VERTEBRAL INTERBODY COMPRESSION IMPLANT

• US 20090265007A1
• Filed: 11/12/2008
• Published: 10/22/2009
• Est. Priority Date: 11/12/2007
• Status: Active Grant

• Current Assignee: Theken Spine LLC (Orthofix Medical Inc.)
• Original Assignee: Theken Spine LLC (Orthofix Medical Inc.)
• Inventors: Colleran, Dennis
• Granted Patent: US 8,267,997 B2
• Time in Patent Office: Days
• US Class Current: 623/17.160
• 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 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30471 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• 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 2002/30772 Apertures or holes, e.g. of circular cross section
• CPC Class Codes: A61F 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0091 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type

Abstract

An apparatus and method for securing boney structures is disclosed which includes a compression mechanism and a force transfer mechanism. The compression mechanism may have bone engagement members that have one portion slideably coupled to a housing positioned within the implant and another portion rotatably coupled to the implant so that a movement of the housing causes the slideable portion to move within the housing and a penetrating member to rotate about the rotatably coupled portion. The force transfer mechanism may be coupled to the compression mechanism to move the housing.

Claims

1. An implant for securing boney structures, the implant comprising:

an engagement mechanism having bone engagement members having a first portion slideably coupled to a housing, the housing moveably positioned within the implant, and a second portion rotatably coupled to the implant, wherein a movement of the housing causes the first portion to slide within the housing and the bone engagement members to rotate about the second portion away from the implant; and

a force transfer mechanism coupled to the engagement mechanism and configured to move the housing.

2. The implant of claim 1, the implant further comprising;

a body dimensioned to fit in a disc space between adjacent boney structures, wherein the body comprises a first surface configured to face a first adjacent boney structure, a second surface configured to face a second adjacent boney structure, a passageway in the body extending along a first direction dimensioned to receive the engagement mechanism and the force transfer mechanism, an implant slot extending along the passageway on the first surface and the second surface, and wherein the bone engagement members are dimensioned to at least partially pass through the implant slot.

3. The implant of claim 2, wherein the body further comprises a leading end and a trailing end opposite the leading end, wherein the leading end and the trailing end are connected by opposing sides to form a shape to the first surface and second surface that generally conforms with the shape of a vertebral endplate of a spine, wherein reinforcing walls extending through generally the center of the body connect the leading end the trailing end, and wherein the leading end, the trailing end, and the reinforcing walls define the passageway.

4. The implant of claim 3, wherein the leading end, the trailing end, the reinforcing walls define openings in the body that extend from the first face to the second face adjacent to the reinforcing walls, and wherein the openings are configured to receive bone growth material.

5. The implant of claim 1, wherein the engagement members comprise a pair of bone engagement members configured to deploy in an anterior direction relative to adjacent vertebrae.

6. The implant of claim 1, wherein the engagement members comprise a pair of bone engagement members configured to deploy in a posterior direction relative to adjacent vertebrae.

7. The implant of claim 1, wherein the engagement members comprise a pair of bone engagement members configured to deploy in a lateral direction relative to adjacent vertebrae.

8. The implant of claim 1, wherein the bone engagement members are configured for at least a first and a second position, the first position corresponds to the bone engagement members located substantially within the implant, and the second position corresponds to the engagement members fully deployed from the implant for securing the implant to adjacent boney structures.

9. A vertebral interbody compression implant for maintaining the spacing between adjacent bony structures, the implant comprising:

a compression mechanism for securing the implant to the adjacent bony structures, wherein the compression mechanism comprises;

a housing having arm extension members extending along a longitudinal axis in a first direction, wherein the housing is configured to move linearly within a passage in the implant; and

bone engagement members comprising bone penetrating elements, wherein the bone engagement members are slideably coupled to the arm extension members and rotatably coupled to the implant, such that a linear movement of the housing causes a tab portion of the bone engagement members to slide within a slot of the arm extension members and the bone penetrating elements to follow an arcuate path away from the implant; and

a force transfer mechanism for moving the plurality of bone engagement members, the force transfer mechanism comprising;

a drive shaft coupled to one end of the housing and extending along the longitudinal axis in a second direction opposite the first direction; and

a drive element coupled to the drive shaft and configured to apply a force to the housing to move the housing axially in the first direction relative to the drive element to cause the tab of the bone engagement member to slide in the slot and rotate about the first end, wherein the bone engagement members rotate from a first position to a second position.

10. The implant of claim 9, the implant further comprising:

a body dimensioned to fit in a disc space between adjacent boney structures, wherein the body comprises a first surface configured to face a first adjacent boney structure, a second surface configured to face a second adjacent boney structure, and wherein the body may be configured to receive the compression mechanism and the force transfer mechanism in the passage.

11. The implant of claim 10, wherein the body further comprises a leading end and a trailing end opposite the leading end, wherein the leading end and the trailing end are connected by opposing sides to form a shape of the first surface and the second surface that generally conforms with a shape of a vertebral endplate, wherein reinforcing walls extending through generally the center of the body connect the leading end the trailing end, and wherein the reinforcing walls form the passage.

12. The implant of claim 9, wherein the drive element is configured to threadably engage a threaded cylindrical shaft of the drive shaft, wherein the drive element may be advanced along the drive shaft by a force transfer member, and wherein the force transfer member comprises an outer surface configured to transfer a force to move the housing axially in the first direction.

13. The implant of claim 12, wherein the drive element further comprises a shoulder configured to make contact with a surface of the implant to prevent the compression mechanism from advancing along the drive shaft.

14. The implant of claim 13, wherein the force transfer member is configured to receive a torque from an inserter, and wherein the inserter comprises a shaft coupled to a handle at a proximal end for turning the shaft, the handle further having an impaction surface for receiving a blunt force, and, at a distal end of the shaft, a surface defining a torque transfer element.

15. A vertebral interbody compression implant for maintaining the spacing between adjacent boney structures, the implant comprising:

a compression mechanism for securing the implant to the adjacent bony structures, wherein the compression mechanism comprises;

a housing configured to slide along a passageway in the implant, the housing having a first arm extension and a second arm extension that extend in a first direction along a longitudinal axis in the passageway within the implant, wherein the first arm extension and the second arm extension form a channel, and wherein the first arm extension and the second arm extension comprise a first slot and second slot that extend in a generally transverse direction relative to the longitudinal axis and that are opposing across the channel;

a first bone engagement member comprising a first arm extending from a first tab slidingly coupled to the housing in the first slot to a first end rotatably coupled to the implant, and a second arm extending from the tab to a second end having a bone penetrating element for piercing adjacent bony structures, wherein the second arm is configured to rotate away from a first side of the implant towards a first adjacent boney structure;

a second bone engagement member comprising a first arm extending from a second tab slidingly coupled to the housing in the second slot to a first end rotatably coupled to the implant, and a second arm extending from the tab to a second end having a bone penetrating element for piercing adjacent bony structures, wherein the second arm is configured to rotate away from a second side of the implant towards a second adjacent boney structure; and

wherein a force applied to the housing by a force transfer mechanism coupled to the housing moves the housing longitudinally in the passageway in the first direction to slide the first tab of the first bone engagement member within the first slot and the second tab of the second bone engagement member within the second slot in generally the opposite direction as the first tab, and to rotate the second arm of the first engagement member and the second engagement member about the first end in generally opposite directions away from the implant, wherein the first bone engagement member and the second bone engagement member rotate from a first position to a second position.

16. The implant of claim 15, wherein the second arm of the first arm extension and the second arm of the second arm extension comprise a curved member configured to deploy along a curved path for compressing adjacent boney structures.

17. The implant of claim 15, wherein the first position corresponds to the housing being located adjacent to a drive element of the force transfer mechanism and the bone penetrating element of the first arm extension and the bone penetrating element of the second arm extension are located substantially within the slot, and wherein the second position corresponds to the housing being located distal to the drive element of the force transfer mechanism and the bone penetrating element of the first arm extension and the bone penetrating element of the second arm extension protruding out of the slot.

18. A method for securing an implant to adjacent boney structure in a patient, the method comprising:

inserting the implant between adjacent boney structure, wherein the implant is configured to deliver bone engagement members between two adjacent boney structures; and

deploying bone engagement members from the implant, the bone engagement members rotate from a first position to a second position to penetrate the adjacent boney structure.

19. The method of claim 18, wherein inserting the implant between adjacent boney structure further comprises making an incision in the patient.

20. The method of claim 19, wherein inserting the implant between adjacent boney structure further comprises pushing the implant between the adjacent boney structure with an inserter, wherein the inserter is configured to couple to a force transfer mechanism for deploying the bone engagement members.

21. The method of claim 20, wherein deploying bone engagement members from the implant further comprises impacting the inserter to drive the bone engagement members into the boney structure, wherein the impaction force causes bone penetrating elements of the bone engagement members to penetrate the boney structure.

22. The method of claim 21, wherein deploying bone engagement members from the implant further comprises rotating a shaft of the inserter using a handle of the inserter to transfer a torque to a drive element of the force transfer mechanism, wherein applying a force to the drive element causes deployment of the bone engagement members.