Acetabular cup having polyaxial locking screws

• US 5,725,588 A
• Filed: 04/15/1996
• Issued: 03/10/1998
• 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., Errico, Joseph P., Errico, Thomas J.
• Primary Examiner(s): Tucker, Guy V.
• Application Number:
  US08/632,560
• Time in Patent Office: 694 Days
• Field of Search: 606/69, 606/70, 606/71, 606/61, 606/60, 606/72, 606/73, 623/22, 623/23, 623/18
• US Class Current: 623/22.36
• 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 an acetabular cup having polyaxial locking screws for anchoring the cup in the desired bone site. The assembly includes an acetabular cup having axially tapered holes, into which holes coupling elements and bone screws may be inserted. The coupling elements each have an axial taper which matches the taper of the corresponding hole, and an interior semi-spherical concave surface in which the semi-spherical head of a corresponding bone screw may be polyaxially mounted. The bone screws are inserted through the holes until the coupling elements fully seat in the respective holes, thereby locking the screws in place and the coupling elements in the holes. In a preferred embodiment, the upper part of the holes further include annularly recessed channels in each of which a snap-ring is disposed. During the insertion of the bone screw, the advancing of the coupling element into the hole causes the snap-ring to expand. Once the coupling element is fully seated in the hole, the snap-ring contracts to its undeflected position and prevents the coupling element and screw from backing out of the hole in the event of loosening.

Claims

1. An acetabular cup having polyaxial locking anchoring screws for securing said cup within a recess of surrounding bone, comprising:

an acetabular cup having a plurality of through holes having a constant linear taper;

a corresponding plurality of coupling elements, each of said coupling elements being insertable into a corresponding one of said through holes; and

a plurality of bone screws, each of said bone screws having a semi-spherical head portion and a shaft, said shaft portion being insertable through the corresponding through hole and into the surrounding bone, and said semi-spherical head portion being rotationally freely mounted in the coupling element prior to insertion and such that the shaft of the bone screw and the coupling element may be inserted into a corresponding through hole and said shaft of the bone screw may be inserted into the surrounding bone at a selected angle within a predetermined range of angles relative to the acetabular cup and thereby locking said coupling element and said semi-spherical head within said hole of said acetabular cup at said selected angle.

2. The acetabular cup as set forth in claim 1, wherein at least one of said plurality of through holes includes an annular recess formed in an upper sidewall portion of said hole;

and further including a snap-ring being disposed in said annular recess, said snap ring deflecting outward during the insertion of the coupling element to permit the coupling element into the through hole, and said snap ring snapping back to an undeflected condition once the coupling element has fully seated in the through hole, thereby preventing the coupling element from backing out of the through hole.

3. The acetabular cup as set forth in claim 1, said acetabular cup further comprising a semi-spherical portion having an open end, and an annular flange portion extending circumferentially outward from said opening.

4. The acetabular cup as set forth in claim 3, wherein said plurality of through holes are disposed in said semi-spherical portion.

5. The acetabular cup as set forth in claim 3, wherein said plurality of through holes are disposed in said annular flange portion.

6. The acetabular cup as set forth in claim 1, wherein said coupling elements each comprise an interior semi-spherical volume, defined by a curved interior surface, which forms a receiving socket into which the semi-spherical head portion is inserted whereby the head portion of said screw is rotationally freely mounted in said coupling element.

7. The acetabular cup as set forth in claim 6, wherein said coupling element further comprises at least one slot which permits the interior semi-spherical volume to expand thereby facilitating the insertion of said semi-spherical head portion of said screw therein.

8. The acetabular cup as set forth in claim 7, wherein the corresponding through hole into which the coupling element is inserted is tapered inwardly, thereby causing, upon insertion of said coupling element into said corresponding through hole, the at least one slot to be narrow, causing the curved interior surface of the coupling element to lock the semi-spherical head portion of the screw at a definite insertion angle.

9. An acetabular cup having anchoring screws and collars for polyaxially locking said screws within axially tapered holes through said acetabular cup, comprising:

an acetabular cup having a plurality of holes therethrough said holes having a constant linear taper;

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

a corresponding plurality of coupling elements, each having an axially tapered exterior surface, said taper corresponding to the taper of the holes in said acetabular cup;

each of said coupling elements further including an interior semi-spherical volume for polyaxially retaining the semi-spherical head of said corresponding bone screw; and

each of said coupling elements further including at least one axial slot formed therein, which at least one slot provides for an expansion and contraction of the interior semi-spherical volume upon the application of a radial force on the exterior surface thereof;

whereby said shaft of the bone screw may be inserted through said hole and into the bone at a selected angle within a predetermined range of angles including non-perpendicular angles relative to the tapered hole, such that upon complete insertion, the coupling element and the semi-spherical head therein are drawn into the hole, the tapered inner surface of the hole applying an inwardly directed radial force to the coupling element which is sufficient to lock the coupling element within the tapered hole, and to lock the semi-spherical head of the screw in the semi-spherical interior volume of the coupling element.