Spinal Interbody Cage Implant With Flexible Barbs

Abstract

A spinal interbody cage implant includes a cage, an endplate, and flexible barbs. The endplate is separately attached to the cage and is configured to receive, hold and direct a flexible barb into an upper vertebral surface and a flexible barb into a lower adjacent vertebral surface. Each proximal leg of the cage is configured to receive the endplate, and has a lateral bore that receives a pin which retains the endplate. The endplate directs a first flexible barb upwardly toward an upper vertebral surface, and directs a second flexible barb downwardly toward a lower vertebral surface. Each flexible barb has a proximal head, a shaft extending from the head with a bore extending from the head to its distal end. Teeth are provided along the exterior surface of the shaft with two flats disposed on opposite sides thereof with a slit extending from the distal end towards the head.

Claims

1. A spinal implant comprising: an interbody cage; an endplate defining an upper surface, a lower surface, a front face, and a rear face; and attachment barbs, each attachment barb having a flexible tubular body defining a longitudinal axis with a head on a proximal end of the longitudinal axis, and a tip on a distal end of the longitudinal axis, a first flat on an exterior of the flexible tubular body extending from the tip to the head, and a second flat on the exterior of the flexible tubular body extending from the tip to the head and opposite the first flat, the first and second flats defining a first longitudinal surface between one side of the first flat and one side of the second flat, and a second longitudinal surface between another side of the first flat and another side of the second flat, first teeth situated on the first longitudinal surface of the flexible tubular body, and second teeth situated on the second longitudinal surface of the flexible tubular body; the interbody cage having a body defining a first cavity, a first leg extending from the body and having a first end, and a second leg extending from the body and having a second end, the first and second legs defining an opening; the endplate attachable to the first end of the first leg and to the second end of the second leg wherein a second cavity is defined by the first opening and the rear face of the endplate, the endplate having a first bore extending from a first side of the front face to a first upper side of the rear face, and a second bore extending from a second side of the front face to a first lower side of the rear face, wherein the first bore is configured to retain the head of a received attachment barb and to bend the tip of the received attachment barb up and away from the first upper side of the rear face of the endplate for reception in an upper vertebral body, and wherein the second bore is configured to retain the head of a received attachment barb and to direct the tip of the received attachment barb down and away from the first lower side of the rear face of the endplate for reception in a lower vertebral body.

2. The spinal implant of claim 1, wherein: the first leg of the interbody cage has an upper surface and a lower surface, anti-backout formations on the upper surface, and anti-backout formations on the lower surface; and the second leg of the interbody cage has an upper surface and a lower surface, anti-backout formations on the upper surface, and anti-backout formations on the lower surface.

3. The spinal implant of claim 1, wherein each flexible tubular body of each attachment barb has a first slit extending from the tip to the head along the first flat, and a second slit extending from the tip to the head along the second flat.

4. The spinal implant of claim 3, wherein the head of each attachment barb has a threaded socket.

5. The spinal implant of claim 2, wherein: the endplate has a first attachment formation on a first lateral side thereof, and a second attachment formation on a second lateral side thereof; the first leg of the body of the interbody cage having a first attachment reception formation on the first end thereof, and the second leg of the interbody cage having a second attachment reception formation on the second end thereof; the first attachment formation of the endplate is received in the first attachment reception formation of the first leg; and the second attachment formation of the endplate is received in the second attachment reception formation of the second leg.

6. The spinal implant of claim 5, further comprising: attachment pins; and wherein; an attachment pin is received between the first attachment formation of the endplate and the first attachment reception formation of the first leg; and an attachment pin is received between the second attachment formation of the endplate and the second attachment reception formation of the second leg.

7. The spinal implant of claim 6, wherein: the first leg has a first lateral bore extending through and between a first lateral side and a second lateral side of the first leg; the second leg has a second lateral bore extending through and between a third lateral side and a fourth lateral side of the second leg; the endplate has a first reception bore in the first lateral side of the endplate, and a second reception bore in the second lateral side of the endplate; and a first attachment pin is receivable in and between the first lateral bore and the first reception bore, and a second attachment pin is receivable in and between the second lateral bore and the second reception bore.

8. The spinal implant of claim 7, wherein the endplate has a hole between the front face of the endplate and the rear face of the endplate, the hole providing communication with the second cavity.

9. The spinal implant of claim 8, wherein the endplate further has an anti-backout formation on the upper surface thereof, and an anti-backout formation on the lower surface thereof.

10. A spinal interbody implant comprising: a spine cage; an endplate defining an upper surface, a lower surface, a front face, and a rear face; and attachment barbs, each attachment barb having a flexible tubular body defining a longitudinal axis with a head on a proximal end of the longitudinal axis, and a tip on a distal end of the longitudinal axis, a first flat on an exterior of the flexible tubular body and extending from the tip to the head, and a second flat on the exterior of the flexible tubular body and extending from the tip to the head and opposite the first flat, the first and second flats defining a first longitudinal surface between one side of the first flat and one side of the second flat, and a second longitudinal surface between another side of the first flat and another side of the second flat, first serrations situated on the first longitudinal surface of the flexible tubular body, and second serrations situated on the second longitudinal surface of the flexible tubular body; the spine cage having a body, a first leg extending from the body and having a first end, and a second leg extending from the body and having a second end, the first and second legs defining an opening; the endplate attachable to the first end of the first leg and to the second end of the second leg, the endplate having a first bore extending from a first side of the front face to a first upper side of the rear face, and a second bore extending from a second side of the front face to a first lower side of the rear face, wherein the first bore is configured to retain the head of a received attachment barb and to bend the tip of the received attachment barb up and away from the first upper side of the rear face of the endplate for reception in an upper vertebral body, and wherein the second bore is configured to retain the head of a received attachment barb and to direct the tip of the received attachment barb down and away from the first lower side of the rear face of the endplate for reception in a lower vertebral body.

11. The spinal interbody implant of claim 10, wherein: the first leg of the spine cage has an upper surface and a lower surface, anti-backout formations on the upper surface, and anti-backout formations on the lower surface; and the second leg of the spine cage has an upper surface and a lower surface, anti-backout formations on the upper surface, and anti-backout formations on the lower surface.

12. The spinal interbody implant of claim 10, wherein each flexible tubular body of each attachment barb has a first slit extending from the tip to the head along the first flat, and a second slit extending from the tip to the head along the second flat.

13. The spinal interbody implant of claim 12, wherein the head of each attachment barb has a threaded socket.

14. The spinal interbody implant of claim 11, wherein: the endplate has a first attachment formation on a first lateral side thereof, and a second attachment formation on a second lateral side thereof; the first leg of the body of the spine cage having a first attachment reception formation on the first end thereof, and the second leg of the spine cage having a second attachment reception formation on the second end thereof; the first attachment formation of the endplate is received in the first attachment reception formation of the first leg; and the second attachment formation of the endplate is received in the second attachment reception formation of the second leg.

15. The spinal interbody implant of claim 14, further comprising: attachment pins; and wherein; an attachment pin is received between the first attachment formation of the endplate and the first attachment reception formation of the first leg; and an attachment pin is received between the second attachment formation of the endplate and the second attachment reception formation of the second leg.

16. The spinal interbody implant of claim 15, wherein: the first leg has a first lateral bore extending through and between a first lateral side and a second lateral side of the first leg; the second leg has a second lateral bore extending through and between a third lateral side and a fourth lateral side of the second leg; the endplate has a first reception bore in the first lateral side of the endplate, and a second reception bore in the second lateral side of the endplate; and a first attachment pin is receivable in and between the first lateral bore and the first reception bore, and a second attachment pin is receivable in and between the second lateral bore and the second reception bore.

17. The spinal interbody implant of claim 16, wherein the endplate has a hole between the front face of the endplate and the rear face of the endplate, the hole providing communication with the second cavity.

18. The spinal interbody implant of claim 17, wherein the endplate further has an anti-backout formation on the upper surface thereof, and an anti-backout formation on the lower surface thereof.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0014] The features of the invention will be better understood by reference to the accompanying drawings which illustrate various views of a form of the present invention, wherein:

[0015] FIG. 1 is a side view of a flexible barb of the present spine interbody cage implant fashioned in accordance with the present principles;

[0016] FIG. 2 is an isometric front side view of the flexible barb of FIG. 1;

[0017] FIG. 3 is an isometric rear side view of the flexible barb of FIG. 1;

[0018] FIG. 4 is an isometric rear side exploded view of a cage and endplate of the present interbody cage implant;

[0019] FIG. 5 is an isometric front top exploded view of the cage and endplate of the present interbody cage implant;

[0020] FIG. 6 is an isometric end side view of the assembled cage and endplate of the present interbody cage implant;

[0021] FIG. 7 is an isometric exploded side view of the assembled cage and endplate along with a flexible barb;

[0022] FIG. 8 is an end side isometric view of the assembled cage and endplate with a flexible barb received in the endplate;

[0023] FIG. 9 is a an end side isometric view of the assembled cage and endplate with two flexible bards received in the endplate; and

[0024] FIG. 10 is an isometric end view of the assembled interbody cage implant of FIG. 9.

DETAILED DESCRIPTION OF THE INVENTION

[0025] FIGS. 1-3 show a barb, spike, or the like generally designated 10 (collectively, barb 10) that is one component or element of an interbody cage implant 100 (see FIGS. 9 and 10) that is used for the spine and, particularly, in the disc space of adjacent vertebrae of the spine in order to provide and/or promote fusion thereof. The barb 10 is formed of a flexible biocompatible material and is characterized by a generally elongated shaft 11 having a having a head 14 at a proximal end thereof, and a tip 13 at a distal end thereof. The head 14 has an internally threaded socket 20 that allows threaded engagement with a like threaded tool (not shown) for insertion of the barb 10.

[0026] The shaft 11 has external serrations 12 that extend from the tip 13 to the head 14. As best seen in FIG. 1, the serrations 12 are step-shaped relative to the tip 13 to allow insertion of the barb but prevent the barb from backing out. Other styles of serrations or teeth, however, may be used. A bore 15 extends from the tip 13 to the socket 20 thereby making the barb also a cannula. As seen in FIG. 2, one side of the shaft 11 has a flat 17 that extends from the tip 13 to the head 14. As seen in FIG. 3, another side of the shaft 11 also has a flat 19 that extends from the tip 13 to the head 14. The flats 17 and 19 are preferably, but not necessarily, opposite one another on the shaft 11. A slot, channel or the like 16 is provided along the flat 17 that extends from the tip 13 to proximate the head 20. A slot, channel or the like 18 is likewise provided along the flat 19 that extends from the tip 13 to proximate the head 20. These characteristics of the barb 10 allow the barb to flex without compromising its integrity.

[0027] FIGS. 4 and 5 show an interbody cage assembly 27 in an exploded view that is defined by a cage 23 and an endplate 25. The cage 23 has a generally U-shaped (but may be different if desired) body 24 having an angled, beveled, or tapered distal end 32, a first leg 30 extending from a first side of the end 32, and a second leg 31 extending from a second side of the end 32, the nomenclature first and second being arbitrary. The first and second legs 30, 31 are spaced to receive the endplate 25. A spur or the like 38 extends between the first and second legs 30, 31 to define a cavity 48 between the end 32 and the spur 38. Serrations, teeth or the like (collectively, serrations) 34 are provided along an upper (superior) side of the first leg 30, the serrations 34 providing gripping against a lower (inferior) surface of an upper vertebral surface (not shown) when implanted. Serrations, teeth or the like (collectively, serrations) 35 are likewise provided along a lower (inferior) side of the first leg 30, the serrations 35 providing gripping against an upper (superior) surface of a lower vertebral surface (not shown) when implanted. Serrations, teeth or the like (collectively, serrations) 36 are provided along an upper (superior) side of the second leg 31, the serrations 35 providing gripping against a lower (inferior) surface of an upper vertebral surface (not shown) when implanted. Serrations, teeth or the like (collectively, serrations) 37 are likewise provided along a lower (inferior) side of the second leg 31, the serrations 37 providing gripping against an upper (superior) surface of a lower vertebral surface (not shown) when implanted.

[0028] A proximal end 40 of the first leg 30 terminates in an angle, slant or taper 46 and includes a bore 42 that extends from a lower portion of the outside surface thereof to a lower portion of the inside surface thereof. A proximal end 41 of the second leg 31 also terminates in an angle, slant or taper 44 and includes a bore 43 that extends from an upper portion of the outside surface thereof to an upper portion of the inside surface thereof. Each bore 42, 43 is sized to receive a pin or the like 28. The pins 28 retain the endplate 25 onto the first and second ends 40, 41 of the cage body 24 as explained below.

[0029] The inside of the angle 44 of the end 41 of the second leg 31 is configured to receive and retain the endplate 25 and, particularly, a side of the endplate 25 as described below. As best seen in FIG. 4, the angle 44 has a slot 45 that extends the length of the angle 44 and cuts into the end 41 a depth towards the distal end 32. While not seen, the inside of the angle 46 of the end 40 of the first leg 30 has the same configuration as the inside of the angle 44 of the end 41 of the second leg 31.

[0030] The endplate 25 is defined by a body 26 having a generally rectangular cuboid shape. The body 25 has a first boss 52 on a first side of the front (proximal) side thereof, the first boss 52 having a first bore 53 that extends from the front to a rear (distal) side of the body 26. The first bore 53 projects generally upward from the front to the rear side of the body. As best seen in FIG. 5, rearward of the first bore 53 is a surface 57 that slants upwardly. The first bore 53 and surface 57 cooperate to bend a flexible barb 10 upwardly when inserted into and through the first bore 53 (see FIGS. 8-10). The body 25 has a second boss 54 on a second side of the front (proximal) side thereof, the second boss 54 having a second bore 55 that extends from the front to a rear (distal) side of the body 26. The second bore 55 projects generally downward from the front to the rear side of the body. While not seen in the figures, rearward of the second bore 55 is a surface that slants downwardly (in like manner to the slanted surface 57 but in the opposite direction). The second bore 55 and surface cooperate to bend a flexible barb 10 downwardly when inserted into and through the first bore 53 (see FIGS. 9-10). It should be appreciated that the nomenclature first and second is arbitrary. Moreover, the slant of the first and second bores (and rearward slanting surface) may be reversed, or the body 26 itself may be reversed to that which is shown in the figures. Additionally, the endplate 25 may have more bores that slant a flexible barb into other or the same directions. As best seen in FIG. 10, the endplate 25 also has a central bore 56 that accepts an insertion tool (not shown).

[0031] The rear or distal portion of the body 26 has serrations, teeth or the like 50 on an upper (superior) surface thereof that provide gripping against the lower (inferior) surface of the upper vertebra, and serrations, teeth or the like 51 on a lower (inferior) surface thereof that provide gripping against the upper (superior) surface of the lower vertebra when implanted. The rear or distal portion of the body 26 also is configured for reception by and/or on the first and second legs 30, 31. Particularly, and as best seen in FIG. 5, a first rear side of the body 26 has a slanted surface 58 that corresponds in angle to the slant 46 of the end 40 of the first leg 30. A ridge 59 projects from the slanted surface 58 that is configured for reception in the slot (not seen) in the slant 46 of the end 40. A bore 62 is also provided in the slanted surface 58 below the ridge 59 that aligns with the bore 42 of the first leg 30. The bore 62 is sized to receive a pin 28. A second rear side of the body 26 has a slanted surface 60 that corresponds in angle to the slant 44 of the end 41 of the second leg 31. A ridge 61 projects from the slanted surface 60 that is configured for reception in the slot 45 in the slant 44 of the end 41. A bore 63 is also provided in the slanted surface 60 above the ridge 61 that aligns with the bore 43 of the second leg 31. The bore 63 is sized to receive a pin 28. Again, the nomenclature first and second is arbitrary.

[0032] FIG. 6 shows the cage assembly 27—i.e. the endplate received onto the cage, with pins installed. With the endplate received onto the legs, a second cavity 49 is defined between the transverse spur 38 and the rear of the endplate. FIG. 7 shows the cage assembly 27 with a flexible barb 10 ready for insertion into the first bore 53 of the endplate. FIG. 8 shows the flexible barb 10 received in the first bore of the endplate and bent or flexed upwardly (in the superior direction) by the configuration of the endplate as described above. FIGS. 9 and 10 show an assembled interbody cage implant 100 with a flexible barb 10 received in the first and second bores of the endplate, with the flexible barb 10 of the first bore bent or flexed upwardly (in the superior direction) by the configuration of the endplate and the flexible barb 10 of the second bore bent or flexed downwardly (in the inferior direction) by the configuration of the endplate as described above.

[0033] It should be appreciated that dimensions of the components, structures, and/or features of the present interbody cage implant may be altered as desired within the scope of the present disclosure.