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 apparatus comprising:
a first endplate for an intervertebral implant, wherein the first endplate comprises a first plate portion having a first upper surface and a first lower surface, wherein the first endplate further comprises first front ramped portions extending away from the first lower surface and first rear ramped portions extending away from first lower surface;
a second endplate for an intervertebral implant, wherein the second endplate comprises a second plate portion having a second upper surface and a second lower surface, wherein the second endplate further comprises second front ramped portions extending away from the second lower surface and second rear ramped portions extending away from second lower surface;
a body positioned between the first endplate and the second endplate, wherein the body comprises rear endplate engaging ramps, wherein the rear endplate engaging ramps are configured to engage the first rear ramped portions and the second rear ramped portions to drive the first endplate and the second endplate away from one another; and
a driving ramp positioned at a front end of the apparatus, wherein the driving ramp comprises front endplate engaging ramps, wherein the front endplate engaging ramps are configured to engage the first front ramped portions and the second front ramped portions to drive the first endplate and the second endplate away from one another;
wherein, when the apparatus is in an unexpanded configuration, the rear endplate engaging ramps and the front endplate engaging ramps have ramp angles with respect to a longitudinal axis of the apparatus that differ from ramp angles of the first rear ramped portions and first front ramped portions of the first endplate with respect to the longitudinal axis by about 1° to about 20°; and
wherein, when the apparatus is in a lordotic expanded configuration, the ramp angles of the rear endplate engaging ramps and the front endplate engaging ramps differ from the ramp angles of the first rear ramped portions and the first front ramped portions of the first endplate by less than 1°; and
wherein the apparatus is configured such that movement of the driving ramp in one direction causes the first and second endplates to move apart and a movement of the driving ramp in a second direction causes the first and second endplates to move towards one another.
2. The apparatus of claim 1 , wherein, when the apparatus is in the unexpanded configuration, the ramp angles of the rear endplate engaging ramps and the front endplate engaging ramps differ from the ramp angles of the first rear ramped portions and the first front ramped portions of the first endplate by about 2° to about 5°.
3. The apparatus of claim 1 , wherein the apparatus, in the lordotic expanded configuration has a lordotic angle of up to about 12°.
4. The apparatus of claim 1 , wherein the drive screw is configured such that rotation of the drive screw in a first direction is configured to pull the driving ramp towards the body.
5. A method, comprising:
inserting an expandable fusion device into an intervertebral disc space, wherein the expandable fusion device comprises:
a first endplate comprising a first plate portion, first front ramped portions, and first rear ramped portions, wherein the first front ramped portions and the first rear ramped portions extend away from a first lower surface of the first plate portion;
a second endplate comprising a second plate portion, second front ramped portions, and second rear ramped portions, wherein the second front ramped portions and the second rear ramped portions extend away from a second lower surface of the second plate portion;
a body positioned between the first endplate and the second endplate, wherein the body comprises rear endplate engaging ramps;
a driving ramp positioned at a front end of the expandable, wherein the driving ramp comprises front endplate engaging ramps;
moving the driving ramp towards the body a first distance to cause expansion of the first endplate and the second endplate at one end of the expandable fusion device to provide the expandable fusion device with a lordotic angle greater than 0°; and
moving the driving ramp towards the body a second distance to cause expansion of the first and the second endplate at both ends of the expandable fusion device
wherein the rear endplate engaging ramps have ramp angles with respect to a longitudinal axis of the expandable fusion device that differ from ramp angles of the first rear ramped portions and the second rear ramped portions with respect to the longitudinal axis that differ by a first ramp difference of about 1° to about 20° during the step of inserting the expandable fusion device, and wherein the front endplate engaging ramps have ramp angles with respect to the longitudinal axis that differ from the ramp angles of the first front ramped portions and the second front ramped portions with respect to the longitudinal axis by a second ramp difference of from about 1° to about 20° during the step of inserting the expandable fusion device.
6. The method of claim 5 , wherein the first ramp angle difference and the second ramp angle difference both approach 0° during the step of moving the driving ramp towards the body the first distance.
7. The method of claim 5 , wherein the lordotic angle is increased to an angle that does not exceed 12° after the step of moving the driving ramp towards the body the first distance, and wherein the lordotic angle is maintained during the step of moving the driving ramp towards the body the second distance to cause expansion of the first and the second endplate at both ends of the expandable fusion device.
8. The method of claim 5 , wherein the step of moving the driving ramp towards the body the first distance comprises rotating an actuator assembly a first direction to pull the driving ramp towards the body, whereby the first endplate and the second endplate pivot at contact points with the body to cause the expansion.
9. The method of claim 5 , wherein the step of moving the driving ramp towards the body the second distance comprises further rotating the actuator assembly the first direction to further pull the driving ramp towards the body, whereby the first endplate and the second endplate ride up the front endplate engaging surfaces in the driving ramp and the rear endplate engaging surfaces in the body.
10. A method, comprising:
inserting an expandable fusion device into an intervertebral disc space, wherein the expandable fusion device comprises:
a first endplate comprising a first plate portion, first front ramped portions, and first rear ramped portions, wherein the first front ramped portions and the first rear ramped portions extend away from a first lower surface of the first plate portion;
a second endplate comprising a second plate portion, second front ramped portions, and second rear ramped portions, wherein the second front ramped portions and the second rear ramped portions extend away from a second lower surface of the second plate portion;
a body positioned between the first endplate and the second endplate, wherein the body comprises rear endplate engaging ramps;
a driving ramp positioned at a front end of the expandable, wherein the driving ramp comprises front endplate engaging ramps;
moving the driving ramp towards the body a first distance to cause expansion of the first endplate and the second endplate at one end of the expandable fusion device to provide the expandable fusion device with a lordotic angle greater than 0°; and
moving the driving ramp towards the body a second distance to cause expansion of the first and the second endplate at both ends of the expandable fusion device,
wherein the lordotic angle is increased to an angle that does not exceed 12° after the step of moving the driving ramp towards the body the first distance, and wherein the lordotic angle is maintained during the step of moving the driving ramp towards the body the second distance to cause expansion of the first and the second endplate at both ends of the expandable fusion device.