Expandable fusions devices, instruments, and methods thereof
Expandable fusion devices, systems, instruments, and methods thereof. The expandable fusion device is capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The fusion device may include a body, a first endplate, and a second endplate. A drive screw may be rotated to move the first and second endplates outwardly and into an expanded configuration. Instruments may be provided to ensure the implant is inserted safely and as intended.
1. A method of stabilizing the spine comprising the steps of:
providing an implantable system having:
an expandable device comprising a first endplate, a second endplate, a body positioned between the first endplate and the second endplate, and
a drive screw and a lock positioned within the body, wherein rotation of the drive screw is configured to increase or decrease a distance between the first endplate and the second endplate, and the lock is configured to stop rotation to the drive screw, the drive screw having a head portion and a shaft, the head portion having a plurality of protrusions defining a plurality of notches therebetween, an annular ring, and a circumferential groove between the plurality of protrusions and the annular ring, the lock having a first ring and a second ring connected to the first ring by a strut,
wherein in a locked position, the second ring rests in the circumferential groove of the head portion, the strut is located in one of the notches, and the first ring of the lock rests on a top face of the head portion, and
positioning the implantable system between adjacent vertebrae.
2. The method of claim 1 , wherein in an unlocked position, the second ring is translated out of the groove, and the strut is translated out of the notch, thereby permitting the drive screw to rotate by a driver.
3. The method of claim 1 , wherein the first ring of the lock is a full ring.
4. The method of claim 1 , wherein the first ring includes an off center through hole.
5. The method of claim 1 , wherein the second ring of the lock is a C-shaped spring ring.
6. The method of claim 1 , wherein the plurality of protrusions and the plurality of notches are located radially around a tip of the head portion.
7. The method of claim 1 , wherein the plurality of protrusions include quadrilateral projections.
8. The method of claim 1 , wherein the expandable device further includes a retaining ring configured to retain the lock and drive screw in the body of the expandable device.
9. The method of claim 8 , wherein the retaining ring has a generally C-shaped body.
10. The method of claim 9 , wherein the retaining ring includes a plurality of outer radial notches and a plurality of inner radial notches that allow the ring to deflect without deforming.
11. The method of claim 1 , wherein the expandable device further includes a friction ring configured to reduce an expansion force and add friction to the drive screw.
12. The method of claim 11 , wherein the friction ring is an annular ring having an outer surface configured to contact the body and an inner surface configured to contact the shaft of the drive screw.
13. A method for installing an expandable implant, the method comprising:
providing an expandable implant comprising a first endplate, a second endplate, a body positioned between the first endplate and the second endplate, and a drive screw positioned within the body, wherein rotation of the drive screw is configured to increase or decrease a distance between the first endplate and the second endplate; and
providing an inserter instrument including an inserter sleeve, a threaded shaft positionable through the inserter sleeve, and a driver positionable through the threaded shaft, the inserter sleeve including a guide shaft defining a channel therethrough, and a first plurality of splines defined within the channel, the threaded shaft including a slider having a second plurality of splines configured to engage with the first plurality of splines, the driver including a linear cam configured to engage the slider of the threaded shaft,
positioning the driver through the threaded shaft;
engaging the linear cam to the slider and translating the slider linearly forward, thereby causing the first and second plurality of splines to mate, and thereby locking the implant to the inserter instrument;
positioning the implant between adjacent vertebral bodies; and
releasing the expandable implant from the inserter instrument.
14. The method of claim 13 , wherein the threaded shaft includes an engagement member, and the linear cam includes one or more protruding cam surfaces configured to mate with corresponding surfaces on the engagement member of the slider.
15. The method of claim 13 , wherein a distal end of the guide shaft terminates at opposed tabs configured to engage the implant.
16. The method of claim 13 , wherein the threaded shaft includes a threaded portion at its distal tip configured to engage the implant.