Instrument system for the operative correction of vertebral displacements

• US 6,533,791 B1
• Filed: 05/08/2000
• Issued: 03/18/2003
• Est. Priority Date: 11/13/1997
• Status: Expired due to Term

• Current Assignee: Zimmer GmbH (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Sulzer Orthopedics Inc. (Centerpulse Orthopedics Incorporated)
• Inventors: Klein, Jürgen, Oexle, Helmut, Betz, Augustin, Todt, Lutz
• Primary Examiner(s): Snow, Bruce
• Assistant Examiner(s): Pellegrino, Brian E.
• Application Number:
  US09/554,039
• Time in Patent Office: 1,044 Days
• Field of Search: 623/17-1-, 606/73, 606/61, 606/72, 606/99, 411/385
• US Class Current: 606/99
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 17/8866 for gripping or pushing bones, e.g. approximators joint distractors A61B17/025
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61F 2/442 Intervertebral or spinal discs, e.g. resilient non-disc-shaped intervertebral inflatable pockets A61F2/441; non-disc-shaped intervertebral fusion implants A61F2/4455
• CPC Class Codes: A61F 2/446 having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
• CPC Class Codes: A61F 2/4603 for insertion or extraction of endoprosthetic joints or of accessories thereof
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2/4684 Trial or dummy prostheses
• CPC Class Codes: A61F 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30235 tubular, e.g. sleeves
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30398 Sliding
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30553 for adjusting a position by translation along an axis
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30774 internally-threaded
• CPC Class Codes: A61F 2002/30785 parallel
• CPC Class Codes: A61F 2002/30787 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/3079 Stepped or enlarged apertures, e.g. having discrete diameter changes
• CPC Class Codes: A61F 2002/3085 with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/30975 : made of two halves
• CPC Class Codes: A61F 2002/4627 : with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
• CPC Class Codes: A61F 2002/4635 : using minimally invasive surgery
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2250/0008 : for adjusting a position by translation along an axis or two perpendicular axes
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

An instrument system for the operative correction of vertebral displacements and for the stabilizing of repositioned vertebral bodies is described which is characterized by correction and support devices which are formed in two parts and which are displaceable in the axial direction guided relative to one another by means of an integrated setting member, as well as by interim spacers which are adapted in their spacer dimensions to the respective correction and support devices and by perforated hollow cylinder implants which are provided with outwardly lying fixing members and which are replaceable by the correction and support devices in repositioned vertebral bodies.

Claims

1. A correction and support device which has substantially the same outside diameter and pitch of an outside through-going thread as a predetermined perforated cylinder implant and which is intended to be introduced in its axial direction into a threaded hole in an intervertebral disc space of two neighbouring vertebrae, comprises an upper and a lower carrier part which both are provided for anchoring in the bordering vertebral bodies;

whereby the upper and lower carrier parts are guided in a form-fitted manner with respect to one another in the axial direction for displacing one vertebra respectively to the other vertebra in axial direction; and

whereby an integrated setting member consists of a setting screw which extends in the axial direction of the correction and support device, which is rotationally and axially fixedly journalled in the lower carrier part and which is in thread engagement with the upper carrier part, wherein the axial length of the upper carrier part, which is driven by the setting screw, is less than the axial length of the lower carrier part for enabling an axial displacement in both directions.

2. A correction and support device according to claim 1, wherein the upper and lower carrier parts are provided in the form of screw part halves of an in particular centrally divided, cylindrical screw with a cylindrical head part at the actuation end;

whereby the setting screw is rotatably journalled in one half of the head part and is accessible at the outwardly lying end surface of the head part for actuation; and

whereby the upper and lower carrier parts which slide along one another are guided in a form-fitted manner relative to one another via coupling elements.

3. A correction and support device in accordance with claim 2, wherein the coupling elements form a dovetail connection.

4. A correction and support device in accordance with claim 2 with the upper and lower carrier parts having at the outer side a cutting thread which corresponds to a through-going thread in predetermined relative positions.

5. A correction and support device in accordance with claim 4, wherein the flank height of the cutting thread is greater and the flank angles of the cutting thread are smaller than the flank heights and flank angles respectively of foreseen hollow cylinder implants, which are provided with an outer thread of the same pitch.

6. A correction and support device in accordance with claim 4, wherein a protective disc, which limits the movement of the upper carrier part that is axially shorter than the lower carrier part and which lies within the outline contour of the centrally divided cylindrical screw, is provided at the free end of the lower carrier part with outer thread.

7. A correction and support device in accordance with claim 4, wherein the upper and lower carrier parts, which are displaceable in axial direction with respect to one another are adapted to grip with their releasably coupled cutting thread into plate-like counter pieces which are fixed to a base plate and a cover plate of the bordering vertebral bodies in the form of implants.

8. A correction and support device in accordance with claim 2, wherein the setting screw has a fine thread of lesser pitch than the cylindrical screw.

9. A correction and support device in accordance with claim 1, wherein the upper carrier part is axially shorter than the lower carrier part and is coupled to the setting screw.

10. A correction and support device in accordance with claim 2, wherein a head part has coupling cut-outs or coupling extensions for an actuating member at the end surface side.

11. A correction and support device in accordance with claim 10, wherein a plurality of cut-outs for follower pins are provided in the region of the outer periphery of the end surface;

and wherein the actuating member can be screwed together with a threaded bore which is likewise provided in the end surface.

12. A correction and support device in accordance with claim 1, which is axially displaceable within an interim spacer, which is formed as a centering sleeve part with axially projecting diametrically opposed spacer lugs at one end.