# US 11,806,244 B2 · Artificial cervical and lumbar disc system

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- Number: US 11,806,244 B2
- Document ID: US11806244B2
- Status: Granted
- Kind: B2
- Application number: 17/393,672
- Filed: 2021-08-04
- Published: 2022-03-03
- Granted: 2023-11-07
- Earliest claimed: 2004-05-12
- Assignees: Moskowitz Family LLC
- Applicants: Moskowitz Family LLC
- Inventors: Nathan C. Moskowitz; Mosheh T. Moskowitz; Ahmnon D. Moskowitz; Pablo A. Valdivia Y. Alvarado
- Web page: https://patentgrep.com/patent/US11806244B2

## 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 2/4425: {made of articulated components}
- A61F 2/4611: {of spinal prostheses}
- A61F 2002/30125: {elliptical or oval}
- A61F 2002/30133: {kidney-shaped or bean-shaped}
- A61F 2002/30242: {spherical}
- A61F 2002/30245: {Partial spheres}
- A61F 2002/30253: {ellipsoidal or ovoid}
- A61F 2002/305: {Snap connection}
- A61F 2002/30604: {modular}
- A61F 2002/30649: {Ball-and-socket joints}
- A61F 2002/3065: {Details of the ball-shaped head}
- A61F 2002/30654: {Details of the concave socket}
- A61F 2002/30658: {having a central conforming area surrounded by a peripheral annular non-conforming area}
- A61F 2002/30662: {with rotation-limiting means}
- A61F 2002/30663: {multiaxial, e.g. biaxial; multipolar, e.g. bipolar or having an intermediate shell articulating between the ball and the socket}
- A61F 2002/30841: {Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes}
- A61F 2002/443: {having two transversal endplates and at least one intermediate component}
- A61F 2002/4622: {having the shape of a forceps or a clamp}
- A61F 2002/4627: {with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument}
- A61F 2002/4628: {with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping}
- A61F 2220/0025: Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F 2230/0008: elliptical or oval
- A61F 2230/0015: Kidney-shaped, e.g. bean-shaped
- A61F 2230/0071: spherical
- A61F 2230/008: paraboloidal
- A61F 2250/0006: for adjusting angular orientation
- A61F 2250/0009: for adjusting thickness
- A61F 2310/00023: Titanium or titanium-based alloys, e.g. Ti-Ni alloys
- A61F 2310/00029: Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
- 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 artificial replacement disc includes a pair of substantially parallel plates formed to occupy a space defined by vertebral endplates, each of the plates including a plurality of spikes on a first surface and a concave trough formed on a second surface opposite of the first surface. A mobile core includes a core rim with opposing convex surfaces extending from opposite sides of the core rim, the mobile core being capable of being disposed between the pair of plates to permit the vertebral endplates to move relative to one another. The spikes on each of the plates extend substantially away from the mobile core and the convex surfaces are formed to integrally fit within the concave trough of at least one of the plates. The core rim limits lateral movement of the mobile core relative to the parallel plates. One or more insertion tools for inserting and implanting the replacement disc are also described.

## Claims

### Claim 1

An artificial disc system comprising:
an artificial disc comprising:
first and second plates formed to occupy a space defined by vertebral endplates of a spine, each of the first and second plates including an endplate-engaging surface having a plurality of anchors and a core-engaging surface positioned opposite the endplate-engaging surface, wherein the plurality of anchors on the endplate-engaging surface of the first plate comprise a first group of at least three anchors on a left side of the first plate and a second group of at least three anchors on a right side of the first plate with a middle portion of the first plate having no anchors between the first and second groups of anchors, wherein the plurality of anchors on the endplate-engaging surface of the second plate comprise a third group of at least three anchors on a left side of the second plate and a fourth group of at least three anchors on a right side of the second plate with a middle portion of the second plate having no anchors between the third and fourth groups of anchors; and
a mobile core sized and configured to be positioned between the first and second plates to permit the first and second plates to move relative to one another, wherein the anchors on the endplate-engaging surface extend away from the mobile core, wherein the core-engaging surfaces engage first and second plate-engaging surfaces of the mobile core, wherein at least one of the first and second plate-engaging surfaces are configured to slide against adjacent core-engaging surfaces of the first or second plate, wherein the first plate-engaging surface of the mobile core has a convex portion, and wherein the mobile core is engaged with the first and second plates such that the first plate can move with respect to the second plate about an x-axis for lateral bending, a y-axis for flexion/extension, and a z-axis for axial spinal rotation, wherein the mobile core is sized large enough to extend partially out of a space defined between the first and second plates when the artificial disc is tilted about the y-axis for flexion/extension.

### Claim 2 (depends on 1)

The artificial disc system of claim 1, wherein the core-engaging surface of the first plate is substantially concave.

### Claim 3 (depends on 2)

The artificial disc system of claim 2, wherein the convex portion of the mobile core is shaped as a spherical dome and is configured to mate with the substantially concave core-engaging surface of the first plate.

### Claim 4 (depends on 3)

The artificial disc system of claim 3, wherein the mobile core is configured to slide against the substantially concave core-engaging surface of the first plate.

### Claim 5 (depends on 4)

The artificial disc system of claim 4, wherein the mobile core comprises a core rim having a circular perimeter shape.

### Claim 6 (depends on 5)

The artificial disc system of claim 5, wherein the convex spherical dome portion of the mobile core extends from a first side of the core rim and is disposed within a perimeter of the core rim.

### Claim 7 (depends on 1)

The artificial disc system of claim 1, wherein at least one of the core-engaging surfaces of the first plate or the second plate comprises a ridge configured to limit a movement of the mobile core on the core-engaging surface.

### Claim 8 (depends on 1)

The artificial disc system of claim 1, further comprising:
a surgical tool for inserting the artificial disc between vertebral endplates, the surgical tool comprising:
a handle portion;
an elongate insertion portion extending distally away from the handle portion; and
an implant holder connected at a distal end of the elongate insertion portion, the implant holder configured to engage the first and second plates of the artificial disc.

### Claim 9 (depends on 8)

The artificial disc system of claim 8, wherein the first plate, the second plate, and the mobile core are sized and shaped to fit within a space defined by cervical vertebral endplates.

### Claim 10

An artificial spinal disc, comprising: a pair of plates formed to occupy a space defined by vertebral endplates, each of the pair of plates having a first surface and a second surface opposite of the first surface, each of the pair of plates having at least one protrusion formed on the first surface, each of the pair of plates having a concave trough formed in the second surface; and a mobile core having a curved perimeter shape defined by a core rim extending from a first convex surface to a second convex surface, the mobile core disposed between the pair of plates and received in the concave trough of each of the pair of plates, wherein the second surface of each of the pair of plates is configured to slide against the first or second convex surface of the mobile core, thereby permitting movement of the pair of plates relative to one another, wherein the core rim limits the relative movement of the pair of plates; wherein the at least one protrusion on each of the pair of plates extends away from the mobile core, the at least one protrusion on each of the pair of plates configured to engage a vertebral endplate, wherein the at least one protrusion of at least one of the pair of plates includes a base portion and an end portion narrower than the base portion, wherein the end portion is configured to penetrate at least one surface of the vertebral endplates, and wherein the mobile core is sized large enough to extend partially out of a space defined between the pair of plates when the artificial disc is tilted about y-axis for flexion/extension.

### Claim 11 (depends on 10)

The artificial spinal disc of claim 10, wherein the pair of plates and the mobile core are sized and shaped to fit within a space defined by cervical vertebral endplates.

### Claim 12 (depends on 10)

The artificial spinal disc of claim 10, wherein the at least one protrusion comprises at least two protrusions formed in a middle region of the first surface of each of the pair of plates.

### Claim 13 (depends on 12)

The artificial spinal disc of claim 12, wherein the at least one protrusion further comprises at least two protrusions formed at perimeter edges on either side of the middle region of the first surface of each of the pair of plates.

### Claim 14 (depends on 10)

The artificial spinal disc of claim 10, wherein at least one concave trough comprises a perimeter ridge about the concave trough.

### Claim 15 (depends on 14)

The artificial spinal disc of claim 14, wherein the core rim is shaped to receive the perimeter ridge at the outer edges of the at least one concave trough.

### Claim 16 (depends on 15)

The artificial spinal disc of claim 15, wherein the perimeter ridge at the outer edges of the at least one concave trough engages the core rim and limits a movement of the mobile core relative to the pair of plates.

### Claim 17 (depends on 10)

The artificial spinal disc of claim 10, wherein at least one of the opposing convex surfaces extending from opposite sides of the core rim is shaped as a spherical dome configured to fit the concave trough of at least one of the pair of plates.

### Claim 18 (depends on 10)

The artificial spinal disc of claim 10, wherein the at least one protrusion on a first surface of a first plate of the pair of plates further comprises a first group of at least three anchors positioned in a left region to a left side of the middle region of the first surface, and a second group of at least three anchors positioned in a right region to a right side of the middle region of the first surface.

### Claim 19 (depends on 18)

The artificial spinal disc of claim 18, wherein the at least one protrusion on a first surface of a second plate of the pair of plates further comprises a third group of at least three anchors positioned in a left region to a left side of the middle region of the first surface, and a fourth group of at least three anchors positioned in a right region to a right side of the middle region of the first surface.

### Claim 20

An artificial cervical disc comprising:
first and second plates formed to occupy a space defined by cervical vertebral endplates of a spine, each of the first and second plates including an endplate-engaging surface having a plurality of anchors and a core-engaging surface positioned opposite the endplate-engaging surface, wherein the plurality of anchors on the endplate-engaging surface of the first plate comprise a first group of at least three anchors on a left side of the first plate and a second group of at least three anchors on a right side of the first plate, wherein the plurality of anchors on the endplate-engaging surface of the second plate comprise a third group of at least three anchors on a left side of the second plate and a fourth group of at least three anchors on a right side of the second plate; and
a mobile core sized and configured to be positioned between the first and second plates to permit the first and second plates to move relative to one another, wherein the anchors on the endplate-engaging surface extend away from the mobile core, wherein the core-engaging surfaces engage first and second plate-engaging surfaces of the mobile core, wherein a convex portion on the first plate-engaging surface of the mobile core is configured to slide against a substantially concave core-engaging surface of the first plate, and wherein the mobile core is engaged with the first and second plates such that the first plate can move with respect to the second plate about an x-axis for lateral bending, a y-axis for flexion/extension, and a z-axis for axial spinal rotation, wherein the mobile core is sized large enough to extend partially out of a space defined between the first and second plates when the artificial disc is tilted about the y-axis for flexion/extension.