Expandable implant

• US 8,940,052 B2
• Filed: 03/05/2013
• Issued: 01/27/2015
• Est. Priority Date: 07/26/2012
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Inventors: Lechmann, Beat, Burkard, Dominique, Schwager, Michael
• Primary Examiner(s): Hoffman, Mary
• Assistant Examiner(s): Negrellirodrigue, Christina
• Application Number:
  US13/784,955
• Publication Number:
  US 20140031938A1
• Time in Patent Office: 693 Days
• Field of Search: 606246-249, 606/279, 623 1711- 1716
• US Class Current: 623/17.16
• 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 2/4425 made of articulated components
• 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 2/484 Fluid means, i.e. hydraulic or pneumatic
• CPC Class Codes: A61F 2002/30019 differing in mechanical expandability, e.g. in mechanical, self- or balloon expandability
• CPC Class Codes: A61F 2002/30179 X-shaped
• CPC Class Codes: A61F 2002/30359 Pyramidally- or frustopyramidally-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30467 using hook and loop-type fasteners
• CPC Class Codes: A61F 2002/30505 spring biased
• CPC Class Codes: A61F 2002/30537 adjustable
• 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 2002/30581 having a pocket filled with fluid, e.g. liquid
• CPC Class Codes: A61F 2002/30583 filled with hardenable fluid, e.g. curable in-situ
• CPC Class Codes: A61F 2002/30586 having two or more inflatable pockets or chambers
• CPC Class Codes: A61F 2002/30828 parallel
• CPC Class Codes: A61F 2002/30836 knurled
• CPC Class Codes: A61F 2002/30909 : Nets
• CPC Class Codes: A61F 2002/30912 : made of expanded metal, e.g. diamond mesh or metal nets having lozenge-shaped apertures
• 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 2310/00029 : Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
• CPC Class Codes: A61F 2310/00047 : Aluminium or Al-based alloys
• CPC Class Codes: A61F 2310/00101 : Molybdenum or Mo-based alloys
• CPC Class Codes: A61F 2310/00359 : Bone or bony tissue
• CPC Class Codes: A61F 2310/00407 : Coating made of titanium or of Ti-based alloys
• CPC Class Codes: A61F 2310/00796 : Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite

Abstract

An expandable implant for inserting within a skeletal space is provided, and a method for using the implant to expand the skeletal space. The implant is preferably designed to be inserted into an intervertebral space to replace at least part of an intervertebral disc between adjacent vertebral bodies. The expandable implant contains at least one first expansion compartment and at least one second expansion compartments, which compartments can be inflatable balloons that are inflated by a catheter. Inflating the first expansion compartment expands the implant in a first direction and inflating the second expansion compartment expands the implant in a second direction.

Claims

1. An implant for inserting into an intervertebral space between a superior surface of a first vertebra and an inferior surface of an adjacent, second vertebra, the implant comprising:

a first contacting member having a bone contacting surface designed to engage the inferior surface of the second vertebra;

a second contacting member having a bone contacting surface designed to engage the superior surface of the first vertebra;

at least one first expansion compartment; and

at least one second expansion compartment;

wherein the implant is expandable from an insertion configuration to an expanded configuration,

wherein the implant has a first dimension in a first direction and a second dimension in a second direction in the insertion configuration, and wherein the first direction is substantially perpendicular to the second direction,

wherein the implant is configured such that;

during expansion of the at least one first expansion compartment, the at least one first expansion compartment cooperates with at least one of the first and second contacting members to cause the first dimension of the implant to increase without substantially causing a change in the second dimension of the implant; and

during expansion of the at least one second expansion compartment, the at least one second expansion compartment cooperates with at least one of the first and second contacting members to cause the second dimension of the implant to increase.

2. The implant of claim 1, wherein the implant is configured such that during expansion of the at least one second expansion compartment, the at least one second expansion compartment cooperates with at least one of the first and second contacting members to cause the second dimension of the implant to increase without substantially causing a change in the first dimension of the implant.

3. The implant of claim 2 wherein the first direction is an anterior-posterior (a-p) direction and the second direction is a cranio-caudal (c-c) direction.

4. The implant of claim 1 wherein the first expansion compartment is an inflatable balloon.

5. The implant of claim 4 wherein the second expansion compartment is an inflatable balloon.

6. The implant of claim 5 comprising two or more first expansion compartments.

7. The implant of claim 6 comprising two or more second expansion compartments.

8. The implant of claim 1 wherein the first contacting member comprises a first and a second contacting component and a first expandable connection that links the first and second contacting components, and

wherein the first and second contacting components of the first contacting member are arranged such that as the first dimension of the implant increases the first expandable connection expands and the contacting components move apart relative to each other.

9. An implant for inserting into an intervertebral space between a superior surface of a first vertebra and an inferior surface of an adjacent, second vertebra, and having an insertion, distal end and an opposite trailing, proximal end, the implant comprising:

a first contacting member having a bone contacting surface designed to engage the inferior surface of the second vertebra, the first contacting member being separated into a first and a second contacting component having a first expandable connection that links the first contacting component with the second contacting component;

a second contacting member having a bone contacting surface designed to engage the superior surface of the first vertebra, the second contacting member being separated into a third and a fourth contacting component having a second expandable connection that links the third contacting component with the fourth contacting component;

a third expandable connection that links the first contacting member with the second contacting member;

a first elongated expansion balloon having a length substantially greater than an un-inflated diameter, and extending lengthwise in the direction of the proximal to the distal end of the implant; and

a second elongated expansion balloon having a length substantially greater than an un-inflated diameter, and extending lengthwise in the direction of the proximal to the distal end of the implant;

wherein the implant is expandable from an insertion configuration to an expanded configuration,

wherein the implant has an initial width in a first direction and an initial height in a second direction in the insertion configuration, and wherein the first direction is substantially perpendicular to the second direction,

wherein the implant is configured such that;

during expansion of the first balloon, the balloon forces the first and second contacting components apart and the third and fourth contacting components apart to cause the width of the implant to increase without substantially causing a change in the height of the implant; and

during expansion of the second balloon, the balloon forces the first contacting member apart from the second contacting member to cause the height of the implant to increase.

10. The implant of claim 9 wherein the implant contains a third elongated expandable balloon parallel to the first balloon.

11. The implant of claim 10 wherein the implant contains a fourth elongated expandable balloon parallel to the second balloon.

12. The implant of claim 9 wherein the first expandable connection comprises wire netting.

13. The implant of claim 12 wherein the wire netting comprises a plurality of individual link members.

14. A method for using an expandable intervertebral implant having a first contacting member having a first bone contacting surface, a second contacting member having a second bone contacting surface, and at least one expandable connection that links the first contacting member to the second contacting member, the intervertebral implant configured to be positioned into an intervertebral space between a superior surface of a first vertebra and an inferior surface of an adjacent, second vertebra such that the first bone contacting surface faces the inferior surface of the second vertebra and the second bone contacting surface faces the superior surface of the first vertebra, the method comprising the steps of:

inserting the expandable implant in the intervertebral space, the implant comprising first and second expansion compartments;

expanding the first expansion compartment to move each of the first and second contacting members in a first direction, thereby expanding a first dimension of the implant; and

subsequently expanding the second expansion compartment to move the first and second contacting members apart in a second direction, thereby

     1) expanding a second dimension of the implant, and

     2) expanding the at least one expandable connection;

wherein the first direction is different than the second direction, and the first expanding step is performed without substantially causing a change in the second dimension of the implant.

15. The method of claim 14, further comprising positioning the first and second expansion compartments in the expandable implant prior to the step of inserting the expandable implant into the intervertebral space.

16. The method of claim 14 wherein there is substantially no expansion of the first dimension of the implant in the first direction during the step of subsequently expanding the second expansion compartment.

17. The method of claim 14 wherein the first direction is substantially perpendicular to the second direction.

18. The method of claim 16 wherein there is substantially no expansion of the first dimension of the implant in a first direction during the step of expanding the second expansion compartment.

19. The method of claim 18 wherein the first dimension of the implant is the width of the implant and the second dimension of the implant is the height of the implant.

20. The method of claim 19 wherein the expanding steps for both dimensions comprises injecting fluid into an inflatable balloon.

21. The method of claim 14, wherein each of the first and second contacting members comprises respective first and second contacting components and an expandable connection that links each of the first and second contacting components to each other, and the first expanding step comprises moving the first and second contacting components apart relative to each other so as to expand the respective expandable connections.

22. The method of claim 14, wherein 1) the implant further comprises at least one first expansion compartment and at least one second expansion compartment separate from the at least one first expansion compartment, such that the second expansion compartment does not contact the first expansion compartment, 2) the first expanding step comprises expanding the at least one first expansion compartment so as to move each of the first and second contacting members in the first direction, and 3) the subsequently expanding step comprises expanding the at least one second expansion compartment so as to move the first and second contacting members apart in the second direction.