# US 8,784,452 B2 · Transconnector

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- Number: US 8,784,452 B2
- Document ID: US8784452B2
- Status: Granted
- Kind: B2
- Application number: 13/598,920
- Filed: 2012-08-30
- Published: 2013-01-03
- Granted: 2014-07-22
- Earliest claimed: 2006-09-26
- Assignees: DePuy Synthes Products, Inc.
- Applicants: Sean Saidha; William L. Strausbaugh; Boyd Wolf; Thomas Pepe; Christoph Roth; David S. Rathbun; William P. McDonough
- Inventors: Sean Saidha; William L. Strausbaugh; Boyd Wolf; Thomas Pepe; Christoph Roth; David S. Rathbun; William P. McDonough
- Web page: https://patentgrep.com/patent/US8784452B2

## CPC

- A61B 17/7049: {Connectors, not bearing on the vertebrae, for linking longitudinal elements together (A61B17/7055, A61B17/7053, A61B17/7019 take precedence)}
- A61B 17/7052: {of variable angle or length}
- A61B 17/7032: {Screws or hooks with U-shaped head or back through which longitudinal rods pass}
- A61B 17/7037: {wherein pivoting is blocked when the rod is clamped}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A transconnector for joining adjacent longitudinal spinal rods. The transconnector preferably includes a bridge member and a pair of bone fixation coupling elements, the bridge member is preferably sized and configured to span a distance between the pair of bone fixation coupling elements. The bone fixation coupling elements are preferably sized and configured to engage the bridge member and sized and configured to receive one of the bone fixation elements. The bone fixation coupling elements are preferably sized and configured to engage the body portion of the bone fixation element. The bone fixation coupling elements may include a locking cap having a first set of threads for threadably engaging the bone fixation element.

## Claims

### Claim 1

A transconnector for joining adjacent longitudinal spinal rods, the spinal rods being secured to a patient's vertebra via a plurality of bone fixation elements, each of the bone fixation elements including a body portion having a rod-receiving channel for receiving one of the longitudinal spinal rods, the transconnector comprising:
a bridge member having a first end and a second end; and
first and second bone fixation coupling elements,
wherein the first and second bone fixation coupling elements are sized and configured to engage the first and second ends of the bridge member,
wherein the first and second bone fixation coupling elements are each sized and configured to engage one of the bone fixation elements, each of the bone fixation coupling elements including a locking cap, a bushing and a nut, the bushing being sized and configured to interconnect the locking cap with the bridge member, the locking cap including a first set of threads for engaging the bone fixation element, a second set of threads for engaging the nut, and a non-threaded central portion located between the first set of threads and the second set of threads,
wherein the second set of threads has an outer diameter that is less than the first set of threads,
wherein the central portion is tapered and has an outer diameter less than the outer diameter of the first set of threads and greater than the outer diameter of the second set of threads.

### Claim 2 (depends on 1)

The transconnector of claim 1, wherein the bridge member includes a second member moveably associated with a first member.

### Claim 3 (depends on 2)

The transconnector of claim 2, wherein the first member has a form of an outer telescopic rod and the second member has a form of an inner telescopic rod, the outer telescopic rod having an internal bore for receiving the inner telescopic rod.

### Claim 4 (depends on 3)

The transconnector of claim 3, wherein the bridge member further includes a ring disposed about the outer telescopic rod, the ring being slidably disposed about the outer telescopic rod from a first position to a second position wherein when the ring is in the first position, the inner telescopic rod is free to move with respect to the outer telescopic rod, and wherein when the ring is in the second position the inner telescopic rod is fixed with respect to the outer telescopic rod.

### Claim 5 (depends on 4)

The transconnector of claim 4, wherein the outer telescopic rod includes a plurality of slots extending from an end thereof such that movement of the ring from the first position to the second position compresses at least a portion of the outer telescopic rod against the inner telescopic rod.

### Claim 6 (depends on 2)

The transconnector of claim 2, wherein the first member is in the form of a first plate member and the second member is in the form of a second plate member, the second plate member being slidably receivable with respect to the first plate member, the first and second plate members being further sized and configured to receive a threaded fastener and a nut for securing a position of the second plate member with respect to the first plate member.

### Claim 7 (depends on 2)

The transconnector of claim 2, wherein the first and second members are pivotally coupled to one another about a pivot axis substantially transverse to a longitudinal axis of the transconnector.

### Claim 8 (depends on 1)

The transconnector of claim 1, wherein the central portion includes a taper.

### Claim 9 (depends on 8)

The transconnector of claim 8, wherein the bushing includes an outer spherical surface and a central passage, the central passage being sized and configured to receive the taper of the central portion of the locking cap therein.

### Claim 10 (depends on 8)

The transconnector of claim 8, wherein the taper of the central portion is sized and configured to prevent the bridge member from contacting the bone fixation element.

### Claim 11 (depends on 1)

The transconnector of claim 1, wherein when the bone fixation coupling element is in a first position, the bridge member is able to angulate with respect to the locking cap via the bushing and wherein when the bone fixation coupling element is in a second position, the bridge member is fixedly secured with respect to the locking cap.

### Claim 12 (depends on 11)

The transconnector of claim 11, wherein rotation of the nut causes the bone fixation coupling element to move from the first position to the second position.

### Claim 13 (depends on 1)

The transconnector of claim 1, wherein the first set of threads threadably engage an internal threaded bore formed in the bone fixation element.

### Claim 14 (depends on 1)

The transconnector of claim 1, wherein the second set of threads threadably engage an internal threaded bore formed in the nut.

### Claim 15 (depends on 1)

The transconnector of claim 1, wherein the bridge member includes at least one hole formed on either end thereof for receiving the locking cap and the bushing.

### Claim 16

A transconnector for joining adjacent longitudinal spinal rods, the spinal rods being secured to a patient's vertebra via a plurality of bone fixation elements, the bone fixation elements including a bone anchor and a body portion having a rod-receiving channel formed therein, the transconnector comprising:
a bridge member having a first end and a second end; and
first and second bone fixation coupling elements,
wherein the first and second ends of the bridge member each includes at least one hole for receiving the first and second bone fixation coupling elements, respectively,
wherein each of the bone fixation coupling elements includes a locking cap, a bushing and a nut, and wherein the locking cap includes a first set of threads for engaging the bone fixation element, a second set of threads for engaging the nut, and a non-threaded tapered central portion located between the first set of threads and the second set of threads,
wherein the second set of threads has an outer diameter that is less than the first set of threads,
wherein the central portion has an outer diameter less than the outer diameter of the first set of threads and greater than the outer diameter of the second set of threads, and wherein the bushing includes an outer spherical surface and a central passage, and wherein the central passage is sized and configured to receive the taper of the central portion of the locking cap therein.

### Claim 17 (depends on 16)

The transconnector of claim 16, wherein rotation of the nut causes the bone fixation coupling element to move from a first position wherein the bridge member is able to angulate with respect to the locking cap via the bushing to a second position wherein when the bridge member is fixedly secured with respect to the locking cap.

### Claim 18 (depends on 16)

The transconnector of claim 16, wherein the first set of threads threadably engage an internal threaded bore formed in the bone fixation element, and
wherein the second set of threads threadably engage an internal threaded bore formed in the nut.

### Claim 19

A transconnector for joining adjacent longitudinal spinal rods, the spinal rods being secured to a patient's vertebra via a plurality of bone fixation elements, the transconnector comprising:
a telescopically adjustable bridge member; and
a pair of bone fixation coupling elements,
wherein the telescopically adjustable bridge member is sized and configured to span a distance between the pair of bone fixation coupling elements and wherein each of the bone fixation coupling elements is sized and configured to engage the bridge member, the bone fixation coupling elements further including a locking cap for threadably engaging a plurality of threads formed on a body portion of the bone fixation element,
wherein the locking cap includes a first set of threads for engaging the bone fixation element, a second set of threads for engaging a nut that is adapted to create a poly-axial connection of the telescopically adjusting bridge member to the locking cap, and a non-threaded central portion located between the first set of threads and the second set of threads,
wherein the second set of threads has an outer diameter that is less than the first set of threads,
wherein the central portion is tapered and has an outer diameter less than the outer diameter of the first set of threads and greater than the outer diameter of the second set of threads.
