Abstract: A bone anchoring device includes a receiving part with a recess for receiving a rod and a flexible head receiving portion for pivotably holding a head of a bone anchoring element, a pressure member configured to exert pressure on the head when the head is held in the head receiving portion, and a clamping ring positionable around the head receiving portion and movable from a first position where the head is pivotable relative to the receiving part, to a second position where the clamping ring exerts a radial force on the head receiving portion to lock the head relative to the receiving part. When the clamping ring is at the first position, the clamping ring abuts the receiving part to restrict upward movement, while a surface of the clamping ring that faces upwards is exposed for engaging an instrument to move the clamping ring to the second position.

Abstract: A bone anchoring device includes a receiving part including a rod receiving portion with a first end, a second end, and a U-shaped recess for receiving a rod, the recess defining two free legs, and a head receiving portion at the second end for introducing and clamping the head, and a locking ring configured to be arranged around the head receiving portion, the locking ring including an engagement structure for engagement with a tool, the engagement structure defining a width of the locking ring that is greater than a greatest width of the rod receiving portion, wherein the locking ring can assume a locking position exerting a greatest compressive force on the head receiving portion of the receiving part to lock an inserted head, and wherein the locking ring is movable out of the locking position towards the first end of the rod receiving portion.

Abstract: A bone anchoring device includes a receiving part with a rod receiving portion having a first end, a second end, a recess for the rod, an outer surface, and a first engagement structure on the outer surface that extends farther radially outwardly than other parts of the rod receiving portion, and a flexible head receiving portion for inserting and clamping the head. The bone anchoring device also includes a locking ring configured to be arranged around the head receiving portion for locking the head, the locking ring having an outer surface and a second engagement structure on the outer surface that extends farther radially outwardly than the outer surface of the rod receiving portion. The engagement structures are configured to be engaged by an instrument to move the locking ring from a locking position to a position where the inserted head is pivotable.

Abstract: A bone anchoring device includes a receiving part having a central axis, two legs defining a recess for receiving a rod, and a head receiving portion that is at least partially expandable and having an opening for inserting and pivotably holding a head of a bone anchoring element therein, and a locking ring mountable around the head receiving portion in an axial direction while a rotational orientation of the locking ring relative to the receiving part remains constant. When the locking ring is around the head receiving portion, the locking ring is rotatable around the central axis from a first rotational orientation to a second rotational orientation where a compressive force exerted by the locking ring on the head receiving portion is greater than at the first rotational orientation.

Abstract: A bone anchoring device includes a receiving part including a rod receiving portion with a first end, a second end, and a U-shaped recess for receiving a rod, the recess defining two free legs, and a head receiving portion at the second end for introducing and clamping the head, and a locking ring configured to be arranged around the head receiving portion, the locking ring including an engagement structure for engagement with a tool, the engagement structure defining a width of the locking ring that is greater than a greatest width of the rod receiving portion, wherein the locking ring can assume a locking position exerting a greatest compressive force on the head receiving portion of the receiving part to lock an inserted head, and wherein the locking ring is movable out of the locking position towards the first end of the rod receiving portion.

Abstract: A bone anchoring device includes a receiving part with a rod receiving portion having a first end, a second end, a recess for the rod, an outer surface, and a first engagement structure on the outer surface that extends farther radially outwardly than other parts of the rod receiving portion, and a flexible head receiving portion for inserting and clamping the head. The bone anchoring device also includes a locking ring configured to be arranged around the head receiving portion for locking the head, the locking ring having an outer surface and a second engagement structure on the outer surface that extends farther radially outwardly than the outer surface of the rod receiving portion. The engagement structures are configured to be engaged by an instrument to move the locking ring from a locking position to a position where the inserted head is pivotable.

Abstract: A bone anchor includes a shank for anchoring to a bone and a receiving part for coupling a rod to the shank. The receiving part includes a base and two legs each including a first portion extending away from the base, and a second portion extending from the first portion further away from the base, and an elongate extension member extending from the second portion still further away from the base. An internal engagement structure is provided on the first and second portions for engaging a fixation device. A breakaway portion facilitates breaking away of the second portion. The extension members are at least as long as the second portions. The second portions are stiffer than a region of the extension members adjacent the second portions.

Abstract: A bone anchoring device includes a receiving part including a rod receiving portion with a first end, a second end, and a U-shaped recess for receiving a rod, the recess defining two free legs, and a head receiving portion at the second end for introducing and clamping the head, and a locking ring configured to be arranged around the head receiving portion, the locking ring including an engagement structure for engagement with a tool, the engagement structure defining a width of the locking ring that is greater than a greatest width of the rod receiving portion, wherein the locking ring can assume a locking position exerting a greatest compressive force on the head receiving portion of the receiving part to lock an inserted head, and wherein the locking ring is movable out of the locking position towards the first end of the rod receiving portion.

Abstract: An extension device for a bone anchor includes at least one tab, which includes an elongate shaft portion that forms part of a channel for providing a stabilization rod to a rod receiving recess of a receiving part of the bone anchor, and a coupling portion, which is provided at a distal end of the elongate shaft portion and which is configured to be coupled to the receiving part. The coupling portion includes a first engagement portion for engaging a first engagement face of the receiving part and a second engagement portion for engaging a second engagement face of the receiving part. A spring element is provided at the coupling portion, the spring element exerting a compression force to urge the first and second engagement portions in mutually opposite directions towards each other and towards the corresponding first and second engagement faces along a longitudinal axis defined by the extension device and the receiving part when being coupled together.

Abstract: An extension device for a bone anchor is provided, where the bone anchor includes an anchoring section and a receiving part connected to the anchoring section having a central axis. The extension device includes a first sleeve with a first sleeve axis that is coaxial to the central axis of the receiving part and is configured to be coupled to and decoupled from the receiving part. The extension device further includes a second sleeve with a second sleeve axis coaxial to the central axis. The second sleeve is positioned within the first sleeve, is positionable relative to the first sleeve along the central axis, and is configured to be coupled to and decoupled from the receiving part. The extension device also includes a locking member that, in a first configuration, inhibits decoupling of the first sleeve or the second sleeve from the receiving part when the other one of the first sleeve or the second sleeve is coupled to the receiving part.

Abstract: A bone anchoring element includes an anchoring section for anchoring in the bone and a receiving part connected to the anchoring section. The receiving part includes an opening suitable for accommodation of a stabilization rod having a rod axis, the opening being limited along the rod axis by two side walls. The side walls include guides orientated along the rod axis for guiding at least one connection rod therethrough.

Abstract: A bone anchoring device includes a receiving part with a recess for receiving a rod and a flexible head receiving portion for pivotably holding a head of a bone anchoring element, a pressure member configured to exert pressure on the head when the head is held in the head receiving portion, and a clamping ring positionable around the head receiving portion and movable from a first position where the head is pivotable relative to the receiving part, to a second position where the clamping ring exerts a radial force on the head receiving portion to lock the head relative to the receiving part. When the clamping ring is at the first position, the clamping ring abuts the receiving part to restrict upward movement, while a surface of the clamping ring that faces upwards is exposed for engaging an instrument to move the clamping ring to the second position.

Abstract: A bone anchoring device includes a receiving part including a rod receiving portion with a first end, a second end, and a U-shaped recess for receiving a rod, the recess defining two free legs, and a head receiving portion at the second end for introducing and clamping the head, and a locking ring configured to be arranged around the head receiving portion, the locking ring including an engagement structure for engagement with a tool, the engagement structure defining a width of the locking ring that is greater than a greatest width of the rod receiving portion, wherein the locking ring can assume a locking position exerting a greatest compressive force on the head receiving portion of the receiving part to lock an inserted head, and wherein the locking ring is movable out of the locking position towards the first end of the rod receiving portion.

Abstract: A bone anchoring device includes a receiving part including a rod receiving portion with a first end, a second end, and a U-shaped recess for receiving a rod, the recess defining two free legs, and a head receiving portion at the second end for introducing and clamping the head, and a locking ring configured to be arranged around the head receiving portion, the locking ring including an engagement structure for engagement with a tool, the engagement structure defining a width of the locking ring that is greater than a greatest width of the rod receiving portion, wherein the locking ring can assume a locking position exerting a greatest compressive force on the head receiving portion of the receiving part to lock an inserted head, and wherein the locking ring is movable out of the locking position towards the first end of the rod receiving portion.

Abstract: A method for assembling a bone anchoring device includes inserting a bone anchoring element in a first holder of a tool and inserting a receiving part in a second holder of the tool, actuating the tool from a first configuration towards a second configuration to insert a head of the bone anchoring element into the receiving part; continuing actuation of the tool towards the second configuration to move a locking ring and a receiving part body of the receiving part relative to each other until the locking ring assumes a second position with respect to the receiving part body in which the locking ring is latched to the receiving part body in a position where the locking ring compresses a portion of the receiving part body to compress the head, such that the head is held in and cannot be removed from the receiving part body and the bone anchoring element is held adjustably at a first angular position relative to the receiving part, and removing the attached bone anchoring element and receiving part from the tool

Abstract: A bone anchoring device includes a receiving part with a rod receiving portion having a first end, a second end, a recess for the rod, an outer surface, and a first engagement structure on the outer surface that extends farther radially outwardly than other parts of the rod receiving portion, and a flexible head receiving portion for inserting and clamping the head. The bone anchoring device also includes a locking ring configured to be arranged around the head receiving portion for locking the head, the locking ring having an outer surface and a second engagement structure on the outer surface that extends farther radially outwardly than the outer surface of the rod receiving portion. The engagement structures are configured to be engaged by an instrument to move the locking ring from a locking position to a position where the inserted head is pivotable.

Abstract: A rod insertion device for inserting a rod into a bone anchor includes a shaft having a first end, a second end, and a shaft axis; a rod holding member connected to the first end of the shaft and configured to pivot relative to the shaft about a pivot axis and to receive a portion of a rod therein, the rod holding member comprising at least two recesses in an outer surface of the rod holding member and separated from each other along a circumferential direction about the pivot axis; a handle at the second end of the shaft; a locking member configured to lock an inserted rod in the rod holding member; and a detent member configured to selectively engage the rod holding member to latch a pivot position of the rod holding member relative to the shaft.

Abstract: A rod insertion system and at least two bone anchors including: a rod guide configured to accommodate a spinal stabilization rod therein; a holding device including a clamping portion configured to hold a portion of the rod guide; and an adapter configured to moveably support the holding device. The holding device is configured to move and pivot along an adapter such that the rod guide is positioned proximal to a rod channel of one of the at least two bone anchors. In a first state, the rod guide is fixed to the holding device by the clamping portion, and, in a second state in which the holding device supports the portion of the rod guide, the clamping portion is released from the portion of the rod guide to permit the orientation of the rod guide relative to the holding device to be polyaxially adjusted.

Abstract: An extension device for a bone anchor includes at least one tab, which includes an elongate shaft portion that forms part of a channel for providing a stabilization rod to a rod receiving recess of a receiving part of the bone anchor, and a coupling portion, which is provided at a distal end of the elongate shaft portion and which is configured to be coupled to the receiving part. The coupling portion includes a first engagement portion for engaging a first engagement face of the receiving part and a second engagement portion for engaging a second engagement face of the receiving part. A spring element is provided at the coupling portion, the spring element exerting a compression force to urge the first and second engagement portions in mutually opposite directions towards each other and towards the corresponding first and second engagement faces along a longitudinal axis defined by the extension device and the receiving part when being coupled together.

Abstract: A polyaxial bone anchoring device is provided comprising a bone anchoring element having a shank to be anchored in the bone and a head; a receiving part coupled to the shank and configured to pivotably receive the head, and having a channel for receiving a rod and a longitudinal axis; a pressure member arranged in the receiving part and configured to exert pressure onto the head to lock the head; a locking member that is insertable into the channel, the locking member comprising a top end and a bottom end facing the pressure member; a deformable first portion and a second portion provided at the bottom end; wherein, when the locking member is advanced into the channel along the longitudinal axis the deformable first portion is deformed resulting in a load applied to the pressure member that clamps the head, and the second portion clamps the rod.