Expandable fusion device and method of installation thereof

• US 8,062,375 B2
• Filed: 10/15/2009
• Issued: 11/22/2011
• Est. Priority Date: 10/15/2009
• Status: Active Grant

• Current Assignee: Globus Medical, Inc.
• Original Assignee: Globus Medical, Inc.
• Inventors: Suh, Sean, Glerum, Chad
• Primary Examiner(s): Manahan; Todd
• Assistant Examiner(s): MAHMUD, ATIYA S
• Application Number:
  US12/579,833
• Publication Number:
  US 20110093074A1
• Time in Patent Office: 768 Days
• Field of Search: 623 1711- 1716
• US Class Current: 623/17.16
• CPC Class Codes: A61F 2/447 substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/3008 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30448 using adhesives
• CPC Class Codes: A61F 2002/30492 using a locking pin
• 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 2002/3052 unrestrained in only one direction, e.g. moving unidirectionally
• CPC Class Codes: A61F 2002/30523 by means of meshing gear teeth
• 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 2002/30622 Implant for fusing a joint or bone material
• CPC Class Codes: A61F 2002/30777 Oblong apertures
• CPC Class Codes: A61F 2002/30878 with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
• CPC Class Codes: A61F 2002/30904 serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2002/3093 for promoting ingrowth of bone tissue
• 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 2002/4629 : connected to the endoprosthesis or implant via a threaded connection
• CPC Class Codes: A61F 2002/4677 : using a guide wire
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/005 : using adhesives
• CPC Class Codes: A61F 2250/0098 : radio-opaque, e.g. radio-opaque markers
• 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 2310/00976 : Coating or prosthesis-covering structure made of proteins or of polypeptides, e.g. of bone morphogenic proteins BMP or of transforming growth factors TGF

Abstract

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

Claims

1. An intervertebral implant comprising:

a body portion having a first end, a second end, a first side portion connecting the first end and the second end, and a second side portion connecting the first end and the second end, the first end, second end, first side portion and second side portion defining a central opening;

a first endplate having an upper side, a lower side, and an extension, the extension extending from the lower side into the central opening;

a second endplate having an upper side, a lower side, and an extension, the extension extending from the lower side into the central opening;

a translation member having at least one expansion portion, at least a portion of the translation member is received within the central opening; and

a plurality of pins, the pins having a first end, a second end, and a central portion, the central portion being received by the expansion portion,

wherein the extensions of the first and second endplates include at least one slot for receiving the first end or second end of the pin, and

wherein movement of the translation member in a first direction causes the first and second endplates to move in a direction away from the body portion and the movement of the translation member in a second direction causes the first and second endplates to move in a direction towards the body portion.

2. The intervertebral implant of claim 1, wherein the movement of the translation member in the second direction moves the pins along the slots causing the first and second endplates to move in a direction towards the body portion.

3. The intervertebral implant of claim 1, wherein the expansion portion includes first and second ramped surfaces and the lower surfaces of the first and second endplates include ramped surfaces and wherein the first ramped surface of the expansion portion abuts against the ramped surface of the first endplate and the second ramped surface abuts against the ramped surface of the second endplates as the translation member is moved in the first direction causing the first and second endplates to move in a direction away the body portion.

4. The intervertebral implant of claim 1, further comprising an actuation member connected to the translation member, the actuation member having threading located along at least a portion of the translation member,

wherein the second end of the body portion includes a threaded opening for threadingly receiving the actuation member.

5. The intervertebral implant of claim 4, wherein the rotational movement of the actuation member results in the generally linear movement of the translation member.

6. The intervertebral implant of claim 4, wherein the actuation member includes a locking mechanism.

7. The intervertebral implant of claim 1, wherein the upper endplate has at least one opening extending from the upper surface through the lower surface, the opening being in fluid communication with the central opening.

8. The intervertebral implant of claim 1, wherein the lower endplate has at least one opening extending from the upper surface through the lower surface, the opening being in fluid communication with the central opening.

9. The intervertebral implant of claim 1, wherein the upper surface of the upper endplate includes any of the following texturing:

teeth, ridges, friction increasing elements, keels, gripping or purchasing projections.

10. The intervertebral implant of claim 1, wherein the upper surface of the lower endplate includes any of the following texturing:

teeth, ridges, friction increasing elements, keels, gripping or purchasing projections.

11. The intervertebral implant of claim 1, wherein the translation member has at least two expansion portions.

12. The intervertebral implant of claim 11, wherein each expansion portion includes two ramped surfaces and wherein the upper and lower endplates includes at least two ramped surfaces extending from the lower sides.

13. The intervertebral implant of claim 1, wherein the extensions of the first and second endplates each include at least two slots.

14. The intervertebral implant of claim 1, wherein the slots extend in a generally oblique manner.

15. The intervertebral implant of claim 1, wherein the first and second sides include a recessed portion configured and dimensioned for receiving an insertion instrument.

16. The intervertebral implant of claim 1, wherein the first end includes at least one angled surface.

17. The intervertebral implant of claim 1, the implant further comprising:

first and second artificial endplates, the artificial endplates each have an upper surface and a lower surface, the upper surfaces of the artificial endplates have at least one spike to engage the adjacent vertebral bodies and the lower surfaces of the artificial endplates have complementary texturing or engagement features to engage with texturing or engagement features on the upper endplate and the lower endplates,

wherein the upper surfaces of the artificial endplates have a generally convex profile and the lower surfaces have a generally parallel profile to achieve lordosis.

18. A method of installing an intervertebral implant, the method comprising:

positioning the intervertebral implant between adjacent vertebrae, the intervertebral implant having a body portion with a first end and a second end, the first end being inserted first into the disc space followed by the second end;

rotating an actuation member of the implant in a first direction, the rotation of the actuation member causes a translation member of the implant to move in a first direction, the translation member having at least one expansion portion having two ramped surfaces, the ramped surfaces abutting and pushing against ramped surfaces on upper and lower endplates of the implant causing the upper and lower endplates to move in a direction away from the body portion into an expanded position;

wherein said implant has an expanded and unexpanded configuration, the implant comprising a body portion having a first end having at least one angled surface, a second end having a threaded opening, a first side portion connecting the first end and the second end, and a second side portion connecting the first end and the second end, the first end, second end, first side portion and second side portion defining a central opening;

a first endplate having an upper side, a lower side, and an extension having at least two obliquely oriented slots, the extension extending from the lower side into the central opening;

a second endplate having an upper side, a lower side, and an extension having at least two obliquely oriented slots, the extension extending from the lower side into the central opening;

a translation member having at least two expansion portions, at least a portion of the translation member is received within the central opening; and

a plurality of pins, the pins having a first end, a second end, and a central portion, the central portion being received by the expansion portions and the first and second ends being received by the slots;

an actuation member connected to the translation member, the actuation member having threading located along at least a portion of the translation member, the threaded opening threadingly receiving the actuation member, wherein movement of the translation member in a first direction causes the first and second endplates to move in a direction away from the body portion and the movement of the translation member in a second direction causes the first and second endplates to move in a direction towards the body portion, wherein the expansion portions each includes first and second ramped surfaces and the lower surfaces of the first and second endplates each include ramped surfaces and wherein the first ramped surface of the expansion portions abuts against the ramped surfaces of the first endplate and the second ramped surfaces abuts against the ramped surfaces of the second endplates as the translation member is moved in the first direction causing the first and second endplates to move in a direction away the body portion, and wherein the movement of the translation member in the second direction moves the pins along the slots causing the first and second endplates to move in a direction towards the body portion.

19. The method of installing the intervertebral implant of claim 18, the method further comprising:

rotating an actuation member of the implant in a second direction, the rotation of the actuation member causes a translation member of the implant to move in a second direction, the expansion portion of the translation member having a pin, a portion of which is located within slots located on the first and second endplates, the movement of the translation member in the second direction causes the pin to ride along the slots moving the first and second endplates toward the body portion into an unexpanded position.

20. An intervertebral implant having an expanded and unexpanded configuration, the implant comprising:

a body portion having a first end having at least one angled surface, a second end having a threaded opening, a first side portion connecting the first end and the second end, and a second side portion connecting the first end and the second end, the first end, second end, first side portion and second side portion defining a central opening;

a first endplate having an upper side, a lower side, and an extension having at least two obliquely oriented slots, the extension extending from the lower side into the central opening;

a second endplate having an upper side, a lower side, and an extension having at least two obliquely oriented slots, the extension extending from the lower side into the central opening;

a translation member having at least two expansion portions, at least a portion of the translation member is received within the central opening; and

a plurality of pins, the pins having a first end, a second end, and a central portion, the central portion being received by the expansion portions and the first and second ends being received by the slots;

an actuation member connected to the translation member, the actuation member having threading located along at least a portion of the translation member, the threaded opening threadingly receiving the actuation member,

wherein movement of the translation member in a first direction causes the first and second endplates to move in a direction away from the body portion and the movement of the translation member in a second direction causes the first and second endplates to move in a direction towards the body portion,

wherein the expansion portions each includes first and second ramped surfaces and the lower surfaces of the first and second endplates each include ramped surfaces and wherein the first ramped surface of the expansion portions abuts against the ramped surfaces of the first endplate and the second ramped surfaces abuts against the ramped surfaces of the second endplates as the translation member is moved in the first direction causing the first and second endplates to move in a direction away the body portion, and

wherein the movement of the translation member in the second direction moves the pins along the slots causing the first and second endplates to move in a direction towards the body portion.