Expandable implant
View Patent ↗An expandable implant system is disclosed in which the system comprises an implant with: (1) top and bottom plates, (2) ramp surfaces formed on inner surfaces of the plates, and (3) an expansion member situated between the plates. An actuator also forms part of the system, the actuator being removable from between the top and bottom plates after implantation of the implant. The expansion member has a set of angled surfaces for mating with the ramp surfaces of the plates and, upon movement of the expansion member along a longitudinal axis of the implant, the top and bottom plates expand from a first dimension to a second greater dimension. The top and bottom plates are also securable at varying angles to one another depending on the amount of movement of the expansion member along the ramp surfaces.
1. An expandable implant system comprising:
an implant with top and bottom plates each having a bone-contacting surface and an opposing inner surface, the inner surface of each of the top and bottom plates including a ramp surface, wherein the implant extends along a longitudinal axis between a distal end and a proximal end, and wherein the top and bottom plates are integrally formed as a single body by being integrally joined at the proximal end;
an actuator situated between the inner surfaces of the top and bottom plates, the actuator being removable from between the top and bottom plates after implantation of the implant; and
an expansion member removably engageable with the actuator and located between the inner surfaces of the top and bottom plates, the expansion member having angled surfaces mating with the ramp surfaces of the top and bottom plates so that, upon actuation of the actuator, the expansion member moves in a proximal direction along the longitudinal axis of the implant to expand the top and bottom plates from a first dimension to a second greater dimension, wherein the actuator is removable from the expansion member at a plurality of positions of the expansion member along the longitudinal axis, such that the top and bottom plates are securable at varying lordotic angles to one another depending on the position of the expansion member along the longitudinal axis when the actuator is removed, the angle between the top and bottom plates accommodating a desired lordosis between adjacent vertebral bodies;
wherein at least one of the top and bottom plates includes a deformable end portion proximate the proximal end of the implant, the deformable end portion deforming during expansion of the implant from the first dimension to the second greater dimension such that the entire one of the at least one of the top and bottom plates located distally of the deformable end portion deflects outwardly about the deformable end portion.
2. The expandable implant system of claim 1 , wherein the expansion member is tethered to at least one of the top and bottom plates by a deformable member extending from the at least one of the top and bottom plates.
3. The expandable implant system of claim 2 , wherein the expansion member is associated with a set of deformable members that deform upon movement of the expansion member along the longitudinal axis.
4. The expandable implant system of claim 1 , wherein the actuator is insertable through an opening in the implant, and a distal end of the actuator is removably engageable with the expansion member.
5. The expandable implant system of claim 4 , wherein the distal end of the actuator includes threading, and the expansion member includes a threaded internal bore adapted to removably mate with the distal end of the actuator.
6. The expandable implant system of claim 1 , wherein at least one of the top and bottom plates includes an aperture extending vertically though the plate to accept bone-graft or other bone-growth material.
7. The expandable implant system of claim 1 , wherein the deformable end portion is adjacent a relief space that is recessed into the bone-contacting surface of the at least one of the top and bottom plates.
8. The expandable implant system of claim 1 , wherein at least one of the top and bottom plates is associated with a flange extending beyond the at least one of the top and bottom plates to prevent over insertion of the implant into an intervertebral disc space.
9. The expandable implant system of claim 8 , wherein the flange has an aperture adapted to receive a fixation member.
10. The expandable implant system of claim 8 , wherein a relief space is adjacent the flange.
11. The expandable implant system of claim 1 , wherein the ramp surfaces of the top and bottom plates and the expansion member include teeth, the teeth of the expansion member engaging successive teeth of the ramp surfaces upon movement of the expansion member along the longitudinal axis, the engagement of the teeth of the expansion member and the teeth of the ramp surfaces rendering the top and bottom plates securable at the varying lordotic angles.
12. The expandable implant system of claim 1 , wherein a distal end of the actuator includes threading, and the expansion member includes a threaded internal bore adapted to removably mate with the distal end of the actuator.
13. The expandable implant system of claim 1 , wherein the expansion member is associated with a set of deformable members that deform upon movement of the expansion member along the longitudinal axis.
14. The expandable implant system of claim 1 , wherein the implant includes only the single expansion member and no other expansion members.
15. The expandable implant system of claim 1 , wherein the bone-contacting surfaces of the top and bottom plates are each shaped convexly in a manner that conforms to a concave shape of a respective endplate of the adjacent vertebral bodies.
16. A kit including a plurality of expandable implant systems as claimed in claim 1 , the top and bottom plates of the implant of a first of the plurality of expandable implant systems being securable within a first maximum range of lordotic angles, and the top and bottom plates of the implant of a second of the plurality of expandable implant systems being securable within a second different maximum range of lordotic angles.
17. The expandable implant system of claim 1 , wherein the top and bottom plates are freely flexible away from one another at the distal end.
18. The expandable implant system of claim 1 , wherein the actuator is insertable through an opening in the implant, and a distal end of the actuator is removably engageable with the expansion member, and wherein the opening is located at the proximal end of the implant.
19. The expandable implant system of claim 1 , wherein a relief space is located at the proximal end of the implant.
20. An expandable implant system comprising:
an implant with top and bottom plates each having a bone-contacting surface and an opposing inner surface, the inner surface of each of the top and bottom plates including a ramp surface, wherein the implant extends along a longitudinal axis between a distal end and a proximal end, and wherein the top and bottom plates are integrally formed as a single body by being integrally joined at the proximal end;
an actuator situated between the inner surfaces of the top and bottom plates, the actuator being removable from between the top and bottom plates after implantation of the implant by moving the actuator in a proximal direction; and
an expansion member removably engageable with the actuator and located between the inner surfaces of the top and bottom plates, the expansion member having angled surfaces mating with the ramp surfaces of the top and bottom plates so that, upon actuation of the actuator, the expansion member moves in the proximal direction along the longitudinal axis of the implant to expand the top and bottom plates from a first dimension to a second greater dimension, wherein the top and bottom plates are securable at varying lordotic angles to one another depending on the amount of movement of the expansion member along the ramp surfaces, the angle between the top and bottom plates accommodating a desired lordosis between adjacent vertebral bodies;
wherein at least one of the top and bottom plates includes a deformable end portion proximate the proximal end of the implant, the deformable end portion deforming during expansion of the implant from the first dimension to the second greater dimension such that the entire one of the at least one of the top and bottom plates located distally of the deformable end portion deflects outwardly about the deformable end portion.
21. The expandable implant system of claim 20 , wherein a relief space is located at the proximal end of the implant.
22. The expandable implant system of claim 20 , wherein at least one of the top and bottom plates is associated with a flange extending beyond the at least one of the top and bottom plates to prevent over insertion of the implant into an intervertebral disc space.
23. The expandable implant system of claim 22 , wherein a relief space is adjacent the flange.
24. The expandable implant system of claim 20 , wherein the actuator is insertable through an opening in the implant, and a distal end of the actuator is removably engageable with the expansion member.
25. The expandable implant system of claim 24 , wherein the distal end of the actuator includes threading, and the expansion member includes a threaded internal bore adapted to removably mate with the distal end of the actuator.