| CPC A61B 17/7037 (2013.01) [A61B 17/7032 (2013.01); A61B 17/7035 (2013.01)] | 20 Claims |

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1. A bone anchoring device comprising:
a bone anchoring element comprising a head and a shank for anchoring to bone;
a receiving part for coupling a rod to the bone anchoring element, the receiving part having a first end, a second end below the first end, and a central axis extending between the first end and the second end, the receiving part comprising two legs defining a recess at the first end for receiving the rod, and a head receiving portion at the second end configured to hold the head of the bone anchoring element therein; and
a clamping member configured to be assembled to the head receiving portion with a first end positioned closer to the first end of the receiving part and a second end positioned closer to the second end of the receiving part, wherein the second end of the clamping member comprises a plurality of projections;
wherein the head receiving portion comprises a plurality of circumferentially spaced apart recesses each extending to an axial position that is lower than an axial position of a greatest diameter of the head measured in a direction perpendicular to the central axis when the head is in the head receiving portion; and
wherein when the clamping member is assembled to the head receiving portion, the clamping member is rotatable around the central axis from a first rotational orientation where the projections of the clamping member are out of alignment with the recesses of the head receiving portion, to a second rotational orientation where the projections of the clamping member are circumferentially aligned with and configured to extend into the recesses of the head receiving portion.
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