# US 10,368,918 B2 · Posterior cervical fixation system > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,368,918 B2 - Document ID: US10368918B2 - Status: Granted - Kind: B2 - Application number: 15/936,107 - Filed: 2018-03-26 - Published: 2018-08-02 - Granted: 2019-08-06 - Earliest claimed: 2011-03-01 - Assignees: NuVasive, Inc. - Applicants: NuVasive, Inc. - Inventors: Eugene Shoshtaev; Shaffer Bannigan; Michael Brotman - Web page: https://patentgrep.com/patent/US10368918B2 ## CPC - A61B 17/7052: {of variable angle or length} - A61B 17/7013: {the shape of the element being adjustable before use (adjustable length plates A61B17/7014)} - A61B 17/7037: {wherein pivoting is blocked when the rod is clamped} - A61B 17/7049: {Connectors, not bearing on the vertebrae, for linking longitudinal elements together (A61B17/7055, A61B17/7053, A61B17/7019 take precedence)} - A61B 17/705: {for linking adjacent ends of longitudinal elements} - A61B 17/7055: {connected to sacrum, pelvis or skull} - A61B 17/7056: {Hooks with specially-designed bone-contacting part} - A61B 17/7064: {Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor} - A61B 17/7082: {for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws} - A61B 17/8061: {specially adapted for particular bones (A61B17/70 and A61B17/74 take precedence)} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A posterior cervical fixation system including an occipital plate member, a cross connector, a pair of elongated spinal rods and a plurality of polyaxial screws. The occipital plate member configured for fixing to an occipital bone comprises an aperture to receive a bone anchor member to secure the occipital plate member to the occipital bone and at least one rod clamping element dimensioned to receive at least one spinal rod. The cross connector secures the pair of elongated spinal rods to vertebral bodies. The cross connector includes a pair of collet connectors and a cross bar that is configured to secure the pair of elongated spinal rods in a desired distance. Each polyaxial screw has an anchor head associated with a fastening member. The pair of elongated spinal rods is configured to extend along the vertebral bodies between the occipital plate member and at least one of the polyaxial screws. ## Claims ### Claim 1 An adjustable angle occipital rod, comprising: a first rod portion having a first end and a second rod portion having a second end, the first end and the second end cooperating to form a hinge, wherein the first end includes a first plate and a second plate separated by a space, the first plate having an interior pocket and the second plate having a threaded aperture extending therethrough, the interior pocket housing a first disc with a first engagement surface facing the second plate, the second end includes a third plate that sits between the first plate and the second plate, the third plate including a second disc with an second engagement surface facing the first engagement surface, the adjustable rod including an unlocked configuration in which the first engagement surface and second engagement surface are separated from one another and the first rod portion and second rod portion rotate relative to each other about the hinge, and a locked configuration in which a set screw advanced through the threaded aperture urges the third plate towards the first plate such that the second engagement surface engages the first engagement surface to inhibit rotation about the hinge. ### Claim 2 (depends on 1) The adjustable angle occipital rod of claim 1, wherein the first engagement surface includes a plurality of teeth arranged thereon. ### Claim 3 (depends on 2) The adjustable angle occipital rod of claim 2, wherein the second engagement surface includes a plurality of teeth arranged thereon. ### Claim 4 (depends on 3) The adjustable angle occipital rod of claim 3, wherein an end of the first rod portion opposite the first end is dimensioned to be received within a rod receptacle of a polyaxial screw. ### Claim 5 (depends on 1) The adjustable angle occipital rod of claim 1, wherein the hinge comprises a hinge axis about which the first rod portion rotates with respect to the second rod portion, wherein the set screw is advanced through the threaded aperture in a direction in longitudinal alignment with the hinge axis. ### Claim 6 (depends on 1) The adjustable angle occipital rod of claim 1, wherein the set screw is adapted to be turned in only one direction. ### Claim 7 (depends on 6) The adjustable angle occipital rod of claim 6, wherein the set screw comprises a ratcheted surface. ### Claim 8 An adjustable angle occipital rod, comprising: a first rod portion having a first end, wherein the first end comprises a first plate and a second plate separated by a space, the first plate comprising an interior pocket facing the second plate and housing a first disc with a first engagement surface, wherein the first engagement surface faces toward the second plate, wherein the second plate comprises an aperture therethrough in axial alignment with the interior pocket; and a second rod portion having a second end, the second end comprising a third plate positioned between the first plate and the second plate, the third plate including a second disc with a second engagement surface facing the first engagement surface, wherein the third plate comprises a plane about which the third plate can rotate with respect to the first plate and second plate to form a hinge between the first rod and the second rod, wherein the hinge comprises a hinge axis about which the first rod portion and second rod portion may rotate relative to each other; the adjustable angle occipital rod including an unlocked configuration in which the first engagement surface and second engagement surface are separated from one another and in which the first rod portion and second rod portion can rotate relative to each other about the hinge axis, and the adjustable angle occipital rod further including a locked configuration in which the second engagement surface engages the first engagement surface to inhibit rotation about the hinge. ### Claim 9 (depends on 8) The adjustable angle occipital rod of claim 8, wherein the aperture is a threaded aperture, the adjustable angle occipital rod further comprising: a set screw positioned within the threaded aperture, wherein the set screw is adapted to be advanced through the threaded aperture to urge the third plate toward the first plate and thereby transition the adjustable angle occipital rod from the unlocked configuration to the locked configuration. ### Claim 10 (depends on 8) The adjustable angle occipital rod of claim 8, wherein the set screw is positioned within the threaded aperture in a direction in longitudinal alignment with the hinge axis. ### Claim 11 (depends on 8) The adjustable angle occipital rod of claim 8, wherein the first engagement surface or the second engagement surface includes a plurality of teeth arranged thereon. ### Claim 12 (depends on 8) The adjustable angle occipital rod of claim 8, wherein the first engagement surface and the second engagement surface each include a plurality of teeth arranged thereon. ### Claim 13 (depends on 8) The adjustable angle occipital rod of claim 8, wherein the set screw is adapted to be turned in only one direction. ### Claim 14 (depends on 13) The adjustable angle occipital rod of claim 13, wherein the set screw comprises a ratcheted surface.