Slidable bone plate system

• US 6,945,973 B2
• Filed: 05/01/2003
• Issued: 09/20/2005
• Est. Priority Date: 05/01/2003
• Status: Active Grant

• Current Assignee: Nuvasive Incorporated
• Original Assignee: Nuvasive Incorporated
• Inventors: Bray, Robert S.
• Primary Examiner(s): REIP, DAVID OWEN
• Application Number:
  US10/427,592
• Publication Number:
  US 20040220566A1
• Time in Patent Office: 873 Days
• Field of Search: 606/61, 606/69, 606/70, 606/71
• US Class Current: 606/287
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/8042 the additional component being a cover over the screw head
• CPC Class Codes: A61B 17/8605 Heads, i.e. proximal ends projecting from bone

Abstract

The invention is directed to a bone plate system. The bone plate system comprises a base plate having two generally parallel elongated screw slots extending therethrough. Two bone screws are provided that are capable of securing the base plate to a bone by insertion through the screw slots into the bone. Each bone screw has a screw head and a threaded portion extending therefrom. An interference device is attached to the base plate and retains the bone screws while permitting the bone screws to toggle and to controllably slide in the screw slots of the base plate. This design is particularly useful for joining adjacent vertebral bodies, as it permits controlled settling of the vertebral bodies, thereby enhancing the healing process.

Claims

1. A bone plate system comprising:

a base plate having two generally parallel elongated screw slots extending therethrough;

two bone screws capable of securing the base plate to a bone by insertion through the screw slots into the bone, each bone screw having a screw head and a threaded portion extending therefrom;

an interference device attached to the base plate and retaining the bone screws while permitting the bone screws to toggle and to controllably slide in the screw slots of the base plate by a continuous engagement interface between the interference device and the bone screws.

2. The bone plate system of claim 1, wherein the screw slots are approximately the same length.

3. The bone plate system of claim 1, wherein the interference device is attached to the base plate with a cover screw that extends through a cover screw hole in the interference device and into a cover screw hole in the base plate.

4. The bone plate system of claim 3, wherein the cover screw hole in the base plate is offset from the bone screw slots in the base plate.

5. The bone plate system of claim 1, wherein the interference device is attached to the base plate at a location that is offset from the bone screw slots in the base plate.

6. The bone plate system of claim 1, wherein the base plate has a bottom surface that is slightly concave along its length and along its width.

7. The bone plate system of claim 1, wherein:

each bone screw head has a generally rounded top surface with a center region and a generally rounded bottom surface;

each screw slot in the base plate has a generally rounded edge surface that interfaces with the bottom surface of a corresponding bone screw head; and

the interference device includes a generally rounded edge surface that interfaces with the generally rounded top surface of a corresponding bone screw head while not substantially covering the center region of the top surface of the bone screw head.

8. The bone plate system of claim 7, wherein, on each bone screw, the rounded top surface extends to a maximum diameter and the rounded bottom surface extends to a maximum diameter that is greater than the maximum diameter of the rounded top surface.

9. The bone plate system of claim 7, wherein an interface between the top surface of the bone screw head and the edge surface of the interference device requires a minimum force ranging from about 15 to about 50 pounds to cause the bone screw to slide within the screw slots of the base plate.

10. The bone plate system of claim 7, wherein an interface between the top surface of the bone screw head and the edge surface of the interference device requires a minimum force ranging from about 30 to about 40 pounds to cause the bone screw to slide within the screw slots of the base plate.

11. The bone plate system of claim 7, wherein the interference device is attached to the base plate at a location that is offset from the bone screw slots in the base plate.

12. The bone plate system of claim 1, wherein the base plate is a generally rectangular plate having two elongated generally parallel sides, a top end and a bottom end, with the top end being generally parallel to the bottom end and shorter than the sides, the base plate comprising a first pair of screw slots near the top end, the first pair comprising the two generally parallel elongated screw slots extending through the base plate, and a second pair of screw slots near the bottom end, the second pair of screw slots comprising two generally parallel elongated screw slots extending through the base plate;

and wherein the system comprises a first pair of bone screws comprising the two bone screws capable of securing the base plate to a bone by insertion through the first pair of screw slots, and further comprises a second pair of bone screws comprising two bone screws capable of securing the base plate to a bone by insertion through the second pair of screw slots, each bone screw of the second pair having a screw head and a threaded portion extending therefrom.

13. The bone plate system of claim 12, wherein the bone screw slots of the first pair are equal in length to the bone screw slots of the second pair.

14. The bone plate system of claim 12, wherein the base plate has:

a center region of generally uniform thickness, the center region encompassing a portion of the first pair of screw slots and a portion of the second pair of screw slots;

a top end adjacent the center region and partially encompassing a portion of the first pair of screw slots, the top end being generally tapered so that it is thicker closer to the slots and thinner closer to the edge of the plate; and

a bottom end adjacent the center region and partially encompassing a portion of the second pair of screw slots, the bottom end being generally tapered so that it is thicker closer to the slots and thinner closer to the edge of the plate.

15. The bone plate system of claim 14, wherein the center region has a thickness ranging from about 1 mm to about 4 mm.

16. The bone plate system of claim 15, wherein at least one of the top and bottom ends tapers to an edge thickness ranging from about 0.5 mm to about 2 mm.

17. The bone plate system of claim 14, wherein the center region has a thickness ranging from about 2 mm to about 3 mm.

18. The bone plate system of claim 17, wherein the at least one of the top and bottom ends tapers to an edge thickness ranging from about 0.5 mm to about 1.5 mm.

19. The bone plate system of claim 14, wherein at least one of the top and bottom ends tapers at an angle ranging from about 20°

to about 40°

.

20. The bone plate system of claim 14, wherein the center region has a thickness ranging from about 1 mm to about 4 mm and the top and bottom ends each taper to an edge thickness ranging from about 0.5 mm to about 2 mm at an angle ranging from about 20°

to about 40°

.

21. The bone plate system of claim 14, wherein the center region has a thickness ranging from about 2 mm to about 3 mm and the top and bottom ends each taper to an edge thickness ranging from about 0.5 mm to about 1.5 mm at an angle ranging from about 20°

to about 40°

.15. The bone plate system of claim 12, wherein the center region has a thickness ranging from about 2 mm to about 3 mm.

22. The bone plate system of claim 21, wherein each of the top and bottom ends includes a concave region.

23. The bone plate system of claim 14, wherein at least one of the top and bottom ends includes a concave region.

24. The bone plate system of claim 14, wherein the interference device attached to the base plate retains the first pair of bone screws;

and

wherein the system further comprises a second interference device attached to the base plate retaining the second pair of bone screws.

25. The bone plate system of claim 24, wherein the interference device has an edge region positioned nearest the top end of the base plate that is tapered in a direction from a center of the interference device to an edge of the interference device positioned nearest the top end of the base plate, and wherein the second interference device has an edge region positioned nearest the bottom end of the base plate that is tapered in a direction from the center of the interference device to an edge of the interference device positioned nearest the bottom end of the base plate.

26. The bone plate system of claim 24, wherein the second interference device is attached to the base plate at a first attachment location that is offset from the first screw slots in the base plate, and further wherein the interference device is attached to the base plate at a second attachment location that is offset from the second screw slots in the base plate.

27. The bone plate system of claim 26, wherein the first and second attachment locations are each offset in a direction toward the center of the base plate.

28. The bone plate system of claim 14, wherein the first pair of bone screw slots are generally aligned with the second pair of bone screw slots and the pairs of slots positioned so as to create a generally symmetrical arrangement about the center of the base plate.

29. The bone plate system of claim 14, wherein:

each bone screw head has a generally rounded top surface with a center region and a generally rounded bottom surface;

each screw slot in the base plate has a generally rounded edge surface that interfaces with the bottom surface of a corresponding bone screw head; and

each interference device includes two generally rounded edge surfaces, each of which interfaces with the generally rounded top surface of a corresponding bone screw head while not substantially covering the center region of the top surface of the bone screw head.

30. The bone plate system of claim 29, wherein each bone screw can toggle within the screw slots in the base plate, while the interference device still exerts sufficient force on the bone screw to control the degree to which the bone screw slides within the screw slot.

31. The bone plate system of claim 29, wherein an interface between the top surface of the bone screw head and the edge surface of the interference device requires a minimum force ranging from about 15 to about 50 pounds to cause the bone screw to slide within the screw slots of the base plate.

32. The bone plate system of claim 31, wherein the interference device is attached to the base plate at a first attachment location that is offset from the first screw slots in the base plate, and further wherein the interference device is attached to the base plate at a second attachment location that is offset from the second screw slots in the base plate.

33. The bone plate system of claim 32, wherein the first and second attachment locations are each offset in a direction toward the center of the base plate.

34. The bone plate system of claim 29, wherein an interface between the top surface of the bone screw head and the edge surface of the interference device requires a minimum force ranging from about 30 to about 40 pounds to cause the bone screw to slide within the screw slots of the base plate.

35. The bone plate system of claim 14, wherein the system is weight-sharing over a period of at least about three months.

36. The bone plate system of claim 14, wherein the system is weight-sharing over a period of at least about six months.

37. A bone plate system including:

a base plate having an aperture for location adjacent to a bone member;

a bone screw extending through the aperture for engaging the bone member;

means for permitting movement of the bone screw relative to the base plate and for varying a resistance against the movement as the bone screw moves relative to the base plate.

38. A bone plate system as set forth in claim 37, wherein the means for permitting movement and for varying resistance includes means for providing a variable force pressing against a portion of the bone screw as the bone screw moves relative to the base plate.

39. A bone plate system as set forth in claim 38, wherein the means for providing a variable force provides the variance in force as the bone screw moves along a direction relative to the base plate.

40. A bone plate system as set forth in claim 37, wherein the aperture is an elongate slot, and the means for permitting movement and for varying resistance includes an interference device that provides a variable resistance to movement of the bone screw as the bone screw moves along the elongate slot.

41. A bone plate system as set forth in claim 40, wherein the interference device includes a member secured to the base plate proximate to one end of the elongate slot and extending over a portion of the bone screw.

42. A bone plate system including:

a base plate having an elongate slot for location adjacent to a bone member;

a bone screw having a portion for extending into the bone member, a portion extending through the the slot, and a portion engaged for retention of the bone screw; and

a member attached to the base plate at a point adjacent to one end of the slot, the member having a portion extending from the attachment point along the slot and engaged with the engaged portion of the bone screw;

the engaged portion of the bone screw and an area at least partially bounded by the member being sized such that the engaged portion of the bone screw is within an interference fit between the base plate and the member is greatest proximate to the attachment point.