs that are solid, bored, have curvate sockets, or have semispherical protuberances. Various plate embodiments disclosed include plates having, on inwardly facing surfaces, a curvate socket, a semispherical protuberance, a circular recess, or a flat surface.

Abstract: A device for a ball-and-socket-type connection of two members includes a first member having a head and a second member having a cavity that receives the head. The cross-sectional surface of the cavity is tapered at the lower end of the second member as a result of a constriction. The head and/or cavity is configured spherically with a center of articulation (Z). The ball-and-socket-type connection between the two members can be detachably fixed by a clamping element that can be connected to the second member. The head has a recess in which the front end of the clamping element can rest. The recess and/or the front end has an at least partially spherical surface with a centre (C). In the clamped position of the device, the center of articulation (Z) and the centre (C) are identical.

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 vex structure and one on a cap secured to the other of the baseplates. While the ball angulates in the socket, its rotation in the socket has a limited range due to interference between an interference pin's rounded head 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 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. 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 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 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. 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 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 artificial vertebral disk replacement implant is disclosed along with its method of operation and a method of implanting. The implant has first and second plates that each mate with a vertebral body. Each plate has one side for mating with a vertebral body. The first plate has a socket on one side, and the second plate has an elongated ball on one side. The ball of the first plate and the socket of the second plate form a ball-and-socket joint when the two plates are in contact with each other. The implant achieves a range of motion equivalent to a natural range of motion.

Abstract: A method and apparatus for stabilizing adjacent vertebrae. Upper and lower interlocking brackets are insertable in a prepared intervertebral space between adjacent vertebrae. The brackets are affixed to the vertebrae at attachment plates. A rib on one side of one bracket interlocks with a rib receiving groove in the other bracket to stabilize the spinal column without eliminated mobility (forward and rearward flexion) of the column. Various embodiments include additional shock absorption features.

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 an interference pin's rounded head 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 disk prosthesis includes first and second plates (2, 3) to be fixed on neighboring cervical vertebrae and an articulation arrangement (7) inserted between the two plates in a superposed position. The articulation arrangement allows for flexion-tension movements in a sagittal plane (S) according to a limited clearance, lateral inflexion movements in a plane perpendicular to the sagittal plane (S) according to limited angular clearance, and relative rotation movements between the first and second plates according to a limited angular clearance. The first and second plates are assembled to form a prosthesis of a single piece.

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 in the socket, its rotation in the socket has a limited range due to interference between a protrusion on the ball that extends into a curvate recess adjacent the curvate socket. 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: 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: 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 baseplate. The socket is formed by opposing curvate pockets, one on the convex structure and one on a cap secured to the other baseplate. While the ball angulates in the socket, its rotation in the socket has a limited range due to interference between a protrusion on the ball that extends into a curvate recess, formed by the convex structure and the cap, adjacent the curvate socket. 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: 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 ball bearing and curvate recesses on the convex structure and 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: An intervertebral nucleus prosthesis characterized in that it consists of at least one, in particular, spherical body movable in two directions of a plane and made of a rigid, non-oxidizing, biocompatible material with a diameter adapted to the biological nucleus, the spherical body being mounted non-displaceably but freely rotatably about its center in a cage and protruding at both opposite sides of said cage in the form of a spherical caps. Also proposed is a method for implanting such a prosthesis.