Instruments for expandable interbody implants
A system for implanting an expandable interbody implant into an intervertebral space includes an elongated tool, the distal end of which is removably securable to the implant. The proximal end of the tool has an attachment interface for detachable securement to a plurality of different modules, each of which is adapted to effectuate a different function of the delivery system. The different functions include: grasping the implant delivery tool, providing an impaction surface for driving the advancement of the implant, supplying a graft material into the implant, and actuating the expansion of the implant. One of the modules may include a fluid delivery system for supplying hydraulic fluid to expand the implant. A fluid reservoir of the fluid delivery system may be oriented transverse to the cannula that delivers the fluid to the implant. A grafting block can be used to help pre-pack the implant with graft material.
1. A method for packing an implant with graft material, comprising:
providing the implant having an internal cavity;
selectively packing a first region of the internal cavity with graft material, wherein when packing the first region with graft material a second region of the internal cavity remains absent of graft material;
inserting the selectively packed implant between first and second vertebral bodies;
subsequent to the inserting step, supplying additional bone graft material into the second region of the internal cavity; and prior to the selectively packing step, receiving the implant, by a block having a projection, wherein the projection is received through an opening into the internal cavity such that the projection occupies the second region of the internal cavity.
2. The method of claim 1 , wherein the projection has a varying height along a longitudinal axis of the projection.
3. The method of claim 2 , wherein a first portion of the varying height of the projection corresponds to a height of a ramped port of the implant when the projection is received in the internal cavity.
4. The method of claim 3 , wherein a second portion of the varying height of the projection corresponds to a boundary between a housing and a top plate of the implant, the top plate being movable away from the housing so as to expand the implant.
5. The method of claim 3 , wherein the ramped port guides the additional bone graft material into the second region.
6. The method of claim 1 , further comprising securing the implant on the block via an adjustable retaining mechanism.
7. The method of claim 1 , wherein when supplying the additional bone graft material into the second region, the additional bone graft material is guided into the second region by a ramped port of the implant.
8. The method of claim 1 , further comprising: subsequent to the inserting step, expanding the implant such that the internal cavity expands to include a third region.
9. The method of claim 8 , further comprising supplying the additional bone graft material into the third region of the internal cavity.
10. The method of claim 1 , wherein inserting the selectively packed implant further includes securing a distal end of an elongated tool to a proximal end of the implant.
11. The method of claim 10 , wherein supplying the additional bone graft material into the second region of the internal cavity comprises:
inserting a bone graft supply line within a receptacle of the elongated tool;
inserting a plunger into the bone graft supply line; and
advancing the plunger distally through the bone graft supply line.
12. The method of claim 11 , wherein advancing the plunger distally through the bone graft supply line includes squeezing a trigger of a pistol grip handle secured to a proximal end of the elongated tool to drive the advancement of the plunger in a distal direction.
13. The method of claim 11 , wherein the elongated tool includes an angled bend along its length, and wherein the bone graft supply line has a bend corresponding to the angled bend of the elongated tool when the bone graft supply line is inserted within the receptacle.
14. The method of claim 10 , further comprising inserting a reamer through a receptacle of the elongated tool and into the internal cavity of the implant to clear a blockage.
15. The method of claim 1 , further comprising inserting a reamer through a port of the implant and into the internal cavity to clear a blockage.
16. The method of claim 15 , wherein the reamer is flexible such that the reamer can deflect along a ramp defined within the implant.