Pivotable Bone Anchor Assembly With Independent Insert Locking
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Solution Overview
Problem
Existing polyaxial bone screws suffer from floppy connections between the receiver and shank, making spinal surgery procedures difficult, and the prior art's contractile locking mechanisms are weak against pull-out forces.
Innovation Solution
A polyaxial bone screw design featuring a split retainer ring with a radiused surface and expansion-only locking mechanism, providing a secure, non-floppy engagement between the shank and receiver, using a friction fit and winged arm portions for manipulation and stabilization.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Strength
If a contractile locking mechanism is used in polyaxial bone screws, then the shank can be locked into the receiver, but the connection becomes weak against pull-out forces
Solution Approach 1:
Instead of using a contractile locking mechanism that constricts onto the shank, the patent employs an expansion-only mechanism where the retainer ring expands outward against the receiver's inner surface to create locking engagement. This inverted approach provides superior resistance to pull-out forces by distributing load across a larger contact area within the receiver cavity.
Solution Approach 2:
The retainer ring is designed as a split, segmented structure that can be compressed axially to allow insertion through the receiver opening, then expands to engage with the receiver's inner surface. The segmentation allows the retainer to be inserted and locked independently, providing reliable connection without requiring complex contractile mechanisms.
2Ease of operation
If a polyaxial bone screw assembly is designed with a receiver and shank connection, then the screw can be inserted into bone, but the connection becomes floppy and difficult to control during surgery
Solution Approach 1:
The retainer ring provides dynamic control during surgery by allowing the shank to be inserted and positioned within the receiver, then locked into a stable configuration. The expansion-only mechanism enables the connection to transition from a loose, adjustable state during insertion to a rigid, controlled state during surgery, eliminating floppiness while maintaining ease of operation.
3Strength
If a split retainer ring with expansion-only locking is used, then the connection strength is improved, but the device complexity increases
Solution Approach 1:
The retainer ring utilizes parameter changes in its radial expansion capability to provide locking engagement. By changing the radial dimension from a compressed insertion state to an expanded locking state, the simple expansion-only mechanism achieves strong connection without complex contractile components, reducing overall device complexity while improving strength.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The design offers enhanced resistance to pull-out forces and allows for secure, stable fixation of the shank to the receiver, enabling easier and more reliable spinal correction techniques.
Implementation Method 1
a friction fit resilient expansion-only split retainer for capturing the shank head in the receiver lower cavity
Implementation Method 2
a friction fit resilient expansion-only split retainer for capturing the shank head in the receiver lower cavity
Implementation Method 3
a top drop and turn in place lower compression insert
Implementation Method 4
The shank is finally locked into a fixed position relative to the receiver by frictional engagement between the insert and a lower split ring-like portion of the retainer
Data Source
AI summary
A pivotal bone screw assembly includes a threaded shank body having an integral upper portion receivable in a receiver, with the receiver having an upper channel for receiving a longitudinal connecting member and a lower cavity cooperating with a lower opening. The assembly also includes a downloadable compression insert with a side arm extension for engagement and compression by a vertically-translating insert side compressing member so as to lock the assembly independent of the closure top.


