Adjustable distraction cage with linked locking mechanisms

• US 8,696,751 B2
• Filed: 05/25/2010
• Issued: 04/15/2014
• Est. Priority Date: 12/10/2008
• Status: Active Grant

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: Coalign Innovations Inc. (Stryker Corporation)
• Inventors: Ashley, John E., Simpson, Philip J., Gillespie, Walter Dean, Shulock, Damien J., Kadaba, Murali, Matsuura, David G., Mansfield, George A. III, Grotz, Thomas, Pretti, Rudy
• Primary Examiner(s): STEWART, ALVIN J
• Application Number:
  US12/787,281
• Publication Number:
  US 20110130835A1
• Time in Patent Office: 1,421 Days
• Field of Search: 623 1711- 1716, 606/246, 606/247
• US Class Current: 623/17.16
• CPC Class Codes: A61F 2/30742 Bellows or hose-like seals; Sealing membranes A61B17/8808 takes precedence; sealing membranes for retaining bone substitute A61F2/2846
• CPC Class Codes: A61F 2/441 made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel
• 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 2/4455 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 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2/482 Electrical means
• CPC Class Codes: A61F 2/484 Fluid means, i.e. hydraulic or pneumatic
• CPC Class Codes: A61F 2002/30079 magnetic
• CPC Class Codes: A61F 2002/3008 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2002/30133 kidney-shaped or bean-shaped
• CPC Class Codes: A61F 2002/30365 with additional means for limiting said rotation
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30476 locked by an additional locking mechanism
• CPC Class Codes: A61F 2002/30484 Mechanically expandable devices located on the first prosthetic part for locking into or onto the second prosthetic part
• CPC Class Codes: A61F 2002/30495 using a locking ring
• CPC Class Codes: A61F 2002/30505 spring biased
• CPC Class Codes: A61F 2002/30514 using a locking washer
• CPC Class Codes: A61F 2002/30522 releasable, e.g. using a releasable ratchet
• CPC Class Codes: A61F 2002/30525 Worm gears
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30565 : having spring elements
• CPC Class Codes: A61F 2002/30579 : with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30581 : having a pocket filled with fluid, e.g. liquid
• CPC Class Codes: A61F 2002/30589 : Sealing means
• CPC Class Codes: A61F 2002/30601 : telescopic
• CPC Class Codes: A61F 2002/30841 : Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2210/009 : magnetic
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 : made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2230/0015 : Kidney-shaped, e.g. bean-shaped
• CPC Class Codes: A61F 2250/0007 : for adjusting length
• CPC Class Codes: A61F 2250/0069 : Sealing means
• 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

Abstract

A spinal implant which is configured to be deployed between adjacent vertebral bodies. The implant has at least one extendable support element with a refracted configuration to facilitate deployment of the implant and an extended configuration so as to expand the implant and effectively distract the disc space, stabilize the motion segments and eliminate pathologic spine motion. The implant has a minimal dimension in its unexpanded state that is smaller than the dimensions of the neuroforamen through which it typically passes to be deployed within the intervertebral space. The implant is provided with a locking system having a plurality of linked locking elements that work in unison to lock the implant in an extended configuration. Bone engaging anchors also may be provided to ensure secure positioning.

Claims

1. A spinal implant for placement between first and second vertebral bodies, comprising:

a first member having a surface for engaging a first vertebral body;

a second member cooperating with the first member and having a surface for engaging a second vertebral body;

at least one extendable support element having a contracted configuration to facilitate deployment of the implant between the superior and inferior vertebral bodies and at least one extended configuration to extend the first member away from the second member so that the surface thereof engages the first vertebral body;

a locking system which has a locking element that mechanically engages or interlocks with the extendable support element of the first member to lock the implant between the first and second vertebral bodies in an expanded configuration;

wherein said locking element comprises an upper lock support member having a multi-stepped support surface and a lower lock support member having a multi-stepped support surface configured to engage the multi-stepped support surface of the upper lock support member; and

a locking actuator that is configured to effect relative motion between the upper and lower lock support members when the at least one extendable member is extended so as to lock the implant in an extended configuration by engaging the multi-stepped support surfaces of the upper lock support members and the lower lock support members,

wherein the locking actuator is a biased member configured to move one of the lock support members relative to the other.

2. The spinal implant of claim 1, wherein the lower and upper lock support members have arcuate shapes.

3. The spinal implant of claim 1 wherein the biased member is a spring located in a groove in a base of the implant.

4. A spinal implant for placement between adjacent vertebral bodies, comprising:

a top end plate for engaging a first adjacent vertebral body;

a bottom end plate for engaging a second adjacent vertebral body;

at least two extendable piston members having a contracted configuration within the implant to facilitate deployment of the implant between the first and second vertebral bodies and an extended configuration to extend the top end plate into engagement with the first adjacent vertebral body;

an upper lock support member associated with each extendable piston member having a multi-stepped support surface;

a lower lock support member corresponding to each upper lock support member having a multi-stepped support surface configured to engage the multi-stepped support surface of the upper lock support member;

a locking actuator which causes relative motion between the upper and lower lock support members when the at least one extendable member is extended so as to lock the implant in an expanded configuration by engaging the multi-stepped support surfaces of the upper lock support members and the lower lock support members; and

a linking member extending between the lower lock support members to link said lower lock members for locking in unison;

wherein a spring locking actuator is provided to move the lower lock support member toward the upper lock support when the at least one extendable member is extended.

5. The spinal implant of claim 4 wherein the upper and lower lock support members have matching shapes which facilitate engagement of stepped support surfaces thereof.

6. The spinal implant of claim 5 wherein the upper and lower lock support members have matching arcuate shapes.

7. The spinal implant of claim 4, wherein the bone engaging surface of the first member comprises a bone anchor with a sharpened leading edge configured for anchoring into the bone.

8. The spinal implant of claim 7, wherein the bone anchor includes barbs.

9. A lockable, extendable spinal implant for placement between first and second vertebral bodies, comprising:

first and second bone engaging members each having a surface configured to respectively engage opposed first and second vertebral bodies;

extension means acting between the first and second bone engaging members to control extension of said bone engaging members between contracted and extended configurations;

first and second fixed lock members fixed to one of said first and second bone engaging members and extending towards the opposite bone engaging member, the fixed lock members being spaced apart and each having a fixed locking surface;

first and second moveable lock members captured between the first and second bone engaging members for cooperation with the fixed lock members, each moveable lock member having a moveable locking surface configured to engage an opposed fixed locking surface on one said fixed lock member to prevent contraction of said extension means;

a locking actuator configured to engage the moveable locking surfaces with the fixed locking surfaces; and

a link member operatively connected between the first and second moveable lock members to coordinate movement therebetween;

wherein said extension means comprises first and second extendable support elements, said first and second lock members comprise arcuate members disposed, respectively, in proximity to said first and second extendable support elements; and

the locking actuator rotates the moveable lock members to engage the locking surfaces; and

wherein the locking actuator comprises a biasing element acting on one of the moveable lock members to bias said member into engagement with its associated fixed lock member and the link member transmits said bias to the other moveable member.

10. The spinal implant of claim 9, wherein said lock members are formed around said extendable support elements.

11. The spinal implant of claim 9, wherein said lock members are formed inside said extendable support elements.

12. The spinal implant of claim 9, wherein the fixed locking surface comprises a multi-stepped support surface and the moveable locking surface comprises a multi-stepped support surface configured to engage the multi-stepped support surface of the fixed lock member.

13. The spinal implant of claim 9, wherein:

the link member comprises a rotatable shaft mounted on said bone engaging member opposite the fixed lock members and under the moveable lock members with an end accessible through an opening in the implant;

the moveable members have teeth formed around a lower surface thereof; and

the lock actuator comprises screw threads spaced apart on said shaft and disposed to engage the teeth on said moveable members such that rotation of the shaft drives the locking surface into or out of engagement as selected by the direction of rotation of the shaft.

14. The spinal implant of claim 9, wherein said extension means comprises a piston and cylinder.

15. The spinal implant of claim 9, wherein said extension means comprises a bellows.

16. The spinal implant of claim 9, wherein said extension means comprises a rotating cam.

17. The spinal implant of claim 9, wherein said extension means comprises a screw lift mechanism.

18. A lockable, extendable spinal implant for placement between first and second vertebral bodies, comprising:

first and second bone engaging members each having a surface configured to respectively engage opposed first and second vertebral bodies;

extension means acting between the first and second bone engaging members to control extension of said bone engaging members between contracted and extended configurations;

first and second fixed lock members fixed to one of said first and second bone engaging members and extending towards the opposite bone engaging member, the fixed lock members being spaced apart and each having a fixed locking surface;

first and second moveable lock members captured between the first and second bone engaging members for cooperation with the fixed lock members, each moveable lock member having a moveable locking surface configured to engage an opposed fixed locking surface on one said fixed lock member to prevent contraction of said extension means;

a locking actuator configured to engage the moveable locking surfaces with the fixed locking surfaces;

a link member operatively connected between the first and second moveable lock members to coordinate movement therebetween;

wherein said extension means comprises first and second extendable support elements, said first and second lock members comprise arcuate members disposed, respectively, in proximity to said first and second extendable support elements, and the locking actuator rotates the moveable lock members to engage the locking surfaces; and

a tether secured to one said moveable lock member, the tether being configured to permit rotation of the lock member against the locking actuator element to release engagement of the locking surfaces.

19. The spinal implant of claim 18, wherein one said moveable lock member defines a groove at least partially there around and said tether comprises an elongate flexible member at least partially disposed in said groove.

20. The spinal implant of claim 18, wherein said tether comprises an at least substantially rigid member operatively linked to one said moveable lock member such that pressure applied to said tether rotates the linked lock members to an unlocked configuration.

21. The spinal implant of claim 18, wherein each said moveable lock member defines a groove formed at least partially there around and said link member comprises a flexible element disposed in said grooves.

22. A lockable, extendable spinal implant for placement between first and second vertebral bodies, comprising:

first and second bone engaging members each having a surface configured to respectively engage opposed first and second vertebral bodies;

extension means acting between the first and second bone engaging members to control extension of said bone engaging members between contracted and extended configurations;

first and second fixed lock members fixed to one of said first and second bone engaging members and extending towards the opposite bone engaging member, the fixed lock members being spaced apart and each having a fixed locking surface;

first and second moveable lock members captured between the first and second bone engaging members for cooperation with the fixed lock members, each moveable lock member having a moveable locking surface configured to engage an opposed fixed locking surface on one said fixed lock member to prevent contraction of said extension means;

a locking actuator configured to engage the moveable locking surfaces with the fixed locking surfaces; and

a link member operatively connected between the first and second moveable lock members to coordinate movement therebetween;

wherein said link member comprises a substantially rigid member pivotably secured to each said moveable lock member.

23. A lockable, extendable spinal implant for placement between first and second vertebral bodies, comprising:

first and second bone engaging members each having a surface configured to respectively engage opposed first and second vertebral bodies;

first and second pistons disposed on one said bone engaging member and cooperating with mating cylinders disposed on the opposite bone engaging member, said pistons moveable between a contracted configuration within said cylinders and an extended configuration extending from said cylinders;

first and second arcuate, fixed lock members, each having a fixed locking surface, mounted to one of said bone engaging members, each disposed inside one said piston, the fixed lock members extending towards the opposite bone engaging member;

first and second moveable lock members, each formed inside one said cylinder for cooperation with the fixed lock members, each moveable lock member having a moveable locking surface configured to engage an opposed fixed locking surface on one said fixed lock member to prevent contraction of said extension means;

at least one biasing element acting on at least one said moveable lock member to bias said member into engagement with its associated fixed lock member; and

a link member operatively connected between the first and second moveable lock members to coordinate movement therebetween and force the other moveable lock member into engagement with its associated fixed lock.

24. The spinal implant of claim 23, further comprising a tether secured to one said moveable lock member, the tether being configured to permit rotation of the moveable lock members against the biasing element to release engagement of the locking surfaces.

25. The spinal implant of claim 23, wherein each said moveable lock member defines a groove formed at least partially there around and said link member comprises a flexible element disposed in said grooves.

26. The spinal implant of claim 23, wherein said link member comprises a substantially rigid member pivotably secured to each said moveable lock member.