Taper-locking fixation system

• US 8,900,273 B2
• Filed: 01/10/2008
• Issued: 12/02/2014
• Est. Priority Date: 02/22/2005
• Status: Active Grant

• Current Assignee: Globus Medical, Inc.
• Original Assignee: Gmedelaware 2 LLC (Globus Medical, Inc.)
• Inventors: Fauth, Andrew R., Triplett, Daniel J., Helgerson, Joel R.
• Primary Examiner(s): BECCIA, CHRISTOPHER J
• Application Number:
  US11/972,158
• Publication Number:
  US 20080167688A1
• Time in Patent Office: 2,518 Days
• Field of Search: 606246-279, 606280-299, 606300-331, 606/60, 606/61
• US Class Current: 606/265
• CPC Class Codes: A61B 17/7011 Longitudinal element being non-straight, e.g. curved, angled or branched adjustable length longitudinal elements A61B17/7014; A61B17/7019 takes precedence, e.g. coil springs
• CPC Class Codes: A61B 17/7035 Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
• CPC Class Codes: A61B 17/704 the longitudinal element passing through a ball-joint in the screw head
• CPC Class Codes: A61B 17/7041 with single longitudinal rod offset laterally from single row of screws or hooks A61B17/7044 takes precedence

Abstract

A fixation system is designed to lock an elongated member within a housing member, permitting positional and/or orientational adjustment of the elongated member prior to locking. The system includes a housing member, a slotted spherical collet, an elongated member, and may include a tapered wedge, which may be a discrete component or formed as part of the elongated member. The housing member and/or elongated member may be implantable. The elongated member may be positioned in the wedge, the wedge in the collet, and the collet in the housing such that when compression force is applied to the wedge and the collet, the wedge contracts about the elongated member and the collet expands to engage the housing, thus locking the elongated member relative to the housing. The collet may have a tapered channel with a degree of taper equal to the tapered wedge. The collet may have multiple slots to allow uniform radial expansion and compression.

Claims

1. A system, comprising:

an implant shaped to replace a first portion of a first natural facet joint, the implant comprising a first facet articular surface;

an elongated member; and

a locking connector coupled to the implant, wherein the locking connector is configured to lock an orientation and/or a position of the implant relative to the elongated member, the locking connector comprising;

a housing;

a collet receivable within the housing, the collet comprising a channel; and

a tapered wedge portion;

wherein the collet is radially expandable, wherein the locking connector is configured to lock an orientation and/or position of the housing relative to the elongated member in response to radial expansion of the collet by non-rotatable insertion of the tapered wedge portion into the channel of the collet,

wherein the tapered wedge portion includes a channel for receiving the elongated member, and

wherein a first end of the elongated member is polyaxially movable relative to a second end of the elongated member prior to the locking connector locking an orientation and/or position of the housing relative to the elongated member.

2. The system of claim 1, further comprising a pedicle screw for selective attachment to a vertebra comprising the first portion of the first natural facet joint, wherein one of the elongated member and the housing is secured to the pedicle screw.

3. The system of claim 1, wherein the elongated member comprises a pedicle screw for selective attachment to a vertebra comprising the first portion of the first natural facet joint.

4. The system of claim 1, wherein the wedge portion comprising a bore shaped to receive the elongated member, wherein the wedge portion comprises an outer tapered wall configured to induce expansion of the collet in response to urging of the wedge portion into the channel.

5. The system of claim 4, wherein the channel comprises an inner tapered wall, and wherein the degree of taper of the outer tapered wall is substantially equal to the degree of taper of the inner tapered wall.

6. The system of claim 1, wherein the collet comprises a monolithic outer convex wall comprising a plurality of slots radially distributed about the outer convex wall to enable substantially uniform radial expansion of the collet.

7. The system of claim 1, wherein the housing and the first facet articular surface are formed as a single piece with each other.

8. The system of claim 1, wherein the housing comprises an inner concave wall and the collet comprises an outer convex wall, wherein at least one of the inner concave wall and the outer convex wall comprises a roughened surface.

9. The system of claim 1, further comprising:

a second implant configured to replace a second portion of the first natural facet joint, the second implant comprising a second facet articular surface, wherein the second facet articular surface is configured to articulate with the first facet articular surface.

10. The system of claim 9, further comprising:

a third implant configured to replace a first portion of a second natural facet joint; and

a fourth implant configured to replace a second portion of the second natural facet joint;

wherein the second natural facet joint is either one motion segment caudal or one motion segment cephalad to the first natural motion segment.

11. An implantable locking connector, comprising:

an elongated member formed of a biocompatible material;

a housing;

a tapered wedge portion; and

a collet shaped to be received by the housing, the collet comprising a monolithic outer convex wall comprising a plurality of slots radially distributed about the outer convex wall to enable substantially uniform radial expansion of the collet;

wherein the collet is radially expandable,

wherein the locking connector is configured to lock an orientation and/or position of the housing relative to the elongated member in response to radial expansion of the collet by non-rotatable insertion of the tapered wedge portion into the collet,

wherein the tapered wedge portion includes a channel for receiving the elongated member, and

wherein a first end of the elongated member is polyaxially movable relative to a second end of the elongated member prior to the locking connector locking an orientation and/or position of the housing relative to the elongated member.

12. The locking connector of claim 11, wherein the outer convex wall is substantially spherical, wherein the housing comprises an inner concave wall with a substantially spherical shape, wherein the collet further comprises a lip portion extending from the outer convex wall to limit relative rotation between the housing and the collet.

13. The locking connector of claim 11, wherein the housing comprises an inner concave wall, wherein at least one of the inner concave wall and the outer convex wall comprises a roughened surface.

14. The locking connector of claim 11, wedge portion is sized to receive the elongated member and be received in the collet, wherein the wedge portion comprises an outer tapered wall and the collet comprises an inner tapered wall, and wherein the degree of taper of the outer tapered wall is substantially equal to the degree of taper of the inner tapered wall.

15. A system, comprising:

a first anchor attachable to a first bone;

a second anchor attachable to a second bone;

an elongated member rigidly attachable to the first anchor; and

a locking connector configured to couple the elongated member to the second anchor, wherein the locking connector is configured to lock an orientation and/or a position of the second anchor relative to the elongated member, the locking connector comprising;

a housing;

a tapered wedge portion; and

a collet receivable within the housing, the collet comprising a channel shaped to receive one of the tapered wedge portion and the second anchor;

wherein the collet is radially expandable, wherein the locking connector is configured to lock an orientation and/or position of the housing relative to the received elongated member or second anchor in response to radial expansion of the collet by non-rotatable insertion of the tapered wedge portion into the collet to substantially prevent motion of the first bone relative to the second bone,

wherein the tapered wedge portion includes a channel for receiving the elongated member, and

wherein a first end of the elongated member is polyaxially movable relative to a second end of the elongated member prior to the locking connector locking an orientation and/or position of the housing relative to the elongated member.

16. The system of claim 15, wherein the collet comprises a channel shaped to receive the second anchor, wherein the locking connector is configured to lock an orientation and/or position of the housing relative to the second anchor in response to radial expansion of the collet to engage the housing to substantially prevent motion of the first bone relative to the second bone.

17. The system of claim 15, wherein the collet comprises a channel shaped to receive the elongated member, wherein the locking connector is configured to lock an orientation and/or position of the housing relative to the second anchor in response to radial expansion of the collet to engage the housing to substantially prevent motion of the first bone relative to the second bone.

18. The system of claim 15, wherein the first and second anchors comprise pedicle screws and the elongated member comprises a rod, such that the system comprises a pedicle screw and rod system configured to substantially prevent motion of the first bone relative to the second bone.

19. The system of claim 15, wherein the wedge portion comprises a bore shaped to receive one of the elongated member and the second anchor, wherein the wedge portion comprises an outer tapered wall configured to induce expansion of the collet in response to urging of the wedge portion into the channel.

20. The system of claim 19, wherein the channel comprises an inner tapered wall, and wherein the degree of taper of the outer tapered wall is substantially equal to the degree of taper of the inner tapered wall.

21. The system of claim 15, wherein the collet comprises a monolithic outer convex wall comprising a plurality of slots radially distributed about the outer convex wall to enable substantially uniform radial expansion of the collet.

22. The system of claim 15, wherein the housing comprises an inner concave wall and the collet comprises an outer convex wall, wherein at least one of the inner concave wall and the outer convex wall comprises a roughened surface.