# Patent

## Title
Wedge-like spinal implant

## Abstract

The present invention is a spinal implant that can be inserted into a surgically created cavity of one or more regions of the mammalian spine. Universal corner posts and one or more lateral universal posts are connected with a series of trapezoidal wedge-like dividers. The series of dividers includes a generally horizontal divider, a first set of dividers diverging away from the horizontal and a second set of dividers diverging away from the horizontal. Embodiments of the current cage can further include brakes, bars and superior and inferior plates.

## Background
This Application is a Continuation-in-Part of pending Application for Letters Patent, Ser. No. 12/290,069 entitled—Spinal Implant and Method of Using Spinal Implant—filed on Oct. 27, 2008 that is a Continuation-in-Part of pending Application for Letters Patent, Ser. No. 12/221,779, entitled—Spinal Implant and Method of Using Spinal Implant—filed on Aug. 6, 2008 , now U.S. Pat No. 8,002,832 B2 issued on Aug. 23, 2011, that is a Continuation of Application for Letters Patent, Ser. No. 11/089,103, entitled—Spinal Implant and Method of Using Spinal Implant—filed on Mar. 24, 2005, now U.S. Pat. No. 7,435,261 B2 issued on Oct. 14, 2008.


BACKGROUND OF THE INVENTION
A. Field of the Invention
Among other things, the present invention is related to a surgical implant or cage that can be inserted into a cavity that has been created by removing spinal tissue. The generally wedge-like trapezoidal shaped cage includes a series of trapezoidal dividers or braces, first and second universal corner posts and lateral universal posts manufactured in such a way that the surgeon can see through the cage's openings prior to the addition of substances. In preferred embodiments, the spinal implant includes a generally horizontal divider, a first set of dividers diverging away from the horizontal and a second set of dividers diverging away from the horizontal. One or more brakes can be incorporated into the spinal implant, and the brakes can include bores for receiving fasteners. Select preferred embodiments include one or more bars generally parallel to one or more of the outward sides of the series of dividers. Other preferred embodiments of the current spinal implant are provided with superior and inferior plates having bores that can receive fasteners.
B. Description of the Previous Art
1) US Published Patent Application No. 20030125739 A1-Bagga, et al. discloses a bioactive spinal implant and method of manufacture. Among other things, it does not appear that the Bagga invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
2) U.S. Pat. No. 6,767,367 B 1-Michelson enables a spinal fusion implant having deployable bone engaging projections. Michelson teaches that the'367 implant 300 has a rotatable member 320 that is preferably frustoconical in shape. Rotatable member 320 has bone engaging projections 332 adapted to penetrably engage the bone of the adjacent vertebral bodies. Bone engaging projections 332 are preferably configured such that in a retracted position, implant 300 may be linearly inserted into the disc space. After implant 300 is inserted into the disc space, bone engaging projections 332 are moved to a deployed position to penetrably engage the endplates of each adjacent vertebral body and prevent the expulsion of implant 300 from the disc space.
3) U.S. Pat. No. 6,537,320 B1-Michelson enables a self-broaching, rotable, push-in interbody spinal fusion implant and method for its deployment. Among other things, it does not appear that the Michelson invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
4) U.S. Pat. No. 5,609,635-Michelson enables a lordotic interbody spinal fusion implant. The Michelson Summary of the Invention teaches, “In the preferred embodiment of the modular implant, the implant is again wedge-shaped in the side elevational view and is taller at its insertion end than at its trailing end.” Being taller at an insertion end than at the trailing end is a teaching that is incompatible with the current spinal implant. Further, among other things, it does not appear that the Michelson invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
5) U.S. Pat. No. 6,302,914 B1-Michelson enables a lordotic interbody spinal fusion implant. The '914 Patent is a continuation Patent of the U.S. Pat. No. 5,609,635-Michelson Patent and enables the same limitations as the '635 Patent.
6) U.S. Pat. No. 6,066,175-Henderson, et al. enables a fusion stabilization chamber. Henderson discloses a mesh cage 41, barrel vaults 48 and 49 and flanges 50 and 51 to anchor the cage. The cage is preferably rectangular when viewed from the top or the bottom. Among other things, it does not appear that the Henderson invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
7) U.S. Pat. No. 5,766,252-Henry, et al. enables an interbody spinal prosthetic implant and method. Henry requires a threaded hole 38 to practice the '252 invention. Among other things, it does not appear that the Henry invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
8) U.S. Pat. No. 5,425,772-Brantigan enables a prosthetic implant for intervertibral spinal fusion. The '772 device practices traverse teeth or serrations 19 where the teeth have sharp peaks 19a, slopping walls 19b and valleys 19c. Among other things, it does not appear that the Brantigan invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
9) U.S. Pat. No. 5,147,402-Bohler, et al. enables an implant for ingrowth of osseous tissue. Among other things, it does not appear that the Bohler invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
10) U.S. Pat. No. 6,746,484-Liu, et al. enables a spinal implant. Among other things, Liu teaches an implant 1 having an elongate hollow body 3, parallel longitudinal walls 4 and terminal ends 5 and 6 including threaded holes 11a. Among other things, it does not appear that the Liu invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
11) U.S. Pat. No. 6,231,610 B1-Geisler enables an anterior cervical column support device. The '610 apparatus utilizes serrations on the load bearing surfaces and two screw holes. Among other things, it does not appear that the Geisler invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
12) U.S. Pat. No. 6,660,038 B2-Boyer, et al. enables skeletal reconstruction cages. The Boyer Patent discloses an end cap 210 suitable for coupling to central shaft 160 includes an outer wall 212, as well as a central hole disposed along axis 213 with a lower inner wall 214, an upper inner wall 216, and an inner ridge portion 218. Notably, while outer wall 176 of central shaft 160 is generally circular, outer wall 212 of end cap 210 is generally oblong, so that a generally I-shaped skeletal reconstruction cage may be formed when a pair of end caps 210 are placed on central shaft 160. Among other things, it does not appear that the Boyer invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
13) U.S. Pat. No. 6,491,724-Ferree enables a spinal fusion cage with lordosis correction. Among other things, Ferree teaches an anterior portion 112 that includes mating members 120 and 122 with teeth 124 or other features to form a locking or ratchet mechanism that is used to alter the height of the cage. Among other things, it does not appear that the Ferree invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
14) U.S. Pat. No. 6,117,174-Nolan enables a spinal implant device that has disc 14 made of the same material as body 12. Among other things, it does not appear that the Nolan invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
15) US Published Patent Application No. 20070016295-Boyd discloses a reinforced molded implant formed of cortical bone. Boyd reads, “Implant 10 defines a longitudinal axis 11 and includes a first strut 12, a second strut 14 spaced from first strut 12, and cross-member 16 extending therebetween. First strut 12 and second strut 14 are each positioned to lie in a plane substantially parallel to longitudinal axis 11. Implant 10 includes at least one additional cross-member 16 A connecting first strut 12 and second strut 14. It is understood that in alternative embodiments implant 10 can have one or a plurality of cross-members connecting first strut 12 to second strut 14.”
16) U.S. Pat. No. 6,090,143-Meriwether, et al. enables a box cage for intervertebral body fusion. Meriwether reads, “FIG. 6 illustrates a further embodiment of the invention which is a slight modification of that shown in FIG. 4. In the embodiment of FIG. 6, rather than having a rectangular longitudinal cross-section, it is trapezoidal such that the resulting cage member, indicated generally by numeral 110, is wedge-shaped. The assembled cage comprises a box-like base 112 and a cover 114 dimensioned to fit over the base much like the cover on a shirt box. The height dimension of the rightmost ends of the base and cover are greater than the height dimension of the corresponding, opposed left side ends, thus providing the desired wedge shape. Upwardly projecting ribs 116 and 118 extend along the rear and front side edges, respectfully, and likewise, the base 112 includes longitudinally extending ribs 120 and 122 projecting downwardly from the undersurface of the base along the side edges thereof. The right and left ends of the base 112 and the cover 114 include semi-circular cut-outs as at 124 and 126 and 128-130 such that when the cover 114 is placed upon the base 112, circular apertures are formed. These apertures are adapted to receive a tapered screw 132 therein. The slope of the taper of the screw is designed to correspond to that of the cage assembly 110 such that when the screw 132 is threaded into the circular opening defined by arcuate cut-outs 124 and 126 and advanced by turning until the leading end 134 of the screw enters the circular aperture 128-130, further turning of the screw will raise the case cover 114 relative to its base 112, allowing adjustment of the cage height following positioning thereof between adjacent vertebral bodies.”
17) U.S. Pat. No. 6,159,245-Meriwether, et al. enables a box cage for intervertebral body fusion. The '245 Meriwether Patent is a continuation of U.S. Pat. No. 6,090,143-Meriwether, et al. and teaches the same limitations as the '143 Patent.
18) U.S. Pat. No. 6,432,107-Ferree enables enhanced surface area spinal fusion devices. The '107 Patent teaches, “The device 200 fits into slots 204 and 206 made in upper and lower vertebrae 208 and 210, respectively, allowing the lower section to fuse within the body of the lower vertebrae 210, and the upper section to fuse within the body of the upper vertebrae 208. Thus, in contrast to existing devices, the device 200 and the alternative embodiments disclosed herein feature considerably more intimate contact with cancellous bone due to the fact that the device is inserted directly into the cavities 204 and 206. Rather than a relatively minor amount of scraping of the end plates of the vertebrae to be distracted, the entire end portions of the device 200 which penetrate the upper and lower vertebrae make contact with cancellous bone, thereby enhancing fusion considerably. FIG. 2B is a cross-section of a vertebrae of FIG. 2A as viewed from a top-down perspective, showing how the device fits tightly along the entire walls of the channels created in the vertebrae.” Among other things, the Ferree device does provide a series of dividers or receptacles visible to the surgeon after insertion into the surgical cavity.
19) U.S. Pat. No. 6,569,201-Moumene, et al. enables a hybrid composite interbody fusion device. Moumene's Osteoconductive pore 2 forms a void 23 within the support and defines an inner surface 13, and opens onto side surface openings 19, 21 formed in side surfaces 7, 9, and the void section 23 is suitable for housing a bone growth material such as bone chips (not shown). Among other things, it does not appear that the Moumene invention practices the use of a series of dividers, universal corner posts, universal posts or bars.
SUMMARY OF THE INVENTION
Unlike traditional spinal implants, the present invention provides a spinal implant that can be packed with bone graft and/or other osteogenic materials or other substances after the spinal implant has been inserted into a cavity created by the removal of spinal tissue. After the implant is inserted into the surgically created cavity and prior to insertion of osteogenic substances, the surgeon can view the dura mater of the spinal cord. During surgical procedures, the wedge-like cage assists the surgical team in not impinging the spinal cord with the implant. Post operative and prior to complete arthrodesis, the generally wedge-like implant inhibits extrusion of the cage against the spinal cord.
An aspect of the present invention is to provide a generally wedge-like cage.
Still another aspect of the present invention is to provide a spinal implant having a series of trapezoidal dividers or braces, first and second universal corner posts and lateral universal posts.
It is still another aspect of the present invention to provide an implant having select embodiments that can be implanted through the patient's frontal or rearward side.
Yet still another aspect of the present invention is to provide a cage that can be severed across a first cross-section or severed across a first cross-section and a second cross-section to create a custom fitted implant for the surgically created cavity.
Still another aspect of the present invention is to provide a cage including a generally straight brace, a first set of braces diverging away from the horizontal and a second set of braces diverging away from the horizontal.
It is still another aspect of the present invention to provide an implant having a plurality of apertures the surgeon can see through prior to addition of osteogenic and/or arthrodesis accelerating substances or other substances.
Yet still another aspect of the present invention is to provide one or more bars proximate one or more outward sides of the wedge-like cage's series of braces.
It is another aspect of the present invention to provide an implant that includes one or more brakes having bores for receiving fasteners such as bone screws.
Yet another aspect of the present invention is to provide an implant that includes upper and lower plates having one or more bores for receiving fasteners.
An embodiment of the present invention can be described as a wedge-like spinal implant comprising a length of consecutively joined receptacles having peripheral openings a surgeon can see through prior to addition of osteogenic substances, wherein the length of consecutively joined receptacles comprises: a) a series of trapezoidal dividers having a common lengthwise axis, wherein each divider comprises: i) an inward side; ii) an outward side; iii) a first side connected with the outward side and the inward side forming a first outward corner with the outward side and a first inward corner with the inward side; iv) a second side connected with the outward side and the inward side forming a second outward corner with the outward side and a second inward corner with the inward side; and v) an aperture; b) a first universal corner post contacting the first inward corners; c) a second universal corner post contacting the second inward corners; d) one or more first universal posts contacting the first sides of the dividers; e) one or more second universal posts contacting the second sides of the dividers; f) one or more inward universal posts contacting the inward sides of the dividers; g) one or more bars, parallel to one or more of said outward sides of the series, contacting one of the first universal posts and one of said second universal posts; h) one or more first side brakes, comprising a bore, proximate to one or more first outward corners and extending laterally beyond the first sides; i) one or more second side brakes, comprising a bore, proximate to one or more second outward corners and extending laterally beyond the second sides; and j) the series of trapezoidal dividers further comprising: i) a centralized generally horizontal divider; ii) a first set of dividers spaced apart from each other and extending in a first direction away from the centralized generally horizontal divider, wherein the inward side of each of the first set of dividers is closer to the centralized generally horizontal divider than the outward side of each of the first set of dividers such that each of the first set of dividers diverges toward the centralized generally horizontal divider at angles of from about 1 degree to about 10 degrees from horizontal; and iii) a second set of dividers spaced apart from each other and extending in a second direction away from the centralized generally horizontal divider, wherein the inward side of each of the second set of dividers is closer to the centralized generally horizontal divider than the outward side of each of the second set of dividers such that each of the second set of dividers diverges toward the centralized generally horizontal divider at angles of from about 1 degree to about 10 degrees from horizontal.
Another embodiment of the present invention can be described as a wedge-like cage including peripheral openings a surgeon can see through prior to addition of osteogenic substances; said cage capable of implantation into a cavity surgically created between a superior spinal region and an inferior spinal region of a mammal; the cage comprising: a) a series of trapezoidal dividers, wherein each said divider comprises an inward side, an outward side and opposing first and second lateral sides such that a combination of said sides creates an aperture; b) a first universal corner post contacting first inward corners of the series; c) a second universal corner post contacting second inward corners of the series; d) one or more first universal posts contacting first lateral sides of the series; e) one or more second universal posts contacting second lateral sides of the series; f) one or more first side brakes attached to one or more outward edges of the cage, wherein at least one of the first side brakes comprises a bore for receiving a fastener; g) one or more second side brakes attached to one or more outward edges of the cage, wherein at least one of the second side brakes comprises a bore for receiving a fastener; and h) the series of trapezoidal dividers further comprising: i) a generally horizontal divider; ii) a first set of dividers spaced apart from each other and extending in a first direction away from the generally horizontal divider, wherein the inward side of each of the first set of dividers is closer to the generally horizontal divider than the outward side of each of the first set of dividers; and iii) a second set of dividers spaced apart from each other and extending in a second direction, wherein the inward side of each of the second set of dividers is closer to the generally horizontal divider than the outward side of each of the second set of dividers.
Another embodiment of the present invention can be described as a wedge-like cage capable of implantation into a cavity surgically created between a superior spinal region and an inferior spinal region of a mammal; the wedge-like cage comprising: a) a series of trapezoidal braces, wherein each trapezoidal brace includes two sides of equal length and an aperture, and wherein the series comprises: i) a straight brace; ii) one or more first angled braces spaced apart from each other and extending in a first direction away from the straight brace; and iii) one or more second angled braces spaced apart from each other and extending in a second direction away from the straight brace; b) an inward support; c) an outward support; d) a first lateral support; and e) a second lateral support, wherein the supports are joined with each other such that an outer surface area of the outward support is greater than an outer surface area of the inward support.
It is the novel and unique interaction of these simple elements which creates the apparatus and methods, within the ambit of the present invention. Pursuant to Title 35 of the United States Code, descriptions of preferred embodiments follow. However, it is to be understood that the best mode descriptions do not limit the scope of the present invention.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a frontal perspective of an embodiment of the present invention.
FIG. 2 is a cross section of an embodiment of a brake of the present invention.
FIG. 3 is a side view of an embodiment of a lateral support of the present invention.
FIG. 4 is a frontal perspective of another embodiment of the present invention.
FIG. 5 is a cross section of an embodiment of a plate of the present invention.
FIG. 6 is a frontal perspective of yet another embodiment of the present invention.
FIG. 7 is a cross section of an embodiment of an outward side and inward edge of a superior or inferior brace of the present invention.



DESCRIPTION OF THE PREFERRED EMBODIMENTS
Although the disclosure hereof is detailed to enable those skilled in the art to practice the invention, the embodiments published herein merely exemplify the present invention.
In the most general sense, the present invention is a cage or implant that can be inserted into a cavity of the spinal column. Surgical removal of mammalian spinal tissue in one or more spinal regions creates the cavity or cavities that will receive the implant or implants. It has been discovered that many embodiments of the current implant can be useful for cervical spine surgeries and can assist in stabilization of the postoperative spine. And many of the preferred embodiments of the present invention are particularly suited for corpectomy or partial corpectomy procedures.
After insertion of the implant into the cavity, the cage assists in stabilizing the spinal column against rotational movement and also resists the compression forces associated with gravity on the spinal column. Select preferred embodiments of the present invention can be implanted through the patient's anterior side, e.g., the frontal side of the patient's neck. The current wedge-like spinal implants are custom fitted for the surgical cavity into which they will be inserted, i.e., the cage can be manufactured to fit the surgical cavity or the cage can be severed across a first cross section or the cage can be severed across first and second cross sections to size the cage to fit the cavity.
Preferred embodiments of the current spinal implant are generally trapezoidal in shape and are manufactured of titanium alloys, stainless steel, resorbable polymers, non-resorbable polymers or any other composition acceptable in the art. Within the scope of the present invention, it has advantageously been discovered that the cage can have a width of from about six to about fifteen millimeters, as measured along the narrowest parallel of the trapezoid, and a depth of from about eight millimeters to about fifteen millimeters, as measured along a converging side of the trapezoid. Generally the spacing between dividers of the cage is approximately twelve millimeters, as measured from outward side to outward side of the series of dividers. Openings of the sides of the cages of the current invention into which bone graft, osteogenic and/or arthrodesis accelerating substances are packed can have areas from about 36 millimeters2 to 225 millimeters2 or greater.
Universal corner posts and lateral universal posts are spaced about the outer border of the cage. Select preferred embodiments include one or more bars proximate to and parallel with one or more outward sides of the series of dividers. In other preferred embodiments, one or more ties can extend about the implant and contact the universal posts and the universal corner posts. Universal corner posts and universal posts are from about one millimeter to about two millimeters wide and are situated along the outer periphery of the cage in such a way as to create apertures between the universal lateral posts and the universal corner posts. Depending on the volume of the implant, spacing between the universal corner posts and the lateral universal posts and between the lateral universal posts is from about one millimeter to about two millimeters.
Meeting a long felt but unfilled need in the spinal surgical arts, the unique structures of the present invention allow the surgical team to view the dura mater, before the cage is packed with bone graft, osteogenic and/or arthrodesis accelerating substances. Allowing the surgical team to view the dura mater while inserting the implant into the cavity reduces the possibility of having the cage inadvertently contact or injure the spinal cord. Contact between the surgical cavity wall and the wedge-like cage can also inhibit the implant from contacting the spinal cord. It appears that having the apertures of select embodiments in such close proximity with the cavity's walls increases the probability of the osteogenic materials procuring a blood supply. And it is believed that increasing the blood supply to the osteogenic materials held by the cage enhances local areas of arthrodesis between the vertebra and the bone graft. Select preferred embodiments of the present invention are also provided with brakes to further impede the implant from contacting the spinal column. Still other embodiments of the implant have one or more brakes including one or more bores for receiving fasteners, such as screws.
Among other things, FIG. 1 enables a cage (2000) having a series of trapezoidal dividers (2010) and (3010) and a plurality of receptacles (2002) that can be packed with osteogenic materials or other substances prior to the completion of spinal surgery. Cage (2000) is manufactured of titanium, stainless steel, resorbable polymers, non-resorbable polymers or combinations thereof. By way of illustration, generally horizontal divider or brace (2010) has inward side (2012) (after insertion into the surgically created cavity, positioned near the dura mater of the spinal cord), outward side (2018) (proximate the surgeon after insertion into the surgically created cavity), first converging or lateral side (2014) and second converging or lateral side (2016). Intersection of first lateral side (2014) and inward side (2012) creates first corner (2020) and intersection of inward side (2012) and second lateral side (2016) creates second corner (2022), such that straight brace (2010) has first corner (2020) and second corner (2022).
A first set of braces or dividers (3010) is positioned in a first direction away from straight brace or generally horizontal divider (2010) and a second set of braces or dividers (3010) is positioned in a second direction away from straight brace or generally horizontal divider (2010). Although not shown in FIG. 1, other preferred embodiments of cage (2000) can have a single brace (3010) extending in a first direction away from straight brace (2010) and a single brace (3010) extending in a second direction away from straight brace (2010). Each brace (3010) has inward side (3012), first lateral side (3014), second lateral side (3016) and outward side (3018). Intersection of first converging sides (3014) and inward sides (3012) create first corners (3020) and intersection of inward sides (3012) and second converging sides (3016) create second corners (3022), such that each brace (3010) has first corner (3020) and second corner (3022). First universal corner post (2030) contacts first corners (2020 and 3020) and second universal corner post (2040) contacts second corners (2022 and 3022). In the embodiment disclosed in FIG. 1, first universal corner post (2030) is angled at about ninety degrees to simultaneously connect with inward side (2012) and first lateral side (2014) of generally horizontal divider (2010) and inward sides (3012) and first lateral sides (3014) of dividers (3010). Second universal corner post (2040) is angled at about ninety degrees to simultaneously connect with inward side (2012) and second lateral side (2016) of straight brace (2010) and inward sides (3012) and second lateral sides (3016) of braces (3010).
In select embodiments, one or more first side universal posts (2050) contact first lateral sides (2014 and 3014) of cage (2000), one or more second side universal posts (2070) contact second lateral sides (2016 and 3016) of cage (2000) and one or more inward universal posts (2072) contact inward sides (2012 and 3012) of cage (2000). One of the first side universal posts (2050) is generally proximate outward side (2018) of brace (2010) and outward sides (3018) of braces (3010). In a similar vein, one of the second side universal posts (2070) is generally proximate outward side (2018) of brace (2010) and outward sides (3018) of braces (3010).
Inward support (2200) of cage (2000) includes inward side (2012) of straight brace (2010), inward sides (3012) of braces (3010) and universal corner posts (2030 and 2040). First lateral support (2240) of cage (2000) includes lateral side (2014) of straight brace (2010), lateral sides (3014) of braces (3010), universal corner post (2030) and one or more universal posts (2050). Second lateral support (2260) of cage (2000) includes lateral side (2016) of straight brace (2010), lateral sides (3016) of braces (3010), universal corner post (2040) and one or more universal posts (2070). Outward support (2220) of cage (2000) includes outward side (2018) of straight brace (2010), outward sides (3018) of braces (3010), an outward universal post (2050) and an outward universal post (2070).
Select preferred embodiments of cage (2000) can also include inward universal posts (2072) contacting generally inward side (2012) of generally horizontal divider (2010) and inward sides (3012) of dividers (3010). Still other preferred embodiments of cage (2000) can include one or more ties (2074) contacting universal corner posts (2030, 2040) and universal posts (2050, 2070 and 2072). Most preferably, ties (2074) are positioned on the inward sides of the universal posts (2030, 2040, 2050, 2070 and 2072).
The combination of straight brace (2010), braces (3010), universal corner posts (2030 and 2040), universal posts (2050, 2070 and 2072) and ties (2074) creates openings of more than one cross-sectional area about the outer border of cage (2000)—allowing the surgeon to see through the openings, prior to the addition of osteogenic or other substances into implant (2000).
In the preferred embodiment exemplified in FIG. 1, cage (2000) is provided with a plurality of brakes (2080) integral with one or more outward sides (2018 and 3018) of dividers (2010 and 3010). However, in other preferred embodiments of current invention, brakes (2080) need not be integral with outward sides (2018 and 3018) of braces (2010 and 3010). In other words, brakes (2080) can be affixed with outward universal posts (2050 and/or 2070) in any manner acceptable in the art.
As shown in FIG. 1, one or more brakes (2080) are provided with bore (2090). In the practice of the present invention, one or more brakes (2080) can extend laterally beyond first lateral support (2240) or one or more brakes (2080) can extend laterally beyond second lateral support (2260) or one or more brakes (2080) can extend laterally beyond first lateral support (2240) and second lateral support (2260). Brakes (2080) assist the surgeon in minimizing potential damage to the spinal cord from over-insertion of the implant into the surgically created cavity.
Depending on predetermined engineering parameters, as shown in FIG. 2, brake (2080) can include bore (2090) that is perpendicular to outward side (2082) and inward side (2084) of brake (2080) or brake (2080) can include bore (2090) that is angled at other than perpendicular from the outward side (2082) and inward side (2084) of brake (2080). It has been discovered that bore (2090) can be angled from about 1 degree to about 60 degrees away from the bore's reference axis (2086-2086), where the reference axis (2086-2086) equates to the perpendicular axis between outward side (2082) and inward side (2084) of brake (2080).
In select preferred embodiments, bores (2090) of brakes (2080) associated with first set of braces or superior dividers (3010) are angled upward from outward sides (2082) through inward sides (2084) of brakes (2080) and bores (2090) of brakes (2080) associated with second set of braces or inferior dividers (3010) are angled downward from outward sides (2082) through inward sides (2084) of brakes (2080). Bores (2090) function to receive a fastener, such as a screw (not shown in this view), that assists in securing the implant to bone.
Returning to FIG. 1, preferred embodiments of the current invention can be provided with a bar (2100) proximate to and parallel with outward side (2018) of straight brace (2010) and one or more bars (2100) proximate to and parallel with one or more outward sides (3018) of braces (3010). As shown in FIG. 1, bars (2100) contact first side universal post (2050) proximate outward side (2018) of brace (2010) and outward sides (3018) of braces (3010) and second side universal post (2070) proximate outward sides (2018) of brace (2010) and outward sides (3018) of braces (3010). Extensions (2102) of bars (2100) extend laterally beyond first lateral support (2240) or one or more extensions (2102) can extend laterally beyond second lateral support (2260) or one or more extensions (2102) can extend laterally beyond first lateral support (2240) and second lateral support (2260). Among other things, it has been discovered that the combination of outward sides' brakes (2080) and extensions (2102) can function as one or more grips for cage (2000). The grips enhance engagement of surgical instruments with implant (2000). Although not shown in FIG. 1, extensions (2102) can also be provided with one or more bores with structures similar to those previously enabled for bores (2090). It has also been discovered that the combination of outward sides (2018 and 3018) and bars (2100) enhances the cage's resistance to bending, twisting or torsion.
FIG. 3 is a lateral view of an embodiment of second lateral support (2260) of implant (2000). Although not shown in this view, for this embodiment, first lateral support (2240) is identical to second lateral support (2260). As shown, second lateral support (2260) includes universal corner post (2040), universal posts (2070), brakes (2080), second lateral side (2016) of straight brace (2010), second lateral sides (3016) of first set of angled braces (3010), second lateral sides (3016) of second set of angled braces (3010) and ties (2074). Axis lines 2400-2400 represent horizontal. Inward sides of angled braces (3010) are closer to straight brace (2010) than outward sides of angled braces (3010). Each angled brace (3010) of the first set of angled braces (3010) diverges toward the straight brace or generally horizontal divider (2010) at angles (2402) from about 1 degree to about 10 degrees from horizontal. Each angled brace (3010) of the second set of angled braces (3010) diverges toward the straight brace or generally horizontal divider (2010) at angles (2402) from about 1 degree to about 10 degrees from horizontal. Other preferred embodiments can include ties (not shown in FIG. 3) that contact universal corner post (2040) and universal posts (2070) as well other universal corner posts and universal posts (not shown in this view).
It has been discovered that the implant's wedge-like structure is beneficial because the wedge-like structure increases contact surface area between the implant and tissue surrounding the surgically created cavity. The increased contact area enhances spinal stabilization while the increased rigidity improves bony fusion. Further, testing reveals that the cage's wedge-like structure is capable of withstanding greater compressive loads than round or oval implants.
Turning to the preferred embodiment disclosed in FIG. 4, implant (2000) is provided with a superior plate (1100) attached to outward side (3018) of superior brace (3010). In similar fashion, inferior plate (1200) is attached to outward side (3018) of inferior brace (3010). Upper plate (1100) has two bores (1102) for receiving fasteners, such as screws, to assist in securing cage (2000) to bone. Lower plate (1200) includes two bores (1202) for receiving fasteners that assist in securing cage (2000) to bone. Although upper plate (1100) and lower plate (1200) are shown with a plurality of bores, Applicant's current invention can function when upper plate (1100) and lower plate (1200) each include only a single bore (1102, 1202).
As shown in the embodiment of FIG. 4, superior plate (1100) extends upward from superior brace or divider (3010) and inferior plate (1200) depends downward from inferior brace or divider (3010). In select embodiments, superior plate (1100) extends upward in a plane perpendicular to outward side (3018) of superior brace (3010) and inferior plate (1200) depends downward in a plane perpendicular to outward side (3018) of inferior divider (3010). Although not shown FIG. 4, in other embodiments, plate (1100) can be extended 2-3 millimeters outward from superior brace (3010) before plate (1100) extends upward from superior brace (3010). In a similar manner, inferior plate (1200) can be extended 2-3 millimeters outward from inferior brace (3010) before plate (1200) depends downward from inferior brace (3010). When the need arises, outward extension of superior plate (1100) and inferior plate (1200) allows cage (2000) to securely fit within a deeper surgical cavity. Straight brace (2010) and intermediate superior and intermediate inferior braces (3010) include one or more brakes (2080) having bore (2090). As shown, brakes (2080) extend laterally beyond first lateral support (2240) and second lateral support (2260) of implant (2000).
With reference to FIG. 5, plate (1100) can include one or more bores (1102) where each bore (1102) is perpendicular to outward side (1104) and inward side (1106) of plate (1100) or plate (1100) can include one or more bores (1102) that are angled at other than perpendicular from the outward side (1104) and inward side (1106) of plate (1100). By way of example, bores (1102) can be angled from about 1 degree to about 60 degrees away from the bore's reference axis (1110), where the reference axis (1110-1110) equates to the perpendicular axis between outward side (1104) and inward side (1106) of plate (1000). Plate (1200) and one or more bores (1202) are manufactured in a similar fashion to plate (1100) and one or more bores (1102).
In select preferred embodiments, bores (1102) of plate (1100) are angled upward from outward side (1104) through inward side (1106) of plate (1100) and bores (1202) of plate (1200) are angled downward from the outward side of plate (1200) through the inward side of plate (1200) One or more bores (1102, 1202) function to receive a fastener, such as a screw (not shown in this view) that assists in securing the implant to bone. Select preferred embodiments can include brakes (2080) that are not integral with outward sides (2018 and 3018) of braces (2010 and 3010).
With reference to the preferred embodiment portrayed in FIG. 6, implant (2000) is provided with superior brace (3010) that includes a plurality of bores (1092) integral with outward side (3018) and inward edge (3018A) of superior brace (3010). Inferior brace (3010) includes a plurality of bores (1092) integral with outward side (3018) and inward edge (3018A) of inferior divider (3010). Bores (1092) are inset from first lateral support (2240) and second lateral support (2260) of cage (2000). As depicted in FIG. 7, superior brace (3010) includes one or more bores (1092) where each bore (1092) is angled at other than perpendicular from the outward side (3018) and inward edge (3018A) of brace (3010). Bores (1092) can be angled from about 1 degree to about 60 degrees away from the bore's reference axis (1096-1096), where the reference axis (1096-1096) equates to the perpendicular axis between outward side (3018) and inward edge (3018A) of brace (3010). Inferior brace (3010) and one or more bores (1092) are manufactured in a similar fashion to superior brace (3010) and one or more bores (1092). In the preferred embodiments, bores (1092) of superior brace (3010) are angled upward from outward side (3018) through inward edge (3018A) of superior brace (3010) and bores (1092) of inferior brace (3010) are angled downward from the outward side (3018) through inward edge (3018A) of inferior brace (3010). Bores (1092) function to receive a fastener, such as a screw (not shown in this view) that assists in securing the implant to bone.
Having disclosed the invention as required by Title 35 of the United States Code, Applicant now prays respectfully that Letters Patent be granted for his invention in accordance with the scope of the claims appended hereto.

## Claims

1. A wedge-like spinal implant comprising titanium, stainless steel, resorbable polymers, non-resorbable polymers or combinations thereof; said wedge-like spinal implant comprising a length of consecutively joined receptacles having peripheral openings a surgeon can see through prior to addition of osteogenic substances, wherein said length of consecutively joined receptacles comprises:
a) a series of trapezoidal dividers having a common lengthwise axis, wherein each divider comprises:
i) an inward side;
ii) an outward side;
iii) a first side connected with said outward side and said inward side forming a first outward corner with said outward side and a first inward corner with said inward side;
iv) a second side connected with said outward side and said inward side forming a second outward corner with said outward side and a second inward corner with said inward side; and
v) an aperture;

b) a first universal corner post contacting said first inward corners;
c) a second universal corner post contacting said second inward corners;
d) one or more first universal posts contacting said first sides of said dividers;
e) one or more second universal posts contacting said second sides of said dividers;
f) one or more inward universal posts contacting said inward sides of said dividers;
g) one or more bars, parallel to one or more of said outward sides of said series, contacting one of said first universal posts and one of said second universal posts;
h) one or more first side brakes, comprising a bore, proximate to said one or more first outward corners and extending laterally beyond said first sides;
i) one or more second side brakes, comprising a bore, proximate to said one or more second outward corners and extending laterally beyond said second sides; and
j) said series of trapezoidal dividers further comprising:
i) a centralized generally horizontal divider;
ii) a first set of dividers spaced apart from each other and extending in a first direction away from said centralized generally horizontal divider, wherein said inward side of each of said first set of dividers is closer to said centralized generally horizontal divider than said outward side of each of said first set of dividers such that each of said first set of dividers converges toward said centralized generally horizontal divider at angles of from about 1 degree to about 10 degrees from horizontal; and
iii) a second set of dividers spaced apart from each other and extending in a second direction away from said centralized generally horizontal divider, wherein said inward side of each of said second set of dividers is closer to said centralized generally horizontal divider than said outward side of each of said second set of dividers such that each of said second set of dividers converges toward said centralized generally horizontal divider at angles of from about 1 degree to about 10 degrees from horizontal.

2. The wedge-like spinal implant of claim 1 further comprising a plurality of ties contacting said first corner post, said second corner post, said first universal posts, said second universal posts and said inward universal posts.

3. The wedge-like spinal implant of claim 2 wherein said first universal corner post is angled at about ninety degrees to simultaneously connect with said first inward corners of said series and said second universal corner post is angled at about ninety degrees to simultaneously connect with said second inward corners of said series.

4. The wedge-like spinal implant of claim 3 wherein:
a) an outward side of a first trapezoidal divider distant from said centralized generally horizontal divider further comprises a first plate including one or more bores therein; or
b) said outward side of said first trapezoidal divider distant from said centralized generally horizontal divider further comprises said first plate including one or more bores therein and a second trapezoidal divider distant from said centralized generally horizontal divider further comprises a second plate including one or more bores therein; or
c) said outward side of said first trapezoidal divider distant from said centrally generally horizontal divider further comprises said first plate including one or more bores therein and said second trapezoidal divider distant from said centralized generally horizontal divider includes one or more bores therein; or
d) said outward side of said first trapezoidal divider distant from said centrally generally horizontal divider includes one or more bores therein and said second trapezoidal divider distant from said centralized generally horizontal divider includes one or more bores therein; or
e) said outward side of said first trapezoidal divider distant from said centrally generally horizontal divider includes one or more bores therein.

5. A wedge-like cage including peripheral openings a surgeon can see through prior to addition of osteogenic substances; said cage capable of implantation into a cavity surgically created between a superior spinal region and an inferior spinal region of a mammal; said cage comprising:
a) a series of trapezoidal dividers, wherein each said divider comprises an inward side, an outward side and opposing first and second lateral sides such that a combination of said sides creates an aperture;
b) a first universal corner post contacting first inward corners of said series;
c) a second universal corner post contacting second inward corners of said series;
d) one or more first universal posts contacting first lateral sides of said series;
e) one or more second universal posts contacting second lateral sides of said series;
f) one or more first side brakes attached to one or more outward edges of said cage; said one or more first side brakes extending laterally beyond said first sides of said series, wherein at least one of said first side brakes comprises a bore for receiving a fastener;
g) one or more second side brakes attached to one or more outward edges of said cage; said one or more second side brakes extending laterally beyond said second sides of said series, wherein at least one of said second side brakes comprises a bore for receiving a fastener; and
h) said series of trapezoidal dividers further comprising:
i) a generally horizontal divider;
ii) a first set of dividers spaced apart from each other and extending in a first direction away from said generally horizontal divider, wherein said inward side of each of said first set of dividers is closer to said generally horizontal divider than said outward side of each of said first set of dividers; and
iii) a second set of dividers spaced apart from each other and extending in a second direction, opposite said first direction, away from said generally horizontal divider, wherein said inward side of each of said second set of dividers is closer to said generally horizontal divider than said outward side of each of said second set of dividers.

6. The wedge-like cage of claim 5 further comprising:
a) one or more bars, parallel with and proximate to one or more of said outward sides of said series, contacting one of said first universal posts and one said second universal posts; and
b) one or more inward universal corner posts.

7. The wedge-like cage of claim 6, wherein one or more of said one or more bars comprises:
a) a first extension extending laterally beyond said first sides of said series; and
b) a second extension extending laterally beyond said second sides of said series.

8. The wedge-like cage of claim 7 further comprising a plurality of ties contacting said first corner post, said second corner post, said first universal posts and said second universal posts.

9. The wedge-like cage of claim 8 wherein:
a) said first set of dividers diverges toward said generally horizontal divider at angles of from about 1 degree to about 10 degrees from horizontal; and
b) said second set of dividers diverges toward said generally horizontal divider at angles of from about 1 degree to about 10 degrees from horizontal.

10. The wedge-like cage of claim 9 wherein said first universal corner post is angled at about ninety degrees to simultaneously connect with said first inward corners of said series and said second universal corner post is angled at about ninety degrees to simultaneously connect with said second inward corners of said series.

11. A wedge-like cage capable of implantation into a cavity surgically created between a superior spinal region and an inferior spinal region of a mammal; said wedge-like cage comprising:
a) a series of trapezoidal braces, wherein said series is adapted to extend for an approximate length of said surgically created cavity as said cavity is measured along a longitudinal axis, wherein each trapezoidal brace further includes two sides of equal length and an aperture, and wherein said series comprises:
i) a straight brace;
ii) one or more first angled braces spaced apart from each other and extending in a first direction away from said straight brace; and
iii) one or more second angled braces spaced apart from each other and extending in a second direction away from said straight brace;

b) an inward support;
c) an outward support;
d) a first lateral support; and
e) a second lateral support, wherein said supports are joined with each other such that an outer surface area of said outward support is greater than an outer surface area of said inward support.

12. The wedge-like cage of claim 11, wherein:
a) said inward support comprises:
i) a first corner common with said first lateral support; and
ii) a second corner common with said second lateral support; and

b) said outward support comprises a border common with said first lateral support and said second lateral support.

13. The wedge-like cage of claim 12 wherein an inward side of each of said one or more first angled braces and an inward side of each of said one or more second angled braces are closer to said straight brace than outward sides of said one or more first angled braces and said one or more second angled braces.

14. The wedge-like cage of claim 13, wherein said inward support and said lateral supports further comprise one or more posts and one or more ties.

15. The wedge-like cage of claim 14 further comprising one or more bars parallel with outward edges of said braces.

16. The wedge-like cage of claim 15 further comprising:
a) one or more first side brakes proximate a first side of said outward support, wherein first side brakes extend laterally beyond said first lateral support;
b) one or more second side brakes proximate a second side of said outward support, wherein said second side brakes extend laterally beyond said second lateral support;
c) one or more first lateral extensions proximate one or more of said first side brakes, wherein said one or more first lateral extensions are generally parallel said first side brakes; and
d) one or more second lateral extensions proximate one or more of said second side brakes, wherein said one or more second lateral extensions are generally parallel said second side brakes.

17. The wedge-like cage of claim 16, wherein one or more of said brakes or one or more of said lateral extensions includes a bore therein.

18. The wedge-like cage of claim 17 wherein:
a) said first set of angled braces converges toward said straight brace at angles of from about 1 degree to about 10 degrees from horizontal; and
b) said second set of angled braces converges toward straight brace at angles of from about 1 degree to about 10 degrees from horizontal.

19. The wedge-like cage of claim 18, wherein said wedge-like cage comprises: titanium, stainless steel, resorbable polymers, non-resorbable polymers or combinations thereof.