# US 9,872,778 B2 · Universally expanding cage

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- Number: US 9,872,778 B2
- Document ID: US9872778B2
- Status: Granted
- Kind: B2
- Application number: 15/485,131
- Filed: 2017-04-11
- Published: 2017-08-03
- Granted: 2018-01-23
- Earliest claimed: 2014-11-12
- Assignees: Iorthopedics, Inc.
- Applicants: iOrthopedics, Inc.
- Inventors: Robert Thomas Grotz
- Web page: https://patentgrep.com/patent/US9872778B2

## CPC

- A61F 2/4425: {made of articulated components}
- A61F 2/446: {having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones}
- A61F 2/447: {substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section}
- A61F 2/4611: {of spinal prostheses}
- A61F 2/4637: {for connecting or disconnecting two parts of a prosthesis}
- A61F 2002/30408: {Conical threadings}
- 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 2002/30507: {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 2002/30545: {for adjusting a diameter}
- A61F 2002/30556: {for adjusting thickness}
- A61F 2002/30579: {with mechanically expandable devices, e.g. fixation devices}
- A61F 2002/30594: {slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots}
- A61F 2002/30841: {Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes}
- A61F 2002/448: {comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants}
- 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 medical implant is provided with an implantable cage body. The proximal and distal ends of the cage body may each be provided with a tapered or cam portion. The implant may further include a proximal flexure, a distal flexure, a proximal plug member having a tapered portion configured to mate with the tapered portion of the proximal end of the cage body, and a distal plug member having a tapered portion configured to mate with the tapered portion of the distal end of the cage body. The proximal plug member may be configured to move longitudinally such that the distal flexure moves and the circumference of the proximal end of the cage body resiliently expands. The distal plug member may be configured to move longitudinally such that the proximal flexure moves and the circumference of the distal end of the cage body resiliently expands. Methods are also disclosed.

## Claims

### Claim 1

An expandable medical implant comprising:
an implantable cage body having a proximal end provided with a first tapered portion and a distal end provided with a second tapered portion, the first and second tapered portions being tapered in opposite directions, the cage body further having a longitudinal axis extending between the proximal end and the distal end of the cage body;
at least one proximal flexure at least partially located adjacent to the proximal end of the cage body and configured to allow a circumference of the distal end of the cage body to resiliently expand;
at least one distal flexure at least partially located adjacent to the distal end of the cage body and configured to allow a circumference of the proximal end of the cage body to resiliently expand;
a proximal plug member having a tapered portion configured to mate with the first tapered portion of the proximal end of the cage body, the proximal plug member being configured to move longitudinally relative to the cage body from a first position to a second position such that the at least one distal flexure moves and the circumference of the proximal end of the cage body resiliently expands, and from the second position to the first position such that the circumference of the proximal end resiliently contracts;
a distal plug member having a tapered portion configured to mate with the second tapered portion of the distal end of the cage body, the distal plug member being configured to move longitudinally relative to the cage body from a third position to a fourth position such that the at least one proximal flexure moves and the circumference of the distal end of the cage body resiliently expands, and from the fourth position to the third position such that the circumference of the distal end resiliently contracts;
a first adjustment member configured to be coupled to at least the proximal plug member such that when the first adjustment member is rotated, the proximal plug member is caused to move longitudinally; and
a second adjustment member configured to be coupled to the distal plug member such that when the second adjustment member is rotated, the distal plug member is caused to move longitudinally, thereby allowing the proximal and the distal ends of the cage body to be expanded and contracted independent from one another,
wherein the first and the second adjustment members are independently rotatable and operable from a single end of the cage body.

### Claim 2 (depends on 1)

The expandable medical implant of claim 1, wherein the first tapered portion comprises a first tapered bore at the proximal end configured to slidably receive the proximal plug member, and the second tapered portion comprises a second tapered bore at the distal end configured to slidably receive the distal plug member.

### Claim 3 (depends on 2)

The expandable medical implant of claim 2, wherein the first tapered bore threadably engages the proximal plug member such that when the proximal plug member is rotated relative to the cage body, the proximal plug member advances in a longitudinal direction relative to the cage body, and wherein the second tapered bore threadably engages the distal plug member such that when the distal plug member is rotated relative to the cage body, the distal plug member advances in a longitudinal direction relative to the cage body.

### Claim 4 (depends on 1)

The expandable medical implant of claim 1, wherein the at least one proximal flexure comprises a generally circular and open ended aperture and a pair of generally flexible beam portions extending longitudinally from the aperture.

### Claim 5 (depends on 1)

The expandable medical implant of claim 1, wherein the at least one proximal flexure comprises a pair of longitudinally extending beam portions separated by a longitudinally extending gap, wherein the at least one proximal flexure further comprises a connector portion interconnecting proximal ends of the beam portions.

### Claim 6 (depends on 1)

The expandable medical implant of claim 1, wherein the at least one proximal flexure comprises a plurality of circumferentially spaced proximal flexures, and wherein the at least one distal flexure comprises a plurality of circumferentially spaced distal flexures.

### Claim 7 (depends on 6)

The expandable medical implant of claim 6, wherein the plurality of proximal flexures are rotationally staggered from the plurality of distal flexures.

### Claim 8 (depends on 7)

The expandable medical implant of claim 7, wherein each of the proximal flexures comprises a pair of longitudinally extending beam portions separated by a longitudinally extending gap and bridged together by a connector portion interconnecting only proximal ends of the beam portions, wherein each of the distal flexures comprises a pair of longitudinally extending beam portions separated by a longitudinally extending gap and bridged together by a connector portion interconnecting only distal ends of the beam portions, and wherein each of the proximal flexures shares a beam portion with two of the distal flexures that are adjacent to each proximal flexure, thereby forming a continuous serpentine pattern along the cage body.

### Claim 9 (depends on 1)

The expandable medical implant of claim 1, wherein the first and the second adjustment members each have knobs axially spaced but adjacent to one another such that the knobs may alternately be rotated in unison or individually.

### Claim 10 (depends on 1)

The expandable medical implant of claim 1, wherein at least one of the first and the second adjustment members has a keyed end configured to slidably mate and rotationally couple with its associated plug member such that the at least one adjustment member can be removed from the expandable medical implant.

### Claim 11 (depends on 1)

The expandable medical implant of claim 1, wherein the cage body has a square cross-section transverse to the longitudinal axis.

### Claim 12 (depends on 1)

The expandable medical implant of claim 1, wherein the cage body has a circular cross-section transverse to the longitudinal axis.

### Claim 13 (depends on 1)

A method of distracting adjacent bone segments having opposing surfaces, the method comprising:
inserting the expandable medical implant of claim 1 between the opposing surfaces;
moving the proximal and the distal plug members longitudinally and independently from one another such that the proximal and the distal ends of the cage body expand independently to alter the distance and the angle between the opposing surfaces of the bone segments.

### Claim 14 (depends on 13)

The method of claim 13, further comprising;
removing at least one adjustment member from the medical implant after the adjustment member has been used to move at least one of the proximal and distal plug members.

### Claim 15 (depends on 14)

The method of claim 14, wherein the bone segments are adjacent vertebrae, and the opposing surfaces are end plates of the adjacent vertebrae.