Implant

Abstract

An implant for insertion between vertebral bodies of the spinal column, with a main body which is formed along a longitudinal axis and at least one end of which an attachment plate with a contact surface for attachment to an adjacent vertebral body is disposed, which plate is mounted on main body pivotably about a pivot axis, arranged substantially perpendicular to the longitudinal axis, and which can be fixed at an angle relative to it or relative to the longitudinal axis. The main body is assigned at least one clamping element. The attachment plate has a clamping surface on a side facing the main body, and the clamping element is movable between a pivot configuration, in which the attachment plate is pivotable, and a clamping configuration, in which the angle and thereby the attachment plate are fixed by an interaction of the clamping element with the clamping surface.

Claims

1. An implant for insertion between vertebral bodies of the spinal column, the implant comprising: a main body that is formed along a longitudinal axis; an attachment plate, with a contact surface for attachment to an adjacent vertebral body, arranged on at least one end of the main body, the attachment plate being pivotably mounted on the main body about a pivot axis and arranged substantially perpendicular to the longitudinal axis, the attachment plate being adapted to be fixed at an angle relative to the longitudinal axis; and at least one clamping element assigned to the main body, wherein the attachment plate has a clamping surface on a side facing the main body, and wherein the clamping element is movable between a pivot configuration, in which the attachment plate is pivotable, and a clamping configuration, in which the angle and thereby the attachment plate are fixed by an interaction of the clamping element with the clamping surface.

2. The implant according to claim 1, wherein the clamping element is mounted on the main body pivotably about an axis arranged substantially perpendicular to the longitudinal axis.

3. The implant according to claim 2, wherein the attachment plate and the main body are connected to one another by a pivot unit, which comprises a projection facing the main body, with a connecting member seat and a projection seat formed on the main body, with a connecting member opening and a connecting member inserted in the connecting member seat and in the connecting member opening.

4. The implant according to claim 3, wherein the projection is formed at least partially convex and wherein the projection seat is formed at least partially concave.

5. The implant according to claim 3, wherein the clamping element and the main body are connected to one another by a pivot, which comprises a clamping element connecting member seat formed on the clamping element, a clamping element connecting member opening formed on the main body, and a clamping element connecting member inserted in the clamping element connecting member seat and in the clamping element connecting member opening.

6. The implant according to claim 5, wherein the main body at an end facing the pivot has a reinforcement, in which the projection seat with the connecting member opening and the clamping element connecting member opening are formed.

7. The implant according to claim 1, wherein the clamping element is formed as a clamping bracket that surrounds at least partially the main body circumferentially.

8. The implant according to claim 7, wherein the main body has a clamping bracket seat for receiving a clamping bracket extension formed on the clamping bracket.

9. The implant according to claim 8, wherein a flexible element is disposed on the main body for securing the clamping element in the clamping configuration.

10. The implant according to claim 9, wherein the flexible element is pretensioned radially in the pivot configuration.

11. The implant according to claim 9, wherein the flexible element in the pivot configuration acts axially on the clamping bracket extension and wherein the clamping bracket extension in the clamping configuration acts radially together with the clamping bracket seat.

12. The implant according to claim 1, wherein an extension, which comprises an at least partially planar securing surface, is formed or disposed on an outer circumference of the main body.

13. The implant according to claim 12, wherein the extension is inclined at a tilt angle or is oriented substantially parallel to the longitudinal axis.

14. The implant according to claim 1, wherein the clamping element is assigned at least one coupling member on a side facing the clamping surface for additional securing of the clamping configuration.

15. The implant according to claim 14, wherein the coupling member is formed as a single barb or as a plurality of barbs.

16. The implant according to claim 1, wherein the attachment plate and the main body are connected to one another by a pivot unit, which comprises a projection facing the main body, with a connecting member seat and a projection seat formed on the main body, with a connecting member opening and a connecting member inserted in the connecting member seat and in the connecting member opening.

17. The implant according to claim 1, wherein a flexible element is disposed on the main body for securing the clamping element in the clamping configuration.

18. An implant for insertion between vertebral bodies of the spinal column, the implant comprising: a main body that is formed along a longitudinal axis; an attachment plate, with a contact surface for attachment to an adjacent vertebral body, arranged on the main body, the attachment plate being pivotably mounted on the main body about a pivot axis and arranged substantially perpendicular to the longitudinal axis, the attachment plate being adapted to be fixed at an angle relative to the longitudinal axis; and a pivoting clamping bracket assigned to the main body, wherein the attachment plate has a clamping surface on a side facing the main body, and wherein the pivoting clamping bracket is movable between a pivot configuration, in which the attachment plate is pivotable, and a clamping configuration, in which the angle and thereby the attachment plate are fixed by an interaction of the pivoting clamping bracket with the clamping surface.

19. The implant according to claim 18, further comprising a barb on a side facing the clamping surface for additional securing of the clamping configuration.

20. The implant according to claim 18, wherein the attachment plate and the main body are connected to one another by a pivot unit, which comprises: a seat with an opening; and a pin inserted in the seat and in the opening.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) The present invention will become more fully understood from the detailed description given hereinbelow and the accompanying drawings which are given by way of illustration only, and thus, are not limitive of the present invention, and wherein:

(2) FIG. 1 shows a perspective illustration of the implant of the invention in the pivot configuration;

(3) FIG. 2 shows a front view of the implant of the invention in the pivot configuration;

(4) FIG. 3 shows a side view of the implant of the invention in the pivot configuration;

(5) FIG. 4 shows an exploded view of the implant of the invention;

(6) FIG. 5 shows a perspective illustration of the implant of the invention in the clamping configuration;

(7) FIG. 6 shows a side view of the implant of the invention in the clamping configuration;

(8) FIG. 7a shows a longitudinal section with the detail A from FIG. 6 in the pivot configuration; and

(9) FIG. 7b shows a longitudinal section with the detail A from FIG. 6 in the clamping configuration.

DETAILED DESCRIPTION

(10) FIG. 1 shows a perspective illustration of implant 1 of the invention, with a main body 3 which is formed along a longitudinal axis 2 and at one end of which an attachment plate 4 with a contact surface 5 for attachment to an adjacent vertebral body is disposed. Main body 3 is formed as a hollow body with a plurality of recesses 29, formed radially in the circumferential direction on lateral surface 28, for reducing the weight or for providing entries for bone material.

(11) In FIGS. 1 to 6, main body 3 is shown partially along its longitudinal axis 2. Attachment plate 4 on its contact surface 5 has sharp spikes 34 as dislocation protection in regard to the vertebral body. Attachment plate 4 as well has at least one attachment plate recess 30, which in the present case is also formed in the longitudinal direction and is used preferably for the ingrowth of bone material or the introduction of bone cement.

(12) Attachment plate 4 in this case is mounted on main body 3, pivotably about a pivot axis 6 arranged substantially perpendicular to longitudinal axis 2, and can be fixed at an angle relative to this axis or to longitudinal axis 2 (cf. FIG. 2).

(13) The pivotable mounting of attachment plate 4 on main body 3 (cf. FIG. 4) occurs in this case by a pivot unit 14, which comprises a pronounced projection 15 facing main body 3 and on attachment plate 4, with a connecting member seat 16, a projection seat 17, formed in main body 3, with a connecting member opening 18, and a connecting member 19 that can be inserted in connecting member seat 16 and in connecting member opening 18. The individual components of pivot unit 14 can be seen more precisely in FIG. 4. Projection 15 in the present case is formed substantially convex, whereas projection seat 17 is formed as a substantially matching concave area. Projection seat 17 is formed in the shape of a shoulder which is formed on main body 3 and receives or supports projection 15.

(14) Connecting member opening 18 in the present case is shaped as a long hole, especially pronounced radially relative to longitudinal axis 2. Connecting member 19, in contrast, is formed as a pin that is round in cross section, whereby a bolt that is not round in cross section may also be used as connecting member 19. The pin or connecting member 19 is used for fixing attachment plate 4 on main body 3. In other words, therefore, the pin is designed primarily so as to connect attachment plate 4 to main body 3 and to prevent a lifting of attachment plate 4 away from main body 3. Secondarily the maximum pivot angle is limited in the present invention.

(15) Attachment plate 4 in the present case is assigned a plurality, in particular precisely two pivot units 14 distributed uniformly over the circumference. Pivot units 14 in this case can be pivoted about a common pivot axis 6. Moreover, in the present case attachment plate 4 on its side facing main body 3 has precisely two clamping surfaces 8, distributed especially uniformly over the circumference. These are formed on the side, facing main body 3, of the two projections 15.

(16) In order to now be able to fix the angle between attachment plate 4 relative to longitudinal axis 2 or relative to main body 3, a clamping element 7 is provided, which is mounted on main body 3 pivotably about a clamping axis 31 oriented substantially perpendicular to longitudinal axis 2. Clamping element 7 in the present case is formed as a clamping bracket 9, which surrounds at least partially main body 3 circumferentially.

(17) Clamping bracket 9 has a plurality, in the present case precisely two clamping bracket legs 32, and is mounted, movable between two configurations, on main body 3. Clamping bracket 9 is movable between a pivot configuration, in which attachment plate 4 is pivotable, and a clamping configuration, in which the angle and therefore attachment plate 4 can be fixed by an interaction of clamping element 7 with clamping surfaces 8.

(18) Clamping element 7 or clamping bracket 9 in this case is mounted pivotably on main body 3 by a pivot 20, whereby pivot 20 comprises a clamping element connecting member seat 21 formed in clamping element 7, a clamping element connecting member opening 22 formed on main body 3, and a clamping element connecting member 23 inserted in clamping element connecting member seat 21 and in clamping element connecting member opening 22.

(19) Clamping bracket 9 has a plurality, in the present case precisely two pivot 20, whereby in order to increase the stability, clamping bracket 9 has a reinforcement in the area of pivot 20. Moreover, clamping bracket 9 on each clamping bracket leg 32 has a coupling member 12, which is formed as a barb 13 and which in an embodiment of the invention can cut into clamping surface 8 on projection 15. In other words, clamping bracket 9 in the clamping configuration forms a fixed connection with clamping surface 8 of attachment plate 3. Said fixed connection can be a frictional connection, a positive-locking connection, or also a material connection (e.g., adhesive seal).

(20) Furthermore, clamping bracket 9 has a clamping bracket extension 26, which can be taken up in clamping bracket seat 25 formed on main body 3. A flexible element 27 is again formed in addition in the shape of a snap-in element in clamping bracket seat 25; the flexible element has a radially outwardly projecting end and in the pivot configuration is preferably subject to radial pretensioning.

(21) This will be evident in greater detail in FIGS. 7a and 7b, which show a detail, namely, area A of the implant. FIG. 7a shows the detail in the pivot configuration and FIG. 7b shows the detail in the clamping configuration. As long as clamping bracket 9 is in the pivot configuration, flexible element 27 lies against it pretensioned within clamping bracket 9. If clamping bracket 9 is pivoted about clamping axis 31 in the direction of attachment plate 4, then flexible element 27 because of the radially acting reset force moves outward and then supports clamping bracket 9 on its side facing away from attachment plate 4. In other words, in the pivot configuration clamping bracket extension 26 lies on the radially outwardly projecting end of flexible element 27, so that flexible element 27 secures clamping bracket 9 in the clamping configuration. There is a positive-locking connection, which is responsible for the clamping of clamping bracket 9 and attachment plate 4.

(22) An alternative embodiment provides that element 27 is made without spring pretensioning, which is then movable manually radially outward or inward, i.e., between the secured and released position, in order to again secure or release the clamping bracket in the clamping configuration.

(23) Furthermore, an extension 10, (cf. FIG. 3) which comprises a planar securing surface 11, is formed on the outer circumference of main body 3. The planar securing surface 11 in this case is oriented parallel to longitudinal axis 2 and is used for the additional securing of clamping bracket 9 in the clamping configuration, in that clamping bracket 9 is pushed over extension 10 and thus forms a fixed connection, preferably a frictional connection with extension 10.

(24) In the present embodiment, main body 3 has a plurality, in particular two planar securing surfaces 11, which are formed circumferentially in the connection to clamping bracket seat 25. Main body 3 furthermore has circumferentially, mainly in the area of pivot unit 14, a reinforcement 24 in which projection seat 17 with connecting member opening 18 and clamping element connecting member opening 22 are formed. Said reinforcement 24 enables a robust structure and prevents the breaking of attachment plate 4 out of main body 3. There is again a saving of material by the selective formation of reinforcement 24 only on pivot unit 14. Furthermore, reinforcement 24 is also formed circumferentially in the shape of an edge 33, which in addition limits the angular position of attachment plate 4 relative to main body 3.

(25) The insertion and fitting of implant 1 of the invention between two vertebral bodies will be described hereafter: After implant 1 is inserted between two vertebral bodies of the spinal column with the use of an instrument (not shown in greater detail), attachment plate 4, which is mounted pivotably on main body 3 and is in contact with the vertebral body via contact surface 5, is adjusted by an angle so that contact surface 5 is oriented optimally relative to the vertebral body. As a result, a stable and comfortable intervertebral connection can be produced. The adjustment of attachment plate 4 in this case requires no additional tightening of screws or other fixing device. Attachment plate 3 can be tilted at an angle about pivot axis 6 by means of pivot unit 14. If the optimal angle is found, clamping bracket 9 is pivoted in the direction of attachment plate 4, as a result of which barbs 13, formed on clamping bracket 9, cut into clamping surface 8 on projection 15 and therefore form a positive-locking connection with clamping surface 8. In addition, however, clamping surface 8, facing main body 3, works together with clamping bracket 9, mounted pivotably on main body 3, and forms a clamping connection, in particular a frictional connection. Clamping element 9 therefore has a counter clamping surface, which faces attachment plate 4 and acts upon clamping surface 8 of attachment plate 4 in the clamping configuration. Clamping bracket 9 is secured by flexible element 27 and/or by a frictional connection (or also by a non-positive connection) between planar securing surfaces 11, formed on the outer side of main body 3, in its clamping configuration.

(26) The securing of the clamping configuration occurs according to an exemplary embodiment of the invention as follows by up to four mechanisms:

(27) the preferably axial securing of clamping bracket 9 in the clamping configuration by the preferably radially movable flexible element 27,

(28) alternatively or in addition, by a frictional connection between clamping bracket 9 and clamping surface 8,

(29) alternatively or in addition, by a positive-locking connection between barbs 13 and clamping surfaces 8, and

(30) alternatively or in addition, by a frictional connection between clamping bracket 9 and securing surfaces 11.

(31) In the case of a reversible clamping configuration, the set and fixed angle can be corrected or optimized again subsequently by moving or pivoting clamping bracket 9 again in the direction of main body 3 and therefore loosening the clamping connection between clamping bracket 9 and clamping surface 8. In addition, the positive-locking connection between barbs 13 and clamping surfaces 8 and the frictional connection between clamping bracket 9 and securing surfaces 11 have to be loosened, as a result of which clamping bracket 9 is then moved again in the pivot configuration. Attachment plate 4 can now be pivoted anew about pivot axis 6 and the angle between attachment plate 4 and main body 3 can be reoriented.

(32) Attachment plate 4 and thereby the angle can be fixed again back into the clamping configuration by the above-described movement of clamping bracket 9. In the case of an irreversible clamping configuration, two predetermined breaking points are formed in the material on clamping bracket 9 (for example, notches or weak spots), so that parts of clamping bracket 9 can be broken off if it has assumed the clamping configuration. Clamping bracket 9 can also have both a reversible and irreversible clamping configuration; i.e., clamping bracket 9 can be moved reversibly between the clamping configuration and the pivot configuration until clamping bracket 9 is broken off and then assumes an irreversible clamping configuration.

(33) The invention being thus described, it will be obvious that the same may be varied in many ways. Such variations are not to be regarded as a departure from the spirit and scope of the invention, and all such modifications as would be obvious to one skilled in the art are to be included within the scope of the following claims.