Transverse connector for spinal column devices

Abstract: An apparatus for interconnecting a pair of longitudinal members connectable with vertebrae of a spinal column comprises first and second connector members connectable with the longitudinal members. An elongate plate extends transverse to the longitudinal members and interconnects the first and second connector members. The first connector member includes a hook portion extendable around a portion of the longitudinal member. A set screw clamps the longitudinal member to the hook portion of the connector member. A nut threadably engages the set screw to clamp the elongate plate to the connector member. The elongate plate includes surfaces defining a recess for receiving the connector member. The surfaces defining the recess engage the connector member to prevent the elongate plate from pivoting relative to the connector member.

Description: The present invention relates to an apparatus for interconnecting a pair of longitudinal members extending substantially parallel to each other and connectable with vertebrae of a spinal column according to the preamble of claim 1. Transverse connectors for interconnecting longitudinal members of a spinal column corrective device are known. A known transverse connector includes a pair of eye bolts for receiving parallel longitudinal rods connected to vertebrae of a spinal column. An elongate plate interconnects the eye bolts. The elongate plate includes openings through which threaded portions of the eye bolts extend. Nuts threadably engage the threaded portions of the eye bolts to clamp the longitudinal rods between the eye bolt and the elongate plate. The eye bolts must be placed on the spinal rods prior to connecting the longitudinal rods to a spinal column. The eye bolt do not hold their positions relative to the longitudinal rods when posi tioning the elongate plate. The eye bolts and elongate plate must be positioned at the same time, since the nut clamps the eye bolt, elongate plate, and the longitudinal rod together. The document EP-A-0 446 092 discloses a device with two fixation elements (4) designed so as to be able to cover a transverse bar (3) and equipped with means (9,8) for locking on the bar (3). Thus, it is an object of the present invention to propose an apparatus of the kind referred to herein above that is easier to use than transverse connectors. This object is met by the characteristics defined in the characterizing portion of claim 1. Preferred embodiments of the invention are defined in the dependent claims 2-15. Specifically, the aperture in the plate member allows the plate member to be positioned on the longitudinal members after the longitudinal members have been connected to the spinal column. In a summary, the present invention is directed to a transverse connector for interconnecting a pair of longitudinal members, such as longitudinal rods or plates, which are connectable with verte brae of a spinal column. The transverse connector includes first and second connector members and an elongate plate extending between the connector members and transverse to the longitudinal rods. The first and second connector members of the transverse connector include hook portions extendable around portions of the longitudinal members. Set screws threadably engage the connector members to clamp the longitudinal members to the hook portions. Nuts threadably engage the set screws to clamp the elongate plate to the connector members. In one embodiment of the present invention, the set screws extend through first and second oblong openings in the elongate plate to permit adjustment of the position of the elongate plate relative to the connector members. The elongate plate includes surface means defining first and second recesses for receiving the connector members. The surfaces defining the recesses in the elongate plate engage the connector members to prevent pivoting of the elongate plate relative to the connector members. In another embodiment of the present invention, the elongate plate includes one oblong opening through which both of the set screws extend. The elongate plate has surface means defining a recess for receiving both of the connector members to prevent pivoting of the elongate plate relative to the connector members. The hook portions allow the transverse connector to be positioned on the longitudinal members after the longitudinal members have been connected to the spinal column. The set screws connect the connector members to the longitudinal members and fix the position of the connector members relative to the longitudinal members prior to connecting the elongate plate to the connector members. Therefore, the transverse connector of the present invention is easier to use than the known transverse connectors. Further features of the present invention will become apparent to those skilled in the art to which the present invention relates from reading the following specification with reference to the accompanying drawings in which: Fig. 1 is an enlarge plan view of one embodiment at the transverse connector of the present invention interconnecting a pair of spine rods which are connected to a spinal column; Fig. 2 is a cross sectional view of the transverse connector in Fig. 1, taken approximately along the line 2-2 in Fig. 1; Fig. 3 is an enlarged pictorial view of a hook member of the transverse connector in Fig. 1; Fig. 4 is an enlarged pictorial view of an elongate plate of the transverse connector in Fig. 1; Fig. 5 is an enlarged plan view of another embodiment of the transverse connector of the present invention interconnecting a pair of spine rods; Fig. 6 is a cross sectional view of the transverse connector in Fig. 5, taken approximately along the line 6-6 in Fig. 5; and Fig. 7 is an enlarged pictorial view of an elongate plate of the transverse connector in Fig. 5. Description of the Preferred Embodiments One embodiment of the present invention is illustrated in Figs. 1-4. A portion of a spinal column C (Fig. 1) includes a plurality of vertebrae V. A pair of longitudinal rods 10 are connected to some of the vertebrae V to maintain the relative positions of the vertebrae. It will be apparent that the rods 10 may be located anywhere along spinal column C, and the location of the rods illustrated in Fig. 1 is for examples purposes. Each of the rods 10 is elongate and has a sufficient length to span at least two vertebrae V. A plurality of connectors 12 and fasteners 14 connect the rods 10 with the vertebrae V. The connectors 12 and the fasteners 14 may be of any known construction and are, preferably, the same as those disclosed in U.S. Patent No. 5,129,900. The connectors 12 include openings through which fasteners 14 extend to connect the connectors to the vertebrae V. The connectors 12 include set screws 16 for clamping the longitudinal rods 10 in openings extending through the connectors. At least one transverse connector 30 (Figs. 1 and 2) interconnects the rods 10. The transverse connector 30 blocks relative movement of the rods 10 so the vertebrae V connected to the rods are maintained in their desired relative positions and do not pivot relative to an anterior/posterior axis or a longitudinal central axis of the spinal column C. It will be apparent that the transverse connector 30 may be located anywhere along the rods 10 and that any number of transverse connectors may be used. The transverse connector 30 includes a pair of identical hook members 34 and an elongate plate 36 extending transverse to the longitudinal rods 10 and interconnecting the hook members. Each of the hook members 34 (Figs. 2 and 3) includes a hook portion 40 for extending around a portion of the rod 10. The hook portion 40 includes axial spaced arcuate surfaces 42 (Fig. 3) for engaging the rod 10 at axially spaced locations. Reference is hereby made to U.S. Patent No. 5,024,213 to Asher et al. and assigned to the same assignee as the present invention. U.S. Patent No. 5,024,213 describes the arcuate surfaces and their function in greater detail. The hook member 34 includes a threaded opening 46 for receiving a set screw 48 (Fig. 2). The set screw 48 engages the rod 10 to clamp the rod against the arcuate surfaces 42 of the hook portion 40. The elongate plate 36 includes a pair of oblong openings 56 (Figs. 2 and 4) through which the set screws 48 extend. The oblong openings 56 permit adjustment of the position of the elongate plate 36 relative to the hook members 34. Four lip portions 58 (Fig. 4) extend from a surface 60 of the elongate plate. The lip portions 58 extend on opposite sides of the oblong openings 56 and parallel to the longitudinal axes of the oblong openings. The lip portions 58 define recesses 64 in the elongate plate 36 for receiving the hook members 34. Inner side surfaces 66 (Fig. 4) of the lip portions 58 engage side surfaces 70 (Fig. 3) of the hook members 34 to prevent pivoting of the elongate plate 36 relative to the hook members. Nuts 74 (Fig. 2) threadably engage the set screws 48 and engage the plate 36 to clamp the elongate plate to the hook members 34. The nuts 74 engages surfaces on opposite sides of the oblong openings 56 to clamp the surface 60 of the elongate plate against upper surfaces 76 of the hook members 34. The longitudinal rods 10 are connected to the vertebrae V by the fasteners 14 and connectors 16. The hook members 34 are then connected to the rods 10 by the set screws 48. The elongate plate 36 is placed over the hook members 34 with the hook members in the recesses 64 and the set screws 48 extending through the oblong openings 56. The position of the plate 36 is adjusted by sliding the plate relative to the hook members 34 along the longitudinal axis of the plate. The nuts 74 are threaded onto the set screws 48 to clamp the plate 36 to the hook members 34. Although the elongate plate 36 has been described as having two oblong openings 56, it is contemplated that the plate could have one oblong opening and one round opening for receiving a set screw 48. The position of the plate 36 would not be adjustable relative to one of the hook members 34. Another embodiment of the transverse connector of the present invention is illustrated in Figs. 5-7. Longitudinal rods 110 are connected to vertebrae (not shown) by connectors and fasteners (not shown) as described in connection with the embodiment of Fig. 1. At least one transverse connector 130 (Figs. 5 and 6) interconnects the longitudinal rods 110 to block relative movement between the rods. The transverse connector 130 includes a pair of identical hook members 134 and an elongate plate 136. The hook members 134 (Fig. 6) are identical to the hook members 34 described in connection with the embodiment of Figs. 1-4 and, therefore, will not be described in detail. Each hook member 134 includes a hook portion 140 extendable around a portion of the rod 110. Axially spaced arcuate surfaces (not shown) on the hook portion 140 engage the rods 110 at axially spaced locations. The hook member 134 includes a threaded opening 146 for receiving a set screw 148 which clamps the rod 110 to the hook portion 140. The elongate plate 136 includes an oblong opening 156 (Figs. 6 and 7) through which the set screws 148 extend. The oblong opening 156 permits adjustment of the position of the elongate plate 136 relative to the hook members 134. The plate 136 includes a pair of lip portions 158 (Fig. 7) extending from a surface 160 of the plate. The lip portions 158 extend on opposite sides of the oblong opening 156 and parallel to the longitudinal axis of the oblong opening. The lip portions 158 define a recess 164 for receiving the hook members 134. The lip portions 158 include inner side surfaces 166 for engaging the hook members 134 to prevent relative pivoting between the plate 136 and the hook members. Nuts 174 (Fig. 6) threadably engage the set screws 148 to clamp the elongate plate 136 to the hook members 134. The nuts 174 engage surfaces adjacent the elongate opening 156 to clamp the surface 160 of the plate to upper surfaces 176 of the hook members 134. The longitudinal rods 110 are connected to the vertebrae V by fasteners and connectors as described in connection with the embodiment of Figs. 1-4. The hook members 134 are then connected to the rods 110 by the set screws 148. The plate 136 is placed over the hook members 134 with the hook members in the recess 164 and the set screws 148 extending through the oblong opening 156. The position of the plate 136 is adjusted by sliding the plate relative to the hook members 134 along the longitudinal axis of the plate. The nuts 134 are threaded onto the set screws 148 to clamp the plate 136 to the hook members 134. Although the present invention has been shown interconnecting a pair of longitudinal rods, it is contemplated that the transverse connectors of the present invention could be used to interconnect a pair of longitudinal plates. It is also contemplated that the elongate plates of the present invention may not include lip portions for engaging the hook members. From the above description of the invention, those skilled in the art will perceive improvements, changes and modifications. Such improvements, changes and modifications within the skill of the art are intended to be covered by the appended claims.

Claims: An apparatus for interconnecting a pair of longitudinal members (10, 10) extending substantially parallel to each other and connectable with vertebrae (V) of a spinal column (C), said apparatus comprising: a first connector member (34) connectable with one of the longitudinal members (10, 10), said first connector member (34) including a hook portion (40) extendable around a portion of the one longitudinal member (10); first means (48) for connecting the one longitudinal member (10) to said hook portion (40) of said first connector member (34), said first connecting means (48) comprising a set screw (48) threadably engaging said first connector member (34), said set screw (48) being engageable with the one longitudinal member (10) to clamp the one longitudinal member (10) to said hook portion (40); a second connector member (34) connectable with the other longitudinal member (10); and means (36) for interconnecting said first and second connector members (34, 34), extending between said first and second connector members (34, 34) and transverse to the longitudinal members (10, 10); characterized by second means (74) for releasably connecting said interconnecting means (36) to said first connector member (34) after said first connecting means (48) has connected said hook portion (40) to the one longitudinal member (10), and said interconnecting means (36) includes a plate member (36) formed to include an aperture (56, 156), whereby the first connecting means (48) extends through the aperture (56, 156). An apparatus as set forth in claim 1, characterized in that said second connecting means (74) comprises a nut (74) threadably engaging said set screw (48), said nut (74) engaging said interconnecting means (36) to clamp said interconnecting means (36) to said first connector member (34). An apparatus as set forth in claim 1 or 2, characterized in that the aperture (56, 156) in said plate member (36) is oblong to permit adjustment of the relative positions of said plate member (36) and said first connector member (34). An apparatus as set forth in claim 1, characterized in that said second connector member (34) includes a hook portion (40) extendable around a portion of the other longitudinal member (10). An apparatus as set forth in claim 4, characterized in that it further includes third connecting means (48) for connecting the other longitudinal member (10) to said hook portion (40) of said second connector member (34), and fourth connecting means (74) for connecting said interconnecting means (36) to said second connector member (34). An apparatus as set forth in claim 4, characterized in that said third connecting means (48) comprises a set screw (48) threadably engaging said second connector member (34) and engageable with the other longitudinal member (10) to clamp the other longitudinal member (10) to said second connector member (34); said fourth connecting means (74) comprising a nut (74) threadably engaging said set screw (48) and engaging said interconnecting means (36) to clamp said interconnecting means (36) to said second connector member (34). An apparatus as set forth in claim 6, characterized in that said plate member (36) includes means (58) engaging said first connector member (34) to prevent pivoting of said plate member (36) relative to said first connector member (34). An apparatus as set forth in claim 7, characterized in that said plate member (36) includes surface means (66, 166) defining a first recess (64, 164) for receiving said first connector member (34, 134), said surface means (66, 166) engaging said first connector member (34, 134) to prevent pivoting of said plate member (36) relative to said first connector member (34, 134). An apparatus as set forth in claim 8, characterized in that said second connector member (34) is received in the first recess (64, 164), said surface means (66, 166) engaging said second connector member (34) to prevent pivoting of said plate member (36) relative to said second connector member (34). An apparatus as set forth in claim 8, characterized in that said plate member (36) includes surface means (66, 166) defining a second recess (64, 164) for receiving said second connector member (34), said surface means (66, 166) defining the second recess (64, 164) engaging said second connector member (34) to prevent pivoting of said plate member (36) relative to said second connector member (34). An apparatus as set forth in claim 6, characterized in that it further includes means for connecting (48) said second connector member (34) to the other longitudinal member (10) extending through the aperture (56, 156) in said plate member (36). An apparatus as set forth in claim 10, characterized in that it further includes means for connecting (48) said second connector member (34) to the other longitudinal member (10), said plate member (36) including a second aperture (56), said means for connecting (48) said second connector member (34) to the other longitudinal member (10) extending through the second aperture (56). An apparatus as set forth in claim 6, characterized in that said plate member (36) includes third and fourth portions (58, 58) extending from said surface of said plate member (36) having surface means (66) defining a second recess (64) for receiving said second connector member (34), said second connector member (34) engaging said surface means (66) defining the second recess (64) to prevent pivoting of said plate member (36) relative to said second connector member (34). An apparatus as set forth in claim 13, characterized in that said plate member (36) includes a second aperture (56) through which a portion of said second connector member (34) is extendable. An apparatus as set forth in claim 14, characterized in that said second connector member (34) includes a hook portion (40), a set screw (48), and a nut (74), said set screw (48) being engageable with the second longitudinal member (10) to clamp the second longitudinal member (10) to said hook portion (40), said set screw (48) extending through the second aperture (56) in said plate member (36), said nut (74) threadably engaging said set screw (48) to clamp said plate member (36) to said hook portion (40).

Inventors: DINELLO ALEXANDRE M, DORSKY STEVEN G, IBRAHIM KAMAL N, DINELLO, ALEXANDRE M., DORSKY, STEVEN G., IBRAHIM, KAMAL N.
Applicants: DEPUY ACROMED INC, DEPUY ACROMED, INC.
Application year: 1995
Main classification: A61B17
IPC codes: A61B17, A61F5