Device for placing a receiving part onto a head of a bone anchoring element

Patent metadata

Field	Value
Publication number	US-2019239933-A1
Application number	US-201916289331-A
Country	US
Kind code	A1
Filing date	Feb 28, 2019
Priority date	Mar 14, 2014
Publication date	Aug 8, 2019
Grant date	—

Abstract

A device for placing a receiving part of a bone anchoring device onto a head of a bone anchoring element includes a holding portion, a collet configured to be held by the holding portion, the collet having a tubular body extending along a longitudinal axis, and a distal end portion configured to be flexibly expanded and compressed in a radial direction, and a plunger configured to be positioned in the collet. The collet is movable axially relative to the plunger between a first position wherein the distal end portion of the collet is configured to have a first width in a first radial direction and the plunger prevents the distal end portion from assuming a width less than the first width, and a second position wherein the distal end portion of the collet is radially compressible to a second width that is less than the first width.

First claim

1 - 14 . (canceled)

15 . A receiving part for connecting a bone anchoring element having a head and a shank to a spinal rod, the receiving part having a top end, a bottom end, and a longitudinal axis extending between the top and bottom ends, and comprising:
an outer wall extending from the top end to the bottom end; and an inner wall facing radially inwardly towards the longitudinal axis and defining a bore extending from the top end towards the bottom end, an opening at the bottom end, and a seat for the head of the bone anchoring element adjacent the opening; wherein a rod receiving channel with a substantially U-shaped profile has a first portion that extends transversely through a first side of the receiving part to form opposing sidewalls that face one another and that extend continuously from the outer wall to the inner wall on one side of the bore, and a second portion that extends transversely through an opposite second side of the receiving part; wherein the inner wall comprises an engagement feature for engaging a locking element that is configured to lock the spinal rod in the rod receiving channel; and wherein a recess that is spaced apart from the top end is formed in at least one of the opposing sidewalls and extends continuously from the outer wall to the inner wall for engaging a corresponding feature of a device configured to place the receiving part onto the head of the bone anchoring element, and wherein a maximum depth of the recess measured from the at least one of the opposing sidewalls to a bottom of the recess is substantially the same at the outer wall and at the inner wall.

16 . The receiving part of claim 15 , further comprising an inner cap comprising a flexible head receiving portion configured to resiliently clamp the head of the bone anchoring element, the inner cap being movable in the accommodation space.

17 . The receiving part of claim 15 , wherein the recess has a top end that is spaced apart axially from the top end of the receiving part.

18 . The receiving part of claim 15 , wherein the recess extends from the outer wall of the receiving part to the inner wall of the receiving part along an axis that is parallel with an axis of the rod receiving channel.

19 . The receiving part of claim 18 , wherein the recess is a first recess, wherein the second portion of the rod receiving channel forms another pair of opposing sidewalls that face one another on an opposite second side of the bore, and wherein a second recess is formed in at least one of the another pair of opposing sidewalls and extends along an axis that is coaxial with the axis of the first recess.

20 . The receiving part of claim 15 , wherein part of the at least one opposing sidewalls forming the substantially U-shaped profile of the rod receiving channel extends between the top end of the receiving part and the recess.

21 . The receiving part of claim 15 , wherein at least part of the recess is at a same axial height on the receiving part as part of the engagement feature.

22 . The receiving part of claim 15 , wherein the recess is a first recess, and wherein a second recess is formed in the other one of the opposing sidewalls at a same axial height on the receiving part as the first recess.

23 . A bone anchoring device comprising the receiving part of claim 15 and the bone anchoring element having the head and the shank.

24 . The bone anchoring device of claim 23 , wherein the head of the bone anchoring element is insertable into the receiving part through the opening.

25 . A bone anchoring device for connecting a bone anchoring element having a head and a shank to a spinal rod, the bone anchoring device comprising:
a monolithic locking element; and a receiving part having a top end, a bottom end, and a longitudinal axis extending between the top and bottom ends, and comprising:
an outer wall extending from the top end to the bottom end; and
an inner wall facing radially inwardly towards the longitudinal axis and defining a bore extending from the top end towards the bottom end, an opening at the bottom end, and a seat for the head of the bone anchoring element adjacent the opening;
wherein a rod receiving channel with a substantially U-shaped profile has a first portion that extends transversely through a first side of the receiving part to form opposing sidewalls that face one another and that extend continuously from the outer wall to the inner wall on one side of the bore, and a second portion that extends transversely through an opposite second side of the receiving part; wherein the locking element is engageable with an engagement feature on the inner wall to block removal of the spinal rod from the top end of the receiving part; and wherein a downward facing surface directed at least partially towards the bottom end of the receiving part is formed in at least one of the opposing sidewalls and extends continuously from the outer wall to the inner wall for engaging a corresponding feature of a device configured to place the receiving part onto the head of the bone anchoring element, and wherein at least part of the downward facing surface is at a same axial height on the receiving part as part of the engagement feature.

26 . The bone anchoring device of claim 25 , wherein the engagement feature comprises a thread, and wherein at least part of the downward facing surface is at a same axial height on the receiving part as part of the thread.

27 . The bone anchoring device of claim 25 , wherein the downward facing surface is formed by a recess in the receiving part.

28 . The bone anchoring device of claim 25 , wherein the downward facing surface is a first downward facing surface, wherein the second portion of the rod receiving channel forms another pair of opposing sidewalls that face one another on an opposite second side of the bore, and wherein a second downward facing surface is formed in at least one of the another pair of opposing sidewalls at a position corresponding to the first downward facing surface.

29 . The bone anchoring device of claim 25 , wherein part of the at least one opposing sidewalls forming the substantially U-shaped profile of the rod receiving channel extends between the top end of the receiving part and the downward facing surface.

30 . The bone anchoring device of claim 25 , further comprising the bone anchoring element having the head and the shank.

31 . The bone anchoring device of claim 30 , wherein the head of the bone anchoring element is insertable into the receiving part through the opening.

32 . The bone anchoring device of claim 25 , wherein the downward facing surface is a first downward facing surface, and wherein a second downward facing surface is formed in the other one of the opposing sidewalls at a same axial height on the receiving part as the first downward facing surface.

33 . A kit comprising:
a receiving part for connecting a bone anchoring element having a head and a shank to a spinal rod, the receiving part having a top end, a bottom end, and a longitudinal axis extending between the top and bottom ends, and comprising:
an outer wall extending from the top end to the bottom end; and
an inner wall facing radially inwardly towards the longitudinal axis and defining a bore extending from the top end towards the bottom end, an opening at the bottom end, and a seat for the head of the bone anchoring element adjacent the opening;
wherein a rod receiving channel with a substantially U-shaped profile has a first portion that extends transversely

Assignees

• Biedermann Technologies Gmbh

Inventors

• Biedermann Lutz
• Matthis Wilfried
• Dandanopoulos Dimosthenis
• Biedermann Timo

Classifications

• A61B17/7082 Primary

  for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws · CPC title

• A61B17/7076 Primary

  for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation · CPC title

• A61B17/7091

  for applying, tightening or removing longitudinal element-to-bone anchor locking elements, e.g. caps, set screws, nuts or wedges · CPC title

• A61B17/7086

  Rod reducers, i.e. devices providing a mechanical advantage to allow a user to force a rod into or onto an anchor head other than by means of a rod-to-bone anchor locking element; rod removers · CPC title

• A61B17/7037 Primary

  wherein pivoting is blocked when the rod is clamped · CPC title