# US 10,369,001 B2 · Method of replacing the nucleus pulposus of an intervertebral disc

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- Number: US 10,369,001 B2
- Document ID: US10369001B2
- Status: Granted
- Kind: B2
- Application number: 15/783,704
- Filed: 2017-10-13
- Published: 2018-02-08
- Granted: 2019-08-06
- Earliest claimed: 2012-05-08
- Applicants: Eric R. VonGunten
- Inventors: Eric R. VonGunten
- Web page: https://patentgrep.com/patent/US10369001B2

## CPC

- A61F 2/442: {Intervertebral or spinal discs, e.g. resilient (non-disc-shaped intervertebral inflatable pockets A61F2/441; non-disc-shaped intervertebral fusion implants A61F2/4455)}
- A61F 2/441: {made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel}
- A61F 2/4611: {of spinal prostheses}
- A61F 2002/30069: {elastomeric}
- A61F 2002/30583: {filled with hardenable fluid, e.g. curable in-situ}
- A61F 2002/30586: {having two or more inflatable pockets or chambers}
- A61F 2002/444: {for replacing the nucleus pulposus}
- A61F 2002/465: {using heating means}
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)

## Abstract

An implant configured to completely replace degenerated or damaged nucleus pulposus in an intervertebral disc. The implant comprises a silicone elastomer shell that is implanted into a void within the annulus fibrosus created by at least partial removal of the nucleus pulposus therefrom. A colloidal suspension of platinum cured silicone-based polymer and carbon nanotubes is injected into the elastomer shell. The colloidal suspension is irradiated with electromagnetic radiation, particularly infrared or near infrared light, to the point that it hardens. The hardened implant becomes a mechanical replacement for the original nucleus pulposus in the intervertebral disc.

## Claims

### Claim 1

A method of replacing at least part of the nucleus pulposus of an intervertebral disc in a patient's body, said method comprising the steps of:
providing an implant substance, wherein the implant substance is a quantity of a colloidal suspension of a silicone-based polymer and a plurality of carbon nanotubes;
inserting an implant receptacle into a void defined within the intervertebral disc;
injecting the implant substance that is in a flowable state into a cavity defined by the implant receptacle;
irradiating the implant substance with laser light from outside the patient's body; and
changing the implant substance from a flowable state to a state that is similar to naturally-occurring nucleus pulposus.

### Claim 2 (depends on 1)

The method as defined in claim 1, wherein the step of providing the quantity of the implant substance includes providing sufficient colloidal suspension to substantially occupy the entire void within the intervertebral disc.

### Claim 3 (depends on 1)

The method as defined in claim 1, wherein the implant substance is irradiated until the implant substance is viscoelastic.

### Claim 4 (depends on 1)

The method as defined in claim 1, wherein the step of irradiating the implant substance occurs within an annulus fibrosus of the patient's vertebra.

### Claim 5 (depends on 1)

The method as defined in claim 1, wherein the step of injecting includes injecting the implant substance through a one-way valve or port located at an ingress into the implant receptacle.

### Claim 6 (depends on 1)

The method as defined in claim 1, further comprising:
removing a quantity of nucleus pulposus from the intervertebral disc to create the void into which the implant substance is injected.

### Claim 7

A method of replacing at least part of the nucleus pulposus of an intervertebral disc in a patient's body, said method comprising the steps of:
providing an implant substance;
inserting an implant receptacle into a void defined within the intervertebral disc;
injecting the implant substance that is in a flowable state into a cavity defined by the implant receptacle;
irradiating the implant substance with laser light from outside the patient's body including:
irradiating the implant substance with infrared to near infra-red laser light;
energizing a plurality of carbon nanotubes located within the implant substance;
releasing heat from the carbon nanotubes into the implant substance;
hardening the implant substance; and
changing the implant substance from a flowable state to a state that is similar to naturally-occurring nucleus pulposus.

### Claim 8 (depends on 7)

The method as defined in claim 7, wherein the step of providing the quantity of the implant substance includes providing sufficient implant substance to substantially occupy the entire void within the intervertebral disc.

### Claim 9 (depends on 7)

The method as defined in claim 7, wherein the implant substance is irradiated until the implant substance is viscoelastic.

### Claim 10 (depends on 7)

The method as defined in claim 7, wherein the step of irradiating the implant substance occurs within an annulus fibrosus of the patient's vertebra.

### Claim 11 (depends on 7)

The method as defined in claim 7, wherein the step of injecting includes injecting the implant substance through a one-way valve or port located at an ingress into the implant receptacle.

### Claim 12

A method of forming an implant prosthesis for an intervertebral disc comprising the steps of:
injecting a prosthetic material into a void defined by an annulus fibrosus of the intervertebral disc when the prosthetic material is in a fluid state, wherein the prosthetic material is a colloidal suspension of a silicone-based polymer and a plurality of carbon nanotubes;
directing electromagnetic radiation in the form of infrared to near infrared laser light towards the prosthetic material when located within the void defined by the annulus fibrosus;
energizing the plurality of carbon nanotubes within the prosthetic material;
releasing heat from the plurality of carbon nanotubes into the prosthetic material; and
altering the state of the prosthetic material, by way of the directed electromagnetic radiation, from a fluid state to a state where the altered prosthetic material is able to act as a shock absorber.

### Claim 13 (depends on 12)

The method as defined in claim 12, wherein the directed electromagnetic radiation causes the generation of heat internally within the prosthetic material.

### Claim 14 (depends on 13)

The method as defined in claim 13, wherein the step of generating heat includes generating heat that does not exceed a temperature which will damage surrounding body tissue.

### Claim 15 (depends on 13)

The method as defined in claim 13, wherein the step of generating heat includes generating heat that does not exceed about 200° F.

### Claim 16 (depends on 12)

The method as defined in claim 12 further comprising the step of making an incision in an annulus fibrosus of a patient's vertebra and injecting the prosthetic material into the void through the incision.

### Claim 17 (depends on 16)

The method as defined in claim 16, further comprising stitching the incision closed after the step of altering the state of the prosthetic material.

### Claim 18 (depends on 16)

The method as defined in claim 16, wherein the step of making the incision includes making the incision into an anterior region of the intervertebral disc.

### Claim 19 (depends on 18)

The method as defined in claim 18, wherein the step of altering the prosthetic material occurs over more than one day.

### Claim 20 (depends on 19)

The method as defined in claim 19, wherein the prosthetic material produces minimal to no out-gassing during the step of altering the state of the prosthetic material.
