Raynham, MA – (October 26th) - The U.S. Food and Drug Administration
(FDA) has approved the CHARITÉ™ Artificial Disc, a device
that treats severe low back pain by replacing a damaged or worn out
spinal disc with an artificial one. The approval was announced today
by DePuy Spine, Inc., a Johnson & Johnson company, the manufacturer
of the disc.
While artificial replacements are commonly used in hips and knees, this
is the first FDA approval of such a device for spinal discs.
“The CHARITÉ™ Artificial Disc has the potential to revolutionize spine surgery,” said
Scott Blumenthal, MD, principal investigator in the CHARITÉ™ Artificial Disc clinical
trial and an orthopaedic spine surgeon from the Texas Back Institute in Plano. “Until
now, spine surgery relieved pain by limiting motion. Now, for the first time,
we can relieve pain and preserve motion.”
The CHARITÉ™ Artificial Disc is a high-tech device made of two metallic
endplates and a movable high-density plastic center that, once implanted,
is designed to help align the spine and preserve its ability to move.
Spinal discs maintain the position of the spine and allow for the flexibility
to bend and twist.
Lumbar spinal fusion surgery, a common surgical treatment for low back
pain or degenerative disc disease, is often effective in reducing pain,
but limits range of motion and may transfer extra stress to discs above
and below the fusion site. More than 200,000 of these procedures are
performed each year in the U.S.
In clinical trials comparing artificial disc replacement to spinal fusion
surgery, CHARITÉ™ Artificial Disc patients maintained flexibility, experienced
improvements in pain and function, left the hospital sooner and were
more satisfied with the procedure. Complication rates for both groups
of patients were similar.
CHARITÉ™ Artificial Disc Patients Return to Work Sooner
According to John Regan, MD, a spine surgeon at Cedars Sinai in Los Angeles
and a clinical investigator, CHARITÉ™ Artificial Disc patients were
able to return to work and normal activity sooner than his spinal fusion
patients.
“At our center, CHARITÉ™ Artificial Disc patients returned to work in 12
weeks or less, which was far better than the spinal fusion patients who were
not able to go back to work for about six months,” said Dr. Regan.
How the CHARITÉ™ Artificial Disc Procedure is Performed
Typically, two surgeons work together in performing the operation. A
general or vascular surgeon approaches the spine through an incision
in the abdomen and carefully moves internal organs and blood vessels
out of the way to provide access to the spine. A spine surgeon then uses
special tools to remove the damaged disc and creates a space between
two vertebrae for the implantation of the artificial disc. The procedure
generally takes one to two hours.
In spinal fusion surgery a damaged spinal disc is removed and vertebrae
are joined together using bone grafts and metal screws and/or cages so
that motion can no longer occur in this area of the spine. Patients usually
have to wear a brace for about three months after surgery.
Not for Everyone, Talk to Your Doctor
Artificial disc replacement is not for everyone. As with any major surgery,
there are possible complications that can occur including unresolved
pain, allergic reactions, bladder problems and/or infection. Patients
should ask their doctors to see if artificial disc replacement is appropriate
for them.
More information about the CHARITÉ™ Artificial Disc is available at www.charitedisc.com or
by calling 1-866-DISC523. These resources also provide information that
will help consumers find a doctor in their area who has been trained
in artificial disc replacement.
Currently, there are 15 spine centers throughout the U.S. who offer disc
replacement with the CHARITÉ™ Artificial Disc. Many more centers are expected
within the next several months as surgeons receive extensive training
in the procedure. Patients may have to wait several weeks or months while
surgeons complete this mandatory training.
Surgeon Training is Top Priority
DePuy Spine is sponsoring a comprehensive training and education program
for surgeons. The program is a combination of hands-on surgery, consultation
and visitation with top spine surgeons, lectures and web-based educational
materials. Much of the training will take place at The Center for Spine
Arthroplasty at the Endo-Surgery Institute. More than 50 regional training
centers throughout the country will also provide training.
“Training is critical to the appropriate and effective use of the CHARITÉ™
Artificial Disc and it will be our top priority,” said Earl R. Fender,
Worldwide President, DePuy Spine. “Many leading spine surgeons are involved
in the design and conduct of the training program to ensure surgeons have the
required skills for this advanced surgery.”
Back Pain One of the Most Common Problems
About 65 million Americans suffer from low back pain every year, according
to the American Association of Neurological Surgeons (AANS). Americans
spend about $50 billion each year on low back pain, the most common cause
of job-related disability and lost work days.
The CHARITÉ™ Artificial Disc is also available in more than 30 countries
throughout Europe, Asia, North America, Africa and Latin America.
About DePuy Spine
DePuy Spine, a Johnson & Johnson company, has worked and partnered
with leading clinicians, researchers, and thought leaders to develop
products to treat spine disorders for over 20 years. Today, DePuy Spine
stands in the forefront of the worldwide spine market, with a substantial
sales organization in the U.S. and an expanding worldwide distribution
network. The company is committed to advancing the knowledge of all health
care professionals and their patients in addressing spinal pathologies.