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 an exemplary embodiment, the present invention provides an intervertebral implant. The intervertebral implant may be configured to transition from a collapsed configuration having a first height and a first width to an expanded configuration having a second height and a second width.
1. An intervertebral implant comprising:
an upper endplate comprising:
a first upper endplate portion comprising a front ramped surface and a rear ramped surface;
a second upper endplate portion comprising a front ramped surface and a rear ramped surface; and
endplate pins connecting the first upper endplate portion and the second upper endplate portion;
a lower endplate comprising:
a first lower endplate portion comprising a front ramped surface and a rear ramped surface;
a second lower endplate portion comprising a front ramped surface and a rear ramped surface; and
lower endplate pins connecting the first lower endplate portion and the second lower endplate portion;
a front sloped actuator comprising:
a first front sloped actuator configured to engage the front ramped surface of the first upper endplate portion and the front ramped surface of the first lower endplate portion;
a second front sloped actuator configured to engage the front ramped surface of the second upper endplate portion and the front ramped surface of the second lower endplate portion,
wherein the front sloped actuators each comprising a front height actuator and a front width actuator; and
a rear sloped actuator comprising:
a first rear sloped actuator configured to engage the rear ramped surface of the first upper endplate portion and the rear ramped surface of the first lower endplate portion;
a second rear sloped actuator configured to engage the rear ramped surface of the second upper endplate portion and the rear ramped surface of the second lower endplate portion,
wherein the rear sloped actuators each comprising a rear height actuator and a rear width actuator;
wherein actuation of the front and rear width actuators transition the intervertebral implant from a first width to a second width and actuation of the front and rear height actuators transition the intervertebral implant from a first height to a second height such that the intervertebral implant transitions to the second width before the intervertebral implant transitions to the second height.
2. The intervertebral implant of claim 1 , wherein
wherein the front sloped actuator comprises opposing sloped surfaces that each comprise a pair of elevated tongues that are at an angle that directs away from the center of the intervertebral implant, wherein the elevated tongues engage corresponding slots in the front ramped surface of the first upper endplate portion, the front ramped surface of the second upper endplate portion, the front ramped surface of the first lower endplate portion, and the front ramped surface of the second lower endplate portion; and
wherein the rear sloped actuator comprises opposing sloped surfaces that each comprise a pair of elevated tongues that are at an angle that directs away from the center of the intervertebral implant, wherein the elevated tongues engage corresponding slots in the rear ramped surface of the first upper endplate portion, the rear ramped surface of the second upper endplate portion, the rear ramped surface of the first lower endplate portion, and the rear ramped surface of the second lower endplate portion.
3. The intervertebral implant of claim 1 , further comprising first and second linear actuators that extend through openings in the rear sloped actuator to engage an extensions of the front sloped actuator.
4. The intervertebral implant of claim 1 , further comprising first and second linear actuators each comprising a head portion and an extension, wherein the extensions extend through openings in the rear sloped actuator to engage extensions of the front sloped actuator.
5. The intervertebral implant of claim 1 , wherein the front sloped actuator comprises opposing sloped surfaces, and wherein the rear sloped actuator comprises opposing sloped surfaces.
6. An intervertebral implant comprising:
an upper endplate comprising a first upper endplate portion and a second upper endplate portion;
a lower endplate comprising a first lower endplate portion and a second lower endplate portion;
a first front sloped actuator configured to movingly engage a front end of the first upper endplate portion and a front end of the first lower endplate portion, the first front sloped actuator comprising a front height actuator;
a second front sloped actuator configured to movingly engage a front end of the second upper endplate portion and a front end of the second lower endplate portion, the second front sloped actuator comprising a front height actuator;
a first rear sloped actuator configured to movingly engage a rear end of the first upper endplate portion and a rear end of the first lower endplate portion, the first rear sloped actuator comprising a rear height actuator;
a second rear sloped actuator configured to movingly engage a rear end of the second upper endplate portion and a rear end of the second lower endplate portion, the second rear sloped actuator comprising a rear height actuator;
a front width actuator configured to movingly engage the front ends of the first and second upper endplate portions and the front ends of the first and second lower endplate portions; and
a rear width actuator configured to movingly engage the rear ends of the first and second upper endplate portions and the rear ends of the first and second lower endplate portions;
wherein actuation of the first front and first rear sloped actuators transition a first portion of the intervertebral implant from a first height to a second height and actuation of the second front and second rear sloped actuators transition a second portion of the intervertebral implant from the first height to the second height,
wherein actuation of the front width actuator transitions a front portion of the intervertebral implant from a first width to a second width and actuation of the rear width actuator transitions a rear portion of the intervertebral implant from the first width to the second width, and
wherein the transition of the implant from the first height to the second height is independent of the transition of the implant from the first width to the second width.
7. The intervertebral implant of claim 6 :
wherein the first upper endplate portion and the second upper endplate portion each comprise a front ramped surface that are capable of respectively engaging the first front sloped actuator and the second front sloped actuator and wherein the first upper endplate portion and the second upper endplate portion each comprise a rear ramped surface that are capable of respectively engaging the first rear sloped actuator and the second rear sloped actuator, and
wherein the first lower endplate portion and the second lower endplate portion each comprise a front ramped surface that are capable of respectively engaging the first front sloped actuator and the second front sloped actuator and wherein the first lower endplate portion and the second lower endplate portion each comprise a rear ramped surface that are capable of respectively engaging the first rear sloped actuator and the second rear sloped actuator.
8. The intervertebral implant of claim 6 :
wherein the first upper endplate portion and the second upper endplate portion each comprise a front ramped surface and a rear ramped surface;
wherein the first lower endplate portion and the second lower endplate portion each comprise a front ramped surface and a rear ramped surface;
wherein the first front sloped actuator comprises opposing sloped surfaces in engagement with the first front ramped surface of the first upper endplate portion and the front ramped surface of the first lower endplate portion;
wherein the second front sloped actuator comprises opposing sloped surfaces in engagement with the second front ramped surface of the second upper endplate portion and the front ramped surface of the second lower endplate portion;
wherein the first rear sloped actuator comprises opposing sloped surfaces in engagement with the rear ramped surface of the first upper endplate portion and the rear ramped surface of the first lower endplate portion; and
wherein the second rear sloped actuator comprises opposing sloped surfaces in engagement with the rear ramped surface of the second upper endplate portion and the rear ramped surface of the second lower endplate portion.
9. The intervertebral implant of claim 6 , wherein the upper endplate comprises endplate pins that connect the first upper endplate portion and the second upper endplate portion, and wherein the lower endplate comprises endplate pins that connect the first lower endplate portion and the second lower endplate portion.
10. The intervertebral implant of claim 6 , further comprising a first linear actuator that extends through an opening in the first rear sloped actuator to engage an extension of the first front sloped actuator.
11. The intervertebral implant of claim 10 , further comprising a second linear actuator that extends through an opening in the second rear sloped actuator to engage an extension of the second front sloped actuator.
12. The intervertebral implant of claim 6 , further comprising first and second linear actuators each comprising a head portion and an extension, wherein the extensions respectively extend through openings in the first and second rear sloped actuators to respectively engage extensions of the first and second front sloped actuators.
13. The intervertebral implant of claim 2 , wherein the first and second front sloped actuators each comprise opposing sloped surfaces, and wherein the first and second rear sloped actuators each comprise opposing sloped surfaces.
14. The intervertebral implant of claim 6 , wherein the first front sloped actuator comprises threaded prongs that extend from a rear end of the front sloped actuator toward the first rear sloped actuator.
15. The intervertebral implant of claim 6 , wherein the first upper endplate portion and the second upper endplate portion are opposing mirrored halves of the upper endplate, and wherein the first lower endplate portion and the second lower endplate portion are opposing mirrored halves of the lower endplate.
16. A method of installing the intervertebral implant, the method comprising:
introducing the intervertebral implant of claim 6 into an intervertebral space;
contracting the first front sloped actuator and the first rear sloped actuator to cause the first portion of the intervertebral implant to transition from a collapsed configuration having the first height and the first width to an expanded configuration having the second height and the second width; and
contracting the second front sloped actuator and the second rear sloped actuator to cause the second portion of the intervertebral implant to transition from a collapsed configuration having the first height and the first width to an expanded configuration having the second height and the second width.
17. The method of claim 16 , wherein the step of contracting comprises drawing the front sloped actuator and the rear sloped actuator together such that the upper endplate and the lower endplate of the intervertebral implant are forced vertically outward from one another, the first portion of the upper endplate and the second portion of the upper endplate are forced laterally outward from another, and the first portion of the lower endplate and the second portion of the lower endplate are forced laterally outward from one another.
18. The method of claim 16 , wherein the step of contracting comprises rotating first and second linear actuators to draw the first and second front sloped actuator and first and second rear sloped actuator together, the linear actuators being in engagement with the front sloped actuator.
19. The method of claim 17 , wherein contracting the actuator assembly comprises: (i) moving the front sloped actuator such that opposing ramped surfaces of the front sloped actuator engage front ramped surfaces in an upper endplate and engage front ramped surfaces in a lower endplate; and (ii) moving the rear sloped actuator such that opposing ramped surfaces of the rear sloped actuator engage rear ramped surfaces in the upper endplate and engage rear ramped surfaces in the lower endplate, wherein moving the front sloped actuator and moving the rear sloped actuator force the upper and lower endplate outward and away from one another, cause the upper endplate and the lower endplate to each expand laterally.
20. The method of claim 19 , wherein the opposing ramped surfaces of the front sloped actuator comprise elevated tongues that are angled at a slant that directs away from the center of the intervertebral implant and ride in corresponding slots in the front ramped surfaces of the upper and lower endplates, and wherein the opposing ramped surfaces of the rear sloped actuator comprise elevated tongues that are angled at a slant that directs away from the center of the intervertebral implant and ride in corresponding slots in the rear ramped surfaces of the upper and lower endplates.