Spinal Fixation System

• US 20170079696A1
• Filed: 09/22/2015
• Published: 03/23/2017
• Est. Priority Date: 09/22/2015
• Status: Abandoned Application

• Current Assignee: Blackstone Medical Incorporated (Orthofix Medical Inc.)
• Original Assignee: Blackstone Medical Incorporated (Orthofix Medical Inc.)
• Inventors: Walker, Clinton, Lovell, John
• Application Number:
  US14/862,083
• Publication Number:
  US 20170079696A1
• Time in Patent Office: Days
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 17/708 with tubular extensions coaxially mounted on the bone anchors
• 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 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter

Abstract

A spinal fixation system may comprise a body, a tower, a set screw holder, and a set screw. A body may comprise a saddle, at least two tabs connected to and extending proximally from the saddle, a receiving channel disposed between the at least two tabs, and a securing mechanism, such as internal threads. A tower may comprise a central shaft configured to be received into the receiving channel, a cannula, at least two panels, an enlarged section, and an attachment feature configured to slide proximally and distally between the at least two panels and the enlarged section. A set screw holder may comprise a receiver and an insert. A receiver may comprise a passageway and a set screw engaging feature. The insert may be is sized to be received into the passageway of the receiver and may be configured to engage the set screw engaging feature.

Claims

1. A spinal fixation system, comprising:

a body having a proximal end and a distal end, wherein the body comprises;

a saddle at the distal end of the body;

at least two tabs connected to and extending proximally from the saddle;

a receiving channel disposed between the at least two tabs and extending into the saddle; and

a securing mechanism;

a tower having a proximal end and a distal end, wherein the tower comprises;

a central shaft having a proximal end and a distal end, wherein the central shaft is configured to be received into at least a portion of the receiving channel of the body;

a cannula disposed along a longitudinal axis of the central shaft, wherein the longitudinal axis extends from the proximal end to the distal end of the central shaft;

at least two panels disposed at the distal end of the central shaft and extending distally from the central shaft;

an enlarged section disposed at the proximal end of the central shaft; and

an attachment feature disposed at the proximal end of the central shaft, wherein the attachment feature is configured to slide proximally and distally between the at least two panels and the enlarged section;

a retention device, wherein the retention device comprises;

a receiver having a proximal end and a distal end;

wherein the receiver comprises a passageway extending from the proximal end to the distal end of the receiver,

wherein the receiver comprises a securing device engaging feature disposed at the distal end of the receiver, and

wherein the receiver is sized to be received into the cannula of the tower;

an insert having a proximal end and a distal end,

wherein the insert is sized to be received into the passageway of the receiver;

wherein the distal end of the insert is configured to engage the securing device engaging feature;

a securing device having a proximal end and a distal end, wherein the securing device comprises;

a securing feature at the proximal end of the securing device, wherein the securing feature is configured to engage with the securing device engaging feature of the retention device.

2. The spinal fixation system of claim 1, wherein the securing device is a set screw, wherein the retention device is a set screw holder, and wherein the securing device engaging feature is a set screw engaging feature.

3. The spinal fixation system of claim 1, wherein the securing mechanism comprises internal threads disposed along an internal section of a distal end of the at least two tabs and a proximal end of the saddle

4. The spinal fixation system of claim 1, wherein the securing device is a set screw, and wherein the set screw comprises external threads configured to mate with the securing mechanism of the body.

5. The spinal fixation system of claim 1, wherein the enlarged section comprises an annular protrusion relative to the central shaft.

6. The spinal fixation system of claim 1, wherein an exterior of the attachment feature comprises a geometry selected from one of a triangular, rectangular, pentagonal, hexagonal, heptagonal, or octagonal geometry.

7. The spinal fixation system of claim 1, wherein each of the at least two panels each comprise a plurality of recesses disposed on an exterior surface of the at least two panels.

8. The spinal fixation system of claim 7, further comprising a compression tool configured to engage with the plurality of recesses.

9. The spinal fixation system of claim 7, further comprising a distraction tool configured to engage with the plurality of recesses.

10. The spinal fixation system of claim 1, wherein a distal end of the attachment feature further comprises a first set of undercuts configured to receive the at least two tabs of the body, and a second set of undercuts configured to receive the at least two panels of the tower.

11. The spinal fixation system of claim 1, wherein the cannula of the tower is sized such that the securing device cannot pass therethrough.

12. The spinal fixation system of claim 1, wherein a length of the insert of the retention device is greater than a length of the receiver of the retention device.

13. The spinal fixation system of claim 1, wherein the securing device engaging feature is a set screw engaging feature, and wherein the set screw engaging feature is configured to expand or retract in response to contact from the distal end of the insert.

14. The spinal fixation system of claim 1, wherein the insert of the retention device further comprises an exterior tab disposed on the proximal end of the insert, wherein the exterior tab may bias against an internal feature disposed on an interior surface of the receiver.

15. The spinal fixation system of claim 2, wherein the set screw is secured against the set screw engaging feature of the set screw holder when the set screw engaging feature is in an expanded configuration in the securing feature of the set screw.

16. The spinal fixation system of claim 1, wherein the central shaft of the tower further comprises a threading section at the distal end of the central shaft, wherein the threading section comprises exterior threads disposed within the cannula of the tower, wherein the exterior threads are configured to engage with the internal threads of the body.

17. A spinal fixation system, comprising:

a tower having a proximal end and a distal end, wherein the tower comprises;

a central shaft having a proximal end and a distal end,

a cannula disposed along a longitudinal axis of the central shaft, wherein the longitudinal axis extends from the proximal end to the distal end of the central shaft;

at least two panels disposed at the distal end of the central shaft and extending distally from the central shaft;

an enlarged section disposed at the proximal end of the central shaft; and

an attachment feature disposed at the proximal end of the central shaft, wherein the attachment feature is configured to slide proximally and distally between the at least two panels and the enlarged section; and

a retention device, wherein the retention device comprises;

a receiver having a proximal end and a distal end;

wherein the receiver comprises a passageway extending from the proximal end to the distal end of the receiver,

wherein the receiver comprises a securing device engaging feature disposed at the distal end of the receiver, and

wherein the receiver is sized to be received into the cannula of the tower;

an insert having a proximal end and a distal end,

wherein the insert is sized to be received into the passageway of the receiver;

wherein the distal end of the insert is configured to engage the securing device engaging feature.

18. The spinal fixation system of claim 17, wherein the enlarged section comprises an annular protrusion relative to the central shaft.

19. The spinal fixation system of claim 17, wherein an exterior of the attachment feature comprises a geometry selected from one of a triangular, rectangular, pentagonal, hexagonal, heptagonal, or octagonal geometry.

20. The spinal fixation system of claim 17, wherein each of the at least two panels each comprise a plurality of recesses disposed on an exterior surface of the at least two panels.

21. The spinal fixation system of claim 20, further comprising a compression tool configured to engage with the plurality of recesses.

22. The spinal fixation system of claim 20, further comprising a distraction tool configured to engage with the plurality of recesses.

23. The spinal fixation system of claim 17, wherein a length of the insert of the retention device is greater than a length of the receiver of the retention device.

24. The spinal fixation system of claim 17, wherein the securing device engaging feature is configured to expand or retract in response to contact from the distal end of the insert.

25. The spinal fixation system of claim 17, wherein the insert of the retention device further comprises an exterior tab disposed on the proximal end of the insert, wherein the exterior tab may bias against an internal feature disposed on an interior surface of the receiver.

26. The spinal fixation system of claim 17, wherein the system further comprises

a body having a proximal end and a distal end, wherein the body comprises:

a saddle at the distal end of the body;

at least two tabs connected to and extending proximally from the saddle;

a receiving channel disposed between the at least two tabs and extending into the saddle, wherein the receiving channel is sized to receive the central shaft of the tower; and

a securing mechanism; and

a securing device having a proximal end and a distal end, wherein the securing device comprises;

a securing feature at the proximal end of the securing device, wherein the securing feature is configured to mate with the securing device engaging feature of the retention device.

27. The spinal fixation system of claim 26, wherein the securing device is a set screw, wherein the retention device is a set screw holder, and wherein the securing device engaging feature is a set screw engaging feature.

28. The spinal fixation system of claim 26, wherein the securing mechanism comprises internal threads disposed along an internal section of a distal end of the at least two tabs and a proximal end of the saddle, and wherein the set screw comprises external threads configured to mate with the securing mechanism of the body.

29. The spinal fixation system of claim 26, wherein the cannula of the tower is sized such that the securing feature cannot pass therethrough.

30. A method of assembling a spinal fixation system, the method comprising:

disposing a set screw holder within a tower,

wherein the set screw holder comprises;

a receiver having a proximal end and a distal end;

wherein the receiver comprises a passageway extending from the proximal end to the distal end of the receiver, and wherein the receiver comprises a set screw engaging feature disposed at the distal end of the receiver, and

an insert having a proximal end and a distal end,

wherein the insert is disposed in the passageway of the receiver, and wherein the distal end of the insert is configured to engage the set screw engaging feature;

wherein the tower comprises;

a central shaft having a proximal end and a distal end;

a cannula disposed along a longitudinal axis of the central shaft, wherein the longitudinal axis extends from the proximal end to the distal end of the central shaft;

at least two panels disposed at the distal end of the central shaft and extending distally from the central shaft;

an enlarged section disposed at the proximal end of the central shaft; and

an attachment feature disposed at the proximal end of the central shaft, wherein the attachment feature is configured to slide proximally and distally between the at least two panels and the enlarged section;

wherein the set screw holder is received within the cannula of the tower;

securing a set screw to the set screw engaging feature of the set screw holder,

wherein the set screw comprises,

external threads, and

a securing feature at a proximal end of the set screw, wherein the securing feature is configured to engage with the set screw engaging feature of the set screw holder;

providing a body having a proximal end and a distal end, wherein the body comprises;

a saddle at the distal end of the body;

at least two tabs connected to and extending proximally from the saddle;

a receiving channel disposed between the at least two tabs and extending into the saddle; and

a securing mechanism;

inserting an initial combined arrangement of the set screw holder, the tower, and the set screw through the receiving channel of the body; and

securing the initial combined arrangement against the securing mechanism of the body.

31. The method of claim 30, wherein the securing mechanism of the body comprises internal threads disposed along an internal section of a distal end of the at least two tabs and a proximal end of the saddle.

32. The method of claim 31, wherein securing the initial combined arrangement against the securing mechanism of the body comprises rotating the initial combined arrangement, whereby rotating the initial combined arrangement secures the external threads of the set screw against the internal threads of the body.

33. The method of claim 30, the method further comprising

securing an instrument handle against an exterior of the attachment feature, wherein an exterior of the attachment feature comprises a geometry selected from one of a triangular, rectangular, pentagonal, hexagonal, heptagonal, or octagonal geometry.

34. The method of claim 30, the method further comprising

securing an instrument against one of a plurality of recesses disposed on an exterior surface of the at least two panels.

35. The method of claim 30, the method further comprising

receiving the at least two tabs of the body into a set of undercuts of the attachment feature.

36. The method of claim 30, the method further comprising

biasing an exterior tab disposed on the proximal end of the insert against an internal feature disposed on an interior surface of the receiver.

37. The method of claim 30, the method further comprising

positioning the set screw in a secured position such that at least a portion of the set screw is disposed within the saddle of the body;

and

releasing the set screw from the set screw holder by retracting the set screw engaging feature from the securing feature of the set screw,

wherein the set screw engaging feature is configured to expand or retract in response to contact from the distal end of the insert.

38. The method of claim 37, the method further comprising

removing a releasable combined arrangement of the set screw holder and the tower through the receiving channel of the body.

39. The method of claim 38, the method further comprising

separating the at least two tabs of the body from the saddle of the body.