Modular anatomic fusion device

• US 6,558,424 B2
• Filed: 06/28/2001
• Issued: 05/06/2003
• Est. Priority Date: 06/28/2001
• Status: Expired due to Fees

• Current Assignee: Depuy Acromed Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Acromed
• Inventors: Thalgott, John S.
• Primary Examiner(s): Lewis, Ralph A.
• Application Number:
  US09/894,315
• Publication Number:
  US 20030004576A1
• Time in Patent Office: 677 Days
• Field of Search: 623/17.11, 623/17.15, 623/17.16, 606/61
• US Class Current: 623/17.16
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/30965 Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
• 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 2/4611 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 2002/30383 made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30561 breakable or frangible
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30777 Oblong apertures
• CPC Class Codes: A61F 2002/30784 Plurality of holes
• CPC Class Codes: A61F 2002/30904 serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2002/4622 having the shape of a forceps or a clamp
• 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 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2230/0013 Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped
• CPC Class Codes: A61F 2310/00017 Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00359 : Bone or bony tissue

Abstract

A modular fusion cage and tool for the insertion of the fusion cage is provided. The fusion cage includes a ramp member having superior and inferior bone contacting surfaces, and anterior and posterior sides. The ramp member is adapted to be positioned between adjacent vertebral bodies. The implant also includes a ring member slidably matable with the ramp member. The ring member includes superior and inferior bone contacting surfaces, and anterior and posterior sides. The implant according to the present invention is particularly useful for facilitating the safe and accurate insertion of the implant between adjacent vertebral bodies.

Claims

1. A modular fusion cage, comprising:

a ramp member adapted to be positioned between adjacent vertebral bodies, the ramp member having superior and inferior bone contacting surfaces, and anterior and posterior sides; and

a cage forming member having a central opening extending in a superior-inferior plane that is defined by an annular wall that is interrupted by a wall opening that is adapted to slidably receive the ramp member and that communicates with the central opening, the annular wall further having superior and inferior bone contacting surfaces, and anterior and posterior sides.

2. The modular fusion cage of claim 1, wherein the wall opening is disposed in the posterior side of the cage forming member.

3. The modular fusion cage of claim 2, wherein the cage forming member includes first and second transverse walls extending between the posterior and anterior sides.

4. The modular fusion cage of claim 3, wherein the wall opening in the posterior side of the cage forming member extends between the first and second transverse walls of the cage forming member.

5. The modular fusion cage of claim 4, wherein the ramp member includes first and second transverse sides adapted to conform to the wall opening in the posterior side of the cage forming member.

6. The modular fusion cage of claim 5, wherein at least one of the cage forming member and the ramp member includes an alignment guide that is effective to align the cage forming member and the ramp member.

7. The modular fusion cage of claim 6, wherein the alignment guide is disposed on the transverse sides of the ramp member, and on the opposed faces of the annular wall that are adjacent to the wall opening of the cage forming member.

8. The modular fusion cage of claim 6, wherein the alignment guide comprises a dovetail lock.

9. The modular fusion cage of claim 6, wherein the alignment guide comprises a tongue and groove joint.

10. The modular fusion cage of claim 5, wherein at least one of the ramp member and the cage forming member includes a locking mechanism for locking the cage forming member to the ramp member.

11. The modular fusion cage of claim 10, wherein the locking mechanism comprises a dovetail lock.

12. The modular fusion cage of claim 4, wherein the superior and inferior surfaces of the posterior side of the cage forming member define a wedge-like tip.

13. The modular fusion cage of claim 12, wherein at least a portion of the superior and inferior surfaces of at least one of the cage forming member and the ramp member include a plurality of bone-engaging surface features.

14. The modular fusion cage of claim 13, wherein the wedge-like tip is substantially free of bone engaging surface features.

15. The modular fusion cage of claim 1, wherein the ramp member has a height extending between the superior and inferior bone contacting surfaces and the height of the ramp member decreases from the anterior side to the posterior side.

16. The modular fusion cage of claim 1, wherein the cage forming member has a height extending between the superior and inferior bone contacting surfaces and the height of the cage forming member decreases from the anterior side to the posterior side.

17. The modular fusion cage of claim 16, wherein the height of the ramp member is greater than the height of the cage forming member.

18. The modular fusion cage of claim 1, wherein the superior and inferior bone contacting surfaces of the cage forming member have a convex shape in both the saggital and coronal planes.

19. The modular fusion cage of claim 1, wherein the ramp member includes a handle removably mated to the anterior side of the ramp member.

20. The modular fusion cage of claim 19, wherein the anterior side of the cage forming member includes a bore formed therein for slidably receiving the handle.

21. The modular fusion cage of claim 20, wherein the bore is adapted to receive a fastening element effective to secure the cage forming member to the ramp member.

22. The modular fusion cage of claim 1, wherein the cage forming and ramp members are made from a material selected from the group consisting of allograft bone, metals, metal alloys, carbon fiber reinforced polymers, biocompatible polymers and combinations thereof.

23. A modular fusion cage, comprising:

a substantially rectangular ramp member adapted to be positioned between adjacent vertebral bodies, the ramp member having opposed transverse sides, superior and inferior bone contacting surfaces, and anterior and posterior ends; and

a substantially annular ring-like member slidably matable with the ramp member, the ring-like member being formed of a structural wall that is interrupted by a wall opening, the ring-like member having

superior and inferior bone contacting surfaces, anterior and posterior ends, and first and second rib members extending between the posterior and anterior ends and disposed inwardly of the structural wall;

a central opening, oriented in a superior-inferior plane, and disposed between the rib members; and

first and second transverse openings, oriented in a superior inferior plane, and disposed between one of the rib members and the structural wall.

24. The modular fusion cage of claim 23, wherein the superior and inferior surfaces of the posterior side of the ring-like member define a wedge-like tip.

25. The modular fusion cage of claim 24, wherein at least a portion of the superior and inferior surfaces of at least one of the ring-like member and the ramp member include a plurality of bone engaging surface features, each bone engaging surface feature having a base integral with one of the superior and inferior surfaces.

26. The modular fusion cage of claim 25, wherein the wedge-like tip is substantially free of bone engaging surface features.

27. The modular fusion cage of claim 23, wherein at least one of the ring-like member and the ramp member includes an alignment guide that is effective to align the ring-like member with the ramp member.

28. The modular fusion cage of claim 27, wherein the alignment guide is disposed on the transverse sides of the ramp member, and on the opposed faces of the annular wall that are adjacent to the wall opening of the ring-like member.

29. The modular fusion cage of claim 23, wherein at least one of the ramp member and the ring-like member includes a locking mechanism for locking the ring member to the ramp member.

30. The modular fusion cage of claim 23, wherein the ramp member has a height extending between the superior and inferior bone contacting surfaces and the height of the ramp member decreases from the anterior side to the posterior side.

31. The modular fusion cage of claim 23, wherein the ring-like member has a height extending between the superior and inferior bone contacting surfaces and the height of the ring-like member decreases from the anterior side to the posterior side.

32. The modular fusion cage of claim 31, wherein the height of the ramp member is greater than the height of the ring-like member.

33. The modular fusion cage of claim 23, wherein the superior and inferior bone contacting surfaces of the ring-like member have a convex shape in both the saggital and coronal planes.

34. The modular fusion cage of claim 23, wherein the ramp member includes a handle removably mated to the anterior side of the ramp member.

35. The modular fusion cage of claim 34, wherein the ring-like member includes a bore formed in the anterior side of the ring-like member for slidably receiving the handle.

36. The modular fusion cage of claim 23, wherein the ring-like and ramp members are made from a material selected from the group consisting of allograft bone, metals, metal alloys, carbon fiber reinforced polymers, biocompatible polymers and combinations thereof.

37. A modular fusion cage, comprising:

a ramp member having posterior and anterior faces, superior and inferior bone contacting faces, and first and second transverse faces;

a ring member defined by an annular wall having posterior and anterior faces, superior and inferior bone contacting faces, and first and second transverse faces, the posterior face including an opening formed in the annular wall for receiving the ramp member.

38. A spinal implant system, comprising:

a modular fusion cage having

a ramp member having posterior and anterior faces, superior and inferior bone contacting faces, and first and second transverse faces, and

a ring member defined by an annular wall having posterior and anterior faces, superior and inferior bone contacting faces, and first and second transverse faces, the posterior face including an opening formed in the annular wall for receiving the ramp member, the anterior side of the superior and inferior faces further having at least one groove formed therein for receiving an insertion tool;

an insertion tool effective to grasp and manipulate the ring member relative to the ramp member, the insertion tool having

first and second opposed grasping elements movable between an open position and a closed position and matable with the at least one groove formed in each of the superior and inferior faces of the ring member, and

first and second opposed actuating members mated to the first and second grasping elements and effective to move the first and second grasping elements between the open and closed positions.

39. A method of implanting a spinal disk prosthesis, comprising:

providing a modular fusion cage having

a ramp member adapted to be positioned between adjacent vertebral bodies, the ramp member having superior and inferior bone contacting surfaces and first and second transverse sides, and

a cage forming member slidably matable with the ramp member, the cage forming member having a central opening adapted to receive the ramp member;

separating adjacent vertebrae, each vertebra having an endplate;

positioning the ramp member between the endplates of the adjacent vertebrae in an orientation in which the first and second transverse sides are in contact with the endplates;

rotating the ramp member to enable the superior and inferior surfaces to contact the endplates of the adjacent vertebrae; and

sliding the cage forming member around the ramp member.

40. The method of claim 39, further comprising the step of locking the cage forming member to the ramp member.

41. A method of implanting a spinal disk prosthesis, comprising:

providing a modular fusion cage having a ramp member adapted to be positioned between adjacent vertebral bodies, and a ring member having a central opening adapted to slidably receive the ramp member;

separating adjacent vertebrae;

partially inserting the ramp member between the adjacent vertebrae;

impacting the ramp member with an impacting device to fully insert the ramp member between the adjacent vertebrae;

sliding the ring member around the ramp member.

42. The method of claim 41, further comprising the step of locking the ring member to the ramp member.

43. A method of implanting a spinal disk prosthesis, comprising:

providing a modular fusion cage having a ring member and a ramp member, the ring member including an opening for receiving the ramp member;

inserting the ramp member between adjacent vertebrae;

providing an insertion tool effective to grasp and manipulate the ring member, the insertion tool having first and second opposed grasping elements movable between an open position and a closed position and matable with the ring member;

grasping the ring member with the first and second grasping elements of the insertion tool;

manipulating the insertion tool to position the ring member around the ramp member.