Expandable vertebral body replacement device and method

• US 9,775,719 B2
• Filed: 03/23/2015
• Issued: 10/03/2017
• Est. Priority Date: 03/23/2015
• Status: Active Grant

• Current Assignee: MUSC Foundation For Research Development (State of South Carolina)
• Original Assignee: MUSC Foundation For Research Development (State of South Carolina)
• Inventors: Semler, Mark Evald, Frankel, Bruce, Ruscito, Joseph
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): CARTER, TARA ROSE E
• Application Number:
  US14/665,833
• Publication Number:
  US 20160278933A1
• Time in Patent Office: 925 Days
• Field of Search: 606246-249, 606 99, 606104, 623 1711
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• 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 2/446 having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
• 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 2002/30398 Sliding
• CPC Class Codes: A61F 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30515 using a locking wedge or block
• CPC Class Codes: A61F 2002/30517 using a locking plate
• CPC Class Codes: A61F 2002/30556 for adjusting thickness
• CPC Class Codes: A61F 2002/30601 telescopic
• CPC Class Codes: A61F 2002/30774 internally-threaded
• CPC Class Codes: A61F 2002/30784 Plurality of holes
• CPC Class Codes: A61F 2002/30818 castellated or crenellated
• CPC Class Codes: A61F 2002/30825 arcuate
• CPC Class Codes: A61F 2002/30836 knurled
• 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 2250/0007 for adjusting length

Abstract

An expandable vertebral body device, system, instrument, and methods of assembly and using the device, system, and instrument are disclosed. The vertebral body device includes a body with a first end and a second end, a first rotating member rotatably coupled to the first end, a second rotating member rotatably coupled to the second end, a first extension member moveably coupled to the first end, and a second extension member moveably coupled to the second end. The expandable cage system comprises a vertebral body device and an insertion instrument. Methods for assembling and using the vertebral body device and instrument are also disclosed.

Claims

1. An expandable cage system, comprising:

a vertebral body device, comprising;

a body with a first end and a second end, the body comprising;

a plurality of apertures positioned around the body along a midpoint between the first end and the second end, each of the plurality of apertures spaced apart from the adjacent apertures;

a plurality of first positioning holes positioned superior to each of the plurality of apertures; and

a plurality of second positioning holes positioned inferior to each of the plurality of apertures;

a first rotating member coupled to the first end;

a second rotating member coupled to the second end;

a first extension member moveably coupled to the first end; and

a second extension member moveably coupled to the second end; and

an insertion instrument, wherein the plurality of apertures, the plurality of first positioning holes, and the plurality of second positioning holes are sized to receive the insertion instrument, the insertion instrument comprising;

a deployment handle;

a position selector member rotatably coupled to the deployment handle;

a rod extending through an opening in the position selector member, the rod comprising;

a threaded section configured to couple to an opening in the body of the vertebral body device;

an implant attachment member coupled to a portion of the rod; and

a tension adjustment member rotatably coupled to the rod at a second end.

2. The expandable cage system of claim 1, wherein the body further comprises:

a first groove positioned near the first end for receiving the first rotating member; and

a second groove positioned near the second end for receiving the second rotating member.

3. The expandable cage system of claim 2, wherein the first rotating member comprises:

a center opening forming an interior surface, wherein the interior surface comprises;

threads positioned on the interior surface; and

at least one first angled slot positioned on the interior surface and intersecting the threads; and

a plurality of grooves positioned around an exterior surface, wherein the plurality of grooves are undercut toward the interior surface.

4. The expandable cage system of claim 3, wherein the second rotating member comprises:

a center opening forming an interior surface, wherein the interior surface comprises;

threads positioned on the interior surface; and

at least one second angled slot positioned on the interior surface and intersecting the threads; and

a plurality of grooves positioned around the exterior surface, wherein the plurality of grooves are undercut toward the interior surface.

5. The expandable cage system of claim 4, wherein the first extension member comprises:

a top portion;

at least one first leg member extending away from the top portion; and

at least one first support member positioned between and coupled to the at least one first leg member.

6. The expandable cage system of claim 5, wherein the second extension member comprises:

a bottom portion;

at least one second leg member extending away from the bottom portion; and

at least one second support member positioned between and coupled to the at least one second leg member.

7. The expandable cage system of claim 6, wherein the at least one first leg member comprises:

threads positioned on an exterior surface of the at least one first leg member and configured to engage the threads on the interior surface of the first rotating member; and

a tab positioned on a second end of the at least one first leg member and configured to engage the at least one first angled slot of the first rotating member.

8. The expandable cage system of claim 6, wherein the top portion comprises:

a center opening extending from a top surface to a bottom surface of the top portion; and

a plurality of grooves in the top surface and positioned circumferentially around the center opening; and

wherein the bottom portion comprises;

a center opening extending from a bottom surface to a top surface of the bottom portion; and

a plurality of grooves in the bottom surface and positioned circumferentially around the center opening.

9. The expandable cage system of claim 7, wherein the at least one second leg member comprises:

threads positioned on an exterior surface of the at least one second leg member and configured to engage the threads on the interior surface of the second rotating member; and

a tab positioned on a second end of the at least one second leg member and configured to engage the at least one second angled slot of the second rotating member.

10. The expandable cage system of claim 1, wherein the position selector member comprises:

a pin extending away from a first end of the position selector member and configured to engage at least one positioning hole in the body of the vertebral body device, the at least one positioning hole positioned adjacent to the opening.

11. The expandable cage system of claim 10, wherein the deployment handle comprises:

a plurality of projections configured to engage and rotate the first rotating member and the second rotating member, wherein the plurality of projections are cone shaped to engage at least one of the first rotating member and the second rotating member.

12. A method of using an expandable cage system, comprising:

obtaining a vertebral body device, the vertebral body comprising;

a body with a first end and a second end;

a first rotating member rotatably coupled to the first end;

a second rotating member rotatably coupled to the second end;

a first extension member moveably coupled to the first end; and

a second extension member moveably coupled to the second end;

obtaining an insertion instrument, the insertion instrument comprising;

a deployment handle;

a position selector member rotatably coupled to the deployment handle;

a rod extending through an opening in the position selector member;

an attachment member coupled to a portion of the rod; and

an adjustment member rotatably coupled to the rod at a second end;

coupling the vertebral body device to the insertion instrument, comprising;

aligning a first end of the rod with an opening in the body of the vertebral body device;

rotating the implant attachment member to couple the rod to the body of the vertebral body device; and

rotating the adjustment member to position the deployment handle for engagement with the first rotating member;

inserting the vertebral body device into a patient between two vertebral bodies;

expanding the vertebral body device;

removing the insertion instrument; and

closing the patient.

13. The method of claim 12, wherein expanding the vertebral body device comprises:

rotating the deployment handle in a first direction to engage and rotate the first rotating member in a second direction, wherein rotating the first rotating member translates the coupled first extension member to increase a height of the vertebral body device.