Systems and methods for securing an implant in intervertebral space
An intervertebral disc implant with upper and lower bearing members with an articulation interface between the members for providing relative motion therebetween. In one form, a securing member with an elongate shaft and a bone-engaging member on the shaft is disposed on one of the bearing members. The bone-engaging member is deployable into a bone-engaging position via rotational displacement of the shaft. In another form, a bone-engaging member is deployable via an actuator inserted into the implant body. In another form, the securing member secures an intervertebral implant in intervertebral space via deformation of the securing member causing a bone-engaging member of the securing member to be deployed into contact with an adjacent vertebra.
1. An intervertebral disc implant, comprising:
an upper bearing member having a body and an outer bearing surface;
a lower bearing member having a body and an outer bearing surface;
an articulation interface between the upper and lower bearing members for allowing relative movement therebetween;
a securing member disposed on one of the bearing members having an elongate shaft member having a longitudinal axis and a bone-engaging member formed on the shaft member wherein the elongate shaft member and the bone-engaging member are configured to be rotated about the longitudinal axis of the elongate shaft member, wherein the bone-engaging member has a plate-like body extending transversely from the shaft member, the plate-like body having opposite main surfaces having a thickness therebetween and a maximum lateral width thereacross that is greater than the thickness, the plate-like body further including an outer peripheral edge extending about the main surfaces, with the main surfaces tapering down to an elongate cutting edge portion formed along the plate-like body peripheral edge with the cutting edge portion extending radially outwardly from the elongate shaft member, the plate-like body having an undeployed position with the radially extending cutting edge portion facing an adjacent bone so that turning the elongate shaft member toward a deployed position causes the cutting edge portion to cut into and lead the plate-like body into the adjacent bone.
2. The intervertebral disc implant of claim 1 , wherein the securing member is entirely disposed within the body of the one bearing member when the bone-engaging member is oriented in the undeployed position.
3. The intervertebral disc implant of claim 1 , wherein the elongate shaft member is disposed within a channel disposed on the bearing member.
4. The intervertebral disc implant of claim 1 , wherein the securing member comprises a plurality of bone-engaging members.
5. The intervertebral disc implant of claim 4 , wherein each of the plurality of bone-engaging members comprise plate-like bodies oriented transversely to the elongate shaft member.
6. The intervertebral disc implant of claim 5 , wherein each of the plate-like bodies have elongate cutting edge portions for easing insertion of the plate-like bodies into the adjacent vertebral bone during deployment thereof.
7. The intervertebral disc implant of claim 1 , wherein the securing member is connected to the body of the one bearing member via a securing member receiving portion disposed on the implant body having opposing inner surfaces spaced from each other for receiving the elongate shaft member.
8. The intervertebral disc implant of claim 7 , wherein the elongate shaft member is received between the opposing inner surfaces by a friction fit.
9. The intervertebral disc implant of claim 1 , wherein the upper and lower bearing members are sized and configured to fit entirely between inner surfaces of adjacent vertebrae when the securing member is in the undeployed configuration.
10. The intervertebral disc implant of claim 1 , wherein the one bearing member and the securing member disposed thereon are configured such that in the undeployed position, the bone-engaging member extends from the elongate shaft member toward the other bearing member and away from the adjacent bone, such that the securing member shaft is rotated one half rotation to shift the bone-engaging member from the undeployed position to the deployed position.
11. An intervertebral disc implant for being implanted within a vertebral disc joint between adjacent vertebrae, comprising:
an implant body;
a deployable securing member;
a plate-like head portion of the deployable securing member having opposite side surfaces and an outer peripheral cutting edge configured for cutting into a bone, the opposite side surfaces each having a planar configuration;
an actuator engagement portion of the securing member mounted to the implant body to be retained against shifting along the implant body; and
an actuator having an elongate body for insertion along the implant body along an insertion axis for deploying the deployable securing member along a deployment axis transverse to the insertion axis, the actuator configured and sized to be retained by the implant body after insertion of the actuator and deployment of the securing member;
the deployable securing member being deployable from an undeployed position, wherein the head portion is remote from an adjacent vertebra, to a deployed position, wherein the deployable securing member is thereby shifted along the deployment axis so that the head portion extends from the implant body for cutting into the adjacent vertebra when the actuator is inserted along the insertion axis so that the actuator body rampingly engages the actuator engagement portion;
the deployable securing member being linearly deployable along the deployment axis via the ramping engagement of the actuator with the actuator engagement portion of the deployable securing member when the actuator is inserted along the insertion axis;
the head portion of the deployable securing member being oriented to be aligned with the actuator engagement portion along the deployment axis and the insertion axis being transverse to the planar side surfaces so that upon deployment the side surfaces resist shifting of the implant body along the insertion axis.
12. The intervertebral disc implant of claim 11 , wherein the implant body has an outer bone-engaging surface for non-invasive contact with an inner surface of the adjacent vertebra and a securing member receiving portion of the implant body for mating with the securing member which protrudes outwardly beyond the outer bone-engaging surface.
13. The intervertebral disc implant of claim 12 , wherein the securing member receiving portion comprises an elongate opening disposed transversely to the insertion axis for receiving the head portion and allowing the head portion to travel from the undeployed position, wherein the head portion is disposed within the opening, to the deployed position, wherein the head portion protrudes from the opening for engagement with the adjacent vertebra.
14. The intervertebral disc implant of claim 11 , wherein the implant body comprises upper and lower bearing members and the implant further comprises:
upper and lower inner arcuate bearing surfaces of the upper and lower bearing members that slidingly engage one another to provide a sliding interface between the upper and lower bearing members that allows the bearing members to articulate with respect to one another.
15. The intervertebral disc implant of claim 14 , wherein the upper and lower inner arcuate bearing surfaces are sized and configured to allow the upper and lower bearing members to rotate with respect to one another over a range greater than 13 degrees in both flexion and extension of the vertebral disc joint.
16. The intervertebral disc implant of claim 11 , wherein the edge of the head portion is deployed rostrally or caudally into engagement with the adjacent vertebra without substantial translation in another direction.
17. An intervertebral implant, the implant comprising:
an implant body;
a securing member receiving portion on the implant body having an opening;
a deformable securing member having proximal and distal ends defining a longitudinal axis for being inserted into the securing member receiving portion;
a bone-engaging portion of the deformable securing member disposed between the proximal and distal ends thereof so as to be spaced therefrom which is movable from an undeployed orientation, wherein the bone-engaging portion extends along the longitudinal axis of the securing member and is remote from an adjacent vertebra, and a deployed orientation, wherein the bone-engaging portion is brought into contact with the adjacent vertebra for securing the implant body to the adjacent vertebra, wherein the deformable securing member has a structurally weakened portion at a predetermined position thereon to promote plastic deformation thereof at the predetermined position to deploy the bone-engaging member at a desired location and the bone-engaging portion is deployed in a direction transverse to the longitudinal axis of the securing member and through the opening via deformation of the securing member.
18. The intervertebral implant of claim 17 , further comprising an abutment surface of the implant body for engaging with the securing member to cause deformation of the securing member by compression of the securing member against the abutment surface.
19. The intervertebral implant of claim 18 , wherein the bone-engaging portion is a barb member disposed on the deformable securing member.
20. The intervertebral implant of claim 19 , wherein the barb member is disposed flush to an outer surface of the securing member prior to deployment of the barb member.
21. The intervertebral implant of claim 17 , wherein the opening of the securing member receiving portion is disposed on an outer bearing surface of the implant body which permits the bone-engaging portion to pass through the opening and engage the adjacent vertebra.
22. The intervertebral implant of claim 17 , wherein the deformable securing member comprises a plurality of bone-engaging portions.