Source: http://www.google.com/patents/US20070225708?ie=ISO-8859-1&dq=5,646,839
Timestamp: 2015-07-07 01:23:51
Document Index: 211351573

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Patent US20070225708 - Dynamic stabilization device for bones or vertebrae - Google PatentsSearch Images Maps Play YouTube News Gmail Drive More »Sign inAdvanced Patent SearchPatentsA dynamic stabilization device for bones or vertebrae is provided which includes at least two bone anchoring elements, at least one connection element, connecting the bone anchoring elements. Each bone anchoring element includes a shank portion to be anchored in the bone or in the vertebra and a head...http://www.google.com/patents/US20070225708?utm_source=gb-gplus-sharePatent US20070225708 - Dynamic stabilization device for bones or vertebraeAdvanced Patent SearchPublication numberUS20070225708 A1Publication typeApplicationApplication numberUS 11/645,325Publication dateSep 27, 2007Filing dateDec 21, 2006Priority dateDec 23, 2005Also published asCN1985771A, CN1985771B, DE602005012980D1, EP1800614A1, EP1800614B1, EP2055251A1, EP2055251B1, US8192468, US8979902, US20120283779Publication number11645325, 645325, US 2007/0225708 A1, US 2007/225708 A1, US 20070225708 A1, US 20070225708A1, US 2007225708 A1, US 2007225708A1, US-A1-20070225708, US-A1-2007225708, US2007/0225708A1, US2007/225708A1, US20070225708 A1, US20070225708A1, US2007225708 A1, US2007225708A1InventorsLutz Biedermann, Wilfried Matthis, Helmar RappOriginal AssigneeLutz Biedermann, Wilfried Matthis, Helmar RappExport CitationBiBTeX, EndNote, RefManReferenced by (3), Classifications (7), Legal Events (4) External Links: USPTO, USPTO Assignment, EspacenetDynamic stabilization device for bones or vertebrae
BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 shows a perspective view of a dynamic stabilization device according to a first embodiment. FIG. 2 shows a sectional view of a bone anchoring element of the dynamic stabilization device according to the first embodiment with the elastic loop inserted. FIG. 3 shows an exploded perspective view of the bone anchoring element according to FIG. 2. FIG. 4 shows a dynamic stabilization device according to a second embodiment. FIG. 5 shows a sectional view of a bone anchoring element according to the second embodiment with the elastic loops inserted. FIG. 6 shows an exploded view of the bone anchoring element of the dynamic stabilization device of the second embodiment without the elastic loops. FIG. 7 shows a modification of the elastic loop. FIG. 8 shows a second embodiment of the elastic loop in a perspective view. FIG. 9 shows a modification of the second embodiment of the elastic loop in a perspective view. FIG. 10 shows a sectional view of the elastic loop of FIG. 9 in a plane extending in a perpendicular direction to the longitudinal axis L of the loop along A-A. DETAILED DESCRIPTION A first embodiment of the dynamic stabilization device which is shown in FIG. 1 includes at least two bone anchoring elements 1, 1′. Each bone anchoring element 1, 1′ has a shank portion 2 with a bone thread for anchoring in the bone and a receiving part 3 connected to the shank portion 2. The receiving part 3, which is also referred to herein as the head portion, has a recess 4 in which an endless elastic loop 5 is inserted so as to connect the two bone anchoring elements 1, 1′. A securing element 6 is provided to secure the endless elastic loop 5 in the receiving part 3 of the bone anchoring element 1, 1′. As can be seen from FIGS. 1 to 3, the bone anchoring element 1 has at one end of the shank portion 2 and a head 7 which is in this embodiment shaped as a spherical segment. At the side opposite to the shank 2, the spherical head 7 has a recess 8 for engagement with a screwing-in tool. The receiving part 3 comprises a first end 9 and a second end 10 opposite to the first end and a longitudinal axis 11 intersecting plane of the first end and a second end. Coaxially with the longitudinal axis 11 a bore 12 is provided which extends from the first end 9 to a predetermined distance from the second end 10. At the second end 10 an opening 13 is provided the diameter of which is smaller than the diameter of the bore 12. A spherical section 14 is provided adjacent to the opening 13 which forms a seat for the spherical head 7. The section 14 needs not to be a spherical section, but can have another shape such as, for example, a conically tapering shape. The recess 4 in the receiving part 3 is U-shaped starting at the first end 9 and extending in the direction of the second end 10 to a predetermined distance from the second end. By means of the U-shaped recess 4 two free legs 15, 16 are formed extending towards the first end 9. Adjacent to the first end 9, the receiving part 3 comprises an internal thread 17 on the legs 15, 16. The bone anchoring element further includes a first pressure element 18 which has a cylindrical construction with an outer diameter which is only slightly smaller than the inner diameter of the bore 12 to allow the first pressure element 18 to be introduced into the bore 12 of the receiving part 3 and to be moved in the axial direction. On its lower side facing the second end 10, the pressure element 18 includes a spherical recess 19 the radius of which corresponds to the radius of the spherical head 7 of the bone screw. On the opposite side, the first pressure element 18 has a cylindrical recess 20 which extends transversely to the longitudinal axis 11. The lateral diameter of this recess 20 is selected such that the loop 5, which has a circular cross section, can be inserted into the recess 20. The depth of this cylindrical recess 20 is selected such that in an assembled state when the loop 5 is inserted and pressed in the direction of the bottom of the U-shaped recess 4, the first pressure element 18 exerts a pressure onto the head 7. Preferably, the depth of the cylindrical recess 20 is about half of the diameter of the loop 5. The first pressure element 18 further has a coaxial bore 21 for guiding through a screwing-in tool. The bone anchoring element further comprises a second pressure element 22 with a cylindrical construction with an outer diameter corresponding to the outer diameter of the first pressure element 18 so as to be slidable in the bore 12. The second pressure element 22 has a cylindrical recess 23 on its side facing the first pressure element 18. The diameter of the cylindrical recess 23 is such that the loop 5 can fit therein and its depth is half or less than half of the diameter of the loop 5. Furthermore, the second pressure element 22 also comprises a coaxial bore 24. In an assembled state, as shown in FIG. 2, the first pressure element 18 and the second pressure element 22 encompass the loop 5. As can be seen in particular in FIGS. 2 and 3, the first pressure element 18 and the second pressure element 22 are inserted into the receiving part 3 in such a manner that the orientation of the cylindrical recesses 20 and 23 corresponds to the orientation of the U-shaped recess 4 an upper edge 27 a of the first pressure element 18 abuts a lower edge 29 a of the second pressure element 22. Hence, the loop 5 is clamped between the first pressure element 18 and the second pressure element 22. The securing element 6 is in the embodiment shown formed as an inner screw which can be screwed-in between the legs 15, 16. On its side facing the receiving part 3, the inner screw 6 has a projection 25 which fits into the coaxial bore 24 of the second pressure element 22. In the assembled state shown in FIG. 2, the projection 25 contacts the loop 5. The internal thread 17 and the cooperating thread of the inner screw 6 can have any known thread shape. Using a flat thread or a negative angle thread, however, prevents splaying of the legs 15, 16. The receiving part 3 and the pressure element 18 can be loosely pre-assembled by means of crimp bores 32, 33 provided on opposite sides on the receiving part 3 and the first pressure element 18, respectively. The bone anchoring device can be made of biocompatible material such as stainless steel or titanium or any other material suitable for bone screws. As can be seen in FIGS. 1 and 7, the loop 5 is endless and has a substantially rectangular contour with two opposing long sides 35, 35′ and two opposing short sides 36, 36′. The length of the short sides 36, 36′ is slightly larger than the diameter of the receiving part 3 so that the short sides 36, 36′ can be inserted into the U-shaped recess 4 of the receiving part 3. The length of the long sides 35, 35′ corresponds to the distance between the receiving parts of the two anchoring elements on the operation site. The loop 5 is preferably made of an elastomeric material, such as a biocompatible plastic material, for example a polymer on the basis of polyurethane, polysilicone or PEEK. A particularly suitable material is Polycarbonate Urethane. It is fully or partially flexible. In particular, the long sides 35, 35′ are flexible. In order to avoid abrasion, the loop 5 can have a reinforcing or protective structure 37 on the short sides 36, 36′ and/or on the long sides 35, 35′. The loop 5 preferably has a circular cross section. A plurality of loops can be provided with varying dimensions such as a varying length and/or a varying diameter. They also can vary in their elastic properties. In use, at least two bone anchoring devices 1, 1′ are anchored in two bone fragments or two vertebrae which shall be dynamically stabilized. The bone anchoring devices 1, 1′ consist of the pre-assembled bone screw, receiving part and first pressure element 18. Then, the loop 5 is inserted in the receiving parts 3 of the bone anchoring elements so as to connect the receiving parts 3. Next, the second pressure element 22 is inserted in each of the receiving parts 3 to encompass the loop 5. Thereafter, the inner screw 6 is screwed-in between the legs 15, 16 of the receiving part 3. In this condition, the inner screw 6 prevents falling-out of the second pressure element 23 while the receiving part 3 is still pivotable with respect to shank 2. When tightening the inner screw 6, it presses onto the second pressure element 22 which itself presses onto the first pressure element 18 to exert a pressure onto the head 7 of the bone screw to lock the head 7 of the bone screw in its angular position. The loop 5 usually is inserted in a non-stressed condition. The required dynamic properties of the device can be easily adjusted by selecting the loop 5 which has the appropriate size and stiffness. If a loop 5 is selected which is highly flexible, it may transmit tensile forces only. If a loop 5 is selected which has a high stiffness, it may also be able to transmit compressive and bending forces. It is also possible to insert the loop 5 in a pre-stressed manner. A second embodiment is shown in FIGS. 4 to 6. The second embodiment differs from the first embodiment in that it allows insertion of two or more loops in order to connect more than two anchoring elements. In the example shown in FIG. 4 three anchoring elements 1, 1′, 1′ are connected by two endless elastic loops 50, 51, for example, to stabilize two motion segments of the spinal column. Parts of the second embodiment which are identical to those of the first embodiment are characterized with the same reference numbers and the description thereof will not be repeated. The receiving part 3 has a recess 40 which is similar to two U-shaped recesses which are combined. The bottom 41 of the recess 40 therefore has two partially cylindrical sections 41 a, 41 b which are adjacent to each other in such a manner that the two loops 50, 51 can be separately accommodated in the sections 41 a, 41 b. The first pressure element 18′ differs from the first pressure element 18 of the first embodiment in that instead of one single cylindrical recess 20 there are two adjacent cylindrical recesses 20 a, 20 b to receive the two separate loops 50, 51. Correspondingly, the second pressure element 22′ has instead of one single cylindrical recess on its side facing the first pressure element to separate cylindrical recesses 23 a, 23 b in order to cover and encompass the two loops 50, 51. In use, the procedure of anchoring the bone anchoring element and inserting the loops is the same as with the first embodiment. It is however possible with this embodiment to connect more than two bone anchoring devices as shown in FIG. 4. If three bone anchoring devices shall be connected the central bone anchoring device 1′, receives two loops. In this manner, it is possible to connect several motion segments of the spinal column using the appropriate loops required for each motion segment. If more than two adjacent vertebrae shall be stabilized, the receiving parts of the bone screws which are positioned at the respective ends of the chain can be adapted to accommodate only one single loop as those shown in FIG. 1 to 3. This modular system allows to precisely adapt the dynamic stabilization device to the respective motion segment. The system is easy to handle, since the surgeon has only to select the appropriate loop and insert the loop into the receiving part and fix it. It is even possible to use conventional polyaxial bone screws. Only the first pressure element 18, 18′ and second pressure element 22, 22′ are adapted to receive the loops and the loops themselves have to be provided in addition to the conventional equipment. In a further embodiment it is possible to add an elastomeric damper (not shown) which surrounds at least one of the long sides of a loop to maintain distance between the receiving parts 3 in a case where the loops are flexible to a greater extent. Modifications of the invention are possible. The loop does not have to have a circular cross section. It can have an oval, rectangular or square cross-section or a cross-section of another shape. The loop also can have a cross-section varying over the length of the sides, in particular over the length of the long sides. In addition, the contour needs not to be rectangular, as shown in the Figures, but can be oval or can have another shape. The loops can be highly flexible or hardly flexible. The surface needs not to be smooth, it can be textured or structured. FIG. 8 shows a second embodiment of the endless elastic loop. The loop 500 comprises a first closed loop section 501 and a second closed loop section 502 which are connected by a straight section 503. The loop 500 is connected via the first and second loop closed loop sections 501 and 502 with the corresponding receiving parts 3 of the bone screws. The loop 500 is made of an elastomeric material. In a modification, only the straight section 503 is elastic while the closed loop section 501 and 502 are stiff. The loop 500 can also have reinforcing structures to prevent abrasion. In FIGS. 9 and 10 a further modification of the loop 5, 50, 51 as shown in FIGS. 1 to 4 is shown. The loop 550 comprises two end sections 551 and a central section 553 formed by the two long sides which are drawn together by means of sleeve 554. As a result thereof, the loop 550 resembles the loop 500 shown in FIG. 8 having the two closed loop end sections 501, 502. The sleeve 554 can be made of an elastomeric material. The loop needs not to be tightly clamped between the first pressure element 18, 18′ and the second pressure element 22, 22′. It is also possible that the loops are only loosely held between the first pressure element 18, 18′ and the second pressure element 22, 22′. In a further modification the cylindrical recess of the first and/or the second pressure element can have projections (not shown), preferably extending transversely to the cylinder axis. The projections can press onto the surface of the loop in such a way that material of the loop flows, thus creating a form-fit connection. For the inner screw 6 all known modifications can be used. This includes also the use of an outer ring or nut. In the embodiment described the screw is introduced from the top into the receiving part 3. However, a screw can also be introduced from the bottom of the receiving part if the receiving part 3 is constructed to allow this. In a further modification, the receiving part 3 and the shank 2 can be rigidly connected thus presenting a monoaxial screw. In this case, the first pressure element 18, 18′ can be omitted. In a further modification also the second pressure element 22, 22′ can be omitted. In a further modification the recess 4, 40 is not open to the top of the receiving part 3 but to the lateral side. The invention is not limited to screws as bone anchoring elements but can be realized with bone hooks or any other bone anchoring element. While a particular form of the disclosure has been illustrated and described, it will be apparent that various modifications can be made without departing from the spirit and scope of the disclosure. Accordingly, it is not intended that the disclosure be limited, except as by the appended claims. Referenced byCiting PatentFiling datePublication dateApplicantTitleUS8167914Jul 16, 2008May 1, 2012Zimmer Spine, Inc.Locking insert for spine stabilization and method of useUS8252025 *Sep 3, 2008Aug 28, 2012Zimmer Spine, Inc.Vertebral fixation systemUS8795336Sep 30, 2009Aug 5, 2014Biedermann Technologies Gmbh & Co. KgBone anchoring device and stabilization device for bone parts or vertebrae comprising such a bone anchoring device* Cited by examinerClassifications U.S. Classification606/279International ClassificationA61F2/30Cooperative ClassificationA61B17/7037, A61B17/7032, A61B17/7022European ClassificationA61B17/70B1R4, A61B17/70B5BLegal EventsDateCodeEventDescriptionJun 4, 2007ASAssignmentOwner name: BIEDERMANN MOTECH GMBH, GERMANYFree format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:BIEDERMANN, LUTZ;MATTHIS, WILFRIED;RAPP, HELMAR;REEL/FRAME:019377/0182Effective date: 20070523Jan 26, 2012ASAssignmentOwner name: BIEDERMANN MOTECH GMBH & CO. KG, GERMANYFree format text: CHANGE OF LEGAL FORM;ASSIGNOR:BIEDERMANN MOTECH GMBH;REEL/FRAME:027603/0504Effective date: 20090720Mar 16, 2012ASAssignmentOwner name: BIEDERMANN TECHNOLOGIES GMBH & CO. KG, GERMANYFree format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:BIEDERMANN MOTECH GMBH & CO. KG;REEL/FRAME:027873/0551Effective date: 20120308Jan 29, 2013CCCertificate of correctionRotateOriginal ImageGoogle Home - Sitemap - USPTO Bulk Downloads - Privacy Policy - Terms of Service - About Google Patents - Send FeedbackData provided by IFI CLAIMS Patent Services