Fixation device and method

• US 10,292,828 B2
• Filed: 12/16/2016
• Issued: 05/21/2019
• Est. Priority Date: 11/12/2008
• Status: Active Grant

• Current Assignee: Stout Medical Group, L.P. (Alphatec Holdings Incorporated)
• Original Assignee: Stout Medical Group, L.P. (Alphatec Holdings Incorporated)
• Inventors: Greenhalgh, E. Skott
• Primary Examiner(s): Plionis, Nicholas J
• Application Number:
  US15/382,279
• Publication Number:
  US 20170119541A1
• Time in Patent Office: 886 Days
• Field of Search: 623 1711- 1716
• CPC Class Codes: A61F 2/30771 applied in original prostheses, e.g. holes or grooves
• CPC Class Codes: 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
• CPC Class Codes: A61F 2/4425 made of articulated components
• CPC Class Codes: A61F 2/447 substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/3008 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30448 using adhesives
• CPC Class Codes: A61F 2002/30492 using a locking pin
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30515 using a locking wedge or block
• CPC Class Codes: A61F 2002/3052 unrestrained in only one direction, e.g. moving unidirectionally
• CPC Class Codes: A61F 2002/30523 by means of meshing gear teeth
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30777 Oblong apertures
• CPC Class Codes: A61F 2002/30904 serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2002/3093 for promoting ingrowth of bone tissue
• CPC Class Codes: A61F 2002/443 having two transversal endplates and at least one intermediate component
• CPC Class Codes: A61F 2002/4629 : connected to the endoprosthesis or implant via a threaded connection
• CPC Class Codes: A61F 2002/4677 : using a guide wire
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/005 : using adhesives
• CPC Class Codes: A61F 2230/0082 : parallelepipedal
• CPC Class Codes: A61F 2250/0098 : radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2310/00976 : Coating or prosthesis-covering structure made of proteins or of polypeptides, e.g. of bone morphogenic proteins BMP or of transforming growth factors TGF

Abstract

An implantable orthopedic stability device is disclosed. The device can have a contracted and an expanded configuration. A method of using the device between adjacent vertebral body surfaces for support and/or fixation of either or both of the adjacent vertebrae is also disclosed.

Claims

1. An intervertebral implant comprising:

a rotatable tool;

a first plate having a first plate first side, a first plate second side, a first plate first groove, and a first plate second groove;

a second plate having a second plate first side and a second plate second side, wherein the first plate second side and the second plate first side face each other;

a first angled surface positioned between two sides of the implant, wherein the first angled surface is angled relative to a longitudinal axis of the implant, wherein the first angled surface contacts a surface of the first plate first groove;

a second angled surface positioned between the two sides of the implant, wherein the second angled surface contacts a surface of the first plate second groove; and

a segment member having a segment dimension that extends along the longitudinal axis of the implant, wherein the first angled surface and the second angled surface are connected via the segment member,

wherein the implant has a first configuration and a second configuration, wherein the first plate is closer to the second plate along a transverse axis of the implant in the first configuration than in the second configuration, and wherein the first angled surface and the second angled surface are separated by the segment dimension in the first configuration and in the second configuration,

wherein a portion of the rotatable tool is not between the first and second plates in the first configuration, and wherein at least a portion of the portion of the rotatable tool not between the first and second plates in the first configuration is between the first and second plates in the second configuration,

wherein the rotatable tool is at an engagement angle relative to the longitudinal axis of implant in the first and second configurations, and wherein the engagement angle is the same in the first and second configurations, and

wherein the rotatable tool contacts the implant at a same contact surface in the first and second configurations.

2. The implant of claim 1, further comprising a rotatable elongated element positioned along the longitudinal axis of the implant or further comprising a rotatable elongated element parallel to at least one of the first plate and the second plate.

3. The implant of claim 1, further comprising an implant first end having two oblique surfaces configured to form part of the implant first end and an implant second end defined by an end of an actuation member, wherein the actuation member has threading and is configured to engage an actuator.

4. The implant of claim 1, wherein the first angled surface and the second angled surface are closer to a first plate first end along the longitudinal axis of the implant in the second configuration than in the first configuration, and wherein an actuation member is closer to the first plate first end or a first plate second end along the longitudinal axis of the implant in the second configuration than in the first configuration.

5. The implant of claim 1, wherein the first plate first side and the second plate second side each comprise teeth.

6. The implant of claim 1, wherein a distal end of the rotatable tool is non-threaded.

7. An intervertebral implant comprising:

a rotatable tool having a rotatable tool length;

a threaded shaft having a threaded shaft proximal end and a threaded shaft distal end;

a first plate having a first plate first side, a first plate second side, and a first plate first groove;

a second plate having a second plate first side, a second plate second side, and a second plate first groove, wherein the first plate second side and the second plate first side face each other;

a first angled surface, wherein a portion of the first angled surface is positioned between the first plate first side and the second plate second side, wherein the first angled surface is angled relative to a longitudinal axis of the implant, and wherein the first angled surface is configured to engage a surface of the first plate first groove;

a first guide surface, wherein a portion of the first guide surface is positioned between the first plate first side and the second plate second side, and wherein the first guide surface is configured to engage a surface of the second plate first groove; and

a segment member having a segment dimension that extends along the longitudinal axis of the implant, wherein the first angled surface and the first guide surface are connected via the segment member,

wherein the implant has a first configuration and a second configuration, wherein the first plate is closer to the second plate along a transverse axis of the implant in the first configuration than in the second configuration, and wherein the first angled surface and the first guide surface are separated by the segment dimension in the first configuration and in the second configuration,

wherein a portion of the threaded shaft is longitudinally moveable into a space between the first and second plates from a space not between the first and second plates, and wherein the threaded shaft proximal and distal ends are each farther from a distal end of the implant in the first configuration than in the second configuration, and

wherein a portion of the rotatable tool is not between the first and second plates in the first configuration, wherein at least a portion of the portion of the rotatable tool not between the first and second plates in the first configuration is between the first and second plates in the second configuration, and wherein the rotatable tool length is the same in the first and second configurations.

8. The implant of claim 7, wherein the first plate further comprises a first plate second groove, wherein the second plate further comprises a second plate second groove, and wherein the implant further comprises:

a second angled surface, wherein a portion of the second angled surface is positioned between the first plate first side and the second plate second side, wherein the second angled surface is angled relative to the longitudinal axis of the implant, and wherein the second angled surface is configured to engage a surface of the first plate second groove; and

a second guide surface, wherein a portion of the second guide surface is positioned between the first plate first side and the second plate second side, and wherein the second guide surface is configured to engage a surface of the second plate second groove.

9. The implant of claim 7, further comprising a rotatable elongated element positioned along the longitudinal axis of the implant or further comprising a rotatable elongated element parallel to at least one of the first plate and the second plate.

10. The implant of claim 7, further comprising an implant first end having two oblique surfaces configured to form part of the implant first end and an implant second end defined by an end of an actuation member, wherein the actuation member has threading and is configured to engage an actuator.

11. The implant of claim 7, wherein the first angled surface and the first guide surface are closer to a first plate first end along the longitudinal axis of the implant in the second configuration than in the first configuration, and wherein an actuation member is closer to the first plate first end or a first plate second end along the longitudinal axis of the implant in the second configuration than in the first configuration.

12. The implant of claim 7, wherein the first angled surface is at a first non-zero angle relative to the longitudinal axis of the implant, and wherein the first guide surface is at a second non-zero angle relative to the longitudinal axis of the implant.

13. The implant of claim 7, wherein a distal end of the rotatable tool is non-threaded.

14. An intervertebral implant comprising:

a rotatable threaded shaft extending along a longitudinal axis of the implant and having a rotatable threaded shaft abutment end opposite a distal end of the implant;

a first plate having a first plate first side, a first plate second side, a first plate first angled surface, a first plate second angled surface, a first plate third angled surface, a first plate fourth angled surface, and a first plate fifth angled surface, wherein the first plate first angled surface, the first plate second angled surface, the first plate third angled surface, the first plate fourth angled surface, and the first plate fifth angled surface are angled relative to the longitudinal axis of the implant, wherein the first plate first angled surface is parallel to the first plate second angled surface, and wherein the first plate third angled surface is parallel to the first plate fourth angled surface;

a second plate having a second plate first side, a second plate second side, a second plate first guide surface, a second plate second guide surface, a second plate third guide surface, a second plate fourth guide surface, and a second plate fifth guide surface, wherein the second plate first guide surface is parallel to the second plate second guide surface, wherein the second plate third guide surface is parallel to the second plate fourth guide surface, and wherein the first plate second side and the second plate first side face each other; and

a translation member having a translation member first angled surface, a translation member second angled surface, a translation member third angled surface, a translation member first guide surface, a translation member second guide surface, a translation member third guide surface, and

a segment member having a segment dimension that extends along the longitudinal axis of the implant, wherein the translation member first angled surface is connected to the translation member third angled surface by the segment member, wherein the translation member first angled surface, the translation member second angled surface, and the translation member third angled surface are angled relative to the longitudinal axis of the implant, and wherein a portion of the translation member is received between the first and second plates,

wherein the translation member first angled surface is received between the first plate first angled surface and the first plate second angled surface, wherein the translation member second angled surface contacts the first plate fifth angled surface, and wherein the translation member third angled surface is received between the first plate third angled surface and the first plate fourth angled surface,

wherein the translation member first guide surface is received between the second plate first guide surface and the second plate second guide surface, wherein the translation member second guide surface contacts the second plate fifth guide surface, and wherein the translation member third guide surface is received between the second plate third guide surface and the second plate fourth guide surface,

wherein the implant has a first configuration and a second configuration, wherein the first plate is closer to the second plate along a transverse axis of the implant in the first configuration than in the second configuration, and wherein the translation member first angled surface is separated from the translation member third angled surface by the segment dimension in the first configuration and in the second configuration,

wherein the rotatable threaded shaft is longitudinally moveable toward the distal end of the implant into a space between the first and second plates, and

wherein a distance between the rotatable threaded shaft abutment end and the distal end of the implant is shorter in the second configuration than in the first configuration.

15. The implant of claim 14, wherein the second plate first guide surface, the second plate second guide surface, the second plate third guide surface, the second plate fourth guide surface, and the second plate fifth guide surface are angled relative to the longitudinal axis of the implant.

16. The implant of claim 14, further comprising at least one of a rotatable elongated element positioned along the longitudinal axis of the implant, a rotatable elongated element parallel to at least one of the first plate and the second plate, and filler material.

17. The implant of claim 14, further comprising an implant first end having two oblique surfaces configured to form part of the implant first end and an implant second end defined by an end of an actuation member, wherein the actuation member has threading and is configured to engage an actuator.

18. The implant of claim 14, wherein the rotatable threaded shaft abutment end has a surface flush with a rotatable tool when the implant is in the first and second configurations.

19. The implant of claim 14, wherein the rotatable threaded shaft abutment end has a rotatable tool engagement depression.

20. The implant of claim 19, wherein the rotatable tool engagement depression is non-threaded.