Expandable intervertebral implant
An implant for therapeutically separating bones of a joint has two endplates each having an opening through the endplate, and at least one ramped surface on a side opposite a bone engaging side. A frame is slideably connected to the endplates to enable the endplates to move relative to each other at an angle with respect to the longitudinal axis of the implant, in sliding connection with the frame. An actuator screw is rotatably connected to the frame. A carriage forms an open area aligned with the openings in the endplates. The openings in the endplates pass through the carriage to form an unimpeded passage from bone to bone of the joint. The carriage has ramps which mate with the ramped surfaces of the endplates, wherein when the carriage is moved by rotation of the actuator screw, the endplates move closer or farther apart.
1. An implant comprising:
a first endplate having at least an upper side, a lower side, and a front side, the front side of the upper endplate including a first portion of an opening for receiving a fastener, the upper side of the first endplate configured to engage a first bone;
a second endplate having at least an upper side, a lower side, and a front side, the front side of the upper endplate including a second portion of the opening for receiving the fastener, the lower side of the second endplate configured to engage a second bone;
a frame, the frame located at least partly between the upper endplate and the lower endplate; and
an actuator screw, the actuator screw rotatably connected to the frame,
wherein the first endplate is movable relative to the second endplate such that in a first position the first endplate and the second endplate are a first distance from each other and in a second position the first endplate and the second endplate are a second distance from each other.
2. An implant comprising:
a first endplate having at least an upper side, a lower side, and a front side, the front side of the upper endplate including a first portion of an opening for receiving a fastener, the upper side of the first endplate configured to engage a first bone;
a second endplate having at least an upper side, a lower side, and a front side, the front side of the upper endplate including a second portion of the opening for receiving the fastener, the lower side of the second endplate configured to engage a second bone;
a frame, the frame located at least partly between the upper endplate and the lower endplate; and
an actuator screw, the actuator screw rotatably connected to the frame,
wherein the first endplate is movable relative to the second endplate such that in a first position the first endplate and the second endplate are a first distance from each other and in a second position the first endplate and the second endplate are a second distance from each other, and
wherein the first distance is less than the second distance.
3. The implant of claim 2 , wherein the lower side of the upper endplate includes at least one ramped surface.
4. The implant of claim 2 , wherein the upper side of the lower endplate includes at least one ramped surface.
5. The implant of claim 2 , further comprising a carriage, the carriage threadably connected to the actuator screw, whereby rotation of the actuator screw moves the carriage with respect to the frame and the first and second endplates.
6. The implant of claim 5 , wherein the carriage comprises a plurality of ramps each mateable with at least one of the at least one ramped surfaces of the first and second endplates, wherein when the carriage is moved by rotation of the actuator screw, at least one of the at least one ramped surface of the first endplate and at least one of the at least one ramped surface of the second endplate each translate along at least one of the plurality of ramps of the carriage to cause the endplates to move relative to each other from the first position to the second position.
7. The implant of claim 2 , further comprising a blocking mechanism configured to prevent backing out of the fastener.
8. The implant of claim 7 , the blocking mechanism including a blocking member movably retained within a channel between an unblocking position and a blocking position in which a portion of the blocking member overlaps a portion of the faster.
9. The implant of claim 2 , wherein a portion of the first and second endplates are confined by the frame to move relative to each other only along an axis substantially transverse to the longitudinal axis.
10. The implant of claim 2 , wherein at least one of the upper surface of the first endplate and the lower surface of the second endplates includes one or more projections configured to engage bone when the implant is positioned between bones.
11. The implant of claim 2 , further including a polymeric material configured to press against the actuator screw to reduce a potential for unintended rotation of the actuator screw.
12. The implant of claim 6 , wherein when the actuator screw is rotated in a first direction, a height of the implant transverse to the longitudinal axis is increased, and when the actuator screw is rotated in a second direction, a height of the implant transverse to the longitudinal axis is decreased.
13. The implant of claim 5 , wherein the frame extends from a proximal end of the implant to a distal end of the implant, and the actuator screw is connected to the frame and threadably connected to the carriage along a distal side of the carriage.
14. The implant of claim 5 , further including at least one post extending through the frame and into the carriage, and received in one of the frame or the carriage, thereby configured to maintain an alignment of the carriage along the longitudinal axis.
15. The implant of claim 2 , wherein a carriage connects to the first and second endplates with a dovetail connection.
16. The implant of claim 2 , wherein the first and second endplates are comprised of PEEK and the frame is comprised of titanium.
17. An implant comprising:
a first endplate, the first endplate having a first side configured to engage a first bone and having at least one ramped surface on a side opposite the first side of the first endplate;
a second endplate, the second endplate having a first side configured to engage a second bone and having at least one ramped surface on a side opposite the first side of the second endplate;
a frame, the frame positioned at least partly between the first endplate and the second endplate;
an actuator screw rotatably connected to the frame; and
a carriage threadably connected to the actuator screw, whereby rotation of the actuator screw moves the carriage with respect to the frame and the first and second endplates; and
wherein the carriage comprises a plurality of ramps each mateable with at least one of the at least one ramped surfaces of the first and second endplates, wherein when the carriage is moved by rotation of the actuator screw, at least one of the at least one ramped surface of the first endplate and at least one of the at least one ramped surface of the second endplate each translate along at least one of the plurality of ramps of the carriage to cause the endplates to move relative to each other in connection with the frame, and
wherein the implant has a width and a length, the width of the implant is greater than the length of the implant.
18. The implant of claim 17 , wherein the implant may be inserted into a spinal column through an anterior approach.