Highly lordosed fusion cage

• US 9,402,737 B2
• Filed: 10/15/2014
• Issued: 08/02/2016
• Est. Priority Date: 06/26/2007
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Hawkins, John Riley, Upal, Anwar M, O'Neil, Michael J, Slivka, Michael Andrew, Fisher, Michael
• Primary Examiner(s): LAWSON, MATTHEW JAMES
• Application Number:
  US14/514,700
• Publication Number:
  US 20150045894A1
• Time in Patent Office: 657 Days
• Field of Search: 623 1711- 1716
• US Class Current: 1/1
• CPC Class Codes: A61F 2/30744 End caps, e.g. for closing an endoprosthetic cavity
• CPC Class Codes: A61F 2/30771 applied in original prostheses, e.g. holes or grooves
• CPC Class Codes: A61F 2/30965 Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
• 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 2/447 substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/3008 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2002/30331 made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30403 Longitudinally-oriented cooperating ribs and grooves on mating lateral surfaces of a mainly longitudinal connection
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30448 using adhesives
• CPC Class Codes: A61F 2002/30451 soldered or brazed or welded
• CPC Class Codes: A61F 2002/30481 using a locking clip
• 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 2002/30685 Means for reducing or preventing the generation of wear particulates
• CPC Class Codes: A61F 2002/30841 : Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30904 : serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2002/3093 : for promoting ingrowth of bone tissue
• CPC Class Codes: A61F 2002/30975 : made of two halves
• CPC Class Codes: A61F 2002/448 : comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants
• CPC Class Codes: A61F 2002/4627 : with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
• CPC Class Codes: A61F 2002/4629 : connected to the endoprosthesis or implant via a threaded connection
• CPC Class Codes: A61F 2210/0004 : bioabsorbable
• CPC Class Codes: A61F 2220/0016 : with sharp anchoring protrusions, e.g. barbs, pins, spikes
• 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 2250/0098 : radio-opaque, e.g. radio-opaque markers
• 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 2310/00059 : Chromium or Cr-based alloys
• CPC Class Codes: A61F 2310/00161 : Carbon; Graphite
• CPC Class Codes: A61F 2310/00203 : containing alumina or aluminium oxide
• CPC Class Codes: A61F 2310/00239 : containing zirconia or zirconium oxide ZrO2

Abstract

A fusion cage has a first component that defines an outside surface that is configured to engage a vertebral endplate, and an interior surface. The fusion cage has a second component that defines first and second opposed surfaces. One of the first and second opposed surfaces can mate with the interior surface of the first component. The fusion cage can include vertical and lateral throughholes adapted to enhance fusion.

Claims

1. An intervertebral fusion cage, comprising:

a) a first component having an outside surface configured to engage an upper vertebral endplate, an interior surface opposite the outside surface along a first direction, and a tapered first distal end, wherein the first component defines a recess that extends into the interior surface toward the outside surface;

b) a second component having first and second opposed surfaces that are opposite each other along the first direction, and a second distal end, wherein the second component includes a projection that extends from the first surface along the first direction away from the second surface,

wherein the first surface is slidable along the interior surface in a second direction perpendicular to the first direction such that the second distal end travels toward the tapered first distal end until the projection is received in the recess so as to impede the first surface from further sliding along the interior surface in the second direction, and

wherein the projection defines first and second ends that are offset from each other a linear distance along a third direction that is greater than each of a height of the projection along the first direction and a width of the projection along the second direction, and the third direction is perpendicular to each of the first and second directions.

2. The intervertebral fusion cage of claim 1, configured to be inserted into an intervertebral space defined by the upper vertebral endplate and a second vertebral endplate, and the second component urges the first component to move the upper vertebral endplate away from the second vertebral endplate as the first surface slides along the interior surface.

3. The intervertebral fusion cage of claim 1, wherein the second component defines a proximal end opposite the second distal end along a central longitudinal axis that is oriented along the second direction.

4. The intervertebral fusion cage of claim 1, wherein the second component defines first and second opposed side walls that are spaced from each other along the third direction, and extend from the first surface to the second surface, and the projection is elongate from the first side wall to the second side wall.

5. The intervertebral fusion cage of claim 4, wherein the outside surface and the interior surface of the first component are opposite each other along the first direction, and the recess is elongate along the third direction.

6. The intervertebral fusion cage of claim 5, wherein the second direction is a straight direction.

7. The intervertebral fusion cage of claim 5, wherein the recess extends into the interior surface along the first direction and terminates without extending through to the outside surface.

8. The intervertebral fusion cage of claim 1, wherein the first component has a first throughhole extending from the outside surface to the interior surface.

9. The intervertebral fusion cage of claim 8, wherein the second component has a second throughhole extending from the first opposed surface to the second opposed surface.

10. The intervertebral fusion cage of claim 1, wherein the first component has first and second opposed surfaces that extend from the outside surface to the interior surface, and the first component defines a plurality of throughholes extending from the first side surface to the second side surface.

11. The intervertebral fusion cage of claim 1, wherein the outside surface is tapered toward the interior surface at the tapered first distal end.

12. The intervertebral fusion cage of claim 1, wherein the first and second opposed surfaces are opposite each other along the first direction.

13. The intervertebral fusion cage of claim 1, wherein the first component is elongate along the second direction, and the outside surface of the first component defines a plurality of ridges that are oriented generally along the third direction.

14. The intervertebral fusion cage of claim 13, wherein the ridges are spaced from each other along the second direction.

15. The intervertebral fusion cage of claim 14, wherein the ridges are parallel to each other.

16. The intervertebral fusion cage of claim 1, wherein the projection extends linearly from the first end to the second end.

17. The intervertebral fusion cage of claim 16, wherein the projection extends linearly along the third direction from the first end to the second end.

18. The intervertebral fusion cage of claim 1, wherein the first surface faces the interior surface as the first surface slides along the interior surface in the second direction.

19. An intervertebral fusion cage, comprising:

a) a first component having a first outside surface and a first interior surface that faces opposite the first outside surface, a first outer surface that extends from the first outside surface to the first interior surface, and a second outer surface opposite the first outer surface along a first direction, wherein the second outer surface extends from the first outside surface to the first interior surface, and the first interior surface extends from the first outer surface to the second outer surface; and

b) a housing component having a second outside surface configured to engage a vertebral endplate and a second interior surface that faces opposite the second outside surface, a first sidewall extending from the second interior surface and away from the second outside surface, and a second sidewall extending from the second interior surface and away from the second outside surface, wherein the first side wall is opposite the second side wall along the first direction,

wherein the first component is configured for insertion into the housing component such that an entirety of the first interior surface is disposed between the first and second sidewalls with respect to the first direction, and the first interior surface abuts the second interior surface.

20. The intervertebral fusion cage of claim 19, wherein the first outside surface and the second outside surface are spaced from each other along a second direction that is perpendicular to the first direction, and the first interior surface abuts the second interior surface when the first component is inserted into the housing component along a third direction that is perpendicular to each of the first and second directions.

21. The intervertebral fusion cage of claim 19, wherein the housing component defines a throughhole that extends from the second outside surface to the second interior surface, and a plurality of throughholes that extend through the second sidewall.

22. The intervertebral fusion cage of claim 19, wherein the first component defines an enclosed aperture is entirely disposed within a perimeter defined by the first outside surface, the first interior surface, the first outer surface, and the second outer surface.

23. The intervertebral fusion cage of claim 19, wherein the first interior surface is parallel to the second interior surface.

24. The intervertebral fusion cage of claim 19, wherein a line oriented along the first direction intersects each of the first and second sidewalls and each of the first and second outer surfaces.

25. The intervertebral fusion cage of claim 19, wherein the first interior surface rides along the second interior surface as the first component is inserted into the housing.

26. The intervertebral fusion cage of claim 19, wherein the first component is configured for insertion into the housing component such that an entirety of the first interior surface is aligned with each of the first and second sidewalls along the first direction.

27. The intervertebral fusion cage of claim 19, wherein each of the first outside surface and the first interior surface is planar.

28. The intervertebral fusion cage of claim 27, wherein each of the second outside surface and the second interior surface is planar.

29. The intervertebral fusion cage of claim 28, wherein the first outside surface and the first interior surface are parallel to each other and to each of the second outside surface and the second interior surface.

30. The intervertebral fusion cage of claim 19, wherein the first outer surface extends continuously from the first outside surface to the first interior surface.