Spine disc replacement with compliant articulating core
View Patent ↗An intervertebral implant can include a pair of endplates between which is coupled a bag that is filled or is fillable with small beads or particles having smooth exterior geometries. The bead sack implant allows for articulation about various centers of rotation without a predefined neutral position.
1. An expandable intervertebral implant assembly configured for insertion along an insertion direction into an intervertebral space defined between a superior vertebral body and an inferior vertebral body, the expandable intervertebral implant comprising:
a superior endplate configured for disposition adjacent to the superior vertebral body;
an inferior endplate spaced from the superior endplate along a transverse direction that is substantially perpendicular to the insertion direction, the inferior endplate configured for disposition adjacent to the inferior vertebral body;
at least one securement member that projects from at least one of the superior and inferior endplates along the transverse direction, the at least one securement member configured to engage the respective superior and inferior vertebral bodies; and
a compliant bag coupled between the superior and inferior endplates, the compliant bag including an outer wall, the outer wall defining a superior coupling surface and an inferior coupling surface spaced from the superior coupling surface along the transverse direction, the superior coupling surface coupled to the superior endplate, the inferior coupling surface coupled to the inferior endplate, the outer wall further defining an internal void, the internal void of the compliant bag configured to receive a plurality of discrete particles therein so as to expand the implant along at least the transverse direction from a first configuration into second expanded configuration,
wherein when 1) the expandable implant is disposed between the vertebra bodies, 2) the plurality of discrete particles are received in the internal void, 3) the expandable implant is in the second expanded configuration, and 4) the at least one securement member is engaged with the respective at least one of the first and second vertebral bodies, the expandable implant provides a resistance to relative rotation of the superior and inferior endplates with respect to each other about at least a transverse axis that is substantially aligned with the transverse direction.
2. The expandable intervertebral implant assembly of claim 1 , wherein when the particles are disposed in the internal void and the superior and inferior endplates are secured to the respective superior and inferior vertebral bodies, the implant provides a resistance to a relative translation of the superior and inferior endplates with respect to each other along a direction that is perpendicular to the transverse axis.
3. The expandable intervertebral implant assembly of claim 1 , wherein the at least one securement member is a plurality of securement members.
4. The expandable intervertebral implant assembly of claim 1 , wherein at least one securement member is disposed on the superior coupling surface of the bag, and another securement member is disposed on the inferior coupling surface of the bag.
5. The expandable intervertebral implant assembly of claim 1 , wherein the compliant bag further includes a first region and a second region that is spaced from the first region along one of the transverse direction or a second direction that is angularly offset with respect to the transverse direction, wherein the second region of the compliant bag is constructed to have a different strength, rigidity, or flexibility than the first region.
6. The expandable intervertebral implant assembly of claim 1 , wherein the compliant bag is a first compliant bag, wherein the implant further comprises at least a second compliant bag that is disposed in the internal void of the first compliant bag.
7. The expandable intervertebral implant assembly of claim 6 , wherein the first compliant bag includes a first port extending at least partially through the outer wall, and wherein the second compliant bag includes a second outer wall that defines a second internal void, and a second port extending at least partially through the second outer wall of the second bag, wherein the second port is aligned with first port such that an instrument can be inserted through the first port to be at least partially received by the second port.
8. The expandable intervertebral implant assembly of claim 1 , wherein the fill particles are rigid.
9. The expandable intervertebral implant assembly of claim 1 , further comprising an instrument configured to deliver the plurality of fill particles into the internal void.
10. The expandable intervertebral implant assembly as recited in claim 9 , further comprising a port that extends at least partially through the outer wall of the compliant bag wherein the instrument is configured for insertion at least partially through the port so as to deliver the plurality of fill particles to the internal void.
11. The expandable intervertebral implant assembly of claim 9 , wherein when coupled to the first and second vertebral bodies provides 1) a first resistance to relative rotation of the superior and inferior surfaces with respect to each other about the transverse axis when the internal void has a first volume of fill particles, and 2) a second resistance to relative rotation of the superior and inferior surfaces with respect to each other about at least the transverse axis when the internal void has a second volume of fill particles that is greater than the first volume, wherein the second resistance to relative rotation is greater than the first resistance to relative rotation.
12. The expandable intervertebral implant assembly as recited in claim 1 , wherein the plurality of fill particles are inserted into the internal void prior to inserting the intervertebral implant into the intervertebral space.
13. The expandable intervertebral implant assembly as recited in claim 1 , wherein the plurality of fill particles are inserted into the internal void after inserting the intervertebral implant into the intervertebral space.
14. The expandable intervertebral implant assembly as recited in claim 1 , wherein the fill particles have smooth exterior surfaces.
15. The expandable intervertebral implant assembly as recited in claim 1 , wherein the fill particles have rough exterior surfaces.
16. The expandable intervertebral implant assembly as recited claim 1 , defining an aperture that extends through at least one of the inferior and superior endplates so as to promote fusion of the compliant bag with a respective vertebral body.
17. The expandable intervertebral implant assembly as recited in claim 1 , wherein the compliant bag defines first and second chambers separated by a partition.
18. The expandable intervertebral implant assembly as recited in claim 1 , further comprising second and third compliant bags that are disposed between the superior and inferior endplates, each of the second and third compliant bags defining an internal void that is configured to receive respective pluralities of fill particles.
19. The expandable intervertebral implant assembly as recited in claim 1 , wherein the plurality of fill particles further comprises a first type of fill particles and a second type of fill particles that are different than the first type of fill particles.
20. The implant assembly as recited in claim 19 , wherein the compliant bag defines a first chamber that contains the first type of fill particles, and a second chamber that contains the second type of fill particles.