Fusion cage

• US 9,456,908 B2
• Filed: 03/12/2014
• Issued: 10/04/2016
• Est. Priority Date: 03/12/2013
• Status: Active Grant

• Current Assignee: CoorsTek Medical LLC (Nelso Antolotti)
• Original Assignee: CoorsTek Medical LLC (Nelso Antolotti)
• Inventors: Fauth, Andrew R., Hushka, Dylan Matthew, Slater, Nicholas, Butters, Joshua A., Niese, Brad Anthony, Mooradian, Mark J.
• Primary Examiner(s): Yang, Andrew
• Application Number:
  US14/207,048
• Publication Number:
  US 20140296983A1
• Time in Patent Office: 937 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• 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 2/447 substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
• 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 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30515 using a locking wedge or block
• CPC Class Codes: A61F 2002/3052 unrestrained in only one direction, e.g. moving unidirectionally
• CPC Class Codes: A61F 2002/30523 by means of meshing gear teeth
• CPC Class Codes: A61F 2002/3055 for adjusting length
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30883 dovetail-shaped
• CPC Class Codes: A61F 2002/30884 Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity

Abstract

A system comprising a fusion cage and at least one engagement member is provided. The fusion cage includes a first member and a second member. The engagement member is configured to retain the first and second members in an expanded state while simultaneously fixing the fusion case to adjacent vertebrae.

Claims

1. A system comprising a spinal fusion cage and at least one engagement member;

the fusion cage comprising;

a first member comprising a first support portion configured to interface with at least a surface of a first vertebral body, wherein the first member defines a first channel; and

a second member comprising a second support portion configured to interface with at least a surface of a second vertebral body, wherein the second member defines a second channel, wherein,

the first member and second member are configured to be operable to assume a collapsed position;

the first member and second member are configured to be operable to assume an expanded position;

the first channel and the second channel are offset in the collapsed position; and

the first channel and the second channel are aligned in the expanded position; and

the engagement member configured to be at least partially received by the first channel and the second channel, wherein the engagement member is also configured to simultaneously engage all of the first member, the second member, and neighboring vertebrae;

wherein the first channel is obliquely oriented with respect to the first support portion of the first member, and the second channel is obliquely oriented with respect to the second support portion of the second member.

2. The system of claim 1, wherein each of the first channel and the second channel is at least partially threaded, and the engagement member comprises a body, wherein at least a portion of the body is threaded.

3. The system of claim 1, wherein,

the first member comprises at least a pair of support arms, wherein each of the support arms extend from the first support portion towards the second support portion;

the second member comprises at least a pair of support arms, wherein each of the support arms of the second member extend from the second support portion towards the first support portion; and

at least one of the pair of support arms of the first member is configured to disposed between the pair of support arms of the second member in the collapsed position.

4. The system of claim 3, wherein at least one of the support arms of, one of the first member and the second member defines at least one slot, and at least one of the support arms of the other comprises a key member, wherein the slot is configured to receive the key member at least in the collapsed position.

5. The system of claim 3, wherein, each of the support arms comprises an interface surface, wherein,

the interface surface of the support arms of the first member faces away from the first support portion;

the interface surface of the support arms of the second member faces away from the second support portion; and

in the expanded position, at least a portion the interface surface of each of the support arms of the first member interfaces with at least a portion of the interface surface of the support arms of the second member.

6. The system of claim 3, wherein,

the first member comprises a third support arm extending between the first support portion and its support arms;

the second member comprises a third support arm extending between the second support portion and its support arms; and

at least in the expanded position, the first member and the second member define a space accessible through a single plane.

7. The system of claim 1, wherein,

the engagement member comprises, a first blade member, a first neck member, a first beam member, a second beam member and a beam connecting member, wherein the first blade member is configured to be inserted into the first vertebral body, the first neck member connects the first blade member and the first beam member, the beam connecting member connects the first beam member and the second beam member;

the first channel defines a first neck receiving portion, a first beam member receiving portion and a beam connecting member receiving portion, wherein the first neck receiving portion is configured to receive at least a portion of the first neck, the first beam member receiving portion is configured to receive the first beam member, and the beam connecting member receiving portion is configured to receive a first portion of the beam connecting member;

the second channel at least defines a second beam member receiving portion and a beam connecting member receiving portion, wherein the second beam member receiving portion is configured to receive the second beam member, and the beam connecting member receiving portion is configured to receive a second portion of the beam connecting member; and

the first beam member, the second beam member and the beam connecting member are configured such that when the engagement member is received by the fusion cage in the expanded position, the first beam member, the second beam member and the beam connecting member prevents the first member and the second member from moving away from each other.

8. The system of claim 7, wherein,

the engagement member further comprises, a second blade member and a second neck member, wherein the second blade member is configured to be inserted into the second vertebral body and the second neck member connects the second blade member and the second beam member;

and

the second channel further defines a second neck receiving portion, wherein the second neck receiving portion is configured to receive at least a portion of the second neck.

9. The system of claim 8, wherein,

the first member comprises at least a pair of support arms, wherein each of the support arms extend from the first support portion towards the second support portion;

the second member comprises at least a pair of support arms, wherein each of the support arms of the second member extend from the second support portion towards the first support portion;

the first channel is defined in one of the support arms of the first member and the first support portion; and

the second channel is defined in one of the support arms of the second member and the second support portion.

10. A method, comprising:

positioning a first member and a second member in a space defined between two adjacent bodies, wherein the first member and the second member are configured to be in a collapsed position;

moving at least one of the first member and the second member such that a first channel defined in the first member and a second channel defined in the second member, which are offset in the collapsed position, are aligned; and

inserting an engagement member into the first channel, the second channel, and neighboring vertebrae;

wherein inserting the engagement member into the first channel and the second channel comprises inserting at least a portion of the engagement member into at least one of the two adjacent bodies; and

wherein inserting the engagement member comprises applying torsion force to the engagement member for enabling insertion.

11. The method of claim 10, wherein aligning the channels from a state where the channels are offset comprises, moving at least one of the first member and the second member along a first axis, and thereafter, moving at least one of the first member and the second member along a second axis, wherein the first axis and the second axis intersect.

12. The method of claim 10, wherein inserting the engagement member into the first channel and the second channel comprises inserting the engagement member along an axis that is oblique to a plane of a surface of the first channel interfacing one of the adjacent bodies.

13. The method of claim 10, wherein inserting the engagement member into the first channel and the second channel comprises inserting the engagement member along an axis that is parallel to a plane of a surface of the first channel interfacing one of the adjacent bodies.