EP1667592A1 - Element amortisseur - Google Patents

Element amortisseur

Info

Publication number
EP1667592A1
EP1667592A1 EP03818770A EP03818770A EP1667592A1 EP 1667592 A1 EP1667592 A1 EP 1667592A1 EP 03818770 A EP03818770 A EP 03818770A EP 03818770 A EP03818770 A EP 03818770A EP 1667592 A1 EP1667592 A1 EP 1667592A1
Authority
EP
European Patent Office
Prior art keywords
damping element
clamping body
central axis
bore
ball joint
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP03818770A
Other languages
German (de)
English (en)
Inventor
Stephan Hartmann
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Synthes GmbH
Original Assignee
Synthes GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Synthes GmbH filed Critical Synthes GmbH
Publication of EP1667592A1 publication Critical patent/EP1667592A1/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7019Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
    • A61B17/7023Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a pivot joint
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7011Longitudinal element being non-straight, e.g. curved, angled or branched
    • A61B17/7013Longitudinal element being non-straight, e.g. curved, angled or branched the shape of the element being adjustable before use
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7019Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
    • A61B17/7026Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a part that is flexible due to its form
    • A61B17/7028Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a part that is flexible due to its form the flexible part being a coil spring

Definitions

  • the invention relates to a damping element according to the preamble of claim 1.
  • a generic damping element for the dynamic stabilization of two adjacent vertebral bodies is known from EP-A 0 516 567 NAVAS.
  • This known damping element comprises a coaxial damping body, each with an axially external spherically convex connecting part, by means of which the damping element can be fastened to two pedicle screws.
  • the ball joint-like connection between the two connecting parts and the heads of the pedicle screws allows the damping element to be connected to the pedicle screws at a variable angle between the longitudinal axes of the pedicle screws and the central axis of the damping element.
  • a disadvantage of this known damping element is that the distance between the pedicle screws is predetermined by the geometry of the damping element.
  • the invention seeks to remedy this.
  • the invention has for its object to provide a damping element which is at least at one of its ends polyaxially pivotable and axially telescopic connectable to a side member.
  • the invention solves the problem with a damping element having the features of claim 1.
  • the damping element When the ball joint is unlocked, the damping element can be pivoted polyaxially with a rod-shaped longitudinal member of a device for stabilizing vertebral bodies. Therefore, no longitudinal beams have to be bent when a longitudinal beam is implanted within a spinal stabilization device; and - The damping element is axially telescopically connectable to a rod-shaped longitudinal member of a device for stabilizing vertebral bodies.
  • the ball joint comprises a spherically convex, radially elastically compressible clamping body with a diametrical central bore having a bore axis, so that a rod-shaped longitudinal member inserted into the central bore is blocked relative to the clamping body in the central bore when the clamping body is compressed.
  • the ball joint preferably allows the clamping body to rotate about an angle ⁇ measured between the bore axis of the central bore in the clamping body and the central axis of the spring element within a range from 0 ° to ⁇ 25 °. This provides the advantage that a rod-shaped longitudinal member inserted into the central bore of the clamping body can be pivoted relative to the spring element and therefore the rod-shaped longitudinal member does not have to be bent.
  • the ball joint preferably comprises two axially separated bearing shells which at least partially accommodate the clamping body, so that the clamping body is compressed uniformly when the bearing shells are pressed together and the ball joint can thus be rigidly blocked.
  • the bearing shells can be pressed axially against the clamping body by means of the clamping means, the spring element preferably having a coaxial, threaded pin at its first end and that the first bearing shell is integrated axially at the end in the pin, such that the bearing shell tapers against the second end of the spring element.
  • the clamping means are preferably designed as a nut which can be screwed onto the thread of the pin.
  • the second bearing shell is preferably integrated concentrically in the bore of the nut.
  • the nut comprises a coaxial bore with at least two axially adjacent longitudinal sections, the outer longitudinal section directed against the spring element having an internal thread complementary to the thread of the pin and the second bearing shell being integrated in the adjacent longitudinal section in such a way that it is self-supporting extended against the external longitudinal section.
  • the clamping means are coaxially drilled through for the passage of a rod-shaped longitudinal beam.
  • the clamping body has a slot parallel to the bore axis of the central bore, which slot penetrates the wall of the clamping body from its outer wall to the central bore.
  • the damping element comprises a connecting part which is coaxial with a rod at one of its ends and which can be connected to a further part within an osteosynthetic stabilizing device.
  • the damping element additionally comprises a rod-shaped longitudinal beam which can be inserted into the central bore of the clamping body and can be detachably fixed in the clamping body.
  • Fig. 2 is an enlargement of the segment marked by the circle A in Fig. 1.
  • an embodiment is shown which comprises a hollow cylindrical damping element 1 with a central axis 11 and a releasably lockable ball joint 20 for the polyaxially pivotable connection of the damping element 1 with a rod-shaped longitudinal member 3 having a longitudinal axis 4.
  • the damping element 1 comprises, in addition to the ball joint 20, a spring element 10, which in the embodiment shown here consists of a metallic helical spring and a plastic part 31 penetrating into the gap 30 between the spring windings and diametrically narrowing the cavity 15.
  • the ball joint 20 is arranged at the first end 12 of the spring element 10, while at the second, axially opposite end 13 of the spring element 10 a coaxial rod-shaped connecting part 16 is arranged, which is suitable for connection to a further part (not shown) of a spine stabilization device.
  • the ball joint 20 here consists of a spherically convex clamping body 21 with a central bore 22 having a bore axis 27 and of two concave bearing shells 23, 24 complementary to the clamping body 21.
  • the first bearing shell 23 is integrated concentrically with the central axis 11 in the threaded pin 39 at the first end 12 of the spring element 10, in such a way that it tapers against the cavity 15 in the damping element 1.
  • the threaded pin 39 is penetrated by a bore 14 coaxial with the central axis 11 and opening into the cavity 15, so that the bore 14 is suitable for receiving a rod-shaped longitudinal member 3 which is passed through the central bore 22 in the clamping body 21.
  • the second bearing shell 24 is integrated in a nut 25 which can be screwed onto the threaded pin 39 via the thread 26.
  • the cavity 15 is closed.
  • a rod-shaped connecting part 16 coaxial with the central axis 11 is arranged at the second end 13 of the spring element 10.
  • the clamping body 21 is provided with slots 28 which are parallel to the bore axis 27 and which penetrates the clamping body 21 from the outer wall 29 of the clamping body 21 to the central bore 22.
  • the clamping body 21 arranged between the bearing shells 23; 24 is thus clamped between the bearing shells 23; 24 and at the same time radially Bore axis 27 of the central bore 22 is compressed so that the longitudinal beam 3 inserted into the central bore 22 is blocked.
  • the nut 25 is penetrated by a bore 32 which is coaxial with the central axis 11 and which has a plurality of axially adjacent longitudinal sections 34; 35; 36 with different geometries.
  • the longitudinal section 34 adjacent to the first end 12 of the damping element 1 is provided with an internal thread 33 which is complementary to the thread 26 at the first end 12 of the spring element 10, while the central longitudinal section 35 comprises the second, likewise drilled through bearing shell 24 and the outer longitudinal section 36 is conical ,
  • the second bearing shell 24 is arranged such that it tapers towards the outer longitudinal section 36.
  • the cone 38 in the outer longitudinal section 36 widens against the outer end face 37 of the nut 25, so that a rod-shaped longitudinal member 3 can be pivotably received in the ball joint 20.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Neurology (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

L'invention concerne un élément amortisseur (1) assurant la stabilisation dynamique de deux os, en particulier, de deux corps vertébraux voisins, présentant un axe central (11), et comprenant : A) une première extrémité (12) coupant l'axe central (11), une seconde extrémité (13) coupant l'axe central (11), et un élément élastique (10) coaxial à l'axe central (11), disposé entre ces deux extrémités, caractérisé B) en ce qu'au moins à une extrémité (12, 13) de l'élément élastique (10) est intégrée une rotule (20), concentrique à l'axe central (11), pouvant être bloquée de façon amovible par des moyens de serrage (40).
EP03818770A 2003-09-29 2003-09-29 Element amortisseur Withdrawn EP1667592A1 (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CH2003/000648 WO2005030067A1 (fr) 2003-09-29 2003-09-29 Element amortisseur

Publications (1)

Publication Number Publication Date
EP1667592A1 true EP1667592A1 (fr) 2006-06-14

Family

ID=34383940

Family Applications (1)

Application Number Title Priority Date Filing Date
EP03818770A Withdrawn EP1667592A1 (fr) 2003-09-29 2003-09-29 Element amortisseur

Country Status (9)

Country Link
US (1) US20060293657A1 (fr)
EP (1) EP1667592A1 (fr)
JP (1) JP2007506459A (fr)
CN (1) CN1838920A (fr)
AR (1) AR045675A1 (fr)
AU (1) AU2003264225A1 (fr)
BR (1) BR0318519A (fr)
CA (1) CA2540593A1 (fr)
WO (1) WO2005030067A1 (fr)

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Also Published As

Publication number Publication date
JP2007506459A (ja) 2007-03-22
CA2540593A1 (fr) 2005-04-07
AR045675A1 (es) 2005-11-02
CN1838920A (zh) 2006-09-27
WO2005030067A1 (fr) 2005-04-07
BR0318519A (pt) 2006-09-12
US20060293657A1 (en) 2006-12-28
AU2003264225A1 (en) 2005-04-14

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