# US 11,026,813 B2 · Spinal implant system and method

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- Number: US 11,026,813 B2
- Document ID: US11026813B2
- Status: Granted
- Kind: B2
- Application number: 16/538,264
- Filed: 2019-08-12
- Published: 2019-11-28
- Granted: 2021-06-08
- Earliest claimed: 2015-03-19
- Assignees: Warsaw Orthopedic, Inc.
- Applicants: Warsaw Orthopedic, Inc.
- Inventors: Hai H. Trieu
- Web page: https://patentgrep.com/patent/US11026813B2

## CPC

- A61F 2/4637: {for connecting or disconnecting two parts of a prosthesis}
- A61F 2/30942: {for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques}
- 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 2/447: {substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section}
- A61F 2/4611: {of spinal prostheses}
- A61F 2002/30448: {using adhesives}
- A61F 2002/30481: {using a locking clip}
- A61F 2002/305: {Snap connection}
- A61F 2002/30593: {hollow}
- A61F 2002/30607: {Kits of prosthetic parts to be assembled in various combinations for forming different prostheses}
- A61F 2002/30616: {Sets comprising a plurality of prosthetic parts of different sizes or orientations}
- A61F 2002/30828: {parallel}
- A61F 2002/30904: {serrated profile, i.e. saw-toothed}
- A61F 2002/3092: {having an open-celled or open-pored structure}
- A61F 2002/30968: {Sintering}
- A61F 2002/3097: {using laser}
- A61F 2002/30971: {Laminates, i.e. layered products}
- A61F 2002/30973: {Two joined adjacent layers having complementary interlocking protrusions and recesses}
- A61F 2002/30985: {using three dimensional printing [3DP]}
- A61F 2220/0033: made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
- 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

A spinal implant system includes at least one interbody implant having a first member including a tissue engaging surface and at least one mating dement. A second member includes a tissue engaging surface and at least one mating element. An intermediate member includes at least one mating element. An intra-operative surgical tool is connectable with at least one of the members to engage adjacent mating elements and fix the intermediate member with at least one of the first member and the second member. Implants, surgical instruments and methods are disclosed.

## Claims

### Claim 1

A surgical system comprising:
an interbody implant comprising a substrate, a first endplate and a second endplate, the substrate comprising opposite top and bottom surfaces, the first endplate including a first surface configured to engage the top surface and an opposite second surface, the second endplate including a first surface configured to engage the bottom surface and an opposite second surface, the second surfaces each including teeth; and
a surgical tool including a first jaw and a second jaw, the first jaw comprising a first slot configured for disposal of a perimeter of the first endplate, the second jaw comprising a second slot configured for disposal of a perimeter of the second endplate, the first slot comprising grooves matching a configuration of the teeth of the second surface of the first endplate, the second slot comprising grooves matching a configuration of the teeth of the second surface of the second endplate.

### Claim 2 (depends on 1)

The surgical system recited in claim 1, wherein the first slot is configured for disposal of the entire perimeter of the first endplate.

### Claim 3 (depends on 1)

The surgical system recited in claim 1, wherein the first slot is configured for disposal of the entire perimeter of the first endplate and the second slot is configured for disposal of the entire perimeter of the second endplate.

### Claim 4 (depends on 1)

The surgical system recited in claim 1, wherein the first jaw is pivotable relative to the second jaw.

### Claim 5 (depends on 1)

The surgical system recited in claim 1, wherein the surgical tool comprises an actuator including the first jaw and the second jaw, the surgical tool comprising a handle, the handle being pivotable relative to the actuator to pivot the first jaw relative to the second jaw.

### Claim 6 (depends on 5)

The surgical system recited in claim 5, wherein a first pin extends through the first jaw and the second jaw such that the first jaw is pivotable relative to the second jaw about the first pin and a second pin extends through the handle and the actuator such that the handle is pivotable relative to the actuator about the second pin.

### Claim 7 (depends on 1)

The surgical system recited in claim 1, wherein the top surface includes a plurality of apertures and the first surface of the first endplate comprises a plurality of pins each configured for disposal in one of the plurality of apertures.

### Claim 8 (depends on 7)

The surgical system recited in claim 7, wherein the plurality of pins each include a barb, the barbs being larger than each of the plurality of apertures.

### Claim 9 (depends on 1)

The surgical system recited in claim 1, wherein:
the top surface includes a plurality of first apertures and the first surface of the first endplate comprises a plurality of first pins each configured for disposal in one of the plurality of first apertures; and
the bottom surface includes a plurality of second apertures and the first surface of the second endplate comprises a plurality of second pins each configured for disposal in one of the plurality of second apertures.

### Claim 10 (depends on 9)

The surgical system recited in claim 9, wherein the first pins are fixed to the first surface of the first endplate and the second pins are fixed to the first surface of the second endplate.

### Claim 11 (depends on 1)

The surgical system recited in claim 1, wherein the endplates each have a maximum length, the maximum length of the endplates being less than a maximum length of the substrate.

### Claim 12 (depends on 1)

The surgical system recited in claim 1, wherein the first slot extends into a first surface of the first jaw without extending through an opposite second surface of the first jaw and the second slot extends into a first surface of the second jaw without extending through an opposite second surface of the second jaw.

### Claim 13 (depends on 1)

The surgical system recited in claim 1, wherein the substrate is monolithic.

### Claim 14

A surgical system comprising:
an interbody implant comprising a substrate, a first endplate and a second endplate, the substrate comprising opposite top and bottom surfaces, the first endplate including a first surface configured to engage the top surface and an opposite second surface, the second endplate including a first surface configured to engage the bottom surface and an opposite second surface, the second surfaces each including teeth; and
a surgical tool including a first jaw, a second jaw, a first part coupled to the first jaw and a second part coupled to the second jaw, the first part comprising a first slot configured for disposal of a perimeter of the first endplate, the second part comprising a second slot configured for disposal of a perimeter of the second endplate, the first slot comprising grooves matching a configuration of the teeth of the second surface of the first endplate, the second slot comprising grooves matching a configuration of the teeth of the second surface of the second endplate.

### Claim 15 (depends on 14)

The surgical system recited in claim 14, wherein the first slot is configured for disposal of the entire perimeter of the first endplate.

### Claim 16 (depends on 14)

The surgical system recited in claim 14, wherein the first slot is configured for disposal of the entire perimeter of the first endplate and the second slot is configured for disposal of the entire perimeter of the second endplate.

### Claim 17 (depends on 14)

The surgical system recited in claim 14, wherein the first slot is positioned between first countersunk holes of the first part and the second slot is positioned between second countersunk holes of the second part, the countersunk holes being configured for mounting the parts to the jaws via fasteners.

### Claim 18 (depends on 14)

The surgical system recited in claim 14, wherein the first jaw is pivotable relative to the second jaw about an actuator pin, the second part being positioned between the first part and the actuator pin.

### Claim 19

A surgical system comprising:
an interbody implant comprising a substrate, a first endplate and a second endplate, the substrate comprising opposite top and bottom surfaces, the first endplate including a first surface configured to engage the top surface and an opposite second surface, the second endplate including a first surface configured to engage the bottom surface and an opposite second surface, the second surfaces each including teeth; and
a surgical tool including a first jaw, a second jaw, a first part coupled to the first jaw and a second part coupled to the second jaw, the first part comprising a first slot configured for disposal of an entire perimeter of the first endplate, the second part comprising a second slot configured for disposal of an entire perimeter of the second endplate, the first slot comprising grooves matching a configuration of the teeth of the second surface of the first endplate, the second slot comprising grooves matching a configuration of the teeth of the second surface of the second endplate,
wherein the top surface includes a plurality of first apertures and the first surface of the first endplate comprises a plurality of first pins each configured for disposal in one of the plurality of first apertures, and
wherein the bottom surface includes a plurality of second apertures and the first surface of the second endplate comprises a plurality of second pins each configured for disposal in one of the plurality of second apertures.

### Claim 20 (depends on 19)

The surgical system recited in claim 19, wherein the jaws are movable relative to one another to position the first pins in the first apertures and the second pins in the second apertures to fix the endplates to the substrate.
