Strength and fatigue life improvements for active bone and joint stabilization devices
Bone and joint stabilization devices or systems are described that include multiple-layer bodies. The approach offers dramatically improved fatigue life as compared to one-piece spring members that are otherwise similar or comparable. Coordinated improved-strength anchor embodiments, anchor loading tools and methods of use are also described.
1. A system comprising:
a spring member comprising a plurality of layers held together,
wherein each layer of the plurality of layers has an elongate stretchable structure with two lateral outer extents and a plurality of beams arranged in pairs;
wherein a first beam and a second beam of each pair are connected to each other only at the two lateral outer extents such that the first beam opposes the second beam, and
wherein each pair of beams is connected to an adjacent pair of beams by only a medial connector such that gaps are present at the two lateral outer extents between each pair of beams and the adjacent pair of beams; and
at least one anchoring head, wherein the at least one anchoring head has a base and a tooth slidingly received within the base, the tooth configured to cross the plurality of layers.
2. The system of claim 1 , wherein the plurality of layers are individual layers that are held together with at least one weld.
3. The system of claim 2 , wherein proximal and distal ends of the spring member are welded.
4. The system of claim 1 , wherein each layer of the plurality of layers is about 0.01 inches (0.25 mm) thick.
5. The system of claim 4 , wherein each layer of the plurality of layers is between 0.008 inches (0.20 mm) and 0.012 inches (0.30 mm) thick.
6. The system of claim 1 , wherein the beams have a ratio of width to thickness of between about 2:3 and 3:2.
7. The system of claim 6 , wherein the ratio is about 1:1.
8. The system of claim 1 , wherein the plurality of layers includes at least 3 layers.
9. The system of claim 8 , wherein the plurality of layers includes at least 4 layers.
10. The system of claim 9 , wherein the plurality of layers includes at least 5 layers.
11. The system of claim 10 , wherein the plurality of layers includes at least 6 layers.
12. The system of claim 1 , wherein the spring member comprises a NiTi alloy that is superelastic at human body temperature.
13. The system of claim 1 , further comprising:
an anchoring foot including a first end, a second end and pivot holes therebetween;
a longitudinal extension from a distal extent of the beams of each layer, a distal end of each longitudinal extension including an aperture; and
a pin received by the anchoring foot pivot holes and the aperture in each longitudinal extension.
14. The system of claim 1 , further comprising:
an anchoring foot including a first end, a second end and pivot holes therebetween;
a first spring member piece doubled around a fold so as to form two spring member layers; and
a pin received by the anchoring foot pivot holes and at the fold.
15. The system of claim 14 , further comprising a second spring member piece folded over the first spring member piece.
16. The system of claim 15 , further comprising a third spring member piece folded over the second spring member piece.
17. The system of claim 1 , wherein the beams and connectors at the beam outer extents form a shape selected from rectangle, square, race-track, oval and circle shapes.
18. The system of claim 1 , further comprising two anchoring heads.
19. The system of claim 1 , further comprising at least one anchor loader for applying an anchor over the spring member, the at least one anchor loader comprising:
an anchor loader body including a tunnel configured to receive the spring member;
a plurality of flexible extensions from the anchor loader body, each of the flexible extensions including an overhanging tip configured to retain the anchor; and
a lever arm connected to the anchor loader body, the lever arm being able to move toward the anchor loader body and including a tip configured to push an anchoring tooth of the anchoring head into a final position.
20. The system of claim 19 , wherein the at least one anchor loader further comprises at least one detent feature positioned to interact with the spring member.
21. The system of claim 20 , wherein the at least one detent feature includes a V-shaped extension.
22. The system of claim 21 , wherein the V-shaped extension is positioned to fit between adjacent connectors along a lateral outer extent of the spring member.
23. The system of claim 21 , wherein the V-shaped extension is integral with an oval base.
24. The system of claim 21 , including two detent features.
25. The system of claim 21 , wherein the spring member, the at least one anchor loader and the at least one detent feature are configured to operate without spring loading the at least one detent feature.
26. The system of claim 20 , wherein the at least one detent feature of the at least one anchor loader is carried by a deflectable beam.
27. The system of claim 26 , wherein the at least one anchor loader comprises a slidable collar, the collar configured for locking the at least one detent feature with the spring member.
28. The system of claim 19 , further comprising at least one spur gear, the at least one spur gear configured and positioned to mesh with the spring member between adjacent connectors along a lateral outer extent of the spring member.
29. The system of claim 28 , further comprising at least one detent feature to interact with the at least one gear.
30. The system of claim 29 , wherein the at least one detent feature comprises a pawl located at the end of a flexible arm.
31. The system of claim 1 , wherein the at least one anchoring head base and the tooth are configured to lock with one another.
32. The system of claim 31 , wherein the at least one anchoring head base and tooth lock when the tooth is fully advanced within the anchoring head base.
33. The system of claim 32 , wherein the tooth includes at least one deflectable latch member.
34. The system of claim 32 , wherein the at least one deflectable latch member is in the form of a hook having a flexible arm and a turned end, wherein the arm is deflectable in a horizontal direction relative to a bottom of the anchoring head body for latching.
35. The system of claim 32 , wherein the at least one deflectable latch member is in the form of a flexible tang having an end, wherein the tang is deflectable in a vertical direction relative to a bottom of the at least one anchoring head base for latching.
36. The system of claim 34 , wherein the end of the deflectable latch member is configured to be received within a pocket formed in the at least one anchoring head base.
37. The system of claim 1 , the at least one anchoring head base comprising first and second body pieces.
38. The system of claim 37 , wherein the second body piece includes two symmetrically shaped and placed pockets.
39. The system of claim 1 , wherein at least one of the first and second body pieces is undercut to define opposing side slots for holding the anchoring head apart from a base.
40. The system of claim 35 , wherein the end of the deflectable latch member is configured to be received within a pocket formed in the anchoring head body.