Expandable interspinous process spacer implant

• US 9,402,732 B2
• Filed: 10/11/2010
• Issued: 08/02/2016
• Est. Priority Date: 10/11/2010
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Gabelberger, Josef
• Primary Examiner(s): Merene, Jan Christopher
• Assistant Examiner(s): MAHMUD, ATIYA S
• Application Number:
  US12/901,817
• Publication Number:
  US 20120089185A1
• Time in Patent Office: 2,122 Days
• Field of Search: 606/248, 606/249, 606/90, 623/17.11, 623/17.15, 623/17.16
• US Class Current: 1/1
• CPC Class Codes: A61B 17/7065 Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools therefor
• CPC Class Codes: A61F 2/4405 for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes devices implanted between spinous or transverse processes A61B17/7062
• CPC Class Codes: A61F 2/4611 of spinal prostheses

Abstract

An expandable interspinous spacer implant that is configured to be inserted into an interspinous space that is defined between a spinous process of a superior vertebral body and a spinous process of an inferior vertebral body is provided. The implant may include a superior housing, an inferior housing, and a distracting member. The superior housing may have an outer surface that is configured to engage the spinous process of the superior vertebral body and the inferior housing may have an outer surface that is configured to engage the spinous process of the inferior vertebral body. The distracting member may be disposed between the superior and inferior housings, such that activation of the distracting member distracts the superior and inferior housings apart from each other.

Claims

1. An expandable spacer implant configured to be inserted into a space that is defined between a spinous process of a superior vertebral body and a spinous process of an inferior vertebral body, the implant having a length in a first, insertion direction, a width in a second direction, and a height in a third direction, wherein the first, insertion direction, the second direction, and the third direction are each perpendicular to each other, the implant comprising:

a superior housing having a first lateral side, a second lateral side, an outer surface that extends from the first lateral side to the second lateral side, and an inner, inferior surface that is opposite to the outer surface and defines a first void and a first recess, the outer surface of the superior housing comprising a superior notch being configured to engage the spinous process of the superior vertebral body and extending transversely across the outer surface of the superior housing in the second direction from the first lateral side to the second lateral side of the superior housing, the superior notch having a superior notch vertical plane extending along the second and third directions;

an inferior housing having a first lateral side, a second lateral side, an outer surface that extends from the first lateral side of the inferior housing to the second lateral side of the inferior housing, and an inner, superior surface that faces the inner surface of the superior housing and defines a second void and a second recess, the outer surface of the inferior housing comprising an inferior notch being configured to engage the spinous process of the inferior vertebral body and extending transversely across the outer surface of the inferior housing in the second direction from the first lateral side to the second lateral side of the inferior housing, the inferior notch having an inferior notch vertical plane extending along the second and third directions;

a distracting member coupled between the superior and inferior housings, wherein movement of the distracting member from a first position to a second position distracts the superior and inferior housings apart from each other, the distracting member defining opposed protrusions that engage the first and second recesses when the superior and inferior housings are fully distracted apart; and

a first wing member having a first extension, the first wing member configured to rotate from a first position where the first extension is in a refracted position within the superior housing to a second position where the first extension extends out of the superior housing to a position adjacent the superior notch; and

a second wing member having a second extension, the second wing member configured to rotate from a first position where the second extension is in a retracted position within the superior housing to a second position where the second extension extends out of the superior housing to a position adjacent the superior notch;

wherein the first extension and the second extension are configured, such that in their respective second positions the first extension and the second extension are on opposite sides of the superior notch vertical plane and are configured to engage the spinous process of the superior vertebral body.

2. The implant of claim 1, further comprising:

a third wing member having a third extension, the third wing member configured to rotate from a first position where the third extension is in a refracted position within the inferior housing to a second position where the third extension extends out of the inferior housing to a position adjacent the inferior notch; and

a fourth wing member having a fourth extension, the fourth wing member configured to rotate from a first position where the fourth extension is in a retracted position within the inferior housing to a second position where the fourth extension extends out of the inferior housing to a position adjacent the inferior notch;

wherein the third extension and the fourth extension are configured, such that in their respective second positions the third extension and the fourth extension are on opposite sides of the inferior notch vertical plane and are configured to engage the spinous process of the inferior vertebral body.

3. The implant of claim 2, further comprising a first cover that covers the first lateral side of the superior housing, a second cover that covers the second lateral side of the superior housing, a third cover that covers the first lateral side of the inferior housing, and a fourth cover that covers the second lateral side of the inferior housing.

4. The implant of claim 1, wherein (i) the distracting member defines a first pair of opposed surfaces that define a first distance therebetween, and a second pair of opposed surfaces angularly offset with respect to the first pair of opposed surfaces, the second pair of opposed surfaces defining a second distance therebetween that is greater than the first distance, and (ii) rotation of the distracting member causes the superior and inferior housings to distract apart from each other.

5. The implant of claim 1, wherein the superior and inferior housings each include a proximal side, and the proximal sides of the superior and inferior housings together define a bore that provides access to an instrument engagement feature defined by the distracting member.

6. An expandable spacer implant configured to be inserted into a space that is defined between a spinous process of a superior vertebral body and a spinous process of an inferior vertebral body, the implant having a length in a first direction, a width in a second direction, and a height in a third direction, wherein the first direction, the second direction, and the third direction are each perpendicular to each other, the implant comprising:

a superior housing having a first lateral side, a second lateral side opposite the first lateral side, an outer surface that extends between the first and second lateral sides, and an inner surface opposite the outer surface, the outer surface of the superior housing comprising a superior notch being configured to engage the spinous process of the superior vertebral body and having a width in the second direction extending transversely across the outer surface of the superior housing from the first lateral side to the second lateral side of the superior housing and a length, in the first direction, less than the width, the superior notch having a front edge and a back edge, the front edge and the back edge extending across the outer surface of the superior housing from the first lateral side to the second lateral side of the superior housing, the superior notch having a notch vertical plane extending along the second and third directions between the front edge and the back edge;

an inferior housing having a first lateral side, a second lateral side opposite the first lateral side, an outer surface that extends between the first and second lateral sides, and an inner surface opposite the outer surface, the outer surface of the inferior housing comprising an inferior notch configured to engage the spinous process of the inferior vertebral body and having a width in the second direction extending transversely across the outer surface of the inferior housing from the first lateral side to the second lateral side of the inferior housing and a length, in the first direction, less than the width, the inferior notch having a front edge and a back edge, the front edge and the back edge extending across the outer surface of the inferior housing from the first lateral side to the second lateral side of the inferior housing;

a distracting member located between the superior and inferior housings, wherein movement of the distracting member from a first position to a second position distracts the superior and inferior housings apart from each other in the third direction;

a first wing member having a first extension, the first wing member configured to rotate from a first position where the first extension is in a refracted position within the superior housing to a second position where the first extension extends out of the superior housing to a position proximate to the superior notch; and

a second wing member having a second extension, the second wing member configured to rotate from a first position where the second extension is in a retracted position within the superior housing to a second position where the second extension extends out of the superior housing to a position proximate the superior notch;

a third wing member having a third extension, the third wing member configured to rotate from a first position where the third extension is in a refracted position within the inferior housing to a second position where the first extension extends out of the inferior housing to a position proximate to the inferior notch;

a fourth wing member having a fourth extension, the fourth wing member configured to rotate from a first position where the second extension is in a retracted position within the inferior housing to a second position where the second extension extends out of the inferior housing to a position proximate the inferior notch; and

a first cover that covers the first lateral side of the superior housing, a second cover that covers the second lateral side of the superior housing, a third cover that covers the first lateral side of the inferior housing, and a fourth cover that covers the second lateral side of the inferior housing,

wherein the first extension and the second extension are configured, such that in their respective second positions the first extension and the second extension are on opposite sides of the notch vertical plane and are configured to engage the spinous process of the superior vertebral body and the third extension and the fourth extension are configured, such that in their respective second positions the third extension and the fourth extension are on opposite sides of the notch vertical plane and are configured to engage the spinous process of the inferior vertebral body.

7. The expandable spacer implant of claim 6, wherein the first and second wing members are rotatably coupled to the inferior housing.

8. The expandable spacer implant of claim 7, wherein the third and fourth wing members are rotatably coupled to the superior housing.

9. The expandable spacer implant of claim 6, wherein the first wing member is located between the first lateral side of the superior housing and the first cover and the second wing member is located between the second lateral side of the superior housing and the second cover.

10. The expandable spacer implant of claim 9, wherein the third wing member is located between the first lateral side of the inferior housing and the third cover and the fourth wing member is located between the second lateral side of the inferior housing and the fourth cover.

11. The expandable spacer implant of claim 6, wherein the distracting member comprises a cam having a first pair of opposed surfaces that define a first distance therebetween, and a second pair of opposed surfaces angularly offset with respect to the first pair of opposed surfaces, the second pair of opposed surfaces defining a second distance therebetween that is greater than the first distance.

12. The expandable spacer implant of claim 11, wherein the cam comprises protrusions on the first pair of opposed surfaces and the second pair of opposed surfaces and the inner surface of the superior housing defines a first recess, and the inner surface of the inferior housing defines a second recess, the protrusions configured to fit within the recesses.

13. The expandable spacer implant of claim 6, wherein the first, second, third, and fourth wing members are configured to rotate from their respective first positions to their respective second positions upon movement of the distracting member from the distracting member first position to the distracting member second position.