Surgery – Instruments – Orthopedic instrumentation
Reexamination Certificate
2001-03-27
2002-12-03
Philogene, Pedro (Department: 3732)
Surgery
Instruments
Orthopedic instrumentation
C606S075000, C606S075000, C623S017110
Reexamination Certificate
active
06488682
ABSTRACT:
BACKGROUND OF THE INVENTION
The present invention relates to spinal implants for osteosynthesis devices and, more particularly, to a spinal implant, a driver tool specifically suited for the spinal implant, and a nut guide suited for the spinal implant.
In recent years, various research and development have been attempted to provide a spinal implant that is designed to achieve adaptation to differences in alignment, augulation and depth of penetration of adjacent spinal implants anchored to vertebral bodies which are spaced from one another.
One of such implants is disclosed in U.S. Pat. No. 5,154,719. This device includes a head portion having a pair of upright branches which are internally threaded and which has a U-shaped recess, and a screw portion projecting from the head portion. A connecting rod is received in the two branches, which are fixed in place by means of a ring member. During this operating step, there exist some difficulties in precisely adjusting the orientation of the U-shaped recesses of the spaced spinal implants anchored in vertebral bodies, angulation of the spinal implants and depth of the spinal implants, with a resultant undesirable fixation of the implants and the connecting rod. Since, further, the screw portion is composed of a solid material and the screw portion is merely anchored in the vertebral body. Accordingly, after the spinal implant penetrates in the vertebral body, fixation of the spinal implant is unstable and is liable to be undesirably affected with external forces when they are applied to the spinal implants.
U.S. Pat. No. 5,879,351 discloses a spinal osteosynthesis device comprising at least one vertebral rod, pedicle screws and deformable connectors. In this prior art, each of the pedicle screws is composed of the same solid material as in the prior art discussed above, and a difficulty is similarly encountered in reliably fixing the pedicle screw in the vertebral body. Further, each of the deformable connectors has an oblong opening through which a head portion of the screw extends and each connector is resiliently supported between a cylindrical base and a nut, with a given space being provided for permitting relative movement of the vertebral rod. With such a structure, the spinal implant is caused to have a large number of component parts, resulting in a complicated structure and an increased cost.
In known techniques, it has been a usual practice to lock a plug into the spinal implant by means of a tool holder. In practice, there are two types of head section formed with two upright branches, that is, a first type of head section having an internally formed thread, and a second type of head section having an outwardly formed thread. In the first type, the plug is screwed in the internal thread of the head section. In this event, the two branches are loosened, thereby providing a difficulty in tightly locking the connecting rod in the spinal implant. On the contrary, in the second type, the plug is screwed onto the outer thread of the head section. In this event, an outer periphery of the plug has a hexagonal profile, and a driver tool having a hexagonal groove is brought into engagement with the outer hexagonal wall of the plug for rotating the plug. In this event, since the driver tool has an outer diameter larger than that of the plug, increasing an occupying space for rotating the driver tool. Under these conditions, when two spinal implants are anchored in adjacent vertebral bodies in a relationship closer to one another, the outer periphery of the driver tool is liable to interfere with the adjacent plug of the spinal implant, causing difficulties in rotating operation of the driver tool.
SUMMARY OF THE INVENTION
The present invention has been made with a view to overcoming the various disadvantages encountered in prior art devices and it is therefore an object of the present invention to provide a spinal implant for an osteosynthesis device, a driver tool for rotating the spinal implant, and a nut guide for guiding the implant body and the driver tool.
According to a first aspect of the present invention, there is provided a spinal implant for an osteosynthesis device having a vertebral connecting rod for interconnecting vertebral bodies spaced from one another. The spinal implant comprises an implant body including a head section having a threaded portion and a rod retaining recess opening outward for retaining the connecting rod therein, and an anchoring screw section longitudinally extending from the head section and adapted to be screwed into the vertebral body, a retaining plug coupled to the head section of the implant body to maintain the connecting rod in place, and rod movement stabilizing means directly located in at least one of the rod retaining recess and the retaining plug for allowing pivotal movement of the connecting rod in the retaining recess, thereby preserving mobility to the connecting rod.
According to a second aspect of the present invention, there is provided a driver tool for a spinal implant having an implant body and an anchoring screw portion, and a nut member screwed onto a head portion of the implant body and having an upper wall formed with a tool engagement groove. The driver tool comprises an elongated shaft, and a tubular tool end having substantially the same diameter as that of the nut member, the tubular tool end having an engaging segment adapted to engage with the engagement groove formed on the upper wall of the nut member.
According to a third aspect of the present invention, there is provided a nut guide for guiding a nut member of a spinal implant having an implant body and an anchoring screw section, and for guiding a driver tool having a lower end formed with a nut engagement tip, wherein a vertebral connecting rod is retained with a pair of the spinal implant to be anchored into vertebral bodies. The nut guide comprises a grip section, and a hollow cylindrical shaft extending from the grip section and adapted to permit insertion of the driver tool therein, the cylindrical shaft having a lower distal end formed with a rod engaging segment for engaging with and retaining the connecting rod to place the lower distal end in a fixed place, and a threaded bore formed rearward of the rod engaging segment for momentarily receiving the nut member therein. The cylindrical shaft allows the driver tool to pass therein such that the nut engagement tip is brought into engagement with the nut member guided with the cylindrical shaft to move the nut member from the threaded bore to the implant body of the spinal body.
Other aspect and advantages of the invention will become more apparent from the following description, taken in conjunction with the accompanying drawings, illustrating by way of example the principles of the invention.
REFERENCES:
patent: 5154719 (1992-10-01), Cotrel
patent: 5496321 (1996-03-01), Puno et al.
patent: 5536268 (1996-07-01), Griss
patent: 5658285 (1997-08-01), Marnay et al.
patent: 5879351 (1999-03-01), Viart
patent: 5910142 (1999-06-01), Tatar
patent: 5984923 (1999-11-01), Breard
patent: 6019760 (2000-02-01), Metz-Stavenhagen et al.
patent: 6-38977 (1990-02-01), None
patent: 11-318932 (1999-11-01), None
Ina Noriyuki
Kikuchi Shin-ichi
Konno Shinichi
Oribe Kazuya
Takamido Hiroshi
Greenblum & Bernstein P.L.C.
Philogene Pedro
Showa Ika Kohgyo Co., Ltd.
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