Adjustable implant and method of use

• US 9,271,857 B2
• Filed: 03/25/2015
• Issued: 03/01/2016
• Est. Priority Date: 10/20/2006
• Status: Active Grant

• Current Assignee: Nuvasive Specialized Orthopedics, Inc. (Nuvasive Incorporated)
• Original Assignee: Ellipse Technologies, Inc. (Nuvasive Incorporated)
• Inventors: Pool, Scott, Walker, Blair, McCoy, Jay R., Tran, Peter P., Quick, Richard L., Moaddeb, Shahram, Chang, Arvin
• Primary Examiner(s): Kuhlman, Catherine B
• Application Number:
  US14/668,901
• Publication Number:
  US 20150196409A1
• Time in Patent Office: 342 Days
• Field of Search: 600 29- 31, 600/37, 606139-158, 700/275, 700282-285
• US Class Current: 1/1
• CPC Class Codes: A61F 2/0036 implantable A61F2/0018 takes precedence
• CPC Class Codes: A61F 2005/002 for sensing mechanical parameters
• CPC Class Codes: A61F 2210/009 magnetic
• CPC Class Codes: A61F 5/003 inflatable
• CPC Class Codes: A61F 5/0053 remotely adjustable
• CPC Class Codes: A61F 5/0059 with wireless means
• CPC Class Codes: A61F 5/0066 Closing devices for gastric bands

Abstract

A system includes an adjustable implant configured for implantation internally within a subject and includes a permanent magnet configured for rotation about an axis of rotation, the permanent magnet operatively coupled to a drive transmission configured to alter a dimension of the adjustable implant. The system includes an external adjustment device configured for placement on or adjacent to the skin of the subject having at least one magnet configured for rotation, the external adjustment device further comprising a motor configured to rotate the at least one magnet and an encoder. Rotation of the at least one magnet of the external adjustment device effectuates rotational movement of the permanent magnet of the adjustable implant and alters the dimension of the adjustable implant. Drive control circuitry is configured to receive an input signal from the encoder.

Claims

1. A method of adjusting an adjustable implant configured for implantation internally within a subject, the adjustable implant comprising a housing, a permanent magnet disposed within the housing and configured for rotation about an axis of rotation, the permanent magnet operatively coupled to a drive transmission disposed within the housing and configured to alter an external dimension of the adjustable implant, wherein the drive transmission comprises a lead screw operatively coupled to the permanent magnet of the adjustable implant and a nut moveable along the length of the lead screw, the method comprising:

inputting drive instructions into drive control circuitry of a programmable external adjustment device comprising a motor and at least one permanent magnet configured for rotational movement in response to actuation of the motor, wherein the implant is configured to be adjusted in accordance with instructions stored in the drive control circuitry of the external adjustment device, wherein the drive control circuitry is configured to receive an input signal from an encoder disposed external to the subject in the external adjustment device that measures the angular position of the at least one permanent magnet of the external adjustment device and terminates operation of the motor based at least in part on the input signal from the encoder.

2. The method of claim 1, wherein the drive instructions comprise a numerical endpoint dimension of the adjustable implant.

3. The method of claim 1, wherein the drive instructions comprise a numerical increase in the dimension of the adjustable implant.

4. The method of claim 1, wherein the drive instructions comprise a numerical incremental decrease in the dimension of the adjustable implant.

5. The method of claim 1, wherein the drive control circuitry of the external adjustment device is configured to be updated with a current state of the adjustable implant.

6. The method of claim 5, wherein the current state of the adjustable implant is manually input into the drive control circuitry.

7. The method of claim 1, wherein the lead screw and nut are entirely contained within the housing.

8. A method of adjusting an adjustable implant configured for implantation internally within a subject, the adjustable implant comprising a housing, a permanent magnet disposed within the housing and configured for rotation about an axis of rotation, the permanent magnet operatively coupled to a drive transmission disposed within the housing and configured to alter an external dimension of the adjustable implant, wherein the drive transmission comprises a lead screw operatively coupled to the permanent magnet of the adjustable implant and a nut moveable along the length of the lead screw, wherein the adjustable implant is configured to be adjusted using a programmable external adjustment device comprising drive control circuitry, a motor, and at least one permanent magnet configured for rotational movement in response to actuation of the motor, wherein the drive control circuitry is configured to receive and store drive instructions, the method comprising:

adjusting the implant in accordance with the drive instructions stored in the drive control circuitry of the external adjustment device, wherein the drive control circuitry is configured to receive an input signal from an encoder disposed external to the subject in the external adjustment device that measures the angular position of the at least one permanent magnet of the external adjustment device and terminates operation of the motor based at least in part on the input signal from the encoder.

9. The method of claim 8, wherein the drive instructions comprise a numerical endpoint dimension of the adjustable implant.

10. The method of claim 8, wherein the drive instructions comprise a numerical increase in the dimension of the adjustable implant.

11. The method of claim 8, wherein the drive instructions comprise a numerical incremental decrease in the dimension of the adjustable implant.

12. The method of claim 8, wherein the drive control circuitry of the external adjustment device is configured to be updated with a current state of the adjustable implant.

13. The method of claim 12, wherein the current state of the adjustable implant is manually input into the drive control circuitry.

14. The method of claim 8, wherein the lead screw and nut are entirely contained within the housing.