Expandable spinal implant and surgical method

• US 5,059,193 A
• Filed: 04/19/1990
• Issued: 10/22/1991
• Est. Priority Date: 11/20/1989
• Status: Expired due to Term

• Current Assignee: Zimmer Spine, Inc. (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Spine-Tech, Inc. (Sulzer Medica)
• Inventors: Kuslich, Stephen D.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): Dvorak, Linda C.
• Application Number:
  US07/510,952
• Time in Patent Office: 551 Days
• Field of Search: 128/69, 606/60-64, 606/68, 606/72, 606/73, 606/77, 623/16, 623/17, 623/18, 433/173, 433/177
• US Class Current: 606/247
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61F 2/30965 Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
• 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 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30004 the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/30224 cylindrical
• CPC Class Codes: A61F 2002/30242 spherical
• CPC Class Codes: A61F 2002/30487 Circumferential cooperating grooves and beads on cooperating lateral surfaces of a mainly longitudinal connection
• CPC Class Codes: A61F 2002/3052 unrestrained in only one direction, e.g. moving unidirectionally
• 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 2002/3082 Grooves
• CPC Class Codes: A61F 2002/30879 Ribs
• 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 2002/4628 with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
• CPC Class Codes: A61F 2210/0004 bioabsorbable
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2230/0071 : spherical
• CPC Class Codes: A61F 2250/0014 : having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
• CPC Class Codes: F16B 13/061 : of the buckling type

Abstract

An expandable spinal implant is disclosed. The implant includes a plurality of ribs which are deformable between first and second states. In the first state, the ribs present a generally cylindrical implant. In the expanded second state, the ribs are arced outwardly to define a generally spherical implant. A tie mechanism is provided for urging the ribs between the first and second states and for holding the ribs in the expanded state. A novel surgical method is disclosed for stabilizing the spine by inserting the implant in the first state between opposing vertebrae and expanding the implant to the second state.

Claims

1. A spinal implant for insertion into a bore formed between opposing vertebrae of a spine, said implant comprising:

a plurality of deformable ribs;

said ribs deformable in response to a deforming force to change from a first shape to a second shape;

said ribs in said first shape presenting exterior surfaces cooperating to define a first exterior dimension sized to be received within a bore formed between adjacent vertebrae of a spine;

said ribs in said second shape presenting exterior surfaces cooperating to define a second exterior dimension greater than said first exterior dimension and sized to urge said adjacent vertebrae apart;

applying means for applying said deforming force to said ribs.

2. An implant according to claim 1 further comprising retaining means for retaining said ribs in said second shape.

3. An implant according to claim 1 wherein opposing interior surfaces of opposing ones of said ribs in said second shape cooperate to define a chamber, with passage means for defining a passageway between said chamber and an exterior of said implant.

4. An implant according to claim 3 wherein said passage means is defined by opposing side surfaces of adjacent ones of said ribs defining openings extending through said implant and into said chamber.

5. An implant according to claim 1 wherein said implant is formed of a biocompatible material.

6. An implant according to claim 1 wherein said ribs in said first shape extend generally longitudinally;

said applying means including means for applying said deforming force to urge opposite ends of said ribs toward one another with said ribs having central areas deforming outwardly.

7. An implant according to claim 1 wherein

said first exterior dimension is sized for said implant to be passed through an entrance dimension of said bore and said second exterior dimension is sized greater than said entrance dimension.

8. An implant according to claim 7 wherein said second exterior dimension is sized for opposite ones of said ribs to be urged against opposing surfaces of said opposing vertebrae when said ribs are deformed to said second shape.

9. An implant according to claim 1 wherein said implant is sized to be received with a bore formed between adjacent vertebrae of a human spine.

29. An implant according to claim 1 wherein said implant is formed, at least in part, from a resorbable material.

10. A spinal implant for insertion into a bore formed between adjacent vertebrae of a spine, the implant comprising:

a plurality of ribs, each of said ribs including an inner structure and an outer structure, said inner structure having a plurality of grooves formed in an inner surface of said inner structure and spaced along a length of said ribs for such inner structure to curve outwardly from a rest state to an expanded state in response to a deforming force applied to opposite ends of said rib, said outer structure including means surrounding an outer surface of said inner structure to retain said inner structure in an arcuate shape when deformed by said deforming force;

said implant sized to be inserted within a bore formed between adjacent vertebrae of a spine when said ribs are in said rest state, said implant sized to urge said adjacent vertebrae apart when said ribs are in said expanded state;

means for applying said deforming force to said opposite ends.

13. An implant according to claim 10 wherein said implant is sized to be received within a bore formed between opposing vertebrae of a human spine.

26. An implant according to claim 10 comprising a netting surrounding said ribs.

27. An implant according to claim 26 wherein said netting is sized to be taut upon deformation of said ribs to said second shape.

11. A spinal implant for insertion into a bore formed between opposing vertebrae of a spine, the implant comprising:

a plurality of ribs, each of said ribs including an inner structure and an outer structure, said inner structure having a plurality of grooves formed in an inner surface of said inner structure and space along a length of said ribs for such inner structure to curve outwardly in response to a deforming force applied to opposite ends of said rib, said outer structure including means surrounding an outer surface of said inner structure to retain said inner structure in an arcuate shape when deformed by said deforming force;

means for applying said deforming force to said opposite ends;

said inner structure is formed of a compression resistant material and said outer structure is formed of a tension resistant material, said inner and outer structures disposed in overlying relation.

12. A spinal implant for insertion into a bore formed between opposing vertebrae of a spine, the implant comprising:

a plurality of ribs, each of said ribs including an inner structure and an outer structure, said inner structure having a plurality of grooves formed in an inner surface of said inner structure and spaced along a length of said ribs for such inner structure to curve outwardly in response to a deforming force applied to opposite ends of said rib, each of said grooves extending between groove defining surfaces of said inner surface, said outer structure including means surrounding an outer surface of said inner structure to retain said inner structure in an arcuate shape when deformed by said deforming force;

means for applying said deforming force to said opposite ends;

said inner and outer structures extend in generally a longitudinal direction, said groove defining surfaces of said inner structure movable toward one another into abutting relation as said ribs are deformed from said first shape to said second shape.

14. A method for manufacturing an implant for insertion into a bore formed between opposing vertebrae of a spine, said method including the steps of:

providing an implant shell having a hollow interior and an implant matrix having a hollow interior, wit said matrix sized to be received within said shell in close fitting relation;

inserting said matrix into said shell to form a composite implant assembly;

forming a plurality of circumferential cuts along an inner surface of said matrix and with said cuts spaced along a longitudinal length of said matrix;

forming a plurality of longitudinal slots through both said shell and said matrix;

15. In the stabilization of a spine using an implant having a plurality of deformable ribs which are deformable in response to a deforming force to change from a first shape to a second shape, said ribs in the first shape presenting exterior surfaces defining a first exterior dimension and said ribs in said second shape presenting exterior surfaces cooperating to define a second exterior dimension greater than said first dimension, said implant further having a force applying means for applying said deforming force to said ribs, a method comprising the steps of:

locating a degenerated disk between two opposing vertebrae;

forming a bore at least partially through said disk;

inserting a leading end of said implant into said bore;

applying said deforming force to said ribs to urge said ribs to said second shape with said ribs in said second shape urging against said opposing surfaces; and

fixing said ribs in said second shape.

16. A method according to claim 15 wherein said ribs in said second shape present opposing surfaces defining a chamber in communication with an exterior of said implant, said method further including the step of filling said chamber with a graft medium.

17. A method according to claim 15 ,further comprising forming said bore to have interior dimensions greater than an entrance opening of said bore, with said interior dimensions sized to receive said ribs in said second shape and with said entrance opening sized to pass said implant when said ribs are in said first shape.

18. A method according to claim 17 wherein said ribs in said second shape present a generally spherical implant and said ribs in said first shape present a generally cylindrical implant;

said method including the step of forming said entrance opening to have a diameter sized to pass said generally cylindrical implant, said interior dimension of said bore selected to define a generally spherical chamber sized to complementarily receive said generally spherical implant.

19. A method according to claim 17 wherein said interior dimensions are sized slightly less than said second exterior dimension, said method including the step of deforming said ribs to said second state and separating said vertebrae by said expanding ribs urging against said vertebrae.

20. A method according to claim 19 wherein said implant is sized to be received within a bore formed between opposing vertebra of a human spine.

23. A method according to claim 15 wherein said ribs are formed of a plurality of block segments, said block segments cooperating to form an arch of abutting block segments when said ribs are in said second shape.

21. A spinal implant for insertion into a bore formed between opposing vertebrae of a spine, said implant comprising:

a plurality of deformable ribs;

said ribs deformable in response to a deforming force to change from a first shape to a second shape;

said ribs in said first shape presenting exterior surfaces cooperating to define a first exterior dimension;

said ribs in said second shape presenting exterior surfaces cooperating to define a second exterior dimension greater than said first exterior dimension;

applying means for applying said deforming force to said ribs;

said ribs formed of a plurality of block segments, block segments of a rib cooperating for said rib to form an arch of abutting segments when said ribs are in said second shape.

22. A spinal implant for insertion into a bore formed between opposing vertebrae of an animal spine, the implant comprising:

a plurality of ribs, each of said ribs including an inner structure and an outer structure, said inner structure having a plurality of grooves formed in an inner surface of said inner structure and spaced along a length of said ribs for such inner structure to curve outwardly in response to a deforming force applied to opposite ends of said rib, said outer structure including means surrounding an outer surface of said inner structure to retain said inner structure in an arcuate shape when deformed by said deforming force;

means for applying said deforming force to said opposite ends;

said ribs formed of a plurality of block segments, block segments of a rib cooperating for said rib to form an arch of abutting block segments when said ribs are in said second shape.

24. A spinal implant for insertion into a bore formed between opposing vertebrae of a spine, said implant comprising:

a plurality of deformable ribs;

said ribs deformable in response to a deforming force to change from a first shape to a second shape;

said ribs in said first shape presenting exterior surfaces cooperating to define a first exterior dimension;

said ribs in said second shape presenting exterior surfaces cooperating to define a second exterior dimension greater than said first exterior dimension;

applying means for applying said deforming force to said ribs; and

a netting surrounding said ribs.

25. A spinal implant for insertion into a bore formed between opposing vertabrae of a spine, the implant comprising:

a plurality of ribs, each of said ribs including an inner structure and an outer structure, said inner structure having a plurality of grooves formed in an inner surface of said inner structure to curve outwardly in response to a deforming force applied to opposite ends of said rib, said outer structure including means surrounding an outer surface of said inner structure to retain said inner structure in an arcuate shape when deformed by said deforming force;

means for applying said deforming force to said opposite ends;

a netting surrounding said ribs.

28. An implant for insertion into a bore formed between opposing vertebrae, said implant comprising:

a plurality of ribs each including a plurality of voussoir-shaped blocks with said ribs deformable in response to a deforming force to change from a first shape to a second shape, said ribs in said first shape being generally linear with opposing surfaces of contiguous blocks being spaced apart and said ribs in said second shape being arched with opposing surfaces of said contiguous blocks being in at least partial contact; and

applying means for applying said deforming force to said ribs.