Adjustable distraction cage with linked locking mechanisms

• US 8,992,620 B2
• Filed: 03/15/2013
• Issued: 03/31/2015
• 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, Crandall, Dennis
• Primary Examiner(s): STEWART, ALVIN J
• Application Number:
  US13/843,390
• Publication Number:
  US 20130253650A1
• Time in Patent Office: 746 Days
• Field of Search: 623 1711- 1716, 606246-249
• 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 2/4465 having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2/48 Operating or control means, e.g. from outside the body, control of sphincters
• 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 2002/30556 : for adjusting thickness
• 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 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 retracted 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:

at least two separate first members having a surface for engaging a first vertebral body and a side surface;

a second member cooperating with the at least two first members and having a surface for engaging a second vertebral body;

a housing; and

at least two independently extendable support elements at least partially within the housing, each having a contracted configuration to facilitate deployment of the implant between the first and second vertebral bodies and at least one extended configuration to extend said at least two first members away from the second member so that the surface thereof engages the first vertebral body,

wherein the at least two first members comprises separate members with one of the separate members connected to each of the at least two independently extendable support elements, and

wherein the at least two first members accommodates different extended heights of the at least two extendable support elements with respect to each other;

wherein the at least two independently extendable support elements comprise fluid actuatable pistons actuatable by a common actuator to different heights above the second member and

wherein the side surfaces of the at least two first members are adjacent to each other when the at least two independently extendable support elements are in the contracted configuration.

2. The spinal implant of claim 1, wherein the at least two independently extendable support members comprise fluid actuatable pistons and the common actuator comprises a single source of fluid pressure.

3. The spinal implant of claim 1, wherein means permitting said at least one first member to accommodate different extended heights comprises an articulating plate movably coupled to each said extendable support elements.

4. The spinal implant of claim 3, wherein the articulating plate is polyaxially coupled to said extendable support elements.

5. The spinal implant of claim 3, wherein the articulating plate is coupled to said extendable support elements by spherical projections.

6. The spinal implant of claim 1, further comprising 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.

7. The spinal implant of claim 1, wherein the separate members of the at least one first member comprise a proximal first member coupled to a proximal extendable support element and a distal first member coupled to a distal extendable support element.

8. The spinal implant of claim 7, wherein the surface for engaging the first vertebral body on at least one of the proximal and distal first members comprises a plurality of surface, wherein at least one of the plurality of surfaces is in a plane that is non-parallel with respect to a plane of another one of the plurality of surfaces, such that at least one of the proximal and distal first members has a plurality of vertebral engagement surface angles.

9. The spinal implant of claim 1, wherein at least one of the at least two independently extendable support elements further comprise a vertical constraint.

10. The spinal implant for placement between first and second vertebral bodies, comprising:

at least two separate first members each having a top surface for engaging a first vertebral body, a side surface, and a bottom surface;

a second member cooperating with the at least two first members and having a surface for engaging a second vertebral body;

a housing; and

at least two independently extendable support elements, each having a contracted configuration to facilitate deployment of the implant between the first and second vertebral bodies and at least one extended configuration to extend the at least two first members away form the second member so that the surface thereof engages the first vertebral body while accommodating different extended heights of said at least two extendable support members with respect to each other,

wherein the at least two independently extendable support elements comprise fluid actuatable pistons; and

wherein the bottom surfaces of the at least two first members abut the housing and the side surfaces of the at least two first members are adjacent to each other when the at least two independently extendable support elements are in the contracted configuration.

11. The spinal implant of claim 10, wherein the at least two independently extendable support members are actuatable by a common actuator to different heights above the second member.

12. The spinal implant of claim 11, wherein the common actuator comprises a single source of fluid pressure.

13. The spinal implant of claim 10, further comprising 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.

14. The spinal implant of claim 13, wherein the locking system comprises a plurality of inter-engaging locking elements.

15. The spinal implant of claim 14, wherein one of the inter-engaging locking elements is an upper lock support member and another of the inter-engaging locking elements is a lower lock support member.

16. The spinal implant of claim 15, wherein the upper lock support member has a multi-stepped support surface and the lower lock support member has a multi-stepped support surface configured to engage the multi-stepped support surface of the upper lock support member.

17. The spinal implant of claim 16, including 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.