The invention relates to a plug-type connection for releasably connecting two bodies and in particular to a detachable connection between a pedicle screw and a screw driver.
For a minimally invasive and endoscopic use of surgical instruments and implants it is extremely important to establish a firm connection between screw and screwdriver. With screws having large head dimensions firm connections are no problem.
Small-headed screws having hexagon sockets present problems due to the small dimensions. It is, however, possible to use a screwdriver with a conical hexagon insert bit. Another possibility consists in turning the hexagon insert bit of the screwdriver to such an extent that it is still possible, by using some degree of force, to insert the screwdriver into the hexagon socket. The main problems with these solutions consist in a reduced strength of the drive segment and in the risk that while being manipulated the screw may fall off the screwdriver and disappear in the depth of the wound.
The reduced driving force and the risk of loosing the screw in the wound may be avoided by means of an additional screw holding sleeve. This solution, however, may require the use of a second instrument, which makes the manipulation more difficult and causes additional expenditure for instruments. In addition, the screwdriver equipped with a screw holding sleeve requires more space, which entails a higher degree of soft-tissue damage.
The present invention relates to a connection between screw and screwdriver which is resistant to tensile strain, to impact, and the strength of which is not reduced as it is rotated. In an illustrative embodiment of the invention, the operating end of the screwdriver, which is inserted into the screw head, includes, in addition to the screwdriver's drive segment properly speaking, a segment that may be wedged within the screw head.
The plug-type connection for releasably connecting two bodies according to the invention comprises on one of said bodies a first connection zone including a central axis and M connection segments extending coaxially to the central axis as well as a second connection zone, formed in the second body, including a central axis and N connection segments. The M or respectively N connection segments are coaxially arranged relative to their respective central axes and may be accomplished on any of the connection zones in the form of plugs and/or recesses, so that the first connection zone and the second connection zone form a plug-type connection extending coaxially to the central axis. In addition, the first connection zone comprises at least one connection segment having a non-circular cross-section and the second connection zone comprises at least one connection segment having a cross-section that is in positive engagement with said non-circular cross-section. Thus it is possible to achieve a rotationally stabilized, positive engagement relative to the central axis. In addition, the plug-type connection provides a non-positive engagement which is effective coaxially to the central axis. Furthermore, concerning the number of connection segments, the following conditions are applicable:
M≧1
N≧1
M−N≧2
The first connection segments may be arranged coaxially and differ from each other in shape in the different embodiments of the device according to the invention. These differences in shape may derive from different cross-sections, such as hexagon, star-shaped form with six branches, or area of a circle, or else from different diameters with identical cross-sectional shape. The same is true of the second connection segments of the second connection zone formed in the second body.
In addition to the connection segments permitting a rotationally positive engagement of the two bodies, the plug-type connection according to the invention as realized in further embodiments comprises connection segments which cooperate in such a way as to cause an axially non-positive engagement, and, in yet another embodiment, also permit a stabilization of the central axis of the plug-type connection, which is of particular interest in the case of a non-positive engagement that is exposed to force. As to the arrangement of the connection segments, Tables 1-6 show non-limiting and illustrative variants of the invention.
Variants with M × N = 3 are equally possible.
The inventive device presenting one of the plug-type connections comprises as a first body a manipulation device, particularly a screwdriver, including the first connection zone, and as a second body a screw or an osteosynthetic implant, particularly a pedicle screw, including the second connection zone so that, in use, for example, the present invention may be used in an orthopedic operation to secure a patient's spine. That is, preferably the first body is a screwdriver and the second body is a pedicle screw so that in use, the screwdriver may be used to attach one or more pedicle screws to a patient's vertebrae so that a longitudinal spinal rod may be connected thereto to align the vertebrae. The present invention ensures that the pedicle screw will not separate from the screwdriver during installation.
In another embodiment of the device according to the invention the first and the second connection zones are interchanged, so that the manipulation device, in particular the screwdriver, comprises the second connection zone and, vice versa, the screw comprises the first connection zone.
The screwdriver is provided, beside the screwdriver drive segment (e.g. hexagon insert bit) representing a first connection segment, with a frusto-conical segment (screwdriver clamping segment) representing a second connection segment. Complementarily, the drive segment of the screw (e.g. hexagon socket) representing the first connection segment, is additionally provided with a screw clamping segment representing the second connection segment. For reasons of production technology, this screw clamping segment is preferably shaped in the form of a cylindrical bore having a diameter smaller than the maximum diameter of the frusto-conical screwdriver clamping segment and larger than the respective minimum diameter. The angle of the truncated cone is selected sufficiently small (2 to 10 degrees) so that on pressing the frusto-conical clamping segment of the screwdriver into the cylindrical clamping segment of the screw it becomes wedged therein and is retained by friction. This process of becoming wedged has created a connection between screwdriver and screw which is characterized by a good tensile strength without impairing the force of the rotative drive segment. Moreover, preferably, the frusto-conical segment may be made from a deformable material, such as, for example, an elastomeric or polymeric material such as silicone rubber, polyurethane, etc. so that, in use, as the frusto-conical segment of the screw driver is inserted into the screw clamping segment of the screw, the frusto-conical segment can deform thereby increasing the overall friction of the wedge-type connection. The remaining connection segments formed on the screw driver and screw may be made from any bio-compatible material known in the art including, but not limited to, stainless steel, titanium, titanium alloy, etc.
Wedge-shaped connections suffer from the disadvantage that the connection may abruptly come loose when exposed to bending stress. In the present case, however, the risk of the wedge-type connection coming loose under bending stress is reduced by the action of the rotative drive segment: the greater the length of the drive segment is, the greater will be the stabilizing effect.
For reasons of production technology, the drive segment of the screwdriver will preferably fit in the drive segment of the screw with a certain play and the stabilizing effect on the wedge-type connection becomes smaller as the play becomes greater. The negative influence of the play may be eliminated by completing the drive segment of the screwdriver with a cylindrical stabilization segment representing a third connection zone and by modifying the screw head correspondingly. From the point of view of production technology, the two cylindrical, mating stabilization segments may readily be provided with a tight fit.
Another possibility of reducing the negative influence of the play in the area of the drive segment consists in adding to the frusto-conical screwdriver clamping segment a cylindrical stabilization segment having a diameter smaller than or equal to the minimum diameter of said frusto-conical screwdriver clamping segment. In a complementary way, the cylindrical screw clamping segment must accordingly be lengthened by adding a cylindrical screw stabilization segment. From the point of view of production technology, the two cylindrical, mating stabilization segments may present a tight fit.
In a further embodiment, the screwdriver comprises an axially resilient pressure pin which extends coaxially to its longitudinal axis. After the screw has been inserted, the pressure pin is pushed forward relative to the screwdriver and pressed against the screw. Thus, the screwdriver may be entirely pressed out of the screw head. It is possible, by means of the pressure pin, to overcome even a strong compressive force generated by the automatic locking of the wedge-type connection and thus to release the connection between screwdriver and screw.
In cases in which the posterior column is operated on using an anterior approach, there may be a need for very long screwdrivers. Due to the great length of the screwdriver, even a slight pressure exerted by the surrounding soft tissues may cause problems during the removal of the screwdriver, arising from the screwdriver getting wedged in the drive segment of the screw. Using the ejection mechanism, the screwdriver may be removed even when exposed to lateral pressure exerted by the surrounding soft tissues.
Preferably, the invention makes it possible:
to establish a shock-resistant connection between screwdriver and screw;
to avoid an impairment of the driving force;
to require only a minimum space (no screw holding sleeve necessary); and
to resolve the problem, due to the ejection mechanism, of the screwdriver getting wedged in the drive segment of the screw.
Preferred features of the present invention are disclosed in the accompanying drawings, wherein similar reference characters denote similar elements throughout the several views, and wherein:
a) to d) are views showing local sections of different embodiments of the plug-type connection according to the invention;
a) and b) are sectional views of connection zones which contain only recesses as connection segments, according to different embodiments of the invention;
a) and b) are sectional views of connection zones which contain only tenon-like segments as connection segments, according to different embodiments of the invention;
The width across flats SW of the connection segment 5.1 with a non-circular cross section Q5.1 corresponds to the diameter of the inscribed circle of this cross-section, whereas the width across corners E corresponds to the diameter of the circumscribed circle of the respective cross-section.
Preferably, the frusto-conical segment 23 representing the first connection segment 5.2 is made from a deformable material, such as, for example, elastomeric or polymeric material such as silicone rubber, polyurethane, etc. so that, in use, as the frusto-conical segment 23 is inserted into the body 2, the frusto-conical segment 23 may deform as it interacts with the circular cylindrical bore segment 13 representing the second connection segment 7.2 so that the overall friction of the wedge-type connection is increased. The remaining connection segments may be made from any bio-compatible material known in the art including, but not limited to, stainless steel, titanium, titanium alloy, etc.
In
a) to 3d) show further embodiments of the plug-type connection according to the invention and will be described as follows:
a) The body 1 which, in the present embodiment, represents a screwdriver comprises, in the order mentioned below and beginning at the front end 25, three (M=3) connection segments 5.3; 5.2 and 5.1, extending coaxially to the central axis 4 and axially adjoining one another,
The body 2 which, in the present embodiment, represents a screw comprises, in the order mentioned below and beginning at the top end 27, three (N=3) connection segments 7.1; 7.2 and 7.3, extending coaxially to the central axis 4 and axially adjoining one another,
b) The body 1 which, in the present embodiment, represents a screwdriver comprises, in the order mentioned below and beginning at the front end 25, three (M=3) connection segments 5.1; 5.2 and 5.3, extending coaxially to the central axis 4 and axially adjoining one another,
The body 2 which, in the present embodiment, represents a screw comprises, in the order mentioned below and beginning at the top end 27, three (N=3) connection segments 7.3; 7.2 and 7.1, extending coaxially to the central axis 4 and axially adjoining one another,
c) The body 1 which, in the present embodiment, represents a screwdriver, comprises three (M=3) connection segments 5.1; 5.2 and 5.3, extending coaxially to the central axis 4,
The body 2 which, in the present embodiment, represents a screw, comprises three (N=3) connection segments 7.1; 7.2 and 7.3, extending coaxially to the central axis 4,
d) The body 1 which, in the present embodiment, represents a screwdriver, comprises three (M=3) connection segments 5.1; 5.2 and 5.3, extending coaxially to the central axis 4,
The body 2 which, in the present embodiment, represents a screw, comprises three (N=3) connection segments 7.1; 7.2 and 7.3, extending coaxially to the central axis 4,
a), 4b), 5a), and 5b) comprise further embodiments of the plug-type connection according to the invention, realized as bore segments A1 to A20 formed in the body 2 and as shaft segments B1 to B18 formed in the body 1, the respective connection segments being shaped in different forms, as described in the following:
A1: connection segment 7.1 shaped in the form of a hexagon socket;
A2: connection segment 7.1 shaped in the form of a hexagon socket adjoining the top end 27, and connection segment 7.2 shaped in the form of a frusto-conical bore segment, adjoining the connection segment 7.1, with dmax≦SW;
A3: connection segment 7.2 shaped in the form of a frusto-conical bore segment, adjoining the top end 27, with dmin≧E, and connection segment 7.1 shaped in the form of a hexagon socket adjoining the connection segment 7.2;
A4: connection segment 7.1 shaped in the form of a hexagon socket adjoining the top end 27, and connection segment 7.2 shaped in the form of a circular cylindrical bore segment, adjoining the connection segment 7.1, with d≦SW;
A5: connection segment 7.2 shaped in the form of a circular cylindrical bore segment, adjoining the top end 27, with d≧E, and connection segment 7.1 shaped in the form of a hexagon socket adjoining the connection segment 7.2;
A6: connection segment 7.1 shaped in the form of a hexagon socket adjoining the top end 27, and connection segment 7.2 shaped in the form of a frusto-conical bore segment, adjoining the connection segment 7.1, with dmax≦E;
A7: connection segment 7.3 shaped in the form of a circular cylindrical bore segment, adjoining the top end 27, with a diameter D; connection segment 7.1 shaped in the form of a hexagon socket, adjoining the connection segment 7.3, with E≦D; and connection segment 7.2 shaped in the form of a frusto-conical bore segment, adjoining the connection segment 7.1, with dmax≦SW;
A8: connection segment 7.2 shaped in the form of a frusto-conical bore segment, adjoining the top end 27, with dmin≧E; connection segment 7.1 shaped in the form of a hexagon socket, adjoining the connection segment 7.2; and connection segment 7.3 shaped in the form of a circular cylindrical bore segment, adjoining the connection segment 7.1, with d≦SW;
A9: connection segment 7.3 shaped in the form of a circular cylindrical bore segment, adjoining the top end 27, with a diameter D; connection segment 7.1 shaped in the form of a hexagon socket, adjoining the connection segment 7.3, with E≦D; and connection segment 7.2 shaped in the form of a circular cylindrical bore segment, adjoining the connection segment 7.1, with d≦SW;
A10: connection segment 7.3 shaped in the form of a circular cylindrical bore segment, adjoining the top end 27, with a diameter D; connection segment 7.1 shaped in the form of a hexagon socket, adjoining the connection segment 7.3, with E<D; and connection segment 7.2 shaped in the form of a circular cylindrical bore segment, adjoining the connection segment 7.1, with d≧SW;
A11: connection segment 7.2 shaped in the form of a conical hexagon socket adjoining the top end 27, and connection segment 7.1 shaped in the form of a prismatic hexagon socket and adjoined to the connection segment 7.2 by means of an aligning transition;
A12: connection segment 7.1 shaped in the form of a prismatic hexagon socket adjoining the top end 27, and connection segment 7.2 shaped in the form of a conical hexagon socket adjoined to the connection segment 7.1 by means of an aligning transition;
A13: connection segment 7.1 shaped in the form of a hexagon socket adjoining the top end 27; connection segment 7.2 shaped in the form of a frusto-conical bore segment, adjoining the connection segment 7.1, with dmax≦SW; and connection segment 7.3 shaped in the form of a circular cylindrical bore segment, adjoining the connection segment 7.2, with d≦dmax;
A14: connection segment 7.1 shaped in the form of a hexagon socket adjoining the top end 27; connection segment 7.2 shaped in the form of a circular cylindrical bore segment, adjoining the connection segment 7.1, with D≦SW; and connection segment 7.3 shaped in the form of a circular cylindrical bore segment, adjoining the connection segment 7.2, with d≦D;
A15: identical with A7;
A16: connection segment 7.3 shaped in the form of a circular cylindrical bore segment, adjoining the top end 27, with D≧E; connection segment 7.1 shaped in the form of a hexagon socket, adjoining the connection segment 7.3; and connection segment 7.2 shaped in the form of a circular cylindrical bore segment, adjoining the connection segment 7.1;
A17: connection segment 7.3 shaped in the form of a circular cylindrical bore segment, adjoining the top end 27, with D≧dmax; connection segment 7.2 shaped in the form of a frusto-conical bore segment, adjoining the connection segment 7.3; and connection segment 7.1 shaped in the form of a hexagon socket, adjoining the connection segment 7.2, with E≧dmin;
A18: connection segment 7.3 shaped in the form of a circular cylindrical bore segment, adjoining the top end 27, with D>d; connection segment 7.2 shaped in the form of a circular cylindrical bore segment, adjoining the connection segment 7.3, with d<D; and connection segment 7.1 shaped in the form of a hexagon socket, adjoining the connection segment 7.2, with E<d;
A19: connection segment 7.2 shaped in the form of a frusto-conical bore segment, adjoining the top end 27; connection segment 7.3 shaped in the form of a circular cylindrical bore segment, adjoining the connection segment 7.2, with d≦dmin; and connection segment 7.1 shaped in the form of a hexagon socket, adjoining the connection segment 7.3, with E≦d;
A20: connection segment 7.3 shaped in the form of a circular cylindrical bore segment, adjoining the top end 27, with a diameter D; connection segment 7.2 shaped in the form of a circular cylindrical bore segment, adjoining the connection segment 7.3, with d≦D; and connection segment 7.1 shaped in the form of a hexagon socket, adjoining the connection segment 7.3, with E≦d.
In
B6: connection segment 5.1 shaped in the form of a hexagonal segment adjoining the front end 25, and connection segment 5.2 shaped in the form of a frusto-conical shaft segment, adjoining the connection segment 5.1, with dmax>SW;
B7: connection segment 5.1 shaped in the form of a hexagonal segment adjoining the front end 25, and connection segment 5.2 shaped in the form of a circular cylindrical shaft segment, adjoining the connection segment 5. 1, with d≧SW;
B8: differs from the element All only in so far as the bore segments are replaced by corresponding shaft segments;
B9: differs from the element A12 only in so far as the bore segments are replaced by corresponding shaft segments;
B10: connection segment 5.3 shaped in the form of a circular cylindrical shaft segment, adjoining the front end 25, with a diameter d; connection segment 5.2 shaped in the form of a frusto-conical shaft segment, adjoining the connection segment 5.3, with dmin≧d; and connection segment 5.1 shaped in the form of a hexagonal segment, adjoining the connection segment 5.2, with SW≧dmin;
B11: differs from the element A7 only in so far as the bore segments are replaced by corresponding shaft segments;
B12: differs from the element A17 only in so far as the bore segments are replaced by corresponding shaft segments;
B13: differs from the element A8 only in so far as the bore segments are replaced by corresponding shaft segments;
B14: differs from the element B11 only in so far as, adjoining the front end 25, a connection segment 5.4 shaped in the form of a circular cylindrical shaft segment with d≦dmin has been added to the connection segment 5.2;
B15: connection segment 5.4 shaped in the form of a circular cylindrical shaft segment, adjoining the front end 25, with a diameter d; connection segment 5.2 shaped in the form of a frusto-conical shaft segment, adjoining the connection segment 5.4, with dmin≧d; connection segment 5.3 shaped in the form of a circular cylindrical shaft segment, adjoining the connection segment 5.2, with D≧dmax; and connection segment 5.1 shaped in the form of a hexagonal segment, adjoining the connection segment 5.3, with SW≧D;
B16: is identical with B14;
B17: differs from the element B12 only in so far as, adjoining the front end 25, a connection segment 5.4 shaped in the form of a circular cylindrical shaft segment with d≦SW has been added to the connection segment 5.1;
B18: differs from the element B12 only in so far as a connection segment 5.3 shaped in the form of a circular cylindrical shaft segment with a diameter D meeting the condition E≦D≦dmin has been inserted between the connection segments 5.1 and 5.2.
a) to 7e) show further embodiments of the device according to the invention. These are exemplified by means of a body 2 which is in the form of a screw. A connection segment 7.1 shaped in the form of a hexagonal bore segment adjoins the top end 27 and reaches down to the bottom 29. On the bottom 29, one or two connection segments shaped in the form of shaft segments are arranged which extend towards the top end 27. In
This application is a continuation-in-part of U.S. patent application Ser. No. 10/291,386 filed Nov. 12, 2002, which is a continuation of International Patent Application PCT/CH00/00263, filed May 11, 2000, the entire contents of which are expressly incorporated herein by reference thereto.
Number | Date | Country | |
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Parent | PCT/CH00/00263 | May 2000 | US |
Child | 10291386 | Nov 2002 | US |
Number | Date | Country | |
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Parent | 10291386 | Nov 2002 | US |
Child | 11060614 | Feb 2005 | US |