Expandable fusion device and method of installation thereof
The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube.
1. An expandable implant, having a proximal end and a distal end, comprising:
a first endplate extending from the proximal end to the distal end;
a second endplate opposed to the first endplate extending from the proximal end to the distal end;
a central ramp positioned between the first endplate and the second endplate, the central ramp including a first ramp in contact with the first endplate and a second ramp in contact with the second endplate, the central ramp further including a first expansion portion on the distal end;
a driving ramp positioned at the proximal end of the implant opposite the first expansion portion, the driving ramp further positioned between the first endplate and the second endplate, wherein the driving ramp is operably connected with the central ramp;
an actuator assembly comprising a threaded shaft received through the driving ramp,
wherein the driving ramp includes a bore for receiving the actuator assembly and a graft delivery hole, the bore being positioned adjacent to the graft delivery hole, wherein a central longitudinal axis of the bore is parallel to and off-center from the central longitudinal axis extending along a length of the driving ramp, wherein the central longitudinal axis extending along the length of the driving ramp is measured from a center position of the driving ramp on the proximal end towards the distal end, wherein the actuator assembly is received in the bore such that a longitudinal axis of the threaded shaft is off-center from the central longitudinal axis extending along the length of the driving ramp.
2. The implant of claim 1 , wherein the bore of the driving ramp is offset from the central longitudinal axis of the driving ramp.
3. The implant of claim 1 , wherein the bore of the driving ramp is configured to receive the actuator assembly having a head portion and a shaft portion.
4. The implant of claim 1 , wherein the central ramp further comprises a through-bore and a graft delivery hole.
5. The implant of claim 4 , wherein the through-bore of the central ramp is aligned with the bore of the driving ramp.
6. The implant of claim 4 , wherein the graft delivery hole of the central ramp is aligned with the graft delivery hole of the driving ramp.
7. The implant of claim 1 , wherein the first endplate comprises an upper surface and a lower surface, a first through opening extending through the upper surface to the lower surface, and a second through opening extending through the upper surface to the lower surface.
8. The implant of claim 7 , wherein the first through opening extending through the upper surface to the lower surface is of a different size from the second through opening extending through the upper surface to the lower surface.
9. The implant of claim 1 , further comprises an upper plate member removably attachable to the first endplate.
10. The implant of claim 9 , wherein the upper plate member comprises a recess for receiving a ledge of the first endplate.
11. The implant of claim 9 , wherein the upper plate member is configured to receive a bone screw for attachment to a first vertebra.
12. The implant of claim 9 , wherein the upper plate member is attached to the first endplate via one or more screws.
13. The implant of claim 1 , further comprising a washer positioned between the central ramp and the driving ramp.
14. An expandable implant, having a proximal end and a distal end, comprising:
a first endplate extending from the proximal end to the distal end;
a second endplate opposed to the first endplate extending from the proximal end to the distal end;
a central ramp positioned between the first endplate and the second endplate, the central ramp including a first ramp in contact with the first endplate and a second ramp in contact with the second endplate, the central ramp further including a first expansion portion on the distal end;
a driving ramp positioned at the proximal end of the implant opposite the first expansion portion, the driving ramp further positioned between the first endplate and the second endplate, wherein the driving ramp is operably connected with the central ramp, wherein the driving ramp includes a bore for receiving an actuator assembly and a graft delivery hole, the bore being positioned adjacent to the graft delivery hole, wherein a central longitudinal axis of the bore is parallel to and off-center from a central longitudinal axis extending along a length of the driving ramp, wherein the central longitudinal axis extending along the length of the driving ramp is measured from a center position of the driving ramp on the proximal end towards the distal end;
an actuator assembly comprising a threaded shaft received through the driving ramp, wherein the actuator assembly is received in the bore such that a longitudinal axis of the threaded shaft is off-center from the center longitudinal axis extending along the length of the driving ramp;
a first plate member attached to the first endplate; and
a second plate member attached to the second endplate.
15. The implant of claim 14 , wherein the central longitudinal axis of the bore is substantially parallel to a central longitudinal axis of the adjacent graft delivery hole.
16. The implant of claim 15 , wherein the central ramp comprises a through bore adjacent a graft delivery hole.
17. The implant of claim 16 , wherein the through bore of the central ramp aligns with the bore of the driving ramp, and the graft delivery hole of the central ramp aligns with the graft delivery hole of the driving ramp.
18. The implant of claim 14 , wherein the first endplate and the second endplate comprise a pair of through openings extending from an upper surface to a lower surface of each endplate.
19. The implant of claim 14 , wherein the first plate member is attachable to the first endplate by a plurality of screws.
20. The implant of claim 14 , wherein the first plate member comprises a bone screw and a blocking member for preventing back-out of the bone screw.