Spinal fixation system

• US 5,611,800 A
• Filed: 02/15/1994
• Issued: 03/18/1997
• Est. Priority Date: 02/15/1994
• Status: Expired due to Term

• Current Assignee: Alphatec Spine Incorporated (Alphatec Holdings Incorporated)
• Original Assignee: Alphatec Manufacturing, Inc.
• Inventors: Urbanski, Mark, Davis, Bradford D., Stednitz, Mike
• Primary Examiner(s): Tucker, Guy V.
• Application Number:
  US08/196,448
• Time in Patent Office: 1,127 Days
• Field of Search: 606/61, 606/60, 606/59, 606/54, 606/72, 606/73, 606/90, 606/105, 623/17
• US Class Current: 606/250
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 17/7037 wherein pivoting is blocked when the rod is clamped
• CPC Class Codes: A61B 17/7038 to a different extent in different directions, e.g. within one plane only
• CPC Class Codes: A61B 17/7041 with single longitudinal rod offset laterally from single row of screws or hooks A61B17/7044 takes precedence
• CPC Class Codes: A61B 17/7052 of variable angle or length

Abstract

A spinal fixation system comprised of a bone mounting device, a support rod, and an attachment assembly interconnecting the bone mounting device to the support rod. The bone mounting device can include either bone screws configured to be screwed into the pedicle region of a vertebral body in the patient or hook mounting devices configured to be hooked around a portion of a vertebral body. The bone mounting devices include a multi-faceted connecting surface which is generally a crosshatched surface. The attachment assembly includes a housing having two openings for the support rod and a cam core member which has an eyebolt opening which is positioned in the housing so the support rod extends through the housing openings and the eyebolt opening. The cam core member also has a shaft on which the bone mounting device is positioned as well as a locking cap. The locking cap secures the bone mounting member to the shaft with the first multi-faceted connecting surface interlocking with a second multi-faceted connecting surface on either the housing or the locking cap or both. The multi-faceted connecting surfaces are configured to permit the bone mounting device to be mounted over a range of positions normal to, and over a range of rotational positions about, the shaft of the cam core member.

Claims

1. A bone fixation system comprising:

a bone mounting device configured to be mounted on a bone in a patient, said bone mounting device having a first multi-faceted connecting surface and a mounting point wherein said bone mounting device, when mounted on a bone, extends in a first direction;

a support rod; and

an attachment assembly having a locked and unlocked configuration for securely interconnecting said bone mounting device with said support rod, said attachment assembly including a member extending along a first axis, wherein said member defines a first mounting location for said support rod and a second mounting location for said bone mounting device, and said attachment assembly also including a second multi-faceted connecting surface positioned adjacent said second mounting location so that said first and said second connecting surfaces are relatively rotatable and translatable and interlock when said attachment assembly is in said locked configuration to securely retain said bone mounting device in one of a range of first rotational positions about said first axis and at one of a range of first translational positions relative to said member in said first direction.

2. The system of claim 1, wherein said bone mounting device is comprised of a bone screw, having a threaded section, and a head section wherein said first multi-faceted connecting surface is formed on said head section.

3. The system of claim 2, wherein said bone screw is configured to be mounted in a pedicle region of a vertebral body in said patient.

4. The system of claim 1, wherein said bone mounting device is comprised of a hook having a foot region which defines an indentation configured to hook around a portion of said bone.

5. The system of claim 4, wherein said hook is configured to be mounted around a laminar portion of a vertebral body in said patient.

6. The system of claim 4, wherein said hook is configured to be mounted around a vertical section of a vertebral body in said patient.

7. The system of claim 1, wherein said attachment assembly comprises:

a housing having two openings configured to receive said support rod therethrough;

a cam core member having an eyebolt opening and a shaft, said cam core member positioned in said housing so that when said support rod extends through said two openings in said housing, said support rod extends through said eyebolt opening and said shaft extends out of said housing and provides said second mounting location for said bone mounting device; and

a locking cap having a locked and unlocked configuration positioned on said shaft wherein said second mounting location is interposed between said housing and said locking cap and wherein said locking cap, when in said locked configuration, is urged toward said housing so that said bone mounting device is clamped between said housing and said locking cap.

8. The system of claim 7, wherein said housing includes said second multi-faceted connecting surface on a surface adjacent said second mounting location of said bone mounting device.

9. The system of claim 8, wherein said bone mounting device further includes a third multi-faceted connecting surface on a surface adjacent said locking cap and said locking cap further includes a fourth multi-faceted connecting surface on a surface adjacent said third multi-faceted connecting surface so that when said locking cap is in said locked configuration, said first and second multi-faceted connecting surfaces and said third and fourth multi-faceted connecting surfaces respectively interlock.

10. The system of claim 7, wherein said openings in said housing are configured to prevent rotation of said support rod in said openings when said locking cap is in said locked configuration.

11. The system of claim 10, wherein said openings in said housing include a narrow section and said eyebolt opening of said cam core member urges said support rod into said narrow sections when said locking cap is in said locked configuration thereby crimping said support rod and preventing rotation of said support rod.

12. The system of claim 11, wherein said locking cap includes a set screw and an opening for said set screw so that when said set screw is tightened in said opening, it engages with said cam core member and thereby induces said locking cap into said locked configuration.

13. The system of claim 12, wherein said shaft of said cam core member includes a beveled notch positioned so that when said set screw is tightened, said set screw makes contact with said beveled notch and thereby urges said cam core member in a direction where said support rod is urged into said narrow sections of said openings in said housing, and so that said bone mounting device is clamped between said housing and said locking cap.

14. A bone fixation system comprising:

a bone mounting device having a first multi-faceted connecting surface configured to be mounted on a bone in a patient, wherein said bone mounting member, when mounted on a bone, extends in a first direction;

a support rod; and

an attachment assembly interconnecting said bone mounting device and said support rod, said attachment assembly having a locked and an unlocked configuration and said attachment assembly including a member extending along a first axis wherein said member defines a first mounting position for said bone mounting device and a second mounting position for said support rod comprising an opening having a narrow section configured so that when said attachment assembly is in said locked configuration, said support rod is urged into said narrow section and rotation of said support rod in said opening is prevented and wherein said attachment assembly also includes a second multi-faceted connecting surface positioned adjacent said first mounting location so that said first and said second connecting surfaces interlock when said attachment assembly is in said locked configuration to securely retain said bone mounting device in one of a range of first rotational positions about said first axis and in one of a range of first translational positions relative to said member in said first direction.

15. The system of claim 14, wherein said attachment assembly defines an axis and said first and second multi-faceted connecting surfaces are configured to interlock and securely attach said bone mounting device to said attachment assembly over a range of positions normal to said axis and over a range of rotational positions about said axis.

16. The bone fixation system of claim 14, wherein said bone mounting device is comprised of a bone screw having a threaded section and a head section and said bone screw is configured to be mounted in the pedicle region of a vertebral body in said patient.

17. The bone fixation system of claim 14, wherein said bone mounting device is comprised of a hook having a foot region which defines an indentation configured to hook around a portion of a vertebral body in said patient.

18. The system of claim 14, wherein said attachment assembly is comprised of:

a housing having two openings configured to receive said support rod therethrough;

a cam core member having an eyebolt opening and a shaft, said cam core member positioned in said housing so that when said support rod extends through said two openings in said housing, said support rod extends through said eyebolt opening and said shaft extends out of said housing and provides said first mounting position for said bone mounting device; and

a locking cap having a locked and unlocked configuration positioned on said shaft wherein said first mounting position for said bone mounting device is interposed between said housing and said locking cap and wherein said locking cap, when in said locked configuration, is urged toward said housing about said shaft so that said bone mounting device is clamped between said housing and said locking cap.

19. The system of claim 18, wherein said locking cap includes a set screw and an opening for said set screw so that when said set screw is tightened in said opening, said locking cap enters said locked configuration.

20. The system of claim 19, wherein said shaft of said cam core member includes a beveled notch positioned so that when said set screw is tightened, said set screw makes contact with said beveled notch and thereby urges said cam core member in a direction where said support rod is urged into said narrow sections of said openings in said housing, and where said bone mounting device is clamped between said housing and said locking cap.

21. A method of correcting the position of a vertebral body in a patient'"'"'s body comprising the steps of:

positioning a first bone mounting device having a first multi-faceted connecting surface on a first vertebral body so that said bone mounting device extends in a first direction; and

attaching said first bone mounting device to a mounting location on a member defining a first axis of a first attachment assembly having a second mult-faceted connecting surface;

orienting said first bone mounting device in one of a range of first rotational positions about said first axis;

orientating said first bone mounting device in one of a range of first translational positions relative to said member in said first direction; and

securing said first attachment assembly to said first bone mounting device so that said first and said second multi-faceted surfaces interlock so as to retain said first bone mounting device in said one of said range of first rotational positions and in said one of said range of first translational positions.

22. The method of claim 21, further comprising the steps of:

positioning a second bone mounting device having a third multi-faceted connecting surface on a second vertebral body;

attaching said second bone mounting device to a mounting location on a second attachment assembly so that said third multi-faceted connecting surface interlocks with a fourth multi-faceted connecting surface on said second attachment assembly;

positioning a support rod in a mounting opening in said first attachment assembly; and

positioning said support rod in a mounting opening in said second attachment assembly.

23. The method of claim 22, further comprising the steps of:

urging said support rod into a narrow section in said mounting opening in said first attachment assembly to thereby prevent rotation of said support rod in said mounting opening; and

urging said support rod into a narrow section in said mounting opening in said second attachment assembly to thereby prevent rotation of said support rod in said mounting opening.

24. The method of claim 22, wherein the step of positioning a first bone mounting device comprises positioning a hook bone mounting device around a laminar section of said vertebral body.

25. The method of claim 22, wherein the step of positioning a second bone mounting device comprises positioning a bone screw into a pedicle section of said vertebral body.

26. The method of claim 22, further comprising the steps of:

positioning a third bone mounting device having a first multi-faceted connecting surface on a third vertebral body;

attaching said third bone mounting device to a mounting location on a third attachment assembly so that said first multi-faceted connecting surface interlocks with a second multi-faceted connecting surface on said third attachment assembly;

positioning said third vertebral body in a desired position relative said first and second vertebral bodies;

positioning said support rod in a mounting opening in said third attachment assembly; and

securing said support rod in said mounting opening in said third attachment assembly to thereby retain said third vertebral body in said desired position.

27. A bone fixation system comprising:

a plurality of bone mounting devices configured to be mounted on a plurality of bones in a patient, each of said bone mounting devices having a first multi-faceted connecting surface adjacent a mounting point wherein each said bone mounting device, when mounted in said bone, extends in a first direction;

a plurality of support rods;

a bridge member for interconnecting two of said plurality of support rods, said bridge member having said first multi-faceted connecting surface adjacent two different mounting points on said bridge member wherein said bridge member extends in a second direction when interconnecting two of said plurality of support rods; and

a plurality of attachment assemblies for securely interconnecting said bone mounting devices and said bridge member with at least one of said support rods, each of said attachment assemblies, having a locked configuration, and each of said attachment assemblies including a member extending along a first axis wherein said member defines a first mounting location for said support rods and a second mounting location for said bone mounting device or said bridge member wherein said bone mounting device or said bridge member is attached by said mounting points to said attachment assembly, and wherein said attachment assembly includes a second multi-faceted connecting surface positioned on said member so that said first and said second connecting surface interlocks when said attachment assembly is in said locked configuration to securely retain each said bone mounting device or said bridge member in one of a range of rotational positions about said first axis and at one of a range of translational positions relative to said member in either said first or said second directions respectively.

28. The system of claim 27, wherein each of said attachment assemblies defines an axis and said first and second multi-faceted connecting surfaces are configured to interlock and securely attach said bone mounting device or said bridge member to said attachment assemblies of a range of positions normal to said axis of said attachment assembly and over a range of rotational positions about said axis.

29. A bone fixation system comprising:

a bone mounting device configured to be mounted on a bone in a patient, said bone mounting device having a mounting point;

a support rod; and

a securing device for interconnecting said support rod and said bone mounting device wherein said securing device comprises;

a housing having two openings, defining a first mounting location for said support rod, which are configured to receive said support rod therethrough;

a cam core member having an eyebolt opening and a shaft, positioned in said housing so that when said support rod extends through said two openings in said housing, said support rod extends through said eyebolt opening and said shaft extends out of said housing and provides a second mounting location for said bone mounting device; and

a locking cap having a locked and unlocked configuration positioned on said shaft wherein said second mounting location is interposed between said housing and said locking cap and wherein said locking cap, when in said locked configuration, is urged toward said housing so that said bone mounting device is clamped between said housing and said locking cap.

30. The system of claim 29, wherein said bone mounting device is comprised of a bone screw having a threaded section and a head section wherein a first multi-faceted connecting surface is formed on said head section and said bone screw is configured to be mounted in a pedicle region of a vertebral body in said patient and wherein said securing device includes a second multi-faceted surface which engages with said first multi-faceted surface to securely interconnect said support rod and said bone mounting devices.

31. The system of claim 30, wherein said first and second multi-faceted surfaces are comprised of a plurality of multi-faceted elements projected from a base surface.

32. The system of claim 31, wherein said multi-faceted elements comprise a plurality of sides defining a pyramid configuration.

33. The system of claim 29, wherein said bone mounting device is comprised of a hook having a foot region defining an indentation configured to hook around a portion of a vertebral body in said patient.

34. The system of claim 29, wherein said openings in said housing include a narrow section and said eyebolt opening of said cam core member urges said support rod into said narrow sections when said locking cap is in said locked configuration thereby crimping said support rod and preventing rotation of said support rod.

35. A spinal fixation system comprising:

a bone mounting device configured to be mounted on a vertebral body in a patient, said bone mounting having a first multi-faceted connecting surface adjacent a mounting point;

a support rod;

a housing having two openings configured to receive said support rod therethrough said housing and a second multi-faceted surface;

a cam core member having an eyebolt opening and a shaft, said cam core member positioned in said housing so that when said support rod extends through said two openings in said housing and through said eyebolt opening, said shaft extends out of said housing and provides a first mounting location for said bone mounting device and wherein said shaft further includes a beveled notch; and

a locking cap positioned on said shaft, wherein said first mounting location is interposed between said surface of said housing having said second multi-faceted surface and said locking cap, said locking cap including a set screw and an opening for said set screw so that when said set screw is tightened in said opening, said set screw makes contact with said beveled notch and urges said cam core member in a direction such that said bone mounting member is clamped between said locking cap and said housing with said first and second multi-faceted surfaces interlocking.

36. The system of claim 35, wherein said openings in said housing include a narrow section and wherein tightening of said set screw further induces said cam core member to move so that said eye bolt section urges said support rod into said narrow section thereby preventing said support rod from rotating in said openings.