Articulating and expandable vertebral implant
An implant is insertable in the joint space to separate bones of the joint. The implant has two endplates each configured to engage a separate articulating bone of the joint, and a threaded member positioned between the two endplates and configured to increase the space between the two endplates when the threaded member is rotated. A rotatable gear is engaged with the threaded member, and is engageable with a rotating gear of a connected implantation tool, so that rotation of the gear on the tool causes rotation of the threaded member and expansion of the implant to separate the bones. Connector portions on the tool and the implant may be rotated together to securely engage the implant and the tool so that the gears of the tool and the implant can be rotated using an actuator outside of the body, when the implant is inside the body.
1. An implant for separating bones of a joint, the implant comprising:
a frame having a proximal frame end and a distal frame end;
a frame coupler configured to connect the proximal frame end and the distal frame end;
a first endplate having a first expansion ramp and a second expansion ramp located in a position transverse to the first expansion ramp along a longitudinal axis of the implant, wherein the first endplate is configured to engage a first articulating bone of the joint;
a second endplate configured to engage a second articulating bone the joint;
at least one threaded member configured to increase a space between said two endplates when the frame coupler is engaged with a coupler screw associated with an implantation tool and said at least one threaded member is rotated;
a rotatable gear engageable with a rotating gear of the implantation tool when the frame coupler is engaged with the coupler screw, said rotatable gear configured to rotate said at least one threaded member;
a first lift ramp positioned between the first endplate and the second endplate, wherein the first lift ramp has a first upper surface configured to engage the first expansion ramp; and
a second lift ramp positioned between the first endplate and the second endplate, wherein the second lift ramp has a second upper surface configured to engage the second expansion ramp,
wherein the first upper surface and the second upper surface are sloped in the same direction relative to the longitudinal axis of the implant, and
wherein an axis of rotation of said rotating gear is perpendicular to an axis of rotation of said at least one threaded member.
2. The implant of claim 1 , said threaded member having the form of a threaded shaft.
3. The implant of claim 1 , said at least one threaded member and said rotatable gear rotate about a common axis.
4. The system of claim 1 , wherein the second endplate contains a third expansion ramp and a fourth expansion ramp, wherein the first lift ramp contains a first lower surface configured to engage the third expansion ramp, and the second lift ramp contains a second lower surface configured to engage the fourth expansion ramp.
5. A system for separating bones of a joint, the system comprising:
an implantation tool including a connector end having a tool rotatable gear and a rotatable tool connector member distinct from said tool rotatable gear; and
an implant including:
a frame having a proximal frame end and a distal frame end;
a frame coupler configured to connect the proximal frame end and the distal frame end;
at least two endplates, two of said at least two endplates configured to engage separate articulating bone of a joint;
at least one threaded member configured to increase a space between said two endplates when the frame coupler is engaged with the tool connector member and said at least one threaded member is rotated; and
an implant rotatable gear configured to rotate at least one of said at least one threaded member, said implant rotatable gear engageable with said tool rotatable gear when said implant and said tool are connected via the frame coupler and the tool connector member, said tool rotatable gear thereby configured to rotate said implant rotatable gear to rotate at least one of said at least one threaded member,
a first lift ramp positioned between the first endplate and the second endplate, wherein the first lift ramp has a first upper surface; and
a second lift ramp positioned between the first endplate and the second endplate, wherein the second lift ramp has a second upper surface,
wherein the first upper surface and the second upper surface are sloped in the same direction relative to a longitudinal axis of the implant, and
wherein an axis of rotation of said tool rotatable gear is perpendicular to an axis of rotation of said at least one threaded member,
wherein said tool rotatable gear is disposed external to the frame.
6. The system of claim 5 , wherein the tool further includes a rotatable shaft connected to said tool rotatable gear at one end, and an actuator at an opposite end, said actuator rotatable outside of the body when said tool rotatable gear is engaged with said implant rotatable gear and said implant is positioned between bones of the joint.