Rod-Reducing Apparatus and Associated Methods

• US 20130090697A1
• Filed: 10/11/2011
• Published: 04/11/2013
• Est. Priority Date: 10/11/2011
• Status: Active Grant

• Current Assignee: Globus Medical, Inc.
• Original Assignee: Globus Medical, Inc.
• Inventors: George, Milan
• Granted Patent: US 9,750,548 B2
• Time in Patent Office: Days
• US Class Current: 606/305
• CPC Class Codes: A61B 17/7086 Rod reducers, i.e. devices providing a mechanical advantage to allow a user to force a rod into or onto an anchor head other than by means of a rod-to-bone anchor locking element; rod removers
• CPC Class Codes: A61B 17/7091 for applying, tightening or removing longitudinal element-to-bone anchor locking elements, e.g. caps, set screws, nuts or wedges
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter

Abstract

Embodiments are generally directed to an apparatus for reducing a rod into an orthopedic fixation device. An embodiment provides a rod-reducing apparatus. The rod-reducing apparatus may comprise a housing comprising a threaded through bore. The rod-reducing apparatus further may comprise a reduction shaft comprising a shaft portion and a through bore in the shaft portion, wherein the shaft portion may be configured to be received within the threaded through bore of the housing. The locking cap driver may comprise a locking cap driver comprising a shaft portion that may be configured to be received within the through bore of the reduction shaft, wherein a distal end of the shaft portion may be configured for attachment to a locking cap assembly.

Claims

1. A rod-reducing apparatus:

a housing comprising a threaded through bore;

a reduction shaft comprising a shaft portion and a through bore in the shaft portion, wherein the shaft portion is configured to be received within the threaded through bore of the housing;

a locking cap driver comprising a shaft portion that is configured to be received within the through bore of the reduction shaft, wherein a distal end of the shaft portion is configured for attachment to a locking cap assembly.

2. The rod-reducing apparatus of claim 1, wherein the housing comprises a distal extension configured to couple the rod-reducing apparatus to a reducing head, wherein the reducing head comprises tabs that define a channel.

3. The rod-reducing apparatus of claim 1, wherein the housing comprises a clip-on assembly coupled to the housing, wherein the clip-on assembly comprises clip-on tabs and a spring configured to bias the clip-on tabs to secure the housing to a reducing head.

4. The rod-reducing apparatus of claim 1, wherein a proximal end of the reduction shaft comprises a connector portion configured to engage a driving apparatus.

5. The rod-reducing apparatus of claim 4, wherein a proximal end of the locking cap driver comprises a driver connector portion configured to engage the driving apparatus.

6. The rod-reducing apparatus of claim 5, wherein the connector portion of the reduction shaft comprises a polygonal recess configured to engage a corresponding protrusion on the driving apparatus, and wherein the driver connector portion of the locking cap drive comprises a polygonal protrusion configured to engage a corresponding recess on the driving apparatus.

7. A rod-reducing system comprising:

a reducing head comprising tabs, wherein a channel is defined between the tabs;

a driving apparatus comprising a shaft portion;

a rod-reducing apparatus, wherein the rod-reducing apparatus comprises;

a housing comprising a threaded through bore and a distal extension, wherein the housing is configured for attachment to the tabs of the reducing head;

a reduction shaft comprising a shaft portion, a connector portion at a proximal end of the shaft portion, and a through bore in the shaft portion, wherein the shaft portion is configured to be received within the threaded through bore of the housing, wherein the connector portion is configured for engagement with the driving apparatus; and

a locking cap driver comprising a shaft portion that is configured to be received within the through bore of the reduction shaft, wherein a distal end of the shaft portion is configured for engagement with a locking cap assembly, and wherein a proximal end of the shaft portion is configured for engagement with the driving apparatus;

wherein the reduction shaft is configured to thread through the housing and into the channel in the reducing head with the shaft portion of the locking cap driver disposed in the through bore in the reduction shaft.

8. The method of claim 7, wherein the tabs are each extensions of a corresponding sidewall of a head of an orthopedic fixation device.

9. The method of claim 7, wherein the rod-reducing system further comprises an orthopedic fixation device comprising a head and a bone fastener configured to secure the orthopedic fixation device in bone, wherein head comprises a bottom portion having an opening for receiving a base portion of the bone fastener and sidewalls that extend from the bottom portion, and wherein each of the tabs of the reducing head extend from a corresponding one of the sidewalls.

10. The method of claim 9, wherein the tabs and the sidewalls are coupled at an area of reduced diameter with respect to the tabs.

11. The method of claim 7, wherein the driving apparatus comprises a first end configured for engagement with the proximal end of the reduction shaft and a second end configured for engagement with the proximal end of the locking cap driver.

12. The method of claim 11, wherein the proximal end of the reduction shaft comprises a polygonal recess configured for engagement with the first end of the driving apparatus, wherein the proximal end of the locking cap driver comprises a polygonal protrusion configured for engagement with the second end of the locking cap driver.

13. The rod-reducing apparatus of claim 7, wherein the housing comprises a distal extension configured to couple the rod-reducing apparatus to the reducing head.

14. The rod-reducing apparatus of claim 13, wherein the extension comprises protrusions, wherein each of the protrusions is configured for engagement with a corresponding slot in one of the tabs of the reducing head.

15. The rod-reducing apparatus of claim 7, wherein the housing comprises a clip-on assembly coupled to the housing, wherein the clip-on assembly comprises clip-on tabs and a spring configured to bias the clip-on tabs to secure the housing to the reducing head.

16. A method for rod reduction comprising:

coupling a rod-reducing apparatus to a reducing head, wherein the reducing head comprises tabs that extend from a head of an orthopedic fixation device secured in bone, wherein the rod-reducing apparatus comprises;

a housing comprising a threaded through bore;

a reduction shaft comprising a shaft portion and a through bore in the shaft portion, wherein the shaft portion is configured to be received within the threaded through bore of the housing;

a locking cap driver comprising a shaft portion that is configured to be received within the through bore of the reduction shaft, wherein a distal end of the shaft portion is attached to a locking cap assembly;

driving the reduction shaft through the housing such that a rod in engagement with the locking cap assembly is reduced into the head of the orthopedic fixation device.

17. The method of claim 16, further comprising rotating the locking cap driver to engage the locking cap assembly with the head of the orthopedic fixation device.

18. The method of claim 17, further comprising de-coupling the rod-reducing apparatus and the reducing head, after the driving the reduction shaft through the housing.

19. The method of claim 16, wherein the rotating the locking cap driver comprises engaging a first end of a driving apparatus with a proximal end of the locking cap driver prior and then rotating the driving apparatus, and wherein the driving the reduction shaft comprises engaging a second end of the driving apparatus with a proximal end of the reduction shaft and then rotating the driving apparatus.

20. The method of claim 16, wherein coupling the rod-reducing apparatus to the reducing head comprises inserting an extension of the housing into a channel defined by the tabs of the reducing head, and engaging one or more protuberances on the housing with one or more corresponding slots in the tabs.