Implant with freely moveable endplates
An interbody fusion device including pivoting endplates is disclosed. The endplates define grooves between the endplates to house sliding pins. A threaded shaft extends through the implant to connect the endplates and the sliding pins. The implant is fit to be inserted into an intervertebral disc space to pivot according to the natural angles of the adjacent vertebrae. The shaft can be rotated to adjust the sliding pins into a position to provide support to the endplates at the angle they take between the vertebrae.
1. An intervertebral implant comprising:
a first endplate;
a second endplate pivotally coupled to the first endplate by a pivot pin;
a first sliding pin slidably disposed between the first and second endplates and on a first side of the pivot pin;
a second sliding pin disposed on a second side of the pivot pin opposite the first side; and
a shaft extending at least partially through the first sliding pin,
wherein actuation of the shaft locks the first and second endplates with respect to each other.
2. The implant of claim 1 , wherein the first endplate defines a bore in which the shaft extends therethrough.
3. The implant of claim 1 , wherein the first endplate defines a first groove configured to receive the first sliding pin.
4. The implant of claim 1 , wherein the first sliding pin defines a threaded bore configured to receive the shaft.
5. The implant of claim 3 , further comprising a second sliding pin slidably disposed between the first and second endplate, wherein the first sliding pin is adjacent a first end of the implant and the second sliding pin is adjacent a second end of the implant.
6. The implant of claim 5 , wherein the first endplate defines a second groove configured to receive the second sliding pin, the second sliding pin defining a bore configured to receive the shaft.
7. The implant of claim 5 , wherein the second endplate defines a first tapered slot configured to receive the first sliding pin, and the second endplate further defines a second tapered slot configured to receive the second sliding pin.
8. The implant of claim 5 , wherein the second sliding pin further defines a hole configured to receive a locking pin that extends through the second sliding pin and within a circumferential indentation in the shaft to prevent the shaft from translating relative to the second sliding pin but allowing rotation of the shaft.
9. The implant of claim 5 , wherein a clockwise rotation of the shaft causes the first sliding pin to translate along the shaft axis in a direction away from the second sliding pin.
10. The implant of claim 1 , wherein the first and second endplates are pivotally coupled by at least one pivot pin.
11. The implant of claim 10 , wherein the pivot pin is located at a center of the implant and extends orthogonal to a longitudinal axis of the implant.
12. The implant of claim 1 , wherein the first endplate lies in a first plane and the second endplate lies in a second plane parallel to the first plane.
13. The implant of claim 1 , wherein the first endplate lies in a first plane and the second endplate lies in a second plane that intersects with the first plane.
14. The implant of claim 1 , wherein the shaft is at least partially threaded.
15. The implant of claim 1 , wherein the shaft has a drive feature configured to receive a tool for rotating the shaft.
16. The implant of claim 1 , wherein the first and second endplates have bullet-shaped ends.
17. A method of positioning an interbody fusion device, the method comprising:
inserting an implant between first and second vertebral bodies, the implant including a first endplate for contacting the first vertebral body and a second endplate for contacting the second vertebral body;
allowing the first and second endplates to freely pivot about a pivot pin with respect to each other to conform to the angle between the two adjacent vertebrae; and
actuating a shaft of the implant to translate first and second sliding pins to lock the first and second endplates with respect to each other.
18. The method of claim 17 , wherein the actuating step includes translating the first and second sliding pin until the first and second sliding pins meet resistance between the first and second endplates.
19. The method of claim 18 , wherein during the inserting step, the first and second sliding pins are positioned medially to allow the implant to pivot into the natural state of the vertebrae.
20. An intervertebral implant comprising:
a first endplate extending along a longitudinal axis, the first endplate defining a groove;
a second endplate pivotally coupled to the first endplate by a pivot pin, the second endplate defining a tapered slot aligned with the groove along the longitudinal axis;
a first sliding pin slidably disposed within the groove and the tapered slot on a first side of the pivot pin; and
a second sliding pin disposed on a second side of the pivot pin opposite the first side,
wherein movement of the sliding pin along the longitudinal axis is configured to pivot the second endplate relative to the first endplate.