INTERVERTEBRAL DEVICES

Abstract

An intervertebral fusion device 10 is disclosed. The intervertebral fusion device 10 comprises at least one endplate 40, 70 and a core component 20. The at least one endplate 40, 70 is configured to be received in an intervertebral space between first and second vertebrae. Each at least one endplate 40, 70 comprises first and second endplate parts which are coupled to each other to allow the first and second endplate parts to move apart to thereby increase a perimeter of the endplate. The core component 20 is configured to inter-engage with each at least one endplate 40, 70. The core component 20 is unitary. As the core component 20 is progressively brought into inter-engagement with the at least one endplate 40, 70, the core component bears against the first and second endplate parts to push the first and second endplate parts progressively apart.

Claims

1. An intervertebral fusion device comprising: at least one endplate configured to be received in an intervertebral space between first and second vertebrae, each at least one endplate comprising first and second endplate parts which are coupled to each other to allow the first and second endplate parts to move apart to thereby increase a perimeter of the endplate; and a core component configured to inter-engage with each at least one endplate, wherein the core component is unitary, and as the core component is progressively brought into inter-engagement with the at least one endplate, the core component bears against the first and second endplate parts to push the first and second endplate parts progressively apart.

2. The intervertebral fusion device according to claim 1, wherein the core component comprises a core component formation, which bears against the first and second endplate parts to push the first and second endplate parts progressively apart during progressive inter-engagement of the core component with the at least one endplate.

3. The intervertebral fusion device according to claim 2, wherein the first endplate part defines a first endplate part formation and the second endplate part defines a second endplate part formation, the core component formation bearing against the first and second endplate part formations simultaneously to push the first and second endplate parts apart during progressive inter-engagement of the core component with the at least one endplate.

4. The intervertebral fusion device according to claim 3, wherein the first and second endplate part formations oppose each other and are spaced apart from each other, and a size of a gap between the first and second endplate part formations decreases progressively in a direction in which the core component is brought into inter-engagement with the at least one endplate.

5. The intervertebral fusion device according to claim 3, wherein the core component formation and the first and second endplate part formations are shaped and relatively disposed for sliding movement of the core component formation relative to the first and second endplate part formations while the core component formation inter-engages with the first and second endplate part formations.

6. The intervertebral fusion device according to claim 1, wherein each at least one endplate comprises an expandable structure which mechanically couples the first and second parts, and wherein the expandable structure is biased to draw the first and second parts together whereby each at least one endplate is biased towards a contracted condition.

7. The intervertebral fusion device according to claim 6, wherein the expandable structure comprises first and second sprung members which each couple the first and second parts, and wherein the first and second sprung members are spaced apart along a direction in which the core component is brought into inter-engagement with the at least one endplate.

8. The intervertebral fusion device according to claim 7, wherein the expandable structure is integral with the first and second parts.

9. The intervertebral fusion device according to claim 2, wherein the core component has a length from a first end of the core component to a second end of the core component opposite to the first end, the first end engaging with the at least one endplate before the second end when the core component is brought into inter-engagement with the at least one endplate, the core component formation extending from the first end no more than 10% along the length of the core component.

10. The intervertebral fusion device according to claim 9, wherein the first endplate part defines a first endplate part formation and the second endplate part defines a second endplate part formation, the core component formation defines first and second keyways which extend along the length of the core component and which face in opposite directions, the first and second keyways slidably receiving the first and second endplate part formations.

11. The intervertebral fusion device according to claim 9, wherein the core component further comprises an inter-engaging formation extending along the length of the core component generally in line with the core component formation, and wherein there is a gap between the inter-engaging formation and the core component formation.

12. The intervertebral fusion device according to claim 11, wherein the inter-engaging formation extends to the second end of the core component.

13. The intervertebral fusion device according to claim 11, wherein the first endplate part defines a first endplate part formation and the second endplate part defines a second endplate part formation, wherein the core component formation defines first and second keyways which extend along the length of the core component and which face in opposite directions, the first and second keyways slidably receiving the first and second endplate part formations, wherein the inter-engaging formation defines first and second keyways with each of the first and second keyways extending along the length of the core component, the first and second keyways facing in generally opposite directions, and wherein the first and second keyways of the inter-engaging formation are respectively in registration with the first and second keyways of the core component formation.

14. The intervertebral fusion device according to claim 13, wherein spacing between the first and second keyways of the inter-engaging formation increases progressively from an end of the inter-engaging formation closer to the core component formation to the opposite end of the inter-engaging formation.

15. The intervertebral fusion device according to claim 13, wherein each of the first and second endplate part formations defines a slot with the thus defined slots in registration with each other and near an end of the endplate opposite the end of the endplate first receiving the core component, and wherein each slot is shaped to receive a respective one of opposite sides of the core component formation.

16. The intervertebral fusion device according to claim 1 which is a lateral intervertebral fusion device, wherein the core component has the form of a wedge, and cooperating profiles of the core component and the at least one endplate provide for slidable inter-engagement of the core component with the at least one endplate in a direction substantially orthogonal to the direction of a taper defined by the wedge.

17. The intervertebral fusion device according to claim 1 which is an anterior lumbar interbody fusion (ALIF) device, wherein the core component has the form of a wedge, and cooperating profiles of the core component and the at least one endplate provide for slidable inter-engagement of the core component with the at least one endplate in substantially the same direction as the direction of a taper defined by the wedge.

18. The intervertebral fusion device according to claim 1 which is an oblique lumbar interbody fusion (OLIF) device, wherein the core component has the form of a wedge, and cooperating profiles of the core component and the at least one endplate provide for slidable insertion of the core component with the at least one endplate in a direction oblique to the direction of a taper defined by the wedge.

19. The intervertebral fusion device according to claim 1, wherein the at least one endplate comprises a superior endplate and an inferior endplate, the core component is configured to inter-engage with the superior and inferior endplates, and the core component bears against the first and second endplate parts of each of the superior and inferior endplates to push the first and second endplate parts progressively apart as the core component is progressively inserted between the superior and inferior endplates.

20. The intervertebral fusion device according to claim 19, wherein the superior and inferior endplates are unattached to each other before the core component is inserted between the superior and inferior endplates.

21. An intervertebral fusion device comprising: at least one endplate configured to be received in an intervertebral space between first and second vertebrae, each at least one endplate comprising first and second endplate parts which are coupled to each other to allow the first and second endplate parts to move apart to thereby increase a perimeter of the endplate; and a core component configured to inter-engage with each at least one endplate, wherein as the core component is progressively brought into inter-engagement with the at least one endplate, the core component bears against the first and second endplate parts to push the first and second endplate parts progressively apart, the core component comprises a core component formation, the first endplate part defines a first endplate part formation and the second endplate part defines a second endplate part formation, the core component formation bearing against the first and second endplate part formations simultaneously to push the first and second endplate parts apart during progressive inter-engagement of the core component with the at least one endplate, and the first and second endplate part formations oppose each other and are spaced apart from each other, and a size of a gap between the first and second endplate part formations decreases progressively in a direction in which the core component is brought into inter-engagement with the at least one endplate.

22. An intervertebral fusion device comprising: a superior endplate configured to be received in an intervertebral space between first and second vertebrae; an inferior endplate configured to be received in the intervertebral space; and a unitary core component configured for insertion between the superior and inferior endplates whereby separation between the superior and inferior endplates is determined, the core component inter-engaging with each of the superior and inferior endplates during insertion, wherein at least one of the superior and inferior endplates comprises first and second endplate parts which are coupled to each other to allow the first and second endplate parts to move apart to thereby increase a perimeter of the endplate, and as the core component is progressively inserted between the superior and inferior endplates, the core component bears against the first and second endplate parts to push the first and second endplate parts progressively apart.

23. The intervertebral fusion device according to claim 22, wherein the superior and inferior endplates are unattached to each other before the core component is inserted between the superior and inferior endplates.

Description

BRIEF DESCRIPTION OF DRAWINGS

[0064] Further features and advantages of the present invention will become apparent from the following specific description, which is given by way of example only and with reference to the accompanying drawings, in which:

[0065] FIG. 1A is a perspective view of a first embodiment of intervertebral fusion device when fully assembled;

[0066] FIG. 1B is a perspective view of the first embodiment before the core component is inserted between the superior and inferior components;

[0067] FIG. 2A is a plan view of the inferior component of the first embodiment;

[0068] FIG. 2B is an end view of the inferior component of the first embodiment;

[0069] FIG. 2C is a section through the inferior component shown in FIG. 2A;

[0070] FIG. 2D is a plan view of the superior component of the first embodiment;

[0071] FIG. 3A is a perspective view of the core component of the first embodiment;

[0072] FIG. 3B is an end view of the core component of the first embodiment;

[0073] FIG. 4A is a perspective view of a second embodiment of intervertebral fusion device when fully assembled;

[0074] FIG. 4B is a perspective view of the inferior component of the second embodiment;

[0075] FIG. 4C is a perspective view of the core component of the second embodiment;

[0076] FIG. 5A is a perspective view of a third embodiment of intervertebral fusion device when fully assembled;

[0077] FIG. 5B is a perspective view of the inferior component of the third embodiment; and

[0078] FIG. 5C is an end view of the core component of the third embodiment.

DESCRIPTION OF EMBODIMENTS

[0079] A first embodiment of intervertebral fusion device 10 is shown in FIG. 1A when fully assembled and installed in an intervertebral space of a patient. The first embodiment of intervertebral fusion device 10 is a lateral intervertebral fusion device. A lateral intervertebral fusion device is introduced to the intervertebral space laterally of the patient. The lateral intervertebral fusion device 10 comprises a core component 20, an inferior component 40 and a superior component 70.

[0080] Each of the superior component 70 and the inferior component 40 is generally of the form of a plate, albeit a plate having structures thereon and apertures through the centre thereof. The core component 20 has the form of a frustum of a wedge. The lateral intervertebral fusion device 10 is assembled by putting the superior and inferior components 70, 40 into the intervertebral space and such that they have the disposition shown in FIG. 1B. The core component 20 is introduced to the patient's body and positioned relative to the superior and inferior components 70, 40 as shown in FIG. 1B. The core component 20 is then inserted between the superior and inferior components 70, 40 and such that the core component slidably inter-engages with the superior and inferior components, as is described further below. The superior and inferior components 70, 40 are held to the core component 20 by inter-engagement, with the core component determining the height of the lateral intervertebral fusion device 10 and the angle of the superior and inferior components relative to each other. Use of core components 20 of different thicknesses and/or different extents of tapering wedge and with the same superior component 70 and inferior component 40 provides for different heights and angles of lateral intervertebral fusion device 10.

[0081] Considering assembly of the lateral intervertebral fusion device 10 further the superior component 70 and the inferior component 40 are placed in the intervertebral space, as described above, with the disposition shown generally in FIG. 1B. The core component 20 is positioned relative to the superior and inferior components 70, 40 such that one of the tapering sides of the core component is foremost, as also shown in FIG. 1B, before the core component is progressively inserted in the lateral direction between the superior and inferior components until fully received between the superior and inferior components, as shown in FIG. 1A. When the lateral intervertebral fusion device 10 is assembled, the superior component top side abuts against a first vertebra defining the intervertebral space in part and the inferior component bottom side abuts against a second vertebra defining the intervertebral space in part. As can be seen from comparison of FIGS. 1A and 1B, each of the superior and inferior components 70, 40 is of greater extent in a direction orthogonal to the lateral direction in FIG. 1A than in FIG. 1B, i.e. each of the superior and inferior components is of greater extent in the posterior-anterior direction of the patient in FIG. 1A than in FIG. 1B.

[0082] Each of the superior and inferior components 70, 40 is therefore in a contracted condition in FIG. 1B and an expanded condition in FIG. 1A whereby a perimeter of each of the superior and inferior components increases when changing from the contracted condition to the expanded condition. When the superior and inferior components 70, 40 are in the contracted condition of FIG. 1B, they are narrower and therefore readily introduced to the intervertebral space. Insertion of the core component 20 between the thus introduced superior and inferior components 70, 40, as described above, changes each of the superior and inferior components from the contracted condition to the expanded condition. Cooperation of the core component 20 with the superior and inferior components 70, 40 for change from the contracted condition to the expanded condition upon insertion of the core component is described further below.

[0083] When the superior component 70 is in the expanded condition a perimeter of the superior component top side is increased and when the inferior component 40 is in the expanded condition a perimeter of the inferior component bottom side is increased. Having a superior component top side of increased perimeter and an inferior component bottom side of increased perimeter is advantageous. For example, the component top side and the inferior component bottom side provide for improved support of the adjacent vertebrae, spread loading over a wider area of the adjacent vertebrae and provide a greater extent of surface for bone graft formation.

[0084] The superior and inferior components 70, 40 will now be described further with reference to FIGS. 2A to 2C. The superior and inferior components 70, 40 are a mirror image of each other as described further below with reference to FIG. 2D and, therefore, FIGS. 2A to 2C show the inferior component 40 as representative of the form and function of the superior component 70. FIG. 2A is a plan view of the inferior component 40 looking towards the inferior component bottom side, FIG. 2B is an end view of the inferior component, and FIG. 2C is a section in the lateral direction through the inferior component as shown in FIG. 2A.

[0085] The inferior component 40 is integrally formed from a metal or a plastics material. The inferior component 40 has an inferior component bottom side 44, an inferior component top side 42, a first lateral side 46 and a second lateral side 48. Furthermore, the inferior component 40 has a first inferior part 50 and a second inferior part 52 which are coupled to each other to allow the first and second inferior parts to move apart and together and thereby change between the contracted and expanded conditions described above.

[0086] The first inferior part 50 defines a first inferior part formation 54 and the second inferior part 52 defines a second inferior part formation 56. The first and second inferior part formations 54, 56 oppose and are spaced apart from each other. Furthermore, a gap between the first and second inferior part formations 54, 56 decreases progressively in the direction of insertion of the core component 20 between the superior and inferior components. The gap is at its widest at the first lateral side 46 at which the core component is first received upon insertion of the core component. As described further below, the core component 20 bears against the first and inferior part formations 54, 56 to push the first and second inferior parts 50, 52 apart during insertion of the core component. Considering this further, the core component 20 bears against the first and second inferior part formations 54, 56 to progressively push apart the first and second inferior parts as the core component moves on account of the decreasing gap between the first and second inferior part formations.

[0087] The inferior component 40 further comprises an expandable structure which mechanically couples the first and second inferior parts 50, 52. The expandable structure defines part of the vertebral facing surface defined by the inferior component bottom side 44. The expandable structure comprises a first sprung member 58 and a second sprung member 60 which each mechanically couple the first and second parts to each other. The first and second sprung members 58, 60 are spaced apart along a direction of insertion of the core component between the superior and inferior components. Each of the first and second sprung members 58, 60 has the form of a loop which lies in a plane substantially parallel to a plane in which the first and second inferior part formations 54, 56 lie. Each of the first and second sprung members 58, 60 is biased by way of the material of which it is formed and its shape to draw the first and second inferior parts 50, 52 together whereby the inferior component 40 is biased towards the contracted condition. Further to this, the inferior component 40 comprises two apertures 62 extending therethrough between the inferior component bottom side 44 and the inferior component top side 42. The apertures 62 provide for distribution of bone graft material and, more specifically, for passage for bone graft material so it can engage with the adjacent vertebra.

[0088] As described above, the tapering gap between the first and second inferior part formations 54, 56 is at its widest at the first lateral side 46. The gap is therefore at its narrowest towards the second lateral side 48. Beyond the end of the taper and closer to the second lateral side 48, each of the first and second inferior part formations 54, 56 defines a slot 64 with the thus defined slots in registration. Each slot 64 extends in a direction of separation of the first and second inferior parts 50, 52. The gap therefore increases markedly at the slots. As described further below, each slot 64 is shaped to receive a respective one of opposite sides of a core component inferior formation of the core component 20.

[0089] The superior component 70 is structured as described above with reference to FIGS. 2A to 2C except as will now be described with reference to FIG. 2D. FIG. 2D is a plan view of the superior component 70 viewed from the superior component top side which abuts against the adjacent vertebra. As can be seen from comparison of the plan view of the inferior component 40 in FIG. 2A and the plan view of the superior component 70 in FIG. 2D, the inferior and superior components 40, 70 are mirror images of each other about a plane bisecting the inferior and superior components in the lateral direction, i.e. in the direction of insertion of the core component between the inferior and superior components. Otherwise, the structure and features of the inferior and superior components 40, 70 are the same as described above with reference to FIGS. 2A to 2C but with the parts identified above in respect of the inferior component 40 identified in respect of the superior component 70. Therefore, and by way of example, the superior component has first 72 and second 74 superior parts instead of first and second inferior parts 50, 52, and first 76 and second 78 superior part formations instead of first and second inferior part formations 54, 56.

[0090] The core component 20 will now be described with reference to FIGS. 3A and 3B. FIG. 3A is a perspective view of the core component 20 and FIG. 3B is an end view of the core component. The core component 20 is integrally formed from a metal or a plastics material. As can be seen from FIGS. 3A and 3B, an upper side 22 and a lower side 24 of the core component are inclined to each other whereby the core component has the form of a frustum of a wedge. An inclination of the inferior and superior components 40, 70 relative to each other is thus determined by way of the core component further to a separation between the inferior and superior components. In view of the intervertebral fusion device being a lateral intervertebral fusion device, the core component 20 is inserted between the inferior and superior components 40, 70 such that the inclination of the wedge is in a direction substantially orthogonal to the direction of insertion of the core component.

[0091] The core component 20 comprises a core component superior formation 26, a core component inferior formation 28, a superior inter-engaging formation 30 and an inferior inter-engaging formation 32. The core component superior formation 26 and the superior inter-engaging formation 30 protrude from the upper side 22 of the core component and the core component inferior formation 28 and the inferior inter-engaging formation 32 protrude from the lower side 24 of the core component. Each of the core component superior formation 26 and the core component inferior formation 28 is located at a side of the core component 20 which is received first between the superior and inferior components 70, 40 and extends 10% along the length of the core component, i.e. against the direction of insertion. There is then a gap before each of the superior inter-engaging formation 30 and the inferior inter-engaging formation 32 starts with each of the superior and inferior inter-engaging formations extending to a side of the core component opposite the side where the core component superior formation and the core component inferior formation are located. The superior inter-engaging formation 30 extends along the core component generally in line with the core component superior formation 26. Similarly, the inferior inter-engaging formation 32 extends along the core component generally in line with the core component inferior formation 28.

[0092] Each of the core component superior formation 26 and the core component inferior formation 28 defines first and second keyways that each extend along the length of core component. The first and second keyways face in opposite directions such that directions of facing of the first and second keyways are substantially orthogonal to a direction of insertion of the core component between the superior and inferior components. Each of the superior inter-engaging formation 30 and the inferior inter-engaging formation 32 defines first and second keyways that each extend along the length of the core component. The first and second keyways of the inter-engaging formations 30, 32 face in generally opposite directions such that directions of facing of the first and second keyways are generally orthogonal to a direction of insertion of the core component between the superior and inferior components.

[0093] The first and second keyways of the superior inter-engaging formation 30 are in registration with the first and second keyways of the core component superior formation 26. Also, the first and second keyways of the inferior inter-engaging formation 32 are in registration with the first and second keyways of the core component inferior formation 28. The first and second keyways of each of the superior inter-engaging formation 30 and the inferior inter-engaging formation 32 are closer to each other at a first end of the inter-engaging formation closer to the respective one of the core component superior formation and the core component inferior formation than a second, opposite end of the inter-engaging formation. Furthermore, spacing between the first and second keyways increases progressively from the first end to the second end whereby the first and second keys define a taper. The taper defined by the first and second keyways of each inter-engaging formation 30, 32 corresponds to the taper defined respectively by the gap between the first and second superior part formations 76, 78 and by the gap between the first and second inferior part formations 54, 56.

[0094] The first and second keyways of the core component superior formation 26 are shaped to slidably receive the first and second superior part formations 76, 78 respectively upon initial insertion of the core component to thereby provide for inter-engagement of core component and superior component. Slidable reception of the first and second superior part formations 76, 78 in the first and second keyways presents resistance to movement apart of core component 20 and superior component 70 in a direction of separation of the superior and inferior components. Likewise, the first and second keyways of the core component inferior formation 28 are shaped to slidably receive the first and second inferior part formations 54, 56 respectively upon initial insertion of the core component to thereby provide for inter-engagement of core component 20 and inferior component 40. Slidable reception of the first and second inferior part formations 54, 56 in the first and second keyways presents resistance to movement apart of core component 20 and inferior component 40 in a direction of separation of the superior and inferior components.

[0095] Upon further insertion of the core component 20, the core component superior formation 26 bears against the first and second superior part formations 76, 78 and slides along them to push the first and second superior parts 72, 74 progressively apart. Likewise, the core component inferior formation 28 simultaneously bears against the first and second inferior part formations 54, 56 and slides along them to push the first and second inferior parts 50, 52 progressively apart.

[0096] When the core component 20 is nearing full insertion between the superior and inferior components 70, 40, the core component inferior formation 28 reaches the opposed slots 64 in the inferior component 40 and simultaneously the core component superior formation 26 reaches the opposed slots in the superior component 70. Oppositely directed sides of the core component inferior formation 28 are then received in the opposed slots 64 in the inferior component 40 and simultaneously oppositely directed sides of the core component superior formation 26 are received in the opposed slots in the superior component 70. The inferior and superior formations 28, 26 are pulled into their respective opposed slots by the spring bias exerted by the expandable structures described above whereby the first and second superior parts 72, 74 are pulled together and the first and second inferior parts 50, 52 are pulled together. Inter-engagement of the core component inferior formation 28 with opposed slots 64 and inter-engagement of the core component superior formation 26 with opposed slots presents resistance to ejection of the core component 20 from between the superior and inferior components 70, 40. Furthermore, the first and second superior part formations 76, 78 are received in the first and second keyways defined by the superior inter-engaging formation 30 and the first and second inferior part formations 54, 56 are received in the first and second keyways defined by the inferior inter-engaging formation 32. The core component 20 thus inter-engages with each of the superior and inferior components 70, 40 to present resistance to movement apart of core component, superior component and inferior component in a direction of separation of superior and inferior components.

[0097] Each of the superior and inferior components 70, 40 of the lateral intervertebral fusion device 10 has a range of length by width from 40 mm by 14 mm to 65 mm by 26 mm. Each of the superior and inferior components has a range of height from 1 mm to 4 mm. The core component 20 has a range of length by width from 40 mm by 14 mm to 65 mm by 22 mm. The core component has a range of height from 4 mm to 12 mm.

[0098] A perspective view of a second embodiment of intervertebral fusion device 110 is shown in FIG. 4A when fully assembled and installed in an intervertebral space of a patient. The second embodiment of intervertebral fusion device 110 is an anterior lumbar intervertebral fusion (ALIF) device. An ALIF device is introduced to the intervertebral space from the anterior direction of the patient. The ALIF device 110 comprises a core component 120, an inferior component 140 and a superior component 170. The form and function of the ALIF device 110 are the same as the form and function of the lateral intervertebral fusion device 10 described above with exception of configuration for use in an anterior lumbar procedure instead of a lateral procedure. Orientation of features of the ALIF device 110 therefore differs from orientation of features of the lateral intervertebral fusion device 10 to reflect this change in direction of procedure.

[0099] A perspective view of the inferior component 140 of the ALIF device 110 is shown in FIG. 4B. The superior component 170 of the ALIF device 110 is identical to the inferior component 140 of the ALIF device 110 whereby there is no mirroring of superior and inferior components, as described above with reference to the lateral intervertebral fusion device 10. Considering the inferior component 140 further, the inferior component 140 comprises a first inferior component part 150 and a second inferior component part 152 which move apart and together to provide for expansion and contraction of the inferior component, as described above with reference to the lateral intervertebral fusion device 10. Likewise, the first inferior part 150 defines a first inferior part formation 154 and the second inferior part 152 defines a second inferior part formation 156. The first and second inferior part formations 154, 156 are spaced apart from and oppose each other. Although the first and second inferior part formations 154, 156 of the present embodiment are of different form to the first and second inferior part formations 54, 56 of the previous embodiment, they still cooperate with the core component to force the first and second inferior parts 150, 152 apart upon insertion of the core component 120.

[0100] The inferior component 140 also comprises an expandable structure. The expandable structure comprises a first sprung member 158 and a second sprung member 160 which each mechanically couple the first and second parts to each other. The first and second sprung members 158, 160 are spaced apart along a direction of insertion of the core component between the superior and inferior components. Each of the first and second sprung members 158, 160 has the form of a loop which lies in a plane substantially parallel to a plane in which the first and second inferior part formations 154, 156 lie. Each of the first and second sprung members 158, 160 is biased by way of the material of which it is formed and its shape to draw the first and second inferior parts 150, 152 together whereby the inferior component 140 is biased towards the contracted condition. The expandable structure of the present embodiment is therefore of corresponding form and function to the expandable structure of the previous embodiment.

[0101] A perspective view of the core component 120 of the ALIF device 110 is shown in FIG. 4C. In common with the previous embodiment, the core component 120 of the present embodiment is also wedge shaped but with profiles which cooperate with each of the superior component 170 and the inferior component 140 extending in the direction of the taper of the wedge instead of orthogonal to the direction of taper of the wedge. Considering the profiles further, the core component 120 comprise a first superior inter-engaging formation 130 and a second superior inter-engaging formation 131 which are towards the upper side of the core component and spaced apart from each other. Each of the first and second superior inter-engaging formations 130, 131 defines a keyway for receiving and slidably inter-engaging with a respective one of first and second superior part formations. The keyways defined by the first and second superior inter-engaging formations 130, 131 therefore face in opposite directions with each keyway extending in a direction of taper of the core component. As can be seen from FIG. 4C, each of the first and second superior inter-engaging formations 130, 131 defines a slot 132. Each of the first and second superior part formations defines a protrusion 162. When the core component 120 is fully inserted between the superior and inferior components 140, 170, each protrusion 162 is received in a respective slot 132 to thereby hold the core component in place. The core component 120 of the present embodiment thus differs from the core component 20 of the previous embodiment in respect of how the core is held in place when fully inserted. The core component 120 also comprises a first inferior inter-engaging formation and a second inferior inter-engaging formation which are towards the lower side of the core component and spaced apart from each other. The first and second inferior inter-engaging formations are of the same form and function as the first and second superior inter-engaging formations 130, 131 albeit with the exception of their cooperation with the superior component 170 or indeed with the inferior component 140 in view of the identical form of inferior and superior components.

[0102] Each of the superior and inferior components 170, 140 of the ALIF device has a range of length by width from 25 mm by 25 mm to 40 mm by 35 mm. Each of the superior and inferior components has a range of height from 1 mm to 4 mm. The core component 120 has a range of length by width from 25 mm by 25 mm to 35 mm by 35 mm. The core component has a range of height from 4 mm to 12 mm.

[0103] A perspective view of a third embodiment of intervertebral fusion device 210 is shown in FIG. 5A when fully assembled and installed in an intervertebral space of a patient. The third embodiment of intervertebral fusion device 210 is an oblique lumbar intervertebral fusion (OLIF) device. An OLIF device is introduced to the intervertebral space from the oblique direction of the patient. The OLIF device 210 comprises a core component 220, an inferior component 240 and a superior component 270. The form and function of the OLIF device 210 are the same as the form and function of the lateral intervertebral fusion device 10 described above with exception of configuration for use in an oblique lumbar procedure instead of a lateral procedure. Orientation of features of the OLIF device 210 therefore differs from orientation of features of the lateral intervertebral fusion device 10 to reflect this change in direction of procedure.

[0104] A perspective view of the inferior component 240 of the OLIF device 210 is shown in FIG. 5B. The superior component 270 of the OLIF device 210 is the same as the inferior component 240 of the OLIF device 110 subject to mirroring with respect to each other about a bisecting plane that extends in the oblique direction. Considering the inferior component 240 further, the inferior component 240 comprises a first inferior component part 250 and a second inferior component part 252 which move apart and together to provide for expansion and contraction of the inferior component, as described above with reference to the lateral intervertebral fusion device 10. Likewise, the first inferior part 250 defines a first inferior part formation 254 and the second inferior part 252 defines a second inferior part formation 256. The first and second inferior part formations 254, 256 are spaced apart from and oppose each other. Although the first and second inferior part formations 254, 256 of the present embodiment are of different form to the first and second inferior part formations 54, 56 of the previous embodiment, they still cooperate with the core component to force the first and second inferior parts 250, 252 apart upon insertion of the core component 220.

[0105] The inferior component 240 also comprises an expandable structure. The expandable structure comprises a first sprung member 258 and a second sprung member 260 which each mechanically couple the first and second parts to each other. The first and second sprung members 258, 260 are spaced apart along a direction of insertion of the core component between the superior and inferior components. Each of the first and second sprung members 258, 260 has the form of a loop which lies in a plane substantially parallel to a plane in which the first and second inferior part formations 254, 256 lie. Each of the first and second sprung members 258, 260 is biased by way of the material of which it is formed and its shape to draw the first and second inferior parts 250, 252 together whereby the inferior component 240 is biased towards the contracted condition. The expandable structure of the present embodiment is therefore of corresponding form and function to the expandable structure of the previous embodiments.

[0106] An end view of the core component 220 of the OLIF device 210 is shown in FIG. 5C. In common with the previous embodiments, the core component 220 of the present embodiment is wedge shaped but with profiles which cooperate with each of the superior component 270 and the inferior component 240 extending in a direction oblique to the direction of the taper of the wedge. Considering the profiles further, the core component 220 comprise a first superior inter-engaging formation 230 and a second superior inter-engaging formation 231 which are towards the upper side of the core component and spaced apart from each other. Each of the first and second superior inter-engaging formations 230, 231 defines a keyway for receiving and slidably inter-engaging with a respective one of first and second superior part formations. The keyways defined by the first and second superior inter-engaging formations 230, 231 therefore face in opposite directions with each keyway extending obliquely to a direction of taper of the core component. As per the second embodiment, the second superior inter-engaging formation 231 defines a slot. The second superior part formation defines a protrusion. When the core component 220 is fully inserted between the superior and inferior components 240, 270, the protrusion is received in the slot to thereby hold the core component in place. The core component 220 also comprises a first inferior inter-engaging formation 232 and a second inferior inter-engaging formation 233 which are towards the lower side of the core component and spaced apart from each other. Although the first and second inferior inter-engaging formations 232, 233 have differently shaped and located profiles to the first and second superior inter-engaging formations 230, 231, the first and second inferior inter-engaging formations slidably inter-engage with the inferior component 240 in the same fashion as for the superior component 270 to put the inferior component 240 in the expanded condition. When the core is fully inserted, the protrusion 262 of the inferior component is received in a slot in the core component to thereby hold the core component in place.

[0107] Each of the superior and inferior components 270, 240 of the OLIF device 210 has a range of length by width from 25 mm by 16 mm to 45 mm by 25 mm. Each of the superior and inferior components has a range of height from 1 mm to 4 mm. The core component 220 has a range of length by width from 25 mm by 16 mm to 45 mm by 20 mm. The core component has a range of height from 4 mm to 12 mm.