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EP1222899A2 Expired / Lapsed EP ⏱️ 0.0 years remaining

Pedicle screw assembly

Assignee: Stryker Spine SAS
•
Filing: 2001-10-10
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Granted: —
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Expires: 2021-10-10
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Abstract

Abstract A stabilizing assembly includes a fastener having an upper end and a lower end, a head at the upper end, and at least one anchoring element extending between the upper and lower ends. The head includes a center, an underside including a first radial surface and a top side including a second radial surface. The first radial surface of the head defines a first radius from the center of the head and the second radial surface defines a second radius from the center of the head, the first radius being greater than the second radius. The assembly also includes a coupling element having an upper end and a lower end, the coupling element including a rod receiving opening extending from the upper end thereof being adapted to receive a stabilizing rod, a bore extending through the lower end of the coupling element for receiving the fastener, and a conical-shaped seat adjacent the lower end of the coupling element adapted to engage the first radial surface of the head when the fastener is positioned in the bore. A locking element associated with the coupling element is adapted to apply a force upon a stabilizing rod positioned in the rod receiving opening. As a force is applied to a stabilizing rod, the rod in turn, engages the second radial surface at the top side of the head for forcing the underside of the head against the conical-shaped seat of the coupling element so as to prevent further pivotal and rotational movement of the fastener and the coupling element relative to one another. In certain embodiments, the fastener may be a screw fastener having screw threads. In other embodiments, the fastener may include a hook.

Inventors

  • 👤 Greg Martin
  • 👤 Yves Crozet
  • 👤 William J. Kelly

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-23 16:19
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/56; A61B17/58; A61B17/68; A61B17/70; A61B17/7001; A61B17/7035; A61B17/7037; G; G06; G06Q; G06Q10/00; G06Q10/10; G06Q10/107; A61B17/7032; A61B17/7074; A61B17/7076; A61B17/7082; A61B2017/564

Claims Analysis

Total Claims: 45
Claim 1
Independent Claim 168 words
A stabilizing assembly comprising: a fastener having an upper end and a lower end, a head at the upper end, and at least one anchoring element between the upper and lower ends thereof; said head including a center, an underside including a first radial surface and a top side including a second radial surface, wherein said first radial surface defines a first radius from the center of said head and said second radial surface defines a second radius from the center of said head, the first radius being greater than the second radius; and a coupling element having an upper end and a lower end, said coupling element including a rod receiving opening adapted to receive a stabilizing rod, a bore extending through the lower end of said coupling element for receiving said fastener, and a conical-shaped seat adjacent the lower end of said coupling element, wherein the first radial surface of said head is engagable with the conical-shaped seat when said fastener is positioned in the bore.
Claim 2
Dependent Claim 80 words
The stabilizing assembly as claimed in claim 1, further comprising: a locking element associated with said coupling element to apply a force upon a stabilizing rod positioned in said rod receiving opening, wherein said stabilizing rod in turn applies a force upon the second radial surface of said head for forcing the first radial surface of said head against the conical-shaped seat for preventing further pivotal and rotational movement of said fastener and said coupling element relative to one another.
Claim 3
Dependent Claim 33 words
The assembly as claimed in claim 1, wherein said fastener is a screw fastener, and wherein the at least one anchoring element comprises screw threads extending between the upper and lower ends thereof.
Claim 4
Dependent Claim 24 words
The assembly as claimed in claim 1, wherein the at least one anchoring element comprises a hook at the lower end of said fastener.
Claim 5
Dependent Claim 41 words
The assembly as claimed in claim 3, wherein said head includes at least one groove extending from the top surface toward the underside thereof, said at least one groove being adapted to receive a driver for inserting said fastener into bone.
Claim 6
Dependent Claim 27 words
The assembly as claimed in claim 5, wherein said at least one groove extends in a direction substantially parallel to the longitudinal axis of said screw fastener.
Claim 7
Dependent Claim 18 words
The assembly as claimed in claim 5, wherein said at least one groove includes a plurality of grooves.
Claim 8
Dependent Claim 43 words
A driver for screwing the screw fastener of claim 7 into a bone, said driver comprising a shaft having a lower end and a plurality of prongs extending from the lower end of the shaft and insertable into said grooves of said screwhead.
Claim 9
Dependent Claim 17 words
The driver as claimed in claim 8, wherein said driver includes external threads provided on the shaft.
Claim 10
Dependent Claim 32 words
The driver as claimed in claim 9, wherein said coupling element includes internal threads, and wherein the external threads of said driver are engagable with the internal threads of said coupling element.
Claim 11
Dependent Claim 64 words
The assembly as claimed in claim 1, wherein said coupling element includes internal threads extending from the upper end toward the lower end thereof, said coupling element including an annular lip having a diameter between the internal threads and the conical-shaped seat of the coupling element, and wherein the diameter of said annular lip is less than twice the first radius of said head.
Claim 12
Dependent Claim 25 words
The assembly as claimed in claim 1, wherein the center of said screwhead is in substantial alignment with the longitudinal axis of said screw fastener.
Claim 13
Dependent Claim 19 words
The assembly as claimed in claim 1, wherein said coupling element has threads extending from the upper end thereof.
Claim 14
Dependent Claim 26 words
The assembly as claimed in claim 13, wherein the threads of said coupling element are internal threads formed on an interior surface of said coupling element.
Claim 15
Dependent Claim 28 words
The assembly as claimed in claim 14, wherein said locking element comprises a set screw having external threads for threadably engaging the internal threads of said coupling element.
Claim 16
Dependent Claim 26 words
The assembly as claimed in claim 1, wherein the threads of said coupling element are exterior threads formed on an exterior surface of said coupling element.
Claim 17
Dependent Claim 27 words
The assembly as claimed in claim 16, wherein said locking element comprises a nut having internal threads for threadably engaging the exterior threads of said coupling element.
Claim 18
Dependent Claim 22 words
The assembly as claimed in claim 1, wherein said coupling element includes an exterior surface having one or more notches formed therein.
Claim 19
Dependent Claim 33 words
The assembly as claimed in claim 18, wherein said coupling element includes one or more cuts between the rod-receiving opening and the exterior surface thereof for minimizing the width of said coupling element.
Claim 20
Dependent Claim 34 words
The assembly as claimed in claim 1, wherein said fastener is a screw fastener having screw threads and a neck having a reduced diameter between the head of said fastener and the screw threads.
Claim 21
Dependent Claim 18 words
The assembly as claimed in claim 20, wherein the neck of said screw fastener has a concave surface.
Claim 22
Dependent Claim 26 words
The assembly as claimed in claim 1, wherein said stabilizing assembly is made from a material selected from the group consisting on titanium and stainless steel.
Claim 23
Dependent Claim 166 words
A stabilizing assembly comprising: a fastener having an upper end and a lower end, a head at the upper end, and at least one anchoring element between the upper and lower ends for anchoring the fastener to bone; said head including a center, an underside including a first radial surface and a top side including a second radial surface, said first radial surface defining a first radius from the center of said head and said second radial surface defining a second radius from the center of said head, the first radius being greater than the second radius; and a coupling element having an upper end and a lower end, said coupling element including a rod receiving opening adapted to receive a stabilizing rod, a bore extending through the lower end of said coupling element for receiving said fastener, and a seat adjacent the lower end of said coupling element engagable with the first radial surface of said head when said fastener is positioned in the bore.
Claim 24
Dependent Claim 23 words
The stabilizing assembly as claimed in claim 23, wherein the seat of said coupling element is substantially conical-shaped and includes inwardly tapering sidewalls.
Claim 25
Dependent Claim 85 words
The stabilizing assembly as claimed in claim 24, further comprising: a locking element associated with said coupling element, said locking element being adapted to apply a force upon a stabilizing rod positioned in said rod receiving opening, wherein said stabilizing rod in turn engages the second radial surface at the top side of said head for forcing the underside of said head against the conical-shaped seat for preventing further pivotal and rotational movement of said screw fastener and said coupling element relative to one another.
Claim 26
Dependent Claim 28 words
The stabilizing assembly as claimed in claim 23, wherein said fastener is a screw fastener having screw threads, the at least one anchoring element including the screw threads.
Claim 27
Dependent Claim 23 words
The stabilizing assembly as claimed in claim 23, wherein said fastener includes a hook, the at least one anchoring element including the hook.
Claim 28
Dependent Claim 106 words
A stabilizing assembly comprising: a fastener having an upper end and a lower end, a head at the upper end, and at least one anchoring element extending between the upper and lower ends, said head including an underside having a first radial surface; and a coupling element having an upper end and a lower end, said coupling element including a rod receiving opening adapted to receive a stabilizing rod, a bore extending through the lower end of said coupling element for receiving said fastener, and a conical-shaped seat adapted to engage the first radial surface of said head when said fastener is positioned in the bore.
Claim 29
Dependent Claim 69 words
The stabilizing assembly as claimed in claim 28, further comprising: a locking element associated with said coupling element, said locking element being adapted to apply a force against a stabilizing rod positioned in said rod receiving opening, said stabilizing rod in turn applying a force to a top side of said head for forcing the first radial surface of said head against the conical-shaped seat of said coupling element.
Claim 30
Dependent Claim 60 words
The stabilizing assembly as claimed in claim 29, wherein the top side of said head includes a second radial surface, and wherein said first radial surface defines a first radius from a center of said head and said second radial surface defines a second radius from the center of said head, the first radius being greater than the second radius.
Claim 31
Dependent Claim 24 words
The assembly as claimed in claim 30, wherein the center of said head is in substantial alignment with a longitudinal axis of said fastener.
Claim 32
Dependent Claim 33 words
The assembly as claimed in claim 31, wherein said fastener is a screw fastener, the at least one anchoring element including screw threads extending between the upper and lower ends of said fastener.
Claim 33
Dependent Claim 40 words
The assembly as claimed in claim 28, wherein said coupling element has threads extending from the upper end thereof and said locking element includes a threaded set screw having threads adapted to mesh with the threads of said coupling element.
Claim 34
Dependent Claim 85 words
A bone fastener having an upper end and a lower end, said bone fastener comprising: a head at the upper end thereof; and at least one bone anchoring element extending between the upper and lower ends of said fastener, wherein said head includes a center, an underside having a first radial surface with a first radius from the center, and a top side having a second radial surface with a second radius from the center, wherein the first radius is greater than the second radius.
Claim 35
Dependent Claim 23 words
The fastener as claimed in claim 34, wherein said fastener comprises a material selected from the group consisting of titanium and stainless steel.
Claim 36
Dependent Claim 102 words
The fastener as claimed in claim 34, wherein said fastener is insertable into a coupling element having an upper end and a lower end, said coupling element including a rod receiving opening, a bore extending through the lower end of said coupling element for receiving said fastener, and a conical-shaped seat adjacent the lower end of said coupling element being engagable with the first radial surface at the underside of said head when said fastener is positioned in the bore, wherein said inserted screw fastener pivots relative to said coupling element before being locked from further movement relative to said coupling element.
Claim 37
Dependent Claim 21 words
The fastener as claimed in claim 34, wherein said fastener includes screw threads extending between the upper and lower ends thereof.
Claim 38
Dependent Claim 18 words
The fastener as claimed in claim 34, wherein said fastener includes a hook at the lower end thereof.
Claim 39
Dependent Claim 164 words
A stabilizing assembly for use in conjunction with an orthopedic stabilizing rod, said assembly comprising: a fastener including a lower end insertable into bone and a head at an upper end thereof having a first radial surface with a first radius at an underside of said head and a second radial surface with a second radius at a top side of said head, wherein the first radius is greater than the second radius; and a coupling element having an upper end and a lower end, said coupling element including a rod receiving opening adapted to receive a stabilizing rod, a bore extending through the lower end of said coupling element for receiving said fastener, and a conical-shaped seat adapted to engage the underside of said head when said fastener is assembled with said coupling element, wherein said fastener and said coupling element are free to pivot and rotate relative to one another before the head of said fastener is locked in said coupling element.
Claim 40
Dependent Claim 31 words
The assembly as claimed in claim 39, wherein said coupling element includes an exterior surface having one or more notches formed therein, said notches being engageable for securing said coupling element.
Claim 41
Dependent Claim 83 words
The assembly as claimed in claim 39, further comprising a locking element for locking a stabilizing rod in the rod receiving opening of said coupling element, said locking element being associated with said coupling element to force said stabilizing rod against the second radial surface of said head which in turn forces the first radial surface of said head against the seat of said coupling element for preventing said coupling element and said screw fastener from pivoting and rotating relative to one another.
Claim 42
Dependent Claim 21 words
The assembly as claimed in claim 39, wherein said fastener includes screw threads extending between the upper and lower ends thereof.
Claim 43
Dependent Claim 13 words
The assembly as claimed in claim 39, wherein said fastener includes a hook.
Claim 44
Dependent Claim 124 words
A coupling element for a stabilizing assembly comprising: an upper end and a lower end; a rod receiving opening adapted to receive a stabilizing rod; a bore extending through the lower end of said coupling element for receiving a fastener having a head with a first radial surface of a first diameter; a seat adjacent the lower end of said coupling element adapted to engage an underside of the head of said fastener; threads extending from the upper end toward the lower end of said coupling element; and an annular lip between the threads and the seat of said coupling element, wherein said annular lip has a second diameter that is less than the first diameter of the first radial surface of said head.
Claim 45
Dependent Claim 98 words
A coupling element for a stabilizing assembly comprising: an upper end and a lower end remote therefrom; a rod receiving opening adapted to receive a stabilizing rod; said coupling element having an exterior surface and an interior surface defining a central bore extending through the lower end of said coupling element; a seat adjacent the lower end of said coupling element adapted to engage an underside of a head of said fastener, wherein said coupling element includes one or more cuts between the rod-receiving opening and the exterior surface thereof for minimizing the width of said coupling element

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