DE202008001260U1 - Vertebral body replacement implant - Google Patents

Abstract

Vertebral body replacement implant with a lower part of the plant to rest on a lower vertebral body and with an upper part of the plant for engagement with an upper vertebral body, wherein both parts of the system along one Displacement path are continuously displaceable relative to each other, so the height of the vertebral body replacement implant variable is, with a clamping device for fixing the two system parts in any intermediate position along the displacement path, which one on a plant part variable in position mounted clamping element which, against a clamping surface on the other Plant part pressed is, characterized in that the clamping surface (26) relative to the Slight move is inclined, so that the clamping surface (26) when pushed together the abutment parts (2, 3) increasingly approaches the clamping element (19).

Description

The The invention relates to a vertebral body replacement implant with a lower part of the plant to rest on a lower vertebral body and with an upper part of the plant for engagement with an upper vertebral body, wherein both parts of the system along a displacement path relative to each other continuously displaceable are, so the height of the vertebral body replacement implant variable is, with a clamping device for fixing the two system parts in any intermediate position along the displacement path, which one on a plant part variable in position mounted clamping element which, against a clamping surface on the other Plant part pressed is.

Such a vertebral body replacement implant is for example in the DE 10 2005 022 920 B4 described. By means of a hydraulic medium, the two parts of the system can be pushed apart continuously, and to fix an achieved distance of the two parts of the system can be advanced in this known vertebral body replacement implant by means of a screw a clamping element in one of the two parts of the system against the other part of the system that at a clamping surface of the other part of the system a jamming of the two parts of the system takes place. In this way, a stepless adjustment and maintenance of the height of the entire vertebral body replacement implant is possible.

outgoing From this prior art, the invention is based on the object the clamping effect for fixing the distance between the two system parts to improve.

These Task becomes with a vertebral body replacement implant The type described above solved according to the invention, that the clamping surface across from the displacement slightly is inclined, so that the clamping surface when pushing the Plant parts increasingly approaches the clamping element.

By this inclination of the clamping surface is achieved that the clamping action when pushing together the two Plant parts is increased. This results in an additional Protection against unintentional compression of the two parts of the system. Even if the clamping action of the clamping element at the initial Fixation of the two parts of the system should not be sufficient or im Should time wane, this would only be a great deal minor approach lead the plant components, because of the inclination of the clamping surface this collapse inevitably an enlargement of the Clamping force is generated, i. the insufficient clamping force leading to a undesirable approach leads the two parts of the plant, just becomes through this approach immediately balanced again, so that the two parts of the system itself even in this case can only move to each other minimally.

on the other hand is avoided by the very slight inclination of the clamping surface that when pressing the Clamping elements to the clamping surface the plant elements are pressed apart. At a very much stronger Inclination of the clamping surface could be a such displacement due to the oblique course of the clamping surface occur but this is not the case with only a very slight inclination the clamping surface across from the displacement. Incidentally, the inclination of the clamping surface is preferably between 1 ° and 10 °, especially between 1 ° and 3 °.

It is cheap, if the clamping surface is just.

at a first preferred embodiment it is provided that the clamping element facing one of the clamping surface contact surface whose inclination deviates from that of the clamping surface such that the Clamping element only at the edge of the contact surface against the clamping element suppressed. In this embodiment So is not the clamping element with its contact surface on the entire surface the clamping surface but only in a very small border area, which makes it a very high surface pressure between the clamping element on the one hand and the clamping surface on the other generated when the clamping element is pressed against the clamping surface. In particular, can the clamping element a contact surface have, which is arranged parallel to the displacement, so that the angle between clamping surface and contact surface corresponds to the inclination angle between the clamping surface and the displacement.

at another preferred embodiment on the other hand, it is provided that the clamping element facing one of the clamping surface and at the clamping surface has contact surface reaching to the plant, which is so small that the contact surface when pressed against the clamping surface digging into them. Such a notch effect leads to a reinforced Fixation of the two parts of the plant relative to each other, by digging the contact surface in the clamping surface becomes an approximation the system parts very effectively prevented. The contact surface can either be very small or it inevitably results in a very small effective contact area, if the contact surface has a slope which deviates from that of the clamping surface.

The Clamping element may for example be a clamping screw.

In another preferred embodiment Form is provided that the clamping element has a clamping surface facing the contact surface, the inclination relative to the displacement corresponds to the inclination of the clamping surface. In this case, so clamping surface and contact surface have the same inclination relative to the displacement and lie when pressing the clamping element over the entire surface to each other. This also leads to a very effective fixation of the two parts of the system and safely prevents unwanted collapse of the system components.

at a particularly preferred embodiment is provided that the clamping element in a guide of a system part slidably guided is and that the displacement of the clamping element immersed in the leadership and provided on the clamping element fitting screw is provided.

The Clamping element can in particular the shape of a ring or a circular cylindrical disk, whose central axis parallel to Displacement direction of the clamping element is arranged in the guide.

Especially Cheap it is when on a contact element, a laterally projecting guide neck is arranged, whose inner wall forms the guide for the clamping element and in which the set screw can be screwed.

at a further preferred embodiment is provided that through a continuous channel of the adjusting screw and through a central opening the clamping element through a hydraulic line in the interior of the passes through a contact element. Through this hydraulic line, a hydraulic medium, for example a physiological saline solution, into the interior of the vertebral body replacement implant introduced be, this hydraulic medium then serves in the manner of a hydraulic Piston-cylinder unit for pushing apart the two parts of the system.

The clamping surface the other part of the system can in a preferred embodiment through the bottom of a lateral depression in a side wall the other part of the system are formed.

Especially It is advantageous if the two plant parts along the Displacement path are telescopically displaced against each other.

The following description of preferred embodiments of the invention used in conjunction with the drawings for further explanation. Show it:

1 a perspective view of a vertebral body replacement implant with a arranged below the implant vertebral body;

2 : an exploded view of the vertebral body replacement implant

1 without bearing plates and without filler neck for a hydraulic medium;

3 FIG. 3: a cross-sectional view of the parts of the vertebral body replacement implant of the 2 in the assembled state with completely collapsed equipment parts and with dissolved clamping device;

4 : a view similar 3 at apart pushed parts of the system and dissolved clamping device and

5 : a view similar 4 with tensioned clamping device.

The vertebral body replacement implant shown in the drawing 1 includes a lower part of the system 2 and an upper part of the plant 3 , The vertebral body replacement implant 1 should replace one or more vertebral bodies and lie down with its lower part 2 to a lower vertebral body 4 on, with its upper part of the system 3 to an upper vertebral body, which is not shown in the drawing. This allows the two to the vertebral body replacement implant 1 adjacent vertebral bodies are supported against each other.

The lower part of the system 2 has a circular cylindrical base 5 on, at the top of a circular cylindrical section 6 connects, whose outer diameter is smaller than the outer diameter of the base 5 , At the base 5 is a lower support plate 7 set only in 1 is shown and for reasons of clarity in the representations of 2 to 5 is omitted.

The upper part of the system 3 has a cylinder 8th on that at its top 9 is closed and at its bottom 10 open. On this cylinder 8th is the same as the lower part of the system 2 an upper support plate 11 arranged, which also only in 1 represented and in the 2 to 5 has been omitted for clarity.

The outer diameter of the circular cylindrical section 6 of the lower part of the system 2 corresponds to the inside diameter of the cylinder 8th , the section 6 dives telescopically into the interior of the cylinder 8th one, leaving the two parts of the plant 2 and 3 telescopically displaced against each other, thereby changing the height of the vertebral body replacement implant 1 ,

For shifting the two parts of the system 2 and 3 against each other can the interior 12 from the upper part of the plant 3 on the one hand and the telescopically displaceably mounted lower part of the system in it 2 on the other hand, are filled with a hydraulic medium, for example with physiological saline solution. This is the section 6 of the lower part of the system 2 and the inner wall of the upper part of the plant 3 sealed against each other, for example by means of a seal not shown separately in the drawing.

For introducing the hydraulic medium into the interior 12 is in this one coaxial with the section 6 arranged pipe section 13 inserted into which a radially into the vertebral body replacement implant 1 incoming filler pipe 14 opens ( 1 ). This filler pipe passes through an elongated opening 15 in the sidewall of the section 6 and one side of the upper part of the plant 3 molded guide neck 16 from which it protrudes. Clip this guide 16 carries an internal thread 17 in its radially outer region and forms in its radially inner region a smooth inner wall 18 out ( 2 ). In the area with the smooth inner wall 18 is an annular clamping element 19 parallel to the longitudinal direction of the guide neck 16 slidably guided, and in the internal thread 17 is a set screw 20 screwed in with a rosette-shaped head 21 whose head 21 opposite end 22 on the clamping element 19 supported. The adjusting screw 20 has a continuous channel 23 on, and aligned with this channel 23 is in the clamping element 19 a central opening 24 provided through this opening 24 and the channel 23 protrudes the filler pipe 14 through, so this is immediately surrounded by the clamping element 19 and the set screw 20 ,

In the sidewall of the section 6 is in the area of the oblong opening 15 a depression 25 arranged the the elongated opening 15 surmounted laterally. The floor 26 this depression 25 forms a clamping surface against which when screwing the screw 20 in the internal thread 17 the clamping element 19 is pressed. The bottom is flat and its width corresponds to the width of the clamping element 19 , Opposite the displacement direction of the two plant parts 2 and 3 is the ground 26 slightly inclined, leaving at the bottom of the section 6 the distance of the ground 26 from the central axis of the section 6 larger than at the top. By this inclination of the soil 26 decreases the distance of the soil 26 from the clamping element 19 if the two parts of the system 2 . 3 be approximated to each other.

The slope of the ground 26 with respect to the displacement direction is low and is in the order of between 1 ° and 10 °, in particular between 1 ° and 3 °.

In the embodiment shown in the drawing, which runs the ground 26 facing contact surface 27 of the clamping element 19 parallel to the direction of displacement, so it is opposite the ground 26 inclined at the same angle to the ground 26 is inclined relative to the direction of displacement. When advancing the clamping element 19 by screwing in the adjusting screw 20 therefore sets the contact surface 27 only in the lower edge of the area forming the clamping surface 26 like this from the illustration of 5 becomes clear. The contact surface is thus very small and the system takes place in the region of the edge of the clamping element 19 , This makes it possible that during vigorous pressing of the clamping element 19 on the ground 26 the contact surface 27 slightly in the ground 26 digs and thereby reliably further approximation of the two parts of the system 2 and 3 prevented.

In another embodiment, not shown in the drawing, the contact surface 27 also parallel to the ground 26 run so that a full-surface investment is achieved when the clamping element 19 against the ground 26 is advanced.

For insertion of the vertebral body replacement implant 1 This is initially at collapsed plant parts and without contact of the clamping element 19 on the ground 26 used ( 3 ).

After inserting the two parts of the system 2 . 3 by filling a hydraulic medium into the interior 12 pushed apart until the desired height of the vertebral body replacement implant 1 is reached. In a next step, the set screw 20 in the internal thread 17 screwed in, so that thereby the clamping element 19 strong against the ground 26 is pressed. This will change the relative position of the two parts of the system 2 . 3 fixed. Subsequently, the interior 12 be emptied again, set in this way and fixed height of the vertebral body replacement implant 1 then stay.

Even at high forces, the two parts of the plant 2 . 3 Press against each other, there is no danger that they are undesirable shifted against each other. Any approximation of the two parts of the system 2 and 3 leads because of the slope of the soil 26 relative to the displacement direction to an immediate increase in the clamping forces of the clamping element 19 on the ground 26 and counteracts this unwanted rapprochement. Due to the inclination of the soil 26 So an additional backup is achieved in the event that the clamping forces of the clamping element 19 for some reason should not be enough. When together Press the two parts of the system 2 and 3 These clamping forces increase automatically and thus prevent further compression.

Claims (15)

Vertebral body replacement implant with a lower part of the system to rest on a lower vertebral body and with an upper part of the system to rest on an upper vertebral body, both parts of the system along a displacement path relative to each other are continuously displaceable, so that the height of the vertebral body replacement implant is variable, with a clamping device for fixing the two contact parts in an arbitrary intermediate position along the displacement path, which comprises a clamping element mounted on a contact part variable in position, which is pressed against a clamping surface on the other part of the system, characterized in that the clamping surface ( 26 ) is slightly inclined relative to the displacement, so that the clamping surface ( 26 ) when pushing together the plant parts ( 2 . 3 ) the clamping element ( 19 ) is approaching. Vertebral body replacement implant according to claim 1, characterized in that the clamping surface ( 26 ) is just. Vertebral body replacement implant according to one of claims 1 or 2, characterized in that the inclination of the clamping surface ( 26 ) relative to the displacement between 1 ° and 10 °. Vertebral body replacement implant according to claim 3, characterized in that the inclination of the clamping surface ( 26 ) is opposite the displacement between 1 ° and 3 °. Vertebral body replacement implant according to one of the preceding claims, characterized in that the clamping element ( 19 ) one of the clamping surface ( 26 ) facing contact surface ( 27 ), the inclination of which of the clamping surface ( 26 ) such that the clamping element ( 19 ) only at the edge of the contact surface ( 27 ) against the clamping element ( 19 ) presses. Vertebral body replacement implant according to claim 5, characterized in that the clamping element ( 19 ) a contact surface ( 27 ), which is arranged parallel to the displacement. Vertebral body replacement implant according to one of claims 1 to 4, characterized in that the clamping element ( 19 ) one of the clamping surface ( 26 ) and at the clamping surface ( 26 ) has contact surface reaching to the plant, which is so small that the contact surface when pressed against the clamping surface ( 26 ) dig into it. Vertebral body replacement implant according to claim 7, characterized in that the clamping element is a Clamping screw is. Vertebral body replacement implant according to one of claims 1 to 4, characterized in that the clamping element ( 19 ) one of the clamping surface ( 26 ) facing contact surface ( 27 ), whose inclination relative to the displacement of the inclination of the clamping surface ( 26 ) corresponds. Vertebral body replacement implant according to one of claims 1 to 6 or 9, characterized in that the clamping element ( 19 ) in a guided tour ( 16 . 17 . 18 ) of the one plant part ( 3 ) is slidably guided and that the displacement of the clamping element ( 19 ) one in the leadership ( 16 . 17 . 18 ) and on the clamping element ( 19 ) adjusting screw ( 20 ) is provided. Vertebral body replacement implant according to claim 10, characterized in that the clamping element ( 19 ) has the shape of a ring or a circular cylindrical disk whose central axis is parallel to the displacement direction of the clamping element ( 19 ) in the leadership ( 16 . 17 . 18 ) is arranged. Vertebral body replacement implant according to claim 11, characterized in that on a contact element ( 3 ) a laterally projecting guide neck ( 16 ) is arranged, the inner wall ( 18 ) the guide for the clamping element ( 19 ) and in which the set screw ( 20 ) can be screwed. Vertebral body replacement implant according to claim 1 2, characterized in that by a continuous channel ( 23 ) of the adjusting screw ( 20 ) and through a central opening ( 24 ) of the clamping element ( 19 ) through a hydraulic line ( 14 ) into the interior ( 12 ) of an investment element ( 3 ) passes through. Vertebral body replacement implant according to one of the preceding claims, characterized in that the clamping surface ( 26 ) of the other part of the plant ( 2 ) through the bottom of a lateral depression ( 25 ) in a side wall of the other part of the plant ( 2 ) is formed. Vertebral body replacement implant according to one of the preceding claims, characterized in that the two abutment parts ( 2 . 3 ) along the displacement path are telescopically displaced against each other.