EP1539052B1

Articulating diamond-surfaced spinal implants

Abstract

Articulating diamond-surfaced spinal implants are disclosed. The implants use sintered polycrystalline articulation surfaces which are attached to spinal endplates and which are implanted to replace damaged spinal joints. The implants provide a long wearing and biocompatible articulation surface. Materials which may be used to make the spinal implants and manufacturing and finishing techniques for making the implants are also disclosed.

EP1539052B1, drawing sheet 1
Sheet 1 of 99

Term

Term ended

Expired 28 August 2023, 3.1 years ago.

  1. Priority
  2. Filed
  3. Granted
  4. Expired
  5. Today

10 claims: 1 independent, 9 dependent

  1. 1
    An articulated diamond-surfaced prosthetic spinal implant (A1008; A1022) for implantation between vertebrae in a human body, the implant comprising:a first component (A1010;A1026), said first component having a convex protruding dome member (A1012;A1026), said dome member including a first component load bearing and articulation surface (A1014;A1028), said first component load bearing and articulation surface being formed at least in part by a sintered polycrystalline diamond table, said sintered polycrystalline diamond table in said first component serving to provide a durable, biocompatible and low-friction surface for articulation of the implant, said first component load bearing and articulation surface being non-planar, a crystalline diamond structure located in said sintered polycrystalline diamond table, interstitial spaces in said crystalline diamond structure of said sintered polycrystalline diamond table, a solvent catalyst metal present in at least some of said interstitial spaces of said sintered polycrystalline diamond table, a residual stress field in said sintered polycrystalline diamond table that tends to enhance the strength of said sintered polycrystalline diamond table, a second component (A1016;A1030), said second component having a concave trough (A1018;A1032), said trough having a shape and size that permits said protruding dome member to protrude therein, said trough having a shape and size that permits contact of said protruding dome member therewith at a plurality of contact points, said trough including a second component load bearing and articulation surface (A1020;A1034), said second component load bearing and articulation surface being formed at least in part by a sintered polycrystalline diamond table, said sintered polycrystalline diamond table in said second component serving to provide a durable, biocompatible and low-friction surface for articulation of the implant, said first component being movable with respect to said second component in at a point that has diamond to diamond contact between said first and second components, and at least one of said sintered polycrystalline diamond tables including polycrystalline diamond sintered to a substrate, substrate surface topographical features on said substrate, a gradient transition zone in said at least one sintered polycrystalline diamond table, said gradient transition zone having a first side and a second side, said gradient transition zone having both solvent-catalyst metal and diamond therein, and said gradient transition zone exhibiting a transition of ratios of percentage content of solvent-catalyst metal to diamond from said first side to said second side such that at a first point in said gradient transition zone, the ratio of percentage context of solvent-catalyst metal to diamond is greater than it is at a second point in said gradient transition zone, chemical bonds in said zone, said chemical bonds including diamond-to-diamond bonds in said diamond table, diamond to metal bonds in said gradient transition zone, and metal to metal bonds in said solvent-catalyst metal, a mechanical grip between said diamond and said substrate in said at least one sintered polycrystalline diamond table, said mechanical grip tending to secure said diamond table to said substrate, wherein said mechanical grip is formed at least in part by residual stress between said diamond table and said substrate, wherein said diamond in said at least one sintered polycrystalline diamond table has a coefficient of thermal expansion CTE Cd , and wherein said substrate has a coefficient of thermal expansion, CTE sub , and wherein CTE Cd is not equal to CTE sub , wherein said diamond in said at least one sintered polycrystalline diamond table has a modulus M Cd , and wherein said substrate to which said diamond table is attached has a modulus M sub , and wherein M Cd is not equal to M sub ., wherein the convex protruding dome member (A1010;A1024) articulation surface has a radius (r2, 600142, 600163) and the concave trough (A1018, A1032) articulation surface has a radius (r4, 600138, 600159), characterized in that : the dome member articulation surface radius is smaller than the concave through articulation surface radius such that said first and second components (A1010, A1024, A1016, A1030) include non-congruent bearing surfaces (A1014, A1028, A1020, A1034);and wherein said non-congruent bearing surfaces permit said first component (A1010;A1024) and said second component (A1016;A1030) to articulate with respect to each other to provide rotation about the axial, coronal and/or sagittal axes of the human spine;and wherein said first component and said second component are able to articulate with respect to each other to provide translation in the axial plane of a human spine;and wherein said rotation and translation accommodate anterior bending, posterior bending, lateral bending, twisting of a spine about its longitudinal axis, anterior translation, posterior translation and lateral translation.