Bone screw

• US 4,854,311 A
• Filed: 01/21/1988
• Issued: 08/08/1989
• Est. Priority Date: 01/09/1986
• Status: Expired due to Term

• Current Assignee: Depuy Acromed Incorporated (Johnson & Johnson)
• Original Assignee: ACRO Med Corporation
• Inventors: Steffee, Arthur D.
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): ROONEY, KEVIN
• Application Number:
  US07/146,739
• Time in Patent Office: 565 Days
• Field of Search: 128/92 YM, 128/92 YF, 128/92 VV, 128/92 Y, 128/92 YK, 128/92 YV, 128/69, 411/414, 411/411, 411/423, 411/394
• US Class Current: 606/66
• CPC Class Codes: A61B 17/7058 Plates mounted on top of bone anchor heads or shoulders
• CPC Class Codes: A61B 17/742 having one or more longitudinal elements oriented along or parallel to the axis of the neck
• CPC Class Codes: A61B 17/8605 Heads, i.e. proximal ends projecting from bone
• CPC Class Codes: A61B 17/8625 Shanks, i.e. parts contacting bone tissue
• CPC Class Codes: A61B 17/863 with thread interrupted or changing its form along shank, other than constant taper

Abstract

A bone screw for use with a connecting member for connecting a bone portion with the connecting member. The bone screw includes an elongate shank having a longitudinal central axis. A first externally threaded portion receives a nut for attaching the connecting member to the bone screw. A second externally threaded portion engages a surface defining an opening in the bone portion to attach the bone screw to the bone portion. A cylindrical body portion is located on the shank intermediate the first and second externally threaded portions. The body portion engages a portion of the surface defining the opening in the bone portion to restrict movement of the bone screw relative to the bone portion in a direction transverse to the longitudinal cental axis of the shank. The body portion blocks effluent from the opening in the one bone portion. A seat portion having a surface located on the body portion adjacent the first externally threaded portion engages the connecting member to establish the axial location of the connecting member along the bone screw.

Claims

1. A bone screw for use in connecting a bone portion with a connecting member, said bone screw comprising:

a mounting section disposed at a first end portion of said bone screw for engaging the bone portion; and

a connector section disposed at a second end portion of said bone screw for use in connecting said bone screw with the connecting member;

said mounting section including an external mounting thread convolution having a root portion, a crest portion, a leading flank surface extending between said root and crest portions and facing forwardly in a direction away from said connector section, and a trailing flank surface extending between said crest and root portions and facing rearwardly in a direction towards said connector section, said root portion having an arcuate cross sectional configuration in a radial plane containing the longitudinal central axis of said bone screw, said trailing flank surface sloping rearwardly and outwardly from said root portion to said crest portion, said crest portion of said mounting thread convolution being offset rearwardly of the forwardmost portion of said trailing flank surface by a distance which is less than the radius of curvature of the arcuate root portion of said mounting thread convolution to form a rearwardly facing recess between said crest and root portions of said mounting thread convolution and to form a wide space between adjacent turns of said crest portion of said mounting thread convolution through which bone may project radially inwardly into the space between adjacent turns of said mounting thread convolution on opposite sides of a radial plane extending through the center of curvature of said root portion and perpendicular to the longitudinal central axis of said bone screw to form a solid mounting for said bone screw in the bone.

2. A bone screw as set forth in claim 1 wherein a line extending perpendicular to the leading flank of one turn of the thread convolution and extending through the crest of the next forward turn of the thread convolution is disposed radially outwardly from the center of curvature of the arcuate root portion of the thread convolution by a distance which is less than the radius of curvature of the arcuate root of the thread convolution.

3. The bone screw set forth in claim 1 wherein said leading flank surface extends at an angle of between 40°

and 50°

relative to the longitudinal central axis of said bone screw and said trailing flank surface extends at an angle of between 75° and

85°

relative to the longitudinal central axis of said bone screw.

4. The bone screw set forth in claim 1 further including means for engaging a portion of a surface defining an opening in the bone portion to restrict movement of said bone screw relative to the bone portion in a direction transverse to the longitudinal central axis of said bone screw and to block effluence from the opening in the bone portion, said means being located intermediate said connector section and said mounting section.

5. A bone screw for connecting a bone portion with a bone connecting member, said bone screw comprising:

an elongated shank having a longitudinal central axis, a first externally threaded portion for receiving an internally threaded nut and a second externally threaded portion for threaded engagement with a surface defining an opening in the bone portion to attach the bone screw to the bone portion; and

means integral with said shank and having a transverse cross-section at least equal to the transverse cross-section of the opening in the bone portion for projecting into the opening and for engaging a portion of the surface defining the opening in the bone portion to restrict movement of said bone screw relative to the bone portion in a direction transverse to the longitudinal central axis of said shank and to block effluence from the opening in the bone portion, said means being located intermediate said first externally threaded portion and said second externally threaded portion.

6. The bone screw set forth in claim 5 wherein said means includes a longitudinally extending cylindrical body portion having a diameter substantially equal to the crest diameter of the thread on said second externally threaded portion and a shoulder portion located between said first externally threaded portion and said body portion, said shoulder portion having a circular tapering surface with a diameter which increases as said shoulder portion extends from said body portion toward said first externally threaded portion, the diameter of the circular tapering surface defining said shoulder portion being greater than the diameter defining said body portion, said body portion having a longitudinal extent which is less than the pitch of the thread of said second externally threaded portion.

7. The bone screw set forth in claim 6 wherein said second externally threaded portion includes a thread having a leading face and a trailing face, said leading face being disposed at a first acute angle relative to the longitudinal central axis of said shank, said trailing face being disposed at a second acute angle relative to the longitudinal central axis of said shank in the same direction as said leading face, said trailing face intersecting said leading face on the same thread turn forming the crest radially outwardly of said shank, said trailing face intersecting said leading face of an adjacent thread turn forming an arcuate root portion in a radial plane containing the longitudinal central axis of said bone screw, said arcuate root portion having a radius of curvature, said trailing face sloping rearwardly so said crest is offset from the forwardmost portion of the trailing face by a distance which is less than the radius of curvature of said root portion to form a recess between the crest and root portion for a portion of the bone portion to project into and form a solid mounting for said bone screw in the bone portion.

8. The bone screw set forth in claim 6 further including a first driving portion for transmitting a force to said shank to rotate said shank about its longitudinal central axis for threading said second externally threaded portion in the opening in the bone portion upon the application of the force to said driving portion, said first driving portion being disposed at an axial end portion of said bone screw which is trimmed away after said second externally threaded portion is threaded into the opening in the bone portion, a second driving portion located between said first and second externally threaded portions for rotating said shank about its longitudinal central axis to remove said second externally threaded portion from the bone portion after the first driving portion has been trimmed away.

9. The bone screw set forth in claim 6 wherein said second externally threaded portion further includes at least one thread located adjacent said body portion having a root diameter greater than the root diameter of other threads on said second externally threaded portion.

10. An apparatus comprising:

a bone connecting member to be connected with a bone portion; and

a bone screw for connecting the bone connecting member with the bone portion, said bone screw comprising;

an elongated shank having a longitudinal central axis, a first externally threaded portion for receiving an internally threaded nut and a second externally threaded portion for threaded engagement with a surface defining an opening in the bone portion to attach the bone screw to the bone portion; and

means integral with said shank and located intermediate said bone connecting member and said second externally threaded portion for projecting into the opening in the bone portion, said means having a transverse cross-section at least equal to the transverse cross-section of the opening in the bone portion for engaging a portion of the surface defining the opening in the bone portion to restrict movement of said bone screw relative to the bone portion in a direction transverse to the longitudinal central axis of said shank and to block effluence from the opening in the bone portion.

11. The bone screw set forth in claim 10 wherein said means on said shank includes a longitudinally extending cylindrical body portion having a diameter substantially equal to the crest diameter of the thread on said second externally threaded portion and a shoulder portion located between said second externally threaded portion and said body portion, said shoulder portion having a circular tapering surface which increases in diameter as said shoulder portion extends from said body portion toward said first externally threaded portion, the diameter of the circular tapering surface defining said shoulder portion being greater than the diameter of said body portion, said body portion having a longitudinal extent which is less than the pitch of the thread of said second externally threaded portion.

12. The bone screw set forth in claim 10 wherein said second externally threaded portion further includes at least one thread located adjacent said body portion having a root diameter greater than the root diameter of other threads on said second externally threaded portion.

13. The bone screw set forth in claim 10 wherein said second externally threaded portion has a thread with a crest diameter greater than the crest diameter of a thread on said first externally threaded portion.

14. An apparatus as set forth in claim 10 wherein said bone screw comprises a seat portion on said shank having a surface for engaging said bone connecting member to establish the axial location of said bone connecting member along said bone screw.

15. A bone screw for use with a connecting member to connect a bone portion with the connecting member, said bone screw comprising:

an elongate shank having a longitudinal central axis, a first externally threaded portion for receiving an internally threaded nut to attach the connecting member to said bone screw and a second externally threaded portion for threaded engagement with a surface defining an opening in the bone portion to attach said bone screw to the bone portion;

means integral with said shank for engaging a portion of the surface defining the opening in the bone portion to restrict movement of said bone screw relative to the bone portion in a direction transverse to the longitudinal central axis of said shank and to block effluence from the opening in the bone portion, said engaging means being located intermediate said first externally threaded portion and said second externally threaded portion, said engaging means including a longitudinally extending cylindrical body portion having a diameter substantially equal to the crest diameter of the thread on said second externally threaded portion and a first shoulder portion located between said first externally threaded portion and said body portion, said first shoulder portion having a circular tapering surface with a diameter that increases as said first shoulder portion extends from said body portion toward said first externally threaded portion, the diameter of the circular tapering surface defining said first shoulder portion being greater than the diameter defining said body portion; and

a second shoulder portion located intermediate said body portion and said first externally threaded portion and having a circular tapering surface which increases in diameter as said second shoulder portion extends from said first threaded portion toward said body portion, the diameter of the circular tapering surface defining said second shoulder portion being greater than the root diameter of the thread on said first threaded portion.

16. A bone screw for use with a connecting member for connecting a bone portion with the connecting member, said bone screw comprising:

an elongate shank having a longitudinal central axis, a first externally threaded portion for receiving an internally threaded nut to attach the connecting member to said bone screw and a second externally threaded portion for threaded engagement with a surface defining an opening in the bone portion to attach said bone screw to the bone portion;

means on said shank and located intermediate said first externally threaded portion and said second externally threaded portion for engaging a portion of the surface defining the opening in the bone portion to restrict movement of said bone screw relative to the bone portion in a direction transverse to the longitudinal central axis of said shank and for blocking effluence from the opening in the bone portion;

a seat portion located on said body portion adjacent said first threaded portion having a surface for engaging the connecting member to establish the axial location of the connecting member along said bone screw; and

a shoulder portion located intermediate said seat portion and said first externally threaded portion and having a circular tapering surface which increases in diameter as said shoulder portion extends from said first threaded portion toward said seat portion, the diameter of the circular tapering surface defining said shoulder portion being greater than the root diameter of the thread on said first threaded portion.