Interbody implant with independent control of expansion at multiple locations

• US 10,470,891 B2
• Filed: 09/12/2017
• Issued: 11/12/2019
• Est. Priority Date: 09/12/2016
• Status: Active Grant

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Inventors: Sharifi-Mehr, Amir Ali, Buchert, Oliver
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): Eckman, Michelle C
• Application Number:
  US15/702,171
• Publication Number:
  US 20180071111A1
• Time in Patent Office: 791 Days
• CPC Class Codes: A61F 2/441 made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel
• CPC Class Codes: A61F 2/4425 made of articulated components
• 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 2/447 substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/30224 cylindrical
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30476 locked by an additional locking mechanism
• CPC Class Codes: A61F 2002/30522 releasable, e.g. using a releasable ratchet
• CPC Class Codes: A61F 2002/30523 by means of meshing gear teeth
• CPC Class Codes: A61F 2002/30538 for adjusting angular orientation
• CPC Class Codes: A61F 2002/30548 for adjusting fluid pressure
• CPC Class Codes: A61F 2002/30556 for adjusting thickness
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30586 having two or more inflatable pockets or chambers
• CPC Class Codes: A61F 2002/30601 telescopic
• CPC Class Codes: A61F 2002/30622 Implant for fusing a joint or bone material
• CPC Class Codes: A61F 2002/30624 Hinged joint, e.g. with transverse axle restricting the movement
• CPC Class Codes: A61F 2002/30828 parallel
• 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 2002/4629 : connected to the endoprosthesis or implant via a threaded connection
• CPC Class Codes: A61F 2002/4692 : fluid
• CPC Class Codes: A61F 2002/4693 : hydraulic

Abstract

Expandable spinal interbody implants include a body and at least one extendable support element connected thereto. Such an implant may include a second extendable support element and a tool selectively positionable with respect to the implant so as to independently or simultaneously expand both extendable support elements. In another example, such an implant may include, at each of a first and second location, a respective movable member and a respective locking element. The at least one extendable support element may be actuatable to expand so as to induce movement of at least one of the movable members away from the body. The locking elements at each of the first and second locations may be selectively lockable such that, when locked, the locking element restrains movement of the associated movable member at that location away from the body without restraining movement of the other movable member away from the body.

Claims

1. A spinal implant for placement between first and second vertebral bodies, comprising:

a body having a first surface for engaging a first vertebral body;

a first movable member having a first end movable away from the body at a first location;

a second movable member having a second end movable away from the body at a second location;

at least one extendable support element connected to the body, the first extendable support element being actuatable to expand so as to induce movement of at least one of the first and second ends of the respective first and second movable members away from the body;

a first locking element at the first location; and

a second locking element at the second location;

wherein the first locking element is manipulatable by a user to move between an unlocked configuration and a locked configuration, independent of a position of the first movable member away from the body, such that, when in the locked configuration, the first locking element restrains movement of the first movable member away from the body without restraining movement of the second movable member away from the body; and

wherein the second locking element is manipulatable by a user to move between an unlocked configuration and a locked configuration, independent of a position of the second movable member away from the body, such that, when in the locked configuration, the second locking element restrains movement of the second movable member away from the body without restraining movement of the first movable member away from the body.

2. The spinal implant of claim 1, wherein, when in the locked configuration, the first locking element restrains movement of the first movable member away from the body by defining a maximum amount of permitted movement of the first movable member away from the body;

and wherein, when in the locked configuration, the second locking element restrains movement of the second movable member away from the body by defining a maximum amount of permitted movement of the second movable member away from the body.

3. The spinal implant of claim 2, wherein the first locking element is configured to selectively vary the maximum amount of permitted movement of the first movable member away from the body when the first locking element is in the locked configuration;

and wherein the second locking element is configured to selectively vary the maximum amount of permitted movement of the second movable member away from the body when the second locking element is in the locked configuration.

4. The spinal implant of claim 1, wherein the first and second locking elements are each rotatable so as to move between the locked configuration and the unlocked configuration.

5. The spinal implant of claim 4, wherein the first and second locking elements each have a cylindrical shape defining an open interior space.

6. The spinal implant of claim 5, wherein the at least one extendable support element includes a first extendable support element and a second extendable support element, wherein the first extendable support element is received within the open interior space of the first locking element, and wherein the second extendable support element is received within the open interior space of the second locking element.

7. The spinal implant of claim 6, wherein an inner surface of the first locking element includes a first inner projecting feature, and wherein an outer surface of the first extendable support element includes a first outer projecting feature, the first inner projecting feature and the first outer projecting feature being arranged to selectively engage and disengage one another based on a rotational position of the first locking element;

and wherein an inner surface of the second locking element includes a second inner projecting feature, and wherein an outer surface of the second extendable support element includes a second outer projecting feature, the second inner projecting feature and the second outer projecting feature being arranged to selectively engage and disengage one another based on a rotational position of the second locking element.

8. The spinal implant of claim 7, wherein the first inner projecting feature, the first outer projecting feature, the second inner projecting feature, and the second outer projecting feature each include a plurality of projecting ribs.

9. The spinal implant of claim 7, wherein the first inner projecting feature includes a series of first projecting ribs, each of the first projecting ribs extending to a different radial position along the inner surface of the first locking element;

and wherein the second inner projecting feature includes a series of second projecting ribs, each of the second projecting ribs extending to a different radial position along the inner surface of the second locking element.

10. The spinal implant of claim 5, wherein the first locking element includes a plurality of teeth along an outer surface of the first locking element, the teeth being adapted for engagement by a first control tool to rotate the first locking element so as to move the first locking element between the locked configuration and the unlocked configuration.

11. The spinal implant of claim 1, wherein the at least one extendable support element includes a first extendable support element and a second extendable support element, wherein the first movable member is a portion of the first extendable support element, and wherein the second movable member is a portion of the second extendable support element.

12. The spinal implant of claim 1, wherein the first movable member and the second movable member are connected by a plate having a second surface for engaging a second vertebral body.

13. The spinal implant of claim 12, wherein the first movable member is connected to the plate by a first pivotable connection and the second movable member is connected to the plate by a second pivotable connection.

14. A spinal implant system, comprising:

the spinal implant of claim 1;

a first control rod adapted to move the first locking element of the spinal implant between the locked configuration and the unlocked configuration; and

a second control rod adapted to move the second locking element of the spinal implant between the locked configuration and the unlocked configuration.

15. The spinal implant system of claim 14, wherein the first control rod is adapted to move the first locking element between the locked configuration and the unlocked configuration by linear movement of the first control rod within the spinal implant;

and wherein the second control rod is adapted to move the second locking element between the locked configuration and the unlocked configuration by linear movement of the second control rod within the spinal implant.

16. The spinal implant system of claim 15, wherein the first and second control rods each include a plurality of teeth arranged to engage the respective first and second locking elements so as to control the movement of the first and second locking elements between the respective locked and unlocked configurations.