Expandable spinal stabilization device

• US 20050273166A1
• Filed: 06/08/2004
• Published: 12/08/2005
• Est. Priority Date: 06/08/2004
• Status: Active Grant

• Current Assignee: Spinal Generations LLC (Life Spine, Inc.)
• Original Assignee: Spinal Generations LLC (Life Spine, Inc.)
• Inventors: Sweeney, Patrick J.
• Granted Patent: US 7,344,564 B2
• Time in Patent Office: Days
• US Class Current: 623/17.110
• 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 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/30289 helically-coiled
• CPC Class Codes: A61F 2002/30369 Limited lateral translation of the protrusion within a larger recess
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• 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 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30599 stackable
• CPC Class Codes: A61F 2002/4415 elements of the prosthesis being arranged in a chain like manner
• 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 2002/4627 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 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2220/0041 using additional screws, bolts, dowels or rivets, e.g. connecting screws
• 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 2230/0091 helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section
• CPC Class Codes: A61F 2250/0063 : Nested prosthetic parts

Abstract

The present invention relates to an expandable spinal stabilization device that may be inserted into the space between two vertebrae, normally occupied by a disc, in order to stabilize the spine during and after spinal fusion procedures. The invention also relates to a method for using the device. The device generally includes a stack of plates connected by a connecting rod in a manner that allows the plates to adopt a helical configuration about the connecting rod when the plates are rotated about the longitudinal axis of the rod.

Claims

1. An expandable spinal stabilization device comprising:

a. a plurality of plates arranged in a stack; and

b. a connecting rod connecting the plurality of plates;

wherein the plates are connected to the connecting rod such that the plurality of plates adopt a helical configuration about the longitudinal axis of the connecting rod when the plates are turned about the longitudinal axis of the connecting rod; and

further wherein the dimensions of the device render it suitable for insertion into an intervertebral space.

2. The device according to claim 1 wherein the plurality of plates comprise a top plate, a bottom plate, and one or more interstitial plates disposed between the top plate and bottom plate, each plate comprising an obverse face and a reverse face, further wherein the connecting rod extends through the obverse and reverse faces of the top plate and the interstitial plates at a position offset from the geometric center of the plates.

3. The device according to claim 1 wherein the plates are circular.

4. The device according to claim 1 wherein the plates are oval.

5. The device according to claim 1 wherein the circumferential edges of the plates are multi-sided.

6. The device according to claim 5 wherein the plates are square.

7. The device according to claim 5 wherein the plates are star-shaped.

8. The device according to claim 5 wherein the plates are triangular.

9. The device according to claim 1 wherein the circumferential edges of the plates provide sharp cutting edges.

10. The device according to claim 9 wherein the plates are saw-shaped.

11. The device according to claim 1 wherein the plates and the connecting rod are comprised of a biocompatible material.

12. The device according to claim 1 wherein the plates have integrated passages.

13. The device according to claim 1 comprising a top plate, a bottom plate, and one or more interstitial plates disposed between the top plate and the bottom plate, each plate comprising an obverse face and a reverse face such that a pair of adjacent faces comprising the obverse face of one plate and the reverse face of an adjacent plate is provided for each pair of adjacent plates in the stack, wherein:

a. one face in at least one pair of adjacent faces comprises a catch;

b. the other face in the at least one pair of adjacent faces comprises an abutment; and

further wherein

c. every abutment is positioned in a manner to engage the catch of an adjacent face when the plates are rotated about the longitudinal axis of the connecting rod.

14. The device according to claim 13 wherein one face in every pair of adjacent faces except the final pair comprises a catch and the other face in every pair of adjacent faces except the final pair comprises an abutment.

15. The device according to claim 13 wherein one face of each pair of adjacent faces comprises a catch and the other face of each pair of adjacent faces comprises an abutment.

16. The device according to claim 13 wherein the reverse face of each pair of adjacent faces comprises an abutment and the obverse face of the at least one pair of adjacent faces comprises a catch.

17. The device according to claim 13 wherein each catch comprises a slot running along the obverse or reverse face of a plate in a direction substantially tangential with respect to the circumference of the connecting rod and each abutment comprises a post extending away from the obverse or reverse face of a plate.

18. The device according to claim 17 wherein the slots are raised from the obverse or reverse faces of the plates.

19. The device according to claim 17 wherein the slots are recessed in the obverse or reverse faces of the plates.

20. The device according to claim 13 wherein the bottom plate is unable to move independently of the connecting rod and the top plate and interstitial plates are connected to the connecting rod in a manner that allows them to rotate about the longitudinal axis of the connecting rod.

21. The device according to claim 20 wherein the obverse face of the top plate comprises a sleeve connector disposed thereon and the connecting rod comprises an end extending beyond the obverse face of the top plate, the device further comprising a turning tool, the turning tool comprising:

a. an outer sleeve having an end adapted to engage the sleeve connector; and

b. an inner sleeve nested within the outer sleeve, the inner sleeve having an end adapted to engage the end of the connecting rod extending beyond the top plate such that when the inner sleeve engages the connecting rod and the outer sleeve engages the sleeve connector, the helical configuration is achieved by turning at least one of the inner and outer sleeves.

22. The device according to claim 21 wherein the sleeve connector is a nut and the end of the outer sleeve is adapted to engage the nut, and further wherein the end of the connecting rod extending beyond the top plate is threaded and the end of the inner sleeve is adapted to engage the threads.

23. A method of stabilizing a spinal column, the method comprising inserting the expandable spinal stabilization device according to claim 1 into an intervertebral space in the spinal column and turning the plates about the longitudinal axis of the connecting rod until the plurality of plates adopt a helical configuration.

24. The method according to claim 23 further comprising inserting a bone growth-promoting material in the intervertebral space around the expandable spinal stabilizing device.

25. The method according to claim 23 wherein the device is inserted using a posterior or posterial lateral approach.

26. The method according to claim 25 wherein the device is inserted with the aid of a tube or cannula.

27. The method according to claim 23 wherein the device is inserted using an anterior approach.