Radially expandable spinal interbody device and implantation tool
View Patent ↗A radially expandable spinal interbody device for implantation between adjacent vertebrae of a spine is deliverable to an implant area in a radially collapsed state having minimum radial dimensions and once positioned is then radially expandable through and up to maximum radial dimensions. The expanded radially expandable spinal interbody device is configured to closely mimic the anatomical configuration of a vertebral face. The radially expandable spinal interbody device is formed of arced, pivoting linkages that allow transfiguration from the radially collapsed minimum radial dimensions through and up to the radially expanded maximum radial dimensions once deployed at the implant site (i.e. between adjacent vertebrae). The pivoting linkages have ends with locking features that inhibit or prevent overextension of the linkages. In one form of the locking features, one end of the linkage includes lobes that form a pocket while the other end of the linkage includes a projection that is adapted to be received in the pocket of the lobes of an adjacent linkage. A kit is also provided including a tool for the implantation and deployment of the spinal interbody device into an intervertebral space.
1. A spinal interbody device comprising:
a base link having a first end and a second end, wherein the base link defines a maximum constant length for the spinal interbody device;
a linkage comprising:
a first link having a first end and a second end, the first end including a pivot member rotatably and translationally received in the first end of the base link;
a second link having a first end rotatably coupled to the second end of the first link and a second end rotatably coupled to the second end of the base link; and
an adjustment screw provided in the second end of the base link and configured to engage the second end of the second link to move the linkage between a collapsed position and an expanded position;
wherein a maximum height of the spinal interbody device remains constant as the linkage moves between the collapsed position and the expanded position.
2. The spinal interbody device of claim 1 , wherein the first end of the base link and the first end of the second link are formed of a polymer material and wherein the second end of the base link and the second end of the second link are formed of a metal material.
3. The spinal interbody device of claim 2 , wherein the polymer material is PEEK and the metal material is titanium.
4. The spinal interbody device of claim 1 , wherein the adjustment screw includes a central aperture providing access from an exterior of the spinal interbody device to an interior formed by the base link, the first link, and the second link when the linkage is in the expanded position.
5. The spinal interbody device of claim 4 , wherein the adjustment screw is a worm screw configured to engage threads provided on the second end of the second link.
6. The spinal interbody device of claim 1 , wherein the first link pivots and translates relative to the base link, and the second link moves only in a pivoting fashion relative to the base link.
7. The spinal interbody device of claim 1 , wherein the second end of the base link defines a boss through which the adjustment screw extends, and wherein the boss includes a pair of recesses provided on opposing sides of the boss and configured to receive a tool for manipulation of the spinal interbody device.
8. The spinal interbody device of claim 1 , wherein the first link, second link, and base link are all fully formed of a single bio-compatible material.
9. The spinal interbody device of claim 8 , wherein the bio-compatible material includes one of PEEK and titanium.
10. A spinal interbody device comprising:
a first link;
a second link pivotally coupled to the first link;
a third link having a first end and a second end, wherein the first link is coupled to the first end and includes a pivot member received in the third link and configured to pivot and translate relative to the third link when coupled to the third link, wherein the second link is coupled to the second end and configured to move only in a pivoting fashion relative to the third link;
wherein the second end of the third link is configured to engage a projection of the second link;
wherein the first, second, and third links collectively define opposite surfaces configured to engage vertebral bodies, and wherein the opposite surfaces define a height that remains constant during movement of the second and third links; and
wherein the third link defines a maximum constant length of the spinal interbody device.
11. The spinal interbody device of claim 10 , wherein the first link includes a projection extending into a first channel of the third link, and wherein the projection of the second link extends into a second channel of the third link.
12. The spinal interbody device of claim 10 , further comprising a worm drive mechanism configured to move the first and second links between the expanded and collapsed positions.
13. The spinal interbody device of claim 12 , wherein the worm drive comprises teeth on the projection on the second link and an adjustment screw received in the second end of the third link.
14. The spinal interbody device of claim 13 , wherein the adjustment screw includes a central aperture extending through the adjustment screw to enable placement of bone growth material through the central aperture and into an interior formed by the first, second, and third links.
15. The spinal interbody device of claim 10 , wherein the second end of the third link and the projection are formed of a metal material.
16. The spinal interbody device of claim 10 , wherein the metal material is titanium.
17. A spinal interbody device comprising:
a unitary base link having a first end and a second end, the first end having a first channel defined by a wall having a slot, the second end having a second channel defined by a pair of walls with apertures therein, wherein the unitary base link defines a constant maximum length for the spinal interbody device;
a first link having a projection extending into the first channel of the base link; a second link pivotally coupled to the first link, the second link having a projection extending into the second channel of the base link;
wherein the first link pivots and translates relative to the base link, and the second link moves only pivotally relative to the base link;
wherein the first and second links are configured to move between a collapsed position and an expanded position;
wherein a maximum height of the spinal interbody device remains constant as the first link pivots and translates relative to the base link.
18. The spinal interbody device of claim 17 , further comprising:
a first pin joining and extending at least partially through the slot on the first end of the base link and the projection on the first link; and
a second pin joining and extending at least partially through the second end of the base link and the projection on the second link.
19. The spinal interbody device of claim 17 , further comprising a worm drive configured to move the first and second links between the expanded and collapsed positions, wherein the worm drive comprises teeth on the projection on the second link and an adjustment screw received in the second end of the base link.
20. The spinal interbody device of claim 19 , wherein the adjustment screw includes a central aperture extending therethrough to enable placement of bone growth material through the adjustment screw; and
wherein the second end of the base link includes a boss, wherein the adjustment screw is provided within the boss, and wherein the boss defines a pair of recesses on opposing sides of the boss.