Adjustable height fusion device

• US 6,080,193 A
• Filed: 09/15/1998
• Issued: 06/27/2000
• Est. Priority Date: 05/01/1997
• Status: Expired due to Term

• Current Assignee: Zimmer Spine, Inc. (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Spinal Concepts Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Wagner, Erik J., Guyer, Richard D., Rashbaum, Ralph F., Hochshuler, Stephen H.
• Primary Examiner(s): Isabella, David J.
• Application Number:
  US09/153,178
• Time in Patent Office: 651 Days
• Field of Search: 623/16, 623/17, 623/18, 606/61
• US Class Current: 623/17.16
• CPC Class Codes: A61B 17/8875 Screwdrivers, spanners or wrenches
• CPC Class Codes: A61F 2/30724 Spacers for centering an implant in a bone cavity, e.g. in a cement-receiving cavity
• CPC Class Codes: A61F 2/30744 End caps, e.g. for closing an endoprosthetic cavity
• 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 2002/30131 horseshoe- or crescent- or C-shaped or U-shaped
• CPC Class Codes: A61F 2002/30143 hexagonal
• CPC Class Codes: A61F 2002/30158 trapezoidal
• CPC Class Codes: A61F 2002/30166 H-shaped or I-shaped
• CPC Class Codes: A61F 2002/30224 cylindrical
• CPC Class Codes: A61F 2002/30261 parallelepipedal
• CPC Class Codes: A61F 2002/30324 differing in thickness
• CPC Class Codes: A61F 2002/30326 differing in height or in length
• CPC Class Codes: A61F 2002/30354 Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
• CPC Class Codes: A61F 2002/3037 Translation along the common longitudinal axis, e.g. piston
• 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 2002/30495 : 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 2002/30515 : using a locking wedge or block
• CPC Class Codes: A61F 2002/30538 : for adjusting angular orientation
• CPC Class Codes: A61F 2002/3055 : for adjusting length
• CPC Class Codes: A61F 2002/30556 : for adjusting thickness
• 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 2002/30616 : Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30624 : Hinged joint, e.g. with transverse axle restricting the movement
• CPC Class Codes: A61F 2002/30774 : internally-threaded
• CPC Class Codes: A61F 2002/30777 : Oblong apertures
• CPC Class Codes: A61F 2002/30785 : parallel
• CPC Class Codes: A61F 2002/30841 : Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/448 : comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants
• 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 2230/0013 : Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2230/0017 : Angular shapes
• CPC Class Codes: A61F 2230/0026 : trapezoidal
• CPC Class Codes: A61F 2230/0028 : Shapes in the form of latin or greek characters
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2230/0082 : parallelepipedal
• CPC Class Codes: A61F 2250/0006 : for adjusting angular orientation
• CPC Class Codes: A61F 2250/0009 : for adjusting thickness
• CPC Class Codes: A61F 2250/0036 : differing in thickness
• CPC Class Codes: A61F 2250/0037 : differing in height or in length
• 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
• CPC Class Codes: A61F 2310/00179 : Ceramics or ceramic-like structures
• CPC Class Codes: Y10S 606/907 : Composed of particular material or coated
• CPC Class Codes: Y10S 606/909 : Bone

Abstract

Method and apparatus for promoting a spinal fusion between neighboring vertebrae. The apparatus may be located in an intervertebral disc space and the apparatus preferably includes a pair of engaging plates for contacting the vertebrae. An alignment device of the apparatus may be used to alter the vertical distance between the engaging plates to customize the apparatus to fit a given patient. In an embodiment, the alignment device includes a rotatable connector and cam pins for adjusting the distance between the engaging plates. The alignment device is preferably adapted to vary the distance between the engaging plates such that the height of the apparatus proximate the anterior end is greater than the height of the apparatus proximate the posterior end whereby the natural lordosis of the spine is maintained after the apparatus is installed. The apparatus may further include a load-sharing member to allow stress to be imparted to bone in the vicinity of the apparatus to promote bone growth in accordance with Wolff'"'"'s law.

Claims

1. A spinal implant for facilitating a fusion between neighboring vertebrae of a human spine, comprising:

a first side opposite a second side;

a pair of engaging plates adapted to fit between and engage the vertebrae to maintain a disk space between the vertebrae during use;

a plurality of slots in each engaging plate, wherein each slot has at least one slanted section;

a first pin and a second pin, wherein a portion of the first pin and a portion of the second pin are adapted to be positioned between the engaging plates on the slanted sections of the plurality of slot, the pins being substantially elongated and positioned to extend in a direction from the first side to the second side during use; and

a connector for engaging the pins, wherein rotation of the connector causes movement of the first pin and the second pin along slanted sections of the slots to alter a separation distance between the engaging plates during use.

2. The spinal implant of claim 1 wherein the engaging plates are substantially planar so as to inhibit subsidence of the vertebrae.

3. The spinal implant of claim 1 wherein the engaging plates comprise a plurality of openings to allow bone growth to occur through the engaging plates.

4. The spinal implant of claim 1 wherein the engaging plates comprise a plurality of openings, and further comprising bone graft packed between the engaging plates.

5. The spinal implant of claim 1, further comprising protrusions extending from at least one of the engaging plates for enhancing an engagement between the vertebra and the engaging plate.

6. The spinal implant of claim 1, further comprising a retaining plate proximate the posterior end for maintaining bone graft between the engaging plates.

7. The spinal implant of claim 1, further comprising a removable end cap proximate the anterior end for maintaining bone graft between the engaging plates.

8. The spinal implant of claim 1 wherein at least one of the engaging plates comprises a face and openings, the openings extending through the face to allow bone growth to occur through the engaging plate, and wherein the openings have a total area that is between about 60 percent and about 80 percent of a total surface area of the face.

9. The spinal implant of claim 1 wherein at least one of the engaging plates comprises a face and openings, the openings extending through the face to allow bone growth to occur through the engaging plate, and wherein the openings have a total area that is greater than about 50 percent of a total surface area of the face.

10. The spinal implant of claim 1 wherein the connector is a screw having a threaded portion, said threaded portion configured to engage a threaded portion of the first pin.

11. The spinal implant of claim 1 wherein the engaging plates comprise titanium.

12. The spinal implant of claim 1 wherein the engaging plates each further comprise a rib and a face, the rib extending in a substantially perpendicular direction from the face, the rib comprising the slot for receiving one of the pins.

13. The spinal implant of claim 1 wherein the engaging plates each further comprise a rib comprising the slot into which the pins extend.

14. The spinal implant of claim 1 wherein the connector is a screw adapted to move axially between the engaging plates, and wherein the screw further comprises a retaining ring for contacting a portion of at least one of the engaging plates to limit movement of the screw.

15. The spinal implant of claim 1 wherein the first pin comprises a threaded opening, and wherein the connector is a screw comprising a threaded portion and an unthreaded portion, the threaded portion extending through the threaded opening, the second pin being connected to the unthreaded portion.

16. The spinal implant of claim 1, further comprising an anterior end and a posterior end, and wherein the connector is adapted to move axially between the engaging plates in a direction from the anterior end to the posterior end, thereby moving the first pin toward the anterior end and the second pin toward the posterior end to increase the height.

17. The spinal implant of claim 1 wherein one of the slots comprises a first end and wherein the other slot comprises a second end, the first end and the second end extending in diverging directions, and wherein movement of one of the pins draws the first end and the second end together.

18. The spinal implant of claim 1 wherein the pins comprise an end and a receiving section, the end being disposed within one of the slots, the receiving section containing an opening for receiving the connector, the receiving section having a greater width than the end of the pin.

19. The spinal implant of claim 1 wherein the engaging plates each further comprise a rib and a face, the rib extending from the face in substantially perpendicular direction, and wherein the slot extends along a length of the rib.

20. The spinal implant of claim 1, further comprising an anterior end and a posterior end, and wherein movement of the pins alters the height proximate the anterior end at a faster rate than the height proximate the posterior end.

21. A spinal implant for facilitating a fusion between neighboring vertebrae of a human spine, comprising:

a pair of engaging plates adapted to fit between and engage the vertebrae to maintain a disk space between the vertebrae during use;

a plurality of ribs connected to each engaging plate, wherein the ribs provide a space and a separation distance between faces of the engaging plates;

a plurality of slots in the ribs, each slot having at least one slanted section,

a first pin positionable on slanted sections of the plurality of slots, the first pin configured to couple the pair of engaging plates together;

a second pin positionable on slanted sections of the plurality of slots, the second pin configured to couple the pair of engaging plates together; and

a connector coupled to the first pin and the second pin;

wherein rotation of the connector causes movement of the pins along the slanted sections of the slots to alter the separation distance between the engaging plates during use.

22. The spinal implant as defined in claim 21, wherein the faces of the engaging plates are configured to contact the vertebrae, and wherein the faces are substantially planar so as to inhibit subsidence of the vertebrae during use.

23. The spinal implant as defined in claim 21, further comprising at least one protrusion extending from at leas:

one of the engaging plates for enhancing engagement between the vertebrae and the engaging plates during use.

24. The spinal implant as defined in claim 21, wherein the connector is a screw having a threaded portion configured to engage threading on the first pin.

25. The spinal implant as defined in claims 24, further comprising a retaining ring between an end of the screw and edges of the pair of engaging plates to inhibit movement of the end of the screw between the engaging plates.

26. The spinal implant as defined in claim 21, wherein at least one of the engaging plates further comprises openings, said openings extend through the face.

27. The spinal implant as defined in claim 26 wherein the openings have a total area that is greater than about 50 percent of a total surface area of the face.

28. The spinal implant as defined in claim 26, wherein the openings have a total area that is between about 60 percent and about 80 percent of a total surface area of the face.

29. The spinal implant as defined in claim 26, further comprising bone graft packed between the engaging plates.