Intervertebral implant having extendable bone fixation members

• US 9,463,091 B2
• Filed: 01/12/2015
• Issued: 10/11/2016
• Est. Priority Date: 09/17/2009
• Status: Active Grant

• Current Assignee: Zimmer CEP USA Holding Co. (Zimmer Biomet Holdings, Inc.)
• Original Assignee: LDR Medical
• Inventors: Brett, Darrell C.
• Primary Examiner(s): BOLES, SAMEH RAAFAT
• Application Number:
  US14/594,770
• Publication Number:
  US 20150127109A1
• Time in Patent Office: 638 Days
• Field of Search: None
• US Class Current: 1/1
• CPC Class Codes: A61F 2/30749 Fixation appliances for connecting prostheses to the body
• 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 2002/30062 (bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
• CPC Class Codes: A61F 2002/30263 cubical
• CPC Class Codes: A61F 2002/30471 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• 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 2002/30525 Worm gears
• CPC Class Codes: A61F 2002/3054 about a connection axis or implantation axis for selecting any one of a plurality of radial orientations between two modular parts, e.g. Morse taper connections, at discrete positions, angular positions or continuous positions
• 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 2220/0025 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• 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 2310/00179 Ceramics or ceramic-like structures
• CPC Class Codes: A61F 2310/00796 : Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite

Abstract

An intervertebral implant is configured to be fixed in an intervertebral space defined by a first vertebral body and a second vertebral body. The intervertebral implant includes an implant body sized to be inserted into an intervertebral space, and a fixation assembly configured to be attached to the implant body. The fixation assembly includes a housing that defines a first vertebral body facing surface and a second vertebral body facing surface spaced from the first vertebral body facing surface along a transverse direction. The fixation assembly further includes at least one fixation member supported by the housing and movable from a retracted position to an extended position, whereby in the extended position the fixation member extends out from the housing and into one of the vertebral bodies.

Claims

1. An implant configured to be fixed by an anchor in an intervertebral space defined by a first vertebral body and a second vertebral body, the implant having a top and a bottom disposed along a transversely opposite side of the implant from the top, the implant comprising:

a peripheral wall comprising

a forward wall portion having an exterior face,

a rearward wall portion disposed along a longitudinally opposite side of the implant from the forward wall portion,

a first side wall portion,

a second side wall portion disposed along a laterally opposite side of the implant from the first side wall portion,

a top surface extending along the forward wall portion, the rearward wall portion, the first side wall portion, and the second side wall portion at the top of the implant, and

a bottom surface extending along the forward wall portion, the rearward wall portion, the first side wall portion, and the second side wall portion at the bottom of the implant;

a central cavity at least partially bounded by the peripheral wall, the cavity comprising an opening at the top of the implant and an opening at the bottom of the implant; and

a fixation assembly comprising

a housing fixedly mountable to the peripheral wall at an opening along the forward wall portion, the housing comprising an upper surface oriented toward the top of the implant with the fixation assembly mounted to the peripheral wall, a lower surface oriented toward the bottom of the implant with the fixation assembly mounted to the peripheral wall, a front surface extending between the upper surface and the lower surface and extending to the exterior face, and a back surface extending between the upper surface and the lower surface and being disposed along a longitudinally opposite side of the housing from the front surface with the fixation assembly mounted to the peripheral wall,

an anchor disposed in the housing and moveable between a retracted position in which the sharpened tip of the anchor is disposed below the top of the implant with the fixation assembly mounted to the peripheral wall, and an extended position in which a sharpened tip of the anchor is disposed above the top of the implant with the fixation assembly mounted to the peripheral wall, and

an actuator connected to the anchor and disposed in the housing and moveable between a disengaged position in which the anchor is in the retracted position and an engaged position that places the anchor in the extended position.

2. The implant of claim 1 in which the anchor comprises a first arm angularly connected at a pivot to a second arm, with the sharpened tip disposed along the first arm and the actuator connected to the second arm by contact of a cam surface on the actuator with a cam surface disposed along the second arm away from the pivot.

3. The implant of claim 2 in which the first arm and the second arm are each disposed in a rotation plane that is perpendicular to a pivot axis passing through the pivot.

4. The implant of claim 3 in which movement of the anchor between the retracted position and the extended position comprises a rotation of the anchor in the rotation plane with the pivot fixed to the housing at a hinge.

5. The implant of claim 4 in which movement of the actuator between the engaged position and the disengaged position comprises a translation having a longitudinal directional component.

6. The implant of claim 4 in which movement of the actuator between the engaged position the disengaged position comprises a translation of the actuator in an aperture disposed in the housing, with the aperture having a longitudinal directional component.

7. The implant of claim 2 in which the anchor is rigid.

8. The implant of claim 1 in which the housing is fixedly mountable to a pocket in the forward wall portion of the peripheral wall.

9. The implant of claim 8 in which the opening in the forward wall portion comprises a gap extending from the top of the implant to the bottom of the implant, the gap separating the forward wall portion into two sections and creating a gap in each of the top surface and bottom surface.

10. The implant of claim 9 in which the lower surface of the housing is disposed along the bottom of the implant adjacent to the bottom surface of the peripheral wall.

11. The implant of claim 10 in which the upper surface of the housing is disposed along the top of the implant adjacent to the bottom surface of the peripheral wall.

12. The implant of claim 1 in which the upper surface of the housing, the lower surface of the housing, the front surface of the housing, the back surface, and a pair of side surfaces of the housing define a profile substantially similar to a rectangular cuboid.

13. A vertebral fusion device comprising:

a ring-shaped implant body comprising upper and lower vertebral contact surfaces, an exterior surface extending between the upper and lower vertebral contact surfaces, and an opening formed on the exterior surface and extending into the implant body;

a housing removably mountable to the opening with a first end of the housing extending to the exterior surface;

an anchor movable from a first anchor position in which the anchor is contained within the housing to a second anchor position in which a tip of the anchor extends out of the housing and away from the implant body with the housing mounted to the opening; and

an actuator having a first end comprising a tool attachment and a second end disposed within the housing, the anchor movable from a first actuator position that accommodates the anchor in the first anchor position to a second actuator position that places the anchor in the second anchor position.

14. The vertebral fusion device of claim 13 in which the anchor comprises a hinge attached to the housing.

15. The vertebral fusion device of claim 14 in which movement of the anchor from the first anchor position to the second anchor position comprises rotation of the anchor about the hinge.

16. The vertebral fusion device of claim 15 in which the tip of the anchor is disposed on a first side of the hinge and a tail of the anchor is disposed on the second side of the hinge.

17. The vertebral fusion device of claim 16 in which the tip of the anchor is sharpened and the tail of the anchor is in contact with the second end of the actuator with the actuator in the second actuator position.

18. An intervertebral fusion implant comprising:

an implant body comprising upper and lower vertebral contact surfaces, an exterior perimeter surface extending between the upper and lower vertebral contact surfaces, and a pocket formed on the exterior surface;

a housing insertable into the pocket and detachably mountable in the pocket with an end of the housing forming an extension of the exterior surface;

an actuator at least partially disposed in the housing and translatable from a first anchor position to a second anchor position; and

an anchor at least partially disposed in the housing and comprising a first end and a second end, the first end movable in response to movement of the second end caused by translation of the actuator.

19. The intervertebral fusion implant of claim 18 in which translation of the actuator results from rotation of the actuator about a central axis of the actuator.

20. The intervertebral fusion implant of claim 19 in which movement of the anchor comprises rotation of the anchor about a hinge disposed between the first end and the second end.