Expandable intervertebral spacers and methods of use
First Claim
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1. An intervertebral spacer comprising:
- first and second members having respective contact surfaces to contact adjacent vertebral bodies, said first and second members being movable with respect to one another between a retracted position and an extended position, one of said first and second members being a plate;
said first and second members configured to engage an insertion tool when said first and second members are in a retracted position, and to release said tool when said first and second members are moved to an extended position; and
a jack mechanism to move said first and second members between said retracted and extended positions, said jack mechanism including a threaded shaft that extends outward from one of the first and second members and terminates at a distal end, a ring gear with a threaded opening that receives the threaded shaft, the distal end of said threaded shaft remains within said ring gear when said spacer is in the retracted position;
the ring gear further including outwardly-extending gear teeth that extend radially outward from an exterior surface, and a drive gear with a helical extension that engages with the gear teeth, said jack mechanism configured for rotation of the drive gear in a first direction moving the first and second members towards the retracted position and rotation in a second direction moving the first and second members towards the extended position;
each of said first and second members includes a tool-engaging element to capture a head of an insertion tool by moving said first and second members from an extended position to the retracted position.
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Abstract
An intervertebral spacer is inserted between vertebral members in a compact configuration and expanded post-insertion to contact the adjacent vertebral members. The intervertebral spacer comprises a first member and a second member movable with respect to the first member between retracted and extended positions.
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Citations
16 Claims
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1. An intervertebral spacer comprising:
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first and second members having respective contact surfaces to contact adjacent vertebral bodies, said first and second members being movable with respect to one another between a retracted position and an extended position, one of said first and second members being a plate; said first and second members configured to engage an insertion tool when said first and second members are in a retracted position, and to release said tool when said first and second members are moved to an extended position; and a jack mechanism to move said first and second members between said retracted and extended positions, said jack mechanism including a threaded shaft that extends outward from one of the first and second members and terminates at a distal end, a ring gear with a threaded opening that receives the threaded shaft, the distal end of said threaded shaft remains within said ring gear when said spacer is in the retracted position;
the ring gear further including outwardly-extending gear teeth that extend radially outward from an exterior surface, and a drive gear with a helical extension that engages with the gear teeth, said jack mechanism configured for rotation of the drive gear in a first direction moving the first and second members towards the retracted position and rotation in a second direction moving the first and second members towards the extended position;each of said first and second members includes a tool-engaging element to capture a head of an insertion tool by moving said first and second members from an extended position to the retracted position. - View Dependent Claims (2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15)
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8. An intervertebral spacer comprising:
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a first member and a plate each having respective flattened contact surfaces to contact adjacent vertebral bodies, said plate being movable with respect to the first member between a retracted position and an extended position, the first member including sidewalls that form a main cavity, the sidewalls positioned to be spaced away from the vertebral bodies when the contact surfaces are in contact with the vertebral bodies; a screw jack interposed between said first member and said plate, said screw jack comprising a screw shaft fixed to said plate and extending transversely away from the contact surface of the plate and terminating at a bottom end, an internally threaded ring gear nested in the main cavity and meshed with said screw shaft such that rotation of said ring gear in a first direction moves said plate away from said first member, and such that rotation of said ring gear in a second direction moves said plate towards said first member, said bottom end of said screw shaft remains within said ring gear when said plate is in said extended and retracted positions; and a drive gear including a helical thread that extends along a length of an exterior surface, said drive gear mounted in said first member with the helical thread meshed with teeth on an outer surface of said ring gear, said drive gear accessible to a surgeon post-insertion to actuate said screw jack to move said plate between said retracted and extended positions; a centerline of the drive gear being spaced away from a centerline of the ring gear such that the centerlines do not intersect.
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16. A method of inserting an intervertebral spacer between two vertebral members, said method comprising:
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inserting an intervertebral spacer having first and second members into an intervertebral space, said intervertebral spacer including a screw jack for moving said first and second members relative to one another between a retracted position and an extended position, said screw jack comprising a screw shaft fixed to one of said first and second members, and an internally threaded ring gear meshed with said screw shaft such that rotation of said ring gear in a first direction moves said second member away from said first member, and such that rotation of said ring gear in a second direction moves said second member towards said first member; expanding the intervertebral spacer post-insertion by rotating a worm gear with a helical thread meshed with said ring gear and rotating the ring gear while the ring gear is nested in a main cavity of one of the first and second members and while maintaining the ring gear against a floor of the main cavity to spread apart the first and second members; and expanding the intervertebral spacer and moving a guide rod fixed to one of the first and second members within a guide channel in the other of the first and second members, the guide rod being spaced away from the screw shaft.
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Specification