Artificial cervical and lumbar discs, disc plate insertion gun for performing sequential single plate intervertebral implantation enabling symmetric bi-disc plate alignment for interplate mobile core placement

• US 10,376,376 B2
• Filed: 04/03/2018
• Issued: 08/13/2019
• Est. Priority Date: 05/13/2004
• Status: Active Grant

• Current Assignee: Moskowitz Family LLC
• Original Assignee: Moskowitz Family LLC
• Inventors: Moskowitz, Nathan C., Moskowitz, Mosheh T., Moskowitz, Ahmnon D., Alvarado, Pablo A. Valdivia Y.
• Primary Examiner(s): Boles, Sameh R
• Application Number:
  US15/944,221
• Publication Number:
  US 20180333271A1
• Time in Patent Office: 497 Days
• Field of Search: None
• 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 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/30125 elliptical or oval
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30649 Ball-and-socket joints
• CPC Class Codes: A61F 2002/30662 with rotation-limiting means
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/443 having two transversal endplates and at least one intermediate component
• CPC Class Codes: A61F 2230/0008 elliptical or oval
• CPC Class Codes: A61F 2230/008 paraboloidal

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

1. An expandable intervertebral implant system configured to be positioned in an intervertebral space between rostral and caudal vertebral bodies and expanded in situ in the intervertebral space, the system comprising:

an expandable implant having a length, a height, and a width, wherein the expandable implant defines a rostral plate with a rostral surface and defines a caudal plate with an opposite caudal surface each having a plurality of spikes configured and positioned for engaging the rostral and caudal vertebral bodies when the expandable implant is positioned in the intervertebral space and expanded, wherein the rostral and caudal plates comprise titanium and the plurality of spikes also comprise titanium, wherein the width is defined as a distance between the rostral surface and the caudal surface and the length is defined as a longest distance across the rostral surface of the expandable implant from a first end to a second end in a direction perpendicular to a direction of the width of the expandable implant, wherein the expandable implant comprises first and second posts between the rostral surface and the caudal surface that extend in a direction of the width of the expandable implant and that allow the expandable implant to expand in a direction of the width so as to increase the width between the rostral surface and the caudal surface of the expandable implant, wherein the expandable implant has an expandable liquid chamber that is positioned between the rostral surface and the caudal surface, wherein the expandable implant has a port fluidly connected to the expandable liquid chamber such that liquid injected through the port flows into the expandable liquid chamber between the rostral surface and the caudal surface; and

a source syringe configured to be connected to the port of the expandable implant and to inject and fill the expandable liquid chamber with a liquid from the source syringe that flows from the source syringe through the port and into the expandable liquid chamber.

2. The expandable intervertebral implant system of claim 1, wherein the expandable implant has a crescent shape as viewed from a direction perpendicular to the rostral surface such that first and second sides extending from the first end to the second end of the expandable implant are both curved.

3. The expandable intervertebral implant system of claim 1, wherein the expandable implant comprises titanium and silicone.

4. The expandable intervertebral implant system of claim 1, wherein the expandable liquid chamber comprises silicone.

5. The expandable intervertebral implant system of claim 1, wherein the expandable implant is configured to expand along its length so as to increase the length from the first end to the second end.

6. The expandable intervertebral implant system of claim 1, wherein the expandable implant is configured to expand along its height.

7. The expandable intervertebral implant system of claim 1, wherein the rostral surface is parallel to the caudal surface before expansion and after expansion.

8. A method of operating the expandable intervertebral implant system of claim 1, the method comprising:

inserting the expandable implant into the intervertebral space between the rostral and caudal vertebral bodies while the expandable implant is in a non-expanded configuration;

connecting the source syringe to the port of the expandable implant;

injecting liquid from the source syringe into the expandable implant while the expandable implant is positioned in the intervertebral space; and

disconnecting the source syringe from the expandable implant after injecting the liquid into the expandable implant.

9. The method of claim 8, and further comprising:

performing a discectomy prior to inserting the expandable implant.

10. The method of claim 8, and further comprising:

sequentially placing serial tubular dilators in the dorsal musculature and fascia through to create a working channel, wherein the expandable implant is inserted through the working channel in the non-expanded configuration.

11. The method of claim 8, wherein the expandable implant is inserted using a transpedicular approach.

12. The method of claim 8, wherein the liquid is polycarbonateurethane, polyurethane, polyvinyl alcohol, or protein hydrogel.

13. The method of claim 8, and further comprising:

piercing the rostral and caudal vertebral bodies with the spikes when the expandable implant is expanded.

14. The expandable intervertebral implant system of claim 1, wherein the first post is spaced from the second post.

15. The expandable intervertebral implant system of claim 1, wherein the first post is axially aligned with the second post.

16. The expandable intervertebral implant system of claim 1, wherein the rostral surface is a rostral titanium shell and the caudal surface is a caudal titanium shell.

17. An expandable intervertebral implant system configured to be positioned in an intervertebral space between rostral and caudal vertebral bodies and expanded in situ in the intervertebral space, the system comprising:

an expandable implant having a length, a height, and a width, wherein the expandable implant defines a rostral plate with a rostral surface and defines a caudal plate with an opposite caudal surface each having a plurality of spikes configured and positioned for engaging the rostral and caudal vertebral bodies when the expandable implant is positioned in the intervertebral space and expanded, wherein the width is defined as a distance between the rostral surface and the caudal surface and the length is defined as a longest distance across the rostral surface of the expandable implant from a first end to a second end in a direction perpendicular to a direction of the width of the expandable implant, wherein the expandable implant comprises first and second posts between the rostral surface and the caudal surface that extend in a direction of the width of the expandable implant and that allow the expandable implant to expand in a direction of the width so as to increase the width between the rostral surface and the caudal surface of the expandable implant, wherein the expandable implant has an expandable liquid chamber that is positioned between the rostral surface and the caudal surface, wherein the expandable implant has a port fluidly connected to the expandable liquid chamber such that liquid injected through the port flows into the expandable liquid chamber between the rostral surface and the caudal surface;

a source syringe configured to be connected to the port of the expandable implant and to inject and fill the expandable liquid chamber with a liquid from the source syringe that flows from the source syringe through the port and into the expandable liquid chamber; and

a tube configured to connect to the source syringe and to the port so as to fluidly connect the source syringe to the port.

18. The expandable intervertebral implant system of claim 17, wherein the rostral surface is a rostral titanium shell and the caudal surface is a caudal titanium shell.

19. The expandable intervertebral implant system of claim 17, wherein the rostral surface is parallel to the caudal surface before expansion and after expansion.

20. A method of operating the expandable intervertebral implant system of claim 17, the method comprising:

inserting the expandable implant into the intervertebral space between the rostral and caudal vertebral bodies while the expandable implant is in a non-expanded configuration;

connecting the source syringe to the port of the expandable implant via the tube;

injecting liquid from the source syringe through the tube and into the expandable implant while the expandable implant is positioned in the intervertebral space; and

disconnecting the source syringe from the expandable implant after injecting the liquid into the expandable implant.