Spinal implants and implantation system

• US 9,913,728 B2
• Filed: 03/10/2014
• Issued: 03/13/2018
• Est. Priority Date: 03/14/2013
• Status: Expired due to Fees

• Current Assignee: Quandary Medical LLC (The Quandary Group LLC)
• Original Assignee: Quandary Medical LLC (The Quandary Group LLC)
• Inventors: Ainsworth, Stephen D., Avidano, Eugene E., LaPierre, Leighton J.
• Primary Examiner(s): Gibson, Eric S
• Application Number:
  US14/202,316
• Publication Number:
  US 20140277498A1
• Time in Patent Office: 1,464 Days
• CPC Class Codes: A61B 17/70 Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
• 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 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2002/30143 hexagonal
• CPC Class Codes: A61F 2002/30171 rosette- or star-shaped
• CPC Class Codes: A61F 2002/3023 wedge-shaped cylinders
• CPC Class Codes: A61F 2002/30235 tubular, e.g. sleeves
• CPC Class Codes: A61F 2002/30242 spherical
• CPC Class Codes: A61F 2002/30266 wedge-shaped parallelepipeds
• CPC Class Codes: A61F 2002/30309 hat-shaped or bell-shaped
• 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 2002/30405 made by screwing complementary threads machined on the parts themselves
• CPC Class Codes: A61F 2002/30462 retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2002/30538 for adjusting angular orientation
• CPC Class Codes: A61F 2002/30545 for adjusting a diameter
• CPC Class Codes: A61F 2002/30565 having spring elements
• 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 2002/30601 : telescopic
• CPC Class Codes: A61F 2002/30604 : modular
• CPC Class Codes: A61F 2002/30772 : Apertures or holes, e.g. of circular cross section
• CPC Class Codes: A61F 2002/30784 : Plurality of holes
• CPC Class Codes: A61F 2002/30785 : parallel
• CPC Class Codes: A61F 2002/3085 : with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/30884 : Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2002/30891 : Plurality of protrusions
• 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 2002/30995 : for sacro-iliac joints
• CPC Class Codes: A61F 2002/4415 : elements of the prosthesis being arranged in a chain like manner
• 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 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 2310/00131 : Tantalum or Ta-based alloys
• CPC Class Codes: A61F 2310/00161 : Carbon; Graphite
• CPC Class Codes: A61F 2310/00359 : Bone or bony tissue

Abstract

Disclosed are surgical implants for providing therapy to a treatment site, tool sets and methods for minimally invasively accessing and deploying the implants within the spine. The treatment site may be a vertebral body, disc, and/or motion segments in the lumbar and sacral regions of the spine.

Claims

1. An implant comprising a plurality wedge components configured to be inserted into a disc space, the implant comprising:

a first component having a first ramped surface;

a second component having a complementary ramp surface that is complementary to the first component first ramped surface;

wherein advancement of the second component and complementary ramp surface against the first component and first ramped surface in a first direction causes the first component to move in a second direction that is generally perpendicular to the first direction,

wherein said first component and second component have planar surfaces configured to support a force generally perpendicular to said second direction, wherein the planar surfaces of said first component and second component are configured to have an increased surface area to withstand compressive loads generally perpendicular to said second direction.

2. The implant of claim 1, wherein the second component further comprises a second component first ramped surface configured to interface with an insertion tool ramped surface of a ramped insertion tool,

wherein advancement of the ramped insertion tool in the first direction causes the second component and the first component to move in the second direction.

3. The implant of claim 1, wherein the second component further comprises a second component first ramped surface, and further comprising a third component having a third component complementary ramp surface that is complementary to the second component first ramped surface, wherein advancement of the third component and third component complementary ramp surface against the second component and second component first ramped surface in the first direction causes the second component to move in the second direction.

4. The implant of claim 3, wherein the third component further comprises a third component first ramped surface;

and

said implant of claim 3 further comprises a ramped insertion tool having an insertion tool ramped surface;

wherein said third component first ramped surface is configured to interface with the insertion tool ramped surface of the ramped insertion tool, wherein the ramped insertion tool has a longitudinal axis parallel to the first direction, and wherein advancement of the ramped insertion tool in the first direction causes the third component, the second component, and the first component to move in the second direction.

5. The implant of claim 4, wherein the ramped insertion tool is configured to slideably move in at least one of the first direction and the second direction.

6. The implant of claim 1, further comprising a protection tool comprising a flat portion configured to abut an endplate of a vertebra adjacent the disc space, wherein the protection tool is configured for deployment between the endplate of the vertebra and any one of the first component and the second component during deployment.

7. The implant of claim 1, wherein the first component further comprises a leading edge upper surface and a leading edge lower surface that converge towards a common point, wherein the common point is configured to distract the disc space as the first component is advanced radially along the second direction.

8. The implant of claim 1, wherein the first component further comprises a wedge protrusion and the second component further comprises a wedge slot, wherein the wedge protrusion is configured to complement the wedge slot, wherein the wedge protrusion and the wedge slot are configured to maintain a radial orientation of the components both relative to each component and/or relative to the assembly.

9. The implant of claim 1, wherein the first component further comprises a wedge slot and the second component further comprises a wedge protrusion, wherein the wedge protrusion is configured to complement the wedge slot, wherein the wedge protrusion and the wedge slot are configured to maintain a radial orientation of the components both relative to each component and/or relative to the assembly.

10. The implant of claim 1, further comprising a rod, configured for releasable attachment to the first component and the second component.

11. The implant of claim 1, further comprising a rod, wherein the first component further comprises a first component cannula, wherein the second component further comprises a second component cannula, and wherein the rod is configured for releasable attachment to the first component cannula and the second component cannula.

12. The implant of claim 1, wherein the first component comprises a material selected from the group consisting of titanium, stainless steel, Nitinol, an allograft, purolitic carbon, a polymer, and polyether ether ketone (PEEK).

13. The implant of claim 1, wherein said force is in an axial direction.

14. The implant of claim 1, wherein a first planar surface of said first component is configured to abut an endplate of a vertebra.

15. A wedge system configured for insertion of al lens one wedge component into a disc space, comprising:

a first wedge component comprising a first wedge component first ramped surface and a planar surface;

a wedge system cannula with a longitudinal axis;

a ramped insertion tool slideably movable along the longitudinal axis of the wedge system cannula;

a first direction parallel to the longitudinal axis of the wedge system cannula; and

a second direction generally perpendicular to the first direction,

wherein advancement of the ramped insertion tool against the first component in the first direction causes the first component to move in the second direction; and

wherein the planar surface of the first component configured tip support a force generally perpendicular to the second direction.

16. The plurality of wedge components of claim 15, further comprising a second wedge component comprising a second wedge component second ramped surface, wherein the second wedge component second ramped surface is complementary to the first wedge component first ramped surface;

wherein advancement of the second wedge component against the first component in the first direction causes the first component to move in the second direction.

17. The plurality of wedge components of claim 16, wherein the second wedge component further comprises a second wedge component first ramped surface, and

further comprising a third wedge component having a third wedge component second ramped surface that is complementary to the second wedge component first ramped surface,

wherein advancement of the third wedge component and third wedge component second ramped surface against the second wedge component and second wedge component first ramped surface in the first direction causes the second wedge component to move in the second direction,

wherein the third wedge component further comprises a third wedge component first ramped surface configured to interface with a insertion tool ramped surface of the ramped insertion tool,

wherein advancement of the ramped insertion tool in the first direction causes the third wedge component, the second wedge component, and the first wedge component to move in the second direction.

18. The plurality of wedge components of claim 15, further comprising a protection tool comprising a flat portion configured to abut an endplate of a vertebra adjacent the disc space, wherein the protection tool is configured for deployment between the endplate of the vertebra and the first wedge component as it is deployed from the wedge system cannula.

19. The plurality of wedge components of claim 15, wherein the first wedge component further comprises a leading edge upper surface and a leading edge lower surface that converge towards a common point, wherein the common point is configured to distract the disc space as the first wedge component is advanced radially along the second direction.

20. The wedge system of claim 15, wherein the first wedge component further comprises a wedge protrusion and the second wedge component further comprises a wedge slot, wherein the wedge protrusion is configured to complement the wedge slot, wherein the wedge protrusion and the wedge slot are configured to maintain a radial orientation of the wedge components.