Arcuate fixation member

Patent metadata

Field	Value
Publication number	US-9445913-B2
Application number	US-201414148949-A
Country	US
Kind code	B2
Filing date	Jan 7, 2014
Priority date	Apr 15, 2009
Publication date	Sep 20, 2016
Grant date	Sep 20, 2016

Abstract

Arcuate fixation members with varying configurations and/or features are provided, along with additional components for use therewith in provided intervertebral implants. The arcuate fixation members may be of different lengths, cross sectional geometries, and/or cross sectional areas. Applications of intervertebral implants 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 for fixing an intervertebral implant in an intervertebral space defined between an upper vertebral body and a lower vertebral body, the method comprising the steps of:
inserting the intervertebral implant into the intervertebral space, the intervertebral implant including a spacer body and a fixation plate coupled to the spacer body, the fixation plate defining a plurality of guide apertures extending therethrough; and
inserting a plurality of curved bone fixation members into respective ones of the plurality of guide apertures such that at least one curved bone fixation member of the plurality of curved bone fixation members is rotationally fixed in a respective at least one of the plurality of guide apertures as the at least one curved bone fixation member is inserted into engagement with at least one of the upper and lower vertebral bodies such that, the plurality of curved bone fixation members fix the intervertebral implant to the at least one of the upper and lower vertebral bodies;
wherein the inserting step includes guiding the at least one curved bone fixation member along an insertion trajectory through the at least one of the upper and lower vertebral bodies via a guidance member disposed at least partially along a distal end of the at least one curved bone fixation member, the guidance member including a keel, a first wing disposed adjacent the keel, and a second wing adjacent the keel opposite the first wing, where the keel and the first and second wings guide the at least one curved bone fixation member along the insertion trajectory.

2. The method of claim 1 , wherein each of the plurality of curved bone fixation members is elongate along a curved fixation member axis, and the step of inserting the plurality of curved bone fixation members into the respective ones of the plurality of guide apertures further comprises inserting the plurality of curved bone fixation members along respective curved trajectories into the at least one of the upper and lower vertebral bodies.

3. The method of claim 1 , further comprising locking each of the plurality of curved bone fixation members to the fixation plate.

4. The method of claim 1 , further comprising, prior to inserting the intervertebral implant into the intervertebral space, packing the spacer body with a bone growth material.

5. The method of claim 1 , further comprising coupling the fixation plate to the spacer body.

6. The method of claim 1 , wherein the step of inserting the plurality of curved bone fixation members into the respective ones of the plurality of guide apertures includes translating each of the plurality of curved bone fixation members along a respective guide aperture of the plurality of guide apertures.

7. The method of claim 6 , wherein the spacer body defines an upper vertebra facing surface and an opposed lower vertebra facing surface, the plurality of guide apertures includes at least one upper guide aperture that extends toward the upper vertebra facing surface of the spacer body, and the step of inserting the plurality of curved bone fixation members into the respective ones of the plurality of guide apertures includes:
inserting at least one first curved bone fixation member through the at least one upper guide aperture and into engagement with the upper vertebral body.

8. The method of claim 7 , wherein the plurality of guide apertures includes at least one lower guide aperture that extends toward the lower vertebra facing surface of the spacer body, and the step of inserting the plurality of curved bone fixation members into the respective ones of the plurality of guide apertures includes:
inserting at least one second curved bone fixation member of the plurality of curved bone fixation members into the at least one lower guide aperture and into engagement with the lower vertebral body.

9. The method of claim 8 , further comprising securing a blocking plate to the fixation plate such that the blocking plate prevents the plurality of the curved bone fixation members from backing out of the respective ones of the plurality of curved guide apertures.

10. The method of claim 1 , further comprising:
selecting one of a plurality of spacer bodies, at least a pair of the plurality of spacer bodies defining a different at least one of a size and shape; and
coupling one of a plurality of fixation plates to the selected one of the plurality of spacer bodies so as to define the intervertebral implant.

11. The method of claim 1 , wherein the spacer body includes at least one aperture extending therethrough.

12. The method of claim 1 , wherein the spacer body includes an upper plate and a lower plate, the upper plate defines an upper surface, and the lower plate defines a lower surface, the spacer body being a hollow spacer body defining a hollow region that extends between the upper and lower plates.

13. The method of claim 12 , further comprising packing the hollow spacer body with a bone growth material.

14. The method of claim 1 , wherein the spacer body defines 1) an upper surface, 2) an opposed lower surface, and 3) an outer wall that extends from the upper surface to the lower surface, the outer wall at least partially defining a pair of apertures that each extends through the upper and lower surfaces, the spacer body further including an inner wall that separates one of the pair of apertures from the other of the pair of apertures, wherein the method includes,
positioning the fixation plate on the spacer body so that the fixation plate and the outer wall define an additional aperture therebetween, the additional aperture being aligned with the inner wall.

15. The method of claim 14 , further comprising packing the pair of apertures with a bone growth material.

16. The method of claim 1 , wherein the at least one curved bone fixation member defines a proximal end, a distal end spaced from the proximal end along a curved fixation member axis, and a curved fixation body extending along the curved fixation member axis, the curved fixation body defining a cross-sectional shape that conforms to the respective at least one of the plurality of guide apertures such that the curved fixation body is rotatably fixed in the respective at least one of the plurality of guide apertures when inserted into the respective at least one of the plurality of guide apertures.

17. The method of claim 16 , wherein the distal end defines a tapered tip that extends distally from the curved fixation body, the tapered tip configured to cut into the respective upper and lower vertebral bodies.

18. The method of claim 17 , wherein the curved fixation body defines a first cross-sectional dimension that is perpendicular to the curved fixation member axis, a second cross-sectional dimension that is perpendicular the first cross-sectional dimension, and a third cross-sectional dimension that is perpendicular to the first and second cross-sectional dimensions, wherein the first, second and third cross-sectional dimensions pass through the curved fixation member axis, and the tapered tip tapers from each of the first, second and third cross-sectional dimensions toward the curved fixation member axis.

19. The method of claim 1 , wherein the plurality of guide apertures are curved.

Assignees

• Depuy Synthes Products Inc

Inventors

• Donner Thomas
• Schoenly Jared
• Evans David
• Gfeller Andreas

Classifications

• A61F2002/30507

  using a threaded locking member, e.g. a locking screw or a set screw · CPC title

• A61F2002/30593

  hollow · CPC title

• A61F2002/2835

  Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material · CPC title

• A61F2/4465

  having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine · CPC title

• A61F2002/4628

  with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping · CPC title