Expandable intervertebral implant
An implant including first and second end plates, each of which defines at least one anterior ramped surface and at least one posterior ramped surface. A posterior actuator is positioned between the first and second end plates and has guiding ramp surfaces which correspond with the posterior ramped surfaces. An anterior actuator is positioned between the first and second end plates and guiding ramp surfaces which correspond with the anterior ramped surfaces. An actuator assembly extends between the posterior actuator and the anterior actuator and is configured to selectively move the posterior actuator and the anterior actuator simultaneously, move posterior actuator independently of the anterior actuator, or move the anterior actuator independently of the posterior actuator.
1 . A method of stabilizing bones of a joint comprising:
providing an implant for therapeutically separating bones of a joint, the implant comprising:
a first end plate having a bone engaging surface;
a second end plate having a bone engaging surface and disposed to face the first end plate;
an actuator positioned between the first and second end plates;
a pivot member positioned between the first end plate and the actuator to allow the first end plate to slide and pivot against the actuator;
a drive assembly having an actuator screw coupled to the actuator and configured to translate the actuator to cause the first end plate to vertically rise relative to the second end plate, and pivoting of the pivot member allowing an angle between the first and second end plates to change, positioning the implant between adjacent bones of the joint; and
rotating the actuator to move the first end plate relative to the second end plate to move the first and second endplates farther apart to separate bones of the joint.
2 . The method of claim 1 , wherein:
the pivot member has a laterally extending flange; and
the first end plate has a groove that receives the laterally extending flange to prevent separation of the pivot member from the first end plate.
3 . The method of claim 1 , wherein:
the actuator has a rounded recess; and
the pivot member has a rounded underside received in the rounded recess for pivoting about the rounded recess.
4 . The method of claim 1 , wherein:
the actuator has a rounded recess;
the pivot member has a laterally extending flange and a rounded underside received in the rounded recess for pivoting about the rounded recess; and
the first end plate has a groove that receives the laterally extending flange to prevent separation of the pivot member from the first end plate.
5 . The method of claim 1 , wherein the drive assembly includes:
an actuator screw threadably coupled to internal threading in the actuator; and
an actuator nut with a through passage defining an internal threading, the internal threading threadably engaged with the external threading of the actuator screw.
6 . The method of claim 5 , further comprising a spherical bearing positioned between the first and second end plates, wherein the actuator screw includes a ball-shaped end received in the spherical bearing.
7 . The method of claim 6 , wherein the other end of the actuator screw includes a drive feature for receiving a driver for rotation of the actuator screw.
8 . The method of claim 7 , further comprising a second actuator spaced from the actuator, wherein the actuator nut includes a body with a radial flange extending outwardly, wherein at least a part of the body of the actuator nut is received in a through passage defined in the second actuator.
9 . The method of claim 8 , wherein an anterior end of the body of the actuator nut defines a driver engagement about the through passage of the actuator nut.
10 . The method of claim 9 , further comprising a thrust washer positioned between the radial flange and the second actuator.
11 . A method of stabilizing bones of a joint comprising:
providing an implant, the implant comprising:
a first end plate having a bone engaging surface and having a ramped surface;
a second end plate disposed to face the first end plate and having a bone engaging surface and a ramped surface;
an actuator positioned between the first and second end plates and having a through passage;
a first pivot member pivotally coupled to the actuator and in sliding engagement with the ramped surface of the first end plate;
a second pivot member pivotally coupled to the actuator and in sliding engagement with the ramped surface of the second end plate;
a drive assembly having an actuator screw threadably coupled to internal threading in the actuator and configured to translate the actuator by rotation, the translation of the actuator causing the first and second pivot members to slide against the ramped surfaces of the respective first and second end plates to cause the first end plate to vertically rise relative to the second end plate, the pivot members adapted to pivot to allow an angle between the first and second end plates to change,
positioning the implant between adjacent bones of a joint; and
rotating the actuator to move the first end plate relative to the second end plate to move the first and second endplates farther apart to separate bones of the joint.
12 . The method of claim 11 , wherein:
the first pivot member has a laterally extending flange; and
the first end plate has a groove that receives the laterally extending flange to prevent separation of the first pivot member from the first end plate.
13 . The method of claim 11 , wherein:
the actuator has a rounded recess; and
the first pivot member has a rounded underside received in the rounded recess for pivoting about the rounded recess.
14 . The method of claim 11 , wherein:
the actuator has a rounded recess;
the first pivot member has a laterally extending flange and a rounded underside received in the rounded recess for pivoting about the rounded recess; and
the first end plate has a groove that receives the laterally extending flange to prevent separation of the first pivot member from the first end plate.
15 . The method of claim 11 , wherein the drive assembly includes an actuator nut having internal threading engaging the external threading of the actuator screw.
16 . The method of claim 15 , further comprising a spherical bearing positioned between the first and second end plates, wherein the actuator screw includes a ball-shaped end received in the spherical bearing.
17 . The method of claim 16 , wherein the other end of the actuator screw includes a drive feature for receiving a driver for rotation of the actuator screw.
18 . The method of claim 17 , further comprising a second actuator spaced from the actuator, wherein the actuator nut includes a body with a radial flange extending outwardly, wherein at least a part of the body of the actuator nut is received in a through passage defined in the second actuator.
19 . The method of claim 18 , wherein an anterior end of the body of the actuator nut defines a driver engagement about the through passage of the actuator nut.
20 . The method of claim 19 , further comprising a thrust washer positioned between the radial flange and the second actuator.