Expansible intravertebral implant system with posterior pedicle fixation

• US 10,603,080 B2
• Filed: 12/23/2014
• Issued: 03/31/2020
• Est. Priority Date: 12/23/2013
• Status: Active Grant

• Current Assignee: Stryker European Operations Limited (Stryker Corporation)
• Original Assignee: Vexim SAS
• Inventors: Oglaza, Jean-Francois, Ratron, Yves-Alain, Maestretti, Gianluca
• Primary Examiner(s): Ramana, Anu
• Application Number:
  US15/107,886
• Publication Number:
  US 20160317188A1
• Time in Patent Office: 1,925 Days
• CPC Class Codes: A61B 17/1617 with mobile or detachable parts
• CPC Class Codes: A61B 17/1655 for tapping
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/686 Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw
• CPC Class Codes: A61B 17/70 Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 17/844 with expandable anchors or anchors having movable parts
• CPC Class Codes: A61B 17/8685 comprising multiple separate parts
• CPC Class Codes: A61B 17/8847 for removing cement from a bone cavity using surgical bone chisels, drills, mills, rasps, reamers or scrapers A61B17/16; using laser A61B18/20; using ultrasonic surgical instruments A61N7/00
• CPC Class Codes: A61B 17/8858 laterally or radially expansible inflatable A61B17/8855
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes

Abstract

The present invention relates to an expansible intravertebral implant system comprising an intravertebral implant (1) with an expandable anterior part (11), which is expansible in a vertebral body, and a posterior part; and a pedicle fixation (2) having at least one hollow portion for receiving the posterior part. The present invention also relates to said expansible intravertebral implant system additionally comprising a posterior element (3), arranged partially outside the vertebra and rigidly connected to the pedicle fixation (2), for serving as an anchoring point for at least one intravertebral rod or at least one system of artificial ligaments.

Claims

1. An expandable intravertebral implant system comprising:

an intravertebral implant comprising an expandable anterior part, and a posterior part coupled to the expandable anterior part, wherein the expandable anterior part and the posterior part are configured to be positioned within a vertebral body; and

a pedicle fixation configured to be anchored to a vertebral pedicle of the vertebral body to position the expandable anterior part and the posterior part within the vertebral body, the pedicle fixation comprising a posterior inner portion and an anterior inner portion defining a hollow portion for receiving the posterior part of the intravertebral implant such that the expandable anterior part is configured to move along at least two degrees of freedom relative to the pedicle fixation with the pedicle fixation anchored to the vertebral pedicle, and wherein movement of the posterior part in a first degree of freedom of the two degrees of freedom is independent from movement of the posterior part in a second degree of freedom of the two degrees of freedom.

2. The expandable intravertebral implant system according to claim 1, wherein the pedicle fixation comprises an external thread ensuring the anchoring of said pedicle fixation in the vertebral pedicle.

3. The expandable intravertebral implant system according to claim 1, wherein the pedicle fixation comprises a main axis, and wherein the posterior part of the intravertebral implant is configured to move in translation and in rotation along the main axis of the pedicle fixation in such a way that the direction of expansion of the expandable anterior part of the intravertebral implant is independent from a position of the pedicle fixation in the vertebral pedicle.

4. The expandable intravertebral implant system according to claim 1, wherein the expandable anterior part of the intravertebral implant comprises a first and second plates, configured to respectively form first and second bearing surfaces in the vertebral body, the two surfaces being suitable for being separated from one another along a predefined expansion plane.

5. The expandable intravertebral implant system according to claim 1, wherein the anterior inner portion comprises at least one groove on an inner surface thereof.

6. The expandable intravertebral implant system according to claim 1, wherein the posterior part of the intravertebral implant defines a cylindrical recess and at least one securing means suitable for locking in rotation and in translation the relative movements between the intravertebral implant and the pedicle fixation.

7. The expandable intravertebral implant system according to claim 1, wherein the posterior part of the intravertebral implant defines a cylindrical recess and at least one securing means suitable for locking in rotation and in translation the relative movements between the intravertebral implant and the pedicle fixation, and wherein the securing means comprises at least one through hole passing through the posterior part from the cylindrical recess to a peripheral chamber of the posterior inner portion.

8. The expandable intravertebral implant system according to claim 1, wherein the posterior part of the intravertebral implant defines a cylindrical recess and at least one securing means suitable for locking in rotation and in translation the relative movements between the intravertebral implant and the pedicle fixation, and wherein the securing means comprises at least two slots extending axially along the posterior inner portion, an internal thread, and a flared posterior end suitable for engaging with a conical expansion cap.

9. The expandable intravertebral implant system according to claim 1, further comprising a posterior element secured to the pedicle fixation and configured to be positioned partially external to the vertebral body.

10. The expandable intravertebral implant system according to claim 9, wherein the posterior element is secured to the pedicle fixation by means of a threaded rod screwed into an internal thread of the posterior inner portion.

11. The expandable intravertebral implant system according to claim 9, wherein the posterior element comprises a posterior portion suitable for assembly with additional posterior fixation elements.

12. An expandable intravertebral implant system comprising:

an intravertebral implant comprising an expandable anterior part configured to be positioned within a vertebral body, and a posterior part;

a pedicle fixation configured to be anchored to a vertebral pedicle of the vertebral body, the pedicle fixation comprising a posterior inner portion and an anterior inner portion coupled to the posterior part,

wherein the pedicle fixation comprises a main axis and wherein the posterior part of the intravertebral implant is configured to move in translation and in rotation along the main axis of the pedicle fixation relative to the anterior inner portion of the pedicle fixation in such a way that the direction of expansion of the expandable anterior part of the intravertebral implant is independent from a position of the pedicle fixation in the vertebral pedicle.

13. The expandable intravertebral implant system according to claim 12, further comprising an expansion tube traversing at least a length of the posterior inner portion and connected to the posterior part of the intravertebral implant with the expansion tube configured to retain the direction of expansion of the expandable anterior part of the intravertebral implant independent from the position of the pedicle fixation.

14. The expandable intravertebral implant system according to claim 13, further comprising a working cannula rotatably secured to the pedicle fixation with the expansion tube extends through the working cannula, wherein rotation of the working cannula is independent of rotation of the expansion tube.

15. The expandable intravertebral implant system according to claim 13, further comprising a traction tube coupled to the intravertebral implant for controlling deployment of the expandable anterior part, wherein the expansion tube is coupled to the traction tube for actuating the traction tube through a pulling input.

16. The expandable intravertebral implant system according to claim 12, further comprising an expansion cap configured to be inserted within the posterior inner portion to facilitate radial deployment of the posterior inner portion into engagement with the posterior part of the intravertebral implant.

17. The expandable intravertebral implant system according to claim 12, further comprising an expansion tube traversing at least a length of the posterior inner portion and connected to the posterior part of the intravertebral implant with the expansion tube configured to retain the direction of expansion of the expandable anterior part of the intravertebral implant independent from the position of the pedicle fixation.

18. An expandable intravertebral implant system comprising:

an intravertebral implant comprising an expandable anterior part, and a posterior part coupled to the expandable anterior part, wherein the expandable anterior part and the posterior part are configured to be positioned within a vertebral body; and

a pedicle fixation configured to be anchored to a vertebral pedicle of the vertebral body, the pedicle fixation comprising a posterior inner portion and an anterior inner portion defining a hollow portion for receiving the posterior part,

wherein the posterior part of the intravertebral implant is configured to translate within the hollow portion of the pedicle fixation along a main axis of the pedicle fixation without requiring rotation of the intravertebral implant in such a way that a position of the intravertebral implant within the vertebral body is independent from a position of the pedicle fixation in the vertebral pedicle.

19. The expandable intravertebral implant system according to claim 18, wherein the anterior inner portion and the intravertebral implant are not threadably engaged.

20. The expandable intravertebral implant system according to claim 18, wherein the anterior inner portion comprises at least one groove on an inner surface thereof.