Expandable spinal prosthesis
View Patent ↗A device is disclosed for insertion in the human or animal body in order to increase the spacing between adjacent spinous processes of the spinal column. The device comprises a plurality of shaped members which are pivotally joined to each other and arranged around a central screwed rod which is supported by a collar at one end and a threaded collar at the opposite end said collar and collar being located within the pivoting axis of the adjacent members forming each end of the device. Following insertion in the body and positioning between adjacent spinous processes the device may be deployed by rotation of the central screwed rod in order to achieve the desired separation of adjacent spinous processes while at the same time providing a secure location of the device in the deployed condition.
1. A device for insertion between adjacent spinous processes of adjacent vertebrae comprising:
a rod defining a longitudinal axis and having a threaded portion and an unthreaded portion, the rod adapted to be coupled to a driver;
a first collar threadably coupled to the threaded portion of the rod;
a second collar coupled to the unthreaded portion of the rod;
a plurality of members pivotally coupled together so as to be movable between an extended condition and a compressed condition, with at least one of the plurality of members pivotally coupled to the first collar and at least one of the plurality of members pivotally coupled to the second collar such that the rotation of the rod moves the plurality of members between the extended condition and the compressed condition to support the adjacent spinous processes;
a detachable portion that extends beyond the first collar when the plurality of members are in the compressed condition, the detachable portion operable to be removed by the driver; and
a stop nut fixedly coupled to the threaded portion of the rod, the stop nut operable to engage a side of the first collar opposite the driver when the plurality of members is in the compressed condition to facilitate the removal of the detachable portion of the rod;
wherein the threaded portion of the rod defines a threaded bore, and the detachable portion includes a threaded projection that engages the threaded bore of the threaded portion such that the rod has a uniform thread pattern, and the engagement of the stop nut with the first collar prevents the rotation of the rod so that further rotation of the driver removes the detachable portion from the threaded portion of the rod.
2. The device of claim 1 , wherein the members of the plurality are symmetric about the longitudinal axis.
3. The device of claim 2 , wherein the plurality of members includes about ten members and the plurality of members further comprises:
a first one of the plurality of members pivotally coupled to the first collar to extend in a first direction;
a second one of the plurality of members pivotally coupled to the first collar to extend in a second direction;
a third one of the plurality of members pivotally coupled to the second collar to extend in a third direction;
a fourth one of the plurality of members pivotally coupled to the second collar to extend in a fourth direction; and
wherein three of the plurality of members pivotally couple the first one of the plurality of members to the third one of the plurality of members, and three of the plurality of members pivotally couple the second one of the plurality of members to the fourth one of the plurality of members.
4. The device of claim 3 , wherein the plurality of members are pivotally coupled to each other at a pivot point by a cylindrical pin having concentric sections of different diameters sized to be received within apertures formed adjacent to an end of each of the plurality of members.
5. The device of claim 4 , further comprising:
a plurality of wire springs, with one of the plurality of wire springs coupled at each pivot point to apply tension the plurality of members in both the extended and compressed conditions.
6. The device of claim 3 , wherein the three plurality of members that pivotally couple the first one of the plurality of members to the third one of the plurality of members define a substantially U-shaped configuration in the compressed condition to support the adjacent spinous process, and the three of the plurality of members that pivotally couple the second one of the plurality of members to the fourth one of the plurality of members define a substantially U-shaped configuration in the compressed condition to support the adjacent spinous process.
7. The device of claim 3 , wherein the first one of the plurality of members and the second one of the plurality of members are pivotally coupled to the first collar by short projections that extend outwardly from the first collar to engage bores formed adjacent to an end of the first one of the plurality of members and the second one of the plurality of members, and the third one of the plurality of members and the fourth one of the plurality of members are pivotally coupled to the second collar by short projections that extend outwardly from the second collar to engage bores formed adjacent to an end of the third one of the plurality of members and the fourth one of the plurality of members.
8. The device of claim 1 , wherein the second collar is slidably coupled to the rod so that rotation of the rod moves the first collar relative to the second collar.
9. The device of claim 8 , wherein the rod further comprises a terminating cap that prevents the rod from being withdrawn through the second collar.
10. The device of claim 1 , wherein in the extended condition, at least two of the plurality of members are generally parallel to the longitudinal axis of the rod, and in the compressed condition, at least two of the members of the plurality are generally perpendicular to the longitudinal axis of the rod.
11. The device of claim 1 , wherein the threaded portion of the rod further comprises a shaped portion at a proximal end that mates with the driver.
12. The device of claim 1 , in combination with a driver operable to rotate the rod to move the plurality of members from the extended condition to the compressed condition.