Expandable fusion device and method of installation thereof

• US 8,685,098 B2
• Filed: 06/25/2010
• Issued: 04/01/2014
• Est. Priority Date: 06/25/2010
• Status: Active Grant

• Current Assignee: Globus Medical, Inc.
• Original Assignee: Globus Medical, Inc.
• Inventors: Glerum, Chad, Suh, Sean, Seifert, Jody L.
• Primary Examiner(s): Manahan, Todd
• Assistant Examiner(s): Weiss, Jessica
• Application Number:
  US12/823,736
• Publication Number:
  US 20110319997A1
• Time in Patent Office: 1,376 Days
• Field of Search: 623 1711- 1716, 411/75, 411/80, 403/297, 403373-3744, 254/11
• US Class Current: 623/17.15
• 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 2/447 substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• 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 2002/3052 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 2002/30578 having apertures, e.g. for receiving fixation screws
• 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 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30904 serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2250/0009 for adjusting thickness
• 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 2310/00179 Ceramics or ceramic-like structures

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 comprising 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 comprising an upper side, a lower side, a first ramped portion, a second ramped portion, the first and second ramped portions extending from the lower side into the central opening;

a second endplate comprising an upper side, a lower side, and third and fourth ramped portions, the third and fourth ramped portions extending from the lower side into the central opening; and

a translation member comprising an expansion portion, at least a portion of the translation member is received within the central opening, the expansion portion comprising a first, a second, a third and a fourth angled surface, the first and second angled surfaces engaging the first and second ramped portions of the first endplate, the third and fourth angled surfaces engaging the third and fourth ramped portions of the second endplate;

wherein movement of the translation member in a first direction from the first end of the body portion towards the second end of the body portion causes the first and second endplates to move in a direction away from the body portion and the movement of the translation member from the second end of the body portion to the first end of the body portion in a second direction causes the first and second endplates to move in a direction towards the body portion, and wherein the movement of the translation member in the first direction moves the first and second angled surfaces in the same direction along the first and second ramped portions of the first endplate and the third and fourth angled surfaces along the third and fourth ramped portions of the second endplate wherein the first and second angled surfaces are at a first distance from each other when the first endplate is in an unexpanded position and at a second distance at an expanded position, wherein the first and second distances are equal.

2. The intervertebral implant of claim 1, further comprising an actuation member connected to the translation member, the actuation member having a first end and a second end, the first end comprising an extension that is received with an opening in the expansion portion of the translation member.

3. The intervertebral implant of claim 2, wherein the rotational movement of the actuation member results in the generally linear movement of the translation member.

4. The intervertebral implant of claim 2, wherein the extension of the actuation member comprises a lip portion, wherein the lip portion is received in a locking mechanism that extends from the expansion portion of the translation member, the locking mechanism comprising a slot configured to receive the lip portion of the extension and a stop configured to engage the lip portion when the lip portion is in the slot.

5. The intervertebral implant of claim 2, further comprising a pin member for securing the actuation member in the translation member, the pin member disposed through a central bore of the translation member and through a central bore of the actuation member.

6. The intervertebral implant of claim 1, wherein the first endplate comprises an opening extending from the upper surface through the lower surface, the opening being in fluid communication with the central opening, and wherein the upper surface of the first endplate comprises at least one texturing selected from the group consisting of teeth, ridges, friction increasing elements, keels, gripping projections, and purchasing projections.

7. The intervertebral implant of claim 1, wherein the first angled surface of the expansion portion engages a grooved portion along the first ramped portion of the first endplate.

8. The intervertebral implant of claim 7, wherein the grooved portions of the first endplate extends in a generally oblique manner.

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

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

11. The intervertebral implant of claim 1, the intervertebral 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 comprise a spike to engage the adjacent vertebral bodies and the lower surfaces of the artificial endplates comprise complementary texturing or engagement features to engage with texturing or engagement features on the first and second 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.

12. An intervertebral implant comprising:

a body portion comprising 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 comprising a first ramped portion, and a second ramped portion, the first and second ramped portions extending into the central opening,

a translation member comprising an expansion portion, at least a portion of the translation member is received within the central opening, the expansion portion comprising first and second angled surfaces, the first and second angled surfaces engaging the first and second ramped portions of the first endplate;

wherein movement of the translation member in the first direction moves the first and second angled surfaces in the same direction along the first and second ramped portions of the first endplate,

wherein the first and second angled surfaces are at a first distance from each other when the first endplate is in an unexpanded position and at a second distance in an expanded position, wherein the first and second distances are equal.

13. The intervertebral implant of claim 12, further comprising an actuation member connected to the translation member, the actuation member having a first end and a second end, the first end comprising an extension that is received with an opening in the expansion portion of the translation member.

14. The intervertebral implant of claim 13, wherein the rotational movement of the actuation member results in the generally linear movement of the translation member.

15. The intervertebral implant of claim 13, wherein the extension of the actuation member comprises a lip portion, wherein the lip portion is received in a locking mechanism that extends from the expansion portion of the translation member, the locking mechanism comprising a slot configured to receive the lip portion of the extension and a stop configured to engage the lip portion when the lip portion is in the slot.

16. The intervertebral implant of claim 13, further comprising a pin member for securing the actuation member in the translation member, the pin member disposed through a central bore of the actuation member and through a central bore of the actuation member.

17. The intervertebral implant of claim 12, wherein the first endplate comprises an opening extending from the upper surface through the lower surface, the opening being in fluid communication with the central opening, and wherein the upper surface of the first endplate comprises at least one texturing selected from the group consisting of teeth, ridges, friction increasing elements, keels, gripping projections, and purchasing projections.

18. The intervertebral implant of claim 12, wherein the first and second angled surfaces of the expansion portion engage a first and second grooved portions of the first endplate.

19. The intervertebral implant of claim 12, wherein the first and second sides of the body portion each comprise a recessed portion configured and dimensioned for receiving an insertion instrument.

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

positioning the intervertebral implant between adjacent vertebrae, the intervertebral implant comprising a body portion with a first end and a second end, a first endplate having first and second ramped surfaces, an actuation member, a translation member with an expansion portion, the expansion portion comprising a first angled surface and a second angled surface;

rotating the actuation member of the intervertebral implant in a first direction, wherein the rotation of the actuation member moves the translation member of the implant in a first direction and thereby the first angled surface abuts and pushes against the first ramped surface on the first endplate and the second angled surface abuts and pushes against the second ramped surface on the first endplate moving the first endplate in a direction away from the body portion into an expanded position, wherein the first and second angled surfaces are at a first distance from each other when the first endplate is in an unexpanded position and at a second distance in an expanded position, wherein the first and second distances are equal.