Non-fusion scoliosis expandable spinal rod

• US 9,282,997 B2
• Filed: 10/17/2013
• Issued: 03/15/2016
• Est. Priority Date: 12/01/2009
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Hunziker, Markus
• Primary Examiner(s): JOHANAS, JACQUELINE T
• Application Number:
  US14/056,441
• Publication Number:
  US 20140142631A1
• Time in Patent Office: 880 Days
• US Class Current: 1/1
• 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;

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, the base rod coupled to a first end of the housing, the extendable rod extending from a second end of the housing;

a magnet rotatably mounted within the housing, the magnet having a first pole and a second pole; and

a gear reduction mechanism coupled to the magnet within the housing such that movement of the magnet is input to the gear reduction mechanism, the gear reduction mechanism reducing input movement of the magnet to produce an output that is translated into longitudinal movement of the extendable rod, the gear reduction mechanism including;

a ratchet arm that is pivotally mounted within the housing;

a carrier gear driven by the ratchet arm; and

a pawl mounted within the ratchet arm;

wherein movement of the ratchet arm drives the pawl to engage pawl teeth with external gear teeth of the carrier gear, wherein internal gear teeth of the carrier gear mate with a corresponding feature of the extendable rod to cause the extendable rod to translate relative to the base rod along the longitudinal axis.

2. The growing rod of claim 1, wherein the magnet has a rotation axis offset from the longitudinal axis of the extendable rod.

3. The growing rod of claim 1, wherein the corresponding feature of the extendable rod includes threads extending along a portion of an external surface of the extendable rod.

4. The growing rod of claim 1, wherein the carrier gear includes an elongated shaft extending within the housing.

5. The growing rod of claim 1, further including:

a bottom magnet cover coupled to the magnet such that movement of the magnet results in corresponding movement of the bottom magnet cover;

a tappet coupled to and extending from the bottom magnet cover, the tappet movably engaged within a hold included in the ratchet arm;

wherein in movement of the tappet drives the pivoting movement of the ratchet arm.

6. The growing rod of claim 5, wherein the hold comprises an elongated opening and the tappet is slidably engaged within the elongated opening.

7. The growing rod of claim 5, further including:

a top magnet cover coupled to the magnet such that movement of the magnet results in corresponding movement of the top magnet cover;

wherein the top magnet cover is coupled to the bottom magnet cover such that the magnet is enclosed within the top magnet cover and the bottom magnet cover.

8. The growing rod of claim 1, further comprising a locking mechanism that engages the pawl, wherein a position of the locking mechanism within the pawl blocks a first rotational direction of the carrier gear and allows a second rotational direction of the carrier gear.

9. The growing rod of claim 8, wherein the first rotational direction causes the extendable rod to translate in a direction away from the base rod along the longitudinal axis.

10. The growing rod of claim 8, wherein the second rotational direction causes the extendable rod to translate in a direction toward the base rod along the longitudinal axis.

11. The growing rod of claim 8, wherein the locking mechanism comprises a locking pin and a biasing spring positioned within a pawl opening such that the biasing spring urges the locking pin to engage the pawl.

12. The growing rod of claim 1, wherein the housing includes a top housing coupled to the second end of the housing such that the extendable rod extends from the top housing.

13. The growing rod of claim 12, further including:

a torque pin coupled to the top housing;

the extendable rod including a flat extending longitudinally along an external surface of the extendable rod, the flat sized and configured to interact with the torque pin;

wherein the interaction between the torque pin and the flat limit rotational movement of the extendable rod.

14. The growing rod of claim 12, further comprising:

a third attachment extending from the top housing, a longitudinal axis of the third attachment is concentric with a longitudinal axis of the magnet.

15. The growing rod of claim 14, wherein the extendable rod and the third attachment each include an attachment end configured for attachment to a mechanism within a patient'"'"'s body,

wherein the attachment end of at least one of the third attachment and the extendable rod are removable.

16. The growing rod of claim 12, wherein the housing further comprises:

a first component enclosing at least a portion of the extendable rod therein, the base rod coupled to a first end of the first component and the extendable rod extending from a second end of the first component;

a second component enclosing the magnet, the second component having a longitudinal axis offset from a longitudinal axis of the first component;

wherein the first component and the second component are coupled to the top housing.

17. The growing rod of claim 1, wherein passing a magnetic field in proximity to the growing rod to causes the magnet to rotate about its longitudinal axis.

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

19. The growing rod of claim 1, wherein the base rod and the extendable rod each include an attachment end that is attached to attachment mechanisms configured to be within a patient'"'"'s body.

20. The growing rod of claim 19, wherein the attachment mechanisms are one of a pedicle screw, a hook or a cradle.