Closure for open-headed medical implant
View Patent ↗A closure for an open headed medical implant, such as a bone screw. The closure having a cylindrical body having an axis of rotation and also having a radially outer surface with a thread or other guide and advancement structure thereon. The body having a plurality of apertures that open onto a top surface of the body and that are parallel to but spaced from the axis of rotation. The closure also has a break-off head centrally attached by a neck to the top surface of the body.
1. A medical implant comprising:
a bone anchor head including a first upright arm and a second upright arm, the first upright arm having a first top surface and a first interior surface and the second upright arm having a second top surface and a second interior surface;
a channel formed between the first upright arm and the second upright arm, the channel configured to receive a rod;
a discontinuous helically wound thread extending along at least a portion of the first interior surface and the second interior surface;
a multi-part closure having a closed ring body and a set screw, the closed ring body having a top body surface opposite a bottom body surface and an outer body surface, the set screw having a set screw outer surface;
a plurality of spaced-apart tool mating structures formed within the top body surface and extending partially down into the closed ring body such that none of the plurality of spaced-apart tool mating structures intersect the bottom body surface;
a threaded central bore extending between the top body surface and the bottom body surface;
a continuous thread extending about the set screw outer surface;
a closure helically wound thread extending about the outer body surface, the closure helically wound thread threadedly mating with the discontinuous helically wound thread such that the first arm and the second arm are not caused to splay or open at a top of the bone anchor head and the first top surface and the second top surface are not covered by the closed ring body during rotational advancement of the closed ring body within the channel; and
a continuous bottom surface closing a lower portion of the set screw and configured to compress the rod into a locked position within the channel as the continuous thread of the set screw engages the threaded central bore, the locked position including an entirety of the set screw and the closed ring body positioned within the channel.
2. The medical implant of claim 1 , wherein the plurality of spaced-apart tool mating structures are spaced from a central axis of the closed ring body and the outer body surface.
3. The medical implant of claim 1 , wherein the plurality of spaced-apart tool mating structures are non-axially located with respect to each other.
4. The medical implant of claim 1 , wherein the plurality of spaced-apart tool mating structures are shaped as bores.
5. The medical implant of claim 1 , wherein the plurality of spaced-apart tool mating structures each include a square shaped opening.
6. The medical implant of claim 1 , wherein the continuous bottom surface is flat.
7. The medical implant of claim 1 , wherein no portion of the set screw or the closed ring body extends beyond the first top surface and the second top surface in the locked position.
8. The medical implant of claim 1 , wherein the first upright arm and the second upright arm each include an exterior surface that is not covered by the closed ring body during the rotational advancement of the closed ring body within the channel.
9. The medical implant of claim 1 , wherein the first top surface and the second top surface are not covered by the closed ring body in the locked position.
10. The medical implant of claim 1 , wherein the closed ring body is advanced into the channel prior to the set screw being advanced.