Lockable spinal implant

• US 20100145455A1
• Filed: 03/04/2009
• Published: 06/10/2010
• Est. Priority Date: 12/10/2008
• Status: Abandoned Application

• Current Assignee: Coalign Innovations Inc. (Stryker Corporation)
• Original Assignee: Coalign Innovations Inc. (Stryker Corporation)
• Inventors: Matsuura, David G., Ashley, John E., Simpson, Philip J., Gillespie, Walter Dean, Mansfield, George A. III
• Application Number:
  US12/380,840
• Publication Number:
  US 20100145455A1
• Time in Patent Office: Days
• US Class Current: 623/17.160
• CPC Class Codes: A61F 2/30742 Bellows or hose-like seals; Sealing membranes A61B17/8808 takes precedence; sealing membranes for retaining bone substitute A61F2/2846
• 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 2/482 Electrical means
• CPC Class Codes: A61F 2/484 Fluid means, i.e. hydraulic or pneumatic
• CPC Class Codes: A61F 2002/30079 magnetic
• CPC Class Codes: A61F 2002/3008 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2002/30133 kidney-shaped or bean-shaped
• CPC Class Codes: A61F 2002/30365 with additional means for limiting said rotation
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30476 locked by an additional locking mechanism
• CPC Class Codes: A61F 2002/30484 Mechanically expandable devices located on the first prosthetic part for locking into or onto the second prosthetic part
• CPC Class Codes: A61F 2002/30495 using a locking ring
• CPC Class Codes: A61F 2002/30505 spring biased
• CPC Class Codes: A61F 2002/30514 using a locking washer
• CPC Class Codes: A61F 2002/30522 releasable, e.g. using a releasable ratchet
• CPC Class Codes: A61F 2002/30525 Worm gears
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30581 : having a pocket filled with fluid, e.g. liquid
• CPC Class Codes: A61F 2002/30589 : Sealing means
• CPC Class Codes: A61F 2002/30601 : telescopic
• CPC Class Codes: A61F 2002/30841 : Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2210/009 : magnetic
• 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 2230/0015 : Kidney-shaped, e.g. bean-shaped
• CPC Class Codes: A61F 2250/0007 : for adjusting length
• CPC Class Codes: A61F 2250/0069 : Sealing means
• CPC Class Codes: A61F 2250/0098 : radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2310/00017 : Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

A spinal implant which is configured to be deployed between adjacent vertebral bodies. The implant has at least one extendable support element with a retracted configuration to facilitate deployment of the implant and an extended configuration so as to expand the implant and effectively distract the disc space, stabilize the motion segments and eliminate pathologic spine motion. Angular deformities can also be corrected, and natural curvatures restored. Preferably, the implant has a minimal dimension in its unexpanded state that is smaller than the dimensions of the neuroforamen through which it typically passes to be deployed within the intervertebral space. The implant is provided with a locking system preferably having a plurality of locking elements to lock the implant in an extended configuration.

Claims

1. A spinal implant for placement between superior and inferior vertebral bodies, comprising:

a. a first member having a surface for engaging an end of the superior vertebral body;

b. a second member having a surface for engaging an end of the inferior vertebral body;

c. at least one extendable support element having a contracted configuration to facilitate deployment of the implant between the superior and inferior vertebral bodies and at least one extended configuration to extend the first member so that the surface thereof engages the end of the superior vertebral body; and

d. a locking system which has a locking element that mechanically engages or interlocks with the extendable support element or the first member to lock the implant between the superior and inferior vertebral bodies in an expanded configuration.

2. The spinal implant of claim 1 wherein the first surface for engaging an end of the superior vertebral body includes a top end plate and the second surface for engaging an end of the inferior vertebral body includes a base plate.

3. The spinal implant of claim 2 wherein at least one top end plate cooperates with and is coupled to the extendable support element.

4. The spinal implant of claim 3 wherein the extendable support element is adapted to be extended by fluid.

5. The spinal implant of claim 4 wherein the fluid is an incompressible fluid.

6. The spinal implant of claim 1 wherein the locking system comprises a plurality of inter-engaging locking elements.

7. The spinal implant of claim 6 wherein one of the inter-engaging locking elements is a locking actuator configured to move the locking element into mechanical engagement or interlock with the extendable support element or first member after expansion of the expandable support member so as to lock the implant in an expanded configuration.

8. The spinal implant of claim 1 wherein the locking element which mechanically engages or interlocks with the expandable member or the first member directly applies a vertical force to the expandable member or the first member so as to lock the implant in the expanded configuration.

9. The spinal implant of claim 6 wherein one of the inter-engaging locking elements is an upper lock support member and another of the inter-engaging locking elements is a lower lock support member.

10. The spinal implant of claim 9 wherein the upper lock support member has a multi-stepped support surface and the lower lock support member has a multi-stepped support surface configured to engage the multi-stepped support surface of the upper lock support member.

11. The spinal implant of claim 10 including a locking actuator that is configured to effect relative motion between the upper and lower lock support members when the at least one extendable member is extended so as to lock the implant in an extended configuration by engaging the multi-stepped support surfaces of the upper lock support members and the lower lock support members.

12. The spinal implant of claim 10 wherein the lower and upper lock support members have arcuate shapes.

13. The spinal implant of claim 12 wherein the lower and upper lock support members have matching arcuate shapes.

14. The spinal implant of claim 11 wherein the locking actuator is a biased member configured to move one of the lock support members relative to the other.

15. The spinal implant of claim 14 wherein the biased member is a spring located in a groove in a base of the implant.

16. The spinal implant of claim 15 wherein the spring has a forward end configured to engage and rotate the lower lock support member when the implant is extended.

17. The spinal implant of claim 16 wherein the groove has an arcuate shape.

18. The spinal implant of claim 2 wherein the at least one extendable member is a piston that engages the top plate.

19. The spinal implant of claim 18 including an internal cylinder configured to receive the piston.

20. The spinal implant of claim 19 including a source for fluid to extend the piston within the cylinder and raise the top plate.

21. The spinal implant of claim 1 including a housing which contains at least in part the at least one extendable support element and the locking system.

22. The spinal implant of claim 13 wherein the arcuate shaped lower lock support member is disposed about a cylinder configured to receive a piston.

23. The spinal implant of claim 22 wherein the arcuate shaped upper lock support member is disposed about the piston and is secured to the top plate.

24. The spinal implant of claim 11 wherein the multi-stepped support surface of the lower lock support member has an upper surface with a lock support stop which prevents over rotation of the arcuate lower lock support member.

25. The spinal implant of claim 16 wherein the lower lock support member has a lower surface with a locking actuator transfer element configured to engage the forward end of the spring which effects rotation of the lower lock support member.

26. The spinal implant of claim 13 wherein the lower lock support member is disposed within the cylinder and the upper lock support member is within the piston.

27. The spinal implant of claim 18 including a pair of independently acuatable pistons which are rotatably interconnected to an articulating top plate.

28. The spinal implant of claim 13 wherein the lock support members are circular.

29. The spinal implant of claim 28 wherein the circular lock support members have a plurality of multi-stepped support surfaces.

30. The spinal implant of claim 9 wherein the upper and lower lock support members are disposed between a pair of pistons and a pair of cylinders.

31. The spinal implant of claim 9 wherein a pair of upper and lower lock support members are disposed on opposite sides of a piston and cylinder.

32. The spinal implant of claim 6 wherein lock support members comprise at least one rack and pinion.

33. The spinal implant of claim 32 wherein the pinion has a plurality of teeth configured to engage the rack with different teeth when the pinion moves as the implant is expanded.

34. The spinal implant of claim 32 wherein lock support members comprise a pair of rack and pinions on opposing sides of the implant.

35. The spinal implant of claim 9 wherein the lower and upper lock support members are straight.

36. The spinal implant of claim 9 wherein the upper lock support member has at least one cantilever extension.

37. The spinal implant of claim 36 wherein the lower lock support member has a recessed support surface which is configured to receive the at least one cantilever extension of the upper lock support member.

38. The spinal implant of claim 9 wherein the upper lock support member is secured to the extendable member.

39. The spinal implant of claim 9 wherein the upper support member has at least one groove.

40. The spinal implant of claim 39 wherein the lower support member is a U-shaped tong configured to be slidably received within the at least one groove in the upper support member.

41. The spinal implant of claim 39 wherein the upper lock support member has at least one flat vertical surface.

42. The spinal implant of claim 41 wherein the lower support member is a circular washer having an inwardly projecting edge which is configured to be slidably received by at least one groove in the upper support member when the lower support member is rotated with respect to the upper support member.

43. The spinal implant of claim 42 wherein the circular washer is configured to move vertically with respect to the upper support member when the inwardly projecting ridge is aligned with the flat surface of the upper support member.

44. The spinal implant of claim 39 wherein the lower support member is a pawl with a surface configured to be received by the at least one groove in the upper support member.

45. The spinal implant of claim 44 wherein the pawl is biased so as to urge the surface thereof into the groove of the upper support member.

46. The spinal implant of claim 9 wherein the upper support member has a passageway therein with an inner support surface.

47. The spinal implant of claim 46 wherein the lower support member is a pin which is configured to be slidably received by the passageway in the upper support member and which has an exterior support surface configured to engage the inner support surface of the upper support member.

48. The spinal implant of claim 9 wherein the upper support member has at least one notch on the exterior thereof.

49. The spinal implant of claim 48 wherein the lower support member has at least one pivoting jaw having an upper support surface configured to engage the notch in the exterior of the spinal implant.

50. The spinal implant of claim 6 wherein the upper support member has a vertically oriented flat surface.

51. The spinal implant of claim 46 which includes at least one rotating lower support member having a surface configured to engage the flat surface of the upper support member.

52. The spinal implant of claim 9 wherein the upper support member is a cylindrical member.

53. The spinal implant of claim 9 wherein the upper support member has a plurality of recesses in an exterior surface thereof.

54. The spinal implant of claim 53 wherein the lower support member has a rotating member with a plurality of teeth configured to fit within the recesses in the exterior surface of the upper support member.

55. The spinal implant of claim 54 wherein the rotating member of the upper support member has a circular rack with recesses and the lower support member is a pawl having an end surface configured to engage a recess of the circular rack.

56. The spinal implant of claim 9 wherein the locking system comprises at least two upper lock support members having grooves in the surface thereof, at least one lower lock support member comprising a continuous wire-form which is configured to be received by the grooves of the upper lock support members and which is configured to change shape in order to remove the continuous wire form from a groove from an upper lock support member so as to reposition the continuous wire-form into another groove in the upper support member.

57. The spinal implant of claim 1 wherein the locking element directly applies a vertical force to the extendable support element or the first member.

58. A spinal implant for placement between adjacent vertebral bodies, comprising:

a. a top end plate for engaging an end of a first adjacent vertebral body;

b. a bottom end plate for engaging an end of a second adjacent vertebral body;

c. at least one extendable piston member having a contracted configuration within the implant to facilitate deployment of the implant between the first and second vertebral bodies and an extended configuration to extend the top end plate into engagement with the end of the first adjacent vertebral body;

d. an upper lock support member having a multi-stepped support surface;

e. a lower lock support member having a multi-stepped support surface configured to engage the multi-stepped support surface of the upper lock support member; and

f. a locking actuator which causes relative motion between the upper and lower lock support members when the at least one extendable member is extended so as to lock the implant in an expanded configuration by engaging the multi-stepped support surfaces of the upper lock support members and the lower lock support members.

59. The spinal implant of claim 58 wherein the upper and lower lock support members have matching shapes which facilitate engagement of stepped support surfaces thereof.

60. The spinal implant of claim 59 wherein the upper and lower lock support members have matching arcuate shapes.

61. The spinal implant of claim 58 wherein a spring locking actuator is provided to move the lower lock support member toward the upper lock support when the at least one extendable member is extended.

62. A method of treating a patient'"'"'s vertebral structure, comprising:

a. providing a spinal implant having

i. a first member having a pressure applying surface for engaging an end of a first adjacent vertebral body;

ii. a second member having a pressure applying surface for engaging an end of a second adjacent vertebral body;

iii. at least one extendable support element having a contracted configuration within the implant to facilitate deployment of the implant between the first and second vertebral bodies and an extended configuration to extend the first pressure applying member to engage the end plate of the first adjacent vertebral body, and

iv. a locking system with a locking element for locking the implant in an extended configuration by engaging the extendable support element or the first member with the locking element;

b. inserting the spinal implant into a space between two vertebral bodies in the contracted configuration;

c. extending the extendable support member so as to expand the implant until the first pressure applying surface engages an end of the first adjacent vertebral body and urges the vertebral body into a desired position; and

d. locking the implant in the extended configuration by moving the locking member into engagement with the extendable support element or the first member so as to fix the implant between the first and second vertebral bodies in an expanded configuration.

63. A spinal implant for placement between superior and inferior vertebral bodies, comprising:

a. a first member having a surface for engaging an end of the superior vertebral body;

b. a second member having a surface for engaging an end of the inferior vertebral body;

c. at least one extendable support element having a contracted configuration to facilitate deployment of the implant between the superior and inferior vertebral bodies and an extended configuration to extend the first member so that the surface thereof engages the end of the superior vertebral body; and

d. a locking system which has an upper lock support member that engages or is coupled to the extendable support element or the first member and a lower lock support member which frictionally engages the upper lock support member to lock the implant between the superior and inferior vertebral bodies in an expanded configuration.