# US 10,441,328 B2 · Device and method for spinal surgery

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- Number: US 10,441,328 B2
- Document ID: US10441328B2
- Status: Granted
- Kind: B2
- Application number: 15/464,451
- Filed: 2017-03-21
- Published: 2017-07-06
- Granted: 2019-10-15
- Earliest claimed: 2009-12-28
- Assignees: Safe Orthopaedics
- Applicants: Safe Orthopaedics
- Inventors: Dominique Petit
- Web page: https://patentgrep.com/patent/US10441328B2

## CPC

- A61B 17/7085: {for insertion of a longitudinal element down one or more hollow screw or hook extensions, i.e. at least a part of the element within an extension has a component of movement parallel to the extension's axis}
- A61B 17/7076: {for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation}
- A61B 17/7079: {Tools requiring anchors to be already mounted on an implanted longitudinal or transverse element, e.g. where said element guides the anchor motion}
- 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 17/7091: {for applying, tightening or removing longitudinal element-to-bone anchor locking elements, e.g. caps, set screws, nuts or wedges}
- A61B 17/8875: {Screwdrivers, spanners or wrenches}
- A61B 50/30: Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments (for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40)
- A61B 50/33: Trays
- A61B 2050/3008: {having multiple compartments}
- A61B 2090/037: {with a frangible part, e.g. by reduced diameter}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A bone anchoring kit for fixing vertebrae via a posterior or postero-lateral approach, the bone anchoring kit comprising a bone anchoring element comprising a threaded portion intended to be inserted into a vertebra and a head portion coupled to the threaded portion and provided with a channel to receive a rod-type connecting element, a tube comprising a distal end, a proximal end and two opposite longitudinal slots opening to the proximal end of the tube, the tube and the bone anchoring element being placed into a sterile sealed packaging in a configuration in which the tube and the bone anchoring element are detachably coupled together with the slots of the tube faced to the channel of the head portion.

## Claims

### Claim 1

A bone anchoring kit for fixing vertebrae via a posterior or postero-lateral approach, said bone anchoring kit comprising:
a bone anchoring element comprising a threaded portion intended to be inserted into a vertebra and a head portion coupled to the threaded portion and provided with a channel to receive a rod-type connecting element,
a rigid tube comprising a distal end, a proximal end and two opposite longitudinal slots opening to the proximal end of said tube,
said tube and said bone anchoring element being placed into a sterile sealed packaging in a configuration in which said tube and said bone anchoring element are detachably rigidly coupled together with the slots of said tube faced to the channel of the head portion.

### Claim 2 (depends on 1)

The bone anchoring kit according to claim 1, wherein the tube comprises an internal surface provided with a tap for attaching an instrument on said tube.

### Claim 3 (depends on 2)

The bone anchoring kit according to claim 2, wherein said tap is provided for attaching a pushing element.

### Claim 4 (depends on 2)

The bone anchoring kit according to claim 2, wherein said tap is provided for attaching a screwdriver.

### Claim 5 (depends on 1)

The bone anchoring kit according to claim 1, wherein said bone anchoring kit further comprises a screwdriver shank passing through the tube and having one end coupled with the bone anchoring element.

### Claim 6 (depends on 5)

The bone anchoring kit according to claim 5, wherein the tube is provided with means of retaining of the screwdriver shank in alignment with the bone anchoring element.

### Claim 7 (depends on 6)

The bone anchoring kit according to claim 6, wherein the means of retaining are arranged with the tube to allow an axial rotational movement of the screwdriver inside the tube.

### Claim 8 (depends on 1)

The bone anchoring kit according to claim 1, wherein the distal end of the tube has a rotational retaining shape complementary to that of a counter-torque T-handle.

### Claim 9 (depends on 1)

The bone anchoring kit according to claim 1, wherein the tube is constituted by two independent half-shells connected between them by a removable ring.

### Claim 10 (depends on 9)

The bone anchoring kit according to claim 9, wherein the independent half-shells and the ring are arranged to form a rigid assembly.

### Claim 11 (depends on 10)

The bone anchoring kit according to claim 10, wherein said independent half-shells have respectively a proximal end and a distal end, said proximal end of each half-shells comprising means of connection complementary to means of connection provided with the head portion arranged to allow assembly and disassembly of the half-shells from the bone anchoring element when the ring is removed from said independent half-shells.

### Claim 12 (depends on 1)

The bone anchoring kit according to claim 1, wherein the distal end of the tube comprises an indentation for positioning a handle-type perpendicular retaining element.

### Claim 13 (depends on 1)

The bone anchoring kit according to claim 1, wherein said bone anchoring kit further comprises at least one locking assembly, said locking assembly comprising
a locking element intended to lock the connecting element onto said bone anchoring element, and
a locking element holding tube dimensioned to be positioned into said tube,
said connecting element being detachably coupled with said locking element holding tube.

### Claim 14 (depends on 13)

The bone anchoring kit according to claim 13, wherein the locking assembly is sterile packed in the sealed packaging.

### Claim 15 (depends on 13)

The bone anchoring kit according to claim 13, wherein the tube, when the locking element holding tube is positioned inside the tube, forms a guide tube.

### Claim 16 (depends on 15)

The bone anchoring kit according to claim 15, wherein the tube and the locking element holding tube, when positioned, forms a rigid assembly.

### Claim 17 (depends on 13)

The bone anchoring kit according to claim 13, wherein the locking element holding tube has an internal shape allowing passage of a screwdriver shank.
