Expandable interspinous process spacer implant

• US 10,335,286 B2
• Filed: 09/14/2017
• Issued: 07/02/2019
• Est. Priority Date: 10/11/2010
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Gabelberger, Josef
• Primary Examiner(s): Johanas, Jacqueline T
• Application Number:
  US15/704,360
• Publication Number:
  US 20180000605A1
• Time in Patent Office: 656 Days
• CPC Class Codes: A61B 17/7065 Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools therefor
• CPC Class Codes: A61F 2/4405 for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes devices implanted between spinous or transverse processes A61B17/7062
• CPC Class Codes: A61F 2/4611 of spinal prostheses

Abstract

An expandable interspinous spacer implant that is configured to be inserted into an interspinous space that is defined between a spinous process of a superior vertebral body and a spinous process of an inferior vertebral body is provided. The implant may include a superior housing, an inferior housing, and a distracting member. The superior housing may have an outer surface that is configured to engage the spinous process of the superior vertebral body and the inferior housing may have an outer surface that is configured to engage the spinous process of the inferior vertebral body. The distracting member may be disposed between the superior and inferior housings, such that activation of the distracting member distracts the superior and inferior housings apart from each other.

Claims

1. A method of implanting an expandable spacer implant into a vertebral space defined between a superior vertebral body and an inferior vertebral body that are spaced from one another along a first direction, the method comprising:

inserting the implant into the vertebral space in a collapsed configuration such that (i) an outer surface of a first housing of the implant engages one of the superior and inferior vertebral bodies, (ii) an outer surface of a second housing of the implant engages another of the superior and inferior vertebral bodies, (iii) inner surfaces of the first and second housings face one another and are spaced from the outer surfaces of the first and second housings along the first direction, (iv) the first and second housings extend from a proximal-most end of the implant to a distal-most end of the implant along a second direction, perpendicular to the first direction; and

(v) a first pair of internal surfaces of the second housing are spaced from one another along the second direction and a second pair of internal surfaces of the second housing are spaced from one another along a third direction, perpendicular to the first and second directions, so as to at least partially define a void that extends into the inner surface of the second housing; and

expanding the implant by rotating a distracting member about an axis of rotation that extends along the second direction so as to move the distracting member within the void from a first position, wherein a first pair of opposed surfaces of the distracting member that define a first distance therebetween engage the first and second housings, to a second position, wherein a second pair of opposed surfaces of the distracting member that are angularly offset with respect to the first pair of opposed surfaces of the distracting member and define a second distance therebetween, greater than the first distance, engage the first and second housings so as to cause the first and second housings to move away from one another along the first direction, wherein the expanding step comprises causing a stabilizer to protrude beyond the outer surface of at least one of the first and second housings when the first and second housings are moved away from one another.

2. The method of claim 1, wherein the rotating step comprises rotating the distracting member between the internal surfaces of the first and second pairs of internal surfaces.

3. The method of claim 1, comprising inserting a driver instrument through a groove in the second housing at the proximal-most end of the implant so as to engage an engagement feature of the distracting member.

4. The method of claim 3, wherein the expanding step comprises rotating the driver instrument so as to rotate the distracting member.

5. The method of claim 1, wherein the expanding step comprises rotating the distracting member about the axis of rotation so as to move the distracting member within a void that extends into the inner surface of the first housing.

6. The method of claim 1, wherein the inserting step comprises inserting the expandable spacer implant into the vertebral space such that a first pair of internal surfaces of the first housing are spaced from one another along the second direction and a second pair of internal surfaces of the first housing are spaced from one another along the third direction so as to at least partially define the void that extends into the inner surface of the first housing.

7. The method of claim 1, wherein the expanding step comprises rotating the distracting member about the axis of rotation so as to cause opposed protrusions of the distracting member to engage a first recess defined by the first housing and a second recess defined by the second housing.

8. The method of claim 1, wherein the inserting step comprises inserting the implant into the vertebral space, the vertebral space being defined between a spinous process of the superior vertebral body and a spinous process of the inferior vertebral body.

9. A method of implanting an expandable spacer implant into a vertebral space defined between a superior vertebral body and an inferior vertebral body that are spaced from one another along a first direction, the method comprising:

inserting the implant into the vertebral space in a collapsed configuration such that (i) an outer surface of a first housing of the implant engages one of the superior and inferior vertebral bodies, (ii) an outer surface of a second housing of the implant engages another of the superior and inferior vertebral bodies, and (iii) inner surfaces of the first and second housings face one another and are spaced from the outer surfaces of the first and second housings along the first direction; and

expanding the implant such that (i) the first and second housings move away from one another in the first direction, (ii) a first wing member that is rotatably coupled to a first side of the first housing translates along a first slot in the second housing in a second direction, perpendicular to the first direction, and (iii) a second wing member that is rotatably coupled to a second side of the first housing, spaced from the first side along a third direction that is perpendicular to the first and second directions, translates along a second slot in the second housing in the second direction.

10. The method of claim 9, wherein, in the expanding step, the first and second wings remain coupled to both the first and second housings.

11. The method of claim 9, wherein, in the expanding step, the first wing member translates along the first slot, the first slot being defined in a first side of the second housing between a pair of internal surfaces of the second housing that are spaced from one another along the first direction, and the second wing member translates along the second slot, the second slot being defined in a second side of the second housing between a pair of internal surfaces of the second housing that are spaced from one another along the first direction.

12. The method of claim 9, wherein, in the expanding step, the first wing member translates along the first slot, the first slot being at least partially defined by a closed shape, and the second wing member translates along the second slot, the second slot being at least partially defined by a closed shape.

13. The method of claim 9, wherein the expanding step comprises causing an extension of each of the first and second wing members to protrude beyond the outer surface of the second housing in a direction that extends from the inner surface of the second housing toward the outer surface of the second housing.

14. The method of claim 9, wherein the expanding step comprises expanding the implant such that (iv) a third wing member that is rotatably coupled to a first side of the second housing translates along a first slot in the first housing in the second direction, and (v) a fourth wing member that is rotatably coupled to a second side of the first second housing translates along a second slot in the first housing in the second direction.

15. The method of claim 14, wherein the expanding step comprises deploying extensions of the first, second, third, and fourth wing members as the first and second housings move away from each other.

16. The method of claim 9, wherein the expanding step comprises causing a first guidance pin coupled to the first wing member to translate in the first slot, and a second guidance pin coupled to the second wing member to translate in the second slot.

17. The method of claim 9, wherein the inserting step comprises inserting the implant into the vertebral space, the vertebral space being defined between a spinous process of the superior vertebral body and a spinous process of the inferior vertebral body, and the expanding step comprises causing the first and second wing members to engage the spinous process of one of the superior and inferior vertebral bodies.