Load distribution crown

• US 7,615,069 B2
• Filed: 04/08/2004
• Issued: 11/10/2009
• Est. Priority Date: 04/08/2004
• Status: Active Grant

• Current Assignee: Globus Medical, Inc.
• Original Assignee: Globus Medical, Inc.
• Inventors: Paul, David C.
• Primary Examiner(s): SWEET, THOMAS
• Application Number:
  US10/819,934
• Publication Number:
  US 20050228387A1
• Time in Patent Office: 2,042 Days
• Field of Search: 606/73, 606/69, 606/70, 606/71, 606/72, 606/280, 606/287, 606/288, 606/291, 606/297, 606/305
• US Class Current: 606/287
• CPC Class Codes: A61B 17/86 Pins or screws or threaded wires; nuts therefor A61B17/72 take precedence
• CPC Class Codes: A61B 17/8695 Washers surrounding screw head in plate hole A61B17/8047, between bone plate and bone A61B17/8028

Abstract

An apparatus for distributing the load caused by the insertion of a fastening device into bony tissue is disclosed. In one embodiment, the apparatus comprises a crown having a plurality of protrusions. The protrusions may have any desired physical properties, and function to obtain purchase in the bony tissue. Preferably, the crown includes an opening that is selectively engageable with a spherical head of the fastening device. The opening preferably comprises a spherical curvature that allows the surfaces of the spherical head and the opening to maintain flush contact, even when the fastening device is inserted into the bony tissue at a non-orthogonal angle. When the fastening device is inserted into the bony tissue, the crown distributes the load over a wider section of the bone, allowing the bone to maintain its structural integrity.

Claims

1. An apparatus for distributing a load in bony tissue, comprising:

a crown body comprising a lower bone engaging surface having one or more curved protrusions and an upper surface opposite the bone engaging surface defining an opening having a spherical curvature; and

a fastener including a head that interferes with the spherical curvature of the opening; and

wherein the fastener is selectively engageable with the opening to allow the crown to distribute the load caused by the insertion of the fastener into bony tissue

wherein at least one or more slits are formed in a base of the crown is capable of being deformed by a predetermined amount,

wherein the curved protrusions are oriented on the bottom surface of the crown body to permit rotational sliding in one direction more readily than in another direction,

wherein one or more tabs that are deflectable are positioned on an upper portion of the crown body, the upper portion of the crown body being in communication with the fastener head and the one or more tabs are configured to deflect under axial loading by the fastener, and

wherein one or more recesses are formed on the upper portion of the crown body corresponding to the shape of the one or more tabs so that as the tabs are deflected when in communication with the fastener, the one or more tabs move into the recesses.

2. The apparatus according to claim 1, wherein the length of the protrusions is between about 0.7 and about 1.2 mm.

3. The apparatus according to claim 1, wherein the average peak-to-peak distance between the one or more protrusions is between about 0.7 mm to about 1.0 mm.

4. The apparatus according to claim 1, wherein the one or more protrusions include a base, wherein the average base to base distance between neighboring protrusions is between about 0.5 and 1.0 mm.

5. The apparatus according to claim 1, wherein the protrusions comprise an angle, wherein the angle from a base of the protrusion to a peak of the protrusion is between about 55 degrees and about 65 degrees.

6. The apparatus according to claim 1, wherein the spherical curvature is configured and dimensioned to evenly distribute the load caused by the insertion of the fastener into the bony tissue at a non-orthogonal angle.

7. The apparatus according to claim 1, wherein tangents to the spherical curvature of the opening intersect.

8. The apparatus according to claim 1, wherein the total surface area of the base of the crown is about 10 square mm or greater.

9. The apparatus according to claim 1, wherein a force necessary to deform the crown is greater than the force necessary to insert the screw into the bony tissue.

10. The apparatus according to claim 9, wherein the deformation of the crown body is configured to occur adjacent an incision.

11. The apparatus according to claim 1, wherein the diameter of the opening is between about 5% and 10% smaller than the diameter of the head of the fastener.

12. The apparatus according to claim 1, wherein the head of the fastener comprises a spherical head, and wherein an inner portion of the opening and the surface of the spherical head comprise a plurality of ridges.

13. The apparatus according to claim 1, wherein tangents to the spherical curvature of the opening intersect at an angle between about 0.1 and 20 degrees.

14. The apparatus of claim 1, wherein the incision comprises a V-shaped notch adjacent a portion of the perimeter of the body.

15. The apparatus of claim 1, wherein the incision comprises a circumferential groove positioned intermediate the opening and the outer perimeter.

16. The apparatus of claim 1, wherein the incision comprises one or more radial incisions extending radially between the opening and the outer perimeter.

17. An apparatus for distributing a load in bony tissue, comprising:

a fastener; and

a crown comprising a lower facing bone engaging surface having a plurality of curved protrusions and an opposite upper facing top surface defining an opening;

at least one or more slits formed in a base of the crown for deforming the crown by a predetermined amount,

wherein the opening comprises a spherical curvature and wherein tangents to the spherical curvature of the opening intersect at a position above the top surface; and

wherein the fastener is selectively engageable with the opening to allow the crown to distribute the load caused by the insertion of the fastener into bony tissue at a plurality of angles,

wherein the curved protrusions are oriented on the bottom surface of the crown body to permit rotational sliding in one direction more readily than in another direction,

wherein one or more tabs that are deflectable are positioned on an upper portion of the crown body, the upper portion of the crown body being in communication with the fastener head and the one or more tabs are configured to deflect under axial loading by the fastener, and

wherein one or more recesses are formed on the upper portion of the crown body corresponding to the shape of the one or more tabs so that as the tabs are deflected when in communication with the fastener, the one or more tabs move into the recesses.

18. The apparatus according to claim 17, wherein the crown comprises at least one protrusion.

19. The apparatus according to claim 18, wherein the number of protrusions is about 40 or less.

20. The apparatus according to claim 18, wherein the length of the protrusions is between about 0.1 and about 4 mm.

21. The apparatus according to claim 18, wherein the average peak-to-peak distance between the one or more protrusions is between about 0.4 mm to about 2.5 mm.

22. The apparatus according to claim 18, wherein the one or more protrusions include a base, wherein the average base to base distance between neighboring protrusions is between about 0.1 and 1.5 mm.

23. The apparatus according to claim 18, wherein the protrusions comprise an angle, wherein the angle from a base of the protrusion to a peak of the protrusion is between about 50 degrees and about 70 degrees.

24. The apparatus according to claim 17, wherein opening comprises a spherical curvature configured and dimensioned to evenly distribute the load caused by the insertion of the fastener into the bony tissue at a non-orthogonal angle.

25. The apparatus according to claim 17, wherein the total surface area of the base of the crown is about 10 square mm or greater.

26. The apparatus according to claim 17, wherein a force necessary to deform the crown is greater than the force necessary to insert the screw into the bony tissue.

27. The apparatus according to claim 26, wherein the deformation is based on an incision.

28. The apparatus according to claim 17, wherein the fastener comprises a spherical head having a diameter that is between about 5% and 30% larger than the diameter of the opening.

29. The apparatus according to claim 28, wherein an inner portion of the opening and the surface of the spherical head comprise a plurality of ridges.

30. The apparatus of claim 17, wherein the tangents to the spherical curvature of the opening intersect at an angle between about 1 and 3 degrees.

31. The apparatus of claim 17, wherein the first and second free ends comprise one or more protrusions configured and dimensioned to interfere with a portion of the opposing free end to provide tactile or audible feedback to a user.

32. An apparatus for distributing a load in bony tissue, comprising:

a crown comprising one or more pyramidal protrusions and an opening having a spherical curvature; and

a fastener including a head that interferes with the spherical curvature of the opening;

wherein the fastener is selectively engageable with the opening to allow the crown to distribute the load caused by the insertion of the fastener into bony tissue, and wherein the one or more protrusions include a base, wherein the average base to base distance between neighboring protrusions is between about 0.5 and 1.0 mm,

wherein at least one or more slits are formed in a base of the crown is capable of being deformed by a predetermined amount,

wherein the curved protrusions are oriented on the bottom surface of the crown body to permit rotational sliding in one direction more readily than in another direction,

wherein one or more tabs that are deflectable are positioned on an upper portion of the crown body, the upper portion of the crown body being in communication with the fastener head and the one or more tabs are configured to deflect under axial loading by the fastener, and

wherein one or more recesses are formed on the upper portion of the crown body corresponding to the shape of the one or more tabs so that as the tabs are deflected when in communication with the fastener, the one or more tabs move into the recesses.