# US 11,432,944 B2 · Expansible intervertebral implant

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- Number: US 11,432,944 B2
- Document ID: US11432944B2
- Status: Granted
- Kind: B2
- Application number: 16/737,712
- Filed: 2020-01-08
- Published: 2020-07-02
- Granted: 2022-09-06
- Earliest claimed: 2016-10-27
- Assignees: LDR Medical
- Applicants: LDR Medical, S.A.S.
- Inventors: Pierre Bernard; Herve Chataigner; Craig Chebuhar; Alexander Kirgis; Ross Sherban; Samuel Lequette; Emmanuel Bougere; Aymeric Fresneau; Nicolas Roche
- Web page: https://patentgrep.com/patent/US11432944B2

## CPC

- A61F 2/447: {substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section}
- A61F 2/30771: {applied in original prostheses, e.g. holes or grooves}
- 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 2/4611: {of spinal prostheses}
- A61F 2/4261: {for wrists}
- A61F 2/4601: {for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity}
- A61F 2/4603: {for insertion or extraction of endoprosthetic joints or of accessories thereof}
- A61F 2/4609: {of acetabular cups}
- A61F 2002/30362: {with possibility of relative movement between the protrusion and the recess}
- A61F 2002/30429: {made by inserting a hook into a cooperating slot}
- A61F 2002/30471: {connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type}
- A61F 2002/30538: {for adjusting angular orientation}
- A61F 2002/30553: {for adjusting a position by translation along an axis}
- A61F 2002/30556: {for adjusting thickness}
- A61F 2002/30579: {with mechanically expandable devices, e.g. fixation devices}
- A61F 2002/30593: {hollow}
- A61F 2002/30828: {parallel}
- A61F 2002/30904: {serrated profile, i.e. saw-toothed}
- A61F 2002/4627: {with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument}
- A61F 2002/4629: {connected to the endoprosthesis or implant via a threaded connection}
- A61F 2002/4687: {Mechanical guides for implantation instruments}
- 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

Various embodiments of an intervertebral implant comprise a body extending longitudinally along a primary axis, a baseplate, a plurality of elongated arms having a vertebral support surface, the arms being articulated such that the implant has a folded-back position in which the arms are close to each other, and a deployed position in which the arms are moved away from each other, and expansion means between the folded-back and deployed positions, comprising at least two branches pivotably mounted relative to each other and attached to the elongated arms by guide means such that translation of the expansion means parallel to the primary axis causes pivoting of the branches and moves the arms away from each other.

## Claims

### Claim 1

An intervertebral implant comprising a body extending longitudinally along a primary axis, the intervertebral implant comprising:
a baseplate disposed at a proximal end of the body;
a plurality of elongated arms including a plurality of superior arms and a plurality of inferior arms disposed along the primary axis and each including a vertebral support surface, each of the plurality of elongated arms articulable relative to the baseplate such that the intervertebral implant comprises a collapsed position in which the plurality of elongated arms are close to each other and a deployed position in which the plurality of elongated arms are separated from each other along a secondary axis and a tertiary axis;
an expansion mechanism including a pair of branches; and
an insert including an elongate hollow externally threaded cylinder configured to translate the expansion mechanism within the body of the intervertebral implant to articulate the plurality of elongated arms relative to the baseplate and expand the intervertebral implant along the secondary axis and the tertiary axis.

### Claim 2 (depends on 1)

The intervertebral implant of claim 1, wherein the insert translates the expansion mechanism along the primary axis.

### Claim 3 (depends on 1)

The intervertebral implant of claim 1, wherein the expansion mechanism includes a guide element disposed between the pair of branches.

### Claim 4 (depends on 3)

The intervertebral implant of claim 3, wherein each branch of the pair of branches pivots relative to the guide element during deployment of the plurality of elongated arms from the collapsed position to the deployed position.

### Claim 5 (depends on 3)

The intervertebral implant of claim 3, wherein the guide element includes a separation element that cooperates with the pair of branches to enable separation of the pair of branches during deployment of the plurality of elongated arms from the collapsed position to the deployed position.

### Claim 6 (depends on 1)

The intervertebral implant of claim 1, wherein each elongate arm of the plurality of elongated arms includes a guide surface opposite the vertebral support surface.

### Claim 7 (depends on 6)

The intervertebral implant of claim 6, wherein each branch of the pair of branches includes projections that engage guide surfaces on two elongated arms of the plurality of elongate arms.

### Claim 8 (depends on 7)

The intervertebral implant of claim 7, wherein the guide surfaces include grooves to receive the projections.

### Claim 9 (depends on 1)

The intervertebral implant of claim 1, wherein the plurality of elongated arms are coupled to the baseplate via at least one of pins, hooks, rings, and linkages to enable articulation of the plurality of elongate arms relative to the baseplate.

### Claim 10 (depends on 1)

The intervertebral implant of claim 1, wherein the insert is a receivable within a threaded bore in a proximal surface of the baseplate, and wherein the insert includes cavities through a sidewall of the elongate hollow externally threaded cylinder.

### Claim 11

An intervertebral implant comprising:
a baseplate forming a proximal end of the intervertebral implant;
a plurality of superior arms articul able from coupling points on a superior portion of the baseplate, each superior arm of the plurality of superior arms extending along a primary axis and articulable in both a secondary axis and a tertiary axis;
a plurality of inferior arms articulable from coupling points on an inferior portion of the baseplate, each inferior arm of the plurality of inferior arms extending along the primary axis and articulable in both the secondary axis and the tertiary axis; and
an expansion mechanism including a pair of lateral branches operable upon engagement of an insert to translate the expansion mechanism along the primary axis causing expansion of the plurality of superior arms and the plurality of inferior arms along the secondary axis and the tertiary axis, wherein the insert includes an elongate hollow external threaded cylinder.

### Claim 12 (depends on 11)

The intervertebral implant of claim 11, wherein the expansion mechanism includes a guide element disposed between the pair of lateral branches.

### Claim 13 (depends on 12)

The intervertebral implant of claim 12, wherein each branch of the pair of lateral branches pivots relative to the guide element during deployment of the plurality of superior arms and the plurality of inferior arms from a collapsed position to a deployed position.

### Claim 14 (depends on 12)

The intervertebral implant of claim 12, wherein the guide element includes a separation element that cooperates with the pair of lateral branches to enable separation of the pair of lateral branches during deployment of plurality of superior arms and the plurality of inferior arms from a collapsed position to a deployed position.

### Claim 15 (depends on 11)

The intervertebral implant of claim 11, wherein each arm of the plurality of superior arms and the plurality of inferior arms includes a guide surface opposite a vertebral support surface, wherein the vertebral support surface is external to the intervertebral implant.

### Claim 16 (depends on 15)

The intervertebral implant of claim 15, wherein each branch of the pair of lateral branches includes a superior projection and an inferior projection that engage guide surfaces on opposing arms of the plurality of superior arms and the plurality of inferior arms.

### Claim 17 (depends on 16)

The intervertebral implant of claim 16, wherein the guide surfaces include grooves to receive the superior projection and inferior projection.

### Claim 18 (depends on 11)

The intervertebral implant of claim 11, wherein the insert is receivable within a threaded bore in a proximal surface of the baseplate, wherein the insert includes cavities through a sidewall of the elongate hollow externally threaded cylinder.

### Claim 19 (depends on 11)

The intervertebral implant of claim 11, wherein the plurality of superior arms and the plurality of inferior arms are coupled to the baseplate via at least one of pins, hooks, rings, and linkages to enable articulation relative to the baseplate.

### Claim 20

An intervertebral implant comprising a body extending longitudinally along a primary axis, the intervertebral implant comprising:
a baseplate disposed at a proximal end of the body;
a plurality of elongated arms disposed along the primary axis and each including a vertebral support surface, each of the plurality of elongated arms articulable relative to the baseplate such that the implant comprises a collapsed position in which the plurality of elongated arms are close to each other and a deployed position in which the plurality of elongated arms are separated from each other along a secondary axis and a tertiary axis; and
an expansion means including a pair of branches and an insert including an externally threaded hollow cylinder configured to articulate the plurality of elongate arms relative to the baseplate to expand the intervertebral implant along the secondary axis and the tertiary axis.