Expandable spinal implant apparatus and method of use

• US 9,050,194 B2
• Filed: 05/05/2010
• Issued: 06/09/2015
• Est. Priority Date: 05/06/2009
• Status: Active Grant

• Current Assignee: Stryker European Operations Holdings, LLC (Stryker Corporation)
• Original Assignee: Stryker Spine
• Inventors: Thibodeau, Lee L.
• Primary Examiner(s): Hammond, Ellen C
• Assistant Examiner(s): JOHANAS, JACQUELINE T
• Application Number:
  US12/774,429
• Publication Number:
  US 20100286779A1
• Time in Patent Office: 1,861 Days
• Field of Search: 623 1711- 1716
• US Class Current: 1/1
• CPC Class Codes: A61F 2/30771 applied in original prostheses, e.g. holes or grooves
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• 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 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30133 kidney-shaped or bean-shaped
• CPC Class Codes: A61F 2002/30281 wedge-shaped
• CPC Class Codes: A61F 2002/30354 Cylindrically-shaped protrusion and recess, e.g. cylinder of circular basis
• CPC Class Codes: A61F 2002/30367 with additional means for preventing said rotation
• CPC Class Codes: A61F 2002/3037 Translation along the common longitudinal axis, e.g. piston
• CPC Class Codes: A61F 2002/30372 with additional means for limiting said translation
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30518 with possibility of relative movement between the prosthetic parts
• CPC Class Codes: A61F 2002/3052 unrestrained in only one direction, e.g. moving unidirectionally
• CPC Class Codes: A61F 2002/30535 Special structural features of bone or joint prostheses not otherwise provided for
• 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 2002/30593 : hollow
• CPC Class Codes: A61F 2002/30604 : modular
• CPC Class Codes: A61F 2002/30774 : internally-threaded
• CPC Class Codes: A61F 2002/30782 : inclined obliquely
• 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 2230/0086 : Pyramidal, tetrahedral, or wedge-shaped
• CPC Class Codes: A61F 2250/0009 : for adjusting thickness

Abstract

A spinal implant apparatus that is an expandable spacer including features to minimize or eliminate spacer cant or offset during and after completing the expansion process. The spacer includes a top component, a base component in engagement with the top component, and an expansion mechanism arranged to change the top component'"'"'s position with respect to the base component. The mechanism for causing expansion may be a screw, a cam, a wedge or other form of distracting device. In one embodiment, the expandable spacer includes a base component with a set of towers and a top component with a set of corresponding silos, where the towers and silos are configured to minimize or eliminate tilt of the top component as it extends upwardly from the base component. In another embodiment, the spacer may include a stepped arrangement around the perimeter of the top component and the base component for engagement during height expansion with minimal canting or slippage. In another embodiment, the spacer may include texturing modification at the opposite ends of the longitudinal axis of the spacer to prevent tilting, slipping, or canting. Additionally, a portion of one or more exterior surfaces of the spacer may be textured, sawtoothed, dovetailed or the like to increase frictional intervertebral contact. The spacer may contain one or more passageways of selectable shape/dimension for bone growth through the spacer.

Claims

1. An expandable intervertebral spacer, comprising:

a top component;

a base component in sliding engagement with the top component; and

an expansion mechanism arranged to change a position of the top component with respect to a position of the base component, the expansion mechanism including a height adjuster having a height adjuster port and a height adjuster slot in both the top and base components,

wherein the height adjuster slot in the top component includes internal threads and is inwardly tapered from the height adjuster port in the top component toward a side of the top component opposite the height adjuster port,

wherein the height adjuster slot in the base component includes internal threads and is inwardly tapered from the height adjuster port in the base component toward a side of the base component opposite the height adjuster port, and

wherein the height adjuster port in the base component is a substantially closed circular port.

2. The spacer of claim 1, wherein the top and base components remain in sliding engagement with one another by including silos in the top component and towers in the bottom component, wherein the silos and towers are configured to engage with one another along respective perimeters thereof during the position changing process.

3. The spacer of claim 1, wherein the base component includes a receiver with dimensions and shape suitable to receive and removably retain at least a portion of the top component.

4. The spacer of claim 3, wherein at least a portion of external dimensions of the top component are less than internal dimensions of the receiver of the base component.

5. The spacer of claim 3, wherein the receiver and the top component are substantially rectangular, the top component configured to fit entirely within the receiver.

6. The spacer of claim 1, wherein at least a portion of each of the top and base components that are in sliding engagement with one another are modified to optimize frictional engagement between the components.

7. The spacer of claim 6, wherein the modification to optimize frictional engagement includes rendering the portions of the components textured, sawtoothed, stepped, or dovetailed.

8. The spacer of claim 7, wherein the modification is located on an entirety of surfaces of the top and base components in engagement with each other.

9. The spacer of claim 7, wherein the modification is located at opposite ends of a longitudinal axis of the spacer.

10. The spacer of claim 1, wherein at least a portion of one or more exterior surfaces of the top and base component are modified to optimize frictional engagement with vertebrae between which the spacer is positioned.

11. The spacer of claim 10, wherein the modification to optimize frictional engagement includes rendering the one or more exterior surfaces textured, sawtoothed, stepped, or dovetailed.

12. The spacer of claim 1, wherein the position of the top component can be selectively changed.

13. The spacer of claim 1, wherein the expansion mechanism is a screw-type mechanism.

14. The spacer of claim 1, wherein the spacer further includes an interior space aligned through the base and top components to facilitate bone growth therethrough.

15. The spacer of claim 1, wherein the spacer further includes one or more off-axis positioning interface sites and/or one or more on-axis positioning interface sites relative to a longitudinal axis of the spacer.

16. The spacer of claim 15, wherein the interface sites are ports.

17. The spacer of claim 1, wherein the engagement between the top and base components is arranged to minimize tilting, sliding, and/or canting throughout and after the position changing process.

18. The spacer of claim 1, wherein the spacer has a longitudinal axis, the height adjuster slot in the top component and the height adjuster slot in the base component both extending at non-parallel angles to the longitudinal axis.

19. An expandable intervertebral spacer, comprising:

a top component;

a base component in sliding engagement with the top component; and

an expansion mechanism arranged to change a position of the top component with respect to a position of the base component, the expansion mechanism including a height adjuster having a height adjuster port and a height adjuster slot in both the top and base components,

wherein the height adjuster slot in the top component includes internal threads and is inwardly tapered from the height adjuster port in the top component toward a side of the top component opposite the height adjuster port,

wherein the height adjuster slot in the base component includes internal threads and is inwardly tapered from the height adjuster port in the base component toward a side of the base component opposite the height adjuster port,

wherein the base component includes a receiver configured to receive and removably retain at least a portion of the top component, and

wherein the receiver and the top component are substantially rectangular, the top component configured to fit entirely within the receiver.

20. The spacer of claim 19, wherein the height adjuster port in the base component is a substantially closed circular port.