Image-based patient-specific medical spinal surgery method and spinal prosthesis

Patent metadata

Field	Value
Publication number	US-9039772-B2
Application number	US-200913499612-A
Country	US
Kind code	B2
Filing date	Dec 9, 2009
Priority date	Sep 30, 2009
Publication date	May 26, 2015
Grant date	May 26, 2015

Abstract

The present invention relates to an image-based, patient-specific medical spinal surgery technique and to a spinal prosthesis used in the surgery, and particularly, to an image-based, patient-specific medical spinal surgery technique and to a spinal prosthesis which are intended to solve a problem of damage to a spine caused by installing a spinal prosthesis used in spinal surgery, by introducing an image of a patient to manufacture an insertable spinal prosthesis that is customized for a shape of a spine of an individual patient in a polymer-based material.

First claim

The invention claimed is:

1. An image-based, patient-specific medical spinal prosthesis comprising:
a prosthesis body on which a plurality of supporting insert holes are formed, each of the plurality of supporting insert holes having a predetermined shape corresponding to a size and a shape of a corresponding one of a plurality of vertebral processes of a patient in a surgical site, wherein each of the plurality of supporting insert holes of the prosthesis body is configured to receive the corresponding one of the plurality of vertebral processes to support between the plurality of vertebral processes, wherein the prosthesis body is modifiable according to a movement of a spine,
wherein the prosthesis body is manufactured in a bio-compatible polymer material which undergoes thermal expansion that is activated by a body temperature of the patient, the prosthesis body thereby being more tightly fixed to the plurality of vertebral processes,
wherein the prosthesis body includes a first side and a second side opposite to the first side, and the plurality of supporting insert holes includes, when taken from a sectional view of the prosthesis body, a blind hole that extends inwardly from the first side towards the second side but does not break through to the second side of the prosthesis body, and a through hole that extends through the prosthesis body from the first side to the second side, the through hole being configured to have the corresponding one of the plurality of vertebral processes enter the through hole from the first side, pass through the through hole, and protrude from the second side,
wherein, when taken from a plan view viewed from the second side, the through hole is exposed to the second side and is entirely surrounded by the prosthesis body,
wherein the prosthesis body is configured to be coupled to the plurality of vertebral processes only by the thermal expansion of the bio-compatible polymer material, and without a fastener for fixing the prosthesis body to the plurality of vertebral processes.

2. The image-based, patient-specific medical spinal prosthesis according to claim 1 , wherein the prosthesis body is formed using a three dimensional image as an implant into which the plurality of vertebral processes are insertable, and the prosthesis body supports a region of the spine between respective ones of the plurality of vertebral processes of the patient and fixedly supports the corresponding one of the plurality of vertebral processes inserted into each of the plurality of supporting insert holes.

3. The image-based, patient-specific medical spinal prosthesis according to claim 2 , wherein the prosthesis body has a structure preventing dislocation due to the movement of the spine and is manufactured by considering a load of the spine and a hardness of the implant.

4. The image-based, patient-specific medical spinal prosthesis according to claim 2 , wherein each of the plurality of supporting insert holes of the prosthesis body is manufactured based on the three dimensional image obtained by imaging the spine of the patient such that the predetermined shape of each of the plurality of supporting insert holes is a reverse phase of the shape of the corresponding one of the plurality of vertebral processes of the patient such that each of the plurality of supporting insert holes of the prosthesis body is configured to receive the corresponding one of the plurality of vertebral processes.

5. The image-based, patient-specific medical spinal prosthesis according to claim 1 , wherein:
the plurality of vertebral processes includes a first spinous process and a second spinous process;
the through hole receives the first spinous process and a second through hole receives the second spinous process;
the prosthesis body, taken from the plan view, includes a front side close to the through hole and a rear side opposite to the front side, and the first spinous process is disposed adjacent to a neighboring spinous process that is disposed outside the prosthesis body; and
when the prosthesis body is coupled to the plurality of vertebral processes, the front side is spaced apart from the neighboring spinous process.

6. The image-based, patient-specific medical spinal prosthesis according to claim 5 , wherein:
the plurality of vertebral processes further includes a first pair of articular processes corresponding to the first spinous process and a second pair of articular processes corresponding to the second spinous process;
and the blind hole is included in a first pair of blind holes receiving the first pair of articular processes and the plurality of supporting insert holes includes a second pair of blind holes receiving the second pair of articular processes.

Assignees

• Park Suk Ho
• Park Jong Oh
• Univ Nat Chonnam Ind Found

Inventors

• Park Suk Ho
• Park Jong Oh

Classifications

• A61B17/7065

  Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools therefor · CPC title

• A61B19/5212

  Human Necessities · mapped topic

• A61B17/7062 Primary

  Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs (rib fixation devices A61B17/8076); Tools for such devices · CPC title

• A61B19/5225

  Human Necessities · mapped topic

• A61F2/44

  for the spine, e.g. vertebrae, spinal discs · CPC title