Expandable intervertebral implant

• US 10,449,056 B2
• Filed: 03/20/2018
• Issued: 10/22/2019
• Est. Priority Date: 04/05/2008
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Cain, Christopher Marden John
• Primary Examiner(s): Beccia, Christopher J
• Application Number:
  US15/926,247
• Publication Number:
  US 20180207001A1
• Time in Patent Office: 581 Days
• 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 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30462 retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2002/30471 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2002/30495 using a locking ring
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/3052 unrestrained in only one direction, e.g. moving unidirectionally
• CPC Class Codes: A61F 2002/30537 adjustable
• CPC Class Codes: A61F 2002/30538 for adjusting angular orientation
• 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 2002/30601 telescopic
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30884 Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2002/4415 elements of the prosthesis being arranged in a chain like manner
• CPC Class Codes: A61F 2002/443 : having two transversal endplates and at least one intermediate component
• CPC Class Codes: A61F 2002/448 : comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants
• CPC Class Codes: A61F 2002/4485 : comprising three or more adjacent spinal implants
• CPC Class Codes: A61F 2002/4627 : with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
• CPC Class Codes: A61F 2002/4628 : with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0075 : sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2220/0091 : connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2250/0006 : for adjusting angular orientation
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

An expandable intervertebral implant is provided for insertion into an intervertebral space defined by adjacent vertebrae. The expandable intervertebral implant includes a pair of outer sleeve portions and an inner core disposed between the outer sleeve portions. Movement of the inner core relative to the outer sleeve portions causes the outers sleeve portions to deflect away from each other, thereby engaging the expandable intervertebral implant with the vertebrae and adjusting the height of the intervertebral space.

Claims

1. An expandable intervertebral implant insertable into an intervertebral disc space and expandable from an initial position to an expanded position, the expandable intervertebral implant comprising:

a first outer portion defining a first bone contacting surface, the first outer portion elongate along a central axis, the first outer portion including a plurality of first outer links and a first flexible coupling connected between first and second ones of the first outer links that are adjacent to each other, such that the first one of the first outer links is movable with respect to the second one of the first outer links;

a second outer portion defining a second bone contacting surface, the second outer portion elongate along the central axis including a plurality of second outer links and a second flexible coupling connected between first and second ones of the second outer links that are adjacent to each other, such that the first one of the second outer links is movable with respect to the second one of the second outer links, wherein the first and second outer portions combine to define a footprint of the implant with respect to a direction perpendicular to the central axis that has a first size when the implant is in the initial position; and

a movable member configured to be positioned between the first and second outer portions, such that translation of the movable member along the central axis in a single direction relative to both

     1) the first and second ones of the first outer links, and

     2) the first and second ones of the second outer links causes the footprint to increase along the direction when the implant is in the expanded position.

2. The expandable intervertebral implant as recited in claim 1, wherein the first and second outer portions are spaced from each other along a transverse direction, and the direction perpendicular to the central axis is defined by the transverse direction.

3. The expandable intervertebral implant as recited in claim 2, wherein the first and second outer portions move away from each other along the transverse direction so as to increase the footprint.

4. The expandable intervertebral implant as recited in claim 1, wherein the movable member comprises an inner core that has a height greater than a height of a gap between the first and second outer portions when respective sides of the upper and lower members abut each other.

5. The expandable intervertebral implant as recited in claim 4, wherein the inner core comprises opposed ramped surfaces that bear against the first and second outer portions so as to increase a height of the implant.

6. The expandable intervertebral implant as recited in claim 4, wherein the inner core comprises projections that interlock with respective pockets of the first and second outer portions.

7. The expandable intervertebral implant as recited in claim 1, wherein the first and second outer portions are spaced from each other along a transverse direction, and the direction perpendicular to the central axis is also perpendicular to the transverse direction.

8. The expandable intervertebral implant as recited in claim 7, wherein the first and second outer portions move away from each other along the direction perpendicular to the central axis.

9. The expandable intervertebral implant as recited in claim 7, wherein the movable member comprises a stopper at one end, and a rod that extends out the other end, such that pulling on the rod causes the stopper to apply a biasing force to the first and second outer portions that increases the footprint.

10. An expandable intervertebral implant insertable into an intervertebral disc space and movable from an initial position to an expanded position, the expandable intervertebral implant comprising:

a first outer portion defining a first bone contacting surface, the first outer portion including a plurality of first outer links and a first flexible coupling connected between first and second ones of the first outer links that are adjacent to each other, such that the first one of the first outer links is movable with respect to the second one of the first outer links, and;

a second outer portion defining a second bone contacting surface, the second outer portion elongate along the central axis including a plurality of second outer links and a second flexible coupling connected between first and second ones of the second outer links that are adjacent to each other, such that the first one of the second outer links is movable with respect to the second one of the second outer links, wherein the first and second bone contacting surfaces are opposite each other along a transverse direction; and

an inner core configured to be positioned between the first and second outer portions, such that translation of the inner core between the first and second outer portions causes the links of the first and second outer portions to move away from each other along the transverse direction, thereby moving the implant from the initial position to the expanded position,

wherein the inner core comprises projections that are received in respective recesses of the first and second outer portions as the inner core translates between the first and second outer portions to expand the implant from the initial position to the expanded position.

11. The expandable intervertebral implant as recited in claim 10, wherein the inner core comprises ramped surfaces that bear against the first and second outer portions, respectively, so as to expand the implant from the initial position to the expanded position.

12. The expandable intervertebral implant as recited in claim 10, wherein the inner core comprises projections that interlock with respective pockets of the first and second outer portions.

13. An expandable intervertebral implant that is insertable into an intervertebral disc space and expandable from an initial position to an expanded position, the expandable intervertebral implant comprising:

a first outer portion defining opposed ends spaced from each other along a longitudinal direction, the first outer portion further defining a first bone contacting surface, wherein the first outer portion defines a first pair of sloped engagement surfaces that are spaced from each other along the longitudinal direction;

a second outer portion defining opposed ends spaced from each other along the longitudinal direction, the second outer portion further defining a second bone contacting surface spaced from the first bone contacting surface along a transverse direction that is substantially perpendicular to the longitudinal direction, wherein the second outer portion further defines first and second sloped engagement surfaces that are spaced from each other along the longitudinal direction, and the second bone contacting surface defines an orientation relative to the first bone contacting surface; and

an inner core disposed between the first and second outer portions, the inner core defining a third pair of sloped engagement surfaces that face the first outer portion and are spaced from each other and aligned with each other along the longitudinal direction, and a fourth pair of sloped engagement surfaces that face the second outer portion and are spaced from each other and aligned with each other along the longitudinal direction,

wherein (i) movement of the inner core relative to the first and second outer portions causes a) each of the third pair of sloped engagement surfaces to ride along each of the first pair of sloped engagement surfaces, respectively, and b) each of the fourth pair of sloped engagement surfaces to ride along each of the second pair of sloped engagement surfaces, respectively, thereby causing the first and second outer portions to deflect away from each other along the transverse direction from the initial position to the expanded position, (ii) the relative orientation of the second bone contacting surface with respect to the first bone contacting surface remains constant before, during, and after deflection of the first and second outer portions away from each other along the transverse direction, (iii) the implant defines a height from the first bone contacting surface to the second bone contacting surface along the transverse direction, and the expandable intervertebral implant is designed such that when the expandable intervertebral implant is in the initial position, the height is a minimum height such that the implant is unable to achieve a height less than the minimum height via movement of the inner core relative to each of the first and second outer portions along the longitudinal direction, and (iv) when the expandable intervertebral implant is in the expanded position, the first and second outer portions are prevented from moving toward each other in a direction from the expanded position to the initial position while (a) the third pair of sloped engagement surfaces is in abutment with the first pair of sloped engagement surfaces, respectively, and (b) the fourth pair of sloped engagement surfaces is in abutment with the second pair of sloped engagement surfaces, respectively.

14. The expandable intervertebral implant as recited in claim 13, wherein the movement of the inner core relative to the first and second outer portions is in a single direction.