Arcuate fixation member

• US 9,925,056 B2
• Filed: 03/03/2016
• Issued: 03/27/2018
• Est. Priority Date: 04/15/2009
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Donner, Thomas, Schoenly, Jared, Evans, David E., Gfeller, Andreas
• Primary Examiner(s): Philogene, Pedro
• Application Number:
  US15/060,566
• Publication Number:
  US 20160220384A1
• Time in Patent Office: 754 Days
• Field of Search: 623 1711- 1716, 606246-279, 606 83- 85, 606 86 A, 606 86 R, 606170, 606171, 606174-179, 606185
• CPC Class Codes: A61B 17/70 Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
• CPC Class Codes: A61B 17/7056 Hooks with specially-designed bone-contacting part
• CPC Class Codes: A61B 17/846 Nails or pins, i.e. anchors without movable parts, holding by friction only, with or without structured surface A61B17/72, A61B17/86 take precedence
• CPC Class Codes: A61B 17/92 Impactors or extractors, e.g. for removing intramedullary devices insertion or extraction of artificial joints A61F2/4603
• CPC Class Codes: A61B 2017/8655 with special features for locking in the bone
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/30744 End caps, e.g. for closing an endoprosthetic cavity
• CPC Class Codes: A61F 2/30965 Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
• 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 2002/30387 Dovetail 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 2002/30514 using a locking washer
• CPC Class Codes: A61F 2002/30517 using a locking plate
• CPC Class Codes: A61F 2002/30578 having apertures, e.g. for receiving fixation screws
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30604 modular
• CPC Class Codes: A61F 2002/30616 : Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/30777 : Oblong apertures
• CPC Class Codes: A61F 2002/30784 : Plurality of holes
• CPC Class Codes: A61F 2002/30787 : inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30841 : Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30843 : Pyramidally-shaped
• CPC Class Codes: A61F 2002/30845 : with cutting edges
• 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 2002/4628 : with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
• CPC Class Codes: A61F 2220/0016 : with sharp anchoring protrusions, e.g. barbs, pins, spikes
• 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 2310/00131 : Tantalum or Ta-based alloys
• CPC Class Codes: A61F 2310/00359 : Bone or bony tissue

Abstract

Arcuate fixation members with varying configurations and/or features are provided, along with additional components for use therewith in provided intervertebral implants. The arcuate fixation members may be of different lengths, cross sectional geometries, and/or cross sectional areas. Applications of intervertebral implants utilizing arcuate fixation members are particularly suitable when a linear line-of-approach for delivering fixation members is undesirable.

Claims

1. An intervertebral implant comprising:

a spacer body configured to be implanted into an intervertebral space, the spacer body defining an upper bone-engaging surface, a lower bone-engaging surface spaced apart from the upper bone-engaging surface, and an outer wall that extends from the upper bone-engaging surface to the lower bone-engaging surface and defines i) a posterior wall, ii) an anterior wall opposite the posterior wall, and iii) a pair of side walls that extend between the posterior wall and the anterior wall, wherein the side walls are spaced apart from each other along a first direction, the anterior and posterior walls are spaced from each other along a second direction that is perpendicular to the first direction, the outer wall at least partially defines a pair of apertures that each extends along a third direction that is perpendicular to the first and second directions through the upper and lower bone-engaging surfaces at a location between the posterior and anterior walls, the spacer body further includes an inner wall that separates one of the pair of apertures from the other of the pair of apertures with respect to the first direction, the inner wall extends along the second direction substantially from a first direction midpoint of the posterior wall to the anterior wall, the posterior wall defines an inner surface that defines a first cavity that is open to the one of the pair of apertures and a second cavity that is open to the other of the pair of apertures, each of the cavities defines a recessed surface that is positioned intermediate the inner surface and an outer surface of the posterior wall, and each of the cavities extends across a third direction midpoint of the posterior wall; and

an insert plate configured to be coupled to the spacer body, the insert plate defining at least one guide aperture that extends therethrough and is configured to receive a curved bone fixation member.

2. The intervertebral implant of claim 1, wherein at least a portion of the upper and lower bone-engaging surfaces have relief grooves defined therein, the relief grooves configured to partially receive respective curved fixation members therein.

3. The intervertebral implant of claim 1, wherein the at least on guide aperture is substantially straight.

4. The intervertebral implant of claim 1, wherein the spacer body defines at least one opening extending through the outer wall.

5. The intervertebral implant of claim 1, wherein the insert plate and the anterior wall of the spacer body define a second aperture therebetween, the second aperture being aligned with the inner wall along the second direction.

6. The intervertebral implant of claim 5, wherein the spacer body defines a pair of openings extending through the anterior wall so as to place the pair of apertures in communication with the second aperture.

7. The intervertebral implant of claim 1, wherein at least a portion of the anterior wall is curved away from the insert plate when the insert plate is coupled to the spacer body.

8. The intervertebral implant of claim 1, wherein each of the insert plate and the spacer body further comprises respective coupling members configured to secure the insert plate to the spacer body.

9. The intervertebral implant of claim 8, wherein the coupling members of the insert plate include retaining members, and the coupling members of the spacer body are retaining grooves defined by the anterior wall of the spacer body, wherein the retaining grooves are configured to receive the retaining members of the insert plate.

10. The intervertebral implant of claim 9, wherein the retaining grooves extend from the upper bone-engaging surface to the lower bone-engaging surface of the spacer body.

11. The intervertebral implant of claim 9, wherein the respective coupling members define respective interlocking members that are configured to a) align the insert plate with the respect to the spacer body, and b) secure the insert plate to the spacer body.

12. The intervertebral implant of claim 11, wherein the interlocking members of the spacer body include locking ridges disposed in the retaining grooves, and wherein the interlocking members of the insert plate include locking grooves disposed along the retaining members, wherein the locking grooves are sized to receive the locking ridges.

13. The intervertebral implant of claim 1, further comprising the curved bone fixation member, the curved bone fixation member defining a proximal end and a distal end spaced from the proximal end along a central axis, the curved bone fixation member configured to be inserted at least partially through the at least one guide aperture.

14. The intervertebral implant of claim 13, wherein the curved bone fixation member further comprises:

a fixation body having a curved intermediate portion extending between the proximal and distal ends, the curved intermediate portion defining a cross-sectional shape that conforms with a cross-sectional shape of the at least one guide aperture such that the bone fixation member is slidable through the at least one guide aperture during insertion therethrough;

a tapered tip distal to the curved intermediate portion and extending distally from the fixation body, the tapered tip configured to cut into bone; and

a guidance member disposed at least partially on the tip, the guidance member configured to guide the bone fixation member along an insertion trajectory as the bone fixation member is inserted into the vertebral body, wherein the guidance member comprises a keel extending from the distal end, and at least one wing disposed adjacent the keel, and a flute disposed between the keel and the at least one wing.

15. The intervertebral implant of claim 14, wherein the flute extends substantially parallel to the insertion trajectory.

16. The intervertebral implant of claim 14, wherein the guidance member further comprises a second wing disposed adjacent the keel, such that the keel is disposed between the wings.