# US 12,599,488 B2 · Bi-planar expandable cage for spine

> Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt

- Number: US 12,599,488 B2
- Document ID: US12599488B2
- Status: Granted
- Kind: B2
- Application number: 18/770,189
- Filed: 2024-07-11
- Published: 2024-11-07
- Granted: 2026-04-14
- Earliest claimed: 2022-02-14
- Assignees: Hilo Innovations, LLC
- Applicants: Hilo Innovations, LLC
- Inventors: Sean Kyong-Ho Keem
- Web page: https://patentgrep.com/patent/US12599488B2

## CPC

- A61F 2/447: {substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section}
- A61F 2/30: Joints
- 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 2002/30266: {wedge-shaped parallelepipeds}
- A61F 2002/30398: {Sliding}
- A61F 2002/30405: {made by screwing complementary threads machined on the parts themselves}
- A61F 2002/30411: {having two threaded end parts connected by a threaded central part with opposite threads at its opposite ends, i.e. for adjusting the distance between both end parts by rotating the central part}
- A61F 2002/30433: {using additional screws, bolts, dowels, rivets or washers e.g. connecting screws}
- A61F 2002/30471: {connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type}
- A61F 2002/30507: {using a threaded locking member, e.g. a locking screw or a set screw}
- A61F 2002/30537: {adjustable}
- A61F 2002/30538: {for adjusting angular orientation}
- A61F 2002/30556: {for adjusting thickness}
- 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 cage for a spine includes an upper structural body, a lower structural body, a main frame having control mechanism insertion holes defined through one side and the other side in the longitudinal direction thereof, respectively, a sagittal balance control unit coupled to one side of each of the upper structural body and the lower structural body to control a sagittal balance of a spine by adjusting a spacing distance between the upper structural body and the lower structural body, and a coronal balance control unit coupled to the other side of each of the upper structural body and the lower structural body to control a coronal balance of a spine by controlling a gradient of the upper structural body and the lower structural body by lifting or lowering the other side of each of the upper structural body and the lower structural body.

## Claims

### Claim 1

An expandable cage for a spine comprising:
an upper structural body;
a lower structural body spaced at a predetermined distance below the upper structural body;
a main frame disposed between the upper and lower structural bodies, and having control mechanism insertion holes defined on two sides thereof in a longitudinal direction for insertion of a control mechanism;
a sagittal balance control unit coupled to the main frame and coupled to a first side of each of the upper and lower structural bodies, the sagittal balance control unit configured to adjust a sagittal balance of the spine by adjusting a distance between the upper and lower structural bodies using the control mechanism inserted into the control mechanism insertion holes; and
a coronal balance control unit coupled to the main frame and coupled to a second side of the each of the upper and lower structural bodies, the coronal balance control unit configured to adjust a coronal balance of the spine by adjusting an inclination of the upper and lower structural bodies by elevating and lowering the second sides of the upper and lower structural bodies using the control mechanism inserted into the control mechanism insertion holes,
wherein the sagittal balance control unit comprises:
a height adjusting screw, disposed in the longitudinal direction of the upper and lower structural bodies, having a screw thread defined on an outer circumferential surface thereof, and configured to rotate according to a rotation of the control mechanism when the control mechanism is inserted therein;
a height adjusting member, having a screw hole coaxial with the control mechanism insertion hole, and screw-coupled with the height adjusting screw to move according to the rotation of the height adjusting screw; and
a height adjusting link, having an upper end connected to the upper structural body and a lower end connected to the lower structural body, and linked with the height adjusting member to adjust a height between the upper and lower structural bodies according to a movement of the height adjusting member,
wherein the height adjusting link comprises:
a fixed shaft coupled to the main frame;
a moving shaft disposed on the height adjusting member;
a first height adjusting link frame having one side rotatably coupled to the fixed shaft and another side rotatably coupled to the upper structural body;
a second height adjusting link frame having one side rotatably coupled to the fixed shaft and another side rotatably coupled to the lower structural body;
a third height adjusting link frame having one side rotatably coupled to the moving shaft and another side rotatably coupled to the upper structural body; and
a fourth height adjusting link frame having one side rotatably coupled to the moving shaft and another side rotatably coupled to the lower structural body, and
wherein the height adjusting link has a rhomboidal link structure and the height between the upper and lower structural bodies is adjusted by adjusting a distance between the moving shaft and the fixed shaft.

### Claim 2 (depends on 1)

The expandable cage according to claim 1, wherein the coronal balance control unit comprises:
an inclination adjusting screw, arranged in the longitudinal direction of the upper and lower structural bodies, having a screw thread defined on an outer circumferential surface thereof, and configured to rotate according to the rotation of the control mechanism when the control mechanism is inserted therein;
an inclination adjusting member, having a screw hole coaxial with the control mechanism insertion hole, and screw-coupled with the inclination adjusting screw to move according to the rotation of the inclination adjusting screw; and
an inclination adjusting link having one side connected to the upper structural body and another side connected to the lower structural body, and configured to adjust the inclination of the upper and lower structural bodies according to the movement of the inclination adjusting member.

### Claim 3 (depends on 2)

The expandable cage according to claim 2, wherein the inclination adjusting link comprises:
a rotational shaft disposed on the inclination adjusting member;
a first inclination adjusting link frame having one side rotatably coupled to the rotational shaft and another side rotatably coupled to the upper structural body; and
a second inclination adjusting link frame having one side thereof is rotatably coupled to the rotational shaft and another side rotatably coupled to the lower structural body.

### Claim 4 (depends on 3)

The expandable cage according to claim 3, further comprising:
a guide member disposed to move within the main frame, wherein the guide member is configured to accommodate an end portion of the height adjusting screw and an end portion of the inclination adjusting screw, which are inserted therein in opposite directions from each other, thereby guiding both the height adjusting screw and the inclination adjusting screw.

### Claim 5 (depends on 2)

The expandable cage according to claim 2,
wherein the height adjusting screw comprises a first adjusting hole for the insertion of the control mechanism, the first adjusting hole having a diameter and a polygonal cross-sectional shape, and configured to be rotated according to the rotation of the control mechanism when the control mechanism is inserted therein, and
wherein the inclination adjusting screw comprises a second adjusting hole for the insertion of the control mechanism, the second adjusting hole having a same diameter and cross-sectional shape as the first adjusting hole, and configured to be rotated by the rotation of the control mechanism when the control mechanism is inserted therein.

### Claim 6 (depends on 5)

The expandable cage according to claim 5,
wherein the height adjusting screw is aligned with the inclination adjusting screw, and the first adjusting hole and the second adjusting hole are coaxially arranged, and
wherein the control mechanism is configured to rotate at least one of the height adjusting screw or the inclination adjusting screw depending on an insertion depth of the control mechanism.

### Claim 7 (depends on 1)

The expandable cage according to claim 1, wherein the upper structural body comprises a first fixing force forming part disposed on an outer surface of the upper structural body and configured to face a first vertebra, and formed to protrude or to be recessed with a predetermined pattern to generate fixation force between directly contacting parts, and
wherein the lower structural body comprises a second fixing force forming part disposed on an outer surface of the lower structural body and configured to face a second vertebra, and formed to protrude or to be recessed with a predetermined pattern to generate fixation force between directly contacting parts.