Interbody vertebral spacer

• US 8,454,700 B2
• Filed: 10/04/2011
• Issued: 06/04/2013
• Est. Priority Date: 10/04/2011
• Status: Active Grant

• Current Assignee: Zimmer Spine, Inc. (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Zimmer Spine, Inc. (Zimmer Biomet Holdings, Inc.)
• Inventors: Lemoine, Jeremy J., Perrone, Charles H. Jr., Simon, Eric M., Carlson, Daniel A., Hestad, Hugh D.
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): Negrellirodriguez, Christina
• Application Number:
  US13/252,247
• Publication Number:
  US 20130085573A1
• Time in Patent Office: 609 Days
• Field of Search: 606246-249, 623 1711- 1716
• 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 2/4465 having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
• CPC Class Codes: A61F 2002/30014 differing in elasticity, stiffness or compressibility
• CPC Class Codes: A61F 2002/30189 E-shaped or epsilon-shaped
• CPC Class Codes: A61F 2002/30306 harpoon-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 2002/30401 with additional means for preventing or locking said sliding
• CPC Class Codes: A61F 2002/30428 made by inserting a protrusion into a slot
• CPC Class Codes: A61F 2002/30477 using sharp protrusions, e.g. spikes, for anchoring into connecting prosthetic part
• CPC Class Codes: A61F 2002/30482 using a locking cam
• CPC Class Codes: A61F 2002/30492 using a locking pin
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/3052 unrestrained in only one direction, e.g. moving unidirectionally
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30607 Kits of prosthetic parts to be assembled in various combinations for forming different prostheses
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30782 inclined obliquely
• 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 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 2310/00131 : Tantalum or Ta-based alloys

Abstract

An interbody vertebral implant for facilitating fusion of adjacent vertebrae. The implant includes a first end plate, a second end plate, and an intermediate member disposed therebetween. The end plates are configured to allow bone in-growth. The intermediate member may include features to engage the end plates and to prevent over insertion of the intermediate member within the end plates. The implant may include a cavity extending through the composite implant configured to receive bone growth material to facilitate fusion between a first vertebra and a second vertebra.

Claims

1. An interbody vertebral implant having a posterior side and an anterior side, the implant comprising:

a first end plate having a first side configured to engage a first vertebra and a second side;

a second end plate having a first side and a second side configured to engage a second vertebra; and

an intermediate member having a first side and a second side and including a first arm extending along a first lateral side, a second arm extending along a second lateral side, and a central arm disposed between the first arm and the second arm, the intermediate member slidably disposed between the first and second end plates;

wherein the first arm, the second arm, and the central arm are connected along the posterior side by a connecting member;

wherein the first end plate comprises a central channel extending along the second side of the first end plate from the anterior side toward the posterior side and the second end plate comprises a central channel extending along the first side of the second end plate from the anterior side toward the posterior side; and

wherein a pair of dovetail grooves extend along at least a portion of the central channels of the first and second end plates.

2. The interbody vertebral implant of claim 1, further comprising a cavity configured to receive bone growth material to facilitate fusion between the first vertebra and the second vertebra.

3. The interbody vertebral implant of claim 1, wherein the central channels of the first and second end plates comprise an enlarged region adjacent the anterior side.

4. The interbody vertebral implant of claim 3, wherein the central arm comprises a “

Y”

shaped fork adjacent the anterior side.

5. The interbody vertebral implant of claim 4, wherein the central arm comprises a first pair of dovetail grooves on the first side and a second pair of dovetail grooves on the second side.

6. The interbody vertebral implant of claim 4, wherein the fork is configured to engage the enlarged regions of the central channels of the first and second end plates.

7. The interbody vertebral implant of claim 5, wherein the first pair of dovetail grooves on the central arm are configured to engage the pair of dovetail grooves on the first end plate and the second pair of dovetail grooves on the central arm are configured to engage the pair of dovetail grooves on the second end plate.

8. The interbody vertebral implant of claim 1, wherein the first arm includes a first stop member on the first side thereof and a second stop member on the second side thereof and the second arm includes a third stop member on the first side thereof and a fourth stop member on the second side thereof.

9. The interbody vertebral implant of claim 8, wherein the first end plate includes a first recessed portion adjacent the anterior side and the first lateral side and a second recessed portion adjacent the anterior side and the second lateral side and wherein the second end plate includes a third recessed portion adjacent the anterior side and the first lateral side and a fourth recessed portion adjacent the anterior side and the second lateral side.

10. The interbody vertebral implant of claim 9, wherein the first stop member is configured to engage the first recessed portion, the second stop member is configured to engage the third recessed portion, the third stop member is configured to engage the second recessed portion, and the fourth stop member is configured to engage the fourth recessed portion.

11. An interbody vertebral implant having a posterior side and an anterior side, the implant comprising:

a first end plate having a first side configured to engage a first vertebra and a second side;

a second end plate having a first side and a second side configured to engage a second vertebra; and

an intermediate member having a first side, a second side, a first lateral side, and a second lateral side, the first side of the intermediate member configured to engage the second side of the first end plate and the second side of the intermediate member configured to engage the first side of the second end plate;

wherein the intermediate member comprises a connecting member, a first arm extending from the connecting member towards the anterior side along the first lateral side, a second arm extending from the connecting member towards the anterior side along the second lateral side, and a central arm extending from the connecting member towards the anterior side between the first and second arms; and

wherein the central arm includes a fork having a first prong and a second prong adjacent to the anterior side.

12. The interbody vertebral implant of claim 11, further comprising:

a first central channel extending along the second side of the first end plate from the anterior side toward the posterior side and including an enlarged region adjacent to the anterior side;

a second central channel extending along the first side of the first end plate from the anterior side toward the posterior side and including an enlarged region adjacent to the anterior side;

wherein the first and second central channels are configured to receive the central arm such that the fork is disposed with the enlarged regions of the channels.

13. The interbody vertebral implant of claim 11, further comprising a first pair of dovetail grooves along the first side of the first arm, a second pair of dovetail grooves along the second side of the first arm, a third pair of dovetail grooves along the first side of the second arm, and a fourth pair of dovetail grooves along the second side of the second arm.

14. The interbody vertebral implant of claim 13, further comprising a fifth pair of dovetail grooves adjacent the first lateral side on the second side of the first end plate, a sixth pair of dovetail grooves adjacent the second lateral side on the second side of the first end plate, a seventh pair of dovetail grooves adjacent the first lateral side on the first side of the second end plate, and an eighth pair of dovetail grooves adjacent the second lateral side on the first side of the second end plate.

15. The interbody vertebral implant of claim 14, wherein the first pair of dovetail grooves are configured to engage the fifth pair of dovetail grooves, the second pair of dovetail grooves are configured to engage the seventh pair of dovetail grooves, the third pair of dovetail grooves are configured to engage the sixth pair of dovetail grooves, and the fourth pair of dovetail grooves are configured to engage the eighth pair of dovetail grooves.

16. The interbody vertebral implant of claim 11, further comprising at least one stop member on at least one of the first or second arms adjacent to the anterior side.

17. The interbody vertebral implant of claim 16, further comprising at least one recessed portion formed in at least one of the first or second end plates configured to receive the at least one stop member.

18. An interbody vertebral implant having a posterior side and an anterior side, the implant comprising:

a first end plate having a first side configured to engage a first vertebra and a second side;

a second end plate having a first side and a second side configured to engage a second vertebra; and

an intermediate member having a first side configured to engage the second side of the first end plate and a second side configured to engage the first side of the second end plate;

wherein the intermediate member comprises;

a connecting member extending from a first lateral side to a second lateral side along the posterior side;

a first arm extending from the connecting member towards the anterior side along the first lateral side and including at least one stop member adjacent the anterior side;

a second arm extending from the connecting member towards the anterior side along the second lateral side and including at least one stop member; and

a central arm extending from the connecting member towards the anterior side between the first and second arms and including a fork having a first prong and a second prong adjacent to the anterior side;

wherein the second side of the first end plate comprises means for engaging the first side of the intermediate member and the first side of the second end plate comprises means for engaging the second side of the intermediate member.

19. An interbody vertebral implant having a posterior side and an anterior side, the implant comprising:

a first end plate having a first side configured to engage a first vertebra and a second side;

a second end plate having a first side and a second side configured to engage a second vertebra;

an intermediate member having a first side and a second side and including a first arm extending along a first lateral side and a second arm extending along a second lateral side, the intermediate member slidably disposed between the first and second end plates, the first arm of the intermediate member including a first hole configured for receiving a first vertebral anchor therethrough to secure the implant to the first vertebra, and the second arm of the intermediate member including a second hole configured for receiving a second vertebral anchor therethrough to secure the implant to the second vertebra; and

a first locking mechanism configured to prevent movement of the intermediate member relative to the first end plate while simultaneously preventing the first vertebral anchor from backing out of the first hole.

20. The interbody vertebral implant of claim 19, further comprising a second locking mechanism configured to prevent movement of the intermediate member relative to the second end plate while simultaneously preventing the second vertebral anchor from backing out of the second hole.

21. The interbody vertebral implant of claim 20, wherein rotation of the first locking mechanism causes a first portion of the first locking mechanism to cover the first hole and a second portion of the first locking mechanism to be disposed in a groove of the first end plate;

and

wherein rotation of the second locking mechanism causes a first portion of the second locking mechanism to cover the second hole and a second portion of the second locking mechanism to be disposed in a groove of the second end plate.

22. The interbody vertebral implant of claim 19, wherein rotation of the first locking mechanism causes a first portion of the first locking mechanism to cover the first hole and a second portion of the first locking mechanism to be disposed in a groove of the first end plate.

23. An interbody vertebral implant having a posterior side and an anterior side, the implant comprising:

a first end plate having a first side configured to engage a first vertebra and a second side;

a second end plate having a first side and a second side configured to engage a second vertebra; and

an intermediate member having a first side and a second side and including a first arm extending along a first lateral side, a second arm extending along a second lateral side, and a central arm disposed between the first arm and the second arm, the intermediate member slidably disposed between the first and second end plates;

wherein the first arm, the second arm, and the central arm are connected along the posterior side by a connecting member; and

wherein the first arm includes a first stop member on the first side thereof and a second stop member on the second side thereof and the second arm includes a third stop member on the first side thereof and a fourth stop member on the second side thereof.

24. The interbody vertebral implant of claim 23, wherein the first end plate includes a first recessed portion adjacent the anterior side and the first lateral side and a second recessed portion adjacent the anterior side and the second lateral side and wherein the second end plate includes a third recessed portion adjacent the anterior side and the first lateral side and a fourth recessed portion adjacent the anterior side and the second lateral side.

25. The interbody vertebral implant of claim 24, wherein the first stop member is configured to engage the first recessed portion, the second stop member is configured to engage the third recessed portion, the third stop member is configured to engage the second recessed portion, and the fourth stop member is configured to engage the fourth recessed portion.