Intervertebral implant with keel
View Patent ↗An intervertebral implant component of an intervertebral implant includes an outer surface for engaging an adjacent vertebra and an inner surface. A keel extends from the outer surface and is designed to be disposed in a slot provided in the adjacent vertebra. This keel extends in a plane which is non-perpendicular to the outer surface; and preferably there are two of the keels extending from the outer surface which are preferably offset laterally from one another. In another embodiment, an anterior shelf is provided at an anterior end of the outer surface, and this anterior shelf extends vertically away from the inner surface in order to help prevent bone growth from the adjacent vertebra towards the inner surface. Further in accordance with disclosed embodiments, various materials, shapes and forms of construction of the component and/or keel provide various benefits.
1. An instrument system for simultaneously cutting keel receiving slots in a first vertebrae and a second vertebrae adjacent the first vertebrae, the keel receiving slots corresponding to keel positions of an intervertebral implant, the system comprising:
a trial implant having a first surface for facing the first vertebrae, a second surface disposed opposite the first surface for facing the second vertebrae, a first lateral portion and a second lateral portion disposed opposite the first lateral portion, a midplane disposed between the first lateral portion and the second lateral portion, a distal portion and a proximal portion disposed opposite the distal portion, an insertion axis extending from the proximal portion to the distal portion, the trial implant for insertion at least partially in an intervertebral space disposed between the first vertebrae and the second vertebrae; and
a cutting tool comprising:
a proximal shaft,
a first saw blade disposed distally from the shaft and located adjacent the first surface of the trial implant;
a second saw blade disposed distally from the shaft and located adjacent the second surface of the trial implant, the second saw blade extending substantially parallel the first saw blade;
wherein the trial implant further includes a first slot defined on the first surface and extending substantially parallel the insertion axis, and a second slot defined on the second surface and extending substantially parallel the insertion axis;
wherein the trial implant further includes a third slot defined on the second surface and extending substantially parallel the insertion axis; and
wherein the cutting tool further comprises a third saw blade disposed distally from the shaft and located adjacent the second surface of the trial implant and extending substantially parallel the second saw blade.
2. The instrument system of claim 1 , further comprising,
a guide extending proximally from the trial implant for guiding the trial implant into the intervertebral space, the guide having a first surface for facing in the direction of the first vertebrae, a second surface disposed opposite the first surface for facing in the direction of the second vertebrae.
3. The instrument system of claim 2 , wherein
the guide further includes a first slot defined on the first surface and extending substantially parallel the insertion axis, a second slot defined on the second surface and extending substantially parallel the insertion axis, and a third slot defined on the second surface.
4. The instrument system of claim 3 , wherein the first slot of the trial implant is aligned with the first slot of the guide, the second slot of the trial implant is aligned with the second slot of the guide, and the third slot of the trial implant is aligned with the third slot of the guide.
5. The instrument system of claim 4 , wherein the first cutting blade is aligned with the first slot of the guide, the second cutting blade is aligned with the second slot of the guide, and the third cutting blade is aligned with the third slot of the guide.
6. The instrument system of claim 5 , wherein the first cutting blade is disposed proximate the midplane.
7. The instrument system of claim 6 , wherein the second and third cutting blades are disposed on opposite sides of the midplane.
8. The instrument system of claim 2 , wherein the guide includes a first handle portion laterally offset from the proximal shaft of the cutting tool.
9. The instrument system of claim 8 , wherein the guide includes a second handle portion laterally offset from the proximal shaft of the cutting tool, the first handle portion and the second handle portion disposed on opposite sides of the midplane.
10. The instrument system of claim 2 , wherein the guide further comprises an adjustable stop that is disposed in a position to limit the depth of the cutting tool.
11. The instrument system of claim 2 , further comprising a motor linked to the proximal shaft of the cutting tool.
12. The instrument system of claim 2 , wherein the motor is configured to impart a reciprocating motion to the proximal shaft of the cutting tool.
13. The instrument system of claim 1 , wherein the third saw blade is disposed at least partially in the third slot.
14. The instrument system of claim 13 , wherein the third saw blade comprises cutting teeth disposed along a portion of a longitudinal length of the third saw blade.
15. The instrument system of claim 14 , wherein the third saw blade comprises a ramp on a distal portion of the third saw blade and the ramp comprises cutting teeth disposed along at least a portion of the ramp.
16. The instrument system of claim 1 , wherein the first saw blade comprises cutting teeth disposed along a portion of a longitudinal length of the first saw blade and the second saw blade comprises cutting teeth disposed along a portion of a longitudinal length of the second saw blade.
17. The instrument system of claim 1 , wherein the first saw blade comprises a ramp on a distal portion of the first saw blade and the ramp comprises cutting teeth disposed along at least a portion of the ramp, and wherein the second saw blade comprises a ramp on a distal portion of the second saw blade and the ramp comprises cutting teeth disposed along at least a portion of the ramp.
18. The instrument system of claim 1 , wherein the first saw blade is disposed at least partially in the first slot and the second saw blade is disposed at least partially in the second slot.