Variable tension spine fixation rod
View Patent ↗A variable stiffness rod is provided for use in spine stabilization systems. The variable stiffness rod system includes an outer member having a cannulation that retains a flexible tensioning inner member that can be used to adjust the stiffness of the rod via an adjustable end cap assembly that couples the inner member to the outer member at least at one end of the fixation rod.
1. A variable stiffness rod configured to span between two or more adjacent vertebral fixation elements, each vertebral fixation element including a channel formed therein configured to receive the variable stiffness rod, the variable stiffness rod elongate along a longitudinal direction, the variable stiffness rod comprising:
an outer member being an elongated rod-like element having a first end and an opposing second end, the outer member configured to extend through the respective channels of each of the two or more adjacent vertebral fixation elements, the outer member defining an interior cannulation extending between the first and second ends;
an inner tensioning member configured to be disposed in the cannulation of the outer member, the inner tensioning member having a first stiffness; and
an adjustable end cap assembly disposed at least at one of the first and second ends, the adjustable end cap assembly configured to couple the inner tensioning member to the outer member, the adjustable end cap assembly including a translator coupled to the inner tensioning member, wherein a portion of the inner tensioning member is disposed within the translator, the translator configured to move from a first position to a second position relative to the outer member along the longitudinal direction, and an actuator configured to move in a first direction to drive the translator from the first position to the second position, wherein when the translator is in the second position, the inner tensioning member is in an extended state and achieves a second stiffness that is greater than the first stiffness.
2. The variable stiffness rod as recited in claim 1 , wherein the actuator is configured move in a second direction that drives the translator from the second position to a third position so as to retract the inner tensioning member, such that the inner tensioning member achieves a third stiffness that is less than the first stiffness.
3. The variable stiffness rod as recited in claim 2 , wherein the adjustable end cap assembly comprises an outer cap that carries the actuator, and the translator is configured as an inner connector that couples the inner tensioning member to the outer cap.
4. The variable stiffness rod as recited in claim 3 , wherein the outer cap is threadedly connected to the inner connector, such that rotation of the outer cap relative to the inner connector in the first direction causes the inner connector and the coupled inner tensioning member to translate outward.
5. The variable stiffness rod as recited in claim 4 , wherein rotation of the outer cap relative to the inner connector in the second direction causes the inner connector and the coupled inner tensioning member to translate inward.
6. The variable stiffness rod as recited in claim 3 , wherein the outer cap is threadedly connected to the outer member and fixedly attached to the connector, such that rotation of the end cap relative to the outer member causes the connector to translate the inner tensioning member.
7. The variable stiffness rod as recited in claim 6 , wherein the end cap is integrally connected to the connector.
8. The variable stiffness rod as recited in claim 1 , wherein the adjustable end cap assembly comprises a connector that carries the actuator, and the connector is further coupled to the inner tensioning member such that the connector provides the translator.
9. The variable stiffness rod as recited in claim 8 , wherein the connector is threadedly coupled to the outer member, such that rotation of the connector relative to the outer member in the first direction causes the inner connector and the coupled inner tensioning member to translate outward.
10. The variable stiffness rod as recited in claim 9 , wherein rotation of the connector relative to the outer member in a second direction causes the connector and the coupled inner tensioning member to translate inward.
11. The variable stiffness rod as recited in claim 8 , wherein the adjustable end cap assembly further comprises an outer cap that fits over the outer member, and the connector is threadedly connected to the outer cap.
12. The variable stiffness rod as recited in claim 8 , wherein the connector is translatable relative to the outer member, thereby causing the inner tensioning member to translate relative to the outer member.
13. The variable stiffness rod as recited in claim 12 , wherein the connector comprises an outer portion that protrudes past the outer member, and the outer portion is configured to be engaged and pulled outward.
14. The variable stiffness rod as recited in claim 13 , wherein the adjustable end cap assembly further comprises an outer cap coupled to the outer member, the end cap further receiving the connector such that the outer portion protrudes past the outer cap.
15. The variable stiffness rod as recited in claim 1 , wherein the rod defines a curvature.
16. The variable stiffness rod as recited in claim 1 , further comprising a second end cap assembly disposed at the other of the first and second ends, the second end cap assembly configured to couple the inner tensioning member and the outer member.
17. The variable stiffness rod as recited in claim 16 , wherein the second end cap assembly is adjustable so as to vary the stiffness of the inner tensioning member.
18. The variable stiffness rod as recited in claim 16 , wherein the second end cap assembly is not configured to adjust the stiffness of the inner tensioning member.
19. A kit comprising a plurality of variable stiffness rods, each variable stiffness rod configured to span between two or more adjacent vertebral fixation elements, each vertebral fixation element including a channel formed therein configured to receive the variable stiffness rod, each variable stiffness rod elongate along a longitudinal direction, each variable stiffness rod comprising:
an outer member being an elongated rod-like element having a first end and an opposing second end, the outer member configured to extend through the respective channels of each of the two or more adjacent vertebral fixation elements, the outer member defining an interior cannulation extending between the first and second ends;
an inner tensioning member configured to be disposed in the cannulation of the outer member, the inner tensioning member having a first stiffness; and
an adjustable end cap assembly disposed at least at one of the first and second ends, the adjustable end cap assembly configured to couple the inner tensioning member to the outer member, the adjustable end cap assembly including a translator coupled to the inner tensioning member, and an actuator configured to move the translator from a first position into a second position, wherein when the translator is in the second position, the inner tensioning member is in an extended state and achieves a second stiffness that is greater than the first stiffness,
wherein at least one of the variable stiffness rods has a different curvature with respect to one of the other variable stiffness rods, and the translator surrounds at least a portion of the inner tensioning member.
20. The kit as recited in claim 19 , wherein the adjustable end cap assembly comprises an outer cap that carries the actuator, and the translator is configured as an inner connector that couples the inner tensioning member to the outer cap.
21. The variable stiffness rod as recited in claim 19 , wherein the adjustable end cap assembly comprises a connector that carries the actuator, and the connector is further coupled to the inner tensioning member such that the connector provides the translator.