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 expandable intervertebral implant, the expandable implant capable of moving from a collapsed position to an expanded position, the expandable implant comprising:
a first endplate extending from a proximal end to a distal end, wherein the first endplate has a first surface, a second surface, a first side surface and a second side surface;
a second endplate extending from a proximal end to a distal end, wherein the second endplate has a first surface, a second surface, a first side surface and a second side surface;
a central ramp positioned between the first endplate and the second endplate, the central ramp positioned proximate the distal end of the first endplate and the distal end of the second endplate;
a driving ramp positioned proximate the proximal end of the first endplate and the proximal end of the second endplate, wherein the driving ramp is operably connected with the central ramp;
an actuator assembly configured to move at least one of the central ramp and the driving ramp;
wherein the expandable implant defines a horizontal plane that extends through the central ramp, driving ramp and the actuator assembly;
wherein the first side surface of the first endplate includes at least one ramped portion,
wherein the first side surface of the second endplate includes at least one ramped portion,
wherein in the collapsed position, the at least one ramped portion of the first side of the first endplate extends through the horizontal plane such that the at least one ramped portion of the first endplate is positioned on both sides of the horizontal plane.
2. The expandable implant of claim 1 , wherein the second side surface of the first endplate includes at least one ramped portion, wherein the second side surface of the second endplate includes at least one ramped portion, wherein in the collapsed position, the at least one ramped portion of the second side surface of the second endplate extends through the horizontal plane such that the at least one ramped portion of the second side surface of the second endplate is positioned on both sides of the horizontal plane.
3. The expandable implant of claim 1 , wherein at least one of the central ramp and the driving ramp is configured to move in a first direction and cause the first and second endplates to move away from one another.
4. The expandable implant of claim 1 , wherein the central ramp comprises an extension, the extension including a threaded opening.
5. The expandable implant of claim 4 , wherein the actuator assembly extends through an unthreaded opening in the driving ramp and extends into the threaded opening in the extension of the central ramp.
6. The expandable implant of claim 1 , wherein the actuator assembly comprises a head portion, a threaded portion and a connecting portion that connects the head portion and the threaded portion.
7. The expandable implant of claim 1 , wherein the actuator assembly is configured for rotation in a first direction to move at least one of the central ramp and the driving ramp causing the first and second endplates to move away from each other, and
wherein the actuator assembly is configured for rotation in a second direction to move at least one of the central ramp and the driving ramp causing the first and second endplates to move towards each other.
8. The expandable implant of claim 1 , wherein the driving ramp includes an opening configured and dimensioned as a graft delivery opening to allow for graft to be introduced into the expandable implant.
9. The expandable implant of claim 1 , wherein the driving ramp has a first ramped surface and a second ramped surface, the first ramped surface is configured for engaging a portion of the first endplate and the second ramped surface is configured for engaging a portion of the second endplate, and
wherein the central ramp has a first ramped surface and a second ramped surface, the first ramped surface is configured for engaging a portion of the first endplate and the second ramped surface is configured for engaging a portion of the second endplate.
10. An expandable intervertebral implant, the expandable implant capable of moving from a collapsed position to an expanded position, the implant comprising:
a first endplate extending from a proximal end to a distal end, wherein the first endplate has a first surface, a second surface, a first side surface and a second side surface;
a second endplate extending from a proximal end to a distal end, wherein the second endplate has a first surface, a second surface, a first side surface and a second side surface;
a central ramp positioned between the first endplate and the second endplate, the central ramp positioned proximate the distal end of the first endplate and the distal end of the second endplate;
a driving ramp positioned proximate the proximal end of the first endplate and the proximal end of the second endplate, wherein the driving ramp is operably connected with the central ramp;
an actuator assembly configured to move at least one of the central ramp and the driving ramp;
wherein the first side surface of the first endplate includes at least one ramped portion having an inwardly facing surface and an outwardly facing surface,
wherein the first side surface of the second endplate includes an inwardly facing surface and an outwardly facing surface, and
wherein in the collapsed position, at least a portion of the inwardly facing surface of the ramped portion of the first endplate overlaps at least a portion of the outwardly facing surface of the first side surface of the second endplate.
11. The expandable implant of claim 10 , wherein in the expanded position, at least a portion of the inwardly facing surface of the ramped portion of the first endplate is spaced from and does not overlap the outwardly facing surface of the first side surface of the second endplate.
12. The expandable implant of claim 10 , wherein the second side surface of the second endplate includes at least one ramped portion having an inwardly facing surface and an outwardly facing surface, wherein the second side surface of the first endplate includes an inwardly facing surface and an outwardly facing surface, and wherein in the collapsed position, at least a portion of the inwardly facing surface of the ramped portion of the second endplate overlaps at least a portion of the outwardly facing surface of the second side surface of the first endplate.
13. The expandable implant of claim 12 , wherein in the expanded position, at least a portion of the inwardly facing surface of the ramped portion of the second endplate is spaced from and does not overlap the outwardly facing surface of the second side surface of the first endplate.
14. The expandable implant of claim 10 , wherein at least one of the central ramp and the driving ramp is configured to move in a first direction and cause the first and second endplates to move away from one another.
15. The expandable implant of claim 10 , wherein the central ramp comprises an extension, the extension including a threaded opening.
16. The expandable implant of claim 15 , wherein the actuator assembly extends through an unthreaded opening in the driving ramp and extends into the threaded opening in the extension of the central ramp.
17. The expandable implant of claim 10 , wherein the driving ramp has a first ramped surface and a second ramped surface, the first ramped surface is configured for engaging a portion of the first endplate and the second ramped surface is configured for engaging a portion of the second endplate, and
wherein the central ramp has a first ramped surface and a second ramped surface, the first ramped surface is configured for engaging a portion of the first endplate and the second ramped surface is configured for engaging a portion of the second endplate.
18. The expandable implant of claim 10 , wherein the actuator assembly comprises a head portion, a threaded portion and a connecting portion that connects the head portion and the threaded portion.
19. The expandable implant of claim 18 , wherein the head portion of the actuator assembly is captured in the driving ramp such that the head portion of the actuator assembly can rotate with respect to the driving ramp but is translationally fixed with respect to the driving ramp.
20. The expandable implant of claim 10 , wherein the actuator assembly is configured for rotation in a first direction to move at least one of the central ramp and the driving ramp causing the first and second endplates to move away from each other, and wherein the actuator assembly is configured for rotation in a second direction to move at least one of the central ramp and the driving ramp causing the first and second endplates to move towards each other.