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FLO-5PROV During a procedure, when a user rotates the driver handle 560 the drive member 580 rotates the screw member 118 to expand or collapse the expandable intervertebral implant. As the driver handle 560 rotates about the longitudinal axis 460, the shoulders 526 cooperate with the tabs 528 to retain the proximal wedge 114 such that the screw member 118 rotates but the proximal wedge 114 and expandable intervertebral implant do not rotate. 87 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 5 illustrates in the exploded view that the driver 440 is configured to fit within the longitudinal opening 530 of the inserter fork 430. When installed within the inserter fork 430, the shaft 570 is long enough that the driver handle 560 remains outside the longitudinal opening 530 and the drive member 580 sits between the protrusions 522. With the protrusions 522 seated within the recesses 524 of the proximal wedge 114 of an attached expandable intervertebral implant, the expandable intervertebral implant is securely attached to the inserter 400. 86 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The drive member 580 is configured to engage a drive recess 244 (See FIG. 2H) of a screw member 118. Accordingly, the drive member 580 is configured to have a shape and configuration that matches the type of drive recess 244 of the screw member 118. Depending on the type of recess 244, the drive member 580 has a corresponding type and shape such as a slot to fit a slotted recess 244, a torx end to fit a torx recess 244, a Philips end to fit a Philips recess 244, and the like. Of course, those of skill in the art recognize that the shape and configuration of the drive member 580 and the recess 244 can be reversed and thus comprise an embodiment within the scope of the present disclosure. The drive member 580 is configured to connect to the shaft 570 and fit within the inserter fork 430 such that the drive member 580 seats within the drive recess 244 when the expandable intervertebral implant is attached to the inserter 400. 85 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The shaft 570 can be a solid piece of material that connects the driver handle 560 and the drive member 580. The shaft 570 can have a circular cross section and is sized to fit within the longitudinal opening 530. 84 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The driver 440 includes a driver handle 560, a shaft 570, and a drive member 580. In an exemplary embodiment, the driver handle 560 can be connected to, or coupled to, the shaft 570. The driver handle 560 enables a user of the inserter 400 to rotate the shaft 570 and drive member 580 during a surgical procedure. The driver handle 560 has a circular cross section and is sized for convenient rotation in either direction about the longitudinal axis 460. 83 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV In certain embodiments, the inserter fork 430 can be splayed prior to assembly (for example by way of the the bias member 540) and insertion of the inserter fork 430 within the arm 414. Thus, assembling the inserter fork 430 within the arm 414 brings the prongs 520 closer together and movement of the inserter fork 430 to an extended position results in the prongs 520 moving further apart, which can release an attached expandable intervertebral implant 100. 82 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The knob 450 can have a circular cross section and includes an opening that is coaxial with the longitudinal axis 460. The opening of the knob 450 can be configured to engage external threads 550 along one section of the body 510 of the inserter fork 430. As illustrated in FIG. 4, the knob 450 sits within an opening on the inserter body 410 of the inserter 400. Accordingly, rotation of the knob 450 about the longitudinal axis 460 in one direction draws the inserter fork 430 into the inserter body 410 and rotation of the knob 450 about the longitudinal axis 460 in an opposite direction extends the inserter fork 430 out of the inserter body 410. 81 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV In the illustrated exemplary embodiment, the pair of prongs 520 are configured to engage with an expandable intervertebral implant. In particular, the pair of prongs 520 can each include a protrusion 522 that extends towards the longitudinal axis 460. Each protrusion 522 is configured to seat within one recess 524 of a proximal wedge 114. In addition, the prongs 520 can include shoulders 526 configured to contact tabs 528 of the proximal wedge 114 when the inserter fork 430 is connected to an expandable intervertebral implant. 80 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV In one exemplary embodiment, the body 510 includes a bias member 540 positioned at one end of the body 510 and coupled to the pair of prongs 520. In one embodiment, the bias member 540 is formed as part of the body 510. In the illustrated exemplary embodiment, the bias member 540 can include two legs 542 of the body 510 formed to naturally extend out away from the longitudinal axis 460, with an opening 544 between the legs 542. 79 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The body 510 is an elongated member that can be cylindrical or can have a rectangular cross section. The body 510 includes a longitudinal opening 530 that extends from one end of the body 510 to the other. The longitudinal opening 530 is configured to receive at least part of the driver 440. The longitudinal opening 530 can have a central axis that is coaxial with the longitudinal axis 460. The body 510 can include one or more windows 512 that connect to the longitudinal opening 530. The windows 512 can facilitate cleaning and sterilizing of the inserter 400. 78 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 5 is an exploded view of an inserter fork 430, a knob 450, and a driver 440. In an exemplary embodiment, the inserter fork 430 can include a body 510, a pair of prongs 520, a longitudinal opening 530, a bias member 540, and a set of threads 550. FIG. 5 also includes a perspective view of a proximal wedge 114 and screw member 118. 77 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV As used herein, an “expanded configuration” refers to an arrangement of an upper endplate 110, lower endplate 112, proximal wedge 114, distal wedge 116, and screw member 118 such that the assembly has its greatest height. In certain embodiments, the expandable intervertebral implant 100 is configured such that the upper endplate 110 engages the lower endplate 112 such that the upper endplate 110 is as far away as possible from the lower endplate 112 in the expanded configuration. As described in more detail below, the expandable intervertebral implant 100 is configured to have any configuration between a collapsed configuration and an expanded configuration. 50 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The head 238 can be configured to engage and seat within an opening in the proximal wedge 114. The threads 240 of the shank 236 can be configured to engage with one or more threads or a lip within the barrel 234 of the distal wedge 116. In one embodiment, an opening of the barrel 234 may extend through the distal wedge 116. The screw member 118 can include a drive recess 244 on one end of the head 238. The screw member 118 includes a recess 244 configured to receive a drive member, described below. The recess 244 can be configured to have any one of a variety of shapes including slotted, Torx, Torx plus, Philips, Quadrex, Pozidriv, square recess, tri-wing, spanner, or the like. The drive recess 244 can be centered on a longitudinal axis 246 of the screw member 118. 58 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 2E illustrates a side view of the screw member 118 of the expandable intervertebral implant 100 of FIG. 1A. The screw member 118 may generally include a shank 236, a head 238, and threads 240 on one end of the shank 236. The screw member 118 may include a groove 242. In one embodiment, the screw member 118 can be a jackscrew. The groove 242 may be sized and configured to seat a ring 243 or washer (See FIG. 3A). In certain embodiments, the ring 243 sits within the groove 242 when the expandable intervertebral implant 110 is in a collapsed configuration. The ring 243 may comprise a retaining ring. In a collapsed configuration, the ring 243 may keep the screw member 118 positioned within the proximal wedge 114. Alternatively, or in addition, the ring 243 may serve to prevent the screw member 118 from un-screwing from the distal wedge 116 when the screw member 118 is rotated in a particular direction. The ring 243 can be made of a variety of materials including plastic, rubber, ceramic, metal, or the like. 57 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 2D illustrates the proximal wedge 114, screw member 118, and distal wedge 116. In the illustrated embodiment, the proximal wedge 114 and distal wedge 116 are illustrated relative to the screw member 118 when the expandable intervertebral implant is in an expanded configuration. The distal wedge 116 can include a barrel 234 that includes threads configured to engage with threads on the screw member 118. 56 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV Referring to FIGs. 2B, 2C, and 2D, the distal groove 224 of the lower endplate 112 can be configured to receive a lower tongue 230 of the distal wedge 116. The distal groove 224 is sized and configured to receive the lower tongue 230. The lower tongue 230 slides within the distal groove 224 of the lower endplate 112 as the expandable intervertebral implant 100 transitions from a collapsed configuration to an expanded configuration, or vice versa. The distal groove 228 of the upper endplate 110 can be configured to receive an upper tongue 232 of the distal wedge 116. The distal groove 228 of the upper endplate 110 is sized and configured to receive the upper tongue 232. The upper tongue 232 slides within the distal groove 228 of the upper endplate 110 as the expandable intervertebral implant 100 transitions from a collapsed configuration to an expanded configuration, or vice versa. 55 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 2B illustrates that the lower endplate 112 can have a distal ramp 222 and a distal groove 224 and that the upper endplate 110 can have a distal ramp 226 (See FIG. 2C) and a distal groove 228 (See FIG. 2C). The distal ramps 222, 226 can be incline planes configured to engage the distal wedge 116. As the expandable intervertebral implant 100 moves from an expanded configuration to a collapsed configuration, the distal wedge 116 slides along the distal ramps 222, 226. 54 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The proximal groove 212 of the upper endplate 110 can be configured to receive an upper tongue 218 of the proximal wedge 114. The proximal groove 212 is sized and configured to receive the upper tongue 218. The upper tongue 218 slides within the proximal groove 212 as the expandable intervertebral implant 100 transitions from a collapsed configuration to an expanded configuration, or vice versa. The proximal groove 216 of the lower endplate 112 can be configured to receive a lower tongue 220 of the proximal wedge 114. The proximal groove 216 of the lower endplate 112 is sized and configured to receive the lower tongue 220. The upper tongue 218 slides within the proximal groove 216 of the upper endplate 110 as the expandable intervertebral implant 100 transitions from a collapsed configuration to an expanded configuration, or vice versa. 53 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 2A illustrates that the upper endplate 110 can have a proximal ramp 210 and a proximal groove 212 and that the lower endplate 112 can have a proximal ramp 214 and a proximal groove 216. The proximal ramps 210, 214 can be incline planes configured to engage the proximal wedge 114. As the expandable intervertebral implant 100 moves from an expanded configuration to a collapsed configuration, the proximal wedge 114 slides along the proximal ramps 210, 214. 52 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 2A is a perspective view of a proximal end of the expandable intervertebral implant 100 of FIG. 1A in an expanded configuration and FIG. 2B is a perspective view of the distal end of the expandable intervertebral implant 100 of FIG. 1A in an expanded configuration. 51 Added by DJM 2 2021 2/18/21, 12:00 AM

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