Adjustable implant, system and methods

Patent metadata

Field	Value
Publication number	US-11944359-B2
Application number	US-202217651589-A
Country	US
Kind code	B2
Filing date	Feb 18, 2022
Priority date	Feb 23, 2021
Publication date	Apr 2, 2024
Grant date	Apr 2, 2024

Abstract

Aspects of the disclosure relate to an adjustable implant configured to be implanted into a patient that includes an adjustable portion moveable relative to a housing. The adjustable implant may include various smart components for enhancing operation of the implant. Smart components may include a controller for managing operations and a transducer for communicating ultrasound data with an external interface device. Additional smart components may include a load cell within the housing for measuring an imparted load; a sensor for measuring angular position of the adjustable portion; a dual sensor arrangement for measuring imparted forces; a reed switch; a half piezo transducer; and an energy harvester.

First claim

What is claimed is:

1. An adjustable implant configured to be implanted into a patient, the adjustable implant comprising:
a housing;
an adjustable portion moveable relative to the housing;
a load cell within the housing for measuring a load imparted on the implant during movement of the adjustable portion relative to the housing or during movement of a bone relative to the housing;
apertures within the housing for receiving bone anchors therein; and
a controller within the housing and configured to determine at least one of a distraction force and a compression force based on the load measured by the load cell;
wherein the load cell includes apertures therein corresponding to the apertures within the housing for receiving the bone anchors therein to couple the load cell to the bone.

2. The adjustable implant of claim 1 , wherein the load cell includes at least one sensor.

3. The adjustable implant of claim 1 , wherein the load cell is coupled with the housing.

4. The adjustable implant of claim 3 , wherein the load cell is coupled with the housing via a pin.

5. The adjustable implant of claim 1 , further comprising:
wiring coupling the load cell and the controller.

6. The adjustable implant of claim 5 , further comprising:
a polymer housing surrounding the wiring within the housing.

7. The adjustable implant of claim 1 , further comprising:
a transducer configured to send the at least one of the distraction force and the compression force to an external interface device.

8. The adjustable implant of claim 1 , wherein the apertures of the load cell have a smaller diameter than a diameter of the apertures within the housing.

9. The adjustable implant of claim 1 , wherein the load cell includes a first strain gauge and a second strain gauge.

10. The adjustable implant of claim 1 , further comprising a reed switch configured to power on the controller in response to an external device being within a threshold distance of the adjustable implant and power off the controller in response to the external device being outside the threshold distance of the adjustable implant.

11. The adjustable implant of claim 1 , further comprising:
an actuator configured to cause movement of the adjustable portion relative to the housing; and
a sensor configured to determine an amount of rotation of the actuator.

12. The adjustable implant of claim 11 , further comprising:
a controller configured to digitize data acquired by the load cell and modulate the data into an ultrasound signal; and
a transducer configured to send the ultrasound signal comprising the digitized data to an external interface device.

13. The adjustable implant of claim 12 , wherein the data includes at least one of: the load imparted on the implant, a distraction length of the implant, a compression length of the implant, a distraction force of the implant, and a compression force of the implant.

14. An adjustable implant configured to be implanted into a patient, the adjustable implant comprising:
a housing;
an adjustable portion moveable relative to the housing;
a load cell within the housing for measuring a load imparted on the implant during movement of the adjustable portion relative to the housing or during movement of a bone relative to the housing;
apertures within the housing for receiving bone anchors therein;
an actuator configured to cause movement of the adjustable portion relative to the housing;
a controller configured to digitize data acquired by the load cell and modulate the data into a signal; and
a transducer configured to send the signal encoding the digitized data to an external interface device;
wherein the load cell includes apertures therein corresponding to the apertures within the housing for receiving the bone anchors therein to couple the load cell to the bone.

15. The adjustable implant of claim 14 , wherein the signal comprises an ultrasound signal.

16. The adjustable implant of claim 14 , further comprising a sensor configured to determine an amount of rotation of the actuator.

17. The adjustable implant of claim 14 , wherein the load cell is coupled with the housing.

18. The adjustable implant of claim 17 , wherein the load cell is coupled with the housing via a pin.

19. The adjustable implant of claim 14 , wherein the controller is configured to determine at least one of a distraction force and a compression force based on the load measured by the load cell.

20. The adjustable implant of claim 19 , further comprising:
wiring coupling the load cell and the controller.

21. The adjustable implant of claim 20 , further comprising:
a polymer housing surrounding the wiring within the housing.

22. The adjustable implant of claim 19 ,
wherein the transducer is configured to send the at least one of the distraction force and the compression force to the external interface device.

23. The adjustable implant of claim 14 , wherein the apertures of the load cell have a smaller diameter than a diameter of the apertures within the housing.

24. The adjustable implant of claim 14 , wherein the load cell includes a first strain gauge and a second strain gauge.

25. The adjustable implant of claim 14 , further comprising a reed switch configured to power on the controller in response to an external device being within a threshold distance of the adjustable implant and power off the controller in response to the external device being outside the threshold distance of the adjustable implant.

26. The adjustable implant of claim 14 , wherein the data includes at least one of: the load imparted on the implant, a distraction length of the implant, a compression length of the implant, a distraction force of the implant, and a compression force of the implant.

27. An adjustable implant configured to be implanted into a patient, the adjustable implant comprising:
a housing;
an adjustable portion moveable relative to the housing;
a load cell within the housing for measuring a load imparted on the implant during movement of the adjustable portion relative to the housing or during movement of a bone relative to the housing;
apertures within the housing for receiving bone anchors therein;
an actuator configured to cause movement of the adjustable portion relative to the housing;
a sensor configured to determine an amount of rotation of the actuator;
a controller configured to digitize data acquired by the load cell and modulate the data into an ultrasound signal; and
a transducer configured to send the ultrasound signal comprising the digitized data to an external interface device.

28. The adjustable implant of claim 27 , wherein the load cell includes apertures therein corresponding to the apertures within the housing for receiving the bone anchors therein to couple the load cell to the bone.

29. The adjustable implant of claim 28 , wherein the apertures of the load cell have a smaller diameter than a diameter of the apertures within the housing.

30. The adjustable implant of claim 27 , wherein the load cell is coupled with the housing.

31. The adjustable implant of claim 30 , wherein the load cell is coupled with the housing via a pin.

32. The adjustable implant of claim 27 , wherein the controller is configured to determine at least one of a distraction force and a compres

Assignees

• Nuvasive Specialized Orthopedics Inc

Inventors

• Bae Youngsam
• Pham Khoa
• Smidth Niels
• Van Zuiden Everett
• Emerson Dave

Classifications

• A61B17/7216 Primary

  for bone lengthening or compression (A61B17/7258 takes precedence) · CPC title

• G16H20/40

  relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture · CPC title

• A61B2017/00022

  Sensing or detecting at the treatment site · CPC title

• A61B2017/00039

  Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect · CPC title

• A61B2017/0011

  piezoelectric · CPC title