Implantable spinal device revision system

Abstract

The invention discloses devices, methods and systems for an implantable revision device useful for altering the biomechanics of an implanted spinal arthroplasty device. The revision device has a first surface adapted to communicate with a natural anatomical surface; and a second surface adapted to engage a portion of the arthroplasty device. The device alters the biomechanics of the implanted spinal arthroplasty device permanently semi-permanently and/or temporarily.

1 . An implantable device for revising an implanted spinal arthroplasty device comprising: 
 (a) A first surface adapted to communicate with an anatomical surface of the spine; and    (b) A second surface adapted to engage a portion of the implanted spinal arthroplasty device.    
   
   
       2 . The device of  claim 1  wherein the first surface communicates with a revised anatomical surface.  
   
   
       3 . The device of  claim 1  wherein the revision device has threads adapted to engage the anatomical surface at a first end.  
   
   
       4 . The device of  claim 3  wherein the threads are positioned on an exterior surface of the revision device.  
   
   
       5 . The device of  claim 1  wherein the revision device has a hollow aperture for receiving a connector of the arthroplasty device.  
   
   
       6 . The device of  claim 5  wherein the aperture is internally threaded to receive a connector of the arthroplasty device.  
   
   
       7 . The device of  claim 1  wherein the revision device is adapted to deliver bone cement to the anatomical surface.  
   
   
       8 . The device of  claim 1  wherein the revision device is adapted at an end to engage an arthroplasty device.  
   
   
       9 . The device of  claim 1  wherein an end of the revision device is adapted to engage an arthroplasty device.  
   
   
       10 . The device of  claim 1  wherein the revision device alters the biomechanics of the arthroplasty device.  
   
   
       11 . The device of  claim 10  wherein the revision device alters the biomechanics of the arthroplasty device for a period of time.  
   
   
       12 . The device of  claim 10  wherein the revision device alters the biomechanics of the arthroplasty device permanently.  
   
   
       13 . The device of  claim 10  wherein the revision device alters the biomechanics of the arthroplasty device semi-permanently.  
   
   
       14 . The device of  claim 1  wherein the revision device secures the arthroplasty device.  
   
   
       15 . The device of  claim 1  wherein the revision device prevents movement of the arthroplasty device with respect to the anatomical surface to which it is connected.  
   
   
       16 . An implantable device for altering the biomechanics of an implanted spinal arthroplasty device comprising: 
 (a) A first surface adapted to communicate with an anatomical surface; and    (b) A second surface adapted to engage a portion of the arthroplasty device.    
   
   
       17 . The device of  claim 16  wherein the revision device has threads adapted to engage the natural anatomical surface at a first end.  
   
   
       18 . The device of  claim 17  wherein the threads are positioned on an exterior surface of the revision device.  
   
   
       19 . The device of  claim 16  wherein the revision device has a hollow aperture for receiving a connector of the arthroplasty device.  
   
   
       20 . The device of  claim 19  wherein the aperture is internally threaded to receive a connector of the arthroplasty device.  
   
   
       21 . The device of  claim 16  wherein the revision device is adapted to deliver bone cement to the anatomical surface.  
   
   
       22 . The device of  claim 16  wherein the revision device is adapted at an end to engage an arthroplasty device.  
   
   
       23 . The device of  claim 16  wherein an end of the revision device is adapted to engage an arthroplasty device.  
   
   
       24 . The device of  claim 16  wherein the revision device alters the biomechanics of the arthroplasty device for a period of time.  
   
   
       25 . The device of  claim 16  wherein the revision device alters the biomechanics of the arthroplasty device permanently.  
   
   
       26 . The device of  claim 16  wherein the revision device alters the biomechanics of the arthroplasty device semi-permanently.  
   
   
       27 . The device of  claim 16  wherein the revision device secures the arthroplasty device.  
   
   
       28 . The device of  claim 16  wherein the revision device prevents movement of the arthroplasty device with respect to the natural anatomical surface to which it is connected.  
   
   
       29 . An implantable spinal arthroplasty device revision system, components of which are configured for implantation in conjunction with a spinal arthroplasty device and a first and second vertebra of a spine, comprising at least one of: 
 a spine reconstruction device for replacing bone comprising an elongated tubular member with an anchoring member on a portion of an exterior of the elongated tubular member, an aperture adapted to communicate with a bone surface, and a proximal end adapted to replace a mating surface;    a revision cap adapted to mate with a truncated stem of an implanted arthroplasty device comprising a cap adapted to mate with a stem of the implanted arthroplasty device and an arthroplasty device receiving housing connected to the cap;    a revision stem comprising a stem adapted to be implanted within bone and having a cap at an end of the stem and an arthroplasty device receiving housing connected to the cap;    a modular cephalad stem having an auxiliary sleeve adapted to receive a threaded female stem, a male stem, and a connector;    a cross-linking arm having a length adapted to fit between a pair of cephalad arms of an arthroplasty device, each end of which is adapted to connect to a cephalad arm; and    an arthroplasty device joint controller adapted to control movement of an arthroplasty device joint having a base adapted to engage a device joint at a first location, a side and a top adapted to engage the device joint at a second location.    
   
   
       30 . The revision system of  claim 29  further comprising an artificial disc.  
   
   
       31 . The revision system of  claim 29  further comprising intervertebral wedges.  
   
   
       32 . The revision system of  claim 29  wherein the implantable restoration unit incorporates bone filler or bone cement within a lumen of the elongated tubular member.  
   
   
       33 . The revision system of  claim 29  wherein the implantable restoration unit incorporates biocompatible adhesive within a lumen of the elongated tubular member.  
   
   
       34 . The revision system of  claim 29  wherein the implantable restoration unit is internally threaded.  
   
   
       35 . The revision system of  claim 29  wherein the implantable restoration unit is externally threaded.  
   
   
       36 . The revision system of  claim 29  wherein the implantable restoration unit is adapted to replace a spine anatomy wherein the spine anatomy is selected from pedicle, lamina, process and vertebral body.  
   
   
       37 . The revision system of  claim 29  wherein the implantable restoration unit is adapted to connect to an arthroplasty device.  
   
   
       38 . The revision system of  claim 29  wherein the arthroplasty device receiving housing is positioned adjacent the cap.  
   
   
       39 . The revision system of  claim 29  wherein the housing is adapted to connect to an element of an implanted arthroplasty device.  
   
   
       40 . The revision system of  claim 29  wherein the revision cap is a polyaxial element.  
   
   
       41 . The revision system of  claim 29  wherein the housing moves relative to the cap by a ball and socket connector.  
   
   
       42 . The revision system of  claim 29  wherein the housing is rotatably connected to the revision cap.  
   
   
       43 . The revision system of  claim 29  wherein the revision cap is adapted to engage the implanted arthroplasty device.  
   
   
       44 . The revision system of  claim 29  wherein the auxiliary sleeve is internally and externally threaded.  
   
   
       45 . The revision system of  claim 29  wherein the auxiliary sleeve has a configured female aperture forming a keyway.  
   
   
       46 . The revision system of  claim 29  wherein the male stem has a configured male protrusion adapted to fit within a configured female aperture of the auxiliary sleeve.  
   
   
       47 . The revision system of  claim 29  wherein the modular cephalad stem is adapted to provide antirotation of the male stem to the female auxiliary sleeve.  
   
   
       48 . The revision system of  claim 29  wherein the modular stem has a securing member.  
   
   
       49 . The revision system of  claim 29  wherein the base of the joint controller is positioned on the arthroplasty device joint opposite a position of the top of the joint controller.  
   
   
       50 . The revision system of  claim 29  wherein the joint controller snap fits over the joint of the arthroplasty device.  
   
   
       51 . The revision system of  claim 29  wherein the joint controller has an aperture on the top of the device.  
   
   
       52 . The revision system of  claim 51  wherein the aperture is adapted to receive a securing mechanism.  
   
   
       53 . An implantable device for restoring a target surface area of a vertebral body, the implantable device comprising an elongated tubular member with an anchoring member on a portion of an exterior of the elongated tubular member at a first end, and an aperture adapted to communicate with a connective tissue and an aperture adapted to communicate with an implantable arthroplasty device at a second end.  
   
   
       54 . An implantable device for revising a previously implanted arthroplasty device having a fixation element, the implantable device comprising a cap adapted to mate with a stem of the previously implanted fixation element, and a housing connected to the cap on a first end and adapted to engage an element of an arthroplasty device on a second end.  
   
   
       55 . An implantable device for use with an arthroplasty device, the implantable device comprising a stem having a tapered first end, and a housing adapted to engage an element of the arthroplasty device at a second end.  
   
   
       56 . An implantable device for use with an arthroplasty device, the implantable device comprising a modular stem having a first stem component with a male end, and a second stem component with a female end, wherein the male end is adapted to fit within the female end to prevent rotation.  
   
   
       57 . An implantable device for use with an arthroplasty device, the implantable device comprising a cross-linking arm adapted to connect to a first arm of the arthroplasty device at a first end and a second arm of the joint arthroplasty device at a second end.  
   
   
       58 . An implantable device for use with an arthroplasty device comprising a lock adapted to engage a joint of the arthroplasty device to reduce articulation of the joint.  
   
   
       59 . A method of revising an implanted arthroplasty device, the method comprising: 
 (a) Accessing an implanted spinal arthroplasty device; and    (b) Inserting a revision device adapted to alter the biomechanics of the implanted spinal arthroplasty device.    
   
   
       60 . The method of  claim 59  wherein the revision device restores the operation of the implanted arthroplasty device.  
   
   
       61 . The method of  claim 59  wherein the revision device limits the operation of the implanted arthroplasty device.  
   
   
       62 . The method of  claim 59  wherein the revision device converts the implanted arthroplasty device to a fusion device.  
   
   
       63 . The method of  claim 59  wherein the spinal arthroplasty device is revised at the time of implantation.  
   
   
       64 . The method of  claim 59  wherein the spinal arthroplasty device is accessed during a subsequent interventional procedure.  
   
   
       65 . The method of  claim 59  further comprising the step of selecting a revision device.  
   
   
       66 . The method of  claim 65  further wherein the step of selecting a revision device is repeated and the step of inserting a revision device is repeated.