Threaded polyaxial locking screw plate assembly

• US 5,607,426 A
• Filed: 02/23/1996
• Issued: 03/04/1997
• Est. Priority Date: 04/13/1995
• Status: Expired due to Term

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Fastenetix LLC
• Inventors: Ralph, James D., Tatar, Steve
• Primary Examiner(s): Tucker, Guy V.
• Application Number:
  US08/606,221
• Time in Patent Office: 375 Days
• Field of Search: 606/61, 606/60, 606/69, 606/70, 606/71, 606/72, 606/73, 606/75, 606/76, 606/104, 623/16, 623/17
• US Class Current: 606/287
• CPC Class Codes: A61B 17/7037 wherein pivoting is blocked when the rod is clamped
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/8004 with means for distracting or compressing the bone or bones
• 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 17/8042 the additional component being a cover over the screw head
• CPC Class Codes: A61B 17/8047 wherein the additional element surrounds the screw head in the plate hole A61B17/8052 takes precedence
• CPC Class Codes: A61B 17/809 with bone-penetrating elements, e.g. blades or prongs bone staples A61B17/0642; intramedullary nails with a plate at an end A61B17/7233
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 17/8625 Shanks, i.e. parts contacting bone tissue
• CPC Class Codes: A61F 2/30721 Accessories
• CPC Class Codes: A61F 2/30744 End caps, e.g. for closing an endoprosthetic cavity
• CPC Class Codes: A61F 2/30749 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2/34 Acetabular cups
• CPC Class Codes: A61F 2002/3021 frustoconical
• CPC Class Codes: A61F 2002/30329 Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2002/30332 Conically- or frustoconically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30378 Spherically-shaped protrusion and recess
• CPC Class Codes: A61F 2002/30495 using a locking ring
• CPC Class Codes: A61F 2002/30538 for adjusting angular orientation
• CPC Class Codes: A61F 2002/30594 slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
• CPC Class Codes: A61F 2002/30787 : inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/3401 : with radial apertures, e.g. radial bores for receiving fixation screws
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 : made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2230/0067 : conical
• CPC Class Codes: A61F 2250/0006 : for adjusting angular orientation
• CPC Class Codes: A61F 2310/00017 : Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

The present invention is a polyaxial locking screw plate assembly for immobilization of vertebral bones, via fixation to surfaces thereof. The invention includes a plate, having an upper portion and a lower portion, each of which has a pair of holes having a threaded upper portion and a tapered lower portion. Coupling elements, including slideably joined socket and cap portions, are mounted about the semi-spherical heads of bone screws, which are screwed through the holes in the plate and into the bone. The heads of the screws are polyaxially mounted in the socket portions and as such may be inserted into the bone at a variety of angles. The socket portions of the coupling elements have slots in them which permit crush locking of the heads of the screws once the sockets seat and are forceably driven into the tapered portions of the corresponding holes. The cap portions are threaded so they may be advanced into the upper portions of the corresponding holes, thereby further locking the coupling elements into the holes, and applying an additional driving force against the corresponding socket portions to crush lock the screw heads at the selected angle relative to the plate.

Claims

1. A polyaxial locking screw plate assembly for the immobilization of vertebral bones, via fixation to surfaces thereof, comprising:

a plate having an upper portion and a lower portion, said upper and lower portions each having at least one through hole, each of said through holes having an upper threaded portion and a lower tapered portion;

a plurality of bone screws, each of said bone screws having a semi-spherical head portion and a shaft; and

a plurality of coupling elements, each comprising

a socket portion having a semi-spherical interior volume, upper and lower sections, and vertical slots formed on corresponding ones of said upper and lower sections, at least one of said slots rendering said interior volume expandable and contractable, said lower section having a tapered exterior surface for seating against the lower tapered portion of said corresponding through hole such that forceable advancement of socket portion into the tapered portion of the through hole causes the at least one of said slots to narrow whereby the semi-spherical interior volume contracts, and

a cap portion having an opening in a bottom thereof and an interior chamber extending upwardly therefrom for joining with, and slideably retaining therein, the upper section of said socket portion, and exterior threading which is mateable with the threading of the corresponding hole,

wherein said semi-spherical head portion is rotationally freely mounted within the semi-spherical interior volume of the socket portion of the coupling element prior to insertion, and

whereby the insertion of the shaft of the bone screw and the coupling element into the corresponding through hole, and the insertion of said shaft of the bone screw into the vertebral bone at a selected angle within a predetermined range of angles including non-perpendicular angles to the plate, causes the tapered exterior surface of the socket portion to seat and to be forceably advanced against the tapered portion of the through hole such that the semi-spherical head of the screw is locked within the contracted semi-spherical interior volume, and

whereby threaded advancement of the cap portion into said through hole provides additional forceable advancement of the socket portion against the tapered portion of the through hole.

2. The polyaxial locking screw plate assembly as set forth in claim 1, wherein said at least one through hole of each of said upper and lower portions of said plate comprises a pair of through holes.

3. The polyaxial locking screw plate assembly as set forth in claim 1, wherein the head portion of each of said screws comprises a recess to which a screwdriving tool is matable for inserting said screw through the corresponding hole and into the vertebral bone.

4. The polyaxial locking screw plate assembly as set forth in claim 1, wherein said socket portion comprises an opening in said upper section thereof, through which a screwdriving tool may be inserted, and which may be aligned with the recess in the head of the screw.

5. The polyaxial locking screw plate assembly as set forth in claim 4, wherein said cap portion comprises an opening in a top thereof, aligned with the opening in the upper section of the socket portion, through which said screwdriving tool may be inserted, and which top surface recess may be aligned with the recess in the head of the screw.

6. The polyaxial locking screw plate assembly as set forth in claim 1,

wherein said socket portion further comprises a substantially constant diameter upper section having an outwardly annular extending lip at an extreme end thereof,

wherein said opening in the bottom of the cap portion comprises an inwardly directed annular lip, and

wherein at least one of said vertical slots in the upper section of said socket portion renders the upper section thereof to be expandable and contractable such that the upper section of the socket portion may be forceably inserted into the opening in the bottom of the cap portion so that it may be retained in the interior chamber therein by mutual interference engagement of the inwardly directed annular lip of the cap portion and the outwardly extending annular lip of the socket portion.

7. The polyaxial locking screw plate assembly as set forth in claim 6, wherein the interior chamber of the cap portion comprises a tapered surface such that advancement thereof into the hole causes an inwardly directed force against the upper section of the socket portion, therein causing the at least one of said vertical slots in the upper section to narrow and causes the upper section to contract and further lock the head of the screw within the interior semi-spherical volume of the socket portion.