Bone growth device and method
An intramedullary lengthening device includes a housing and a distraction shaft. The intramedullary lengthening device is placed within a cavity of two bone sections (either already separated or purposely separated for insertion of the device). The distraction shaft of the intramedullary lengthening device is attached to the one of the bone sections using, for example, one or more attachment screws. The housing of the intramedullary lengthening device is attached to the second bone section using, for instance, one or more attachment screws. Over the treatment period, the bone is continually distracted, creating a new separation into which osteogenesis can occur. In one embodiment, the intramedullary lengthening device includes an actuator and an extension rod, which can be attached to one other.
1. A lengthening device comprising:
a housing configured to be attached relative to a first bone section, the housing having a first abutment and a second abutment about an inner surface of the housing;
a distraction shaft having a cavity along a length thereof and being configured to be attached relative to a second bone section and being telescopically displaceable relative to the housing; and
an actuator configured to increase at least one of a distraction force between the distraction shaft and the housing and a length of the lengthening device, the actuator including:
a permanent magnet being configured for rotation relative to the housing;
a lead screw operatively coupled to the permanent magnet via a gear assembly; and
a thrust bearing disposed about a portion of the gear assembly, the thrust bearing being positioned between the first abutment and the second abutment of the inner surface of the housing.
2. The lengthening device of claim 1 , wherein rotation of the permanent magnet causes the actuator to increase at least one of a distraction force between the distraction shaft and the housing and a length of the lengthening device.
3. The lengthening device of claim 1 , wherein the gear assembly includes at least one gear operatively connected between the permanent magnet and the lead screw.
4. The lengthening device of claim 1 , wherein the gear assembly includes a plurality of intervening gears disposed between the permanent magnet and the lead screw.
5. The lengthening device of claim 1 , wherein the thrust bearing abuts at least one of the first abutment and the second abutment in the housing.
6. The lengthening device of claim 1 , wherein the thrust bearing is configured to protect at least part of the actuator from compressive or tensile stresses.
7. The lengthening device of claim 3 , wherein the thrust bearing is configured to protect at least one of the permanent magnet and the at least one gear from compressive or tensile stresses.
8. The lengthening device of claim 1 , wherein the lead screw interfaces with a threaded portion of the cavity.
9. A lengthening device configured for placement inside an intramedullary canal of a bone having first and second separate sections comprising:
a housing configured for attachment to one of the first and second separate bone sections, the housing having a first abutment and a second abutment about an inner surface of the housing;
a distraction shaft having an internal cavity along a length thereof and configured for attachment to the other of the first and second separate bone sections;
a permanent magnet disposed in the housing and configured for rotation;
an output shaft operatively coupled to a lead screw, the lead screw interfacing with a threaded portion of the internal cavity of the distraction shaft;
a gear assembly operatively connecting the permanent magnet and the output shaft; and
a thrust bearing disposed about a portion of the gear assembly and thrust bearing being positioned between the first abutment and the second abutment of the inner surface of the housing.
10. The lengthening device of claim 9 , wherein the gear assembly comprises at least one planetary gear set comprising a plurality of planetary gears.
11. The lengthening device of claim 10 , wherein the gear assembly comprises a first planetary gear set comprising a plurality of planetary gears and a last planetary gear set comprising a plurality of planetary gears, wherein rotation of the permanent magnet turns a sun gear of the first planetary gear set and an output of the last planetary gear set is operatively connected to the output shaft.
12. The lengthening device of claim 9 , wherein the thrust bearing abuts at least one of the first abutment and the second abutment in the housing.
13. The lengthening device of claim 9 , wherein the thrust bearing is configured to protect at least part of the actuator from compressive or tensile stresses.
14. A lengthening device comprising:
a housing configured to be attached relative to a first location on a bone, the housing having a first abutment and a second abutment about an inner surface of the housing;
a distraction shaft movable relative to the housing and configured to be attached relative to a second location on the bone;
a drive system comprising:
a permanent magnet configured for rotation relative to the housing; and
an output shaft operatively coupled to the permanent magnet via a gear assembly, wherein rotation of the permanent magnet causes movement of the output shaft; and
a thrust bearing disposed in the housing about a portion of the gear assembly between the first abutment and the second abutment of the inner surface of the housing, the thrust bearing configured to protect at least part of the drive system from compressive or tensile stresses.
15. The lengthening device of claim 14 , wherein the drive system further comprises at least one gear operatively coupled to the permanent magnet and the output shaft.
16. The lengthening device of claim 14 , wherein the at least one gear comprises at least one planetary gear set comprising a plurality of planetary gears, wherein the permanent magnet is operatively connected to a sun gear and the at least one planetary gear set is operatively connected to the output shaft.