# US 10,369,009 B2 · Vertebral system, implant and inserts for vertebral system

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- Number: US 10,369,009 B2
- Document ID: US10369009B2
- Status: Granted
- Kind: B2
- Application number: 15/586,003
- Filed: 2017-05-03
- Published: 2017-11-23
- Granted: 2019-08-06
- Earliest claimed: 2016-05-03
- Assignees: LDR Medical
- Applicants: LDR Medical, S.A.S.
- Inventors: Florian Joly; Edouard Jouan; Alexis Mercier; Thierry Millard
- Web page: https://patentgrep.com/patent/US10369009B2

## CPC

- A61F 2/4465: {having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine}
- A61F 2/30734: {Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect}
- A61F 2/30771: {applied in original prostheses, e.g. holes or grooves}
- A61F 2/44: for the spine, e.g. vertebrae or spinal discs
- A61F 2/4455: {for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages (intervertebral discs A61F2/442)}
- A61F 2/28: Bones
- A61F 2002/2835: {Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material}
- A61F 2002/30011: {differing in porosity}
- A61F 2002/30148: {lozenge- or diamond-shaped}
- A61F 2002/30331: {made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit}
- A61F 2002/30383: {made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove}
- A61F 2002/30481: {using a locking clip}
- A61F 2002/30579: {with mechanically expandable devices, e.g. fixation devices}
- A61F 2002/30593: {hollow}
- A61F 2002/30604: {modular}
- A61F 2002/30733: {Inserts placed into an endoprosthetic cavity, e.g. for modifying a material property}
- A61F 2002/30774: {internally-threaded}
- A61F 2002/30785: {parallel}
- A61F 2002/30787: {inclined obliquely with respect to each other}
- A61F 2002/30828: {parallel}
- A61F 2002/30841: {Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes}
- A61F 2002/30879: {Ribs}
- A61F 2002/30904: {serrated profile, i.e. saw-toothed}
- A61F 2002/30909: {Nets}
- A61F 2002/30911: {having a honeycomb structure}
- A61F 2002/3092: {having an open-celled or open-pored structure}
- A61F 2002/3093: {for promoting ingrowth of bone tissue}
- A61F 2002/30985: {using three dimensional printing [3DP]}
- A61F 2002/4495: {having a fabric structure, e.g. made from wires or fibres}
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)

## Abstract

The present invention relates to a vertebral system comprising a vertebral implant (2) and a plurality of inserts, said implant being designed to be implanted in a vertebral segment composed of at least two vertebrae and including a body (20) the walls whereof delimit a cavity (23) leading to the outside of the body (20) through at least one opening in at least one of said walls, at least one passage (21) passing through the implant (2) from the periphery to an upper or lower surface to receive a bone-anchoring device (1) capable of anchoring the implant (2) in at least one of said vertebrae, the system being characterized in that it includes at least two inserts selected from among the following inserts: at least one graft insert (3, 3A, 3B, 4, 5A, 5B, 6A, 6B, 6C, 6D, 202, 250) capable of being colonized by bone tissue and/or receiving at least one bone tissue graft and/or at least one substitute; and/or at least one bone-anchoring insert (210) comprising said passage (21) capable of receiving said bone-anchoring device (1).

## Claims

### Claim 1

An implant configured for placement between adjacent vertebrae, the implant comprising:
a body comprising:
first and second vertebral contact surfaces disposed on opposite sides of the body, and
a wall defining a cavity extending from a first opening on the first vertebral contact surface to a second opening on the second vertebral contact surface; and
a first screen filling the first opening and configured for placement along the first vertebral contact surface, the first screen including a first locking element affixed to, and extending away from a surface configured to be internal to the implant;
a second screen filling the second opening and configured for placement along the second vertebral contact surface, the second screen including a second locking element affixed to, and extending away from, a surface configured to be internal to the implant; and
a reinforcement configured to receive the first locking element and the second locking element in an engaged position in which the first screen and the second screen are fixed together with the first screen filling the first opening and the second screen filling the second opening.

### Claim 2 (depends on 1)

The implant of claim 1, wherein at least the first screen and the second screen are manufactured using an additive manufacturing technique.

### Claim 3 (depends on 1)

The implant of claim 1, wherein the body includes an anterior side, a posterior side, a lateral side, and a medial side defined by portions of the wall.

### Claim 4 (depends on 3)

The implant of claim 3, wherein the lateral side and the medial side include a third cavity and a fourth cavity, respectively, wherein the third cavity and the fourth cavity are adapted to receive bone graft or a bone graft insert.

### Claim 5 (depends on 3)

The implant of claim 3, wherein the posterior side includes a passage to receive a bone anchor, the passage disposed through a portion of the wall.

### Claim 6 (depends on 1)

The implant of claim 1, wherein the first screen and the second screen are mesh inserts configured to receive bone graft or bone graft substitute.

### Claim 7 (depends on 6)

The implant of claim 6, wherein the first screen and the second screen are composed of a network of interconnected elements.

### Claim 8 (depends on 7)

The implant of claim 7, wherein the network of interconnected elements form a plurality of cavities in each of the first screen and the second screen which at least partially align vertically to improve bone growth and postoperative visualization.

### Claim 9 (depends on 1)

The implant of claim 1, wherein the reinforcement structure disposed within the cavity connects at least two portions of the wall.

### Claim 10 (depends on 9)

The implant of claim 9, wherein the first locking element and the second locking element engage the reinforcement structure utilizing a clip or hook structure to fix the first screen and the second screen respectively.

### Claim 11

An implant configured for placement between adjacent vertebrae, the implant comprising:
a body including an anterior side, a posterior side, a lateral side, and a medial side, body further comprising:
a superior surface and an inferior surface, wherein the superior surface and the inferior surface are adapted to receive vertebral contact surfaces upon implantation,
a wall defining the anterior side, posterior side, lateral side and medial side, the wall forming a cavity extending from a first opening on the superior side to a second opening on the inferior side,
a third opening extending through a portion of the wall along the lateral side, and
a fourth opening extending through a portion of the wall along a medial side, wherein the third opening and the fourth opening are sized to receive bone graft material; and
a first lattice portion filling the first opening and configured to engage a first vertebral contact surface, the first lattice portion including a first locking element affixed to an inferior side of the first lattice portion and extending inferiorly into the body; and
a second lattice portion filling the second opening and configured to engage a second vertebral contact surface, the second lattice portion including a second locking element affixed to a superior side of the second lattice portion and extending superiorly into the body.

### Claim 12 (depends on 11)

The implant of claim 11, wherein at least the first lattice portion and the second lattice portion are manufactured using an additive manufacturing technique.

### Claim 13 (depends on 11)

The implant of claim 11, further comprising:
a third lattice portion filling the third opening; and
a fourth lattice portion filling the fourth opening.

### Claim 14 (depends on 11)

The implant of claim 11, wherein the posterior side includes a passage to receive a bone anchor, the passage disposed through a portion of the wall.

### Claim 15 (depends on 11)

The implant of claim 11, wherein the first lattice portion and the second lattice portion are modular inserts adapted for assembly into the body.

### Claim 16 (depends on 15)

The implant of claim 15, wherein the first lattice portion and the second lattice portion are retained within the body by a retainer structure, wherein the retainer structure includes the first locking element and the second locking element.

### Claim 17 (depends on 16)

The implant of claim 16, wherein the body includes a reinforcement structure disposed within the cavity and connecting at least two portions of the wall.

### Claim 18 (depends on 17)

The implant of claim 17, wherein the retainer structure engages the reinforcement structure to fix the first lattice portion and the second lattice portion within the body.

### Claim 19 (depends on 18)

The implant of claim 18, wherein the retainer structure receives the first locking element disposed on an inferior side of the first lattice portion and the second locking element disposed on a superior side of the second lattice portion.

### Claim 20 (depends on 11)

The implant of claim 11, wherein the first lattice portion and the second lattice portion are composed of a network of interconnected elements that form a plurality of cavities in each of the first lattice portion and the second lattice portion, wherein the plurality of cavities at least partially align vertically to improve bone growth and postoperative visualization.