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US5382248A Expired / Lapsed US ⏱️ 0.0 years remaining

System and method for stabilizing bone segments

Assignee: MIRSON BRIAN
•
Filing: 1992-09-10
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Granted: 1995-01-17
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Expires: 2012-09-10
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Abstract

Abstract An apparatus for stabilizing a plurality of bone segments, such as vertebrae of a spinal column, comprises one or more fixation devices. Each fixation device comprises an elongated rod having a longitudinal slot through its upper and lower surfaces and having threaded lateral surfaces. Slotted or axially threaded block members are slideably or rotatably movable along each rod into predetermined positions corresponding to locations selected for securing the apparatus to the bone. Posts are provided having have threaded distal ends, such that the distal end of each such post is inserted into the bone. The proximal end of each post is passed through the longitudinal slot in the rod and also through a vertical bore in the block member. The locations at which corrective forces are applied by the posts may be changed relative to the rods in three planes. A transverse connector system, included when at least two implant sets are used permits the implant sets to be spaced different distances apart and at different angular orientations.

Inventors

  • 👤 Robert E. Jacobson
  • 👤 Brian J. Mirson

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 11:04
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/56; A61B17/58; A61B17/68; A61B17/70; A61B17/7049; A61B17/7052; A61B17/686; A61B17/7001; A61B17/7002; A61B17/7004; A61B17/7007; A61B17/701; A61B17/7041; A61B17/7055

Claims Analysis

Total Claims: 30
Claim 1
Independent Claim 280 words
A device for stabilizing bone segments, said device comprising: at least one elongated rod member, said member defining at least one slotted opening therethrough and having a threaded exterior portion; and means for anchoring said at least one rod member to a plurality of bone segments, each said anchoring means comprising a post member adapted for engaging one of said bone segments, said post member having a proximal end, a distal end and a shoulder portion located between said proximal and said distal ends, wherein said proximal end is configured for passage through said at least one opening in said rod member and thereafter into a block nut member for securing said post member and said rod member, and wherein said distal end is threaded for insertion into and engagement with one of said bone segments, and further wherein said shoulder portion is adapted for spacing said rod member from said bone segments and is provided upon an upper portion thereof with a bevel adapted to facilitate a substantially locking engagement between said post member and said block nut member; a block nut member mounted upon said rod member for securing said rod member relative to said post member, said block nut member defining a bore extending substantially vertically therethrough, said bore configured and adapted to permit passage of at least a portion of said post member proximal end to create an interlocking fit with said post member; and at least one spacer member located between said post member shoulder portion and said block nut member, said at least one spacer member configured for controlling the distance between said shoulder portion and a lower surface of said block nut member.
Claim 2
Independent Claim 280 words
A device for stabilizing bone segments, said device comprising: at least one elongated rod member, said member defining at least one slotted opening therethrough and having a threaded exterior portion; and means for anchoring said at least one rod member to a plurality of bone segments, each said anchoring means comprising a post member adapted for engaging one of said bone segments, said post member having a proximal end, a distal end and a shoulder portion located between said proximal and said distal ends, wherein said proximal end is configured for passage through said at least one opening in said rod member and thereafter into a block nut member for securing said post member and said rod member, and wherein said distal end is threaded for insertion into and engagement with one of said bone segments, and further wherein said shoulder portion is adapted for spacing said rod member from said bone segments and is provided upon an upper portion thereof with a bevel adapted to facilitate a substantially locking engagement between said post member and said block nut member; a block nut member mounted upon said rod member for securing said rod member relative to said post member, said block nut member defining a bore extending substantially vertically therethrough, said bore configured and adapted to permit passage of at least a portion of said post member proximal end to create an interlocking fit with said post member; and at least one spacer member located between said post member shoulder portion and said block nut member, said at least one spacer member configured for controlling the distance between said shoulder portion and a lower surface of said block nut member.
Claim 3
Dependent Claim 46 words
A stabilization device according to claim 1 wherein said at least one spacer member is provided with a bevel upon a first and second portion thereof adjacent, respectively, said shoulder and the lower surface of said block nut member, to facilitate a substantially interlocking fit thereamong.
Claim 4
Independent Claim 209 words
A device for stabilizing bone segments, said device comprising: at least one elongated rod member, said member defining at least one slotted opening therethrough and having a threaded exterior portion; and means for anchoring said at least one rod member to a plurality of bone segments, each said anchoring means comprising a post member having a proximal end and a distal end, wherein said proximal end is configured and adapted for insertion through said at least one opening in said rod member and also through a block nut member adapted for securing said elongated rod member relative to said post member, and wherein said post member distal end is threaded for insertion into and engagement with one of said bone segments, and a block nut member mounted upon said rod member, said block nut member defining an axial bore extending longitudinally therethrough from a first side to a second side thereof configured and adapted for passage of at least a portion of said elongated rod member therethrough to permit adjustable positioning of said block nut member along said rod member, said block nut member further defining a substantially vertical bore configured for receiving the proximal end of said post member to create an interlocking fit with said post member.
Claim 5
Independent Claim 209 words
A device for stabilizing bone segments, said device comprising: at least one elongated rod member, said member defining at least one slotted opening therethrough and having a threaded exterior portion; and means for anchoring said at least one rod member to a plurality of bone segments, each said anchoring means comprising a post member having a proximal end and a distal end, wherein said proximal end is configured and adapted for insertion through said at least one opening in said rod member and also through a block nut member adapted for securing said elongated rod member relative to said post member, and wherein said post member distal end is threaded for insertion into and engagement with one of said bone segments, and a block nut member mounted upon said rod member, said block nut member defining an axial bore extending longitudinally therethrough from a first side to a second side thereof configured and adapted for passage of at least a portion of said elongated rod member therethrough to permit adjustable positioning of said block nut member along said rod member, said block nut member further defining a substantially vertical bore configured for receiving the proximal end of said post member to create an interlocking fit with said post member.
Claim 6
Dependent Claim 39 words
A stabilization device according to claim 3 wherein said vertical bore intersects with said axial bore within said block nut member and wherein said vertical bore is alignable with said at least one slotted opening in said rod member.
Claim 7
Dependent Claim 22 words
A stabilization device according to claim 3 wherein said vertical bore is offset from said axial bore within said block nut member.
Claim 8
Dependent Claim 44 words
A stabilization device according to claim 3 wherein said proximal end of said post member is threaded and wherein said engaging means further comprises means for locking said proximal end of said post member within said substantially vertical bore of said block nut member.
Claim 9
Dependent Claim 27 words
A stabilization device according to claim 6 wherein said locking means comprises a post nut adapted for threaded engagement with said proximal end of said post member.
Claim 10
Dependent Claim 90 words
A stabilization device according to claim 3 further comprising means for securing said elongated rod to a sacrum, said sacrum securing means comprising an end block member positioned upon a terminal portion of said elongated rod member adjacent said sacrum, said end block member defining a first axial bore configured and adapted for receiving said terminal portion of said elongated rod and a second, substantially vertical bore, spaced apart from said first bore, and adapted for receiving a sacrum engaging screw for securing said end block member to said sacrum.
Claim 11
Dependent Claim 46 words
A stabilization device according to claim 8, wherein said first aperture defines a first axis and said second aperture defines a second axis intersecting with said first axis, and wherein said first and second axes intersect at an angle of between about 65 and 90 degrees.
Claim 12
Dependent Claim 134 words
A stabilization device according to claim 8 which further comprises a bore adjustment member adapted for repairing means for engaging at least one of said bone segments, said engaging means selected from the group consisting of a post member and a bone screw, said bore adjustment member having a proximal end and a distal end, said distal end provided with an augur thread configuration adapted to create, within said bone segment, a new bore having a width greater than that of said engaging means, said proximal end having a threaded inner axial bore portion therein with a pitch and a diameter corresponding to that of the threaded portion of said engaging means, said engaging means thereafter being screwed into the inner axial bore of the bore adjustment member to provide a locking engagement therebetween.
Claim 13
Independent Claim 290 words
A device for stabilizing a plurality of spinal bone segments, said device comprising: at least one elongated rod member defining at least one slotted opening therethrough and having a threaded exterior portion; at least one adjustable block nut member, each said adjustable block nut member having an axial bore extending therethrough from a first side to a second side thereof, configured and adapted to permit adjustable positioning of said block nut member along said elongated rod member; and a substantially vertical bore adapted for engagement with at least a portion of a means for securing said block nut member to a bone segment; a post member for securing each said adjustable block nut member to a bone segment, each said post member having a proximal and a distal end, said distal end being threaded for insertion into and engagement with a spinal bone segment, said proximal end configured and adapted for insertion through said at least one slotted opening in said elongated rod member and into said substantially vertical bore in a corresponding adjustable block nut member; a locking member threadably engageable upon a correspondingly threaded portion of the proximal end of each said post member for locking together each said adjustable block nut member with a corresponding post member; and an end block member upon a terminal portion of each said elongated rod adjacent a sacrum portion of said spinal column for securing said elongated rod member to said sacrum, said end block member defining a first axial bore configured and adapted for receiving said terminal portion of said elongated rod and a second substantially vertical bore, spaced apart from said first bore, adapted for receiving a sacrum engaging screw for securing said end block member to said sacrum.
Claim 14
Independent Claim 290 words
A device for stabilizing a plurality of spinal bone segments, said device comprising: at least one elongated rod member defining at least one slotted opening therethrough and having a threaded exterior portion; at least one adjustable block nut member, each said adjustable block nut member having an axial bore extending therethrough from a first side to a second side thereof, configured and adapted to permit adjustable positioning of said block nut member along said elongated rod member; and a substantially vertical bore adapted for engagement with at least a portion of a means for securing said block nut member to a bone segment; a post member for securing each said adjustable block nut member to a bone segment, each said post member having a proximal and a distal end, said distal end being threaded for insertion into and engagement with a spinal bone segment, said proximal end configured and adapted for insertion through said at least one slotted opening in said elongated rod member and into said substantially vertical bore in a corresponding adjustable block nut member; a locking member threadably engageable upon a correspondingly threaded portion of the proximal end of each said post member for locking together each said adjustable block nut member with a corresponding post member; and an end block member upon a terminal portion of each said elongated rod adjacent a sacrum portion of said spinal column for securing said elongated rod member to said sacrum, said end block member defining a first axial bore configured and adapted for receiving said terminal portion of said elongated rod and a second substantially vertical bore, spaced apart from said first bore, adapted for receiving a sacrum engaging screw for securing said end block member to said sacrum.
Claim 15
Dependent Claim 132 words
A stabilization device according to claim 11 which further comprises a bore adjustment member adapted for repairing means for engaging at least one of said bone segments, said engaging means selected from the group consisting of a post member and a bone screw, said bore adjustment member having a proximal end and a distal end, said distal end provided with an augur thread configuration adapted to create, within said bone segment, a new bore having a width greater than said engaging means, said proximal end having a threaded inner axial bore portion therein with a pitch and a diameter corresponding to that of the threaded portion of said engaging means, said engaging means thereafter being screwed into the inner axial bore of the bore adjustment member to provide a locking engagement therebetween.
Claim 16
Dependent Claim 39 words
A stabilization device according to claim 11 which comprises first and second elongated rod members and at least one means for transversely interconnecting said members and thereby maintaining said rod members in a predetermined spatial relation to each other.
Claim 17
Independent Claim 397 words
A device for stabilizing a plurality of spinal bone segments, said device comprising: at least one elongated rod member defining at least one slotted opening therethrough and having a threaded exterior portion; at least one adjustable block nut member, each said adjustable block nut member having an axial bore extending therethrough from a first side to a second side thereof, configured and adapted to permit adjustable positioning of said block nut member along said elongated rod member; and a substantially vertical bore adapted for engagement with at least a portion of a means for securing said block nut member to a bone segment; a post member for securing each said adjustable block nut member to a bone segment, each said post member having a proximal and a distal end, said distal end being threaded for insertion into and engagement with a bone segment, said proximal end configured and adapted for insertion through said at least one slotted opening in said elongated rod member and into said substantially vertical bore in a corresponding adjustable block nut member; a locking member threadably engageable upon a correspondingly threaded portion of the proximal end of each said post member for locking together each said adjustable block nut member with a corresponding post member; an end block member upon a terminal portion of each said elongated rod adjacent a sacrum portion of said spinal column for securing said elongated rod member to said sacrum, said end block member defining a first axial bore configured and adapted for receiving said terminal portion of said elongated rod and a second substantially vertical bore, spaced apart from said first bore, adapted for receiving a sacrum engaging screw for securing said end block to said sacrum; and a bore adjustment member interposed between said sacrum engaging screw and said sacrum, said bore adjustment member having a proximal end and a distal end, said distal end provided with an augur thread configuration adapted to permit creation of a new bore in said sacrum having a width greater than that of said sacrum engaging screw, and said proximal end having a threaded inner axial bore portion therein with a pitch and a diameter corresponding to that of a threaded portion of said sacrum engaging screw, said sacrum engaging screw thus being thereafter screwed into said axial bore of said bore adjustment member to provide a locking engagement therebetween.
Claim 18
Independent Claim 397 words
A device for stabilizing a plurality of spinal bone segments, said device comprising: at least one elongated rod member defining at least one slotted opening therethrough and having a threaded exterior portion; at least one adjustable block nut member, each said adjustable block nut member having an axial bore extending therethrough from a first side to a second side thereof, configured and adapted to permit adjustable positioning of said block nut member along said elongated rod member; and a substantially vertical bore adapted for engagement with at least a portion of a means for securing said block nut member to a bone segment; a post member for securing each said adjustable block nut member to a bone segment, each said post member having a proximal and a distal end, said distal end being threaded for insertion into and engagement with a bone segment, said proximal end configured and adapted for insertion through said at least one slotted opening in said elongated rod member and into said substantially vertical bore in a corresponding adjustable block nut member; a locking member threadably engageable upon a correspondingly threaded portion of the proximal end of each said post member for locking together each said adjustable block nut member with a corresponding post member; an end block member upon a terminal portion of each said elongated rod adjacent a sacrum portion of said spinal column for securing said elongated rod member to said sacrum, said end block member defining a first axial bore configured and adapted for receiving said terminal portion of said elongated rod and a second substantially vertical bore, spaced apart from said first bore, adapted for receiving a sacrum engaging screw for securing said end block to said sacrum; and a bore adjustment member interposed between said sacrum engaging screw and said sacrum, said bore adjustment member having a proximal end and a distal end, said distal end provided with an augur thread configuration adapted to permit creation of a new bore in said sacrum having a width greater than that of said sacrum engaging screw, and said proximal end having a threaded inner axial bore portion therein with a pitch and a diameter corresponding to that of a threaded portion of said sacrum engaging screw, said sacrum engaging screw thus being thereafter screwed into said axial bore of said bore adjustment member to provide a locking engagement therebetween.
Claim 19
Independent Claim 246 words
A device for stabilizing bone segments, said device comprising: (a) first and second fixation assemblies, each said fixation assembly comprising at least one elongated rod member defining at least one slotted opening therethrough and having a threaded exterior portion; at least one adjustable block nut member, each said adjustable block nut member having an axial bore extending therethrough from a first side to a second side thereof, configured and adapted to permit adjustable positioning of said block nut member along said elongated rod member; and a substantially vertical bore adapted for engagement with at least a portion of a means for securing said block nut member to a bone segment; a post member for use in securing each said adjustable block nut member to a bone segment, each said post member having a proximal end and a distal end, said distal end being threaded for insertion into and engagement with a spinal bone segment, said proximal end configured and adapted for insertion through said at least one slotted opening in said elongated rod member and into said substantially vertical bore in a corresponding adjustable block nut member; a locking member threadably engageable upon a correspondingly threaded portion of the proximal end of each said post member for locking together each said block nut member with a corresponding post member; and (b) at least one means for transversely interconnecting said first and second fixation assemblies and thereby maintaining said assemblies in substantially parallel relation to each other.
Claim 20
Independent Claim 246 words
A device for stabilizing bone segments, said device comprising: (a) first and second fixation assemblies, each said fixation assembly comprising at least one elongated rod member defining at least one slotted opening therethrough and having a threaded exterior portion; at least one adjustable block nut member, each said adjustable block nut member having an axial bore extending therethrough from a first side to a second side thereof, configured and adapted to permit adjustable positioning of said block nut member along said elongated rod member; and a substantially vertical bore adapted for engagement with at least a portion of a means for securing said block nut member to a bone segment; a post member for use in securing each said adjustable block nut member to a bone segment, each said post member having a proximal end and a distal end, said distal end being threaded for insertion into and engagement with a spinal bone segment, said proximal end configured and adapted for insertion through said at least one slotted opening in said elongated rod member and into said substantially vertical bore in a corresponding adjustable block nut member; a locking member threadably engageable upon a correspondingly threaded portion of the proximal end of each said post member for locking together each said block nut member with a corresponding post member; and (b) at least one means for transversely interconnecting said first and second fixation assemblies and thereby maintaining said assemblies in substantially parallel relation to each other.
Claim 21
Dependent Claim 89 words
A stabilization device according to claim 15 further comprising means for securing said elongated rod to a sacrum, said sacrum securing means comprising an end block member positioned upon a terminal portion of said elongated rod member adjacent said sacrum, said end block member defining a first axial bore configured and adapted for receiving said terminal portion of said elongated rod and a second, substantially vertical bore, spaced apart from said first bore, and adapted for receiving a sacrum engaging screw for securing said end block to said sacrum.
Claim 22
Dependent Claim 66 words
A stabilization device according to claim 16, wherein each said transverse connection means comprises: an elongate member extendable between said first and said second elongated rod members; first attachment means for connecting a first terminal portion of said elongate member with said first elongated rod member; and second attachment means for connecting a second terminal portion of said elongate member with said second elongated rod member.
Claim 23
Dependent Claim 33 words
A stabilization device according to claim 17 wherein said elongate member comprising a first axial end portion having a left hand thread and a second axial end portion having a right hand thread.
Claim 24
Dependent Claim 27 words
A stabilization device according to claim 18 wherein said elongate member further comprises a drive portion located intermediate to said first and said second axial end portions.
Claim 25
Dependent Claim 28 words
A stabilization device according to claim 19 wherein said drive portion comprises a plurality of diametrically opposed flats configured for engagement by wrench means for causing rotation thereof.
Claim 26
Dependent Claim 42 words
A stabilization device according to claim 20 wherein at least one of said flats defines an aperture, each said aperture being configured and adapted for engagement with tool means adapted for insertion within said aperture to permit rotation of said drive member.
Claim 27
Dependent Claim 228 words
A stabilization device according to claim 19 wherein said first and said second attachment means each comprise: an inner clamp member comprising a connector portion having a threaded bore extending axially therethrough for threaded engagement with a first one of the threaded end portions, and a body portion formed integral with said connector portion, said body portion having, on an inner aspect thereof, a threaded surface corresponding to the threads on said elongated rod member for securing said inner clamp member thereto; and an outer clamp member comprising a connector portion having a substantially smooth bore extending therethrough in alignment with said axial threaded bore in said inner clamp member for engagement with said first end portion of said elongate member, and a body portion formed integral with said connector portion of said outer clamp member, said body portion having, on an inner aspect thereof a threaded surface corresponding to the threads on said elongated rod member for securing said outer clamp member thereto, wherein each said axial end portion is connected, respectively, to both an inner and an outer clamp member through respectively, said threaded and said substantially smooth axial bores thereof such that rotation of said drive portion in a first direction causes said inner and outer clamp members to move toward one another whereas rotation in a second, opposite direction causes them to move apart.
Claim 28
Dependent Claim 33 words
A stabilization device according to claim 22 wherein said outer clamp member further includes a set screw for retention of said threaded end portion of said elongate member within said substantially smooth bore.
Claim 29
Independent Claim 372 words
A method for supplying selective angular corrective forces to a plurality of spinal bone segments, said method comprising: providing a surgical incision on a dorsal surface of a patient adjacent said patient's spinal column; installing, upon said spinal column, a stabilization device comprising (a) first and second fixation assemblies, each said fixation assembly comprising at least one elongated rod member defining at least one slotted opening therethrough and having a threaded exterior portion; at least one adjustable block nut member, each said adjustable block member having an axial bore extending therethrough from a first side to a second side thereof, configured and adapted to permit adjustable positioning of said block nut member along said elongated rod member; and a substantially vertical bore adapted for engagement with at least a portion of means for securing said block nut member to a bone segment; a post member for use in securing each said adjustable block nut member to a bone segment, each said post member having a proximal and a distal end, said distal end being threaded for insertion into and engagement with a spinal bone segment, said proximal end configured and adapted for insertion through said at least one slotted opening in said elongated rod member and into said substantially vertical bore in a corresponding adjustable block nut member; a locking member threadably engageable upon a correspondingly threaded portion of the proximal end of each said post member for locking together each said block nut member with a corresponding post member, and an end block member located upon a lower terminal portion of each said elongated rod adjacent a sacrum portion of said spinal column for securing said elongated rod member to said sacrum, said end block member defining a first axial bore configured and adapted for receiving said terminal portion of said elongated rod and a second substantially vertical bore, spaced apart from said first bore, adapted for receiving a sacrum engaging screw for securing said end block to said sacrum; and (b) at least one means for interconnecting said first and second fixation assemblies and thereby maintaining said assemblies in substantially parallel relation to each other; and adjusting said stabilization device to provide graded angular movement to said spinal bone segments.
Claim 30
Independent Claim 372 words
A method for supplying selective angular corrective forces to a plurality of spinal bone segments, said method comprising: providing a surgical incision on a dorsal surface of a patient adjacent said patient's spinal column; installing, upon said spinal column, a stabilization device comprising (a) first and second fixation assemblies, each said fixation assembly comprising at least one elongated rod member defining at least one slotted opening therethrough and having a threaded exterior portion; at least one adjustable block nut member, each said adjustable block member having an axial bore extending therethrough from a first side to a second side thereof, configured and adapted to permit adjustable positioning of said block nut member along said elongated rod member; and a substantially vertical bore adapted for engagement with at least a portion of means for securing said block nut member to a bone segment; a post member for use in securing each said adjustable block nut member to a bone segment, each said post member having a proximal and a distal end, said distal end being threaded for insertion into and engagement with a spinal bone segment, said proximal end configured and adapted for insertion through said at least one slotted opening in said elongated rod member and into said substantially vertical bore in a corresponding adjustable block nut member; a locking member threadably engageable upon a correspondingly threaded portion of the proximal end of each said post member for locking together each said block nut member with a corresponding post member, and an end block member located upon a lower terminal portion of each said elongated rod adjacent a sacrum portion of said spinal column for securing said elongated rod member to said sacrum, said end block member defining a first axial bore configured and adapted for receiving said terminal portion of said elongated rod and a second substantially vertical bore, spaced apart from said first bore, adapted for receiving a sacrum engaging screw for securing said end block to said sacrum; and (b) at least one means for interconnecting said first and second fixation assemblies and thereby maintaining said assemblies in substantially parallel relation to each other; and adjusting said stabilization device to provide graded angular movement to said spinal bone segments.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1998-01-16 1998-07-18 1999-01-17 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2002-01-16 2002-07-18 2003-01-17 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2006-01-16 2006-07-18 2007-01-17 $7700.00 Window Closed / Lapsed

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