Devices and methods for cervical lateral fixation

• US 10,376,380 B2
• Filed: 06/29/2017
• Issued: 08/13/2019
• Est. Priority Date: 08/31/2011
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Gamache, Thomas J., Sorrenti, Michael, Hawkins, John Riley, Gorhan, Michael
• Primary Examiner(s): Philogene, Pedro
• Application Number:
  US15/637,545
• Publication Number:
  US 20170296355A1
• Time in Patent Office: 775 Days
• Field of Search: 623 1711- 1716, 606246-279
• CPC Class Codes: A61B 17/7007 Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit around the screw or hook heads
• CPC Class Codes: A61B 17/7011 Longitudinal element being non-straight, e.g. curved, angled or branched adjustable length longitudinal elements A61B17/7014; A61B17/7019 takes precedence, e.g. coil springs
• CPC Class Codes: A61B 17/7014 with means for adjusting the distance between two screws or hooks
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/7062 Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs rib fixation devices A61B17/8076; Tools for such devices
• CPC Class Codes: A61B 17/844 with expandable anchors or anchors having movable parts
• CPC Class Codes: A61B 17/864 hollow, e.g. with socket or cannulated
• CPC Class Codes: A61F 2/4455 for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages intervertebral discs A61F2/442
• CPC Class Codes: A61F 2/446 having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
• CPC Class Codes: A61F 2/4465 having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
• CPC Class Codes: A61F 2002/2817 Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
• CPC Class Codes: A61F 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30774 internally-threaded
• CPC Class Codes: A61F 2002/30777 Oblong apertures
• CPC Class Codes: A61F 2002/30779 arcuate
• CPC Class Codes: A61F 2002/30785 : parallel
• CPC Class Codes: A61F 2002/30797 : internally-threaded
• CPC Class Codes: A61F 2002/3085 : with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/30858 : Threads interrupted by grooves or sidewalls, e.g. flat sidewalls
• CPC Class Codes: A61F 2002/30904 : serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2310/00017 : Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

Devices and methods are provided for treatment of the cervical spine. The devices and methods allow for treatment to be delivered from a lateral or posterior-lateral location of a subject, proximate to the cervical region of the spine. One exemplary embodiment of a spinal implant includes an elongate cage member and a plate member appended to a proximal end of the cage member. The plate member can be oriented in a manner such that it is asymmetric with respect to a long axis of the cage member. In another exemplary embodiment, an implant includes a cage member having a distal end that has an asymmetrical, bulleted shape such that the distal end is biased towards a superior or cranial direction. In a third exemplary embodiment, an implant includes a spinal fixation element and at least two mounting eyelets formed thereon. Exemplary methods related to implanting spinal implants from a lateral or posterior-lateral location are also provided.

Claims

1. A spinal implant, comprising:

an elongate cage member having distal and proximal ends and an external surface extending therebetween, the external surface being defined by a generally concave superior surface, a generally convex inferior surface, an anterior wall, and a posterior wall, the cage having a hollow interior and a plurality of openings formed in the external surface;

wherein the inferior surface located at the distal end of the elongate cage member is biased in a superior direction towards the superior surface located at the distal end of the elongate cage member, the bias of the inferior surface being greater than a bias in the superior direction of the superior surface located at the distal end of the elongate cage member such that the distal end of the elongate cage member has an asymmetrical, bulleted shape.

2. The implant of claim 1, further comprising a plate member integrally formed on the cage member in proximity to the proximal end of the cage member, the plate member having a long axis that is generally perpendicular to a long axis of the cage member which, when viewed from above the superior or inferior surface, extends from the distal end to the proximal end at a longest dimensions therebetween, and the plate member having a curve along a short axis thereof.

3. The implant of claim 2, wherein the plate member is asymmetric with respect to the long axis of the cage member such that the plate member is disposed on an anterior side of the long axis.

4. The implant of claim 3, wherein the plate member is oriented with respect to the cage member such that a midpoint of the plate member is disposed anterior to the long axis of the cage member.

5. The implant of claim 1, wherein at least one of the superior and inferior surfaces of the cage member includes one or more surface features configured to prevent migration of the implant.

6. The implant of claim 1, wherein the posterior wall of the cage member includes a curve that is generally concave.

7. The implant of claim 1, wherein the anterior wall of the cage member includes a curve that is generally convex.

8. An elongate cage member, comprising:

a distal insertion end;

a proximal anchoring end opposed to the distal insertion end;

a superior surface extending between the distal insertion end and the proximal anchoring end;

an inferior surface extending between the distal insertion end and the proximal anchoring end, the inferior surface being opposed to the superior surface;

a curved anterior wall extending between the distal insertion end and the proximal anchoring end and the superior surface and the inferior surface;

a curved posterior wall extending between the distal insertion end and the proximal anchoring end and the superior surface and the inferior surface, the curved posterior wall being opposed to the curved anterior wall,

wherein a radius of curvature of a distal portion of the inferior surface at the distal insertion end is greater than a radius of curvature of a distal portion of the superior surface at the distal insertion end, the distal portions of the inferior and superior surfaces being opposed to each other.

9. The elongate cage member of claim 8,

wherein a distal tip of the elongate cage member includes the distal portions of the inferior and superior surfaces and portions, distal portions of each of the curved anterior wall and the curved posterior wall, and the distal insertion end, and

wherein the distal tip comprises an asymmetrically-curved, bullet-shaped tip.

10. The elongate cage member of claim 8, further comprising a plate member integrally formed on at least a portion of each of the proximal anchoring end and the curved anterior wall, the plate member having a long axis that is generally perpendicular to an approximately central long axis extending from the proximal anchoring end to the distal insertion end, and the plate member having a curve along a short axis thereof.

11. The elongate cage member of claim 10, wherein the plate member is asymmetric with respect to the approximately central long axis such that the plate member is disposed on an anterior side of the long axis.

12. The elongate cage member of claim 11, wherein the plate member is oriented with respect to the proximal anchoring end such that a midpoint of the plate member is disposed anterior to the approximately central long axis.

13. The elongate cage member of claim 8, wherein at least one of the superior and inferior surfaces includes one or more surface features configured to prevent migration of the elongate cage member.

14. The elongate cage member of claim 8, wherein the curved posterior wall is generally concave.

15. The elongate cage member of claim 8, wherein the curved anterior wall is generally convex.

16. The elongate cage member of claim 8, wherein the proximal anchoring end comprises a threaded bore.

17. The elongate cage member of claim 8, further comprising an interior open space defined by interior surfaces of the distal insertion end, the proximal anchoring end, the curved anterior wall, and the curved posterior wall, the interior open space extending from the superior surface to the inferior surface.

18. The elongate cage member of claim 17, further comprising one or more openings formed in at least one of the distal insertion end, the proximal anchoring end, the curved anterior wall, and the curved posterior wall, the one or more openings being in communication with the interior open space.