Expandable vertebral body replacement device

• US 20080167720A1
• Filed: 01/08/2007
• Published: 07/10/2008
• Est. Priority Date: 01/08/2007
• Status: Abandoned Application

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Melkent, Anthony J.
• Application Number:
  US11/650,746
• Publication Number:
  US 20080167720A1
• Time in Patent Office: Days
• US Class Current: 623/17.16
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2/4637 for connecting or disconnecting two parts of a prosthesis
• 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 2002/30224 cylindrical
• CPC Class Codes: A61F 2002/30331 made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• 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 2002/30523 by means of meshing gear teeth
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30601 telescopic
• CPC Class Codes: A61F 2002/30784 Plurality of holes
• 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 2230/0069 cylindrical

Abstract

An expandable vertebral replacement device and method of using the same is disclosed that allows surgeons to support two adjacent vertebrae after an intermediate vertebra or a portion of an intermediate vertebra has been removed for the spine. The expandable vertebral replacement device includes a first replacement body, a second replacement body and a collar. The second replacement body includes a projecting portion that is telescopically received within an axial passage defined by the first replacement body. The collar is used to force the collet of the first replacement body into clamping engagement with the projecting portion of the second replacement body to lock the expandable vertebral replacement device at a select height.

Claims

1. An expandable vertebral replacement device, comprising:

a first replacement body having a collet;

a second replacement body including a projecting portion telescopically received within said collet; and

a collar positioned about said first replacement body for engaging said collet to said second replacement body to thereby secure said second replacement body in a fixed position relative to said first replacement body.

2. The expandable vertebral replacement device of claim 1, wherein said collar includes a beveled gear track extending about at least a portion of said collar.

3. The expandable vertebral replacement device of claim 2, wherein said first replacement body includes at least one key aperture operable to rotatably receive an end portion of a bevel gear key, said bevel gear key including a bevel gear operably engaged with said bevel gear track on said collar.

4. The expandable vertebral replacement device of claim 3, wherein rotation of said bevel gear key within said key aperture results in rotation of said collar about said first replacement body, said rotation of said collar resulting in compression of said collet about said projecting portion of said second replacement body.

5. The expandable vertebral replacement device of claim 1, wherein said collar is threadably engaged with said first replacement body such that rotation of said collar causes said collet to compress down on said projecting portion of said second replacement body to fixedly engage said first replacement body in position relative to said second replacement body.

6. The expandable vertebral replacement device of claim 1, wherein said collar includes an inner tapered surface configured to engage an outer tapered surface of said collet;

and

wherein axial displacement of said collar relative to said collet slidably engages said inner tapered surface along said outer tapered surface to compress said collet about said projecting portion of said second replacement body.

7. The expandable vertebral replacement device of claim 1, wherein said first and second replacement bodies each include a hollow interior region and at least one aperture communicating with said hollow interior region.

8. The expandable vertebral replacement device of claim 1, wherein each of said first and second replacement bodies include an end cap configured to engage adjacent bone.

9. The expandable vertebral replacement device of claim 1, wherein said collet includes a plurality of slits extending from an end thereof to facilitate inward deformation of said collet to compress said collet about said projecting portion of said second replacement body.

10. An expandable vertebral replacement device, comprising:

a first cylindrical replacement body having an upper portion and a lower portion defining at least a partially hollow interior area, wherein said upper portion includes a collet;

a second cylindrical replacement body including a projecting portion positioned within said collet of said first cylindrical replacement body; and

a collar positioned about said upper portion of said first cylindrical replacement body for fixedly engaging said collet to said projecting portion of said second cylindrical replacement body to maintain said second cylindrical replacement body in a fixed position relative to said first cylindrical replacement body.

11. The expandable vertebral replacement device of claim 10, wherein said upper portion of said first cylindrical replacement body includes a threaded section.

12. The expandable vertebral replacement device of claim 11, wherein said collar includes a threaded section and a tapered section.

13. The expandable vertebral replacement device of claim 12, wherein said threaded section of said collar engages said threaded section of said first cylindrical replacement body.

14. The expandable vertebral replacement device of claim 13, wherein as said collar is tightened on said first cylindrical replacement body, said tapered section forces said collet to forcibly clamp down on said projecting portion of said second cylindrical replacement body.

15. The expandable vertebral replacement device of claim 10, wherein said collar includes an internal threaded section for engaging an external threaded section located on said upper portion of said first cylindrical replacement body.

16. The expandable vertebral replacement device of claim 10, wherein a lower surface of said collar includes a bevel gear track extending about at least a portion of said collar.

17. The expandable vertebral replacement device of claim 16, wherein said upper portion of said first cylindrical replacement body includes at least one key aperture for rotatably receiving an end portion of a bevel gear key, said bevel gear key including a bevel gear operably engaged with said bevel gear track on said collar.

18. The expandable vertebral replacement device of claim 17, wherein rotation of said bevel gear key within said key aperture results in rotation of said collar about said first cylindrical replacement body, said rotation of said collar resulting in compression of said collet about said projecting portion of said second cylindrical replacement body.

19. The expandable vertebral replacement device of claim 10, wherein said first and second cylindrical replacement bodies each include an end cap configured to engage adjacent bone.

20. The expandable vertebral replacement device of claim 10, wherein each of said first and second cylindrical replacement bodies includes a hollow interior region and at least one aperture communicating with said hollow interior region.

21. The expandable vertebral replacement device of claim 10, wherein said collet includes a conical shaped outer surface.

22. The expandable vertebral replacement device of claim 21, wherein said collar includes an inner tapered surface positioned in contact said conical shaped outer surface of said collet, wherein axial displacement of said collar causes said inner tapered surface to slidably engage said conical shaped outer surface to compress said collet about said projecting portion of said second cylindrical replacement body.

23. A method of supporting two adjacent vertebrae, comprising the steps of:

placing an expandable vertebral replacement device between the adjacent vertebrae;

positioning an external distractor into engagement with opposite end portions of the expandable vertebral replacement device;

expanding the expandable vertebral replacement device along a longitudinal axis to a select height between the first and second vertebrae with the external distractor; and

rotating a collar portion of the expandable vertebral replacement device about the longitudinal axis to lock the expandable vertebral replacement device at the select height.

24. The method of claim 23, wherein the expandable vertebral replacement device comprises a first replacement body and a second replacement body, wherein a projecting portion of the second replacement body is telescopically received within an axial passage defined by the first replacement body.

25. The method of claim 24, wherein the first replacement body includes a collapsible collet defining the axial passage, and wherein the projecting portion of the second replacement body is telescopically positioned within the axial passage.

26. The method of claim 25, wherein the collar is threadably engaged with an upper portion of the first replacement body to axially displace the collar along the longitudinal axis to collapse the collet about the projecting portion of the second replacement body.

27. The method of claim 26, wherein the collar includes a tapered section that forces the collet against the projecting portion of the second replacement body during axial displacement of the collar along the longitudinal axis to thereby locking the expandable vertebral replacement device at the select height.

28. The method of claim 23, further comprising the step of rotatably engaging a bevel gear key within a key aperture defined by the expandable vertebral replacement device such that a gear portion of the bevel gear key is operably engaged with a bevel gear track extending about the collar, and wherein rotation of the bevel gear key results in corresponding rotation of the collar about the longitudinal axis and axial displacement of the collar along the longitudinal axis.

29. The method of claim 23, wherein the expandable vertebral replacement device includes a hollow interior region and at least one aperture extending through the expandable vertebral replacement device and in communication with the hollow interior region.

30. The method of claim 29, further comprising inserting a bone growth promoting material into the hollow interior region of the expandable vertebral replacement device.