Dynamic treatment system and method of use

• US 8,016,859 B2
• Filed: 02/17/2006
• Issued: 09/13/2011
• Est. Priority Date: 02/17/2006
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc), SDGI Holdings Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Donofrio, William T., Nycz, Jeffrey H., Olson, Stanley Warren Jr., Tethrake, Steven
• Primary Examiner(s): Barrett; Thomas C
• Assistant Examiner(s): Schaper; Michael T
• Application Number:
  US11/356,642
• Publication Number:
  US 20070233065A1
• Time in Patent Office: 2,034 Days
• Field of Search: 606/61, 606/102, 604/890.1, 604/891.1, 607/62, 623 1711- 1716
• US Class Current: 606/246
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61B 5/4509 Bone density determination
• CPC Class Codes: A61B 5/4514 Cartilage
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 8/0875 for diagnosis of bone A61B5/4504 takes precedence
• CPC Class Codes: A61B 8/4281 characterised by sound-transmitting media or devices for coupling the transducer to the tissue
• CPC Class Codes: A61B 8/4472 Wireless probes
• CPC Class Codes: A61B 8/56 Details of data transmission or power supply
• CPC Class Codes: A61B 8/565 involving data transmission via a network

Abstract

A system and method are provided for monitoring the condition of the skeletal system and adjusting a treatment device to provide appropriate treatment in response to the sensed signal. More particularly, in one aspect the present invention is directed to a sensor for detecting changes at a spinal level and a dynamic treatment system adjustable in response to the detected changes.

Claims

1. A system for treating a spinal segment within a patient, the system comprising:

a pressure sensor having a sensing portion implantable within a disc space of the spinal segment, said sensing portion generating a sensor signal in response to a sensed characteristic of the spinal segment, wherein the sensed characteristic of the spinal segment is a compressive force across the disc space of the spinal segment, wherein the sensor signal includes control data, wherein the sensing portion generates a first sensor signal if the sensed characteristic is above a first threshold and generates a second sensor signal if the sensed characteristic is below a second threshold, wherein the first and second thresholds are adjustable by communication with an external device; and

a dynamic spinal treatment system including a first bone anchor for engaging a first vertebra of the spinal segment, a first rod segment fixedly attachable to the first bone anchor in order to secure the first rod segment to the first vertebra in a first position spaced from the disc space, a second bone anchor for engaging a second vertebra of the spinal segment, a second rod segment fixedly attachable to the second bone anchor in order to secure the second rod segment to the second vertebra in a second position spaced from the disc space, the second rod segment being separate and distinct from the first rod segment such that the second rod segment is movable relative to the first rod segment, and a dynamic actuator interconnecting the first and second rod segments such that the first bone anchor, the first rod segment, the second bone anchor, the second rod segment, and the dynamic actuator provide mechanical stabilization to the spinal segment by connecting the first vertebra to the second vertebra, the dynamic actuator having a controller for receiving and processing the sensor signal, the dynamic actuator operable such that the dynamic spinal treatment system has at least a first treatment mode and a second treatment mode, wherein the first treatment mode allows a first degree of motion between the first rod segment and the second rod segment and the second treatment mode allows a second degree of motion between the first rod segment and the second rod segment, said controller in communication with said sensor and responsive to said sensor signal to adjust said dynamic actuator to move the treatment system from said first treatment mode to said second treatment mode in order to maintain the compressive force across the disc space of the spinal segment within a therapeutic range for promoting bone growth across the disc space between the first vertebra and the second vertebra to fuse the first and second vertebrae to one another.

2. The system of claim 1, wherein said first and second degrees of motion include translation along a longitudinal axis of the spine.

3. The system of claim 2, wherein said dynamic spinal treatment system is sized and shaped for implantation in the body adjacent the spinal segment.

4. The system of claim 2, wherein said first degree of motion is greater than said second degree of motion.

5. The system of claim 2, wherein in said second degree of motion is greater than said first degree of motion.

6. The system of claim 1, wherein said first and second degrees of motion include rotation of spinal segment.

7. The system of claim 6, wherein said dynamic spinal treatment system is sized and shaped for implantation in the body adjacent the spinal segment.

8. The system of claim 6, wherein said first degree of motion is greater than said second degree of motion.

9. The system of claim 6, wherein in said second degree of motion is greater than said first degree of motion.

10. The system of claim 1, wherein said first and second degrees of motion include compressive force along a longitudinal axis of the portion of the skeletal system.

11. The system of claim 1, wherein said dynamic spinal treatment system permits articulation of a joint and said first and second degrees of motion include articulation of said joint.

12. The system of claim 1, wherein the dynamic actuator is adjustable to control the amount of support provided to the spinal segment, the dynamic treatment system providing a first amount of support in the first treatment mode and a second amount of support in the second treatment mode, the second amount of support being less than the first amount of support.

13. A system comprising:

a pressure sensor implantable within an intervertebral disc space between a first and second vertebrae, the pressure sensor sensing a pressure between the first and second vertebrae and generating a first sensor signal if the pressure is above a first threshold and a second sensor signal if the pressure is below a second threshold, the first and second thresholds defining a therapeutic range for promoting bone growth between the first and second vertebrae, wherein the first and second thresholds are adjustable by self-learning of the sensor; and

a dynamic spinal treatment system including a first bone anchor for engaging the first vertebra, a first rod segment fixedly attachable to the first bone anchor in order to secure the first rod segment to the first vertebra in a first position spaced from the disc space, a second bone anchor for engaging a second vertebra of the spinal segment, a second rod segment fixedly attachable to the second bone anchor in order to secure the second rod segment to the second vertebra in a second position spaced from the disc space, and a dynamic actuator interconnecting the first and second rod segments and operable to control a dampening force applied between the first and second rod segments to control the amount of motion permitted between the first and second rod segments, the dynamic actuator having a receiver for receiving the first and second sensor signals and a processor for processing the first and second sensor signals and for controlling an actuator configured to control the dampening force between the first and second rod segments to maintain the pressure within the therapeutic range in order to promote bone growth across the disc space between the first vertebra and the second vertebra to fuse the first and second vertebrae to one another.

14. The system of claim 13, wherein the processor in response to receiving the first signal loosens the dampening force applied to the first and second rod segments.

15. The system of claim 13, wherein the processor in response to receiving the second signal stiffens the dampening force applied to the first and second rod segments.

16. The system of claim 13, further comprising an external receiver positioned outside of the body and communicatively coupled to the sensor to set at least one of the first and second thresholds.

17. The system of claim 13, wherein the pressure is a measure of a compressive force across the disc space.

18. A system comprising:

a pressure sensor implantable within an intervertebral disc space between a first and second vertebrae, the pressure sensor sensing a pressure between the first and second vertebrae and generating a first sensor signal if the pressure is above a first threshold and a second sensor signal if the pressure is below a second threshold, the first and second thresholds defining a therapeutic range for promoting bone growth between the first and second vertebrae, wherein the first and second thresholds are adjustable by communication with an external device; and

a dynamic spinal treatment system including a first bone anchor for engaging the first vertebra, a first rod segment fixedly attachable to the first bone anchor in order to secure the first rod segment to the first vertebra in a first position spaced from the disc space, a second bone anchor for engaging a second vertebra of the spinal segment, a second rod segment fixedly attachable to the second bone anchor in order to secure the second rod segment to the second vertebra in a second position spaced from the disc space, and a dynamic actuator interconnecting the first and second rod segments and operable to control a dampening force applied between the first and second rod segments to control the amount of motion permitted between the first and second rod segments, the dynamic actuator having a receiver for receiving the first and second sensor signals and a processor for processing the first and second sensor signals and for controlling an actuator configured to control the dampening force between the first and second rod segments to maintain the pressure within the therapeutic range in order to promote bone growth across the disc space between the first vertebra and the second vertebra to fuse the first and second vertebrae to one another.

19. The system of claim 18, wherein the processor in response to receiving the first signal loosens the dampening force applied to the first and second rod segments.

20. The system of claim 18, wherein the processor in response to receiving the second signal stiffens the dampening force applied to the first and second rod segments.

21. The system of claim 18, further comprising an external receiver positioned outside of the body and communicatively coupled to the sensor to set at least one of the first and second thresholds.

22. The system of claim 18, wherein the pressure is a measure of a compressive force across the disc space.