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FLO-5PROV Those of skill in the art will recognize that a variety of designs may be used for the screw member 118. For example, in one embodiment, the screw member 118 may include no head 238 and instead include threads on both ends of the shank 236. The threads on opposite ends of the shank may be traverse the shank 236 in opposite directions about the axis 246 such that rotation of the screw member 118 in one direction about the axis 246 draws the proximal wedge 114 and distal wedge 116 together and rotation of the screw member 118 in one direction about the axis 246 moves the proximal wedge 114 and distal wedge 116 away from each other. 59 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIGs. 1A-1H illustrate the expandable intervertebral implant 100 of FIG. 1A in a collapsed configuration and FIGs. 2A-2H illustrate the expandable intervertebral implant 100 of FIG. 1A in an expanded configuration. As used herein, a “collapsed 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 smallest 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 close as possible to the lower endplate 112 in the collapsed configuration. 49 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV A variety of shapes and/or sizes may be used for the windows 138, 140. In the illustrated embodiment, the windows 138, 140 may both have a rectangular shape. Other shapes for the windows 138, 140 include but are not limited to elliptical, circular, square, and the like. 48 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV For example, in one embodiment the windows 138, 140 may permit bone growth through the expandable intervertebral implant as part of a recovery process after the expandable intervertebral implant is inserted into a patient. In addition, or alternatively, the windows 138, 140 may facilitate proper placement and configuration of the expandable intervertebral implant 100 by observation using traditional visualization techniques. For example, using one or more of the windows 138, 140 a surgeon may count a number of threads of a screw member 118 to determine a state of the expandable intervertebral implant between a collapsed configuration and an expanded configuration. 47 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 1G is a top view of the expandable intervertebral implant 100 of FIG. 1A and FIG. 1H is a bottom view of the expandable intervertebral implant 100 of FIG. 1A. FIG. 1G illustrates that in certain embodiments, the upper endplate 110 can include one or more windows 138. FIG. 1H illustrates that in certain embodiments, the lower endplate 112 can include one or more windows 140. The windows 138, 140 may serve one or more of a variety of purposes. 46 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 1E illustrates a proximal end view of the expandable intervertebral implant 100 of FIG. 1A and FIG. 1F illustrates a distal end view of the expandable intervertebral implant 100 of FIG. 1A. FIG 1E illustrates an end view of the proximal wedge 114, upper endplate 110, lower endplate 112, and screw member 118. FIG 1F illustrates an end view of the distal wedge 116, upper endplate 110, lower endplate 112, and screw member 118. 45 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV Referring now to FIG. 1C and 1D, in certain embodiments, an expandable intervertebral implant 100 can include a plurality of ridges 136a along a surface of the upper endplate 110 and a plurality of ridges 136b along a surface of the lower endplate 112. The ridges 136a along a surface of the upper endplate 110 can serve to engage a superior vertebral body and the ridges 136b along a surface of the lower endplate 112 serve to engage an inferior vertebral body. The number of ridges 136a,b and/or their positions on the upper endplate 110 and/or lower endplate 112 may vary in certain embodiments of an expandable intervertebral implant 100. In the illustrated embodiment of FIG. 1C and 1D, the ridges 136a each point towards the proximal end 120 and the ridges 136b each point towards the proximal end 130. Of course, those of skill in the art recognize that other positions, patterns, placement and spacing of ridges 136a,b may be used with the expandable intervertebral implant disclosed herein. 44 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The wedge shape of the present disclosure can be seen in FIGs 1C and 1D. A first height H1 measured from a distal end 122 of the upper endplate 110 to a distal end 132 of the lower endplate 112 is greater than a second height H2 measured from a proximal end 120 of the upper endplate 110 to a proximal end 130 of the lower endplate 112. In certain embodiments, the surface of one, or both of, the upper endplate 110 and the lower endplate 112 from the distal ends 122, 132 to the proximal ends 120, 130 can be straight. In other embodiments, such as the embodiment illustrated in FIGs 1C, 1D, the surface of one, or both of, the upper endplate 110 and the lower endplate 112 from the distal ends 122, 132 to the proximal ends 120, 130 can include a camber. 43 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV Referring now to FIG. 1C and 1D, in certain embodiments, an exemplary expandable intervertebral implant 100 is configured to form a wedge shape. The wedge shape may be observable when the expandable intervertebral implant 100 is in a collapsed configuration and is viewed in profile. Alternatively, or in addition, wedge shape may be observable when the expandable intervertebral implant 100 is in an expanded configuration and is viewed in profile. As used herein, “wedge shape” refers to a shape that resembles a wedge in which the three dimensional object, when viewed in profile has a first height measured at one end that is greater than a second height measured at an opposite end. 42 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 3A is a top view of disassembled components of the expandable intervertebral implant 100 of FIG. 1A. Specifically, FIG. 3A illustrates the upper endplate 110 and lower endplate 112 disassembled from the expandable intervertebral implant 100. FIG. 3A also illustrates the proximal wedge 114, distal wedge 116, and screw member 118 and their positions relative to each other when the expandable intervertebral implant 100 is in a collapsed configuration. 67 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The knob 450 is connected to the inserter body 410 and coupled to the inserter fork 430. In one embodiment, the inserter fork 430 is coupled to the knob 450 such that as the knob 450 is rotated about the longitudinal axis 460 in a first direction, the inserter fork 430 extends beyond a distal end of the arm 414 towards the extended position. Similarly, as the knob 450 is rotated about the longitudinal axis 460 in a second direction, the inserter fork 430 retracts within the arm 414 towards the retracted position. In one embodiment, the knob 450 can include a central opening with internal threads (not shown) that engage external threads (see FIG. 5) one an outside of the inserter fork 430. 75 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV In certain embodiments, the inserter fork 430 has a length that extends beyond both ends of the arm 414. The inserter fork 430 can slidably move within the arm 414 to assume a retracted position and an extended position. In the retracted position, the inserter fork 430 engages the expandable intervertebral implant and minimally extends beyond a distal end of the arm 414. In the extended position, the inserter fork 430 disengages from the expandable intervertebral implant and extends further beyond a distal end of the arm 414 than when the inserter fork 430 is in the retracted position. 74 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The inserter fork 430 is an elongated member coupled to the knob 450 which is secured within the inserter body 410. The inserter fork 430 and knob 450 cooperate with the inserter body 410 to engage and disengage with an expandable intervertebral implant. 73 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The handle 420 is sized and configured to fit comfortably in the hand(s) of a user such as a surgeon. By holding the handle 420, a user is able to guide, position, and direct the inserter 400 attached to an expandable intervertebral implant during a procedure to install an expandable intervertebral implant, such as the expandable intervertebral implant 100. 72 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The arm 414 can include an internal longitudinal opening that is sized and configured to contain the inserter fork 430 and the driver 440. The arm 414 is a rigid member of a length that enables a user to comfortably position an attached expandable intervertebral implant during an intervertebral procedure. In certain embodiments, the arm 414 can includes one or more windows 416. 71 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV The inserter body 410 may serve as a housing for the inserter fork 430. The inserter body 410 can include a stock 412 and an arm 414. The stock 412 can be configured to engage with the handle 420. In one exemplary embodiment, the stock 412 is a cylindrical member with threads (not shown) around the outside on one end of the stock 412. The threads of the stock 412 can engage internal threads in an opening (not shown) in the handle 420 such that screwing the handle onto the threads of the stock 412 secures the handle 420 to the stock 412. 70 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 4A illustrates one exemplary embodiment of an inserter 400 with an expandable intervertebral implant attached. In one embodiment, the expandable intervertebral implant attached to the inserter 400 can be the expandable intervertebral implant 100 illustrated in FIG. 1. The inserter 400 may generally include an inserter body 410, a handle 420, an inserter fork 430, a driver 440, and a knob 450. 69 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 3B is a top view of disassembled components of the expandable intervertebral implant 100 of FIG. 1A. Specifically, FIG. 3B illustrates the upper endplate 110 and lower endplate 112 disassembled from the expandable intervertebral implant 100. FIG. 3A also illustrates the proximal wedge 114, distal wedge 116, and screw member 118 and their positions relative to each other when the expandable intervertebral implant 100 is in an expanded configuration. FIG. 3B illustrates that the proximal wedge 114 and distal wedge 116 are closer to each other along the screw member 118 (note, in the depicted embodiment, the threads 240 are no longer visible being concealed by the barrel 234 and the distal wedge 116). 68 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG 1D illustrates that the second side 128 lacks the pair of fingers 134 and the tab 124. FIG 1D does illustrate an end of the pair of fingers 134 on the first side 126 that can extend beyond a top of the upper endplate 110 and an end of the tab 124 on the first side that can extend beyond a bottom of the lower endplate 112. 41 Added by DJM 2 2021 2/18/21, 12:00 AM
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FLO-5PROV FIG. 2J is a top view of the expandable intervertebral implant 100 of FIG. 1A in an expanded configuration and FIG. 2K is a bottom view of the expandable intervertebral implant 100 of FIG. 1A in an expanded configuration. FIGs. 2J and 2K are comparable to FIGs. 1G and 1H. In FIGs. 1G and 1H, the proximal wedge 114 and distal wedge 116 can be seen because the expandable intervertebral implant is in a collapsed configuration. In FIGs. 2J and 2K, the proximal wedge 114 and distal wedge 116 cannot be seen because the expandable intervertebral implant is in an expanded configuration. Also, FIGs 1G and 1H illustrate threads 240 of the screw member 118 because the expandable intervertebral implant is in a collapsed configuration. FIGs 2J and 2K do not illustrate threads 240 of the screw member 118 because the expandable intervertebral implant is in an expanded configuration (the threads are hidden by the barrel 234). 66 Added by DJM 2 2021 2/18/21, 12:00 AM

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