System and method for bone anchorage

• US 8,702,759 B2
• Filed: 08/29/2008
• Issued: 04/22/2014
• Est. Priority Date: 04/17/2007
• Status: Active Grant

• Current Assignee: Globus Medical, Inc.
• Original Assignee: Gmedelaware 2 LLC (Globus Medical, Inc.)
• Inventors: Triplett, Daniel J.
• Primary Examiner(s): WOODALL, NICHOLAS W
• Application Number:
  US12/201,171
• Publication Number:
  US 20080319489A1
• Time in Patent Office: 2,062 Days
• Field of Search: 606/61, 606/301, 606/305, 606/319
• US Class Current: 606/265
• CPC Class Codes: A61B 17/7005 Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit in the screw or hook heads
• 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 17/7064 Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
• CPC Class Codes: A61B 17/7067 Devices bearing against one or more spinous processes and also attached to another part of the spine; Tools therefor
• CPC Class Codes: A61B 17/707 Devices acting on, or attached to, a transverse process or rib; Tools therefor
• CPC Class Codes: A61B 2017/7073 with intervertebral connecting element crossing an imaginary spinal median surface
• CPC Class Codes: A61F 2/0095 Packages or dispensers for prostheses or other implants for intraocular lenses A61F2/1691; for dental surgery A61C19/02
• CPC Class Codes: A61F 2/4405 for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes devices implanted between spinous or transverse processes A61B17/7062
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2/4684 Trial or dummy prostheses
• CPC Class Codes: A61F 2002/30331 made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2002/30433 using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30471 connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2002/30481 using a locking clip
• CPC Class Codes: A61F 2002/30495 using a locking ring
• CPC Class Codes: A61F 2002/305 Snap connection
• CPC Class Codes: A61F 2002/30507 using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30522 releasable, e.g. using a releasable ratchet
• CPC Class Codes: A61F 2002/30537 adjustable
• CPC Class Codes: A61F 2002/3054 : about a connection axis or implantation axis for selecting any one of a plurality of radial orientations between two modular parts, e.g. Morse taper connections, at discrete positions, angular positions or continuous positions
• CPC Class Codes: A61F 2002/3055 : for adjusting length
• CPC Class Codes: A61F 2002/30604 : modular
• CPC Class Codes: A61F 2002/30649 : Ball-and-socket joints
• CPC Class Codes: A61F 2002/30841 : Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30845 : with cutting edges
• CPC Class Codes: A61F 2002/3085 : with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/30884 : Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
• CPC Class Codes: A61F 2002/30904 : serrated profile, i.e. saw-toothed
• CPC Class Codes: A61F 2002/448 : comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants
• CPC Class Codes: A61F 2002/449 : comprising multiple spinal implants located in different intervertebral spaces or in different vertebrae
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 : made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2220/0091 : connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
• CPC Class Codes: A61F 2250/0004 : adjustable
• CPC Class Codes: A61F 2250/0007 : for adjusting length
• CPC Class Codes: A61F 2310/00796 : Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite

Abstract

A bone anchor assembly may include a fixation member securable to a bone, a coupling member, a compressible member and a locking member. The fixation member may be formed monolithically with the coupling member, and the coupling member may have a loop portion shaped to receive the compressible member. The compressible member may comprise a compressible sphere with a bore extending therethrough, the bore shaped to receive an elongated member. The locking member may be actuable through an aperture in the coupling member to urge compression of the compressible member to lock the elongated member in a fixed position. The compressible member may be polyaxially adjustable relative to the coupling member.

Claims

1. A system comprising:

a bone anchor assembly comprising;

a fixation member configured to secure an inferior or superior facet joints comprising a threaded portion, the threaded portion having a longitudinal axis;

a coupling member formed monolithically with the fixation member, the coupling member having a closed loop portion defining a passageway orthogonal to the longitudinal axis of the threaded portion;

a compressible member polyaxially adjustably positionable at least partially within the closed loop portion, the compressible member having a compressible bore shaped to receive an elongated member;

a locking member configured to be actuated relative to the compressible member to urge compression of the compressible member, wherein the locking member comprises a non-threaded head segment configured to fracture from a threaded segment, wherein the locking member is configured to directly compress an outer surface of the compressible member, and wherein the compression of the compressible member locks the elongated member in a fixed position relative to the assembly, and

wherein a threaded aperture is encircled by a ring on a top portion of the coupling member, the exterior of the ring having multiple drive features and a smaller diameter than the closed loop portion of the coupling member,

wherein a countersink flares out from a concave wall of the passageway to the outer surface of the coupling member.

2. The system of claim 1, wherein the closed loop portion comprises a wall with a threaded aperture extending therethrough, the threaded aperture coaxial with the longitudinal axis, wherein the threaded aperture receives the locking member.

3. The system of claim 2, wherein the locking member is actuatable through the threaded aperture into direct contact with the compressible member to urge compression of the compressible member to lock the elongated member in the fixed position.

4. The system of claim 1, wherein the compressible member comprises a sphere, the sphere comprising:

a plurality of curved wall segments; and

a plurality of slots interleaved with the curved wall segments;

wherein the curved wall segments and the slots provide the sphere with an uncompressed state in which an outer sphere diameter is greater than a maximum diameter of the passageway, a first compressed state in which the curved wall segments and the slots are deformed such that the outer sphere diameter is equal to the maximum diameter of the passageway, and a second compressed state in which, in response to the force exerted against the compressible member by the locking member, the curved wall segments and the slots are deformed to prevent movement of the elongated member relative to the coupling member and to lock the sphere in a fixed position relative to the coupling member.

5. The system of claim 1, further comprising:

an inferior facet joint implant comprising an inferior articular surface shaped to replace a natural inferior articular surface of a vertebra;

wherein the inferior facet joint implant is connectable to the elongated member such that the inferior articular surface is in a fixed position relative to the bone anchor assembly.

6. A system comprising:

a bone anchor assembly comprising;

a fixation member configured to secure to inferior or superior facet joints comprising a threaded portion, the threaded portion having a longitudinal axis;

a coupling member coupled to the fixation member, the coupling member having a closed loop portion, the closed loop portion comprising a wall with a threaded aperture extending therethrough, wherein the threaded aperture is coaxial with the longitudinal axis;

a compressible member positionable at least partially within the closed loop portion, the compressible member having a bore shaped to receive an elongated member; and

a locking member shaped to be received in the threaded aperture, wherein the locking member comprises a non-threaded head segment configured to fracture from a threaded segment, wherein the locking member is configured to directly compress an outer surface of the compressible member to urge compression of the compressible member and prevent rotation of the compressible member within the closed loop portion;

wherein, in response to the compression of the compressible member, an interior wall of the bore of the compressible member exerts force against the elongated member to prevent movement of the elongated member relative to the compressible member,

wherein a threaded aperture is encircled by a ring on a top portion of the coupling member, the exterior of the ring having multiple drive features and a smaller diameter than the closed loop portion of the coupling member,

wherein a countersink flares out from a concave wall of the passageway to the outer surface of the coupling member.

7. The system of claim 6, wherein the compressible member is polyaxially adjustable relative to the closed loop portion after positioning in the closed loop portion, prior to actuation of the locking member to exert force on the compressible member.

8. The system of claim 6, wherein the compressible member comprises a sphere, the sphere comprising:

a plurality of curved wall segments; and

a plurality of slots interleaved with the curved wall segments;

wherein the curved wall segments and the slots provide the sphere with an uncompressed state in which an outer sphere diameter is greater than a maximum diameter of a passageway defined by the closed loop portion, a first compressed state in which the curved wall segments and the slots are deformable such that the outer sphere diameter is equal to the maximum diameter of the passageway, and a second compressed state in which, in response to the force exerted against the compressible member by the locking member, the curved wall segments and the slots are deformable to prevent movement of the elongated member relative to the coupling member and to lock the sphere in a fixed position relative to the coupling member.

9. The system of claim 6, further comprising:

an inferior facet joint implant comprising an inferior articular surface shaped to replace a natural inferior articular surface of a vertebra;

wherein the inferior facet joint implant is connectable to the elongated member such that the inferior articular surface is in a fixed position relative to the bone anchor assembly.

10. A system comprising:

a bone anchor assembly comprising;

a fixation member configured to secure inferior or superior facet joints comprising a threaded portion, the threaded portion having a longitudinal axis;

a coupling member monolithically formed with or secured to the fixation member, the coupling member having a split ring clamp defining a passageway orthogonal to the longitudinal axis of the threaded portion, wherein the passageway is bounded by two opposing spherical pockets formed in the split ring clamp;

a compressible member polyaxially adjustably positionable at least partially within the passageway, the compressible member having a compressible bore shaped to receive an elongated member; and

a locking member configured to be actuated relative to the coupling member to urge compression of the split ring clamp, wherein the locking member comprises a non-threaded head segment configured to fracture from a threaded segment, wherein the locking member is configured to directly compress an outer surface of the compressible member, and wherein the compression of the split ring clamp causes compression of the compressible member to lock the elongated member in a fixed position relative to the assembly,

wherein a threaded aperture is encircled by a ring on a top portion of the coupling member, the exterior of the ring having multiple drive features and a smaller diameter than the closed loop portion of the coupling member,

wherein a countersink flares out from a concave wall of the passageway to the outer surface of the coupling member.

11. The system of claim 10, wherein the split ring clamp defines upper and lower rings through which the locking member extends, wherein at least one of the upper and lower rings comprises threading that mates with threading on the locking member to permit threaded advancement of the locking member through the threaded one of the upper and lower rings to, wherein advancement of the locking member through the upper and lower rings causes compression of the coupling member.

12. The system of claim 10, wherein the compressible member comprises a sphere, the sphere comprising:

a plurality of curved wall segments; and

a plurality of slots interleaved with the curved wall segments;

wherein the curved wall segments and the slots provide the sphere with an uncompressed state in which an outer sphere diameter is greater than a maximum diameter of the passageway, a first compressed state in which the curved wall segments and the slots are deformed such that the outer sphere diameter is equal to the maximum diameter of the passageway when the split ring clamp is uncompressed, and a second compressed state in which, in response to the force exerted against the compressible member due to compression of the split ring clamp, the curved wall segments and the slots are deformed to prevent movement of the elongated member relative to the coupling member and to lock the sphere in a fixed position relative to the coupling member.

13. The system of claim 10, further comprising:

an inferior facet joint implant comprising an inferior articular surface shaped to replace a natural inferior articular surface of a vertebra;

wherein the inferior facet joint implant is connectable to the elongated member such that the inferior articular surface is in a fixed position relative to the bone anchor assembly.