Expandable intervertebral implant, system, kit and method

• US 9,717,601 B2
• Filed: 02/28/2013
• Issued: 08/01/2017
• Est. Priority Date: 02/28/2013
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Miller, William
• Primary Examiner(s): BOLES, SAMEH RAAFAT
• Application Number:
  US13/780,796
• Publication Number:
  US 20140243982A1
• Time in Patent Office: 1,615 Days
• Field of Search: None
• 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 2/4603 for insertion or extraction of endoprosthetic joints or of accessories thereof
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2/4684 Trial or dummy prostheses
• CPC Class Codes: A61F 2002/3008 radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2002/30131 horseshoe- or crescent- or C-shaped or U-shaped
• CPC Class Codes: A61F 2002/30156 triangular
• CPC Class Codes: A61F 2002/30158 trapezoidal
• CPC Class Codes: A61F 2002/30281 wedge-shaped
• CPC Class Codes: A61F 2002/30398 Sliding
• CPC Class Codes: A61F 2002/30411 having two threaded end parts connected by a threaded central part with opposite threads at its opposite ends, i.e. for adjusting the distance between both end parts by rotating the central part
• CPC Class Codes: A61F 2002/30556 for adjusting thickness
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices
• CPC Class Codes: A61F 2002/30772 Apertures or holes, e.g. of circular cross section
• CPC Class Codes: A61F 2002/30774 internally-threaded
• CPC Class Codes: A61F 2002/3082 Grooves
• CPC Class Codes: A61F 2002/30828 parallel
• CPC Class Codes: A61F 2002/3083 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30836 knurled
• CPC Class Codes: A61F 2002/30904 : serrated profile, i.e. saw-toothed
• 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

Abstract

An implant includes a first plate and a second plate, a first wedge member and a second wedge member spaced from the first wedge member that couple the first and second plates together. The first and second wedge members configured to translate along the first and second plates from a first contracted configuration into a second separated configuration. The implant includes an actuation member coupled to the first wedge member and the second wedge member. The actuating member defines a flange extending toward the first and second plates. The actuation member configured to move the first and second wedge members from the first contracted configuration into the second separated configuration so that the first and second plates separate from each other.

Claims

1. An expandable implant for insertion in an intervertebral space defined between a first vertebral body and a second vertebral body, the implant defining an insertion end spaced apart from a trailing end along a longitudinal direction, the implant comprising:

a first plate defining a first connection groove and a first projection;

a second plate opposed to the first plate along a vertical direction that is perpendicular to the longitudinal direction, the second plate defining a second connection groove and a second projection, wherein the first and second projections are positioned between the first and second connection grooves with respect to the vertical direction;

a first wedge member and a second wedge member spaced from the first wedge member along the longitudinal direction, each wedge member defining;

an inner end and a narrow end spaced apart from the inner end along the longitudinal direction, each wedge member tapering from the inner end to the narrow end, the inner ends of each wedge member facing one another;

a first side surface and a second side surface spaced from the first side surface along a transverse direction that is perpendicular to the longitudinal and vertical directions;

a first ridge and a second ridge spaced from the first ridge with respect to the vertical direction, each of the first and second ridges

     1) elongated in a direction extending from the narrow end to the inner end of the associated wedge member, and

     2) protruding from one of the first and second side surfaces of the associated wedge member in the transverse direction,

wherein the first ridge is received within the first connection groove and overlaps the first projection in the transverse direction so as to interlock the associated wedge member with the first plate, the second ridge is received within the second connection groove and overlaps the second projection in the transverse direction so as to interlock the associated wedge member with the second plate, and the first and second wedge members are configured to translate away from one another along the longitudinal direction along the first and second plates from a first contracted configuration of the first and second wedge members into a second separated configuration of the first and second wedge members; and

an actuation member coupled to the first wedge member and the second wedge member, the actuation member defining a shaft having a proximal end and a distal end spaced from the proximal end along the longitudinal direction, the shaft defining a first threaded portion and a second threaded portion proximal to the first threaded portion, the actuation member defining a flange extending toward the first and second plates, the flange disposed between the first and second threaded portions, the actuation member configured to translate the first and second wedge members from the first contracted configuration into the second separated configuration so as to separate the first plate from the second plate along the vertical direction.

2. The implant of claim 1, wherein the first threaded portion has a first thread direction, and a second threaded portion has a second thread direction that is different than the first thread direction.

3. The implant of claim 2, wherein the first wedge member includes a first bore extending along the first direction between the narrow end and the inner end of the first wedge member, and the second wedge member includes a second bore extending along the first direction between the narrow end and the inner end of the second wedge member, wherein the first bore at least partially receives the first threaded portion of the actuation member, and the second bore at least partially receives the second threaded portion of the actuation member.

4. The implant of claim 1, wherein the first plate defines a first proximal ramp inclined toward the trailing end of the implant, and the second plate defines a second proximal ramp inclined toward the trailing end of the implant, wherein either of the first or second wedge member is configured to translate along the first and second proximal ramp toward the trailing end of the implant.

5. The implant of claim 4, wherein first plate defines a first distal ramp inclined toward the insertion end of the implant, and the second plate defines a second distal ramp inclined toward either of the insertion end of the implant, wherein the other of the first or second wedge member is configured to translate along the first and second distal ramp toward the insertion end of the implant.

6. The implant of claim 1, wherein each wedge member defines a body having a first inclined surface angularly offset from a second inclined surface, wherein the first and second inclined surfaces extend from the inner end toward the narrow end.

7. The implant of claim 6, wherein the first ridge extends along the first inclined surface, the second ridge extends along the second inclined surface, and the first and second ridges are configured to slidably couple with the first and second plates, respectively.

8. The implant of claim 6, wherein the first inclined surface defines a top surface of the associated wedge member, the second inclined surface defines a bottom surface of the associated wedge member, the first ridge is contiguous with the first inclined surface, and the second ridge is contiguous with the second inclined surface.

9. The implant of claim 1, wherein the implant is configured to expand from a collapsed configuration into an expanded configuration, the expanded configuration is defined as when the first plate is spaced apart from the second plate along the vertical direction, and when the implant is in the collapsed configuration, the inner ends of each wedge member abut the flange.

10. The implant claim 9, wherein the first plate defines a first lumen and the second plate defines a second lumen aligned with the first lumen, wherein when the implant is in the collapsed configuration, at least a portion of the first wedge member and the second wedge member is at least partially disposed in the first lumen and the second lumen.

11. The implant of claim 10, wherein the inner end of each wedge member includes a superior tip and an inferior tip spaced apart from the superior tip along the vertical direction, wherein when the implant is in the collapsed configuration, the superior tip extends into the first lumen and is at least aligned with a first bone contacting surface of the first plate, and the inferior tip extends into the second lumen and is at least aligned with a second bone contacting surface of the second plate.

12. The implant of claim 1, wherein the inner ends of the first and second wedge members are spaced apart to at least partially define a gap extending therebetween, and the flange is configured to extend through the gap and at least partially into the first and second plates.

13. The implant of claim 12, wherein when the first wedge member and the second wedge member separate from the first contracted configuration into the second separated configuration, the dimension of the gap is increased.

14. The implant of claim 1, wherein the first and second connection grooves and the first and second ridges are each sloped with respect to the longitudinal direction.

15. The implant of claim 14, wherein the first and second ridges are configured to ride along the first and second connection grooves, respectively, responsive to translation of the associated wedge member from the first contracted configuration to the second separated configuration so as to separate the first plate from the second plate along the vertical direction.

16. The implant of claim 1, wherein each wedge member further comprises a third ridge and a fourth ridge spaced from the third ridge with respect to the vertical direction, wherein,

the third ridge protrudes, in the transverse direction, from the other of the first and second side surface of the associated wedge member from which the first ridge protrudes;

the fourth ridge protrudes, in the transverse direction, from the other of the first and second side surfaces of the associated wedge member from which the second ridge protrudes; and

each of the third and fourth ridges is elongated in a direction extending from the narrow end to the inner end of the associated wedge member.

17. The implant of claim 16, wherein the first and third ridges are parallel with each other, and the second and fourth ridges are parallel with each other.

18. The implant of claim 1, wherein:

the first wedge member defines a first threaded feature coupled to the first threaded portion of the shaft;

the second wedge member defines a second threaded feature coupled to the second threaded portion of the shaft; and

the actuation member is configured to translate the first and second wedge members from the first contracted configuration into the second separated configuration responsive to rotation of the shaft about the central axis; and

the first and second threaded portions of the shaft have different thread pitches so as to cause the first and second wedge members to translate at different rates responsive to rotation of the shaft in a manner causing the first and second plates to be separated by a first distance in the vertical direction at the insertion end and by a second distance in the vertical direction at the trailing end, and the first distance is different than the second distance.

19. An implant for insertion in an intervertebral space defined between a first vertebral body and a second vertebral body, the implant defining an insertion end spaced apart from an trailing end along a first direction, the implant comprising:

a first plate defining a first connection groove and a first projection;

a second plate opposing the first plate along a second direction that is perpendicular to the first direction, the second plate defining a second connection groove and a second projection, wherein the first and second projections are positioned between the first and second connection grooves with respect to the second direction;

a first wedge member and a second wedge member spaced apart from the first wedge member along the first direction so as to define at least a gap between the first and second wedge members, each wedge member defining;

a first end and a second end spaced from the first end along the first direction, the first ends of each wedge member facing one another so as to define a gap therebetween;

a first side surface and a second side surface spaced from the first side surface along a third direction that is perpendicular to the first and second directions;

a first ridge and a second ridge spaced from the first ridge with respect to the second direction, each of the first and second ridges

     1) elongated in a direction extending from the first end to the second end of the associated wedge member, and

     2) protruding from one of the first and second side surfaces of the associated wedge member in the third direction,

wherein the first ridge is received within the first connection groove and overlaps the first projection in the third direction so as to interlock the associated wedge member to the first plate, the second ridge is received within the second groove and overlaps the second projection in the third direction so as to interlock the associated wedge member to the second plate, and the first wedge member and the second wedge member are translatable along the first and second plates along the first direction;

an actuation member defining a shaft having a first threaded portion coupled to the first wedge member and a second threaded portion spaced from the first threaded portion along the first direction, the second threaded portion coupled to the second wedge member; and

a flange extending radially from the actuation member at least partially into the gap and at least partially into the first and second plates, the flange disposed between the first and second threaded portions of the shaft, wherein, when the actuation member is actuated, the first wedge member and the second wedge member separate from each other along the first direction so as to separate the first plate from the second plate along the second direction.

20. The implant of claim 19, further comprising a first lumen extending through the first plate, and a second lumen extending through the second plate and axially aligned with the first lumen.

21. The implant of claim 20, wherein the first plate defines a bone contacting surface and an inner surface opposed to the bone contacting surface, the inner surface defining a first ramp that extends from the first lumen toward the first end of the first plate, and a second ramp extending from the first lumen toward the second end of the first plate, wherein the first and second ramps slidingly mate with the respective first and second first wedge members.

22. The implant of claim 21, wherein at least the first ramp defines an elongate depression, wherein the elongate depression is configured to receive a tab extending from either of the first wedge member or the second wedge member along the second direction, wherein the tab is configured to abut a portion of the depression so as to limit advancement of the first and second wedge members relative to the first plate.

23. The implant of claim 21, wherein the second plate defines a second bone contacting surface and an inner surface opposed to the second bone contacting surface, the inner surface of the second plate defining a first ramp that extends from the second lumen toward the first end of the second plate, and a second ramp extending from the second lumen toward the second end of the second plate, wherein the first and second ramps slidingly mate with the respective first and second first wedge members.

24. The implant of claim 19, wherein the first plate defines a first bone contacting surface extending between the trailing end and the insertion end, and a first pair of opposed walls extending from the first bone contacting surface along the second direction, and the second plate defines a second bone contacting surface extending between the trailing end and the insertion end, the second bone contacting surface spaced from the first bone contacting surface along the second direction, and the second bone plate defines a second pair of opposed walls extending from the second bone contacting surface along the second direction toward the first plate, wherein the first and second pair of opposed walls each at least partially define a cavity configured to support the first and second wedge members.

25. The implant of claim 24, wherein one of the first pair of opposed walls defines at least one slot disposed between the insertion end and the trailing end, wherein the at least one slot is configured to receive a portion of the flange.

26. The implant of claim 24, wherein the first pair of opposed walls each define a first and second opposing slot, and the second pair of opposed second walls define a third and fourth opposing slot, wherein the first, second, third, and fourth opposing slots are disposed between the insertion end and the trailing end of the implant, and each slot is configured to receive a portion of the flange.

27. The implant of claim 24, wherein at least one wall of the first or second pair of opposed walls defines the first connection groove and the first projection, and the first connection groove is recessed into the at least one wall along the third direction.