Adjustable spinal stabilization system

• US 7,815,665 B2
• Filed: 12/27/2004
• Issued: 10/19/2010
• Est. Priority Date: 09/24/2003
• Status: Active Grant

• Current Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Original Assignee: N Spine Incorporated (Johnson & Johnson)
• Inventors: Bowman, Brian Scott, Yim, Jason, Jahng, Tae-ahn
• Primary Examiner(s): Robert; Eduardo C
• Assistant Examiner(s): Hoffman; Mary
• Application Number:
  US11/024,171
• Publication Number:
  US 20050203514A1
• Time in Patent Office: 2,122 Days
• Field of Search: 606/61
• US Class Current: 606/263
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/1604 Chisels; Rongeurs; Punches; Stamps
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 17/3472 for bones, e.g. intraosseus injections
• 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 17/7004 with a cross-section which varies along its length A61B17/7019 takes precedence
• CPC Class Codes: A61B 17/7007 Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit around the screw or hook heads
• CPC Class Codes: A61B 17/701 Longitudinal elements with a non-circular, e.g. rectangular, cross-section A61B17/7005, A61B17/7007 take precedence
• CPC Class Codes: A61B 17/7013 the shape of the element being adjustable before use adjustable length plates A61B17/7014
• CPC Class Codes: A61B 17/7026 with a part that is flexible due to its form
• CPC Class Codes: A61B 17/7028 the flexible part being a coil spring
• CPC Class Codes: A61B 17/7029 the entire longitudinal element being flexible
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 17/864 hollow, e.g. with socket or cannulated

Abstract

An adjustable spinal stabilization system having a flexible connection unit for non-rigid stabilization of the spinal column. In one embodiment, the spinal stabilization system includes a flexible connection unit having a tether running through a hollow portion of the flexible connection unit, wherein the tether limits bending of the flexible connection unit. In a further embodiment the tether is pre-tensioned. In a further embodiment, the tension upon or compression of the tether is adjustable.

Claims

1. A multiple phase connection unit for use in flexibly stabilizing a first vertebra to a second vertebra, the connection unit comprising:

a first bone coupling assembly having a U-shaped channel;

a second bone coupling assembly having a U-shaped channel; and

a longitudinal member having a central axis, the longitudinal member including a first end received within the U-shaped channel of the first bone coupling assembly, a second end received within the U-shaped channel of the second bone coupling assembly and a flexible section in between the first and second ends, the flexible section including an inner cavity; and

a tether located in the inner cavity formed in the flexible section of the longitudinal member, the tether coupled to the first and second ends, the longitudinal member being bendable from an original position to a second position when subjected to an externally applied bending force (f), the longitudinal member being displaced by a distance d in the second position, the tether being in a slack position when the longitudinal member is in the original position and in a taut position when the longitudinal member is displaced by a first taut distance dt via the externally applied bending force (f) such that the tether resists further displacement of the longitudinal member away from the original position, the first taut distance dt being greater than zero and less than the distance d in the second position.

2. The connection unit of claim 1, wherein the tether has a first end and a second end, the first end of the tether is non-rotatably coupled to the first end of the longitudinal member, the second end of the tether being coupled to an adjustment member.

3. The connection unit of claim 2, wherein the adjustment member is an externally threaded screw member configured to rotatably engage an internally threaded section formed in the second end of the longitudinal member so that rotation of the externally threaded screw member adjusts tension in the tether.

4. The connection unit of claim 3, wherein the externally threaded screw member is coupled to the tether via a slip joint that allows axial rotation of the externally threaded screw member with respect to the tether.

5. The connection unit of claim 1, wherein the tether has a first end and a second end, the first end of the tether is rotatably coupled to the first end of the longitudinal member, the second end of the tether being fixedly coupled to an adjustment member.

6. The connection unit of claim 5, wherein the adjustment member is an externally threaded screw member configured to rotatably engage an internally threaded section formed in the second end of the longitudinal member so that rotation of the externally threaded screw member adjusts tension in the tether.

7. The connection unit of claim 6, wherein first end of the longitudinal member is coupled to the tether via a slip joint that allows axial rotation of the longitudinal member with respect to the tether.

8. The connection unit of claim 1, wherein the tether is fixedly coupled to the first and second ends of the longitudinal member.

9. The connection unit of claim 1, wherein the tether has a first end and a second end, the first end of the tether is fixedly coupled to the first end of the longitudinal member, the second end of the tether extends beyond the second end of the longitudinal member, the second end of the tether having an externally threaded screw thread for rotatably engaging an internally threaded adjustment member.

10. The connection unit of claim 9, wherein the adjustment member comprises an external nut, wherein the external nut abuts the second end of the longitudinal member and is rotatable to adjust the tension in the tether.

11. The connection unit of claim 10, further comprising a washer interposed between the external nut and the second end of the longitudinal member.

12. The connection unit of claim 11, wherein the washer comprises a structure that is selected from a group of known washer structures consisting of a slip ring, a locking washer, and a split locking washer.

13. The connection unit of claim 1, wherein the longitudinal member is a cylindrical rod.

14. The connection unit of claim 1, wherein the longitudinal member comprises a material that is selected from at least one of a group of known, bio-compatible materials consisting of metals, metal alloys, organic polymers, natural resins, synthetic resins, thermoplastics, elastomers and composite materials.

15. The connection unit of claim 1, wherein the tether comprises a material that is selected from at least one of a group of known flexible, materials consisting of metals, metal alloys, organic polymers, natural resins, synthetic resins, thermoplastics, elastomers and composite materials.

16. The connection unit of claim 1, wherein the tether comprises a structure that is selected from a group of known structures consisting of fibers, multi-fiber bundles, wires, multi-wire bundles, ribbons, multi-ribbon bundles, rods, and multi-rod bundles.

17. The connection unit of claim 1, wherein the tether is coupled to the first and second ends at positions that are offset from the central axis of the longitudinal member.

18. The connection unit of claim 1, wherein the first end, the second end and the flexible section are integrally formed.