Non-fusion scoliosis expandable spinal rod

• US 8,568,457 B2
• Filed: 12/01/2010
• Issued: 10/29/2013
• Est. Priority Date: 12/01/2009
• Status: Active Grant

• Current Assignee: Hand Innovations LLC (Johnson & Johnson)
• Original Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Inventors: Hunziker, Markus
• Primary Examiner(s): Hammond, Ellen C
• Assistant Examiner(s): JOHANAS, JACQUELINE T
• Application Number:
  US12/957,447
• Publication Number:
  US 20110137347A1
• Time in Patent Office: 1,063 Days
• Field of Search: 606250-278, 606 53- 60, 606 62- 63
• US Class Current: 606/258
• CPC Class Codes: A61B 17/7014 with means for adjusting the distance between two screws or hooks
• CPC Class Codes: A61B 17/7016 electric or electromagnetic means
• CPC Class Codes: A61B 17/7216 for bone lengthening or compression A61B17/7258 takes precedence
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/00991 Telescopic means
• CPC Class Codes: A61B 2017/0256 for the spine

Abstract

A growing rod for mounting between attachment mechanisms that are secured to anatomical structures of a patient having scoliosis. The growing rod includes a base rod having an attachment end, an extendable rod that is translatable relative to the base rod along a longitudinal axis and a housing enclosing at least a portion of the extendable rod therein. A magnet is rotatably mounted within the housing and is enclosed by a top magnet cover and a bottom magnet cover. The magnet includes a first pole and a second pole. A gear reduction mechanism is associated with the magnet and the extendable rod. The gear reduction mechanism reduces an output rotation to the extendable rod relative to an input rotation from the magnet.

Claims

1. A growing rod, comprising:

a base rod having an attachment end;

an extendable rod being translatable relative to the base rod along a longitudinal axis;

a housing enclosing at least a portion of the extendable rod therein;

a magnet rotatably mounted within the housing and enclosed by a top magnet cover and a bottom magnet cover, the magnet including a first pole and a second pole; and

a gear reduction mechanism associated with the magnet and the extendable rod, the gear reduction mechanism reducing an output rotation to the extendable rod in comparison to an input rotation from the magnet, the gear reduction mechanism comprising;

a gear wheel located longitudinally adjacent to a driver wheel, the gear wheel eccentric with the driver wheel and having external gear teeth;

a gear housing having internal gear teeth;

the driver wheel having driver pins fixed thereto that extend from the driver wheel and that are fitted within the gear wheel, the driver wheel including a threaded shaft, and

a carrier that mates with the threaded shaft and mates with the extendable rod by torque pins.

2. The growing rod of claim 1, wherein the extendable rod moves along the longitudinal axis substantially without rotation relative to the base rod.

3. The growing rod of claim 1, wherein the base rod and the extendable rod each include an attachment end that are attached to attachment points within a patient'"'"'s body.

4. The growing rod of claim 3, wherein the attachment points are one of a pedicle screw, a hook or a cradle.

5. The growing rod of claim 1, wherein the growing rod, with an exception of the magnet, is constructed of a non-magnetizable material.

6. The growing rod of claim 5, wherein the non-magnetizable material comprises one of titanium, a titanium alloy material, a cobalt-chromium material or a polymeric material.

7. The growing rod of claim 1, wherein the extendable rod is moved relative to the base rod along the longitudinal axis by passing a magnetic field in proximity to the growing rod to cause the magnet to rotate about the longitudinal axis.

8. The growing rod of claim 1, wherein the external gear teeth are mismatched with the internal gear teeth such that the rotation of the gear wheel causes the external gear teeth and the internal gear teeth to mesh, and wherein the gear wheel rotates less than a full rotation for each full rotation of the magnet.

9. The growing rod of claim 8, wherein the gear wheel rotates approximately one-fifteenth of a rotation for each full rotation of the magnet.

10. The growing rod of claim 1, wherein rotation of gear wheel is transmitted to the driver wheel through the driver pins, and wherein rotation of the driver wheel causes rotation of the threaded shaft and the carrier to move the extendable rod out of the housing.

11. The growing rod of claim 1, further comprising a slider that is fixed to housing, the slider including a pair of slots that receive the torque pins to limit rotational movement of the extendable rod.

12. A growing rod, comprising:

a housing;

a fixed rod that is attached to the housing at a first end of the housing;

an extendable rod that moves along a longitudinal axis of the growing rod and extending from a second end of the housing;

a magnet mounted within the housing; and

a gear reduction mechanism comprising;

a gear wheel located longitudinally adjacent to a driver wheel, the gear wheel eccentric with the driver wheel and having external gear teeth;

a gear housing having internal gear teeth;

the driver wheel having driver pins fixed thereto that extend from the driver wheel and that are fitted within the gear wheel, the driver wheel including a threaded shaft; and

a carrier that mates with the threaded shaft and to extendable rod by torque pins,

wherein movement of the magnet caused by an external magnetic field is input to the gear reduction mechanism, and

wherein the gear reduction mechanism reduces the input movement to produce an output that is translated into longitudinal movement of the extendable rod.

13. The growing rod of claim 12, wherein the magnet includes at least two poles, and wherein the extendable rod is moved relative to the fixed rod along the longitudinal axis by passing a magnetic field in proximity to the growing rod to cause the magnet to rotate about the longitudinal axis.

14. The growing rod of claim 12, wherein the external gear teeth are mismatched with the internal gear teeth such that the gear wheel rotates less than a full rotation for each full rotation of the magnet.

15. The growing rod of claim 12, further comprising a slider that is fixed to housing, the slider including a pair of slots that receive the torque pins to limit rotational movement of the extendable rod.

16. An expandable spinal growing rod, comprising:

a first rod that is fixedly attached to a housing at a first end of the housing;

a second rod that extends from a second end of the housing and that moves along a longitudinal axis; and

a magnet within the housing; and

a gear mechanism that is engaged by the magnet, wherein input rotational movement of magnet drives the gear mechanism, and wherein rotational movement of the gear mechanism is translated into longitudinal movement of the second rod relative to the housing,

the gear mechanism comprising a gear reduction mechanism that reduces the input rotational movement of the magnet with respect to an output of the gear mechanism, the gear reduction mechanism comprising;

a gear wheel located longitudinally adjacent to a driver wheel, the gear wheel eccentric with the driver wheel and having an external gear teeth,

a gear housing having internal gear teeth,

the driver wheel having driver pins fixed thereto that extend from the driver wheel and that are fitted within the gear wheel, the driver wheel including a threaded shaft, and

a carrier that mates with the threaded shaft and to the second rod by torque pins.

17. The spinal growing rod of claim 16, wherein the second rod moves along the longitudinal axis substantially without rotation relative to the first rod.

18. The spinal growing rod of claim 16, wherein the gear mechanism rotates bi-directionally such that second rod is moveable relative to the first rod along the longitudinal axis in a first direction away from the first rod or in a second direction toward the first rod.

19. The spinal growing rod of claim 16, wherein the input rotation movement of the gear mechanism is caused by passing a magnetic field in proximity to the magnet of the spinal growing rod.