Arcuate fixation member

Patent metadata

Field	Value
Publication number	US-10716680-B2
Application number	US-201816131081-A
Country	US
Kind code	B2
Filing date	Sep 14, 2018
Priority date	Apr 15, 2009
Publication date	Jul 21, 2020
Grant date	Jul 21, 2020

Abstract

Arcuate fixation members with varying configurations and/or features are provided, along with additional components for use therewith in provided fixation systems and intervertebral implant systems. The arcuate fixation members may be of varying lengths, cross sectional geometries, and/or cross sectional areas, and may be configured with various features such as heads configured to accept other fixation system components, tabs to allow arcuate fixation member-in-arcuate fixation member or fixation anchor-in-arcuate fixation member configurations. Applications of fixation systems and intervertebral implants systems utilizing arcuate fixation members are particularly suitable when a linear line-of-approach for delivering fixation members is undesirable.

First claim

What is claimed:

1. A method of securing an intervertebral implant within an intervertebral space between a vertebral body and another vertebral body opposite each other along a transverse direction, the intervertebral implant comprising a fixation plate attached to an implant body such that the implant body extends from the fixation plate along a longitudinal direction substantially perpendicular to the transverse direction, wherein the fixation plate includes first and second arms extending therefrom, and at least respective portions of the first and second arms are attached to the implant body, the method comprising:
driving a curved fixation member through a curved aperture defined in the fixation plate, thereby driving a tip defined at a distal end of the curved fixation member through the curved aperture and into the vertebral body, wherein the curved aperture is one of an upper curved aperture and a lower curved aperture each defined in the fixation plate along a respective curved aperture axis that extends between anterior and posterior surfaces of the fixation plate, wherein at least a portion of the upper curved aperture is spaced from at least a portion of the lower curved aperture along the transverse direction, and the anterior and posterior surfaces are spaced from each other along the longitudinal direction; and
coupling a blocking body to the fixation plate so as to secure a proximal end of the curved fixation member to the fixation plate, the proximal and distal ands of the curved fixation member spaced from each other along a curved central axis of the fixation member, wherein the coupling step comprises inserting a locking member in a bore defined in the blocking body between the upper and lower curved apertures with respect to a lateral direction that is substantially perpendicular to the transverse and longitudinal directions.

2. The method of claim 1 , wherein the coupling step comprises inserting at least a portion of the blocking body in a recess formed in the anterior surface of the fixation plate.

3. The method of claim 2 , wherein the driving step comprising driving a head defined at the proximal end of the curved fixation member toward the curved aperture until at least a portion of the head resides within the recess.

4. The method of claim 3 , wherein the driving steps further comprise driving the head until a surface of the head engages a complimentary ledge defined by the fixation body within the recess.

5. The method of claim 1 , wherein driving the curved fixation member through the curved aperture comprises driving the curved fixation member through the upper curved aperture, the method further comprising driving a second curved fixation member through the lower curved aperture, thereby driving a tip defined at a distal end of the second curved fixation member through the lower curved aperture and into the another vertebral body.

6. The method of claim 5 , wherein:
the lower curved aperture is a first lower curved aperture spaced from a second lower curved aperture along the lateral direction,
the second lower curved aperture is defined in the fixation plate along a respective lower curved aperture axis that extends between the anterior and posterior surfaces of the fixation plate, at least a portion of the second lower curved aperture is spaced from the at least a portion of the upper curved aperture along the transverse direction, and
the method further comprises driving a third curved fixation member through the second lower curved aperture, thereby driving a tip defined at a distal end of the third curved fixation member through the second lower curved aperture and into the another vertebral body.

7. The method of claim 6 , wherein:
the upper curved aperture is a first upper curved aperture spaced from a second upper curved aperture along the lateral direction,
the second upper curved aperture is defined in the fixation plate along a respective upper curved aperture axis that extends between the anterior and posterior surfaces of the fixation plate, at least a portion of the second upper curved aperture is spaced from the at least a portion of each of the first and second lower curved apertures along the transverse direction, and
the method further comprises driving a fourth curved fixation member through the second upper curved aperture, thereby driving a tip defined at a distal end of the fourth curved fixation member through the second upper curved aperture and into the vertebral body.

8. The method of claim 1 , further comprising inserting the intervertebral implant into the intervertebral space prior to the driving step.

9. The method of claim 8 , wherein inserting the intervertebral implant into the intervertebral space comprises engaging at least one of the vertebral body and the another vertebral body with a plurality of gripping structures formed on first and second bone-engaging surfaces of the implant body, wherein the first and second bone engaging surfaces are spaced from each other along the transverse direction.

10. The method of claim 8 , further comprising releasably engaging a delivery instrument within at least one additional aperture defined within the fixation plate.

11. The method of claim 10 , wherein the implant body defines at least one bore that extends along the transverse direction and is located between lateral walls of the implant body, the lateral walls spaced from each other along the lateral direction.

12. The method of claim 11 , further comprising filling the at least one bore with bone growth inducing substance prior to inserting the intervertebral implant into the intervertebral space.

13. The method of claim 1 , wherein the driving step further comprises advancing a curved intermediate portion of the curved fixation member through the curved aperture, the curved intermediate portion being located between the proximal and distal ends of the curved fixation member.

14. The method of claim 13 , wherein the driving step further comprises causing a cross-sectional shape of the curved intermediate portion to reside within a conformal cross-sectional shape of the curved aperture, the conformal cross-sectional shapes being defined with respect to the transverse and lateral directions.

15. The method of claim 13 , wherein the curved intermediate portion defines a length measured along the curved central axis, and the length is greater than a length of the curved aperture.

16. The method of claim 15 , wherein the driving step further comprises advancing at least a portion of the curved intermediate portion along a curved groove defined in an anterior wall the implant body.

17. The method of claim 1 , further comprising locking a locking feature located at the proximal end of the curved fixation member within a complimentary locking feature formed within the respective curved aperture in which the curved fixation member is driven.

18. The method of claim 1 , wherein the driving step comprises causing the curved central axis of the curved fixation member to be coincident with the curved aperture axis.

19. The method of claim 1 , wherein the first and second arms extend away from the anterior surface of the fixation plate along the longitudinal direction and are received within complimentary grooves defined in the implant body, and the driving step comprises driving the curved fixation member between the first and second arms with respect to the lateral direction.

Assignees

• Depuy Synthes Products Inc

Inventors

• Schmura Kurt
• Donner Thomas
• Laurence Lawton
• Singhatat Wamis
• Schoenly Jared
• Evans David E
• Miller William

Classifications

• A61F2002/30845

  with cutting edges · CPC title

• A61B17/7032

  Screws or hooks with U-shaped head or back through which longitudinal rods pass · CPC title

• A61B17/8042

  the additional component being a cover over the screw head · CPC title

• A61F2002/30514

  using a locking washer · CPC title

• A61F2002/4627

  with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument · CPC title