# US 10,478,310 B2 · Vertebral implant, device for vertebral attachment of the implant and instrumentation for implantation thereof

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- Number: US 10,478,310 B2
- Document ID: US10478310B2
- Status: Granted
- Kind: B2
- Application number: 14/638,746
- Filed: 2015-03-04
- Published: 2015-11-12
- Granted: 2019-11-19
- Earliest claimed: 2014-05-06
- Assignees: LDR Medical
- Applicants: LDR Medical
- Inventors: Marc Ameil; Daniel D. Lee; Paul Henry Cho
- Web page: https://patentgrep.com/patent/US10478310B2

## CPC

- A61F 2/4425: {made of articulated components}
- A61B 17/86: Pins or screws {or threaded wires; nuts therefor (A61B17/72 take precedence)}
- A61B 17/8872: {Instruments for putting said fixation devices against or away from the bone (A61B17/7074, A61B17/808 take precedence)}
- A61F 2/44: for the spine, e.g. vertebrae or spinal discs
- A61F 2/442: {Intervertebral or spinal discs, e.g. resilient (non-disc-shaped intervertebral inflatable pockets A61F2/441; non-disc-shaped intervertebral fusion implants A61F2/4455)}
- 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 2/4465: {having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine}
- A61F 2/447: {substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section}
- A61F 2/4611: {of spinal prostheses}
- A61F 2/4637: {for connecting or disconnecting two parts of a prosthesis}
- A61F 2/4603: {for insertion or extraction of endoprosthetic joints or of accessories thereof}
- A61F 2002/30387: {Dovetail connection}
- A61F 2002/30481: {using a locking clip}
- A61F 2002/30505: {spring biased}
- A61F 2002/30579: {with mechanically expandable devices, e.g. fixation devices}
- A61F 2002/30593: {hollow}
- A61F 2002/30604: {modular}
- A61F 2002/30841: {Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes}
- A61F 2002/448: {comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants}
- A61F 2002/4629: {connected to the endoprosthesis or implant via a threaded connection}
- A61F 2220/0016: with sharp anchoring protrusions, e.g. barbs, pins, spikes
- 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)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

This disclosure provides various vertebral implants, devices for attaching a vertebral implant and implantation instrumentations. In some embodiments, the implant includes a first body and a second body, each having a face with shapes and dimensions mating that of the other body and forming mutual fitting means, thus allowing assembly of the bodies by sliding along a sliding axis. In some embodiments, a locking means is retained in one of the bodies and an abutment portion may move from an open position allowing sliding for the assembling of the bodies to a closed position locking the bodies in assembly by the contact between the abutment portion, by contact with an abutment of the other body, the abutment being oriented angularly to the sliding axis and the abutment portion passing from the open position to the closed position elastically by flexure or torsion.

## Claims

### Claim 1

A spinal segment replacement implant having a vertical axis and comprising:
a first body having a spinal segment face configured compatibly with a first surface of a spinal segment;
a second body;
a third body having a spinal segment face configured compatibly with a second surface of a spinal segment;
a second body contact face disposed on the first body;
a second body contact face disposed on the third body;
a first body contact face disposed on the second body and configured to fit compatibly with the second body contact face disposed on the first body;
a third body contact face disposed on the second body and configured to fit compatibly with the second body contact face disposed on the third body;
a first abutment oriented obliquely to the sliding axis and disposed on one of the first body or the second body, and a first lock disposed with the other of the first body or the second body, the first lock comprising a first abutment engagement portion and an elastic portion articulating the first abutment engagement portion between an open position configured to permit sliding assembly of the first body with the second body along the sliding axis and a closed position configured to retain the first body in assembly with the second body;
a second abutment oriented obliquely to the sliding axis and disposed on one of the second body or the third body, and a second lock disposed with the other of the second body or the third body, the second lock comprising a second abutment engagement portion and an elastic portion articulating the second abutment engagement portion between an open position configured to permit sliding assembly of the second body with the third body along the sliding axis and a closed position configured to retain the second body in assembly with the third body;
interfitting retainers disposed along the first body contact face and the second body contact face disposed on the first body and configured for sliding assembly of the first body with the second body along a sliding axis oblique to the vertical axis and extending from a trailing end of the sliding axis to an insertion end of the sliding axis, and interfitting retainers disposed along the third body contact face and the second body contact face disposed on the third body and configured for sliding assembly of the second body with the third body along the sliding axis, the interfitting retainers comprising mating abutment faces configured to limit sliding of the second body along the sliding axis in the direction of the insertion end of the sliding axis;
an anchor comprising a penetration end configured for penetration of the first surface of a spinal segment, a driving end configured for impacting the anchor into the first surface of a spinal segment, a longitudinal axis extending between the penetration end and the driving end, and an anchor abutment disposed between the penetration end and the driving end and oriented angularly to the longitudinal axis;
an access surface on the first body at the trailing end of the sliding axis;
a passage extending from the access surface to the spinal segment face disposed on the first body, the passage defining an insertion access for the anchor; and
an anchor lock comprising
an anchor abutment engagement portion disposable along the passage and orientable angularly to the insertion axis, the anchor abutment engagement portion configured to operatively mate with the anchor abutment, and
a flexible portion having a resting position defining a first anchor abutment engagement portion position in which the anchor abutment engagement portion is extendable into the passage and engagable with the anchor abutment, and a second anchor abutment engagement portion position in which the anchor abutment engagement portion is retracted from the passage to permit passage of the anchor through the passage past the lock.

### Claim 2 (depends on 1)

The implant of claim 1 comprising an insertion stop disposed along the trailing end of the anchor and configured to limit insertion of the anchor through the passage.

### Claim 3 (depends on 1)

The implant of claim 1 comprising a access points in the implant configured to provide selectable access to the first lock, the second lock, and the anchor lock for release.