# US 9,320,615 B2 · Distractible intervertebral implant > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 9,320,615 B2 - Document ID: US9320615B2 - Status: Granted - Kind: B2 - Application number: 14/143,529 - Filed: 2013-12-30 - Published: 2014-04-24 - Granted: 2016-04-26 - Earliest claimed: 2010-06-29 - Assignees: DePuy Synthes Products, Inc. - Applicants: DePuy Synthes Products, Inc. - Inventors: Jann-Paul Suedkamp; Sean Saidha; Philipp Brun - Web page: https://patentgrep.com/patent/US9320615B2 ## CPC - 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)} - A61B 17/86: Pins or screws {or threaded wires; nuts therefor (A61B17/72 take precedence)} - 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 2/4425: {made of articulated components} - A61F 2/447: {substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section} - A61F 2002/2835: {Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material} - A61F 2002/3008: {radio-opaque, e.g. radio-opaque markers} - A61F 2002/30387: {Dovetail connection} - A61F 2002/30433: {using additional screws, bolts, dowels, rivets or washers e.g. connecting screws} - A61F 2002/305: {Snap connection} - A61F 2002/3052: {unrestrained in only one direction, e.g. moving unidirectionally} - A61F 2002/30579: {with mechanically expandable devices, e.g. fixation devices} - A61F 2002/30593: {hollow} - A61F 2002/30604: {modular} - A61F 2002/30779: {arcuate} - A61F 2002/30787: {inclined obliquely with respect to each other} - A61F 2002/30843: {Pyramidally-shaped} - A61F 2002/30845: {with cutting edges} - A61F 2220/0025: Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements - A61F 2220/0041: using additional screws, bolts, dowels or rivets, e.g. connecting screws - A61F 2240/001: Designing or manufacturing processes - A61F 2250/0008: for adjusting a position by translation along an axis or two perpendicular axes - A61F 2250/0098: radio-opaque, e.g. radio-opaque markers - A61F 2310/00017: Iron- or Fe-based alloys, e.g. stainless steel - A61F 2310/00023: Titanium or titanium-based alloys, e.g. Ti-Ni alloys - A61F 2310/00041: Magnesium or Mg-based alloys - A61F 2310/00131: Tantalum or Ta-based alloys - A61F 2310/00179: Ceramics or ceramic-like structures - A61F 2310/00293: containing a phosphorus-containing compound, e.g. apatite - A61F 2310/00796: Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite - 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 A distractible intervertebral implant configured to be inserted in an insertion direction into an intervertebral space that is defined between a first vertebral body and a second vertebral body is disclosed. The implant may include a first body and a second body. The first body may define an outer surface that is configured to engage the first vertebral body, and an opposing inner surface that defines a rail. The second body may define an outer surface that is configured to engage the second vertebral body, and an inner surface that defines a recess configured to receive the rail of the first body. The second body moves in a vertical direction toward the second vertebral body as the second body is slid over the first body and the rail is received in the recess. ## Claims ### Claim 1 A method for inserting an intervertebral implant into an intervertebral disc space that is defined between a first vertebral body and a second vertebral body that is spaced from the first vertebral body along a vertical direction, the method comprising: inserting a first implant body into the intervertebral space so as to cause at least one of the first and second vertebral bodies to move away from the other of the first and second vertebral bodies, the first implant body including an outer surface that faces the first vertebral body, and an inner surface opposite the outer surface; and inserting a second implant body into the intervertebral space such that an outer surface of the second implant body that faces the second vertebral body moves away from the outer surface of the first implant body as an inner surface of the second implant body is translated over the inner surface of the first implant body, the second implant body causing at least one of the first and second vertebral bodies to move further away from the other as the second implant body is being inserted. ### Claim 2 (depends on 1) The method according to claim 1, further comprising the step of inserting a fixation member through a bore of the first implant body and into the first vertebral body to thereby affix the first implant body to the first vertebral body. ### Claim 3 (depends on 2) The method according to claim 2, wherein the step of inserting the fixation member comprises affixing the first implant body to the first vertebral body prior the second implant body being inserted. ### Claim 4 (depends on 3) The method according to claim 3, further comprising the step of inserting a second fixation member and a third fixation member through the second implant body and into the second vertebral body to thereby affix the second implant body to the second vertebral body. ### Claim 5 (depends on 1) The method according to claim 1, further comprising the step of mating the inner surface of the second implant body with the inner surface of the first implant body to thereby interlock the first and second implant bodies such that no other implant bodies can be inserted between the first and second implant bodies. ### Claim 6 (depends on 1) The method according to claim 1, wherein the inner surface of one of the first implant body and the second implant body defines a rail and the inner surface of the other of the first implant body and second implant body defines a recess configured to receive the rail, and wherein the second inserting step comprises inserting the second implant body such that the recess receives the rail. ### Claim 7 (depends on 1) The method according to claim 1, wherein the second inserting step comprises translating the second implant body over an angled trailing end of the first implant body. ### Claim 8 (depends on 7) The method according to claim 7, wherein the second inserting step further comprises translating the second implant body such that an angled leading end of the second implant body contacts a side region of the first implant body. ### Claim 9 (depends on 1) The method according to claim 1, wherein the intervertebral implant is devoid of a third implant body. ### Claim 10 A method for inserting an intervertebral implant into an intervertebral disc space that is defined between a first vertebral body and a second vertebral body that is spaced from the first vertebral body along a vertical direction, the method comprising: inserting a first implant body into the intervertebral space so as to cause at least one of the first and second vertebral bodies to move away from the other of the first and second vertebral bodies, the first implant body including an angled trailing end; and inserting a second implant body into the intervertebral space such that the second implant body contacts the angled trailing end and translates along the angled trailing end to thereby cause at least one of the first implant body and the second implant body to move along the vertical direction, the second implant body causing at least one of the first and second vertebral bodies to move further away from the other as the second implant body is being inserted. ### Claim 11 (depends on 10) The method according to claim 10, further comprising the step of inserting a fixation member through a bore of the first implant body and into the first vertebral body to thereby affix the first implant body to the first vertebral body. ### Claim 12 (depends on 11) The method according to claim 11, wherein the step of inserting the fixation member comprises affixing the first implant body to the first vertebral body prior the second implant body being inserted. ### Claim 13 (depends on 12) The method according to claim 12, further comprising the step of inserting a second fixation member through the second implant body and into the second vertebral body to thereby affix the second implant body to the second vertebral body. ### Claim 14 (depends on 13) The method according to claim 13, further comprising the step of inserting a third fixation number through the second implant body and into the second vertebral body. ### Claim 15 (depends on 10) The method according to claim 10, further comprising the step of mating an inner surface of the second implant body with an inner surface of the first implant body to thereby interlock the first and second implant bodies such that no other implant bodies can be inserted between the first and second implant bodies. ### Claim 16 (depends on 10) The method according to claim 10, wherein the second inserting step comprises causing an angled leading end of the second implant body to contact a side region of the first implant body. ### Claim 17 (depends on 10) The method according to claim 10, further comprising the step of interlocking the first and second implant bodies such that the assembled implant withstands translation and rotation in all six degrees of freedom. ### Claim 18 A method for inserting an intervertebral implant into an intervertebral disc space that is defined between a first vertebral body and a second vertebral body that is spaced from the first vertebral body along a vertical direction, the method comprising: inserting a first implant body into the intervertebral space; inserting a first fixation member through the first implant body and into the first vertebral body to thereby affix the first implant body to the first vertebral body; inserting a second implant body into the intervertebral space after affixing the first implant body to the first vertebral body such that the second implant body translates over the first implant body to thereby cause at least one of the first and second vertebral bodies to move away from the other; and inserting a second fixation member through the second implant body and into the second vertebral body to thereby affix the second implant body to the second vertebral body. ### Claim 19 (depends on 18) The method according to claim 18, further comprising the step of inserting a third fixation member through the second implant body and into the second vertebral body. ### Claim 20 (depends on 18) The method according to claim 18, wherein inserting the second implant body comprises translating the second implant body over the first implant body so as to move an outer surface of the second implant body away from an outer surface of the first implant body. ### Claim 21 (depends on 18) The method according to claim 18, wherein inserting the first fixation member comprises inserting the first fixation member through an angled trailing end of the first implant body. ### Claim 22 (depends on 21) The method according to claim 21, wherein inserting the second implant body comprises translating the second implant body along the angled trailing end of the first implant body such that the angled trailing end causes an outer surface of the second implant body to move away from an outer surface of the first implant body. ### Claim 23 (depends on 22) The according to claim 22, wherein inserting the second fixation member comprises inserting the second fixation member through an angled trailing end of the second implant body.