Bone Implant Having Tether Band

Abstract

Devices and methods useful in surgical processes that require structural attachment to bone such as spinal vertebrae. More specifically, an improved bone implant having a band there through for the purpose of correcting and/or preventing curvature of the spine.

Claims

1. A bone implant for treatment of skeletal abnormalities in an individual, the bone implant comprised of: staple; a one screw; and a locking screw.

2. The bone implant of claim 1, wherein the staple includes a domed upper surface and a domed lower surface, the domed upper surface and domed lower surface having rounded edges for reduction of irritation of soft tissue surrounding the bone associated with the implant.

3. The bone implant of claim 2, wherein the staple further includes a plurality of spikes protruding from the domed lower surface such that the spikes facilitate stable attachment to and dispersion of forces on the bone associated with the implant.

4. The bone implant of claim 1, wherein the hone screw is comprised of a first tapered end and second flat end, the first tapered end and a second flat end, the first tapered end and the second flat end defining the body and length of the bone screw therebetween.

5. The bone implant of claim 1, wherein the bone screw includes threads disposed along the outer circumference of the length of said bone screw, the threads being of varying patterns or pitches.

6. The bone implant of claim 4, wherein the staple has at least an inner, lower set of threads corresponding to the threads adjacent to the second flat end of the bone screw such that the staple and bone screw lock together once tightened into place within the associated bone.

7. The bone implant of claim 1, there the staple and the bone screw are integrated in a single unit, the single unit having a first tapered end and a second flat end.

8. The bone implant of claim 1, wherein the locking screw is comprised of a domed upper surface and a domed lower surface, the domed upper surface and domed lower surface defining the body of the locking screw.

9. The bone implant of claim 1, wherein the staple and the bone screw each possess a corresponding cut our, the cut out accommodating the placement of a tether cord.

10. The bone implant of claim 1, wherein the complete inserted implant creates a smooth margin with the associate bone.

11. A method of installing the hone implant of claim 1 for the treatment of skeletal abnormalities in an individual, the method comprising: attaching a staple to a vertebrae of the spine of a patient; inserting a bone screw through the staple and into the vertebrae; tightening the hone screw using a screwdriver tool; aligning a tether cord perpendicular to the vertebrae and along a cut-out in the top of the staple; inserting the locking screw into an exposed flat end of the bone screw; and tightening the locking screw using a screwdriver tool; wherein the tightening of the locking screw secures the bone implant into the vertebrae to which it is attached.

12. The bone implant of claim 11, wherein the staple includes a domed upper surface and a domed lower surface, the domed upper surface and domed lower surface having rounded edges for reduction of irritation of soft tissue surrounding the bone associated with the implant.

13. The bone implant of claim 22, wherein the staple further includes a plurality of spikes protruding from the domed lower surface such that the spikes facilitate stable attachment to and dispersion of forces on the bone associated with the implant.

14. The bone implant of claim 13, wherein the bone screw is comprised of a first tapered end and second flat end, the first tapered end and a second flat end, the first tapered end and the second flat end defining the body and length of the bone screw therebetween.

15. The bone implant of claim 11, wherein the bone screw includes threads disposed along the outer circumference of the length of said bone screw, the threads being of varying patterns or pitches.

16. The bone implant of claim 14, wherein the staple has at least an inner, lower set of threads corresponding to the threads adjacent to the second flat end of the bone screw such that the staple and bone screw lock together once tightened into place within the associated bone.

17. The bone implant of claim 17, there the staple and the bone screw are integrated in a single unit, the single unit having a first tapered end and a second flat end.

18. The bone implant of claim 11, wherein the locking screw is comprised of a domed upper surface and a domed lower surface, the domed upper surface and domed lower surface defining the body of the locking screw.

19. The bone implant of claim 11, wherein the staple possesses a corresponding coat out, the cut out accommodating the placement of a tether cord.

20. The bone implant of claim 11, wherein the complete inserted implant creates a smooth margin with the associate bone.

Description

BRIEF DESCRIPTION OF DRAWINGS

[0040] The novel features of this invention, as well as the invention itself, both as to its structure and its function, will be best understood from the accompanying drawings, taken in conjunction with the accompanying description, in which similar reference characters refer to similar parts, and in which:

[0041] FIG. 1 illustrates a rear view of a spine having an exemplary curvature deformity;

[0042] FIG. 2 illustrates a side view of a spine having a plate and screw affixed to a side vertebrae;

[0043] FIG. 3 illustrates an additional side view thereof showing a screw configured to receive a cord there through;

[0044] FIG. 4 illustrates an exploded view of the components of the present invention;

[0045] FIGS. 5(a) and (b ) illustrate an exemplary threaded staple of the present invention; (a) shows a top perspective view and (b) shows a side perspective view;

[0046] FIG. 6(a)-(d) illustrate an exemplary attachment screw of the present invention; (a) shows a side perspective view, (b) shows a side view, (c) shows a top perspective view and (d) shows a cross-section view;

[0047] FIG. 7(a)-(c) illustrate an exemplary set screw of the present invention; (a) shows a top perspective view, (b) shows a side perspective view and (c) shows a side view;

[0048] FIG. 8 illustrates a side perspective view of the screwdriver tool of the present invention; and

[0049] FIG. 9(a)-(c) illustrates an exemplary staple/screw combination of the present invention; (a) shows a top view, (b) shows a side view of a first embodiment and (c) shows a side view of an alternative embodiment.

DETAILED DESCRIPTION OF THE INVENTION

[0050] With regard to FIG. 1, the rear view of a spine having scoliosis is shown by way of background. FIG. 2 and FIG. 3 are illustrative of procedure affixing a plate/staple to a side of the anterior vertebrae of the spine. A screw configured through the plate has a head configured to receive a cord that can be tightened. Tightening of the cord provides compressive forces to one side of the spine while providing tensile forces to the opposite side during normal growth of the spine in juveniles.

[0051] As can be seen in FIG. 3, the screw utilized in the prior art procedure in the posterior of the spine has a high profile which is uncomfortable when protruding from one side of the spine potentially aggravating the patient's lung and/or other surrounding tissues. The improved spine implant of the present invention is shown in FIG. 4. The hone implant 100 is further comprised of staple 10, bone screw 20 and locking screw 30 which when combined with a tether cord provides improvements to spine implants over the prior art. A plurality of bone implants 100 may be utilized along the length of the spine as necessary in order to facilitate correction of existing curvature.

[0052] With regard to FIG. 5a and 5b, staple 10 is shown in greater detail. In particular, staple 10 serves to facilitate locking of the tether cord (not shown) to bone implant 100 as well as disperse forces along the vertebral bone to which it is attached. In an exemplary embodiment, staple 10 is comprised, of a domed upper surface 11 and domed lower surface 12, lower surface 12 having a plurality of spikes 13 for penetrating the vertebral bone. The domed shape of staple 10 serves to create smooth margins thereby eliminating any irritation of surrounding soft tissue and also more accurately matching the structural anatomy of the vertebral bone to which it is attached. Staple 10 may further include lower inner threads 14 for engaging with a bone screw 20 (not shown) thereby locking the staple 10 and hone screw 20 (not shown) together. Lower inner threads 14 may also accommodate a tool for installing staple 10 to the vertebral bone surface. Staple 10 may further include upper inner threads 15 for engaging with the locking screw 30 (not shown) thereby locking staple 10 and locking screw 30 (not shown) together. Staple 10 may also include an inner flat surface 17 to which locking screw 30 (not shown) will abut when secured and lock the tether cord within the implant. Domed upper surface 11 may have a cut-out 16 for accommodation of the tether cord. In a preferred embodiment, the cut-out 16 extends downward to intersect with the inner flat surface 17. A special instrument may interact with a further feature around the circumference or any surface of staple 10 to facilitate tensioning of the tether cord and implant complex.

[0053] With regard to FIG. 6a-d, bone screw 20 is shown in greater detail. In particular, bone screw 20 secures staple 10 to the vertebral bone thereby locking staple 10 into place. In an exemplary embodiment, bone screw 20 is comprised of a tapered first end 21 and a flattened second end 22, as illustrated in FIGS. 6a and 6b. Flattened second end 22 may further include a tool feature 23 for instrument engagement. Flattened second end 22 may also include a cut-out 25 to accommodate at tightening instrument. Threads 24 of bone screw 20 may have separate and/or varying patterns or pitches alone the length of hone screw 20, including but not limited to, a combination of cancellous and cortical thread patterns or pitches to maximize attachment to the vertebral bone. Bone screw 20 may further include differing or varying diameters along its length. FIG. 6c shows a clear view of tool feature 23 and FIG. 6d illustrates tool feature 23 extending through the entire length of the bone screw 20.

[0054] With regard to FIG. 7a-c, locking screw 30 is shown in greater detail. In particular, locking screw 30 serves to lock or secure the tether cord component between staple 10 and locking screw 30. In an exemplary embodiment, locking screw 30 is comprised of domed upper surface 31 and domed lower surface 32, whereby domed upper surface 31 creates a smooth margin so as to not irritate soft tissue surround the spine and domed lower surface 32 creates a locking force against the tether cord without causing damage. The length of locking screw 30 further includes threads 33 which lock the locking screw 30 into staple 10 of the implant system. Domed upper surface 31 further includes a tool feature 34 in the center, or other location(s), for a screwdriver instrument to engage. Alternatively, locking screw 30 may have protrusion on domed lower surface 32 to assist in securing the tether cord.

[0055] The tether cord component of the implant system is positioned between and adjacent to staple 10 and bone screw 20 within the cut-out 16 of staple 10 and connects adjacent implant systems attached to adjacent vertebrae. The tether cord allows for tensioning of adjacent implant systems. The tether cord may be flat, round, oblong, elliptical or any other shape desired and may be composed of a synthetic, natural or biologic material.

[0056] With regard to FIG. 8, an exemplary screwdriver tool 40 is illustrated. Screwdriver tool 40 is comprised of a neck 41 having a handle 42 at the first end and a tool instrument 43 at the second end. Tool instrument 43 corresponds in shape to the tool features of staple 10, hone screw 20 and locking screw 30.

[0057] With regard to FIG. 9a-c an exemplary staple/bone screw 50 in a single unit is illustrated. In particular, the staple/bone screw 50 may or may not have a plurality of spikes for fixation of the staple/bone screw to bone and dispersal of forces. The staple/bone screw 50 is comprised of a tapered first end 51 resembling bone screw 20 (not shown) and a domed top end 52 resembling a staple 10 (not shown). The domed top end 52 of staple/bone screw 50 is further comprised of cut-out 55 to accommodate a tether cord, tool feature 53 and inner threads 57 for locking of the locking screw (not shown). The length of staple/bone screw 50 includes uniform threads 54 or varied threads 56.

[0058] While the particular invention as herein shown and disclosed in detail is fully capable of obtaining the objects and providing the advantages herein before stated, it is to be understood that it is merely illustrative of the presently preferred embodiments of the invention and that no limitations are intended to the details of construction or design herein shown other than as described in the appended claims.

[0059] Insubstantial changes from the claimed subject matter as viewed by a person with ordinary skill in the art, now known or later devised, are expressly contemplated as being equivalently within the scope of the claims. Therefore, obvious substitutions now or later known to one with ordinary skill in the art are defined to be within the scope of the defined elements.