Intervertebral implant
Implants for positioning between vertebral members. The implant may include a superior surface to contact against a first vertebral member, and an inferior surface to contact against a second vertebral member. The implant may include a central web that extends between first and second flanges. The flanges may be shaped to form gaps that extend the height of the implant. Spaces in communication with the gaps may be formed in an interior of the implant to hold bone growth material.
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The present application relates generally to vertebral implants and methods of use, and more particularly to implants that include gaps around a periphery of the implant body.
The spine is divided into four regions comprising the cervical, thoracic, lumbar, and sacrococcygeal regions. The cervical region includes the top seven vertebral members identified as C1-C7. The thoracic region includes the next twelve vertebral members identified as T1-T12. The lumbar region includes five vertebral members L1-L5. The sacrococcygeal region includes nine fused vertebral members that form the sacrum and the coccyx. The vertebral members of the spine are aligned in a curved configuration that includes a cervical curve, thoracic curve, and lumbosacral curve. Intervertebral discs are positioned between the vertebral members and permit flexion, extension, lateral bending, and rotation.
Various conditions may lead to damage of the intervertebral discs and/or the vertebral members. The damage may result from a variety of causes including a specific event such as trauma, a degenerative condition, a tumor, or infection. Damage to the intervertebral discs and vertebral members can lead to pain, neurological deficit, and/or loss of motion.
Various procedures include replacing the entirety or a section of a vertebral member, the entirety or a section of an intervertebral disc, or both. One or more replacement implants may be inserted to replace the damaged vertebral members and/or discs. The implants may further include bone growth material to facilitate fusion of the implant to one or both adjacent vertebral members.
SUMMARYThe present application is directed to implants that fit within an intervertebral space formed between first and second vertebral members. The implant may include a body with a central web and first and second outwardly-extending flanges. The first and second flanges may be spaced apart along the central web. The body may include an exterior surface formed by one or more of the central web and the flanges. The body may further include a height defined by a superior surface that contacts the first vertebral member and an inferior surface that contacts the second vertebral member. First and second spaces may be formed within an interior of the exterior surface and may extend the height of the body. A first gap may be formed in the exterior surface on a first side of the central web, and the first gap may be in communication with the first space and extend. A second gap may be formed in the exterior surface on a second side of the central web. The second gap may be in communication with the second space and extend the height of the body.
The present application is directed to implants for positioning within an intervertebral space formed between first and second vertebral members.
The web 20 extends between the flanges 30, 40 and forms a central section of the implant 10. Web 20 may include a variety of shapes and sizes.
Web 20 may also include multiple different sections.
Web 20 may further be positioned at various lateral locations within the central section of the implant 10.
The first and second flanges 30, 40 are space apart along the web 20. The flanges 30, 40 may be the same shape and size, or may include different shapes and sizes.
As illustrated in
In one embodiment, one of the flanges 30, 40 includes a single arm.
In one embodiment as illustrated in
As illustrated in
The gaps 50 extend the height H of the implant 10 between the superior and inferior surfaces 91, 92. In one embodiment, the gaps 50 are formed between the arm ends 33, 43 on opposing sides of the web 20. In one embodiment, the gaps 50 are formed between the arm ends 33, 43. In other embodiments, the gaps 50 are formed by an arm end 33 or 43, and the web 20.
The gaps 50 may include the same or different widths W.
The widths W of the gaps 50 may be constant or may vary along the height.
Interior spaces 51, 52 are in communication with the gaps 50 and function to contain bone growth material. The spaces are bounded on the lateral sides and are unbounded on the superior and inferior sides. The spaces 51, 52 may include the same or different shapes and sizes.
A plate 80 may be formed on a lateral side of the implant 10. The plate 80 may be a separate piece that is attached to the implant, or it may be integrally formed with the body (i.e., the body plate 80 includes a unitary construction). Mount 80 extends above one or both of the superior and inferior surfaces 91, 92 to contact against the lateral sides of the vertebral members to maintain the implant 10 positioned within the intervertebral space. Mount 80 also prevents the implant 10 from being over-inserted into the intervertebral space. One or more apertures 81 may extend through the mount 80. Apertures 81 are sized to receive fasteners (not illustrated) to attach the implant 10 to the vertebral members. In one embodiment as illustrated in
The apertures 81 may extend through the plate 80 and into one of the flanges 30, 40 and/or the web 20.
Teeth 75 may be positioned on one or both of the superior and inferior surfaces 91, 92. Teeth 75 may include an angled orientation to facilitate insertion of the implant 10 into the intervertebral space, and maintain the proper positioning within the space. Teeth 75 may extend across an entirety or limited sections of the inferior and superior surfaces 91, 92. Embodiments of teeth for an intervertebral implant are disclosed in U.S. patent application Ser. Nos. 11/394,452 and 11/412,330 that are each herein incorporated by reference.
A cover 60 may be attached to the implant 10 to extend across one or more of the gaps 50.
In one embodiment, arms 61, 62 are connected to the first section 63 to be moveable in the directions of arrow Z. This may be caused by the cover 60 being constructed of an elastic material. The cover 60 is sized to deform when inserted onto the spacer 10 with the arms 61, 62 expanding outward. Once attached, the arms 61, 62 apply a compressive force to the exterior lateral sides of the implant 10 to maintain attachment of the cover 60. Apertures 64 may further be spaced about the cover 60 and sized to receive fasteners to further attach the cover 60 to the implant 10.
In another embodiment, arms 61, 62 are movably connected to the first section 63 such as by hinges, pivots, or other like structure. The arms 61, 62 may move apart during attachment of the cover to allow the arms 61, 62 to extend along each side of the implant 10. Once positioned, the arms 61, 62 may move inward to contact against the exterior lateral sides of the implant 10. Apertures 64 may further be positioned around the cover 60 to receive fasteners to attach the cover 60 to the implant 10.
In use, the implant 10 is initially inserted into the intervertebral space. Prior to insertion or after insertion, bone growth material is inserted into the spaces 51, 52. The cover 60 is then attached to the exterior lateral sides of the implant 10. The cover 60 may extend across one or more of the gaps 50 to maintain the bone growth material.
Cover 60 may also be attached to the implant 10 in other manners In one embodiment, implant 10 includes notches along the exterior lateral side and the cover 60 includes outwardly-extending fingers. During attachment, the fingers slide across the exterior lateral side and mount within one of the notches to maintain the attachment. Other attachments may include snap fits and press fits.
The implant 10 may be inserted into the intervertebral space from a variety of directions. In one embodiment, the implant 10 is inserted in an anterior approach with the mount 80 contacting against the anterior lateral sides of the vertebral members. Other applications contemplate other approaches, including posterior, postero-lateral, antero-lateral and lateral approaches to the spine, and accessing other regions of the spine, including the cervical, thoracic, lumbar and/or sacral portions of the spine.
Spatially relative terms such as “under”, “below”, “lower”, “over”, “upper”, and the like, are used for ease of description to explain the positioning of one element relative to a second element. These terms are intended to encompass different orientations of the device in addition to different orientations than those depicted in the figures. Further, terms such as “first”, “second”, and the like, are also used to describe various elements, regions, sections, etc and are also not intended to be limiting. Like terms refer to like elements throughout the description.
As used herein, the terms “having”, “containing”, “including”, “comprising” and the like are open ended terms that indicate the presence of stated elements or features, but do not preclude additional elements or features. The articles “a”, “an” and “the” are intended to include the plural as well as the singular, unless the context clearly indicates otherwise.
The present invention may be carried out in other specific ways than those herein set forth without departing from the scope and essential characteristics of the invention. The present embodiments are, therefore, to be considered in all respects as illustrative and not restrictive, and all changes coming within the meaning and equivalency range of the appended claims are intended to be embraced therein.
Claims
1. An implant to fit within an intervertebral space formed between first and second vertebral members, the implant comprising:
- a body including a web, a first pair of arms extending outward from a first side of the web, and a second pair of arms extending outward from a second side of the web, the body including a height defined by a superior surface configured to contact the first vertebral member and an inferior surface configured to contact the second vertebral member;
- a first gap formed between ends of the first pair of arms and a second gap formed between ends of the second pair of arms, each of the gaps extending the height of the body; and
- a cover that attaches to an exterior lateral side of the body and extends across one of the first and second gaps, the cover including a first section that extends along the body and a first arm that extends along the one of the first and second gaps, the first arm of the cover having a smaller height than the height of the body.
2. The implant of claim 1, further comprising a first space in communication with the first gap and being bounded on lateral sides by the web and the first pair of arms, and a second space in communication with the second gap and being bounded on the lateral sides by the web and the second pair of arms, each of the first and second spaces being unbounded on superior and inferior sides.
3. The implant of claim 2, further comprising an aperture that extends through the height of the web.
4. The implant of claim 1, wherein at least one of the first and second gaps includes a constant width along the height.
5. The implant of claim 1, wherein the body includes a symmetrical shape.
6. An implant to fit within an intervertebral space formed between first and second vertebral members, the implant comprising:
- an elongated web with first and second ends; and
- a first flange positioned at the first end of the web and a second flange positioned at the second end of the web, each of the flanges including a first arm extending outward from a first side of the web and a second arm from a second side of the web;
- each of the flanges including a height defined by a superior surface configured to contact the first vertebral member and an inferior surface configured to contact the second vertebral member;
- the first arms including ends that are spaced apart to form a first gap therebetween on a first side of the web and the second arms including ends that are spaced apart to form a second gap therebetween on a second side of the web, each of the gaps extending the height of the flanges;
- a cover with a first section that extends along one of the first and second flanges and a single extension that extends outward from the first section and across just the first gap and terminates along the other of the first and second flanges away from the first section,
- wherein the extension includes a smaller height than the height of the flanges to be positioned inward from the superior and inferior surfaces when the cover is attached to the flanges.
7. The implant of claim 6, wherein at least one of the gaps includes a constant width.
8. The implant of claim 6, further comprising a first space positioned on the first side of the web and being bounded on lateral sides by the web and the first arms and being unbounded on inferior and superior sides, and a second space positioned on the second side of the web and being bounded on the lateral sides by the web and the second arms and being unbounded on the inferior and superior sides, the first space being in communication with the first gap and the second space being in communication with the second gap.
9. The implant of claim 6, wherein the web is positioned at a middle of the first and second flanges.
10. The implant of claim 6, wherein the web and the first and second flanges form a symmetric body.
11. The implant of claim 6, further comprising a mount positioned on a lateral side of one of the first and second flanges, the mount extending outward beyond the superior and inferior surfaces.
12. The implant of claim 6, wherein the web includes a constant width.
13. The implant of claim 6, wherein each of the first and second flanges includes a curved shape.
14. An implant to fit within an intervertebral space formed between first and second vertebral members, the implant comprising:
- a body including a superior surface to contact the first vertebral member and an inferior surface to contact the second vertebral member, the body including a web and a first pair of arms extending outward from a first side of the web and a second pair of arms extending outward from a second side of the web, each of the arms including an end extending between the inferior and superior surfaces, a height of the web being substantially constant along the length with the superior surface of the web being aligned with the superior surface of the first and second pairs of arms and the inferior surface of the web being aligned with the inferior surface of the first and second pairs of arms;
- a first gap formed between the ends of the first pair of arms and a second gap formed between the ends of the second pair of arms;
- a first space in communication with the first gap and bounded on lateral sides by the web and the first pair of arms, the ends of the first pair of arms being in closer proximity than a remainder of the first pair of arms with a width measured between the first pair of arms being smallest at the first gap and largest within the first space;
- a second space in communication with the second gap and bounded on the lateral sides by the web and the second pair of arms; and
- a cover with a first section that extends along one of the arms of the first pair of arms and a single extension that extends outward from the first section and across just the first gap and terminates along the other arm of the first pair of arms away from the first section, wherein the extension includes a smaller height than a height of the arms such that it is positioned inward from the superior and inferior surfaces when the cover is attached to the arms,
- upon insertion of the implant into the intervertebral space, the gaps and spaces being unbounded on superior and inferior sides.
15. The implant of claim 14, wherein the width of the first gap is equal to a width of the second gap.
16. The implant of claim 14, wherein at least one of the gaps includes a variable width.
17. The implant of claim 14, wherein the cover attaches to an exterior lateral side of the body and extends across at least one of the gaps.
18. An implant to fit within an intervertebral space formed between first and second vertebral members, the implant comprising:
- a body including a central member and first and second flanges extending outward from the central member, the first and second flanges being spaced apart along the central member, the body including an exterior surface formed by one or more of the central member, the first flange, and the second flange, the body further including a height defined by a superior surface configured to contact the first vertebral member and an inferior surface configured to contact the second vertebral member, the height of a first end of the central member being equal to the first flange and the height of a second end of the central member being equal to the second flange such that the central member is sized to contact the first and second vertebral members at multiple locations across the length of the central member between the first and second flanges;
- first and second spaces each formed inward from the exterior surface and extending the height of the body, each of the first and second spaces being partially bounded by the central member;
- a first gap on a first side of the central member, the first gap being in communication with the first space and extending the height of the body; and a second gap on a second side of the central member, the second gap being in communication with the second space and extending the height of the body;
- a first distance between the first and second flanges on the first side of the central member being smallest at the first gap and a second distance between the first and second flanges on the second side of the central member being smallest at the second gap;
- a cover with a first section that extends along one of the first and second flanges and a single extension that extends outward from the first section and across just the first gap and terminates along the other of the first and second flanges away from the first section,
- wherein the extension includes a smaller height than the height of the flanges to be positioned inward from the superior and inferior surfaces when the cover is attached to the flanges.
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Type: Grant
Filed: Mar 6, 2019
Date of Patent: Jun 23, 2020
Assignee: Warsaw Orthopedic, Inc. (Warsaw, IN)
Inventors: William David Armstrong (Memphis, TN), Stephen Edward White (Germantown, TN), Randall Frederick Dryer (Austin, TX), Richard A. Hynes (Melbourne Beach, FL)
Primary Examiner: Cary E Wehner
Application Number: 16/294,197
International Classification: A61F 2/44 (20060101); A61F 2/30 (20060101); A61F 2/28 (20060101); A61B 17/86 (20060101);