Bone anchoring device

1. A bone anchoring device comprising:

an anchoring element having a shaft for anchoring to a bone and a head,

a receiving part having a longitudinal axis from a top end to a bottom end, a rod recess for receiving a rod therein, a coaxial bore extending from the top end in the direction of the bottom end and a seat for receiving the head near the bottom end, and

a pressure element that is movable within the bore;

wherein the head is pivotable with respect to the receiving part and configured to be fixed at an angle by exerting pressure via the pressure element onto the head when the anchoring element and the pressure element are in the receiving part;

wherein the pressure element has an outer wall portion having a first feature, wherein the first feature is one of a recess or a projection and wherein the receiving part has an inner wall portion having a second feature, wherein the second feature is the other of a recess or a projection that cooperates with the first feature of the pressure element;

wherein the pressure element is configured to assume a first position within the bore of the receiving part wherein the recess and the projection are engaged to allow the pressure element to exert a preload onto the head and the head is prevented from freely pivoting but is not locked;

wherein the pressure element is movable along the longitudinal axis from an assembly position spaced from the bottom end of the receiving part wherein the recess and the projection are disengaged and the first feature is entirely above the second feature along the longitudinal axis to the first position closer to the bottom end of the receiving part wherein the recess and projection are engaged;

wherein, when the pressure element is in the assembly position, the projection and the recess are disengaged, a portion of the projection and an opening to the recess are aligned along an axis parallel to the longitudinal axis and the portion of the projection and the opening radially overlap, and the head is capable of freely pivoting; and

wherein the recess is inclined along the longitudinal axis such that when the pressure element is moved downward in the receiving part between the assembly position and the first position, a pressure force between the recess and the projection increases.

2. The bone anchoring device of claim 1 , wherein the pressure element is configured to assume a second position wherein the pressure element exerts a locking pressure on the head such that the head is locked.

3. The bone anchoring device of claim 1 , wherein the assembly position is one of several assembly positions wherein the head is capable of freely pivoting.

4. The bone anchoring device according to claim 3 , wherein the pressure element is movable out of the first position into one of the assembly positions by pressing the head against the pressure element.

5. The bone anchoring device of claim 1 , wherein the projection and the recess are sized to form an interference fit between the projection and the recess when the pressure element is in the first position.

6. The bone anchoring device of claim 1 , wherein a radial dimension of the recess varies in a direction coaxial with a bore axis of the bore of the receiving part.

7. The bone anchoring device according to claim 1 , wherein the radial dimension of the projection that engages the recess is substantially constant.

8. The bone anchoring device according to claim 1 , wherein the inner wall portion of the receiving part has a projection and the outer wall portion of the pressure element has a recess.

9. The bone anchoring device according to claim 8 , wherein the recess is a notch with a substantially V-shaped cross section that is open at an end of the pressure element facing the head of the anchoring element and that has a decreasing depth towards an end of the pressure element opposite to the head when the bone anchoring device is assembled.

10. The bone anchoring device of claim 1 , wherein the recess is a notch that extends coaxially with a bore axis of the bore of the receiving part.

11. The bone anchoring device according to claim 1 , wherein the projection is a tip obtained by crimping.

12. The bone anchoring device of claim 1 , wherein the pressure element has a rod recess on its side facing away from the head for receiving the rod that is aligned to the rod recess of the receiving part when the bone anchoring device is assembled and wherein the projection and the recess are arranged at 90° with respect to the rod recesses.

13. The bone anchoring device according to claim 1 , wherein at least two pairs of cooperating recesses and projections are provided.

14. The bone anchoring device of claim 1 , wherein a fixation element is provided for fixing the rod.

15. The bone anchoring device of claim 1 , wherein the pressure element is continuously movable from the assembly position in which the head is freely pivotable to the first position by exerting pressure onto an end of the pressure element facing away from the head of the anchoring element.

16. The bone anchoring device of claim 1 , wherein the receiving part and the pressure element are each formed in one piece.

17. The bone anchoring device of claim 16 , wherein the projection and the recess are configured to cooperate without spring portions provided at either the receiving part or the pressure element.

18. The bone anchoring device of claim 16 , wherein the pressure element is formed integrally with the first feature, and wherein the receiving part is formed integrally with the second feature.

19. A bone anchoring device comprising:

an anchoring element having a shaft for anchoring to a bone and a head,

a receiving part having a longitudinal axis from a top end to a bottom end, a rod recess for receiving a rod therein, a coaxial bore extending from the top end in the direction of the bottom end and a seat for receiving the head near the bottom end, and

a pressure element that is movable within the bore, the pressure element having a U-shaped recess for receiving the rod;

wherein the head is pivotable with respect to the receiving part and configured to be fixed at an angle by exerting pressure via the pressure element onto the head when the anchoring element and the pressure element are in the receiving part;

wherein the pressure element has an outer wall portion having a first feature, wherein the first feature is one of a recess or a projection and wherein the receiving part has an inner wall portion having a second feature, wherein the second feature is the other of a recess or a projection that cooperates with the first feature of the pressure element;

wherein the pressure element is configured to assume a first position within the bore of the receiving part wherein the recess and the projection are engaged to allow the pressure element to exert a preload onto the head and the head is prevented from freely pivoting but is not locked;

wherein the pressure element is movable along the longitudinal axis from an assembly position spaced from the bottom end of the receiving part wherein the recess and the projection are disengaged to the first position closer to the bottom end of the receiving part wherein the recess and projection are engaged;

wherein, when the pressure element is in the assembly position, the projection and the recess are disengaged, the projection and an opening to the recess are aligned along an axis parallel to the longitudinal axis and the head is capable of freely pivoting; and

wherein the projection is located below a bottommost portion of the U-shaped recess of the pressure element when the anchoring element and the pressure element are in the receiving part; and

wherein the recess is inclined along the longitudinal axis such that when the pressure element is moved downward in the receiving part between the assembly position and the first position, a pressure force between the recess and the projection increases.

20. A bone anchoring device comprising:

an anchoring element having a shaft for anchoring to a bone and a head,

a receiving part having a longitudinal axis from a top end to a bottom end, a rod recess for receiving a rod therein, a coaxial bore extending from the top end in the direction of the bottom end and a seat for receiving the head near the bottom end, and

a pressure element that is movable within the bore;

wherein the head is pivotable with respect to the receiving part and configured to be fixed at an angle by exerting pressure via the pressure element onto the head when the anchoring element and the pressure element are in the receiving part;

wherein the pressure element has an outer wall portion having a first feature, wherein the first feature is one of a recess or a projection and wherein the receiving part has an inner wall portion having a second feature, wherein the second feature is the other of a recess or a projection that cooperates with the first feature of the pressure element;

wherein the pressure element is configured to assume a first position within the bore of the receiving part wherein the recess and the projection are engaged to allow the pressure element to exert a preload onto the head and the head is prevented from freely pivoting but is not locked;

wherein the pressure element is movable along the longitudinal axis from an assembly position spaced from the bottom end of the receiving part wherein the recess and the projection are disengaged to the first position closer to the bottom end of the receiving part wherein the recess and projection are engaged;

wherein, when the pressure element is in the assembly position, the projection and the recess are disengaged, the projection and an opening to the recess are aligned along an axis parallel to the longitudinal, and the head is capable of freely pivoting;

wherein the inner wall portion of the receiving part has a projection and the outer wall portion of the pressure element has a recess; and

wherein the recess is a notch with a substantially V-shaped cross section that is open at an end of the pressure element facing the head of the anchoring element and that has a decreasing depth towards an end of the pressure element opposite to the head.