Minimally invasive expanding spacer and method

• US 20040087947A1
• Filed: 08/28/2002
• Published: 05/06/2004
• Est. Priority Date: 08/28/2002
• Status: Abandoned Application

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Sherman, Michael C., Lim, Roy
• Application Number:
  US10/229,560
• Publication Number:
  US 20040087947A1
• Time in Patent Office: Days
• US Class Current: 606/61
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• 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 2/4465 having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
• 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 2002/2817 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 2002/30019 differing in mechanical expandability, e.g. in mechanical, self- or balloon expandability
• CPC Class Codes: A61F 2002/30131 horseshoe- or crescent- or C-shaped or U-shaped
• CPC Class Codes: A61F 2002/30133 kidney-shaped or bean-shaped
• CPC Class Codes: A61F 2002/30401 with additional means for preventing or locking said sliding
• CPC Class Codes: A61F 2002/30428 made by inserting a protrusion into a slot
• CPC Class Codes: A61F 2002/30481 using a locking clip
• CPC Class Codes: A61F 2002/30492 using a locking pin
• CPC Class Codes: A61F 2002/30505 spring biased
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30556 for adjusting thickness
• CPC Class Codes: A61F 2002/30784 Plurality of holes
• CPC Class Codes: A61F 2002/30836 knurled
• CPC Class Codes: A61F 2002/30879 : Ribs
• 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 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2230/0013 : Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/0015 : Kidney-shaped, e.g. bean-shaped
• CPC Class Codes: A61F 2250/0009 : for adjusting thickness
• CPC Class Codes: A61F 2250/0048 : differing in mechanical expandability, e.g. in mechanical, self- or balloon expandability

Abstract

A spacer and method of using the spacer for positioning between and spacing vertebral members. The spacer is positionable between a first position having a reduced size to be minimally invasive when inserted into the patient between the vertebral members. The spacer is expandable up to a second position to contact the vertebral members. In one embodiment, a delivery device is attached to position the spacer within the patient. The delivery device may remain connected to the spacer, or may be removable with the spacer remaining within the patient as the delivery device is removed. In one embodiment, the spacer comprises a first member and a second member each positioned about a middle member. Middle member moves relative to the first and second members with angled surfaces contacting to deploy the spacer between the closed and open orientations.

Claims

1. A spacer to position vertebral members comprising:

a first body comprising a first angled surface that increases distally along a length of the spacer;

a second body adjacent to the first body and comprising a second angled surface that increases proximally along a length of the spacer;

the first body being movable relative to the second body and positionable between a first orientation having a first height, and a second orientation having a second height with the first angled surface and the second angled surface being in contact, the second height being greater than the first height.

2. The spacer of claim 1, wherein the first angled surface and the second angled surface are spaced apart in the first orientation.

3. The spacer of claim 1, wherein the first body comprises a first contact surface positioned opposite from the first angled surface, and the second body comprises a second contact surface positioned opposite from the second angled surface.

4. The spacer of claim 3, wherein the first and second contact surfaces are substantially parallel in the first orientation.

5. The spacer of claim 3, wherein the first and second contact surfaces are oblique in the second orientation.

6. The spacer of claim 1, wherein the first angled surface has a different slope than the second angled surface.

7. The spacer of claim 1, further comprising a third angled surface on the first body that contacts a fourth angled surface on the second body when moving the spacer from the first orientation to the second orientation.

8. A spacer for positioning between vertebral members comprising:

a middle member having a wedge with a first surface and a second surface forming a vertex that is positioned proximally of a base;

a first member positioned on a first side of the middle member and comprising a first contact surface and a first angled surface; and

a second member positioned on a second side of the middle member and comprising a second contact surface and a second angled surface;

the device being positionable between a first orientation with the first angled surface positioned from the first surface and the second angled surface positioned from the second surface, and a second orientation with the first angled surface contacting the first surface and the second angled surface contacting the second surface with the first contact surface and the second contact surface positioned apart a distance greater than in the first orientation.

9. The spacer of claim 8, wherein the vertex of the middle member is positioned on a centerline of the spacer.

10. The spacer of claim 8, wherein the first contact surface and the second contact surface are substantially parallel in the first orientation and oblique in the second orientation.

11. The spacer of claim 8, further comprising a chassis with locking tabs that mate with the middle member in the second orientation to prevent the spacer from moving from the second orientation towards the first orientation.

12. The spacer of claim 8, wherein the first angled surface has a different slope than the second angled surface.

13. The spacer of claim 8, wherein the first surface and the second surface each have a stepped configuration.

14. The spacer of claim 8, further comprising a locking member positioned within the middle member that locks with a chassis, the locking member comprising a spring-biased cap that extends outward from the middle member.

15. A spacer for positioning between vertebral members comprising:

a middle member having a first wedge and a second wedge each angled in a first direction and positioned a predetermined distance apart;

a first member comprising a first contact surface, and a first angled surface and a second angled surface positioned the predetermined distance apart, the first angled surface and the second angled surface angled in a second direction different from the first direction; and

a second member comprising a second contact surface and a third angled surface and a fourth angled surface positioned the predetermined distance apart, the second member being positioned adjacent to the middle member and opposite from the first member, the third angled surface and the fourth angled surface angled in the second direction.

16. The spacer of claim 15, comprising a chassis having a locking tab that contacts the middle member to lock the spacer in the open orientation.

17. The spacer of claim 16, wherein the middle member comprises an indent positioned along a sidewall to receive the locking tab.

18. The spacer of claim 15, further comprising a locking member having a pair of extensions that extend outward to mate with a chassis positioned around the middle member.

19. The spacer of claim 18, wherein the chassis comprises a plurality of apertures spaced to receive the locking member to lock the spacer in a variety of open orientations.

20. The spacer of claim 15, further comprising an elongated delivery device attached to a proximal end of the spacer.

21. The spacer of claim 20, further comprising detachment means for separating the delivery device from the spacer.

22. The spacer of claim 15, wherein the first wedge has a height different than the second wedge.

23. The spacer of claim 15, wherein one of the first and second angled surfaces and one of the third and fourth angled surfaces comprise stepped surfaces.

24. The spacer of claim 15, further comprising guiding mechanisms that extend through the middle member, first member, and second member.

25. A spacer for positioning between vertebral members comprising:

a first body comprising a first angled surface and a platform surface positioned at a first angled surface end; and

a second body comprising a second angled surface and a support surface positioned at a second angled surface end, the first angled surface positioned in a different direction from the second angled surface;

the first body being movable relative to the second body between a first orientation with the platform surface apart from the support surface and a second orientation with the platform surface contacting the support surface, a height of the spacer being greater in the second orientation than in the first orientation.

26. The spacer of claim 25, wherein the first angled surface is angled in a first direction relative to a distal end of the spacer, and the second angled surface is angled in a second direction relative to the distal end of the spacer, the first direction being different than the second direction.

27. A spacer for positioning between vertebral members comprising:

a wedge having a first platform surface and a second platform surface;

a first member comprising a first angled surface having a first support surface positioned at an end of the first angled surface;

a second member comprising a second angled surface having a second support surface positioned at an end of the second angled surface;

the spacer being positionable between a first orientation with the first support surface apart from the first platform surface and the second support surface apart from the second platform surface, and a second orientation with the first support surface contacting the first platform surface and the second support surface contacting the second platform surface, a spacer height being greater in the second orientation than in the first orientation;

the first angled surface and second angled surface being in the same direction.

28. A spacer for positioning vertebral members comprising:

a middle member having an angled wedge with a first step and a second step;

a first member having a first angled surface and a first support surface;

a second member having a second angled surface and a second support surface;

a chassis positioned around the middle member and having a first aperture and a second aperture spaced a distance apart;

a locking member positioned within the middle member;

the middle member being movable relative to the first and second members between a first position with the first support surface and the second support surface positioned on the first step and the locking member positioned within the first aperture, and a second position with the first support surface and the second support surface positioned on the second step and the locking member positioned within the second aperture, the spacer having a height that is greater in the second position than in the first position.

29. The spacer of claim 28, wherein the first angled surface and second angled surface extend in a first direction, and the angled wedge extends in a second direction different than said first direction.

30. The spacer of claim 28, wherein the locking member comprises a pair of caps separated by a biasing member.

31. A method of spacing a first vertebral member from a second vertebral member comprising the steps of:

inserting a spacer between the vertebral members;

increasing a height of the spacer by sliding an angled surface of a first member against an angled surface of a second member and separating a first contact surface from a second contact surface; and

contacting the first vertebral member with the first contact surface and contacting the second vertebral member with the second contact surface.

32. The method of claim 31, further comprising locking the spacer and preventing the first contact surface from separating from the first vertebral member and the second contact surface from separating from the second vertebral member.

33. The method of claim 31, wherein the step of inserting a spacer between the vertebral members comprises manipulating a delivery device and positioning the spacer between the vertebral members.

34. A method of spacing a first vertebral member from a second vertebral member comprising the steps of:

moving a first member away from a centerline of a spacer by sliding a first angled surface of the first member against a first inclined surface of a middle member;

moving a second member away from a centerline of the spacer by sliding a second angled surface of the second member against a second inclined surface of the middle member; and

contacting the first member with the first vertebral member and contacting the second member with the second vertebral member.

35. The method of claim 34, further comprising placing bone growth material within the spacer.

36. The method of claim 34, further comprising locking the spacer in an open orientation by mating a locking mechanism with the middle member, with the first contact surface against the first vertebral member and the second contact surface against the second vertebral member.

37. The method of claim 34, further comprising moving a flat first support surface of the first member against a flat first platform surface of the middle member, and moving a flat second support surface of the second member against a flat second platform surface of the middle member.

38. The method of claim 34, further comprising positioning the first member and the second member at oblique angles relative to the centerline.

39. A method of spacing vertebral members comprising the steps of:

placing a spacer in a first orientation between the vertebral members, the spacer having a first height;

moving a middle member in a distal direction relative to a first member and a second member; and

increasing the spacer to a second height greater than the first height by sliding an angled wedge of the middle member against a first angled edge of a first member and a second angled edge of a second member.

40. The method of claim 39, further comprising placing a first support surface of the first member against a first platform surface of the middle member, and placing a second support surface of the second member against a second platform surface of the middle member.

41. The method of claim 39, further comprising locking the middle member at the second height by positioning locking tabs in a chassis against the middle member.

42. The method of claim 39, further comprising locking the middle member at the second height by positioning a locking member within an aperture within a chassis.