Vertebral osteosynthesis device

• US 5,368,594 A
• Filed: 04/02/1993
• Issued: 11/29/1994
• Est. Priority Date: 09/30/1991
• Status: Expired due to Fees

• Current Assignee: Fixano
• Original Assignee: Fixano
• Inventors: Michel, Frederic, Samani, Jacques, Lalain, Jean-Jacques, Cartoux, Rene, Lescuyer, Jean-Philippe, Martin, Jean-Jacques
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): LACYK, JOHN P
• Application Number:
  US08/044,378
• Time in Patent Office: 606 Days
• Field of Search: 128/897, 128/899, 606/60-75, 623/17, 602/5, 602/12, 602/18, 602/19, 602/20, 602/23, 602/32, 602/36
• US Class Current: 606/252
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 17/7044 also having plates, staples or washers bearing on the vertebrae
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: F16B 2/12 using sliding jaws

Abstract

A vertebral osteosynthesis device employs outside faces of lateral walls of each hooking element which are inclined toward each other such that they converge from the side opposite hooking elements designed to be attached to the bone, while a gripping element in the shape of a clamp has side arms with inside faces inclined at slopes that match those of outside faces of lateral walls. At least two gripping means are disposed beyond the lateral walls and are provided to move the gripping element such that the inside faces of its lateral arms abut the lateral walls, bringing them toward each other and sliding on them upon gripping, to bring the lateral walls closer together to lock each hooking element onto a support rod.

Claims

1. A vertebral osteosynthesis device for affixation to vertebrae, comprising:

two rigid support rods adapted to be disposed substantially parallel, one on each side of spineous processes of the vertebrae;

a plurality of bone anchoring elements, each bone anchoring element having one of a hook element adapted to fit around a vertebral process and a screw element adapted to be screwed into a vertebral pedicle and each bone anchoring element having two lateral walls extending in a direction opposite said hook and screw elements, said lateral walls being substantially parallel and flexible and having inside and outside faces, and upper and lower ends, said outside faces being inclined toward each other at the upper ends, said lateral walls delimiting between them a channel matching a transverse dimension of said support rods, the distance separating said lateral walls at the upper ends thereof being slightly less than the transverse dimension of said support rods whereby said bone anchoring elements may be provisionally attached to said support rods by clipping said bone anchoring elements to said support rods;

a plurality of gripping elements, each gripping element being associated with a bone anchoring element and having two opposed side arms, the side arms having inside faces and outside faces, the inside faces being inclined at a slope matching the outside faces of said lateral walls and adapted to engage the outside faces of said lateral walls and to bring said lateral walls closer together during engagement of said lateral walls; and

a plurality of gripping means for attaching said gripping elements to said bone anchoring elements, each of said gripping means passing through a side arm of a gripping element and threadably engaging a bone anchoring element and displacing said gripping element whereby the inside faces of said gripping elements engage and slide on said outside faces of said lateral walls of said bone anchoring elements to bring said lateral walls closer together.

2. The device of claim 1, wherein said bone anchoring elements further comprise two extensions adapted to threadably engage said gripping means and wherein each of said gripping means comprises a screw having a head adapted to rest on a portion of one of said gripping elements and having a body adapted to pass through one of said side arms of said gripping elements.

3. The device of claim 1, wherein portions of said lateral walls are removed and said gripping means pass through the portion removed.

4. The device of claim 1, wherein slots are provided in said lateral walls to increase the flexibility of said lateral walls.

5. The device of claim 4, wherein said slots extend into said bone anchoring elements in a radial direction of said channel.

6. The device of claim 1, further comprising two projections, each of said projections located at an upper end of an inner face of a lateral wall, whereby the two projections of a bone anchoring element are located opposite each other.

7. The device of claim 1, further comprising a transverse element, said transverse element having a first part and a second part, each of said first and second parts having two lateral walls, a gripping element, and gripping means for securing said gripping element to said first and second parts.

8. The device of claim 7, wherein said transverse element further comprises screw means for holding said first and second parts together, and wherein said first part includes an oblong hole, and wherein said screw means passes through said oblong hole.

9. The device of claim 7, wherein one of said first and second parts includes a groove, and the other of said first and second parts includes a tongue adapted to be received in said groove.

10. The device of claim 1, wherein said support rods have a substantially circular cross section having a diameter slightly greater than the distance separating the upper ends of said lateral walls.

11. An osteosynthesis device comprising:

at least one support rod for supporting vertebrae of a spine;

at least one bone-anchoring element for anchoring the support rod to the spine, the bone anchoring element including a base;

a hooking element for affixing the bone-anchoring element on vertebrae of the spine extending from the base, a pair of opposed lateral walls projecting from the base in a direction away from the hooking element, the lateral walls having opposed inside faces, the inside faces defining a channel formed between the lateral walls for receiving the support rod, each lateral wall having an outside surface, the outside surface of one lateral wall converging toward the outside surface of the opposite lateral wall;

said base having portions extending transversely beyond each lateral wall;

a gripping element having a pair of opposed side arms, each side arm including an engaging surface for engaging the outside surface of one of the lateral walls, each engaging surface being inclined in a direction to urge the lateral walls toward each other in response to movement of the gripping element toward the base; and

a pair of fasteners for mounting the gripping element on the base and moving the gripping element toward the base, each fastener being located to engage an associated one of the portions of the base extending transversely beyond each lateral wall.

12. The osteosynthesis device of claim 11, wherein upper opposed ends of said inside faces are spaced apart a distance slightly less than a transverse dimension of the rod before said ends are drawn toward each other by the gripping element.

13. The osteosynthesis device of claim 11, wherein a groove is formed in the inside surface of each lateral wall and adjacent the base.

14. The osteosynthesis device of claim 13, wherein the support rod has a circular cross section and said groove extends radially with respect to a support rod received in the channel.