# US 12,213,891 B2 · Expandable and adjustable lordosis interbody fusion system

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- Number: US 12,213,891 B2
- Document ID: US12213891B2
- Status: Granted
- Kind: B2
- Application number: 17/488,034
- Filed: 2021-09-28
- Published: 2022-01-20
- Granted: 2025-02-04
- Earliest claimed: 2013-08-29
- Assignees: Adcura, Inc.
- Applicants: Adcura, Inc.
- Inventors: Andrew Rogers; Robyn Burrows-Ownbey
- Web page: https://patentgrep.com/patent/US12213891B2

## CPC

- A61F 2/447: {substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section}
- 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 2/4465: {having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine}
- A61F 2002/30462: {retained or tied with a rope, string, thread, wire or cable}
- A61F 2002/30507: {using a threaded locking member, e.g. a locking screw or a set screw}
- A61F 2002/30523: {by means of meshing gear teeth}
- A61F 2002/30525: {Worm gears}
- A61F 2002/30538: {for adjusting angular orientation}
- A61F 2002/30556: {for adjusting thickness}
- A61F 2002/30566: {Helical springs}
- 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: 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

An expandable housing for an interbody fusion system has movable tapered external helical threaded members that travel along tracking to operably engage against the top and bottom shell members, urging them apart to cause expansion in the height of the housing. In an embodiment, the tapered members are disposed in a dual arrangement such that independent engagement of the tapered members along lateral portions of the top and bottom shells cause an angular tilt to the exterior surface of the housing when the tapered members are moved to different degrees. This function permits adjustment in the angular relationship between adjacent vertebrae and assists the lordotic adjustment of the patient's spine. When the functions of the device are used in combination by the surgeon, the device provides an effective tool for in situ adjustment when performing lateral lumbar interbody fusion.

## Claims

### Claim 1

A spinal surgical device for placement between vertebral bodies, the device comprising:
a housing;
at least one screw member in the housing, the at least one screw member having a through-opening; and
at least one drive shaft having a length spanning substantially from a first end to a second end of the housing, the at least one drive shaft being adapted to pass through the through-opening in the at least one screw member; wherein
the housing comprises a first shell member and a second shell member, at least the first shell member having at least one riser member for receiving the at least one screw member,
the at least one drive shaft is configured to rotate the at least one screw member, allowing the at least one screw member to rotate with and travel along the at least one drive shaft,
the at least one screw member comprises a thread and a root surface having a varying minor diameter, the at least one riser member being engageable with the root surface of the at least one screw member, thereby rotation of the at least one screw member causes the first shell member and second shell member to move relative to each other in a first direction to effect expansion and in a second direction opposite to the first direction to effect contraction of the housing.

### Claim 2 (depends on 1)

The spinal surgical device of claim 1, wherein the at least one riser member comprises an end portion having a mating geometry configured to engage the root surface of the at least one screw member.

### Claim 3 (depends on 1)

The spinal surgical device of claim 1, wherein the at least one riser member comprises a series of riser members of successively varying heights.

### Claim 4 (depends on 3)

The spinal surgical device of claim 3, wherein each of the series of riser members comprises an end portion having a mating geometry configured to engage the root surface of the at least one screw member.

### Claim 5 (depends on 4)

The spinal surgical device of claim 4, wherein at least two successive riser members of the series of riser members is engageable with the root surface of the at least one screw member at a time.

### Claim 6 (depends on 3)

The spinal surgical device of claim 3, wherein at least two successive riser members of the series of riser members is engageable with the root surface of the at least one screw member at a time.

### Claim 7 (depends on 6)

The spinal surgical device of claim 6, wherein gaps are provided between individual riser members of the series of riser members to allow the thread of the at least one screw member to be received in the gaps.

### Claim 8 (depends on 3)

The spinal surgical device of claim 3, wherein the at least one screw member comprises a pair of screw members, the pair of screw members are disposed such that a directional orientation of the thread of a first screw member of the pair is opposite to a directional orientation of a second screw member of the pair.

### Claim 9

A spinal surgical system comprising: an implant device and an operating instrument operable to place the implant device between vertebral bodies, wherein the implant device comprises:
a housing;
at least one first screw member positioned along a first lateral area of the housing, and at least one second screw member positioned along a second lateral area of the housing, the at least one first and the at least one second screw members each having a through-opening;
a first drive shaft and a second drive shaft, the first and the second drive shafts having a length spanning substantially from a first end to a second end of the housing, the first drive shaft being adapted to pass through the through-opening in the at least one first screw member, and the second drive shaft being adapted to pass through the through-opening in the at least one second screw member; wherein
the housing comprises a first shell member and a second shell member, at least the first shell member having at least one first riser member for receiving the at least one first screw member, and having at least one second riser member for receiving the at least one second screw member,
the first drive shaft, positioned along the first lateral area of the housing, is operable to rotate the at least one first screw member whereby the at least one first screw member rotates with and travels along the first drive shaft, the second drive shaft, positioned along the second lateral area of the housing, is operable to rotate the at least one second screw member whereby the at least one second screw member rotates with and travels along the second drive shaft, thereby rotation of the at least one first screw member and the at least one second screw member causes the first shell member and second shell member to move relative to each other to effect expansion or contraction of the housing, and
wherein the operating instrument comprises a first torque shaft and a second torque shaft for respective operative engagement with the first drive shaft and the second drive shaft of the implant device, the first and second torque shafts of the operating instrument and the first and second drive shafts of the implant device being configured to generate a distraction force sufficient to overcome a compressive force formed between the vertebral bodies on an anterior side and a posterior side of the vertebral bodies, either simultaneously or independently, to achieve a disc height restoration between the vertebral bodies, and/or an added lordosis, and/or an indirect posterior decompression.

### Claim 10 (depends on 9)

The spinal surgical system of claim 9, wherein the operating instrument comprises a handle, a first gear received on the first torque shaft and a second gear received on the second torque shaft, the first gear and the second gear being engageable thereby operably coupling the first torque shaft and the second torque shaft to provide a first operating mode wherein the handle operates to rotate both the first torque shaft and second torque shaft simultaneously, and the first gear and the second gear being disengageable thereby operably decoupling the first torque shaft from the second torque shaft to provide a second operating mode wherein the handle operates to rotate the first driving shaft independently.

### Claim 11 (depends on 9)

The spinal surgical system of claim 9, wherein the at least one first riser member comprises a series of riser members and the at least one second riser member comprises a series of riser members, each series comprising riser members of successively varying heights.

### Claim 12 (depends on 11)

The spinal surgical system of claim 11, wherein the at least one first screw member comprises a first pair of screw members and the at least one second screw member comprises a second pair of screw members.

### Claim 13 (depends on 12)

The spinal surgical system of claim 12, wherein the first pair of screw members are disposed such that a directional orientation of the thread of a first screw member of the first pair is opposite to a directional orientation of a second screw member of the first pair, thereby the first and second screw members of the first pair move in opposite directions relative to each other along the first lateral area of the housing upon rotation of the first drive shaft, and the second pair of screw members are disposed such that a directional orientation of the thread of a first screw member of the second pair is opposite to a directional orientation of the thread of a second screw member of the second pair, thereby the first and second screw members of the second pair move in an opposite direction relative to each other along the second lateral area of the housing upon rotation of the second drive shaft.

### Claim 14 (depends on 9)

The spinal surgical system of claim 9, wherein
the at least one first riser member of the first shell member comprises a plurality of first riser members, the at least one second riser member of the first shell member comprises a plurality of second riser members, and the second shell member comprises a plurality of first riser members and a plurality of second riser members,
the plurality of first riser members of the first shell member have gaps between riser members, the plurality of first riser members of the second shell member have gaps between riser members, wherein the gaps between the first riser members of the first shell member each have a position corresponding to positions of the first riser members of the second shell member and vice versa, thereby permitting the plurality of first riser members of the first shell member and the plurality of first riser members of the second shell member to intermesh, and
the plurality of second riser members of the first shell member have gaps between riser members, the plurality of second riser members of the second shell member have gaps between riser members, wherein the gaps between the second riser members of the first shell member each have a position corresponding to positions of the second riser members of the second shell member and vice versa, thereby permitting the plurality of second riser members of the first shell member and the plurality of second riser members of the second shell member to intermesh.