Intersomatic setting and fusion system

Prosthesis (i.e. – artificial body members) – parts thereof – or ai – Implantable prosthesis – Bone

Reexamination Certificate

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Details

C606S064000

Reexamination Certificate

active

06235059

ABSTRACT:

BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates to an intersomatic fusion and setting system for vertebrae. The system includes at least one open internal cage receiving spongy bone and designed to be interposed between two vertebrae during diskectomy and the system is capable of installing a bone graft or material encouraging intersomatic fusion, thereby encouraging fusion between the two vertebrae concerned.
2. Description of Related Art
Similar cages are known, for example, from the following patent applications: FR 2 703 580; EP 493 698; EP 599 419; FR 2 124 815; EP 307 241; EP 615 428.
These cages are generally ovoid or parallelepipedal in shape. They are rigid, made of metal or of a biocompatible material, and designed to receive spongy bone via open top and bottom faces.
Although cages of the above type generally give good results, it is nevertheless true that in some cases it is necessary to position the cage and to ensure that it cannot move so as to be sure of avoiding any possible migration or risk of secondary displacement of the cage.
A prosthesis is also known from document EP 0 179 695 comprising an implant forming an open internal cage designed to receive spongy bone or bone substitute. The cage is fitted with a plate extending in a plane substantially perpendicular to the insertion plane of the cage, having two holes on either side thereof for passing respective screws for anchoring in each of the two adjacent vertebrae that are to be secured together. The implant which is in the form of a length of a cylinder is designed to be inserted between two adjacent vertebrae from which portions of the vertebral bodies have been removed. Such a prosthesis has a drawback concerning the anchor screws which are subjected to large forces that can cause the screws to become at least partially disconnected from the vertebrae, and thus allowing the cage to be relatively mobile.
SUMMARY OF THE INVENTION
The object of the invention is to remedy the drawbacks of the prior art by proposing an intersomatic fusion and setting system for vertebrae, the system being of the type comprising:
at least one open internal cage arranged for receiving spongy bone or bone substitute and designed to be interposed between two vertebrae during diskectomy; and
an external plate extending in a plane substantially perpendicular to the insertion plane of the cage, on either side thereof, and having an anchor device adapted for anchoring at least to the two adjacent vertebrae that is to be secured together by the cage.
According to the invention, the setting system has an anterior wall, a posterior wall, and side walls forming a rigid parallelepiped of shape and profile which are adapted to the intervertebral space defined by two adjacent vertebrae.
The cage is rigid, made of metal or biocompatible plastics material, generally parallelepipedal in shape, and adapted to the intervertebral space, and it is designed to receive spongy bone or bone substitute material via its top and bottom open faces and/or via a front opening.
Depending on requirements, the system of the invention is made either in the form of a single piece cage-and-plate unit or in the form of an internal cage and an external plate including devices for assembling the plate to the cage.
The present invention also relates to characteristics which appear from the following description and which should be considered in isolation or in any technically feasible combination.


REFERENCES:
patent: 5147361 (1992-09-01), Ojima et al.
patent: 5683463 (1997-11-01), Godefroy et al.
patent: 5702453 (1997-12-01), Rabbe et al.
patent: 0 179 695 (1986-04-01), None
patent: 0 493 698 (1992-07-01), None
patent: 2 703 580 (1994-10-01), None

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