Expandable Fusion Device and Method of Installation Thereof

• US 20120059473A1
• Filed: 09/03/2010
• Published: 03/08/2012
• Est. Priority Date: 09/03/2010
• Status: Active Grant

• Current Assignee: Globus Medical, Inc.
• Original Assignee: Globus Medical, Inc.
• Inventors: Weiman, Mark
• Granted Patent: US 8,398,713 B2
• Time in Patent Office: Days
• US Class Current: 623/17.16
• 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 2/4611 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 2002/30207 Double convex cones, i.e. element having two convex cones, one at each of its opposite ends
• CPC Class Codes: A61F 2002/3021 frustoconical
• CPC Class Codes: A61F 2002/30265 Flat parallelepipeds
• CPC Class Codes: A61F 2002/30266 wedge-shaped parallelepipeds
• CPC Class Codes: A61F 2002/30365 with additional means for limiting said rotation
• CPC Class Codes: A61F 2002/30367 with additional means for preventing said rotation
• CPC Class Codes: A61F 2002/30372 with additional means for limiting said translation
• CPC Class Codes: A61F 2002/30373 with additional means for preventing said translation
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30411 having two threaded end parts connected by a threaded central part with opposite threads at its opposite ends, i.e. for adjusting the distance between both end parts by rotating the central part
• 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 2002/30482 using a locking cam
• 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 2002/30517 : using a locking plate
• CPC Class Codes: A61F 2002/30522 : releasable, e.g. using a releasable ratchet
• CPC Class Codes: A61F 2002/30523 : by means of meshing gear teeth
• CPC Class Codes: A61F 2002/30556 : for adjusting thickness
• CPC Class Codes: A61F 2002/30558 : Force-limiting means
• 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 2002/30594 : slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
• 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 2002/30843 : Pyramidally-shaped
• CPC Class Codes: A61F 2002/30904 : serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2310/00011 : Metals or alloys
• 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

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube.

Claims

1. An intervertebral implant comprising:

a first endplate having a first end and a second end, the first endplate comprising an upper side, a lower side, first ramped surfaces proximate the first end, and second ramped surfaces proximate the second end;

a second endplate having a first end and a second end, the second endplate comprising an upper side, a lower side, first ramped surfaces proximate the first end, and second ramped surfaces proximate the second end;

a central ramp having a first end and a second end, the central ramp comprising a expansion portion at the first end and an extension extending from the expansion portion, the expansion portion comprising first ramped surfaces in engagement with the first ramped surfaces of the first endplate and second ramped surfaces in engagement with the second ramped surfaces of the second endplate; and

a driving ramp comprising a bore extending through the driving ramp, the driving ramp comprising ramped surfaces in engagement with the first ramped surfaces of the second endplate;

wherein the central ramp is configured to move in a first direction and cause the first endplate and the second endplate to move outwardly and away from one another.

2. The implant of claim 1, wherein the intervertebral implant is configured for insertion into an intervertebral implant down one or more endoscopic tubes.

3. The implant of claim 1, further comprising an actuator assembly, the actuator assembly comprising a head portion and an extension that extends from the head portion through the bore of the driving ramp, the extension being engaged with the extension of the central ramp.

4. The implant of claim 3, wherein the actuation member is configured to rotate in a first direction and cause the central ramp to move in a first direction, which results in the first endplate and the second endplate moving outwardly and away from one another.

5. The implant of claim 1:

wherein the first endplate comprises a first side portion and a second side portion, the first side portion extending from the lower side and connecting the first end and the second end, the second side portion extending from the lower side and connecting the first end and the second end, the first ramped surfaces of the first endplate comprise a ramped surface in the first side portion and a ramped surface in the second side portion, the second ramped surfaces of the first endplate comprise a ramped surface in the first side portion and a ramped surface in the second side portion; and

wherein the second endplate comprises a first side portion and a second side portion, the first side portion extending from the lower side and connecting the first end and the second end, the second side portion extending from the lower side and connecting the first end and the second end, the first ramped surfaces of the second endplate comprise a ramped surface in the first side portion and a ramped surface in the second side portion, the second ramped surfaces of the second endplate comprise a ramped surface in the first side portion and a ramped surface in the second side portion.

6. The implant of claim 5, wherein the first and second side portions at the first end of the first endplate overlap the first and second side portions at the second end of the second endplate.

7. The implant of claim 5, wherein the second side portion of the first endplate comprises a central ramped surface between the first and second ends of the first endplate, and wherein the second side portion of the second endplate comprises a central ramped surface between the first and second ends of the second endplate.

8. The implant of claim 5, wherein at least a portion of the lower side of the first endplate and at least a portion of the lower side of the second endplate are curved concavely.

9. The implant of claim 1, wherein the first endplate comprises tongue portions proximate the first end of the first endplate, the tongue portions disposed in first angled slots in the expansion portion, and wherein the second endplate comprises tongue portions proximate the second end of the second endplate, the tongue portions disposed in second angled slots in the expansion portion.

10. The implant of claim 1, wherein the central ramp comprises a second expansion portion located on the extension between the first end and the second end of the central ramp, the second expansion portion comprising a first ramped surface and a second ramped surface, the first ramped surface is in engagement with a central ramped surface of the first endplate, and the second ramped surface is in engagement with a central ramped surface of the second endplate.

11. The implant of claim 1, wherein the expansion portion comprises a first side portion and a second side portion, the first ramped surfaces of the expansion portion comprising a ramped surface in the first side portion and a ramped surface in the second side portion, the second ramped surface of the expansion portion comprising a ramped surface in the first side portion and a ramped surface in the second side portion.

12. The implant of claim 1, wherein the driving ramp comprises an upper portion, a lower portion, a first side portion connecting the upper portion and the lower portion, and a second side portion connecting the upper portion and the lower portion, the ramped surfaces of the driving ramp comprising a ramped surface in the first side portion and a ramped surface in the second side portion.

13. The implant of claim 12, wherein the second endplate comprises tongue portions proximate the first end of the second endplate, the tongue portion disposed in angled slots in the first and second side portions of the driving ramp.

14. The implant of claim 12, wherein the upper portion comprises an upper surface having a hole formed in the upper surface that extends to the bore in the central ramp, a screw is disposed through the hole and into engagement with the actuator assembly having an extension disposed in the bore.

15. The implant of claim 1, wherein the upper side of the first endplate comprises texturing for engaging a vertebral body.

16. An intervertebral implant comprising:

a first endplate having a first end and a second end, the first endplate comprising an upper side, a lower side, first ramped surfaces extending from the lower side proximate the first end, and second ramped surfaces extending from the lower side proximate the second end;

a second endplate having a first end and a second end, the second endplate comprising an upper side, a lower side, first ramped surfaces extending from the lower side proximate the first end, and second ramped surfaces extending from the lower side proximate the second end;

a central ramp having a first end and a second end, the central ramp comprising a expansion portion at the first end and an extension extending from the expansion portion, the expansion portion comprising a first side portion and a second side portion, the first and second side portions each comprising overlapping ramped portions in engagement with first ramped surfaces of the first endplate and the second ramped surfaces of the second endplate;

a driving ramp comprising a bore extending through the driving ramp, the driving ramp comprising ramped surfaces in engagement with the first ramped surfaces of the second endplate; and

an actuator assembly, the actuator assembly comprising a head portion and an extension that extends through the bore of the driving ramp, the extension of the actuator assembly in engagement with the extension of the central ramp;

wherein the central ramp is configured to move in a first direction and cause the first endplate and the second endplate to move outwardly and away from one another.

17. The implant of claim 16:

wherein the first endplate comprises a first side portion extending from the lower side and connecting the first end and the second end, and a second side portion extending from the lower side and connecting the first end and the second end, and

wherein the second endplate comprises a first side portion extending from the lower side and connecting the first end and the second end, and a second side portion extending from the lower side and connecting the first end and the second end.

18. The implant of claim 17, wherein the first ramped surfaces of the first endplate comprise a ramped surface in the first side portion of the first endplate and a ramped surface in the second side portion of the first endplate, and wherein the second ramped surfaces of the first endplate comprise a ramped surface in the first side portion of the first endplate and a ramped surface in the second side portion of the first endplate.

19. The implant of claim 16, wherein the central ramp comprises a second expansion portion located on the extension between the first end and the second end of the central ramp, the second expansion portion comprising a first ramped surface and a second ramped surface, the first ramped surface is in engagement with a central ramped surface of the first endplate, and the second ramped surface is in engagement with a central ramped surface of the second endplate.

20. An intervertebral implant comprising:

a first endplate having a first end and a second end, the first endplate comprising;

an upper surface;

a lower surface;

a first side portion extending from the lower surface and connecting the first end and the second end, the first side portion comprising a first ramped surface proximate the first end, and a second ramped surface proximate the second end; and

a second side portion extending from the lower surface and connecting the first end and the second end, the second side portion comprising a first ramped surface proximate the first end, a second ramped surface proximate the second end, and a central ramped surface between the first ramped surface and the second ramped surface;

wherein at least a portion of the lower surface of the first endplate between the first and the second side portions is curved concavely;

a second endplate having a first end and a second end, the second endplate comprising;

an upper surface;

a lower surface;

a first side portion extending from the lower surface and connecting the first end and the second end, the first side portion comprising a first ramped surface proximate the first end, a second ramped surface proximate the second end, and a central ramped surface between the first ramped surface and the second ramped surface; and

a second side portion extending from the lower surface and connecting the first end and the second end, the second side portion comprising a first ramped surface proximate the first end, and a second ramped surface proximate the second end;

wherein at least a portion of the lower surface of the second endplate between the first and second side portions is curved concavely,

wherein the first end of the first endplate overlaps the second end of the second endplate,

wherein the first end of the second endplate overlaps the second end of the first endplate;

a central ramp having a first end and a second end, the central ramp comprising;

a bore extending through the central ramp;

a first expansion portion at the first end of the central ramp, the first expansion portion comprising a first side portion, a second side portion, the first side portion comprising a first ramped surface and a second ramped surface overlapping the first ramped surface, the second side portion comprising a first ramped surface and a second ramped surface overlapping the first ramped surface;

an extension, the extension extending from the first expansion portion to the second end of the central ramp;

a second expansion portion located on the extension between the first end and the second end of the central ramp, the second expansion portion comprising a first ramped surface and a second ramped surface;

a driving ramp the driving ramp comprising;

an upper side;

a lower side;

a first side portion connecting the upper portion and the lower portion, the first side portion comprising a ramped surface; and

a second side portion connecting the upper portion and the lower portion, the second side portion comprising a ramped surface;

wherein the upper side, lower side, first side portion, and the second side portion form a bore through the driving ramp; and

an actuator assembly comprising;

a through bore that extends through the actuator assembly;

a head portion;

an extension in engagement with the extension of the central ramp, the extension extending from the head portion through the bore of the driving ramp;

wherein rotation of the actuator assembly in a first direction is configured to move the central ramp in a first linear direction to cause the first endplate and the second endplate to move outwardly and away from one another;

wherein the first ramped surface and the second ramped surface in the first side portion of the first expansion portion are respectively engaged with the second ramped surface in the first side portion of the second endplate and the first ramped surface in the first side portion of the first endplate;

wherein the first ramped surface and the second ramped surface in the second side portion of the first expansion portion are respectively engaged with the second ramped surface in the second side portion of the second endplate and the first ramped surface in the second side portion of the first endplate;

wherein the first ramped surface and the second ramped surface in the second expansion portion are respectively engaged with the central ramped surface in the first side portion of the second endplate and the central ramped surface in the second side portion of the first endplate;

wherein the ramped surface in the first side portion of the driving ramp is in engagement with the second ramped surface in the first side portion of the second endplate; and

wherein the ramped surface in the second side portion of the driving ramp is in engagement with the second ramped surface in the second side portion of the second endplate.