Expandable fusion device and method

• US 6,419,705 B1
• Filed: 06/23/1999
• Issued: 07/16/2002
• Est. Priority Date: 06/23/1999
• Status: Expired due to Term

• Current Assignee: Zimmer Spine, Inc. (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Sulzer Spine Tech, Inc.
• Inventors: Erickson, Richard A.
• Primary Examiner(s): McDermott, Corrine
• Assistant Examiner(s): STEWART, ALVIN J
• Application Number:
  US09/338,688
• Time in Patent Office: 1,119 Days
• Field of Search: 623/17.11, 623/17.12, 623/17.13, 623/17.14, 623/17.15, 623/17.16, 623/17.4
• US Class Current: 623/17.16
• 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 2/446 having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
• CPC Class Codes: A61F 2/447 substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
• 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 2002/30153 rectangular
• CPC Class Codes: A61F 2002/30154 square
• CPC Class Codes: A61F 2002/30266 wedge-shaped parallelepipeds
• CPC Class Codes: A61F 2002/3037 Translation along the common longitudinal axis, e.g. piston
• CPC Class Codes: A61F 2002/30372 with additional means for limiting said translation
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30785 parallel
• CPC Class Codes: A61F 2002/30787 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30789 perpendicular with respect to each other
• 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 2230/0019 : rectangular
• CPC Class Codes: A61F 2230/0021 : square
• CPC Class Codes: A61F 2230/0082 : parallelepipedal

Abstract

The present invention is directed to expandable bone fusion devices and methods of use. In general, a fusion device according to the invention includes a first member and a second member which can be deployed and locked into an expanded configuration to stabilize the adjacent bone during fusion of the bone.

Claims

1. An intervertebral implant having an expanded and non-expanded configuration, wherein the implant has a longitudinal axis extending from a leading end of the implant to a trailing end of the implant and a midline between the leading end and trailing end positioned transverse to the longitudinal axis of the implant, the implant comprising:

an external member including a first external wall spaced apart from a second external wall;

an internal member including;

a first internal wall spaced apart from a second internal wall such that the first and second internal walls are disposed within the first and second external walls, wherein when in the non-expanded configuration the first and second internal walls are deflected towards one another;

a locking arrangement comprising;

a first locking structure proximate to the midline of the implant and disposed between one of the first external wall and first internal wall or the second external wall and second internal wall; and

a second locking structure positioned distal to the midline of the implant and disposed between one of the first external wall and first internal wall or the second external wall and second internal wall, wherein the first locking structure is spaced apart from the second locking structure.

3. The intervertebral implant according to claim 1, wherein the first locking structure includes a first pin projecting from one of the first internal wall or first external wall and a first aperture in a first opposing wall configured to receive the first pin when the implant is in the expanded configuration;

and the second locking structure includes a second pin projecting from one of the second internal wall or second external wall and a second aperture in a second opposing wall configured to receive the second pin when the implant is in the expanded configuration.

4. The intervertebral implant according to claim 1 or 2, wherein the external member is U-shaped.

5. The intervertebral implant according to claim 1 or 2, wherein the internal member is U-shaped.

6. The intervertebral implant according to claim 1 or 2, wherein the internal member is tubular.

7. The intervertebral implant according to claim 1 or 2, wherein the first and second members each have a circular cross section.

8. The intervertebral implant according to claim 1 or 2, wherein the internal and external members each have a rectangular cross section.

9. The intervertebral implant according to claim 1 or 2, wherein the internal member and external member each include at least one opening.

10. The intervertebral implant according to claim 1 or 2, wherein at least one of an exterior surface of the external member and an exterior surface of the internal member include an engagement arrangement for engaging end plate of adjacent vertebrae.

11. The intervertebral implant according to claim 1 or 2, wherein the engagement member comprises a spike.

2. An intervertebral implant having an expanded and non-expanded configuration and comprising:

an external member including;

a leading end and a trailing end,

an external base;

a first external wall and a second external wall spaced apart by a width of the external base, each of the first and second external walls having an external base end nearest the external base and an external edge away from the external base;

an internal member including;

a leading end and a trailing end,

an internal base;

a first internal wall and a second internal wall having a spacing therebetween for the first and second internal walls to fit within the first and second external walls, each of the first and second internal walls having an internal base end nearest the internal base and an internal edge away from the internal base, wherein when in the non-expanded configuration the first and second internal walls are deflected towards one another;

a locking arrangement, comprising;

a first pin projecting from one of the first internal wall or the first external wall, proximate the leading end;

a first aperture in one of the first internal wall or the first external wall, proximate the leading end wherein the first aperture is configured to receive the first pin when the implant is in an expanded configuration;

a first groove extending from the first aperture towards the base end of the first internal wall or the first external wall;

a second pin projecting from one of the second internal wall or the second external wall, proximate the leading end;

a second aperture in one of the second internal wall or the second external wall, proximate the leading end wherein the second aperture is configured to receive the second pin when the implant is in an expanded configuration; and

a second groove extending from the second aperture towards the base end of the second internal wall or the second external wall.

12. An intervertebral implant having an expanded and non-expanded configuration and comprising:

an external member including;

a leading end and a trailing end,

an external base;

a first external wall and a second external wall spaced apart by a width of the external base, each of the first and second external walls having an external base end nearest the external base and an external edge away from the external base; and

an internal member including;

a leading end and a trailing end,

an internal base; and

a first internal wall and a second internal wall having a spacing therebetween for the first and second internal walls to fit within the first and second external walls, each of the first and second internal walls having an internal base end nearest the internal base and an internal edge away from the internal base;

wherein when in the non-expanded configuration the first and second internal walls are deflected towards one another.

13. An intervertebral implant according to claim 12 wherein a trailing height of the first and second internal walls, measured from the internal base to the internal edge at the trailing end of the first and second internal walls, is greater than a leading height of the first and second internal walls, measured from the internal base to the internal edge at the leading end of the first and second internal walls.

14. The intervertebral implant according to claim 12, wherein the second locking structure includes a third pin projecting from one of the first internal wall or first external wall and a third aperture in a third opposing wall configured to receive the third pin when the implant is in the expanded configuration;

and a fourth pin projecting from one of the second internal wall or second external wall and a fourth aperture in a fourth opposing wall configured to receive the fourth pin when in the expanded configuration.

15. An intervertebral implant having an expanded and non-expanded configuration, wherein the implant has a longitudinal axis extending from a leading end of the axis to a trailing end of the axis with a midline between the leading end and trailing end positioned transverse to the longitudinal axis, the implant comprising

an external member including:

a leading end and a trailing end,

an external base;

a first external wall and a second external wall spaced apart by a width of the external base, each of the first and second external walls having an external base end nearest the external base and an external edge away from the external base;

an internal member including;

a leading end and a trailing end,

an internal base;

a first internal wall and a second internal wall having a spacing therebetween for the first and second internal walls to fit within the first and second external walls, each of the first and second internal walls having an internal base end nearest the internal base and an internal edge away from the internal base;

a first pin projecting from one of the first internal wall or first external wall proximal to the midline of the implant and a first aperture in an opposing wall configured to receive the first pin when the implant is in the expanded configuration;

a second pin projecting from one of the second internal wall or second external wall proximal to the midline of the implant and a second aperture in an opposing wall configured to receive the second pin when the implant is in the expanded configuration;

a third pin projecting from one of the first internal wall or first external wall distal to the midline of the implant and a third aperture in an opposing wall configured to receive the third pin when the implant in the expanded configuration; and

a fourth pin projecting from one of the second internal wall or second external wall distal to the midline of the implant-and a fourth aperture in an opposing wall configured to receive the fourth pin when in the expanded configuration;

wherein the third and fourth pins and are spaced apart from the first and second pins and a distance between the external base and the first aperture is less than a distance between the external base and the third aperture.

16. An intervertebral implant according to claim 15 wherein a distance between the internal base and the first pin is less than a distance between the internal base and the third pin.