Fixed and variable locking fixation assembly

• US 7,780,666 B1
• Filed: 06/01/2005
• Issued: 08/24/2010
• Est. Priority Date: 07/05/2002
• Status: Active Grant

• Current Assignee: Theken Spine LLC (Orthofix Medical Inc.)
• Original Assignee: Theken Spine LLC (Orthofix Medical Inc.)
• Inventors: Madigan, Dennis M., Albert, Morton B., Theken, Randall R., Navarro, Richard R.
• Primary Examiner(s): Philogene; Pedro
• Application Number:
  US11/142,702
• Time in Patent Office: 1,910 Days
• Field of Search: 606/71, 606/70, 606/73, 606/61, 606/69, 606/54, 606/281, 606/286, 411/353, 411/105
• US Class Current: 606/71
• CPC Class Codes: A61B 17/7059 Cortical plates A61B17/7007, A61B17/7058 take precedence
• CPC Class Codes: A61B 17/8047 wherein the additional element surrounds the screw head in the plate hole A61B17/8052 takes precedence

Abstract

A locking screw assembly is provided which allows installation into a plate-like member using relatively little force, but which requires relatively great force for removal. The fastener has an annular locking ring provided within a groove in the head of the screw to allow the screw to sit within or flush with the anterior surface of the plate. The through-hole in the plate which receives the locking screw comprises an entrance, a collar section, an undercut, and an exit. The locking ring resides within the undercut. The locking ring has a leading surface that is chamfered or radiused and a trailing surface that is flat. The chamfer allows the locking ring to easily be inserted into the through-hole by interacting with a lead chamfer in the entrance. After installation, the flat trailing surface abuts a lip adjoining the collar section and the undercut and prevents the screw from being easily removed from the through-hole.

Claims

1. A locking fastener having a proximal end and a distal end terminating in a tip, comprising:

a) a head disposed at said proximal end having an upper region, a groove adjacent said upper region, and a lower region adjacent said groove;

wherein said upper region has a first diameter at said proximal end and a second diameter adjacent said groove and wherein said lower region has a third diameter adjacent said groove and a fourth diameter at a distal end of said lower region;

b) a shank adjacent said head, wherein said shank further comprises a shoulder adjacent said lower region of said head;

c) a threaded section adjacent said shank

d) a locking ring having an outer diameter and an inner diameter and a leading surface having a leading diameter associated therewith and a trailing surface having a trailing diameter associated therewith, wherein said leading surface further comprises a chamfer or fillet, and wherein said locking ring resides within said groove of said head; and

e) wherein said leading diameter is less than said trailing diameter, and said trailing diameter is substantially equal to said outer diameter.

2. The locking fastener of claim 1 wherein said locking ring further comprises a split ring having an annular cylindrical shape.

3. The locking fastener of claim 1 wherein said groove has a diameter less than said second diameter of said upper region of said head and less than said third diameter of said lower region of said head.

4. The locking fastener of claim 1 wherein said outer diameter of said locking ring is greater than said first diameter and said second diameter of said upper region of said head and greater than said third diameter and said fourth diameter of said lower region of said head.

5. The locking fastener of claim 1 wherein at a resting position said inner diameter of said locking ring is less than said second diameter of said upper region of said head and less than said third diameter of said lower region of said head.

6. The locking fastener of claim 5 wherein said locking ring is elastically deformable from said resting position to a second position wherein said inner diameter of said locking ring is equal to said third diameter of said lower region of said head.

7. The locking fastener of claim 6 wherein said elastic deformation is provided by a break in a circumference of said locking ring.

8. The locking fastener of claim 1 wherein said first diameter of said upper region of said head is equal to said second diameter of said upper region of said head, and wherein said third diameter of said lower region of said head is equal to said fourth diameter of said lower region of said head.

9. The locking fastener of claim 8 wherein said upper region of said head and said lower region of said head each comprise an outer surface that is cylindrical.

10. The locking fastener of claim 9 wherein said shank mates with a through-hole in a plate member such that said locking fastener cannot angulate about a longitudinal axis through said through-hole.

11. The locking fastener of claim 1 wherein said first diameter of said upper region of said head is less than said second diameter of said upper region of said head, and wherein said third diameter of said lower region of said head is greater than said fourth diameter of said lower region of said head.

12. The locking fastener of claim 11 wherein said upper region of said head and said lower region of said head each comprise an outer surface that is a portion of a sphere.

13. The locking fastener of claim 12 wherein said shank mates with a portion of a through-hole in a plate such that said locking fastener can angulate about a longitudinal axis of said through-hole.

14. A locking fastener, comprising:

a screw, wherein said screw comprises a proximal screw head and a threaded section distal of said screw head,

said screw head comprising a groove therein, said groove having a groove innermost axial dimension; and

a retainer within said groove, said retainer having a retainer maximum axial dimension, wherein said retainer maximum axial dimension is less than said groove innermost axial dimension; and

said retainer comprising a leading end having a leading diameter and a trailing end having a trailing diameter, wherein said trailing diameter is greater than said leading diameter.

15. The locking fastener of claim 14, wherein said retainer is capable of elastically deforming between a more-outward configuration in which said retainer extends beyond an envelope of said screw head, and a more-inward configuration that is smaller than said more-outward configuration.

16. The locking fastener of claim 14, wherein said retainer is able to be deformed, while remaining within its elastic limit, to a size such that a maximum diameter of said screw head on a side facing said threaded section can pass through said retainer.

17. The locking fastener of claim 14, wherein said screw head comprises a substantially spherical shape on a surface facing said threaded section.

18. The locking fastener of claim 14, wherein said screw head comprises a first cavity within said screw head, and, adjacent said first cavity distal of said first cavity, a second cavity having internal threads.

19. The locking fastener of claim 14, wherein said retainer comprises a split ring.

20. The locking fastener of claim 14, wherein said groove is bounded by two walls which are substantially parallel with each other.

21. The locking fastener of claim 14, wherein said retainer is substantially flat.

22. A locking fastener, comprising:

a screw, wherein said screw comprises a proximal screw head and a threaded section distal of said screw head,

said screw head comprising a groove therein, wherein said groove has a pair of substantially parallel sides; and

a retainer at least partially within said groove; and

said retainer comprising a leading end having a leading diameter and a trailing end having a trailing diameter, wherein said trailing diameter is greater than said leading diameter.

23. The locking fastener of claim 22, wherein a maximum axial dimension of said retainer is less than a dimension between said substantially parallel sides of said groove.

24. The locking fastener of claim 23, wherein said retainer has substantially parallel sides.

25. The locking fastener of claim 22, wherein said screw head further comprises a substantially spherical shape on a surface facing said threaded section.

26. The locking fastener of claim 22, wherein said retainer comprises a split ring.

27. A locking fastener comprising:

a screw, wherein said screw comprises a proximal screw head and a threaded section distal of said screw head,

said screw head comprising a groove therein; and

a retainer at least partially within said groove,

wherein said retainer has an edge comprising a flat surface in a portion thereof and comprises a chamfer or rounding adjoining said flat surface.

28. The locking fastener of claim 27, wherein said flat surface of said retainer is in a plane that is at least approximately perpendicular to an axis of said screw.

29. The locking fastener of claim 27, wherein said edge is chamfered having a chamfer angle suitable to deflect said retainer inward as said locking fastener slides past a stationary surface.

30. The locking fastener of claim 27, wherein said screw head comprises a substantially spherical shape on a surface facing said threaded section.

31. The locking fastener of claim 27, wherein said retainer comprises a split ring.

32. A locking fastener, comprising:

a screw, wherein said screw comprises a proximal screw head and a threaded section distal of said screw head,

said screw head comprising a groove therein, wherein said groove has two sides that are flat and lie in planes substantially perpendicular to a longitudinal axis of said screw; and

a retainer at least partially within said groove; and

said retainer comprising a leading end having a leading diameter and a trailing end having a trailing diameter, wherein said trailing diameter is greater than said leading diameter.