Abstract:
Various exemplary methods and devices are provided for fixing bone anchors to bone. In general, the methods and devices can allow for a bone anchor to be fixed to a bone at a desired angle to a receiver member. In an exemplary embodiment, a bone anchor assembly is provided that includes a bone anchor configured to engage bone, a receiver member that seats a spherical head of the bone anchor and a spinal fixation element, a compression member seated within the receiver member, proximally of the head of the bone anchor, and a closure mechanism seated within the receiver member, proximally of the compression member. One or more of the receiver member, the compression member, and the closure mechanism can have gripping features thereon configured to secure the bone anchor and/or the spinal fixation element within the receiver member, thereby reducing a risk of slippage of the bone anchor and/or the spinal fixation element with respect to the receiver member.
Abstract:
Bone anchor assemblies are disclosed herein and include bone anchors, receiver members, and closure mechanisms. In one embodiment, a receiver member can be configured to seat a portion of a bone anchor and to receive a spinal fixation element, such as a rod. In an exemplary embodiment, the receiver member is bottom-loading and can include a seat having an opening that can be selectively increased and decreased in size so as to allow a bone anchor to be bottom-loaded. A force can be applied to the receiver member to increase a size of the opening, allowing a portion of the anchor to pass through the opening and into the seat. A closure element can be coupled to the receiver member and can apply a force to decrease a size of the seat and a size of the opening, angularly fixing the receiver member relative to the bone anchor.
Abstract:
Bone anchor assemblies and methods are provided having a multi-component bone anchor that is configured to allow the shank of the bone anchor to be bottom loaded into a receiver member. In one embodiment, a bone anchor assembly is provided having a shank with a distal threaded portion and a proximal head portion, a ball having a spherical exterior surface and a central lumen sized to receive the head portion of the shank, and a clip configured to be engaged between the head portion and the ball such that the clip is effective to lock the ball in engagement with the shank.
Abstract:
Various exemplary methods and devices are provided for fixing bone anchors to bone. In general, the methods and devices can allow for a bone anchor to be fixed to a bone at a desired angle to a surface of the bone. In an exemplary embodiment, a bone anchor assembly is provided that includes a bone anchor configured to engage bone, a receiver member for seating a head of the bone anchor, and a compression member for securing the bone anchor at fixed angle with respect to the receiver member when the compression member is seated within the receiver member. Corresponding engagement features of the compression member and the receiver member can be engaged in a secured configuration to inhibit or prevent removal of the compression cap from the receiver member and optionally to substantially prevent longitudinal and/or rotational movement of the compression member with respect to the receiver member.
Abstract:
Bone anchor assemblies and methods are provided having a multi-component bone anchor that is configured to allow the shank of the bone anchor to be bottom loaded into a receiver member. In one embodiment, a bone anchor assembly is provided having a shank with a distal threaded portion and a proximal head portion, a receiver member having an aperture formed in a distal end thereof through which the head portion of the shank can be received, the receiver member defining a polyaxial seat, a non-expandable outer ring configured to be polyaxially disposed within the polyaxial seat of the receiver member and defining a central opening through which the head portion of the shank can be received, and an expandable inner ring having an inner surface configured to mate with the head portion of the shank and an outer surface configured to mate with an inner surface of the outer ring to thereby lock the outer ring in a fixed position relative to the shank.
Abstract:
Various exemplary methods and devices are provided for fixing bone anchors to bone. In general, the methods and devices can allow for a bone anchor to be fixed to a bone at a desired angle to a receiver member. In an exemplary embodiment, a bone anchor assembly is provided that includes a bone anchor configured to engage bone, a receiver member that polyaxially seats a spherical head of the bone anchor, and a compression member seated within the receiver member, proximally of the head of the bone anchor. The compression member can have a distal end with gripping features thereon configured to create at least one line contact and/or one band contact with the head of the bone anchor, thus providing a firm grip on the head of the bone anchor and reducing a risk of slippage of the bone anchor with respect to the receiver member.
Abstract:
Devices and methods for bending or cutting implants are disclosed herein. In some embodiments, an instrument can convert a rotational input force (e.g., supplied by a powered driver tool) into movement of a first rod holder with respect to a second rod holder. Such movement can form a bend in a rod or other implant held by the first and second rod holders. Various mechanisms for converting this movement are disclosed, such as a worm drive mechanism and a conical gear mechanism, as are various types of rod holders, including orbiting rollers, lid-type rod holders, fixed and pivoting half-pipe rod holders, and full-pipe rod holders. In some embodiments, the instrument can also be used for cutting, for example by rotating a cutting wheel with respect to a cutting plate to cut a rod or other implant inserted through openings formed in the cutting wheel and the cutting plate.
Abstract:
Devices and methods for bending or cutting implants are disclosed herein. In some embodiments, an instrument can include a rotatable drive shaft that urges first and second portions of a modular bending or cutting template toward one another to bend or cut an implant disposed between the template portions. A linkage assembly can be included to provide a mechanical advantage in urging the template portions toward one another. In some embodiments, an instrument can include a rotatable drive shaft that, depending on direction of rotation, pushes or pulls a first modular template portion with respect to a second modular template portion to bend an implant disposed between the template portions in one direction or another direction. In some embodiments, an instrument can include a worm drive that rotates a cutting wheel with respect to a cutting plate to cut an implant inserted through openings formed in the cutting wheel and the cutting plate.
Abstract:
Devices and methods for bending or cutting implants are disclosed herein. In some embodiments, an instrument can convert a rotational input force (e.g., supplied by a powered driver tool) into movement of a first rod holder with respect to a second rod holder. Such movement can form a bend in a rod or other implant held by the first and second rod holders. Various mechanisms for converting this movement are disclosed, such as a worm drive mechanism and a conical gear mechanism, as are various types of rod holders, including orbiting rollers, lid-type rod holders, fixed and pivoting half-pipe rod holders, and full-pipe rod holders. In some embodiments, the instrument can also be used for cutting, for example by rotating a cutting wheel with respect to a cutting plate to cut a rod or other implant inserted through openings formed in the cutting wheel and the cutting plate.
Abstract:
Driver instruments are disclosed herein with various features for improving usability, easing the task of cleaning or sterilizing the instrument, reducing patient trauma associated with use of the instrument, and/or reducing the cost and assembly burden of the instrument. For example, a driver instrument can include a guide sleeve to protect patient tissue from damage caused by rotating components of the instrument or a bone anchor assembly coupled thereto, and to protect extension tabs of the bone anchor assembly from inadvertent separation. By way of further example, an instrument can include a preload assembly for maintaining engagement of a driver shaft of the instrument with a bone anchor assembly. As yet another example, an instrument can consist of a small number of components which are configured for simple, tool-free assembly and disassembly. An instrument can also be configured for use with bone anchor assemblies with and without extension tabs.