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EP0951245B1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Device for connecting a longitudinal support to a pedicle screw

Assignee: Synthes GmbH
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Filing: 1996-12-12
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Granted: 2003-03-12
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Expires: 2016-12-12
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Abstract

Abstract PCT No. PCT/CH96/00437 Sec. 371 Date Jun. 11, 1999 Sec. 102(e) Date Jun. 11, 1999 PCT Filed Dec. 12, 1996 PCT Pub. No. WO98/25534 PCT Pub. Date Jun. 18, 1998The invention relates to a device used to connect a longitudinal support to a pedicle screw by an accommodating head having a channel to accommodate the longitudinal support, wherein it is possible to freely choose from or mix laterally open, top open or closed accommodating heads. A top open accommodating head facilitates, for example, insertion of the longitudinal support, whereas a lateral opening enables lateral corrections. The pedicle screw and the accommodating head are connected via a conical collet chuck in the accommodating head and by a spherical head on the pedicle screw. The present invention allows engagement of the pedicle screw in the accommodating head after the pedicle screw has been inserted into bone.

Inventors

  • 👤 Fridolin SCHLÄPFER

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-11-01 06:38
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/56; A61B17/58; A61B17/68; A61B17/70; A61B17/7001; A61B17/7035; A61B17/7037; A61B17/7041; A61B17/7032; A61B17/7034

Claims Analysis

Total Claims: 40
Claim 1
Independent Claim 208 words
Device for the connection of a longitudinal support (1) with a pedicle screw (2) within a fixation system of the vertebral column, with a retainer head (3) with a central axis (4) and a channel (5) running transverse to the longitudinal axis (4) for the acceptance of the longitudinal support (1), with an upwardly open receiving means (33) for the acceptance of a tension means (10;17) as well as a downwardly open cavity (6) tapering downwards with the central axis (4) wherein a spring chuck (7) with the central axis (4) is accommodated coaxially gliding which is shaped to springably accept the head (9) of a pedicle screw (2) whereby the cavity (6) runs upwardly in axial direction into the receiving means (33) of the tension means (10;17), characterised in that the spring chuck (7) is downwardly pressable and radially compressible either directly or indirectly by means of the tension means (17;17); and that the spring chuck (7) is shaped as a hollow truncated cone and provided with at least four slots (8) running axially whereby an amount is running into the basic area (34) and another amount is running into the top area (35) of the spring chuck (7) which is shaped as a hollow truncated cone.
Claim 2
Dependent Claim 38 words
Device according to claim 1, characterized in that the slots (8) are alternatively running into the basic area (34) and in the top area (35) of the spring chuck (7) which is shaped as a hollow truncated cone.
Claim 3
Dependent Claim 26 words
Device according to claim 1 or 2, characterized in that the spring chuck (7) is provided with at least 6, preferably at least 8 slots (8).
Claim 4
Dependent Claim 26 words
Device according to one of the claims 1 to 3, characterized in that the spring chuck (7) is shaped rotationally symmetrical to the central axis (4).
Claim 5
Dependent Claim 40 words
Device according to one of the claims 1 to 4, characterized in that the spring chuck (7) which is shaped as a hollow truncated cone provides a half cone angle α/2 of 3° - 8°, preferably of 5° - 7°.
Claim 6
Dependent Claim 39 words
Device according to one of the claims 1 to 5, characterized in that the cavity (6) which is shaped as a hollow truncated cone provides a half cone angle α/2 of 3° - 8°, preferably of 5° - 7°.
Claim 7
Dependent Claim 41 words
Device according to one of the claims 1 to 6, characterized in that the spring chuck (7) which is shaped as a hollow truncated cone is compressible in its diameter for 0,8 - 1,2 mm, preferably for 0,9 - 1,1 mm.
Claim 8
Dependent Claim 42 words
Device according to one of the claims 1 to 7, characterized in that the spring chuck (7) which is shaped as a hollow truncated cone is radially expandable in its diameter for 0,3 - 0,6 mm, preferably for 0,35 - 0,45 mm.
Claim 9
Dependent Claim 31 words
Device according to one of the claims 1 to 8, characterized in that the spring chuck (7) which is shaped as a hollow truncated cone is concavely shaped in its interior.
Claim 10
Dependent Claim 32 words
Device according to claim 9, characterized in that the spring chuck (7) which is shaped as a hollow truncated cone is shaped as a layer of a hollow sphere in its interior.
Claim 11
Dependent Claim 26 words
Device according to claim 9, characterized in that the spring chuck (7) which is shaped as a hollow truncated cone is toroidally shaped in its interior.
Claim 12
Dependent Claim 33 words
Device according to one of the claims 1 to 8, characterized in that the spring chuck (7) which is shaped as a hollow truncated cone is shaped as hollow cylinder in its interior.
Claim 13
Dependent Claim 56 words
Device according to one of the claims 1 to 12, characterized in that the spring chuck (7) provides in its lower section a cone (27) which extends downwardly so that the shaft (26) of the pedicle screw (2) is fixable at an angle α of - 25° to + 25° compared to the central axis (4).
Claim 14
Dependent Claim 27 words
Device according to one of the claims 1 to 13, characterized in that the spring chuck (7) is through open in direction of the central axis (4).
Claim 15
Dependent Claim 28 words
Device according to one of the claims 1 to 14, characterized in that it additionally comprises a pedicle screw (2) with a head (9) which is preferably spherical.
Claim 16
Dependent Claim 31 words
Device according to claim 15, characterized in that the head (9) of the pedicle screw (2) is provided with a structure preferably in the shape of transverse grooves respectively transverse fins.
Claim 17
Dependent Claim 24 words
Device according to claim 15 or 16, characterized in that the head (9) of the pedicle screw (2) is provided with a hexagon socket.
Claim 18
Dependent Claim 44 words
Device according to one of the claims 1 to 17, characterized in that the interior of the spring chuck (7) which is shaped as a hollow truncated cone is provided with a structure (29) preferably in the shape of transverse grooves respectively transverse fins.
Claim 19
Dependent Claim 55 words
Device according to one of the claims 15 to 18, characterized in that the pedicle screw (9) is made of a harder material, preferably of the alloy Ti-Al-Nb, than the surface of the interior of the spring chuck (7) which is shaped as a hollow truncated cone and is preferably made of technical pure titan.
Claim 20
Dependent Claim 49 words
Device according to one of the claims 15 to 19, characterized in that the diameter of the spherical head (9) of the pedicle screw (2) and of the corresponding hollow in the spring chuck (7) amounts to between 6 and 10 mm, preferably to between 7,5 - 8,5 mm.
Claim 21
Dependent Claim 47 words
Device according to one of the claims 15 to 20, characterized in that the distance between the center of the spherical head (9) and the longitudinal axis (32) of the longitudinal support (1) amounts to between 4 and 10 mm, preferably to between 6 - 8 mm.
Claim 22
Dependent Claim 47 words
Device according to one of the claims 1 to 21, characterized in that it comprises a tension means (10;17) through which the longitudinal support (1) is directly or indirectly, preferably via a sleeve (16) axial and rotatory fixable in the retainer head (3) in a detachable manner.
Claim 23
Dependent Claim 62 words
Device according to one of the claims 1 to 22, characterized in that the central axis (4) leads through the channel (5) and the extension (11) of the cavity (6) reaches into the channel (5) so far that the tension means (10) presses the spring chuck (7) downwards and radially compresses it via the longitudinal support (1) inserted in the channel (5).
Claim 24
Dependent Claim 47 words
Device according to one of the claims 1 to 23, characterized in that a preferably hollow cylindrical insert (12) is provided in the cavity (6) above the spring chuck (7) on that the longitudinal support (1) can be effective to press the spring chuck (7) axially downwards.
Claim 25
Dependent Claim 51 words
Device according to one of the claims 1 to 23, characterized in that in a polygonal cavity (6) above the spring chuck (7) a complementarily polygonal insert (12) is provided which is preferably penetrated on which the longitudinal support (1) can be effective to press the spring chuck (7) axially downwards.
Claim 26
Dependent Claim 32 words
Device according to one of the claims 1 to 25, characterized in that the channel (5) is upwardly open in such manner that the retainer head (3) is shaped as a yoke.
Claim 27
Dependent Claim 55 words
Device according to one of the claims 1 to 26, characterized in that the retainer head (3) provides a through hole (13) being threaded, upwardly open and communicating with the channel (5), wherein a tension means (10) is screwable such that a longitudinal support (1) inserted in the channel (5) is fixable axially and rotatively.
Claim 28
Dependent Claim 28 words
Device according to one of the claims 1 to 25, characterized in that the channel (5) is open to one side to sidewardly accept the longitudinal support (1).
Claim 29
Dependent Claim 89 words
Device according to one of the claims 1 to 25, characterized in that the channel (5) is open to one side to sidewardly accept the longitudinal support (1) and the retainer head (3) provides an external thread (15) at its upper section and that additionally a hollow cylindrical sleeve (16) with recesses (18) and a screw nut (17) corresponding to the external thread (15) are provided by what means a longitudinal support (1) inserted into the channel (5) is fixable axially and rotatively by means of the sleeve (16).
Claim 30
Dependent Claim 24 words
Device according to one of the claims 1 to 21, characterized in that the central axis (4) is situated outside of the channel (5).
Claim 31
Dependent Claim 24 words
Device according to one of the claims 1 to 29, characterized in that the tension means (10) directly presses on the spring chuck (7).
Claim 32
Dependent Claim 33 words
Device according to one of the claims 1 to 29, characterized in that the tension means (10) presses indirectly on the spring chuck (7) via an insert (12) which is preferably hollow cylindrical.
Claim 33
Dependent Claim 18 words
Device according to one of the claims 30 to 32, characterized in that the channel (5) is closed.
Claim 34
Dependent Claim 18 words
Device according to one of the claims 30 to 32, characterized in that the channel (5) is open.
Claim 35
Dependent Claim 26 words
Device according to one of the claims 30 to 34, characterized in that the tension means for the longitudinal support (1) is a locking screw (31).
Claim 36
Dependent Claim 49 words
Device according to one of the claims 30 to 35, characterized in that the distance between the central axis (4) and the longitudinal axis (32) of the longitudinal support (1) amounts at least half of the sum of the diameters of the longitudinal support (1) and the cavity (6).
Claim 37
Dependent Claim 58 words
Device according to one of the claims 1 to 28, characterized in that the tension means presses on the spring chuck (7) via the insert (12) and the tension means (10) for the longitudinal support (1) is integrated in the tensioning screw (36) such that the longitudinal support (1) and the spherical head (9) can be separately fixed.
Claim 38
Dependent Claim 57 words
Device according to one of the claims 1 to 28, characterized in that the tension means presses on the spring chuck (7) via the insert (12) and the tension means (10) for the longitudinal support (1) is integrated in the insert (12) thus that the longitudinal support (1) and the spherical head (9) can be separately fixed.
Claim 39
Dependent Claim 21 words
Device according to one of the claims 37 to 38, characterized in that the tension means is a tensioning screw (36).
Claim 40
Dependent Claim 25 words
Device according to one of the claims 37 to 38, characterized in that the tension means for spring chuck (7) is a tensioning nut (38).

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