Expandable bone implant

• US 10,646,349 B2
• Filed: 02/19/2018
• Issued: 05/12/2020
• Est. Priority Date: 05/08/2009
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Schaller, Konrad, Lechmann, Beat, Frigg, Robert
• Primary Examiner(s): Harvey, Julianna N
• Assistant Examiner(s): Negrellirodriguez, Christina
• Application Number:
  US15/899,014
• Publication Number:
  US 20180168816A1
• Time in Patent Office: 813 Days
• CPC Class Codes: A61B 17/149 Chain, wire or band saws
• CPC Class Codes: A61B 17/1604 Chisels; Rongeurs; Punches; Stamps
• CPC Class Codes: A61B 17/1642 for producing a curved bore
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/7097 Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants disc prostheses made of inflatable chambers or pockets filled with fluid A61F2/441; replacing the nucleus pulposus A61F2002/444
• CPC Class Codes: A61B 17/8858 laterally or radially expansible inflatable A61B17/8855
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• CPC Class Codes: A61F 2/46 Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
• 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 2002/30593 hollow
• CPC Class Codes: A61F 2002/30953 using a remote computer network, e.g. Internet
• CPC Class Codes: A61F 2002/4625 with relative movement between parts of the instrument during use
• CPC Class Codes: A61F 2002/4635 using minimally invasive surgery

Abstract

An expandable implant includes an implant body defining an internal void, the implant body including a plurality of interconnected linkages. A first plurality of the linkages has an expansion characteristic that is different from a second plurality of the linkages. An expandable bladder is sized to be disposed in the internal void. The bladder defines a bore configured to receive an expansion material, such that the expansion material applies an expansion force against the bladder, which thereby applies the expansion force against the implant body so as to cause the first linkage to expand greater than the second linkage. The expandable implant can be placed in a fracture location so as to restore height to a fractured target bone.

Claims

1. An implant insertion assembly, comprising:

a first cannulated body having a distal end that is configured to be positioned adjacent a target bone, wherein the first cannulated body is substantially straight from the distal end to a proximal end spaced from the distal end;

an opening device that is elongate and configured to advance through the first cannulated body, the opening device defining a distal end that is configured to advance distally beyond the distal end of the first cannulated body and cut into the target bone, wherein at least a portion of the opening device located proximally from the distal end is configured to extend

     1) substantially axially straight while located within the first cannulated body and

     2) axially curved after extending beyond the distal end of the first cannulated body such that the distal end of the opening device cuts a curved guide path within the target bone;

a second cannulated body having a proximal end and a distal end that are spaced from each other, wherein the distal end of the second cannulated body is configured to be positioned adjacent the target bone at a location spaced from the distal end of the first cannulated body, wherein the second cannulated body is substantially straight from its proximal end to its distal end;

an aiming device having a body that defines a pair of apertures spaced from one another and each extending through the body, wherein the pair of apertures are configured to receive the first and second cannulated bodies, respectively, so that the distal end of the first cannulated body and the distal end of the second cannulated body are each positioned adjacent the target bone at a desired spacing relative to one another; and

an implant insertable within at least the first cannulated body and along the opening device and along the curved guide path within the target bone, the implant defining a central axis that is curved while the implant is positioned along the curved guide path, and the implant is expandable outwardly along a direction perpendicular to the central axis.

2. The implant insertion assembly of claim 1, wherein the at least the portion of the opening device is formed of an elastic material that is pre-bent according to a geometry of the target bone.

3. The implant insertion assembly of claim 2, wherein the elastic material is nitinol.

4. The implant insertion assembly of claim 1, further comprising a second opening device that is elongate and configured to advance through the second cannulated body, the second opening device defining a distal end that is configured to advance distally beyond the distal end of the second cannulated body and cut into the target bone, wherein at least a portion of the second opening device located proximally from the distal end thereof is configured to extend 1) substantially axially straight while located within the second cannulated body and 2) axially curved after extending beyond the distal end of the second cannulated body such that the distal end of the second opening device cuts a second curved guide path and abuts the distal end of the first opening device within the target bone.

5. The implant insertion assembly of claim 4, wherein the first and second opening devices each defines a cannula configured to allow advancement of the implant therethrough and into the target bone.

6. The implant insertion assembly of claim 5, further comprising a cutting device insertable through the cannulas of the first and second opening devices and through the at least the portions of the first and second opening devices, wherein the first and second opening devices are each configured to be at least partially withdrawn from the first and second cannulated bodies, respectively, so as to expose cutting features of the cutting device to the target bone along the curved guide paths.

7. The implant insertion assembly of claim 6, wherein the cutting device further comprises:

a body having opposed ends;

a cutting portion that includes the cutting features, wherein the cutting portion is disposed between the opposed ends, the opposed ends are sized so as to extend proximally from the proximal ends of the first and second cannulated bodies, respectively, and the opposed ends are configured to be gripped so as to translate the cutting portion back and forth along the curved guide paths, thereby performing an osteotomy in the target bone.

8. The implant insertion assembly of claim 7, wherein the cutting device further comprises a protective sleeve configured to iterate between a first position in which the protective sleeve covers the cutting features and a second position in which the cutting features are exposed to the target bone.

9. The implant insertion assembly of claim 8, wherein the cutting features are teeth, and the protective sleeve includes a plurality of apertures configured to be 1) offset from the teeth when the protective sleeve is in the first position, and 2) aligned with the teeth when the protective sleeve is in the second position.

10. The implant insertion assembly of claim 9, wherein the teeth are biased so as to extend outwardly from the cutting portion and through the plurality of apertures so as to cut adjacent structure of the target bone when the protective sleeve is in the second position.

11. The implant insertion assembly of claim 5, wherein the implant is insertable through the first cannulated body and through the cannula of the first opening device and into the cannula of the second opening device so as to reside along the curved guide paths within the target bone, and the central axis is curved while the implant is positioned along the curved guide path before and after expansion.

12. The implant insertion assembly of claim 11, wherein the implant comprises an implant body elongate along the central axis, the implant body having a plurality of linkages connected so as to define at least one annular row of linkages arranged in a plurality of columns, each of the plurality of linkages defining a first side and a second side circumferentially spaced from the first side about the central axis, wherein the linkages are configured such that a distance between the first and second sides of each of the linkages increases as the implant expands.

13. The implant insertion assembly of claim 5, wherein:

the implant is a first implant that is insertable through the first cannulated body and through the cannula of the first opening device along the curved guide path within the target bone; and

the implant insertion assembly further comprises a second implant that is insertable through the second cannulated body and through the cannula of the second opening device along the second curved guide path within the target bone, wherein the second implant defines a second central axis, and the second implant is expandable outwardly along a respective direction perpendicular to the second central axis, and the second central axis is curved while the second implant is positioned along the second curved guide path before and after expansion of the second implant.

14. The implant insertion assembly of claim 13, wherein each of the first and second implants comprises an implant body elongate along the central axis, the implant body having a plurality of linkages connected so as to define at least one annular row of linkages arranged in a plurality of columns, each of the plurality of linkages defining a first side and a second side circumferentially spaced from the first side about the central axis, wherein the linkages are configured such that a distance between the first and second sides of each of the linkages increases as the implant expands.

15. The implant insertion assembly of claim 1, wherein the opening device is a guide wire insertable through one of the first and second cannulated bodies and beyond the distal end thereof, such that the distal end of the guide wire is configured to cut the curved guide path within the target bone to the distal end of the other of the first and second cannulated bodies, wherein the guide wire is further insertable through the other of the first and second cannulated bodies.

16. The implant insertion assembly of claim 15, further comprising a clamp insertable within the other of the first and second cannulated bodies, wherein the clamp is configured to engage and selectively retain the distal end of the guide wire and pull the guide wire such that portions of the guide wire extend proximally beyond the proximal ends of the first and second cannulated bodies.

17. The implant insertion assembly of claim 16, wherein the guide wire includes a cutting portion defining cutting teeth, wherein the cutting portion is configured to iterate back and forth within the curved guide path so as to perform an osteotomy on the target bone.

18. The implant insertion assembly of claim 15, wherein the implant defines a central bore configured to receive the guide wire, such that the implant is configured to ride along the guide wire and advance through one of the first and second cannulated bodies and into the curved guide path within the target bone.

19. The implant insertion assembly of claim 18, further comprising an expansion device received within the central bore of the implant so as to carry the implant, the expansion device defining a central bore configured to receive the guide wire, and the expansion device and the implant are configured to ride along the guide wire and advance through the one of the first and second cannulated bodies and into the curved guide path within the target bone, wherein the expansion device is configured to be filled with a material under pressure so as to expand the expansion device against the implant along the direction perpendicular to the central axis.