# US 11,439,437 B1 · Bottom loading bone anchor assemblies with drag retaining ring and related methods > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,439,437 B1 - Document ID: US11439437B1 - Status: Granted - Kind: B1 - Application number: 17/343,509 - Filed: 2021-06-09 - Granted: 2022-09-13 - Earliest claimed: 2021-06-09 - Assignees: Medos International Sarl - Applicants: Medos International Sarl - Inventors: Ellen Roberts; Eric Biester; Christopher Mickiewicz - Web page: https://patentgrep.com/patent/US11439437B1 ## CPC - A61B 17/7032: {Screws or hooks with U-shaped head or back through which longitudinal rods pass} - A61B 17/70: Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant - A61B 17/7035: {Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other} - A61B 17/704: {the longitudinal element passing through a ball-joint in the screw head} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract Bottom-loading bone anchor assemblies and components thereof are disclosed that have a reduced profile and can be utilized with bone screws of various size. Bone anchor assemblies of the present disclosure can include a receiver member, a drag retaining ring, and a shank. The retaining ring and shank can be inserted proximally into a bore of the receiver member. The drag ring can have a base and a walled portion extending proximally therefrom. The drag retaining ring can be disposed in a groove of the receiver member with the base forming a seat for the shank head that can hold the shank within the receiver. The walled portion of the drag retaining ring can impart a drag force on the shank head seated in the base to prevent unintended movement between the shank and the receiver member. ## Claims ### Claim 1 A bone anchor assembly, comprising: a receiver member having proximal and distal ends with a central longitudinal axis extending therebetween and a longitudinal bore with an opening at the distal end of the receiver member; a retaining ring disposed in a groove formed in the receiver member, the retaining ring having a base and a walled portion that extends proximally from the base, the base having a maximum outer diameter that is greater than a maximum outer diameter of the walled portion; and a shank having a head portion seated within the base of the retaining ring and a bone engaging portion that extends distally from the receiver member, wherein the walled portion of the retaining ring is configured to exert a drag force on the head portion of the shank to resist rotation thereof, and wherein an interface between an inner surface of the base and an inner surface of the walled portion has a resting diameter that is less than a maximum diameter of the head portion. ### Claim 2 (depends on 1) The assembly of claim 1, wherein the retaining ring and shank are configured to be inserted proximally through the distal end of the receiver member. ### Claim 3 (depends on 1) The assembly of claim 1, wherein the groove is formed in an interior surface at the distal end of the receiver member. ### Claim 4 (depends on 1) The assembly of claim 1, wherein the maximum outer diameter of the base of the retaining ring is greater than a diameter of the opening at the distal end of the receiver member. ### Claim 5 (depends on 1) The assembly of claim 1, wherein an inner diameter of a distal portion of the base of the retaining ring is less than a maximum diameter of the head of the shank. ### Claim 6 (depends on 1) The assembly of claim 1, wherein an inner diameter of a distal portion of the base of the retaining ring is less than a maximum outer thread diameter of the bone-engaging portion of the shank. ### Claim 7 (depends on 1) The assembly of claim 1, wherein the walled portion of the retaining ring is configured to contact the head of the shank at a maximum diameter thereof. ### Claim 8 (depends on 7) The assembly of claim 7, wherein a proximal end of the walled portion of the retaining ring extends proximally past the maximum diameter of the head of the shank when the shank is seated within the base of the retaining ring. ### Claim 9 (depends on 1) The assembly of claim 1, wherein the walled portion of the retaining ring includes a first wall segment and a second wall segment separated circumferentially from the first wall segment. ### Claim 10 (depends on 1) The assembly of claim 1, wherein the retaining ring includes a split extending through the base and the walled portion configured to permit selective radial expansion and compression of the retaining ring. ### Claim 11 (depends on 1) The assembly of claim 1, further comprising a saddle disposed in the bore proximal to the retaining ring and configured to exert a distal force on the shank head. ### Claim 12 (depends on 1) The assembly of claim 1, wherein the base further comprises a proximal-facing shelf from which the walled portion extends, the shelf extending substantially perpendicular to the walled portion. ### Claim 13 A method of assembling a bone anchor assembly, comprising: radially compressing a retaining ring located around a shank, the shank including a head and a bone-engaging portion and the retaining ring including a base and a walled portion extending proximally from the base, the walled portion having a maximum outer diameter that is less than a maximum outer diameter of the base; passing the shank and the retaining ring in the compressed state proximally through an opening at a distal end of a receiver member; advancing the retaining ring proximally within the receiver member such that at least a portion of the base aligns with a first annular recess of a groove formed in the receiver member; expanding the retaining ring to hold at least a portion of the base within the first annular recess of the groove; and seating the head of the shank in the base of the retaining ring such that a maximum diameter of the head of the shank contacts the walled portion of the retaining ring and the bone engaging portion of the shank extends distally from the retaining ring. ### Claim 14 (depends on 13) The method of claim 13, further comprising: positioning the receiver member at a desired position relative to the shank; and retaining the receiver member in the desired position by a drag force exerted by the walled portion of the retaining ring against the head of the shank. ### Claim 15 (depends on 14) The method of claim 14, wherein positioning the receiver member at the desired position includes moving the receiver member polyaxially relative to the shank. ### Claim 16 (depends on 14) The method of claim 14, wherein the drag force is exerted by the retaining ring at an interface between the base and the walled portion of the retaining ring. ### Claim 17 (depends on 14) The method of claim 14, wherein the drag force is exerted by a proximal end of the walled portion of the retaining ring. ### Claim 18 (depends on 14) The method of claim 14, further comprising: implanting the shank into bone; and tightening a closure mechanism to lock the receiver member in the desired position relative to the shank. ### Claim 19 (depends on 13) The method of claim 13, further comprising advancing a saddle proximally through the distal opening of the receiver member; and biasing the shank distally by a distal force exerted by the saddle against the head of the shank. ### Claim 20 (depends on 13) The method of claim 13, further comprising compressing the retaining ring around a neck of the shank. ### Claim 21 (depends on 13) The method of claim 13, wherein with at least a portion of the base of the retaining ring held within the first annular recess of the groove, a distal surface of the retaining ring is flush with a distal surface of the receiver member. ### Claim 22 A bone anchor assembly, comprising: a receiver member having proximal and distal ends with a central longitudinal axis extending therebetween and a longitudinal bore with an opening at the distal end of the receiver member; a retaining ring disposed in a groove formed in the receiver member, the retaining ring having a base and a walled portion that extends proximally from the base, the base having a maximum outer diameter that is greater than a maximum outer diameter of the walled portion; and a shank having a head portion seated within the base of the retaining ring and a bone engaging portion that extends distally from the receiver member, wherein the walled portion of the retaining ring is configured to exert a drag force on the head portion of the shank to resist rotation thereof, and wherein the base further comprises a proximal-facing shelf from which the walled portion extends, the shelf extending substantially perpendicular to the walled portion.