Expandable bone implant

• US 9,216,023 B2
• Filed: 05/07/2010
• Issued: 12/22/2015
• Est. Priority Date: 05/08/2009
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Schaller, Konrad, Lechmann, Beat, Frigg, Robert
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): JOHANAS, JACQUELINE T
• Application Number:
  US12/775,876
• Publication Number:
  US 20100286782A1
• Time in Patent Office: 2,055 Days
• Field of Search: 606 79- 85, 606/86.A, 606/86.R, 606/87, 606/99, 606/103, 606/104, 623 1711- 1716, 623/1.11, 623/1.13, 623/1.15, 623/1.16, 623/1.3, 623/1.31
• US Class Current: 1/1
• CPC Class Codes: A61B 17/149 Chain, wire or band saws
• CPC Class Codes: A61B 17/1604 Chisels; Rongeurs; Punches; Stamps
• CPC Class Codes: A61B 17/1642 for producing a curved bore
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/7097 Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants disc prostheses made of inflatable chambers or pockets filled with fluid A61F2/441; replacing the nucleus pulposus A61F2002/444
• CPC Class Codes: A61B 17/8858 laterally or radially expansible inflatable A61B17/8855
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• CPC Class Codes: A61F 2/46 Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
• 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 2002/30593 hollow
• CPC Class Codes: A61F 2002/30953 using a remote computer network, e.g. Internet
• CPC Class Codes: A61F 2002/4625 with relative movement between parts of the instrument during use
• CPC Class Codes: A61F 2002/4635 using minimally invasive surgery

Abstract

An expandable implant includes an implant body defining an internal void, the implant body including a plurality of interconnected linkages. A first plurality of the linkages has an expansion characteristic that is different from a second plurality of the linkages. An expandable bladder is sized to be disposed in the internal void. The bladder defines a bore configured to receive an expansion material, such that the expansion material applies an expansion force against the bladder, which thereby applies the expansion force against the implant body so as to cause the first linkage to expand greater than the second linkage. The expandable implant can be placed in a fracture location so as to restore height to a fractured target bone.

Claims

1. An expandable implant configured to restore height to a fractured target bone, the expandable implant comprising:

a body being elongate along a central axis in an axial direction, the body having a plurality of linkages connected so as to define at least one annular row of linkages arranged in a plurality of columns, each annular row extending along a row direction that extends about the central axis, each of the linkages defining a first side, a second side spaced from the first side along the row direction, a first end, and a second end spaced from the first end along the axial direction, and an entirety of the first and second ends are curved as they extend from the first side to the second side, and the first and second sides a) extend from the first end to the second end, and b) are orientated substantially parallel to the axial direction when the body is in an insertion configuration, the first and second sides further defining a distance therebetween, such that the distance increases from a first distance to a second distance that is greater than the first distance when the linkages are subjected to an expansion force that causes the body to expand from the insertion configuration to an expanded configuration,

wherein the plurality of linkages includes at least a first linkage that is disposed in a first one of the columns, and at least a second linkage that is disposed in a second one of the columns, each of the first and second columns having a thickness of a single linkage along the row direction, the first linkage is sized different than the second linkage of the plurality of linkages such that the expansion force causes the first linkage to expand to a greater extent than the second linkage, and the first and second columns define the same number of linkages, such that application of the expansion force causes asymmetric expansion of the body from the insertion configuration into the expanded configuration where the body is bent such that the central axis is curved more than when the body is in the insertion configuration.

2. The expandable implant as recited in claim 1, wherein the plurality of linkages are directly connected to each other.

3. The expandable implant as recited in claim 1, wherein the plurality of linkages are indirectly connected to each other.

4. The expandable implant as recited in claim 1, wherein the body is substantially cylindrical when the body is in the insertion configuration.

5. The expandable implant as recited in claim 1, wherein the first and second sides are substantially straight.

6. The expandable implant as recited in claim 1, wherein the first and second sides are substantially parallel to each other when the body is in the insertion configuration.

7. The expandable implant as recited in claim 1, wherein the distance is a circumferential distance.

8. The expandable implant as recited in claim 1, further comprising a plurality of separate discrete links, each link being separate from each one of the other links in the plurality of discrete links, wherein each link defines the body, wherein the plurality of discrete links are disposed along an expansion device, the expansion device configured to receive a filler material so as to apply the expansion force against each one of the bodies.

9. The expandable implant as recited in claim 1, wherein the implant is a spinal implant.

10. The expandable implant as recited in claim 1, wherein each annular row is defined by a single linkage in respective ones of the plurality of columns, wherein each of the columns extends along a column direction, wherein the first linkage and the second linkage are disposed in the same row.

11. The expandable implant as recited in claim 1, wherein the at least one annular row is a first row of a plurality of rows, and the first linkage and the second linkage are disposed in different rows.

12. The expandable implant as recited in claim 1, wherein the body is substantially linear when in the insertion configuration.

13. An expandable implant assembly configured to insert an implant into a target bone, the expandable implant assembly comprising:

a plurality of discrete links that are separate from each other so as to define a gap therebetween, each link defining an implant body, each implant body defining an internal void, each implant body including a plurality of interconnected linkages so as to define at least one annular row that extends along a row direction, the row arranged so as to define a plurality of columns that extend along a column direction, each column defining first and second terminal ends that are opposed each other along the column direction, the linkages including at least a plurality of first linkages disposed in a first one of the columns and a plurality of second linkages disposed in a second one of the columns, wherein each of the first linkages defines a first length along the column direction, and each of the second linkages defines a second length along the column direction, the second length being less than the first length, such that the first linkages have an expansion characteristic that is different from the second linkages, and each one of the plurality of second linkages is attached to an adjacent one of the plurality of second linkages along the column direction from the first terminal end to the second terminal end; and

an expandable bladder elongate along a longitudinal direction, the expandable bladder sized to be disposed in the internal voids of the plurality of discrete links such that the plurality of discrete links are spaced apart from each other along the expandable bladder in the longitudinal direction, the bladder defining a bore configured to receive an expansion material, such that when the expansion material is received by the bore, the expansion material applies an expansion force against the bladder, which thereby applies the expansion force against each implant body so as to cause at least one of the plurality of first linkages to expand greater than at least one of the plurality of second linkages.

14. The expandable implant assembly as recited in claim 13, wherein each implant body is asymmetrically shaped when in an expanded configuration.

15. The expandable implant as recited in claim 14, wherein side portions of the first linkage are longer than side portions of the second linkage.

16. The expandable implant assembly as recited in claim 13, wherein each implant body is bent when in an expanded configuration.

17. The expandable implant assembly as recited in claim 13, wherein the bladder includes a plurality of segments that are hingedly connected to each other about respective joints, and the plurality of links are spaced apart on the plurality of segments.

18. The expandable implant assembly as recited in claim 13, wherein the target bone is a vertebra.

19. The expandable implant assembly as recited in claim 13, wherein the plurality of second linkages are directly attached to each other along the column direction.

20. The expandable implant assembly as recited in claim 13, wherein each implant body includes a plurality of arms that are attached between adjacent ones of the plurality of second linkages along the column direction, such that the adjacent ones of the second linkages are indirectly attached to each other.

21. The expandable implant assembly as recited in claim 13, wherein each implant body expands asymmetrically in response to application of the expansion force to the respective implant body so as to cause each implant body to bend.

22. The expandable implant assembly as recited in claim 13, wherein each one of the plurality of second linkages is directly attached to an adjacent one of the plurality of second linkages along an axis that is parallel to the column direction.

23. An implant system configured to insert an implant into a fracture location of a target bone, the implant system comprising:

an implant body that is circumferentially expandable from an insertion configuration into an expanded configuration, the implant body defining an internal void, the implant body including a plurality of interconnected linkages so as to define at least one annular row of linkages that extends along a row direction, the at least one annular row defined by a single linkage in respective ones of a plurality of columns, wherein each of the columns extends along a column direction, each column defining first and second terminal ends that are opposed to each other along the column direction,

at least a first linkage of the plurality of linkages having an expansion characteristic that is different from at least a second linkage of the plurality of linkages, such that the first linkage expands greater than the second linkage when an expansion force is applied to the implant body from an expansion material, the at least one first linkage disposed in a first column and the at least one second linkage disposed in a second column that is circumferentially opposite the first column, the first and second linkages being disposed on the same annular row, wherein application of the expansion force to the implant body causes the implant body to bend in a direction from the first column to the second column,

wherein the implant body is configured such that

     1) each of the first and second columns have a thickness of a single linkage along the row direction and contain an equal number of linkages, or

     2) the first and second columns each contains a plurality of the linkages that are attached to each other along the column direction from the first terminal end to the second terminal end; and

an opening device having a cutting blade configured to cut through the target bone, the opening device defining a cannula having a proximal end and an opposed distal end, the cannula defining a guide path configured to receive the implant body so as to direct the implant body to a fracture location when the distal end is disposed proximate to the fracture location.

24. The implant system as recited in claim 23, wherein each linkage defines a first side, a second side spaced from the first side along the row direction, a first end, and a second end spaced from the first end along the axial direction, and an entirety of the first and second ends are curved as they extend from the first side to the second side, and the first and second sides a) extend from the first end to the second end, and b) are orientated substantially parallel to the axial direction when the body is in an insertion configuration.

25. The implant system as recited in claim 23, further comprising an expandable bladder sized to be disposed in the internal void, the bladder defining a bore configured to receive an expansion material, such that the expansion material applies an expansion force against the bladder, which thereby applies the expansion force against the implant body so as to cause the first linkage to expand greater than the second linkage.

26. The implant system as recited in claim 25, further comprising a cutting device configured to perform an osteotomy on the target bone so as to separate a bone fragment from a remainder of the bone.

27. The implant system as recited in claim 26, wherein the cutting device comprises a plurality of teeth and a protective sleeve configured to assume a first position whereby the teeth are covered, and a second position whereby the teeth extend through the protective sleeve.

28. The implant system as recited in claim 26, wherein the cutting device comprises a guide wire sized to be received in the cannula.

29. The implant system as recited in claim 23, wherein the implant body is configured such that 1) each of the first and second columns have a thickness of a single linkage along the row direction and contain an equal number of linkages, and 2) the first and second columns contain a plurality of linkages that are attached to each other along the column direction from the first terminal end to the second terminal end.

30. The implant system as recited in claim 23, wherein the implant body expands asymmetrically in response to application of the expansion force to the implant body so as to cause the implant body to bend.

31. The implant system as recited in claim 23, wherein the implant body is elongate along an axis, wherein when the implant body is in the expanded configuration the central axis of the implant body is curved.