Expandable vertebral body replacement device and method

• US 10,653,530 B2
• Filed: 09/28/2017
• Issued: 05/19/2020
• Est. Priority Date: 03/23/2015
• Status: Active Grant

• Current Assignee: MUSC Foundation For Research Development (State of South Carolina)
• Original Assignee: MUSC Foundation For Research Development (State of South Carolina)
• Inventors: Semler, Mark Evald, Frankel, Bruce, Ruscito, Joseph
• Primary Examiner(s): Summitt, Lynnsy M
• Assistant Examiner(s): Carter, Tara Rose E
• Application Number:
  US15/719,192
• Publication Number:
  US 20180014942A1
• Time in Patent Office: 964 Days
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• 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 2/4455 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 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/30398 Sliding
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30515 using a locking wedge or block
• CPC Class Codes: A61F 2002/30517 using a locking plate
• CPC Class Codes: A61F 2002/30556 for adjusting thickness
• CPC Class Codes: A61F 2002/30601 telescopic
• CPC Class Codes: A61F 2002/30774 internally-threaded
• CPC Class Codes: A61F 2002/30784 Plurality of holes
• CPC Class Codes: A61F 2002/30818 castellated or crenellated
• CPC Class Codes: A61F 2002/30825 arcuate
• CPC Class Codes: A61F 2002/30836 knurled
• 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 2250/0007 for adjusting length

Abstract

An expandable vertebral body device, system, instrument, and methods of assembly and using the device, system, and instrument are disclosed. The vertebral body device includes a body with a first end and a second end, a first rotating member rotatably coupled to the first end, a second rotating member rotatably coupled to the second end, a first extension member moveably coupled to the first end, and a second extension member moveably coupled to the second end. The expandable cage system comprises a vertebral body device and an insertion instrument. Methods for assembling and using the vertebral body device and instrument are also disclosed.

Claims

1. A vertebral body device, comprising:

a body with a first end and a second end, wherein the body further comprises;

an opening extending from the first end to the second end;

at least one first channel recessed into an interior surface of the body and extending from the first end toward the second end and positioned adjacent to the opening; and

at least one second channel recessed into the interior surface of the body and extending from the second end toward the first end and positioned adjacent to the opening;

a first rotating member rotatably coupled directly to an exterior surface of the first end;

a second rotating member rotatably coupled directly to an exterior surface of the second end;

a first extension member moveably coupled to the first end and engaging an interior surface of the body; and

a second extension member moveably coupled to the second end and engaging the interior surface of the body.

2. The vertebral body device of claim 1, wherein the body further comprises:

a first groove positioned on the exterior surface of the body near the first end for receiving the first rotating member;

a second groove positioned on the exterior surface of the body near the second end for receiving the second rotating member;

at least one aperture positioned at a midpoint between the first end and the second end;

at least one first positioning hole positioned superior to the at least one aperture; and

at least one second positioning hole positioned inferior to the at least one aperture.

3. The vertebral body device of claim 2, wherein the first rotating member comprises:

a center opening forming an interior surface, wherein the interior surface comprises;

threads positioned on the interior surface; and

at least one first angled slot positioned on the interior surface and intersecting the threads as the at least one first angled slot extends from a top surface to a bottom surface of the first rotating member; and

a plurality of grooves positioned around an exterior surface, wherein the plurality of grooves are undercut toward the interior surface forming a locking surface extending from an exterior surface of each of the grooves to the exterior surface of the first rotating member.

4. The vertebral body device of claim 3, wherein the second rotating member comprises:

a center opening forming an interior surface, wherein the interior surface comprises;

threads positioned on the interior surface; and

at least one second angled slot positioned on the interior surface and intersecting the threads as the at least one second angled slot extends from a bottom surface to a top surface of the second rotating member; and

a plurality of grooves positioned around an exterior surface, wherein the plurality of grooves are undercut toward the interior surface forming a locking surface extending from an exterior surface of each of the grooves to the exterior surface of the second rotating member.

5. The vertebral body device of claim 4, wherein the first extension member comprises:

a top portion;

at least one first leg member extending away from the top portion; and

at least one first support member positioned between and coupled to the at least one first leg member.

6. The vertebral body device of claim 5, wherein the second extension member comprises:

a bottom portion;

at least one second leg member extending away from the bottom portion; and

at least one second support member positioned between and coupled to the at least one second leg member.

7. The vertebral body device of claim 6, wherein the top portion comprises:

a center opening extending from a top surface to a bottom surface of the top portion; and

a plurality of grooves in the top surface and positioned circumferentially around the center opening; and

 

wherein the bottom portion comprises;

a center opening extending from a bottom surface to a top surface of the bottom portion; and

a plurality of grooves in the bottom surface and positioned circumferentially around the center opening.

8. The vertebral body device of claim 6, wherein the at least one first leg member comprises:

threads positioned on an exterior surface of the at least one first leg member and configured to engage the threads on the interior surface of the first rotating member; and

a tab positioned on a second end of the at least one first leg member and configured to engage the at least one first angled slot of the first rotating member.

9. The vertebral body device of claim 8, wherein the at least one second leg member comprises:

threads positioned on an exterior surface of the at least one second leg member and configured to engage the threads on the interior surface of the second rotating member; and

a tab positioned on a second end of the at least one second leg member and configured to engage the at least one second angled slot of the second rotating member.

10. The vertebral body device of claim 1, wherein each channel of the at least one first channel comprises:

a first open end at the first end of the body; and

a first closed end at the second end of the body; and

 

wherein each channel of the at least one second channel comprises;

a second open end at the second end of the body; and

a second closed end at the first end of the body;

wherein the first open ends of the at least one first channel are separated by the second closed ends of the at least one second channel and the second open ends of the at least one second channel are separated by the first closed ends of the at least one first channel.

11. A vertebral body device, comprising:

a body with a first end and a second end, wherein the body comprises;

an opening extending from the first end to the second end;

at least one first channel recessed into an interior surface of the body and extending from the first end toward the second end and positioned adjacent to the opening; and

at least one second channel recessed into the interior surface of the body and extending from the second end toward the first end and positioned adjacent to the opening;

a first rotating member rotatably coupled to an exterior surface of the first end;

a second rotating member rotatably coupled to an exterior surface of the second end;

a first extension member moveably coupled to the first end; and

a second extension member moveably coupled to the second end;

wherein the at least one first channel is three channels, the at least one second channel is three channels, and the first channels are each positioned adjacent to the second channels.

12. A vertebral body device, comprising:

a body with a first end and a second end;

a first rotating member rotatably coupled to the first end, wherein the first rotating member comprises;

a center opening forming an interior surface, wherein the interior surface comprises;

threads positioned on the interior surface;

a plurality of grooves positioned around an exterior surface, wherein the plurality of grooves are undercut toward the interior surface forming a locking surface extending from an exterior surface of each of the grooves to the exterior surface of the first rotating member; and

at least one first angled slot positioned on the interior surface and intersecting the threads on the first rotating member;

a first extension member moveably coupled to the first end;

a second rotating member rotatably coupled to the second end, wherein the second rotating member comprises;

a center opening forming an interior surface, wherein the interior surface comprises;

threads positioned on the interior surface;

a plurality of grooves positioned around an exterior surface, wherein the plurality of grooves are undercut toward the interior surface forming a locking surface extending from an exterior surface of each of the grooves to the exterior surface of the second rotating member; and

at least one second angled slot positioned on the interior surface and intersecting the threads on the second rotating member;

a second extension member moveably coupled to the second end.

13. A vertebral body device, comprising:

a body with a first end and a second end;

a first rotating member rotatably coupled to the first end, wherein the first rotating member comprises;

a center opening forming an interior surface, wherein the interior surface comprises;

threads positioned on the interior surface; and

a plurality of grooves positioned around an exterior surface, wherein the plurality of grooves are undercut toward the interior surface forming a locking surface extending from an exterior surface of each of the grooves to the exterior surface of the first rotating member; and

a first extension member moveably coupled to the first end, wherein the first extension member comprises;

a top portion;

at least one first leg member extending away from the top portion, wherein the at least one first leg member comprises;

threads positioned on an exterior surface of the at least one first leg member and configured to engage the threads on the interior surface of the first rotating member; and

a tab positioned on a second end of the at least one first leg member and configured to engage at least one first angled slot of the first rotating member; and

at least one first support member positioned between and coupled to the at least one first leg member;

a second rotating member rotatably coupled to the second end, wherein the second rotating member comprises;

a center opening forming an interior surface, wherein the interior surface comprises;

threads positioned on the interior surface; and

a plurality of grooves positioned around an exterior surface, wherein the plurality of grooves are undercut toward the interior surface forming a locking surface extending from an exterior surface of each of the grooves to the exterior surface of the second rotating member; and

a second extension member moveably coupled to the second end;

wherein the body further comprises;

an opening extending from the first end to the second end;

at least one first channel extending from the first end toward the second end and positioned adjacent to the opening;

at least one second channel extending from the second end toward the first end and positioned adjacent to the opening;

a first groove positioned near the first end for receiving the first rotating member;

a second groove positioned near the second end for receiving the second rotating member; and

at least one aperture positioned at a midpoint between the first groove and the second groove.

14. The vertebral body device of claim 13, wherein the second extension member comprises:

a bottom portion;

at least one second leg member extending away from the bottom portion, wherein the at least one second leg member comprises;

threads positioned on an exterior surface of the at least one second leg member and configured to engage the threads on the interior surface of the second rotating member; and

a tab positioned on a second end of the at least one second leg member and configured to engage at least one second angled slot of the second rotating member; and

at least one second support member positioned between and coupled to the at least one second leg member.

15. The vertebral body device of claim 14, wherein the top portion comprises:

a center opening extending from a top surface to a bottom surface of the top portion; and

a plurality of grooves in the top surface and positioned circumferentially around the center opening; and

 

wherein the bottom portion comprises;

a center opening extending from a bottom surface to a top surface of the bottom portion; and

a plurality of grooves in the bottom surface and positioned circumferentially around the center opening.