TW565436B - Method and device for connecting a bone fixation element to a longitudinal rod - Google Patents

Method and device for connecting a bone fixation element to a longitudinal rod Download PDF

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Publication number
TW565436B
TW565436B TW090117645A TW90117645A TW565436B TW 565436 B TW565436 B TW 565436B TW 090117645 A TW090117645 A TW 090117645A TW 90117645 A TW90117645 A TW 90117645A TW 565436 B TW565436 B TW 565436B
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Taiwan
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connector
axis
longitudinal rod
jaw
cavity
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TW090117645A
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English (en)
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Robert Frigg
Raoul Donath
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Synthes Ag
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7044—Screws or hooks combined with longitudinal elements which do not contact vertebrae also having plates, staples or washers bearing on the vertebrae
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical 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
    • A61B17/60—Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66—Alignment, compression or distraction mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7041—Screws or hooks combined with longitudinal elements which do not contact vertebrae with single longitudinal rod offset laterally from single row of screws or hooks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
    • A61B17/8038—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers the additional component being inserted in the screw head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
    • A61B17/8047—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers wherein the additional element surrounds the screw head in the plate hole

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

Description

565436 A7 __B7_ 五、發明說明（\ ) [發明的詳細說明] 本發明關於一種如申請專利範圍第1項的引文的那種 用於將一'骨固定兀件與一縱桿連接的裝置。 在脊柱的變形（Deformitat)的後方供養（posteriore Versorgung，英：posterior provision)的場合，係使用椎弓根 (椎根）螺絲(Pedikelschraube)或鉤，以將脊椎體與一根縱桿 連接。該縱桿係預成形，以將脊柱的變形作補償。這種技 術顯示出很有效且在今日堪稱主流的背景技術。 儘管有新式的連接技術，例如用多軸支承式的顎作螺 絲-縱軸連接，該二個元件的手術期內(intraoperativ)連接… 特別是在脊柱厲害變形的場合…大有問題。其理由爲：在 椎弓根螺絲和縱載體之間有一定的距離。換言之，在該連 接顎的螺旋頭的多軸式支承作用只能使螺絲方向可變，但 不能讓螺絲頭與縱載體之間距離改變。人們往往希望螺絲 頭或鉤端與縱載體之間距離能夠改變，因爲脊柱要對縱桿 作100%的對準往往不能達到。有些習知的系統可使椎弓根 螺絲或鉤到縱載體之間的距離可變。 一種此類用於連接椎弓根螺絲與該縱桿的裝置( 該椎弓根螺絲可旋入脊椎體的椎弓根中），舉例而言， 發表於美國專利案US 5,474,551 FINN。該連接元件包含一 個縱桿連接器以將一連接器與該縱桿連接，其中該棋連接 器可相對於該縱桿沿著縱桿軸與橫連接器軸的互相垂直的 軸方向移動。該椎弓根螺絲與該橫連接器連接成可繞多軸 樞轉的方式，且其設在該橫連接器上的方式使得該椎弓根 4 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） (請先閱讀背面之注意事項再填寫本頁) ---I--丨 I 訂—----I--- 565436 A7 B7 五、發明說明（>0 螺絲的縱軸在其未樞轉出來的位置時垂直地位在該縱桿軸 與及位在該橫連接器軸上。這種習知的裝置的缺點在於： 椎弓根螺絲或椎弓根鉤到縱載體的距離只單方向(unilateral) 可變。在這種單方向可變的顎的場合，縱桿的位置必須按 計劃位在椎弓根螺絲或椎弓根鉤的中央或側面。如此一來 有一缺點，即：個別的椎弓根螺絲或椎弓根鉤到縱桿的距 離會很大，俾能在其他椎弓根螺絲或椎弓根鉤的場合可作 修正。 對此，本發明乃提出對策。本發明的目的在於：提供 一種用於將一椎弓根螺絲或椎弓根鉤與一縱載體連接的裝 置，它一方面可使該椎弓根螺絲或椎弓根鉤能作多軸式支 承，另一方面在該橫連接器與縱軸桿之間造成一種連接方 式，這種連接方式係可轉動的且可固定在各位置者。 本發明達成此目的之道，係利用一種具有申請專利範 圍第1的特徵點的一用於將一骨固定元件與一縱桿連接的 裝置。 依本發明的裝置主要包含一個板形的橫連接器， 該橫連接器具有一個上側、一下側及一空腔，該上側用於 倚靠到該縱桿上，該空腔從該上側到該下側貫穿該橫連接 器，且與一條第一軸成同心，該空腔用於容納一個可沿徑 向彈性變形的顎。利用這種可彈性變形夾顎以及利用一個 夾手段（它用於將該夾顎呈彈性方式張開），可將該骨固定 元件與該橫連接器連接成可鬆開的方式。此外，本發明的 裝置包含一個縱桿連接器及一個固定手段，該縱桿連接器 5 本紙張尺度適用中國國家標準(CNS)A4規格（210 X 297公釐） " (請先閱讀背面之注意事項再填寫本頁) ---I I---訂---------屬 565436 A7 ______B7_____ 五、發明說明（$ ) 可在該縱桿上對桿軸成共軸移動且大致呈圓筒形，該縱桿 連接器具有一中心軸、一上端、一下端、及一通道，該中 心軸垂直於桿軸，該上端與該中心軸相交，該下端與該中 心軸相交，該通道對該中心軸成垂直且貫穿該縱桿連接器 ，該通道用於容納該縱桿，該固定手段舉例而言，係由一 個「封閉罩蓋」構成，且可在上端對中心軸成同心方式與 該縱桿連接器螺合，因此利用該縱桿連接器與該封閉罩蓋 可將該橫連接器與該縱桿互相固定成可鬆開的方式。該橫 連接器包含一個孔，該孔距該空腔一段距離，從上側貫穿 到下側，用於將該縱桿連接器容納成可繞該中心軸轉動的 方式，因此該橫連接器在該封閉罩蓋鬆開時，可相對於該 縱桿的桿軸作樞轉。 在本發明的較佳實施例中，該橫連接器的上側設計成 縮減，因此該夾顎隨著放入的骨固定元件及夾緊手段而相 對於該縱桿而深深陷入，使得該橫連接器即使在該夾顎的 第二軸作最大的外樞轉時也可相對於該空腔的第一軸在該 縱桿的桿軸方面轉360° 。 最好，該空腔設計成對第一軸成不對稱及呈錐層狀， 而夾顎有一種具一條第二軸的形狀，此形狀與空腔互補。 該夾顎包含一個上前端側及一錐形孔，該上前端側與第二 軸相交，該孔與第二軸成同心且具有一錐形的內螺紋， 該內螺紋從該上前端側變尖細進入該夾顎中。夾緊手段設 計成與該錐形孔互補的截錐形，且設有一外螺紋，因此藉 著將該夾緊手段旋入該錐形內螺紋中，使該夾顎沿徑向張 6 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） (請先閱讀背面之注意事項再填寫本頁) ----訂---------線痛 565436 A7 _________B7______ 五、發明說明（ι|) 開，並向該空腔的壁頂壓。 在本發明的裝置的一實施例中，該顎夾構成該頭部， 與該骨固定元件(特別是一個錐弓根鉤）成一體，如此可造 成該裝置一種簡單構造。 在本發明的裝置的另一實施例中，一個夾緊手段(它設 計成截錐形且設有一錐形外螺紋）構成該頭部，且與該骨 固定元件(特別是一個錐弓根螺絲）成一體。利用這種設計 也可造成該裝置一種簡單構造。 在本發明的裝置的又一實施例中，該縱桿連接器的上 端上有一錐形的軸環(Bund)，它向下端變寬且可用一個互 補的錐形的內錐形體楔合在該橫連接器的下側上的孔中。 如此，可確實地防止該橫連接器相對於該縱桿連接器的轉 動。 該錐形軸環可包含一種星形齒狀構造，如此可加強該 縱桿連接器與該橫連接器之間的止轉安全作用。 在本發明的裝置的再度一實施例中，該縱桿連接器包 含一肩(Absatz)，該肩在安裝的狀態時係倚在橫連接器的上 側上，如，此在該裝置植入時可防止該縱桿連接器從該橫 連接器中的孔掉出來的情事。 本發明的其他有利的特點見於申請專利範圍附屬項。 利用本發明達到的優點主要在於：由於本發明的裝置 ， 可在該具有錐弓根螺絲或椎弓根鉤的顎夾與該縱桿 之間造成連接，這種連接可使該顎夾相對於該縱桿的桿軸 旋轉。因此利用這種橫連接器與夾顎之間的連接部(此連接 7 本紙張尺度適用國國家標準（CNS)A4規格（210 X 297公爱1 (請先閲讀背面之注意事項再填寫本頁) ，裝 ----訂---------. 565436 A7 __B7__ 五、發明說明（^ ) 部比起縱桿-橫連接器之間連接部更低陷）的橫連接器的設 計，可使夾顎相對於縱桿的桿軸轉360° 。故橫連接器可 相對於縱桿固定在各位置。在做過脊柱矯正後，該骨固定 元件，例如椎弓根螺絲或椎弓根鉤可位於該縱桿側面，中 間或正下方。與只能單向移動的夾顎不同者，在此處，在 相同的植入度量尺寸的情形下’可能的矯正距離加倍。 本發明與本發明的進一步的發展在以下利用數個實施 例的部分示意圖更詳細說明。 圖式中： [圖式的簡單說明] 第1圖係本發明裝置的較佳實施例的一分解圖； 第2圖係本發明的裝置的一實施例的剖視圖； 第3圖係經本發明裝置的另一實施例的剖視圖： 第4圖係經本發明裝置的又一實施例的剖視圖。 [圖號說明] (請先閱讀背面之注意事項再填寫本頁) --------訂---------線通 (1) 縱桿 (3) 橫連接器 (5) 板上側 (6) 板下側 (7) 空腔 (10) 夾顎 (11) 第一軸 (12) 夾緊手段 (13) 縱桿連接器 8 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） 565436 A7 _B7 五、發明說明（L ) (14) 中心軸 (15) 上端 (16) 下端 (17) 通道 (18) 封閉罩蓋 (19) 孔 (20) 刖贿面 (22) 第二軸 (23) 錐形孔 (24) 錐形內螺紋 (26) 錐形軸環 (27) 內錐形體 (28) 星形齒狀構造 (29) 肩 (30) 板縱軸 (32) 第三軸 (33) 固定手段 (34) 外螺紋 (35) 軸環 (36) 槽孔(36’)匣 (37) 側壁 (38) 螺母 (請先閱讀背面之注意事項再填寫本頁) --------訂---------· [實施例的說明] 第1圖顯示本發明裝置的較佳實施例，它主要包含一 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） 565436 A7 _________ 五、發明說明（1 ) 個板形橫連接器(3)、一個夾顎（10)、及一個縱桿連接器（13) ，該夾顎（10)具有一夾緊手段(12)以將一個骨固定元件(2)， 例如此處所示的一枚骨螺絲固定成可鬆開的方式’該縱桿 連接器（13)具有一固定手段(33)以將一縱桿（1)以可鬆開的方 式固定在該橫連接器(3)上。該橫連接器(3)設有一條板縱軸 (30)、一個板上側(5)[用於倚靠在該縱桿⑴上]、一個板下 側(6)、及一個空腔(7)，該空腔⑺從該板上側⑸到該板下 側⑹貫穿該橫連接器（3)，且與一條第一軸（11)成共軸’ 該第一軸大致垂直地位在該板縱軸(30)上。此外’該橫連 接器(3)包含一個孔（19) ’該孔（19)從板上側⑸到該到板下 側⑹貫穿該橫連接器(3)、對一條中心軸（14)設成共軸，該 中心軸（14)設在距該第一軸（11) 一段距離(31)之處在該板縱 軸（30)上，且大致平行於第一軸（11)，該孔（19)用於使該縱 軸連接器（13)容納成可繞該中心軸（13)轉動的方式。夾顎 (10)設計成對一條第二軸(22)成同心。在此實施例中，空腔 (7)設計成對第一軸（11)成對稱的球殼形，而顎夾具有與它 互補的形狀，因此該顎夾（10)可容納在空腔(7)中成爲可繞 第一軸(11)及二條與之垂直的轉軸樞轉的方式，並可沿徑 向呈彈性壓縮，且用於將一骨固定元件(2)以可鬆開的方式 固定在該橫連接器(3)上。夾緊手段（12)[它用於將夾顎（10) 沿徑向張開，並因而將一骨固定元件⑵以可鬆開的方式固 定在空腔⑺中]構成該骨固定元件⑵(它做成骨螺絲形式)的 骨固定元件⑵的頭部⑻且與該骨固定元件⑵成一體。夾顎 (10)包含一個上前端面(20)和一個錐形孔(23)，該上前端面 10 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） (請先閱讀背面之注意事項再填寫本頁) -------- 訂---------痛 565436 A7 五、發明說明（^ ) (20)與第二軸(22)相交，該孔(23)對第二軸(22)成同心，且具 有一錐形內螺紋(24)，該孔(23)從上前端面(20)進入該夾顎 (10)，故一個夾緊手段（12)可旋入該錐形孔(23)中[該夾緊手 段（12)設計成與該錐形孔(23)互補的截錐形，且設有錐形外 螺紋]，如此該夾顎（10)沿徑向張開。舉例而言，如果該— 個骨固定元件(2)(它設計成骨螺絲形式)頭部⑻構成該夾緊 手段（12)，則它可藉著該頭部(8)旋入該夾顎（1〇)中而以可鬆 開的方式固定在該橫連接器(3)上。有一個縱桿連接器（13) 用於容納該縱桿（1)，該縱桿連接器（13)可對中心軸（14)成共 軸地容納在該孔（19)中，它具有一條通道（17)，該通道（π) 有一條第三軸(32)，該第三軸大致垂直地在該中心軸（14)上 ，其中，該縱桿(1)可被容納。該縱桿連接器（13)有一上端 (15)及一下端（16)，上端（15)與中心軸（14)相交，下端（16) 與中心軸（14)相交，且有一軸環(35)，該軸環(35)可倚靠在 板下側(6)上。通道（17)向縱桿連接器（13)的上端（15)開放。 爲了將縱桿（1)以可鬆開的方式固定，故本發明的裝置有固 定手段(33)，該固定手段(33)在此實施例中係設計成封閉罩 蓋（18)(第2圖）形式，該封閉罩蓋（18)可經由一種外螺紋 (34)(第2圖)旋合在該縱桿連接器(13)的上端(15)上，如此該 平行於第三軸(32)放入通道(17)中的縱桿(1)以及該縱桿連接 器（13)可相對於該橫連接器(3)固定成可鬆開的方式。當固 定手段(33)鬆開時，該橫連接器(3)隨該縱桿連接器（13)設置 成可繞該中心軸（14)轉動的方式。橫連接器(3)的上側(5)設 計成縮減的方式，因此，該夾顎（10)隨著一個骨固定元件 11 #裝--------訂--------- ί請先閱讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） 565436 A7 ___ B7_ 五、發明說明) (2)之放入的頭部(8)及夾緊手段（12)深陷到比縱桿（1)更低處 ，因此該橫連接器(3)可相對於一根可放入該通道（17)中的 縱桿（1)的桿軸(4)轉動360° 。 第2圖中所示的本發明的裝置的實施例與第1圖中所 示的實施例的不同處只在於：該夾顎（10)構成一個設計成 骨螺絲的方式的骨固定元件(2)的頭部(8)，且與它成爲一體 。此外，該縱桿連接器（13)的下端（16)上包含一個錐形軸環 (26)， 該軸環朝向下端變寬，且可用一個呈互補錐形的 內錐形體(27)楔合到該橫連接器(3)的下側⑹上的孔（19)中 。在安裝狀態時，在縱桿連接器(13)上的一個肩(29)倚在該 橫連接器(3)的上側(5)上。爲了要安裝該縱桿連接器（13) ’ 在軸向設有一槽孔(36)，如此，該肩(29)可沿徑向壓縮，使 該縱桿連接器(13)可從板下側(6)移入孔（19)中。 第3圖係顯示本發明的裝置的一實施例，它與第2圖 中所示的實施例不同之處只在於該骨固定元件(2)不是一骨 螺絲而是一椎弓根飽。 第4圖係顯示本發明的裝置的一實施例，它與第1圖 中所示的實施例不同之處只在於：該通道（17)垂直於該縱 桿連接器（13)的函殻面上的中心軸(14)開放。如此’該縱桿 (1)可由側面放入該縱桿連接器（13)中。爲了將該縱桿（1)相 對於該縱桿連接器（13)作側邊固定，故把一個匣(36)[它具 有二個與中心軸（14)平行的側壁(37)]從上端(15)經由該縱桿 連接器（13)推過來，並利用一個可經由該外螺紋(34)旋合的 螺母(38)旋緊。縱桿(1)依此方式平行於中央軸（14)夾入在該 12 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公爱） (請先閱讀背面之注意事項再填寫本頁)
565436 五 A7 B7 、發明說明（1¾) 板上側(5)及該匣(36)之間，而側壁(37)造成一種側面固定。 此外，該錐形的軸環(26)設有一個星形齒狀構造(28)，如此 造成一種止轉安全措施，防止該縱桿連接器（13)與橫連接 器(3)之間繞該中心軸（14)轉動。 13 (請先閱讀背面之注意事項再填寫本頁)
本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐）

Claims (1)

  1. 經濟部智慧財產局員工消費合作社印制衣 565436 ts8 C8 __D8 六、申請專利範圍 1· 一種一種用於將一骨固定元件與一縱桿連接的裝置 ，該裝置包含： Α)—個板形的橫連接器(3)，該橫連接器(3)具有一條板 縱軸(30)、一個板上側(5)、一個板下側(6)、及一空腔(7)， 該板上側(5)用於倚靠到一條縱桿（1)上，該空腔(7)從該板上 側(5)到該板下側⑹貫穿該橫連接器(3)，且與一條第一軸 (11)成共軸，該第一軸大致垂直地位在該板縱軸(30)上； Β) —個可彈性壓縮的夾顎（1〇)，該夾顎(1〇)對一條第二 軸(22)成同心、可容納在該空腔(7)中、且可垂直於該第二 軸(22)作彈性壓縮，該夾顎(1〇)用於將一骨固定元件(2)以可 鬆開的方式固定在該橫連接器(3)上；及 C) 一個夾緊手段（12)，該夾緊手段（12)用於將該夾顎 (10)在該空腔⑺中沿徑向張開，並因而使一骨固定元件⑵ 以可鬆開的方式固定在該空腔中；其特徵在於： D) 該橫連接器(3)包含一個孔（19)，該孔（19)從板上側 (5)到該到板下側⑹貫穿該橫連接器⑶、對一條中心軸（14) 設成同心，該中心軸（14)在距該第一軸（11)一段距離(31)之 處與該板縱軸(30相交），且大致平行於第一軸（11); Ε)該裝置有一個縱桿連接器（13)，該縱桿連接器（13)可 對該中心軸成同心地容納在該孔（19)中，且具有一條通道 (17)以容納一根縱桿（1)，該通道（π)有一條第三軸（32)， 大致垂直地位在該中心軸(14)上； F)固定手段(33)，用於將一根可對該第三軸(32)成共 軸或平行地放入該通道(17)中的縱桿(1)及該縱桿連接器(13) 1 --------tr---------$· (請先閱讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐) ' 565436 A8 B8 C8 D8 經濟部智慧財產局員工消費合作社印製 六、申請專利範圍 相對於該橫連接器(3)固定成可鬆開的方式；且 G)該橫連接器(3)設成當該固定手段(33)鬆開時，可隨 該縱桿連接器（13)繞該中心軸（14)轉動。 2·如申請專利範圍第1項的裝置，其中：該橫連接器 (3)的板上側(5)設計成減縮方式，因此該夾顎（10)可隨一個 骨固定元件⑵的放入的頭部⑻以及夾緊手段（12)深陷到比 縱桿（1)更低處，使該橫連接器(3)可相對於一個可放入該通 道(17)中的縱桿(1)的桿軸(4)轉360° 。 3. 如申請專利範圍第1或第2項的裝置，其中：該夾 顎(10)構成該頭部(8)且與該骨固定元件(2)成一體。 4. 如申請專利範圍第1或第2項的裝置，其中：該夾 緊手段（12)構成該頭部(8)且與該骨固定元件(2)成一體。 5. 如申請專利範圍第1或第2項的裝置，其中：該空 腔(7)設計成對該第一軸（11)不對稱的球殼狀，該夾顎（10)具 有與它互補的球殻形狀，因此該夾顎（10)可在該空腔(7)中 繞二條與第一軸(11)垂直的軸及繞第二軸(22)轉動。 6. 如申請專利範圍第5項的裝置，其中：該夾顎(10)有 一個上前端面(20)及一個錐形孔(23)，該上前端面(20)與第 二軸(22)相交，該孔(23)對該第二軸(22)成同心，且具有~ 錐形內螺紋(24)，該孔從該上前端面(20)進入該夾顎（10)， 該夾緊手段（12)設有一錐形外螺紋(25)，對該錐形孔(23)呈 互補截錐形，因此可藉著將該夾緊手段（12)旋入該錐形孔 (23)中將該夾顎(1〇)沿徑向張開。 7·如申請專利範圍第1或第2項的裝置，其中：該縱 2 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） --------訂---------線· (請先閱讀背面之注意事項再填寫本頁) 565436 g _ 六桿申連%1111||含一個與該中心軸（i4)相交的上端（i5)，以 及一個與該中心軸（14)相交的下端（16)，且該通道（17)向該 縱桿連接器(13)的上端（15)開放。 8. 如申請專利範圍第1或第2項的裝置，其中：該通 道（17)垂直於該中心軸（14)開放。 9. 如申請專利範圍第1或第2項的裝置’其中：該縱 桿連接器（13)的下端（16)含有一個錐形的軸環(26)，該軸環 朝向該下端（16)變寬，且可用一個呈互補錐形的內錐形體 (27)楔合在該橫連接器⑶的下側⑹上的（丨9)中。 1().如申請專利範圍第9項的裝置，其中：該錐形的軸 環(26)包含一個星形齒狀構造(28)，如此造成一種止轉安全 措施，防止該縱桿連接器（13)與橫連接器⑶之間繞該中心 軸(14)轉動。 11β如申請專利範圍第1或第2項的裝置，其中：該縱 桿連接器（13)包含一個肩(29)，該肩(29)在安裝狀態時係倚 在該橫連接器(3)的板上側(5)上。 訂---------線 (請先閱讀背面之注意事項再填寫本頁) 經濟部智慧財產局員工消費合作社印製 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐）
TW090117645A 2000-08-24 2001-07-19 Method and device for connecting a bone fixation element to a longitudinal rod TW565436B (en)

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Families Citing this family (183)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6767351B2 (en) * 2000-02-01 2004-07-27 Hand Innovations, Inc. Fixation system with multidirectional stabilization pegs
US7833250B2 (en) 2004-11-10 2010-11-16 Jackson Roger P Polyaxial bone screw with helically wound capture connection
ATE367773T1 (de) * 2000-08-24 2007-08-15 Synthes Gmbh Vorrichtung zur verbindung eines knochenfixationselementes mit einem längsstab
US6726689B2 (en) 2002-09-06 2004-04-27 Roger P. Jackson Helical interlocking mating guide and advancement structure
US8377100B2 (en) 2000-12-08 2013-02-19 Roger P. Jackson Closure for open-headed medical implant
US7862587B2 (en) 2004-02-27 2011-01-04 Jackson Roger P Dynamic stabilization assemblies, tool set and method
US10729469B2 (en) 2006-01-09 2020-08-04 Roger P. Jackson Flexible spinal stabilization assembly with spacer having off-axis core member
US8353932B2 (en) 2005-09-30 2013-01-15 Jackson Roger P Polyaxial bone anchor assembly with one-piece closure, pressure insert and plastic elongate member
US8292926B2 (en) 2005-09-30 2012-10-23 Jackson Roger P Dynamic stabilization connecting member with elastic core and outer sleeve
US10258382B2 (en) 2007-01-18 2019-04-16 Roger P. Jackson Rod-cord dynamic connection assemblies with slidable bone anchor attachment members along the cord
US7215280B1 (en) 2001-12-31 2007-05-08 Rdpa, Llc Satellite positioning system enabled media exposure
US7038619B2 (en) 2001-12-31 2006-05-02 Rdp Associates, Incorporated Satellite positioning system enabled media measurement system and method
CA2486536A1 (en) * 2002-05-21 2003-12-04 Sdgi Holdings, Inc. Vertebrae bone anchor and cable for coupling it to a rod
US7001389B1 (en) 2002-07-05 2006-02-21 Navarro Richard R Fixed and variable locking fixation assembly
US8523913B2 (en) 2002-09-06 2013-09-03 Roger P. Jackson Helical guide and advancement flange with break-off extensions
US8257402B2 (en) 2002-09-06 2012-09-04 Jackson Roger P Closure for rod receiving orthopedic implant having left handed thread removal
US8282673B2 (en) 2002-09-06 2012-10-09 Jackson Roger P Anti-splay medical implant closure with multi-surface removal aperture
US8876868B2 (en) 2002-09-06 2014-11-04 Roger P. Jackson Helical guide and advancement flange with radially loaded lip
US7780664B2 (en) 2002-12-10 2010-08-24 Depuy Products, Inc. Endosteal nail
US8540753B2 (en) 2003-04-09 2013-09-24 Roger P. Jackson Polyaxial bone screw with uploaded threaded shank and method of assembly and use
US7621918B2 (en) 2004-11-23 2009-11-24 Jackson Roger P Spinal fixation tool set and method
US6716214B1 (en) 2003-06-18 2004-04-06 Roger P. Jackson Polyaxial bone screw with spline capture connection
US7635379B2 (en) * 2003-05-02 2009-12-22 Applied Spine Technologies, Inc. Pedicle screw assembly with bearing surfaces
US7615068B2 (en) * 2003-05-02 2009-11-10 Applied Spine Technologies, Inc. Mounting mechanisms for pedicle screws and related assemblies
US20050182401A1 (en) * 2003-05-02 2005-08-18 Timm Jens P. Systems and methods for spine stabilization including a dynamic junction
US20050177164A1 (en) * 2003-05-02 2005-08-11 Carmen Walters Pedicle screw devices, systems and methods having a preloaded set screw
US7377923B2 (en) 2003-05-22 2008-05-27 Alphatec Spine, Inc. Variable angle spinal screw assembly
US7967850B2 (en) 2003-06-18 2011-06-28 Jackson Roger P Polyaxial bone anchor with helical capture connection, insert and dual locking assembly
US8137386B2 (en) 2003-08-28 2012-03-20 Jackson Roger P Polyaxial bone screw apparatus
US7776067B2 (en) 2005-05-27 2010-08-17 Jackson Roger P Polyaxial bone screw with shank articulation pressure insert and method
US8257398B2 (en) 2003-06-18 2012-09-04 Jackson Roger P Polyaxial bone screw with cam capture
US8092500B2 (en) 2007-05-01 2012-01-10 Jackson Roger P Dynamic stabilization connecting member with floating core, compression spacer and over-mold
US7766915B2 (en) 2004-02-27 2010-08-03 Jackson Roger P Dynamic fixation assemblies with inner core and outer coil-like member
US8398682B2 (en) 2003-06-18 2013-03-19 Roger P. Jackson Polyaxial bone screw assembly
US8366753B2 (en) 2003-06-18 2013-02-05 Jackson Roger P Polyaxial bone screw assembly with fixed retaining structure
US8377102B2 (en) 2003-06-18 2013-02-19 Roger P. Jackson Polyaxial bone anchor with spline capture connection and lower pressure insert
US8926670B2 (en) 2003-06-18 2015-01-06 Roger P. Jackson Polyaxial bone screw assembly
WO2005013840A1 (de) * 2003-08-08 2005-02-17 Synthes Gmbh Klemmvorrichtung
US11419642B2 (en) 2003-12-16 2022-08-23 Medos International Sarl Percutaneous access devices and bone anchor assemblies
US7179261B2 (en) 2003-12-16 2007-02-20 Depuy Spine, Inc. Percutaneous access devices and bone anchor assemblies
US7527638B2 (en) 2003-12-16 2009-05-05 Depuy Spine, Inc. Methods and devices for minimally invasive spinal fixation element placement
US7678137B2 (en) 2004-01-13 2010-03-16 Life Spine, Inc. Pedicle screw constructs for spine fixation systems
US9050148B2 (en) 2004-02-27 2015-06-09 Roger P. Jackson Spinal fixation tool attachment structure
US8152810B2 (en) 2004-11-23 2012-04-10 Jackson Roger P Spinal fixation tool set and method
US7160300B2 (en) 2004-02-27 2007-01-09 Jackson Roger P Orthopedic implant rod reduction tool set and method
JP2007525274A (ja) 2004-02-27 2007-09-06 ロジャー・ピー・ジャクソン 整形外科インプラントロッド整復器具セット及び方法
US11241261B2 (en) 2005-09-30 2022-02-08 Roger P Jackson Apparatus and method for soft spinal stabilization using a tensionable cord and releasable end structure
US8066739B2 (en) 2004-02-27 2011-11-29 Jackson Roger P Tool system for dynamic spinal implants
DE102004010380A1 (de) * 2004-03-03 2005-09-22 Biedermann Motech Gmbh Verankerungselement und Stabilisierungseinrichtung zur dynamischen Stabilisierung von Wirbeln bzw. Knochen mit einem solchen Verankerungselement
US7572282B2 (en) 2004-04-23 2009-08-11 Depuy Spine Sarl Spinal fixation plates and plate extensions
US8021398B2 (en) 2004-06-09 2011-09-20 Life Spine, Inc. Spinal fixation system
US7744635B2 (en) 2004-06-09 2010-06-29 Spinal Generations, Llc Spinal fixation system
US7938848B2 (en) 2004-06-09 2011-05-10 Life Spine, Inc. Spinal fixation system
US7303563B2 (en) 2004-06-17 2007-12-04 Sdgi Holdings, Inc. Orthopedic fixation system and method of use
US7854752B2 (en) 2004-08-09 2010-12-21 Theken Spine, Llc System and method for dynamic skeletal stabilization
US7651502B2 (en) 2004-09-24 2010-01-26 Jackson Roger P Spinal fixation tool set and method for rod reduction and fastener insertion
US8926672B2 (en) 2004-11-10 2015-01-06 Roger P. Jackson Splay control closure for open bone anchor
US9216041B2 (en) 2009-06-15 2015-12-22 Roger P. Jackson Spinal connecting members with tensioned cords and rigid sleeves for engaging compression inserts
US8308782B2 (en) 2004-11-23 2012-11-13 Jackson Roger P Bone anchors with longitudinal connecting member engaging inserts and closures for fixation and optional angulation
US8444681B2 (en) 2009-06-15 2013-05-21 Roger P. Jackson Polyaxial bone anchor with pop-on shank, friction fit retainer and winged insert
US9168069B2 (en) 2009-06-15 2015-10-27 Roger P. Jackson Polyaxial bone anchor with pop-on shank and winged insert with lower skirt for engaging a friction fit retainer
US9980753B2 (en) 2009-06-15 2018-05-29 Roger P Jackson pivotal anchor with snap-in-place insert having rotation blocking extensions
US7875065B2 (en) 2004-11-23 2011-01-25 Jackson Roger P Polyaxial bone screw with multi-part shank retainer and pressure insert
EP1814474B1 (en) 2004-11-24 2011-09-14 Samy Abdou Devices for inter-vertebral orthopedic device placement
US7901437B2 (en) 2007-01-26 2011-03-08 Jackson Roger P Dynamic stabilization member with molded connection
US10076361B2 (en) 2005-02-22 2018-09-18 Roger P. Jackson Polyaxial bone screw with spherical capture, compression and alignment and retention structures
US7621942B2 (en) * 2005-03-21 2009-11-24 Zimmer Spine, Inc. Variable geometry occipital fixation plate
US7678112B2 (en) * 2005-04-26 2010-03-16 Warsaw Orthopedic, Inc. Open dorsal adjusting connector
EP1897146A2 (en) 2005-06-27 2008-03-12 Lamina Lighting, Inc. Light emitting diode package and method for making same
US8105368B2 (en) 2005-09-30 2012-01-31 Jackson Roger P Dynamic stabilization connecting member with slitted core and outer sleeve
US7704271B2 (en) 2005-12-19 2010-04-27 Abdou M Samy Devices and methods for inter-vertebral orthopedic device placement
AU2007204975A1 (en) 2006-01-10 2007-07-19 Life Spine, Inc. Pedicle screw constructs and spinal rod attachment assemblies
US7833252B2 (en) * 2006-01-27 2010-11-16 Warsaw Orthopedic, Inc. Pivoting joints for spinal implants including designed resistance to motion and methods of use
US8057519B2 (en) 2006-01-27 2011-11-15 Warsaw Orthopedic, Inc. Multi-axial screw assembly
US7722652B2 (en) * 2006-01-27 2010-05-25 Warsaw Orthopedic, Inc. Pivoting joints for spinal implants including designed resistance to motion and methods of use
US20070191839A1 (en) * 2006-01-27 2007-08-16 Sdgi Holdings, Inc. Non-locking multi-axial joints in a vertebral implant and methods of use
US8025681B2 (en) 2006-03-29 2011-09-27 Theken Spine, Llc Dynamic motion spinal stabilization system
US20070288012A1 (en) * 2006-04-21 2007-12-13 Dennis Colleran Dynamic motion spinal stabilization system and device
US8361129B2 (en) 2006-04-28 2013-01-29 Depuy Spine, Inc. Large diameter bone anchor assembly
US8133262B2 (en) * 2006-04-28 2012-03-13 Depuy Spine, Inc. Large diameter bone anchor assembly
US20070299441A1 (en) * 2006-06-09 2007-12-27 Zachary M. Hoffman Adjustable Occipital Plate
US8388660B1 (en) 2006-08-01 2013-03-05 Samy Abdou Devices and methods for superior fixation of orthopedic devices onto the vertebral column
US7901433B2 (en) 2006-10-04 2011-03-08 Zimmer Spine, Inc. Occipito-cervical stabilization system and method
FR2908627B1 (fr) * 2006-11-20 2009-07-03 Tornier Sas Dispositif prothetique ou d'osteosynthese a olive fendue
US8147527B2 (en) * 2006-11-28 2012-04-03 Zimmer Spine, Inc. Adjustable occipital plate
KR100930171B1 (ko) 2006-12-05 2009-12-07 삼성전기주식회사 백색 발광장치 및 이를 이용한 백색 광원 모듈
US8246662B2 (en) * 2006-12-27 2012-08-21 Zimmer Spine, Inc. Modular occipital plate
US8636737B2 (en) * 2006-12-27 2014-01-28 Zimmer Spine, Inc. Modular occipital plate
US8475498B2 (en) 2007-01-18 2013-07-02 Roger P. Jackson Dynamic stabilization connecting member with cord connection
US8366745B2 (en) 2007-05-01 2013-02-05 Jackson Roger P Dynamic stabilization assembly having pre-compressed spacers with differential displacements
US10792074B2 (en) 2007-01-22 2020-10-06 Roger P. Jackson Pivotal bone anchor assemly with twist-in-place friction fit insert
US8012177B2 (en) 2007-02-12 2011-09-06 Jackson Roger P Dynamic stabilization assembly with frusto-conical connection
US7959655B2 (en) * 2007-03-06 2011-06-14 Warsaw Orthopedic, Inc. Self-aligning attachment devices and methods for attaching an elongated member to a vertebral member
US10383660B2 (en) 2007-05-01 2019-08-20 Roger P. Jackson Soft stabilization assemblies with pretensioned cords
US7951173B2 (en) 2007-05-16 2011-05-31 Ortho Innovations, Llc Pedicle screw implant system
US7947065B2 (en) 2008-11-14 2011-05-24 Ortho Innovations, Llc Locking polyaxial ball and socket fastener
US7942909B2 (en) 2009-08-13 2011-05-17 Ortho Innovations, Llc Thread-thru polyaxial pedicle screw system
US8197518B2 (en) 2007-05-16 2012-06-12 Ortho Innovations, Llc Thread-thru polyaxial pedicle screw system
US7942911B2 (en) 2007-05-16 2011-05-17 Ortho Innovations, Llc Polyaxial bone screw
US7942910B2 (en) 2007-05-16 2011-05-17 Ortho Innovations, Llc Polyaxial bone screw
WO2008153827A1 (en) 2007-05-31 2008-12-18 Jackson Roger P Dynamic stabilization connecting member with pre-tensioned solid core
US8911477B2 (en) 2007-10-23 2014-12-16 Roger P. Jackson Dynamic stabilization member with end plate support and cable core extension
US9060813B1 (en) 2008-02-29 2015-06-23 Nuvasive, Inc. Surgical fixation system and related methods
US8221473B2 (en) * 2008-03-13 2012-07-17 Life Spine, Inc. Spinal rod connector assembly for a vertebral bone screw
WO2009124097A1 (en) 2008-03-31 2009-10-08 Applied Medical Resources Corporation Electrosurgical system
US20090264933A1 (en) * 2008-04-22 2009-10-22 Warsaw Orthopedic, Inc. Anchors for securing a rod to a vertebral member
EP2442739A1 (en) 2008-08-01 2012-04-25 Jackson, Roger P. Longitudinal connecting member with sleeved tensioned cords
ES2417308T3 (es) * 2008-10-15 2013-08-07 Zimmer Spine Conjunto de construcción vertebral que comprende un dispositivo de interconexión
US8075603B2 (en) 2008-11-14 2011-12-13 Ortho Innovations, Llc Locking polyaxial ball and socket fastener
US8241341B2 (en) 2009-03-20 2012-08-14 Spinal Usa, Inc. Pedicle screws and methods of using the same
US9668771B2 (en) 2009-06-15 2017-06-06 Roger P Jackson Soft stabilization assemblies with off-set connector
CN103826560A (zh) 2009-06-15 2014-05-28 罗杰.P.杰克逊 具有套接杆和带摩擦配合压缩套爪的带翼插件的多轴骨锚
CN103917181A (zh) 2009-06-15 2014-07-09 罗杰.P.杰克逊 包括套接杆和具有低外形边缘锁的摩擦配合保持件的多轴骨锚
US8998959B2 (en) 2009-06-15 2015-04-07 Roger P Jackson Polyaxial bone anchors with pop-on shank, fully constrained friction fit retainer and lock and release insert
US11229457B2 (en) 2009-06-15 2022-01-25 Roger P. Jackson Pivotal bone anchor assembly with insert tool deployment
US9877747B2 (en) * 2009-09-02 2018-01-30 Globus Medical, Inc. Spine stabilization system
AU2010303934B2 (en) 2009-10-05 2014-03-27 Roger P. Jackson Polyaxial bone anchor with non-pivotable retainer and pop-on shank, some with friction fit
FR2951064B1 (fr) * 2009-10-09 2011-12-09 Spineway Plaque pour dispositif d'osteosynthese rachidienne par voie anterieure
US8361123B2 (en) * 2009-10-16 2013-01-29 Depuy Spine, Inc. Bone anchor assemblies and methods of manufacturing and use thereof
US8764806B2 (en) 2009-12-07 2014-07-01 Samy Abdou Devices and methods for minimally invasive spinal stabilization and instrumentation
US8486116B2 (en) 2010-01-08 2013-07-16 Biomet Manufacturing Ring Corporation Variable angle locking screw
US8808335B2 (en) 2010-03-08 2014-08-19 Miami Device Solutions, Llc Locking element for a polyaxial bone anchor, bone plate assembly and tool
FR2959927B1 (fr) * 2010-05-17 2013-07-12 Medicrea International Systeme de retention d'un organe d'ancrage sur une piece implantable
US9198696B1 (en) 2010-05-27 2015-12-01 Nuvasive, Inc. Cross-connector and related methods
US10368919B2 (en) * 2010-07-22 2019-08-06 Globus Medical, Inc. Sacral-iliac stabilization system
EP2611373B1 (en) 2010-08-30 2015-11-04 Zimmer Spine, Inc. Polyaxial pedicle screw
WO2012033532A1 (en) 2010-09-08 2012-03-15 Roger Jackson P Dynamic stabilization members with elastic and inelastic sections
ES2912092T3 (es) 2010-10-01 2022-05-24 Applied Med Resources Instrumentos electroquirúrgicos y conexiones a los mismos
EP2635212A4 (en) 2010-11-02 2013-11-20 Jackson Roger P POLYAXIAL BONE ANCHOR WITH POP ON SHANK AND SWIVEL FIXING ELEMENT
EP2460484A1 (de) * 2010-12-01 2012-06-06 FACET-LINK Inc. Winkelvariable Knochenschauben-Fixationsanordnung
EP2468200A1 (en) 2010-12-21 2012-06-27 Zimmer Spine Orthopaedic device and methods for its pre-assembly and assembly
US8728129B2 (en) 2011-01-07 2014-05-20 Biomet Manufacturing, Llc Variable angled locking screw
US9387013B1 (en) 2011-03-01 2016-07-12 Nuvasive, Inc. Posterior cervical fixation system
US9247964B1 (en) 2011-03-01 2016-02-02 Nuasive, Inc. Spinal Cross-connector
US8672978B2 (en) 2011-03-04 2014-03-18 Zimmer Spine, Inc. Transverse connector
US8992579B1 (en) 2011-03-08 2015-03-31 Nuvasive, Inc. Lateral fixation constructs and related methods
JP5865479B2 (ja) 2011-03-24 2016-02-17 ロジャー・ピー・ジャクソン 複合関節とポップ装着式シャンクとを有する多軸の骨アンカー
US9005249B2 (en) 2011-07-11 2015-04-14 Life Spine, Inc. Spinal rod connector assembly
US9247962B2 (en) 2011-08-15 2016-02-02 K2M, Inc. Laminar hook insertion device
US8845728B1 (en) 2011-09-23 2014-09-30 Samy Abdou Spinal fixation devices and methods of use
US8911479B2 (en) 2012-01-10 2014-12-16 Roger P. Jackson Multi-start closures for open implants
US20130226240A1 (en) 2012-02-22 2013-08-29 Samy Abdou Spinous process fixation devices and methods of use
US9060815B1 (en) 2012-03-08 2015-06-23 Nuvasive, Inc. Systems and methods for performing spine surgery
JP6189939B2 (ja) 2012-05-11 2017-08-30 オーソペディアトリクス・コーポレーション 外科用連結器および器具類
US9510866B2 (en) * 2012-08-15 2016-12-06 Blackstone Medical, Inc. Pivoting spinal fixation devices
DE102012016294B4 (de) * 2012-08-16 2014-02-27 Spontech Spine Intelligence Group Ag Polyaxialer Konnektor für Wirbelsäulen- Fixationssysteme und Wirbelsäulen-Fixationssystem
US9198767B2 (en) 2012-08-28 2015-12-01 Samy Abdou Devices and methods for spinal stabilization and instrumentation
US9320617B2 (en) 2012-10-22 2016-04-26 Cogent Spine, LLC Devices and methods for spinal stabilization and instrumentation
US8911478B2 (en) 2012-11-21 2014-12-16 Roger P. Jackson Splay control closure for open bone anchor
US10058354B2 (en) 2013-01-28 2018-08-28 Roger P. Jackson Pivotal bone anchor assembly with frictional shank head seating surfaces
US8852239B2 (en) 2013-02-15 2014-10-07 Roger P Jackson Sagittal angle screw with integral shank and receiver
US9743959B2 (en) * 2013-03-14 2017-08-29 Atlas Spine, Inc. Low profile spinal fixation system
US20140277159A1 (en) * 2013-03-14 2014-09-18 DePuy Synthes Products, LLC Bottom-loading bone anchor assemblies
US20140277155A1 (en) 2013-03-14 2014-09-18 K2M, Inc. Taper lock hook
US9453526B2 (en) 2013-04-30 2016-09-27 Degen Medical, Inc. Bottom-loading anchor assembly
US9468479B2 (en) 2013-09-06 2016-10-18 Cardinal Health 247, Inc. Bone plate
US9987047B2 (en) 2013-10-07 2018-06-05 Spine Wave, Inc. Translating polyaxial screw
US9517089B1 (en) * 2013-10-08 2016-12-13 Nuvasive, Inc. Bone anchor with offset rod connector
US9566092B2 (en) 2013-10-29 2017-02-14 Roger P. Jackson Cervical bone anchor with collet retainer and outer locking sleeve
US9717533B2 (en) 2013-12-12 2017-08-01 Roger P. Jackson Bone anchor closure pivot-splay control flange form guide and advancement structure
US9451993B2 (en) 2014-01-09 2016-09-27 Roger P. Jackson Bi-radial pop-on cervical bone anchor
US9675384B2 (en) * 2014-01-23 2017-06-13 K2M, Inc. Spinal stabilization system
US20150230828A1 (en) 2014-02-20 2015-08-20 K2M, Inc. Spinal fixation device
CN104921790B (zh) * 2014-03-21 2018-02-13 爱派司生技股份有限公司 平贴式外固定装置及其组装方法
EP4197469A1 (en) 2014-05-16 2023-06-21 Applied Medical Resources Corporation Electrosurgical system
AU2015266619B2 (en) 2014-05-30 2020-02-06 Applied Medical Resources Corporation Electrosurgical instrument for fusing and cutting tissue and an electrosurgical generator
US9597119B2 (en) 2014-06-04 2017-03-21 Roger P. Jackson Polyaxial bone anchor with polymer sleeve
US10064658B2 (en) 2014-06-04 2018-09-04 Roger P. Jackson Polyaxial bone anchor with insert guides
US10420603B2 (en) 2014-12-23 2019-09-24 Applied Medical Resources Corporation Bipolar electrosurgical sealer and divider
USD748259S1 (en) 2014-12-29 2016-01-26 Applied Medical Resources Corporation Electrosurgical instrument
JP7029959B2 (ja) 2015-04-07 2022-03-04 ケー２エム， インコーポレイテッド 脊椎安定化装置
US10857003B1 (en) 2015-10-14 2020-12-08 Samy Abdou Devices and methods for vertebral stabilization
US10973648B1 (en) 2016-10-25 2021-04-13 Samy Abdou Devices and methods for vertebral bone realignment
US10744000B1 (en) 2016-10-25 2020-08-18 Samy Abdou Devices and methods for vertebral bone realignment
US10413331B2 (en) 2016-12-21 2019-09-17 Spine Wave, Inc. Spinal stabilization system with head to head cross connector
US10258386B2 (en) * 2017-06-15 2019-04-16 Warsaw Orthopedic, Inc. Spinal construct and method
US10070897B1 (en) 2017-10-10 2018-09-11 Spine Wave, Inc. Translational posterior cervical polyaxial screw
KR20210055073A (ko) 2018-09-05 2021-05-14 어플라이드 메디컬 리소시스 코포레이션 전기수술용 발전기 제어 시스템
US11179248B2 (en) 2018-10-02 2021-11-23 Samy Abdou Devices and methods for spinal implantation
EP3880099A1 (en) 2018-11-16 2021-09-22 Applied Medical Resources Corporation Electrosurgical system
US11337734B2 (en) * 2019-05-22 2022-05-24 Nuvasive, Inc. Posterior spinal fixation screws
WO2021127251A1 (en) * 2019-12-17 2021-06-24 Jackson Roger P Bone anchor assembly with closed ring retainer and internal snap ring
US11331125B1 (en) 2021-10-07 2022-05-17 Ortho Inventions, Llc Low profile rod-to-rod coupler

Family Cites Families (60)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3614101C1 (de) 1986-04-25 1987-10-22 Juergen Prof Dr Med Harms Pedikelschraube
US4887596A (en) 1988-03-02 1989-12-19 Synthes (U.S.A.) Open backed pedicle screw
DE3923996A1 (de) 1989-07-20 1991-01-31 Lutz Biedermann Aufnahmeteil zum gelenkigen verbinden mit einer schraube zum bilden einer pedikelschraube
US5002542A (en) 1989-10-30 1991-03-26 Synthes U.S.A. Pedicle screw clamp
CA2035348C (fr) 1990-02-08 2000-05-16 Jean-Louis Vignaud Dispositif de fixation orientable de tiges d'osteosynthese rachidienne
WO1991016020A1 (en) 1990-04-26 1991-10-31 Danninger Medical Technology, Inc. Transpedicular screw system and method of use
US5261909A (en) 1992-02-18 1993-11-16 Danek Medical, Inc. Variable angle screw for spinal implant system
JP3308271B2 (ja) * 1992-06-25 2002-07-29 ジンテーズ アクチエンゲゼルシャフト，クール 骨接合用固定装置
US5527314A (en) 1993-01-04 1996-06-18 Danek Medical, Inc. Spinal fixation system
US5352226A (en) 1993-02-08 1994-10-04 Lin Chih I Side locking system rotatable in all directions for use in spinal surgery
DE4307576C1 (de) 1993-03-10 1994-04-21 Biedermann Motech Gmbh Knochenschraube
US5487744A (en) * 1993-04-08 1996-01-30 Advanced Spine Fixation Systems, Inc. Closed connector for spinal fixation systems
US5534001A (en) 1993-05-11 1996-07-09 Synthes (U.S.A.) Osteosynthetic fixation element and manipulation device
FR2705226B1 (fr) 1993-05-17 1995-07-07 Tornier Sa Fixateur de rachis pour le maintien d'une colonne vertébrale.
EP0699056B1 (de) * 1993-05-18 1997-01-29 Schäfer micomed GmbH Knochenchirurgische haltevorrichtung
US5466237A (en) 1993-11-19 1995-11-14 Cross Medical Products, Inc. Variable locking stabilizer anchor seat and screw
US5499983A (en) 1994-02-23 1996-03-19 Smith & Nephew Richards, Inc. Variable angle spinal screw
DE4414782C2 (de) * 1994-04-28 2000-03-09 Schaefer Micomed Gmbh Knochenchirurgische Haltevorrichtung
SE9402130D0 (sv) 1994-06-17 1994-06-17 Sven Olerud Anordning samt förfarande för plattfixation av ben
US5575791A (en) 1994-07-27 1996-11-19 Lin; Chih-I Universal eccentric fixation mechanism for orthopedic surgery
US5474551A (en) * 1994-11-18 1995-12-12 Smith & Nephew Richards, Inc. Universal coupler for spinal fixation
FR2729291B1 (fr) * 1995-01-12 1997-09-19 Euros Sa Implant rachidien
DE19509332C1 (de) 1995-03-15 1996-08-14 Harms Juergen Verankerungselement
US5591166A (en) 1995-03-27 1997-01-07 Smith & Nephew Richards, Inc. Multi angle bone bolt
US5669911A (en) 1995-04-13 1997-09-23 Fastenetix, L.L.C. Polyaxial pedicle screw
US5520690A (en) 1995-04-13 1996-05-28 Errico; Joseph P. Anterior spinal polyaxial locking screw plate assembly
DE19522114B4 (de) 1995-06-19 2004-09-30 Christof Kaufmann Vorrichtung zum Fixieren von Knochenfragmenten und Verwendung einer solchen Vorrichtung als Bohrschablone
US5549608A (en) 1995-07-13 1996-08-27 Fastenetix, L.L.C. Advanced polyaxial locking screw and coupling element device for use with rod fixation apparatus
US5586984A (en) 1995-07-13 1996-12-24 Fastenetix, L.L.C. Polyaxial locking screw and coupling element assembly for use with rod fixation apparatus
US5584834A (en) 1995-07-13 1996-12-17 Fastenetix, L.L.C. Polyaxial locking screw and coupling element assembly for use with side loading rod fixation apparatus
US5554157A (en) 1995-07-13 1996-09-10 Fastenetix, L.L.C. Rod securing polyaxial locking screw and coupling element assembly
US5578033A (en) 1995-07-13 1996-11-26 Fastenetix, L.L.C. Advanced polyaxial locking hook and coupling element device for use with side loading rod fixation devices
US5733285A (en) 1995-07-13 1998-03-31 Fastenetix, Llc Polyaxial locking mechanism
CA2225044C (en) 1995-07-13 2006-11-07 Fastenetix, L.L.C. A polyaxial locking mechanism
US5609593A (en) 1995-07-13 1997-03-11 Fastenetix, Llc Advanced polyaxial locking hook and coupling element device for use with top loading rod fixation devices
US5609594A (en) 1995-07-13 1997-03-11 Fastenetix Llc Extending hook and polyaxial coupling element device for use with side loading road fixation devices
US5575792A (en) 1995-07-14 1996-11-19 Fastenetix, L.L.C. Extending hook and polyaxial coupling element device for use with top loading rod fixation devices
US5683392A (en) 1995-10-17 1997-11-04 Wright Medical Technology, Inc. Multi-planar locking mechanism for bone fixation
US5688273A (en) 1995-10-23 1997-11-18 Fastenetix, Llc. Spinal implant apparatus having a single central rod and plow hooks
CA2240656C (en) * 1995-12-22 2002-09-03 Ohio Medical Instrument Company, Inc. Spinal fixation device with laterally attachable connectors
US5741255A (en) 1996-06-05 1998-04-21 Acromed Corporation Spinal column retaining apparatus
US5879350A (en) 1996-09-24 1999-03-09 Sdgi Holdings, Inc. Multi-axial bone screw assembly
US5885286A (en) 1996-09-24 1999-03-23 Sdgi Holdings, Inc. Multi-axial bone screw assembly
US5797911A (en) 1996-09-24 1998-08-25 Sdgi Holdings, Inc. Multi-axial bone screw assembly
US5863293A (en) 1996-10-18 1999-01-26 Spinal Innovations Spinal implant fixation assembly
US5964760A (en) 1996-10-18 1999-10-12 Spinal Innovations Spinal implant fixation assembly
US5782831A (en) 1996-11-06 1998-07-21 Sdgi Holdings, Inc. Method an device for spinal deformity reduction using a cable and a cable tensioning system
US5728098A (en) 1996-11-07 1998-03-17 Sdgi Holdings, Inc. Multi-angle bone screw assembly using shape-memory technology
ATE234046T1 (de) 1996-12-12 2003-03-15 Synthes Ag Vorrichtung zur verbindung eines langstragers mit einer pedikelschraube
US6485494B1 (en) 1996-12-20 2002-11-26 Thomas T. Haider Pedicle screw system for osteosynthesis
US5752957A (en) 1997-02-12 1998-05-19 Third Millennium Engineering, Llc Polyaxial mechanism for use with orthopaedic implant devices
US6413257B1 (en) 1997-05-15 2002-07-02 Surgical Dynamics, Inc. Clamping connector for spinal fixation systems
US5810819A (en) 1997-05-15 1998-09-22 Spinal Concepts, Inc. Polyaxial pedicle screw having a compression locking rod gripping mechanism
US6248105B1 (en) 1997-05-17 2001-06-19 Synthes (U.S.A.) Device for connecting a longitudinal support with a pedicle screw
CA2343327C (en) * 1998-09-11 2003-02-11 Synthes (U.S.A.) Variable angle spinal fixation system
FR2794962B1 (fr) * 1999-06-15 2001-10-05 Euros Sa Implant rachidien a liaison laterale par voie anterieure
US6235033B1 (en) * 2000-04-19 2001-05-22 Synthes (Usa) Bone fixation assembly
US6524315B1 (en) * 2000-08-08 2003-02-25 Depuy Acromed, Inc. Orthopaedic rod/plate locking mechanism
ATE367773T1 (de) 2000-08-24 2007-08-15 Synthes Gmbh Vorrichtung zur verbindung eines knochenfixationselementes mit einem längsstab
US6673074B2 (en) 2001-08-02 2004-01-06 Endius Incorporated Apparatus for retaining bone portions in a desired spatial relationship

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KR20030026351A (ko) 2003-03-31
DE50014519D1 (de) 2007-09-06
AR030330A1 (es) 2003-08-20
EP1311198A1 (de) 2003-05-21
MY124899A (en) 2006-07-31
WO2002015806A1 (de) 2002-02-28
AU2000264233B2 (en) 2004-04-29
AU6423300A (en) 2002-03-04
MXPA03001628A (es) 2003-06-24
EP1311198B1 (de) 2007-07-25
BR0017321A (pt) 2003-07-29
CN1247162C (zh) 2006-03-29
KR100773965B1 (ko) 2007-11-08
US6945972B2 (en) 2005-09-20
ATE367773T1 (de) 2007-08-15
CN1454070A (zh) 2003-11-05
US20050251141A1 (en) 2005-11-10
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CA2419798A1 (en) 2002-02-28
ES2288864T3 (es) 2008-02-01

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