Orthopedic fixation system

• US 5,643,260 A
• Filed: 02/14/1995
• Issued: 07/01/1997
• Est. Priority Date: 02/14/1995
• Status: Expired due to Term

• Current Assignee: Brian Doherty
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Doherty, Brian J.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): LEONARDO, MARK
• Application Number:
  US08/388,350
• Time in Patent Office: 868 Days
• Field of Search: 606/61, 606/72, 606/73, 606/54, 606/59, 606/60, 623/17
• US Class Current: 606/270
• CPC Class Codes: A61B 17/7001 Screws or hooks combined with longitudinal elements which do not contact vertebrae A61B17/7058 takes precedence
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 17/7041 with single longitudinal rod offset laterally from single row of screws or hooks A61B17/7044 takes precedence
• CPC Class Codes: A61B 2017/603 with three points of contact, e.g. tripod

Abstract

A rod-based orthopedic fixation system, in particular a spinal fixation system, comprising orthopedic fasteners which utilize a novel set screw system for securing a cylindrical longitudinal member or orthopedic fixation rod to the fastener. Also disclosed are transverse extension devices useful for connecting a spinal fixation rod to an orthopedic fastener to minimize rod contouring in both the frontal and sagittal planes.

Claims

1. An orthopedic device suitable for securing an orthopedic longitudinal member, said device comprising:

(a) an orthopedic fastener having an upper head and a lower engaging means integral with said head for engaging a bone, said head further comprising a transverse bore communicating therethrough for housing a longitudinal member having a substantially cylindrical surface, a lower end integral with said engaging means, and an upper end having two holes communicating with said transverse bore, wherein said two holes are oriented such that said longitudinal member is aligned between each of said two holes;

(b) two set screws, each of said two set screws adapted for engagement within each such of said two holes, wherein each of said two set screws comprises an upper body and a lower tip having a concave outer surface configured to conform to said cylindrical surface of said longitudinal member;

(c) wherein said longitudinal member is clamped between said lower tips of said two set screws thereby creating a three-point shear clamp grip within the transverse bore when said two set screws contact and engage said longitudinal member.

2. The device of claim 1, wherein said longitudinal member is a spinal fixation rod and said bone is a vertebra.

3. The device of claim 2, wherein said orthopedic fastener is a screw.

4. The device of claim 2, wherein said orthopedic fastener is a hook.

5. An orthopedic device suitable for securing an orthopedic longitudinal member, said device comprising:

(a) an orthopedic fastener having an upper head and a lower engaging means integral with said head for engaging a bone, said head having a lower end integral with said engaging means, two parallel side walls integral with said lower end, an upper end positioned opposite said lower end and integral with said two parallel side walls, and an inner channel therebetween, said channel configured to receive a longitudinal member having a substantially cylindrical surface;

(b) a lid configured to attach to the upper end of said head, wherein said lid further includes a top portion having two holes positioned therethrough such that when said lid is secured onto said upper end of said orthopedic fastener head, said longitudinal member is orientated between each of said two holes;

(c) two set screws, each of said two set screws adapted for engagement within each of said two holes of said lid, wherein each of said two set screws comprises an upper body and a lower tip having a concave outer surface configured to conform to said cylindrical surface of said longitudinal member;

(d) wherein said longitudinal member is clamped between said lower tips of said two set screws thereby creating a three-point shear clamp grip within the channel when said two set screws contact and engage said longitudinal member.

6. The device of claim 5, wherein said longitudinal member is a spinal fixation rod and said bone is a vertebra.

7. The device of claim 6, wherein said orthopedic fastener is a screw.

8. The device of claim 6, wherein said orthopedic fastener is a hook.

9. The device of claim 5, wherein said upper end of said orthopedic fastener head comprises a threaded rim and said lid further includes a threaded surface adapted for threadable engagement onto said threaded rim of said orthopedic fastener head.

10. The device of claim 9 wherein said orthopedic fastener is a screw.

11. The device of claim 9 wherein said orthopedic fastener is a hook.

12. A transverse extension device suitable for connecting an orthopedic fastener to a rod, said device comprising:

(a) a transverse connector having a head and a first longitudinal member integral with said head, wherein said head further includes a transverse bore positioned perpendicular to said first longitudinal member and communicating therethrough for housing a separate second longitudinal member having a substantially cylindrical surface, and two holes communicating with said transverse bore, wherein said two holes are perpendicular to said first longitudinal member and oriented such that said second longitudinal member is aligned between each of said two holes;

(b) two set screws, each of said two screws adapted for engagement within each of said two holes, wherein each of said two set screws comprises an upper body and a lower tip having a concave outer surface configured to conform to said cylindrical surface of said second longitudinal member;

(c) wherein said second longitudinal member is clamped between said lower tips of said two set screws thereby creating a three-point shear clamp grip within the transverse bore when said two set screws contact and engage said second longitudinal member.

13. The device of claim 12, wherein said second longitudinal member is a spinal fixation rod.

14. The device of claim 13, wherein said orthopedic fastener is selected from the group consisting of vertebral screws and vertebral hooks.

15. A transverse extension device suitable for connecting an orthopedic fastener to a rod, said device comprising:

(a) a transverse connector having a head and a first longitudinal member, wherein said head includes a lower end, first and second parallel side walls integral with said lower end, an upper end opposite said lower end and integral with said first and second parallel side walls, and an inner channel therebetween configured for housing a second longitudinal member having a substantially cylindrical surface, and wherein said first longitudinal member is integral with said first parallel side wall and positioned perpendicular to said first and second parallel side walls and said channel;

(b) a lid configured to attach to the upper end of said head, wherein said lid further includes a top portion further having two holes positioned therethrough such that when said lid is secured onto said upper end of said head, said second longitudinal member is aligned between each of said two holes;

(c) two set screws, each of said two set screws adapted for engagement within each of said two holes of said lid, wherein each of said two set screws comprises an upper body and a lower tip having a concave outer surface configured to conform to said cylindrical surface of said second longitudinal member;

(d) wherein said second longitudinal member is clamped between said lower tips of said two set screws thereby creating a three-point shear clamp grip within the channel when said two set screws contact and engage said second longitudinal member.

16. The device of claim 15, wherein said upper end of said head comprises a threaded rim and said lid further includes a threaded surface adapted for threadable engagement onto said threaded rim of said head.

17. The device of claim 16, wherein said second longitudinal member is a spinal fixation rod.

18. An orthopedic fixation device kit comprising:

(a) at least one rod;

(b) at least one orthopedic fastener selected from the group consisting of screws and hooks, said at least one orthopedic fastener having an upper head and a lower engaging means integral with said head for engaging a bone, said head further comprising a lower end integral with said engaging means, two parallel side walls integral with said lower end, a transverse bore communicating through said two parallel side walls and positioned perpendicular to said engaging means, said transverse bore adapted for housing a first longitudinal member having a substantially cylindrical surface, and an upper end having two holes communicating with, and perpendicular to, said transverse bore of said at least one fastener;

(c) at least one transverse connector having a head and a longitudinal member integral with, and extending from, a side wall of said transverse connector head, wherein said transverse connector head further includes a transverse bore positioned perpendicular to said transverse connector longitudinal member and communicating therethrough for housing a second longitudinal member, and an upper end perpendicular to said side wall and comprising at least one pair of holes extending perpendicular to, and communicating with, said connector transverse bore;

(d) at least one pair of first set screws, each of said first set screws adapted for engagement within each of said two orthopedic fastener head holes, wherein each of said two first set screws comprises an upper body and a lower tip having a concave outer surface configured to conform to said substantially cylindrical surface of said first longitudinal member; and

(e) at least one pair of second set screws, each of said second set screws adapted for engagement within each of said two connector head holes, wherein each of said two second set screws comprises an upper body and a lower tip having a concave outer surface configured to conform to said substantially cylindrical surface of said second longitudinal member;

wherein said first longitudinal member and said second longitudinal member are selected from the group consisting of said at least one rod and said transverse connector longitudinal member.

19. The kit of claim 18, wherein said side wall of said transverse connector head and at least one of said two parallel side walls of said orthopedic fastener head include roughened surfaces.

20. The kit of claim 18 and further including at least one spacer adapted for housing said transverse connector longitudinal member, wherein said at least one spacer is positioned between said orthopedic fastener head and said transverse connector head.

21. The kit of claim 20, wherein said at least one spacer has a roughened inner surface and a roughened outer surface.

22. The kit of claim 18, wherein at least one of said two parallel side walls of said at least one orthopedic fastener are substantially flat, and wherein said upper end of said orthopedic fastener head is a lid configured to attach to said orthopedic fastener head to enclose said first longitudinal member within said orthopedic fastener head.

23. The kit of claim 22, wherein said side wall of said transverse connector head and at least one of said two parallel side walls of said orthopedic fastener head include roughened outer surfaces.

24. The kit of claim 22 and further including at least one spacer adapted for housing said transverse connector longitudinal member, wherein said at least one spacer is positioned between said orthopedic fastener head and said transverse connector head.

25. The kit of claim 22, wherein said at least one spacer has a roughened inner surface and a roughened outer surface.

26. The kit of claim 22, wherein said side wall of said transverse connector head is substantially flat, and wherein said upper end of said transverse connector head is a lid configured to attach to said transverse connector head to enclose said second longitudinal member within said transverse connector head.

27. The kit of claim 26, wherein said side wall of said transverse connector head and said at least one of said two parallel side walls of said orthopedic fastener head include roughened outer surfaces.

28. The kit of claim 26 and further including at least one spacer adapted for housing said transverse connector longitudinal member, wherein said at least one spacer is positioned between said orthopedic fastener head and said transverse connector head.

29. The kit of claim 26, wherein said at least one spacer has a roughened inner surface and a roughened outer surface.

30. The kit of claim 18, wherein said side wall of said transverse connector head is substantially flat and said upper end of said transverse connector head is a lid configured to attach to said transverse connector head to enclose said second longitudinal member within said transverse connector head.

31. The kit of claim 30, wherein said side wall of said transverse connector head and said at least one of said two parallel side walls of said orthopedic fastener head include roughened surfaces.

32. The kit of claim 30 and further including at least one spacer adapted for housing said transverse connector longitudinal member, wherein said at least one spacer is positioned between said orthopedic fastener head and said transverse connector head.

33. The kit of claim 30, wherein said at least one spacer has a roughened inner surface and a roughened outer surface.

34. An apparatus for securing a longitudinal member having a substantially cylindrical outer surface, said apparatus comprising:

(a) a housing component having a transverse bore for engaging said longitudinal member and at least two holes positioned perpendicular to, and communicating with, said transverse bore, wherein said at least two holes are oriented such that said longitudinal member is aligned between each of said two holes;

(b) at least two set screws, each of said at least two set screws adapted for engagement within each of said at least two holes, wherein each of said at least two set screws comprises an upper body and a lower tip having a concave outer surface configured to conform to said substantially cylindrical outer surface of said longitudinal member;

(c) wherein said longitudinal member is clamped between said lower tips of said two set screws thereby creating a three-point shear clamp grip within the transverse bore when said two set screws contact and engage said longitudinal member.

35. The apparatus of claim 34, wherein said longitudinal member is an orthopedic rod.

36. The apparatus of claim 35, wherein said orthopedic rod is a spinal fixation rod.

37. A method of spinal fixation comprising the steps of:

(a) attaching each of at least one orthopedic fastener to each of at least one vertebra, said orthopedic fastener comprising an upper head and a lower engaging means integral with said head for engaging said at least one vertebra, said head further comprising a transverse bore and a first pair of holes communicating with said orthopedic fastener transverse bore, each of said first pair of holes adapted for engaging a first and second set screw respectively;

(b) attaching a first transverse connector to at least one of said at least one orthopedic fastener, said first transverse connector comprising a head and a longitudinal member having a substantially cylindrical surface, said transverse connector longitudinal member integral with, and extending from, a side wall of said transverse connector head, wherein said transverse connector head further includes a transverse bore and a second pair of holes communicating with said connector transverse bore, each of said second pair of holes adapted for engaging a third and fourth set screw respectively;

(c) locking said first transverse connector within said transverse bore of said at least one orthopedic fastener by engaging each of said first and second set screws within each of said first pair of holes;

(d) inserting a spinal fixation rod through said transverse bore of said first transverse connector attached to each of said at least one orthopedic fastener, said rod having a substantially cylindrical surface; and

(e) locking said spinal fixation rod within said transverse bore of said first transverse connector by engaging each of said third and fourth set screws within each of said second pair of holes; and

wherein said each of said first and second set screws comprises an upper body and a lower tip having a concave outer surface configured to conform to said substantially cylindrical surface of said longitudinal member of said transverse connector, and wherein each of said third and fourth set screws comprises an upper body and a lower tip having a concave outer surface configured to conform to said substantially cylindrical surface of said spinal fixation rod.

38. The method of claim 37, further including the steps of:

(f) attaching a second transverse connector to said first transverse connector;

(g) inserting said spinal fixation rod through a head of said second transverse connector; and

(h) locking said spinal fixation rod within said second transverse connector.