Method and apparatus for augmenting bone

• US 9,987,055 B2
• Filed: 04/30/2015
• Issued: 06/05/2018
• Est. Priority Date: 08/19/2009
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Teisen, Jacques
• Primary Examiner(s): Sevilla, Christian
• Assistant Examiner(s): KAMIKAWA, TRACY L
• Application Number:
  US14/700,255
• Publication Number:
  US 20150245857A1
• Time in Patent Office: 1,132 Days
• CPC Class Codes: A61B 17/1642 for producing a curved bore
• CPC Class Codes: A61B 17/1662 for particular parts of the body
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/7097 Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants disc prostheses made of inflatable chambers or pockets filled with fluid A61F2/441; replacing the nucleus pulposus A61F2002/444
• CPC Class Codes: A61B 17/8872 Instruments for putting said fixation devices against or away from the bone A61B17/7074, A61B17/808 take precedence
• CPC Class Codes: A61F 2/441 made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel

Abstract

An expandable implant system is configured to increase the height of a target bone, for instance that has been subjected to a compression fracture. The expandable implant system includes an implant assembly that can be inserted into the target bone, and subsequently expanded so as to increase the height of the target bone. The expandable implant system further includes an and insertion assembly that is configured to create an insertion channel into the target bone, such that the implant assembly can be inserted in a collapsed configuration into the target bone along the insertion channel, and subsequently expanded.

Claims

1. A method of inserting an expandable implant assembly into an intervertebral disc space, the method comprising the steps of:

inserting a primary implant into the intervertebral disc space along an insertion direction, wherein the primary implant is elongate along a central axis and includes an inner surface that defines an internal void;

inserting an auxiliary implant in an initial configuration into the internal void, the auxiliary implant including first and second nodes and a central body portion that includes first and second side surfaces that extend from the first node to the second node; and

expanding the auxiliary implant inside the internal void of the primary implant from the initial configuration into an expanded configuration that is expanded with respect to the initial configuration, wherein the expanding step comprises;

increasing a distance between the first and second nodes along a first radial direction that extends perpendicular to the central axis;

causing the first and second nodes to extend from the central body portion along the first radial direction and a second radial direction that extends perpendicular to the central axis and the first radial direction; and

causing the first and second nodes to each contact the inner surface of the primary implant,

wherein the first and second nodes and the central body portion at least partially define at least one pocket that extends between the first and second nodes in the expanded configuration,

wherein, in the expanded configuration, the central body portion defines a width that extends from the first side surface to the second side surface along the second radial direction and a length that extends along the first radial direction, wherein the length is greater than the width, and the width of the central body portion does not decrease along the length from the first node to the central axis.

2. The method as recited in claim 1, further comprising the step of inserting bone stimulating material into the at least one pocket after expanding the auxiliary implant.

3. The method as recited in claim 1, further comprising the step of, before the first inserting step, creating an insertion channel in the intervertebral disc space.

4. The method as recited in claim 3, wherein the creating step further comprises creating a substantially straight insertion channel.

5. The method as recited in claim 1, further comprising the step of, before the step of expanding the auxiliary implant, expanding the primary implant inside the intervertebral disc space from a collapsed configuration into a second expanded configuration along the first radial direction.

6. The method as recited in claim 5, wherein the step of expanding the primary implant further comprises the step of inserting an expansion body into the primary implant and expanding the expansion body so as to apply an expansion force to the inner surface of the primary implant to expand the primary implant into the second expanded configuration.

7. The method as recited in claim 6, wherein the step of expanding the expansion body further comprises inflating the expansion body.

8. The method as recited in claim 7, further comprising the steps of deflating the expansion body and removing the expansion body from the primary implant prior to inserting the auxiliary implant into the primary implant.

9. The method as recited in claim 1, wherein the step of expanding the auxiliary implant includes expanding a monolithic auxiliary implant body of the auxiliary implant.

10. The method as recited in claim 1, wherein the step of expanding the auxiliary implant includes expanding the auxiliary implant into the expanded configuration so that the central body portion passes through the central axis.

11. The method as recited in claim 1, wherein the step of expanding the auxiliary implant inside the internal void of the primary implant causes expansion of the primary implant inside the intervertebral disc space from a collapsed configuration into a second expanded configuration along the first radial direction.

12. The method as recited in claim 11, wherein the step of inserting the auxiliary implant in the initial configuration into the internal void occurs before the step of inserting the primary implant into the intervertebral disc space.

13. The method as recited in claim 12, wherein the step of inserting the primary implant into the intervertebral disc space includes inserting the primary and auxiliary implants into the intervertebral disc space in unison.