Bone fixation apparatus

• US 5,129,899 A
• Filed: 03/27/1991
• Issued: 07/14/1992
• Est. Priority Date: 03/27/1991
• Status: Expired due to Term

• Current Assignee: Altiva Corp. (Exactech, Inc.)
• Original Assignee: Smith & Nephew Richards Incorporated (Smith & Nephew PLC)
• Inventors: Simmons, James W., Brumfield, David L., Small, Laura C.
• Primary Examiner(s): Isabella, David
• Assistant Examiner(s): BURKE, ELIZABETH
• Application Number:
  US07/675,740
• Time in Patent Office: 475 Days
• Field of Search: 623/13, 606/60, 606/61, 606/64, 606/71, 606/73
• US Class Current: 606/290
• CPC Class Codes: A61B 17/7007 Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit around the screw or hook heads
• CPC Class Codes: A61B 17/701 Longitudinal elements with a non-circular, e.g. rectangular, cross-section A61B17/7005, A61B17/7007 take precedence
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/8033 having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
• CPC Class Codes: A61B 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence

Abstract

A surgical spinal fixation system includes a bone bolt having first end portions that are adapted to be surgically implanted into a patient'"'"'s spine at first and second spaced apart positions and a central portion of the bone bolt defining a load transfer surface, the bone bolt having a second upper threaded sections for threadably receiving a nut at a shaped, countersunk interface. As an alternate embodiment, a bone screw provides an upper enlarged head with a lower coarsely threaded shank. A plate having upper and lower surfaces and outer opposed edges is provided with an elongated slot for accommodating a selected bone bolt or bone screw. The plate edges carry fine adjustments extending between the upper and lower surfaces of the plate and a load transfer washer interfaces the plate and the selected bone bolt or bone screw for distributing load (and reducing stress) from the bone bolt (or screw) to the plate.

Claims

1. A bone fixation apparatus, comprising:

a) bone bolt means having first end portions configured to be surgically implanted into a patient'"'"'s bone tissue and at first and second spaced apart positions on the bone tissue;

b) a central non-threaded section of the bone bolt means having a load transfer surface;

c) the bone bolt means having a threaded section for threadably receiving a nut and a lower threaded section for engaging the patient'"'"'s bone tissue;

d) a plate member having upper and lower surfaces and parallel opposed outer edges with an elongated slot having a slot central longitudinal axis and surrounded by a peripheral portion having said parallel opposed outer edges;

e) the edges carrying fine adjustment means extending between the upper and lower surfaces for defining fine adjustment positions of the bone bolt with respect to the plate; and

f) a load transfer washer interfacing the plate member and the bone bolt means, for distributing load from the bone bolt means to the plate member, and side portions of the washer for engaging the fine adjustment means at the outer edges of said plate and affixing the position of the bone bolt with respect to the plate, and an opening in the washer for placement of a portion of the bone bolt means therethrough.

2. The apparatus of claim 1 wherein the load transfer washer includes a washer having a first flange that extends across the slot between the edges and a pair of intersecting flanges extending at angles thereto.

3. The apparatus of claim 1 wherein the slot is sized to accommodate a pair of spaced apart and surgically implanted bone bolts that comprise the bone bolt means.

4. The apparatus of claim 1 wherein the fine adjustment means includes teeth spaced along the edges.

5. The apparatus of claim 4 wherein the fine adjustment means includes regularly spaced teeth spaced along each of the edges and corresponding teeth on the washer for engaging the teeth of the edges.

6. The apparatus of claim 1 wherein the washer has an opening therein with a center that corresponds with the central longitudinal axis of the slot during use.

7. The apparatus of claim 1 wherein the washer includes a recess that corresponds with the plate so that the washer slides upon the plate at the recess.

8. The apparatus of claim 1 wherein the washer has a first center flange portion and a pair of side flanges that are spaced apart and connected to the center flange, and the side flanges are respectively positioned to bear against the edges of the plate member.

9. The apparatus of claim 1 further comprising a nut with a spherical lower surface and the load transfer washer opening is spherically shaped to receive the nut.

10. A bone fixation apparatus, comprising:

a) bone bolt means having an integral shank portion with a first threaded end portion configured to be surgically implanted into a patient'"'"'s bone tissue and at first and second spaced apart positions on the bone tissue;

b) a central integral, non-threaded section of the bone bolt means defining a bone bolt means thickness and having a longitudinally extending, shaped load transfer surface;

c) the bone bolt means having a second threaded end portion for threadably receiving a nut; and

d) a bone plate member having upper and lower surfaces and parallel opposed outer edges with an elongated slot with a central longitudinal axis surrounded by a peripheral portion having said parallel outer opposed edges, the plate lower surface being countersunk at the slot to fit the bone bolt load transfer surface, and the slot being sized to receive the second threaded section of the bone bolt.

11. The apparatus of claim 10 wherein the edges carry closely spaced fine adjustment means extending between the upper and lower surfaces for affixing the bone bolt with respect to the plate in a selected position and including several adjustment positions per the thickness of the bone bolt means.

12. The apparatus of claim 11 further comprising a load transfer washer interfacing the plate member and the bone bolt means, for distributing load from the bone bolt means to the plate member and including sidewall portions of the washer for engaging the fine adjustment means at the edges, and an opening in the washer for placement of a portion of the bone bolt means therethrough.

13. The apparatus of claim 10 wherein the load transfer washer includes a washer having a first flange that extends across the slot between the edges and a pair of intersecting flanges extending at angles thereto.

14. The apparatus of claim 13 wherein the fine adjustment means includes regularly spaced teeth spaced along each of the edges and corresponding teeth on the washer for engaging the teeth of the edges.

15. The apparatus of claim 10 wherein the slot is sized to accommodate a pair of spaced apart and surgically implanted bone bolts that comprise the bone bolt means.

16. The apparatus of claim 10 wherein the fine adjustment means includes a plurality of teeth spaced along the edges.

17. The apparatus of claim 16 wherein the opening has a surrounding hemispherical portion that receives a corresponding hemispherical portion of the nut.

18. The apparatus of claim 10 further comprising a nut with a curved angular lower surface and wherein the washer has an opening therein with a center that corresponds with the central longitudinal axis of the slot during use, and the opening is shaped corresponding to the nut for receiving the nut.

19. The apparatus of claim 10 wherein the washer includes a recess that corresponds with the plate so that the washer slides upon the plate at the recess.

20. The apparatus of claim 10 wherein the washer has a center flange and a pair of spaced apart side flanges that are positioned to engage the edges of the plate member during use.

21. The apparatus of claim 10 further comprising a nut with a spherical lower surface and the load transfer washer opening is spherically shaped to receive the nut.

22. The apparatus of claim 10 wherein the slot has a lower beveled surface and the bone bolt has a corresponding surface that abuts the beveled surface for load transfer.

23. A bone fixation system, comprising:

a) bone bolt means having first end portions configured to be surgically implanted into a patient'"'"'s bone tissue at a first and second spaced apart positions on the bone tissue;

b) a central non-threaded section of the bone bolt means having a load transfer surface;

c) the bone bolt means having a second section with threads thereon for threadably receiving a nut;

d) a plate member having upper and lower surfaces and parallel opposed outer edges with an elongated slot surrounded by a peripheral portion having said parallel opposed outer edges;

e) load transfer washer means interfacing the plate member and the bone bolt means for distributing load from the bone bolt means to the plate member;

f) a countersunk opening for receiving a nut in the washer means for placement of a portion of the bone bolt means therethrough; and

g) a nut having a longitudinally extending shaped portion that fits the washer at the countersunk opening.

24. A bone fixation apparatus, comprising:

a) bone screw means having first end portions configured to be surgically implanted into a patient'"'"'s bone tissue at a first and second spaced apart positions on the bone tissue;

b) a bone plate member having upper and lower surfaces and parallel opposed outer edges with an elongated slot with a central longitudinal axis and surrounded by a peripheral portion having said parallel opposed outer edges;

c) the edges carrying fine adjustment means extending between the upper and lower surfaces for defining adjustment positions of the bone screw with respect to the plate; and

f) a load transfer washer interfacing the plate member and the bone screw means for distributing load from the bone screw means to the plate member, and having a main body including side portions of the washer for engaging the fine adjustment means at the outer edges of said plate and affixing the position of the bone screw with respect to the plate, and an opening in the washer for placement of a portion of the bone screw means therethrough.

25. The apparatus of claim 24 wherein the load transfer washer includes a washer having a first flange that extends across the slot between the edges and a pair of intersecting flanges extending at angles thereto.

26. The apparatus of claim 24 wherein the slot is sized to accommodate a pair of spaced apart and surgically implanted bone screws that comprise the bone screw means.

27. The apparatus of claim 24 wherein the fine adjustment means includes teeth spaced along the edges.

28. The apparatus of claim 27 wherein the fine adjustment means includes regularly spaced teeth spaced along each of the edges and corresponding teeth on the washer for engaging the teeth of the edges.

29. The apparatus of claim 24 wherein the washer has an opening therein with a center that corresponds with the central longitudinal axis of the slot during use.

30. The apparatus of claim 24 wherein the washer includes a recess that corresponds with the plate so that the washer slides upon the plate at the recess.

31. The apparatus of claim 24 wherein the washer has a center flange and two side flanges that are spaced apart, connected to the center flange, and positioned respectively to bear against the edges of the plate member.